Assignment Content

1. You are on a team that is investigating which health insurance provider to contract with to offer insurance to the employees. You are in charge of creating the plan for collecting the data that will be used for a statistical test to help the organization make that decision. You have been asked to present your plan and inform stakeholders about the risks you are trying to avoid so that you are able to have valid and reliable results.

Explain the following in your presentation:

• What is your data collection plan?
• What measures will you use to mitigate statistical error?
• decrease uncertainty
• increase power
• conduct a representative sample
• increase robustness
• acceptable reliability and validity
• reduce error
• no violation of assumptions for statistical tests
• What is your rationale for each part of your plan? How will your choices better aid leadership in making their decision?

Submit your assignment.

Resources

• Center for Writing Excellence
• Reference and Citation Generator
• Grammar and Writing Guides

Post:

1. A description of observations about how nurse informaticists and/or data or technology specialists interact with other professionals within your healthcare organization (hospital setting). 

2. Suggest at least one strategy on how these interactions might be improved. Be specific and provide examples. Then,

3. Explain the impact you believe the continued evolution of nursing informatics as a specialty and/or the continued emergence of new technologies might have on professional interactions. 

(minimum of 2 references)

Purpose

The purpose of this assignment is to provide an analysis and synthesis-level evaluation of the factors that influence both contemporary advanced practice nursing and the time-period of transition that occurs within the first year of clinical practice.

Activity Learning Outcomes

Through this discussion, the student will demonstrate the ability to:

1. Reflect on the elements of a successful transition from Registered Nurse to Advanced Practice Registered Nurse. (CO 5)
2. Evaluate the patient-centered medical home, value-based payment, and interdisciplinary care models espoused by the Medicare Access and CHIP  Reauthorization Act of 2015 (MACRA) and its’ impact on the quality of  healthcare. (CO 2, 5) 

Requirements:

Part 1: Using Brown and Olshansky’s (1997) model,  describe what interventions you plan to do during your first year of practice to help you navigate the changes described during each phase.

Part 2: We are seeing a rapid change in primary care as stakeholders are demanding higher quality healthcare at reduced costs. After reading the Cuenca (2017) and Shi, et al. (2017) articles,  provide a synthesis-level evaluation of how you believe the patient-centered medical home and value-based payment models will: (1)  impact your personal practice as a nurse practitioner, and (2) transform the way primary care is delivered in the United States.

Part 3: After reading the AANP (2015) and White, et al. (2017) articles, what are your thoughts on the economic benefits of using nurse practitioners in healthcare practices? How would you respond to this question if asked in a job interview? Support your response in  Part 3 with evidence from the literature.

The following is from another student that i have to reply. 

APA, less than 10 % similarity

Question;

Joyce is a 34-year-old woman who has been married 10 years. She has three children, all less than 10 years old: Sheena (age 9), Jack (age 6), and Beth (age 2). Her husband is a prominent attorney. They present an ideal picture of an upper-middle-class family. They live in a fashionable suburb. The husband has been successful to the extent that he has been made a full partner in a large law firm. The family is very active in church, the country club, and various other social organizations. Joyce is an active member of several charitable, civic, and social groups. Joyce’s initial call to the abuse center was vague and guarded. She expressed an interest in inquiring for “another woman” in regard to the purpose of the center. After she had received information and an invitation to call back, a number of weeks elapsed. Joyce’s second call occurred after receiving a severe beating from her husband.

Joyce tells the crisis worker in the phone:”Well, last night he beat me worse than ever. I thought he was really going to kill me this time. It had been building up for the past few weeks. His fuse was getting shorter and shorter, both with me and the kids. It’s his work, I guess. Finally he came home late last night. Dinner was cold. We were supposed to go out, and I guess it was my fault . . . I complained about his being late, and he blew up. Started yelling that he was gonna teach me a lesson. He started hitting me with his fists . . .knocked me down . . . and then started kicking me. I got up and ran into the bathroom. The kids were yelling for him to stop and he cuffed Sheena . . . God, it was horrible! (Wracked with sobs for more than a minute. CW waits.) I’m sorry, I just can’t seem to keep control.”

As the crisis worker:

1-What typical dynamics did you see occurring—denial, guilt, fear, rationalization, withdrawal, and so on—in the victim? How would you as the crisis worker handle them?

What are some of the domestic violence intervention strategies? Pick one and how would you apply it to the scenario

Answer

The number of factors that lead to domestic Violence can be internal or external, and while the emergence of these factors cannot be clearly described, these risk factors are diverse. For instance, there are individual factors that are related to, either the victim or perpetrator, include low age which is associated with the level of their maturity, physical and psychological predispositions.—excessive consumption of alcohol by one of the partners and the use of other narcotics as well. Individuals who abuse drugs are likely to fall victim to abusive partners. Victims need acceptance and support to maintain their habit, causing them to be vulnerable. Mental illness is also a contributing factor to domestic Violence. Individuals who suffer from depression and mood disorders are likely to be victims of domestic Violence. 

The dynamic that I see in this case scenario is that the victim has a low self-esteem. Low self-esteem plays a critical role in exacerbating domestic Violence. Often victims believe they are not worthy of anyone’s love and are therefore more likely to endure abuse in the hope of the abuser changing. On the contrary, the perpetrators hide their low self-esteem by degrading others. Also, the desire for power or control can cause domestic Violence as the abuser attempt to control the victim’s social life, travel, and money. Additionally, the previous history of being abused without intervention can, unfortunately, continue the domestic violence cycle. Usually, earlier victims of abusive behavior are either re-victimized or become the perpetrators. Most victims possess the mentality of deserving the abuse leaving them to be defenseless. On the other hand, victims who become abusers do so under the basis of being angry and frustrated concerning their experience as victims. 

Nurses can play a crucial role in reducing the consequences of aby intervening through different techniques. Asking about domestic Violence, for instance, is an effective intervention. Research shows that direct inquiry from a caring health practitioner helped victims of domestic Violence disclose their abuse and find the appropriate intervention processes. (Bullock, et al.,11) Additionally, asking about abuse is a critical nursing intervention in addressing domestic Violence. Empathetic inquiry by a nurse shows a survivor that nurses care and are well informed about domestic Violence.

Usually, it is difficult to witness victims of domestic Violence remain in such relationships. Nevertheless, it’s their decision, and as such, nurses should not force a victim to end the relationship. Such pressure could insinuate that her decision to stay in her way of asking for it, which could worsen the case (Scott-Tilley, 3). Once a nurse has done all they can, it is wise to respect the patient by leaving the situation in her hands and informing her to return whenever she can.

References

Bullock, Linda FC, Judith A. Sandella, and Judith McFarlane. “Breaking the cycle of abuse: how nurses can intervene.” Journal of psychosocial nursing and mental health services 27.8 (1989): 11-13.

SCOTT-TILLEY, DONNA. “Nursing Interventions for Domestic Violence.” American Journal of Nursing, vol. 99, no. 10, 1999, p. 24JJ.

In your own words, describe the OPT model and the CCCR model. How have you used it in caring for patients and their families in a clinic setting? from 450 to 500 words

Use at least one scholarly source other than your textbook to connect your response to national guidelines and evidence-based research in support of your ideas. All sources must be referenced and cited using APA Style, including a link to the source.