Health care organizations (HCOs) need to acquire long-term and short-term assets to fulfill their mission to stakeholders. In addition to receiving grants from federal and state sources, HCO managers need to raise capital from either debt, equity or both in some cases.

Review the following link:

https://www0.gsb.columbia.edu/faculty/ssundaresan/papers/Fan_Sundaresan.pdf

Explain the steps associated with issuing debt.

Define the ratings that are applied to organizations holding debt.

Identify and explain ten factors that affect an HCO’s debt rating.

Provide five reasons why HCO managers would be concerned about debt valuation.

Statistical Data for Two Nursing Units are shown in Table EX 9.6 :

Using the data provided above, analyze and compare the productivity of the two nursing units (for each productivity ratio indicate which unit is more productive) with respect to:

a. Adjusted Nursing Hours per Adjusted Discharge

b. Nursing Salary Expense per Adjusted Discharge

c. Percentage of Adjusted Nursing Hours in Direct Patient Care

NR501 Week 6 Assignment

Application of Nursing TheoryGuidelines

Purpose

The purpose of this assignment is to use nursing theory as a way to resolve a problem or issue occurring within nursing leadership, nursing education, nursing informatics, health policy, or advance clinical practice.

Course Outcomes

Through this assignment, a student will demonstrate the ability to:

(CO#1) Analyze theories from nursing and relevant fields with respect to their components, relationships among the components, logic of the propositions, comprehensiveness, and utility to advanced nursing. (PO1)

(CO#3) Communicate the analysis of and proposed strategies for the use of a theory in nursing practice. (PO3, 7, 10)

(CO#4) Demonstrate logical and creative thinking in the analysis and application of a theory to nursing practice. (PO4, 7)

Due Date:Sunday 11:59 PM MT at the end of Week 6

Total Points Possible: 275

Requirements

Description of the Assignment:

One nursing theory will be presented as a framework to resolve a problem occurring within one of the professional areas of leadership, education, informatics, healthcare policy or advance clinical practice. The same nursing theory selected in Assignment One may be used to resolve the identified problem.

A specific nursing theorymust be used. No non-nursing theories are permitted. A category of nursing theory (grand, middle range, practice) may not be used—only a specific, published nursing theory is to be selected and applied to the issue or concern important to the profession of nursing as documented in the nursing literature.

Please note: Do not rely on .com sites to identify the nursing theory as they do not provide accurate information in all cases.

Content

1.   Introduction:

The introduction for this paper includes:

§  A nursing theory is required; non-nursing theories may not be used.

§  General statements on the idea of nursing theory being applied to solve problems/issues in nursing practice.You do not need to go into the specialty area of practice in-depth as this will be covered in another section of the paper.

§  A one-paragraph summary of the selected specific nursing theory is required.

§  Information identifying the sections of this assignment.

§  References from nursing literature are required.

2.   Description of Issue or Concern:

The selected issue or concern must be clearly identified as being significant to the professional area of either leadership, education, informatics, healthcare policy or advance clinical practice. The issue or concern must be presented comprehensively, but concisely by answering each of the following questions.

§  What is the specific issue or concern being presented?

§  Why should the nursing profession care about this issue or concern?

§  What does the nursing literature have to say about this issue or concern including its frequency of occurrence?

§  Who are the stakeholders or the people affected by the issue or concern?

References from nursing literature are required.

3.   Application of Selected Nursing Theory to Issue or Concern:

This section of the assignment focuses on using the selected nursing theory to resolve the described issue or concern. Required information includes:

§  Restating the selected nursing theory to be used

§  Identification of one strategy useful in resolving the identified issue or concern.

§  The strategy should be presented in depth with the following information being required:

o A specific description of how the selected nursing theory can help to resolve the issue or concern

o A specific and detailed description of the strategy to be used

o A specific and detailed description of how the strategy can be implemented

o A specific and detailed description of one suggestion for future research into either the selected nursing theory or selected issue or concern.

References from nursing literature are required.

4.   Conclusion:

This section provides a summary or review of the key elements of the assignment including theselected nursing theory and its application to the issue or concern.

The concluding statements include self-reflection on the new knowledge gained about applying nursing theory to a professional issue or concern.

Preparing the Assignment

Format and Special Instructions

1.   A nursing theory is required; non-nursing theories are not allowed to be used.

2.   Paper length: 6 pages minimum; 8 pages maximum, excluding title page and reference page. Points will be deducted for not meeting these requirements.

3.   A minimum of 6 (six)scholarly references are required. References must be current – not older than 5 years, unless a valid rationale is provided and the instructor has approved them. Consult with the course instructor about using an older source.

4.   A dictionary, required textbooks for this course and Chamberlain College of Nursing lesson information, may NOTbe used as scholarly references for this assignment. For additional information regarding scholarly references, please review “What is a scholarly source?” located in the Course Resource tab. Information from .com websites may be incorrect.

5.   Title page, running head, body of paper, and reference page(s) must be in APA format as presented in the 6^thedition of the manual

6.   Ideas and information from readings and other sources must be cited and cited correctly.

7.   Grammar, spelling, punctuation, and citations are consistent with formal academic writing as presented in the 6^thedition of the APA manual

The micro politis of health and how they enable and disabled provision of patient centred care and the working of nurse .(Harvard auther -date system referencing) 4 points as below every single point number count 250 . and referencing and citation of each one separately beacause they are 4 different discussion points.1-skill mix2 ward funding3 education4 horizontal violenceReadings

• Carnegie & Kieger, 2009 “Being and doing politics: an out-dated model or 21st century reality?” Journal of Advanced Nursing,Vol. 65, Iss.9, pp. 1976–1984.
• Keast, K 2016, ‘Health budget cuts to impact long term nurse wages, Health Times
• Hogan P, Moxham L, Dwyer T, 2007 “Human resource management strategies for the retention of nurses in acute care settings in hospitals in Australia.” Contemporary Nurse: A Journal for the Australian Nursing Profession, Vol. 24, No.2.
• Australian Nursing Journal, North Fitzroy: Apr 2010, “Health reform support but much work to do”
• Leeder, 2003 “Achieving equity in the healthcare system” MJA, Vol.179, No.3.
• Gardner, D 2012 “The future of the affordable care act: will we abandon health care reform” Nursing economics,Vol.30, no.1, pp.40-41,49.
• Keenan, K & Kennedy,K 2003 “The nursing workforce shortage: Causes, consequences, proposed solutions” April, Commonwealth fund, Issue brief.
• Gkiouleka A, Huijts T, Beckfield J, Bambra C, 2018, ‘Understanding the micro and macro politics of health: Inequalities, intersectionality & institutions- A research agenda, Social Science & Medicine, Elselvie
• Holland,P., Allen, B & Cooper, B., (2012), ‘What nurses want: Analysis of the first national survey on nurses’attitudes to work and the work conditions in Australia’, Department of Management,Monash University, www.anmf.org.au
• Sisko A, Truffer C, Keenan S, Poisal J, Clemens K & Madison J, 2010 “National health projection spending projections: the estimated impact of reform through 2019, Health Affairs, Vol.29, no.10, pp.1933-1941.
• RotherR and Lavizzo-Mourey R, 2009 “Addressing the nursing workforce: A critical element for health reform” Health Affairs, Vol.28, no.4.

Communication and Education to Promote Change

Who provides formal and informal leadership within your practicum setting? What power and/or authority do these individuals hold? How has this influenced planning for and implementing change in the past?

In this Discussion, you analyze the dynamics of your practicum setting with attention toward developing political acumen, which can be highly beneficial in your effort to facilitate evidence-based change. You also consider the need for education and methods that could be used to promote knowledge integration among various stakeholders. As you probe these issues, your goal is to develop strategies for building alliances that would support the successful implementation of the change you are proposing for your practicum experience.

To prepare:

§  How      would you describe the distribution of formal and informal power, as well      as authority, within your practicum setting? Think about the constellation      of professional roles. Which ones are most salient for the change you are      proposing? Who holds each of these roles? Who else within the organization      might have political clout and be able to serve as an ally? What approach      would you take to build productive alliances and generate buy-in for your      proposed change?

§  How      do you anticipate that this change would cascade through the environment?      What strategies would you employ to generate wide-scale interest and      investment in your proposed change, as well as the education necessary for      successful adoption? Evaluate specific structures related to      communication, training, organizational culture, and other factors that      relate to the implementation of sustainable change.

§  What      kinds of issues related to organizational structure and culture or      interpersonal dynamics could pose a challenge for creating buy-in and/or      promoting knowledge integration?

§  In      addition to reviewing this week’s Learning Resources, be sure to speak      with individuals in your practicum setting and conduct additional research      to enrich your thinking for this Discussion.

By tomorrow Wednesday 3/20/19  2 pm write a minimum of 550 words essay in APA format with at least 3 references (see list or required readings below). Include the level one headers as numbered below: 

Post a cohesive response that addresses the following:

1) Based on the specifics of your practicum experience and evidence from the literature, what strategies would you employ to communicate with and educate various stakeholders? 

2) How would you engage the support of those with power and authority? Explain how this would facilitate the successful implementation of your proposed evidence-based change.

3) What are potential challenges for knowledge integration? How might you address those challenges?

Required Readings

White, K. M., & Dudley-Brown, S.(2016). Translation of evidence into nursing and health care practice. (2nd ed.) New York, NY: Springer Publishing Company.

· Review Chapter 7, “Translation of Evidence to Improve Clinical Outcomes”

· Review Chapter 13, “Interprofessional Collaboration and Practice for Translation”

White, K. M., Dudley-Brown, S., & Terharr, M. F. (2016). Translation of evidence into nursing and health care practice (2nd ed.). New York, NY: Springer.

· Review Chapter 6, “Translation of Evidence for Leadership”

This chapter addresses the pivotal role of leadership in the translation of evidence into practice.

American Association of Colleges of Nursing (AACN). (2006). The essentials of doctoral education for advanced nursing practice. Retrieved from http://www.aacn.nche.edu/publications/position/DNPEssentials.pdf

Use the information in this report to guide the formulation of goals for your practicum experience.

Bleich, M. R. (2011). IOM report, The Future of Nursing: Leading Change, Advancing Health: milestones and challenges in expanding nursing science. Research in Nursing & Health, 34(3), 169-170. doi:10.1002/nur.20433

​IOM report, The Future of Nursing: Leading Change, Advancing Health: milestones and challenges in expanding nursing science. Research in Nursing & Health by Bleich, M. R., in Research in Nursing & Health, Vol. 34/Issue 3. Copyright 2011 by John Wiley & Sons – Journals. Reprinted by permission of John Wiley & Sons – Journals via the Copyright Clearance Center.

Fleiszer, A. R., Semenic, S. E., Ritchie, J. A., Richer, M., & Denis, J. (2016). Nursing unit leaders’ influence on the long-term sustainability of evidence-based practice improvements. Journal of Nursing Management, 24(3), 309-318. doi:10.1111/jonm.12320 

Nursing Unit Leaders’ Influence on the Long-term Sustainability of evidence-based practice improvements by Fleiszer, A.; Semenic, S.; Ritchie, J.; Richer, M.; Denis, J., in Journal of Nursing Management, Vol. 24/Issue 3. Copyright 2016 by John Wiley & Sons – Journals. Reprinted by permission of John Wiley & Sons – Journals via the Copyright Clearance Center.

Greene-Ryan, J. (2016). Creating a community of transformation. Nursing Management, 47(5), 18-21. doi:10.1097/01.NUMA.0000482496.59946.8c

Hauck, S., Winsett, R. P., & Kuric, J. (2013). Leadership facilitation strategies to establish evidence-based practice in an acute care hospital. Journal Of Advanced Nursing, 69(3), 664-674. doi:10.1111/j.1365-2648.2012.06053.x

Kotter, J. P. (2007). Leading change: Why transformation efforts fail. Harvard Business Review, 85(1), 96-103. Retrieved from https://cb.hbsp.harvard.edu/cbmp/pl/57319806/57319860/3d20a24aeeedc7a83d2a918c5013078c

In this foundational reading, Dr. John Kotter discusses errors commonly made as organizations undergo change, and he recommends steps leaders can take to help avoid them.

Nelson-Brantley, H. V., & Ford, D. J. (2017). Leading change: a concept analysis. Journal Of Advanced Nursing, 73(4), 834-846. doi:10.1111/jan.13223

Rose, R., Adams, F., & Johnson, S. (2016). Nurse Led, Nurse Driven Service Lines: How Nurse Leaders Are Navigating Change. Nurse Leader,14195-197.doi:10.1016/j.mnl.2016.03.007

Salmela, S., Eriksson, K., & Fagerström, L. (2012). Leading change: a three-dimensional model of nurse leaders’ main tasks and roles during a change process. Journal of Advanced Nursing, 68(2), 423-433. doi:10.1111/j.1365-2648.2011.05802.x

Sherrod, B., & Goda, T. (2016). DNP-Prepared leaders guide healthcare system change. Nursing Management, (9). 13