Category: Nursing

  • [Solved] creative writing

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    In this creative writing assignment, you will take on the role of an advocate and analyze how federal and state powers interact in addressing public, health, and environmental issues. Utilize the First Amendment, your state constitution, and any other documents needed. Select a topic from the list b…

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    Assignment Prompt & Instructions

    In this creative writing assignment, you will take on the role of an advocate and analyze how federal and state powers interact in addressing public, health, and environmental issues. Utilize the First Amendment, your state constitution, and any other documents needed. Select a topic from the list below and create a (one-page) visual representation—such as a brochure, a flyer, or infographic—that shows how your state’s government shares power with the federal government on your chosen topic.

    **Topics:**

    – COVID-19
    – Vaccine policies
    – Regulation of substances such as tobacco and cannabis
    – Human trafficking
    – Environment: The right to clean air and water
    – Regulation of Class IV drug policies: Legal (ex. opioids) v. illegal

    **Tips!** It is recommended that you use one of the following for your Creative Writing Assignment:

    – An MS Word document template for [flyersLinks to an external site.](https://create.microsoft.com/en-us/templates/flyers) or [brochuresLinks to an external site.](https://openstax.org/books/workplace-software-skills/pages/5-1-creating-different-document-types-in-microsoft-word)
    – A [PowerPoint slideLinks to an external site.](https://mychamberlain.sharepoint.com/sites/StudentResourceCenter/SitePages/Office365–PowerPoint.aspx)
    – if you choose to do a creative writing, you can use the template

    – [\
    \
    POLI330_Week2_Template_CreativeWritingAssignmet.docx](https://www.sweetstudy.com/files/poli330-week2-template-creativewritingassignmet-docx "POLI330_Week2_Template_CreativeWritingAssignmet.docx")

  • [Solved] Week 4

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    **Part 1: Assignment Preparation** Research best practices to identify an effective intervention for your selected problem. Your goal is to gather evidence from scholarly literature to support the most effective intervention strategy. The performance appraisal tools in this week’s learning activitie…

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    Assignment Prompt & Instructions

    **Part 1: Assignment Preparation**

    Research best practices to identify an effective intervention for your selected problem. Your goal is to gather evidence from scholarly literature to support the most effective intervention strategy.

    The performance appraisal tools in this week’s learning activities will help you determine appropriate scholarly sources of evidence to cite.

    **Locate** at least 3 original research articles that support your proposed solution to your selected problem.

    – The articles must be peer-reviewed, published within the past 5 years, and statistically significant.

    **Assignment Deliverable**

    To begin, **Write** a 350-word summary of each article in which you:

    – Identify current guidelines or best practices relating to your proposed solution, or if there are protocols, the current standard of care.
    – Define your proposed intervention(s) to address the problem.
    – Explain how the intervention will result in a solution to the problem.

    **Include** a reference page with an APA-formatted citation for each article.

    **Part 2: Assessment Preparation**

    Based on the literature review you completed in Part 1, **identify** the solution that you determined would be most effective in resolving the stated problem and **define** the intended outcomes of implementing the change (e.g., your improvement goal). For quality to improve, **a change** must occur. That change must be quantifiable. In other words, it must be measurable.

    **Create** an implementation plan in which you:

    – Explain how you will measure the change and how you will know when you have reached your      improvement goal.
    – Create a list of outcomes required to reach your outcomes goal. This will allow you to determine the actions needed and the priority of tasks that will result in the desired outcome.
    – Determine who will be responsible for each outcome (typically each is assigned to a team member who is motivated to see the successful implementation of the plan).

    **Determine** the actions needed to take place for each outcome to occur. Some questions to consider when determining what action needs to take place include:

    – Who do we need to talk to?
    – Departments
    – Stakeholders
    – What needs to be decided?
    – What resources are needed?
    – Budget
    – Personnel
    – Supplies and equipment
    – What milestones need to be set to know we’re on track?
    – When do we need to check on the progress of those milestones?

    **Develop** an overall time frame for the project.

    – What potential setbacks do we need to plan for?

    **Develop** a risk management plan.

    – Do any tasks need to be done before taking this action?

    **Establish** a budget, roles, and who will be responsible for what.

    **Determine** how you will monitor progress. This will provide you with the means of tracking actions as they are completed and will make you aware of actions that are late or off track.

    – Select an EBP model to guide the implementation of the plan.
    – Remember that without a measure, progress becomes a matter of opinion, and opinions can easily change over the course of an implementation timeline.

    **Create** an evaluation plan. Your evaluation plan will define the standard of measurement for progress and will include:

    – Measurable outcomes (both short-term and long-term formative assessments and summative assessments)
    – Data to be collected and how and when it is to be collected
    – Established evaluation points where data can be evaluated and adjustments made to the implementation plan as a result.

    **Assignment Deliverable**

    **Format** your assignment as a 1,050-word paper.

    **Include** a reference page with an APA-formatted citation for any supporting evidence.

  • [Solved] Week 2 discussion

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    Answer all questions/criteria with explanations and detail. 1. Select a condition covered in this course that interests you or is relevant to your nursing practice. Identify the condition you’ve selected. (Grave’s disease) 2. Briefly explain your rationale for selecting this particular condition. Wh…

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    Assignment Prompt & Instructions

    Answer all questions/criteria with explanations and detail.

    1. Select a condition covered in this course that interests you or is relevant to your nursing practice. Identify the condition you’ve selected. (Grave’s disease)
    2. Briefly explain your rationale for selecting this particular condition. What influenced your selection?
    3. Investigate the prevalence and incidence of the chosen condition in the United States (U.S.). What are the incidence, prevalence, and affected populations?
    4. Find and summarize a scholarly article that discusses your selected condition. What does the article say about your condition and its pathophysiology and manifestations? How is the article relevant to your understanding of the condition?

  • [Solved] Assignment question

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    In-depth study guidance and analytical solution covering Assignment question.

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    Full assignment prompt and step-by-step guidance are included in the downloadable solution file.

  • [Solved] evidence based practice

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    I need help deciding on my evidence-based practice change I'll be implementing

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    I need help deciding on my evidence-based practice change I'll be implementing

  • [Solved] evidence-based practice change recommendations

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    I need help implementing a project proposal and formulating evidence-based practice change recommendations.

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    Assignment Prompt & Instructions

    I need help implementing a project proposal and formulating evidence-based practice change recommendations.

  • [Solved] Evidence-based Practice Change Recommendation

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    I need help with formulating an evidence-based practice change recommendation.

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    Assignment Prompt & Instructions

    I need help with formulating an evidence-based practice change recommendation.

  • [Solved] Assigment .Apa seven . All instructions attached.

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    **files (1)** – ## PreliminaryReferenceListSubmission.docx **## PreliminaryReferenceListSubmission.docx** **Preliminary Reference List Submission – Theorist Paper (Optional Opportunity)** **Merle Mishel’s Uncertainty in Illness Theory** As you continue developing your Theorist Paper, this is your op…

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    **files (1)**

    – ## PreliminaryReferenceListSubmission.docx

    **## PreliminaryReferenceListSubmission.docx**

    **Preliminary Reference List Submission – Theorist Paper (Optional Opportunity)** **Merle Mishel’s Uncertainty in Illness Theory**

    As you continue developing your Theorist Paper, this is your opportunity to submit your preliminary reference list for early review. This step is strongly recommended because it allows you to receive individualized feedback on the quality, relevance, and scholarly strength of your sources without any grade attached.

    Submitting your references at this stage is
    **not mandatory**, but it is an excellent way to ensure you are building a solid evidence base before moving forward with your full paper.

    **✨ What This Opportunity Provides**

    · Guidance on whether your selected sources are
    **credible, scholarly, and appropriate** for graduatelevel work

    · Early identification of any APA 7 formatting issues

    · Feedback on alignment between your chosen theorist, your topic, and the supporting literature

    · A chance to strengthen your foundation before the formal submission

    **📌 What to Submit**

    · A preliminary list of the references you plan to use

    · APA 7 formatting

    · No annotations: just the reference list

    **🌟 Why You Should Consider Submitting**

    This is a lowstakes, highbenefit opportunity designed to support your success. Early feedback can help you refine your direction, avoid common pitfalls, and ensure your final paper is grounded in strong, appropriate evidence.

    If you choose to participate, please upload your preliminary reference list by the due date listed.

    **## PreliminaryReferenceListSubmission.docx**

    **Preliminary Reference List Submission – Theorist Paper (Optional Opportunity)** **Merle Mishel’s Uncertainty in Illness Theory**

    As you continue developing your Theorist Paper, this is your opportunity to submit your preliminary reference list for early review. This step is strongly recommended because it allows you to receive individualized feedback on the quality, relevance, and scholarly strength of your sources without any grade attached.

    Submitting your references at this stage is
    **not mandatory**, but it is an excellent way to ensure you are building a solid evidence base before moving forward with your full paper.

    **✨ What This Opportunity Provides**

    · Guidance on whether your selected sources are
    **credible, scholarly, and appropriate** for graduatelevel work

    · Early identification of any APA 7 formatting issues

    · Feedback on alignment between your chosen theorist, your topic, and the supporting literature

    · A chance to strengthen your foundation before the formal submission

    **📌 What to Submit**

    · A preliminary list of the references you plan to use

    · APA 7 formatting

    · No annotations: just the reference list

    **🌟 Why You Should Consider Submitting**

    This is a lowstakes, highbenefit opportunity designed to support your success. Early feedback can help you refine your direction, avoid common pitfalls, and ensure your final paper is grounded in strong, appropriate evidence.

    If you choose to participate, please upload your preliminary reference list by the due date listed.

  • [Solved] Wk 8 pp

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    a 5- to 10-slide PowerPoint presentation, address the following. Your title and references slides do not count toward the 5- to 10-slide limit. – Provide an overview of the article you selected. – What population (individual, group, or family) is under consideration? – What was the specific interven…

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    Assignment Prompt & Instructions

    a 5- to 10-slide PowerPoint presentation, address the following. Your title and references slides do not count toward the 5- to 10-slide limit.

    – Provide an overview of the article you selected.
    – What population (individual, group, or family) is under consideration?
    – What was the specific intervention that was used? Is this a new intervention or one that was already studied?
    – What were the author’s claims?
    – Explain the findings/outcomes of the study in the article. Include whether this will translate into practice with your own clients. If so, how? If not, why?
    – Explain whether the limitations of the study might impact your ability to use the findings/outcomes presented in the article.
    – Use the Notes function of PowerPoint to craft presenter notes to expand upon the content of your slides.
    – Support your response with at least three other peer-reviewed, evidence-based sources. Explain why each of your supporting sources is considered scholarly. Provide references to your sources on your last slide. Be sure to include the article you used as the basis for this Assignment.

  • [Solved] WEEK 8 FINISH QUICKLY

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    Please complete within the next 20 hours. Follow EVERY instruction and every part of the rubric. BE TIMELY!! **files (1)** – ## WEEK8DISCUSSION.docx **## WEEK8DISCUSSION.docx** INSTRUCTIONS: Review the Learning Resources associated with the topics: Health Literacy, Health Information Technology (HIT…

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    Assignment Prompt & Instructions

    Please complete within the next 20 hours. Follow EVERY instruction and every part of the rubric. BE TIMELY!!

    **files (1)**

    – ## WEEK8DISCUSSION.docx

    **## WEEK8DISCUSSION.docx**

    INSTRUCTIONS:

    Review the Learning Resources associated with the topics: Health Literacy, Health Information Technology (HIT) on Patient Outcomes, and Health Economics.

    Consider the role of each of these topics in influencing how healthcare is delivered and practiced in your healthcare organization or nursing practice.

    **Post** a cohesive response that addresses the following:

    · What strategies do you recommend for addressing barriers and challenges associated with social determinants of health in nursing practice? How can nurses effectively use information technologies to support the delivery of equitable care to all patients?

    · Read a selection of your colleagues’ blog posts and respond to at least two of your colleagues on two different days by expanding upon their responses or sharing additional or alternative perspectives.

    REQUIRED RESOURCES:

    · American Nurses Association. (2022).
    [_Nursing informatics: Scope and standards of practice_ Links to an external site.](https://access.ovid.com/custom/redirector/index.html?dest=https://go.openathens.net/redirector/waldenu.edu?url=http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=booktext&D=books4&AN=02233715/3rd_Edition/3&XPATH=/OVIDBOOK%5b1%5d/METADATA%5b1%5d/TBY%5b1%5d/AUTHORS%5b1%5d) (3rd ed.).

    · “Standard 5: Implementation” (pp. 85–87)

    · “Standard 5a: Coordination of Activities” (pp. 85–88)

    · “Standard 6: Evaluation” (pp. 89–90)

    · “Standard 9: Communication” (pp. 94–96)

    · “Standard 11: Leadership” (pp. 97–98)

    · “Standard 16: Resource Utilization” (pp. 103–105)

    · Bakken, S., & Dreisbach, C. (2022).
    [Informatics and data science perspective on Future of Nursing 2020–2030: Charting a pathway to health equity\
    Links to an external site.](https://go.openathens.net/redirector/waldenu.edu?url=https%3A%2F%2Fwww.sciencedirect.com%2Fscience%2Farticle%2Fpii%2FS002965542200063X). Nursing Outlook, 70, S77–S87. https://doi.org/10.1016/j.outlook.2022.04.004

    · Cummins, M., Kennedy, R., McBride, S. & Carrington, J. (2021).
    [Policy priorities in nursing informatics: The American Academy of Nursing Informatics and Technology Expert Panel in 2020\
    Links to an external site.](https://access.ovid.com/custom/redirector/index.html?dest=https://go.openathens.net/redirector/waldenu.edu?url=http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00024665-202103000-00002&D=ovft). CIN: Computers, Informatics, Nursing, 39(3), 120–122. https://doi.org/10.1097/CIN.0000000000000731

    · Johnson, C. B. (2024).
    [Nurse informaticists’ role in promoting health equity\
    Links to an external site.](https://access.ovid.com/custom/redirector/index.html?dest=https://go.openathens.net/redirector/waldenu.edu?url=http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00152193-202405000-00012&D=ovft). Nursing, 54(5), 38–44. https://doi.org/10.1097/01.NURSE.0001007640.39208.74

    RUBRIC:

    **NURS_8210_Week8_Blog_Rubric**

    | | | |
    | — | — | — |
    | NURS_8210_Week8_Blog_Rubric |
    | **Criteria** | **Ratings** | **Pts** |
    | This criterion is linked to a Learning OutcomeMain Posting: Idea and Content (40 points) | **40 to >29.0 ptsExcellent**• Thoroughly responds to the blog prompt/s. • Post provides comprehensive insight, understanding, or reflection about the topic through a focused analysis of the topic supported by personal experiences and/or examples. • Personal opinions are expressed and are clearly related to the topic, activity or process identified in blog prompts. • The post reflects in-depth engagement with the topic. • Detailed reply to faculty.<br> <br>**29 to >19.0 ptsGood**• Responds to all of the blog prompt/s. • Post provides insight, understanding, or reflection about the topic through a reasonably focused analysis of the topic supported by personal experiences and/or examples. • Personal opinions are expressed and are but not fully developed to align with blog prompts. • The post reflects moderate engagement with the topic. • Appropriate reply to faculty.<br> <br>**19 to >9.0 ptsFair**• Partially responds to the blog prompt/s. • Posts are typically short and may contain some irrelevant material. • The post is mostly description or summary without connections or analysis between ideas. • The post reflects minimal engagement with the topic. • Brief response to faculty with minimal effort.<br> <br>**9 to >0 ptsPoor**• Does not respond to the blog prompt/s or entries lack insight, depth or are superficial. • The entries are short and are frequently irrelevant to the events. • They do not express opinion clearly and show little understanding. • The post does not reflect engagement with the topic. • Fails to respond to faculty inquiries. | 40 pts |
    | This criterion is linked to a Learning OutcomeFirst Response: (30 points) Post to classmate’s main blog post shows evidence of insight, understanding, or reflective thought about the topic. | **30 to >21.0 ptsExcellent**• Presents a focused and cohesive viewpoint in addressing this response. • Response includes focused questions or examples related to classmate’s post. • Response stimulates dialogue and commentary. • Posts on separate day.<br> <br>**21 to >12.0 ptsGood**• Presents a specific viewpoint that is focused and cohesive. • Response includes at least one focused question or example related to classmate’s post. • There is some attempt to stimulate dialogue and commentary. • Posts on separate day.<br> <br>**12 to >4.0 ptsFair**• Presents a specific viewpoint but lacks supporting examples or focused questions related to classmate’s post. • The posting is brief and reflects minimal effort to connect with classmate. • Posts on separate day.<br> <br>**4 to >0 ptsPoor**• Response lacks a specific viewpoint and supporting examples or focused questions related to classmate’s post. • The post does not stimulate dialogue or connect with the classmate. • Posts on same day. | 30 pts |
    | This criterion is linked to a Learning OutcomeSecond Response: (30 points) Post to second classmate’s blog post shows evidence of insight, understanding, or reflective thought about the topic. | **30 to >21.0 ptsExcellent**• Presents a focused and cohesive viewpoint in addressing this response. • Response includes focused questions or examples related to classmate’s post. • Response stimulates dialogue and commentary. • Posts on separate day.<br> <br>**21 to >12.0 ptsGood**• Presents a specific viewpoint that is focused and cohesive. • Response includes at least one focused question or example related to classmate’s post. • There is some attempt to stimulate dialogue and commentary. • Posts on separate day.<br> <br>**12 to >4.0 ptsFair**• Presents a specific viewpoint but lacks supporting examples or focused questions related to classmate’s post. • The posting is brief and reflects minimal effort to connect with classmate. • Posts on separate day.<br> <br>**4 to >0 ptsPoor**• Response lacks a specific viewpoint and supporting examples or focused questions related to classmate’s post. • The does not stimulate dialogue or connect with the classmate. • Posts on same day. | 30 pts |

    Total Points: 100

    POST 1:

    In my practice, which is a med spa, social determinants of health show up in different ways than in a hospital setting, but they still matter. I see barriers related to health literacy, language differences, financial limitations, and sometimes unrealistic expectations influenced by social media. While our services are often considered elective, patients’ access to safe, evidence-based aesthetic care is still influenced by education level, income, and digital access.

    One strategy I recommend is improving health literacy through clear, patient-centered education. Many clients do not fully understand risks, contraindications, or realistic outcomes. Using plain language, visual aids, and teach-back methods helps ensure informed consent and safer outcomes. This aligns with ANA (2022) Standard 9 (Communication), which emphasizes clear and effective information exchange.

    Another important strategy is structured assessment and documentation. Even in a med spa, screening for medical history, medications, and potential social barriers (such as ability to follow post-procedure care) is essential. Embedding structured templates into the electronic health record supports Standard 5 (Implementation) and Standard 6 (Evaluation) by promoting consistent, evidence-based care (ANA, 2022).

    Health information technology can also support equity in aesthetic practice. For example, using EHR prompts helps ensure consistent safety screening across all patients. Secure patient portals and automated follow-up systems improve communication and post-procedure monitoring. However, we also have to recognize digital inequities. Not all patients are comfortable with technology, so offering alternative communication methods is important. Resource utilization (ANA, 2022, Standard 16) reminds us to use technology appropriately and responsibly.

    From a broader perspective, Bakken and Dreisbach (2022) emphasize that informatics and data science play a key role in advancing health equity. Even in a med spa, tracking outcomes, complications, and satisfaction data by demographic factors can help identify patterns and prevent disparities. Johnson (2024) also highlights the role of nurse informaticists in designing systems that support equitable care. While my setting is not acute care, the principle is the same — data should guide improvements and ensure safe, inclusive practice.

    Overall, in a med spa setting, addressing social determinants of health means prioritizing patient education, using structured technology safely, maintaining ethical standards, and ensuring inclusive, culturally sensitive care. Nurses still play a leadership role in promoting safety, transparency, and equitable treatment, even in aesthetic practice.

    #### References

    American Nurses Association. (2022). Nursing informatics: Scope and standards of practice (3rd ed.).

    Bakken, S., & Dreisbach, C. (2022). Informatics and data science perspective on Future of Nursing 2020–2030: Charting a pathway to health equity. Nursing Outlook, 70, S77–S87.
    [https://doi.org/10.1016/j.outlook.2022.04.004\
    Links to an external site.](https://doi.org/10.1016/j.outlook.2022.04.004)

    Johnson, C. B. (2024). Nurse informaticists’ role in promoting health equity. Nursing, 54(5), 38–44.
    [https://doi.org/10.1097/01.NURSE.0001007640.39208.74\
    Links to an external site.](https://doi.org/10.1097/01.NURSE.0001007640.39208.74)

    POST 2:

    Main Blog : Social Determinants, Telehealth, and Mental Health Care

           Health literacy, social determinants of health, and health information technology (HIT) are closely interconnected and significantly influence patient outcomes in psychiatric mental health practice. As a psychiatric mental health nurse practitioner (PMHNP), I frequently care for patients whose ability to engage in treatment is affected by factors beyond their psychiatric diagnosis. Transportation difficulties, financial hardship, unstable housing, limited digital access, and low health literacy often interfere with appointment attendance, medication adherence, and long term treatment success. Social determinants of health continue to shape access to behavioral healthcare and contribute to disparities in mental health outcomes (Belanger & Winsberg, 2023). Recognizing these barriers encourages nurses to develop individualized care plans that support both clinical needs and everyday challenges while building trusting therapeutic relationships.

           One effective strategy for reducing the impact of social determinants of health is to incorporate routine screening for social needs during every psychiatric assessment. In my practice, I assess patients for concerns related to transportation, food insecurity, financial stress, internet access, and available social support because these issues frequently affect treatment adherence. Identifying barriers early allows referrals to community resources, case management services, and financial assistance programs before psychiatric symptoms worsen. Nurses are well positioned to coordinate care and advocate for interventions that improve access to essential services (Johnson, 2024). This comprehensive approach strengthens continuity of care while helping patients remain actively engaged in treatment.

           Telehealth has become an important resource for expanding access to psychiatric care, particularly for individuals who experience transportation challenges, anxiety, physical limitations, or demanding work schedules. I have found that many patients feel more comfortable participating in therapy and medication management appointments from their home environment, allowing for greater consistency with follow up care. Successful telehealth delivery depends on patients having reliable technology, internet connectivity, and the confidence to use digital platforms effectively. Digital literacy and ease of technology use remain important factors that influence participation in telemental health services (Khansa Fatihah Muhammad & Anhari Achadi, 2024). Providing education, technical support, and flexible appointment options helps patients overcome barriers while improving engagement in mental health treatment.

           Nurses also play an essential role in using health information technology to advance health equity and improve patient outcomes. Electronic health records, patient portals, and clinical decision support systems help identify care gaps, monitor treatment progress, and recognize patients who may require additional support because of social determinants of health. Informatics also allows healthcare organizations to analyze population level data and develop targeted interventions that reduce disparities across vulnerable populations. Nursing informatics supports the integration of social determinant data into clinical decision making to promote equitable care delivery (Bakken & Dreisbach, 2022). As technology continues to evolve, I believe PMHNPs have an important responsibility to ensure that digital innovations remain patient centered, accessible, and responsive to the diverse needs of the individuals and communities we serve.

    References

    Bakken, S., & Dreisbach, C. (2022).
    _Informatics and data science perspective on Future of Nursing 2020–2030: Charting a pathway to health equity_.
    _Nursing Outlook, 70_(Suppl. 1), S77–S87.
    [https://doi.org/10.1016/j.outlook.2022.04.004\
    Links to an external site.](https://doi.org/10.1016/j.outlook.2022.04.004)

    Belanger, H. G., & Winsberg, M. (2023).
    _Exploring social determinants of health: Comparing lower and higher income individuals participating in telepsychiatric care for depression_.
    _Frontiers in Psychiatry, 13_.
    [https://doi.org/10.3389/fpsyt.2022.1026361\
    Links to an external site.](https://doi.org/10.3389/fpsyt.2022.1026361)

    Johnson, C. B. (2024).
    _Nurse informaticists' role in promoting health equity_.
    _Nursing, 54_(5), 38–44.
    [https://doi.org/10.1097/01.NURSE.0001007640.39208.74\
    Links to an external site.](https://doi.org/10.1097/01.NURSE.0001007640.39208.74)

    Khansa Fatihah Muhammad, & Anhari Achadi. (2024).
    _Factors influencing telehealth utilization in mental health services: Systematic literature review_.
    _Journal of Community Mental Health and Public Policy, 7_(1), 26–37.
    [https://doi.org/10.51602/cmhp.v7i1.168\
    Links to an external site.](https://doi.org/10.51602/cmhp.v7i1.168)

    **## WEEK8DISCUSSION.docx**

    INSTRUCTIONS:

    Review the Learning Resources associated with the topics: Health Literacy, Health Information Technology (HIT) on Patient Outcomes, and Health Economics.

    Consider the role of each of these topics in influencing how healthcare is delivered and practiced in your healthcare organization or nursing practice.

    **Post** a cohesive response that addresses the following:

    · What strategies do you recommend for addressing barriers and challenges associated with social determinants of health in nursing practice? How can nurses effectively use information technologies to support the delivery of equitable care to all patients?

    · Read a selection of your colleagues’ blog posts and respond to at least two of your colleagues on two different days by expanding upon their responses or sharing additional or alternative perspectives.

    REQUIRED RESOURCES:

    · American Nurses Association. (2022).
    [_Nursing informatics: Scope and standards of practice_ Links to an external site.](https://access.ovid.com/custom/redirector/index.html?dest=https://go.openathens.net/redirector/waldenu.edu?url=http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=booktext&D=books4&AN=02233715/3rd_Edition/3&XPATH=/OVIDBOOK%5b1%5d/METADATA%5b1%5d/TBY%5b1%5d/AUTHORS%5b1%5d) (3rd ed.).

    · “Standard 5: Implementation” (pp. 85–87)

    · “Standard 5a: Coordination of Activities” (pp. 85–88)

    · “Standard 6: Evaluation” (pp. 89–90)

    · “Standard 9: Communication” (pp. 94–96)

    · “Standard 11: Leadership” (pp. 97–98)

    · “Standard 16: Resource Utilization” (pp. 103–105)

    · Bakken, S., & Dreisbach, C. (2022).
    [Informatics and data science perspective on Future of Nursing 2020–2030: Charting a pathway to health equity\
    Links to an external site.](https://go.openathens.net/redirector/waldenu.edu?url=https%3A%2F%2Fwww.sciencedirect.com%2Fscience%2Farticle%2Fpii%2FS002965542200063X). Nursing Outlook, 70, S77–S87. https://doi.org/10.1016/j.outlook.2022.04.004

    · Cummins, M., Kennedy, R., McBride, S. & Carrington, J. (2021).
    [Policy priorities in nursing informatics: The American Academy of Nursing Informatics and Technology Expert Panel in 2020\
    Links to an external site.](https://access.ovid.com/custom/redirector/index.html?dest=https://go.openathens.net/redirector/waldenu.edu?url=http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00024665-202103000-00002&D=ovft). CIN: Computers, Informatics, Nursing, 39(3), 120–122. https://doi.org/10.1097/CIN.0000000000000731

    · Johnson, C. B. (2024).
    [Nurse informaticists’ role in promoting health equity\
    Links to an external site.](https://access.ovid.com/custom/redirector/index.html?dest=https://go.openathens.net/redirector/waldenu.edu?url=http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00152193-202405000-00012&D=ovft). Nursing, 54(5), 38–44. https://doi.org/10.1097/01.NURSE.0001007640.39208.74

    RUBRIC:

    **NURS_8210_Week8_Blog_Rubric**

    | | | |
    | — | — | — |
    | NURS_8210_Week8_Blog_Rubric |
    | **Criteria** | **Ratings** | **Pts** |
    | This criterion is linked to a Learning OutcomeMain Posting: Idea and Content (40 points) | **40 to >29.0 ptsExcellent**• Thoroughly responds to the blog prompt/s. • Post provides comprehensive insight, understanding, or reflection about the topic through a focused analysis of the topic supported by personal experiences and/or examples. • Personal opinions are expressed and are clearly related to the topic, activity or process identified in blog prompts. • The post reflects in-depth engagement with the topic. • Detailed reply to faculty.<br> <br>**29 to >19.0 ptsGood**• Responds to all of the blog prompt/s. • Post provides insight, understanding, or reflection about the topic through a reasonably focused analysis of the topic supported by personal experiences and/or examples. • Personal opinions are expressed and are but not fully developed to align with blog prompts. • The post reflects moderate engagement with the topic. • Appropriate reply to faculty.<br> <br>**19 to >9.0 ptsFair**• Partially responds to the blog prompt/s. • Posts are typically short and may contain some irrelevant material. • The post is mostly description or summary without connections or analysis between ideas. • The post reflects minimal engagement with the topic. • Brief response to faculty with minimal effort.<br> <br>**9 to >0 ptsPoor**• Does not respond to the blog prompt/s or entries lack insight, depth or are superficial. • The entries are short and are frequently irrelevant to the events. • They do not express opinion clearly and show little understanding. • The post does not reflect engagement with the topic. • Fails to respond to faculty inquiries. | 40 pts |
    | This criterion is linked to a Learning OutcomeFirst Response: (30 points) Post to classmate’s main blog post shows evidence of insight, understanding, or reflective thought about the topic. | **30 to >21.0 ptsExcellent**• Presents a focused and cohesive viewpoint in addressing this response. • Response includes focused questions or examples related to classmate’s post. • Response stimulates dialogue and commentary. • Posts on separate day.<br> <br>**21 to >12.0 ptsGood**• Presents a specific viewpoint that is focused and cohesive. • Response includes at least one focused question or example related to classmate’s post. • There is some attempt to stimulate dialogue and commentary. • Posts on separate day.<br> <br>**12 to >4.0 ptsFair**• Presents a specific viewpoint but lacks supporting examples or focused questions related to classmate’s post. • The posting is brief and reflects minimal effort to connect with classmate. • Posts on separate day.<br> <br>**4 to >0 ptsPoor**• Response lacks a specific viewpoint and supporting examples or focused questions related to classmate’s post. • The post does not stimulate dialogue or connect with the classmate. • Posts on same day. | 30 pts |
    | This criterion is linked to a Learning OutcomeSecond Response: (30 points) Post to second classmate’s blog post shows evidence of insight, understanding, or reflective thought about the topic. | **30 to >21.0 ptsExcellent**• Presents a focused and cohesive viewpoint in addressing this response. • Response includes focused questions or examples related to classmate’s post. • Response stimulates dialogue and commentary. • Posts on separate day.<br> <br>**21 to >12.0 ptsGood**• Presents a specific viewpoint that is focused and cohesive. • Response includes at least one focused question or example related to classmate’s post. • There is some attempt to stimulate dialogue and commentary. • Posts on separate day.<br> <br>**12 to >4.0 ptsFair**• Presents a specific viewpoint but lacks supporting examples or focused questions related to classmate’s post. • The posting is brief and reflects minimal effort to connect with classmate. • Posts on separate day.<br> <br>**4 to >0 ptsPoor**• Response lacks a specific viewpoint and supporting examples or focused questions related to classmate’s post. • The does not stimulate dialogue or connect with the classmate. • Posts on same day. | 30 pts |

    Total Points: 100

    POST 1:

    In my practice, which is a med spa, social determinants of health show up in different ways than in a hospital setting, but they still matter. I see barriers related to health literacy, language differences, financial limitations, and sometimes unrealistic expectations influenced by social media. While our services are often considered elective, patients’ access to safe, evidence-based aesthetic care is still influenced by education level, income, and digital access.

    One strategy I recommend is improving health literacy through clear, patient-centered education. Many clients do not fully understand risks, contraindications, or realistic outcomes. Using plain language, visual aids, and teach-back methods helps ensure informed consent and safer outcomes. This aligns with ANA (2022) Standard 9 (Communication), which emphasizes clear and effective information exchange.

    Another important strategy is structured assessment and documentation. Even in a med spa, screening for medical history, medications, and potential social barriers (such as ability to follow post-procedure care) is essential. Embedding structured templates into the electronic health record supports Standard 5 (Implementation) and Standard 6 (Evaluation) by promoting consistent, evidence-based care (ANA, 2022).

    Health information technology can also support equity in aesthetic practice. For example, using EHR prompts helps ensure consistent safety screening across all patients. Secure patient portals and automated follow-up systems improve communication and post-procedure monitoring. However, we also have to recognize digital inequities. Not all patients are comfortable with technology, so offering alternative communication methods is important. Resource utilization (ANA, 2022, Standard 16) reminds us to use technology appropriately and responsibly.

    From a broader perspective, Bakken and Dreisbach (2022) emphasize that informatics and data science play a key role in advancing health equity. Even in a med spa, tracking outcomes, complications, and satisfaction data by demographic factors can help identify patterns and prevent disparities. Johnson (2024) also highlights the role of nurse informaticists in designing systems that support equitable care. While my setting is not acute care, the principle is the same — data should guide improvements and ensure safe, inclusive practice.

    Overall, in a med spa setting, addressing social determinants of health means prioritizing patient education, using structured technology safely, maintaining ethical standards, and ensuring inclusive, culturally sensitive care. Nurses still play a leadership role in promoting safety, transparency, and equitable treatment, even in aesthetic practice.

    #### References

    American Nurses Association. (2022). Nursing informatics: Scope and standards of practice (3rd ed.).

    Bakken, S., & Dreisbach, C. (2022). Informatics and data science perspective on Future of Nursing 2020–2030: Charting a pathway to health equity. Nursing Outlook, 70, S77–S87.
    [https://doi.org/10.1016/j.outlook.2022.04.004\
    Links to an external site.](https://doi.org/10.1016/j.outlook.2022.04.004)

    Johnson, C. B. (2024). Nurse informaticists’ role in promoting health equity. Nursing, 54(5), 38–44.
    [https://doi.org/10.1097/01.NURSE.0001007640.39208.74\
    Links to an external site.](https://doi.org/10.1097/01.NURSE.0001007640.39208.74)

    POST 2:

    Main Blog : Social Determinants, Telehealth, and Mental Health Care

           Health literacy, social determinants of health, and health information technology (HIT) are closely interconnected and significantly influence patient outcomes in psychiatric mental health practice. As a psychiatric mental health nurse practitioner (PMHNP), I frequently care for patients whose ability to engage in treatment is affected by factors beyond their psychiatric diagnosis. Transportation difficulties, financial hardship, unstable housing, limited digital access, and low health literacy often interfere with appointment attendance, medication adherence, and long term treatment success. Social determinants of health continue to shape access to behavioral healthcare and contribute to disparities in mental health outcomes (Belanger & Winsberg, 2023). Recognizing these barriers encourages nurses to develop individualized care plans that support both clinical needs and everyday challenges while building trusting therapeutic relationships.

           One effective strategy for reducing the impact of social determinants of health is to incorporate routine screening for social needs during every psychiatric assessment. In my practice, I assess patients for concerns related to transportation, food insecurity, financial stress, internet access, and available social support because these issues frequently affect treatment adherence. Identifying barriers early allows referrals to community resources, case management services, and financial assistance programs before psychiatric symptoms worsen. Nurses are well positioned to coordinate care and advocate for interventions that improve access to essential services (Johnson, 2024). This comprehensive approach strengthens continuity of care while helping patients remain actively engaged in treatment.

           Telehealth has become an important resource for expanding access to psychiatric care, particularly for individuals who experience transportation challenges, anxiety, physical limitations, or demanding work schedules. I have found that many patients feel more comfortable participating in therapy and medication management appointments from their home environment, allowing for greater consistency with follow up care. Successful telehealth delivery depends on patients having reliable technology, internet connectivity, and the confidence to use digital platforms effectively. Digital literacy and ease of technology use remain important factors that influence participation in telemental health services (Khansa Fatihah Muhammad & Anhari Achadi, 2024). Providing education, technical support, and flexible appointment options helps patients overcome barriers while improving engagement in mental health treatment.

           Nurses also play an essential role in using health information technology to advance health equity and improve patient outcomes. Electronic health records, patient portals, and clinical decision support systems help identify care gaps, monitor treatment progress, and recognize patients who may require additional support because of social determinants of health. Informatics also allows healthcare organizations to analyze population level data and develop targeted interventions that reduce disparities across vulnerable populations. Nursing informatics supports the integration of social determinant data into clinical decision making to promote equitable care delivery (Bakken & Dreisbach, 2022). As technology continues to evolve, I believe PMHNPs have an important responsibility to ensure that digital innovations remain patient centered, accessible, and responsive to the diverse needs of the individuals and communities we serve.

    References

    Bakken, S., & Dreisbach, C. (2022).
    _Informatics and data science perspective on Future of Nursing 2020–2030: Charting a pathway to health equity_.
    _Nursing Outlook, 70_(Suppl. 1), S77–S87.
    [https://doi.org/10.1016/j.outlook.2022.04.004\
    Links to an external site.](https://doi.org/10.1016/j.outlook.2022.04.004)

    Belanger, H. G., & Winsberg, M. (2023).
    _Exploring social determinants of health: Comparing lower and higher income individuals participating in telepsychiatric care for depression_.
    _Frontiers in Psychiatry, 13_.
    [https://doi.org/10.3389/fpsyt.2022.1026361\
    Links to an external site.](https://doi.org/10.3389/fpsyt.2022.1026361)

    Johnson, C. B. (2024).
    _Nurse informaticists' role in promoting health equity_.
    _Nursing, 54_(5), 38–44.
    [https://doi.org/10.1097/01.NURSE.0001007640.39208.74\
    Links to an external site.](https://doi.org/10.1097/01.NURSE.0001007640.39208.74)

    Khansa Fatihah Muhammad, & Anhari Achadi. (2024).
    _Factors influencing telehealth utilization in mental health services: Systematic literature review_.
    _Journal of Community Mental Health and Public Policy, 7_(1), 26–37.
    [https://doi.org/10.51602/cmhp.v7i1.168\
    Links to an external site.](https://doi.org/10.51602/cmhp.v7i1.168)