NEW – Part V of the Final Project – Social Policy and Advocacy

In this section, you will explore the social policy and institutional issues that impact domestic violence in woman  You will discuss how the people impacted by the problem, allies, and service providers have utilized various forms of advocacy to address the issue.

• Provide the names and websites of at least two organizations (local, state, national, and/or international) that advocate with and/or on behalf of the group of people who are impacted by the issue.
• Describe how social policy changes can support primordial prevention and primary prevention.
• Discuss how changes in social policy can improve the effectiveness of the services delivered to the people who are impacted by the issue.
• Explain how institutional and/or organizational policies and practices play a part in the dynamics of the issue. 
• Describe some of the recommendations for improving the way institutions and organizations operate or deliver services.
• Identify the advocacy strategies that members of the population and the people who support or serve them are using to promote changes to the social policies.

 Submit to the Assignment Dropbox “Module 10: Final Project”, by the due date listed on the syllabus.

Writing Standards:

• Your assignment should be between 325-500 words in length (typically, one to one and half double-spaced pages), not counting cover page, reference list page, appendices, figures, or tables.  
• Your assignment should include a title page and a reference list page (if using references), and be completed in Times New Roman 12-point font, double-spaced, with appropriate header, page numbers, one-inch margins, and meet all other requirements of APA Stylebook. 
• At least one references is required for the assignment, unless otherwise stated in the instructions.  Please format them in the most current APA format. 
• Please refer to the rubric associated with this assignment for detailed guidance about expectations and grading. 

In this course all your written assignments are expected to use APA Formatting and citation.  The following APA Style guide provides you with explanations, models, and resources for APA style formatting and citation. Purdue OWL: APA Format Guide. 

Respond to following discussion in one paragraph using one peer-reviewed Nursing Journal not older than 5 years old.

The American Heart Association

There are many national and local’s non-governmental organizations (NGOs) that promotes health and wellness to all people. The American Heart Association (AHA) is one of the oldest and more actively involved in people’s health and diseases prevention. According to the American Heart Association (n.d.), their goal is to “see a world free of cardiovascular diseases and stroke.” They fund and conduct many researches, studies, events, and education materials to help fighting and preventing heart disease among all Americans and around the world. AHA promotes many ways to decrease heart diseases, which is the number one killer among people in the world. Regarding the promotion of wellness, we can certainly see how they encourage healthy eating habits, including recipes, types of foods that are healthy for the heart, cooking skills; healthy lifestyle, as stress management, quitting smoking, stress management, healthy sleep patterns, fitness, walking, exercising, and losing weight (AHA, n.d.). The AHA, at the same time, publishes studies and documents on many of the heart disease that most affect the population. They write and publish about aortic aneurysm, arrhythmia, atrial fibrillation, cardiac arrest, cardiomyopathy, cholesterol, congenital heart defects, diabetes, heart attack, heart failure, murmurs, valve problems, HTN, strokes, smoking cessation, and many more (AHA, n.d.). An example of the American Heart Association work to treat and eradicate heart diseases are the Guidelines for the Management of Spontaneous Intracerebral Hemorrhage meant for healthcare providers published by the American Heart Association/American Stroke Association (Hemphill et al., 2015). The AHA helps all people across the country and even the globe despite their cultural or ethnic background. NGOs goal is to improve the health and well-being of individuals, communities and nations (Jacobsen, 2019).

    Re: Topic 6 DQ 2
 

The clinical change proposal revolves around proper pain management, patient preferences, and reducing the impact on the nation’s current opioid crisis. The plan behind this is educating the patient on the causes behind the opioid crisis, as well as discussing pain management and pain management preferences with the patient before surgery. Nurses, anesthesiologists, and surgeons will work together to create a proper protocol for administering medications, writing prescriptions, and deciding on postoperative pain medication in the post-anesthesia care unit.

The initial proposal intervention was based around discharge teaching to reduce narcotic abuse, improper usage, overdose, medication diversion, and the proper storage and disposal of these medications (Hah, Bateman, Ratliff, Curtin, & Sun, 2017). However, through the research of the project it has come to my attention that patients should also be asked about their medication preferences in the post-operative period before surgery begins, this includes educating patients on the medications available based on levels of pain, as well as the patients preference to either receive narcotic medications or if the patient would prefer non-opioid methods of medication instead.

Through observation of the unit, I have also decided that the nursing staff should have frequent in-service teachings regarding medications and the center’s protocol for medications. As it stands, patients report pain and the nurse administers the medications prescribed by anesthesia without much discussion or patient input into the medications or the dosages they are receiving. Because patients are under anesthesia, they are by law, advised to avoid making important decisions, such as the types of medications they prefer to use or avoid. Therefore, the patient should state these preferences before surgery. It is also noted that some of the nurses in the unit tend to be heavy-handed with medication administration and provide little interventions into further assessing the patient. This has also led me into independent studies for each of the pain medications the unit currently utilizes, both narcotics and non-opioid options. This review will be used during the nursing in-service and will include the medications onset time, average peak of effect, and duration of effectiveness. Additionally, a chart of medication strength in comparison to one milligram of morphine, so that nursing staff has a strong understanding of the potency of the medications being used. These are the ways in which my research and the protocol have changed over the last six weeks.

References

Hah, J. M., Bateman, B. T., Ratliff, J., Curtin, C., & Sun, E. (2017, November). Chronic Opioid Use After Surgery: Implications for Perioperative Management in the Face of the Opioid Epidemic. Retrieved November 1, 2019, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6119469/.

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Kimberly Morris    2 posts   Re: Topic 10 DQ 2  Over the past couple decades, nursing has taken a turn becoming more knowledge driven (Stevens, 2013). We are now expected not only to just care for our patients but also educate them and increase their health outcomes by recognizing and knowing what care would be best for them. We are now supposed to make recommendations to providers where before we just made sure patients were comfortable and their needs were met. Because the role of the nurse is changing and becoming a much more active participant in patient care, it is important for the nurse to continue to seek new information and advanced practices by utilizing evidence-based practices.  One way in which I will continue to integrate evidence into my practice is by using the literature review strategy. Our facility is currently doing a literature review four step problem solving on falls. We have currently had a large number of patient falls on our floor and we are doing evidence-based research to see if we can find a practice which would work for us to help decrease the number of falls. The second way I will integrate evidence would be to continue to read and research on my own time. If there is a topic which I feel I need to be educated on, I will look at journal articles or attend conferences or trainings to help increase my knowledge of the subject. This will help me in patient care and will give me necessary information to increase the health outcomes of my patients. If I notice an area within my department in which I feel we need to be better educated or I come across information which could be of interest to my coworkers, I will share this information with them in our weekly huddle or our monthly staff meetings. If I start doing this, maybe it would encourage others to do the same, thus encouraging increased use of evidence-based practice.  Obstacles which would challenge this is lack of interest from my coworkers. If they do not buy in to the idea of sharing knowledge, then they will not listen or learn. But I feel we have a team which is always looking at how to grow and how to become better. The manager of our floor is a driving force behind this. She is continually wanting us to move forward in our careers and encouraging us to learn and become better nurses. She is a great manager and encourager.  Reference  Stevens, K. (2013). The impact of evidence-based practice in nursing and the next big ideas. The Online   Journal of Issues in Nursing. Vol. 18, No. 2, Manuscript 4. doi:10.3912/OJIN.Vol18No02Man04

Surgical smoke in the operating room is harmful to staff and patients. The Center for Disease Control and Prevention has identified harmful byproducts such as benzene, hydrogen cyanide, formaldehyde, bioaerosols, dead and live cellular material, HPV, blood fragments, and viruses in the smoke of electrocautery devices (Robison & Neville, 2019). The proposed solution that I am trying to address with my project is to reduce/eliminate surgical smoke in the operating room and educate the operating room staff on the health hazards that surgical smoke can impose on staff and patients. In order to reduce exposure to surgical smoke I am purposing the purchasing of adaptors that will be utilized with the Neptume 3 waste management system. I am also developing an educational/competency program on the hazards of surgical smoke and the importance of using evacuation equipment along with proper PPE for all surgical procedures that generate surgical smoke.In 2016 when I started my career as a RNFA I began getting awful headaches during certain cases along with a runny nose and throat irritation. At first, I thought maybe I was beginning to develop an allergy to the type of surgical mask I was using so I made an appointment with our occupational health department. Occ health and an ENT doc also felt that it was probable due to the mask, so I was ordered my very own supply of hypoallergenic surgical masks. Those masks didn’t work, I continued to have symptoms. I finally figured out that it was due to surgical smoke inhalation. During my investigation I realized that much of the OR staff had no knowledge of the hazards and potential health risks of surgical smoke. Also, our operating rooms are not equipped with the proper smoke evacuation equipment.My vision of the proposed project has not changed since I began researching the subject. Exposure to surgical smoke requires an intervention.ReferenceRobins, T., & Neville, R. (2019). Utilizing a shared governance approach for smoke evacuation