1.Simulation Scenario: Med Cart Gone Wrong

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Simulation Scenario: Med Cart Gone Wrong In this scenario, we simulated the situation when a nurse leaves medications unattended on the med cart – including one of the medications being a narcotic.

1.Simulation Scenario: Med Cart Gone Wrong

In this scenario, we simulated the situation when a nurse leaves medications unattended on the med cart – including one of the medications being a narcotic. Additionally, we saw the other issues that happened, including the computer being open with the EHR charts accessible and the cart being unlocked. We also saw when the nursing leader confronted the nurse, the nurse lied several times about the situation, only confessing to going to the break room to get coffee after seeing the videos. 

So, now, consider the aspects we discussed in our post-sim debriefing and make your own conclusion, if you were the immediate supervisor of this nurse, what would your course of action be? Remember to consider the different leaders that would be involved with this scenario and the impact on those leaders as well.

2. Simulation Scenario: Get Off Your Phones

For this week’s scenario, we participated in a simulation as a leader confronting staff who are on their phone. This is becoming an all-to-common situation in the workplace. As we walked through this scenario, recall the different styles of leadership used to approach the nurse who was on the phone. Knowing that cell phones are becoming more and more a part of our person, how do we best approach someone using their phone at the workplace.

As we discussed in our post-sim, this is a hard situation for some facilities as more and more hospitals and other areas are using cell phones as a part of patient care. If you were a leader on the floor, what kind of policy would you have regarding cell phone use? Consider our discussion and how you would best handle infractions of your policy.

Evaluation And Management And Anesthesia Coding

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Evaluation And Management And Anesthesia Coding

Please answer all 20 questions correctly and get back to me within the next 3 hours 1.   Modifier -P5 indicates that the patient        A. experienced postoperative anemia.   B. is not expected to survive without the operation.   C. received a lower anesthesia dosage.   D. is advanced in age.  2.   Code 99217 is assigned for        A. nursing home services.   B. observation discharge services.   C. established patient visits.   D. new patient office visits.  3.   Code range 99218–99220 denotes        A. emergency room visits.   B. initial hospital visits.   C. initial observation care.   D. follow-up hospital visits.  4.   A physician performs an invasive surgical procedure. Prior to the start of the procedure, the anesthesiologist administers monitored anesthesia. Which modifier should be appended to the anesthesia code?        A. -G10   B. -G8   C. -G1   D. -G9 5.   When more than one surgery is performed during one anesthesia administration, the coder should        A. report the anesthesia code with the highest base value unit.   B. assign modifier -QS to the second surgery code.   C. assign add-on code 01900 to indicate more than one surgery was performed during a single operative session.   D. add modifier -QY to the first surgery code.  6.   Modifier -P3 indicates that the patient        A. received topical anesthesia.   B. is in a coma.   C. received local anesthesia.   D. has severe systemic disease. 7.   ___ modifiers indicate the number of anesthesia cases being directed at one time.        A. Coordinated time   B. Conversion   C. Calculation   D. Concurrent  8.   A coder adds modifier -P2 to an anesthesia code. This modifier indicates the patient        A. is allergic to lidocaine.   B. received general anesthesia.   C. is handicapped.   D. has mild systemic disease. 9.   The risk of morbidity or mortality would be considered as a part of        A. review of systems.   B. medical decision-making.   C. history of present illness.   D. chief complaint. 10.   A patient who has not been seen by a physician or another physician in the same group within the last three years is a/an _______ patient.        A. established   B. new   C. emergent   D. existing 11.   The dollar rate of each anesthesia unit is called the _______ factor.        A. unit conversion   B. conversion   C. calculation   D. base value unit rate 12.   A patient who has been admitted to a hospital is a/an        A. inpatient.   B. established patient.   C. new patient.   D. ambulatory surgery patient. 13.   A patient undergoes an esophagogastric tamponade with a balloon. How would this procedure be coded?        A. 43460   B. 00500   C. 43460-P1   D. 00500-P1 14.   Codes in the range of 99224–99226 represent services for        A. critical care services.   B. subsequent observations.   C. consultations.   D. initial observations.  15.   Which of the following code ranges are add-on codes reported for prolonged physician services?        A. 99458–99586, 99372   B. 99212–99252, 99344   C. 99673–99873, 99001   D. 99354–99357, 99359  16.   A patient who has been treated by a physician or another physician in the same group within the last three years is a/an _______ patient.        A. emergent   B. new   C. transmitted   D. established 17.   Modifier -QY indicates that        A. anesthesia administration was abruptly terminated due to surgical complications.   B. the surgeon is administering anesthesia.   C. the physician is supplying topical anesthesia only.   D. an anesthesiologist is directing the CRNA during anesthesia administration.  18.   _______ circumstance codes are used in situations that increase the difficulty of administering anesthesia.        A. UNIT administration modification   B. Extenuating   C. ASA relativity   D. Qualifying 19.   Other nursing facility services would be reported with code        A. 99305.   B. 99318.   C. 99525.   D. 99211.  20.   A patient undergoes a pacemaker insertion. She is not expected to survive if she doesn’t have the operation. What code should be reported?        A. 00530-P4   B. 33206-P4   C. 00530-P1   D. 33208-P2

Discuss the ethical decisions you would make.

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Ethical and Legal Issues

Ethical and Legal Issues

Read the following case study and submit a 1- to 2-page essay in a Microsoft Word document using APA 6th edition in response to the questions.

Case Study:

Ann is a seventy-seven-year-old grandmother. She has one daughter and three grandchildren. Two years ago, she was diagnosed with moderately advanced Alzheimer’s disease, which causes her to have periods of confusion, frustration, anger, and obsessive thinking. When speaking, she is uncertain and her speech patterns are choppy. Before her mental deterioration, Ann was a woman of love, intelligence, and patience. Realizing they were getting older, she and her husband, Frank, discussed their wishes should anything happen to them. She told Frank that if there was no chance of survival, she would not want to be hooked to a breathing machine. They never got around to filling any papers.

Frank is a sweet and sensitive man. His wife’s state frightens him. Ann’s love for him has been the focus of his life for sixty years. His urgent desire for the best care for Ann shows his devotion and love. Their daughter, Sarah, is a businesswoman. She is a hard worker and a good mother. She is forty-five, successful, and intelligent. Although she loves her parents dearly, she lives ten hours away. She regrets not seeing much of them, especially recently. Frank feels his role is to take care of Ann. He has spent the past year with her, watching after her, cooking for her, cleaning the home, and witnessing her deterioration. Finally, Ann is unable to walk alone safely and he finds he must have her admitted to a long-term care facility. He calls Sarah to come and help with the arrangements. After having Ann admitted to a local nursing home, both Frank and Sarah remember the pleading look in Ann’s eyes as they walk away.

After three weeks in the nursing home, Ann starts to cough and run a fever. She is seen by doctors and diagnosed as having pneumonia. She is transferred to a local hospital, where she is given intravenous antibiotics. Although the progress of her pneumonia is halted by the antibiotics, she stops talking and refuses to eat. The physician calls Frank to insert a feeding tube. Frank calls Sarah to ask what to do. They wonder, Is a feeding tube equivalent to a breathing machine? Would it be possible to allow Ann to lie there and die of starvation? Is that murder? What would she want? What is the right thing to do? (Burkhardt & Nathaniel, 2008).

Respond to the following:

  • Discuss the ethical decisions you would make.
  • Discuss the legal decisions you would make.
  • Explain, as a nurse, what advice would you give to Frank and Sarah.

Support your responses with examples.

Cite any sources in APA format.

Why is communication and education of the community important in saving lives?

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please do by 12 noon

In an emergency evacuation of patients, training plays an important role. Here is an incidence of emergency evacuation of Phillips County Regional Medical Center discussed by Vogt and Sorenson (1999):

Shortly after 1:00 p.m. on Thursday, May 8, 1997, clouds of foul-smelling smoke began pouring from an herbicide and pesticide packaging plant in West Helena, Arkansas. An alert was sounded, employees evacuated, and the West Helena fire department was called. As three firefighters prepared to enter the plant, the chemical compounds exploded, collapsing a solid concrete block wall, and killing all three firefighters. As the odorous smoky cloud drifted away from the plant, authorities ordered residents in a 2-mile area downwind of the plant to evacuate and those in the 2- to 3-mile zone to shelter in . . . The findings indicate that 90% of those that were told to evacuate did so but only 27% of those told to shelter-in-place did so, with 68% opting to evacuate instead. The implications of these findings for emergency managers is that people will likely choose to evacuate when both warnings to evacuate and warnings to shelter are issued to residents in close proximity to each other (Abstract section, para. 1).

The evacuation of the medical center was facilitated by efforts taken 6 months earlier to update the hospital’s evacuation plan and reconfirm support agreements for relocation sites and supplies. At that time of updating the plan, the entire staff had also participated in a mock drill. When the safety officer observed the buildings across the highway being evacuated and started questioning officials on the possibility of also being evacuated, evacuation plans familiar to staff were in place and had been practiced. When the Director of Nursing gave the “Code White” alert (the signal that an evacuation to an off-site facility would follow) staff was amply prepared to move patients (p. 11).

Interviews with staff indicated that all patients that could be discharged were sent home with a physician’s nurse. Another four or five patients (the most seriously ill) were transferred to a hospital about a half hour away. The majority of the patients 11 (approximately 17) in the rehabilitation unit were transferred to a vacant wing of the Crestpark Nursing home accompanied by hospital support staff. Only one maternity patient evacuated to the Phillips College—Community College where the hospital staff had evacuated and opened emergency room services. The evacuation of patients began at 1:40 p.m. and all patients (except for two on ventilators and one being stabilized in the emergency room) were out 55 minutes later. The remaining three patients were evacuated 15 minutes later. A variety of vehicles transported patients—vans, school buses, ambulances, private cars, and mortuary services. As a precaution, National Guard personnel provided security at the evacuated hospital (pp. 11–12).

On the basis of your understanding on the topic, answer the following questions regarding the incidence of emergency evacuation mentioned above:

  • What does this study tell you about the lack of training for the community?
  • Why is communication and education of the community important in saving lives?
  • Was the community clear on what the procedures were? How?
  • Why was the evacuation of the hospital so successful?
  • How important are external relationships with other agencies to having an efficient evacuation plan?

Your review should be at least 2- to 3-page Microsoft Word document, not counting the cover page or the reference page.

Support your responses with reasoning and examples.

Cite any sources in APA format.

Submission Details

Name your document SU_HSC4040_W2_A2_LastName_FirstInitial.doc.

Submit your document to the W2 Assignment 2 Dropbox by Week 2, Day 6.

Reference:

Please give response to discussion below in APA format 2 pages long with 5 refeneces 3 from walden university library

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 Please give response to discussion below  in APA format 2 pages long with 5 refeneces 3 from walden university library  Due Friday June 23,2017 at 2000 EST

Will pay 10 dollars for response essay

Introduction

With the increasing development of technology more and more health research is being done. Although many of the research is beneficial, much of it also causes ethical issues. One of the major cases currently being discussed is the effects of researching vaccines on children.

Vaccination Controversy  

Today in the medical world, nothing can be done without informed consent.  Informed consent is defined as “a person knowingly and intelligently, an in a clear and manifest way, gives consent (Fouka &Mantzorou, 2011, pg. 2).” Informed consent is required before blood administration, procedures and surgery as well as many other things. In the case of the pediatric population they are unable to be informed consenters so this makes them a vulnerable population ( Fouka, et al. 2011 pg.7). When it comes to the topic of vaccines, children are usually the subject of the study. “The different opinions about their participation in research can be attributed to their inability to give an informed consent and to their need for further protection and sensitivity from the researcher as they are in a greater risk of being deceived, threatened or forced to participate (Fouka, et al. 2011, pg. 7).”  The problem that many researchers run into is that they are forced to use children because most disease are developed in the pediatric year, but children also experience more adverse effects than adults leading to research controversy (Kulkarni, 2013 para 2).  However, in order to have the best practice you need evidence based practice, which requires valid research (Laureated Education, 2012).

Conducting research differently

            Researcher who have used children in their research may have not had any other option. Althoug, better practice may to be to involve the children in the research process. They can do this by not only explaining the process and dangers to the parents, but also explaining it to the children. “In the case of a child, every effort should be made to explain to him/her also, in language that is understandable to the child, what the participation means, as regards to potential risks (discomfort, time spent, etc) and benefits. The investigators should document the child’s assent (Kulkarni, 2013 para 23).” Including the child in the informed consent process makes the study more ethical as well as making sure the child is not being threatened or forced into anything. Including the child in the process also helps make it less scary for them. It is important that the child understand what is going on and it be explained to the at their level.

Evidence Based Practice

Although there are many controversies associated with research, it is necessary to find the best practice. In the nursing profession, evidence based practice is essential in knowing what is the best product (Laureate Education, 2012h).

References

Fouka, G., &Mantzorou, M. (2011). What are the major ethical issues in conducting research? Is there a conflict between the research ethics and the nature of nursing? Health Science Journal

Kulkarni, P. (2013). Current topics in research ethics in vaccine studies. Perspectives in Clinical Research, 4(1), 80. doi:10.4103/2229-3485.106398

Laureate Education (Producer). (2012h). Overview of evidence-based practice. Baltimore, MD:Author

7. 7.what are the reasons or issues that cause deterioration of the effectiveness for programs addressing AIDS and HIV?

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QUESTIONS AND ANSWERS

The purpose of this assignment is to demonstrate that you have mastered the topic/concepts you have researched and can engage in meaningful, scholarly dialog and/or debate with your peers while also offering a unique contribution to the subject.

For this assignment, you will Select three (3) questions submitted by your peers and/or your instructor from the discussion board to address formally and in detail for this assignment.

Choose questions of intellectual substance; each response should be 2 paragraphs in length.

Include the questions above your responses.

Present the question in bold text and your response beneath in regular APA style text. You do not need to identify the person who submitted the question.

Your responses should be organized, comprehensive, and well written.

Use citations and a reference page when appropriate to include supporting evidence; however, your responses should be unique and indicative of your own understanding of the subject.

Include a title page.

Topic: IMPROVING THE PUBLIC’S PERCEPTION OF HOSPITAL-BASED NURSING CARE

**** These are the questions

1.       1.Things That Would Help Nurses Assess and Manage Pain More Effectively?

2.       2.Can you share the leading causes that lead to childhood obesity?

3.       3.What factors have contributed to physicians primarily prescribing opioids even though they are a poor choice for long-term pain management? Is there more of monetary value for the physician prescribing an opioid pain medication?

4.       4.Due to the minimal side-effects of medical marijuana, there is less of a need for other medications or treatments to counteract the side-effects that a synthetic opioid medication can produce (e.g., constipation & addiction). How has this influenced the financial aspects of the pharmaceutical and insurance companies?

5.       5.How would integrating classes into nursing programs in relation to workplace violence assist with lowering the rates of these types of incidents once a nurse is actively working in the field?

6.        6.Are there any pros and cons of bottle feeding in the first 6 months, but with breastmilk?

7.       7.what are the reasons or issues that cause deterioration of the effectiveness for programs addressing AIDS and HIV?

Rubrics

The required number of responses is submitted in the appropriate format. Questions chosen for response are of significant intellectual quality so as to require a substantive reply, and cover a variety of issues. The student does not steer away from challenging or difficult questions for which there may be no exact answer. Responses are organized, comprehensive, and very well written. Responses are academic in tone and are presented professionally. Responses indicate a thorough understanding of the topic and (when applicable) a willingness to explore unexamined or contradictory views. Responses 

1. Explain what Mucor is and how a patient is likely to become infected with Mucor. Describe the pathophysiologic

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Hello i need a Good and Positive Comment related with this argument .A paragraph  with no more  100 words.

Kelly Gore

1. Explain what Mucor is and how a patient is likely to become infected with Mucor. Describe the pathophysiologic

progressio

n

of the infection into pneumonia and at least two medical/nursing interventions that would be helpful in treating the patient.

Pulmonary Mucormycosis is a fungal infection that is caused by breathing in fungi spores from mucormycetes, whichis found in organic matter such as soil (CDC. 2015). Mucormycosis can develop in  many areas of the body, but for this question we are focusing on pulmonarymucormycosis. “Pulmonary mucormycosis is the most common type of mucormycosis in people with cancer and in people who have had an organ transplant or a stemcell transplant (CDC.2015.p.3)”. Mucormycosis can be contracted by anyone but usually affects people with weakened immune systems (CDC. 2015).  Once the spores are inhaled or enter the body via another means, the progression of this disease can be rapid and diagnosis prolonged due to some nonspecific clinical manifestations (Petrikkas, et al. 2012).

Two nursing interventions that would be helpful in treating this patient population would be close monitoringof respiratory system and other vital signs and also giving antifungal medications as ordered. Education regarding the disease, treatment, transmission, andprognosis is imperative for patients to understand the severity of this disease.

2. Examine the laboratory blood test results and arterial blood gases provided in “Discussion Question Resource: Laboratory Blood Test Results.” What laboratory values are considered abnormal? Explain each abnormality and discuss the probable causes from a pathophysiologic perspective.

WBC 15.2: Increased due toinfectionLymphocytes 10%: Decreased due toinfectionpH 7.50: Patient is alkalotic anduncompensatedPaO2 59: Patient is hypoxic due toinfection and needs O2PaCO2 25: Patient’s CO2 levels arelow most likely due to rapid respiratory rate from infection

3. What medications and medical treatments are likely to be prescribed by the attending physician on this case? List at least three medications and three treatments. Provide rationale for each of the medications and  treatments you suggest.

Ampho B: Binds to ergosterol altering cellmembrane permeability in susceptible fungi and causing leakage of cellcomponents with subsequent cell death. Proposed mechanism suggests thatamphotericin causes an oxidation-dependent stimulation of macrophages (Lexicomp,nd). Ampho B is used to treat life-threatening fungal infections.

Acetaminophen: Used as a premedication for Ampho B (Lexicomp. nd.)

Benadryl: Used as a premedication for Ampho B (Lexicomp. nd)

Posaconazole: Used to treat refractory fungal infections (Lexicomp, nd). Only certain physicians can order this medication (Lexicomp, nd).

Isavuconazole: Used for treatment of mucormycosis in adults (Lexicomp, nd)

O2: Patients with pulmonary fungal infections will generally use supplemental O2 due to suppression of respiratory system

Educating patient on need to protect self from environment: fungal infections are most often contracted from areas that produce a lot of dust in which spores are found. Avoiding areas such as construction sites can help decrease the risk for contracting this infection (CDC. 2015). 

Wear proper clothing when doing work outside that involves the soil, such as gardening. By wearing items like gloves, the risk of getting these spores on your skin which canthen be transmitted to your lungs, will be decreased (CDC. 2015)

o Describe the general advantages and disadvantages of the two research approaches featured in the articles. Use examples from the articles for support.

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Critiquing the validity and robustness of research featured in journal articles provides a critical foundation for engaging in evidence-based practice. In Weeks 5 and 6, you explored quantitative rese

Critiquing the validity and robustness of research featured in journal articles provides a critical foundation for engaging in evidence-based practice. In Weeks 5 and 6, you explored quantitative research designs. In Week 7, you will examine qualitative and mixed methods research designs. For this Assignment you critique a quantitative and either a qualitative or a mixed methods research study and compare the types of information obtained in each.

To prepare:

· Select a health topic of interest to you that is relevant to your current area of practice. The topic may be your Course Portfolio Project or a different topic of your choice.

· Using the Walden Library, locate two articles in scholarly journals that deal with your portfolio topic: 1) Select one article that utilizes a quantitative research design and 2) select a second article that utilizes either a qualitative OR a mixed methods design. These need to be single studies not systematic or integrative reviews (including meta-analysis and metasynthesis). You may use research articles from your reference list. If you cannot find these two types of research on your portfolio topic, you may choose another topic.

· Locate the following documents in this week’s Learning Resources to access the appropriate templates, which will guide your critique of each article:

o Critique Template for a Qualitative Study

o Critique Template for a Quantitative Study

o Critique Template for a Mixed-Methods Study

· Consider the fields in the templates as you review the information in each article. Begin to draft a paper in which you analyze the two research approaches as indicated below. Reflect on the overall value of both quantitative and qualitative research. If someone were to say to you, “Qualitative research is not real science,” how would you respond?

To complete this Assignment:

· Complete the two critiques using the appropriate templates.

· Write a 2- to 3-page paper that addresses the following:

· Contrast the types of information that you gained from examining the two different research approaches in the articles that you selected.

o Describe the general advantages and disadvantages of the two research approaches featured in the articles. Use examples from the articles for support.

o Formulate a response to the claim that qualitative research is not real science. Highlight the general insights that both quantitative and qualitative studies can provide to researchers. Support your response with references to the Learning Resources and other credible sources.

· Reminder: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The School of Nursing Sample Paper provided at the Walden Writing Center provides an example of those required elements (available from the Walden University website found in this week’s Learning Resources). All papers submitted must use this formatting.

· Combine all three parts of this assignment into one Word document including both critique templates and the narrative with your references. Submit this combined document.

Respond to this argument in one or more of the following ways:Ask a probing question, substantiated with additional background information

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I need a positive argument  based in this discussion question. Respond to this argument in one or more of the following ways:Ask a probing question, substantiated with additional background informa

I need a positive argument  based in this discussion question. Respond to this argument in one or more of the following ways:

Ask a probing question, substantiated with additional background information, evidence or research.

Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.

Validate an idea with your own experience and additional research.

Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.

Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

Use references

                      My Goals and Walden University Vision and Mission

            In 2011 I graduated from Nursing School.  I knew I wanted work in the Emergency Department.  I had finished my practicum in an ED and was slotted to be hired once I passed my NCLEX.  As life would have it, I wouldn’t be able to take that job until year later.  In the meantime, I toughed it out as a floor nurse, and honed my skills.  I knew that floor nursing was not in my 10-year plan, so I made it a point to get all the experience I could to prepare myself for a career as a nurse. My journey since becoming an RN has been an amazing one.  I have completed Critical Care fellowships, worked beside some of the finest physicians, and now with all my experiences, I need to become a Nurse Practioner.  I am currently working in the Operating Room and have absolutely fallen in love with Orthopedics.  Becoming an Orthopedic Nurse Practioner will allow me to treat patients in clinic as well as assist the surgeon to increase mobility in those requiring surgery.

            I found Walden University during a school fair at my current hospital.  I spoke with a representative who, in my opinion, made the choice very easy.  I did research other online programs, but I always came back to Walden University.  The ability for me to attend a program and still be able to work full time was a must.  I felt like this University had my best interest in mind after reading the School of Nursing’s (SON) vision and mission statement.  The mission statement states “Walden University provides a diverse community of career professionals with the opportunity to transform themselves as scholar-practitioners so that they can effect positive social change.”  (Walden University, 2011a) I feel as though Walden University will assist me to be in control my transformation from Registered Nurse to Nurse Practioner.  

Incorporation of Social Change

            Everyday our society experiences change whether swift or gradual.  I want to promote positive social change by integrating Walden University’s views with my own.  “Positive social change results in the improvement of human and social conditions.” (Walden 2011b, para.1) I want to be part of that change, I want to be part of the improvement, I want to use my knowledge and experience to help improve the way we live together as human beings.  I feel like Walden University will provide me with the tools needed to make this vision a reality.  

References

Walden University. (2011a). About the school. Retrieved from               

http://www.waldenu.edu/Colleges-and-Schools/College-of-Health-Sciences/15863.htm

Walden University. (2011b). Vision, mission, and goals. Retrieved from 

http://catalog.waldenu.edu/content.php?catoid=21&navoid=2450

NURS 6201: Leadership in Nursing and Healthcare

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6 pages

NURS 6201: Leadership in Nursing and Healthcare

Strategic Planning for Change—Overview

For this Assignment, you explore one challenge that you would like to see addressed in your organization or one with which you are familiar. You will continue to work on this Assignment over the next several weeks. You will prepare an outline for this assignment due day 7 of week 5. This outline will help organize your work toward this assignment.

This Assignment also serves as your Portfolio Assignment.

To prepare:

• Identify a problem that you would like to investigate for this Assignment. Consider the resources and discussion about strategic planning and models that guide change such as SWOT, Balanced Scorecard, or Six Sigma and lean principles. Review evidence-based literature for data related to your selected problem. You will need to use at least five current (not more than five years old), peer-reviewed articles. If you cannot find adequate evidence, you may need to refine your topic. Your Instructor may provide some guidance for your literature search.

By Day 7 of Week 2, enter your selected problem in the Strategic Planning for Change Forum of the Discussion Board.

Your Instructor will approve your selected problem or provide feedback to help you refine your focus for this Assignment.

While this portion of the Assignment is not graded, it is required.

Once you have received feedback/approval of your selected problem:

• Reflect on the topics you are examining in this course and consider how they relate to your selected problem. Plan to analyze the problem using principles, theories, and concepts related to leadership and management, as well as other pertinent course themes.

• Review evidence-based literature for data related to your selected problem. You will need to use at least five current (not more than five years old), peer-reviewed articles. Your Instructor may provide some guidance for your literature search.

• Synthesize findings from the research literature and/or drawn from other sources of evidence.

• Develop evidence-based recommendations for addressing the problem.

© Laureate Education, Inc. 2

Write a 6-page paper (not including title page, references, or any appendix) that addresses the following:

• Introduction/Statement of the problem (1/2 page)

• Review of the literature for potential solutions to the identified problem

• Synthesis of the evidence as applied to the stated problem.

• Strategic plan for suggested courses of action based on your evidence and including application of a change theory.

• Conclusion/Summary

Reminder: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at http://writingcenter.waldenu.edu/57.htm). All papers submitted must use this formatting.

The completed paper is due by Day 7 of Week 8.