Examine culturally proficient and congruent approaches

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Description

Purpose:

In this Assignment you will select a current health care topic or issue and offer policy solutions that increase quality, expand access to care, or reduce the costs of health care. You will offer an informed opinion on the selected healthcare problem and support your opinion with evidence.

This Assignment will serve as a course level assessment for Course Outcome 1:

  • DN733-1: Examine culturally proficient and congruent approaches to the care of diverse communities and vulnerable and underserved populations.

Directions:

Write a scholarly paper, no less than 6 pages excluding the title page and references, and include the following:

  1. Select a current health care issue or problem that represents an ethical dilemma or health disparity (see criteria and suggestions for topic/issue selection).
  2. Identify the scope of the problem
    1. How does the problem or issue impact the public or /population/ or disenfranchised segment of a community? Use federal or state data/statistics if available
    2. Identify stakeholders
    3. Identify the ethical dilemmas
    4. Identify any cultural diversity relevance or disparities issues
  3. Specify policy based solutions
    1. Is there a policy that addresses this problem/issue
    2. Include evidence/ science on why this policy is helpful
    3. What level(s) of government does your issue involve (local, state, federal)? What level of government is your immediate target?
    4. If there is no current policy that addresses the problem/issue, should a policy be developed? Who should lead the policy development? What policy solution(s) should be initiated? Include evidence to support this policy development.
  4. Offer your opinion of the effectiveness of the existing policy or proposed policy solutions related to this problem/issue. Review the ANA Nursing Code of Ethics and the ICN Code of Ethics and select one you find most applicable to the healthcare topic/issue and policy and/or policy solution.
  5. Include Five or more scholarly peer reviewed articles to support the content. Make sure to review grading rubric.

Criteria and Suggestions for Selecting Issues

Selected topics must meet all of the following criteria:

    1. Be linked to the 2015 National Healthcare Quality and Disparities Report and/or Healthy People 2020
    2. Be practice-focused and highly relevant to primary health care
    3. Have cultural implications
    4. Have implications for health policy
    • Topic must be amenable to legislation or government regulation for a solution or improvement. Not every issue/problem should be legislated! The topic should be manageable… “Mental Health” as a topic is too large but “suicide prevention intervention(s)” is manageable.
    1. Have some research evidence as well as other evidence to support the area
    2. Be current, relevant and significant
    3. Relate to at least one of the following aspects of care: access, quality, or cost

The following lists of topics are intended as suggestions of broad topics you might consider, and then you can narrow your topic:

Transitional Care

Immunizations

Disease Prevention

Disaster Preparedness

Drug Shortages

Genomics

Nutrition/Obesity

Health Literacy

Wellness/Health Promotion

Reproductive Health

Palliative Care

Nurse Managed or School based Health Centers

Health/Disease Screening

APRN Professional Issues (e.g., scope of practice)

Health Workforce Issues

Health Information Technology

End-of-Life

Medicaid/Medicare/CHIP

Chronic Disease Management

Medication Costs for Elderly

Long Term Care

Alternative and Complementary Therapies

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References:

Nursing Standards

Nursing and Midwifery Board of Australia. (2018). Code of conduct for midwives. https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-standards.aspx

Clinical Guidelines

Guideline Adaption Committee. (2016). Clinical practice guidelines and principles of care for people with dementia. NHMRC Partnership Centre for Dealing with Cognitive and Related Function Decline in Older People. https://cdpc.sydney.edu.au/wp-content/uploads/2019/06/CDPC-Dementia-Guidelines_WEB.pdf

Living Guideline

Stroke Foundation. (2022). Australian and New Zealand living clinical guidelines for stroke management – chapter 1 of 8: Pre-hospital care. https://app.magicapp.org/#/guideline/NnV76E

Evidence-based practice

BMJ Best Practice

Goldfarb, S., & Josephson, M. (2020). Cystic fibrosis. BMJ Best Practice. https://bestpractice.bmj.com/

Schub, T., & Cabrera, G. (2018). Bites: Head lice [Evidence-based care sheet]. Cinahl Information Systems. https://www.ebscohost.com

Beyea, S. C., & Slattery, M. J. (2006). Evidence-based practice in nursing: A guide to successful implementation. http://www.hcmarketplace.com/supplemental/3737_browse.pdf

JBI: Evidence summary

Swe, K. K. (2022). Blood glucose levels: Self-monitoring [Evidence summary]. JBI EBP Database. https://jbi.global

JBI: Best practice information sheet

Bellman, S. (2022). Experiences of living with juvenile idiopathic arthritis [Best practice information sheet]. JBI EBP Database, 24(1), 1-4.

Cochrane Database of Systematic Reviews

Srijithesh, P. R., Aghoram, R., Goel, A., & Dhanya, J. (2019). Positional therapy for obstructive sleep apnoea. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD010990.pub2

Drug Information

Codeine. (2023, January). In Australian medicines handbook. Retrieved February 2, 2023, from https://amhonline.amh.net.au

Colorado State University. (2011). Why assign WID tasks? http://wac.colostate.edu/intro/com6a1.cfm

 

Dartmouth Writing Program. (2005). Writing in the social sciences. http://www.dartmouth.edu/~writing/materials/student/soc_sciences/write.shtml

Rutherford, M. (2008). Standardized nursing language: What does it mean for nursing practice? [Abstract]. Online Journal of Issues in Nursing, 13(1). http://ojin.nursingworld.org/MainMenuCategories/ThePracticeofProfessionalNursing/Health-IT/StandardizedNursingLanguage.html

Wagner, D. (n.d.). Why writing matters in nursing. https://www.svsu.edu/nursing/programs/bsn/programrequirements/whywritingmatters/

Writing in nursing: Examples. (n.d.). http://www.technorhetoric.net/7.2/sectionone/inman/examples.html

Perth Children’s Hospital. (2022, April). Appendicitis [Emergency Department Guidelines]. Child and Adolescent Health Service. https://www.pch.health.wa.gov.au/For-health-professionals/Emergency-Department-Guidelines/Appendicitis

Department of Health. (n.d.). Who is being active in Western Australia? https://ww2.health.wa.gov.au/Articles/U_Z/Who-is-being-active-in-Western-Australia

Donaldson, L. (Ed.). (2017, May 1). Healthier, fairer, safer: The global health journey 2007-2017. World Health Organisation. https://www.who.int/publications/i/item/9789241512367

NCBI Bookshelf

Rodriguez Ziccardi, M., Goyal, G., & Maani, C. V. (2020, August 10). Atrial flutter. In Statpearls. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK540985/

Royal Perth Hospital. (2016). Procedural management: Pre and post (24-48 hours) NPS. Canvas. https://courses.ecu.edu.au

 

 

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