Category: Nursing

Creating a Culture of Evidence-Based Practice Essay Paper

An abundance of evidence can be found on almost any medical issue or health topic. Often, the availability of information is not the concern, but rather nurses struggle with how to convey the evidence to others and change practices to better reflect the evidence. Deep-rooted organizational cultures and policies can make some resistant to change, even to changes that can vastly improve the quality, effectiveness, and efficiency of health care. However, there are many strategies that nurses can employ to bring about changes to practice.

In this Creating a Culture of Evidence-Based Practice Essay Paper, you focus on how to create an organizational culture that supports evidence-based practice.

To prepare:

Review the information in this week’s Learning Resources. Examine the various suggestions for promoting an organizational culture that embraces the use of Evidence Based Practice.(EBP)

Reflect on your own organization’s (or one in which you have worked) support of evidence-based practice. Examine how culture and policies impact the adoption of changes to practice based on evidence. What barriers exist?

Consider the models and suggestions for promoting evidence-based practice featured in this week’s Learning Resources. Identify models and suggestions that would work well in your organization.

Reflect on the significance of evidence-based practice in health care. What responsibility do nurses have to promote EBP and change practices to better reflect evidence and research findings?

Reflect on how nurses can disseminate findings from evidence-based practice research.

Post 
an evaluation of your organization’s use of EBP and how it is furthered or hindered by organizational culture and policies. Describe how you could disseminate the findings. Propose a strategy for strengthening the culture of EBP within the organization. Discuss a nurse’s responsibility to further the use of EBP, providing a rationale supported by specific information from the Learning Resources. Creating a Culture of Evidence-Based Practice Essay Paper.

Unionization and the Nursing Profession Essay Discussion

Unionization is a highly charged topic. No matter what your beliefs or thoughts are on the subject, one thing is clear—nurse managers have a significant responsibility to promote the goals of their organizations while appreciating the labor concerns that may prompt employees to join unions. Beyond that, it is helpful to reflect on the core values of nursing and consider the extent to which they align with unionization.

To Prepare

Review the information in the Learning Resources. Conduct additional research on unionization in health care.

Consider the professional basis of nursing and the presence of unions in health care. Does unionization conflict with a professional nursing orientation?

Reflect on the experiences you have had working in unionized settings, or consider what would be required of you in such a setting if you do not have that experience.

Consider how you would address transitioning from being a member of a collective bargaining unit to being a manager who cannot be a member of a collective bargaining unit. How you might prepare to make this sort of transition?

Post
your position on whether unionization aligns with or conflicts with a professional nursing orientation and what this may mean for the role as a nurse manager. Share your experiences working in a unionized setting or describe what might be required of you when transitioning from one circumstance to another.

Emotional Intelligence Paper

Empathy, motivation, self– and social awareness—what thoughts or images arise as you read these words? These terms relate to skills for understanding, expressing, and managing emotions in self and others, which are attributes of emotional intelligence.

Research frequently demonstrates the importance of emotional intelligence for leaders and managers. In health care, nursing leaders who demonstrate emotional intelligence can positively influence organizational outcomes by contributing to improved nurse retention, increased job satisfaction, and better health outcomes for patients (Codier, Muneno, Franey, & Matsuura, 2010).

To further your self–knowledge, you examine your own emotional intelligence and consider strategies for developing this important leadership characteristic.

To Prepare

Review the leaning resources for Week 10. There are 2 tests that are available to you to assess your personal Emotional Intelligence. Take both the tests and consider your personal attributes of emotional intelligence..

Identify strategies for developing any areas of opportunity or areas for enhancing your emotional intelligence. What do you need to do to achieve or sustain a high level of performance in this area?

Also consider how to work with leaders who do not demonstrate strong emotional intelligence (EI) or whose EI strengths differ from yours. Include these strategies as well.

To Complete

Write
a 2– to 3–page paper that describes the results of your emotional intelligence assessment and include your strategies for developing your EI. Be sure to refer to your week 10 resources to develop these strategies and of course cite any references that you use. Also consider how to work with leaders who do not demonstrate strong emotional intelligence (EI) or whose EI strengths differ from yours. Include these strategies as well. Refer to your assignment rubic for grading criteria.

 

Learning Resources

Note:

To access this weeks’s required library resources, please click on the link to the Course Readings List, found in the 
Course Materials
 section of your Syllabus.

Required Readings

Review the information found at Mind Tools: http://www.mindtools.com/pages/article/newCDV_59.htm

Trivella, P., Gerogiannis, V., & Svarna, S. (2013). Exploring Workplace Implications of Emotional Intelligence (WLEIS) in Hospitals: Job Satisfaction and Turnover Intentions. 
Procedia–Social and Behavioral Sciences 73(
27). 701–709.

Retrieved from the Walden Library databases.

Van der Linden, D., Tsaousis, I., & Petrides, K. V. (2012). Overlap between General Factors of Personality in the Big Five, Giant Three, and trait emotional intelligence. 
Personality and Individual Differences
, 
53
(3), 175–179.

Retrieved from the Walden Library databases.

Greater Good. (2012). 
Body language quiz: Test your emotional intelligence
. Retrieved from http://greatergood.berkeley.edu/ei_quiz/

Take this free online assessment, and note your results for this week’s Discussion.

Institute for Health and Human Potential. (2015). 
Emotional Intelligence Quiz
. Retrieved from http://www.ihhp.com/free–eq–quiz/

Purpose:
Comment
on the Discussion

 
Thing to Remember:

Answer this discussion with opinions/ideas creatively and clearly. Supports post using several outside, peer-reviewed sources.

1 References, find resources that are 5 years or less

No errors with APA format 6 Edition

 

To Comment:

Topic 1: Third-party Payment

 

Third party payment is distorting the market for health care due to how it has contributed to the increased level of spending in healthcare. The insurance companies that do the third party payments lack transparency. It is impossible for consumers to trace the real price of the medical services (Boyer, & Hammersla, 2012). Therefore, they have taken the advantage of rising prices and yet the quality of the services given is very poor. If there was transparency, then there would be healthy competition by the suppliers of medical services and this would lower the cost. This would also create a free market in the healthcare sector.

These countries insist on the third party intermediaries because they consider them as schemes for the poor. Due to the rising health care costs, they have argued that people would be in a position of acquiring health services through the low deductible premium policies and copayments (Danzon, et al., 2013). Further still, these third parties enable them to acquire great dividends due to the goodwill generated from them. The amount taxed from them enables these countries to advance to new medical technologies and drugs. However, the high-value technology doesn’t match up with the services given which are instead dwindling every single day.

Separate payment program for the elder citizens is carved out to enable them to acquire benefits that are convenient and ease the financial burden of healthcare (Abaluck, & Gruber, 2014). Also, they give minimum deductible rates for those that are earning. Those with no source of income are also considered since the government chips in. Elder citizens are at a high chance of getting health issues that are factored by age. The benefits they get cover acute diseases and prescription drugs. It also provides them with hospital insurance, skilled nursing care, and home care services especially for those with long-term ailments.

References

Boyer, D. F., & Hammersla III, W. E. (2012). 
U.S. Patent No. 6,208,973
. Washington, DC:          U.S. Patent and Trademark Office.

Danzon, P. M., Towse, A., & Mulcahy, A. W. (2013). Setting cost-effectiveness thresholds as      a   means to achieve appropriate drug prices in rich and poor        countries. 
Health    Affairs
, 
30
(8), 1529-1538.

Abaluck, J., & Gruber, J. (2014). Choice inconsistencies among the elderly: evidence from            plan    choice in the Medicare Part D program. 
The American economic review
, 
101
(4),    1180-   1210.

Birth Control Availability in the Community Essay

Instructions:

As an adult, you theoretically have many options for controlling your fertility. If you were a teenager under 18, your options may be different and/or more difficult to implement.

 

Individuals can seek out services through private providers, hospitals, clinics, and/or purchase over-the-counter products. Their ability to do that may depend upon such factors as finances, insurance, transportation, and education about options. In addition, one’s belief system and relationship status may also impact options and choices.

 

One organization committed to providing services, regardless of a woman’s ability to pay, has been Planned Parenthood. The current election season has shown some politicians going after funding Planned Parenthood. Governor Christie proudly states how he defunded PP in New Jersey. Go online and visit the National Planned Parenthood website-

Click on: “Find a health center near you”

http://www.plannedparenthood.org/

Put in New Jersey.

Compare two centers in the state—one in a city, and one in another part of the state—suburban/rural. Identify the location of the sites you’re describing.

What kinds of services are available on site?

What are their hours?

What kind of transportation is available and/or required to get there?

What kinds of payment are accepted? How much money is needed for a typical visit?

Briefly comment on the differences in services between the two facilities.

Making the Purchase- Being an educated consumer. Visit each of the following types of stores where birth control methods may be purchased:•         Retail pharmacy—Rite Aid, CVS, Walgreens•         Supermarket (Speak with me if there are transportation problems related to completing the assignment.)            Do an availability and comparison price check comparison for the following methods: •         Seasonale/ Seasonique•         NuvaRing•         Sponge

 

•         Condoms

•         Spermicides—foam, cream, gel, suppositories. Note the variety available.

•         OrthoEvra Patch

•         Monthly birth control pills

•         Comprehensive retail store—i.e., Walmart, Target

•         Small, local pharmacy

       Female Condom

       Emergency Contraception- Next Choice One Dose, Plan B One Step, Ella

       Other

You can submit a chart, or describe the differences in sentences.
Make sure to identify the location of the store you visited.

Thoughts, reactions and conclusions Conclude with 1-2 paragraphs on your reaction to the experience of “birth control shopping.” How did it feel to check the stores? What impressions related to access have resulted?Imagine that you were still a high school student. How would you feel shopping at each type of store? What challenges would you have to be able to access products and services?
Grading:
This assignment is worth
15
points.   Check the rubric posted in Blackboard.

Police arrest procedures  making people confused, fearful, and dehumanized

Please login to the following Web page:
http://www.prisonexp.org/
and take a tour through the slide show, which shows actual footage of the Stanford Prison study.

Please respond to three (3) of the following discussion questions;

What police procedures are used during arrests, and how do these procedures lead people to feel confused, fearful, and dehumanized?

If you were a guard, what type of guard would you have become? How sure are you?

What prevented “good guards” from objecting or countermanding the orders from tough or bad guards?

If you were a prisoner, would you have been able to endure the experience? What would you have done differently than those subjects did? If you were imprisoned in a “real” prison for five years or more, could you take it?

Why did our prisoners try to work within the arbitrary prison system to effect a change in it (e.g., setting up a Grievance Committee), rather than trying to dismantle or change the system through outside help?

What factors would lead prisoners to attribute guard brutality to the guards’ disposition or character, rather than to the situation?

What is “reality” in a prison setting? This study is one in which an illusion of imprisonment was created, but when do illusions become real?

Post your answers to the discussion board and comment on at least two posts of your classmates.

Saving Veteran’s Health: Nurse Practitioners to the Rescue Essay

The health of our veterans that have come back from war either physically or mentally wounded has become a very important and contentious argument. The apparent inability of the present Veteran’s administration to care for these men and women in an efficient and thorough manner appears to be overwhelming. Not only the active persons but those that have fought wars in the past is a large number of persons and has presented this country with a real dilemma. The cost of providing millions of veterans with quality care is a challenge and only recently did the Obama administration consider the possibility of having Nurse Practitioners and PA’s fill in where either there is no coverage or where the current cost is too great.

Saving Veteran’s Health: Nurse Practitioners to the Rescue Essay Instructions:

1. Considering that Nurse Practitioners are fully qualified and could easily provide quality care and less expensive care to these brave men and women that sacrificed so much for our country. Is this a viable alternative for the Veteran’s administration to consider having Nurse Practitioners fill in to give health care to our veterans? Voice your opinion and give plenty of supporting documentation and ideas to build a better system for our veterans.

2. Follow the link “Saving Veteran’s Health: Nurse Practitioners to the Rescue” to read about the proposals that are already in place and other proposals that seek support.

How nursing informatics or technology in health care will help or hinder leadership

Compilation Summarize, in 3-4 pages, this assignment that provides information from Weeks 1 to 4. In addition to the work you completed in the last four weeks, your assignment should also:

• Include an introduction and a conclusion.

• Implement the recommendations from the instructor.

• Describe the role of nursing informatics.

• Explain how nursing informatics or technology in health care will help or hinder your leadership. Support your responses with examples.

Leadership is expressed in many ways. You have evaluated and learned about leaders throughout this course. Where do you see your greatest ability to provide leadership?  Support your responses with examples.

Artistic Expression – Concept of Caring Guidelines with Scoring Rubric

Total Points Possible -This assessment is worth 100 points.

Requirements

Criteria for Content

Take a moment to reflect on how you demonstrate caring in your current professional practice.

Create an artistic representation of your perception on caring in nursing. The artistic expression can be a drawing, sculpture, collage, poem, short story, or dance.

Videos are to be 1 to 3 minutes in length.

Poems and short stories should not exceed one-page, double-spaced wording.

Drawings, pictures, or collages should be formatted on an 8 x 10 document.

Sculptures submitted as a jpg.

In a one- to two-page written paper, address the following.

The importance of caring to nursing practice and the profession

A personal definition of caring; include principles of holistic care

Definitions of caring found in nursing literature that support your perspective on caring

An explanation of the artistic expression you chose and how it represents caring

Summary of key concept presented in the paper

 

Preparing the paper

Submission Requirements

Application: Use Microsoft Word 2013™ to create the written component of this assessment.

Length:

The paper (excluding the title page and reference page) should be at least one but no more than two pages.

Artistic representation:

Poem or short story submitted as a Word document not to exceed one-page, double-spaced wording

Drawing or college submit as an 8 x 10 pdf

Sculpture submit as a jpeg

Song or dance should be at least 1 but no more than 3 minutes in length. Submit as an MP4

A minimum of
three (3)
scholarly literature references must be used.

Submission: Submit your files.

Best Practices in Preparing the Project

The following are best practices in preparing this project.

Review directions thoroughly.

Follow submission requirements for selected type of artistic expression.

Make sure all elements on the grading rubric are included.

Rules of grammar, spelling, word usage, and punctuation are followed and consistent with formal, scientific writing.

Title page, running head, body of paper, and reference page must follow APA guidelines as found in the 6th edition of the manual. This includes the use of headings for each section of the paper except for the introduction where no heading is used.

Ideas and information that come from scholarly literature must be cited and referenced correctly.

A minimum of
three (3)
scholarly literature references must be used.

Abide by CCN academic integrity policy.

 

Grading Criteria

Category

Points

%

Description

Artistic Expression of Caring

25

25%

Select an artistic form for representing your personal perspective on caring. Artistic expressions can be a drawing, sculpture, collage, poem, short stories, song, or dance. Follow submission guidelines.

Introduction

10

10%

Introduction includes general statements on caring as a nursing concept and why this concept is important to the practice and profession. Identify sections of the paper. Provide support from scholarly literature.

Definition of Caring

30

30%

Provide your personal definition of caring. Incorporate principles of holistic care. Provide citations from scholarly nursing literature that support and are congruent with your definition of caring.

Expression of Caring

15

15%

Explain what artistic expression you chose and how it represents caring.

Conclusion

10

10%

Provide a summary of key concepts presented in the paper. Provide a self-reflection regarding what was learned from completing this assessment.

APA Format

5

5%

Title page, running head, body of paper, and reference page must follow APA guidelines as found in the 6th edition of the manual. This includes the use of headings for each section or topic of the paper (one deduction for each type of APA style error). Ideas and information that come from scholarly sources must be cited and referenced correctly. Three (3) scholarly literature references are used.

Writing Mechanics

5

5%

Rules of grammar, spelling, word usage, and punctuation are followed and consistent with formal written work as found in the 6th edition of the APA manual. For this assignment first person may be used.

Total

100

100

A quality assessment will meet or exceed all the above requirements.

Grading Rubric

Assessment Criteria

Exceptional

(100%)

Outstanding or highest level of performance

Exceeds

(88%)

Very good or high level of performance

Meets

(80%)

Competent or satisfactory level of performance

Needs Improvement

(38%)

Poor or failing level of performance

Developing

(0)

Unsatisfactory level of performance

 

Content Possible Points
= 90 Points

Artistic Expression of Caring

 

25 Points

23 Points

20 Points

15 Points

0 Points

Artistic expression
fully
demonstrates the concept of caring.

 

Submission guidelines are followed.

Artistic expression is a
superficial
demonstration of the concept of caring.

 

Submission guidelines are followed.

Artistic expression
minimally
demonstrates the concept of caring.

 

Submission guidelines are followed.

Artistic expression of caring in
one
of the following elements fails to meet expectations or is missing the following:

·         Selected artistic expression demonstrates the concept of caring.

·         Submission guidelines are followed.

Artistic expression of caring in
both
following elements fails to meet expectations or are missing the following:

·         Selected artistic expression demonstrates the concept of caring.

·         Submission guidelines are followed.

Introduction

 

10 Points

9 Points

8 Points

6 Points

0 Points

Presentation of information is
comprehensive and concise
and includes all of the following elements:

·         General statements on caring as a nursing concept

·         Explains why caring is important to nursing practice and profession

·         Identifies sections of the paper

·         Provides support from scholarly literature

Presentation of information is
superficial
and includes all of the following elements:

·         General statements on caring as a nursing concept

·         Explains why caring is important to nursing practice and profession

·         Identifies sections of the paper

·         Provides support from scholarly literature

Presentation of information is
minimally
demonstrated and includes all of the following elements:

·         General statements on caring as a nursing concept

·         Explains why caring is important to nursing practice and profession

·         Identifies sections of the paper

·         Provides support from scholarly literature

Presentation of information in
one
of the following elements fails to meet expectations or is missing the following:

·         General statements on caring as a nursing concept

·         Explains why caring is important to nursing practice and profession

·         Identifies sections of the paper

·         Provides support from scholarly literature

Presentation of information in
two or more
of the following elements fail to meet expectations or are missing the following:

·         General statements on caring as a nursing concept

·         Explains why caring is important to nursing practice and profession

·         Identifies sections of the paper

·         Provides support from scholarly literature

Definition of Caring

 

30 Points

27 Points

24 Points

18 Points

0 Points

Presentation of information is
comprehensive and concise
and includes
all
the following elements:

·         Describes personal definition of caring

·         Incorporates principles of holistic care in definition of caring

·         Includes scholarly nursing literature that support personal definition of caring

Presentation of information is
superficial
in places and includes
all
the following elements:

·         Describes personal definition of caring

·         Incorporates principles of holistic care in definition of caring

·         Includes scholarly nursing literature that support personal definition of caring

Presentation of information is
minimally
demonstrated and includes
all
the following elements:

·         Describes personal definition of caring

·         Incorporates principles of holistic care in definition of caring

·         Includes scholarly nursing literature that support personal definition of caring

Presentation of information in
one
of the following elements fails to meet expectations or is missing:

·         Describes personal definition of caring

·         Incorporates principles of holistic care in definition of caring

·         Includes scholarly nursing literature that support personal definition of caring

Presentation of information in
two or more
following elements fail to meet expectations or are missing:

·         Describes personal definition of caring

·         Incorporates principles of holistic care in definition of caring

·         Includes scholarly nursing literature that support personal definition of caring

Expression of Caring

15 Points

13 Points

12 Points

9 Points

0 Points

Presentation of information is
comprehensive and concise
and includes
all
of the following elements:

·         Explains artistic expression selected

·         Describes how the expression represents caring

Presentation of information is
superficial
in places and includes
all
of the following elements:

·         Explains artistic expression selected

·         Describes how the expression represents caring

Presentation of information is
minimally
demonstrated and includes
all
of the following elements:

·         Explains artistic expression selected

·         Describes how the expression represents caring

Presentation of information in
one
of the following elements fails to meet expectations or is missing the following:

·         Explains artistic expression selected

·         Describes how the expression represents caring

Presentation of information in
both
following elements fail to meet expectations or are missing the following:

·         Explains artistic expression selected

·         Describes how the expression represents caring

Conclusion

10 Points

9 Points

8 Points

6 Points

0 Points

Presentation of information is
comprehensive and concise
and includes
all
of the following elements:

·         Summarizes information regarding caring in nursing

·         Summarizes expression of caring concept

·         Presents self-reflection regarding what was learned from completing this assessment

Presentation of information is good but
superficial
in places and includes
all
of the following elements:

·         Summarizes information regarding caring in nursing

·         Summarizes expression of caring concept

·         Presents self-reflection regarding what was learned from completing this assessment

Presentation of information is
minimally
demonstrated in
all
of the following elements:

·         Summarizes information regarding caring in nursing

·         Summarizes expression of caring concept

·         Presents self-reflection regarding what was learned from completing this assessment

Presentation of information in
one
of the following elements fails to meet expectations or is missing the following:

·         Summarizes information regarding caring in nursing

·         Summarizes expression of caring concept

·         Presents self-reflection regarding what was learned from completing this assessment

Presentation of information in
two or more
of the following elements fail to meet expectations or are missing the following:

·         Summarizes information regarding caring in nursing

·         Summarizes expression of caring concept

·         Presents self-reflection regarding what was learned from completing this assessment

Content Subtotal ___ /90 points

Format Possible Points = 10 Points

APA Format

5 Points

4 Points

3 Points

2 Points

0 Points

APA guidelines, as per the 6th edition of the manual, are demonstrated for the

·         title page;

·         running head;

·         body of paper (including citations and headings); and

·         reference page.

 

One deduction for each type of APA format error.

 

0 to 1
APA error is present

APA guidelines, as per the 6th edition of the manual, are demonstrated for the

·         title page;

·         running head;

·         body of paper (including citations and headings); and

·         reference page.

 

One deduction for each type of APA format error.

2–3
APA errors are present

APA guidelines, as per the 6th edition of the manual, are demonstrated for the

·         title page;

·         running head;

·         body of paper (including citations and headings); and

·         reference page.

 

One deduction for each type of APA format error.

 

4–5
APA errors are present

APA guidelines, as per the 6th edition of the manual, are demonstrated for the

·         title page;

·         running head;

·         body of paper (including citations and headings); and

·         reference page.

 

One deduction for each type of APA format error.

 

6–7
APA errors are present

APA guidelines, as per the 6th edition of the manual, are demonstrated for the

·         title page;

·         running head;

·         body of paper (including citations and headings); and

·         reference page.

 

One deduction for each type of APA format error.

 

8 or greater
APA errors are present

References and Page Length

 

Note: Students are to use at least three (3) scholarly references.

The paper (excluding the title page and reference page) should be at least one but no more than two pages.

3 Point deduction

Does not use at least three (3) scholarly references
and/or
exceeds required page length.

Writing Mechanics

5 Points

4 Points

3 Points

2 Points

0 Points

1–2
errors or exceptions to the rules of grammar, spelling, word usage, punctuation, and other aspects of formal written work as found in the 6th edition of the APA manual. For this assignment, first person may be used.

 

3–4
errors or exceptions to the rules of grammar, spelling, word usage, punctuation, and other aspects of formal written work as found in the 6th edition of the APA manual. For this assignment, first person may be used.

 

5–6
errors or exceptions to the rules of grammar, spelling, word usage, punctuation, and other aspects of formal written work as found in the 6th edition of the APA manual. For this assignment, first person may be used.

 

7–8
errors or exceptions to the rules of grammar, spelling, word usage, punctuation, and other aspects of formal written work as found in the 6th edition of the APA manual. For this assignment, first person may be used.

 

9 or greater
errors
or exceptions to the rules of grammar, spelling, word usage, punctuation, and other aspects of formal written work as found in the 6th edition of the APA manual. For this assignment, first person may be used.

Format Subtotal ____/10 points

 

Total Points ____/100 points

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