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Describe the impact of the policy change on nursing practice and health care.

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Health Policy Presentation
The purpose of this assignment is for you to identify an issue of concern for your role as an advanced practice nurse and to formulate a potential policy change to address that issue. There are many potential issues which can influence your practice setting or other issue which may negatively affect the patients with whom you work. All of the course reading will help you to identify a topic for this assignment. You can think about the issue as related to your health promotion project. The policy you consider may be in reaction to the health promotion issue or something larger that is still related to that issue. There are hundreds of possible issues, but here is a list of a few to consider:
• Child and elder care
• Civil rights
• Domestic violence
• Drug abuse/addiction
• HIV/AIDS
• Homelessness
• Native American and migrant workers’ health
• Long-term care
• Immigration/illegal aliens
• Legislative issues affecting advanced practice nursing
• Barriers to practice
• Access to care
As you begin to work on the possible policy change: the following ideas and steps should be considered:
• Definition and description of the issue
• Exploration of the background of the issue
• Stakeholders
• Issue statement or statement of clarity
• Possible methods of addressing the issue
• Goals and options for changes
• Risks and benefits of the changes
• Evaluation methodology
• Recommendation or solution
Be sure to use APA style and include all of your references.
Grading Criteria
Maximum Points
Identify the type of legislation, such as state, federal, scope of practice, reimbursement, loan repayment, or others.
20
Review of the literature consists of a minimum of 3–4 peer-reviewed articles and 6–7 other outside sources.
30
Describe the current policy or health policy issue and specify how it would impact nursing or healthcare.
10
Describe the specific aspects of the proposed policy or policy change.
20
Identify the individuals who would benefit from the policy change and explain where support for the change would be found.
20
Describe the impact of the policy change on nursing practice and health care.
10
Provide an analysis of the policy from your point of view and how this will influence your practice.
20
Uses good writing skills, appropriate grammar, and application of APA formatting throughout paper, citations, and references.
10
Total:
140

 

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Discuss the process of translating this evidence into clinical practice demonstrating an awareness of the factors that may inhibit the implementation of the best practice.

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Examine the Evidence supporting a clinical topic and appraise the evidence underpinning this. Discuss the process of translating this evidence into clinical practice demonstrating an awareness of the factors that may inhibit the implementation of the best practice. 3000 words (+ or – 10%). 1 Chose a topic wisely. Make sure that it is clear and of a sensible size; in reality not too big. It is also helpful, but not obligatory, to use a topic from your eight week placement so that your work is really grounded in practice. 2 You can look at an area of hospital policy and evaluate its evidence base: this could be a care pathway, a hospital policy, a computerised care plan. Or: you could look at a more general topic of nursing care, for example injection technique, and look at the evidence behind it. It may be helpful to use the PICO formulation to clearly define an issue. (PICO is: population; which patient group you will be looking at: gender or age, community or hospital settings etc. Intervention: what test or treatment you are going to look at: medication, risk assessment tool etc. This could be a lot of different actions. Comparison; Possibly an optional part of your PICO. If you want to compare a new intervention with the current standard practice for example. Outcome: How you are going to measure how successful the intervention is: this could be in terms of morbidity or mortality rates, number of pressure sores etc.). Use PICO to help your identify a clear problem, but do not be ruled by it. 3 You need to look at the evidence base for your chosen topic. This will require good literature searching skills and a clear account of the search strategy you used. This will involve a discussion of the volume of research or writing about the topic, the time frame of this body of evidence and the kind of research: qualitative or quantitative. 4 You will need to address the quality of the research. This will involve a discussion of the hierarchy of evidence. If there is a good systematic review on the topic, this would normally count as very persuasive evidence in terms of influencing practice and would need to be a central part of your account… At the other end of the spectrum the body of evidence might consist primarily of expert opinion then there might be more doubt over how trustworthy the findings are. Chronology is important too. Research is iterative. This means it builds on previous work. Your account must take this into account. Often you will find the evidence is ambiguous and does not give us a clear roadmap. There needs to be some discussion of context and risk. If you are planning to change a practice which might slightly improve care and not put lives at risk (nursing handover practice for example), you might accept different evidence than if changing practice which might have dramatic effects on mortality or morbidity (for instance a major new anti-cancer drug).Your account must include a discussion of these issues. 5 You will need to address the quality of the research articles you have found. But this requires some flexibility. If the research base is very small, you will be able to talk about the articles in some depth and assess their quality. If you have a large research base, then you will need a broader discussion of the nature of this evidence base as a whole as there will not be enough space to look at each article in depth. But both approaches might be appropriate and a spectrum of approaches in between. 6 The last quarter (roughly) of the assignment) will look at issues of implementation. What might be preventing change from taking place; attitudes, lack of clarity in the evidence base, finance or education: there might be more… You might chose to use tools like SWOT or Force field analyses but certainly draw on the literature on implementing good practice. If you feel that the practice has been implemented successfully, you certainly can write about why it was successful. 7 A brief conclusion bringing the key ideas together.

 

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List five (5) common signs and symptoms of the identified condition; for each provide a link to the underlying pathophysiology (350 words)

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Case study is provided below. Please answer the associated questions. The assignment is to be presented in a question/answer format NOT as an essay (i.e. no introduction or conclusion).
The following questions relates to the patient within the first 24 hours since admission to the emergency department (ED):
1. Outline the causes, incidence and risk factors of the identified condition and how it can impact on the patient and family (400 words)
2. List five (5) common signs and symptoms of the identified condition; for each provide a link to the underlying pathophysiology (350 words)
a. This can be done in the form of a table – each point needs to be appropriately referenced
3. Describe two (2) common classes of drugs used for patients with the identified condition including physiological effect of each class on the body (350 words)
a. This does not mean specific drugs but rather the class that these drugs belong to.
4. Identify and explain, in order of priority the nursing care strategies you, as the registered nurse, should use within the first 24 hours post admission for this patient (500 words).

Case Study 1: Myocardial infarction with history of stable angina and mitral valve stenosis Mr Tupa Savea is a 54 year old male who has been transferred to the coronary care unit (CCU) from the emergency department for management of episodic chest pain. He has a history of stable angina and mitral valve stenosis. Mr Savea is of Samoan background and has lived in regional Queensland for the last 20 years with his wife and children. He was brought in by ambulance having had chest pain and shortness of breath. He reports having similar symptoms on and off for the past two months but did not visit his GP as he assumed the discomfort was due to indigestion. Mr Savea is an ex-smoker, tobacco free for the last six months and a social drinker (approx. 10 units/week). He works full-time as an orderly at a local hospital and is active in the Samoan support community.
On assessment Mr Savea’s vital signs are: PR 90 bpm and irregular; RR 12 bpm; BP 150/100mmHg; Temp 36.9°C; SpO2 98% on oxygen 8L/min via Hudson mask. He has a body mass index (BMI) of 35 kg/m2 indicating clinical obesity. Blood test results show elevated cardiac enzymes and troponin levels and cholesterol level of 8.9mmol/L. His ECG indicates that he has a ST segment elevated myocardial infarction. Mr Savea was administered sublingual glyceryl trinitrate followed by morphine 2.5 mg IV for pain in the emergency department. He reports being pain free on admission to CCU.

 

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. List five (5) common signs and symptoms of the identified condition; for each provide a link to the underlying pathophysiology (350 words)

/in /by

Case study is provided below. Please answer the associated questions. The assignment is to be presented in a question/answer format NOT as an essay (i.e. no introduction or conclusion).
The following questions relates to the patient within the first 24 hours since admission to the emergency department (ED):
1. Outline the causes, incidence and risk factors of the identified condition and how it can impact on the patient and family (400 words)
2. List five (5) common signs and symptoms of the identified condition; for each provide a link to the underlying pathophysiology (350 words)
a. This can be done in the form of a table – each point needs to be appropriately referenced
3. Describe two (2) common classes of drugs used for patients with the identified condition including physiological effect of each class on the body (350 words)
a. This does not mean specific drugs but rather the class that these drugs belong to.
4. Identify and explain, in order of priority the nursing care strategies you, as the registered nurse, should use within the first 24 hours post admission for this patient (500 words).

Case Study 1: Myocardial infarction with history of stable angina and mitral valve stenosis Mr Tupa Savea is a 54 year old male who has been transferred to the coronary care unit (CCU) from the emergency department for management of episodic chest pain. He has a history of stable angina and mitral valve stenosis. Mr Savea is of Samoan background and has lived in regional Queensland for the last 20 years with his wife and children. He was brought in by ambulance having had chest pain and shortness of breath. He reports having similar symptoms on and off for the past two months but did not visit his GP as he assumed the discomfort was due to indigestion. Mr Savea is an ex-smoker, tobacco free for the last six months and a social drinker (approx. 10 units/week). He works full-time as an orderly at a local hospital and is active in the Samoan support community.
On assessment Mr Savea’s vital signs are: PR 90 bpm and irregular; RR 12 bpm; BP 150/100mmHg; Temp 36.9°C; SpO2 98% on oxygen 8L/min via Hudson mask. He has a body mass index (BMI) of 35 kg/m2 indicating clinical obesity. Blood test results show elevated cardiac enzymes and troponin levels and cholesterol level of 8.9mmol/L. His ECG indicates that he has a ST segment elevated myocardial infarction. Mr Savea was administered sublingual glyceryl trinitrate followed by morphine 2.5 mg IV for pain in the emergency department. He reports being pain free on admission to CCU.

 

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