The institution provides for a wide range of services in order to avoid the

The institution provides for a wide range of services

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part. The institution provides for a wide range of services in order to avoid the need for transporting patients from one institution to another seeking medical assistance as much as possible. 4
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CONSULTATIVE CHANGE The population served is one of great diversity. When compared the rest of the state, the proportion of African Americans is 34%, compared to the state’s 16%. While Native American and Asian populations are small, the Hispanic population compares to the state average of around 6%. The area has far less non-Hispanic white at 52% vs. the state’s average of 75% (The County Health Rankings & Roadmaps program, 2019). This county has an increased risk of HIV prevalence rate at 534 compared to the state rate of 166. Smoking is about average, and adult obesity is slightly lower than average at 33% vs. 36%. Alcohol abuse is higher when compared to the state at 16% vs 14%, making deaths from alcohol related vehicle deaths higher as well. About 18% of the county is uninsured, compared to 10% for the state. There over double the amount of dentists per patient and primary care physicians compared to state averages (The County Health Rankings & Roadmaps program, 2019). The median income is higher than the state average of $40,790 at more than $50,000 per year. The violent crime rate is over double the state average, and the physical environment is comparable (The County Health Rankings & Roadmaps program, 2019). Healthy living is a major need in the surrounding population. Cardiovascular disease is the leading killer in the state of Arkansas, with cancer at a close second, along with obesity, diabetes, stroke and COPD (National Center for Health Statistics, 2019). Cardiovascular disease kills one in three Americans and costs us $1 out of every $6 spent on health care (Million Hearts & CDC, n.d.). These chronic diseases affect the emotional and social wellbeing of the population. They also carry a heavy cost due to the difficulty of management of these diseases and the long duration of care needed. These costs just emphasize the importance of education and prevention to patients. Patients need affordable access to early and effective treatment. 5
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CONSULTATIVE CHANGE Nurse Leader Interview Summary The nurse we interviewed was the supervisor nurse at the cardiology unit in the hospital. Apart from giving us a highlight of what the hospital has done and is doing to help them in the medical sector, she was able to give us a review on the roles of the nurse that is required of her and other nurses in the hospital. She was able to provide us with the characteristic of the organization and how this organization was working to improve on its services. Role of the Nurse Leader The American Nurses Association (2008) discusses the importance of nurse leadership. The formal role of nurse leader influence is a vital one. Clinical nurse leaders (CNLs) communicate, plan, and implement care directly with other clinicians… (they) are accountable for healthcare outcomes for a specific group of patients within a unit or other setting. We assimilate and apply research-based information to develop,
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