Category: Nursing

From Private to Non-Profit—The Organizational Change Process

Your Learning Team is a Quality Management Team at a health care organization. Your company is preparing for a large organizational change and has asked your team to ready the managing staff for the upcoming change. Resources: Barriers of Change Product grading criteria on the student website Prepare an original product that outlines the barriers to change and factors that influence change. Products might include one of the following: 3 slide Microsoft® PowerPoint® presentation for group training Include the following in your product: Describe possible organizational and individual barriers to change.

The Joint Commission provides some guidelines for creating spiritual assessment tools for evaluating the spiritual needs of patients. Using these resources and any other guidelines/examples you can find, make up your own tool for assessing the spiritual needs of patients. The spiritual-needs assessment tool should include a minimum of five questions that can either be answered by the patient and/or by your observation of the patient. The information can be presented in a Word document, in a table, or in questionnaire format. Using your assessment-tool questions, practice completing a spiritual assessment with a patient, family member, or friend. Once complete, analyze your results in 750-1000 words, with the following: Write a brief summary of your assessment findings. What significant discoveries did you make about the individual you chose to assess? What went well? What would you do differently in the future? Were there any barriers or challenges that inhibited your ability to complete the assessment tool? How would you address these in the future or change your assessment to better address these challenges? Describe the spiritual experience you had with your patient, family member, or friend using this tool. How does this tool allow you to better meet the needs of your patient?

As hospitals seek to reduce the incidence of Never Events and improve the overall quality of health care provided, it is apparent that ultimate success will require the effort of the entire medical staff. Consider the nurse’s role in supporting the organization’s strategic agenda as it relates to improving clinical outcomes. For this application you are asked to interview a quality manager in an acute care or long-term care agency of your choice. Your goal is to determine the manager’s view regarding the impact of the direct care nurse’s role in clinical outcomes for the organization. How does this influence the ability of the organization to achieve its strategic agenda? Before you attend the interview, create a list of relevant questions that will help you better understand the effect a nurse can have on the successful treatment of the patient. Write a 2- to 3-page paper discussing what you learned from this interview. How will what you learned impact how you approach your nursing responsibilities?

The nurse’s position in between the patient and the health care agency provides a unique platform for viewing and addressing quality-care issues. Nurses can gain personal feedback from their patients, who may trust them more and speak with greater openness. They can also work collaboratively with their colleagues to create strategies to improve patient care. Recall how nurses can use data to improve patient safety and quality-care delivery. In NURS 4005, you analyzed a Dashboard to determine nursing practice improvements. This week, you reviewed the importance of and focus on patient quality and safety. The following data are shared by the unit manager with her staff at a recent staff meeting. There has been a higher than acceptable level of patient falls on the telemetry unit in the last 4 months. The distribution of falls is outlined below. Information about the unit also includes the following: The average age of the patients is 72.4 years old, and every patient has a cardiac diagnosis. The majority (68%) of the patients are women. Recently, 1 FTE of nursing assistants were moved from the night shift (11P–7A) to the evening shift (3P–11P). The rooms on this unit are all private. 94% of the patients are on diuretics. 12% of the patients have secondary diagnoses of confusion or disorientation. In a 3–5 page paper, respond to the following: Describe some possible interpretations of the data related to the patient fall rate on the telemetry unit. Discuss the quality management process you would follow to improve patient fall rates on the unit. What change management strategies would you incorporate in your quality improvement plan? What leadership characteristics are needed to assist in improving the patient fall rates?

Discuss the role of the public health nurse in a specific setting. Based on your assigned chapter and bearing in mind the primary prevention focus of the community/public health nurse, respond to the following: What differentiates the role of the community and public health nurse from other health professionals? What skills and knowledge are necessary for the type of decision making inherent in population-focused nursing practice? How do these skills differ from those required in the institutional setting? Support your response with references from the professional nursing literature.

Look at public health nursing at local, state, and national levels and an overview of the evolution of global health. In particular, in the Global Health Care Issues and Policies textbook, the introduction outlined the role of the World Health Organization and the assistance provided by the World Bank in promoting global health. Chapters 1 and 2 outlined the current health status of both developed and developing countries and provided an overview of issues those selected countries are facing. Health statistics can be used to examine the functioning of a health care system within a nation. For example, infant mortality is often used for this purpose. For this Application, write a 3- to 4-page paper comparing the infant mortality rates and HIV rates for the U.S. to one developed and one developing country. Include a summary on what the United States could learn from other countries that have better rates. Include information about the workforce that is available to care for the population in each country.

Create and post a PowerPoint presentation that summarizes your Leadership Change Project. In this Discussion, post the Leadership Change Project you developed. In addition and based on your experiences, observations, and readings, compose a Discussion post that responds to the following: Review all of your team members’ presentations in your group and summarize the challenges and opportunities inherent in facilitating change in a interdisciplinary environment. Present strategies for addressing these challenges.

Health and disease are global issues. She pointed out that with the mobility of today’s population, those health issues experienced in one area of the world are easily brought to other areas of the world. Consider the spread of infectious diseases such as HIV/AIDS, avian flu, H1N1, or SARS. These diseases have quickly crossed oceans and spread to a variety of countries. They are a public health concern in the U.S. as well as other countries. To prepare for this Discussion, reflect on the role of the BSN nurse in public and global health. With these thoughts in mind, respond to the following: Why should BSN nurses be concerned with global health issues? How do global health issues influence nursing practice at your local level or in your work setting? Include specific examples. Support your response with references from the professional nursing literature. Post your response to at least two of your colleagues’ postings in one or more of the following ways: • Ask a probing question. • Expand on the colleague’s posting. • Offer polite disagreement or critique, supported with evidence. In addition to, but not in place of, the above you may: • Offer and support an opinion. • Validate an idea with your own experience. • Make a suggestion or comment which guides or facilitates the Discussion. Review and reflect on your colleagues’ replies to your initial posting. Note what you have learned and/or any insights you have gained as a result of the comments made by your colleagues.

What model of care do you think should be created to meet the future demand of the elderly, the increasingly obese, and the information-savvy health care consumer? How might this model of care change or support the role of the nurse as defined by ANA’s Nursing: Scope & Standards of Practice,Code of Ethics,and Nursing’s Social Policy Statement? Support your response with references from the professional nursing literature.

Discuss the role of the public health nurse in a specific setting. Based on your assigned chapter and bearing in mind the primary prevention focus of the community/public health nurse, respond to the following: What differentiates the role of the community and public health nurse from other health professionals? What skills and knowledge are necessary for the type of decision making inherent in population-focused nursing practice? How do these skills differ from those required in the institutional setting? Support your response with references from the professional nursing literature. Ask a probing question. • Expand on the colleague’s posting. • Offer polite disagreement or critique, supported with evidence. In addition to, but not in place of, the above you may: • Offer and support an opinion. • Validate an idea with your own experience. • Make a suggestion or comment which guides or facilitates the Discussion.