Category: Nursing

A 50 year female who’s family history unknown has a history of smoking 1ppd for 15 years quit 3 years ago. Consumes 3-4 alcohol drinks a week performs moderate excercise 3-4 times a week and has a past medical history of hypertenson controlled on Lisinopril.

Discussion Question

For this discussion, you are asked to review the student learning outcomes for this course and discuss how you met these outcomes. The intention here is to provide you an opportunity to “reflect” on the learning achieved during this term and how you successfully met these learning outcomes. If you do not feel you successfully met the objective, discuss your plans to successfully complete the objective in the future.

Upon completion of this course, the student should be able to:

Critically analyze current practice to formulate researchable problems.

Evaluate research as the basis for decision-making to improve outcomes through translation into evidence-based practice.

Synthesize an understanding of the research process through development of a proposal to address a nursing problem or focus area identified in nursing practice.

Investigate ethical issues related to the conduct of scientific research, including informed consent, data management, data analysis, and protection of human subjects.

Explore national and international initiatives and research priorities.

Assignment 2: Research Proposal

Overview/Description: 

The final project for NSG6101 consists of the development of a novel research proposal specific to your role specialization. The project must include an intervention appropriate to nursing practice and consistent with your MSN role option. An alternative to the above includes the selection of a specialty organization to focus research proposals based on the priorities of that organization. Examples of these organizations could include (but are not limited to): Sigma Theta Tau International, American Nurses’ Foundation, Oncology Nursing Society, Association of Nurses in AIDS Care, American Psychiatric Nursing Association, American Association of Critical Care Nurses, National Association of Pediatric Nurse Associates and Practitioners, National League For Nursing, etc.

Throughout this course you have been developing various sections of the research proposal. This week you will assemble the final proposal (addressing faculty feedback). This paper is to be developed in APA format/style using the 
required template
 and not to exceed 15 pages (excluding title page/references/appendices).

Criteria:

Introduction

Background and Significance of Problem

Statement of the Problem and Purpose of the Study

Literature Review

Summary of the Evidence for the Proposed Study

Research Question, Hypothesis, and Variables with Operational Definitions

Theoretical Framework

Overview and Guiding Propositions(s) Described in Theory

Application of Theory to Your Study’s/Project’s Focus

Methodology

Sample/Setting: Number and criteria for inclusion and description of place in which data will be collected.

Sampling Strategy

Research Design: Type (e.g., Quasi-Experimental), description, and rationale for selection.

Extraneous Variables (and plan for how controlled).

Instruments: Description, validity, and reliability estimates, which have been performed (on a pre-established measure). Include plans for testing validity and reliability of generating your own instrument(s).

Description of the Intervention

Data Collection Procedures

Data Analysis Plans

Describe plan for data analysis for demographic variables (descriptive statistical tests).

Describe plan for data analysis of study variables (descriptive and inferential statistical tests).

Ethical Issues

Describe ethical considerations and your plan to protect human rights.

Limitation of Proposed Study

Implications for Practice

References

Appendices

Informed Consent Letter

Procedure section is clear, described in detail, specific, and all inclusive. Written in lay language (as documented by reading level score). Includes risks and benefits relevant to study. Address assent (if applicable).

Health Care Organizations in U.S.

Conduct a research on one of the top fifteen health care organizations in the U.S.

Your research should include the following questions:

How will you find listings of the top fifteen health care systems?

What are the various  components of the selected health care system? How does it rank in terms  of reduced mortality and infection rates?

What are the services provided by the healthcare delivery system?

What are the current trends contributing to the high ranking and the future path of this health care organization?

How does the organization manage and distribute resources for improved patient care?

In a Microsoft Word document, create a 2- to  3-page report, on the basis of your research. Provide at least two  resources or journal articles referring to the selected organization.

Support your responses with examples.

Cite any sources in APA format.

Overview

Create a 3–5-page directional strategy report, as if you were preparing to present your assessment to a representative panel of employee stakeholders of a health care organization.

Note: The assessments in this course are presented in sequence and must be completed in order.

Directional strategies allow organizational leaders to define what the organization should be doing and how the organization plans to achieve results. As industry dynamics shift, strategies need to be adjusted. Directional strategies are all about sustainability. For example a directional strategy of growth needs to be carefully evaluated with respect to internal capacity, external community fit, and financial feasibility.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

Competency 1: Analyze organizational structure, design, culture, and climate in relation to environmental forces. ◦Analyze an organization’s mission, vision, and values statements in terms of directional strategies.

◦Analyze the gap between the desired outcome and the actual state of the current environment.

Competency 3: Recommend an organizational structure and design to optimize a strategic plan. ◦Examine organizational ethics as expressed in mission, vision, and value statements, and its relationship to health care strategy.

◦Propose changes to vision, mission, and values statements that align organizational structure and strategies.

Competency 4: Communicate in a manner that is scholarly, professional, and consistent with expectations for professionals in health care administration. ◦Write in a clear, concise, and well-organized manner, supporting conclusions with relevant evidence.

◦Follow current APA guidelines for format and style.

 

Context

The primary directional strategies discussed in strategic management literature are mission, vision, and values. It is important to note that strategic goals also provide direction to the organization and are an important part of the strategic planning process.

The process of creating authentic and congruent vision and mission statements hinges on filtering the creation process through an organization so that ownership of the strategic plan is shared by everyone. All employees should have a say in their specific goals within the structure of an organizational strategy.

Read the Assessment 3 Context document for additional information about the following topics:

Strategy Formulation Process.

Directional Strategies.

Creating Momentum.

 

Questions to Consider

To deepen your understanding, you are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of the business community.

In a health care organization or your choosing, what are the major categories of employee stakeholders (such as, executives, senior management, middle management, caregivers, maintenance, administrative support personnel, volunteers, et cetera)?

What role does the board of directors play in your health care organization?

What are the important elements of an effective board of directors?

What is the process your organization uses to select members? ◦How effective is that process?

What are industry best practices for selecting board members for a health care organization?

How well does your organization’s strategies align with its published vision, mission, and values?

How does this organization’s environment support or hinder its alignment with its vision, mission, and values?

 

Suggested Resources

The following optional resources are provided to support you in completing the assessment or to provide a helpful context.

 

Library Resources

Ginter, P. M., Duncan, W. J., & Swayne, L. E. (2013). Strategic management of health care organizations (7th ed.). San Francisco, CA: Jossey-Bass. ◦Chapter 5: Directional Strategies.

Kotalik, J., et al. (2014). Framework for ethical decision-making based on mission, vision and values of the institution. HEC Forum, 26(2), 125–133.

Kronenburg, M. A. (2014). Evaluating important healthcare management competency areas and preparation for healthcare reforms. International Journal of Business and Public Administration, 11(1), 31–40.

McSherry, R., &Warr, J. (2010). Implementing excellence in your health care organization: Managing, leading and collaborating. Berkshire, GBR: Open University Press.

Newhouse, J. J., &Balotsky, E. R. (2013). Factors motivating hospital CEOs to commit to ethical integration in their institutions: A quantitative analysis. Journal of Leadership, Accountability and Ethics, 10(2), 46–54.

Scott, B. C. (2015). Hospital boards—Why quality and safety matter. Physician Leadership Journal, 2(1), 62–64.

 

Internet Resources

Access the following resources by clicking the links provided. Please note that URLs change frequently. Permissions for the following links have been either granted or deemed appropriate for educational use at the time of course publication.

Kukreja, D. (2013). Strategic planning: A roadmap to success. Ivey Business Journal. Retrieved from http://iveybusinessjournal.com/publication/strategic-planning-a-roadmap-to-success/

Parsons-Miller, S. (2016). Directional strategies in the development of strategy for a healthcare organization. Houston Chronicle. Retrieved from http://smallbusiness.chron.com/directional-strategies-development-strategy-healthcare-organization-81073.html

Bradley, J. (2016). Operational versus functional level strategy. Houston Chronicle. Retrieved from http://smallbusiness.chron.com/operational-versus-functional-level-strategy-61306.html

Johnson, S. (2015). The triangle of corporate strategy. Houston Chronicle. Retrieved from http://smallbusiness.chron.com/triangle-corporate-strategy-68313.html

 

Assessment Instructions

Note: Assessments 1 and 2 must be completed before beginning this assessment.

Analyze the relevance of the organization’s directional strategy, including its vision, mission, values, and organizational culture. The goal is to focus upon application of the concepts and new insight. Keep it brief and substantive. Note: Feel free to construct images/diagrams to summarize information where appropriate (for example, TOWS matrix…).

 

Complete the following:

Review the mission, vision, and values statements of your health care organization.

Examine how well each statement addresses the components of a directional strategy.

Analyze the gap between the desired outcome and the actual state of the current environment.

Analyze the organization’s directional strategy, including its vision, mission, and values.

Examine the strategic “fit.” ◦Does the directional strategy fit the environment?

◦Is the organization headed in the right direction given the environmental assessment?

◦Does growth make sense right now or does maintaining the status quo or even contraction make better sense?

Recommend changes you would make to ensure a foundation necessary for the current structure and strategies of the organization. Note: Support your recommendations with relevant resources from the literature.

 

Additional Requirements

Length: 3–5 double-spaced, typed pages.

APA formatting: Resources and citations are formatted according to current APA style and formatting.

Resources: Use evidence from the literature to support your recommendations.

Please read chapter 8 and 9 of the class textbook and review the attached Power Point presentations. Once done answer the following questions;

1.  Please discuss health heritage of the Appalachian and Arab people and how their cultural beliefs influence the delivery of health care (focus on community care).

2.  Mention at least 2 health practices of the Appalachian and Arab people and if there is any pros and cons in the delivery of health care.

As stated in the syllabus present your assignment in a word 
document
 Arial 12 font APA format attached under the week 4 threat in the discussion tab of the blackboard.  A minimum of 2 evidence based references no older than 5 years are required as well as two replies to any of your peers posting sustained with the proper references.

Please follow the instructions given and stated in the syllabus.  A minimum of 500 words are required.

1. Please discuss health heritage of the Appalachian and Arab people and how their cultural beliefs influence the delivery of health care (focus on community care).

2.  Mention at least 2 health practices of the Appalachian and Arab people and if there is any pros and cons in the delivery of health care.

APA format

A minimum of 500 words are required.

A minimum of 2 evidence based references no older than 5 years.

Review the Institute of Medicine (IOM) report: “The Future of Nursing: Leading Change, Advancing Health,” focusing on the following sections: Transforming Practice, Transforming Education, and Transforming Leadership.

Write a paper of 750-1,000 words about the impact on nursing of the 2010 IOM report on the Future of Nursing. In your paper, include:

The impact of the IOM report on nursing education.

The impact of the IOM report on nursing practice, particularly in primary care, and how you would change your practice to meet the goals of the IOM report.

The impact of the IOM report on the nurse’s role as a leader.

Cite a minimum of three references.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

https://lc-.gcu.edu/learningPlatform/externalLinks/externalLinks.html?operation=redirectToExternalLink&externalLink=http%3A%2F%2Fwww.nationalacademies.org%2Fhmd%2FReports%2F2010%2FThe-Future-of-Nursing-Leading-Change-Advancing-Health.aspx

Select two drivers (for example quality, cost, and access) of high performance healthcare systems and apply it to your current work situation. The application could demonstrate the presence of the driver in a positive manner or it could acknowledge the presence of a concern.

Given the power of the media, discuss how you would use an opinion editorial, a personal interview, websites, texting, Facebook, Twitter, and/or blogs to influence public opinion relative to your policy priority. What issues about media and electronic social networking do you need to consider? Why?