Category: Nursing

Return on investment (ROI) is a financial performance measure used to evaluate and determine the efficiency of an investment on a number of different measures. The ROI is calculated by examining the benefit (return) of an investment divided by the cost of the investment. The result of this calculation is a percentage or a ratio. For example, the formula for ROI is as follows: ROI = (Gain from the investment – Cost of the investment) / Cost of the investment It should be noted that there is more than one way healthcare organizations may compute and calculate the ROI for a new service or product line. The ROI is not always calculated in direct dollars, but it may be calculated as the ability to contribute to the organizational mission and philosophy. For example, a nonprofit healthcare organization may want to partner with a local community endeavor and establish a free clinic with low-dollar ROI but with a tremendous feeder of new patients to primary care services within the organization. Using the readings for the week, the South University Online Library, and the Internet, respond to the following: Develop an ROI for a new project (such as the implementation of a new Level 3 neonatal intensive care unit [NICU]). Summarize the issues and challenges in formulating an accurate ROI for a new product or service line. Identify two major challenges and two major barriers for unit managers or the CNO accountable for ensuring ROI on a new product or service line. Comment on the postings of at least two peers. Evaluation Criteria: Developed an ROI for a new project (such as the implementation of a new Level 3 neonatal intensive care unit [NICU]). Summarized the issues and challenges in formulating an accurate ROI for a new product or service line. Identified two major challenges and two major barriers for unit managers or the CNO accountable for ensuring ROI on a new product or service line. Justified your answers with appropriate research and reasoning. Commented on the postings of at least two peers.

Part 1: Effectiveness of Behavioral Theories

Health education and health promotion programs focus on changing health behavior. Public health interventions are increasingly using theoretical frameworks to guide the design, implementation, and evaluation components to achieve behavior change and increase the health of the community.

From the assigned readings this week, review the following Web resource:

SOPHE Unintentional Injury and Violence Prevention. (n.d.). 
Behavior change theories that can be applied to injury prevention and control.
Retrieved from 
http://sophe.org/ui/behavioral-theories.shtml

Based on your research, select a behavior change theory and provide an example of how that theory applies to a health promotion program. Then, respond to the following:

Describe the effectiveness of behavioral theories in bringing about behavior change in a health promotion program.

In the example you cite, examine the factors that led to the decision to apply your chosen theory to the specific health promotion program.

Describe how the health promotion program was designed to incorporate the elements of this theory.

Support your statements with appropriate examples and scholarly references.

Part 2: Social Determinants Impacting Public Health

Social determinants of health have a significant impact on public health issues. They are the social, economic, and environmental conditions that are not distributed equally among populations. Those living in poverty and unsanitary living conditions are usually more susceptible to disease. Inaccessible healthcare systems and an unstable government without policies to address these disparities also contribute to the burden of disease.

From the assigned readings this week, review the following Web resource:

World Health Organization (WHO). (2012). 
Social determinants of health
. Retrieved from 
http://www.who.int/social_determinants/en/

Respond to the following:

Evaluate the social determinants that may impact current public health issues within the U.S.

Select a current public health issue in the U.S. and describe the social determinant that impacts the issue.

Describe existing practices that are in place to improve economic or social determinants. What additional measures can you recommend?

In your opinion, analyze whether more can be done to address the issue. Include an analysis of whether policy creates interference.

Support your statements with appropriate examples and scholarly references.

Nursing Informatics & Technology Essay Assignments

Unit 1 discussion:What Is Nursing Informatics?

Discuss ways that nursing informatics could be applied to all areas of professional nursing practice, including clinical practice, administration, education, and research. Provide examples of each. What do you see as the biggest significance of nursing informatics, and why?

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Unit 2 discussion: Database Search

Choose a topic related to health that has meaning to your personal health, interests, and well-being for your Nursing informatics & technology essay assignments. This may be a disease, such as diabetes, or a healthy fitness activity. Conduct a database search comparing one of the following database directories with Google Scholar. CINAHL and Google Scholar PubMed and Google Scholar Explain how you were able to narrow down the number of article hits you had initially, and present within your post a summary of the credible article you chose as your resource. How do you know your article choice is credible? Which database do you prefer and why? How will using a database search facilitate your scholarly work; nursing work (evidence-based practice); and personal self-development? Nursing Informatics & Technology Essay Assignments.

Unit 3 discussion:Healthcare Technology: Local, National, and Global Considerations

Imagine that you are a public health nurse, and you and your colleagues have determined that the threat of a deadly new strain of influenza indicates a need for a mass inoculation program in your community. What public health data would have been used to determine the need for such a program? Where would you locate public health data? What data will be collected to determine the success of such a program? How might you communicate this to other communities or internationally? use this in your nursing informatics & technology essay assignments.

Unit 4 discussion: Workarounds and Their Implications for Patient Safety

What is a workaround? Identify a workaround (specific to technology used in a hospital setting) that you have used or perhaps seen someone else use, and analyze why you feel this risk-taking behavior was chosen over behavior that conforms to a safety culture. What are the risks? Are there benefits? Why or why not? Discuss the current patient safety characteristics used by your current workplace or clinical site. Identify at least three aspects of your workplace or clinical environment that need to be changed with regard to patient safety (including confidentiality), and then suggest strategies for change.

Unit 5 discussion:From Data to Knowledge and Wisdom!

How does data become knowledge and finally wisdom? Explain the relationship between knowledge acquisition, knowledge processing, knowledge generation, knowledge dissemination, and wisdom. Then, provide examples from your clinical practice (or past work experiences) according to the following. Examples of knowledge acquisition Examples of knowledge generation Examples of knowledge processing Examples of knowledge dissemination Examples of the use of feedback.  Nursing informatics & technology essay assignments

Unit 6 discussion: Informatics and the Development of Standards

Discuss the roles of federal, state, and local public health agencies in the development of standards for informatics in healthcare in your Nursing informatics & technology essay assignments.

Unit 7 discussion Technology: Benefits and Future Trends

What technology do you find most beneficial to use in your work or school setting? Least beneficial? Why do you find this tool useful or not? Then, using your imagination, look to the future and think about how this tool could be enhanced even further. Describe your dream technology, with consideration for patient care and safety.

Unit 8 discussion Team Presentation

This week, one member of your team will be responsible for posting your team presentation to this discussion thread under the color-coordinated thread below that corresponds with your team. Critique a team presentation other than your own, and include what the presentation taught you and what you see as far as its effect on patient safety and healthcare technology. What changes in the presentation would you recommend, and why? Ask questions! Each team is responsible for responding to questions asked of its presentation! Remember to include sources of literature in your posts to back up the statements you make! Remember, we are all about evidence-based practice! You still must have at least two posts on 2 different days this week. The course ends on Wednesday of Unit 8. Nursing Informatics & Technology Essay Assignments.

ATI Nurse’s Touch – Nursing Informatics & Technology

PURPOSE

Nurse’s touch provides interactives that will enhance students’ knowledge, skills, and attitudes with important topics and scenarios in nursing practice. Each module provides case studies along with a practice and proctored assessment of content comprehension.

COURSE OUTCOMES Nursing informatics & technology essay assignments enables the student to meet the following course outcomes. 1. Describe patient?care technologies as appropriate to address the needs of a diverse patient population. 2. Analyze data from all relevant sources, including technology, to inform the delivery of care. 3. Define standardized terminology that reflects nursing’s unique contribution to patient outcomes. 4. Investigate safeguards and decision?making support tools embedded in?patient care technologies and information systems to support a safe practice environment for both patients and healthcare workers. 5. Identify patient care technologies, information systems, and communication devices that support safe nursing practice. 6. Discuss the principles of data integrity, professional ethics, and legal requirements related to data security, regulatory requirements, confidentiality, and client’s right to privacy. 7. Examine the use of information systems to document interventions related to achieving nurse?sensitive outcomes. 8. Discuss the value of best evidence as a driving force to institute change in delivery of nursing care. DUE DATE Refer to Course Calendar for details. The Late Assignment Policy applies to these Nursing informatics & technology essay assignments. TOTAL POINTS POSSIBLE ? Actual points earned will be based on the highest percentage score earned on the test multiplied by the total points possible. ? (ie. If the assignment is worth 20 points, and you get 50% of the questions correct, you will earn 10 points). ? While you may retake the assessment, there may be a time delay of between retakes. Check with your instructor for more information on Nursing informatics & technology essay assignments. REQUIREMENTS ATI ACCESS NR360 Information Systems in Healthcare NR360 Nurses Touch Guidelines.docx 2 PREPARING THE ASSIGNMENT Log into your MY ATI Account and Select the “Learn” tab. Go to the ” NURSE’S TOUCH: NURSING INFORMATICS AND TECHNOLOGY” tutorial. Listed below are the specific assigned modules under this tutorial and units they are due. Please complete module lesson, case studies and post?test. Each module ranges from 1.5 to 2 hours for completion. UNIT 2? INFORMATICS?80 POINTS UNIT 4? LITERACY SKILLS AND CONSUMER EDUCATIONAL NEEDS?80 POINTS UNIT 5? INFORMATION MANAGEMENT SYSTEMS?80 POINTS UNIT 7? VIRTUAL SOCIAL NETWORKS?80 POINTS

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We Can, but Dare We?

As healthcare providers, we look more and more to technology to improve patient outcomes, streamline operations, and lower costs. Sometimes, technology can be used in ways that have ethical, moral, and legal considerations too. You will be writing about the use of personal devices and social media and its use in healthcare in your nursing informatics & technology essay assignments. We can do it, but dare we? This is a “think outside the box” assignment in which there is not necessarily only one right answer. Still, you are required to find sources that support your opinions. Be sure to cite and reference them in your paper. Download the We Can, but Dare We guidelines (Links to an external site.)Links to an external site.. The assignment template can be found in the Assignment Resources folder in the Files area. Please use the template when completing your paper. Submit the assignment by the due date, as instructed by your faculty member. Nursing Informatics & Technology Essay Assignments.

Assignment

PURPOSE The purpose of Nursing informatics & technology essay assignments is to (a) explore and present an information technology used in the healthcare system that supports the patient care experience and (b) develop the skills of team communication, collaboration, and production. Course Outcomes This assignment enables the student to meet the following course outcomes. ? CO 1: Describe patient?care technologies as appropriate to address the needs of a diverse patient population. (PO 1) ? CO 5: Identify patient care technologies, information systems, and communication devices that support safe nursing practice. (PO 5) ? CO 6: Discuss the principles of data integrity, professional ethics, and legal requirements related to data security, regulatory requirements, confidentiality, and client’s right to privacy. (PO 6) ? CO 8: Discuss the value of best evidence as a driving force to institute change in delivery of nursing care. (PO 8) DUE DATE See Course Schedule in Syllabus. The college’s Late Assignment Policy applies to this activity. TOTAL POINTS POSSIBLE This assignment is worth a total of 240 points. Requirements 1. For this team project, students will be assigned by faculty into teams of three to five individuals depending upon class size. 2. Teams will receive a project grade based on assessment by the project rubric, which will then be applied to each individual’s grade for the project minus points for lack of participation in the development or presentation of the project. 3. The team leader will make all dropbox submissions for the course so that the a. TURNITIN similarity index will not pickup inadvertent self?plagiarism from another team member’s submission b. Course faculty will have only one submission to review and grade. 4. Use Microsoft PowerPoint 2007, 2010 or higher for systems’ compatibility. NR360 Technology Presentation Guidelines V1.docx Revised for SEP17 tz/css/slp 2 a. Follow the best practices for PowerPoint construction & presentation Preparing the Nursing informatics & technology essay assignments Presentation 1. Prepare a PowerPoint presentation with speaker notes between 25?30 slides, NOT including the title and reference slides. a. Speaker Notes i. Outline and “script” the presentation for online students. ii. Online students’ speaker notes should include the name of the student who researched and presented the slide information. iii. Campus students follow the guidelines of your course instructor. b. Scholarly writing and APA 6th Edition guidelines should be followed as applicable to PowerPoint slides. c. Cite sources in APA format in the applicable slides and include the APA formatted reference in your reference list slide(s) ? Minimum 6 references d. Spelling, grammar, and punctuation apply even in bullet points and speaker slides (e.g., quotation marks, italics, verb tense, etc.) e. Copyright and plagiarism rules apply 2. Each team will be assigned a healthcare information systems technology (e.g., Computerized Physician Order Entry, Electronic Health Record, Electronic Medical Record, etc.) by the course instructor. For that technology, include the following discussions in the presentation: a. Introduce the technology & the team i. Title slide should identify the assigned technology and introduce team members ii. Provide an introduction 1. Describe the technology 2. Purpose for the technology in healthcare. 3. Establish the professional tone for the presentation. b. History & Current Use i. Describe significant findings that prompted the development of the technology. Nursing Informatics & Technology Essay Assignments.

In your Nursing informatics & technology essay assignments, discuss the history and current use of the technology in healthcare iii. Describe three goals of this technology’s implementation. c. Impact on healthcare and nursing i. Impact on professional nursing practice. ii. Patient safety impact (including statistical justification) iii. Impact on patient care delivery, quality care measures/monitoring, and risk management (privacy, confidentiality, and security) as applicable. 1. Ethical & legal considerations. 2. Infrastructure/operational consequences (e.g., budget, costs, etc.) 3. Impact on a population and/or geographic region 4. Provide examples & statically significant data to support examples. d. Three advantages and disadvantages i. Patient’s vantage point or perspective (e.g., patient outcomes, safety, patient/family satisfaction). ii. Nurse’s vantage point (improves/hinders job efficiency/safety) iii. Healthcare organization’s vantage point (regulatory compliance, financial, etc.) e. Controversy/Issues/Challenges/Regulatory implications i. How might issues surrounding the chosen technology be addressed/solved? ii. Provide statically significant data or evidence to support your findings. f. Summary NR360 Technology Presentation Guidelines V1.docx Revised for SEP17 tz/css/slp 3 i. Key points ii. Discoveries/surprises iii. Lessons learned by the team 3. Team Project Evaluation (40 points) a. Place & discuss the following questions and responses in the slides(s) following the summary slide and prior to the reference slide(s). i. How did the team function well? (e.g., team strengths, team balance, Nursing informatics & technology essay assignments etc.) ii. What problems did you have interacting as a team? (e.g., team weaknesses, outside challenges, technology, etc.) iii. What specific actions would you recommend to future teams to help them interact, function, and collaborate successfully? Nursing Informatics & Technology Essay Assignments.

Throughout the discussions occurring within NR501, a common element has been application of theory. In this our last discussion regarding theory, it is time to focus on you and your capstone experience (yes, it is never too early consider this major project!). While it is too early to identify your project, let’s consider on your future practice area as this is the setting your project will occur in. Based upon your self-reflection and use of nursing theory within the discussions and assignments, select ONE nursing theory that you prefer and answer the following questions: 1. Why do you prefer the nursing theory you selected? 2. How can this theory be used in your current practice area (education, executive, advanced clinical practice, informatics, or healthcare policy)? 3. How can this theory be used in your future practice area (education, executive advanced clinical practice, informatics or healthcare policy)?

Patients’ falls in healthcare organization

Introduction

The fall of patients in the healthcare organization has been categorized as the major cause of increasing number of days of stay as well as the increasing costs of hospitalization for the patients in the healthcare organization. Along these lines, there is a need for the development of ways and plans that will help in the management of the conditions of the patients as well as ensuring that there is an understanding of the possible risks. Precisely, this paper provides a clear implementation plan that will help in the comparison of the questions and sample population as well as the limitations of the studies.

Comparison of Research Questions

The study by Siegrist et al., (2016) has not presented an explicit statement of the question but the main goal of the prefalls assessment was to find out, whether the application of physical exercise-based fall prevention strategy in primary care setting in German which consisted of sixteen weeks of physical exercise in collaboration with personalized home-based exercise program, can remarkably decrease the number of fall per individual in elderly persons who live in community and are at fall risk compared to those getting routine care for the period of one year. Secondary goal was to investigate the fall-related incidences, injuries, and effects of exercise training in fall prevention.

On the other hand, the article by Tucker et al., (2012) aims at evaluating the likelihood of adjusting and modifying Serotonin and Norepinephrine Reuptake Inhibitors (SNRI) to decrease the incidence and fall risk of patients on two units of orthopedic. While the study by Jensen and Padilla (2017) aims at evaluating the success of environment-based application which address perception and behavior in connection with falls at neurocognitivediseaseshome and community settings for those elderly people with Alzheimer’s disease and other. Baixinho, Dixe, and Henriques (2017) aim at validating the content of a fall management risk protocol in long-term institutions for elderly people.

Comparison of Sample Populations

For the study by Siegrist et al., (2016), the set of participants was calculated by using icebergs operating system (Bergel 2005-2006 and version Beta 3.06) which permits taking into consideration intra-cluster association which is important part in cluster randomized trials. The calculations were performed based on suppositions concerning the amount of folks with at least one incident of fall for the period of one year (12-months) follow up period. Accordant with intra-cluster coefficient of 0.02 was presumed and cluster size of 10 was regarded realistic. So, nearly a total of 40 clusters which were equivalent to 382 individuals in all were arranged to be among of the study to perceive a clinically pertinent decrease from 38 per cent up to 20 per cent with 80 per cent power at 2 sided of significance of 5 per cent.

The sample population for the study by Tucker et al., (2012) can be discussed as below. This particular study included two postoperative orthopedic units, each having 29-bed. It was located at university medical center -Midwest of United States of America (U.S.A). In both study units, the care to patients who were undergoing surgery were provided by nursing staff. Jensen and Padilla (2017) are based on the examination of similarities across, settings, participants, interventions, and outcomes and were grouped into themes. The strength of the evidence for each theme was appraised using an adaptation of the system proposed by the U.S. Preventive Services Task Force. Studies were examined for similarities across participants, settings, interventions, and outcomes and were grouped into themes. The strength of the evidence for each theme was appraised using an adaptation of the system proposed by the U.S. Preventive Services Task Force.

The intentional sample consisted of 14 experts that met the predefined inclusion criteria to have more than five years of experience, with published research in the area of risk and/or prevention of falls in the elderly for the study by Baixinho, Dixe, and Henriques (2017).

Comparison of the Limitations of the Study

The studies have presented a variety of limitations that could have an effect on the results that are presented. As such, the limitation of the studies includes the fact that the sample size is small and hence there are challenges in the process of ensuring that there is external validity among the healthcare sector.  Jensen and Padilla (2017) have the challenge of putting across internal validity due to the fact that there is a challenge to ensure that main determinant of changes in the cases of ensuring that the results are determined by the actual factors that have been put in place.

The study by Tucker et al., (2012) indicate that the information that is presented can be extended to a larger population but the common study indicates that there is lack of enough study analysis due to the fact that there is lack of available design. The design by Siegrist et al., (2016) is a cluster-randomized two-level trial (general practices and patients) general practitioners in southern Germany were invited.

 Conclusion

In conclusion, it can be deduced that the increasing cases of fall of patients in the healthcare organization have led to the provision of the management measures to ensure that the challenge is healthcare organization leads to the increase in the cases of costs of hospitalization. Additionally, the questions that are put in place by the articles that have been analyzed indicate that there are various purposes of the studies.

 

References

Baixinho, C. R. S. L., Dixe, M. D. A. C. R., & Henriques, M. A. P. (2017). Falls in long-term care institutions for elderly people: protocol validation. Revista Brasileira de Enfermagem, 70(4), 740-746.

Jensen, L., & Padilla, R. (2017). Effectiveness of Environment-Based Interventions That Address Behavior, Perception, and Falls in People withabcde123457678900 Alzheimer’s Disease and Related Major Neurocognitive Disorders: A Systematic Review. American journal of occupational therapy, 71(5), 7105180030p1-7105180030p10.

Siegrist, M., Freiberger, E., Geilhof, B., Salb, J., Hentschke, C., Landendoerfer, P., … & Blank, W. A. (2016). Fall Prevention in a Primary Care Setting: The Effects of a Targeted Complex Exercise Intervention in a Cluster Randomized Trial. Deutsches Ärzteblatt International, 113(21), 365.

Tucker, S. J., Bieber, P. L., Attlesey‐Pries, J. M., Olson, M. E., & Dierkhising, R. A. (2012). Outcomes and challenges in implementing hourly rounds to reduce falls in orthopedic units. Worldviews on Evidence‐Based Nursing, 9(1), 18-29.

Falls for people are leading source of non-fetal and fetal injuries for elderly Americans. Falls are the big concerns for those adults who living in nursing and rehabilitation centers. Falls endanger elderly’s independence and safety and cause economic and personal costs. However, falling is unavoidable consequence of aging. By means of adjusting lifestyle and using evidence-based programs for fall prevention the number of falls among elderly people can be significantly reduced. According to the Centers for Disease Control and Prevention (CDC), more than 1 in 4 elderly people fall every year and 1 out of 5 falls cause serious injuries (Sterling, 2001).

Nursing care provided in elderly people who live in nursing home if used based on evidence-based practice can significantly reduce fall among those residents. In a community of elderly people like nursing homes, nurses are primary care health providers who ensure that life and safety of residents are in good hands. Nursing practice allows nurses to involve in patients’ care in numerous ways, for example, preventing falls in community settings (e.g. in hospitals and nursing homes).

At Vosswood Nursing Center where this author works and practicing his mentorship, for the period of six months the nursing management initiated fall prevention by using hourly nursing rounds instead of depending to previous nursing intervention of using call lights secured at patients’ bedsides, during this period of new intervention trial, the main PICOT question was as described below.

Picot Question-
In elderly nursing home residents, what is the effect of hourly nursing rounds compared with using call light on decreasing falls rate?                           P-The population in question are elderly people who live in nursing home.                                   I- Hourly nursing rounds.                                                                                                                 C- Call lights.                                                                                                                                   O- Reducing falls rate.                                                                                                                      T- Six months.

After completion of six months of fall prevention trial, it was discovered that the falls rate was reduced from six falls to two falls per months, skin breakdown was decreased, patient satisfaction scores was increased, and staff satisfaction was improved (Vosswood report, 2017). Nurses who purposeful make patients round at least every hour they are not only restore confidence to their patients, but they also retain time and energy by lessening use of call light (Halm, 2009). For those nurses who make rounds, they can perform scheduled nursing tasks, for instance, dressing change, administering medication, also checking four Ps: position, potty, pain, and possessions (Meade, Bursell, Ketelsen, 2006). Most elderly nursing home residents fall when they are trying to get of bed/chair for bathroom use while they are physically weak and unstable. Implementation of hourly nursing rounds will assist to them to go to bathroom, position them in bed and relieve pressure and put items within their reach, for example, water glass, TV remote, phone, and tissues, or any personal items which patient might to be close by. Hourly rounding is evidence-based practice that decreases falls and pressure sores in elderly residents (patients) in nursing homes and hospitals while enhancing patients’ satisfaction, it promotes nurses to be proactive rather than reactive in attending patients’ needs.                                                  
Agency for Healthcare Research and Quality (AHRQ)                                       (AHRQ)
is agency whose mission is to produce evidence to make health care safer, more accessible, higher quality, affordable, and equitable, which work with United State Department of Health and Human Services and with other associates to ensure that the evidence-based practice is understood and used correctly (AHRG, 2017). AHRQ was established in 1989 as agency for health care policy and research. It involved in prevention of falls in elderly people and patients in different settings, for example in hospitals and long-term facilities.

Conclusion                                                                                                                            

Nurse who practices in any setting and provides healthcare for elderly patients needs to be proactive for patients’ safety and fall prevention. By using clinical judgement, expertise and evidence-based practice, nurse can significantly reduce the fall risks and injuries caused by falls. Hourly nursing rounds as evidence-based practice if used as intended will reduce falls rate significantly.

 

 

 

 

 

References

Halm, M.A. (2009). Hourly rounds: what does the evidence indicate? Am J Crit Care. 2009;18(6):581-4.

Meade, M., Bursell, L., Ketelsen, L. (2006). Effects of nursing rounds: on patients’ call light use, satisfaction, and safety.

AHRQ (2017). Which fall prevention practices do you want to use? Retrieved from
www.ahrq.gov/professionals/systems/long-term-care/resources/facilities/ptsafety/Itcmodule3.html-88k

Vosswood (2017). Vosswood Nursing Center report: Fall prevention strategies, hourly nursing rounds.

Sterling, A., O’Connor, A., & Bonadies, J. (2001). Geriatric falls: injury severity is high and disproportionate to mechanism. J Trauma. 2001;50(1):116-9.

Evidence-based research steps and processes for future practice

In this assignment, students will pull together the change proposal project components they have been working on throughout the course to create a proposal inclusive of sections for each content focus area in the course. At the conclusion of this project, the student will be able to apply evidence-based research steps and processes required as the foundation to address a clinically oriented problem or issue in future practice. Students will develop a 1,250-1,500 word paper that includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the capstone change proposal: Background Problem statement Purpose of the change proposal PICOT Literature search strategy employed Evaluation of the literature Applicable change or nursing theory utilized Proposed implementation plan with outcome measures Identification of potential barriers to plan implementation, and a discussion of how these could be overcome Appendix section, if tables, graphs, surveys, educational materials, etc. are created Review the feedback from your instructor on the Topic 3 assignment, PICOT Statement Paper, and Topic 6 assignment, Literature Review. Use the feedback to make appropriate revisions to the portfolio components before submitting. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

Zero-Based Operational FTE Budget Draft

Typically, healthcare organizations already have a budget worksheet or spreadsheet for preparing the operational budget. The budget worksheet or spreadsheet contains information identified with an account number or a subcode depicting the cost center. This worksheet or spreadsheet is generally provided when the nurse leader begins to work on the next operational budget. This week, you will begin preparing a zero-based operational FTE budget based on the results of targeted HPPD and the previous year’s average daily census (ADC). For this assignment, you will use the operating worksheet or spreadsheet from the organization in which you are completing your Practicum I experience. Then, you will create a zero-based FTE operational budget for one year. The year may be a calendar year or fiscal year depending on your practicum setting. Week 7 Tasks Begin this assignment by having a discussion with your practicum preceptor. Make sure you complete the following based on your discussion: Select one nursing unit you will use for this assignment. This can be your own nursing unit in your practicum setting. Make sure you have access to the data required to complete this assignment. If the healthcare organization of your practicum setting does not have or will not share its budget worksheet or spreadsheet, then you should create your own worksheet or spreadsheet in a Microsoft Excel format. Then, write a draft budget for the nursing unit (I work in a hospital in Miami Florida). Your final version of the FTE budget, which is due in Week 10, should include all of the components listed below. Prepare a draft of a zero-based operational budget that includes the following based on your selected nursing unit: Operating expenses with subcodes Description of subcodes Prior-year expenses of subcodes Original budget allocations for subcodes Annualized expense for subcodes Budget adjustments for subcodes Approved budget for subcodes Personnel costs for one nursing unit Personnel Costs for One Nursing Unit—Components The nursing personnel budget is based on the total number of hours of care needed, which is determined by patient-acuity levels. Complete the following budget calculations using the information given and add these to the zero-based operational budget as a line item and subcode. Patient-Acuity Levels HPPD (Hours Per Patient Day) 1 4.0 hours 2 6.4 hours 3 10.5 hours 4 16.0 hours The staffing formula is: (Average census x Nursing hours x 1.4 x 1.14) / 7.5 Assignment 2 Grading Criteria Maximum Points Prepared a draft of a zero-based operational budget that includes the listed components based on your selected nursing unit. 15 Presented a structured document free of spelling and grammatical errors. 5 Properly cited sources using APA format. 5 Total: 25 NOTE: You do not need anything from anywhere.

Care Models and the Nurse Leader Essay

There are many ways to organize and deliver nursing care to individual patients and groups of patients. Groups of patients with similar symptoms or like disease diagnoses are referred to as aggregates. There are many different ways nurse leaders organize and determine how the work should be distributed for individuals and aggregate patient populations. Regardless of the care model selected, nurse leaders have many variables to balance to find the right care model that meets and satisfies all key stakeholders. For example, it is not enough to use a care model that meets the nurses’ needs and preferences; finding the balance between comprehensive patient care and satisfaction and nurse satisfaction is required. Patients must have their healthcare needs met and be satisfied, and nurses must be satisfied and want to work in the healthcare organization. Using the readings for the week, the South University Online Library, and the Internet, respond to the following: Describe the role of the nurse leader in determining the model of care. Describe a model of care and include the pros and cons of this model in your description. Examine the benefit and return on investment to patient quality and outcomes as a result of implementing a model of care. Explain the human and financial resources needed to implement a selected nursing model of care. Comment on the postings of at least two peers. Evaluation Criteria: Described the role of the nurse leader in determining the model of care. Described a model of care and included the pros and cons of this model. Examined the benefit and return on investment to patient quality and outcomes as a result of implementing a model of care. Explained the human and financial resources needed to implement a selected nursing model of care. Justified your answers with appropriate research and reasoning. Commented on the Care Models and the Nurse Leader Essay postings of at least two peers.

Ethical Dilemmas and Nurse Leaders Essay Assignment

Almost every day, nurse leaders confront challenges or issues involving ethical dilemmas. Ethical dilemmas occur with respect to staff, patients and their families, or the business or strategic decisions made by the healthcare administration. One of the essential skills and competencies of twenty-first-century nurse leaders is the ability to peel away the layers of each ethical dilemma and determine the underlying ethical principle. There are numerous ethical decision-making models, and it truly does not matter to which model the nurse leader subscribes. However, it does matter that the nurse leader applies concepts of an ethical decision-making model in this executive leadership capacity. Using the readings for the week, the South University Online Library, and the Internet, respond to the following: Explain the various steps that nurse leaders can take to prepare themselves and staff nurses for dealing effectively with dilemmas arising from the clash between clinical and organizational ethics. Identify one ethical decision-making model that is of interest to you for identifying ethical dilemmas. What is an ethical principle? How you would apply an ethical principle in your current or a former setting to inform ethical decision making on a particular healthcare issue? Comment on the postings of at least two peers. Evaluation Criteria: Explained the various steps that nurse leaders can take to prepare themselves and staff nurses for dealing effectively with dilemmas arising from the clash between clinical and organizational ethics. Identified one ethical decision-making model that is of interest to you for identifying ethical dilemmas. Described what an ethical principle is, and how you would apply an ethical principle in your current or a former setting to inform ethical decision making on a particular healthcare issue. Justified your answers with appropriate research and reasoning. Commented on the Ethical Dilemmas and Nurse Leaders Essay Assignment postings of at least two peers.