This week’s readings and videos offered information related to health policy relation to diversity, economics and ethics. In this discussion board you will present information related to current health care reform and civil rights.https://www.americanrhetoric.com/speeches/huberthumphey1948dnc.htmlTopics to include:What are the health care policies related to access, equity, quality, and cost?If you do not feel there are current health care policies related to access, equity, quality and cost, why not?What does health care reform mean to the uninsured, and underinsured?What is the implication of limited access to vulnerable populations?What can nursing do to help increase awareness of civil rights in health careYour initial post must be posted before you can view and respond to colleagues, must contain minimum of two (2) references, in addition to examples from your personal experiences to augment the topic. The goal is to make your post interesting and engaging so others will want to read/respond to it. Synthesize and summarize from your resources in order to avoid the use of direct quotes, which can often be dry and boring. No direct quotes are allowed in the discussion board posts.References:Initial Post: Minimum of two (2) total references: one (1) from required course materials and one (1) from peer-reviewed references.Words LimitsInitial Post: Minimum 300 words excluding references (approximately one (1) page)

Your assignment this week will be an APA paper to include title page, level headings, and a reference page.Case study #1 Mrs. Franklin-Jones was admitted from the Emergency Room to Cardiac Intensive Care one week ago with a diagnosis of acute myocardial infarction. She has recovered as expected and is moving to the cardiac step down unit today. She is talking with Nurse Julie Hernandez, as she gets settled in her new room, "I was really surprised when I got that bad pain in my chest! I knew I had high pressure but I just didn't think it was that bad. I try to take my medicine like they told me to in the clinic but sometimes I forget. I guess that I need to study those papers they gave me about what foods I should eat and not eat. I better take care of myself! Momma had bad pressure and it killed her! Who knows—I may even have to learn to cook different than I was taught in Jamaica! I may have to let Tomas do the cooking. He's got more time at home now than I do since he lost his job. There isn't too much time between my shifts at the school cafeteria and my new housecleaning job. You know my sister is coming up from Jamaica to see me. I think she is bringing me some bush tea. That'll set me right!"Using Leininger's Culture Care Model, what factors in the story shared by Mrs. Franklin-Jones should be considered by Nurse Hernandez when planning for the patient's discharge?Why is the theory of Culture Care Diversity important in the delivery of nursing care for all patients?Using Leininger's Theory of Culture Care Diversity and Universality, develop a plan of care for Mrs. Franklin-Jones.Discuss the strengths and limits to Leininger’s Theory.Case Study #2Claude Jean-Baptiste is recovering from post-hip replacement surgery and has been transferred to the Rehabilitation Institute adjacent to the hospital. When he enters the unit, he sees welcoming signs written in several languages including his own, Creole. Since there are no nurses on that shift that speak Creole, they use a language line to ask for translation services. During this initial nursing assessment, the translator informs Mr. Jean-Baptiste that the nurses invite him to have a relative at his side so that they can be sure to understand and meet his needs. He is asked about Haitian customs and beliefs that they might honor. Mr. Jean-Baptiste is encouraged to bring food and spiritual care items, and to share the warmth of his culture with the nursing staff.Discuss assumptions of the Transpersonal Caring relationship. What is the nurses role?How is love, as defined by Watson, evident in this caring moment?How can the nurse creatively use self to create a healing environment?Discuss the strengths and limits to Watson’s Theory.This paper should include 2 outside references and your book. The essay should be between 1500 and 1750 words in length.

Overview – Assessment 1 – MSN-FP6218 Propose a change to one aspect of your local or regional health care system or program that would improve outcomes. Then, conduct a comparative analysis of other, non-U. S. health care systems, focusing on the proposed change. Summarize the proposed change and your comparative analysis in a 4–5-page report. Note: Complete the assessments in the order in which they are presented. Health care systems around the world provide useful models for analysis. Familiarity with different models and approaches to health care enables leaders to identify what works and what does not, as the basis for proposing a change. As we continue to evaluate the complex and fragmented system in the United States, it is important for nurse leaders to become familiar with the programs and systems that provide evidence-based quality care that is affordable and focused on continual improvement. This assessment provides an opportunity to examine a local or regional health care issue from a global perspective. By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria: Competency 1: Identify the challenges and opportunities facing health care. Identify an aspect of a local or regional health care system or program that should be a focus for change. Competency 2: Compare the effects of different health care finance models and policy frameworks on resources and patient outcomes. Define desirable outcomes, including who will pay for care and factors limiting achievement of those outcomes. Analyze two non-U.S. health care systems or programs that offer insight into a proposed change for a health care system or program in the United States. Competency 3: Evaluate the positive and negative influences of leaders on health care processes and outcomes. Determine the financial and health implications of making—and not making—proposed changes to a health care system or program. Competency 4: Develop proactive strategies to change the culture of the organization by incorporating evidence-based practices. Explain why specific changes will lead to improved outcomes. Competency 5: Communicate effectively with diverse audiences, in an appropriate form and style consistent with applicable organizational, professional, and scholarly standards. Write clearly and concisely in a logically coherent and appropriate form and style. Support assertions, arguments, propositions, and conclusions with relevant and credible evidence. Competency Map CHECK YOUR PROGRESS Use this online tool to track your performance and progress through your course. Resources Required Resources MSN Program Journey The following is a useful map that will guide you as you continue your MSN program. This map gives you an overview of all the steps required to prepare for your practicum and to complete your degree. It also outlines the support that will be available to you along the way. MSN Program Journey. Templates Use this template for your summary report. Summary Report Template [DOCX]. Suggested Resources The resources provided here are optional. You may use other resources of your choice to prepare for this assessment; however, you will need to ensure that they are appropriate, credible, and valid. The MSN6218 – Leading the Future of Health Care Library Guide can help direct your research, and the Supplemental Resources and Research Resources, both linked from the left navigation menu in your courseroom, provide additional resources to help support you. Global Health Data and Information The following United Nations and World Health Organization websites are excellent sources of global health data and information. United Nations United Nations. (n.d.). UN E-government knowledge database. Retrieved from https://publicadministration.un.org/egovkb/Data-Ce... United Nations. (n.d.). Health. Retrieved from http://www.un.org/en/sections/issues-depth/health/... United Nations. (n.d.). Millennium development goals and beyond 2015. Retrieved from http://www.un.org/millenniumgoals/ World Health Organization World Health Organization. (n.d.). Global Health Observatory (GHO) data: Country statistics. Retrieved from http://www.who.int/gho/countries/en/ World Health Organization. (n.d.). Global Health Observatory (GHO) data. Retrieved from http://www.who.int/gho/en/ World Health Organization. (n.d.). The Global Health Observatory: Universal health coverage. Retrieved from http://apps.who.int/gho/cabinet/uhc.jsp?lang=en Improving Care The following articles provide various perspectives on improving care. Gluyas, H. (2015). Patient-centered care: Improving healthcare outcomes. Nursing Standard, 30(4), 50–57. Addresses barriers to the provision of care and strategies to overcome them. Melnyk, B. M., & Newhouse, R. (2014). Evidence-based practice versus evidence-informed practice: A debate that could stall forward momentum in improving healthcare quality, safety, patient outcomes, and costs. Worldviews on Evidence-Based Nursing, 11(6), 347–349. Addresses the debate about changes in terminology and the implications of such a change in the momentum for evidence-based practice. Mohammed, K., Nolan, M. B., Rajjo, T., Shah, N. D., Prokop, L. J., Varkey, P., & Murad, M. H. (2016). Creating a patient-centered health care delivery system: A systematic review of health care quality from the patient perspective. American Journal of Medical Quality, 31(1), 12–21. Examines a variety of studies on quality from the perspective of the patient. Robbins, R. A. (2017). Is quality of healthcare improving in the US? Southwest Journal of Pulmonary & Critical Care, 14(1), 29–36. Addresses the issue of meaningful outcomes. Provides data indicating that the rate of improvement is slowing and that many quality gains cited by politicians and administrators are not associated with improved outcomes. Scholarly Writing and APA Style Use the following resources to improve your writing skills and for finding answers to specific questions. Academic Honesty & APA Style and Formatting. APA Style Paper Tutorial [DOCX]. APA Module. Introduction to the Writing Center. Library Research Use the following resources to help with any required or self-directed research you do to support your coursework. Capella University Library. Library Research and Information Literacy Skills. Nursing Masters (MSN) Research Guide. Guiding Questions and ePortfolio Guiding Questions: Proposing Evidence-Based Change [DOCX]. This document includes questions to consider and additional guidance for successfully completing the assessment. ePortfolio. Online ePortfolio Guidelines [PDF]. Assessment Instructions Note: Complete the assessments in this course in the order in which they are presented. Preparation Your organization, in collaboration with the key stakeholders from the community, is funding an initiative to investigate potential improvements in the local or regional health care system. As a nurse leader attuned to the effects of health care policy and finance on the provision of affordable, high-quality care, you have been asked to join the task force conducting the study. You know that an examination of other countries’ health care systems can provide a solid, evidence-based foundation for evaluating outcomes and identifying benchmarks. Consequently, you have decided to undertake an analysis of selected, non-U.S. health care systems and compare them to each other and to the existing local or regional U.S. system to help inform decision making as the task force considers proposed changes. In this assessment, you will propose a change to one aspect of your local or regional health care system or program. Conduct a comparative analysis of different health care systems and summarize your proposed change and findings from your analysis in a report to executive leaders. To prepare for your assessment, you are encouraged to begin thinking about the non-U.S. health care systems you might like to examine. In addition, you may wish to: Review the assessment requirements and scoring guide to ensure that you understand the work you will be asked to complete. Review the Guiding Questions: Proposing Evidence-Based Change document linked in the Resources of this assessment, which includes questions to consider and additional guidance on how to successfully complete the assessment. Note: Remember that you can submit all or a portion of your draft report to Smarthinking Tutoring for feedback before you submit the final version for this assessment. If you plan on using this free service, be mindful of the turnaround time of 24–48 hours for receiving feedback. Requirements Complete this assessment in three steps: The summary report requirements outlined below, correspond to the grading criteria in the scoring guide for Proposing Evidence-Based Change, so be sure to address each point. Read the performance-level descriptions for each criterion to see how your work will be assessed. The Guiding Questions: Proposing Evidence-Based Change document provides additional considerations that may be helpful in completing your assessment. In addition, be sure to note the requirements below for document format and length and for citing supporting evidence. Identify an aspect of a local or regional health care system or program that should be a focus for change. Define desirable outcomes, including who will pay for care and factors limiting achievement of those outcomes. Analyze two non-U.S. health care systems or programs that offer insight into a proposed change for a health care system or program in the United States. Choose one of the following options for selecting the two systems or programs: Option 1: Select two systems at opposite ends of the scale in terms of desirable outcomes for the issue reflected in your proposed change. Option 2: Select two systems that both produce positive outcomes but take unique or innovative approaches to the problem. Compare the outcomes in each non-U.S. system with each other and with present outcomes in your local or regional health care system. Explain why specific changes will lead to improved outcomes. Determine the financial and health implications associated with the proposed changes. Address the implications of making the changes. Address the implications of not making the changes. Write clearly and concisely in a logically coherent and appropriate form and style. Support assertions, arguments, propositions, and conclusions with relevant and credible evidence. Document Format and Length Use the Summary Report Template, linked in the Resources of this assessment. An APA Style Paper Tutorial is also provided to help you in writing and formatting your assessment. If you would like to use a different worksheet for your community health assessment, obtain prior approval from faculty. Your summary report should be 4–5 pages in length, not including the title page and references page. Be sure to apply correct APA formatting to all source citations and references. Supporting Evidence Cite 3–5 credible sources from peer-reviewed journals or professional industry publications to support your comparative analysis. Additional Requirements Be sure to delete all directions from the template before submitting your summary report. In addition, proofread your report to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your analysis.Overview – Assessment 1 – MSN-FP6218 Propose a change to one aspect of your local or regional health care system or program that would improve outcomes. Then, conduct a comparative analysis of other, non-U. S. health care systems, focusing on the proposed change. Summarize the proposed change and your comparative analysis in a 4–5-page report. Note: Complete the assessments in the order in which they are presented. Health care systems around the world provide useful models for analysis. Familiarity with different models and approaches to health care enables leaders to identify what works and what does not, as the basis for proposing a change. As we continue to evaluate the complex and fragmented system in the United States, it is important for nurse leaders to become familiar with the programs and systems that provide evidence-based quality care that is affordable and focused on continual improvement. This assessment provides an opportunity to examine a local or regional health care issue from a global perspective. By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria: Competency 1: Identify the challenges and opportunities facing health care. Identify an aspect of a local or regional health care system or program that should be a focus for change. Competency 2: Compare the effects of different health care finance models and policy frameworks on resources and patient outcomes. Define desirable outcomes, including who will pay for care and factors limiting achievement of those outcomes. Analyze two non-U.S. health care systems or programs that offer insight into a proposed change for a health care system or program in the United States. Competency 3: Evaluate the positive and negative influences of leaders on health care processes and outcomes. Determine the financial and health implications of making—and not making—proposed changes to a health care system or program. Competency 4: Develop proactive strategies to change the culture of the organization by incorporating evidence-based practices. Explain why specific changes will lead to improved outcomes. Competency 5: Communicate effectively with diverse audiences, in an appropriate form and style consistent with applicable organizational, professional, and scholarly standards. Write clearly and concisely in a logically coherent and appropriate form and style. Support assertions, arguments, propositions, and conclusions with relevant and credible evidence. Competency Map CHECK YOUR PROGRESS Use this online tool to track your performance and progress through your course. Resources Required Resources MSN Program Journey The following is a useful map that will guide you as you continue your MSN program. This map gives you an overview of all the steps required to prepare for your practicum and to complete your degree. It also outlines the support that will be available to you along the way. MSN Program Journey. Templates Use this template for your summary report. Summary Report Template [DOCX]. Suggested Resources The resources provided here are optional. You may use other resources of your choice to prepare for this assessment; however, you will need to ensure that they are appropriate, credible, and valid. The MSN6218 – Leading the Future of Health Care Library Guide can help direct your research, and the Supplemental Resources and Research Resources, both linked from the left navigation menu in your courseroom, provide additional resources to help support you. Global Health Data and Information The following United Nations and World Health Organization websites are excellent sources of global health data and information. United Nations United Nations. (n.d.). UN E-government knowledge database. Retrieved from https://publicadministration.un.org/egovkb/Data-Ce... United Nations. (n.d.). Health. Retrieved from http://www.un.org/en/sections/issues-depth/health/... United Nations. (n.d.). Millennium development goals and beyond 2015. Retrieved from http://www.un.org/millenniumgoals/ World Health Organization World Health Organization. (n.d.). Global Health Observatory (GHO) data: Country statistics. Retrieved from http://www.who.int/gho/countries/en/ World Health Organization. (n.d.). Global Health Observatory (GHO) data. Retrieved from http://www.who.int/gho/en/ World Health Organization. (n.d.). The Global Health Observatory: Universal health coverage. Retrieved from http://apps.who.int/gho/cabinet/uhc.jsp?lang=en Improving Care The following articles provide various perspectives on improving care. Gluyas, H. (2015). Patient-centered care: Improving healthcare outcomes. Nursing Standard, 30(4), 50–57. Addresses barriers to the provision of care and strategies to overcome them. Melnyk, B. M., & Newhouse, R. (2014). Evidence-based practice versus evidence-informed practice: A debate that could stall forward momentum in improving healthcare quality, safety, patient outcomes, and costs. Worldviews on Evidence-Based Nursing, 11(6), 347–349. Addresses the debate about changes in terminology and the implications of such a change in the momentum for evidence-based practice. Mohammed, K., Nolan, M. B., Rajjo, T., Shah, N. D., Prokop, L. J., Varkey, P., & Murad, M. H. (2016). Creating a patient-centered health care delivery system: A systematic review of health care quality from the patient perspective. American Journal of Medical Quality, 31(1), 12–21. Examines a variety of studies on quality from the perspective of the patient. Robbins, R. A. (2017). Is quality of healthcare improving in the US? Southwest Journal of Pulmonary & Critical Care, 14(1), 29–36. Addresses the issue of meaningful outcomes. Provides data indicating that the rate of improvement is slowing and that many quality gains cited by politicians and administrators are not associated with improved outcomes. Scholarly Writing and APA Style Use the following resources to improve your writing skills and for finding answers to specific questions. Academic Honesty & APA Style and Formatting. APA Style Paper Tutorial [DOCX]. APA Module. Introduction to the Writing Center. Library Research Use the following resources to help with any required or self-directed research you do to support your coursework. Capella University Library. Library Research and Information Literacy Skills. Nursing Masters (MSN) Research Guide. Guiding Questions and ePortfolio Guiding Questions: Proposing Evidence-Based Change [DOCX]. This document includes questions to consider and additional guidance for successfully completing the assessment. ePortfolio. Online ePortfolio Guidelines [PDF]. Assessment Instructions Note: Complete the assessments in this course in the order in which they are presented. Preparation Your organization, in collaboration with the key stakeholders from the community, is funding an initiative to investigate potential improvements in the local or regional health care system. As a nurse leader attuned to the effects of health care policy and finance on the provision of affordable, high-quality care, you have been asked to join the task force conducting the study. You know that an examination of other countries’ health care systems can provide a solid, evidence-based foundation for evaluating outcomes and identifying benchmarks. Consequently, you have decided to undertake an analysis of selected, non-U.S. health care systems and compare them to each other and to the existing local or regional U.S. system to help inform decision making as the task force considers proposed changes. In this assessment, you will propose a change to one aspect of your local or regional health care system or program. Conduct a comparative analysis of different health care systems and summarize your proposed change and findings from your analysis in a report to executive leaders. To prepare for your assessment, you are encouraged to begin thinking about the non-U.S. health care systems you might like to examine. In addition, you may wish to: Review the assessment requirements and scoring guide to ensure that you understand the work you will be asked to complete. Review the Guiding Questions: Proposing Evidence-Based Change document linked in the Resources of this assessment, which includes questions to consider and additional guidance on how to successfully complete the assessment. Note: Remember that you can submit all or a portion of your draft report to Smarthinking Tutoring for feedback before you submit the final version for this assessment. If you plan on using this free service, be mindful of the turnaround time of 24–48 hours for receiving feedback. Requirements Complete this assessment in three steps: The summary report requirements outlined below, correspond to the grading criteria in the scoring guide for Proposing Evidence-Based Change, so be sure to address each point. Read the performance-level descriptions for each criterion to see how your work will be assessed. The Guiding Questions: Proposing Evidence-Based Change document provides additional considerations that may be helpful in completing your assessment. In addition, be sure to note the requirements below for document format and length and for citing supporting evidence. Identify an aspect of a local or regional health care system or program that should be a focus for change. Define desirable outcomes, including who will pay for care and factors limiting achievement of those outcomes. Analyze two non-U.S. health care systems or programs that offer insight into a proposed change for a health care system or program in the United States. Choose one of the following options for selecting the two systems or programs: Option 1: Select two systems at opposite ends of the scale in terms of desirable outcomes for the issue reflected in your proposed change. Option 2: Select two systems that both produce positive outcomes but take unique or innovative approaches to the problem. Compare the outcomes in each non-U.S. system with each other and with present outcomes in your local or regional health care system. Explain why specific changes will lead to improved outcomes. Determine the financial and health implications associated with the proposed changes. Address the implications of making the changes. Address the implications of not making the changes. Write clearly and concisely in a logically coherent and appropriate form and style. Support assertions, arguments, propositions, and conclusions with relevant and credible evidence. Document Format and Length Use the Summary Report Template, linked in the Resources of this assessment. An APA Style Paper Tutorial is also provided to help you in writing and formatting your assessment. If you would like to use a different worksheet for your community health assessment, obtain prior approval from faculty. Your summary report should be 4–5 pages in length, not including the title page and references page. Be sure to apply correct APA formatting to all source citations and references. Supporting Evidence Cite 3–5 credible sources from peer-reviewed journals or professional industry publications to support your comparative analysis. Additional Requirements Be sure to delete all directions from the template before submitting your summary report. In addition, proofread your report to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your analysis.