Models Of Quality Improvement In Healthcare

Competency

Explain the basic models of quality improvement in healthcare.

Course Scenario

Chaparral Regional Hospital is a small, urban hospital of approximately 60 beds, and offers the following:

  • Emergency room services
  • Intensive care
  • Surgical care
  • Obstetrics
  • Diagnostic services
  • Some rehabilitation therapies
  • Inpatient pharmacy services
  • Geriatric services
  • Consumer physician referral      services

Recently, the CEO has been hearing complaints from both patients and staff, varying from long wait times to rude physicians. You have been hired to design and implement a Quality Improvement Plan to help uncover quality problems and to satisfactorily resolve them.

Scenario Continued

The CEO has met with you to let you know that some members of the Board of Directors are questioning the value of developing a quality improvement plan. She has asked you to create an executive summary and an information sheet to be included in the next Board packet.

Instructions

Topics for the executive summary should include:

  1. What is a Quality Improvement      plan?
  2. Why do healthcare facilities      create improvement plans?
  3. Why would you recommend the      facility create and implement a QI plan?

NOTE – APA formatting for the reference list, and proper grammar, punctuation, and form required.

After completing the Executive Summary, you will create a one-page information sheet for the Board that they can use to answer questions about QI plans.

  1. The information sheet should give      your CEO and the Board of Directors enough information to have an educated      conversation with patients and other stakeholders on the value of QI      plans.
  2. Make sure to use audience-specific      language and tone on your information sheet. Remember, you are writing      this information sheet for your CEO and the Board of Directors.
  3. Be creative, and make your      information sheet fun and organized.

Assessing the carotid arteries of an older patient with cardiovascular disease

1. A 35-year-old man is seen in the clinic for an infection in his left foot. Which of these findings should the FNP expect to see during an assessment of this patient? 

a. Hard and fixed cervical nodes 

b. Enlarged and tender inguinal nodes 

c. Bilateral enlargement of the popliteal nodes 

d. Pelletlike nodes in the supraclavicular region 

2. The direction of blood flow through the heart is best described by which of these 

a. Vena cava right atrium right ventricle lungs pulmonary artery left atrium left ventricle 

b. Right atrium right ventricle pulmonary artery lungs pulmonary vein left atrium left ventricle 

c. Aorta right atrium right ventricle lungs pulmonary vein left atrium left ventricle vena cava 

d. Right atrium right ventricle pulmonary vein lungs pulmonary artery left atrium left ventricle 

3. In assessing the carotid arteries of an older patient with cardiovascular disease, the FNP would 

a. Palpate the artery in the upper one third of the neck. 

b. Listen with the bell of the stethoscope to assess for bruits. 

c. Simultaneously palpate both arteries to compare amplitude. 

d. Instruct the patient to take slow deep breaths during auscultation. 

4. When listening to heart sounds the FNP knows that the valve closures that can be heard best at the base of the heart are 

a. mitral, tricuspid. 

b. tricuspid, aortic. 

c. aortic, pulmonic. 

d. mitral, pulmonic. 

5. The sack that surrounds and protects the heart is called the 

a. pericardium. 

b. myocardium. 

c. endocardium. 

d. pleural space. 

6. When assessing a newborn infant who is five minutes old the FNP knows that which of these statements would be true? 

a. The left ventricle is larger and weighs more than the right. 

b. The circulation of a newborn is identical to that of an adult. 

c. There is an opening in the atrial septum where blood can flow into the left side of the heart. 

d. The foramen ovale closes just minutes before birth and the ductus arteriosus closes immediately after. 

7. The FNP is performing an assessment on an adult. The adults vital signs are normal and capillary refill is five seconds. What should the FNP do next?

a. ask the parent if the child has had frostbite in the past. 

b. suspect that the child has a venous insufficiency problem. 

c. consider this a delayed capillary refill time and investigate further. 

d. consider this a normal capillary refill time that requires no further assessment. 

8. During an assessment of an older adult the FNP should expect to notice which finding as normal physiologic change associated with aging process? 

a. Hormonal changes causing vasodilation and a resulting drop in blood pressure 

b. Progressive atrophy of the intramuscular calf veins, causing venous insufficiency 

c. Peripheral blood vessels growing more rigid with age, producing a rise in systolic blood pressure 

d. Narrowing of the inferior vena cava, causing low blood flow and increases in venous pressure resulting in varicosities 

9. The mother of a three month old infant states that her baby has not been gaining weight. With further questioning the FNP finds that the infant falls asleep after nursing and wakes up after a short amount of time hungry again. What other information with the FNP want to have? 

a. The position that baby sleeps in 

b. Sibling history of eating disorders 

c. Amount of background noise when eating 

d. Presence of dyspnea or diaphoresis when sucking 

10. In assessing a patient’s major risk factors for heart disease which would the FNP want to include when taking a history? 

a. Family history, hypertension, stress, age 

b. Personality type, high cholesterol, diabetes, smoking 

c. Smoking, hypertension, obesity, diabetes, high cholesterol 

d. Alcohol consumption, obesity, diabetes, stress, high cholesterol 

11. The FNP is assessing… the pulses of a patient who has been admitted for untreated hyperthyroidism. The FNP should expect to find a—— pulse

a. normal 

b. absent 

c. bounding 

d. weak, thread 

12. A patient complains of leg pain that wakes him at night. He states that he has been having problems with his legs. He has pain in his legs his legs when they are elevated, which disappears when he dangles them. He recently noticed a sore on the inner aspect of his right ankle. On the basis of this history information the FNP interprets that the patient is most likely experiencing 

a. pain related to lymphatic abnormalities. 

b. problems related to arterial insufficiency. 

c. problems related to venous insufficiency. 

d. pain related to musculoskeletal abnormalities. 

13. During an assessment the FNP uses the profile sign to detect 

a. Pitting edema. 

b. Early clubbing. 

c. Symmetry of the fingers. 

d. Insufficient capillary refill. 

14. Which of these statements describes the closure of the valves in a normal cardiac cycle? 

a. The aortic valve closes slightly before the tricuspid valve. 

b. The pulmonic valve closes slightly before the aortic valve. 

c. The tricuspid valve closes slightly later than the mitral valve. 

d. Both the tricuspid and pulmonic valves close at the same time. 

15. When performing a peripheral vascular assessment on a patient the FNP is unable to palpate the ulnar pulses. The patient skin is warm and capillary refill is normal. The FNP should next 

a. check for the presence of claudication. 

b. refer the individual for further evaluation. 

c. consider this a normal finding and proceed with the peripheral vascular evaluation. 

d. ask the patient if he or she has experienced any unusual cramping or tingling in the arm. 

16. A 67-year-old patient states that he “recently began have pain in his left calf when climbing the 10 stairs to his apartment”. This pain is relieved by sitting for about two minutes then he’s able to resume activities. The FNP interprets this patient is most likely experiencing 

a. Claudication.

b. Sore muscles. 

c. Muscle cramps. 

d. Venous insufficiency. 

17. In assessing a 70-year-old man the FNP finds the following blood pressure 140/100 mmHg, heart rate 104 and slightly irregular, split S2. Which of these findings can… by expected hemodynamic changes related to age? 

a. Increase in resting heart rate 

b. Increase in systolic blood pressure 

c. Decrease in diastolic blood pressure 

d. Increase in diastolic blood pressure 

18. The FNP is examining the lymphatic system of a healthy three year old child. Which finding should the FNP expect?

a. Excessive swelling of the lymph nodes 

b. The presence of palpable lymph nodes 

c. No nodes palpable because of the immature immune system of a child 

d. Fewer numbers and a decrease in size of lymph nodes compared with those of an adult 

19. The FNP is preparing to perform modified Allen test. Which is an appropriate reason for this test? 

a. To measure the rate of lymphatic drainage 

b. To evaluate the adequacy of capillary patency before venous blood draws 

c. To evaluate the adequacy of collateral circulation before cannulating the radial artery 

d. To evaluate the venous refill rate that occurs after the ulnar and radial arteries are temporarily occluded 

20. A 25-year-old woman is in her fifth month of pregnancy has a blood pressure of 100/70 mmHg. In reviewing her previous exam the FNP notes that her blood pressure in her second month was 124/80 mmHg. When evaluating this change what does the FNP know to be true? 

a. This is the result of peripheral vasodilatation and is an expected change. 

b. Because of increased cardiac output, the blood pressure should be higher this time. 

c. This is not an expected finding because it would mean a decreased cardiac output. 

d. This would mean a decrease in circulating blood volume, which is dangerous for the fetus 

21. Findings from an assessment of a 70-year-old patient with swelling in his ankles include jugular venous pusations, 5 cm above the sternal angle when the head of his bed is eleveted 45°. The FNP knows that this finding indicate: 

a. Decreased fluid volume. 

b. Increased cardiac output. 

c. Narrowing of jugular veins. 

d. Elevated pressure related to heart failure. 

22. The component of the conduction system referred to as the pacemaker of the heart is the 

a. Atrioventricular (AV) node. 

b. Sinoatrial (SA) node.

c. Bundle of His. 

d. Bundle branches. 

23. The FNP is reviewing anatomy and physiology of the heart. Which statement best describes by atrial kick? 

a. The atria contract during systole and attempt to push against closed valves. 

b. Contraction of the atria at the beginning of diastole can be felt as a palpitation. 

c. Atrial kick is the pressure exerted against the atria as the ventricles contract during systole. 

d. The atria contract toward the end of diastole and push the remaining blood into the ventricles. 

24. A 45-year-old man is in the clinic for a routine physical. During history the patient states he has been having difficulty sleeping. I’ll be sleeping great and then I wake up and feel like I can’t catch my breath. The FNP‘s best response to this would be 

a. “When was your last electrocardiogram?” 

b. “It’s probably because it’s been so hot at night.” 

c. “Do you have any history of problems with your heart?” 

d. “Have you had a recent sinus infection or upper respiratory infection?” 

25. When assessing a patient the FNP notes that the left femoral pulse as diminished 1 /4 . What should the FNP do next? 

Auscultate the site for a bruit.

How cultural values and traditional practices might affect acceptance and use of prescribed pharmacological treatments

Write for your organization a 3–5-page impact report regarding the  health concerns of a new immigrant population. Describe the population’s  health concerns and issues, explain current pharmacological treatments,  and explain how culture and traditional practices may affect use of  pharmacology. Identify evidence-based strategies for the organization  and nursing staff to use to educate the population and promote health  and wellness.

Imagine the county health department notifies your organization that a  large number of immigrants are expected to be resettled in your area.  The organization, wanting to be prepared to handle any health concerns  of the population, tasks each department with readying for the influx of  immigrants. Your supervisor asks you to prepare an impact report on the  pharmacological needs of the population that can be shared with other  departments.

Preparation

Complete the following as you prepare for your impact report:

  1. Choose one of the global areas below as the area from which the population will be coming.      
    • Sub-Saharan Africa.
    • India.
    • China.
    • Dominican Republic.
    • Guatemala.
    • Jamaica.
    • Bangladesh.
    • Saudi Arabia.
    • Pakistan.
    • Mexico.
  2. Research the most common health concerns and issues for  immigrants from your chosen global area, the pharmacological treatments  that will likely be prescribed, and any cultural values or traditional  practices that may impact patient outcomes.

Requirements

Once you have identified the population you will be using for this assessment, include the following in your impact report:

  • Describe the health concerns and issues for the population.
  • Describe current pharmacological treatment regimens for the main health concerns and issues.
  • Explain any traditional beliefs and practices associated with the  health concerns and issues. Does the population engage in culturally  based methods of treating the health concern?
  • Explain how cultural values and traditional practices might  affect acceptance and use of prescribed pharmacological treatments. Be  sure to consider the relationship between quality patient outcomes,  patient safety, and the appropriate use of pharmacology.
  • Identify evidence-based, culturally sensitive strategies the  organization can use to educate the population about the correct use of  the pharmacology treatments.
  • Identify evidence-based, culturally sensitive strategies the  nursing staff can employ with the population to promote health and  wellness.

Write this assessment as an impact report formatted as other  reports of a similar nature in your organization or an organization with  which you are familiar. Include a title page and reference page and  follow APA guidelines for your in-text citations and references.

Additional Requirements

  • Number of pages: 3–5
  • At least 3 current scholarly or professional resources.
  • Times New Roman font, 12 point, double-spaced font.

Ethical principles and academic standards to the study of health care

Overview

Write a 4 page analysis of a current problem or issue in health care, including a proposed solution and possible ethical implications.

For this assessment, you will analyze a current health care problem or issue. Read each portion of the assessment carefully and use the Suggested Resources to help you complete the assessment. This assessment provides an opportunity to apply critical thinking and problem-solving skills to a current health care problem or issue.

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

Competency 1: Apply information literacy and library research skills to obtain scholarly information in the field of health care.

· Use scholarly information to describe and explain a health care problem or issue and identify possible causes for it.

Competency 2: Apply scholarly information through critical thinking to solve problems in the field of health care.

· Analyze a health care problem or issue by describing the context, explaining why it is important, and identifying populations affected by it.

· Discuss potential solutions for a health care problem or issue and describe what would be required to implement a solution.

Competency 3: Apply ethical principles and academic standards to the study of health care.

· Analyze the ethical implications if a potential solution to a health care problem or issue was implemented.

Competency 4: Communicate in a manner that is scholarly, professional, and respectful of the diversity, dignity, and integrity of others, and that is consistent with expectations for health care professionals.

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

· Write following APA style for in-text citations, quotes, and references.

Assessment Instructions

Note: The requirements outlined below correspond to the grading criteria in the scoring guide. At a minimum, be sure to address each point. In addition, you are encouraged to review the performance level descriptions for each criterion to see how your work will be assessed.

1. Describe the health care problem or issue you selected for use in Assessment 2 and provide details about it.

2. Identify possible causes for the problem or issue.

3. Use scholarly information to explain the health care problem or issue. 

. Identify at least three scholarly or academic peer-reviewed journal articles about the topic. 

. You may use articles you found while working on Assessment 2 or you may search the Capella Library for other articles.

. You may find the applicable Undergraduate Library Research Guide helpful in your search.

· Assess the credibility of the information sources.

· Assess the relevance of the information sources.

· Analyze the problem or issue. 

· Describe the setting or context for the problems or issues.

· Describe why the problem or issue is important to you.

· Identify groups of people affected by the problem or issue.

· Discuss potential solutions for the problem or issue. 

· Compare your opinion with other opinions you find in sources from the Capella Library.

· Provide the pros and cons for one of the solutions you are proposing.

· Analyze the ethical implications if the potential solution (the one for which you provide pros and cons) were to be implemented. 

· Discuss the pros and cons of implementing the proposed solution from an ethical principle point of view.

· Provide examples from the literature to support the points you are making.

· Describe what would be necessary to implement the proposed solution.

Example Assessment: You may use the assessment example, linked in the Assessment Example section of the Resources, to give you an idea of what a Proficient or higher rating on the scoring guide would look like.

Additional Requirements

1. Length: At least 4 typed, double-spaced pages, not including the title page and reference page.

2. Font and font size: Times New Roman, 12 point.

3. APA Template: Use the APA Style Paper Template as the paper format and the APA Style Paper Tutorial for guidance. See the Resources for these documents.

4. Written communication: Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.

5. Using outside sources: Integrate information from outside sources into academic writing by appropriately quoting, paraphrasing, and summarizing, following APA style.

6. References: Integrate information from outside sources to include at least three scholarly or academic peer-reviewed journal articles and three in-text citations within the paper.

7. APA format: Follow current APA guidelines for in-text citations of outside sources in the body of your paper and also on the reference page.

8. Turnitin: Submit your assessment to Turnitin prior to grading. Then, only submit your final assessment to faculty for grading.

Organize your paper using the following structure and headings:

· Title page. A separate page.

· Introduction. A brief one-paragraph statement about the purpose of the paper.

· Elements of the problem/issue. Identify the elements of the problem or issue, or question.

· Analysis. Analyze, define, and frame the problem or issue.

· Considering options. Consider solutions, responses, or answers.

· Solution. Choose a solution, response, or answer.

· Implementation. Implementation of the potential solution.

· Conclusion. One paragraph.

Note: Read the Analyze a Current Health Care Problem or Issue Scoring Guide to fully understand how your paper will be graded.

Submit the paper for evaluation by clicking on the assessment title and uploading the paper as a Word document.

If you would like assistance in organizing your assessment, or if you simply have a question about your assessment, please do not hesitate to ask your courseroom instructor or the teaching assistants in the NHS Learner Success Lab for guidance and suggestions.

PHYSICAL ASSESSMENT NURSING ADVANCED QUESTIONS

QUESTION No 1  A 17-year-old male presents with a complaint of a red, itchy rash over his torso and back x 1 week, which is keeping him up at night. He denies sick exposures or a recent visit to wooded areas. He denies other symptoms, significant history, or allergies.

1-In order of importance, describe three (3) questions that you would like to ask this patient and give a brief explanation of why?

2- From the information provided, list your differential diagnoses in the order of “most likely” to “possible but unlikely.”

QUESTION No 2    

An 89-year-old female complains of a “stabbing chest pain” and points to the area just below her scapula at the right mid-clavicular line. She states that she had an upper respiratory infection last week that “just seems to hang on.” She has no other complaints.

1- In order of importance, describe three (3) questions that you would like to ask this patient and give a brief explanation of why.

2- Which lab or imaging tests would you order for this patient? Why?

What are special tests used to differentiate type of Tendon tears in the knee

 Knee Injury Case Studies A 15-year-old gymnast has noted knee pain that has become progressively worse during the past several months of intensive training for a statewide meet. Her physical examination indicated swelling in and around the left knee. She had some decreased range of motion and a clicking sound on flexion of the knee. The knee was otherwise stable. Studies Results Routine laboratory values Within normal limits (WNL) Long bone (femur, fibula, and tibia) X-ray No fracture Arthrocentesis with synovial fluid analysis Appearance Bloody (normal: clear and straw-colored) Mucin clot Good (normal: good) Fibrin clot Small (normal: none) White blood cells (WBCs) <200 WBC/mm3 (normal: <200 WBC/mm3 ) Neutrophils <25% (WNL) Glucose 100 mg/dL (normal: within 10 mg/dL of serum glucose level) Magnetic resonance imaging (MRI) of the knee Blood in the joint space. Tear in the posterior aspect of the medial meniscus. No cruciate or other ligament tears Arthroscopy Tear in posterior aspect of medial meniscus Diagnostic Analysis The radiographic studies of the long bones eliminated any possibility of fracture. Arthrocentesis indicated a bloody effusion, which was probably a result of trauma. The fibrin clot was further evidence of bleeding within the joint. Arthrography indicated a tear of the medial meniscus of the knee, a common injury for gymnasts. Arthroscopy corroborated that finding. Transarthroscopic medial meniscectomy was performed. Her postoperative course was uneventful. Critical Thinking Questions 1. One of the potential complications of arthroscopy is infection. What signs and symptoms of joint infection would you emphasize in your patient teaching? 2. Why is glucose evaluated in the synovial fluid analysis? 3. What are special tests used to differentiate type of Tendon tears in the knee ? Explain how they are performed (Always on boards)  

I NEED all presentation in APA format

references must be from a book or journal not websites 

How might the Affordable Care Act decrease cost shifting within hospitals

Purpose: Discussion MN507 Unit 4 (M)

Things to remember:

Discussion post is at least 200 words.

Answers all questions with opinions/ideas creatively and clearly. Supports post using several outside, peer-reviewed sources.

3 References, try to find resources that are 5 years or less

No errors with APA format 6thEdition

Please review the Discussion Board Participation grading rubric under Course Resources in the Grading Rubrics section.

This is important information that will ensure that you earn maximum points. Your postings should be qualitative and provide substantive depth that advances the discussion.

Please see the Kaplan Writing Center located in the student portal for assistance with writing, APA, and online communication.

To Discuss:

· Unit 4 Discussion Topic 1 : Cost ShiftingIdentify health care policies that use cost shifting. Argue the benefits of cost shifting. How might the Affordable Care Act decrease cost shifting within hospitals?

· Unit 4 Discussion Topic 2 : Managed CareIn what way does managed care actually manage cost? Does it do so without diminishing the quality of care? If so, how does it accomplish this?

Early Childhood Education and Care

Legislative Cluster

Early Childhood Education and Care

Off-the-Job Assessment

LA017397

Please note that all four units in the Legislative Cluster are now co-assessed. This is the only written off-the-job assignment to be completed for all four units. Please ensure that you have read the learning materials for all four units and completed the online tests for all four units prior to commencing this assignment.

Checklist:

□ I have read the learning resource CHCPRT001

□ I have competed the online test for CHCPRT001, LA016775

□ I have read the learning resource CHCCS400C

□ I have competed the online test for CHCCS400C, LA016776

□ I have read the learning resource HLTWHS003

□ I have competed the online test for HLTWHS003, LA017396

□ I have read the learning resource CHCECE009

□ I have competed the online test for CHCECE009, LA016778

□ I have attended a live/recorded Connect Session for this cluster of units (optional)

□ I have accessed the forums for assistance with this unit (optional)

You are NOW ready to start this assessment. Good luck!

Assessment Summary

This assessment is ungraded. Learners will receive a Satisfactory or Unsatisfactoryin accordance with TAFE NSW Assessment Guidelines.

What you have to do

Before beginning your assignment, it is important that you have all required formats and documents that were part of the download for this assignment.

Also check in the ‘Assessment tips’ section under this assessment tab in the OLS for this unit for any helpful fact sheets and web-links.

TASK OVERVIEW

Task 1

Read two scenarios and complete questions associated with the scenarios. This will also involve completing a report for the second scenario only.

NSW please note your report must also include a Mandatory Reporter Guide to be uploaded with the assessment

Task 2

Complete questions related to both scenarios.

Please read through the tasks carefully and consult the Learner Evidence Guide for marking criteria.

Task 1: Two Scenarios

Read the scenario ‘James’ and answer the questions relating to this as if you were a mandatory reporter.

Read the scenario ‘Lucy’, answer the questions and then complete a report as if you were a mandatory reporter

NSW students will also need to complete the Mandatory Reporter Guide and upload as an attachment with this assessment for marking

 The following link have been provided to assist you with this task

NSW Mandatory Reporter Guide

http://www.community.nsw.gov.au/kts/guidelines/documents/mandatory_reporter_guide.pdf

Scenario 1

James is 4 years old and attends the local education and care service Monday to Friday. James has a younger brother Tom who is 2 years old and stays at home and an older brother Max 10 years who attends the local school .James has always been a pleasant boy with many friends but recently his behaviour has changed. He is aggressive with all the children including his friends. You have asked his family if they know of any reason why James is behaving this way. They explain that an older cousin Tony has come to stay with them but he loves James and cannot see how this would have a negative effect on his behaviour. Mum who is from Iran and speaks limited English said “money very tight since James’s dad had accident and not work much, so Tony staying to help so she can do night work and try and bring in some more money.”

Today James is at the lunch table when another child accidently spills water over James. James yells at the child and attempts to punch him. You stop James and ask him to get his bag so you can assist him to change into dry clothes whilst another educator ensures the other child is ok. James gets his bag but states very clearly he does not want your help. You respect this but standby near the bathroom to ensure he is safe. As you check to see if James is ok you notice as he pulls his shorts down some large bruising on his thigh.

a) Following policy and procedures what is your immediate response?

b) List the indicators of harm.

c) List the risk factors.

d) Will you make a report? Why or why not?

e) Will the parent be notified? Explain why or why not.

f) Using a child focused approach explain how you will communicate with the child?

Scenario 2

Lucy is six months old and attends an education and care service Mon, Wed and Friday. Lucy’s mother is Aboriginal and a night packer at the local shops so dad drops Lucy off and mum picks her up. They live in a community where police often visit due to frequency of violence. It is Monday and Lucy’s father drops her off. Lucy has just started to sit up whilst aided with soft pillows around her. You attempt to sit Lucy down but she screams and puts her hands up for you. Lucy’s father tells you she has been like this all morning and he has had enough and needs to get to work and he leaves.

You decide to check Lucy’s nappy when you notice the nappy is soaked through; she has a nappy rash that has resulted in her bottom bleeding and a large red hand print at the top of her leg. Lucy is screaming as you attempt to place a clean nappy on her. You gently place nappy cream on her bottom as permission has been granted on the enrolment form and pick Lucy up to console her.

a) Following policy and procedure what is your immediate response?

b) List the indicators of harm.

c) List the risk factors.

d) Will the parent be notified? Explain why or why not.

e) Clearly explain the procedures for reporting in your state or territory, include the organisation you contact, contact numbers and information you need.

f) Will you make a report? Why or why not?

g) NSW students must also complete the Mandatory Reporter Guide using the information you have for the Lucy scenario

h) All students to prepare a written report in relation to Lucy. Ensure you write professionally and with no personal opinions or judgement. You may make up information such as address.

Report format

Name of Service: Date:

Name of Child: Age:

Address:

Gender: Culture: Language spoken:

Attends the service:

Family details:

Time of Incident/Observation: Location:

Observation:

Other relevant information:

Name of Reporter: Signature:

Date:

END OF TASK 1 – PLEASE CONTINUE TO TASK 2.

Task 2: Questions relating to both scenarios

Using the information from both scenarios complete the following questions

 The following links have been provided to assist you with this task.

It is important to complete the readings on the OLS for the cluster of units to complete these questions.

Code of Ethics

http://www.earlychildhoodaustralia.org.au/pdf/code_of_ethics/code_of_ethics_%20brochure_screenweb_2010.pdf

United Nations Conventions on the rights of the child

http://www.unicef.org.au/Discover/What-we-do/Convention-on-the-Rights-of-the-Child/childfriendlycrc.aspx

National Quality Standards

http://files.acecqa.gov.au/files/National-Quality-Framework-Resources-Kit/NQF03-Guide-to-NQS-130902.pdf

1. What sections of the Early Childhood Australia’s code of ethics do these scenarios link to?

a) In relation to children

b) In relation to Families

2. What is your duty of care? Can you see any conflicts with abiding with the code of ethics and fulfilling your duty of care?

3. What sections of the UN rights of the child do these scenarios link to?

4. What are the laws/acts in your state/territory that you need to follow in relation to reporting risk of harm? (State and commonwealth)

5. What section of the National Quality Standards Area 2 do these scenarios link to?

6. Can you share information from these scenarios with other organisations? Explain your answer.

7. Where will the documentation for these two children be kept?

8. Looking at the approved learning framework for your state, explain how you would use the outcomes to provide ongoing support and learning for James and Lucy.

9. What cultural considerations will you need to consider in relation to James and Lucy?

10. Assessing and reporting risk of harm will always be difficult and may impact on your health. Discuss how you might manage this impact on your health. (You might consider thinking about what you might do if you were very upset, finding it hard to follow organisational policies and procedures, remaining ethical with the family, abiding by the response and follow up from child protection services)

END OF TASK 2 – THIS IS THE END OF THIS ASSESSMENT

Assessment Check

I have completed:

· Task 1

The 2 scenarios and answered the questions relating to the laws, regulations and procedures in my state/territory.

For NSW students only

Have completed the Mandatory Reporter Guide (website tool) and saved it to my computer ready to upload with this assessment

All students completed the written report

· Task 2:

The follow up questions relating to legal, ethical, organisational, health and safety practices.

2 LA016775 Legislative Cluster Off-the-Job Assessment CHC50113-01V01

© New South Wales Technical and Further Education Commission 2014 (TAFE NSW-WSI) Version 2, June 2014

LA016775 Legislative Cluster Off-the-Job Assessment CHC50113-01V01 1

© New South Wales Technical and Further Education Commission 2014 (TAFE NSW-WSI) Version 2, November 2014

A Walk Through The Steps of a Nursing Research Study

Please In 2-3 paragraph respond to this post : 

A Walk Through The Steps of a Nursing Research Study-2.docx 

What have you learned and will it make a difference?

In my welcome letter to you, I indicated that every class should change your thinking about the focus of the class. Again read the provided ” A Walk Through The Steps of a Nursing Research Study”.  This is the same document you were provided during Week 1. Has your ability to read with understanding changed? Briefly share your thoughts regarding this experience. In this discussion forum  from a “qualitative approach” briefly reflect on what you have learned about nursing research, evidence based nursing and its impact on you as a professional nurse earning a baccalaureate degree in nursing.  From a “quantitative approach”, reflect on your response to the scale of your reading and understanding of nursing research you identified in week 1. How has it changed? What activities most contributed to your enhanced knowledge base?  

Additionally, I would like you to discuss your preparedness to respond to the Institute of Medicine’s mandate that “Participants have set a goal that, by the year 2020, 90 percent of clinical decisions will be supported by accurate, timely, and up-to-date clinical information, and will reflect the best available evidence* (IOM, 2007).   What strategies can you personally implement to address this mandate on a personal/professional level beyond obtaining your baccalaureate degree in nursing? What is the state of your employing institution (no need to name your institution-just identify if it is an acute care setting, long term setting etc) in addressing this mandate since it was initiated in 2007 and with only 1 year left?  Will your employing institution meet the mandate? Initiate a discussion regarding this mandate with a managerial/administrative/ person in your employing institution to gain their perspective on evidence based practice. Here is a website that you can select to review to gain information on this directive. If possible, informally ask some of your nursing colleagues if they are aware of the mandate. What challenges do you foresee to the implementation of evidence-based nursing practice in your workplace?

http://www.ncbi.nlm.nih.gov/books/NBK52821/

Lastly, discuss how you would identify the “best available evidence” and what is the  significance of “Level of Evidence” as it relates to evidence that informs your nursing practice. 

It is expected in this forum that you use/implement the appropriate nursing research terminology. Hint: consider your words like research, prove etc. 

Also my initial respond about level of understanding of  article”A Walk Through The Steps of a Nursing Research Study-“from week 1 was: 

“I read the document ” A Walk Through The Steps of a Nursing Research Study”, my comfort level in reading and understanding this document was satisfying me since I got all explanation very organized and well formated that made it easy to read and get the idea.My knowledge base of nursing and all types of researches was my effective tool to understand most of the document. From quantitative approach I can rate my comfort level 8 out of 10, which I am still happy to this level of understanding.”

Now by the end of this course is expected that my level of understanding increased, so you know how to answer this question compare to my initial post from first week.

How can schools become more ‘’people-ceentred’

Additional Guidelines – Assignments 02 and 03

Assignment 02 Part A How can schools become more ‘’people-ceentred’?

ADDITIONAL GUIDELINES:

1. Your response must be presented in the form of an academic essay. The content part of the essay must contain a brief summary of the ideas and constructs related to people centred schools as an approach to improve school effectiveness. These ideas and constructs are taken from the readings in Creating People-Centred Schools: School Organisation and Change in South Africa. Edited by Gultig, Ndhlovu and Bertram (1999). Your summary of THREE of these ideas or constructs should also include a reflection or contextualisation on the relevance of the idea or construct to your school context. Here is the list of constructs from which you have to choose three:

· Changing management to manage change: a new plan for South African schools (Department of Education in Gultig et al. 1999: 3-8)

· Structures: flow, not boxes by McLagan & Nel in Gultig et al. (1999:19 – 23)

· Why bureaucracy no longer works by Pinchot & Pinchot in Gultig et al. (1999:24 – 31)

· The five disciplines of a learning organisation (Senge in Gultig et al. 1999:32-38)

· The spirit of African management by L. Mbigi in Gultig et al. (1999: 39 – 47)

· Leadership and management in building ‘learning’ schools by Davidoff & Lazarus in Gultig et al. (1999: 64 – 72)

· Why reform fails in Getting school reform right by Fullen & Miles in (Gultig et al. 1999:74-77)

· The complexity of the change process by Fullen & Miles in (Gultig et al. 1999:78 – 92)

· Resilient schools: a South African study by Christie & Potterton in Gultig et al. (1999: 93 – 98)

· Organization development: an argument for South African schools by Davidoff, Kaplan and Lazarus in Gultig et al. (1999: 100 – 109)

· It takes a community to educate a child: a school-as-community strategy by Schofield in Gultig et al. (1999:110 -118)

· Managing personal change by Marris in Gultig et al. (1999:85 – 90)

2. Your response to the task will therefor include the following sub-headings for every idea or construct in the list:

· A sub-heading identifying and contextualising the particular construct

· A very brief summary of the main ideas contained in the construct focused on making schools more ‘’people-centred’’ and therefor more effective

· A brief reflection / contextualisation indicating the relevance of the construct to the school context

3. You would have to describe the context of the school / schools in your area to provide the background against which your responses to the task can be interpreted. This description of the school context should be presented before you present the literature study, and include the following:

· Describe a few (3) school/s in the area where you live and / or teach / would teach

· Please use fictitious names for the schools for confidentiality reasons. Also do not use the names of any office-bearer or employee at these schools for the same reason.

· Primary / Secondary / other

· Size of the school in terms of learner numbers and staffing

· Facilities (buildings) and educational resources

· Community it serves (predominant socio-economic status)

Please note that your responses to these descriptors should be concise and factual

· General comment on current effectiveness including pass rates, cultures of learning and teaching, management styles and typical concerns / challenges

Please note that this part may be more qualitative and descriptive and would include your opinion of the schools effectiveness, rather than substantiated statements of fact. Bear in mind in this regard that Part B of the assignment would be focused on finding the facts rather than stating unsubstantiated opinions, not so?

4. Write the essay in line with the requirements of academic convention, including the following:

· Provide the essay with an appropriate topic / title

· Provide a table of contents reflecting FIVE main headings only

· Show the relevance of the topic / title in a concise introduction

· Structure the essay along a logical argument, using sub-headings and proper paraphrasing

· Refer to sources EVERY time such sources are used in the text of the report, using the Harvard method

· Draft a concise conclusion to your arguments presented and refer specifically to using the literature study done in conducting limited research related to school effectiveness in your context.

· Provide the essay with a detailed list of references

5. Length requirements:

Your response (essay) should be about 15 – 17 pages in length and should meet the following requirements. Using 11pt. letter size using Arial font the following apply:

Title page One page

Table of contents 1/3 of a page One page

Introduction 1/3 of a page

Description of the school contexts 2/3 of a page to 2 pages Two pages

An overview of constructs:

Summary about ½ a page

Reflection / contextualisation about ½ a page One page per construct

X 12 (Twelve pages)

Conclusion ½ a page One page

List of references One page

Maximum 20 pages

Please note that length requirements may not be exceeded.

No hand-written responses will be accepted.

Remember: Your ability to read academic literature with insight is assessed here. You have to identify the essence of every reading / article in the list. Once you have done this, you have to reflect on how relevant the idea or construct (theory) is with regard to the reality of the schools in your context (practice). All of this will provide evidence of your understanding and your ability to apply such understanding.

Also bear in mind that every idea / construct may contribute to improving school effectiveness if applied properly, and some or all of them collectively would result in what is understood as ‘’people-centred schools’’ – an approach to improve school effectiveness in schools in the South African context where change is an imperative.

6. Assessment criteria for Part A

Your response will be assessed against the following criteria using the assessment grid (adapted from Murray a& Johanson 1989:iv; DoE 2003:47).

In this grid the following concepts are key:

Content

This refers to your mastery of the content (topic / title). Insight and the ability to apply theory / research to other contexts are crucial here.

Form

This refers to the structure and organisation of your response as reflected in a logical set of headings and sub-headings. Logic and academic convention is crucial here.

Language, vocabulary and style

This refers to use of spelling, punctuation, vocabulary and grammar in English is crucial here.

Please bear in mind that the assessor of your work will use these standards in awarding marks to your response. This means that you have to bear these criteria in mind when you draft your response to the assignment to make sure you present work that is appropriate to post-graduate academic work.

When you receive the marked assignment from the marker interpret the mark awarded for your efforts in terms of the grid as well.

Outstanding40 – 50Content: Excellent critical and conceptual analysis. Subject matter (topic / title) comprehensively and accurately presented. Well argued. Relevant reading effectively incorporated. Form: Excellently organised and presented. Argument concisely and systematically developed with an extremely well-thought out introduction and conclusion. Language, vocabulary, style: Standards of spelling, punctuation, vocabulary use and grammar are extremely high. Mistakes are rare. Handwriting is legible/ word-processed documents are free of basic errors.
Meritorious30 – 39Content: Good critical and conceptual analysis. Subject matter (topic / title) effectively covered and accurately presented. Well argued. Relevant reading effectively incorporated. Form: Well organised and presented. Argument concisely and systematically developed with a well-thought out introduction and conclusion. Language, vocabulary and style: Standards of spelling, punctuation, vocabulary use and grammar are good. Few errors occur. Handwriting is legible/word-processed documents are mostly free of basic errors. Use of language is appropriate to context, function and intention.
Satisfactory25 – 29Content: Rather more descriptive than critical and conceptual. Although the analysis may lack clarity in parts, the student under-stands the subject matter (topic / title) fairly well. Evidence of relevant reading but not always effectively used. Form:Fairly well organised and presented. The writing is coherent and ideas are developed, but not always concisely or systematically. The report has an introduction and a conclusion but they may not be well integrated with the body of the essay. Language, vocabulary and style: Standards of spelling, punctuation, vocabulary use and grammar are reasonably accurate. Few errors occur. Handwriting is legible/word-processed documents are mostly free of basic errors. Slight limitation of style and mastery of appropriate idiom.
Inadequate13 – 24Content: Perfunctory and largely descript-tive. Under-standing of subject matter (topic / title) is incomplete. Little evidence of reading. Form: Organisation and presentation acceptable. An attempt has been made to develop an argument but this is rather unsystematic and sometimes contains redundant and/or irrelevant material. An attempt has been made to write an introduction and conclusion but they may bear little relation to the body of the report. Language, vocabulary and style:The report is intelligible but contains a fair number of errors in spelling, punctuation, vocabulary and use of grammar. Handwriting is legible/word-processed documents may contain a few basic errors. Use of style and conveyance of meaning are present but inconsistent
Partially achieved7 – 12Content: Perfunctory. Almost entirely descriptive. Narrow in conception. Little evidence of understanding of reading (topic / title). Contains inaccuracies. May have misinterpreted the task. Form: Organisation and presentation poor. Little attempt has been made to develop an argument. There is redundant and/or irrelevant material. The introduction and conclusion, if they exist at all, are weak. Language, vocabulary and style: The report is not always intelligible. There are frequent errors of spelling, punctuation, vocabulary use and grammar. Handwriting may be difficult to read/word-processed documents may not be well formatted. Stylistically poor and frequently inappropriate.
Inadequate2 – 6Content: Very little evidence of understanding or of reading (topic / title). Contains serious inaccuracies. May have misinterpreted the task. Form: The report is frequently unintelligible. There are many errors of spelling, punctuation, vocabulary use and grammar. Language, vocabulary and style: Stylistically very poor and frequently inappropriate.
01 Plagiarism, or 2 Task not done, or 3 Has disregarded the task entirely.

Part A: 50

Assignment 02 Part B Draft a research proposal

Part B will count 50% of the overall mark for this assignment

In this part of the assignment you will draft a research proposal using the literature study done in Part A. Your response will draw upon the work you have covered in this module as well as in the fundamental learning module (which you may have completed) on the Introduction to theory and research in education. You might wish to revise the latter module or a textbook on research methodology such as McMillan & Schumacher (2006) before attempting this activity. Focus on drafting research proposals in this regard.

Your task is to identify an issue in urgent need of research in the schools in the area where you are teaching. Do not refer to your school only, but to schools in the region or district experiencing the same or similar problems. Obviously the issue you want to research must have direct bearing on school effectiveness. Applying some of the theory you overviewed in Part A and in the content of the module related to mentoring should resolve the issue or improve the effectiveness at the schools where you intend to do the research.

Draft the proposal in terms of research theory and in terms of the ideas contained in the study material for this module.

The following guidelines will be used to assess your proposal:

(1) Has the purpose of the research been clearly stated?

(2) What theoretical perspective underpins this research, and is it appropriate, i.e. is the research proposal substantiated clearly by means of references to research theory?

(3) Is the literature review appropriate?

(4) Is the research methodology outlined clearly?

(5) Is the proposed data analysis appropriate and workable?

(6) Who would benefit from the research?

(7) Is the proposal presented in line with academic convention?

It is critical that you use at least three of the constructs analysed and summarised in your literature study (Part A of the assignment). In fact, you may copy the relevant sections from Part A into the section requiring a literature study in Part B (this proposal). This means that the questions you intend to ask respondents in your research have to be based on these constructs. It also means that these questions as contained in your research instruments have to be listed as part of the proposal. Obviously the authors of the ideas applied in the questions have to be acknowledged by means of conventional referencing using the Harvard technique.

Your response to Part B will be assessed by means of the assessment grid below. Study this grid carefully as it actually contains several guidelines for responding to this part of the assignment. Structure your response as suggested in the list of questions above and as reflected in the grid below. Please note that you have to submit a research proposal and not a research report. This means that you have to indicate exactly how you intend to do the research in the schools in your context.

Length requirements based on 11pt letter size in Arial Font:

· Title page

· Table of contents One page

· Title and Purpose of the research 1/3 of a page

· Theoretical research perspective 2/3 page One page

· Literature review (copied from Part B ) Three pages

· Research methodology (including list /lists of questions) Four pages

· Proposed data analysis Two pages

· Conclusion including benefits to stakeholders One page

· List of references One page

Maximum 15 Pages

Assessment grid for Part B

1. The title and purpose of the research is clearly stated and formulated as required in scientific research. There is a clear link between the problem identified and the purpose of the research with reference to research methodology literature8
2. The theoretical research methodology perspective/s underpins this research and is appropriate. One or more appropriate perspectives regarding research methodology is / are identified and applied with reference to literature on research methodology7
3. The literature review is appropriate and substantive (as copied from Part A and amended for research purposes). Several theoretical frameworks emanating from literature studied on people-centred schools as well as on research methodology are identified and VERY briefly summarized as the theoretical basis for the proposed research5
4. The research methodology is clearly yet succinctly outlined in the proposal. The general approach and specific questions for questionnaires and/or interview schedules are included and explained. Five marks for the research approach and fifteen marks for the list / lists of questions in the research instrument/s20
5. The proposed data analysis is indicated and briefly explained. Reference is made to literature on research methodology in this regard5
6. The entire proposal is presented in terms of academic convention. Title, structure, referencing in text and bibliography are all done in line with post-graduate academic standards and academic convention5

Total Part B 50

Part A (50) + Part B (50) = 100 for Assignment 02.

Additional guidelines related to the assessment criteria

Note that the numbers of the guidelines below correspond with those of the criteria in the grid.

1. Please make sure that you formulate the title of your proposal properly. The word ‘’Research proposal’’ must be part of the title. The issue related to people-centred schools have to be clearly indicated. This means that the problem to be researched must be reflected in the title already. Bear in mind that it is very limited research project that are proposed. Do not refer to schools in general in your title – refer to the schools you intend to include only.

2. Refer to research theory here only – do not refer to literature on the problem researched. You have to indicate the nature of your research here – quantitative or qualitative or both, and why this choice is made.

3. This part of the proposal may be copied directly from Part A of the assignment, bearing in mind that it may have to be amended slightly to make proper sense as part of the proposal. Note that the mark allocation is relatively low. This is because it was credited already in Part A. This does not mean that this part of the proposal is not important or should be neglected in any way. In fact, it should substantiate the entire proposal.

4. Make use of sub-headings to structure the response in this regard. Indicate exactly HOW the research would be conducted – refer to the respondents and how their views would be solicited. The most critical part here would be the research instruments – you do not have to design actual instruments as part of the proposal. You have to include ALL the questions you would ask respondents / participants in the proposed research fieldwork. Obviously, these questions should be directly related to what is described in the literature study.

For example, Senge (in Gultig, et al 1999) proposes five disciplines of a learning organisation. If you use this construct in your research, namely to find out to what extent these disciplines are followed in a particular school, your questionnaire will include questions that are directly related to every discipline and would give information that can be used in making inferences afterwards. You may have to formulate a few questions per discipline to gather useful information (data).

If such a relation between theory and questions in research instruments are not presented in your lists of instruments, the research will not be scientific and therefor regarded as a mere opinion poll on some unrelated questions.

Also bear in mind that the questions must be useful in terms of the kind of research done – for example, if the approach is quantitative, questions will be closed, if the approach is qualitative, the questions will be more open-ended.

5. Bear in mind that you have to indicate how the data collected by means of the instruments would be analysed here. Refer to techniques presented in research methodology literature and choose analysis techniques that are clearly suitable for the purposes of the research, bearing in mind that it is a very limited research that you are required to propose.

6. Consult literature on research methodology in this regard. Structure and clarity are key here. Also make sure that you refer to source in every instance in text, and to use the Harvard method of referencing, both in text and in the list of references.