How these measurement systems and measurement methods impact organizational goal setting in the areas of overall performance and financial stability

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 The process of constructing a balanced scorecard for either financial goal setting or tracking of patient and employee satisfaction can be controversial. For example, a hospital’s financial scorecard provides a snapshot of gathered data for the hospital, but the data may be out of context, which makes it difficult to identify specific problems. It is evident that both scorecards and dashboards have a place in the health care setting; however, will all organizations and accrediting bodies agree on the aspects of implementation, data analysis, and levels of effectiveness?
 

To prepare:

  • Consider      the various uses of scorecards and dashboards presented in this week’s      Learning Resources and media presentation.
  • Reflect      on how these measurement systems and measurement methods impact      organizational goal setting in the areas of overall performance and      financial stability.
  • Explore      the key indicators involved with scorecards and dashboards as well as the      external quality standards to which they are compared.
  • Ask      yourself: What do the metrics used in the balanced scorecard and dashboard      mean to my organization and nursing practice? Has my organization      established goals for these metrics and are they currently being met?

By tomorrow Tuesday 12/19/17 12 pm, write a minimum of 550 words essay in APA format with 2 references from the list of required readings below. Include the level one as numbered below:

post a cohesive scholarly response that addresses the following:

1) Select any setting (Hospital) and describe the extent to which the patient’s experience of care is measured, tracked, and set for improvement goals. 

2) Evaluate whether goals at your organization are established for these metrics and whether or not they are currently being met.

3) Describe some of the provocative issues that have or will emerge. For example, what has been the impact of CAHPS or HCAHPS in the setting described (if applicable).

 

Required Readings

Joshi, M.S., Ransom, E.R., Nash, D.B., & Ransom, S.B., (Eds.). (2014). The Healthcare Quality Book, 3rd ed. Chicago, IL: Health Administration Press.

  • Chapter      9: “Measuring and Improving Patient Experiences of Care”

Frith, K. H., Anderson, F., & Sewell, J. P. (2010). Assessing and selecting data for a nursing services dashboard. Journal of Nursing Administration, 40(1), 10–16. doi:10.1097/NNA.0b013e3181c47d45 

This article highlights the benefits of nurses using dashboards to help with staffing issues. It considers the sharing of data that dashboard can facilitate from the perspectives of nurses, units, hospitals, and patients.

Grossmeier, J., Terry, P. E., Cipriotti, A., & Burtaine, J. E. (2010). Best practices in evaluating worksite health promotion programs. American Journal of Health Promotion, 24(3), TAHP 1–9. 

In this article, the authors discuss how to measure success when analyzing worksite health promotion (WHP). They then cover how to organize these measurements, assess WHP programs, and determine factors related to best-practice evaluation frameworks.

Stanley, R., Lillis, K. A., Zuspan, S. J., Lichenstein, R., Ruddy, R. M., Gerardi, M. J., & Dean, J. M. (2010). Development and implementation of a performance measure tool in an academic pediatric research network. Contemporary Clinical Trials, 31(5), 429–437. 

The details of this article focus on a multi-center research network that initiated an evaluation method using balanced scorecards. The first three years of the measurement tool’s implementation are covered, and the achievements and challenges are discussed.

Required Media

Laureate Education, Inc. (Executive Producer). (2011). Organizational and systems leadership for quality improvement: Benchmarking outcomes. Baltimore: Author.

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

In this program, Barbara Epke and Carrie Brady discuss methods that health care organizations use to gather data for measuring outcomes, and explain how data are used to measure key indicators of quality and safety.

Reflecting on Your Writing: Instructor Feedback

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As a scholar and part of the intellectual community, you will want to understand ways to integrate feedback to be able to join a larger conversation. A significant part of scholarly writing is revising based on your colleagues’ feedback, and now that you have a substantial amount of writing; it is time to reflect on the ways you have incorporated your Instructor’s feedback.

This week’s Learning Resources will help you examine rhetorical strategies for placing yourself in the scholarly conversation, such as using the personal pronoun, “I.” For this Discussion, you will reflect on how your voice fits into the scholarly conversation—beginning with the conversation between your Instructor and yourself. This initial Discussion is part of a continual conversation during the remainder of this course as your Instructor and yourself revise, review, and reflect on your writing.

To prepare for this Discussion:

  • Review      the Learning Resources on audience and sentence structure.
  • Reflect      on your ways you have incorporated your Instructor’s feedback and your      part in the scholarly conversation. You may even choose to consider how      you approached this specific Assignment in relation to scholarly voice and      transitions.

By Tuesday 12/26/2017, in APA format with at least one reference,

Post a 1- to 2-paragraph reflection on your use of your Instructor’s feedback throughout the past few weeks of this course and your participation in the scholarly conversation. (Note: You may choose to reflect specifically on how you will apply scholarly voice concepts in this week’s Assignment.)

Required Readings

Laureate Education. (2015). Evaluation: What is it? [Infographic]. Baltimore, MD: Author.

Walden University Writing Center. (2015i). Walden templates: General templates: APA course paper template (6th ed.). Retrieved from http://academicguides.waldenu.edu/writingcenter/templates/general

Laureate Education. (2015). [Infographic]. Point of View Analysis, Baltimore, MD: Author.

Prince, S. (2014, May 8). Breaking down the MEAL plan: Adding analysis [Blog post]. Retrieved from http://waldenwritingcenter.blogspot.com/2014/05/breaking-down-meal-plan-adding-analysis.html

Prince, S. (2012, August 28). You’re engaged?! [Blog post]. Retrieved from http://waldenwritingcenter.blogspot.com/2012/08/youre-engaged.html

Required Media

Walden University Writing Center (Producer). (2015, January 30). WriteCast: Student Q&A on flow, sentence length, and using “I” in academic writing (Episode 18) [Audio podcast]. Retrieved from https://soundcloud.com/writecast/writecast018

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

Transcript: http://academicguides.waldenu.edu/writingcenter/transcripts/podcasts/ep018 

Walden University Writing Center (Producer). (2014, February 10). WriteCast: All about audience (Episode 6) [Audio podcast]. Retrieved from https://soundcloud.com/writecast/006-all-about-audience

Note: The approximate length of this media piece is 9 minutes.

Transcript: http://academicguides.waldenu.edu/writingcenter/transcripts/podcasts/ep006 

Walden University Writing Center. (2015). APA formatting and style: Point of view [Video file]. Retrieved from http://academicguides.waldenu.edu/writingcenter/scholarlyvoice/pointofview#s-lg-box-6264281

Note: The approximate length of this media piece is 3 minutes.

Walden University Writing Center. (2015). Engaging writing: Tool 2-Sentence structure [Video file]. Retrieved from http://academicguides.waldenu.edu/writingcenter/scholarlyvoice/clarity#s-lg-box-6264315

Note: You will need to advance through the playlist to locate the correct video. The approximate length of this media piece is 3 minutes.

The signs and symptoms a patient may exhibit when experiencing liver cirrhosis

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QUESTION 1.

Compare and contrast neurotransmitters and hormones.

Your response must be at least 200 words in length

QUESTION 2.

Discuss the signs and symptoms a patient may exhibit when experiencing liver cirrhosis.

Your response must be at least 200 words in length

Analyze the case study found on p. 276 in your textbook by addressing the assigned questions below. While analyzing the case, be sure to identify the major problems and issues.

 Draft a response or strategy for addressing the major problems and issues.

 Make recommendations to improve the patient’s health.

 Discuss any negative consequences that may occur if the patient’s health issue is not addressed.

Your response should be at least one page in length. Include at least one reference to support your work in APA style. You are required to use at least your textbook as source material for your response. All sources used, including the textbook, must be referenced; paraphrased and quoted material must have accompanying citations.

Information about accessing the Blackboard Grading Rubric for this assignment is provided below.

The Maria story The case study

Maria is a 35 year old insulin dependent diabetic who currently takes good care of herself. She didn’t take good care of herself as a teenager. She is on an insulin pump to try to control her blood sugar, but has recently passed out in public several times.

What conditions causes her to pass out (hyperglycemia or hypoglycemia)

Why does this condition develop 

What are the treatments for early stages of this condition 

Given that she has been a diabetic for so long, why doesn’t Maria realize she is in trouble before she pass out

The impact of the mobilization effort on hospital staffing and care patterns

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Overview

Create an 8–10-slide mobilization plan PowerPoint presentation (with detailed speaker’s notes) for a mobilization plan by your health care organization to commit 20 nurses to participate in a 4-month-long multinational effort to treat patients exposed to a highly contagious virus in a hot zone in Africa.

Nursing leaders must incorporate approaches that are inclusive and respectful of all stakeholders in the health care workforce, patient population, and the larger community that is served by the organization. Communication among members of teams, between departments and service lines, within large networks, with strategic business partners, and with patients, families, or support persons requires awareness of various facets of effective communication and cultural competence. A mobilization plan for an international medical mission requires careful planning of organizational structure roles, power distribution, and team member empowerment.

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

· Competency 1: Identify nursing leadership priorities using a systems perspective. 

. Identify the major stakeholders within the health care system that would be affected by the mobilization plan.

· Competency 2: Apply systems theory and systems thinking to facilitate health care delivery and patient outcomes. 

. Apply systems thinking to determine the impact of the mobilization effort on hospital staffing and care patterns.

. Identify key actions needed to assure quality of care and safety for mission patients and personnel.

· Competency 3: Analyze the role of multiculturalism and diversity in organizational and systems structure and leadership. 

. Examine potential multicultural and diversity issues that mission personnel may encounter.

· Competency 4: Evaluate how power relates to health care organizational structure, behavior, and leadership. 

. Describe the medical mission team’s organizational structure and how power is distributed.

. Assess how the organizational structure empowers team members.

. Evaluate potential power issues that may arise when dealing with a multinational contingent.

· Competency 5: Communicate in a manner that is consistent with the expectations of a nursing professional. 

. Write content clearly and logically, with correct use of grammar, punctuation, and mechanics.

. Correctly format citations and references using current APA style.

Context

Power

Leadership is often referred to as a power relationship and to be in a leadership role is to have some degree of power (Grossman & Valiga, 2013). The power that comes as a natural part of being a leader can be used most effectively not by control; but by influencing the direction of a group and the accomplishment of a vision. Power does not come just from having a position of authority; but also from having self-confidence, knowledge, a sense of purpose, and commitment to an ideal. Good communication skills, flexibility, a willingness to collaborate with others, as well as being open to other ideas and risks are sources of power. Leaders empower others by sharing the vision and inspiring commitment to a project or mission.

Reference

Grossman, S. C. & Valiga, T. M. (2013). New leadership challenge: Creating the future of nursing (4th ed.). Philadelphia, PA: F. A. Davis.

Assessment Instructions:

Preparation

Use the Capella library and the Internet to help you complete this assessment. For help using PowerPoint, refer to the Microsoft Tutorials and other resources located in the Suggested Resources and left navigation menu of the courseroom.

This assessment is based upon the scenario below. The scenario is very limited in detail; where more detail is needed, incorporate any assumptions you make to flesh out the scenario. It is intended to assess your ability to communicate your approach to a challenge by evaluating issues of organization, leadership, safety, quality improvement, multiculturalism and diversity.

Your approach should be very conceptual and high-level.

Scenario

Your health care organization has recently committed 20 nurses to participate in a 4-month-long multinational effort to treat patients exposed to a highly contagious virus in a “hot zone” in Africa. The director of your organization has asked you, because of your previous medical mission experience, to outline nursing-related plans for preparing for the mobilization and present this information at an upcoming staff meeting.

Deliverable: Mobilization Plan PowerPoint Presentation

Create an 8–10-slide PowerPoint presentation (with detailed speaker’s notes) of your mobilization plan. It should be targeted toward members of the hospital’s administrative staff, nurses, and the physicians who will also participate in this medical mission.

· Use bullet points and phrases on the slides.

· The narrative, or explanation for each slide, should be in the speaker’s notes section.

The mobilization plan should address the following:

· Identify the major stakeholders within the health care system that would be affected by the mobilization plan.

· Analyze how the mobilization effort will impact staffing patterns and nursing care at the hospital.

· Describe the medical mission team’s organizational structure of the mission team and how power is distributed. 

. Include one slide of an organizational diagram for the mission. 

. Describe the roles (in the speaker’s notes).

· Assess how the organizational structure empowers team members. 

· Provide 1–2 examples of how team members will have power.

· Identify key actions needed to assure quality of care and safety for mission patients and personnel.

· Evaluate potential power issues that may arise when dealing with a multinational contingent. 

· (Be generic; that is, do not address individual nationalities, races, et cetera.)

· Consider interactions with health care personnel from other countries.

· Examine potential multicultural and diversity issues that mission personnel may encounter. 

· Consider that the indigenous population may be hostile to treatment.

· Outline possible training requirements to improve cultural competencies of the personnel.

Additional Requirements

· Written communication: Written communication should be free of errors that detract from the overall message.

· APA formatting: Resources and in-text citations should be formatted according to current APA style and formatting.

· Length: Presentation should be 8–10 slides. Include speaker’s notes on each content slide.

· References: Include a minimum of three peer-reviewed resources on the final slide (in APA format).

· General formatting: Choose an appropriate theme if using a template.

Data Analysis Plans for demographic variables

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NSG6101 Research Project Guidelines

Throughout this course you will be developing drafts of various sections of the research proposal that is due in Week 10. The drafts serve as an opportunity to address feedback from faculty as you prepare the proposal. The activities leading to the development of the research proposal are provided below.

Week 3 (W3A2) Introduction

• Background and Significance of Problem • Statement of the Problem and Purpose of the Study

Research Question, Hypothesis and Variables with Operational Definitions

Week 4 (W4A2) Literature Review

• Summary of the Evidence for the Proposed Study

Week 5 (W5A2) Theoretical Framework

• Overview and Guiding Propositions(s) Described in Theory • Application of Theory to Your Study’s/Project’s Focus

Week 6 (W6A2) Methodology

• Sample/Setting: Number and criteria for inclusion and description of place in which data will be collected. • Sampling Strategy • Research design: Type (e.g., Quasi-Experimental), description and rationale for selection

Week 7 (W7A2) Methodology

• Extraneous Variables (and plan for how controlled). • Instruments: Description, validity and reliability estimates, which have been performed (on a pre-established measure).

Include plans for testing validity and reliability of generating your own instrument(s). • Description of the Intervention • Data Collection Procedures

Week 8 (W8A2) Methodology

• Data Analysis Plans o Describe plan for data analysis for demographic variables (descriptive statistical tests). o Describe plan for data analysis of study variables (descriptive and inferential statistical tests).

Week 9 (W9A2) Ethical Issues

• Informed Consent Letter; IRB Application

Week 10 (W10A2) • Final Research Proposal (see below)

Week 11 • Research Proposal PowerPoint Presentation

Page 1 of 3 NSG6101 Nursing Research Methods

©2014 South University Online

NSG6101 Research Project Guidelines

Week 10: Assignment 2: Research Proposal (Use Required Template) The final project for NSG6101 consists of the development of a novel research proposal specific to your role specialization. The project must include an intervention appropriate to nursing practice and consistent with your MSN role option. An alternative to the above includes the selection of a specialty organization to focus research proposals based on the priorities of that organization. Examples of these organizations could include (but are not limited to): Sigma Theta Tau International, American Nurses’ Foundation, Oncology Nursing Society, Association of Nurses in AIDS Care, American Psychiatric Nursing Association, American Association of Critical Care Nurses, National Association of Pediatric Nurse Associates and Practitioners, National League For Nursing, etc. This paper is to be developed in APA format/style using the outline below as level headings and not to exceed 15 pages (excluding title page/references/appendices). Criteria: Introduction

• Background and Significance of Problem • Statement of the Problem and Purpose of the Study

Literature Review • Summary of the Evidence for the Proposed Study

Research Question, Hypothesis and Variables with Operational Definitions Theoretical Framework

• Overview and Guiding Propositions(s) Described in Theory • Application of Theory to Your Study’s/Project’s Focus

Methodology • Sample/Setting: Number and criteria for inclusion and description of place in which data will be collected. • Sampling Strategy • Research design: Type (e.g., Quasi—Experimental), description and rationale for selection. • Extraneous Variables (and plan for how controlled). • Instruments: Description, validity and reliability estimates, which have been performed (on a pre—

established measure). Include plans for testing validity and reliability of generating your own instrument(s).

• Description of the Intervention • Data Collection Procedures • Data Analysis Plans

o Describe plan for data analysis for demographic variables (descriptive statistical tests). o Describe plan for data analysis of study variables (descriptive and inferential statistical tests).

Ethical Issues • Describe ethical considerations and your plan to protect human rights.

Limitation of Proposed Study Implications for practice References Appendices

• Informed Consent Letter o Procedure section is clear, described in detail, specific, and all inclusive. Written in lay language

(as documented by reading level score). Includes risks & benefits relevant to study. Address absent (if applicable).

Page 2 of 3 NSG6101 Nursing Research Methods

©2014 South University Online

NSG6101 Research Project Guidelines

Rubric CRITERIA WEIGHT Introduction (20) —Background and Significance of Problem 10 —Statement of the Problem and Purpose of the Study 10 Literature Review (40) 40 Research Question, Hypothesis and Variables with Operational Definitions (15) —Research Question, Hypothesis 10 —Variables with Operational Definitions 5 Theoretical Framework (30) —Overview and Guiding Propositions(s) Described in Theory 15 —Application of Theory to Your Study’s/Project’s Focus 15 Methodology (125) Sample/Setting: Number and criteria for inclusion and description of place in which data will be collected 15 Sampling Strategy 15 Research design: Type (e.g., Quasi—Experimental), description and rationale for selection. 10 Extraneous Variables (and plan for how controlled). 5 Instruments: Description, validity and reliability estimates, which have been performed (on a pre— established 20 Description of the Intervention 20 Data Collection Procedures 20 Data Analysis Plans 20 Ethical Issues (10) —Describe ethical considerations and your plan to protect human rights. 10 Limitations and Implications (10) 10 Scholarly Research (10) —References & Appendices 10 Informed Consent Letter (10) —Procedure section is clear, described in detail, specific, and all inclusive. Written in lay language (as documented by reading level score). Includes risks and benefits relevant to study. Address assent (if applicable).

10

Academic Writing (30) 30 —Free of grammatical, spelling or punctuation errors. Citations and references written in the correct APA Style. TOTAL 300

Page 3 of 3 NSG6101 Nursing Research Methods

©2014 South University Online

  • Week 10: Assignment 2: Research Proposal (Use Required Template)
  • Criteria:
  • Rubric

The theorists who influenced the development of Comfort theory

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Reflections 2-3 week 10 -14 theory

Complete this week’s assigned readings, chapters 21 22 29 & 30   After completing the readings, post a short reflection, approximately 1 paragraph in length, discussing your thoughts and opinions about one or several of the specific theories covered in the readings.

As a reminder, no scholarly sources are required and students do not have to reply to a classmate’s original post. This post does not have an end date but please make an effort to complete your post before next week’s discussion post is posted and/or due in order to avoid falling behind.

Smith, M. & Parker, M. (2014). Nursing Theories and Nursing Practice. (4th ed.).Philadelphia, PA: F. A. Davis Company. ISBN-13:  978-0-8036-3312-4  (Required)

Chapter 21 objectives

Describe katherine Kolcaba’s Theory of Comfort care.

2.Identify the theorists who influenced the development of Comfort theory.

3.Define the terms comfort, comforting care, comfort management, and comfort interventions from the perspective of Comfort Theory.

4.Discuss the meaning of Comfort Theory for practice.

5.Identify the different tools used to measure comfort. 

6.Discuss the propositions of Comfort Theory and their application to practice. 

7.Define the theoretical definitions of diagram concepts for the Comfort Theory.

Chapter 22. Objectives

Describe Joanne Duffy’s Quality-Caring Model.

2.Discuss the progression of the development of the Quality-Caring Model.

3.Discuss the role of the nurse in providing quality care using the Quality-Caring Model.

4.Identify caring-based nursing interventions.

5.Discuss the importance of caring relationships in nursing.

6.Describe Duffy’s used of the term “feeling cared for.”

7.Explain recent changes in the model. 

8.Describe how the model is being used in nursing practice and research. 

Chapter 29 Describe the concepts of Barrett’s Theory of Power as Knowing Participation in Change.

2.Discuss the relationship between Roger’s Science of Unitary Human Beings (SUHB) and Barrett’s Power theory.

3.Define power from within Barrett’s Theory of Power. 

4.Discuss the conceptual manifestations of the dimensions of power.

5.Compare and contrast causal and acausal worldviews.

6.Differentiate power-as-freedom and power-as-control.

7.Describe the Power as Knowing Participation in Change Tool (PKPCT, Version I & II).

8.Define Health Patterning and how this is used in Barrett’s nursing practice. 

9.Describe the focus and provide examples of Health Patterning Modalities.

Describe the concepts of Barrett’s Theory of Power as Knowing Participation in Change.

2.Discuss the relationship between Roger’s Science of Unitary Human Beings (SUHB) and Barrett’s Power theory.

3.Define power from within Barrett’s Theory of Power. 

4.Discuss the conceptual manifestations of the dimensions of power.

5.Compare and contrast causal and acausal worldviews.

6.Differentiate power-as-freedom and power-as-control.

7.Describe the Power as Knowing Participation in Change Tool (PKPCT, Version I & II).

8.Define Health Patterning and how this is used in Barrett’s nursing practice. 

9.Describe the focus and provide examples of Health Patterning Modalities.

Chapter 29 Describe the concepts of Barrett’s Theory of Power as Knowing Participation in Change.

2.Discuss the relationship between Roger’s Science of Unitary Human Beings (SUHB) and Barrett’s Power theory.

3.Define power from within Barrett’s Theory of Power. 

4.Discuss the conceptual manifestations of the dimensions of power.

5.Compare and contrast causal and acausal worldviews.

6.Differentiate power-as-freedom and power-as-control.

7.Describe the Power as Knowing Participation in Change Tool (PKPCT, Version I & II).

8.Define Health Patterning and how this is used in Barrett’s nursing practice. 

9.Describe the focus and provide examples of Health Patterning Modalities.

Describe the concepts of Barrett’s Theory of Power as Knowing Participation in Change.

2.Discuss the relationship between Roger’s Science of Unitary Human Beings (SUHB) and Barrett’s Power theory.

3.Define power from within Barrett’s Theory of Power. 

4.Discuss the conceptual manifestations of the dimensions of power.

5.Compare and contrast causal and acausal worldviews.

6.Differentiate power-as-freedom and power-as-control.

7.Describe the Power as Knowing Participation in Change Tool (PKPCT, Version I & II).

8.Define Health Patterning and how this is used in Barrett’s nursing practice. 

9.Describe the focus and provide examples of Health Patterning Modalities.

Chapter 29 objectives

Describe the concepts of elizabeth Barrett’s Theory of Power as Knowing Participation in Change.

2.Discuss the relationship between Roger’s Science of Unitary Human Beings (SUHB) and Barrett’s Power theory.

3.Define power from within Barrett’s Theory of Power.

4.Discuss the conceptual manifestations of the dimensions of power.

5.Compare and contrast causal and acausal worldviews.

6.Differentiate power-as-freedom and power-as-control.

7.Describe the Power as Knowing Participation in Change Tool (PKPCT, Version I & II).

8.Define Health Patterning and how this is used in Barrett’s nursing practice.

9.Describe the focus and provide examples of Health Patterning Modalities.

Chapter 30 objectives

Describe marlaine Smith’s Unitary Theory of Caring.

2.Discuss the relationship between Smith’s Unitary Theory of Caring and Rogers’ Science of Unitary Human Beings, Newman’s Theory of Health as Expanding Consciousness, and Watson’s Theory of Transpersonal Caring.

3.Compare and contrast the terms “concept clarification” and “theoretical niches.”

4.Describe the five constitutive meanings identified by Smith.

5.Define creative emergence in the context of nursing practice.

6.Identify and discuss empirical indicators in both practice and research for each of the five constituent meanings identified in the Unitary Theory of Caring. 

Application of evidence-based practice models as a strategy to improve patient safety and other quality dimensions

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This week builds on that foundational awareness with a focus on the application of evidence-based practice models as a strategy to improve patient safety and other quality dimensions. In this Discussion, consider how these strategies can sustain practice changes.

To prepare:

Read: Newhouse, R.P. (2007) Diffusing confusion among evidence-based practice, quality improvement and research. JONA 37,432-535 (see attached pdf)

Read: Mazurek Melynk B., Gallagher-Ford, L., English Long, L., & Fineout-Overholt, E. (2014) The establishment of Evidence-Based practice competencies for practicing registered nurses and advanced practice nurses in real world clinical settings: proficiencies to improve healthcare quality, reliability, patient outcomes, and costs. Worldviews on Evidence-Based Nursing 11(1),5-15. (see attached pdf)

We all agree that research is the highest form of reliable evidence, when implemented in an organization that provides the basis for an evidence based practice. FIND a research study published in a peer reviewed journal related to a clinical practice problem that is of interest to you, and which would ultimately contribute to an evidence based practice (See “TeamSTEPPS Improves Operating Room Efficiency and Patient Safety” attached article).

The discussion assignment:

ANSWER the following discussion questions. Include the research study in your post (attach it to the post and post it in doc sharing). See page 11 #15 in Mazurek Melynk, Gallagher Ford, English Long and Fineout-Overholt. In this assignment, you are being asked to critically appraise a single research study for its relevance to a QI practice problem.

Discussion questions:

1) Briefly summarize study findings, conclusions and recommendations. Do you agree with these?

2) As a DNP prepared nurse, would you recommend a change in nursing practice based on the study? Defend and/or justify your decision based on research evaluation principles. In other words, does the evidence generated by this research article signify a need to change nursing practice? If not, why not; if so, why?

By tomorrow Friday February 02, 2018 by 12 pm America New/York time 

The model of nursing care

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NR 447 Paper Direction

Directions

Read your text, Finkelman (2016), pp- 111-116 (see attached word doc).

Observe staff in delivery of nursing care provided. Practice settings may vary depending on availability.

Identify the model of nursing care that you observed (see different models in attached word document and select one). Be specific about what you observed, who was doing what, when, how and what led you to identify the particular model.

Write a 5-7-page paper that includes the following:

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

2) Review and summarize two scholarly resources (not including your text) related to the nursing care model you observed in the practice setting.

3) Review and summarize two scholarly resources (not including your text) related to a nursing care model that is different from the one you observed in the practice setting.

4) Discuss your observations about how the current nursing care model is being implemented. Be specific.

5) Recommend a different nursing care model that could be implemented to improve quality of nursing care, safety and staff satisfaction. Be specific.

6) Provide a summary/conclusion about this experience/assignment and what you learned about nursing care models.

Write your paper using APA format using Microsoft Office 2010 or later.

Submit this paper no later than 5 p.m. on Sunday February 4, 2018.

Effective Approaches in Nursing Leadership and Management

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Effective Approaches in Leadership and Managment

In this assignment, you will be writing a 1,000-1,250-word essay describing the differing approaches of nursing leaders and managers to issues in practice. To complete this assignment, do the following:

1. Select an issue from the following list: nursing shortage and nurse turn-over, nurse staffing ratios, unit closures and restructuring, use of contract employees (i.e., registry and travel nurses), continuous quality improvement and patient satisfaction, and magnet designation.

2. Compare and contrast how you would expect nursing leaders and managers to approach your selected issue. Support your rationale by using the theories, principles, skills, and roles of the leader versus manager described in your readings.

3. Identify the approach that best fits your personal and professional philosophy of nursing and explain why the approach is suited to your personal leadership style.

4. Identify a possible funding source that addresses your issue. Consider looking at federal, state, and local organizations. For example: There are many grants available through the CDC, HRSA, etc.

5. Use at least two references other than your text and those provided in the course.

Prepare this assignment according to the APA 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 with a percentage less than 20 percent similarity.

The key concepts of risk, risk assessment, risk management, and risk communication

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Background and Reference Material

The National Institute of Standards and Technology (NIST) sets standards for the United States, and especially for the Federal government. The Federal Information Security Management Act of 2002 (“FISMA”) required risk-based management of security for Federal information systems. NIST produced a Guide for Conducting Risk Assessmentsin 2002 that was revised in 2012.

You will find the revised guide here: http://nvlpubs.nist.gov/nistpubs/Legacy/SP/nistspecialpublication800-30r1.pdf  

Although the PDF document is about 100 pages, there are only 38 pages in the guide proper. You will need to review at least a few of the appendices for this assignment in addition to reading the Guide.

You can find more background material with Google and especially Good Scholar. Please note that you can set a date range with Google Scholar, and so get only material published after the rule changes were announced. Try to find at least one publication that is a peer-reviewed scientific journal.

Questions to answer:

  1. What was the target audience of this document, and how does it apply to health care institutions? To vendors of health care information technology? [25 point]
  2. What are the key concepts of risk, risk assessment, risk management, and risk communication? [25 point]
  3. What are the essential elements of a risk assessment reports? [25 point]
  4. Appendix D of the Guide divides threat sources into categories of adversarial, accidental, structural, and environmental. Based on your reading to date, which category to you believe represents the biggest danger to health information technology? Support your choice with arguments from the Guide and at least one other source. [25 point]

Submission requirements:

  1. Times New Roman, 12 font size, Double-space, Margin 1″. No more than 4 pages not counting the “Works Cited” page.
  2. Be sure to have in-text citation, and Works Cited page. You can use Google Scholar or other online citation generation tools to generate citation in MLA format.