Category: Nursing

I would like you to make any necessary changes/corrections to this paper especially the dois and references. Please ensure that it is correct and provide clear references. Thank you

The Quadruple Aim provides broad categories of goals to pursue to maintain and improve healthcare. Within each goal are many issues that, if addressed successfully, may have a positive impact on outcomes. For example, healthcare leaders are being tasked to shift from an emphasis on disease management often provided in an acute care setting to health promotion and disease prevention delivered in primary care settings. Efforts in this area can have significant positive impacts by reducing the need for primary healthcare and by reducing the stress on the healthcare system.

Changes in the industry only serve to stress what has always been true; namely, that the healthcare field has always faced significant challenges, and that goals to improve healthcare will always involve multiple stakeholders. This should not seem surprising given the circumstances. Indeed, when a growing population needs care, there are factors involved such as the demands of providing that care and the rising costs associated with healthcare. Generally, it is not surprising that the field of healthcare is an industry facing multifaceted issues that evolve over time.

In this modules Discussion, you reviewed some healthcare issues/stressors and selected one for further review. For this Assignment, you will consider in more detail the healthcare issue/stressor you selected. You will also review research that addresses the issue/stressor and write a white paper to your organizations leadership that addresses the issue/stressor you selected.

Resources

Be sure to review the Learning Resources before completing this activity.

Click the weekly resources link to access the resources.

To Prepare:

• Review the national healthcare issues/stressors presented in the Resources and reflect on the national healthcare issue/stressor you selected for study.
• Reflect on the feedback you received from your colleagues on your Discussion post for the national healthcare issue/stressor you selected.
• Identify and review two additional scholarly resources (not included in the Resources for this module) that focus on change strategies implemented by healthcare organizations to address your selected national healthcare issue/stressor.

The Assignment (2-3 Pages):

Analysis of a Pertinent Healthcare Issue

Develop a 2 to 3 page paper, written to your organizations leadership team, addressing your selected national healthcare issue/stressor and how it is impacting your work setting. Be sure to address the following:

• Describe the national healthcare issue/stressor you selected and its impact on your organization. Use organizational data to quantify the impact (if necessary, seek assistance from leadership or appropriate stakeholders in your organization).
• Provide a brief summary of the two articles you reviewed from outside resources on the national healthcare issue/stressor. Explain how the healthcare issue/stressor is being addressed in other organizations.
• Summarize the strategies used to address the organizational impact of national healthcare issues/stressors presented in the scholarly resources you selected. Explain how they may impact your organization both positively and negatively. Be specific and provide examples.

Looking Ahead

The paper you develop in Module 1 will be revisited and revised in Module 2. Review the Assignment instructions for Module 2 to prepare for your revised paper.

By Day 7 of Week 2

Submit your paper.

submission information

Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the Turnitin Drafts from the Start Here area.

1. To submit your completed assignment, save your Assignment as WK2Assgn_LastName_Firstinitial
2. Then, click on Start Assignment near the top of the page.
3. Next, click on Upload File and select Submit Assignment for review.

1. Develop an Individualised Cardiac Rehabilitation Program

Your presentation must include an evidence-based cardiac rehabilitation plan personalised to the case study.

Create an outline to organise your presentation logically, including:

Slide 1: An introduction

Slide 2-3 Briefly explain the disease condition.

Slide 4-5: Cardiac rehabilitation plan

Slide 6: Reference List

Design a PowerPoint presentation to support your delivery as an educational aid. Your PowerPoint should explain key concepts.

Keep your content concise. You dont have to submit a separate PowerPoint but remember to share your PowerPoint during your presentation.

Ensure all PowerPoints include in-text referencing (APA 7th ed) to show the source of your information.

Submit a typed transcript of your full presentation script, including a link from your Panopto recording. This should include everything you plan to say during the presentation, with in-text referencing to show where your information comes from. Provide a reference list at the end of the transcript. A minimum of eight (8) APA 7th ed scholarly sources must be used, no more than 6 years old.

Please complete the clinical log. I have attached the rubric and last weeks clinical log to follow up.

Effective communication is vital to constructing an accurate and detailed patient history. A patients health or illness is influenced by many factors, including age, gender, ethnicity, and environmental setting.

There may also be significant cultural factors. In May 2012, Alice Randall wrote an article for The New York Times on the cultural factors that encouraged Black women to maintain a weight above what is considered healthy. Randall explained from her observations and her personal experience, as a Black woman, that many African American communities and cultures consider women who are overweight to be more beautiful and desirable than women at a healthier weight. As she put it, Many black women are fat because we want to be (Randall, 2012).

Randalls statements sparked a great deal of controversy and debate at the time; however, they emphasize an underlying reality in the healthcare field: Different populations, cultures, and groups have diverse beliefs and practices that impact their health. APRNs and other healthcare professionals should be aware of this reality and adapt their health assessment techniques and recommendations to accommodate diversity.

As an advanced practice nurse, you must build a patient health history that takes into account all of the factors that make a patient unique and tailor your communication techniques accordingly. Doing so will not only help you establish rapport with each patient, but it will also enable you to more effectively gather the information needed to assess a patients health risks.

For this first Assignment, you will take on the role of an APRN who is building a health history for a particular patient assigned by your Instructor. You will consider how social determinants of health and specific cultural considerations will influence your interview and communication techniques as you work in partnership with the patient to gather data for an accurate health history.

Note: You are expected to draw on the resources for both Week 1 and Week 2 when completing your Assignment.

Resources

Be sure to review the Learning Resources before completing this activity.

Click the weekly resource links to access the resources.

• Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2023). Seidel’s guide to physical examination: An interprofessional approach (10th ed.). Elsevier Mosby.
• Chapter 2, The History and Interviewing Process
• This chapter explains the process of developing relationships with patients in order to build an effective health history. The authors offer suggestions for adapting the creation of a health history according to age, gender, and disability.
• Chapter 5, Recording Information
• This chapter provides rationale and methods for maintaining clear and accurate records. The authors also explore the legal aspects of patient records.
• i-Human Patients. (2023).
• . I-Human Patients by Kaplan.
• Note: This link provides a PDF download for this manual.

• Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2023). Seidel’s guide to physical examination: An interprofessional approach (10th ed.). Elsevier Mosby.
• Chapter 1, Cultural Competency
• This chapter highlights the importance of cultural awareness when conducting health assessments. The authors explore the impact of culture on health beliefs and practices.
• Dains, J. E., Baumann, L. C., & Scheibel, P. (2019). Advanced health assessment and clinical diagnosis in primary care (6th ed.). Elsevier Mosby.
• Credit Line: Advanced Health Assessment and Clinical Diagnosis in Primary Care, 6th edition by Dains, J. E., Baumann, L. C., & Scheibel, P. Copyright 2019 by Mosby. Reprinted by permission of Mosby via the Copyright Clearance Center.
• Chapter 2,

To prepare:

• Reflect on your experience as an advanced practice nurse and on the information provided in the Week 1 Learning Resources on building a health history and the Week 2 Learning Resources on diversity issues in health assessments.
• By Day 1 of this week, your Instructor will assign a case study for this Assignment. Note: Please see the Course Announcements section of the classroom for your Case Study Assignment.
• Reflect on the specific socioeconomic, spiritual, lifestyle, and other cultural factors related to the health of your assigned patient.
• Consider how you would build a health history for the patient. What questions would you ask? How might you target your questions based on the patients social determinants of health? How would you frame the questions to be sensitive to the patients background, lifestyle, and culture?
• Identify any potential health-related risks, based on the patients age, gender, ethnicity, or environmental setting, which should be taken into consideration.
• What risk assessment instruments would be appropriate to use with this patient?
• What questions would you ask to assess the patients health risks?
• Select one (1) risk assessment instrument discussed in the Learning Resources, or another tool with which you are familiar, related to your selected patient.
• Develop five (5) targeted questions you would ask the patient to build their health history and to assess their health risks.
• Think about the challenges associated with communicating with patients from a variety of specific populations. What communication techniques would be most appropriate to use with this patient? What strategies can you as an APRN employ to be sensitive to different cultural factors while gathering the pertinent information?

Assignment: Building a Health History With Cultural and Diversity Awareness

Include the following:

• Explain the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with the patient you were assigned. Be specific.
• Explain the issues that you would need to be sensitive to when interacting with the patient, and why.
• Describe the communication techniques you would use with this patient. Include strategies to demonstrate sensitivity with this patient. Be specific and explain why you would use these techniques.
• Summarize the health history interview you would conduct with this patient. Provide at least five (5) targeted questions you would ask the patient to build their health history and to assess their health risks. Explain your reasoning for each question and how you frame each for this specific patient.
• Identify the risk assessment instrument you selected, and then justify why it would be applicable to your assigned patient. Be specific.
• Include a reference list with a minimum of 3 scholarly articles.

Case Study

Week 2 Announcement: Building a culturally Sensitive Health History

Week 2 Announcement: Building a Culturally Sensitive Health History

Welcome to Week 2!

As advanced practice nurses, we understand that a health history is not simply data collection it is a culturally informed, patient-centered conversation. This week, you will continue strengthening your ability to gather meaningful information while demonstrating cultural awareness, humility, and professionalism.

Week 2 Case Study Assignment

Building a Health History: Communicating Effectively to Gather Appropriate Health-Related Information

Patient Scenario

You have been assigned the case of S.J., a 28-year-old Lebanese Muslim female who is in her first year of graduate school and living in university housing. This is her first year in the United States. She is presenting to the university clinic for a routine physical exam.

Required Components

1. Cultural and Contextual Factors

Explain the specific socioeconomic, spiritual, lifestyle, immigration/acculturation, and other cultural factors that may influence this patients healthcare experience. Be specific and apply them directly to this scenario.

2. Cultural Sensitivity Considerations

Discuss issues you must be sensitive to when interacting with this patient and explain why they are important in providing safe, respectful, and patient-centered care.

3. Communication Strategies

Describe the communication techniques you would use to build rapport and demonstrate cultural humility. Explain why these strategies are appropriate for this patient.

4. Health History Interview Approach

Summarize how you would gather the patients health history. Include:

At least five (5) targeted questions

Your rationale for each question

How you would phrase each question specifically for this patient

5. Risk Assessment Tool

Identify one appropriate risk assessment instrument applicable to this patient scenario and justify why it is suitable.

Due Date

Sunday (Day 7)

Scholarly Support

Minimum of 3 peer-reviewed scholarly references

Sources must be 5 years old or newer

Proper APA formatting required

Submission

Upload your completed assignment to the Week 2 Assignment area in Canvas.

Important Reminders

Be sure to review the Learning Resources under Week 2 before completing this activity.

ACTION REQUIRED

You MUST complete the Week 2 Learning Resources Attestation confirming that you have reviewed all required materials.

This is a required course component.

Important Update Regarding Supplemental Resource

Under Supplemental Resources, the link from the U.S. Department of Health & Human Services Office of Minority Health titled A Physicians Practical Guide to Culturally Competent Care is no longer directly accessible through the posted link.

Please search the full title in the Walden Library to access the resource.

I strongly encourage you to explore the Walden Library. It is a wonderful resource for locating peer-reviewed, evidence-based articles and scholarly materials that will strengthen not only this assignment but your development as an advanced practice nurse.

I look forward to reading your thoughtful and well-supported submissions!

Dr. Brown

Assignment: Cardiovascular Case Study Total Points: 50

Purpose

This assignment evaluates your ability to apply clinical judgment when caring for a patient with

acute coronary syndrome due to a right-sided myocardial infarction complicated by

atrioventricular conduction abnormalities. Emphasis is placed on correct rhythm interpretation,

understanding the impact of myocardial ischemia on cardiac conduction, anticipating appropriate

treatment, prioritizing patient perfusion, and documenting sound nursing judgment.

Case Overview

A 68-year-old male presents with chest pressure radiating to the left arm, diaphoresis, and nausea.

Diagnostic findings are consistent with acute coronary syndrome involving a right-sided

myocardial infarction. The patient is admitted to a telemetry unit for continuous cardiac

monitoring.

Past medical history includes hypertension and hyperlipidemia.

Part I: Progressive Rhythm Interpretation and Treatment Anticipation

Stage 1

Telemetry findings:

Regular atrial activity is present. PR intervals are constant on conducted beats. Intermittently, atrial

impulses fail to conduct to the ventricles. QRS complexes are wide when present. The ventricular

rate is slower than the atrial rate.

Instructions:

1. Name the rhythm.

2. Explain why a right-sided myocardial infarction places this patient at risk for this

conduction abnormality, including the coronary artery involved and the portion of the

conduction system affected.

3. Identify the expected treatment approach if conduction worsens and explain the rationale

for this treatment.

Stage 2

New clinical information:

Troponin levels continue to rise. Blood pressure is trending downward. The patient reports

dizziness and increasing fatigue. Telemetry shows a greater frequency of non-conducted atrial

impulses.

Instructions:

1. Name the rhythm.

2. Explain how ongoing ischemia from a right-sided myocardial infarction worsens

atrioventricular conduction.

3. Explain how this conduction change affects cardiac output and perfusion. Be specific.

4. Describe the expected escalation of treatment at this stage and explain why delaying

treatment increases patient risk.

Stage 3

New clinical information:

The patient becomes hypotensive and confused. Urine output decreases. Telemetry shows atrial

activity and ventricular activity occurring independently.

Instructions:

1. Name the rhythm.

2. Explain how this rhythm affects perfusion, particularly in a patient with a right-sided

myocardial infarction.

3. Identify the expected definitive treatment at this stage and explain why this intervention is

required to restore perfusion.

Part II: Clinical Error Analysis

Review the following nursing progress note.

1500: Nursing Progress Note

Patient admitted with acute coronary syndrome related to a right-sided myocardial infarction and is

currently on continuous telemetry. Telemetry was interpreted as sinus bradycardia. The patient

reports dizziness, and blood pressure is lower than previous readings; however, this was attributed to

the myocardial infarction. Provider was notified of rhythm interpretation. No additional nursing

interventions were initiated at this time. Will continue to monitor patient status.

Instructions:

1. Identify three clinical reasoning errors in the note.

2. For each error, explain why the reasoning is unsafe and describe the potential harm to the

patient.

Each explanation must use the following structure:

This error occurs because the nurse assumed ___ instead of recognizing ___.

Part III: Progress Note (Paragraph Format)

Write one cohesive progress note paragraph based on the patients condition as it progressed from

Stages 1 to 3.

Your paragraph must demonstrate all of the following:

Recognition of the problem

Identify the priority clinical problem affecting this patient and support it with relevant

assessment findings. Explain how a right-sided myocardial infarction contributes to

impaired atrioventricular conduction and decreased cardiac output or perfusion.

Nursing interventions

Describe at least two appropriate nursing interventions. One must address immediate

patient risk. One must demonstrate anticipation of deterioration or escalation of care.

Interventions must be appropriate for the RN role and aligned with expected treatment for

this condition.

Evaluation

Explain how you would evaluate the patients response to your interventions. Include

findings that would indicate improvement and findings that would indicate worsening or

need for escalation of care.

Your paragraph must end with the following sentence (wording may vary slightly):

The patients greatest risk at this time is ___ because ___.

Formatting:

APA (Please also include APA referencing including in-text citations for each question as indicated

along with a separate reference page)

Typed submission

The application of statistics and the interpretation of data play a critical role in health care. More importantly, the analysis of big data sets provides valuable insights that can improve both working conditions and patient outcomes. This paper will help you understand the role of big data sets as well as develop an understanding of key statistical concepts and their relevance in the health care field.

Read the article Big Data Can Help Prepare Nurses and Improve Patient Outcomes by Improving Quality, Safety, and Outcomes,” located in Topic 1 Resources.

Reflect on the article and consider the implications of big data in your field of health care (or your line of work). Then, write a 750-1,000-word paper addressing the following:

Summarize Key Points from the Article

1. Briefly summarize the main ideas discussed in the article, focusing on how big data contributes to improving health care quality, safety, leadership, and patient outcomes. Provide specific examples mentioned in the article.

Discuss Big Data in Your Work Environment

1. Reflect on how big data could or does impact your current, past, or future work environment. Provide a specific personal example of its application in your field. Consider areas such as patient care, resource allocation, or staff performance. (Note: These examples can be hypothetical; the goal is for you to reflect on how you see big data playing a role in your career.)
2. Explain how statistical data use can highlight safety measures, enhance health promotion, or support leadership strategies.

Evaluate the Broader Implications

1. Discuss the potential benefits and challenges of using big data in health care. For example, how can it improve decision-making, enhance patient safety, or streamline operations? What ethical or practical challenges might arise?
2. Identify an example of each level of measurement: nominal, ordinal, interval, ratio, and explain their relevance to the data discussed in the article. (You might consider patient demographics as an example of nominal data, survey responses or rankings for ordinal data, temperature measurements for interval data, and other measurable data for ratio data.)

Define Basic Statistical Terms

1. As you discuss statistics, define two basic statistical terms that appear in your analysis. This will demonstrate your understanding and reinforce your discussion points.

General Requirements

Use at least one additional peer-reviewed article from the GCU Library or other scholarly sources to support your perspective. Ensure that all sources are published within the last 5 years.

Provide proper citations in APA format for all resources used, including the article provided and any additional references.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

American Association of Colleges of Nursing Core Competencies for Professional Nursing Education

This assignment aligns to AACN Core Competency 8.2.