2-3 page Research paper on Nursing Turnover within the Ambulatory Care Setting

1.       Evidence-Based Practice  [provide definitions for a) evidence-based practice, b) quality improvement, and c) research.  Please include references using APA format.]

Describe how you would use each process (e.g. EBP, QI, and research) to address the selected quality indicator in Ambulatory Care. 

A.     Description of Clinical Problem/Situation: Nursing Turnover within the Ambulatory Care (ACS) Setting

B.     PICO Question

The following PICO question has been devised to guide this exploration of the scientific literature and other essential forms of evidence.

PICO Question Components:

      P:  [patient, population, or problem] Nurse Retention within the Ambulatory Care Setting

      I: [intervention or treatment] Factors that may positively influence retention rate

      C:  [comparison with other treatments, when warranted] Factors that may negatively influence retention rate

      O:  [outcome]  ?

Question:  What factors may positively (I) or negatively (C) impact nursing retention within the Ambulatory Care Nursing setting (P), (O)?

C.     Sources of Evidence & References [types of evidence – published, expert opions, patient preferences, etc.]

Article 1 –

Article 2 –

D.     Critical Appraisal of the Evidence [briefly describe how this was done – used the Johns Hopkins Nursing EBP criteria, provider an evidence rating for each article/evidence source used [e.g. 1A, 3C etc.]

[ex:  Each article was critically appraised using the Johns Hopkins Nursing Evidenced-based Practice Research criteria.  As an example, the article ……

Questions to consider – should we implement the practice recommendations? Would this change improve nurse retention outcomes? Would it improve overall unit/pavilion operations e.g. costs, workload, culture? Can the evidence be translated inn other ways e.g. policy/procedure development?

E.     Translation [would you put the evidence you appraised into practice? How would that be done? Should we implement the practice recommendations? Would this change improve our nurse retention outcomes? Would it improve overall unit/pavilion operations (e.g. costs, workload, and culture)? Can the evidence be translated in other ways (e.g. policy/procedure development)?

F.     Dissemination

The information obtained from the EBP research project can be disseminated via a variety of mechanisms, including:

1.  Internal:  ACS COP monthly meetings, staff meetings, INSPIRE News

2.  External:  American Nurses Association, American Academy of Ambulatory Care Nursing, peer –reviewed article published in the Journal of Ambulatory Care,  Management, podium/poster presentations, Clinical Inquiry Review Panel (CIRP) ** This information does not need revision

I need to answer 3 peers, with 100 words each. Nursing Research (ARNP)

1. A large number of Americans have access to health care today. While the health policy is largely similar across the country, the implementation process, quality, and cost vary with each state.  It is the responsibility of the state government to fine-tune the health legislations in a way that benefits its citizens.

The healthcare reforms signed in 2008 by Governor Pawlenty is an example of a state attempting to reform the healthcare sector. The policy was meant to significantly reduce the number of obese people in the state of Minnesota as well as reduce the number of tobacco users. An estimated 8,700 more people were to have access to MinnesotaCare coverage by 2011(Aspinall, 2008).

As is the case with many states, politics and the political climate has a role to play in the making of policies. As a largely Democrat state, Minnesota can be perceived as riding the wave of change brought about by the election of president Obama. One of the hallmarks of the Obama administration was the Affordable Care Act, and the state of Minnesota was looking to implement changes of its own in order to have more people covered in their state.

By signing the pieces of legislations into law, the governor put into consideration the recommendations of the Minnesota Department Of Health as well as the governor’s own Transformation Task Force. In fact, MDH was required to develop and implement standards of certification for healthcare homes by July 1, 2009 (Aspinall, 2008). There is no indication however that the professional nursing organizations been involved in this policy issue. 

Among some of the recommendations in the pieces of legislation, it required a workgroup to work on developing recommendations to regulate and educate oral health practitioners (Aspinall, 2008). Nurses have great potential to contribute in developing of such policies. The state of Minnesota and other states could be better working with the various nursing professionals and engage them in health policy activities as their input will result in better legislation that is all inclusive.

1. References

Aspinall, E. E. (2008). My Health Minnesota: Electronic Health Library.

2 Great discussion, how would you utilized the learned experiences from this class to make an impact on a health care policy or wicked problem in health? 

3- Among the most common health policies present in the United States is the Affordable Care Act, a health policy aimed at ensuring comprehensive healthcare for all Americans. There are various tools used in the implementation of this Act. They include sample work plans, insurance code Self Audit Tool, and the Exchange Functions checklist. The US political space has a long history of directing the public support through mechanisms available in the private sector, and the tax code. This has prompted to the disaffection that has been experienced in the tools and mechanisms used in the implementation of the Affordable Care Act. The implementation mechanisms of the Act used by theUS government make citizens perceive the Affordable Care Act as a system of private insurance, rather than a government program.

It is an apparent fact that professional nursing organizations have been involved in the implementation of the Affordable Care Act. In addition to nurses playing a vital role in ensuring patient safety, quality care, and cost containment, they ensure that they work not only to enhance the individual results, but also the results for health systems in general. The Affordable Care Act is an example of such health systems.  An overview of the Affordable Care Act asserts that it is a reform of the US healthcare system that is aimed at providing more Americans with access to affordable and quality health insurance, and also reduce the US healthcare spending.The points to take from the Affordable Care Act include;

• Americans with health insurance are allowed access to new rights, protections and benefits.
• The Act also makes insurance more affordable.
• Again, the Act spreads risks equally to all the parties insured in an attempt to reduce discrimination.ReferencesKetetian, S. (1975). Application of selected nursing research findings into nursing practice: a pilot study. Nursing Research, 24(2), 89-92.Protection, P., & Act, A. C. (2010). Patient protection and affordable care act. Public law, 111(148), 1.

The Florida Board of Nursing regulate health care as the board and the interaction with other nursing affiliated groups in Florida, as well as the National Council of State Boards of Nursing.The Ameri

The Florida Board of Nursing regulate health care as the board and the interaction with other nursing affiliated groups in Florida, as well as the National Council of State Boards of Nursing.

The American Nurses Association (ANA) is the organization that improves the quality of health care in American territories. The standards should be used in conjunction with the scope and limits it establishes. Nurses must practice within these standards to ensure better intervention. These scopes of practices are used as guidelines for all specialties in nursing.

The nursing process as Assessment, Diagnosis, Planning, Implementation, Evaluation, allow collect data, validate the diagnostics, planning the patient care, implement the appropriate intervention, evaluate the intervention in the case that need be changed has to follow the standards stablished.

Each one of these regulations allows to maintain in each of the areas the highest quality of services, for example maintaining in the long term care of a patient in the comfort of his home, teaching the families, and caregivers sometimes to provide the care Within those standards.

NR 305 Week 6 Course Project Milestone 2 Nursing Diagnosis Care Plan Assignment

This file of NR 305 Week 6 Course Project Milestone 2 Nursing Diagnosis Care Plan Assignment comprises:

This activity will be a continuation of the Milestone 1: Health History that you submitted in Week 4. In this part of the assignment you will take the information you gathered, analyze the data, and develop a nursing care plan.Course OutcomesThis assignment enables the student to meet the following course outcomes:CO #3: Utilize effective communication when performing a health assessment. (PO #3)CO #4: Identify teaching/learning needs from the health history of an individual. (PO #2)CO #5: Explore the professional responsibilities involved in conducting a comprehensive health assessment and providing appropriate documentation. (PO #6)PointsThis assignment is worth a total of 250 points.Directions1. Download the NR305_Milestone2_Form from Doc Sharing. You will type your answers directly into this Word document. Your paper does NOT need to follow APA formatting, however, you are expected to use correct grammar, spelling, syntax and write in complete sentences.2. Save the file by clicking Save as and adding your last name to the file name, e.g., NR305_Milestone2_Form_Smith3. Submit the completed form to the Dropbox

What Did You Learn in this Masters Nursing class NR-500

MUST BE PLAGIRISUM FREE!!!  

This answer must be at least 300 words, reference not included in word count.  Needs at least 2 references that are peer reviewed articles within the last 5 years.  Both articles need to be cited within the answer at least once.  Needs to be in APA format.  ANAWER MUST BE ORIGINAL, no plagiarism.  Below is the question.

What Did You Learn in this Masters Nursing class

Reflecting on this course, consider and answer the following questions: How do you envision using the AACN essentials and information learned in this course to identify, guide, and evaluate your practicum project? How do you envision using the concepts learned in this course in your future nursing practice?

Course Description

This nursing course introduces the graduate student to the conceptual foundations and skills essential for the master’s-prepared nurse. A framework for professional nursing practice, the scholarly communication of ideas, the use of critical inquiry and information dissemination, and the professional development of the master’s-prepared nurse will be explored.