Addressing Behavioral Risk Factors Assignment Week 5 NURS 6050

Addressing Behavioral Risk Factors Assignment Week 5 NURS 6050

Addressing Behavioral Risk Factors Assignment Week 5 NURS 6050

Addressing Behavioral Risk Factors Assignment

“It is unreasonable to expect that people will change their behavior easily when so many forces in the social, cultural, and physical environment conspire against such change” (Kovner and Knickman, p. 139).

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When seeking to lessen behavioral risk factors in different populations, one of the greatest challenges is addressing the systemic issues within the population that enable the risky behavior to occur in the first place. Consider the health risks of school-age children not being immunized or drug users sharing needles. As Dr. Beilenson discussed in the Week 4 media program, these risky behaviors led to increases in individual and population health problems. Thus, when planning health prevention programs, it is important to consider how to effectively address risky behaviors at both the individual and the population level.

The Addressing Behavioral Risk Factors Assignment Week 5 NURS 6050 this week focuses on the use of the Population-Based Intervention Model outlined in the course text Health Care Delivery in the United States, as well as how this model can be applied to strengthen advocacy programs.

To prepare for Addressing Behavioral Risk Factors Assignment Week 5 NURS 6050:

• Select one of the behavioral risk factors from the Healthy Population 2010 Objectives (listed in Table 7.1 on p. 128 of the course text) that is of interest to you.
• Using the Walden Library and other credible websites, research how this risk factor is affecting your community or state.
• With your selected risk factor in mind, review the information on the Population-Based Intervention Model on pp. 136–140 in the course text, Health Care Delivery in the United States. In particular, focus on the concept of downstream, midstream, and upstream interventions. Consider at least one intervention that could be put into place at each stage.

By Day 3 of Addressing Behavioral Risk Factors Assignment Week 5 NURS 6050

• Post a description of the behavioral risk factor you selected and how this factor is impacting your community or state. Using the Population-Based Intervention Model, suggest at least one intervention that could be put into place at each stage (downstream, midstream, and upstream) to ensure that a health prevention program addressing the behavioral risk factor would have a greater chance at succeeding. Justify why each intervention you identified would be effective. 

Read a selection of your colleagues’ responses.

By Day 6 of Addressing Behavioral Risk Factors Assignment Week 5 NURS 6050

Respond to at least two of your colleagues on two different days in one or more of the following ways:

• Ask a probing question, substantiated with additional background information, evidence, or research using an in-text citation in APA format.
• Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
• Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library. 
• Validate an idea with your own experience and additional research.
• Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.
• Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

Addressing Behavioral Risk Factors Assignment References:

Kovner, A. R., & Knickman, J. R. (Eds.). (2011). Health care delivery in the United States (10th ed.). New York, NY: Springer Publishing.

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NURS 6050 Weekly Essay Discussions and Assignments – Week 6 Discussion: Improving Quality

Improving the quality of health care delivery and patient safety continues to be a political concern and has been at the heart of reform issues for many years. The American Nurses Association (ANA) and the Institute of Medicine (IOM) have increased awareness of health care quality and safety issues, as well as advocated for health care reform. The documents featured at the ANA and IOM websites listed in this week’s Learning Resources focus on many of the current issues surrounding quality and safety in the health care industry.

To prepare:

Review this week’s Learning Resources, focusing on the Six Aims for Improvement presented in the landmark report “Crossing the Quality Chasm: The IOM Health Care Quality Initiative.”

Consider these six aims with regard to your current organization, or one with which you are familiar. In what areas have you seen improvement? What areas still present challenges? As a nurse leader, how can you contribute to improving the organization’s achievement of these aims?

Select one specific quality or safety issue that is presenting a challenge in the organization. Consider at least one quality improvement strategy that could be used to address the issue, as well as which of the six aims for improvement would then be addressed.

Reflect on your professional practice and your experiences with inter-professional collaboration to improve quality and safety. How has inter-professional collaboration contributed to your organization’s efforts to realize the IOM’s six aims for improving health care? Where has inter-professional collaboration been lacking?

By Day 3

Post a description of the quality or safety issue you selected and a brief summary of the impact that this issue has on health care delivery. Describe at least one quality improvement strategy used to address this issue. Then explain which of the six “aims for improvement” are addressed by the strategy. Finally, explain how inter-professional collaboration helps improve quality in this area.

Read a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues on two different days in one or more of the following ways:

Ask a probing question, substantiated with additional background information, evidence, or research using an in-text citation in APA format.

Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.

Validate an idea with your own experience and additional research.

Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.

Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

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NURS 6050 Week 7 Discussion: Health Care Policy

Health Care Policy Impact on Nurses Practice

In this week’s media presentation, Dr. Trautman, Dr. Wakefield, and Ms. Coyle discuss how public policies initiated at the national or state level ultimately influence what occurs at the institutional and local level of nursing practice and health care delivery. Health care policy usually is developed to address health care cost, quality, or access, or a combination of the three. Due to the nature of their interaction with patients, nurses are well situated to be effective, knowledgeable advocates for their patients.

In this week’s Discussion, you will examine how current policies impact how you as a nurse provide health care. You will then select an issue of interest and determine how you could advocate for policy in that area.

To prepare:

• Select one public policy that currently is impacting you and your practice. Consider the following:
• What health care driver was the policy designed to address: cost, quality, access, or a combination?
• Does the policy appear to be achieving its intended results? On what data are you basing your assumption?
• What have been the effects (adverse or positive) of this policy on health care cost, quality, and access?
• How is this policy affecting your nursing practice? 
• Next, select a health care issue—something you see or experience on a daily basis—about which you would like to influence a practice change through the policy process.
• Review the Learning Resources, focusing on Kingdon’s Model. How would you utilize this model to guide your policy development?

By Day 3 OF Health Care Policy Impact on Nurses Practice

• Post a brief description of a public policy that is having an impact on your practice; summarize your analysis of the policy using the bulleted list above as a guide. Then, summarize the issue you would like to influence though a change in public policy, and outline how you would utilize Kingdon’s Model to guide your policy development.

Read a selection of your colleagues’ responses.

By Day 6 OF Health Care Policy Impact on Nurses Practice

Respond to at least two of your colleagues on two different days in one or more of the following ways:

• Ask a probing question, substantiated with additional background information, evidence, or research using an in-text citation in APA format.
• Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives. 
• Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.
• Validate an idea with your own experience and additional research.
• Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.
• Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence. 

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NURS 6050 Weekly Essay Discussions and Assignments – Week 8 Discussion: Nurses as Health Advocates

Discussion: Nurses as Health Advocates

What does it take to be an effective health advocate? As a nurse, you have many opportunities to advocate for patients and populations, whether formally or informally. Being an advocate involves more than knowing how to lobby or to whom to write letters. It requires passion and compassion, commitment and courage.

In this Discussion, you will consider the attributes of an effective advocate for population health and/or the nursing profession. You will analyze those attributes that help nurses be a powerful force in improving the quality of health care.

To prepare FOR Discussion: Nurses as Health Advocates :

• Review the article “On Being a Good Nurse: Reflections on the Past and Preparing for the Future” and “War, its aftermath, and U.S. health policy: Toward a comprehensive health program for America’s military personnel, veterans, and their families” found in this week’s Learning Resources.
• Consider the multiple health care needs of returning veterans and their families.

By Day 3 OF Discussion: Nurses as Health Advocates

• Post two types of health needs returning veterans and their families might need. Identify two types of health needs returning veterans and their families might need. How might you advocate for the needs of this population. What type of advocacy skills would you need and how could you develop them. What responsibility does a nurse have to be an advocate? Give specific examples.
• Read a selection of your colleagues’ responses.

By Day 6 OF Discussion: Nurses as Health Advocates

Respond to at least two of your colleagues on two different days in one or more of the following ways:

• Ask a probing question, substantiated with additional background information, evidence, or research using an in-text citation in APA format.
• Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
• Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.
• Validate an idea with your own experience and additional research.
• Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings. NURS 6050 Policy & Advocacy for Improving Population Health weekly essay discussions and assignments.
• Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

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NURS 6050 Week 9 Discussion: Legal and Ethical Conduct

Discussion: Legal and Ethical Conduct

As emphasized in this week’s media presentation, all nurses need to be familiar with the laws and regulations that govern their practice: their state’s Nurse Practice Act, ANA’s Nursing: Scope and Standards of Practice, specialty group standards of practice, etc. In addition, basic ethical principles guide nurses’ decision-making process every day. ANA’s Code of Ethics and ANA’s Social Policy Statement are two important documents that outline nurses’ ethical responsibilities to their patients, themselves, and their profession. This said, there is a dilemma: The laws are not always compatible with the ethical positions nurses sometimes take. This week’s Discussion focuses on such a dilemma. NURS 6050 Policy & Advocacy for Improving Population Health weekly essay discussions and assignments.

To prepare for Discussion: Legal and Ethical Conduct:

• Review this week’s Learning Resources, focusing on the information in the media presentation about the relationship between the law and ethics.

• Consider the ethical responsibility of nurses in ensuring patient autonomy, beneficence, non-malfeasance, and justice.

Read the following scenario:

Lena is a community health care nurse who works exclusively with HIV-positive and AIDS patients. As a part of her job, she evaluates new cases and reviews confidential information about these patients. In the course of one of these reviews, Lena learns that her sister’s boyfriend has tested HIV positive. Lena would like to protect her sister from harm and begins to consider how her sister can find out about her boyfriend’s health status.

• Consult at least two resources to help you establish Lena’s legal and ethical position. These resources might include your state’s Nurse Practice Act, the ANA’s Code of Ethics, ANA’s Nursing: Scope and Standards of Practice, and internal or external standards of care. 
• Consider what action you would take if you were Lena and why.
• Determine whether the law and the ANA’s standards support or conflict with that action.

By Day 3 of Discussion: Legal and Ethical Conduct

• Post a description of the actions you would take in this situation, and why. Justify these actions by referencing appropriate laws, ethical standards, and professional guidelines. 
• Read a selection of your colleagues’ responses.

By Day 6 of Discussion: Legal and Ethical Conduct

Respond to at least two of your colleagues on two different days in one or more of the following ways:

• Ask a probing question, substantiated with additional background information, evidence, or research using an in-text citation in APA format.
• Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives. 
• Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.
• Validate an idea with your own experience and additional research.
• Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.
• Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence. 

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NURS 6050 Weekly Essay Discussions and Assignments – Week 10 Discussion: Ethical Issues With an Aging Population

Discussion: Ethical Issues With an Aging Population

According to the CDC, “in the United States, the proportion of the population aged >65 years is projected to increase from 12.4% in 2000 to 19.6% in 2030,” (CDC, 2003, para. 2). Caring for this aging population is going to be one of the greatest challenges facing the health care industry. Not only will the number of individuals requiring care rise, but so will the cost. As poignantly stated by Crippen and Barnato, “unless we change the practice of medicine and reduce future costs, and explicitly address the ethical dilemmas we face, there may come a time when our kids simply cannot afford us” (2011, p. 128).

In this Discussion, you will examine the ethical issues that the United States and other nations must address when faced with the health care challenges of an aging population.

To prepare:

• Consider the ethical aspects of health care and health policy for an aging population.
• Review the Hayutin, Dietz, and Mitchell report presented in the Learning Resources. The authors pose the question, “What are the economic consequences, now and for future generations of taxpayers if we fail to adapt our policies to the changing reality of an older population?” (p. 21). Consider how you would respond to this question. In addition, reflect on the ethical decisions that arise when dispersing limited funds. 
• Contemplate the impact of failing to adjust policy in accordance with the changing reality of an older population.
• Reflect on the ethical dilemmas that arise when determining expenditures on end-of-life health care.

By Day 3

• Post an explanation of the ethical standards you believe should be used in determining how resources should be allocated for an aging population and end-of-life care. Then, provide an analysis of the ethical challenges related to the preparation for the provision of such health care.

Read a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues on two different days in one or more of the following ways:

• Ask a probing question, substantiated with additional background information, evidence, or research using an in-text citation in APA format.
• Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
• Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.
• Validate an idea with your own experience and additional research.
• Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings. 
• Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

Discussion: Ethical Issues With an Aging Population References:

Crippen, D., & Barnato, A. E. (2011). The ethical implications of health spending: Death and other expensive conditions. Journal of Law, Medicine & Ethics, 39(2), 121–129. doi:10.1111/j.1748-720X.2011.00582.x

Public health and aging: Trends in aging—United States and worldwide. Retrieved from: http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5206a2.htm

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