What would the focused clinical assessment include?

What would the focused clinical assessment include?This writer’s clinical assessment would be focused on symptoms of depression. The history is key in diagnosing. Feeling depressed can be a normal r

What would the focused clinical assessment include?

This writer’s clinical assessment would be focused on symptoms of depression. The history is key in diagnosing. Feeling depressed can be a normal reaction to loss, life’s struggles or an injured self-esteem. Patients should be asked questions that leads to them expressing symptoms such as complaints of feeling fatigued, irritability, and social withdrawal. Assessment of the patient hygiene and mood should be completed. These patients normally have a flat affect and poorly dressed. There are two questions that provide a preliminary screen for depression. The patient is first asked if he or she has felt down or hopeless over the past month and then asked if there has been little interest in doing things over the past month (Dunphy, Winland-Brown, Porter, & Thomas, 2015).

What are the differential diagnoses?

A careful history and physical must be done due to the many medical and neurological disorders and pharmacological substances can produce depression symptoms. Neurological disorders such as Parkinson’s which accounts for 50%-70% of depressive symptoms, Dementia, Multiple Sclerosis, and cerebrovascular accident (CVA). Endocrine disorders such as hypo and hyperthyroidism and mental disorders such as schizophrenia and eating disorders are amongst those displaying depressive symptoms. There also can be drug related issues such as cocaine abuse and central nervous system (CNS) depressants.

What major psychological question needs to be addressed?

There are many different test that can be given to determine whether a patient has depression or a differential diagnosis. A major question that can be asked, “In the past two weeks how often have you felt down, depressed or hopeless?”  Feeling down for more than half the days or nearly every day over the past two weeks suggests depression (Lliades, 2016).

What testing should be ordered to rule out medical problems?

Test can be done to rule out other medical conditions that might cause depression symptoms. Testing of the thyroid and adrenal function can be done. Assessment of patient medication to rule out substance abuse is also done. The most important test is called the DSM-5. This test states that if five of the symptoms that are listed on the criteria and are present for 2 weeks then the patient can be diagnosed with depression.

Plan of Care

The plan of care for the patient includes remission of symptoms. Remission is defined as an absence of depressive symptoms or a PHQ-9 score of less than 5, and this is the goal of therapy. Treatment will also begin with pharmacological and nonpharmacological interventions. A referral to a therapist can also be ordered to help the patient get through the depression.

Mainstay of Treatment

Treatment consist of the selective serotonin reuptake inhibitors (SSRIs), serotonin-norepinephrine reuptake inhibitors (SNRIs), norepinephrine reuptake inhibitors (NRIs), tricyclic antidepressants (TCAs), and dopamine agonists (DAs) are the first line of treatment. Non-pharmacological treatment include behavioral therapy with combination of psychotherapy can also be beneficial to the patient.

Follow Up Plan

Follow up treatment is necessary to assess adherence to therapy. The patient at 6 weeks should experience a 25% reduction in baseline symptom severity. Initially the patient should be seen one to two weeks after initiation of medication therapy than once in the succeeding four to eight weeks. If patients remain symptom free patients can be treated for 15 months to five years.

Patient Education

It is important that practitioner teach the patient to report the symptoms such as irritability, agitation and suicidal ideation. Emergency hotline numbers should be given in case the patient symptoms emerge. Patient and family should be educated regarding the signs and symptoms and also what to do in this case.

References

Dunphy, L., Brown, J., Porter, B., & Thomas, D. (2015). Primary Care: The Art and

Science of Advanced Practice Nursing. Philadelphia: F.A. Davis Company

Lliades, C. (2016). 5 Questions Doctors Ask When Screening for Depression. Retrieved

from www.everyda (Links to an external site.)Links to an external site.yhealth.com

Opioid Epidemic in Florida

Opioid Epidemic in FloridaAssignment 1: Discussion AssignmentThe discussion assignment provides a forum for discussing relevant topics for this week on the basis of the course competencies covered.For

Opioid Epidemic in Florida

Assignment 1: Discussion Assignment

The discussion assignment provides a forum for discussing relevant topics for this week on the basis of the course competencies covered.

For this assignment, post your initial response to the Submissions Area for the week one project by the due date assigned 

To support your work, use your course and text readings and also use the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.

Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite sources in your responses to other classmates. Complete your participation for this assignment by the end of the week.

Scholarly Project Progress

Provide the chosen title for your scholarly project, along with your thesis statement and PICOT question. Provide an overview of your topic and background information. Describe the importance of the project to nursing practice. Build a case for the need for the project.

Assignment 2: Develop the PICOT Question

Develop your PICOT question and define the specific information about your DNP project. Submit your work to the Dropbox for review and feedback from your instructor.

Submission Details:

  • Name your document SU_NSG8100_W3_A2_LastName_FirstInitial.doc.
  • Submit your documents to the Submissions Area by the due date assigned.
  • On a separate page, cite all sources using APA format within 5 YEARS

Use the criteria below in addition to your directives for this assignment.

Assignment 2 Grading Criteria

Maximum Points

The population is evidence-based, well developed, and in the appropriate PICOT format.

5

The intervention is evidence-based, well developed, and in the appropriate PICOT format.

5

The comparison is evidence-based, well developed, and in the appropriate PICOT format.

5

The outcome is evidence-based, well developed, and in the appropriate PICOT format.

5

The timing is evidence-based (if applicable), well developed, and in the appropriate PICOT format.

10

Total:

30

Assignment 3: Literature Review: Five Articles Abstracted onto the Evaluation Table

THIS WILL BE PLACED IN THE WEEK 3 MIDWEEK ASSIGNMENT DROP BOX SECTION along with the Assignment 2

In Weeks 2–7, you will submit an evaluation table document with five research articles abstracted for your literature review (refer to W3 Working Ahead). Although it is expected that a majority of the articles will be part of your final literature review, some may not necessarily be included depending on your evaluation. For example, out of the thirty articles you evaluate during this course, you may only end up including twenty in your final review. The total number of articles you include may also depend on the amount of existing research. Try to shoot for twenty to twenty-five articles as a target for your final review. You will organize the information obtained from the review by paraphrasing and organizing concepts, variables, themes, and data from each article according to the nine headings in the evaluation table.

**Click here to download a blank evaluation table. These will be provided for you…this is only a reminder …..

**Click here to view a sample evaluation table that contains the required data. These will be provided for you…this is only a reminder …..

Submission Details:

  • Save the table as SU_NSG8100_W2_A3_LastName_FirstInitial.doc.
  •  Submit your documents to the Submissions Area by the due date assigned.

Use the criteria below in addition to your directives for this assignment.

Assignment 3 Grading Criteria

Maximum Points

The evaluation table contains five new appropriate articles with each table heading having a comprehensive abstraction or justification about why the section is not applicable.

20

Used correct spelling, grammar, and professional vocabulary. Cited all sources using APA format.

5

Total:

25

*****************************************************************************

Describe the general worth of this research to practice. What are the strengths and limitations of study?

Evaluation Table Use this document to complete the evaluation table requirement of the Module 4 Assessment, Evidence-Based Project, Part 4A: Critical Appraisal of Research Full   citation of selected

Evaluation Table

Use this document to complete the evaluation table requirement of the Module 4 Assessment, Evidence-Based Project, Part 4A: Critical Appraisal of Research

Full   citation of selected article

Article #1

Article #2

Article #3

Article #4

Dubin, J (2018)

Pediatric obesity in primary practice. Pediatric   Nursing .44(4), 202-206.

Hargreaves, m., Orfield, C., Honeycutt, T., Vine,   M., Cabili, C., Coffee- Boden, B., Fisher, S. (2017). Addressing childhood   obesity through multisector collaboration: Journal of community health, 42   (4) 656-663

Kitson, S (2018). Intervention for weight in   obesity to improve survival in women with endometrial cancer. Retrieved from https//www.waldenulibrary.org

Ruopeng An, Mengmeng Ji, & Zhang.   (2017). Effectiveness of social media intervention on weight related behavior   and body weight status. American Journal of health behavior 41(6), 670-682

Conceptual Framework 

Describe the theoretical basis for the study

Design/Method Describe the design

and how the study

was carried out

Sample/Setting 

The number and

characteristics of

patients,

attrition rate, etc.

Major   Variables Studied

List and   define dependent and independent variables

Measurement

Identify   primary statistics used to answer clinical questions

Data   Analysis

Statistical   or

qualitative

findings

Findings   and Recommendations

General   findings and recommendations of the research

Appraisal

Describe   the general worth of this research to practice. What are the strengths and   limitations of study? What are the risks associated with implementation of   the suggested practices or processes detailed in the research? What is the feasibility   of

use in   your practice? 

General Notes/Comments

Levels of Evidence Table

Use this document to complete the levels of evidence table requirement of the Module 4 Assessment, Evidence-Based Project, Part 4A: Critical Appraisal of Research

Author   and year of selected article

Article #1

Article #2

Article #3

Article #4

Study Design

Theoretical basis for the study

Sample/Setting 

The number and

characteristics of

patients

Evidence   Level *

(I, II, or III)

Outcomes

General Notes/Comments

* Evidence Levels:

  • Level I

Experimental, randomized controlled trial (RCT), systematic review RTCs with or without meta-analysis

  • Level II

Quasi-experimental studies, systematic review of a combination of RCTs and quasi-experimental studies, or quasi-experimental studies only, with or without meta-analysis

  • Level III

Nonexperimental, systematic review of RCTs, quasi-experimental with/without meta-analysis, qualitative, qualitative systematic review with/without meta-synthesis

  • Level IV

Respected authorities’ opinions, nationally recognized expert committee/consensus panel reports based on scientific evidence

  • Level V

Literature reviews, quality improvement, program evaluation, financial evaluation, case reports, nationally recognized expert(s) opinion based on experiential evidence

Outcomes Synthesis Table

Use this document to complete the outcomes synthesis table requirement of the Module 4 Assessment, Evidence-Based Project, Part 4A: Critical Appraisal of Research

Author   and year of selected article

Article #1

Article #2

Article #3

Article #4

Sample/Setting 

The number and

characteristics of

patients

Outcomes

Key   Findings

Appraisal   and Study Quality

General Notes/Comments

The purpose of this assignment is to complete a direct observational assessment of a community in your area. This windshield survey will help you to identify a vulnerable population, an important comm

The purpose of this assignment is to complete a direct observational assessment of a community in your area. This windshield survey will help you to identify a vulnerable population, an important comm

The purpose of this assignment is to complete a direct observational assessment of a community in your area. This windshield survey will help you to identify a vulnerable population, an important community health problem, and a related Healthy People 2020objective for a community in your area.

  1. Introduction to the Community: Identify the community you will be using for this assignment with the city and state, and provide a brief, one-paragraph description of the community. Your community should be the area where you live or the area surrounding your work setting. The community must include a residential area and be a large enough area to answer the survey questions. Do not include epidemiological or demographic data as this is based on what you observe.
  2. Windshield Survey: Assess your community by doing a windshield survey. Information about the components of a windshield survey is located in your textbook, Nies and McEwen (2019). Drive through the area and report your observations by answering the questions on the form. Be sure to include what you observed related to each of these categories, and also include any significant items that are missing in your community because this may be equally important in identifying a community health problem.
    1. Community vitality
    2. Indicators of social and economic conditions
    3. Health resources
    4. Environmental conditions related to health
    5. Social functioning
    6. Attitude toward healthcare
    7. Note: It is helpful to conduct this assessment at least two different times: during the day or evening, on a weekday, and/or on the weekend. If possible, plan on asking someone to drive during your survey so that you can take notes.
  3. Vulnerable population: Identify the aggregate or vulnerable populations that you observed in your community during your drive through. What did you observe about this population?
  4. Community problem: Based on your assessment in the survey above, identify and discuss one priority community health problem that a community health nurse could positively impact.Example: If you observed teens who were pregnant or had young children during your survey and felt this was a priority problem in your community, the diagnosis could beRisk of unintended pregnancy among adolescent girls in XXXX community as evidence by observation of pregnant teens and teens caring for young children during windshield survey.
  5. Healthy People 2020 Objective: Go to the Healthy People topic areas at https://www.healthypeople.gov/2020/topics-objectives. Find a topic area that relates to one of the vulnerable populations you observed. Click on the topic area, and then click on the green Objectives tab. Review the objectives within that topic area to complete the relevant sections of the form. State the Healthy People 2020 objective number (not just a goal) that describes your problem.Example: The topic area Family Planning would be relevant. You would click on Family Planning, and then click the green Objectives tab, and you might chooseFP-8.1 “Reduce pregnancies among adolescent females aged 15 to 17 years” (U.S. Department of Health and Human Services: Healthy People 2020, 2018, Objectives: Family Planning, para 8).
  6. Summary: Complete the summary of learning section.
  7. References: The purpose of this assignment is to document your observations of your community. Outside sources other than Healthy People 2020 should not be used. We have included this reference on the Windshield Survey form for you.

Best Practices in Completing the Form

The following are best practices in preparing this project.

  • Make sure all elements of the form are included.
  • Review directions and grading rubric thoroughly.
  • Use a professional writing style with complete sentences in the fill-in sections.
  • Check for spelling and grammar errors prior to final submission.
  • Abide by the Chamberlain academic integrity policy.

**Academic Integrity Reminder**

Chamberlain College of Nursing values honesty and integrity. All students should be aware of the Academic Integrity policy and follow it in all discussions and assignments.

By submitting this assignment, I pledge on my honor that all content contained is my own original work except as quoted and cited appropriately. I have not received any unauthorized assistance on this assignment.

20. Which of the following occupations does not require a bachelor’s degree?

HCA200 UNIT 2 EXAM (ANSWER 100%)

Question

1. Understanding the musculoskeletal system and employing a holistic approach describes _________ medicine.

a. alternative

b. allopathic

c. osteopathic

d. homeopathic

2. To practice medicine, in most states, a physician must complete all of the following except:

a. complete paid on-the-job training.

b. graduate from a formal educational program.

c. pass a licensing exam.

d. serve as a health aide.

3. According to the text, all of the following are issues for the medical profession except:

a. quality of care.

b. access to care.

c. managed care.

d. oversupply of physicians.

4. According to the 2007 physician characteristics data, approximately _________.

a. 91% are men and 8% are women.

b. 49% are men and 50% are women.

c. 71% are men and 29% are women.

d. 55% are men and 44% are women.

5. Gastroenterologists specialize in the diagnosis and treatment of _________.

a. diseases and disorders of the stomach and intestine

b. diseases and disorders of the mind

c. acute illness or injury

d. changes in organs, tissues, and cells

6. Psychiatrists specialize in the diagnosis and treatment of _________.

a. diseases and disorders of the stomach and intestine

b. diseases and disorders of the mind

c. changes in organs, tissues, and cells

d. acute illness or injury

7. Before a surgeon can begin open heart surgery, which physician specialist must assure that the

patient doesn’t feel anything?

a. Anesthesiologist

b. Cardiovascular physician

c. Radiologist

d. Orthopedist

8. Which nursing professional performs many duties similar to a physician?

a. RN

b. CNA

c. LPN

d. NP

9. RNs can have any of the following as minimal education in order to practice except:

a. certificate.

b. associate’s degree.

c. bachelor of science.

d. hospital diploma program.

10. The average salary of an RN is _________.

a. $40,000

b. $50,000

c. $60,000

d. $70,000

11. Nurse Practice Acts _________.

a. contain the states’ requirements for practice

b. specify what educational, clinical, and licensure requirements are necessary to practice in a state

c. are the same in all 50 states

d. are waived in long-term care

12. Medical school tuition and fees have increased by ________% in public schools since 1984.

a. 50

b. 100

c. 133

d. 66

13. Health administration is concerned about all of the following except:

a. patient care.

b. profitability.

c. the local EMS system.

d. marketing.

14. A CT _________.

a. uses radiation to produce images

b. takes a cross-sectional view of a patient’s body

c. resulted in the passage of the Consumer-Patient Health and Safety Act

d. uses radio waves to produce images

15. Tests using sound waves may be performed by _________.

a. EKG technicians

b. vascular technologists

c. cardiology technologists

d. nuclear medicine technologists

16. Medical technicians usually have a(n) _________.

a. associate’s degree

b. 1-year certi? cate

c. master’s degree

d. bachelor’s degree

17. Coders would least likely be found in _________.

a. private billing practices

b. government agencies

c. medical clinics

d. occupational therapy

18. Activities of daily living therapy is in the domain of the _________.

a. pharmacist

b. occupational therapist

c. physical therapist

d. speech-language pathologist

19. Which pharmacy professional typically counts tablets and labels bottles?

a. Pharmacy technician

b. Pharmacy aide

c. Pharmacist

d. Pharmacy technologist

20. Which of the following occupations does not require a bachelor’s degree?

a. Respiratory therapist

b. Occupational therapist

c. Optometrist

d. Recreational therapist

21. The practice of a chiropractor is focused on _________.

a. the spine

b. the foot

c. the eyes

d. the teeth

22. All of the following are true of optometrists except:

a. they provide primary care.

b. they prescribe corrective lenses.

c. they perform eye surgery.

d. they manage macular degeneration.

23. Ultrasonography uses sound waves to generate an image to assess and diagnose medical conditions. The professionals who performs such tests are called __________.

a. imaging technologists

b. nuclear technologists

c. medical sonographers

d. phlebotomists

24. All of the following may be areas of practice for the professional in information technology except:

a. coding of services.

b. risk management.

c. data analysis.

d. website management.

25. Medical transcriptionists can be found in all of the following settings except:

a. hospitals.

b. physicians’ offices.

c. home businesses.

d. cardiovascular labs.

3) Explain how the problem, situation, or issue was handled in a manner that is consistent and a manner that is inconsistent with the theory, concepts, and principles detailed in the evidence. (Emergency meeting was held after the unplanned downtime, see attached plan for handling unplanned downtime)

Journal Entry 1

Journal Entry 1

This week, you complete and submit your first journal entry. Your journal draws from evidence, concepts, and/or theories you have examined in this program, especially those related to your specialization. What have you observed during your Practicum Experience that you would like to analyze through your journal writing?

To prepare:

  • Reflect on your Practicum Experiences in Weeks 1–3.
  • Think about the evidence, concepts, and/or theories (evidence) learned throughout this program and your specialization.
  • Analyze a problem, issue, or situation that you have observed during your Practicum Experience. (There was an unplanned downtime of the electronic health system (EHR) which lasted an hour).
  • Using a minimum of three peer-reviewed sources of evidence, consider what you have observed within the context of your specialty using appropriate concepts, principles, and theories. Give special attention to observed events that vary from the scholarly literature. (See attached pdf of the peer-reviewed articles)
  • Determine how the problem, situation, or issue was handled in a manner that is consistent and a manner that is inconsistent with the theory, concepts, and principles detailed in the evidence. (Read attached pdf articles)
  • Given the various evidence-based approaches that can be used in handling the observed problem, situation, or issue, think about a plan for approaching the matter differently. (Read attached pdf articles)

To complete:

  • Write a 250- to 300-word journal entry in APA format and at least 3 references (identified as Journal Entry 1) in which you do the following:

1)      Describe a problem, issue, or situation that you have observed during your Practicum Experience (no more than a half page). (There was an unplanned downtime of the electronic health system (EHR) which lasted an hour).

2)      Using no fewer than three peer-reviewed sources of evidence, analyze what you have observed within the context of your specialty using appropriate concepts, principles, and theories. Give special attention to observed events that vary from scholarly literature. (During downtime, the main issue was that the medication administration record [MAR] was unavailable for the whole 30 minutes which was critical and too long in case any of the patient may have required emergency medications to save their lives; also, the alarms on the babies leg in the NICU were deactivated which posed a security risk that may have caused a baby to be stolen).

3)      Explain how the problem, situation, or issue was handled in a manner that is consistent and a manner that is inconsistent with the theory, concepts, and principles detailed in the evidence. (Emergency meeting was held after the unplanned downtime, see attached plan for handling unplanned downtime)

4)      Given the various evidence-based approaches that can be used in handling the problem, situation, or issue, formulate a plan for approaching the matter differently. (See attached plan)

References

Foote, S. O., & Coleman, J. R. (2008). Medication administration: the implementation process of bar-coding for medication administration to enhance medication safety. Nursing Economic$, 26(3), 207-210.

Campos, F., Luna, D., Sittig, D. F., & Bernaldo de Quirós, F. G. (2015). Design, Implementation and Evaluation of an Architecture based on the CDA R2 Document Repository to Provide Support to the Contingency Plan. Studies In Health Technology And Informatics, 216173-177

Oral, B., Cullen, R. M., Diaz, D. L., Hod, E. A., & Kratz, A. (2015). Downtime procedures for the 21st century: using a fully integrated health record for uninterrupted electronic reporting of laboratory results during laboratory information system downtimes. American Journal Of Clinical Pathology, 143(1), 100-104. doi:10.1309/AJCPM0O7MNVGCEVT

Kolowitz, B. J., Lauro, G. R., Barkey, C., Black, H., Light, K., & Deible, C. (2012). Workflow continuity–moving beyond business continuity in a multisite 24-7 healthcare organization. Journal Of Digital Imaging, 25(6), 744-750. doi:10.1007/s10278-012-9504-4

Discussion: Evaluating Interdisciplinary Collaboration Skills

NURS 6231: HEALTHCARE SYSTEMS AND QUALITY OUTCOMES – Discussion 10 (Grading Rubic and Media Attached)

Discussion: Evaluating Interdisciplinary Collaboration Skills

The achievements of an organization are the results of the combined effort of each individual.

—Vince Lombardi

Collaboration is a critical component of quality improvement. It is also a central tenet of your endeavors as a scholar-practitioner in this Walden University Master’s program. To succeed in your role as a nurse leader-manager, it is important to engage in ongoing development of collaborative skills and to help foster a culture that values collaboration.

In Weeks 1 and 2 of this course, you analyzed your strengths and considered how to leverage these strengths for effective leadership. In a similar vein, this week you evaluate your strengths and areas for growth with regard to interdisciplinary collaboration.

To prepare:

Review the competencies described in the Interprofessional Education Collaborative report and in Chapter 9 of the Hickey and Brosnan text.

As you reflect on the competency statements outlined for each domain, think about which ones reflect your strengths. Which competency statements point to areas for growth?

Consider the benefit of working with interdisciplinary teams for addressing quality improvement initiatives.

Conduct a search of the literature and select at least one article that illustrates the benefits of interprofessional collaboration for nurse leader-managers as it relates to improving quality.

Note: Think about a potential connection between the concepts presented throughout this course (i.e. systems-level change, quality, etc.), and a Practicum Project that you might focus on in NURS 6600. Consider how you might use interprofessional collaboration in your practicum setting.

Post an analysis of your strengths and areas for growth related to interprofessional collaboration competencies. Explain the benefits of interprofessional collaboration for meeting quality improvement goals. Support your response with examples from current literature.

Read a selection of your colleagues’ responses.

Respond to at least two of your colleagues on two different days suggesting strategies for developing interprofessional competencies. Support your suggestions with evidence from current literature and personal experience.

Required Readings

Hickey, J. V., & Brosnan, C. A. (2017). Evaluation  of health care quality in for DNPs (2nd  ed.). New York, NY: Springer Publishing Company.

Chapter 11, “Health Care Teams” (pp. 227-264)

This chapter focuses on the function of teams within health care with particular focus on methods of evaluation.

Bainbridge, L., Nasmith, L., Orchard, C., & Wood, V. (2010). Competencies for interprofessional collaboration. Journal of Physical Therapy Education, 24(1), 6–11. 

Retrieved from the Walden Library databases.

The authors of this article put forth a competency framework for interprofessional collaboration that can be used by various stakeholders. The framework consists of six competencies and the authors also provide detailed descriptions of the associated skills each competency requires.

Braithwaite, J., Westbrook, M., Nugus, P., Greenfield, D., Travaglia, J. Runciman, W. … Westbrook, J. (2012). A four-year, systems-wide intervention promoting interprofessional collaboration. BMC Health Services Research, 12(1), 99–106.

Retrieved from the Walden Library databases.

This article examines strategies and challenges of working to improve interprofessional collaboration. The benefits of this type of teaming are also discussed.

Petri, L. (2010). Concept analysis of interdisciplinary collaboration. Nursing Forum, 45(2), 73–82.

Retrieved from the Walden Library databases.

This literature review explores the meaning of interdisciplinary collaboration and identifies important antecedents and attributes of the process.

Shor, R. (2010). Interdisciplinary collaboration between social workers and dieticians in nutrition education programs for children-at-risk. Social Work in Health Care, 49(4), 345–361.

Retrieved from the Walden Library databases.

The author of this article focuses on the importance of establishing interdisciplinary collaborative partnerships in order to meet community needs. The article addresses common issues that arise during the establishment of these relationships and outlines solutions.

 Interprofessional Education Collaborative Expert Panel. (2011). Core competencies for interprofessional collaborative practice: Report of an expert panel. Retrieved from http://www.aacn.nche.edu/education-resources/ipecreport.pdf

Numerous organizations in multiple disciplines worked together to develop these core competencies for interprofessional collaboration.

Evaluate what you have learned thus far about the process of developing mission and vision statements.

Question NURS 6241: STRATEGIC PLANNING IN HEALTH CARE ORGANIZATIONS – Discussion 2 B (Grading Rubic and Media Attached) has been created.

Discussion 2: Crafting a Mission and Vision for an Organization

In Discussion 1 of this week, you examined the mission and vision statements of various organizations and considered the implications of these statements for strategic planning. In this Discussion, you apply the insights you gained to the creation of an organization’s mission and vision statements.

Your Instructor has assigned you to a small group for this Discussion.

Note: You will develop individualmission and vision statements for your initial post. Through the collegial exchange that follows, you will offer each other suggestions for refinement. You will also work in this same small discussion group in Weeks 3 and 4.

To prepare:

Evaluate what you have learned thus far about the process of developing mission and vision statements.

Reflect on the case study presented in this week’s media.

Consider what information would help you to create rich and appropriate mission and vision statements for Mountain View Health Center, the organization featured in the case study. Conduct additional research as necessary to strengthen your understanding of the process of crafting mission and vision statements and to deepen your thinking about the organization. For instance, you may research organizations with similarities to Mountain View and examine their mission and vision statements.

Draft a mission statement and a vision statement for Mountain View Health Center. Make the statements as clear and concise as possible. For example, you may want to write one to three sentences for the mission statement and one sentence for the vision statement.

Consider what you have learned about the process of developing mission and vision statements.

Reminder: Develop your mission and vision statements independently, and make your initial postingbefore you view your colleagues’ postings.

Post  a mission statement and a vision statement for Mountain View Health Center, the organization featured in the case study. Offer insights you have gained about the process of developing your mission and vision statements.

Read a selection of your colleagues’ responses. Consider the following:

Are the mission and vision statements specific to and relevant for the organization?

Could these statements be implemented?

Are the statements an appropriate length, and do they include the appropriate amount of detail?

Are they clearly written?

How well do the statements relate to the other aspects of planning (e.g., stakeholders, environment, time frame)?

Respond to at least one of your colleagues, noting the strengths and weaknesses of the mission and vision statements, explaining potential implications of these strengths and weaknesses for planning, and suggesting opportunities for refinement. Note: Try to ensure that all postings have a response.

Required Readings

Sare, M. V., & Ogilvie, L. (2010). Strategic planning for nurses: Change management in health care. Sudbury, MA: Jones and Bartlett.

Review Chapter 4, “Just What Is Strategic Planning?” (pp. 57–82)

Chapter 7, “The Three Key Elements of the Strategic Planning Process: A Vision That Guides Nursing’s Future Action” (pp. 117–143)

Chapter 7 addresses elements of the strategic planning process, which includes mission and vision.

Cady, S. H., Wheeler, J. V., DeWolf, J., & Brodke, M. (2011). Mission, vision, and values: What do they say? Organization Development Journal, 29(1), 63–78.

Retrieved from the Walden Library databases.

This article addresses research on mission, vision, and values from 300 different organizations.

Desmidt, S., Prinzie, A., & Decramer, A. (2011). Looking for the value of mission statements: A meta-analysis of 20 years of research. Management Decision, 49(3), 468–483.

Retrieved from the Walden Library databases.

This article looks at the relationship of organizational mission and financial performance. It includes a discussion of what a mission statement is and the purpose(s) it serves.

Hirota, S., Kubo, K., Miyajima, H., Hong, P., & Won Park, Y. (2010). Corporate mission, corporate policies and business outcomes: Evidence from Japan. Management Decision, 48(7), 1134–1153.

Retrieved from the Walden Library databases.

The authors examine the implications of the mission statement for organizational practices and performance.

King, D. L., Case, C. J., & Premo, K. M. (2012). An international mission statement comparison: United States, France, Germany, Japan, and China. Academy of Strategic Management Journal, 11(2), 93–119.

Retrieved from the Walden Library databases.

This article examines the content of mission statements, stakeholder involvement, and the development of goals and objectives.

Required Media

 Laureate Education (Producer). (2013b). Case study: Mountain View Health Center [Interactive media]. Retrieved from CDN database. (NURS 6241)

This interactive multimedia piece presents a case study of Mountain View Health Center, with information about the types of activities performed there, organizational structure, strategic priorities, and financial allocations. You will use this as a resource for Discussion 2.

Optional Resources

Marquis, B. L., & Huston, C. J. (2015). Leadership roles and management functions in nursing: Theory and application (8th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.

Chapter 7, “Strategic and Operational Planning” (pp. 138–161)

Review as needed.

Desmidt, S., & Prinzie, A. A. (2011). The organization’s mission statement: Give up hope or resuscitate? A search for evidence-based recommendations. Advances in Health Care Management, 10, 25–41.

9. Discuss if the study contained any bias.

MN504 Unit 5 Assignment

Unit 5 Assignment

Evidence-Based Clinical Question Search Assignment

Purpose:

The purpose of this Assignment is to give you a practical application to implement your PICOT idea, supported by the evidence-based research you have obtained in during your systematic review. You will apply evidence-based research findings, discovered from your clinical question, and then integrate those to support your suggested change in nursing practice.

Directions:

1.    Identify your refined PICOT question.

2.    Using PubMed and the Cochrane collaboration database, do a systematic review of your clinical question.

3.    Describe your systematic review

4.    Determine an evidence-based quantitative article from the search that contains an evidence-based randomized control trial.

5.    Summarize the case study selected.

6.    Describe the study approach, sample size, and population studied.

7.    Apply the evidence from this review to your practice specifically in your overview.

8.    Evaluate the outcomes, identifying the validity and reliability.

9.    Discuss if the study contained any bias.

10.Determine the level of evidence identified in the review.

11.The length should be no less than 10 Pages in APA format.

To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Resources.

Assignment Requirements:

Before finalizing your work, you should:

  • be sure to read the Assignment description carefully (as displayed above)
  • Good evening class,
  • the purpose of this email is to provide clarification and guidance on the unit five assignment. This is an APA paper, at least 10 pages with one of those being the title page and on being a reference page. This page is basically has two major components. The first component is about finding relevant literature. The second component is to thoroughly describes a single randomized control trial (RCT) study that you found during your literature review.
  • As with any paper I would like you to begin with an introductory paragraph explaining the purpose of your paper.
  • First Component
  • You have been refining your clinical inquiry/PICOT question over the last few weeks and will once again you will need to discuss the problem area, and the elements of your clinical inquiry.
  • You will complete a literature search utilizing At least two of the following databases: PubMed, MEDLINE, Cochrane collaboration, and CINAHL.
  • Describe/discuss the databases that you choose, describe your search strategies including the search terms that you used, the number of results, how you refine your search in order to focus or broaden the search to identify relevant studies. Include any limiters that you utilized. YOU DO NOT HAVE TO INCLUDE AN ERROR ANALYSIS.
  • Remember that these studies do not have to directly focus on your topic, they need to be related to your topic in order to provide background for the problem area, population, intervention, outcomes etc.
  • Second Component
  • Describe/summarize what the RCT that you selected was all about.
  • Discuss the studies approach, sample size, interventions,  the population and any other relevant information from the RCT.
  • Discussed how the evidence from this RCT is relevant to your clinical inquiry.
  • Evaluate the results or conclusions from your RCT to include your thoughts on the validity and reliability of the results.
  • Discuss if the RCT contained any bias.
  • Determine the level of evidence provided by your RTC (page 92 of your text).
  • Finally, as always finish with a summary or conclusion paragraph.

d. Discuss application of three specific leadership strategies that promote a culture of excellence, and how they support the Chamberlain Care Model®.

Paper part I and IIPurposeThe purpose of this assignment is to consider the value of a culture of excellence and leadership strategies that support a culture of excellence within the student’s selecte

Paper part I and II

Purpose

The purpose of this assignment is to consider the value of a culture of excellence and leadership strategies that support a culture of excellence within the student’s selected MSN track. Students will identify organizational characteristics that support a culture of excellence. In addition, students will identify an existing organizational mission, vision, and values and create an original concept map to portray the interrelationships among the elements. The extent to which the organizational mission, vision, and values reflect a culture of excellence will be examined. Leadership strategies that promote a culture of excellence and support the Chamberlain Care Model® will be applied.

NR504: Week 5 Leading a Culture of Excellence Paper Guidelines and Rubric (Links to an external site.)Links to an external site.

This assignment will be submitted in two parts: 

Part I: Concept Map. This portion of the assignment will be submitted below. 

Part II: Submission of the written paper. This portion of the assignment will be submitted on the next page. 

You will receive one grade for Part I and Part II. 

Course Outcomes

Through this assignment, the student will address the following Course Outcomes:

· CO 1: Discern leadership approaches that facilitate achievement of health outcomes through interprofessional collaborative practice within micro-, meso-, and macro-level systems.

· CO 2: Appraise the role of the MSN-prepared nurse to lead safe, efficient, ethical, high-quality, person-centered healthcare across complex systems.

· CO 3: Integrate communication modalities that convey cultural humility, value the diverse nature of individuals, and cultivate healthful work environments.

Requirements

Criteria for Content

Part I : Concept Map

1. Identify the mission, vision, and values of a selected organization.

2. Create a concept map that portrays the relationships among the organizational mission, vision, and core values, depicting how they do or do not support a culture of excellence. The concept map must be your own, original work.

1.  

Preparing the Assignment

Criteria for Format and Special Instructions

1. Abide by the Chamberlain College of Nursing Academic Integrity Policy.

2. Part I: Create and submit a concept map as a pdf or Word document.

a. Concept map may be neatly drawn by hand or created using software.

b. Concept map must be clear and legible.

c. Concept map must be the student’s original work.

Part II: Written Paper

1. In a three- to four- page paper, address the elements below. Use a minimum of four peer-reviewed scholarly sources, current within 5 years, to support your work. See the rubric for specific, required content criteria within each section of the paper.

a. Provide an introduction to the paper.

b. Discuss the characteristics of a culture of excellence.

c. Present the mission, vision, and values of a selected organization, and explain the interrelationships between each element in the concept map. Describe how the mission, vision, and values do or do not support a culture of excellence.

d. Discuss application of three specific leadership strategies that promote a culture of excellence, and how they support the Chamberlain Care Model®.

e. Provide a conclusion to the paper.

Preparing the Assignment

Criteria for Format and Special Instructions

1. Abide by the Chamberlain College of Nursing Academic Integrity Policy.

2. Part II: Using Microsoft Word 2013, create the written paper for this assignment. Include a title page with your name, date, and course information, as well as a reference page.

a. The paper (excluding title and reference pages) should be three to four pages in length.

b. A minimum of four peer-reviewed scholarly sources, current within 5 years, are required.

c. Sources older than 5 years may not be used without the permission of the class professor.

d. Only one short quote (15 words or less) may be used within the body of your writing.

e. Title page, running head, pagination, subheadings, body of paper, citation of sources, and reference page must follow APA guidelines as found in the 6th edition of the manual.

f. Rules of grammar, spelling, word usage, punctuation, and sentence and paragraph structure are followed and consistent with formal, scholarly writing as noted in the APA Manual (6th edition).

g. First person may only be used in the self-reflection portion of the assignment (see Conclusion section for criteria).

Video from professor 

Before we begin, I would like to encourage you to locate your week five assignment guidelines and rubric. It will be helpful to have that document available as we continue with the assignment overview. [BLANK_AUDIO] The capacity of the nurse to influence others and shape working relationships has been a clear idea of emphasis throughout our class readings. 

From influencing one’s self, to facilitating collaborative practice with others, the MSN prepared nurse leader is equipped to cultivate a culture of excellence within the healthcare environment by fostering quality, safety, cultural humility, meaningful engagement, and a healthful work atmosphere. The purpose of this assignment is to consider the value of a culture of excellence, as well as the leadership strategies necessary to facilitate a culture of excellence within the work setting specific to the selected MSN track. 

Through this assignment, you will identify characteristics and practices which support a culture of excellence within an organization. In addition, you will identify organizational mission, vision and values, and create an original concept map which portrays the interrelationships between each element. Also portrayed within the concept map will be the extent to which the mission, vision and values reflect a culture of excellence. 

Finally, through this assignment, you will explore leadership strategies which promote a culture of excellence and support the Chamberlain Care model in the selected MSN role. [BLANK_AUDIO] As we begin our assignment overview, let’s look at a couple of fast facts regarding the Week Five assignments. The Leading a Culture of Excellence assignment includes two parts. 

Part I will include a concept map which is the student’s own original work. And Part II will include a scholarly written paper. The concept map may be hand drawn and scanned as a PDF document. Or you may create a concept map using tools in the Word format. The concept map must illustrate the interrelationships between mission, vision, and values of an existing organization or your choosing. 

You will want the concept map to portray how the organization’s mission, vision, and values do or do not reflect a culture of excellence. We will discuss the concept MAC requirement in further detail, just a little bit later in our overview. In addition to the concept map, Part II of this assignment is a three to four page scholarly written paper. 

To support your writing, four current peer reviewed scholarly sources are required.The assignment in total is worth 175 points, which is 17.5% of the course grade.The assignment is due at 11:59 PM Mountain Time at the end of week five. The week five assignment addresses three of our course outcomes for Nursing 504, course learning outcome one, two, and three. 

Course learning outcome number 1, discern leadership approaches that facilitate achievement of health outcomes through interprofessional collaborative practice within micro, meso, and macro-level systems. Course outcome 2, appraise the role of the MSN-prepared nurse to lead safe, efficient, ethical, high-quality, person-centered health care across complex systems. And course outcome number 3, integrate communication modalities which convey cultural humility, value the diverse nature of individuals, and cultivate healthful work environments. 

Investigate the concept of a culture of excellence along with the organizational characteristics and practices, and leadership strategies, which help to facilitate and reflect a culture of excellence. You will need a minimum of four peer-reviewed scholarly sources current within five years to support your writing. Select an existing organizational mission, vision, and values to portray within your concept map. 

You’ll create an original concept map to demonstrate and portray how these elements do or do not support a culture of excellence. And finally, you will develop a three to four page paper to address the content requirements noted in the rubric.You will submit two documents. Both Part I, the concept map, and Part II, the written paper, for final evaluation. 

Let’s begin with Part I of the assignment, the concept map. For full credit, you will create a concept map, which is your own original work. 

The concept map will express organizational mission, vision and values. To do this, you want to first identify an existing organization that is of interest to you. Perhaps it is the current organization where you are employed Or perhaps it’s another healthcare organization, where you may choose to seek employment after graduation as an MSN-prepared nurse. 

Once you identify the organization, locate the mission, vision and values of that organization. Create a unique original concept map which portrays the organization’s mission, vision, and values, along with the interrelationships between those three elements. You will also want the concept map to portray how the organizational mission, vision, and values do or do not reflect a culture of excellence. 

Now, in order to reflect this element in your concept map, you will want to integrate characteristics or practices which are reflective of a culture of excellence. And portray the degree to which they are reflected in the chosen organizational mission, vision, and values. It will be helpful for you to read about a culture of excellence and identify organizational characteristics and practices which support a culture of excellence. 

This content is addressed in the week five lesson and readings. Once you are familiar with those characteristics and practices, you will be better able to create that element within your concept map, demonstrating how the organizational mission, vision, and values do or do not reflect the elements of a culture of excellence. 

How might you create an original concept map for this assignment? Well, there are a couple of ways that you can do this. First, you can hand draw a concept map, scan that drawing to create a PDF file, and then submit the concept map as a PDF file. If you prefer and if you are familiar with software tools available, you can use software to create a concept map, such as tools that are available within Microsoft Word. 

Once your concept map is created, you would submit that electronic file. Please note, artistic talent is not being graded in this assignment. Instead, fulfillment of the required assignment criteria will be evaluated. The concept map must be your own original work. It must be created by you and no one else. Now that we’ve discussed the concept map, let’s shift gears and begin to review the content and format requirements for the written paper portion of the assignment. This is Part II of the assignment. And again, remember to refer to the guideline and rubric for full details. Let’s begin with the introduction section to your paper. 

Within this section, be sure to include the importance of pursuing a culture of excellence within the healthcare industry, and the role of mission, vision, and value statements to guide organizational culture. You’ll be sure to identify the sections of the paper, and remember to include support from current, peer reviewed scholarly sources. 

Your literature support should be used to validate the importance of a culture of excellence, and the roles which mission, vision, and value statements play in shaping and guiding organizational culture. After the introduction section to the paper, you will include a section to address the culture of excellence.In the culture of excellence section of the paper, you’ll include an explanation of the concept of a culture of excellence. 

Identify at least three specific organizational characteristics or practices, which are congruent with and reflect a culture of excellence. And you will discuss how a culture of excellence is significant to your selected specialty track. Throughout this section of the paper, be sure that you provide support from current, peer-reviewed scholarly sources. 

Literature should be integrated to support your explanation of a culture of excellence, three characteristics or practices within a culture of excellence, and the significance for your specialty track. [BLANK_AUDIO] Following the culture of excellence section of the paper, you will include a section to describe an overview of the concept map which you have created. 

In this section, you will describe the mission, vision, and values of the selected organization which you have portrayed within the concept map. You will discuss the interrelationships which you have portrayed between those elements of the map.And you’ll discuss how the mission, vision, and values do or do not reflect a culture of excellence as portrayed in the concept map. 

Throughout this section, be sure to include support from current peer-reviewed scholarly sources to validate the culture of excellence as it’s represented in the concept map. Also, be sure to credit the organization as the source of information for the mission, vision, and value statements that you include. [BLANK_AUDIO]Following that section of the paper, you will include a section which addresses leading a culture of excellence. 

In this section, you will identify and discuss two specific leadership strategies which will promote a culture of excellence in the selected MSN specialty track role which you are pursuing. Explain how the two chosen leadership strategies also support the Chamberlain Care Model. Throughout this section, be sure to include support from current peer-reviewed scholarly sources to validate the points and the applications which you provide. 

[BLANK_AUDIO] The last section of the paper is the conclusion. In this section, you will include a summary which addresses the following. The importance of a culture of excellence and leadership strategies to promote a culture of excellence.You will also include a brief synopsis of the selected mission, vision and values that you portrayed and how they do or do not support a culture of excellence. 

Self-reflection of your learning regarding new insights gained by completing this assignment should be included. In addition, a self-reflection regarding implications for your future advanced nursing practice role in the selected MSN specialty track should be included. For this section, the two self-reflections may be written in first person. Because this is a scholarly paper, all other areas of the paper should not include first person, but the two self-reflective components may be written in first person. 

As you review the guidelines and rubric, you will notice that after the content criteria, there are format criteria listed on the rubric. The format criteria include graduate level writing style, quality of literature support and paper length requirements. This slide provides you with an overview of the graduate-level writing expectations. 

You will want to be sure that your writing is reflective of graduate-level practices by using correct spelling, grammar, punctuation, sentence and paragraph structure.You will also convey graduate-level writing style through clarity and a logical flow of ideas. With APA headings to organize your paper content. APA format should also be used for the citing and referencing of all sources. 

In order to demonstrate your mastery and synthesis of content, no more than 1 short quote of 15 words or less may be included in this assignment. Additional graduate-level writing style standards include the use of APA format for the document. The format requirements includes margins, spacing, font style and size. 

APA format for document structure is also required. The structure elements includes running head, pagination, tittle page and reference page. Also required are APA formats for the mechanics of style. The mechanics of style include the correct use of abbreviations, capitalization, italics, numbers and when applicable, the use of figures or tables within the assignment. 

Please note that the concept map which you create does not serve as a figure or an image in the body of your paper. It will be a separate file that you submit. As a result, you will likely not be using any figure or table in this assignment. However, as we discuss mechanics of style, we like to follow all the items that are noted within the APA manual, including tables and figures. 

This helps to prepare you with information that you might apply in a future assignment or a future course. But for this assignment, there probably will be no figures or tables needed on your part, unless you choose to do so.[BLANK_AUDIO] Following the graduate-level writing style expectations, the rubric includes criteria for the quality of literature support used in the assignment. 

It is an expectation that a minimum of four peer review scholarly sources, current within five years, should be included to support your writing in the written paper component of the assignment. Failure to meet this requirement will result in points deducted, as noted on the rubric. [BLANK_AUDIO] Following the quality of literature support section on the rubric, there is a section which addresses assignment length. 

It is an expectation that the paper is a minimum of three full pages in length. Typed with 12 point font size and double spaced and no more than 4 full pages in length.The paper length does not include the title or reference pages. Failure to meet this requirement will result in points deducted, as noted on the rubric. 

[BLANK_AUDIO] Let’s take a few minutes before we close, to talk about some key reminders as you prepare your assignment. Some of this information might be familiar from previous courses or previous assignment overviews. Remember to review the assignment guideline and rubric document carefully. Use the rubric as a map to guide your assignment preparation and then as a checklist before submitting your work. 

Carefully review all grammar, spelling, word usage, punctuation, sentence and paragraph structure, as well as APA format. Be sure to use the APA Manual sixth edition and do not rely on formatting software. Cite and reference each source that you use, so that there is congruence between the reference listing and the sources cited in your writing. 

[BLANK_AUDIO] Follow the submission instructions where you have part I, an original concept map. And part II, a scholarly written paper, which is three to four pages in length, with a minimum of four current peer-reviewed, scholarly sources integrated to support your writing. First person may be used only in the self-reflection components of the conclusion. 

And finally, no more than one short, direct quote, 15 words or less, may be used within this assignment. So to recap, remember there are two parts to this assignment. Part I, your original concept map, which will be a separate file. The concept map does not require a title page or reference pages. 

Part II is the written paper, which will include a title page and reference, pages along with your written paper. [BLANK_AUDIO] As we’ve been talking about the APA format structure of a paper, this slide provides you with just a visual example of the use of APA headings. As you know, the title page is page 1 and the first page of your text for your paper will begin on page 2. 

At the top of page 2 centered, you will place the title of your paper using upper and lower case letters with regular font. The introductory section of the paper will immediately follow the title. And will not include any level heading. After the introduction, your paper should include the following sections. 

Culture of excellence, overview of concept map, mission, vision, and values, leading a culture of excellence and conclusion. Note that each of these sections are identified with level one headings, according to the APA format. They are centered, bolded, with upper and lower case letters. More information about level headings can be found in the APA Manual 6th edition, beginning on page 62. 

Finally, the reference page begins with a subheading that is centered with regular font. On a new page of paper. [BLANK_AUDIO] I hope this assignment overview information will be helpful for you as you prepare your week five assignment. As you continue to gather resources, you may find it helpful to listen to and watch this assignment overview again. 

Some students find that key points regarding an assignment are better understood after reviewing the information a second time and following along the assignment guidelines in rubric. There will be a live question and answer webinar, prior to the assignment due date. The webinar is not a requirement. However, it is an optional resource for students.