Start by reading and following these instructions:

1. Quickly skim the questions or assignment below and the assignment rubric to help you focus.
2. Read the required chapter(s) of the textbook and any additional recommended resources. Some answers may require you to do additional research on the Internet or in other reference sources. Choose your sources carefully.
3. Consider the course discussions so far and any insights gained from it.
4. Create your Assignment submission and be sure to cite your sources if needed, use APA style as required, and check your spelling.

Assignment:

Roy and Neuman

Create a PowerPoint presentation that addresses each of the following points/questions. Be sure to completely answer all the questions for each bullet point. Use clear headings that allow your professor to know which bullet you are addressing on the slides in your presentation. Support your content with at least one (1) source and the textbook using APA citations throughout your presentation. Make sure to cite the sources using the APA writing style for the presentation. Include a slide for your references at the end. Follow best practices for PowerPoint presentations related to text size, color, images, effects, wordiness, and multimedia enhancements. Review the rubric criteria for this assignment.

Create a PowerPoint Presentation to discuss the following…

Sgt. Eddie Johns leaned back against the chair in the outpatient orthopedic clinic. His head was killing him! He wasn’t sure which was worse, the “morning after” headache or not being able to sleep at night. At least when he had a few beers under his belt so he could catch a few hours of sleep. It had been like this since he was air evacuated back stateside from Afghanistan after the roadside bomb went off. He was thankful that he had only broken his leg in a couple of places and gotten a bad bump on the head. They called that traumatic brain injury but he didn’t know what that was and really didn’t believe them anyway. He was still thinking just fine. His friend Joe wasn’t so lucky! How was Joe going to learn to walk on those artificial legs? He was still in the hospital in Washington, DC. That was pretty far from his home. Eddie wished he could visit Joe. They had been in the same platoon for 9 months. But, Eddie was glad that he had been able to come back to his own home town for outpatient treatment. It took an hour to get here but at least he could see his girl almost every day. Sure he had moved back in with his mom but it was easier to have someone to help him get around and cook for him. It was a bummer that he couldn’t work right now. He guessed it didn’t matter much since he really didn’t have a job to go back to. He had been replaced at the plant. They said they would find something for him to do once he could get around more easily. Eddie sure hoped the doc would take the pins out of his leg today and give him a clearance to work.

• How would the use of the Roy Adaptation Model assist the nurse in planning the continuation of care for Sgt. Johns?
• Describe the influence of Roy’s Theory in guiding the nurse’s actions in promoting Sgt. Johns adjusted self-concept.
• From the perspective of the Roy Adaptation Model, why is it important for the nurse to listen to Sgt. Johns’ “story” in his own words and not just base her interactions on information from the chart, fellow colleagues, or his family?
• Based on Neuman System’s Model, identify at least 4 stressors from the case study. Create a plan of care based on Neuman Systems Model for Sgt. Johns.

Assignment Expectations:

Length: 10-15 slides

Structure: Include a title slide, objective slide, content slides, reference slide in APA format. Title/Objective/Reference slides do not count towards the minimum slide count for this assignment.

References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of one (1) outside scholarly sources and the textbook are required for this assignment.

Rubric: This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level.

Format: Save your assignment as a Microsoft PPT document (.pptx) or a PDF document (.pdf)

I don’t understand this Nursing question and need help to study.

Compare vulnerable populations. Describe an example of one of these groups in the United States or from another country. Explain why the population is designated as “vulnerable.” Include the number of individuals belonging to this group and the specific challenges or issues involved. Discuss why these populations are unable to advocate for themselves, the ethical issues that must be considered when working with these groups, and how nursing advocacy would be beneficial.

I need help with a Nursing question. All explanations and answers will be used to help me learn.

How does the community health nurse recognize bias, stereotypes, and implicit bias within the community? How should the nurse address these concepts to ensure health promotion activities are culturally competent? Propose strategies that you can employ to reduce cultural dissonance and bias to deliver culturally competent care. Include an evidence-based article that address the cultural issue.

The following are the requirements for the assignment:

Your paper for the course project should be a 2-3 page APA paper (not including title page and the reference page) that describes the clinical problem and the following:

• Reason for choosing this topic
• The PICOT question
• Possible integration of the evidenced that you found in clinical practice
• Methods to evaluate the effectiveness of implementation

My PICOT question is as follows: For infants, does breastfeeding reduce the risk of future health issues compared to infants who are formula-fed?

I will also attach the references I would like to use and feel free to add any other ones necessary.

No country in the world has a perfectly balanced health care delivery system. Certain aspects of a healthcare system may be advantageous to some stakeholders, while presenting inefficiencies or challenges to other groups. The United States has a unique system of healthcare delivery, with loosely coordinated subsystems that encompass public and private payers and multitudes of providers. Without a central governing body, the U.S. health care system is shaped by many different stakeholder interests.

For this assignment, please identify three advantages of the U.S. health care delivery system, and three limitations. Next, consider those who are affected by these advantages and limitations, and analyze the implications of each with regard to:

1. Healthcare costs
2. Addressing disparities in access to healthcare
3. Achieving reliable quality of healthcare
4. For each advantage that you identified, who are the individuals or groups that benefit?
5. For each limitation you described, how does the limitation drive the need for change or reform to the health care system?

Provide your analysis in 2-3 pages, double spaced, and provide at least three (3) scholarly references to support your assessment. Apply APA format for all your formatting, citations, and references, unless otherwise indicated. All papers should include:

• Title page;
• Abstract;
• Use of Level I and II headings (if applicable);
• Introduction section;
• Conclusion section;
• In-text citations;
• References page

MIKE ABRASHOFF, author of It’s Your Ship, faced when he became the youngest commander in the U.S. Navy’s Pacific Fleet at age 36. The ship was the USS Benfold, and it ranked near the bottom of the performance rating in the fleet. Its safety record was abysmal, morale was worse, and its re-enlistment rate ranked at an embarrassing 8%.

As he settled into his command, there was one thing Mike Abrashoff quickly realized: he needed to reinvent his leadership style to have any hope of surviving, let alone succeeding. “The one thing in my control was my leadership approach and the culture it created. But nothing I’d done to that point had prepared me for this challenge. If things were going to change on the ship, the change needed to start with me,” he said.

I began asking each sailor three questions in my interviews 1) what do you like most about the USS Benfold; 2) what do you like least; and 3) what one thing would you change (except for the captain!) if you could? The idea was to take all of their intelligence and bring it to bear on our goals. As they came to know and trust me, they realized I’d listen to them and respect their opinion. On a ship, as with any organization, the captain only succeeds if everyone is committed to the same goals. As a captain, I can give orders, but I can’t order excellence.”

What Abrashoff wanted was to unleash the power of his crew to turn around a ship that had the potential to perform way beyond its current level.

At one of my first meetings with the crew I told them, I don’t care what your rank or how long you’ve been on the ship – if you have an idea how we can do something better, speak up. You can come to work every day and challenge every process, every procedure, every tradition, and every custom. The only rule was: it can’t cost more money. The budget was set. But if it’s a good idea, we’ll initiate it on the spot. As problems arose, crew members would come to me and I’d ask them – ‘What would you do? It’s your ship. You tell me.’ Soon they understood they had been empowered to come to work to think and make a difference. The feedback from the crew was extraordinarily positive. Many told me it was the first time in their careers that they looked forward to coming to work every day.” 

In a short essay (500 to 1000 words), discuss the manner in which Captain Abrashoff commanded the crew of the USS Benfold.  Why do you believe it was so effective?  Do you believe his methods would be effective at your agency?

Preparing Your Reflection

The BSN Essentials (AACN, 2008) outline a number of healthcare policy and advocacy competencies for the BSN-prepared nurse. Reflect on the NUR4287 course readings, discussion threads, and applications you have completed across this course and write a reflective essay regarding the extent to which you feel you are now prepared to (choose 3):

• “Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches.
• Recognize the relationship of genetics and genomics to health, prevention, screening, diagnostics, prognostics, selection of treatment, and monitoring of treatment effectiveness, using a constructed pedigree from collected family history information as well as standardized symbols and terminology.
• Implement holistic, patient­ centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management, and nursing management across the health­ illness continuum, across the lifespan, and in all healthcare settings.
• Communicate effectively with all members of the healthcare team, including the patient and the patient’s support network.
• Deliver compassionate, patient­ centered, evidence-based care that respects patient and family preferences.
• Implement patient and family care around resolution of end ­of ­life and palliative care issues, such as symptom management, support of rituals, and respect for patient and family preferences.
• Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care.
• Implement evidence-based nursing interventions as appropriate for managing the acute and chronic care of patients and promoting health across the lifespan.
• Monitor client outcomes to evaluate the effectiveness of psychobiological interventions.
• Facilitate patient­ centered transitions of care, including discharge planning and ensuring the caregiver’s knowledge of care requirements to promote safe care.
• Provide nursing care based on evidence that contributes to safe and high-quality patient outcomes within healthcare microsystems.
• Create a safe care environment that results in high quality patient outcomes.
• Revise the plan of care based on an ongoing evaluation of patient outcomes.
• Demonstrate clinical judgment and accountability for patient outcomes when delegating to and supervising other members of the healthcare team.
• Manage care to maximize health, independence, and quality of life for a group of individuals that approximates a beginning practitioner’s workload 
• Demonstrate the application of psychomotor skills for the efficient, safe, and compassionate delivery of patient care.
• Develop a beginning understanding of complementary and alternative modalities and their role in health care. 
• Develop an awareness of patients as well as healthcare professionals’ spiritual beliefs and values and how those beliefs and values impact health care.
• Manage the interaction of multiple functional problems affecting patients across the lifespan, including common geriatric syndromes.
• Understand one’s role and participation in emergency preparedness and disaster response with an awareness of environmental factors and the risks they pose to self and patients
• Engage in caring and healing techniques that promote a therapeutic nurse patient relationship.
• Demonstrate tolerance for the ambiguity and unpredictability of the world and its effect on the healthcare system as related to nursing practice.” (pp. 31-32).

Reference:

American Association of Colleges of Nursing [AACN]. (2008). The essentials of baccalaureate education for professional nursing practice. Washington, DC: Author.

Preparing Your Reflection

The BSN Essentials (AACN, 2008) outline a number of healthcare policy and advocacy competencies for the BSN-prepared nurse. Reflect on the course readings, discussion threads, and applications you have completed across this course and write a reflective essay regarding the extent to which you feel you are now prepared to (choose 4):

1.“Demonstrate the professional standards of moral, ethical, and legal conduct.

• Assume accountability for personal and professional behaviors.
• Promote the image of nursing by modeling the values and articulating the knowledge, skills, and attitudes of the nursing profession.
• Demonstrate professionalism, including attention to appearance, demeanor, respect for self and others, and attention to professional boundaries with patients and families as well as among caregivers.
• Demonstrate an appreciation of the history of and contemporary issues in nursing and their impact on current nursing practice.
• Reflect on one’s own beliefs and values as they relate to professional practice.
• Identify personal, professional, and environmental risks that impact personal and professional choices, and behaviors.
• Communicate to the healthcare team one’s personal bias on difficult healthcare decisions that impact one’s ability to provide care.
• Recognize the impact of attitudes, values, and expectations on the care of the very young, frail older adults, and other vulnerable populations.
• Protect patient privacy and confidentiality of patient records and other privileged communications.
• Access interprofessional and intra-professional resources to resolve ethical and other practice dilemmas.
• Act to prevent unsafe, illegal, or unethical care practices.
• Articulate the value of pursuing practice excellence, lifelong learning, and professional engagement to foster professional growth and development.
• Recognize the relationship between personal health, self-renewal, and the ability to deliver sustained quality care.” (p. 28).

Reference:

American Association of Colleges of Nursing [AACN]. (2008). The essentials of baccalaureate education for professional nursing practice. Washington, DC: Author.

Meeting the Mission Statement

The purpose of this assignment is to assess the Mission Statements of two different facilities. The two facilities are:

Sentara Martha Jefferson Hospital in Charlottesville, VA

https://www.sentara.com/charlottesville-virginia/hospitalslocations/locations/martha-jefferson-hospital.aspx

Bon Secours Southside Medical Center in Petersburg, VA

• https://www.bonsecours.com/locations/hospitals-medical-centers/richmond/southside-regional-medical-center

Discuss the following:

• Describe the population, within the area of the state, that is served by each facility to include the SES, ethnic and racial percentages, the any other demographics that describe the population. You can find this information a various state and federal websites.

Contrast and Compare the Mission Statements of each facility (NOTE: contrast is how the  two sites  are different and compare is how they are alike!)

• Review the website and discuss at least two examples of information on that website that reflects the Mission Statement.