Reflect on the role that the electoral process and government plays in one's daily work and family life

 
Nursing homework help
Reflect on the role that the electoral process and government plays in one’s daily work and family life. As nurses, health policy can influence both arenas of our lives. What policy issues might drive nurses to lobby Congress and/or get involved in campaign politics? What strategies might nurses use to have their voices heard?
Discussion Board Rubric.docx
**As a reminder, all questions must be answered to receive full credit for this discussion. please include your name in the title of the discussion. Also, make sure to use scholarly sources to support your discussion. Original posts must be a minimum of 250 words and reply posts minimum 100 words.** NO PLAGIARISM… Discussion should be cited and APA style.

-Benchmark Developments in the US Health Care System

 
Nursing homework help
Due tomorrow morning at 10 AM
HCA 340
Discussion Board Assignment #1
Chapter 2-Benchmark Developments in the US Health Care System
Assigned Readings: Chapter 2
Answer the following questions:
1. The insurance industry plays a major role in the American health care system and absorbs a significant portion of the health care dollar. A single payer system, whether it is a private company or the US government, would eliminate the complex insurance paperwork burden and free substantial funds that could be diverted to support care for the under-served. In ACA debates, a “public option” was defeated by lobbyists. Identify some reasons why resistance to a single-payer concept, used in every other developed country, has continued in the U.S.
2. Almost every medical or technological advance seems to be accompanied by new and vexing ethical dilemmas. Yet, the United States has no structure in place to resolve such issues. Should the federal or state governments take responsibility for ethical decision-making and for protecting the public? If neither, what might be other options for providing ethical guidelines and oversight?
3. As strongly evidenced by the ACA and prior legislative attempts to address the problems of the health care system, these attempts are always met by shifting alliances among well financed and, often, self-serving lobbying groups. How, in the American system of politics, can health care get more objective support on behalf of consumers?
4. Every 10 years, the public health sector creates an elaborate set of targets for health status improvements in the United States. Healthy People 2010 failed to meet 85 percent of Healthy People 2000’s goals. Is there merit for establishing several hundred more objectives for Healthy People 2020, or are these simply academic exercises? What are your opinions about how to energize the “Healthy People” goals among providers and the American public?

evaluate priorities for improvement and consider how to create a motivating environment that supports significant, lasting change.

Nursing homework help

Comparing, or benchmarking, outcomes is an important means by which health care providers strive to improve quality of care. Although this concept applies to all kinds of clinical care facilities, for this Discussion you focus on hospitals so that you can make use of data on the CMS’s “Hospital Compare” website to conduct some basic benchmarking analysis.
Using this analysis as a launching point, you then evaluate priorities for improvement and consider how to create a motivating environment that supports significant, lasting change.
To Prepare
Go to http://www.medicare.gov/hospitalcompare/search.html

  • Enter search criteria and click “Find Hospitals.” Select a hospital on which to focus for this Discussion.
  • Review all of the data on this hospital, which should include the various Process of Care Measures and the Survey of Patients’ Hospital Experiences (HCAHPS scores).
  • Compare the data for your selected hospital with data from other institutions in the area and across the country, as you think appropriate. (To do this, repeat the steps described above, but this time include these other institutions in your comparison.)
  • Based upon your first selected hospital’s comparative scores, what do you think is the most important area related to patient satisfaction/clinical outcomes to improve, and why? It may be helpful to consider what other steps you would take to get a clearer picture of this quality issue.
  • Think about how you as a leader and manager would communicate change at the point of care (front line) to provide service that improves one or more patient satisfaction/clinical outcomes in your selected hospital.

By Day 3

Post a brief description of the hospital and your selected outcome, including indications of the needed improvement. Then, provide a short, persuasive statement demonstrating how you would communicate and motivate a nurse at the point of care (front line) to provide service that improves the selected outcome. Support your statement with evidence and strategies from the literature.
 

Required Readings

Marquis, B. L., & Huston, C. J. (2015). Leadership roles and management functions in nursing: Theory and application (8th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.
Review Chapter 19, “Organizational, Interpersonal, and Group Communication”
Read Chapter 23, “Quality Control”

Auer, C., Schwendimann, R., Koch, R., De Geest, S., & Ausserhofer, D. (2014). How hospital leaders contribute to patient safety through the development of trust. Journal of Nursing Administration44(1), 23–29.
Retrieved from the Walden Library databases

Falkheimer, J. (2014). The power of strategic communication in organizational development. International Journal of Quality and Service Sciences6(2/3), 124–133.
Retrieved from the Walden Library databases.

Logistic Regression in Nursing Practice

 
Nursing homework help
Logistic Regression in Nursing Practice
Logistic regression is used to analyze a wide variety of variables that may surround a singular outcome. For example, logistic regression could be used to identify the likelihood of a patient having a heart attack or stroke based on a variety of factors including age, sex, genetic characteristics, weight, and any preexisting health conditions. The biological systems and issues with which the health care field is concerned represent the kinds of applications for which logistic regression is especially useful.
Logistic regression is used in the health care field for many purposes, including diagnoses, predictions, and forecasting. The three articles in this week’s Learning Resources illustrate the many uses of logistic regression in the health care field. This Discussion allows you to explore the different uses of logistic regression and cultivate a deeper understanding of the application of logistic regression in evidence-based practice.
To prepare:
Review the three articles in this week’s Learning Resources and evaluate their use of logistic regression. Select one article that interests you to examine more closely in this Discussion
Critically analyze the article you selected considering the following questions:
What are the goals and purposes of the research study the article describes?
How is logistic regression used in the study? What are the results of its use?
What other quantitative and statistical methods could be used to address the research issue discussed in the article?
What are the strengths and weaknesses of the study?
How could the weaknesses of the study be remedied?
How could findings from this study contribute to evidence-based practice, the nursing profession, or society?
By Thursday 10/12/17, 5 pm, write a minimum of 550 words essay in APA format. Use at least 3 references from the list of required reading below. Include the level one headings as numbered below.
Post a cohesive response that addresses the following:
1) In the first line of your posting, identify the article you examined, providing its correct APA citation. (See attached PDF file for the article).
2) Post your critical analysis of the article as outlined above (make sure to answer all the points asked above in the “To Prepare” area, bullets [1, 2, 3]).
3) Propose potential remedies to address the weaknesses of each study (bullets 4 and 5 in the “To Prepared” area).
4) Analyze the importance of this study to evidence-based practice, the nursing profession, or society (bullet 6 in the “To Prepared” area).
Learning Resources
.
Required Media
“Multiple Regression”
Used by permission from SPSS VideoTutor.com A division of Consumer Raters LLC., 1121 S Military Trail, 314, Deerfield Beach, FL 33442, USA
Note: The approximate length of this media piece is 5 minutes.
“Logistic Regression”
Used by permission from SPSSVideoTutor.com A division of Consumer Raters LLC., 1121 S Military Trail, 314, Deerfield Beach, FL 33442, USA
Note: The approximate length of this media piece is 15 minutes.
Required Readings
Gray, J.R., Grove, S.K., & Sutherland, S. (2017). Burns and Grove’s the practice of nursing research: Appraisal, synthesis, and generation of evidence (8th ed.). St. Louis, MO: Saunders Elsevier.
Chapter 24, “Using Statistics to Predict”
This chapter asserts that predictive analyses are based on probability theory instead of decision theory. It also analyzes how variation plays a critical role in simple linear regression and multiple regression.
Statistics and Data Analysis for Nursing Research
Chapter 9, “Correlation and Simple Regression” (pp. 208–222)
This section of Chapter 9 discusses the simple regression equation and outlines major components of regression, including errors of prediction, residuals, OLS regression, and ordinary least-square regression.
Chapter 10, “Multiple Regression”
Chapter 10 focuses on multiple regression as a statistical procedure and explains multivariate statistics and their relationship to multiple regression concepts, equations, and tests.
Chapter 12, “Logistic Regression”
This chapter provides an overview of logistic regression, which is a form of statistical analysis frequently used in nursing research.
Hoerster, K. D., Mayer, J. A., Gabbard, S., Kronick, R. G., Roesch, S. C., Malcarne, V. L., & Zuniga, M. L. (2011). Impact of individual-, environmental-, and policy-level factors on health care utilization among US farmworkers. American Journal of Public Health, 101(4), 685–692. doi:10.2105/AJPH.2009.190892
This article discusses the results of a study of how many U.S. farmworkers accessed U.S. health care. The study considered this question on several levels—individual, environmental, and policy—and used logistic regression to analyze the multivariate data gathered.
Tritica-Majnaric, L., Zekic-Susac, M., Sarlija, N., & Vitale, B. (2010). Prediction of influenza vaccination outcome by neural networks and logistic regression. Journal of Biomedical Informatics, 43(5), 774–781. doi:10.1016/j.jbi.2010.04.011.
This article describes the methods and results of a neural network study on the effectiveness of the influenza vaccine using historical data in three neural network algorithms. The article also provides a discussion of logistic regression in comparison to the neural network algorithms used.
Xiao, Y., Griffin, M. P., Lake, D. E., & Moorman, J. R. (2010). Nearest-neighbor and logistic regression analyses of clinical and heart rate characteristics in the early diagnosis of neonatal sepsis. Medical Decision Making, 30(2), 258–266. doi:10.1177/0272989X09337791
This article outlines the procedures and findings of a study on the use of two methods of neonatal sepsis diagnosis: nearest-neighbor analysis and logistic regression analysis. The results indicated that each method generates unique information useful to diagnosis, and therefore both methods should be used simultaneously for improved accuracy of diagnoses.