Please respond to this 
1.  Brief overview of community assessment data and priority need.

For my Community Health Assessment I chose my own community of Montevideo, MN. I am a registered nurse at our local county owned clinic and witness many health disparities that are among our community members. Montevideo has a population of 5,102 and is located within Chippewa County of Southwest Minnesota. According to the County Health Rankings and Roadmaps (2020) adult obesity rates are at 34%, premature deaths are 5,300, and physical inactivity rates are 27%. The priority need I want to focus on based on my Community Health Assessment is the need for education on diet and exercise for patients presenting with multiple health issues including obesity, hypertension, diabetes, and heart disease.

2.  Identify the target group and cultural considerations.

The target group for this community would be the patients with diagnosis of overweight or obesity. However, the target group can also be non-specific because all patients should be provided with the resources based around the effects of a healthy lifestyle. Cultural considerations play a huge role in the community as there is a wide variety of different ethnicities. According to the United States Census Bureau (2020) Whites make up 89.3%, African American 1.1%, American Indian 1.2%, Asian 2.0%, and Hispanic or Latino 9.5%. Each have their own views on what health means to them. Nurses need to take this into consideration when providing education. Another interesting fact that I learned while working with our Micronesian population located within Chippewa County, was that they view being overweight and obese as a sign of wealth. I found this out during a clinic appointment while visiting with a patient of this ethnicity. I personally found it challenging to provide the education on what being overweight does to their body on a pathophysiologic approach while also being respectful of their beliefs.

3. State the overall Goal for the health education intervention.

The overall goal for this health education intervention would be to see the community members of Montevideo be able to identify five specific health conditions that accompany obesity and five specific ways to reduce their risk for development by the end of the year. This goal will be measured by observing a decreasing trend of BMI and modifiable health conditions for this community.

4.  Brief description of the health education intervention.

The intervention will be based on direct patient education to ensure the information is being interpreted correctly and patients are able to meet the overall goal. Health promotion and disease prevention are key when working with patients that can make modifiable lifestyle changes to lower their BMI and prevent conditions such as hypertension, diabetes, and coronary artery disease for example. According to Nies and McEwen (2019) “Though people are responsible for their own health and medical care, they often seek advise from nurses in the community regarding health promotion and to help them make sense of the many, often competing recommendations that appear daily on TV, online, and in newspapers and magazines” (p.50).

5.  State three behavioral objectives for the intervention, including one of cognitive, psychomotor, and affective domains.

Cognitive – Patients will accurately interpret modifiable ways to improve their health and decrease body mass index while preventing further conditions from developing.

Psychomotor – Patients who worked through the goals and interventions by the end of the year will continue to exercise regularly and consume a nutritious diet that aides in their efforts of maintaining a healthy weight and lifestyle.

Affective – After completion of educational interventions made by the nurse, patients will give feedback on what they have learned and if they will pursue to continue the healthy changes they have made. If not, further discussion will be had on what worked for them and what did not in hope of finding a solution for them to continue healthy behaviors.

6. Describe two evaluation strategies. That is–give two specific examples of evaluation that would fit your intervention that are formative and summative  (total of two).

Formative – According to Carnegie Mellon University (2020) “The goal of formative assessment is to monitor student learning to provide ongoing feedback that can be used by instructors to improve their teaching and by students to improve their learning” (p.1). Patients participating in the education intervention will create a concept map identifying connections for risks and diseases associated with obesity. Also identifying interventions that they can take to prevent these from occurring.

Summative – According to Carnegie Mellon University (2020) “The goal of summative assessment is to evaluate student learning at the end of an instructional unit by comparing it against some standard or benchmark” (p.1). A final report project will be performed by participants on what they have learned, weight loss, and strategies to continue making healthy lifestyle changes to promote health and overall wellbeing. This will be evaluated by personally discussing one on one with patients and providing them with a survey on what they liked and disliked.

7.  State if the intervention is primary, secondary, or tertiary prevention.

The intervention would be a primary prevention strategy as it is focused on education towards preventing disease onset related to obesity, inactivity, and poor nutritional habits.

8.  How does the education plan you propose impact families in the community?

The education plan I proposed will impact families in the community by providing awareness of the effects obesity has on overall general health. Families might not have the health literacy to understand certain concepts and this is where nursing plays a key role for providing educational material easily accessible and understandable for all ages, languages, and literacy levels. This education plan would also hopefully lower costs to families with a member living with obesity primarily related to hypertension or diabetes. Medications needed to help manage these diseases can be expensive. Caring for patients through a holistic approach is so important and taking into consideration all aspects of their lives while empowering them to be the healthiest they can possibly be.

Question: Have you ever been a part of a focused group related to diet and exercise and helping reduce obesity in your community? If so, please describe the outcome and benefits you observed. 

References

Carnegie Mellon University. (2020). What is the difference between formative and summative assessment? Retrieved from https://www.cmu.edu/teaching/assessment/basics/formative-summative.html

County Health Rankings & Roadmaps. (2020). Retrieved from https://www.countyhealthrankings.org/app/minnesota/2020/rankings/chippewa/county/outcomes/overall/snapshot

Nies, M. A., & McEwen, M. (2019). Community/Public health nursing (7th ed.). Elsevier.

United States Census Bureau. (2020). QuickFacts: Montevideo, city minnesota. Retrieved from https://www.census.gov/quickfacts/montevideocityminnesota

Please respond to this 
1.  Brief overview of community assessment data and priority need.

For my Community Health Assessment I chose my own community of Montevideo, MN. I am a registered nurse at our local county owned clinic and witness many health disparities that are among our community members. Montevideo has a population of 5,102 and is located within Chippewa County of Southwest Minnesota. According to the County Health Rankings and Roadmaps (2020) adult obesity rates are at 34%, premature deaths are 5,300, and physical inactivity rates are 27%. The priority need I want to focus on based on my Community Health Assessment is the need for education on diet and exercise for patients presenting with multiple health issues including obesity, hypertension, diabetes, and heart disease.

2.  Identify the target group and cultural considerations.

The target group for this community would be the patients with diagnosis of overweight or obesity. However, the target group can also be non-specific because all patients should be provided with the resources based around the effects of a healthy lifestyle. Cultural considerations play a huge role in the community as there is a wide variety of different ethnicities. According to the United States Census Bureau (2020) Whites make up 89.3%, African American 1.1%, American Indian 1.2%, Asian 2.0%, and Hispanic or Latino 9.5%. Each have their own views on what health means to them. Nurses need to take this into consideration when providing education. Another interesting fact that I learned while working with our Micronesian population located within Chippewa County, was that they view being overweight and obese as a sign of wealth. I found this out during a clinic appointment while visiting with a patient of this ethnicity. I personally found it challenging to provide the education on what being overweight does to their body on a pathophysiologic approach while also being respectful of their beliefs.

3. State the overall Goal for the health education intervention.

The overall goal for this health education intervention would be to see the community members of Montevideo be able to identify five specific health conditions that accompany obesity and five specific ways to reduce their risk for development by the end of the year. This goal will be measured by observing a decreasing trend of BMI and modifiable health conditions for this community.

4.  Brief description of the health education intervention.

The intervention will be based on direct patient education to ensure the information is being interpreted correctly and patients are able to meet the overall goal. Health promotion and disease prevention are key when working with patients that can make modifiable lifestyle changes to lower their BMI and prevent conditions such as hypertension, diabetes, and coronary artery disease for example. According to Nies and McEwen (2019) “Though people are responsible for their own health and medical care, they often seek advise from nurses in the community regarding health promotion and to help them make sense of the many, often competing recommendations that appear daily on TV, online, and in newspapers and magazines” (p.50).

5.  State three behavioral objectives for the intervention, including one of cognitive, psychomotor, and affective domains.

Cognitive – Patients will accurately interpret modifiable ways to improve their health and decrease body mass index while preventing further conditions from developing.

Psychomotor – Patients who worked through the goals and interventions by the end of the year will continue to exercise regularly and consume a nutritious diet that aides in their efforts of maintaining a healthy weight and lifestyle.

Affective – After completion of educational interventions made by the nurse, patients will give feedback on what they have learned and if they will pursue to continue the healthy changes they have made. If not, further discussion will be had on what worked for them and what did not in hope of finding a solution for them to continue healthy behaviors.

6. Describe two evaluation strategies. That is–give two specific examples of evaluation that would fit your intervention that are formative and summative  (total of two).

Formative – According to Carnegie Mellon University (2020) “The goal of formative assessment is to monitor student learning to provide ongoing feedback that can be used by instructors to improve their teaching and by students to improve their learning” (p.1). Patients participating in the education intervention will create a concept map identifying connections for risks and diseases associated with obesity. Also identifying interventions that they can take to prevent these from occurring.

Summative – According to Carnegie Mellon University (2020) “The goal of summative assessment is to evaluate student learning at the end of an instructional unit by comparing it against some standard or benchmark” (p.1). A final report project will be performed by participants on what they have learned, weight loss, and strategies to continue making healthy lifestyle changes to promote health and overall wellbeing. This will be evaluated by personally discussing one on one with patients and providing them with a survey on what they liked and disliked.

7.  State if the intervention is primary, secondary, or tertiary prevention.

The intervention would be a primary prevention strategy as it is focused on education towards preventing disease onset related to obesity, inactivity, and poor nutritional habits.

8.  How does the education plan you propose impact families in the community?

The education plan I proposed will impact families in the community by providing awareness of the effects obesity has on overall general health. Families might not have the health literacy to understand certain concepts and this is where nursing plays a key role for providing educational material easily accessible and understandable for all ages, languages, and literacy levels. This education plan would also hopefully lower costs to families with a member living with obesity primarily related to hypertension or diabetes. Medications needed to help manage these diseases can be expensive. Caring for patients through a holistic approach is so important and taking into consideration all aspects of their lives while empowering them to be the healthiest they can possibly be.

Question: Have you ever been a part of a focused group related to diet and exercise and helping reduce obesity in your community? If so, please describe the outcome and benefits you observed. 

References

Carnegie Mellon University. (2020). What is the difference between formative and summative assessment? Retrieved from https://www.cmu.edu/teaching/assessment/basics/formative-summative.html

County Health Rankings & Roadmaps. (2020). Retrieved from https://www.countyhealthrankings.org/app/minnesota/2020/rankings/chippewa/county/outcomes/overall/snapshot

Nies, M. A., & McEwen, M. (2019). Community/Public health nursing (7th ed.). Elsevier.

United States Census Bureau. (2020). QuickFacts: Montevideo, city minnesota. Retrieved from https://www.census.gov/quickfacts/montevideocityminnesota

Please respond to this 
1.  Brief overview of community assessment data and priority need.

For my Community Health Assessment I chose my own community of Montevideo, MN. I am a registered nurse at our local county owned clinic and witness many health disparities that are among our community members. Montevideo has a population of 5,102 and is located within Chippewa County of Southwest Minnesota. According to the County Health Rankings and Roadmaps (2020) adult obesity rates are at 34%, premature deaths are 5,300, and physical inactivity rates are 27%. The priority need I want to focus on based on my Community Health Assessment is the need for education on diet and exercise for patients presenting with multiple health issues including obesity, hypertension, diabetes, and heart disease.

2.  Identify the target group and cultural considerations.

The target group for this community would be the patients with diagnosis of overweight or obesity. However, the target group can also be non-specific because all patients should be provided with the resources based around the effects of a healthy lifestyle. Cultural considerations play a huge role in the community as there is a wide variety of different ethnicities. According to the United States Census Bureau (2020) Whites make up 89.3%, African American 1.1%, American Indian 1.2%, Asian 2.0%, and Hispanic or Latino 9.5%. Each have their own views on what health means to them. Nurses need to take this into consideration when providing education. Another interesting fact that I learned while working with our Micronesian population located within Chippewa County, was that they view being overweight and obese as a sign of wealth. I found this out during a clinic appointment while visiting with a patient of this ethnicity. I personally found it challenging to provide the education on what being overweight does to their body on a pathophysiologic approach while also being respectful of their beliefs.

3. State the overall Goal for the health education intervention.

The overall goal for this health education intervention would be to see the community members of Montevideo be able to identify five specific health conditions that accompany obesity and five specific ways to reduce their risk for development by the end of the year. This goal will be measured by observing a decreasing trend of BMI and modifiable health conditions for this community.

4.  Brief description of the health education intervention.

The intervention will be based on direct patient education to ensure the information is being interpreted correctly and patients are able to meet the overall goal. Health promotion and disease prevention are key when working with patients that can make modifiable lifestyle changes to lower their BMI and prevent conditions such as hypertension, diabetes, and coronary artery disease for example. According to Nies and McEwen (2019) “Though people are responsible for their own health and medical care, they often seek advise from nurses in the community regarding health promotion and to help them make sense of the many, often competing recommendations that appear daily on TV, online, and in newspapers and magazines” (p.50).

5.  State three behavioral objectives for the intervention, including one of cognitive, psychomotor, and affective domains.

Cognitive – Patients will accurately interpret modifiable ways to improve their health and decrease body mass index while preventing further conditions from developing.

Psychomotor – Patients who worked through the goals and interventions by the end of the year will continue to exercise regularly and consume a nutritious diet that aides in their efforts of maintaining a healthy weight and lifestyle.

Affective – After completion of educational interventions made by the nurse, patients will give feedback on what they have learned and if they will pursue to continue the healthy changes they have made. If not, further discussion will be had on what worked for them and what did not in hope of finding a solution for them to continue healthy behaviors.

6. Describe two evaluation strategies. That is–give two specific examples of evaluation that would fit your intervention that are formative and summative  (total of two).

Formative – According to Carnegie Mellon University (2020) “The goal of formative assessment is to monitor student learning to provide ongoing feedback that can be used by instructors to improve their teaching and by students to improve their learning” (p.1). Patients participating in the education intervention will create a concept map identifying connections for risks and diseases associated with obesity. Also identifying interventions that they can take to prevent these from occurring.

Summative – According to Carnegie Mellon University (2020) “The goal of summative assessment is to evaluate student learning at the end of an instructional unit by comparing it against some standard or benchmark” (p.1). A final report project will be performed by participants on what they have learned, weight loss, and strategies to continue making healthy lifestyle changes to promote health and overall wellbeing. This will be evaluated by personally discussing one on one with patients and providing them with a survey on what they liked and disliked.

7.  State if the intervention is primary, secondary, or tertiary prevention.

The intervention would be a primary prevention strategy as it is focused on education towards preventing disease onset related to obesity, inactivity, and poor nutritional habits.

8.  How does the education plan you propose impact families in the community?

The education plan I proposed will impact families in the community by providing awareness of the effects obesity has on overall general health. Families might not have the health literacy to understand certain concepts and this is where nursing plays a key role for providing educational material easily accessible and understandable for all ages, languages, and literacy levels. This education plan would also hopefully lower costs to families with a member living with obesity primarily related to hypertension or diabetes. Medications needed to help manage these diseases can be expensive. Caring for patients through a holistic approach is so important and taking into consideration all aspects of their lives while empowering them to be the healthiest they can possibly be.

Question: Have you ever been a part of a focused group related to diet and exercise and helping reduce obesity in your community? If so, please describe the outcome and benefits you observed. 

References

Carnegie Mellon University. (2020). What is the difference between formative and summative assessment? Retrieved from https://www.cmu.edu/teaching/assessment/basics/formative-summative.html

County Health Rankings & Roadmaps. (2020). Retrieved from https://www.countyhealthrankings.org/app/minnesota/2020/rankings/chippewa/county/outcomes/overall/snapshot

Nies, M. A., & McEwen, M. (2019). Community/Public health nursing (7th ed.). Elsevier.

United States Census Bureau. (2020). QuickFacts: Montevideo, city minnesota. Retrieved from https://www.census.gov/quickfacts/montevideocityminnesota

ANA Position Statement Paper

Go to https://www.nursingworld.org/practice-policy/nursing-excellence/official-position-statements/ and read ANAs Ethics and Human Rights Position Statements for 2015 through 2018. Select one position statement of your own choosing, read the Full Position Statement, and write the following paper.

Write a minimum of 1000 words that address the following:

In your own words, provide a summary of the ANA Position Statement you chose.
Analyze a scenario where this Position Statement would apply in nursing practice. Include a description of the patient situation, involved individuals patient, family, nurse, and physician. You may select a scenario from current events, news stories, or an ethical case study that already exists. You may create a fictional scenario or use one that you know of personally.
Describe the ethical values in conflict.
Describe what you believe is the correct action and defend your decision based on ethical theories/systems and ethical principles.

Assignment Expectations

Write a 1000-1500 word essay addressing each of the points. Be sure to completely answer all the questions for each question. Support your ideas with at least three (3) citations in your essay. Make sure to reference the citations using the APA writing style for the essay. The cover page and reference page do not count towards the minimum word amount. Review the rubric criteria for this assignment.

Length: 1000 words

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 Word document (.doc or .docx).

APA Format: Support your ideas with at least three (3) citations in your essay. Make sure to reference the citations using the APA writing style for the essay. The cover page and reference page do not count towards the minimum word amount.

This scenario is as follows: The main Urgent Care Facility within Bright Road Health Care System has experienced a marked decrease in patient satisfaction. As a marketing consultant, you will evaluate patient survey results and meet a couple of staff members. The patient experience evaluation elements include clinical, process, and environmental components. Based on this information, you will recommend operational changes, if appropriate.

This graded activity is designed to familiarize you with concepts typically associated with strategic marketing to include, but necessarily limited to: marketing analytics and qualitative research.

To aid you in successfully completing this assignment, you might consider using scholarly and credible sources to lookup topics related to marketing analytics and qualitative research in marketing. Additionally, you may want to consider topics associated with achieving optimal return on investment (ROI); predictive marketing analytics; identifying, analyzing, and interpreting qualitative data via surveys, focus groups, interviews, and projective techniques; and coding, categorizing, and theming consumer opinions to drive and supporting marketing decisions. This is neither intended nor to be construed as an all inclusive listing of topics related to this assignment, but may serve as a good starting point for your review of the existing literature.

Your client wants you to critically evaluate the declining consumer satisfaction scores by analyzing the data and speaking with key staff members, and then formulate recommendations on how best to reverse these negative trends. More specifically, Bright Road would like you to address the following in your recommendations:

A service delivery gap analysis and how to create customer value at the urgent care facility.
The role of the frontline personnel and their role in high quality service.
Specific suggestions on how to improve the total patient experience at the urgent care facility.
While you are being retained as an external marketing consult to provide your expert opinion on how Bright Road can strengthen the patient satisfaction ratings in their Urgent Care Facility, they would like your recommendations with supporting rationale EMAILED to the Director of the Urgent Care Facility.

The initial posting should be prepared as a Microsoft Word document, and then attached to the unit discussion thread. There is no minimum or maximum in terms of the word count; however, the response should explicitly address all required components of this discussion assignment. The document should be prepared as a practical business deliverable (single-spaced) and reflect higher-level cognitive processing (analysis, synthesis, and evaluation). 

Support the initial posting with at least 3 references of credible or peer-reviewed sources. The in-text citations and the list of references should be consistent with the APA writing style (7th ed.). To earn the maximum number of points for the initial posting, the overall quality of the writing should be consistent with that expected of a graduate student and industry professional.

Answer the following questions about a patient’s spiritual needs in light of the Christian worldview.

  1.) In 200-250 words, respond to the following: Should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James, or would that mean a disrespect of a patient’s autonomy? Explain your rationale.
    2.)In 400-500 words, respond to the following: How ought the Christian think about sickness and health? How should a Christian think about medical intervention? What should Mike as a Christian do? How should he reason about trusting God and treating James in relation to what is truly honoring the principles of beneficence and nonmaleficence in James’s care?
  3.) In 200-250 words, respond to the following: How would a spiritual needs assessment help the physician assist Mike determine appropriate interventions for James and for his family or others involved in his care?

Remember to support your responses with references no older than 5 years. 

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines.