Article: DEC/NAEYC. (2009). Early childhood inclusion: A joint position statement of the Division for Early Childhood (DEC) and the National Association for the Education of Young Children (NAEYC). Retrieved from http://www.naeyc.org/files/naeyc/file/positions/DEC_NAEYC_EC_updatedKS.pdf Copyright by the National Association for the Education of Young Children.
The research-based benefits of inclusion, access, participation, and support strategies—all required for successful inclusion to occur
The unique strengths and challenges of children who are culturally and linguistically diverse in terms of assuring their full access, participation, and support within early childhood classrooms and communities
Potential benefits and obstacles to including every child within early childhood classroom environments
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Please also respond to the peers discussion APA with reference
DQ4
After reviewing the “Nursing and Health Reform” document I have noticed at least two standouts that have impacted me in some way whether it be indirect or directly. These two provisions being:
Section 5202 Nursing student loan program—Updates the loan amounts for the Nursing Student Loan program and after 2012 the Secretary (of the Department of Health and Human Services) has discretion to adjust this amount based on cost of attendance increases.
Section 5302 Training opportunities for direct care workers—Establishes a 3-year grant program under which an institution of higher education can subsidize training of individuals at that institution who are willing to serve as direct care workers in a long-term or chronic care setting for at least two years after completion of their training.
Both provisions have played a roll in how my place of employment has changed some of it’s business strategies. Now with that said first and foremost I am a new graduate nurse, have not been working for longer than a month, and I truly still have no idea how the PPACA works of influences healthcare corporations such as Banner Health.
What I can say that since the passing of this bill with it’s provisions I have just noticed a couple changes within Banner. When it comes to the first provision Section 5202. Banner Health has changed their school loan policies. Now to enroll it is a first come first serve waiting basis and it is dependent upon how many classes you are taking. Before at Banner you could just apply and receive aide I believe their may have been stipulations before but now everyone gets access but not everyone who applies will receive it.
The second provision I mentioned Section 5302 I believe is a great way to help new graduates become employed however, I know Banner Health no longer does these contracts. At least not at my facility. Now Banner has a whole new program one that is aimed at retention and still allows new nurses to receive training. I believe the issue with this provision that led to Banner changing their methods was this could lead to nurse burn out. While yes there is a contract to work for two years. These nurses may not have truly like their place of employment and by the time their two years were up they were just done with the nursing profession. Thus, I believe this is what lead Banner Health to create a new hire program that is aimed at helping train and retain nursing staff.
I feel as thought the PPACA has done a lot of good and has many provisions that I believe can help many. However, I believe there is a lot of wiggle room for corporations to continue to do what they want to either meet the provisions or amend them and make them better.
The Affordable Care Act affects the field of nursing in various ways as it includes a number of ambitious reforms that are based on the employer-sponsored insurance system and establishes new requirements for employers, healthcare providers, insurance companies as well as the individual patients. It is anticipated to address three key areas of access to health insurance, delivery of care and healthcare costs. According to Blumenthal, Abrams, and Nuzum (2015), the introduction and adoption of the Patient Protection and Affordable Care Act was aimed at increasing access to nurses, improving the nursing workforce, providing financial assistance to health institution workers and education advancements and the underserved areas. Among the provisions, increasing the number of nurses within healthcare is a key provision which has had grant programs established for the health institutions as well as the training programs to address the various health care concerns. The grant health organizations and the training programs for physicians focus on providing personalized training to the nurses in order to enhance the delivery of health care to patients.
Further, to ensure that the number of nurses is sufficient, the federal loans have been increased whose target is the nursing students to aid them manage the education costs and successfully complete their nursing course without financial constraints. Another key provision is the expansion of public programs in that the ACA provides for the extension of Medicaid to all individuals with incomes that go up to 138% of the federal poverty-level as dictated by the regulated gross income (Frean, Gruber, & Sommers, 2017). This expansion establishes a new minimum Medicaid eligibility-criteria level for adults and gets rid of the program’s limitation that prohibits adults without dependent children from registering in the program. These provisions impact the nursing practice in a positive approach in that it enables for nurses to advance their education which subsequently results to decreased mortality rates and enhanced quality of care delivery.
References
Blumenthal, D., Abrams, M., & Nuzum, R. (2015). The affordable care act at 5 years.
Frean, M., Gruber, J., & Sommers, B. D. (2017). Premium subsidies, the mandate, and Medicaid expansion: Coverage effects of the Affordable Care Act. Journal of Health Economics, 53, 72-86.
DQ6
With the passage of the patient protection and affordable care act (PPACA) in 2010 by president Obama, a lot of transformation have been initiated into the healthcare system. The transformation brought by this new law will have an impact on providers, consumers, insurers, payment policy etc. The affordable care act created an influx of patients who where previously uninsured into the healthcare. The boom in patient activity has left many hospitals short staffed, forcing longer wait times for patients in need of care – a potentially dangerous problem, especially in the emergency departments where time is of essence.
With the estimated 30 million Americans that are expected to gain health insurance through the affordable care act (Anderson, 2014), there will be an imbalance between demand and supply. Bradley university (2016) estimated the supply and demand of physicians to patients around 46,100 to 90,400. With the increase demand of physicians and an already existing workforce shortage within the nursing community, the policy makers recognized the need for an increased workforce. This led to the development of provisions aimed at increasing the number of nurses in few years. According the article “Nursing and Health Reform”, Some of the provisions that have impacted or will impact my nursing practice are sections 5404 – student workforce diversity grant and 5310 – Loan repayment and scholarship program.
SECTION 5404 – STUDENT WORKFORCE DIVERSITY GRANT: This section approves the award of grant to eligible entities to meet the costs of special projects to increase nursing education opportunities for individuals who are from disadvantaged background by providing student scholarship or stipends; stipends for diploma or associate degree nurses to enter a bridge or degree completion program. This provision has impacted my nursing practice as I have received some grants for this RN-BSN program.
SECTION 5310 – LOAN REPAYMENT AND SCHOLARSHIP PROGRAM: This program offers registered nurses substantial assistance to repay educational loans in exchange for services in eligible facilities located in areas experiencing a shortage of nurses. Through this program, 60% of the participant’s total qualifying loan balance are paid for in two years and additional 25% of the original balance for an optional third year (Benefits.gov, 2017). It helps in recruitment and retention of professional nurses that are dedicated to providing healthcare to underserved populations. This provision will impact my nursing practice in the future.
Anderson, A. (2014). The Impact of the Affordable Care Act on the Health Care Workforce. Retrieved from https://www.heritage.org
Benefit.gov (2017). Nursing Education Loan Repayment Program. Retrieved from https://www.benefits.gov
Bradley University (2016). How the Affordable Care Act Affected Nursing retrieved from https://www.onlinedegrees.bradley.edu
Wound Ostomy and Incontinence Nurses Society. (2013). Nursing and Health Reform. Retrieved from https://c.ymcdn.com/sites/www.wocn.org/resource/re…
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I have attached Files with instructions (Tasks, 2 models, Intro, and Outline). I will attach two more that consist of of essays 2 and 3 out of 4 leading to this one, wouldn’t let me attach more.
Please ask any questions
THank you,
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There are two assignments listed please complete both:
WEEK 3 ASSIGNMENTS
Gender Speech Communities
In two pages describe verbal communication between you and a close friend or romantic partner of the other sex. Analyze the extent to which you and the other person follow patterns typical of women and men in general.
WEEK 4 ASSIGNMENTS
Give an example of each form of nonverbal communication discussed in your textbook: haptics, physical appearance, artifacts, environmental factors, proxemics, chronemics, paralanguage, and silence. Then, describe a personal situation where you had to express a strong emotion. In this situation, include how you used at least 3 of the nonverbal communication forms described. (Length 1 paragraph plus example list)
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Review this week’s Learning Resources focusing on the significance of standardized terminologies in health care settings. Consider how standardized terminologies are important in the development and use of databases and clinical information systems.
Explore the websites of major health care organizations to determine their recommendations on acceptable standardized terminologies.
Determine the standardized terminologies currently used by your health care organization (or one with which you are familiar).
Consider the standard terminologies (recommended by a major medical organization or based on your experiences) you would like to see incorporated into your organization’s databases and clinical information systems. What would be the benefit of using these particular standards? How might this impact the quality of the information retrieved from databases within your organization?
THEN
Post a description of at least one standardized terminology that is recommended by a major health care organization. Assess how or if this terminology is incorporated into your organization’s databases and clinical information systems. Identify at least one additional standardized terminology you would like to see incorporated into the organization’s databases. Analyze the importance of incorporating this terminology and how this could impact the quality of the data retrieved from the databases. Justify your response.
Use these references:
http://library.ahima.org/doc?oid=92186
Dontje, K., & Coenen, A. (2011). Mapping evidence-based guidelines to standardized nursing terminologies. Computers, Informatics, Nursing, 29(12), 698–705.
Hayrinen, K., Lammintakanen, J., & Saranto, K. (2009). Evaluation of electronic nursing documentation—nursing process model and standardized terminologies as keys to visible and transparent nursing. International Journal of Medical Informatics, 79(8), 554–564.
Thoroddsen, A., Ehnfors, M., & Ehrenberg, A. (2011). Content and completeness of care plans after implementation of standardized nursing terminologies and computerized records. Computers, Informatics, Nursing, 29(10), 599–607.
Frisher, M., Short, D., & Bashford, J. (2010). Determining patient characteristics for decision analysis support systems using anonymized electronic patient records. Health Informatics Journal, 16(1), 49–57.
Huryk, L. A. (2012). Information systems and decision support systems. American Journal of Nursing, 112(1), 62–65.
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Please do a paragraph about this post with this instruction .
post most have 4 or more sentences .
you also have to have a high quality post from a content perspective. This means it also needs to do more than agree with or praise a class mate. If you agree with a classmate, explain why, give an example, share what you learned in the readings
Nursing research is defined as “a scientific process that validates and refines existing knowledge and generates new knowledge that directly and indirectly influences nursing practice” (Grove, Gray & Burns, 2015, p. 3.).
National Guideline Clearinghouse (NGC) is a public resource for summaries of evidence-based clinical practice guideline initiated by Agency for Healthcare Research and Quality (AHRQ). NGC “supports AHRQ’s mission to produce evidence to make health care safer, higher quality, more accessible, equitable, and affordable by providing objective, detailed information on clinical practice guidelines, and to further their dissemination, implementation, and use in order to inform health care decisions” (NGC, 2016.
The potential research studies that can be created with the help of this source is so many. One potential problem in my facility that I would like to be researched on is “long waiting times in the emergency waiting room”. I have witnessed so many patient’s spending hours in the waiting room before they are able to be seen or attended to. The patient flow can be very slow in my facility because there are a lot of ambulances calling in and no inpatient beds for patient that are being admitted. As a result of this, the pending inpatients occupy the beds/rooms in the emergency room that would have been used for patient’s in the waiting room. These patients sit in the emergency waiting room for hours and I feel so bad for them. Imagine coming into the emergency room because you accidentally cut your finger with a kitchen knife while making dinner and you end up spending four hours in the waiting room before being seen. This is not good.
I have also heard about similar experiences in emergency rooms in other states. This problem should be researched on and strategies to improve the problem should be developed.
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Students will make arrangements to attend a community health or nursing organization meeting. If you are not a member of a nursing organization and wish to attend a regional meeting, please contact someone who is a member or the organization itself to discuss attending as a guest. You may also choose a community meeting, such as one sponsored by a local health department or special forum. In-house meetings and committee meetings do not meet the criteria.
Please make this attendance planning an early task, as you will be required to confer with me as to the organization you have chosen and when you plan to attend the session. Your deadline for having this in place is by the third week of the semester.
Therefore, you should begin exploring meeting dates early to have this on both of our calendars. There is a short analysis report due after your attendance by week nine.
The purpose of this assignment is to: Explore how a health-related issue or group impacts professional nursing practice; Identify the possible legal, ethical, political and budgetary issues involved with the agenda addressed in the meeting; Analyze nursing’s role in the issue or meeting.
1. Take this information to the meeting in order to record information while in attendance:
Organization: Columbus Public Health
Date/time of meeting: October 16, 2018 @ 2:00PM
Meeting place: Columbus Board of Health
Purpose: Monthly Board of Health Meeting
Who was in attendance: (no specific names please) 8 board members, 17 attendees with CPH degrees, 2 nursing students, and a doctor that was the speaker
Who participated: (no specific names please) The Doctor that spoke, 8 board members and one with a CPH
What was accomplished:
2. Write a 2 page summary of the meeting to include all of the information in #1 of the assignment in your first paragraph.
3. Also include how the agenda/issues impact or potentially impact nursing.
4. Identify any legal, ethical, political or budgetary implications of the meeting agenda.
5. What was nursing’s role in the meeting/issue?
6. What aspects or standards of professional nursing were demonstrated in the
meeting?
Please include a title page, no abstract, headings, and limit this to 2 pages of text. No references are required with this assignment. **Attached is the agenda from the meeting**
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For this project, you an option of interviewing a healthcare executive to learn more about how organizational restrictions and constraints, mission, vision, values, capabilities, strengths and weaknesses impact formulation of strategy and development of business plans. Idea is to expose graduating students to real-world industry application of core competencies and concepts, provide them with an opportunity to expand their professional network, and to enhance their experiential learning capabilities. Then, students are required to present a business case presentation as a case study that highlights the interview discussion, reflects on industry best practices, and share with classmates how evidence-based and experiential learning will result in supporting and building resilient organizations and communities. Students getting feedback from faculty on this assignment are encouraged to consider presenting and sharing their topic with CSU-G and or in various industry external professional meetings and within their own organizations. Students can use their case study for industry sponsored competition events and to secure scholarship funding.
You are to assess an existing service line or program (such as a diabetes management program, comprehensive oncology center, or any other relevant healthcare topics etc.) for a real healthcare organization (you may select a hospital, large medical group, nursing home, or an ambulatory care facility) in your community. For the purpose of this assignment, assume that you are the Director of Strategic Planning for this organization and the CEO has assigned you the responsibility for assessing where the program is in its life cycle, and whether the organization should expand the program, continue the current strategy and maintain the program as is, or close the program. The summary of your assessment will be presented to the Board of Directors.
Your presentation should be organized according to the following structure and must contain the following elements:
Introduction:
A brief description of the current program.
Alignment with the organization’s mission, vision and goals that support the project.
The presentation must meet the following requirements:
10-15 slides in length (excluding title and reference slides).
Be submitted as a PowerPoint file; do not submit presentation as a PDF or MS Word file type.
Each slide must provide detailed speakers notes – a minimum of 75 words. Notes must draw from and cite relevant reference materials.
Presentations must adhere to academic integrity standards; limited use of direct quotes, proper paraphrasing, citing sources, etc.
Format citations and reference list according to the CSU-Global Guide to Writing and APA Requirements.
Include at least 10 current references from the peer-reviewed articles. The CSU-Global Library is a good place to find peer-reviewed articles.
2-3-page executive summary about the interview with healthcare executive. You are required to present a business case presentation as a case study that highlights the interview discussion, reflects on industry best practices, and share with classmates and faculty how evidence-based and experiential learning will result in supporting and building resilient organizations and communities.
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