Post a response to Janssons assertion that evaluating specific policies is strongly influenced by values with respect to the case of the evaluation of special services.
Policies and the Influence of Values
Ideology, politics, and the influence of values often override evidence-based policy. When there is evaluation conflict, a policy advocate must be prepared to defend his/her reasons for wanting to implement a policy. Because almost all proposed policies are circumscribed by politics (for reasons brought up by Jansson throughout the course when discussing the subtleties of policy implementation), you should be prepared for some conflict, ranging from having your research ignored, to having the accuracy of your data questioned, to having your personal values brought into question.
In this Discussion, you consider the assertion that the evaluation of specific policies is often strongly influenced by values. You also examine and evaluate ways to mitigate evaluation conflict to defend the feasibility of your policy.
Questions in bold then answers
Post a response to Janssons assertion that evaluating specific policies is strongly influenced by values with respect to the case of the evaluation of special services.
How do the values of evaluation conflict adhere to social work values?
What practices would you use to defend the feasibility of and effectiveness of your evidence-based policy?
APA intext citations and full references
Resources
Jansson, B. S. (2018). Becoming an effective policy advocate: From policy practice to social justice (8th ed.). Pacific Grove, CA: Brooks/Cole Cengage Learning Series.
Chapter 14, Assessing Policy: Toward Evidence-Based Policy During Task 8 (pp. 488-503)
How would you engage with key stakeholders to determine which reform efforts (in the areas of payment reform, medical malpractice, and patient access to preventive services) should be prioritized in your state?
Healthcare reform can take place at multiple levels of government and in the context of professional regulation. Pretend that you are a policy aide to a governor. How would you engage with key stakeholders to determine which reform efforts (in the areas of payment reform, medical malpractice, and patient access to preventive services) should be prioritized in your state? Clearly identify the potential key stakeholders and propose a plan for engagement.
Healthcare reform can take place at multiple levels of government and in the context of professional regulation. Pretend that you are a policy aide to a governor. How would you engage with key stakeholders to determine which reform efforts (in the areas of payment reform, medical malpractice, and patient access to preventive services) should be prioritized in your state? Clearly identify the potential key stakeholders and propose a plan for engagement.
Be sure to address each question in the given prompt and include the following elements:
1. Your analysis of the issue or situation
2. Your assessment of the impact on key stakeholders
3. Your clear recommendations on a course of action or policy
describe how you have motivated yourself to find new ideas and the idea that you are considering for your new venture.
entrepreneurs and business leaders find their ideas for a new enterprise. What do you do to fire up your idea machine? Where have you found good ideas for a new venture?
In your initial post, describe how you have motivated yourself to find new ideas and the idea that you are considering for your new venture.
Explain how your proposal will directly and indirectly impact each of the aspects.
After discussion with your preceptor, name one financial aspect, one quality aspect, and one clinical aspect that need to be taken into account for developing the evidence-based change proposal. Explain how your proposal will directly and indirectly impact each of the aspects.
Discussion 2
Now that you have completed a series of assignments that have led you into the active project planning and development stage for your project, briefly describe your proposed solution to address the problem, issue, suggestion, initiative, or educational need and how it has changed since you first envisioned it. What led to your current perspective and direction
Describe the quality improvement process and the Quality model that will be used as a basis for the practice problem.
Describe the quality improvement process and the Quality model that will be used as a basis for the practice problem. Include a description of a quality improvement tool(s) that you will use in your quality improvement plan. See Spath, (2018) chapter 6 for examples.
Explain why the specific process was selected and document your explanation with references.
For the Week 3 Assignment, you will combine your Week 1, 2 and 3 assignments and submit a 3-4-page paper that addresses the following:
Practice Problem (Completed in Week 1)=
In hospice, one of the goals is to have skilled nurse visits at least 3 days prior to death and at least 3-6 days prior to death. If we track ESAS it is supposed to help indicate who we can expect to pass away based on changes reported and then be able to increase nursing visits-however to be effective the data has to be accurate. Are we asking the patient or caregivers the 10 symptoms or just guessing based on our assessment
Please include information from discussions and everything below. In the literature review, you dont have to worry about the bottom 5 that are not relatated to the ESAS but my help and can use it.
State the practice problem in measurable terms.
State the data that suggests a practice problem exists
Include a purpose statement.
Analysis of the Existing Evidence (Completed in Week 2)
Summarize the findings from the evidence analysis that support your practice problem. Include minimum of at least 5 evidence-based practice sources that support your practice problem. Identify research, clinical guidelines, expert opinions, and other relevant information. You must include two-three research studies in your analysis. Using your own words synthesize the evidence that supports your identified practice problem. There should be no quotes or personal opinions included in this section.
Quality Improvement Process (Completed this Week) (Approximately 2-3 paragraphs)
Describe the quality improvement process and the quality model that will be used as a basis for the practice problem. This is not your entire quality improvement plan, only a description of the quality improvement process and the quality model you chose. You will develop your specific quality improvement plan in week 4. Include a description of a quality improvement tool(s) that you will use in your quality improvement plan. See Spath, (2018) chapter 6 for examples.
Explain why the specific process was selected and document your explanation with references.
Conclusion
As the nurse, what priority data would you collect from this couple to help define relevant interventions to meet their needs?
Instructions: Read the following case study and answer the reflective questions. Please provide rationales for your answers. Make sure to provide citations/references for your answers in APA format.
CASE STUDY: Active Labor: Susan Wong
Mrs. Wong, a first-time mother, is admitted to the birthing suite in early labor after spontaneous rupture of membranes at home. She is at 38 weeks of gestation with a history of abnormal alpha-fetoprotein levels at 16 weeks of pregnancy. She was scheduled for ultrasonography to visualize the fetus to rule out an open spinal defect or Down syndrome, but never followed through. Mrs. Wong and her husband disagreed about what to do (keep or terminate the pregnancy) if the ultrasonography indicated a spinal problem, so they felt they did not want this information.
Reflective Questions
1. As the nurse, what priority data would you collect from this couple to help define relevant interventions to meet their needs?
2. How can you help this couple if they experience a negative outcome in the birthing suite? What are your personal views on terminating or continuing a pregnancy with a risk of a potential anomaly? What factors may influence your views?
3. With the influence of the recent Human Genome Project and the possibility of predicting open spinal defects earlier in pregnancy, how will maternity care change in the future?
Based on the video, describe two key reform factors that you believe will need to be addressed by future health care workers or leaders and explain why.
Health care organizations continually face challenges from various regulatory and government agencies while also being bound by Managed Care Organization (MCO) standards. View the video located in the study materials entitled College of Nursing and Health Care Professions: Do We Know What Our Future Is? for insight into the challenges of health care reform.
Based on the video, describe two key reform factors that you believe will need to be addressed by future health care workers or leaders and explain why. (Note: You can download slides from this video for ease of review in developing your forum response). Additionally, what role does adherence to MCO standards play in your future health care vision?
What evidence suggests that Anna does not have an acute severe infection?
Discussion Prompt
Case Study
Anna Sanchez, a 21-year-old nursing student, comes to her nurse practitioner in December with a 5-week history of itchy eyes and nasal congestion with watery nasal discharge. She also complains of a tickling cough, especially at night, and she has had episodes of repetitive sneezing. She gets frequent colds every spring and fall.
Physical Examination
Vital Signs: Afebrile; respiratory rate, pulse, and blood pressure all normal
Skin: Flaking erythematous rash on the flexor surfaces of both arms
Head, Eyes, Ears, Nose, and Throat:Tender over maxillary sinuses; sclera red and slightly swollen with frequent tearing; outer nares with red irritated skin; internal nares with red, boggy, moist mucosa and one medium-sized polyp on each side; pharynx slightly erythematous with clear postnasal drainage (NOTE: Nasal polyps are common in allergic rhinitis. They are edematous protrusions of the mucosa that are infiltrated with neutrophils, eosinophils, and plasma cells.)
Lungs: Clear to auscultation and percussion
Initial Post: Answer the following questions about Anna Sanchez and her condition.
What evidence suggests that Anna does not have an acute severe infection?
If Anna has allergic rhinitis, what type of hypersensitivity reaction is involved?
A skin test indicates that Anna is allergic to cat dander. Two months ago, Annas roommate brought home a cat. Why didnt Annas symptoms start when the cat entered the household, rather than 3 weeks later?
What class of antibodies bind to the mast cells?
What physiological mechanisms caused the redness of Annas nasal mucosa?
What mechanisms caused Annas clear postnasal drainage?
Response # 1: Carefully read the initial posts made by the other students in your small group.
Respond to the initial post of one of your peers in your discussion group. Identify 1 differential diagnosis for the case study presented. Identify the underlying pathophysiology and clinical presentation of the Differential Diagnosis you identified in your response to your peers. Please Note: you may not duplicate a differential diagnosis posted by another peer in the discussion thread.
Response #2: Go back into your own initial post.
Identify what diagnostic testing or additional information you might need to establish a diagnosis.
Identify what you believe is the correct diagnosis for the patient in the case study with the rationale for your response.
Identify why the differential diagnoses left by your peers are or are not the correct diagnosis and support this with evidence from research and from the case posted by your peers.
Discuss the impact on blockchain finance and how these functions will accelerate basic functions.
Prepare a 4-5 page paper on the implications for voting, lotteries, certificate issuance, security auditing and enterprise. Discuss the impact on blockchain finance and how these functions will accelerate basic functions.
Your paper should be 4-5 pages long (excluding the title and reference pages) and formatted according to APA.
Compose your essay in APA format, including the introduction and conclusion, and in-text citations for all sources used.
What in your view is the most moral thing for that person to do in that dilemma?
Articulate a specific dilemma in a abortion situation faced by a particular person based on that topic. The situation can be real or fictional.
Summarize the dilemma.
Define any needed key terms associated with the dilemma.
Analyze the conflicts or controversies involved in the dilemma.
Revise and rewrite based on any feedback you received in your previous draft (week three).
feedback You noted well some collision of duties. Dead matter and life matter do not tell us what we need to know. You had to give the moral reasons on each side. For egoism, you do not ask about the fetus. Is the fetus an ego? Is abortion it in the fetuss self-interests? Social contract is not about checking what most people think Your discussion of abortion does not show use of social contract ethics. We said in discussion social contract ethics asks: Should this be required or allowed by rational egos (egoists) forming the ideal society?
Finally, reference and discuss any professional code of ethics relevant to your topic such as the AMA code for doctors, the ANA code for nurses, or any other pertinent professional code. State whether and how your chosen topic involves any conflicts between professional and familial duties.
Reference and discuss any professional code of ethics relevant to your topic such as the AMA code for doctors, the ANA code for nurses, etc. State whether and how your chosen topic involves any conflicts between professional and familial duties or conflicts between loyalty to self and loyalty to a community or nation.
What in your view is the most moral thing for that person to do in that dilemma? Why is that the most moral thing? Use moral values and logical reasoning to justify your answer
Next, apply the following:
Aristotles Golden Mean to the dilemma
Utilitarianism to the dilemma
Natural Law ethics to the dilemma
Which of those three theories works best ethically speaking? Why that one?
Why do the other two not work or not work as well?
Is it the same as what you said is the most moral thing earlier? Why or why not?
Use the 5 articles from your annotated bibliography to support your answers. (Additional academic scholarly research from the past 5 years can be included as well.)
Include a reference page at the end of your paper in APA format that includes your bibliography with the annotations removed and any other sources used in your final paper.
