Category: Nursing homework help

For this assignment, you will research and prepare a community-level strategic plan that addresses a key public health issue.
Potential topics may include:
Using prenatal and infancy home visits to prevent child abuse and neglect
Preventing falls in the elderly
Reducing population salt intake
Reducing tobacco use among adults
Preventing risky sexual behavior among youth and young adults
Reducing drug experimentation among young adults
Include :
Introduction:
Provide an overview of the community health issue as described in Part A with identified causes and influences, including knowledge gaps.
Detail the prevalence of the issue inside and outside the United States.
Describe potential monetary costs associated with the issue in the United States.
You must include data as part of your introduction (images, charts, graphs, etc., may be included as well as written data).
Describe advance practice roles and management strategies that affect change at the community level.
Identify key community and social resources that negatively and positively affect the selected issue.
Identify changes or enhancements in community-related services for your selected topic.
Develop a strategic plan that could decrease the prevalence of your selected topic.The goals for this plan needs to be specific, measurable, attainable, realistic, and time-bound. Include how your plan takes into consideration health literacy, socioeconomic factors, and cultural differences.
Conclusion:
A summary of the goals and challenges
An assessment of the outlook for action/progress
Appendix A: Include your community assessment from Week 3 as Appendix A.
Helpful links:
https://www.sfhsa.org/sites/default/files/media/document/migrated/Plan_DAAS%20Five%20Year%20Strategic%20Plan_2016-2021.pdf
https://www.hhs.gov/about/strategic-plan/2022-2026/index.html

ANSWER

Community-Level Strategic Plan to Reduce Tobacco Use Among Adults

Introduction

Tobacco use is a major public health issue, contributing to significant morbidity and mortality worldwide. In the United States, tobacco use is the leading cause of preventable death, claiming over 480,000 lives annually (Centers for Disease Control and Prevention, 2023). Despite substantial declines in smoking rates over the past few decades, tobacco use remains prevalent among certain population groups, including low-income individuals, racial and ethnic minorities, and individuals with mental health or substance abuse disorders.

Prevalence of Tobacco Use

In the United States, the current smoking rate among adults aged 18 and older is 13.9% (Centers for Disease Control and Prevention, 2023). However, there are significant disparities in smoking rates across different population groups. For instance, the smoking rate among non-Hispanic American Indian/Alaska Native adults is 27.0%, while the smoking rate among Asian adults is 6.4% (Centers for Disease Control and Prevention, 2023).

Globally, tobacco use is estimated to cause over 8 million deaths annually, with the majority of these deaths occurring in low- and middle-income countries (World Health Organization, 2023).

Monetary Costs of Tobacco Use

The monetary costs of tobacco use are substantial, both in terms of healthcare expenditures and lost productivity. In the United States, the annual economic burden of tobacco use is estimated to be over $300 billion (Centers for Disease Control and Prevention, 2023). These costs include direct medical expenses, such as hospitalizations and treatment for tobacco-related illnesses, as well as indirect costs, such as lost productivity due to illness and premature death.

Advance Practice Roles and Management Strategies

Advance practice nurses (APNs) play a critical role in addressing tobacco use at the community level. APNs can provide comprehensive tobacco cessation counseling, prescribe smoking cessation medications, and refer patients to other cessation resources. Additionally, APNs can advocate for policy changes that promote smoke-free environments and increase access to cessation services.

Effective management strategies for addressing tobacco use at the community level include:

Community-based education and outreach: Providing information about the harms of tobacco use and promoting smoking cessation resources through community events, workshops, and media campaigns.

Policy interventions: Implementing smoke-free policies in public places, workplaces, and schools.

Access to cessation services: Expanding access to effective tobacco cessation counseling and medication therapy.

Targeted interventions: Addressing disparities in tobacco use by tailoring interventions to the specific needs of different population groups.

Community and Social Resources

Several community and social resources can positively or negatively impact tobacco use. Positive resources include:

Community health centers: Providing access to primary care, tobacco cessation counseling, and other preventive services.

Support groups: Offering peer support and encouragement for individuals who are trying to quit smoking.

Smoke-free environments: Reducing exposure to secondhand smoke and promoting social norms that discourage tobacco use.

Negative resources include:

Tobacco marketing: Aggressive marketing campaigns that target vulnerable populations and normalize tobacco use.

Social norms: Acceptance of tobacco use within certain social circles.

Socioeconomic factors: Limited access to healthcare, education, and employment opportunities, which can increase the risk of tobacco use.

Changes or Enhancements in Community-Related Services

Several changes or enhancements in community-related services can help to reduce tobacco use:

Increase funding for tobacco prevention programs: Providing more resources to support community-based education, outreach, and cessation services.

Expand access to mental health and substance abuse treatment: Addressing underlying mental health and substance abuse issues can increase the likelihood of successful smoking cessation.

Promote smoke-free environments: Implementing smoke-free policies in more public places, workplaces, and schools.

Regulate tobacco marketing: Restricting tobacco advertising and marketing to reduce exposure to these messages.

Raise taxes on tobacco products: Increasing tobacco prices can discourage tobacco use, particularly among young people.

Strategic Plan

Goal 1: Reduce the overall smoking rate among adults in the community by 10% within five years.

Objectives:

Increase the number of adults who receive tobacco cessation counseling by 20% within three years.

Increase the use of smoking cessation medications by 15% within three years.

Implement smoke-free policies in all public places and workplaces within five years.

Goal 2: Reduce disparities in smoking rates among different population groups in the community.

Objectives:

Develop culturally sensitive tobacco prevention programs for targeted population groups.

Increase access to tobacco cessation services in underserved communities.

Address socioeconomic factors that contribute to tobacco use through community development initiatives.

Goal 3: Increase health literacy

Ethnocentrism leads to prejudice and is the belief that one’s own race, nation, or culture is superior to all others. In contrast, examine how cultural relativism, (the judging of a culture by the standards of others) can affect society by influencing prejudice and discrimination.
RESOURCES
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
WEEKLY RESOURCES
BY DAY 3
Post 200–250 words providing examples of ethnocentrism and cultural relativism in your immediate environment and your experiences, addressing the following:
How does ethnocentrism lead to prejudice and discrimination?
Provide an example from your personal life or your observation of the world around you.
Identify the aspects of ethnocentrism and cultural relativism in your example.
How can ethnocentrism be avoided to create a culturally sensitive environment?

Read the following case study and answer the reflective questions. Please provide evidence-based rationales for your answers. APA, 7th ed. must be followed. 500 words required. Intext citation and references
CASE STUDY: Active Labor: Susan Wong
Mrs. Wong, a first-time mother, is admitted to the birthing suite in early labor after spontaneous rupture of membranes at home. She is at 38 weeks of gestation with a history of abnormal alpha-fetoprotein levels at 16 weeks of pregnancy. She was scheduled for ultrasonography to visualize the fetus to rule out an open spinal defect or Down syndrome, but never followed through. Mrs. Wong and her husband disagreed about what to do (keep or terminate the pregnancy) if the ultrasonography indicated a spinal problem, so they felt they did not want this information. Reflective Questions
1. As the nurse, what priority data would you collect from this couple to help define relevant interventions to meet their needs?
2. How can you help this couple if they experience a negative outcome in the birthing suite? What are your personal views on terminating or continuing a pregnancy with a risk of a potential anomaly? What factors may influence your views?
3. With the influence of the recent Human Genome Project and the possibility of predicting open spinal defects earlier in pregnancy, how will maternity care change in the future?

Discuss the benefits and disadvantages of a facility using supplemental and floating staff.
Compare and contrast how a staffing plan would differ with different nursing units. How does that affect the staffing budget?

For Profit vs. Not For Profit

Private, nongovernmental healthcare organizations may be either for profit (FP) or not for profit (NFP).
Discuss the difference between not-for-profit and for-profit organizations.
What happens if an NFP organization makes a profit?
What are the advantages and disadvantages of each type of organization?
Describe two specific examples of how risk management has influenced nursing documentation.
Submission Instructions:
Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.
You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)
All replies must be constructive and use literature where possible.

What is a time when you or someone you know experienced a clash between professional duties and familial duties? Reference a professional code such as that of the American Nurses Association or American Bar Association in explaining the clash. What moral values should have been used in that case? Why those values? What would social contract ethics have said to have done? Why would social contract ethics say that? Note what you feel is the best course of action.
Prioritizing what the right thing to do when working in the healthcare field is very crucial and important. With that being said a time i know where someone experienced a clash between professional duties and familial duties was when my cousin who was a healthcare provider was needed at the hospital to work as they were short-staffed during the covid pandemic but at the same time that was happening her mother was diagnosed with Cancer and needs to get surgery. She obviously needed to be there for her mother as there wasn’t anyone else to take care of her besides her father but she also had to care for her patients but cant risk the idea of going to work and attending her patients and possible transmitting the virus to her mother who just got out of lumpectomy surgery and undergoing radiation. In the American Nurses Association it is said that “carrying out nursing responsibilities in a manner consistent with quality in nursing care and the ethical obligations of the profession” (Gaines, 2022). With that being said my cousin knew if she would have stayed at work she wouldn’t have been able to give the proper care and give her best as her mother would be at the back of her mind and she would be worried about her. The moral values that should have been used in this scenario is to do what the best option is. For my cousin this was a difficult decision to make as her profession is everything to her but at the same time so is her mother. She decided to help her mother for the beginning of her treatment until she was able to be okay on her own then immediately went back to work to help her patients and do her job. The social contract theory is the idea that “morality consists in the rules that rational people will accept on the condition that others accept them as well” (Rachels, 2018, pg. 93). In this scenario i feel like the social contract theorists would do the same as most people would drop anything for their if they are in a situation like this where they have no one during this difficult time. I feel as if i would do the same but then immediately return back to work once everything is all good.
Rachels, J. (2018). The Elements of Moral Philosophy (9th ed.). McGraw-Hill Higher Education (US).
Gaines, K. (2022, November 4). What is the Nursing Code of Ethics? Nurse.org. Retrieved January 25, 2023, from https://nurse.org/education/nursing-code-of-ethics/#:~:text=What%20are%20the%20five%20codes,justice%2C%20and%20privacy%2Fconfidentiality.

500 words in your initial post, 2 references in APA format 7th edition. No plagiarism, please.

Please describe a contraception of your choice, how to educate the patient regarding the contraception, and common risks (if any)

Find at least 1 resource for families in your community experiencing child, spousal, or elder abuse and/or violence. The resource can take any form—a website, a free clinic, a phone number, or the name and address of a shelter.
Respond to the following in a minimum of 175 words by summarizing and explaining:
The resource
How to access it
Which community it would benefit
How you would present the resource to the family

Your written assignment for this module is a worksheet that describes the following:
Provide an example of an evidence-based practice (EBP) project
How do EBP projects improve patient care?
In order to receive FULL CREDIT for the worksheet:
Use complete sentences to answer the questions.
Use correct grammar.
Support your answers using your textbook, course materials, credible internet resources, and scholarly journals.
All citations must be in APA format.

For the Discussion Question consider this scenario:As a BSN prepared nurse, it is an expectation that you incorporate theory into your daily practice. As a new graduate, you are interviewing for a position as a registered nurse in a large academic medical center. When scheduling the interview, the Human Resource department provided some possible interview topics and suggested that you be prepared to discuss these topics. One topic included, “Discuss one nursing theorist that will guide your clinical practice.”
Initial Post:
Select one nursing theorist and summarize the theory.
Identify the concepts and relational statements of the selected nursing theory.
Discuss the contributions of that theory nursing practice.
Describe how this nursing theory will guide your nursing practice including at least one specific example.
Responses (minimum of two):
Select a post describing a theory different from the nursing theory you selected.
Describe how the nursing theory selected by your classmate would impact your nursing practice and include one specific example demonstrating the positive or negative impact.
Please make your initial post by midweek, and respond to at least two other student’s post by the end of the week. Please check the Course Calendar for specific due dates