Category: Nursing

Evolving Practice Of Nursing And Patient Care Delivery Models Essay

As the country focuses on the restructuring of the U.S. health care delivery system, nurses will continue to play an important role. It is expected that more and more nursing jobs will become available out in the community, and fewer will be available in acute care hospitals.

Write an informal presentation (500-700 words) to educate nurses about how the practice of nursing is expected to grow and change. Include the concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics.

Share your presentation with nurse colleagues on your unit or department and ask them to offer their impressions of the anticipated changes to health care delivery and the new role of nurses in hospital settings, communities, clinics, and medical homes.

In 800-1,000 words summarize the feedback shared by three nurse colleagues and discuss whether their impressions are consistent with what you have researched about health reform.

A minimum of three scholarly references are required for this assignment.

While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines. You are required to submit to turnitin

Change Management Processes in health care organizations

Summarize a journal article from the past two years that discusses a health care organization that is undergoing a significant change and then use the article to illustrate one of the change management processes you studied in this unit.

Choose a global health issue. For this assignment, you will introduce the health issue and discuss the interventions necessary to prevent the issue and promote health.

Some topics to consider may include:

Anthrax

Bioterrorism

Cholera

Clostridium
 
botulinum
 infection

Community-associated methicillin-resistant 
Staphylococcus

Ebola virus disease

Escherichia
 
coli

Human immunodeficiency virus disease

Malaria

Plague

Severe respiratory distress syndrome

Small pox

Suicide

Tuberculosis

Vancomycin-resistant enterococcus infection

West Nile virus

Include the following in your paper:

Introduction/overview of the health issue and the prevalence in the United States and worldwide

Contributing factors

Prevention strategies

Signs and symptoms

Diagnostic tests (if applicable)

Advanced practice nursing role and management strategies

Medical/pharmacological management (if applicable)

Follow-up care

Conclusion

Write a 3–4 page paper following APA format. You must include 2–3 scholarly sources in your citations and references

Rubrics:

The writer clearly and effectively responds to the assignment.

There is one clear, well-focused topic. Main ideas are clear and are well supported by detailed and accurate information.

The introduction is inviting, states the main topic, and provides an overview of the paper. Information is relevant and presented in a logical order. The conclusion is strong.

The assignment consistently follows current APA format and is free from errors in formatting, citation, and references. No grammatical, spelling, or punctuation errors. All sources are cited and referenced correctly.

Research Study Proposal–Part II: Literature Review and Research Questions

Resource:
Ch. 3 of
Introduction to Health Research Methods

Create
a research question related to your problem statement and then conduct a literature review.

Conduct background reading on your topic.

Select at least five research articles related to your problem statement.

Create
a 1,050- to 1,500-word summary of the articles that best support your research question. Be sure to:

Discuss components of a research study.

Determine validity of study.

Discuss strengths and weaknesses.

Determine future research needs.

Cite
your sources according to APA format.

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Materials

Research Study Proposal–Part II: Literature Review and Research Questions Grading Criteria

Introduction to Health Research Methods: A Practical Guide (2nd ed.), Ch. 3

 

Grading Criteria

 
Research Study Proposal: Part II—Literature Review and Research Questions

 

This assignment is due in Week Three.

 

Content

60Percent

Points Available

6

Points Earned

X/X

Additional Comments:

Student creates a research question related to their problem statement and conduct a literature review. Included the following:

·         Conduct background reading of their topic.

·         Select at least five research articles related to their problem statement.

·         Discuss components of a research study.

·         Determine the validity of the study.

·         Discuss the study’s strengths and weaknesses.

·         Determine future research needs.

Organization/Development

20 Percent

Points Available

2

Points Earned

X/X

Additional Comments:

·         The summaryis 1,050 to 1,500words long.

·         The introduction provides sufficient background on the topic and previews major points.

·         The conclusion is logical, flows, and reviews the major points.

Mechanics

20 Percent

Points Available

2

Points Earned

X/X

Additional Comments:

·         The summary—including the title page, reference page, tables, and any appendixes—is formatted according toAPA guidelinesas directed by the facilitator. The summaryis laid out with effective use of headings, font styles, and white space.

·         Rules of grammar, usage, and punctuation are followed; spelling is correct.

Total Available

Total Earned

10

Community practice instructor journal entries

1 page only. No apa format. It is the the last week of my community practice. About geriatrics and nursing home.

Each week you will be expected to provide the following information to your community practice instructor through your journal entries:

What are your upcoming week’s specific learning goals and objectives?

What is your upcoming week’s detailed schedule at your community practice experience placement?

Were there any placement items/issues that occurred this week that you feel your instructor should be aware of that are private in nature and are more appropriately shared here than in the discussion board with your classmates?

Give a brief description of an objective you worked on this week. Make sure to cite at least one reference showing how your objective relates to the public health knowledge you’ve studied during this course or the public health course. You may choose to reference your e-text, journal articles, or videos you’ve studied during these courses or you may find an outside reference on your own to further enhance your public health knowledge and practices.

Remember, your journal entries are an important aspect of clinical learning as they serve to help you reflect upon and get the most out of your community practice experience. Therefore, your journal entry should include the who, what, where, and when of your community practice experience. Remember, this should simulate a dialogue that would normally take place face-to-face with your community practice experience instructor.

The statement “Vision drives, not follows a great work” What does this mean?

 

As nurses we sometimes loose site of the vision. We may see our patients as broken, troublesome, addicts, and as student nurses – a procedure (an IV stick, F/C insertion etc.). How do you get the vision or get the vision back and see things and people as they could be, or should be, or want to be?

 

How does time management relate to vision?

 

Jesus, the greatest leader of all time, simply stated, “Come follow me, and I will make you fishers of men” (Matthew 4:19) and the disciples got up and followed him. How do you, the new grad nurse, say to your patient who is in pain, “Come get up and follow me, I’ll help you recover so you can go home” and then have them get up and follow you?

Real-life healthcare organization research capstone project paper

Instructions:

For your Capstone Project, you will be performing research on a real-life healthcare organization. Drawing upon your learning in previous courses, you will be asked to analyze various facets and provide a detailed picture of the organization. Each section is to be 1,600–2,000 words. Each section should have at least four references.

Section 1 – Submitted in Unit 2

Proposal and introduction of project

Select hospital

Write introduction

State selected organization

State rational behind the selection of the organization

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Analysis of the organization

Describe the organization’s structure:

Facility physical settings

Patient or client base

Level of clinical activity and research

Describe the mission, vision, and goals of the organization and how the organization supports these items

Community and global impact

Use Standard American English as described in the APA guidelines. You need to follow formal APA formatting for the Real-life healthcare organization research capstone project paper and include a title page and a reference page. Make sure you cite your reference in the text and on the reference page using proper APA format.

Ethical Issues in Nursing and Nursing Laws Essays

Part I: Nursing Laws

When nurses  exceed their scope of practice,  they violate their nursing license and may be  performing tasks that  are reserved by statute for another healthcare  professional, such as a  physician (Fremgen, 2012). Due to the shortage of  nurses, their  responsibilities are ever increasing, which may lead to actions  that  result in malpractice. However, nurses have not generally been involved   in lawsuits for exceeding their scope of practice or violating their  license,  unless they also acted negligently (Fremgen, 2012).

Accordingly, by  using the Internet  resources, research your state’s nursing laws and  regulations. Based on  the knowledge gained from your readings, respond to the  following  questions with examples:

When  should a nurse question the actions of a doctor?

When  can a nursing license be suspended or revoked?

Justify your  answers with appropriate  research and reasoning by using examples and  references from textbooks,  the South University Online Library, and other  acceptable references.  Cite sources in the APA format. Further, comment on  the postings of at  least two peers.

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Part II: Ethical Issues in Nursing

By using the  Internet and the South  University Online Library resources, review scholarly  articles and  respond to the following:

Identify  and describe at least three critical ethical issues affecting today’s nursing  professionals.

As  a health care professional, explain the ways you will address these issues.

Justify your  answers with appropriate  research and reasoning by using examples and  references from textbooks,  the South University Online Library, and other  acceptable references.  Cite sources in the APA format. Further, comment on  the postings of at  least two peers.

Source: 

Fremgen, B.  (2012). 
Medical law and ethics.
 (4th  ed.). Boston, MA: Prentice

Hall.

Dashboard and Health Care Benchmark Evaluation Simulation Paper

Review the performance dashboard for a health care organization, as well as relevant local, state, and federal laws and policies. Then, write a report for senior leaders in the organization that communicates your analysis and evaluation of the current state of organizational performance, including a recommended metric to target for improvement.

Maintaining standards and promoting quality in modern health care are crucial, not only for the care of patients, but also for the continuing success and financial viability of health care organizations. In the era of health care reform, health care leaders must understand what quality care entails and how quality in health care connects to the standards set by relevant federal, state, and local laws and policies. An understanding of relevant benchmarks that result from these laws and policies, and how they relate to quality care and regulatory standards, is also vitally important.

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Health care is a dynamic, complex, and heavily regulated industry. For this reason, you will be expected to constantly scan the external environment for emerging laws, new regulations, and changing industry standards. You may discover that as new policies are enacted into law, ambiguity in interpretation of various facets of the law may occur. Sometimes, new laws conflict with preexisting laws and regulations, or unexpected implementation issues arise, which may warrant further clarification from lawmakers. Adding partisan politics and social media to the mix can further complicate understanding of the process and buy-in from stakeholders.

How many health care laws can you name that affect your practice in your current or future workplace? How do they impact your daily work? How many regulatory agencies oversee the types of services your health care organization provides? Which regulatory agencies apply to your workplace setting? Are you familiar with the process of complying with those agencies in order to maintain certification? You might be overwhelmed as you consider these broad questions.

As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend or family member, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.

What local, state, or federal health care policies or laws set benchmarks and standards reflected in performance dashboards common in your professional area of practice?

What are the potential challenges or opportunities for health care organizations or interprofessional teams in meeting prescribed performance benchmarks and standards? Factors you might consider include the organization’s mission, its size and resources, operational policies and procedures, and the population the organization serves.

Preparation

For this Dashboard and Health Care Benchmark Evaluation Simulation Paper assessment, you may choose one of the following three options for a performance dashboard to use as the basis for your benchmark evaluation.

Option 1: Dashboard and Health Care Benchmark Evaluation Simulation

If you decide to use one of the simulation dashboards for your evaluation, review both dashboards, as well as the relevant local, state, and federal laws and policies linked in each dashboard. Choose one of the dashboards and consider the metrics within it  that are falling short of the prescribed benchmarks.

Option 2: Actual Dashboard From a Professional Practice Setting

If you choose an actual dashboard from a professional practice setting for your evaluation, be sure to add a brief description of the organization and setting that includes:

The size of the facility that the dashboard is reporting on.

The specific type of care delivery.

The population diversity and ethnicity demographics.

The socioeconomic level of the population served by the organization.

Note:
Ensure that your data is Health Insurance Portability and Accountability Act (HIPAA) compliant. Do not use any easily identifiable organization or patient information.

Option 3: Hypothetical Dashboard Based on a Professional Practice Setting

If you have a sophisticated understanding of dashboards that are relevant to your own practice, you may also construct a hypothetical dashboard for your evaluation, based on that setting. Your hypothetical dashboard must present at least four different metrics, at least two of which must be under-performing the relevant benchmark set forth by a federal, state, or local laws or policies. In addition, be sure to add a brief description of the organization and setting that includes:

The size of the facility that the dashboard is reporting on.

The specific type of care delivery.

The population diversity and ethnicity demographics.

The socioeconomic level of the population served by the organization.

Note:
Ensure that your data is HIPAA compliant. Do not use any easily identifiable organization or patient information.

Report Requirements

Structure your Dashboard and Health Care Benchmark Evaluation Simulation Paper report in such a way that it would be easy for a colleague or supervisor to locate the information they need. Be sure to cite relevant local, state, or federal health care laws or policies when evaluating metric performance against prescribed benchmarks. Cite an additional 2–4 credible sources to support your analysis and evaluation of the challenges in meeting the benchmarks, the potential for performance improvement, and your advocacy for ethical action.

Note:
The tasks outlined below correspond to grading criteria in the scoring guide.

In your report, be sure to:

Evaluate dashboard metrics against the benchmarks set by local, state, or federal health care laws or policies.

Which metrics are below the mandated benchmarks in the organization? Evaluate weaknesses within the entire set of benchmarks.

What are the local, state, or federal health care laws or policies that set these benchmarks?

Analyze challenges that meeting prescribed benchmarks can pose for the organization or for an interprofessional team.

What are the specific challenges or opportunities that the organization or interprofessional team might have in meeting the benchmarks? For example, consider:

The strategic direction of the organization.

The organization’s mission.

Available resources:

Operational and capital funding.

Physical space.

Support services (any ancillary department that supports a specific care unit in the organization, such as a pharmacy, cleaning services, and dietary services).

Cultural diversity in the organization.

Cultural diversity in the community.

Organizational processes and procedures.

How might these challenges be contributing to benchmark underperformance?

Evaluate a benchmark underperformance in the organization or interprofessional team that has the potential for greatly improving overall quality or performance.

Which metric is underperforming its benchmark by the greatest degree?

Which benchmark underperformance is the most widespread throughout the organization or interprofessional team?

Which benchmark affects the greatest number of patients?

Which benchmark affects the greatest number of staff?

How does this underperformance affect the community the organization serves?

Where is the greatest opportunity for improvement in the overall quality or performance of the organization or interpersonal team—and ultimately in patient outcomes?

Advocate for ethical action in addressing the benchmark underperformance that has the potential for greatly improving overall quality or performance.

At which group of stakeholders should your advocacy be directed? Which group could be expected to take the appropriate action to improve the benchmark metric?

What are some ethical actions that the stakeholder group could take that support improved benchmark performance?

Why should the stakeholder group take action?

Communicate your findings and recommendations in a professional and effective manner.

Ensure that your report is well organized and easy to read.

Write clearly and logically, using correct grammar, punctuation, and mechanics.

Integrate relevant sources to support your arguments, correctly formatting source citations and references using current APA style.

Did you cite relevant local, state, or federal health care laws or policies when discussing the mandated benchmarks?

Did you cite an additional 2–4 credible sources to support your analysis, evaluation, and advocacy?

Draft a written proposal and implementation guidelines for an organizational policy that you believe would help lead to an improvement in quality and performance associated with the benchmark metric for which you advocated action in Assessment 1.

Note:
Each assessment in this course builds on the work you completed in the previous assessment. Therefore, you must complete the assessments in this course in the order in which they are presented.

In advocating for institutional policy changes related to local, state, or federal health care laws or policies, health leaders must be able to develop and present clear and well-written policy and practice guidelines change proposals that will enable a team, unit, or the organization as a whole to resolve relevant performance issues and bring about improvements in the quality and safety of health care. This assessment offers you an opportunity to take the lead in proposing such changes.

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

Competency 2: Analyze relevant health care laws and regulations and their applications and effects on processes within a health care team or organization.

Propose a succinct policy and guidelines to enable a team, unit, or the organization as a whole to implement recommended strategies to resolve the performance issue related to the relevant local, state, or federal health care policy or law.

Competency 3: Lead the development and implementation of ethical and culturally sensitive policies that improve health outcomes for individuals, organizations, and populations.

Recommend ethical, evidence-based strategies to resolve a performance issue related to health care policy or law.

Competency 4: Evaluate relevant indicators of performance, such as benchmarks, research, and best practices, for health care policies and law for patients, organizations, and populations.

Explain the need for creating an organizational policy or practice to address a shortfall in meeting a prescribed metric benchmark.

Competency 5: Develop strategies to work collaboratively with policy makers, stakeholders, and colleagues to address environmental (governmental and regulatory) forces.

Analyze the potential effects of environmental factors on recommended strategies.

Identify colleagues, individual stakeholders, or stakeholder groups who should be involved in further development and implementation of proposed policy and guidelines and recommended strategies.

Competency 6: Apply various methods of communicating with policy makers, stakeholders, colleagues, and patients to ensure that communication in a given situation is professional, clear, efficient, and effective.

Communicate a proposed policy and guidelines and recommended strategies in a professional and persuasive manner, writing content clearly and logically, with correct use of grammar, punctuation, and spelling.

Effectively support arguments with relevant sources, correctly formatting citations and references using current APA style.

As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. 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 your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.

Consider the underperforming metric you evaluated in your Dashboard Benchmark Evaluation in Assessment 1 as having the potential to greatly improve the overall quality or performance of a team or the whole organization.

What ethical, evidence-based strategies would you recommend to resolve the performance issue related to the underperforming metric you evaluated?

What does the literature suggest are potential strategies to improve performance for your targeted benchmark?

How would these strategies ensure improvement or compliance with the relevant local, state, or federal health care policy or law?

How would you propose to apply these strategies in the context of Eagle Creek Hospital or your own practice setting?

How would you ensure that these strategies are ethical and culturally inclusive in their application?

In this assessment, you will build on the dashboard benchmark evaluation work you completed in Assessment 1.

Preparation

After reviewing your benchmark evaluation, senior leaders in the organization have asked you to draft a policy change proposal and practice guidelines addressing the benchmark metric for which you advocated action.

In their request, senior leaders have asked for a proposal of not more than 2–4 pages that includes a concise policy description (about one paragraph), practice guidelines, and 3–5 credible references to relevant research, case studies, or best practices that support your analysis and recommendations. You are also expected to be precise, professional, and persuasive in justifying the merit of your proposed actions.

When creating your policy and guidelines it may be helpful to utilize the template that your current care setting or organization uses. Your setting’s risk management or quality department could be a good resource for finding an appropriate template or format. If you are not currently in practice, or your care setting does not have these resources, there are numerous appropriate templates freely available on the Web.

Proposal Requirements

Note:
The tasks outlined below correspond to grading criteria in the scoring guide.

In your proposal, senior leaders have asked that you:

Explain why a change in organizational policy or practice guidelines is needed to address a shortfall in meeting a performance benchmark prescribed by applicable local, state, or federal health care laws or policies.

What is the current benchmark for the organization? What is the numeric score for the underperformance?

How might the benchmark underperformance be affecting the quality of care being provided or the operations of the organization?

What are the potential repercussions of not making any changes?

Recommend ethical, evidence-based strategies to resolve the performance issue.

What does the evidence-based literature suggest are potential strategies to improve performance for your targeted benchmark?

How would these strategies ensure improved performance or compliance with applicable local, state, or federal health care laws or policies?

How would you propose to apply these strategies in the context of your chosen professional practice setting?

How would you ensure that the application of these strategies is ethical and culturally inclusive?

Does your policy encompass the key components of your recommendations?

Analyze the potential effects of environmental factors on your recommended strategies.

What regulatory considerations could affect your recommended strategies?

What organizational resources could affect your recommended strategies (for example, staffing, finances, logistics, and support services)?

Are your policy and guidelines realistic in light of existing environmental factors?

Propose a succinct policy and guidelines to enable a team, unit, or the organization as a whole to implement recommended strategies to resolve the performance issue related to the relevant local, state, or federal health care policy or law.

Identify colleagues, individual stakeholders, or stakeholder groups who should be involved in further development and implementation of your proposed policy, guidelines, and recommended strategies.

Why is it important to engage these colleagues, individual stakeholders, or stakeholder groups?

Do your proposed guidelines help colleagues, individual stakeholders, or stakeholder groups understand how to implement your proposed policy?

How might engaging these colleagues, individual stakeholders, or stakeholder groups result in a better organizational policy and smoother implementation?

Are your proposal and recommended strategies realistic, given the care team, unit, or organization you are considering?

Communicate your proposed policy, guidelines, and recommended strategies in a professional and persuasive manner.

Write clearly and logically, using correct grammar, punctuation, and mechanics.

Integrate relevant sources to support your arguments, correctly formatting source citations and references using current APA style.

Did you cite an additional 3–5 credible sources to support your analysis and recommendations?