Tag: Clinical-Nursing

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.

There are many variables influencing the definition of quality of care. For example, patients and their families may perceive quality in one way and the healthcare provider may perceive quality of care in a much different manner. In assessing quality of care, the nurse leader must create a culture of quality through the structures, processes, and outcomes in the healthcare organization. It is only through commitment and the creation of a culture of quality and safety that healthcare organizations in the twenty-first century can succeed and excel. Using the readings for the week, the South University Online Library, and the Internet, respond to the following: Explain the relationship between quality of care and Medicare reimbursement. Summarize two contemporary external influences to the healthcare organization that are impacting reimbursement to healthcare organizations based on quality of care. Describe one strategy your current or former healthcare organization uses to assess and measure quality of care. Comment on the postings of at least two peers. Evaluation Criteria: Explained the relationship between quality of care and Medicare reimbursement. Summarized two contemporary external influences to the healthcare organization that are impacting reimbursement to healthcare organizations based on quality of care. Described one strategy your current or former healthcare organization uses to assess and measure quality of care. Justified your answers with appropriate research and reasoning. Commented on the postings of at least two peers.

Create a pamphlet about sexual transmitted infections to college students

Question 1       Describe each of the forms that comprise a patient’s administrative data. Explain the purpose of each form.    Your response should be at least 200 words in length.

Question 2       What information is included in a patient’s emergency record and discharge summary? Why must this information be timely and accurate?    Your response should be at least 200 words in length.

Question 3       What are the Joint Commission’s requirements regarding a patient’s medical record? Why is it vitally important to enter information in a patient’s record in a timely and correct manner?    Your response should be at least 200 words in length.

Question 4       Contrast the various types of advance directives available. How do advance directives affect delivery of patient care?    Your response should be at least 200 words in length.

Select a family to complete a family health assessment. (The family cannot be your own.)

Before interviewing the family, develop three open-ended, family-focused questions for each of the following health patterns:

Values, Health Perception

Nutrition

Sleep/Rest

Elimination

Activity/Exercise

Cognitive

Sensory-Perception

Self-Perception

Role Relationship

Sexuality

Coping

NOTE: Your list of questions must be submitted with your assignment as an attachment.

After interviewing the family, compile the data and analyze the responses.

In 1,000-1,250 words, summarize the findings for each functional health pattern for the family you have selected.

Identify two wellness problems based on your family assessment.

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.

Address this question: Should antepartal testing be used for reason other than the assessment of fetal health and well-being (e.g., select the “perfect child” on the basis of characteristics, gender, and absence of genetic health problems of any kind)? Support your answers in an APA formatted summary!

Using the patient information provided, respond to the following questions: (a) What cultural considerations are important for you to remember while you interview Ms. Li? (b) What is the abuse assessment screen? (c) If abuse is discovered, what should you do?

Patient Information:

Patient: Sue Li

Age: 20

Ethnicity: Asian American

DNP graduates are expected to apply research findings and integrate nursing science into evidence-based practice. To develop your ability to engage in this high level of nursing practice, you will analyze the strengths and weaknesses of a research study over the next several weeks using the concepts presented throughout Weeks 1 through 9 of the course. Your final analysis will be a 5- to 7-page paper in APA format, that includes the following:

1) Write an introduction ending with a purpose statement (e.g. “the purpose of this study is…).

2) Provide a two paragraph overviews of the study.

3)  Identify three strengths of the study and support your selection (i.e. why is this a

strength)

4)  Identify three weaknesses of the study and support your selection (i.e. why is this a

weakness)

Note:
 The strengths and weaknesses should be in relation to:

· Design

· Sampling

· Data collection

· Statistical analysis

· Results and discussion.

5)  Propose changes to improve the quality of the study capitalizing on the strengths and

6) improving on the weaknesses you identified in the study.

7)  Summarize the implications for nursing practice.

8) Write a conclusion for your paper

The purpose of the analysis is to help you develop a deeper understanding of the research process, to inspire you to think critically and deeply about research on a specific topic, and to strengthen your ability to integrate research findings into evidence-based nursing practice. This assignment also gives you practice in analyzing the research literature, which will support you when you begin your DNP project.

Due Wednesday October 25, 2017 before midnight!

Writing (5 points):
 Up to 5 points (20%) may be deducted for grammar and APA style errors.

To prepare for this week’s assignment complete the following:

Select      one of the four research articles cited in this week’s required readings (
SEE ATTACHED PDF FILE)
.

Review      the various quantitative research designs presented in the textbook      readings and research articles and discussed in the “Musings: Aligning      Research Question and Methodology” media.

Consider      the research design used in your selected article. Ask yourself the      following questions. Is the design appropriate for the study? Would a      different design provide better results?

Required Media

Laureate Education, Inc. (Executive Producer). (2011). 
Research methods for evidence-based practice: Selecting a research topic and developing a hypothesis.
 Baltimore, MD: Author.

Note: 
The approximate length of this media piece is 13 minutes.

In this week’s video, Dr. Leiyu Shi discusses the characteristics of a good research hypothesis and details the steps in developing a hypothesis that can be tested through research.

Laureate Education, Inc. (Executive Producer). (2011). 
Research methods for evidence-based practice: Musings: Aligning research question and methodology.
 Baltimore, MD: Author.

Note: 
The approximate length of this media piece is 6 minutes.

This video discusses the importance of having a well-defined research question, which informs the methodology that you use in creating a hypothesis for a research study

Laureate Education. (2011). Important events in clinical research history. Retrieved from http://mym.cdn.laureate-media.com/2dett4d/Walden/CLRA/6100/01/mm/timeline/index.html

This timeline identifies and describes key historical events related to the development of clinical research throughout the ages.

Required Readings

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

Chapter 5, “Research Problem and Purpose”

Chapter 5 outlines how to identify and develop a research problem statement, purpose, and research questions. The chapter also provides examples of both quantitative and qualitative research topics, problems, and purpose.

Chapter 6, “Objectives, Questions, Variables, and Hypothesis
”

This chapter explains the different types of hypotheses and assesses how research variables can be used to formulate research objectives in both quantitative and qualitative studies.

Chapter 10, “Quantitative Methodology: Noninterventional Designs and Methods
”

Chapter 10 describes the principles of research design and those foundational concepts that influence the selection of an appropriate quantitative design: causality, bias, manipulation, control, and validity.

Chapter 11, “Quantitative Methodology: Interventional Designs and Methods”

This chapter builds on the material presented in Chapter 10 and discusses how to select the most appropriate quantitative research design for addressing a particular research problem.

Select one of the following articles to use for this week’s Assignment:

· 
Fouquier, K.F. (2011). The concept of motherhood among three generations of African American women. Journal of Nursing Scholarship, 43(2), 145–153. 

· 
Grey, M., Whittemore, R., Jaser, S., Ambrosino, J., Lindemann, E., Liberti, L., Northrup, V., & Dziura, J. (2009). Effects of coping skills training in school-age children with Type 1 diabetes
. 
Research in Nursing & Health, 32, 405–418. 
(USE THIS ARTICLE FOR THIS ASSIGNMENT)

· 
Methey, N.A., Davis-Jackson, J., & Stewart, B.J. (2010). Effectiveness of an aspiration risk-reduction protocol. Nursing Research, 59, 18–25.

· 
Newhouse, R.P., Morlock. L., Pronovost, P., & Breckenridge-Sproat, S. (2011). Rural hospital nursing: Results of a national survey of nurse executives. Journal of Nursing Administration, 41(3), 129–137.

Handouts

Laureate Education. (2011). Litmus test for a doctoral-level research problem. Baltimore, MD: Author.

Optional Resources

Caress, A., Luker, K., & Chalmers, K. (2010). Promoting the health of people with chronic obstructive pulmonary disease: Patients’ and carers’ views. Journal of Clinical Nursing, 19(3–4), 564–573.

Mbeba, M. M., N., Jere, D. L., Kachingwe, S. I., Crittenden, K. S., McCreary, L. L., … Norr, K. F. (2011). Peer group intervention reduces personal HIV risk for Malawian health workers. Journal of Nursing Scholarship, 43(1), 72–81.

Miller, J., Gaboda, D., Nugent, C., Simpson, T., & Cantor, J. (2011). Parental eligibility and enrollment in state children’s health insurance program: The roles of parental health, employment, and family structure. American Journal of Public Health, 101(2), 274–277.

Su, C., Lu, X., Chen, W., & Wang, T. (2009). Promoting self-management improves the health status of patients having peritoneal dialysis. Journal of Advanced Nursing, 65(7), 1381–1389.