Identifying a Target Population Based on the information provided in Unit 7 discussion, identify the target population of your DNP project, why you selected this target population, and analyze the cultural and psychosocial dimensions; environmental factors; demographic descriptors; health literacy; and if appropriate, the bio-statistical data for the specific target population. Include in the scholarly paper, a strategy for implementation of the project, potential outcomes, and an evaluation strategy. Unit 7 discussion was the following: Problem statementThe Problem is patient returning to the ED because of the alleged inability to understand discharge instructions, access follow- up care, their concerns on the medical problem, and its progression. Most patients require resources for completing care that would get accessed timely through their return to the ED which creates one of the biggest problems in United States hospitals which is the overcrowded ED. The revisiting of the ED is now a measure of the adequacy of Emergency Department discharge practices. The short return to the Emergency Department closely gets monitored. This metric also reflects the emergency care quality, especially in cases where patients need hospitalization in their return to the ED. Many of the patients get discharged home after treatment without proper education or instructions. This investigation identified the issue associated with the adult population and also the language barrier. Identified need There are emerging measures seeking to minimize the number of readmissions to the Emergency Department. Policymakers and relevant stakeholders who want to reduce costs, improve outcomes, and promote improved patient experience regard safe transition as an essential goal. The hospital readmissions are regarded as tools that capture the transition of care deficits in hospital settings (Cheng et al., 2016). It is now a measure of quality that is now linked to penalties for poor-performing medical institutions. Several studies group the return visit rate as poor in marking quality. A study concerning return visits emphasized on patient-driven aspects. The study also revealed that patients utilize the ED according to their perception of value. They returned because of the alleged inability to understand discharge instructions, access follow- up care, their concerns on the medical problem, and its progression. Proposed clinical intervention or system change Intervention effort is to involve nurses that can offer detailed explanations concerning patient discharge to the patients. It will entail the factors that will arise while the patient will be at home, and how to approach situations that may compel them to go back to the ED. This will help prevent the patients from going to the ED again. Another short-term solution involves the physicians discussing detailed information about the illness involved with their patients. The physicians can also properly address concerns that their patients may have to reduce uncertainty from them and utilize interpreters if patient speaks foreign language for proper understanding. In the long run, the physicians and nurses should ensure they create an ED-based care program that will integrate the care teams in the ED. The program should offer more trainings on handling patients at the ED including the aspects of discharge to prevent the return cases. Intensive training should aim towards enhancing the nurses and physician role that includes patient engagement. Developing a discharge checklist that when patients are about to be discharge from the ED they can check mark and sign confirming that providers discussed what is on checklist with patients before they leave the ED. Alternative intervention is to establish a reliable way of contacting providers after the discharge period via telemedicine. Such methods can assist patients in managing their concerns without the need to return to the hospital. Demonstrate how evidence from the literature search ties the problem or clinical inquiry to practice. For over 20 years, physicians in the ED are under programs that report the visits back to the ED within 72 hours. Several studies group the return visit rate as poor in marking quality. A study concerning return visits emphasized on patient-driven aspects. the CDC data offered insights on this issue. For instance, in 2014, close to 5.7% of the ED visits involved patients who were previously in the ED in the last three days. Approximately 4.8% of the visits were due to follow-up. Also, close to 3% of the ED visits were previously there 72 hours before. The revisiting of the ED is now a measure of the adequacy of Emergency Department discharge practices. The short return to the Emergency Department closely gets monitored. For this Assignment you will create a document: a minimum of 5 pages in length (excluding title page and references);supported with a minimum of five scholarly, peer review sources external to those assigned in class for this unit;follow the conventions of Standard American English (correct grammar, punctuation, etc.);well ordered, logical, and unified, as well as original and insightful;display superior content, organization, style, and mechanics; and;use APA 6th edition format. The content for this essay will include: Describe the proposed clinical intervention or practice change you proposed in the Unit 7 discussion. Which is above!!!!Identify and discuss the problem or clinical inquiry through the lens of the system level.Identify the specific target population for the DNP project. The specific target is the adult population!!!!!Analyze the:cultural;psychosocial dimensions;environmental factors;demographic descriptors;health literacy; andbio-statistical data for the specific target population.Demonstrate how evidence from the literature search ties the problem or clinical inquiry to practice.Include in the scholarly paper, a strategy for implementation of the proposed clinical intervention or practice change, expected outcomes, and an evaluation strategy. ******The strategy will be classroom presentation and training of the appropriate way to discharge a patient and to learn the discharge check list that will be provided to patients at the moment of discharge which they have to check mark the boxes of what they understood provide their signature and return to the nurse once the nurse is finished educating the patient******Follow grading rubric attached.

The assignments for Units 6–9 will be focused on a Population Health Care Delivery Project.The four components of this Population Health Care Delivery Project include:community risk assessment;doneintervention development; doneimplementation planevaluation plan; next week lolIn this unit you will complete the Implementation Plan for your Population Health Care Delivery Project.Directions:You will write a 3–5 page MS Word document (excluding the title and reference pages) which contains:a detailed implementation plan for your Population Health Care Delivery Project;rationales supporting design of the implementation plan;a minimum of five peer reviewed evidence based journal articles with findings relevant to your target population and implementation plan; anda detailed critique of one epidemiologic and biostatistical research method included with the five peer reviewed evidence based journal articles.Your writing Assignment should:follow the conventions of Standard English (correct grammar, punctuation, etc.);be well ordered, logical, and unified, as well as original and insightful;display superior content, organization, style, and mechanics; and;use APA 6th edition format.Please review attachments which includes last assignment and grading rubric

Discussion 1 Variations in Approaches to Care Choose a specific culture or ethnicity of an immigrant or refugee population. Analyze their cultural and social norms. Discuss how they experience the healthcare system in America. Include an evaluation of how both the community and market-oriented approaches to health care, as highlighted in Chapter 10 of your text, can assist your chosen culture in getting the care they need. Provide an analysis of a multidisciplinary approach that can be used to deliver the best care to your population. Discuss a program in your community, or the nearest large community (Charleston or Columbia SC), that serves immigrants and refugees. Are the services truly accessible to a wide population of immigrants and refugees? Identify one approach which could improve accessibility, cost, or the quality of care for the population. Your initial contribution should be 250 to 300 words in length. Your research and claims must be supported by your course text and at least one other scholarly source. Use proper APA formatting for in-text citations and references Discussion 2 Making a Difference Imagine you are a policymaker for your city or town. Based on what you know and what you have learned in this course, what would you modify or improve to make a positive change in the life of a vulnerable group we have not covered in class?(see attachment) Justify whether or not you would consult the vulnerable group when developing programs or policies? Propose a policy you would create to improve health care services accessibility, cost, and quality related to your selected group? Your initial contribution should be 250 to 300 words in length. Your research and claims must be supported by your course text (see attachment) and at least one other scholarly source. Use proper APA formatting for in-text citations and references