How would you conduct a breast cancer needs assessment?

/in /by

When you are engaged in program planning, a needs assessment helps to determine the actuality and details of a specific problem. It also addresses how the target population views the problem—which is critical since their perspective and motivation to change are essential for the success of the program.

In this week’s video, the necessity of appraising a community’s assets as well as its challenges is evident as Dr. Donna Shambley-Ebron and Dr. Rebecca Lee discuss needs assessments. What additional insights have you gleaned from the Learning Resources that you intend to apply to your program?

For this Discussion, you develop a framework for completing a needs assessment for your program. To do this effectively, it is essential to begin with the program and the population you have identified and then develop an appropriate approach for conducting a needs assessment. This also leads to consideration of the types of data needed and the data collection methods to be used.

To prepare:

Consider aspects of your problem and population (breast cancer in African American women in the USA) as you review the information on needs assessment presented in the Learning Resources.

How would you conduct a needs assessment? What considerations would influence your decision making about this process?

What would be the most efficient and effective methods for collecting data? What challenges could be encountered?

By tomorrow Wednesday 12/19/18 2 pm, write a minimum of 550 words essay in APA format with at least 3 references from the list of required readings below. Include all headers as numbered below:

Post a cohesive scholarly response that addresses the following:

1) Discuss how you would conduct a needs assessment for your selected problem and the target population. Why is this approach appropriate for the problem you have identified? Support your response with evidence from the literature.

2) Describe your proposed data collection methods and evaluate any challenges you might encounter.

Required Readings

Assessment and Planning in Health Programs

Chapter 1, “Assessment for Developing Programs and Interventions: The Big Picture”

Chapter 1 notes the importance of looking not just at needs but also the assets associated with the target population and environment; that is, assessing what needs to be addressed given the assets that are present.

Chapter 3, “Data Collection Strategies for Needs Assessments and Evaluations”

In Chapter 3, the authors examine data collection, a key element of needs assessments. They also indicate that it is wise to plan ahead and consider data collection strategies for evaluation at the same time.

Kettner, P. M., Moroney, R. M., & Martin, L. L. (2017). Designing and managing programs: An effectiveness-based approach (5th ed.). Thousand Oaks, CA: Sage.

Chapter 4, “Needs Assessment: Theoretical Considerations”

Chapter 5, “Needs Assessment: Approaches to Measurement”

These two chapters provide foundational information as well as guidance for conducting a needs assessment as part of program planning.

Burrows, T., Hutchesson, M., Chai, L,K., Rollow, M., Skinner, G., & Collins, C. (2015). Nutrition interventions for prevention and management of childhood obesity: What do parents want from an eHealth program? Nutrients, 7, 10469–10479 doi:10.3390/nu7125546

Derguy, C., Michel, G., M’Bailara, K., Roux, S., & Bouvard, M. (2015). Assessing needs in parents of children with autism spectrum disorder: A crucial preliminary step to target relevant issues for support programs. Journal of Intellectual & Developmental Disability, 40(2), 156–166 doi.org/10.3109/13668250.2015.1023707

Millard, T., McDonald, K., Elliott, J., Slavin, S., Rowell, S., & Girdler, S. (2014). Informing the development of an online self-management program for men living with HIV: a needs assessment. BMC Public Health, 14, 1209 doi:10.1186/1471-2458-14-1209

Springer, A. E. & Evans, A.E. (2016). Assessing environmental assets for health promotion program planning: a practical framework for health promotion practitioners. Health Promotion Perspectives, 6(3), 111–118 doi: 10.15171/hpp.2016.19

Required Media

Laureate Education (Producer). (2011). Design and evaluation of programs and projects [Video file]. Baltimore, MD: Author.

“Needs Assessment” (featuring Dr. Rebecca Lee, Shiniche Thomas, and Dr. Donna Shambley-Ebron)

Discuss three areas in which health problems or barriers to health were identified

/in /by

Understanding family structure and style is essential to patient and family care. Conducting a family interview and needs assessment gathers information to identify strengths, as well as potential barriers to health. This information ultimately helps develop family-centered strategies for support and guidance.

This family health assessment is a two-part assignment. The information you gather in this initial assignment will be utilized for the second assignment in Topic 3.

Develop an interview questionnaire to be used in a family-focused functional assessment. The questionnaire must include three open-ended, family-focused questions to assess functional health patterns for each of the following:

Values/Health Perception

Nutrition

Sleep/Rest

Elimination

Activity/Exercise

Cognitive

Sensory-Perception

Self-Perception

Role Relationship

Sexuality

Coping

Select a family, other than your own, and seek permission from the family to conduct an interview. Utilize the interview questions complied in your interview questionnaire to conduct a family-focused functional assessment. Document the responses as you conduct the interview.

Upon completion of the interview, write a 750-1,000-word paper. Analyze your assessment findings. Submit your questionnaire as an appendix with your assignment.

Include the following in your paper:

Describe the family structure. Include individuals and any relevant attributes defining the family composition, race/ethnicity, social class, spirituality, and environment.

Summarize the overall health behaviors of the family. Describe the current health of the family.

Based on your findings, describe at least two of the functional health pattern strengths noted in the findings. Discuss three areas in which health problems or barriers to health were identified.

Describe how family systems theory can be applied to solicit changes in family members that, in turn, initiate positive changes to the overall family functions over time.

Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria.

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.

summarize the feedback shared by three nurse colleagues and discuss whether their impressions are consistent with what you have researched about health reform

/in /by

As the country focuses on the restructuring of the U.S. health care delivery system, nurses will continue to play an important role. It is expected that more and more nursing jobs will become available out in the community, and fewer will be available in acute care hospitals.

Write an informal presentation (500-700 words) to educate nurses about how the practice of nursing is expected to grow and change. Include the concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics.

Share your presentation with nurse colleagues on your unit or department and ask them to offer their impressions of the anticipated changes to health care delivery and the new role of nurses in hospital settings, communities, clinics, and medical homes.

In 800-1,000 words summarize the feedback shared by three nurse colleagues and discuss whether their impressions are consistent with what you have researched about health reform.

A minimum of three scholarly references are required for this assignment.

While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Since the inception of public health programs, vital statistics have been a critical factor in the effort to improve sanitation and to control disease. Today, mortality and morbidity data are used more generally to study trends and differentials in all kinds of causes of death and illness. The availability of mortality and morbidity statistics for small geographic units has contributed uniquely to the value of these data for epidemiologic investigations, surveillance, and informatics.

List and explain at least three of the five major challenges posed by current methods of collecting morbidity data with respect to data accuracy and data reliability.

Why it is important for those collecting morbidity data to be able to ensure confidentiality for respondents, and list the legislative and administrative requirements imposed on the National Center for Health Statistics (NCHS) with respect to data confidentiality.

Morbidity and mortality statistical reporting come from, in part, coded medical data transmitted through electronic data interchange (EDI) from Health Information Management Systems (HIMS) to PHIS. These data have all been standardized under HIPAA. Explain what it means to use coded data in data collections from the HIMS and/or PHIS

Submission Details:

Write your response in a minimum of 300–400 words, providing relevant references. Apply APA standards to citation of sources. Respond to at least two students’ postings.

Determine how leadership impacts the organizational culture during this change

/in /by

As the change leader for Delta Pacific Company (DPC), you know certain elements need to be in place by leadership for a change to be successful. DPC wants to change the culture from the more traditional manufacturing environment to one of a contemporary consulting environment. Now it’s time for you to help the leaders execute a successful change:

Determine how leadership impacts the organizational culture during this change

Examine elements that are critical to making this change sustainable

Assess the top mistakes leaders make and determine the best way to avoid those mistakes

As the change leader, it is your responsibility to help ensure a successful change in the shift of DPC’s organizational culture. Part of this includes alerting leadership to how their own behavior impacts change and how change can be sustainable.

Conduct academic research and create a plan to present to the CEO and board in which you complete the following successful change management plan: 2 page minimum

Explanation of leadership behaviors that impact organizational change.

Description of critical factors that ensures this cultural shift will be sustainable.

Examination of the top mistakes leaders make during a change.

Explanation of your recommendations as to the best ways the leaders can avoid making those mistakes.

Remember that this is a proposal. Make sure to format your paper properly for your proposal. A proposal is a persuasive document, so make sure to use proper language and tone. Remember, you are the change leader, and you are writing to the CEO. So use a tone in your proposal that is specific to your audience (the CEO).

Include your APA-formatted reference page with at least two credible sources.

Evaluate different change management models.

/in /by

Analyze leadership and management roles in change management

Evaluate different change management models.

Examine various roles in change management.

Analyze methods for understanding and mapping change in an organization.

Critique strategies for removing barriers to change.

Examine leadership’s role in executing successful change.

Instructions

Delta Pacific Case Study

You serve as the change leader for Delta Pacific Company (DPC). Up until this point, the organizational culture has been one of a traditional culture as the company had a manufacturing environment.

DPC has undergone an extensive change from manufacturing to consulting, including new employee roles and responsibilities, training, and resources. However, there have been organizational barriers and employee resistances to the changes, resulting in a declining profitability.

You have decided to design a Change Leadership Strategy plan to present to the leaders of DPC to meet their goal of changing the culture from the more traditional manufacturing environment to one of a contemporary consulting environment. To complete your Leading Change Plan, please include the following: 3 page minimum

An APA-formatted title page.

Breakdown of the current issues that Delta Pacific are facing.

Analyzation of change leadership strategy to be implemented.

Classify what type of leader mindset is needed to create a new environment.

Compare and contrast advantages and disadvantages of two popular change models. Include at least three similarities and three differences. Choose the one that you feel best compliments your strategy .

Explain how the change model you decided to use will ensure the most effective and efficient process of changing an organizational culture.

Construct a leadership team.

Explain the importance of the leader’s position within each area of the change plan.

Include examples of what the leaders should expect during the change process.

Continue with your plan to explain at least two specific organizational barriers and at least two specific employee resistance behaviors that are most likely to occur during an organizational culture change.

Design strategies to combat those barriers and resistance behaviors.

Discuss the behaviors that DPC’s leaders need to exhibit to ensure a positive and successful cultural shift for the long-term.

Include the top mistakes leaders make during an organizational culture change and your recommendations to avoid those mistakes (module 6).

Please include an APA-formatted reference page to document the sources used for your research. Make sure that your sources are credible.

Assess how the new nurse leader position will have power and influence and impact patient outcomes

/in /by

Write a 4–6 page impact report to senior leadership that identifies a nursing-related challenge, analyzes how it affects the organization from a nursing perspective, and details the new position.

Each organization has a unique structure that impacts the behavior of the organization. In health care organizations, this impact is on the ability of the organization to deliver quality patient care. Nursing is an essential component of any health care organization, and nursing leaders must understand the role of nursing and nursing leadership within the total organization. Understanding basic organizational structure, mission, vision, philosophy, and values will better prepare nurse leaders to improve quality and patient outcomes.

Use the Suggested Resources for this assessment to study systems theory, SWOT analysis, and shared governance teams, as background for an Impact Report to Senior Leadership. The report includes a SWOT analysis. The SWOT Analysis Template is linked in attachment

Study a facility in your area (Central Florida) and examine its Web site and any available public documents to aid you in completing this assessment. You may wish to examine an organization where you work, where you have worked in the past, or where you did your clinical work.

Do not name the organization in your report; instead, identify the type of facility and location. Example: A rehabilitation center in a midsize Midwestern city.

Use the following scenario as the basis for your report:

Scenario

The unit-based Shared Governance Council of the organization where you work has identified a major nursing-related challenge (patient/staff safety, confidentiality, management/staff conflict, poor patient satisfaction survey scores, or nursing staff shortages) within your health care organization.

In an unusual move, your system administrator is considering creating a new nurse leadership position that would have the responsibility and authority to address this specific issue. As a member of the shared governance council’s subcommittee, you have been asked to write the committee’s final report.

Deliverable: Impact Report to Senior Leadership

Write a 4–6 page impact report to senior leadership that identifies the challenge, analyzes how it affects the organization from a nursing perspective, and details the new position.

Example paper of expectations attached to use as example. ******

Use systems thinking and leadership theory as tools to approach this problem.

**Construct the report with the following headings:**

The Nursing Challenge:

Identify the nursing challenge and its impact from a nursing perspective. Choose from:

Patient/staff safety, confidentiality, management/staff conflict, poor patient-satisfaction survey scores, or nursing staff shortages.

The System/Organization:

Explain how the nursing challenge creates a gap or conflict between the organization’s statements and practice.

Identify the organization type—that is, specialty hospital, teaching hospital, major health care system, et cetera, and summarize the organizational structure, its mission, vision, and philosophy statements.

Use systems theory and systems thinking to explain the gap or conflict.

SWOT Analysis:

Use the SWOT Analysis Template linked in Required Resources and include the SWOT analysis table in your paper. *Table is in attachment*

Identify organizational factors that impact the situation using a SWOT analysis.

For example, a budget cut may cause short staffing, which relates directly to the problem.

What factors within the system may facilitate a solution for this problem?

The Position:

Assess how the new nurse leader position will have power and influence and impact patient outcomes.

How will this position affect change within the organization?

Identify key leadership skills, knowledge, or abilities required for the position.

Additional Requirements

Written communication: Written communication should be free of errors that detract from the overall message.

APA formatting: Resources and in-text citations should be formatted according to current APA style and formatting.

Length: The report should be 4–6 pages in content length. Include a separate title page and a separate reference page.

Font and font size: Times New Roman, 12 point, double-spaced.

Number of resources: Use a minimum of three peer-reviewed resources.

Identify appropriate outcome measures and study designs applicable to epidemiological subfields such as infectious disease

/in /by

The purpose of this assignment is to
• Provide learners with the opportunity to integrate knowledge and skills learned throughout this course
• Directly apply principles and knowledge learned in the course to problem solving of population health problems in their own geographic areas.

Course Outcomes
This assignment enables the student to meet the following course outcomes:
1. Define key terms in epidemiology, community health, and population-based research.
2. Compare study designs used for obtaining population health information from surveillance, observation, community, and control trial based research.
3. Identify appropriate outcome measures and study designs applicable to epidemiological subfields such as infectious disease, chronic disease, environmental exposures, reproductive health, and genetics.
4. Apply commonly used measures of health risk.
5. Examine current ethical/legal issues in epidemiology.
6. Identify important sources of epidemiological data.
7. Evaluate a public health problem in terms of magnitude, person, time, and place.

For the final assignment, Milestone 3: Intervention and Evaluation, you will create a PowerPoint. This PowerPoint outlines your intervention and evaluation plan and could be presented to community leaders in hopes of gaining their support to carry out this intervention.3. Be sure to follow the guidelines carefully, and identify your role in this intervention, such as the school nurse, public health nurse, or other community nursing role.4. Begin by introducing the, and provide data that shows why this is concerning in your area. You can use some of the most important data from Milestone 2.Discuss your proposed nursing intervention, including all the points required on the guidelines. Be sure this is something a community health nurse would typically address. This section covers the who, what, how, and where of your intervention. You also need to discuss whether this is primary, secondary, or tertiary prevention.Next, justify why this intervention is important. Discuss information from two scholarly journal articlesthat support this rationale. Cite these references on the slide with author and date, and then include the complete reference on the reference slide.5. In the next section, discuss how you would evaluate this intervention to see if it worked. This section is worth 70 points, so don’t skimp here. Explain what you would measure to show that your intervention is working. Include how and when you would measure these items. Then discuss the short and long term impact of your intervention if it was successful.On a summary slide, review your problem and the intervention, and thank your audience for their support.Finally, include a reference slide with the full references of any sources you cited within the PowerPoint.Remember, PowerPoints should have short bullet phrases, not long sentence or paragraphs. You can add more detail in the speaker notes at the bottom of each slide if necessary, for clarification. Use an interesting colored template, and include graphics, such as clip art or pictures to add interest..

What differentiates the role of the community and public health nurse from other health professionals?

/in /by

This week, your Instructor assigned you a chapter in the course textbook that discussed the role of the public health nurse in a specific setting.Based on your assigned chapter and bearing in mind the primary prevention focus of the community/public health nurse, respond to the following:
•
• What differentiates the role of the community and public health nurse from other health professionals?
•
• What skills and knowledge are necessary for the type of decision making inherent in population-focused nursing practice?
•
• How do these skills differ from those required in the institutional setting?

Using Chapter 2 in the course textbook, your assigned reading on the role of the nurse in a specific public health setting, and this week’s media presentation, address the following in a 2- to 3-page paper:
Trace the history of the public health nurse including the contributions made by Lillian Wald and the Henry Street Settlement. Also, summarize the role of the nurse in the practice setting assigned. Include the following in your summary:
• Explain how the core functions of community/public health nursing and the standards of practice are met with that specific role.
•
• Describe the population served by the nurse in this role.
•
• Which interventions might the nurse in this role utilize?
•
• Explain the level of practice used in this practice setting (primary/secondary/tertiary).
•
• Describe an ethical dilemma that might be encountered in this nursing role.

What are some health problems or issues that you can think of that may affect the population that you are interested in?

/in /by

The Role of the Community and Public Health Nurse This week, your Instructor assigned you a chapter in the course textbook that discussed the role of the public health nurse in a specific setting. Based on your assigned chapter and bearing in mind the primary prevention focus of the community/public health nurse, respond to the following: What differentiates the role of the community and public health nurse from other health professionals? What skills and knowledge are necessary for the type of decision making inherent in population-focused nursing practice? How do these skills differ from those required in the institutional setting? Support your response with references from the professional nursing literature. Post your response to this Discussion byDay 3. Respond to at leasttwocolleagues’ postings byDay 7. See the Week 1 Discussion area for details. Application The History of Public Health and the Role of the Community/Public Health Nurse Using Chapter 2 in the course textbook, your assigned reading on the role of the nurse in a specific public health setting, and reviewing this week’s media presentation, address the following in a 2- to 3-page paper: Trace the history of the public health nurse including the contributions made by Lillian Wald and the Henry Street Settlement. Also, summarize the role of the nurse in the practice setting assigned. Include the following in your summary: Explain how the core functions of community/public health nursing and the standards of practice are met with that specific role. Describe the population served by the nurse in this role. Which interventions might the nurse in this role utilize? Explain the level of practice used in this practice setting (primary/secondary/tertiary). Describe an ethical dilemma that might be encountered in this nursing role. Use the Application Rubric in the Course Info area on the left navigation bar to develop this paper. Due byDay 7. Virtual Practicum Team Discussion Practicum Activities: Identify a Population Group Community health nursing needs to be not only on the individual, but also the family and the community. This activity is intended to teach you how the term community health is about identifying problems and managing interactions within the community. In meeting multiple needs, community health nurses are required to fulfill multiple roles. These roles include care provider, educator, advocate, manager, collaborator, leader and researcher. This week, your instructor has assigned you to choose a population group that you will write about for the next six weeks. Community health nursing settings include homes, ambulatory care settings, schools, occupational heath settings, residential institutions, and the community at large. Knowing about these settings may assist you in choosing your population group. Read more about populations in your textbook. Please address the following: Introduce yourself to your team members. Where do you work? Briefly describe the community where you live. For the purpose of the Population-Based Nursing Care Project, choose a population group that interests you. Describe what the members of your chosen group have in common? For example, do they share some important features in their lives? What are some health problems or issues that you can think of that may affect the population that you are interested in?. Post your response to this Discussion byDay 5. Respond to at leasttwocolleagues’ postings byDay 7. See the Week 6 Practicum Discussion area for details.

What is the CH Nurses role

/in /by

The purpose of this PowerPoint presentation is to provide an opportunity to develop a community health nursing intervention and evaluation tool for your identified community health problem (described in Milestone 2: Assessment and Diagnosis) and identify the components of the nursing process as it applies to a community or population.
Course Outcomes
Scenario
You are a Community/Public Health Nurse (C/PHN) working in your setting of choice. You have identified a community health problem and have analyzed the data collected from your windshield survey and assessment & diagnosis assignments (the first two milestones). You have decided on one nursing intervention and need your organization’s approval for funding of this intervention. Your leadership team has agreed to listen to your proposal.
Directions
• Choose a community health nurse setting. Some examples of settings are school nurse, parish nurse, home health nurse, nurse working in the health department (be specific to what area in the health department, e.g., WIC, STD clinic, health promotion, maternal-child health, etc.)
• Introduction: Introduce the identified problem, the purpose of the presentation, and reiterate at least one or two important findings that demonstrate this problem in your community (average of 1–2 slides)
• Proposed Intervention: Propose one community health nursing intervention that would address one or more of the major direct or indirect factors that contribute to the problem. Keep in mind the Public Health Intervention Wheel (Nies & McEwen, p. 14, figure 1-3) as your framework (average of 3-4 slides). Your intervention needs to be specific:
o Who is your target population?
o Where is this intervention taking place?
o Will it take place one time or multiple times?
o How will you reach out to your target population?
§ How will you get your target population involved?
o What is the CH Nurses role in this intervention?
o Will you collaborate with anyone (e.g., physician’s office, church, local resources, etc.?)
o Is anyone else involved besides yourself (C/PHN)?
§ If yes, are they paid or volunteers?
o What level(s) of prevention is your intervention addressing (primary, secondary and/or tertiary prevention)?
• Intervention Justification: Justify why the problem and your nursing interventions should be a priority.
o Based on what you have found in the literature, discuss why these interventions are expected to be effective. Include summarized information from at least two professional scholarly sources related to your interventions (average of 2-3 slides).
• Proposed Evaluation: Your presentation must include at least one proposed quantitative or qualitative evaluation method that you would use to determine whether your intervention is effective. It should include the method you would use along with desired outcomes. Outcome measurement is a crucial piece when implementing interventions. There is a helpful tool in Doc Sharing to assist you with understanding qualitative and quantitative methods of evaluation. (average of 2-3 slides)