Category: Nursing

Examine changes introduced to reform or restructure the U.S. health care delivery system. In a 1,000-1,250 word paper, discuss action taken for reform and restructuring and the role of the nurse within this changing environment.
Include the following:
Outline a current or emerging health care law or federal regulation introduced within the last 5 years to reform or restructure some aspect of the health care delivery system. Describe the effect of this on nursing practice and the nurse’s role and responsibility.
Discuss how quality measures and pay for performance affect patient outcomes. Explain how these affect nursing practice and describe the expectations and responsibilities of the nursing role in these situations.
Discuss professional nursing leadership and management roles that have arisen and how they are important in responding to emerging trends and in the promotion of patient safety and quality care in diverse health care settings.
Research emerging trends. Predict two ways in which the practice of nursing and nursing roles will grow or transform within the next five years in response to upcoming trends or predicted issues in health care.
You are required to cite a minimum of three sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice. 
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. 

Locate a research study (2017 or later)  on your topic of choice.  Remember to use a primary source such as a quantitative, qualitative, or mixed design. Do not use systematic reviews, meta-analyses, or literature reviews that are not research studies. Explore the research study and review the participants, and procedures (methods section) of the article. Then, answer the following questions related to your selected article/study
(Be sure to cite the article in APA format and provide a link to your article on the discussion board for your classmates).
Describe the participant protections provided by the researchers for participants.
How were the participants selected? How might this impact ethical principles within the study?
Would the participants in this study be considered “vulnerable”? Why or why not?
Were participants subjected to any physical harm or discomfort or psychological distress as part of the study? What efforts did the researchers make to minimize harm and maximize good?
Does the report discuss steps that were taken to protect the privacy and confidentiality of study participant?
DOI reference link

Write a 4. page annotated bibliography where you identify peer-reviewed publications that promote the use of Fall Detection and Prevention Systems to enhance quality and safety standards in nursing.
These systems use sensors and algorithms to detect when a patient or elderly individual falls. Early detection can lead to rapid intervention, reducing the risk of serious injury.
Please review attachments for further instructions; in order IMG 1023-1028.

Write a two-page Persuasive Research paper (500 words, double spaced – about two pages in a Word document) on a topic that is a debatable issue. Follow the steps outlined below:
Select one side of the debatable issue to defend. Research your topic, taking notes as you read. Include information from your research to support your arguments.
You must use at least three sources to develop your argument. The information from these research sources, used as quotes or paraphrased ideas within your essay, will add strength to your arguments and help you avoid plagiarism. Remember, these sources must be reliable and credible.
IMPORTANT: Be sure to give credit to your source(s) by citing them correctly in the text of your paper and on a Reference Page at the end of your paper.
The Reference Page at the end of your paper must provide complete citations for all research sources used within your paper. Use the APA style format provided in your textbook and the resources provided on the main course page.
Note:  You must use sources that are reliable and credible
The information from your research, used as quotes or paraphrased ideas, adds strength and authority to your arguments.  However, most of the writing on the paper should be yours.  Not more than 5-10% of the paper should be quoted.
Be sure to give the credit to your source(s) by citing them correctly in both the text of your paper and in the “Reference” section at the end of your paper.
f)       Include your “References” list at the end of your essay that gives the complete citation for all of the research sources you actually used in the paper. Use the APA Sixth Edition style format.
The weekly readings from this week will give you lots of information on persuasive writing, and the power points that I have uploaded also give you a good overview of this type of writing.  Please contact me if you have any additional questions concerning the assignment.  Keep up the good work!

This week you will develop a comprehensive community health promotion plan to address the key focus area you identified in Week 8. Integrate your knowledge of physiology, pharmacology, and nursing treatment modalities into your plan. 
The first section of your plan should have a description of your mission, your goals, your plans for implementation, what you consider a measure of the effectiveness of the program, and the possible collaborators on this program. 
The second section of your plan should provide a detailed description of your program and the activities that you propose to address the healthcare issues in the key focus area. Your community plan should emphasize on community education. Address these questions in your plan. 
What nursing interventions would you consider for effectively addressing the focus area concerns? 
How do you plan to create intervention opportunities for individuals/families/groups? What are the topics you would cover in these intervention opportunities? 
What are the policy recommendations that you would recommend to achieve your goals? 
Does your plan replace existing plans and interventions? 
How do you propose to implement your plan? 
How do you plan to assess your community plan? 

Course Outcomes
This assignment enables the student to meet the following course outcomes:
CO 1: Examine the role of information and communication technologies in promoting information literacy and healthcare outcomes across diverse healthcare settings. (POs 1, 5)
CO 2: Evaluate evidence-based practices related to information use and management, technology selection, communication, and resource allocation. (POs 1, 5)
CO 3: Appraise ethical, legal, regulatory, and professional standards for using information and communication technologies. (POs 3, 4)
CO 4: Apply advocacy for the use of communication technologies to improve patient/population health literacy. (PO 5)
CO 5: Develop professional competencies in information and communication technologies to advance healthcare outcomes and equity. (PO 5)
Instructions
Mobile health, also known as mHealth, is the secure use of mobile digital wireless technologies to support health. Awareness and skillful use of mHealth applications (apps) are key to advancing health outcomes.
Use the table below to identify the mHealth app for this assignment based on the first letter of your first name. For example, if your first name is Gilda then your assigned app is Medscape.
First letter of your first name mHealth app for Assignment
Drugs.com
Use the Google Play Store for Android devices or the Apple iTunes App Store for Apple devices to search for the assigned medical application in the table above.
Download the app to a mobile device (smartphone or tablet). The apps are free and do not require purchase to complete this assignment.
Include the following sections:
Application of Course Knowledge: Answer all questions/criteria with explanations and detail.
Name of the app: Identify the name of the app.
Author: Describe who created, developed, or maintains the app.
Endorsement: Identify whether the app is licensed by the Food and Drug Administration, another government agency, or endorsed by an academic institution or medical professional organization. Discuss the implications (or lack) of endorsement.
Aesthetics: Discuss whether the information is displayed in a way that is easy to navigate. Is it easy to use? Can you use it without instructions? Explain.
Purpose: Describe the intended purpose or use of the app.
Clinical decision-making: Discuss the influence of the app on clinical decision-making.
Safety: Is there potential for client harm? Explain.
Privacy/security: Identify if the app has a privacy statement or setting. Is there a clear privacy policy stating information will be encrypted and not shared with third parties? Does the app share information on social networks? Are users notified in the event of a breach of privacy and health information? Explain.
User: Explain for whom is the app intended (providers, clients, or others).
Credibility: Discuss the credibility of the sources of information and how credibility is verified.
Relevance: Discuss how current the information is in the app. When was the last update? Is the content consistent with evidence-based literature or best practices/standards of care? Explain.

APA Style formatting is required. There must be a title slide with the student’s name and required title page information; an objective slide; content slides with appropriate citations; references slide formatted appropriately – double-spaced with hanging indent. If needed, additional reference slides may be included. Images used must be cited on the reference page.  
The PowerPoint presentation should be between 10-14 slides excluding the title, objectives, and reference slides.

I am a mental health nursing student so I can not use that field of practice. I have chosen, adult, childrens and learning disability.
Throughout your programme, you are expected to gain experience
in the philosophy of the different fields of practice and engage in
meaningful experiences in theoretical learning or practice learning
(simulation or placement). Based on these experiences, you must
write a series of reflective commentaries in your “Salford Nursing –
Personal Development Record (PDR)”, considering the NMC
platforms of proficiency standards (NMC, 2018) and the differences
between each field.  
For your summative academic assessment in the ‘Leading &
Empowering in Integrated Nursing Practice’ module, you will submit
via Turnitin a Reflective Log critically evaluating the exposures to
three separate fields of practice based on this work within your PDR.
You will write three separate entries within the Word Document
template provided, and these will vary depending on your own
chosen field of practice. Throughout your Critical Reflective Log,
confidentiality must be maintained to ensure places, people and
specific events are not identifiable, therefore any names and
identifiable information must be anonymised.  
You are expected to provide underpinning evidence within your
critical reflective log, following APA 7th guidelines for in-text citations
and a final reference list at the end of the document. In text
citations should be included when considering underpinning
evidence-based research, guidance, publications; however a
reflective log also includes your reflection upon learning which does
not require detailed referencing.
Within each of the three exposure entries in your Critical Reflective
Log, they must be at least 500 words in length, and must include the
following to meet the assessment criteria:
1. Brief description of the exposure in theoretical learning or
practice learning in simulation or placement.
2. Critical evaluation of the similarities and differences between
your exposure and your own field of practice supported by
evidence.
3. Discussion of your learning and how it will benefit your
practice as a future registered nurse supported by evidence.
4. Mapping to the NMC platforms of proficiency standards
(NMC, 2018) e.g. 1.7, 5.1.
Q. Is there an estimated word count for each area within the table?
A. There is not a word count for each column it is 500 for each exposure. The final column
(numbers only) is not included and the main wording will be in the middle two columns, see
below for further guidance
Column 1- one sentence e.g attended a spoke placement on a Child and Adolescent Mental
Health (CAMHs) inpatient ward.
Column 2- similarity /difference (Must link to literature)
Students identify one difference e.g during my exposure to CAMHs the approach to care
utilised attachment theory as part of care which is an element of care I have not observed
within my own adult/ CYP/ MH field of practice. Attachment theory is….. (support with
theory). This was utilised by….. (link to theory). There have been criticisms of this approach/
theory made by….. (theory reference). The benefit observed in practice was…..
Column 3- relating to impact on future practice (Must link to literature)
Students need to link to how this one area of difference will impact on their practice in their
own field e.g. having observed the use of and now having gained an understanding of
attachment theory and its impact on care I will consider this in my future practice by
considering how relationships may be impacted upon due to challenges with early life
attachment….. (link to theory)
Column 4- NMC standards (numbers only no words)
1, 2, 5 & 6 (Not included in word count because it is numbers only no words)
End reference list is not included in the word count.

Prompt: Write a paper that emphasizes attitudes and competencies that are important in effective professional relationships; defining culture and competence; cultural self-awareness and assessment of personal cultural competence. Include references to support your discussion.
In this paper you will answer the prompt provided below. At minimum, the paper must contain the following:
A working thesis with an arguable, analytical
A specific set of evidence (quotes, page numbers, etc.) to prove that claim, not just “example to prove my point,” or something similar. The evidence and how it proves the thesis must be apparent. Papers must include at least five (5) scholarly references and five (5) to seven (7) pages in length (excluding title page, abstract and references).
Fully developed, cohesive paragraphs with topic sentences. These topic sentences should be assertions. The paragraphs should contain ample evidence, analysis, and links to the thesis. Lack of development in paragraphs may result in no credit for the
A title page, an abstract page, and a reference page
1” margins, double spacing, a 12 point Times Roman font and between eight and ten pages in length (excluding title, abstract, and reference pages)
Conform to APA formatting guidelines (6th Edition).
Midterm Paper Rubric
Midterm Paper Rubric
Criteria Ratings Pts
This criterion is linked to a Learning OutcomeThe paper: Addresses the topic or question
3 pts
Full Marks
0 pts
No Marks
3 pts
This criterion is linked to a Learning OutcomeThe paper: Accurately presents assigned authors’ viewpoints
3 pts
Full Marks
0 pts
No Marks
3 pts
This criterion is linked to a Learning OutcomeThe paper: Provides sufficient textual evidence to support the argument
4 pts
Full Marks
0 pts
No Marks
4 pts
This criterion is linked to a Learning OutcomeThe paper: Topic engages the reader (compelling, focused, specific and arguable)
5 pts
Full Marks
0 pts
No Marks
5 pts
This criterion is linked to a Learning OutcomeStructure: Abstract – Introduction
3 pts
Full Marks
0 pts
No Marks
3 pts
This criterion is linked to a Learning OutcomeSet the context – provide general information about the main idea, explaining the situation so the reader can make sense of the topic and the claims you make and support
1 pts
Full Marks
0 pts
No Marks
1 pts
This criterion is linked to a Learning OutcomeState why the main idea is important – tell the reader why s/he should care and keep reading. Your goal is to create a compelling, clear, and convincing essay people will want to read and act upon
2 pts
Full Marks
0 pts
No Marks
2 pts
This criterion is linked to a Learning OutcomeState your thesis/claim – compose a sentence or two stating the position you will support with logos (sound reasoning: induction, deduction), pathos (balanced emotional appeal), and ethos (author credibility).
2 pts
Full Marks
0 pts
No Marks
2 pts
This criterion is linked to a Learning OutcomeStructure: The body contains a complete discussion and support
8 pts
Full Marks
0 pts
No Marks
8 pts
This criterion is linked to a Learning OutcomeStructure: Includes a topic sentence
3 pts
Full Marks
0 pts
No Marks
3 pts
This criterion is linked to a Learning OutcomeStructure: Develops one main idea
3 pts
Full Marks
0 pts
No Marks
3 pts
This criterion is linked to a Learning OutcomeStructure: Has a transition sentence linking it to the next paragraph
3 pts
Full Marks
0 pts
No Marks
3 pts
This criterion is linked to a Learning OutcomeThe conclusion: Recaps the thesis statement and the essay’s main points
3 pts
Full Marks
0 pts
No Marks
3 pts
This criterion is linked to a Learning OutcomeThe conclusion: Presents a closing statement of the writer’s position
3 pts
Full Marks
0 pts
No Marks
3 pts
This criterion is linked to a Learning OutcomeOrganization and Development: The composition – Is logically organized
5 pts
Full Marks
0 pts
No Marks
5 pts
This criterion is linked to a Learning OutcomeThe composition Structure matches purpose and audience
4 pts
Full Marks
0 pts
No Marks
4 pts
This criterion is linked to a Learning OutcomeTone and Point of View Is appropriate for audience
4 pts
Full Marks
0 pts
No Marks
4 pts
This criterion is linked to a Learning OutcomeTone and Point of View Respects topic
4 pts
Full Marks
0 pts
No Marks
4 pts
This criterion is linked to a Learning OutcomeStyle/Conventions: Language is concise and precise
2 pts
Full Marks
0 pts
No Marks
2 pts
This criterion is linked to a Learning OutcomeStyle/Conventions: Vocabulary range, accuracy and correct/effective word usage
2 pts
Full Marks
0 pts
No Marks
2 pts
This criterion is linked to a Learning OutcomeStyle/Conventions: Free of misspellings
2 pts
Full Marks
0 pts
No Marks
2 pts
This criterion is linked to a Learning OutcomeStyle/Conventions: Free of grammatical mistakes
2 pts
Full Marks
0 pts
No Marks
2 pts
This criterion is linked to a Learning OutcomeStyle/Conventions: Complete and a variety of sentences structures
2 pts
Full Marks
0 pts
No Marks
2 pts
This criterion is linked to a Learning OutcomeStyle/Conventions: Correct punctuation
2 pts
Full Marks
0 pts
No Marks
2 pts
This criterion is linked to a Learning OutcomeMechanics: Paper follows APA assigned style
7 pts
Full Marks
0 pts
No Marks
7 pts
This criterion is linked to a Learning OutcomeMechanics: References cited correctly (APA style, etc.)
10 pts
Full Marks
0 pts
No Marks
10 pts
This criterion is linked to a Learning OutcomeMechanics: Paper supported by appropriate research
6 pts
Full Marks
0 pts
No Marks
6 pts
This criterion is linked to a Learning OutcomeMechanics: Appropriate format (font size, spacing, etc.)
2 pts
Full Marks
0 pts
No Marks
2 pts
Total Points: 100

Please read the instructions:
Peer 1
Jessica
Patient Information
Mental health is a major world health issue. It significantly affects the patient’s physical, social, and mental well-being. All mental health professionals must take their patients’ detailed and thorough historical information. The patient’s historical information is essential for mental health professionals. It allows them to design treatment and diagnosis plans for the patient. The patient’s health information should include a comprehensive social history, medical history, and full mental status examination with a probable treatment plan.
Importance of gathering detailed information
Improved diagnosis
According to Bickman’s (2020) research on improving mental health services, gathering comprehensive mental health information on patients was critical in improving the diagnosis. Evidence from his research shows that a thorough understanding of a patient’s background effectively helped mental health professionals arrive at a more accurate diagnosis. Bickman (2020) confirmed that mental illness often shares similar characteristics and joint symptoms. Therefore, the detailed information from the patient can help professionals compare notes and establish a more accurate and improved treatment. 
Establishing more effective treatment
According to Gamby et al. (2021), in their study of the importance of patients’ wellness histories and recommendations, gathering past information on patients’ mental status is essential in establishing a more effective treatment. It helps in understanding patients’ unique symptoms and conditions. This allows the care providers to tailor an individualized treatment plan for the patient. 
Reducing risks of medication errors
According to Nicholson et al. (2020), the already-established trend of collecting comprehensive patient history and information on mental status paved the way for correct dosage and psychotropic medication. The study revealed that mental health professionals were able to make the diagnosis more accurately and commenced treatments resulting from the information provided. Therefore, medical officers in mental health clinics should start collecting patients’ data before deciding on the medication to be provided to reduce the chances of medication errors.
Defining Malingering
Malingering refers to a case where patients lie about their mental conditions to avoid legal litigation or financial compensation.  In most cases, a malingering diagnosis occurs when a patient wants secondary benefits and does not gain mental health wellness.
Differentiating between Malingering and DSM-5 Diagnosis
The patient’s motivation is a major way of differentiating malingering, and an accurate DSM-5 diagnosis is motivation.  According to Schram (2021), people with DSM-5 are distressed by their condition and are motivated by the need to improve their mental health. However, malingering patients are motivated by external rewards. Patients fake their conditions to escape a criminal sentence, get free drugs, and gain financial compensation. In most cases, malingering occurs during civil litigation or criminal trials. Victims pose to be mentally impaired to avoid their sentences. 
The second way to identify the difference between malingering and DSM-5 diagnosis is inconsistency in the symptoms. According to Hall & Poirier (2020), the DSM-5 diagnosis is conducted on patients with real mental health conditions. Therefore, their symptoms are always consistent. However, patients who are malingering have inconsistency with symptoms presented in the diagnosed disorder. For instance, when malingering, a patient posing to have depression can be reported as having emotional numbness, which is not a common symptom for patients with depression.
Peers 2
Edelyne
Patient Information
Three Key Reasons Why Thorough Historical Information is Crucial
Accurate Diagnosis and Differential Diagnosis
To make an accurate (correct) diagnosis, mental health professionals need all the necessary information about the patient: a medical history, a social history, and a mental status examination (Voss & Das, 2022). The diagnosis could be wrong, and as a consequence, the patient may be rendered to take an unsuitable treatment and incur potential harm. Comprehensive medical information is valuable background information that allows healthcare providers to reflect on the other possible diagnoses apart from the primary one and, hence, give the most conclusive treatment. Thus, it makes it possible for the chosen plan of treatment to rely on the nature of the illness, avoiding hazards of misuse of drugs or waste of resources spent on ineffective measures.
Individualized Treatment Planning
A detailed patient history plays a pivotal role in that it equips clinicians to develop a treatment plan individually made based on a patient’s unique previous experiences, preferences, and requirements. Learning about a patient’s social environment, such as family, cultural background, and medical history, assists in fine-tuning and individualizing treatment and compassionate care (Stubbe, 2020). An individualized approach results in higher treatment compliance, while patients become more likely to remain engaged in a therapy that aligns with their specifics.
Risk Assessment and Safety
Among various factors, it is helpful in risk assessment for recognition of the treatment-related risks that may affect the patient, like self-harm, suicide, violence, or neglect. Identifying supporting treatments helps an individual be safe and puts them into appropriate care, either as an inpatient or an outpatient. Careful risk assessment, which includes crisis intervention or safety planning, is a vital part of the safety measures that will protect the patient and others (Saab et al., 2021).
Definition of Malingering
Malingering is any production of psychological and physical symptoms or exaggeration performed on purpose to meet some external benefits expectations, including avoiding work, receiving financial compensation, or avoiding legal responsibility (Alozai & McPherson, 2020). It is not a medical diagnosis but a compulsive psychological behaviour with secondary welfare motives.
Differentiating Malingering from DSM-5 Diagnoses
Inconsistencies in Symptom Presentation
Malingering is more likely to be associated with disjointed or overstated symptoms. People may complain of severe symptoms incoherent with observed behaviour or laboratory results. Nurses may detect contradictions between subjects’ reported severity of the symptoms and their objective evidence, suggesting that a client could exaggerate his or her health state (Bellman et al., 2022). Contrary to this, the authentic DSM-5 diagnoses are more consistent in the exhibited symptoms and generally backed by clinical observation.
External Incentives and Secondary Gain
One characteristic trait of malingering is that there are external incentives or secondary gains (such as seeking exemption from work and receiving financial compensation) that are found among patients. Mental health professionals have to establish whether a patient’s allegedly reported symptoms are associated with the given external benefit (Sweet et al., 2021). In contrast, DSM-5 diagnoses are not ordinarily associated with secondary gain due to a lack of motive, and patients with these conditions usually experiencing emotional distress or impairment in daily functioning without any apparent external reinforcements.