NR447 Week 1 Discussion Latest 2018 March Week 1: The Affordable Care Act 5353 unread replies …. 

NR447 Week 1 Discussion Latest 2018 March

Week 1: The Affordable Care Act

5353 unread replies.109109 replies.

This week's graded discussion topic relates to the following Course Outcome (CO).

• CO1 Apply leadership concepts, skills, and decision making in the provision of high-quality nursing care, healthcare team management, and the oversight and accountability for care delivery in a variety of settings. (PO 2)

Healthcare reform is a term that is ever present in our practice settings and will not disappear any time soon.

1. Share with the class implementation of the Affordable Care Act in your organization. (If you are not working as a nurse, think about what was happening when you were a prelicensure student).
2. How did your fellow healthcare workers react to implementation of the ACA?
3. How were citizens in your community impacted?

NR447 Week 2 Discussion Latest 2018 March

Week 2: AACN Essentials Self-Assessment and Patient-Centered Care

47 47 unread replies. 104 104 replies.

This week's graded discussion topic relates to the following Course Outcomes (COs).

CO1 Apply leadership concepts, skills, and decision making in the provision of high-quality nursing care, healthcare team management, and the oversight and accountability for care delivery in a variety of settings. (PO 2)

CO7 Apply leadership concepts in the development and initiation of effective plans for the microsystems and system-wide practice improvements that will improve the quality of healthcare delivery. (POs 2 and 3)

Download the Week 2 Self-Assessment of the AACN Essentials (Links to an external site.)Links to an external site.. Follow the directions on the form. Note your total score. Next, review this article:

Kramer, M., Schmalenberg, C., Maguire, P., Brewer, B., Burke, R., Chmielewski, L., … Meeks-Sjostrom, D. (2009). Walk the talk: Promoting control of nursing practice and a patient-centered culture. Critical Care Nurse, 29(3), 77–93. http://proxy.chamberlain.edu:8080/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=edswsc&AN=000266533800011&site=eds-live&scope=site (Links to an external site.)Links to an external site.

After you have completed your self-assessment, answer the following questions:

If you are willing, please share your total score on the AACN Essentials Self-Assessment. If you do not wish to share your score, give a general description of your current KSA levels.

Candidly identify and share with your classmates areas where knowledge, skills or abilities (KSAs) are lacking?

Describe the relationship between the AACN Essentials and your new-found knowledge about Patient Centered Care. Are there opportunities for you to improve?

NR447 Week 3 Discussion Latest 2018 March

Week 3: Conflict and Collaboration

59 59 unread replies. 102 102 replies.

This week's graded discussion topic relates to the following Course Outcomes (COs).

CO2 Implement patient safety and quality improvement initiatives within the context of the interprofessional team through communication and relationship building. (PO 3)

CO3 Participate in the development and implementation of imaginative and creative strategies to enable systems to change. (PO 7)

Please watch the video and listen to the dialogue before posting.

Second Life Video (Links to an external site.)Links to an external site.

Transcript (Links to an external site.)Links to an external site.

At times the needs of our families conflict with our work responsibilities. Could this possibly be the underlying issue here?

Explain the conflict resolution skills displayed by the leader in the scenario. On a scale of 1-10, how would you rate those of the leader.

How might earlier collaboration have been beneficial?

Some organizations utilize non Registered Nurses in the Case Manager role. What additional skills, knowledge and attributes would the BSN-prepared Registered Nurse bring to case management in this scenario?

NR447 Week 4 Discussion Latest 2018 March

Week 4: Transformational Nursing Leaders

6565 unread replies.9595 replies.

This week's graded discussion topic relates to the following Course Outcome (CO).

• CO7 Apply leadership concepts in the development and initiation of effective plans for the microsystems and system-wide practice improvements that will improve the quality of healthcare delivery. (POs 2 and 3)

Review Appendix A, Sections I–V in Finkelman (2016).

1. Select one of the sections and share how your chief nurse executive demonstrates expertise in these competencies. Your comments should be about the “highest nursing leader” in your organization. Typically this is the leader who represents nurses and nursing to the governing board.
2. In your own words, explain the differences between a transactional nursing leader and a transformational nursing leader. What one is more like your Nurse Executive?
3. Describe how the Nurse Executive “leads the charge” for transformational leadership in an organization where you work or have done prelicensure clinical experiences.

NR447 Week 5 Discussion Latest 2018 March

Week 5: Patient Outcomes

49 49 unread replies. 100 100 replies.

This week's graded discussion topic relates to the following Course Outcome (CO).

CO5 Apply improvement methods, based on data from the outcomes of care processes, to design and test changes to continuously improve the quality and safety of healthcare. (PO 8)

Review the story at the link below before posting to the discussion:

Rau, J. (2015). Half of nation’s hospitals fail again to escape Medicare’s readmission penalties. Kaiser Health News. Retrieved from http://khn.org/news/half-of-nations-hospitals-fail-again-to-escape-medicares-readmission-penalties/ (Links to an external site.)Links to an external site.

After you have finished, consider how you would respond to the following situation:

Your local hospital has received notice from CMS (Centers for Medicare and Medicaid) regarding their readmission rates.

As a BSN prepared nurse, you have been asked to serve as a consultant to suggest a new Quality (Performance) Improvement process for ONE of the areas of deficiency. Write some brief steps (suggestions) for improvement as you contemplate accepting the consulting opportunity.

Share practice improvements utilized from your own clinical nursing experiences that have led to enhanced patient outcomes.

NR447 Week 6 Discussion Latest 2018 March

Week 6: Civility in the Workplace

6363 unread replies.9393 replies.

This week's graded discussion topic relates to the following Course Outcome (CO).

• CO6 Develop a personal awareness of complex organizational systems, and integrate values and beliefs with organizational mission. (PO 7)

Complete the Clark Workplace Civility Index Assessment (Links to an external site.)Links to an external site..

After you are finished, read the assigned article:

Lachman, V. D. (2015). Ethical issues in the disruptive behaviors of incivility, bullying, and horizontal/lateral violence. Urologic Nursing, 35(1), 39-42. Retrieved from http://proxy.chamberlain.edu:8080/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=c9h&AN=100927729&site=eds-live&scope=site (Links to an external site.)Links to an external site.

Next watch the video by clicking on the link below.

Video (Links to an external site.)Links to an external site.

Transcript (Links to an external site.)Links to an external site.

Reflect on what you observed in the video as you answer the following:

1. Based on what you observed, what leadership skills should you, as Masaya’s preceptor, model for your fellow coworkers to promote his acceptance into the work-group or team.
2. Does incivility seem to be an issue in the scenario?
3. Describe any common themes you discovered among the article, the video and the Civility Index
4. Share how you may improve your score on the index based on what you have read.

NR447 Week 7 Discussion Latest 2018 March

Week 7: Our Future Leaders

6262 unread replies.9292 replies.

This week's graded discussion topic relates to the following Course Outcome (CO).

• CO5 Apply improvement methods, based on data from the outcomes of care processes, to design and test changes to continuously improve the quality and safety of healthcare. (PO 8)

In Huston’s (2010) brief, but impressive article (required reading this week), the author outlines several leadership competencies that EVERY nurse leader will need for 2020. That year is not too far in the future, is it?

1. Select one of the eight leadership competencies Huston described and relate it to your own leadership of nurses and nursing. This should promote a robust discussion as we come from different clinical and nonclinical perspectives.
2. Discuss how the BSN-prepared nurse can assist a nurse leader in the budgeting process by contributing data readily available to the staff nurse.

Huston, C. (2010). What skills will the nurse leaders of 2020 need? (2010). Kai Tiaki Nursing New Zealand, 16(6), 14–15. Retrieved from http://proxy.chamberlain.edu:8080/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105060080&site=ehost-live (Links to an external site.)Links to an external site.

NR447 Week 8 Discussion Latest 2018 March

Week 8: Closing the Loop

2323 unread replies.4747 replies.

This week's graded discussion topic relates to the following Course Outcome (CO).

• CO6 Develop a personal awareness of complex organizational systems, and integrate values and beliefs with organizational mission. (PO 7)

Complete the Week 8 AACN Essentials Self-Assessment (Links to an external site.)Links to an external site..

1. Compare your scores from Week 2 to Week 8.
2. Describe how far have you come and how much further do you wish to go in improving your competencies during the next two years of practice.

Next, review the Course Outcomes as listed in the Syllabus. Select one of the course outcomes and share with your classmates how you feel you have achieved the outcome and how you will utilize the essentials and course outcomes in your practice setting.

NR447 Week 3 Conflict Resolution Paper Latest 2018 March

Conflict Resolution Paper Guidelines

Purpose

The purpose of this assignment is to learn how to identify and effectively manage conflicts that arise in care delivery settings resulting in better management of patient care, including appropriate delegation. You will gain insight into conflict management strategies and develop a plan to collaborate with a potential nurse leader about the conflict and its impact in a practice setting.

Course Outcomes

Completion of this assignment enables the student to meet the following course outcomes.

CO1: Apply leadership concepts, skills, and decision making in the provision of high-quality nursing care, healthcare team management, and the oversight and accountability for care delivery in a variety of settings. (PO2)

CO3: Participate in the development and implementation of imaginative and creative strategies to enable systems to change. (PO7)

CO6: Develop a personal awareness of complex organizational systems, and integrate values and beliefs with organizational mission. (PO7)

CO7: Apply leadership concepts in the development and initiation of effective plans for the microsystems and system-wide practice improvements that will improve the quality of healthcare delivery. (POs 2 and 3)

Points

This assignment is worth 200 points.

Directions

1. Read Finkelman (2016), Chapter 13: Improving Teamwork: Collaboration, Coordination, and Conflict Resolution, section on Negotiation and Conflict Resolution, pp. 324-333.
2. Observe nurses in a care delivery setting. Identify a recurring conflict with the potential to negatively impact patient care. Decide if delegation was an issue in the conflict. This should be from your practice setting or prelicensure experiences.
3. Provide details of what happened, including who was involved, what was said, where it occurred, and what was the outcome that led you to decide the conflict was unresolved.
4. Identify the type of conflict. Explain your rationale for selecting this type.
5. Outline the four stages of conflict, as described in our text, and how they relate to your example.
6. Propose strategies to resolve the conflict. Search scholarly sources in the library and the Internet for evidence on what may be effective.
7. Discuss if delegation was an issue in the conflict. Be specific.
8. Describe how you would collaborate with a nurse leader to reach consensus on the best strategy to employ to deal with the conflict.
9. Describe the rationale for selecting the best strategy.
10. Provide a summary or conclusion about this experience or assignment and how you may deal with conflict more effectively in the future.
11. Type your paper using Microsoft Word 2010 or later.
12. Follow APA format. Consult your APA manual, and consider using the APA resources provided by Chamberlain.
13. Write a 5-7 page paper (not including the title or References pages) using APA format that includes the following.
    1. Describe an unresolved (recurring) conflict that you experienced or observed. Identify the type of conflict.
    2. Provide details of what happened, including who was involved, what was said, where it occurred, and what was the outcome that led you to decide the conflict was unresolved.
    3. Outline the four stages of conflict, as described in Finkelman, and how the stages relate to your example. Decide if delegation was an issue in the conflict. Be specific.
    4. Describe the strategies for conflict resolution and how you would collaborate with a nurse leader to resolve the conflict. Cites the course textbook and two scholarly sources.
    5. Provide a conclusion or summary about this experience and how you may deal with conflict more effectively in the future.

NR447 Week 5 Nursing Care Models Paper Latest 2018 March

Nursing Care Models Paper Guidelines

Updated 7/23/2017

Purpose

The purpose of this assignment is to identify nursing care models utilized in today's various health care settings and enhance your knowledge of how models impact the management of care and may influence delegation. You will assess the effectiveness of models and determine how you would collaborate with a nurse leader to identify opportunities for improvement to ensure quality, safety and staff satisfaction.

Course Outcomes

Completion of this assignment enables the student to meet the following course outcomes.

CO1: Apply leadership concepts, skills, and decision making in the provision of high quality nursing care, healthcare team management, and the oversight and accountability for care delivery in a variety of settings. (PO2)

CO2: Implement patient safety and quality improvement initiatives within the context of the interprofessional team through communication and relationship building. (PO3)

CO3: Participate in the development and implementation of imaginative and creative strategies to enable systems to change. (PO7)

CO6: Develop a personal awareness of complex organizational systems and integrate values and beliefs with organizational mission. (PO7)

CO7: Apply leadership concepts in the development and initiation of effective plans for the microsystems and/or system-wide practice improvements that will improve the quality of healthcare delivery. (PO2, and 3)

CO8: Apply concepts of quality and safety using structure, process, and outcome measures to identify clinical questions as the beginning process of changing current practice. (PO8)

Points

This assignment is worth 200 points.

Directions

1. Read your text, Finkelman (2016), pp- 111-116.
2. Observe staff in delivery of nursing care provided. Practice settings may vary depending on availability.
3. Identify the model of nursing care that you observed. Be specific about what you observed, who was doing what, when, how and what led you to identify the particular model.
4. Write a 5-7 page paper that includes the following:
5. Review and summarize two scholarly resources (not including your text) related to the nursing care model you observed in the practice setting.
6. 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.
7. Discuss your observations about how the current nursing care model is being implemented. Be specific.
8. Recommend a different nursing care model that could be implemented to improve quality of nursing care, safety and staff satisfaction. Be specific.
9. Provide a summary/conclusion about this experience/assignment and what you learned about nursing care models.
10. Write your paper using APA format using Microsoft Office 2010 or later.

NR447 Week 6 Performance Measurement PowerPoint Latest 2018 March

Performance Measurement PowerPoint Slideshow

Purpose

The purpose of this PowerPoint presentation is to locate and compare performance measurement data on common health conditions for the hospitals in your area. You will investigate the Centers for Medicare and Medicaid Services websites and locate the section called Hospital Compare. There you will find data for hospitals within a 50-mile radius of the community where you are working or had your prelicensure clinical experiences. You will prepare a PowerPoint presentation and share the results of your findings. Opportunities for improving performance measurement indicators will be shared.

Course Outcomes

Completion of this assignment enables the student to meet the following course outcomes.

CO1: Apply leadership concepts, skills, and decision making in the provision of high-quality nursing care, healthcare team management, and the oversight and accountability for care delivery in a variety of settings. (PO2)

CO2: Implement patient safety and quality improvement initiatives within the context of the interprofessional team through communication and relationship building. (PO3)

CO3: Participate in the development and implementation of imaginative and creative strategies to enable systems to change. (PO7)

CO7: Apply leadership concepts in the development and initiation of effective plans for the microsystems and system-wide practice improvements that will improve the quality of healthcare delivery. (POs 2 and 3)

CO8: Apply concepts of quality and safety using structure, process and outcome measures to identify clinical questions as the beginning process of changing current practice. (PO8)

Due Dates

This assignment is to be submitted by Sunday, 11:59 p.m. MT, end of Week 6.

Points

This assignment is worth 200 points.

Directions

1. Review information found on the following website related to hospital compare http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/HospitalQualityInits/HospitalCompare.html (Links to an external site.)Links to an external site.

2. Read the information carefully and then locate the following website. http://www.medicare.gov/hospitalcompare (Links to an external site.)Links to an external site.

1. Search for hospitals within a 50-mile radius of the community where you are working or had your prelicensure clinical experiences. Type in your zip code. Select your hospital and two others. Select hospitals/facilities and choose compare. If you live in a remote area and there are no hospitals listed within a 50-mile radius, select a zip code for a family member or a close friend who does not live near you. The idea is to review comparative data.
2. Click on the following topics to learn more.
   1. Survey of patient's experiences
   2. Timely and effective care (focus your search on two of the conditions that apply to services provided at the hospitals)
   3. Readmissions, complications, and deaths
3. Carefully read the information provided.
4. Develop a PowerPoint slideshow consisting of 8-10 slides. Include the following, keeping in mind what all this data means.
   1. Title slide with information pertinent to the course.
   2. List reasons to recommend the website Hospital Compare to consumers (patients).
   3. List reasons to recommend the website Hospital Compare to staff who may seek employment.
5. For the slides below, clearly label the name of each hospital:
   1. Summarize patient experiences data for each hospital.
   2. Summarize timely and effective care data for two conditions.
   3. Summarize data for readmissions and complications and deaths.
   4. List recommendations for improving data for one selected facility.
   5. Summarize what you learned from this experience.

8. Tutorial: For those not familiar with the development of a PowerPoint slideshow, the following link to the Microsoft website may be helpful. http://office.microsoft.com/en-us/support/training-FX101782702.aspx (Links to an external site.)Links to an external site. The Chamberlain Student Success Strategies (CCSSS) offers a module on Computer Literacy that contains a section on PowerPoint. The link to SSP CCSSS may be found in the course list in the student portal.

1. Submit your PowerPoint slideshow by 11:59 p.m. MT, Sunday, end of Week 6.

Best Practices in Preparing PowerPoint Presentations

The following are best practices in preparing this presentation.

• Be creative.
• Incorporate graphics, clip art, or photographs to increase interest.
• Make easy to read with short bullet points and large font.
• Review directions thoroughly.
• Proofread prior to final submission.
• Spell check for spelling and grammar errors prior to final submission.
• Abide by the Chamberlain academic integrity policy.