week 3 discussion

Initial Post InstructionsFor the initial post, pick two (2) of the following historical events:The Lewis and Clark ExpeditionThe Missouri CompromiseIndependence of TexasMexican War of 1846-1848The California Gold RushThen, address the following for your selections:Which of your two selections do you consider most impactful on Westward Expansion during 1800-1848? Explain why.Analyze the effects of the ideology of Manifest Destiny on the two historical events that you chose from the list.

 
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2 appendix E

Galletta, M., Portoghese, I., Aviles Gonzales, C. I., Melis, P., Marcias, G., Campagna, M., Minerba, L., & Sardu, C. (2017). Lack of respect, role uncertainty and satisfaction with clinical practice among nursing students: the moderating role of supportive staff. Acta bio-medica : Atenei Parmensis, 88(3S), 43–50.https://doi.org/10.23750/abm.v88i3-S.6613(https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6357584/)2. Sanford, P. G., & Tipton, P. H. (2016). Is nursing preceptor behavior changed by attending a preceptor class?. Proceedings (Baylor University. Medical Center), 29(3), 277–279. https://doi.org/10.1080/08998280.2016.11929434Sample/Size/SettingStudy Findings that answer the EBP questionLimitations

 
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case study

NOLA PENDER ASSIGNMENTChoose one health-promoting behavior in which you personally could but don’t engage. Identify factors, as defined in the health promotion model, which contribute to your decision not to participate. Include immediate competing alternatives.2. Analyze factors that contribute to your participation in a health-promoting activity and place each factor under the appropriate label from the health promotion model.3. Consider your own philosophy of health and prepare your description of wellness. Is absence of disease more prominent than positive, active statements of health?4. Anticipate the health-promoting behaviors important at various stages of development across the life span. What health promotion topics do you include in your practice?350 words0% PlagiarismAPA Format

 
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Care Management, Case Management, and Home Healthcare

2 paragraph of at least 5 sentences with 2 cited sources not older than 2015.In thinking of five social determinants of health as identified in Healthy People 2020, identify the social determinants specifically that may be barriers to home care and case or care management services, and explain why.

 
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ethical considerations

discuss:The key ethical considerations in strategic planning include stakeholder participation, organizational values, individual values and managing change. When undertaking the process of strategy development it is very important to consider the most effective way of developing the plan. This often results in the process consisting of a strategic planning committee normally led by the CEO of the organization, which is given the mandate of developing a plan and submitting it to the Board for review and approval.Evidence suggests that any significant change in strategy has a corresponding change in the structure of the organization in order too effective and deliver upon that strategy (George, 2019). As such, it is crucial for an organization to choose the right strategy for that particular point in time. Stakeholder involvement is one of the key strategies that is normally utilized in my organization. This allows differing perspectives and enhances support. Involving stakeholders improve the chance that the organization’s strategy is developed with the information necessary to make decisions.200 words

 
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DNP: Patient Outcome & Sustainable Change

Please, No Plagiarized WorkTopic: Case Report: Application of Quality and Safety ConceptsIn this assignment, learners are required to write a case report addressing the personal knowledge and skills gained in this course and potentially solving an identified practice problem.General Guidelines:Use the following information to ensure successful completion of the assignment:· Doctoral learners are required to use APA style for their writing assignments.· This assignment requires the inclusion of at least three additional scholarly research sources related to this topic, and at least one in-text citation from each source.· You are required to submit this assignment to LopesWrite.Directions:Construct a case report (2,500-3,000 words/approximately 10-12 pages) that includes a problem or situation consistent with a DNP area of practice.1. Review the AHRQ and the IOM report (“To Err Is Human” and “Crossing the Quality Chasm”) to develop the case report.2. Apply quality and/or safety concepts to describe the understanding of the problem or situation of focus.3. Apply one or more quality and/or safety concepts to the recommended intervention or solution being proposed.4. Develop the case report across the entire scenario from the identification of the clinical or health care problem through the proposal for an intervention, implementation, and evaluation using an appropriate research instrument.5. Describe the evaluation of the selected research instrument in the case report.6. Lastly, explain in full the tenets, rationale for selection (empirical evidence), and clear application using the language of quality and/or safety within the case report.Case Report Requirements:In addition, your case report must include the following:1. Introduction with a problem statement.2. Brief literature review.3. Description of the case/situation/conditions explained from a theoretical perspective.4. Discussion that includes a detailed explanation of the synthesized literature findings.5. Summary of the case.6. Proposed solutions to remedy gaps, inefficiencies, or other issues from a theoretical approach.7. Identification of a data collection instrument to evaluate the proposed solution along with a description of how the instrument could be evaluated.8. Conclusion.You are required to complete your assignment using real-world application. Real-world application requires the use of evidence-based data, contemporary theories, and concepts presented in the course. The culmination of your assignment must present a viable application in a current practice setting. For more information on parameters for practice immersion hours, please refer to the DNP resources in the DC Network.Study MaterialsRead Chapter 6 in Outcome Assessment in Advanced Practice Nursing 4e.https://www.gcumedia.com/digital-resources/springer-publishing-company/2017/outcome-assessment-in-advanced-practice-nursing_4e.phpTucker, C., Arthur, T., & Roncoroni, J. (2013). Patient-centered, culturally sensitive health care. American Journal of Lifestyle Medicine, 9(1), 63-77. doi:10.1177/1559827613498065https://journals-sagepub-com.lopes.idm.oclc.org/doi/full/10.1177/1559827613498065Park, Y., & Martin, E. G. (2018). Geographic disparities in access to nursing home services: Assessing fiscal stress and quality of care. Health Services Research, 53, 2932-2951. doi:10.1111/1475-6773.12801https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=130899122&site=ehost-live&scope=siteBarsell, J., Everhart, R. S., Miadich, S. A., & Trujillo, M. A. (2018). Examining health behaviors, health literacy, and self-efficacy in college students with chronic conditions. American Journal of Health Education, 49(5), 305-311.https://doi-org.lopes.idm.oclc.org/10.1080/19325037.2018.1486758Nguyen, T. H., Park, H., Han, H-R., Chan, K. S., Paasche-Orlow, M. K., Haun, J., & Kim, M. T. (2015). State of the science of health literacy measures: Validity implications for minority populations. Patient Education & Counseling, 98(12), 1492-1512. doi:10.1016/j.pec.2015.07.013https://www-sciencedirect-com.lopes.idm.oclc.org/science/article/pii/S0738399115300215?via%3DihubPronovost, P. J., Cleeman, J. I., Wright, D., & Srinivasan, A. (2016). Fifteen years after To Err is Human: A success story to learn from. BMJ Quality & Safety, 25(6), 396. doi:10.1136/bmjqs-2015-004720https://lopes.idm.oclc.org/login?url=https://search-proquest-com.lopes.idm.oclc.org/docview/1793871405?accountid=7374Mitchell, I., Schuster, A., Smith, K., Pronovost, P., & Wu, A. (2016). Patient safety incident reporting: A qualitative study of thoughts and perceptions of experts 15 years after “To Err is Human.” BMJ Quality & Safety, 25(2), 92. doi:10.1136/bmjqs-2015-004405https://lopes.idm.oclc.org/login?url=https://search-proquest-com.lopes.idm.oclc.org/docview/1778837381?accountid=7374Califf, R. M., Robb, M. A., Bindman, A. B., Briggs, J. P., Collins, F. S., Conway, P. H., & Sherman, R. E. (2016). Transforming evidence generation to support health and health care decisions. The New England Journal of Medicine, 375(24), 2395-2400. doi:10.1056/NEJMsb1610128https://lopes.idm.oclc.org/login?url=https://search-proquest-com.lopes.idm.oclc.org/docview/1849409554?accountid=7374AHRQ: Agency for Healthcare Research and Quality. (n.d.). Health literacy measurement tools (revised).http://www.ahrq.gov/professionals/quality-patient-safety/quality-resources/tools/literacy/index.htmlExplore the National Committee for Quality Assurance website.http://www.ncqa.org/Institute of Medicine. (1999). To err is human: Building a safer health system. Washington, DC: National Academy Press.http://www.nationalacademies.org/hmd/~/media/Files/Report%20Files/1999/To-Err-is-Human/To%20Err%20is%20Human%201999%20%20report%20brief.pdfInstitute of Medicine. (2001). Crossing the quality chasm: A new health system for the 21st century. Washington, DC: National Academy Press.http://www.nationalacademies.org/hmd/~/media/Files/Report%20Files/2001/Crossing-the-Quality-Chasm/Quality%20Chasm%202001%20%20report%20brief.pdfExplore the Patient Centered Medical Home: Resource Center page on the Agency for Healthcare Research and Quality website.http://www.pcmh.ahrq.gov/Explore the Primary Care Collaborative website.http://www.pcpcc.org/Explore the Health Literacy page on the National Network of Libraries of Medicine website.http://nnlm.gov/outreach/consumer/hlthlit.htmlExplore the Health Literacy Online page on the Office of Disease Prevention and Health Promotion website.http://www.health.gov/healthliteracyonline/

 
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mod 1

Read each of the patient scenarios in the attachment. Then, use research to answer the questions.  (please see attachment) Answer the questions ON the attachment below. Do not make a new microsoft word document.

 
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Complete a Concept Map specific to one of your patients. Incorporate applicable information from the One Minute Care Plan and the Clinical Summary assignments. Do not exceed one page.

Concept MapConcept MapCriteriaRatingsPtsThis criterion is linked to a Learning OutcomeAppropriate concept analysis diagram selected10 ptsConcept analysis diagram clearly relates to a medical diagnosis or patient care concern0 ptsConcept analysis diagram does not relate to a medical diagnosis or patient care concern10 ptsThis criterion is linked to a Learning OutcomeAntecedents (assess)15 ptsIdentifies variances or normals for each antecedent7.5 ptsIdentifies variances or normals for some of the antecedents0 ptsNot addressed15 ptsThis criterion is linked to a Learning OutcomeAttributes (diagnose)15 ptsIdentifies variances or normals for each attribute7.5 ptsIdentifies variances or normals for some of the attributes0 ptsNot addressed15 ptsThis criterion is linked to a Learning OutcomeInterrelated Concepts (related to)15 ptsDescribes patient specific information for each interrelated concept. If a concept is not applicable to this patient, indicates ‘na’.7.5 ptsDescribes patient specific information or ‘na’ for some of the interrelated concepts0 ptsNot addressed15 ptsThis criterion is linked to a Learning OutcomeNegative Consequences (as manifested by)15 ptsIdentifies each negative consequence as present, absent, or resolved7.5 ptsIdentifies some of the negative consequence as present, absent, or resolved0 ptsNot addressed15 ptsThis criterion is linked to a Learning OutcomeNursing Care: Primary, Secondary, Tertiary (intervene)15 ptsAll interventions listed appropriate to this patient7.5 ptsSome interventions listed not appropriate to this patient0 ptsNot addressed15 ptsThis criterion is linked to a Learning OutcomePositive Consequences (evaluate)15 ptsIdentifies patient progress toward achieving each of the positive consequences as met, unmet, or unknown7.5 ptsIdentifies patient progress toward achieving some of the positive consequences as met, unmet, or unknown0 ptsNot addressed15 pts

 
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what strategies would you recommend encouraging culturally competent care of Native Americans?

500 words, formatted and cited in current APA style with support from at least 2 academic sources.

 
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Evidence-Based Practice Proposal – Section D: Change Model

ModelRoger’s diffusion of innovation theory is a particularly good theoretical framework to apply to an EBP project. However, students may also choose to use change models, such as Duck’s change curve model or the transtheoretical model of behavioral change. Other conceptual models, such as a utilization model (Stetler’s model) and EBP models (the Iowa model and ARCC model) can also be used as a framework for applying your evidence-based proposal in clinical practice. Apply one of the above models and carry your implementation through each of the stages, phases, or steps identified in the chosen model.In 500-750 words (not including the title page and references page), discuss applying one of the change models to the implementation plan:Identify the selected model or theoretical framework and discuss its relevance to your project.Discuss each of the stages in the change model/framework.Describe how you would apply each stage in your proposed implementation.In addition, create a conceptual model of the project. Although you will not be submitting the conceptual model you design in Topic 4 with the narrative, you will include the conceptual model in the appendices for the final paper.You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.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. Refer to the LopesWrite Technical Support articles for assistance.

 
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