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Part I: Lobbyists have been part of the U.S. Government system since the early 1800s. Lobbyists play an important role in healthcare, as they are advocates for their interest group. In a 4-5 page paper, analyze two examples of how lobbyists affect healthcare legislation. Conclude your paper with your opinion about whether the actions of lobbyists have a positive or negative effect on healthcare legislation in the United States. Please keep in mind the position and facility you selected.

**** Nursing Home Administrator at Golden Age Nursing Home

Make sure to include the following:

1. Discuss the specific interest of the lobbyist in each example.
2. Discuss in detail some of the ethical issues and moral disputes for each example.
3. Discuss your position on whether the lobbyists’ actions are positive or negative on healthcare legislation in the United States and support your points with details.
4. This portion of your assignment will require you to research and examine information from various sources. Use a minimum of five credible sources for your paper, with three being an academic source from the Rasmussen College Online Library (don’t forget to include in-text citations throughout your paper with paraphrasing or quoting)
5. Make sure to include your APA formatted reference page.

Part II: An agenda can set the tone for a meeting. It’s an important tool to ensure meetings are staying on track and meeting all of the objectives. Create a detailed meeting agenda for a meeting you will hold with your supervisor and fellow department heads discussing your findings (Hint: Microsoft Word has many agenda templates). SkillSurfer in the online tutoring platform offers beginner, intermediate, and advanced tutorials on Microsoft Office products. Make sure to include the following in our agenda:

1. Explain each example
2. The majority of the agenda should be focused on whether the actions of lobbyists have a positive or negative effect on healthcare legislation in the United States.

Make sure to use audience specific language and tone in your agenda. Remember, your supervisor and other department heads will be in attendance. Also, make sure to follow proper agenda/business formatting guidelines and make sure document is professional in appearance.

• Choose a topic of interest to you that is a significant clinical nursing issue. Please note that the databases you identify could be useful sources of information for your Capstone project in NR451, so choose your topic thoughtfully.
• Download the NR439_Research_Database_Form from Doc Sharing and type information about each database directly onto the form. Your paper does NOT need to follow APA formatting; however, you are expected to use correct grammar, spelling, syntax, and write in complete sentences.
• Save the file by clicking Save as and adding your last name, e.g., NR439_Research Database_Smith.docx.
• Describe your topic of interest. This is worth 15 points.
• Locate a total of five research databases related to your topic. Each research database description is worth 30 points. You may search for these in various locations, e.g., the Internet or the CCN Library. You may NOT choose the databases that are already familiar to you – MEDLINE, PUBMED (which also indexes MEDLINE), GOOGLE SCHOLAR, and CINAHL. Instead, you are expected to expand your knowledge of evidence-based sources. Places to help you begin include your textbook, which lists databases and websites that report research. The Chamberlain online library (http://library.chamberlain.edu) gives you access to several databases and provide tutorials for searching. Government sites such as those at the National Institutes of Health offer collections of research on a variety of subjects. The key to choosing the databases is that each contains research-based evidence that also pertains to your topic of interest. Again you are looking for new databases to use in the future and not articles related to your nursing clinical issue.
• Review each database to gather information to create a description for the assignment. Each description must:
  • identify the title of the research database;
  • describe the location of the research database in a way that a reader could find it. This should be the URL. This URL should take you to the home page of the database.
  • name owner or publisher of the source;
  • describe the research database. This must be in your own words and not copied and pasted from the original source. Include the purpose of the database and the subject matter it covers. This may be two to three sentences; and
  • explain how the research found in the database relates to your topic of interest. This may be a two or three sentences.
• Submit to the Research Database basket in the Dropbox by 11:59 p.m. MT Sunday at the end of Week 3. Please post question about this paper in the Q & A Forum.

WPT_Task_1_Evidence_Table.docxYour submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. Use the Turnitin Originality Report available in Taskstream as a guide for this measure of originality.

The rubric provides detailed criteria for evaluating your submission. You are expected to use the rubric to direct the creation of your submission. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.

Note: Research evidence must not be more than ten years old.

A. Evaluate a primary quantitative research peer-reviewed journal article (suggested length of 3–5 pages) that has healthcare implications by doing the following:

1. Identify how the researcher addresses the five following areas of the selected journal article, using the attached “Evidence Table”:

 

• background or introduction
• review of the literature
• discussion of methodology
• data analysis
• researcher’s conclusion

 

2. Critique whether the evidence presented in each section of the journal article supports the researcher’s conclusion.

3. Explain the protection of human subjects and cultural considerations of the journal article.

4. Identify strengths and limitations of the study.

5. Describe how the evidence informs nursing practice.

B. Evaluate a primary qualitative research peer-reviewed journal article (suggested length of 3–5 pages) that has healthcare implications by doing the following:

1. Identify how the researcher addresses the five following areas of the selected journal article, using the attached “Evidence Table”:

 

• background or introduction
• review of the literature
• discussion of methodology
• data analysis
• researcher’s conclusion

 

2. Critique whether the evidence presented in each section of the journal article supports the researcher’s conclusion.

3. Explain the protection of human subjects and cultural considerations of the journal article.

4. Identify strengths and limitations of the study.

5. Describe how the evidence informs nursing practice.

C. Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized.

DRAG

Project 4-1:  Create and interpret a line graph

Project Description:  A line graph, sometimes called a run chart, is used to show changes in performance measurement data over several time periods.  It can also be used for displaying several groups of continuous measurement data simultaneously.  In this project you’ll calculate performance measures, create a line graph of the measurement data and interpret the results.

 

Instructions

1. Presume you are the quality director in a hospital.  You’ve been asked to conduct a study for the nursing department.  The purpose of the study is to determine how quickly nurses respond to patient’s call lights (a device used by patients to communicate to nurses that assistance is needed).  You gather from the hospital’s automated Responder 5 system, which has the ability to record all call data, including call-light usage and response times in seconds.  The mean responses time (in seconds) for each shift of the first 15 days of one month are shown below:

Daily mean responses times (reported in seconds):

Shift	Day 1	Day 2	Day 3	Day 4	Day 5	Day 6	Day 7	Day 8	Day 9	Day 10	Day 11	Day 12	Day 13	Day 14	Day 15
Days	216	169	141	156	159	166	173	173	189	227	126	129	132	142	156
Evenings	122	121	178	183	138	115	144	119	153	149	155	124	147	168	132
Nights	85	96	86	103	101	119	92	99	89	112	92	82	102	101	113

 

2. Using Excel create a line graph that shows the mean response time for each shift of the 15 days. Be sure to label the X and Y Axes in your graph and give it a title.
3. Create a formal report of the study results for the director of nursing. Include the following information in the report:

• Purpose of study.
• How data were gathered (including sample size)
• Study results:
• The line graph you created in step #2 (insert the graph into your report)
• A short narrative of the findings, including any significant performance patterns or trends that you may have identified by analyzing the data.

Remember, this report is for a senior leader in the organization so it should be professional looking.

 

 

The case scenario provided will be used to answer the discussion questions that follow.

Case Scenario

Ms. G., a 23-year-old diabetic, is admitted to the hospital with a cellulitis of her left lower leg. She has been applying heating pads to the leg for the last 48 hours, but the leg has become more painful and she has developed chilling.

Subjective Data

• Complains of pain and heaviness in her leg.
• States she cannot bear weight on her leg and has been in bed for 3 days.
• Lives alone and has not had anyone to help her with meals.

Objective Data

• Round, yellow-red, 2 cm diameter, 1 cm deep, open wound above medial malleolus with moderate amount of thick yellow drainage
• Left leg red from knee to ankle
• Calf measurement on left 3 in > than right
• Temperature: 38.9 degrees C
• Height: 160 cm; Weight: 83.7 kg

Laboratory Results

• WBC 18.3 x 10¹² / L; 80% neutrophils, 12% bands
• Wound culture: Staphylococcus aureus

Critical Thinking Questions

1. What clinical manifestations are present in Ms. G and what recommendations would you make for continued treatment? Provide rationale for your recommendations.
2. Identify the muscle groups likely to be affected by Ms. G’s condition by referring to “ARC: Anatomy Resource Center.”
3. What is the significance of the subjective and objective data provided with regard to follow-up diagnostic/laboratory testing, education, and future preventative care? Provide rationale for your answer.
4. What factors are present in this situation that could delay wound healing, and what precautions are required to prevent delayed wound healing? Explain.

Preparation for the presentation will include synthesizing the information from readings, scientific literature, Internet resources and other sources.

This presentation should address the following; history, values, and worldview, language and communication patterns, art and other expressive forms, norms and rules, lifestyle characteristics, relationship patterns, rituals, the degree of assimilation or marginalization from mainstream society, and health behavior and practices.

In addition to describing these characteristics, the presentation must include;

a) a comparative and contrast analysis of common characteristics and distinguishing traits between the groups

b) a discussion of differential approaches needed by health care professionals

The assignment must be presented in an APA format, PowerPoint, Arial 12 font attached to the forum in the assignment tab and discussion board title “Population presentation”. A rubric will be used to grade the assignment.

Rubric Detail

Levels of Achievement Criteria Meets Expectations Approaches Expectations Not Meeting Expectations Content Weight 40.00% 100 % The writer clearly and effectively responds to all parts of the assignment. The writer identifies two course competencies appropriate to the topic chosen. The writer provides a thorough and comprehensive evaluation of how the nursing topic applies to two course competencies. It is clear that the writer has a comprehensive understanding of the topic and how it supports course competencies. 80 % The response to the assignment is generally adequate but may not be thorough. The writer responds to most parts of the assignment but may leave out key parts. The writer may identify only one course competency appropriate to the topic chosen. The writer provides a basic and general evaluation of how the nursing topic applies to the course competencies. It is clear that the writer has a basic understanding of the topic and how it supports course competencies. 0 % The writer does not respond to the assignment or provides an evaluation that indicates the writer does not understand the topic and how it supports course competencies. Focus and Detail Weight 30.00% 100 % The chosen topic is clear and the evaluation is supported by detailed examples, cited references, and accurate information for both course competencies. 80 % The chosen topic is somewhat clear and the evaluation is supported by general examples and few cited references. Some information may be inaccurate or too vague to evaluate. 0 % The topic and main ideas are not clear. There is no clear evaluation of the competencies or the evaluation is incorrect. Organization Weight 20.00% 100 % The introduction is inviting, states the main topic, and provides an overview of the paper. Information is relevant and presented in a logical order. The conclusion is strong. 80 % The introduction states the main topic and provides an overview of the paper. A conclusion is included. 0 % There is no clear introduction, structure, or conclusion. Criteria Meets Expectations Approaches Expectations Not Meeting Expectations Mechanics and APA Weight 10.00% 100 % The assignment consistently follows current APA format and is free from errors in formatting, citation, and references. No grammatical, spelling, or punctuation errors. All sources are cited and referenced correctly. 80 % The assignment consistently follows current APA format with only isolated and inconsistent mistakes and/or has a few grammatical, spelling, or punctuation errors. Most sources are cited and referenced correctly. 0 % The assignment does not follow current APA format and/or has many grammatical, spelling, or punctuation errors. Many sources are cited and referenced incorrectly, or citations and references are missing

it is a Powerpoint presentation .please follow the instruction attached

Make a comparison between People from of Arab Heritage and people from Chinese heritage

Preparation for the presentation will include synthesizing the information from readings, scientific literature, Internet resources and other sources.

This presentation should address the following; history, values, and worldview, language and communication patterns, art and other expressive forms, norms and rules, lifestyle characteristics, relationship patterns, rituals, the degree of assimilation or marginalization from mainstream society, and health behavior and practices.

In addition to describing these characteristics, the presentation must include;

a) a comparative and contrast analysis of common characteristics and distinguishing traits between the groups

b) a discussion of differential approaches needed by health care professionals

The assignment must be presented in an APA format, PowerPoint, Arial 12 font attached to the forum in the assignment tab and discussion board title “Population presentation”. A rubric will be used to grade the assignment.

Rubric Detail

Levels of Achievement Criteria Meets Expectations Approaches Expectations Not Meeting Expectations Content Weight 40.00% 100 % The writer clearly and effectively responds to all parts of the assignment. The writer identifies two course competencies appropriate to the topic chosen. The writer provides a thorough and comprehensive evaluation of how the nursing topic applies to two course competencies. It is clear that the writer has a comprehensive understanding of the topic and how it supports course competencies. 80 % The response to the assignment is generally adequate but may not be thorough. The writer responds to most parts of the assignment but may leave out key parts. The writer may identify only one course competency appropriate to the topic chosen. The writer provides a basic and general evaluation of how the nursing topic applies to the course competencies. It is clear that the writer has a basic understanding of the topic and how it supports course competencies. 0 % The writer does not respond to the assignment or provides an evaluation that indicates the writer does not understand the topic and how it supports course competencies. Focus and Detail Weight 30.00% 100 % The chosen topic is clear and the evaluation is supported by detailed examples, cited references, and accurate information for both course competencies. 80 % The chosen topic is somewhat clear and the evaluation is supported by general examples and few cited references. Some information may be inaccurate or too vague to evaluate. 0 % The topic and main ideas are not clear. There is no clear evaluation of the competencies or the evaluation is incorrect. Organization Weight 20.00% 100 % The introduction is inviting, states the main topic, and provides an overview of the paper. Information is relevant and presented in a logical order. The conclusion is strong. 80 % The introduction states the main topic and provides an overview of the paper. A conclusion is included. 0 % There is no clear introduction, structure, or conclusion. Criteria Meets Expectations Approaches Expectations Not Meeting Expectations Mechanics and APA Weight 10.00% 100 % The assignment consistently follows current APA format and is free from errors in formatting, citation, and references. No grammatical, spelling, or punctuation errors. All sources are cited and referenced correctly. 80 % The assignment consistently follows current APA format with only isolated and inconsistent mistakes and/or has a few grammatical, spelling, or punctuation errors. Most sources are cited and referenced correctly. 0 % The assignment does not follow current APA format and/or has many grammatical, spelling, or punctuation errors. Many sources are cited and referenced incorrectly, or citations and references are missing

The case scenario provided will be used to answer the discussion questions that follow.

Case Scenario

Ms. G., a 23-year-old diabetic, is admitted to the hospital with a cellulitis of her left lower leg. She has been applying heating pads to the leg for the last 48 hours, but the leg has become more painful and she has developed chilling.

Subjective Data

• Complains of pain and heaviness in her leg.
• States she cannot bear weight on her leg and has been in bed for 3 days.
• Lives alone and has not had anyone to help her with meals.

Objective Data

• Round, yellow-red, 2 cm diameter, 1 cm deep, open wound above medial malleolus with moderate amount of thick yellow drainage
• Left leg red from knee to ankle
• Calf measurement on left 3 in > than right
• Temperature: 38.9 degrees C
• Height: 160 cm; Weight: 83.7 kg

Laboratory Results

• WBC 18.3 x 10¹² / L; 80% neutrophils, 12% bands
• Wound culture: Staphylococcus aureus

Critical Thinking Questions

1. What clinical manifestations are present in Ms. G and what recommendations would you make for continued treatment? Provide rationale for your recommendations.
2. Identify the muscle groups likely to be affected by Ms. G’s condition by referring to “ARC: Anatomy Resource Center.”
3. What is the significance of the subjective and objective data provided with regard to follow-up diagnostic/laboratory testing, education, and future preventative care? Provide rationale for your answer.
4. What factors are present in this situation that could delay wound healing, and what precautions are required to prevent delayed wound healing? Explain.