Category: Nursing

Learning Outcomes

1. Discuss cultural competence in professional nursing practice.

2. Evaluate how collaboration and teamwork assist in care delivery.

3. Assess the use of technology in professional nursing practice.

4. Compare and contrast the past and future of professional nursing.

5. Discuss QSEN.

6. Apply the IOM’s core competency of quality improvement.

Introduction

Professional nurses must be culturally competent in order to succeed in a diverse healthcare environment. Future professional nurse leaders understand the need for collaboration, cultural sensitivity/diversity, technology, and quality. The field of nursing has changed significantly over the last few decades, but the goal has always been and will always be to provide quality care that is patient-centered—to obtain quality outcomes driven by practical application of best practices. The means of reaching the goal is currently based on evidence and nursing research. This week you will learn about quality and safety education for nurses (QSEN), cultural competence, and service quality in professional nursing. You will also engage in discussions about collaboration and technology in ensuring quality. Finally, you will demonstrate an understanding of the future of professional nursing based on research.

Cultural Competence & Service Quality.  

Cultural competence enables the professional nurse to provide quality care to all patients, irrespective of socio-cultural differences. Cultural competence and service quality can only be unified if the professional nurse first acknowledges his/her personal biases. Nurses practice in various health settings that require unique skills to provide adequate care to the diverse patient population that they serve.

For this discussion, identify a time in practice when you encountered or experienced a laxity in cultural competence. Avoid using names of person(s) or organization(s). Provide an insight into the lessons learned. Use scholarly resources to support your discussion.

 

Collaboration, Technology Use, & Continuous Quality Improvement (CQI) in Professional Nursing.  

Nursing care requires promptness, precision, and quality to ensure optimal care outcomes. Collaboration and teamwork provides comprehensive and efficient care for the patient. Technology enables prompt and accurate healthcare delivery. Collaboration coupled with technology enables healthcare providers to deliver care that is expeditious and efficacious.

For this discussion, select (a) the impact of technology, (b) collaboration, or (c) CQI in professional nursing care. Then, make an argument in favor of its application in your practice. Be as detailed as possible, so that your classmates can clearly agree or differ in their professional opinions. Use scholarly resources to support your discussion.

When faced with a problem, what do you do to solve it? This assignment asks you to apply a six-step to problem solving process to a specific problem scenario. You will write a paper that presents a synthesis of your ideas about solving the problem using this systematic approach. As Voltaire said, “No problem can withstand the assault of sustained thinking.” Choose one (1) of the problem scenarios as a topic choice for your paper (Note: Your professor must approve your topic choice before you begin work on the assignment.) Scenario 1: You have worked at your company for eleven (11) years. You have returned to college to earn a Bachelor’s degree in order to increase your chances for a promotion. You are nearly finished with your degree, when a supervisor’s position in a competing company becomes available in another state. The start date is in two (2) weeks, during your final exam period for your courses. The position offers a $15,000 per year salary increase, a car allowance, and relocation expenses. Your former supervisor works for the company and is recommending you for the position based on your outstanding job performance; if you want the job, it’s yours. All of the other supervisors at this level in the company have Master’s degrees, so you know that you would be expected to earn your Bachelor’s degree and continue on to a Master’s degree. Your present company offers tuition reimbursement, but the new company does not. Scenario 2: Your child comes home from school with an assignment sheet for a school project. He / she is very excited about the project and begins work immediately, doing research on the Internet and gathering materials. You read over the assignment sheet and notice that your child is not including all of the required items in the project, and you have some ideas for how to improve the quality of the presentation. You recently read an article in a parenting magazine about the importance of a child developing responsibility for his/ her own learning. You recall the many ways in which your parents took over your school projects. You, on the other hand, want to encourage your child’s confidence in his / her ability to complete a project independently. The next day, you are at the grocery store when you see a parent of a student in your child’s class. That parent has spent over $30 in supplies for the science project and is taking a day off of work to put the pieces of the project together. Scenario 3: You have two jobs—one during the week from 9:00 am to 6:00 pm, and one on Saturday from 3:00 pm to 11:00 pm. You are taking two classes—one that meets from 6:00 to 10:00 pm, and one class online. You have two kids—one who plays soccer, and one who is in band. You have two elderly parents who no longer drive. You have two siblings—one who lives two (2) miles away, and one who lives in another state. You have two (2) papers due in your classes the same week that one (1) of your children has a soccer tournament, and the other child has a band concert. You are coaching the soccer team, and you are in charge of fundraising for the band. You have a goal to complete your degree in two (2) years. Your doctor tells you that your blood pressure, your cholesterol, and your weight are too high and recommends several medications that cost you nearly $200 per month after your insurance co-pay. Scenario 4: You are a sales representative for a company that encourages staff to log time in the field and away from the office. You are expected to begin and end your day at the office. You notice that each day when you arrive and return another co-worker is already there, and you wonder whether this person spends most of his / her time at the office. At your weekly sales meeting, you are informed of your co-workers’ outstanding sales performance. You suspect that this co-worker is spending more time flattering the boss instead of working leads in the field, and as a result is getting the best client referrals. Your own sales numbers have steadily decreased since this other sales representative was hired. Scenario 5: Professor’s Choice – problem scenario presented by your professor. Scenario 6: Student’s Choice – Problem scenario presented by you. Review the six-step problem solving process outlined in the webtext, based on the article “The Problem Solving Process” located at http://www.gdrc.org/decision/problem-solve.html: Step One: Define the problem Step Two: Analyze the problem Step Three: Generate options Step Four: Evaluate options Step Five: Make your decision Step Six: Implement and reflect Write a four to five (4-5) page paper in which you: 1. Define the problem in the scenario that you have chosen. 2. Analyze the problem in the scenario. 3. Generate options for solving the problem in the scenario. 4. Evaluate the options for solving the problem. 5. Decide on the best option for solving the problem. 6. Explain how you will implement the decision made and reflect on whether this option was the most effective. The paper should follow guidelines for clear and organized writing: Include an introductory paragraph and concluding paragraph. Address main ideas in body paragraphs with a topic sentence and supporting sentences. Adhere to standard rules of English grammar, punctuation, mechanics, and spelling. Your assignment must follow these formatting requirements: Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA Style format. Check with your professor for any additional instructions. Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.

“Fairness of the Federal Estate Tax and Income and Principal in Fiduciary Accounting” Please respond to the following:

Based on the information contained in the textbook, several arguments exist for the repeal of the estate tax. From the e-Activity, defend the most significant argument advanced in the repeal of the estate tax by its opponents. Justify your response.

The Uniform Principal and Income Act of 2000 (Uniform Act) allows the trustee to make adjustments between the principal and income accounts as necessary under certain requirements. Examine the major reasoning for allowing such transfers by the trustee and recommend alternatives to the allowance of the adjustments. Justify your response.

Research plays an essential role in health assessment and planning. What is formative research? How can formative research help the health advocate select and use a theory to strategize a communications campaign for health promotion?

GROUP CHARACTERISTICS MAJOR QUESTION:

How can knowledge of groups and their key characteristics make me more successful?

 

THE GROUP DEVELOPMENT PROCESS MAJOR QUESTION:

How can understanding the group development process make me more effective at school and work?

 

TEAMS AND THE POWER OF COMMON PURPOSE MAJOR QUESTION:

What are the characteristics of effective team players and team building, and how does this knowledge improve my performance in various types of teams?

 

TRUST BUILDING AND REPAIR—ESSENTIAL TOOLS FOR SUCCESS MAJOR QUESTION:

How can I build and repair trust in ways that make me more effective at school, work, and home?

 

KEYS TO TEAM EFFECTIVENESS MAJOR QUESTION:

What are the keys to effective teams, and how can I apply this knowledge to give me an advantage?

 

 

POWER AND ITS BASIC FORMS MAJOR QUESTION:

What are the basic forms of power and how can they help me achieve my desired outcomes?

 

POWER SHARING AND EMPOWERMENT MAJOR QUESTION:

How can sharing power increase my power?

 

EFFECTIVELY INFLUENCING OTHERS MAJOR QUESTION:

How do my influence tactics affect my personal effectiveness?

 

POLITICAL TACTICS AND HOW TO USE THEM MAJOR QUESTION:

What are the many forms of politics, and how can understanding them make me more effective at school, at work, and socially?

 

IMPRESSION MANAGEMENT MAJOR QUESTION:

Do I seek only to impress, or to make a good impression?

Health Policy and Law Basics Essay

You have just been hired as a new Vice President of quality and safety for a full-service 600-bed government healthcare organization.  Within your first month on the job, the national security threat level has been raised to Imminent, which means there is a credible, specific, and impending terrorist threat against the United States, and your facility may be directly impacted. The Chief Executive Officer has requested an immediate six to eight-page report of your proposal for handling such a situation.

Note
: You may create and /or make all necessary assumptions needed for the completion of this assignment.

Write a 6-8 page Health Policy and Law Basics Essay paper in which you:

Examine the existing procedures related to at least four (4) of the ten (10) essential public health services. Focus on the principal effects that these procedures will have on your hospital during the emergency.

Specify the importance of continuing to evaluate patients, as stipulated by the Emergency Medical Treatment and Active Labor Act (EMTALA), during the emergency.

Detail three (3) measures that you would use in order to maintain the electronic medical record system during the emergency.

Defend your position on the decision to accept health insurance during the emergency as a potential source of income for the facility. Provide support with at least three (3) examples that illustrate your position.

Analyze the extent to which this emergency might affect the quality of care provided to the patients and the unimpeded operation of the organization.

Use at least three (3) quality references within 7 years.
 
Note:
 
Wikipedia and other Websites do not qualify as academic resources.

Your Health Policy and Law Basics Essay assignment must follow these formatting requirements:

Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.

Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.

Kind Regards,

 

Points: 200

Public Health Preparedness

Criteria

Unacceptable

Below 60% F

Meets Minimum Expectations

60-69% D

Fair

70-79% C

Proficient

80-89% B

Exemplary

90-100% A

1. Examine the existing procedures related to at least four (4) of the ten (10) essential public health services. Focus on the principal effects that these procedures will have on your hospital during the emergency.

Weight: 20%

Did not submit or incompletely examined the existing procedures related to at least four (4) of the ten (10) essential public health services. Did not submit or incompletely focused on the principal effects that these procedures will have on your hospital during the emergency.

Insufficiently examined the existing procedures related to at least four (4) of the ten (10) essential public health services. Insufficiently focused on the principal effects that these procedures will have on your hospital during the emergency.

Partially examined the existing procedures related to at least four (4) of the ten (10) essential public health services. Partially focused on the principal effects that these procedures will have on your hospital during the emergency.

Satisfactorily examined the existing procedures related to at least four (4) of the ten (10) essential public health services. Satisfactorily focused on the principal effects that these procedures will have on your hospital during the emergency.

Thoroughly examined the existing procedures related to at least four (4) of the ten (10) essential public health services. Thoroughly focused on the principal effects that these procedures will have on your hospital during the emergency.

2. Specify the importance of continuing to evaluate patients, as stipulated by the Emergency Medical Treatment and Active Labor Act (EMTALA), during the emergency.

Weight: 16%

Did not submit or incompletely specified the importance of continuing to evaluate patients, as stipulated by the Emergency Medical Treatment and Active Labor Act (EMTALA), during the emergency.

Insufficiently specified the importance of continuing to evaluate patients, as stipulated by the Emergency Medical Treatment and Active Labor Act (EMTALA), during the emergency.

Partially specified the importance of continuing to evaluate patients, as stipulated by the Emergency Medical Treatment and Active Labor Act (EMTALA), during the emergency.

Satisfactorily specified the importance of continuing to evaluate patients, as stipulated by the Emergency Medical Treatment and Active Labor Act (EMTALA), during the emergency.

Thoroughly specified the importance of continuing to evaluate patients, as stipulated by the Emergency Medical Treatment and Active Labor Act (EMTALA), during the emergency.

3. Detail three (3) measures that you would use in order to maintain the electronic medical record system during the emergency.

Weight: 18%

Did not submit or incompletely detailed three (3) measures that you would use in order to maintain the electronic medical record system during the emergency.

Insufficiently detailed three (3) measures that you would use in order to maintain the electronic medical record system during the emergency.

Partially detailed three (3) measures that you would use in order to maintain the electronic medical record system during the emergency.

Satisfactorily detailed three (3) measures that you would use in order to maintain the electronic medical record system during the emergency.

Thoroughly detailed three (3) measures that you would use in order to maintain the electronic medical record system during the emergency.

4. Defend your position on the decision to accept health insurance during the emergency as a potential source of income for the facility. Provide support with at least three (3) examples that illustrate your position.

Weight: 18%

Did not submit or incompletely defended your position on the decision to accept health insurance during the emergency as a potential source of income for the facility. Did not submit or incompletely provided support with at least three (3) examples that illustrate your position.

Insufficiently defended your position on the decision to accept health insurance during the emergency as a potential source of income for the facility. Insufficiently provided support with at least three (3) examples that illustrate your position

Partially defended your position on the decision to accept health insurance during the emergency as a potential source of income for the facility. Partially provided support with at least three (3) examples that illustrate your position

Satisfactorily defended your position on the decision to accept health insurance during the emergency as a potential source of income for the facility. Satisfactorily provided support with at least three (3) examples that illustrate your position

Thoroughly defended your position on the decision to accept health insurance during the emergency as a potential source of income for the facility. Thoroughly provided support with at least three (3) examples that illustrate your position

5. Analyze the extent to which this emergency might affect the quality of care provided to the patients and the unimpeded operation of the organization.

Weight: 13%

Did not submit or incompletely analyzed the extent to which this emergency might affect the quality of care provided to the patients and the unimpeded operation of the organization.

Insufficiently analyzed the extent to which this emergency might affect the quality of care provided to the patients and the unimpeded operation of the organization.

Partially analyzed the extent to which this emergency might affect the quality of care provided to the patients and the unimpeded operation of the organization.

Satisfactorily analyzed the extent to which this emergency might affect the quality of care provided to the patients and the unimpeded operation of the organization.

Thoroughly analyzed the extent to which this emergency might affect the quality of care provided to the patients and the unimpeded operation of the organization.

6. Three (3) References

Weight: 5%

No references provided

Does not meet the required number of references; all references poor quality choices.

Does not meet the required number of references; some references poor quality choices.

Meets number of required references; all references high quality choices.

Exceeds number of required references; all references high quality choices.

7. Clarity, writing mechanics, and formatting requirements

Weight: 10%

More than 8 errors present

7-8 errors present

5-6 errors present

3-4 errors present

0-2 errors present

If you are willing, please share your total score on the AACN Essentials Self-Assessment. If you do not wish to share your score, give a general description of your current KSA levels.

Candidly identify and share with your classmates areas where knowledge, skills or abilities (KSAs) are lacking?

Describe the relationship between the AACN Essentials and your new-found knowledge about Patient Centered Care. Are there opportunities for you to improve?

Cultural Integration and Workforce Diversity Essay Paper

Diversity in the workplace focuses on similarities and differences all employees bring to the organization. Diversity such as education, cultural, gender, geographical location, and ethnic background should be encouraged and valued. Employees should consider how work policies, communication, and practices have a different impact on their colleagues.

Using the University Online Library, search the article, “All of Us: Embracing Diversity in Healthcare.”

Based on your research, summarize your thoughts and provide answers or comments to the following questions:

Discuss diversity in healthcare with examples and support from your research.

Summarize any cited special characteristics and problems in the workplace regarding diversity.

Now, let’s read the following scenario for your Cultural Integration and Workforce Diversity Essay Paper.

You are just promoted to a health administration management position. Your organization currently manages a home health unit where you are responsible for seven RNs, three dieticians, two billing and coding staff members, one physical therapist, one social worker, one accountant, and one health administrator overseeing the administrative duties of the organization.

The community is culturally diverse consisting of Hispanic, Arab Americans, and American Indian populations. Additionally, your staff is diverse consisting of one male RN, several RNs near retirement age, two newly graduated dieticians, and a few staff members representing several cultures. You find the staff does not seem to work well together and there appears to be several groups who do not include others at the lunch table. You have a vision to develop the team to promote unity, increase motivation, and share the same vision for a successful collaborative effort. You think how you will gather information so you can further develop your plan of action to turn the unit from one where there appears to be miscommunication and misinformation to a well-functioning team unit.

Based on the above scenario, answer the following questions in a Cultural Integration and Workforce Diversity Essay Paper:

As you begin to develop your plan of action, what important considerations will you address to improve the communication and collaborative effort among the group?

What perceived or real barriers do you anticipate based on the wide diversity of the staff and patients? For example, do seasoned and newly graduated staff members develop team cohesiveness immediately? How can language barriers between the team impede proper communication across department lines?

What potential conflicts can arise when you do not understand or accept cultural, gender, ethnic, or age diversity?

Develop four important steps for how you will implement your plan to improve communication and acceptance of various cultures and diverse workers for each of the perceived or real barriers for staff and patients.

Reference
:

Birk, S. (2012). All of us: Embracing diversity in healthcare. 
Healthcare

Executive
, 
27
(4), 30–32, 34–36, 38.

Improving Patient Satisfaction Fishbone Analysis Paper

Prepare a Fishbone Analysis diagram for the topic of IMPROVING PATIENT SATISFACTION with citations and reference page with images.

Must use the 5 why technique with at least 4 spines of Fishbone using 1. Nursing characteristics, 2. Patient characteristics, 3. System factors, 4. Practice breakdown.

 

APA format

Nursing Services Delivery Theory: An Open System Approach Paper

Reflect on your organization or one with which you are familiar. Within a particular department or unit in this organization, identify a problem the staff is encountering.

Using Table 1 in the Meyer article as a guide, analyze the department or unit, identifying inputs, throughput, output, cycles of events, and negative feedback. Consider whether the problem you have selected relates to input, throughput, output, cycles of events, and/or negative feedback.

Think about how you could address the problem: Consider what a desired outcome would be, then formulate related goals and objectives, and translate those goals into policies and procedures.

Research professional standards that are pertinent to your identified problem.

Reflect on the organization’s mission statement and values. In addition, consider how addressing this problem would uphold the mission and values, while improving the organizational culture and climate.

Write a 3- to 5-page Nursing Services Delivery Theory: An Open System Approach Paper that addresses the following:

Describe a department or unit within a health care organization using systems theory terminology. Include a description of inputs, throughput, output, cycles of events, and negative feedback.

Describe the problem you identified within the department or unit using an open- systems approach, and state where the problem exists using the systems theory model (input, throughput, output, cycles of events, or negative feedback).

Based on this information, explain how you would address the problem as follows:

Formulate a desired outcome.

Identify goals and objectives that would facilitate that outcome.

Translate those goals and objectives into policies and procedures for the department or unit.

Describe relevant professional standards.

Explain in your Nursing Services Delivery Theory: An Open System Approach Paper how your proposed resolution to the problem would uphold the organization’s mission and values and improve the culture and climate.