Category: Nursing

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.

Discussion post is at least 200 words.

Answers all questions with opinions/ideas creatively and clearly. Supports post using several outside, peer-reviewed sources.

3 References, try to find resources that are 5 years or less

No errors with APA format 6thEdition

Review the Discussion Board Participation Grading Rubric, in the Grading Rubrics section of the Course Resources.

To Discuss:

Team Dynamics

Reflect on your experiences as a member of a clinical team. What makes a team effective in terms of achieving expected outcomes for patients and agencies? What situations or conditions make it difficult for teams to work together?

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?

Journal Entry Practicum Assignment

Analyze nursing and counseling theories to guide practice in psychotherapy*

Develop goals and objectives for personal practicum experiences*

Create timelines for practicum activities*

 

Practicum Assignment – Journal Entry

Develop diagnoses for clients receiving psychotherapy*

Analyze legal and ethical implications of counseling clients with psychiatric disorders*

Descriptive statistics in nursing essay assignment

Explore key statistical concepts related to data and problem solving through the completion of the following exercises using SPSS and the information found in your 
Statistics and Data Analysis for Nursing Research
 textbook. The focus of this assignment is to become familiar with the SPSS data analysis software and to develop an understanding of how to calculate descriptive statistics and make conclusions based on those calculations. As you formulate your responses, keep in mind that descriptive statistics only allow you to make conclusions and recommendations for the sample at hand—not for the larger population to which that sample may belong.

To prepare:

Review      the 
Statistics and Data Analysis for Nursing Research
 chapters      assigned in this week’s Learning Resources. Pay close attention to the      examples presented, as they provide information that will be useful when      you complete the software exercise this week. You may also wish to review      the 
Research Methods for Evidence-Based Practice
 video      resources to familiarize yourself with the software.

Refer      to the Week      4 Descriptive Statistics Assignment page and follow      the directions to calculate descriptive statistics for the data provided      using SPSS software. If you run into any difficulties or problems, post      them to the Week 4 Discussion 2 area (see attached file)

Download      and save the Polit2SetA.sav (see      attached file) data set. You will open the data file in SPSS.

Compare      your data output against the tables presented in the Week 4 Descriptive Statistics SPSS Output      document (see attached file) This will enable you to become      comfortable with defining variables, entering data, and creating tables      and graphs.

Formulate      an initial interpretation of the meaning or implication of your      calculations.

To complete:

Complete      the Part I, Part II, and Part III steps and Assignment as outlined in      the Week      4 Descriptive Statistics Assignment page. (see      attached file for week 4 descriptive statistics assignment page)

 

Required Media

Laureate Education, Inc. (Executive Producer). (2011). 
Research methods for evidence-based practice: Quantitative research: Data analysis.
Baltimore, MD: Author.

Note: 
The approximate length of this media piece is 10 minutes.

In this week’s video, the presenter describes challenges to collecting and utilizing quantitative data and offers suggestions for assessing and improving data quality. The strategic use of quantitative data by health care organizations is also considered.

Introduction to SPSS”

Used by permission from SPSSVideoTutor.com A division of ConsumerRaters LLC., 1121 S Military Trail, 314, Deerfield Beach, FL 33442, USA

Descriptive Statistics”

Used by permission from SPSSVideoTutor.com A division of ConsumerRaters LLC., 1121 S Military Trail, 314, Deerfield Beach, FL 33442, USA

Note:
 The approximate length of this media piece is 12 minutes.

Note: The approximate length of this media piece is 11 minutes.

Top of Form

Required Readings

Gray, J.R., Grove, S.K., & Sutherland, S. (2017)
. Burns and Grove’s the practice of nursing research: Appraisal, synthesis, and generation of evidence
 (8th ed.). St. Louis, MO: Saunders Elsevier.

Chapter      21, “Introduction to Statistical Analysis”

This chapter discusses the concepts of statistical analysis with regard to hypothesis testing. The chapter also identifies and defines common statistical terminology.

Polit, D. (2010). 
Statistics and data analysis for nursing research
 (2nd ed.). Upper Saddle River, NJ: Pearson Education Inc.

Chapter      1, “Introduction to Data Analysis in an Evidence-Based Practice      Environment”

This chapter provides an introduction to quantitative and qualitative data in evidence-based practice. The chapter introduces levels of measurement and types of statistical analyses relevant to different types of research studies.

Chapter      2, “Frequency Distributions: Tabulating and Displaying Data”

Chapter 2 discusses frequency distributions as well as the different methods of presenting data, especially when data are very extensive. The chapter includes information on the use of bar charts, pie charts, histograms, and frequency polygons.

Chapter      3, “Central Tendency, Variability, and Relative Standing”

This chapter examines the many ways data distribution for a quantitative variable can be described through shape, central tendency, and variability.

Software

IBM SPSS Statistics Standard GradPack (current version). Available in Windows and Macintosh versions. Please refer to the 
IBM SPSS Software
area in the 
Course Overview
 section on the left navigation bar for more information on how to install, register, and license this software.

Optional Resources

Bilheimer, L. T., & Klein, R. J. (2010). Data and measurement issues in the analysis of health disparities. 
Health Services Research, 45
(5), 1489–1507. doi:10.1111/j.1475-6773.2010.01143.x

Granberg-Rademacker, J. S. (2010). An algorithm for converting ordinal scale measurement data to interval/ratio scale. 
Educational & Psychological Measurement, 70
(1), 74–90.

This site provides step-by-step procedures and screenshots for working with SPSS.

Walden University. (n.d.). Descriptive statistics. Retrieved August 1, 2011, from http://streaming.waldenu.edu/hdp/researchtutorials/educ8106_player/educ8106_descriptive_stats.html

Leadership Styles Essay

There are many articles and books written about the differences between managers and leaders. Leaders are visionary, influential in positive ways, value their teams, support their growth, and empower their staff. Leaders who are positive in their actions coach, delegate, and share recognition. Read the following scenarios and answer the questions given in each scenario.

Scenario A

Consider a time when you had the experience of being led by someone who was able to get you to achieve more than you thought you could. Based on what you learned about leadership styles, describe events examining how your selected leader worked by certain principles. In addition, report details of an event demonstrating how you were led to perform.

On the basis of the above scenario, answer the following questions in a Leadership Styles Essay :

What style did the leader exhibit? Describe events pointing out how your selected leader worked by certain principles.

Report details of the scenario demonstrating how you were led to perform.

How did you improve your overall attitude and motivation based on a supportive leader in the workplace?

Positive influence can help team members develop their skills and knowledge. Do you agree to this statement? Why and how?

How does working in a positive organization with supportive leadership encourage staff performance at work each day?

What leadership skills will you take from your positive experience and use when you are in a leadership position?

Scenario B

Now, recall a time when you were led by someone who could not motivate you. Describe events pointing out how your selected leader’s working style made subordinates feel uncomfortable.

On the basis of the above scenario, answer the following questions in a Leadership Styles Essay:

What style did the leader exhibit? Describe events pointing out your selected leader’s leadership style.

Report details of the scenario demonstrating how you were led in his or her team.

How did the manager’s action make you feel? Explain.

Which leadership behaviors do you think your selected leader lacked? Do you think the leader had ever had a chance to learn about leadership styles?

How important is it for a leader to be trained to guide and motivate the staff members to enhance team unity, enthusiasm, and positive attitudes?

What role should the individual staff member have to motivate himself or herself instead of relying on a manager?

Group Management for Just Culture Discussion

The concept of a fair and just culture refers to the way an organization handles safety issues. Humans are fallible; they make mistakes. In a just culture, ‘hazardous’ human behavior such as staff errors, near–misses and risky actions are identified and discussed openly in hopes of finding ways to improve processes and systems—not to identify and punish the individual.

—Pepe & Caltado, 2011

This Discussion examines the opportunities of managers in working with groups to promote change that facilitates the delivery of safe, high–quality care.

To Prepare

Review the information on just culture presented in the Learning Resources.

For this discussion, you will use the Regulatory Decision Pathway found in Russell, K. A. & Radtke, B. K. (2014).

Examine an adverse event at the unit level in your organization or one with which you are familiar and apply the Regulatory Decision Pathway.

Compare the findings of the Regulatory Decision Pathway  to what actually happened at the unit in your organization. Was the event deemed: 
bad intent, reckless, at risk, or human error
? According to the pathway, do you now think it was the correct action?

Think about how a nurse leader–manager may use just culture as a framework to create or maintain a focus on accountability and outcomes throughout a group. What actions could be taken if a systems–related error was made or if an error resulted from risky behavior?

How might role conflict and/or ambiguity have contributed to the situation?

Post
 a 
description of an adverse event
 in your organization and your analysis of the issue using the Regulatory Decision Pathway. Explain how role conflict or ambiguity might have influenced this situation. Apply the principles of just culture as you explain how you, as the group’s manager, would handle the situation.

Read 
a selection of your colleagues’ responses.

Respond
 to at least
 two
 of your colleagues 
on two different days
 using one or more of the following approaches:

Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.

Validate an idea with your own experience and additional research.

Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.

Reference

Pepe, J., & Cataldo, P. J. (2011). Manage risk, build a just culture. 
Health Progress. 
Retrieved from 
http://www.outcome–eng.com/wp–content/uploads/2012/01/manage–risk.pdf

Russell, K. A. & Radtke, B. K. (2014). An evidence–based tool for regulatory decision–making: regulatory decision pathway. 
Journal of Nursing Regulation
, 5(2), 5–9.

Marquis & Huston, Leadership roles and management functions in nursing, 2015

As a nurse, you are probably very aware of and can speak to the emotional reasons behind the need for certain major expenditures such as a new nurse’s lounge or replacing the current patient information system with a new digital system. You would love to see your nurses have a comfortable area where they can rejuvenate from a stressful day with patients. Alternatively, nurses carrying around PDAs would certainly ease the recording and transmission of vital patient information. However, as a nurse manager you need to be able to support those emotional appeals with reliable financial data. Having a place to refresh will help nurses be more efficient, and could reduce sick days and nurse errors. Being able to quickly access doctor’s orders and previous nurse’s comments allows for a more timely response to patients. As your responsibilities expand, you may find yourself at the table when decisions about capital expenditures are being debated. It is therefore to your advantage to understand the workings of a capital budget.

In this Discussion, you consider the impact of both financial and emotional factors in making a capital budget decision,

To prepare:

Review the information on capital budgets in this week’s Learning Resources.

Consider why it is important for nurse managers to understand the capital budget of an organization. How are capital budgets used in your own organization (or one with which you are familiar)?

Reflect on the importance of thinking strategically when developing this type of budget.

Identify a new piece of equipment you would like to see purchased by the organization. Consider how knowledge of capital budgeting could influence your approach to making the request.

Develop strategies for demonstrating the need for this capital expenditure that take into account both financial and emotional considerations.

Post
 an analysis of why it is important for nurse managers to understand principles of capital budgeting. Describe a costly new piece of equipment you would like your organization (or one with which you are familiar) to purchase. Explain strategies for demonstrating the need for this equipment to decision makers. Briefly outline how you could use financial data and emotional appeals to demonstrate the benefits of this purchase.

Complete as directed by the facilitator.

 

By Saturday, September 23, 2017, go to the Discussion Area and post responses to one discussion question as assigned by the facilitator. All responses should be posted to the appropriate topic in this Discussion Area. It is important to support what you say with relevant citations from both the course materials and outside resources. Include the South University Online Library in your research activities utilizing not only the nursing resource database, but also those pertaining to education, business, and human resources.

 

Discussion Questions:

 

Review the Centers for Medicare and Medicaid Innovation. Identfiy the massive innovation funded by the Affordable Care Act and discuss a model that relies on technology to promote optimal patient centered outcomes.

Review the National Quality Forum measures that can be accessed and used in the Electronic Health Record (EHR) to ensure quality metrics from an EHR endorsed by the Centers for Medicare and Medicaid Services.

By Wednesday, September 27, 2017, comment on at least two of your peers’ responses. You can ask technical questions or respond generally to the overall experience of attempting the question. Be objective, clear, and concise. Always use constructive language. All comments should be posted to the appropriate topic in this Discussion Area.