Category: Nursing
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Chronic illness, poverty, and healthcare access
please answer each one separately Student 1 Turi- Managing chronic illness in a low-income household significantly affects family structure, emotions such as stress, and many other variables. Globally, two-thirds of deaths are due to chronic illnesses, which occur concurrently with socioeconomic factors such as poverty (Jayathilaka et al., 2020). Individuals with chronic illnesses often require health services, which can end up critical if not cared for properly with medical treatment due to the cognitive burden associated with financial insecurity and postponing medical intervention (Jayathilaka et al., 2020). Additionally, families living in poverty often face food insecurity, housing instability, and stress-related psychological changes contributing to poorer health outcomes (Lee et al., 2021). Role reversal, stress, and communication are significant factors for families experiencing poverty and chronic illness. Caregiving responsibilities can ultimately lead to financial burdens, including reduced work hours and expanded challenges such as difficulty paying household or medical bills. Moreover, communication may be altered under these circumstances within families presenting anxiety or emotional guarding for protection. Additionally, in a study of cancer survivors, families with higher incomes were found to be approximately half as likely to actively seek health-related information about their illness compared to families with lower incomes (Jung et al., 2015). This one aspect of the broader socioeconomic challenges affecting families highlights how inequalities can impact socio-contextual determinants. As a future APRN practicing nursing in New Jersey, there are many community resources for patients and families experiencing poverty. For example, NJ 211 is a statewide nonprofit organization that provides families with housing, food, health care, emergency, mental health, and other resources (NJ 211, n.d.). As an APRN, I would recommend that patients contact NJ 211 for resources on chronic disease management, medication adherence, and basic survival needs. Especially during the current snowstorm, socio-determinants such as housing stability and access to heat & food become immediate family demands. NJ 211 serves as a critical community resource across multiple areas of New Jersey by connecting vulnerable families to warming centers, food, and other services (NJ 211, n.d.). Nurses play a vital role in supporting communities during emergencies, particularly for families experiencing poverty. Yesterday, discharging a patient living alone with a chronic condition during a snowstorm posed significant challenges. Additionally, as future APRNs, we should advocate for social support alongside physicians and care coordinators to reduce preventable harm while addressing patients’ emotional and physical needs. References Jayathilaka, R., Joachim, S., Mallikarachchi, V., Perera, N., & Ranawaka, D. (2020). Do chronic illnesses and poverty go hand in hand? PLoS ONE, 15(10), 119. Lee, H., Slack, K. S., Berger, L. M., Mather, R. S., & Murray, R. K. (2021). Childhood Poverty, Adverse Childhood Experiences, and Adult Health Outcomes. Health & Social Work, 46(3), 159170. NJ 211. (n.d.) Need Help? Start Here. Student 2 Kate How might parents discuss illness with children when healthcare access is limited? When healthcare is limited, a parents perspective is essential in understanding barriers to their childs access to healthcare services (Salimi et al., 2025). Relationships between parents, their children and healthcare providers and a sense of collaboration amongst the group is important in navigating a childs illness and healthcare access (Bogetz et al., 2022). Bogetz et al. explains the importance of providing families with opportunities for community social supports to broaden relationships and supports during a childs illness. Communication, education, and provision of resources is essential in assisting parents in navigating and communicating illness with their child. How does intergenerational poverty influence long-term health outcomes? Intergenerational poverty limits access to healthcare, proper nutrition, education, and community supports. Parental socioeconomic position and parental health during the first two decades of life strongly influence their offsprings adult socioeconomic status and health. (Houweling & Grunberger, 2024). According to Houweling & Grunberger, inequalities throughout ones childhood contribute to lifelong socioeconomic and health consequences related to the individuals poor learning environment, physical exposures and socialization. Addressing intergenerational poverty through education and community resources is essential to breaking the cycle for future generations. Reference Bogetz, J.F., Revette, A., Partin, L., Decourcey, D.D. (2022). Relationships and resources supporting children with serious illness and their parents. Hospital Pediatrics, 12(9). Houweling, T.A.J. & Grunberger, I. (2024). Intergenerational transmission of health inequalities: towards a life course approach to socioeconomic inequalities in health- a review. Journal of Epidemiology & Community Health, 78(10). doi: 10.1136/jech-2022-220162 Salimi, N., Javan-Noughabi, J., Ghavami, V., Matinfar, R., & Kokabisaghi, F. (2025). Parents perspective on childrens access to healthcare services and associated factors: a cross-sectional study. BMC Public Health, 25(1). doi: 10.1186/s12889-025-23230-0 -
Quality and Safety in Healthcare and Nursing Practice
please see attachedAttached Files (PDF/DOCX): week 1 discussion board 8312.docx
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Reflection on Nursing Core Values and Ethical Standards
Write a 5-6 page reflection on your professional identity as a professional nurse.
Collapse AllIntroduction
Where we stand on ethical issues can be a point of contention and an opportunity for deeper discussion as we make judgments on how to shape our decision-making, as advanced practice nurses. There are evolving circumstances that arise frequently that require us to keep a pulse on where we stand on important issues that impact our advanced practice nursing decisions.
Overview
Understanding your professional identity can help you be a more effective health care professional, both within the context of personal well-being and in driving positive client outcomes. This assessment asks you to examine your professional identity within the context of nursing’s core values, professional organizations, behavior models, leadership, and evaluation. You can promote your ability to make decisions and collaborate and communicate openly, as well as have a more confidence in yourself, when you come to an understanding of how your professional identity relates to these aspects of practice.
Instructions
In this assessment, you will write a 56 page paper in which you will take an introspective approach to reflect on what shapes the ways you identify as a professional nurse. In this paper, address the following:
- Critique your personal and professional practices in the context of nursings core values.
- Describe your personal view of the professional identity of a nurse.
- Identify the ways you demonstrate the following core values in your personal and professional practices:
- Integrity.
- Altruism.
- Inclusivity.
- Compassion.
- Courage.
- Humility.
- Advocacy.
- Caring.
- Autonomy.
- Humanity.
- Social justice.
- Identify how your professional practices uphold a commitment to diversity, equity, and inclusion for both patients and colleagues?
- Identify professional organizations that reflect personal nursing values and identity.
- What mission, vision, or values of the selected organizations align with your personal or professional core values?
- How does the identified professional organizations help to improve your personal practice?
- Reflect on how your personal actions model ethical behaviors in nursing practice and leadership.
- Consider what ethical behaviors are inherent in the nursing profession, and reflect on how your personal actions model those behaviors.
- Identify some potential solutions to use when unethical behaviors are observed.
- Reflect on situations in which you mentored others in the development of their professional growth and accountability.
- Consider a time when you formally or informally mentored someone in the development of their professional growth and accountability. If you have not mentored someone, can you think of a time you were mentored instead?
- Consider how the experience provided personal benefit, as well as benefits to the care team as a whole.
- Evaluate strategies and methods for effective peer review.
- From your Assessment 2 resources, identify two peer review strategies or methods that you found useful.
- Identify the benefits and drawbacks of the strategies and methods presented.
- Reflect on an experience in the evaluation of other members of a care team.
- Consider if there has there been a time in your professional practice that you were involved in the evaluation of a peer or were evaluated by a peer.
- Share details about that experience and whether or not it demonstrated effective evaluation techniques.
Submissions Requirements
- Length of narrative: 56 double-spaced, typed pages. Your narrative should be succinct yet substantive.
- Number of references: Cite a minimum of 24 sources of scholarly or professional evidence that support your critique, reflection, and evaluation. Current source materials are defined as no older than five years, unless it is a seminal work. Be sure to cite evidence to support that your information is evidence-based.
- APA formatting: Resources and citations are formatted according to APA style.
Competencies Measured
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:
- Competency 2: Contribute to a workplace environment that promotes personal health and professional growth.
- Reflect on situations in which they mentored others in the development of their professional growth and accountability.
- Evaluate strategies and methods for effective peer review.
- Reflect on an experience in the evaluation of other members of a care team.
- Competency 3: Reflect on your personal and professional practices in the context of the core values and ethical standards of nursing.
- Critique their personal and professional practices in the context of nursings core values.
- Identify professional organizations that reflect personal nursing values and identity.
- Reflect on how personal actions model ethical behaviors in nursing practice and leadership.
- Competency 4: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with organizational, professional, and scholarly standards.
- Communicate effectively with diverse audiences, in an appropriate form and style, consistent with organizational and professional standards.
- Apply APA formatting to in-text citations and references, exhibiting nearly flawless adherence to APA format.
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Developing an Evidence-Informed Falls Prevention and Post-Fa…
This assignment is a practice improvement proposal focused on strengthening falls prevention and post-fall management in a 97-bed residential aged care facility that supports residents with histories of homelessness and high rates of substance use. The project critically reviews current evidence and identifies gaps in existing practice, particularly in relation to intoxication-related falls risk and variability in post-fall assessment and documentation. Based on the evidence, the proposal outlines the development of a structured, evidence-informed framework designed to improve consistency, clinical governance, and resident safety within this complex care environment.
Attached Files (PDF/DOCX): Assessment 1_ Project proposal.pdf, Exemplar – Search Strategy PIcO and PRISMA Flow Diagram.docx, Exemplar – Aim Objectives Scope.docx, Exemplar – Background.docx, HLSC617_Assessment_1_Project_Proposal_Outline.docx
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Response to peer Patricia
Peer Patricia’s discussion post attached. Respond to peer.
Attached Files (PDF/DOCX): DNP_Discussion_Guidelines and Rubric 11224.docx
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Response to peer Revena
instructions attached. Respond to peer Revena
Attached Files (PDF/DOCX): DNP_Discussion_Guidelines and Rubric 11224.docx
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Adult gerontology acute care
The purpose of this assignment is to raise awareness of your specific APRN role and specialty through an infographic. Imagine you are describing your APRN role and specialty to a high-schooler who might be interested in the same career. What would be important for them to know? Your infographic should be engaging, visually appealing, and informative. The infographic should convey your information clearly and concisely. Consider including some of the following facts to include: Basic demographics (How long has your role been around? How many NPs of your specialty are there? Where are the majority of the NPs in your specialty located? etc…) Educational/licensure/certification requirements (How long does it take to become one? How do we know you’re qualified?) Common work settings (Where can we find you?) Average salary (How much money do you make?) Services provided/types of patients & visits (Who do you see?) Commonly treated conditions (What do you do?) Associated organizations– certifying body, professional specialty org, etc (How do you organize? How do you stay up to date?) Specialty specific advocacy efforts/causes (What’s important to you?) Anything else you think is important Before you begin… Take some time to plan out your infographic before you get started. Make sure to review the rubric. As we move through the modules and you come across information you would like to include in your infographic, write it down. Sketch out a draft infographic before you get started. Creating your infographic… Recognize that infographics are meant to be read quickly. Include short bites of information, not entire paragraphs of text. Consider where you may be able to replace text with an image or graph. Your infographic must include: A title At least one graph or data visualization At least 4 images 8 – 10 facts -
Leadership Discussion
If you were to ask 10 people what they believe to be the most significant issue facing healthcare today, you might get 10 different answers. Escalating costs? Regulation? Technology disruption? Social Determinant such as environment/community, education, access/quality to healthcare?
These and many other topics are worthy of discussion. Not surprisingly, much has been said in the research, within the profession, and in the news about these topics. Whether they are issues of finance, quality, workload, or outcomes, there is no shortage of changes to be addressed.
In this Discussion, you examine a national healthcare issue and consider how that issue may impact your work setting. You also analyze how your organization has responded to this issue.
o Prepare:
- Review the Resources and select one current national healthcare issue/stressor to focus on.
- Reflect on the current national healthcare issue/stressor you selected and think about how this issue/stressor may be addressed in your work setting.
By Day 3 of Week 1
Post a description of the national healthcare issue/stressor you selected for analysis, and explain how the healthcare issue/stressor may impact your work setting. Which social determinant(s) most affects this health issue? Then, describe how your health system work setting has responded to the healthcare issue/stressor, including a description of what changes may have been implemented. Be specific and provide examples.
RUBRIC :50 to >44.0 ptsExcellentAnswers all parts of the discussion question(s) expectations with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources. … Supported by at least three current, credible sources. … Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.
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Nursing Question
Throughout the MSN program, a wide array of professional competencies are introduced and cultivated through both classroom and practicum learning. Many of the competencies are unique to the profession, while others are shared across disciplines. In addition to these professional competencies, Chamberlain University recognizes learning competencies central to graduate education that are achieved through the MSN program of study.
Domains addressed within the Chamberlain University learning competencies include the following: care-focused, career readiness, information literacy, leadership/change agent, professional communication, and equity/inclusivity. Within these six domains there are nine graduate-level competencies for Chamberlain University MSN students:
- Care-focused
- Integrates the concepts of care for self and care and support for colleagues to create a workplace environment of respect, collaboration, collegiality, creativity, productivity, community, and teamwork.
- Career Readiness
- Integrates professionalism, integrity, personal accountability, and ethical behaviors to assure effective performance within the work setting and professional role.
- Models a commitment to career development, lifelong learning, and participation in research and scholarly inquiry to maintain professional competency.
- Information Literacy
- Utilizes digital and information technology to critique issues, information, and ideas systematically to support informed decision-making and implement effective solutions.
- Leadership/Change Agent
- Models systems-focused, authentic change leadership practices that enhance collaboration and inspire others to reach their full potential.
- Professional Communication
- Expresses leadership in interprofessional teams to advance health and/or organizational outcomes.
- Communicates thoughts and ideas clearly, professionally, and effectively in written and oral forms.
- Equity/Inclusivity
- Models openness, inclusiveness, sensitivity, and respect with all people.
- Advocates for human rights, social justice, and health equity at the local, national, and/or global level.
During the program of study, a variety of learning activities have been employed to build student competency in each of these domains. This assignment provides an opportunity to reflect upon your achievement of the nine university learning competencies outlined above.
Requirements: fill out template
- Care-focused
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Middel Range theory critique
I am required to critically analyze a middle-range theory, and Transitions Theory has been suggested as the selected theory. I would greatly appreciate your support in structuring and developing the critique according to the rubric criteria to ensure that I achieve an excellent grade.
Additionally, I would like to prepare a post about another theory within the category of middle-range theories.
Thank you in advance for your guidance and assistance.
Requirements: 3d