2 coments each one 150 words (CITATION AND REFERENCE) BY2/12

Cultural awareness and sensitivity has become a necessary tool in nursing because; given the diversity in the growth of different populations, it has become imperative for nurses to understand various cultures and also respect the different practices in order to ensure holistic patient care at all levels of management. One among other tools that have been developed to help gather cultural information is the Heritage Assessment Tool. Through the outcomes of the survey from this tool, a nurse is able to gather relevant information about a patient’s culture, beliefs, needs and practices that may affect their care and treatment. While the tool is useful in structuring individualized patient care plans, it is also helpful in educating nurses adequately on new cultures thereby expanding their cultural competency foundation (Falkner, 2018). Some of the other tools used include; CCCC model, ACCESS model, The Process of Cultural Competence in the Delivery of Healthcare Services Model among others (Higginbottom, Richter & Mollel, 2011). Regardless of the tool being used the relevance remains in how the data would be used in the caring for patients.

Cultural competency is the act of being aware of different cultural practices that helps a nurse to adjust care plans appropriately and to constantly remain sensitive and respectful of the choices that patients make based on those practices. Cultural competency leans on cultural awareness through thorough assessment of patients and its relevance to patient care is emphasized on ensuring safety at all costs. The nurse therefore has the responsibility to understand that some cultural beliefs have health practices that are considered unsafe to other cultures that don’t share in the same beliefs. For example, the [practice of female genital mutilation seen in middle east countries, Africa and southeast Asia is a practice where the female genitalia is partially or totally removed for non-medical purposes (WHO, 2018). Because of the many risks this practice poses on women healthy, the nurse caring for such clients must remain sensitive especially in their choice of words. Furthermore, child protection issues should be taken into account and advocacy for [patient safety should be considered if a minor is to undergo this procedure. Hence, understanding a client’s cultural preferences if beneficial for effective patient care (Falkner, 2018). Even though various barriers to health exist among different cultures, nurses are to remain focused on enhancing quality patient care by ensuring safety.

Some of the ways cultural competency can be demonstrated is first, through comprehensive assessment. It is from such gained information that the nurse is able to understand family dynamics from which a customized care plan can be formulated to accommodate the needs. Secondly, while addressing emerging populations of immigrants, the nurse should be aware that most individuals lack knowledge to navigate the complex healthcare system and thus through collaboration with other interdisciplinary members, interpretive services should be provided to ensure effective management and smooth transition of care. Lastly, through cultural competency, nurses are able to identify vulnerable populations such as pregnant women, human fetuses, cognitively impaired et cetera, and by working with other interdisciplinary members, that helps to ensure provision of resources that would enhance adequate health care.

References

Falkner, A. (2018). In GCU’s Health Promotion: Health and Wellness Across the Continuum. Retrieved from

https://www.gcumedia.com/digital-resources/grand-canyon-university/2018/health-promotion_health-and-wellness-across-the-continuum_1e.php

 Higginbottom, GMA., Richter, M., & Mollel, O., (2011). Cultural awareness and sensitivity has become a necessity. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3175445

World Health Organization. (2018). Female genital mutilation. Retrieved from http://www.who.int/mediacentre/factsheets/fs241/en/

A nurse gathers cultural information from patients with care that is self- reflecting and an open mind. Itsimportant for the nurse to remain sensitive and respectful as the goal of the therapeutic relationship is to eliminate health disparities. “A nurse must give high quality care regardless of ethnicity, social economic background, race or culture” (ANA )

Cultural competence is an evolving process and is a daily process. Our communities are a mix of Asians, African Americans/ blacks, Hispanics, Arabs who all deserve respect and culturally sensitive care. To be Culturally competent, it “requires continuous education, self-awareness, and evaluation in order to provide holistic, culturally competent nursing care” (Campinha-Bacote, 2011).

Prior to this material review I was not aware such a framework existed for a cultural assessment. Leininger states that cultural assessment “is the systematic appraisal or examination of individuals, groups, and communities as to their cultural beliefs, values and practices to determine explicit needs and intervention practices within the context of the people being served” (Falkner, 2018). The Heritage Assessment tool is a great resource for helping the nurse determine cultural influences in managing cultural care focus in education. It surprised me that I was using it all along, mostly for my own exploration/ self-reflection. I am a very cultural curious nurse and learning about cultures helps navigate my care. 

Culturally competent care has been linked to improved health outcomes and the elimination of health disparities. To demonstrate competency is to emerge yourself in it. Learn from them. Most importantly nurses must have an “acknowledgement of culture as a core nursing trait of caring” (Gillson & Cherian, 2019). I am culturallycompetent, and I ask these questions regularly: 

Where you born?

Where did you grow up?

How old were you when you moved to the US?

Tell me how religion is important to you? 

Tell me about the foods you eat?

How do you celebrate holidays, deaths? 

References:

American Nurses Association. (n.d.). Diversity awareness mission statement. Retrieved from http://www.nursingworld.org/MainMenuCategories/ThePracticeofProfessionalNursing/Improving-Your-Practice/Diversity-Awareness/Mission-Statement.html

Campinha-Bacote, Josepha. (2002). The process of cultural competence in the delivery of healthcare services: A model of care. Journal of Transcultural Nursing, 13(3), 181-184. Retrieved from http:/ /ovidsp.ovid.com.ezp.twu.edu/ovidweb.cgi ?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=yrovftf& AN=00002045-200207000-00003l

Falkner, A. (2018). Health promotion: Health & wellness across the continuum. Chapter 3. Retrieved from https://lc.gcumedia.com/nrs429vn/health-promotion-health-and-wellness-across-the-continuum/v1.1/

Gillson, S., & Cherian, N. (2019). The Importance of Teaching Cultural Diversity in Baccalaureate Nursing Education. Journal of Cultural Diversity, 26(3), 85–88.

 
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week5

 Discuss how your research inquiry relates to evidence-based practice. What practice improvement outcomes do you expect your inquiry to accomplish? How do you intend to evaluate your capstone project? 

 
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Healthcare Advocacy

Discussion post

 
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7 casestuduy 2

Read the case study titled “Stopping Outshopping”, located in the online course shell. Then, use the Internet  databases to research similar marketing strategies in the health care industry.

Write a four to six (4-6) page paper in which you: Based on the textbook’s summary of Timothy’s philosophy of continually striving for excellence, determine whether or not Scarlet Hospital was prepared to compete with the establishment in Salem even before the highway improvement mandated such an upgrade in delivery health care services. Examine the potential lessons that the “Stopping Outshopping” case could teach health care executives about complacency. Evaluate the potential value of Michael Porter’s Five Forces analysis and SWOT Analysis for effective decision making, in its ability to help Scarlet Hospital protect its market share and thus decrease the chance of losing patients to other institutions in Salem. Appraise the value of the Balanced Scorecard model in its ability to help Scarlet Hospital executives reinforce its defensive marketing strategy. Propose a one (1) page offensive marketing strategy (i.e. communication, branding, innovation, etc.) that Scarlet Hospital should deploy in order to turn the table on Salam-based health care providers and improve its competitive marketing position. Use at least five (5) quality academic resources. Note: Wikipedia and other Websites do not qualify as academic resources. 

Your assignment must follow these formatting requirements: Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions. Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.

The specific course learning outcomes associated with this assignment are: Examine the marketing research process and market segmentation strategies in the health care industry. Integrate the SWOT Analysis into viable recommendations to meet the health care services organization’s operating requirements. Analyze the components of the balanced scorecard and conduct trend and ratio analysis to assess health strategic marketing. Apply Michael Porter’s Five Forces analysis for effective decision making to efficiently utilize health services resources and achieve organizational goals. Explain the impact that the population and societal, competitive, and financial forces have on health care services. Use technology and information resources to research issues in health services strategic marketing. Write clearly and concisely about health services strategic marketing using proper writing mechanics.

Grading for this assignment will be based on answer quality, logic / organization of the paper, and language and writing skills, using 

 
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Classical Greece – Research Paper

Topic: Classical Greece

 

Research Paper Content: Introduction with a thesis statement Provide a brief history of your culture Explain how your chosen culture is represented in the United States Is your culture individualistic or collectivistic? Provide at least one example What are some of the artistic (art, music, architecture, dance) contributions of your culture? What are some values of your culture? Provide at least three examples Discuss your culture’s religion(s)? Include name and basic belief system of at least one of the major faiths What are some of the sex and gender role differences in your culture? Provide at least three examples Discuss what we would need to know to acculturate into your culture (if a past one, what would we need to do for preparing for our time machine to fit in). Provide at least one concrete suggestion

 

Specific Paper Requirements: Four page minimum: six page maximum (Times New Roman; One inch margins; Font 12; Double-spaced) Quality of writing: must contain in-text citations in APA format Spelling & Grammar Correct APA format http://owl.english.purdue.edu/owl/resource/560/01/ Minimal Four credible sources (books, journal articles, magazine/newspaper articles, etc.) (4 points)

-APA FORMAT

-4.5 PAGES

-4 MINIMUM CREDIT SOURCES  FOR ESSAY

-GOOD CONTEXT

 

Paper Outline:

-INTRODUCTION

-HISTORY

-CULTURAL CONTEXT

Represented in US

Individualistic/Collective

Artistic

Values

Religion

-SEX AND GENDER ROLES

-ACCULTURATION

-CONCLUSION

-REFERENCES (4)

 
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The physician is unsure whether Randy's current symptoms are from the car accident or from prior injuries so he has referred him for consultations to both a neurologist and to a behavioral health specialist.

I need by tomorrow 7/25/18 at 10 am 

 
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6051 Wk 6 Discuss REPLY (2)

Write a 2 Paragraph response (with 2-3 sources) to this post offering additional/alternative ideas regarding opportunities and risks related to the observations shared.

Healthcare system presently is faced with challenges to improving quality of care and controlling costs and according to the Institute of Medicine, electronic health records (EHR) serve as a solution to these challenges (2001). The Health Information Technology for Economic and Clinical Health Act (HITECH) passed by President Barack Obama promotes the adaptation of EHR system by providing health organizations and providers with incentives through Medicare and Medicaid for meaningful utilization of EHR systems (McGonigle&Mastrian, 2017). Technology in nursing has evolved and transformed the way nurses work and continues to grow, along with the role’s nurses play in today’s health care environment (Melissa Wirkus, 2016).For many years the paper chat served as the patient’s primary medical records such as medical histories, medical diagnosis, medications, and other pertinent patient information. In the future, an expected healthcare technology trend in nursing practice will be a significant increase in the use of the Electronic health record (EHR) instead of the traditional paper charting As technology continues to grow so does additional information technology that helps caregivers, engage patients and improve efficiencies and better patient outcomes (Laureate Education, 2018). For example, patients can now have access to their medical health records at their own convenient through online portals and can effectively communicate with their health care provider. In addition, patients are also using social media platforms like Facebook and twitter to get/communicate with others with the same health-related diagnosis.

According to McGonigle & Mastrain “Public health information systems represent a partnership of federal, state, and local public health professionals” (2017). In the present-day majority of health care organizations are embracing the implementation of electronic health records. In the hospital I work, we are making use of the Meditech operating system. Patient medical histories, diagnosis, home medications, and current medications are updated and readily available. During patient’s hospital stay, all health care providers can log in with their personal access codes to document as well as view patients’ labs, patient notes, care plans and so on. More so, one intriguing benefit for the patients is during the patient’s hospital stay and at discharge, patients are educated about our patient portal where they can easily log in to look up their personal medical records.

Potential Risk/ Challenge Associated with data Safety.

A potential risk associated with data and or technology safety is the lack of patient confidentiality. For example, when a nurse who is from a different unit assesses patient medical records they took care of three days before, that is considered a break in patients ‘confidentiality because that nurse has no reason viewing records of a patient who is not assigned to them. At my facility, they monitor nurses who try to access a patient’s chart without proper authorization. This can lead to disciplinary action or termination of employment. The administration has zero tolerance for this behavior. With advancement in information technology patient’s vital information such as test results, labs, and assessments are automatically synched from the operating machine to the appropriate patient’s EMR. This prevents possible errors that can arise with paper documentation. At my current organization, the Meditech EMR system is utilized to its full extent. The EMR system allows a congruent flow inpatient care from providers and clinicians and prevents possible human errors. Informatics has assisted in the incorporation of information technology in healthcare delivery, by providing a haven for patients’ data and making valuable patient data readily available for treatment.

Finally, an inherent risk associated with a legislature that limits telehealth services pertains to reimbursement. State laws and rules regarding reimbursement rates for telehealth services differ, even within the same jurisdiction, for telemedicine profitability are driven primarily by payers, including Medicare, Medicaid, and private insurance companies (Fanburg & Walzman, 2018). Such inconsistency in reimbursement rules for telehealth services can create weak incentives among providers to expand telehealth care. Thus, each provider must be aware of legal policies governing telehealth practice within respective jurisdictions to promote telehealth services successfully.

As stated above, a current and future trend that has evolved and still evolving is the introduction of social media and telehealth. Currently, telehealth is trending I have seen many health-related groups on Facebook where patients with the same diagnoses communicate, ask questions, and even get healthcare provider recommendations. Telehealth, on the other hand, is the use of electronic information and telecommunications technologies to assist and promote long-distance clinical health care systems (McGonigle&Mastrian, 2017). For example, individuals who are looking for quick answers to their health problems, and maybe have no means of transportation, telehealth is beneficial for them in the comfort of their homes. Services like this offer patient immediate healthcare consult/answers and refrains patient from going to the emergency room and sitting there for several hours before being attended to. This impacts nursing practice positively. Telehealth nursing can be done anywhere. Nurses can make use of technology to conduct telehealth sessions in their homes, at doctor’s offices, in prisons, and in clinics and hospitals. Basically, any place where the proper technology is available is a suitable place for telehealth nursing. For example, in emergencies, nurses from around the world can participate in telephone triage set-ups. Wherever nursing is done in a telehealth setting, nurses can monitor a patient’s oxygen levels, heart rate, respiration, blood glucose and more. In addition, patients contact their nurses through the telehealth system to get help. In non-emergency situations, they can get the nurse to take their blood pressure readings or glucose readings, for instance. Nurses can instruct patients as to how to dress a wound or treat a minor burn. The patients usually find their telehealth nurses through their managed health care organization. Nurses must be overseen there to regulate patient access to the system. Most of the time, the goal is to reduce the number of trips patients make to the ER.

These are the sources you used for my post. You can use these or any others you want. I trust your judgement

Baniasadi, T., Kalhori, S.R., Ayyoubzadeh, S.M., Zakerabasali, S., & Pourmohamadkhan, M. (2018). Study of challenges to utilize mobile-based health care monitoring systems: A descriptive literature review. Journal of Telemedicine and Telecare, 24(10), 661–668. DOI: 10.1177/1357633X18804747

Naseribooriabadi, T., & Sheikhtaheri, A. (2015). Social media and health care: Necessity of facing their challenges. Iranian Journal of Public Health, 44(4), 596–597. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4441977/

University of Saint Mary. (n.d.). Five exciting technologies that are changing nursing practice. Retrieved from https://online.stmary.edu/msn/resources/five-technologies-changing-nursing-practice

Skiba, D. (2017). Evaluation tools to appraise social media and mobile applications. Informatics, 4(3), 32. doi:10.3390/informatics4030032

 
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can anyone finish by August 9th?

-APA Format.

-Introduction or abstract page

-Summary or Conclusion page

-Four pages minimum, no including Introduction or abstract,  summary or conclusion, and Bibliography pages

-It is completely unacceptable to Copy and Paste from the Internet, or other resources

-Bibliography has to be in APA Format, minimum 3, no more than 3 years old.

 
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Order 155965: health policy

  Type of paperQ&A SubjectOther Number of pages1 Format of citationAPA Number of cited resources2 Type of serviceWriting

answer questions on the attached

 
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P3B and [email protected]

 Hello i need a Good and Positive Comment related with this argument.Thank you.  I need at least two references. 

 
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