Review how one of the following theorists have influenced: quality improvement, decisions on quality care, patient health, and safety goals:

1. Dorothea Orem,

2. Betty Neuman,

3. Madeleine Leininger,

4. Jean Watson, and

5. Patricia Benner.

Primary reference must be from peer-reviewed NURSING journals less than 5 y/o. One other reference may be from National professional, or governmental, or educational organizations. Supplemental  references (.org, .gov, and .edu) and the course textbook may be used as supplemental references:

George, J. (2011). Nursing theories: The base for professional practice (6thed.). Boston: Pearson.

The initial posting must have a different reference than the response to peer posting. See grading criteria and rubric for discussion postings. APA format required.

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uestion description Write a critique article of 7 pages in APA format with in-text citation. with 8 references and should not be older than Five years. The rubric and the article are attached below. ATTACHMENTS

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QUESTION DESCRIPTION

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.

1. 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.
2. 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.
3. 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.
4. 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.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

Rubric is Attached

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hi dear,

can help me to finish this assignment with good quality and be on time please?

Please follow the instructor carefully. There are 4 Discussions ,your response to classmates should be at least one paragraph for each Discussion, address the discussion topic or question, be respectful, and add to the discussion. You may draw upon personal experience, course or scholarly references, citing appropriately. Restating the primary response, or agreeing or disagreeing without supporting statements will result in a lower grade. 

In reference to including a paragraph for both primary and peer responses, 4-5 sentences constitute a paragraph.

Discussion one,

  ABX2-7 Smoking in the Workplace: The existing law prohibited smoking tobacco products in enclosed spaces, the new bill would expand that to prohibit smoking in the place of employment. Additionally, this bill no longer allowed for any exemptions for smoking, to include bars, hotels, and banquet halls. (Hernandez, 2016) On the Health Impact Pyramid, the implementation of smoke-free laws as the “changing the context to make individuals’ default decision healthy.” This approach has a large impact on the community and if individuals are not able to smoke in their place of work or other environments where smoking is usually increased, then perhaps the healthier decision will be made more often. ABX2-10 Local Taxes: Authorization: Cigarettes and Tobacco Products: This bill would allow for the imposition of additional taxes that are not already collected on the distribution of tobacco. (Bloom, 2016) In order for there to be additional tax bills passed it had to first be advocated. Advocacy is getting powerful legislators to influence change in policies. SBX2-5 Electronic Cigarettes: Tobacco products are changed to include electronic cigarettes and the vaporized liquids containing nicotine. SBX2-7 Tobacco products: minimum legal age: This bill increases the legal smoking age from age 18 to age 21. However, this does not apply to active duty military with military ID card. This bill was approved by the governor of California on 05/04/2016.ABX2-9 Tobacco Use Programs: This bill expands funding for tobacco prevention programs to promote the education and tobacco free campus’. ABX2-11 Cigarette and Tobacco product licensing: Fee and Funding: the current bill required any distributors, wholesales, retailers, and etc. to obtain a license from the board which previously required a one-time fee. The new bill states that the fee and application renewal would be required every calendar year after Jan 1, 2017.

Discussion 2,

  This first bill that took my interest is ABX2-7 Tobacco use programs (Thumand). The bill would expand funding for the tobacco use prevention program to include Charter School. The would require the State Department of Education to require that all school districts and county offices to adopt and enforce a tobacco-free campus prohibiting any use of the drug including nicotine. It also requires anyone participating to display signs at all entrances to school property stating, “Tobacco is prohibited.” The second bill that peaked by intrigue is the SBX2-7. Tobacco products: minimum legal age. This bill authorizes the State Department of Public health to conduct random onsite inspections of tobacco retailers to selling to any persons under the age of 21. However, there is an exception for any person who is active duty military, they are able to purchase tobacco products at the age of 18. It is great to see that we are going to great lengths to stop tobacco addiction, especially with our youth. I am just now learning that government buildings and schools are intentionally putting up tobacco-free signs because of funding offered through the state. As a tax payor, this is a great cause but I am surprised that this isn’t common knowledge.

Discussion 3,

  A coalition is a group of people who come together to reach a common goal.  Some goals that coalitions may focus on are having an impact in developing or changing public policy, helping individuals to change or stop a target behavior, and helping the community in becoming a healthier environment.  

The most essential members of a coalition are the stakeholders, community opinion leaders and policy makers. The stakeholders are the individuals who may be affected by whatever issue they coalition is focused on, as well as the people who are given jobs within the coalition itself. Community opinion leaders are those who are highly regarded within the community such as civic or business leaders. Policy makers are the state representatives that are actively involved in creating policies or laws within the community.The coalition I found is the Smoke Free Partnership (SFP) Coalition. The main goal of this coalition is the promotion and support of smoking prevention using advocacy development aimed at tobacco control policies (Aranudova). Currently there are 42 partners within this coalition including Action on Smoking and Health, FCA Framework Convention Alliance on Tobacco Control, and Life: Regional Advocacy Center.

Discussion 4,

  A coalition is individuals and/or organizations that group together due to shared similar interests and work together to complete a similar goal. Some coalitions form for short time periods, meaning they separate after completion of a specific goal. Three common goals that coalitions focus on are to influence public policies, change people’s behaviors, and build a healthier community. Three of the most essential coalition members include stakeholders, community opinion leaders, and policy makers. Stakeholders are those that are most effected by the issues, they are usually formal and informal helps that carry out community functions. Community Opinion Leaders are those members that can influence others, such as clergy or business leaders. Policy Leaders are state representatives and political leaders that add credibility to a coalition. (Rabinowitz, 2018) Kentucky Kids Eat is a coalition that is dedicated to end childhood hunger. Partnering with Share our Strength, Kentucky Association of Food Banks, and Kentucky Agriculture Development Board, the KY Kids Eat coalition ensured that kids are provided food through free school meals (breakfast and lunch) and summer meal programs.

Thanks,

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QUESTION DESCRIPTION

Cancer, Genetics, and Genomics

Discussion Questiion

Rachel comes from a family with a history of breast cancer on her mother’s side. Rachel’s mother died of breast cancer when she was very young. Rachel has two sisters, Lisa and Kristin. Rachel has remained close to Lisa, but she no longer has a relationship with Kristin. At a routine checkup, Rachel is told about the availability of genetic testing for identifying a predisposition to breast cancer. Her doctor recommends the test to Rachel given her family history. Rachel has the genetic testing done and finds that she has a mutated breast cancer 1, early onset (BRCA1) gene. Her doctor tells her she is at high risk for developing breast and ovarian cancer. Rachel’s doctor suggests she ask her sisters to be tested also, so they can take the proper preventative measures. Rachel feels comfortable sharing this information with Lisa, but she has not spoken to Kristin in many years. Rachel tells her doctor that she is not in contact with Kristin and will not make an effort to tell her about BRCA1 and genetic testing. Rachel’s doctor feels confident that she can locate Kristin but worries about breaching patient confidentiality if she goes against Rachel’s wishes.

If you were Rachel’s healthcare provider, what would you do? Provide a rationale for your response. Include the pathological processes associated with breast cancer. What role does the BRCA1 gene contribute to managing the patient’s care? Describe and explain the role of the BRCA1 and breast cancer 2, early onset (BRCA2) gene in contribution as a risk factor for breast cancer. Analyze the risk factors for breast cancer and possible interventions to preventive health management for women and men.

Needs to be in APA format

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