Category: Nursing

Objective
The purpose of this discussion is to consider how members of the LGBTQIA+ community are marginalized by current healthcare practices.
**Please note the following:
Scholarly sources include current peer-reviewed sources, practice guidelines from professional organizations, and databases used for clinical decisions making (such as UpToDate). Your course materials, textbooks, and websites do not count as scholarly sources.
In order to obtain full credit, you must interact on more than three days. Posting your initial post and each peer post on a different day for three days total is only an 8/10 for this section of the rubric. An additional post that is substantive and adds to the conversation (not just “I agree” or “nice work”) is required to get 10/10 in this area of the rubric.
A 100 in the discussion means you have exceeded the minimum requirements and the faculty does not have any suggestions for room for improvement for you.
Initial Post
First, briefly describe the difference between gender and sexuality and why it is important to not make assumptions regarding either. Next, choose a group of individuals that belong to the LGBTQIA+ population (for example, transgender males). Discuss how this group experiences barriers to care as it relates to their gender and/or sexuality. Your initial post should use at least three scholarly sources to support your description of how the relationship and/or assessment may be affected.
Response Posts
Please respond to a minimum of two peers’ initial posts. Your reply post should include strategies that you plan to incorporate into your practice in order to minimize the barriers to care discussed in your peer’s initial post. Please be sure to use at least two scholarly sources in each of your response posts.
please respond to Amanda As healthcare providers, it is important to understand the distinct difference between gender and sexuality and to be accepting of all individuals regardless of their identity and preferences. Although gender and sexuality are often perceived as interconnected concepts, it is essential to acknowledge that the two are actually independent of one another (Roselli, 2018). Gender identity can be either the same or different from one’s physical sex (Roselli, 2018). Physical gender differentiation occurs before sexual differentiation of the brain so the two are not always identical (Roselli, 2018). Sexuality is defined as the way individuals experience themselves as sexual humans with regard to sexual preferences and sexual orientation (Verrastro et al., 2020). Roselli (2018) states “Research over several decades has demonstrated that sexual orientation ranges along a continuum, from exclusive attraction to the opposite sex to exclusive attraction to the same sex”. (p.5). The expression of sexuality and gender identity is an innate human right that is fundamental and natural (Verrastro et al., 2020). Regardless of one’s physical sex, healthcare professionals should not make assumptions about their patient’s gender or sexuality. Gender affirmation is defined as the experience of attaining social recognition and support for one’s gender identity (Sevelius et al., 2020). Transgender individuals and gender diverse groups who have positive gender affirmation experiences tend to report improved mental health and wellbeing (Sevelius et al., 2020). With increased education regarding sexuality and gender, healthcare providers are in a better position to provide high-quality, efficient, professional care, while also having increased knowledge regarding detection and prevention of health problems that may be faced by various patient populations (Verrastro et al., 2020).Unfortunately, LGBTQIA+ groups often face adversity and marginalization, which is seen in healthcare. Research suggests that individuals from sexual minority groups, encompassing all individuals who are not heterosexual, report higher rates of physical and mental health conditions (Hughes et al., 2022). Homosexual men are a group within the LGBTQIA+ community that face healthcare disparities. One negative behavior of healthcare providers toward homosexual men is stereotyping, which involves making assumptions about an individual based on their group identity or demographic (Casanova-Perez et al., 2021). In a research interview, one participant recalls seeing the term “high-risk homosexual behavior” written in his chart, though the provider had never asked him about his recent sexual activity or his general sex practices in terms of safety (Casanova-Perez et al., 2021). This is a clear case of stereotyping, which must be acknowledged and addressed. Another issue related to the care of homosexual men is bias-embedded medicine, which is defined as unfair treatment related to personal characteristics (Casanova-Perez, 2021). Bias leads to difficulty accessing healthcare testing and treatment, as well as receiving appropriate health diagnoses (Casanova-Perez, 2021). Nurses are in an excellent position to close the health care disparity gap experienced by members of the LGBTQIA+ community (Hughes et al., 2022). Please respond to Sarah The discussion about gender and sexuality has been a topic that needs more exploration, and it is important to discuss the differences and what both words mean and how it can affect their treatment in the medical field. Gender can be defined as roles, behaviors, identities, and expressions that society created for men, women, girls, boys. Sexuality is defined as the sexual thoughts, feelings, attractions, and behaviors towards other people (Moseson et al., 2020). There is a difference in gender and biological sex and that is that gender is how a person feels they identify more with, thus creating more genders than just male or female (Scandurra et al., 2019). The different types of gender identity other than male or female, but also include transgender, gender neutral, non-binary, agender, pangender, genderqueer, none, or a combination of any (Moseson et al., 2020). Unfortunately, there are many misconceptions about gender identity and sexuality that can affect the way a person receives healthcare and gets help when they need it. Many times, these individuals can feel alone, anxious, and depressed due to the lack of understanding of society and in turn they can hide their issues or avoid any health problems they are having because of discrimination (Borgogna et al., 2019). Making assumptions about someone’s’ gender or sexuality can make them feel unsafe or misunderstood.
There are many barriers to health care that can affect those who do not fall into the biological genders based on their feelings, preferences, or behaviors. Of the groups listed above, I will focus on non-binary people. These individuals do not identify as male or female and do not have a preference in which pronouns they would like to be called. Most commonly non-binary people use they/them pronouns as they do not identify with either of the biological genders (Goldberg et al., 2019). There are barriers to health care that exist for the LGBTQA+ community which include discrimination, lack of health insurance, lack of culturally competent providers to give care to them without bias (Dalhamer et al., 2016). Since those who are non-binary consider themselves to be both genders or a combination of the two or neither they face barriers because they do not conform with societies expectations of sexuality or what medicine about there being only two biological genders. They also face stigma of being atypical in their sexuality and their feelings of how they do not fit into the box of either gender. One of the biggest barriers non-binary individuals faceis the lack of gender-affirming medical care such as hormones or medications to stop puberty if they so choose to change their gender this way (Moseson et al., 2020). Non-binary youth and adults have higher rates of substance abuse, increased sexually transmitted diseases, bullying, anxiety, depression, or suicidal ideation (Borgogna et al., 2019). Unfortunately, there is an increase in mental illnesses that go untreated due to stigma or fear that they will be treated poorly as patients for their feelings and beliefs (Dalhamer et al., 2016). Being a provider that is culturally competent and who can help those who need it most is vital in this field of work.

Paula de silva In Florida, nursing practice is determined by the Florida Nurse Practice Act which embodies a framework for safe and professional nursing care for the patient population. The Florida Board of Nursing is the entity that makes the rules for the practice of nursing and is the regulatory body to ensure that nurses are qualified and maintain standards and scope of practice in providing safe and competent patient care. (Toney-Butler & Martin, 2023) The overall goal is to protect the public. These standards and specific scope of practices are enacted by the Florida Legislature to include the Nurse Practice Act and is tracked by the Florida Board of Nursing for accountability. Failure to maintain these standards result in loss of nursing licenses and nursing practice. Having been trained and licensed for nursing in Canada, I had to follow the required rules and regulations of the Florida Board of Nursing in order to work in Florida. This included endorsement of my license, showing documentation of actively working as a nurse, abide by the mandatory education needed to obtain the Florida nursing license, and background checks. Standards of professional nursing practice should display practice and performance. It includes nurse competency in the nursing process and the nurse’s behavior in his or her role such as ethics, communication, and education. (GCU, 2022). The nursing process of assessing, diagnosing, planning, implementing, and evaluating are reflective in the standards of practice on the unit where I work. We have standardized rules for our patient population such as frequency of assessments, telemetry utilization, medication reconciliation, sheath removal processes, physician communication regarding standardized orders, and patient education. Most of the nurses are competent in LVAD care, sheath pulls, femstop application, and some are PH certified. All of the nurses on the unit are tested and checked off by the nursing educator bi-annually or annually for competencies in skill and knowledge. Mandatory education is also enforced quarterly in order to keep updated on changes in EBP, medications, protocols, and hospital policies. These standards of practice evaluate the performance of the nurses and is vital for those receiving nursing care and for successful patient outcomes.

Write a three (3) paragraph summary of one (1) article you presented during the Virtual Journal Club AND include your concept map. Please remember to use APA format, including a title and reference page.
Include a reflective statement explaining how current evidence-based literature can be integrated to the bedside in order to provide safe, culturally competent, and patient-centered care at the bedside.

A successful literature review is a key component to any research project. Conducting good research without a solid foundation is difficult. What are some of the most critical components of a good literature review? How will you ensure that you write a successful literature review for your planned research proposal? What are some of the challenges you foresee when writing your literature review? Resources
https://online.vitalsource.com/reader/books/978128… Chapter 1-3
http://d2jw81rkebrcvk.cloudfront.net/assets.naviga…
http://d2jw81rkebrcvk.cloudfront.net/assets.naviga…

Create 3-5 page submission in which you develop a PICOT question for a specific care issue and evaluate the evidence you locate, which could help to answer the question.

LITERATURE REVIEW AND ANALYSIS ASSIGNMENT
FORMATTING
APA formatted (double-spaced, 12-pt Times New Roman font or 11-point Calibri font ONLY, section headers, page numbers, title page, reference page, 1-inch margins (all), 6-page maximum, excluding the title page and reference page. You should have, at the minimum, 5 references (3 articles that you are synthesizing and 2 additional scholarly sources). More resources may be used, if necessary. Every reference listed must have a corresponding in-text citation. Each article should be cited in your paper. Do not include an abstract and do not include additional section headers. Submit your assignment as a WORD document ONLY. No PDFs will be accepted for the final publish of this assignment; however, your three articles may be submitted in the form of a PDF. They must be full-text articles that were published within the last 5 years. DO NOT SUBMIT MORE THAN THE REQUIRED 3 ARTICLES AND YOUR PAPER. SHOULD YOU DO THIS, POINTS WILL BE DEDUCTED. Should you submit your final Literature Review and Analysis as a PDF, it will not be graded. You will be required to resubmit it and appropriate point deductions will apply.
The goals for completing this assignment are to:

demonstrate proficiency in critically analyzing research evidence
demonstrate the ability to synthesize the literature
distinguish quality evidence
discuss the characteristics of research articles
integrate multiple pieces of evidence into a literature review format
identify gaps in areas of scientific investigations

Literature reviews in published studies provide what is known, what is not known, and what the possible contribution is of a study. The review of the literature for a quantitative study is done to identify the research problem, understand previous research, and plan the study. During the interpretation of the findings, the researcher may review the literature again to determine if additional relevant studies have been published. Reviews of the literature in published studies can be critically appraised for current, quality sources; relevant content; and synthesis of relevant content (see the critical appraisal guidelines box in textbook Chapter 6). A checklist for reviewing the literature includes preparing, conducting the search, processing the information, and writing the review. A written review of literature should be grammatically correct with a logical flow and a reference list that is accurate and complete.

Assignment Overview
You will write a limited literature review to identify studies published on your assigned topic. Your assigned topic is “Effective Hand Hygiene Practices”. In this assignment, you will review scientific literature in relation to your assigned topic. You are required to review and synthesize three research articles. The three articles are to be (1) peer-reviewed, (2) primary research, and (3) quantitative studies only. They must be articles that were published within the last 5 years. Throughout the semester, you have been searching for evidence that pertains to this topic. This is evidence that you may use to complete this assignment to support your literature review.

Step 1: Reviewing the Literature
A literature review is used to direct the planning and execution of a study. The primary purpose of a literature review is to demonstrate why a study is necessary. As you compose your literature review, you must establish the necessity for a research study on the assigned topic. One of the key tasks is to establish where gaps in the current research lie. You must show what has been overlooked, understudied, or misjudged by previous studies in order to create space for new research within the assigned topic area of academic or scientific inquiry. When reading the papers, keep in mind that you do not need to understand every last detail in order to get the main messages and a clear overview of what was done and its implications and limitations.
Step 2: Writing your Literature Review
Your final literature review and analysis paper will not be akin to a traditional literature review, which is usually presented as an often-lengthy text document. You are to provide your literature review in the format outlined within the rubric. Refer to your Literature Summary table/map from HW E. This table will help you synthesize the information about your 3 articles. You are required to electronically submit the ONLY the three articles that you used to conduct the review, along with your final publish of the assignment. The articles may be submitted in PDF format. If you have already submitted the articles for a previous assignment, you are still required to submit them again with this final assignment. Your paper should be explicitly organized into sections that are listed on the Literature Review and Analysis Rubric with clear section headings using the proper section heading levels as outlined in your APA manual (p. 47 -49). Only title your section headings using the section titles that are listed on the rubric. DO NOT include additional section headings.

NOTE: You must be very careful not to simply use the abstracts of your articles or text in the articles themselves for your summary. This exercise is meant for you to summarize things IN YOUR OWN WORDS! I am looking for YOUR summary of each source. Academic misconduct is a serious offense, thus TURNITIN ( less than or equal to 30% matching with no verbatim passages and no quotations) will be enabled. Papers with a TURNITIN score greater than 30% will not be accepted and will receive a grade of “0”. Resubmission is solely up to your instructor. Please view the Academic Honesty Policy in your student handbook and/or the syllabus. You are required to submit FULL-TEXT copies of your evidence (research articles). URL links, abstracts, sign-ins, copying, and pasting are not acceptable forms of submission for your articles. Should this be the case, you will receive a “0” for this portion of the graded rubric.
ATTACHED IS A SAMPLE PAPER AND THE RUBRIC

I sent the book information via
Building a Final Exam: Be Thinking Ahead!
Quote: To effectively communicate ,we must realize that we are all different in the way we perceive the world… Tony Robbins As you progress through the modules, you will be thinking ahead to your final project, which will be creating your own version of a final exam for this Interpersonal Communication course. See the shaded section below for full project details. You will create questions for each module.
Here’s what you need to do for M2:
Create two questions
Regarding concepts discussed in Chapters 2 and 3 regarding personal identity and perception.
You will create two questions per module for a total of eight by the end of Module 4. Six of them should be multiple-choice, and two of them open-ended, creative, problem questions.
“Try out” your questions on a family member, friend, or colleague
As you go over the answers with them, this will give you a chance to teach some of what you’ve learned in the unit and to explain your rationale for the questions.
Reflect on your teaching experience
Describe how things went when you gave the person the test and went over the answers. Again, this is a teaching moment for you.
You can also explain how you came up with the questions and answers.
Submit your questions and paragraph reflection
In the text entry area below.
The assignment is due by Sunday 11:59 pm ET.
Evaluation:
This weekly “Building your Final Exam” activity will be evaluated on a completed/not-completed basis and will collectively represent 5% of your final grade. The completed final exam will represent an additional 10% of your final grade. See below.
Final Exam Project Overview
The goal of the exam would be to improve the interpersonal communication skills of a family member, friend, partner/spouse, or professional colleague (all who have not taken this course).
You will create 20 questions for Modules 1-8 (Chapters 1-12 in your text). 16 will be multiple-choice, and four will be open-ended “problem” questions. Plan on 2-3 questions per unit for the final project.
For each of the multiple-choice questions, you will need to provide the correct answer and three incorrect answers. For the open-ended question, you should explain the rationale behind the question.
You can look to the practice quiz questions as a model, but you should create your own unique questions.
Your multiple-choice questions can be based on content, or can be scenario-based, such as the below:
Jamila disagrees with her two other co-workers in a meeting regarding the direction of a new social media marketing campaign. She feels that the message and approach are clichéd and won’t resonate with the new market they are trying to reach, young consumers. How should she communicate her concerns?
Wrong answer here
Right answer here (be sure to indicate the correct answer via highlight and/or bolding and/or italics)
Wrong answer here
Wrong answer here
Project evaluation:
You will create a question or two each week on your own, while the information is fresh. This will also lessen your end-of-term workload. You will submit two questions each week and a reflection paragraph of how it went when you gave your test questions to someone (and essentially “taught” material from the unit).
In Module 5, your instructor will give feedback on how you are doing with your weekly questions. By then (at the rate of two questions per week), you should have (for a total of eight) six multiple-choice questions and two open-ended, problem questions (much like you are asked in the Puzzling with Peers section).
In Module 8, the instructor will grade your final exam on the accuracy, quality of questions, and how well you comprehensively cover the course content.

PurposeThis week you discovered that the focus of healthcare has a growing emphasis on population health. This includes an emphasis on quality improvement and tracking outcomes. The purpose of this discussion is to apply the key concepts in population health to a selected population.
InstructionsSelect a population you would like to engage throughout the course to explore important population health and health policy concepts. Potential populations to consider are listed below. You may want to refer to the Global Burden of Disease or one of the eight National Practice Problems to identify the population you will be examining in this course. You may examine the same health issue you have been researching in the previous courses, or you may select another topic of interest to complete the assignments unique to this course. Address the following as they relate to the population you have selected:
Create a culturagram for your selected population. Refer to the lesson for guidance in creating a culturagram. You may use the attached template if you desire.Link: (Word doc): Culturagram Template
Identify three key social determinant risk factors associated with the population.
Conduct a search of the literature. Identify one evidence-based intervention to reduce health disparities in your selected population.
Examine how the selected intervention addresses at least one of the standards from the Culturally and Linguistically Appropriate Standards (CLAS).
Potential Populations
Asian population in Torrance, California
Somali-Americans in Minneapolis, Minnesota
African American population in Jackson, Mississippi
Hopi Indians in Kykotsmovi Village, Arizona
Caucasian population in Martin County, Kentucky
Hispanic/Latino population in Hialeah, Florida
Note: You may consider a different population as long as there is an abundance of literature related to social determinant risk factors and statistical data (prevalence, incidence, and economic ramifications) available for the selected health issue so that you can complete the required assignments each week. Please click on the following link to review the DNP Discussion Guidelines on the Student Resource Center program page:
Link (webpage): DNP Discussion Guidelines
Program CompetenciesThis discussion enables the student to meet the following program competencies:
Translates a synthesis of research and population data to support preventative care and improve the nation’s health. (PO 1)
Leads others in professional identity, advanced clinical judgment, systems thinking, resilience, and accountability in selecting, implementing, and evaluating clinical care. (PO 1)
Course Outcomes This discussion enables the student to meet the following course outcomes:
Assimilate epidemiology principles and interventions to impact the social determinants of health, Global Burden of Disease, and population health outcomes. (PCs 7, 8; PO 1)
Formulate strategies for providing culturally relevant and high-quality healthcare to vulnerable and high-risk populations to address social injustice and health inequities. (PCs 7, 8; PO 1)
Due DatesInitial Post: By 11:59 p.m. MT on Wednesday
Follow-Up Posts: By 11:59 p.m. MT on Sunday

Write a 4-6 page analysis of a current problem or issue in health care, including a proposed solution and possible ethical implications.
Introduction
In your health care career, you will be confronted with many problems that demand a solution. By using research skills, you can learn what others are doing and saying about similar problems. Then, you can analyze the problem and the people and systems it affects. You can also examine potential solutions and their ramifications. This assessment allows you to practice this approach with a real-world problem.
Instructions
Note: The requirements outlined below correspond to the grading criteria in the scoring guide. At a minimum, be sure to address each point. In addition, you are encouraged to review the performance-level descriiptions for each criterion to see how your work will be assessed.
Describe the health care problem or issue you selected for use in Assessment 2 (from the Assessment Topic Areas media piece) and provide details about it.
Explore your chosen topic. For this, you should use the first four steps of the Socratic Problem-Solving Approach to aid your critical thinking. This approach was introduced in Assessment 2.
Identify possible causes for the problem or issue.
Use scholarly information to describe and explain the health care problem or issue and identify possible causes for it.
Identify at least three scholarly or academic peer-reviewed journal articles about the topic.
Complete the following:
Assess the credibility of the information sources.
Assess the relevance of the information sources.
Analyze the health care problem or issue.
Describe the setting or context for the problem or issue.
Describe why the problem or issue is important to you.
Identify groups of people affected by the problem or issue.
Provide examples that support your analysis of the problem or issue.
Discuss potential solutions for the health care problem or issue.
Describe what would be required to implement a solution.
Describe potential consequences of ignoring the problem or issue.
Provide the pros and cons for one of the solutions you are proposing.
Explain the ethical principles (Beneficence, Nonmaleficence, Autonomy, and Justice) if potential solution was implemented.
Describe what would be necessary to implement the proposed solution.
Explain the ethical principles that need to be considered (Beneficence, Nonmaleficence, Autonomy, and Justice) if the potential solution was implemented.
Provide examples from the literature to support the points you are making.
Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:
Assessment 4 Example [PDF].
Additional Requirements
Your assessment should also meet the following requirements:
Length: 4–6 typed, double-spaced pages, not including the title page and reference page.
Font and font size: Times New Roman, 12 point.
APA tutorial: Use the APA Style Paper Tutorial [DOCX] for guidance.
Written communication: Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.
Using outside sources: Integrate information from outside sources into academic writing by appropriately quoting, paraphrasing, and summarizing, following APA style.
References: Integrate information from outside sources to include at least three scholarly or academic peer-reviewed journal articles and three in-text citations within the paper.
APA format: Follow current APA guidelines for in-text citations of outside sources in the body of your paper and also on the reference page.
Organize your paper using the following structure and headings:
Title page. A separate page.
Introduction. A brief one-paragraph statement about the purpose of the paper.
Elements of the problem/issue. Identify the elements of the problem or issue or question.
Analysis. Analyze, define, and frame the problem or issue.
Considering options. Consider solutions, responses, or answers.
Solution. Choose a solution, response, or answer.
Ethical implications. Ethical implications of implementing the solution.
Implementation. Implementation of the potential solution.
Conclusion. One paragraph.

Please envision a scenario where you are speaking with a citizen complainant regarding a complaint against a police officer . Please provide a writing sample of how you would notate and document the complaint . Make up a name to create that scenario .