Category: Nursing

Directions:Directions:Disaster Planning for Your Unit
You are a nurse manager in charge of developing a disaster plan for your unit. As the manager, you will need to include the influential agencies, stakeholders and the roles of the nurses in disasters.
First Post
Identify the influential agencies and stakeholders you would include in your plan. Describe the roles of the nurses in disaster planning and actual disasters. How would you ensure the nurses on the unit understand their roles in the disaster plan?

Discuss in your own words, what is theory? What is the role of theory within nursing? How does master’s prepared nurse utilize theory? You must include scholarly references with your posts. Some classical theoretical references may be older but attempt to keep literature used at 5 years or less for scholarly writing. Do not use layman websites. Avoid using multiple quotations as it is your work as a MSN to synthesize and integrate the information to provide meaning and use citation to give credit to author for overall arching idea (see APA for further details on quotation). Please include DOI if available

Review the provides article on “Failure to Respond”
Write an engaging and reflective paper that would be helpful for someone in the discipline wanting to learn about “Failure to Respond” and the associated trends in Nursing Education and Practice
Use the following as a checklist for the scholarly paper:
Use Times New Roman, 12 pt. font; 1-inch margins; double-spaced.
Consists of 800 to 1000 words in length
Citation and references are to follow the APA manual format
References should be no more than 5 years old
Sources:
Wikipedia (or similar sites) is not to be used as a reference
Taber’s and/or other medical dictionaries or encyclopedias are not to be used as references.
Include the following elements:
Title page (APA formatted title page).
Introduction
Background knowledge-brief summary of current knowledge on the “Failure to Respond” and Clinical-Decision Making in Nursing
Challenges imposed in practice
Intext citation present and appropriate
Literature Review
Literature searches for the topic on the web and in databases are limited to peer-reviewed professional nursing and medical journals, texts, and writings (no older than 5 years).
Uses literature to support claims, facts, and statistics.
Intext Citation present and appropriate.
Reflection
What are your views on change?
How will your practice be affected by the current changes and challenges associated with “Failure to Respond”?
How will you personally uphold the change efforts in practice?
Discussion/Implications/Conclusion
Proofread and edit the paper carefully, following the assignment rubric.

Select two topics from the below list and develop a brief essay. Be concise and focus on what is asked in the topic—maximum two pages in APA. No cover is needed. Include references and citations ALWAYS.
Topic
Use of prednisone in childhood severe asthma.
Metformin and lactic acidosis.
Congestive heart failure therapy with a diuretic medication.
Immunization schedule/catch-up vaccination in childhood -until 12 years old.
Type 2 diabetes mellitus and bile acid sequestrant.
Urge incontinence or overactive bladder diagnoses and management.
Dosing regimen principles in a pediatric population. Testing for type 2 diabetes in all adults.

In order to reach the largest numbers of patients’ healthcare will need to develop targeted types of triage involving nursing in the development, delivery and implementation of various types of telehealth technologies.
Module Goals
Examine electronic methods to provide outreach to underserved populations
Discussion Question:
Analyze the role of the regulatory environment in adoption of telehealth. Defend this role or devise a different alternative.

In 400-500 words address the following questions:
What is the Affordable Care Act? How did it change health insurance coverage? What are its key features?
What are the differences between state Medicaid expansion under the ACA? Which states expanded? Which states did not? Why did some states not expand Medicaid?
Select two states (one with ACA Medicaid expansion and one without) and compare and contrast health outcomes in these state:
Suggested topics: insurance rates, health care debt, mortality rates, infant mortality rates, infectious disease rates, life expectancy rates
Include an APA formatted reference page including your two sources

Conduct a health information technology needs assessment. Then, present your findings and recommendations, in a 4-5 page executive summary, regarding a new or upgraded telehealth technology for your organization or practice setting.

The purpose of this assignment is to conduct a community assessment in a form of an interview and physical appraisal of the community.
Part I: AssessmentBased on the demographic and community selected in the Topic 3 assignment, perform a physical assessment of the community site using the “Functional Health Patterns Community Assessment Guide,” located in the topic Resources. This document does not need to be filled out, but rather serves as a guide for what to look for in the physical assessment of the community site.
Part II: Interview
Conduct an interview with the appropriate representative selected in Topic 3 regarding that person’s role and experiences within the community. Interviews can take place in person, by phone, or via Zoom.
Develop 5-10 interview questions to gather information about the representative’s role and the health issues faced within the selected community, the role of public health in addressing environmental issues, and the health issues faced within the selected community.
Part III: PowerPoint Presentation
Based on your interview/community assessment, create a PowerPoint presentation of 15-20 slides (slide count does not include title and references slide) describing the chosen community interest.
Include the following in your presentation:
Summary of how the interview went, including responses to the questions.
Description of the community and community boundaries including the people and the geographic, geopolitical, financial, educational level; ethnic and phenomenological features of the community, as well as types of social interactions; common goals and interests; and barriers and challenges, including any identified social determinants of health.
Summary of community assessment, including funding sources and partnerships.
Based on your findings from the interview/community assessment, discuss any issues that are lacking or can be improved upon for health promotion, modifying your teaching plan as needed to address these findings.
A conclusion summarizing your key findings and a discussion of your impressions of the general health of the community.
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA format ting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style.

Question asked: Review Tables 29.1 and 29.2 in the Joel textbook (2022) and compare APRN adverse events and malpractice claims to MDs in your state of practice. Identify the differences, explain why you think there is a difference, and discuss how malpractice suits affect patient access. My state: TX
Initial Post done! only response to two classmates
Reply to at least two of your classmates—from different states if possible—after reviewing the information provided in the initial post and comparing your state stats. Address some of the problems, if any, with the current malpractice legal system related to malpractice.
Kellys post:
Medical malpractice claims are common in healthcare, making it essential for providers to obtain professional malpractice and liability insurance. According to Joel (2022), advanced practice nurses have the autonomy to exercise independent clinical decision making as well as prescribe medications and provide complex care, which places them at a high risk for being sued for malpractice. The same can be said for MD’s and other healthcare professionals who are exposed to different types of liability. In Massachusetts, between the years 1990 and 2014, there were a total of 167 reports of medical malpractice suits and settlements and 33 adverse actions against Advanced Practice Nurses reported to the National Practitioner Data Bank (Joel, 2022). In contrast, there were 6,363 total reports of medical malpractice suits and settlements and 2,550 adverse actions against physicians (MD’s and DO’s) reported to the NPDB (Joel, 2022).
These numbers greatly differ and highlight the fact that Advanced Practice Nurses have lower rates of malpractice suits and reported adverse reactions than physicians. This difference may exist for a number of reasons. First, I believe that APRNs may come across as more caring and compassionate than physicians because of their nursing background and holistic approach to care. This can lead to patients having more trust in APRNs compared to other providers. Further, McMicahel et al. (2018) notes that many NP’s can pass a substantial portion of their liability to their supervising physician or healthcare professional. In Massachusetts, a Nurse Practitioner must be supervised by a qualified healthcare professional, such as a physician, for a minimum of two years. Further, many physicians may feel less of a need to perform to the highest of their abilities with the increase in qualified nurse practitioners. Malpractice suits can affect patient care and access because many providers will reduce the scope of their services and practice “defensive medicine” due to fear of legal liability (McMichael et al., 2018). Further, many providers will retire early or relocate to states with more favorable medical malpractice environments, which will only add to the physician shortage that already exists. These factors affect patients who require high quality, and often complex, care because they ultimately don’t get the care they need or deserve. Dahlawi et al. (2021) note that medical negligence and malpractice suits can pose a significant risk of patient injury, disease, disability or death. Carmens post: Advanced Practice Nurses (APNs) are held accountable for the care they offer. They practice independently, make clinical decisions autonomously, deliver complex care treatments, and prescribe or administer medications, all of which raise their risk of being sued for malpractice (Joel, 2022). APNs ought to strive to stay clear of three main exposures: monetary liability from court decisions or settlements resulting from civil lawsuits; licensure or certification by the appropriate state agencies or private associations; and civil or criminal penalties, including the exclusion from federal health care programs for fraud or abuse (Joel, 2022). On a national level, there is no reliable means to compile data on the number of lawsuits filed. Regardless of the validity of the claims made against the providers, there is also little to stop a patient from filing a malpractice claim. The National Practitioner Data Bank (NPDB) of the UDHHS, HRSA is the most complete source of reports on verdicts and settlements stemming from malpractice lawsuits against healthcare providers (Joel, 2022). Tables 29.1 and 29.2 in the Joel textbook (2022) demonstrate that more APNs have been sued in the last decade, but data on physicians suggests the opposite: allegations of physician malpractice have dropped in the last decade. Although reports of malpractice claims and settlements, as well as reports of adverse actions, have increased for APNs since 1990, the increase is comparable with the overall growth in the number of these providers (Joel, 2022 & Brock et al., 2016).
Using the NPDB data analysis tool to generate datasets for the Adverse Action Report (AAR) and the Medical Malpractice Payment Report (MMPR). Data from 2011 to March 31, 2023, showed that APNs in Massachusetts had 83 Medical Malpractice Payment Reports and 16 Adverse Action Reports, compared to 1593 and 845 respectively for physicians (MD and MO) during that time (National Practitioner Data Bank [DPDB], 2023). Although the number of APNs receiving these reports is small, the settlement costs for damages and defending claims have risen (Joel, 2022). Communication is one of the biggest reasons for the difference in the number of reports between APNs and physicians. Researchers contrasted the number of time physicians used with patients with a history of malpractice claims and discovered that primary care doctors with two or more malpractice claims against them spent 15 minutes on average with each patient, while doctors with no malpractice claims against them spent 18.3 minutes on average with each patient (Buppert, 2021). Quality of care for the sued physicians was comparable to evaluations for physicians who had not been sued. Experienced APNs understand that effective provider-patient communication improves results and increases patient satisfaction. Less litigation also results from effective communication, a satisfied patient is unlikely to sue (Buppert, 2021). Physicians treat many patients daily to increase their practice’s revenue stream. As a result, less time is spent with individual patients, increasing the risk of liability (Joel, 2022). The other distinction is the specialty; neurosurgery had the highest rate of claims against physicians, followed by plastic surgery and orthopedics, and finally obstetrics and gynecology. APNs do minimal surgery and are not subject to the same surgical liability concerns as surgeons. Finally, physicians may be more vulnerable to litigation than APNs and PAs due to their legal supervisory function or because they see more high-risk patients (Joel, 2022). Regarding APNs, 1715 paid NP malpractice claims were paid between 1990 and 2014, and the basis of the allegation was diagnosis-related; within this allegation group, failure to diagnose and delay in diagnosis was predominant. The most common treatment-related error was treatment delay. Most of the diagnosis and treatment claims were made in the outpatient setting (Sweeney et al., 2017).

METHODOLOGY SECTION: , write the first publish of your critique of their METHODOLOGY section. In a scholarly fashion and using APA format, review their methodology using your knowledge about what a well-written methodology section should look like, answering as many of the questions (from the textbook)
Journal your critiquing is Nutrition and stunting