Discussion Week 1: Types of Nursing Models and Frameworks of EBP This week’s graded… 

Week 1 Discussion

Week 1: Types of Nursing Models and Frameworks of EBP

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

• CO1 Applies the theories and principles of nursing and related disciplines to individuals, families, aggregates, and communities from entry to the healthcare system through long-term planning. (PO 1)

What are some of the models and frameworks of EBP currently in use? How does the strength of the evidence determine translation into practice? Why is it important to integrate both evidence-based practice and patient and family preferences? What is the nurse's responsibility when EBP and patient and family practice do not match?

Week 2 Discussion

The Clinical Question

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

• CO4 Develops and outlines a scientific, systematic decision-making process to integrate critical thinking with clinical judgment to assure safe and effective outcomes. (PO 4)

Your capstone change project begins this week when you identify a practice issue that you believe needs to change. The practice issue must pertain to a systematic review that you must choose from a List of Approved Systematic Reviews for the capstone project, whose link may be found in the guidelines for the Week 3 Capstone Project: Milestone 1 assignment page.

• Choose a systematic review from the list of approved reviews based on your interests or your practice situation.

• Formulate a significant clinical question related to the topic of the systematic review that will be the basis for your capstone change project.

• Relate how you developed the question.

• Describe the importance of this question to your clinical practice previously, currently, or in the future.

• Describe what a research-practice gap is.

Week 3 Discussion

Feasibility of Your Design Proposal and Importance of Communication

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

• CO3 Communicates effectively with patient populations and other healthcare providers in managing the healthcare of individuals, families, aggregates, and communities. (PO 3)

Now that you have identified your capstone change project, it is time to look at its feasibility.

• What tangible and intangible resources will be needed to implement your project?

• What improved outcomes do you anticipate will occur that could indicate the project produced a successful return on investment (ROI) of these resources?

• How will you communicate your plan for change with key decision makers so that they will support the allocation of the resources you are seeking?

Week 4 Discussion

Evaluating Quality Patient Outcomes

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

• CO2 Proposes leadership and collaboration strategies for use with consumers and other healthcare providers in managing care and/or delegating responsibilities for health promotion, illness prevention, health restoration and maintenance, and rehabilitative activities. (PO #)

How can data provide information to evaluate quality patient outcomes? Give an example of data that can reflect poor quality in care. How can quality improvement be a daily task in patient care? Why does continuous quality improvement need to be associated with change?

Week 5 Discussion

Core Competencies for Nurses

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

• CO8 Selects evidence for best practice when planning professional nursing care for individuals, families, aggregates, and communities. (PO 8)

Explore the website for the Quality and Safety Education for Nurses (QSEN) initiative at http://www.qsen.org (Links to an external site.)Links to an external site.. How can the QSEN competencies for nurses be implemented into your workplace or professional nursing setting? If you are not currently employed as a nurse, consider a previous work setting that would have benefited from implementation of the QSEN competencies.

Week 6 Discussion

Implementing Change Despite Resistance

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

Plans clinical practice activities that integrate professional nursing standards in accordance with the nursing code of ethics and American Nurses' Association (ANA) standards of practice. (PO 6)

Change can be difficult to implement. Now that you are almost finished with your change project, if you were to implement your project in your clinical practice, what type of resistance do you expect from staff? List at least three ways that you can lessen the resistance you may encounter to help ensure the success of your project.

Week 7 Discussion

Health Federal Bills in Congress

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

• CO7 Integrates the professional role of leader, teacher, communicator, and manager of care to plan cost-effective, quality healthcare to consumers in structured and unstructured settings. (PO 7)

There is much attention on federal health care policy and law. Health Bills: GovTrack.us provides a list of federal bills that are currently in process in Congressional Committees.

Go to https://www.govtrack.us/congress/bills/subjects/health/6130 (Links to an external site.)Links to an external site.

Choose a health-related federal bill of interest to you. Read through the bill and post a summary in your own words. Include the bill number and name.

• How might this bill impact professional nursing practice standards if passed? If not passed?

• How might the bill impact your own nursing practice?

Week 8 Discussion

Your Future!

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

• CO5 Develops a plan for continued personal and professional development through enrollment in graduate education, continuing education programs, professional reading, participation in professional organizations, and service to the community. (PO 5)

Now that you are very close to completing this major accomplishment in your nursing career, what are your plans for your future? Please share your plans to keep up to date in your chosen specialty and nursing in general. What professional and nursing organizations do you plan to actively participate? Have you considered continuing your education to pursue a graduate degree?

Professional Nursing III – Residential and Online Module 1 Discussion Cancer Treatment… 

NUR2790 Professional Nursing III – Residential and Online

Module 1 Discussion

Cancer Treatment Options

Mrs. Williams is a 27-year-old female diagnosed with breast cancer. She is currently in pharmacy school. She does not have children, but hopes to have them someday. She has been tested and has a genetic predisposition for this disease.

What treatment options does she have?

What are the advantages and disadvantages of those treatment options?

What would you tell Mrs. Williams if she decided to refuse treatment?

Mrs. Williams really wants to have children before she starts treatment. What would you educate her about? Why?

NUR2790 Professional Nursing III – Residential and Online

Module 2 Discussion

Death and Dying

Discuss the term “clinical death,” especially with respect to when not to initiate CPR. Discuss what is meant by a “peaceful death” and a “good death,” including goals for End-Of-Life care.How would you feel if you knew your patients did not want CPR but the family insisted on it?

NUR2790 Professional Nursing III – Residential and Online

Module 3 Discussion

Triage

Triage involves the rapid assessment and prioritization of patients. Compare the three-tiered system of triage to the Mass Casualty Incident (MCI) triage philosophy. Imagine that you are the Triage Nurse during an MCI. How will you categorize the following patients using the MCI triage philosophy? Explain your answer. Are there any ethical issues that should be considered?

10-year-old boy with massive head injury, no spontaneous breathing, BP 60 palp

22-year-old female with a close fracture of the left arm

60-year-old male with a laceration in the leg complaining of shortness of breath

15-year-old girl with glass embedded in the eyes

52-year-old male with a pulse of 30 and a blood pressure of 70/30

For your response, do you agree with your classmates' opinions? What would you urge them to consider when making the triage determination?

NUR2790 Professional Nursing III – Residential and Online

Module 4 Discussion

Gas Exchange

Mr. Nguyen is a 58-year-old patient that had septic shock and developed Acute Respiratory Distress Syndrome. He is orally intubated and on a mechanical ventilator. He is paralyzed and sedated.

What manifestations might you observe for a patient with ARDS?

What complications can Mr. Nguyen develop from being mechanically ventilated?

List priority nursing interventions to prevent complications associated with ventilatory support.

What interventions can be implemented specifically to prevent the development of Ventilator Acquired Pneumonia (VAP)?

You are orienting in the ICU, the nurse you are working with is not implementing the VAP interventions. What would you do?

NUR2790 Professional Nursing III – Residential and Online

Module 5 Discussion

Artifact vs. Dysrhythmia

Describe the role of each component of the ECG in the heart's contraction: the P wave, the PR interval, the QRS complex, the ST segment, the T wave, and the QT interval. What is the difference between artifact and dysrhythmia? How can you reduce artifacts? What are some situations that can occur if artifact is not reduced or eliminated?

You are working in the Telemetry Unit. The nurse “watching” the monitors is reading a magazine. She constantly turns off an alarm that looks a lot like Ventricular Fibrillation. She tells you that it is not a dysrhythmia, it is just artifact. What do you think about her actions? What is the worst case scenario in this situation? What would you do?

NUR2790 Professional Nursing III – Residential and Online

Module 6 Discussion

Prevention of Shock

Your patient is a 42-year-old female that arrives in the ED with complaints of fever and not feeling well. She is currently undergoing chemotherapy for bladder cancer. She has an indwelling urinary catheter with scant amount of dark, foul smelling urine. She has a temperature of 102.2F, HR 136, BP 110/50 and RR 28. She is allergic to penicillin and Sulfa.

What type of shock is she experiencing?

What interventions do you anticipate the doctor will order?

What can you teach this patient about prevention of infection?

The doctor orders Bactrim. What should you be concern about? Why?

NUR2790 Professional Nursing III – Residential and Online

Module 7 Discussion

Modifiable vs. Unmodifiable Risk Factors

Choose a subject (it can be a former patient, a family member, or yourself) and identify modifiable and nonmodifiable risk factors. Identify methods to prevent Coronary Artery Disease (CAD) in the subject. What can you recommend to your classmates subjects?

NUR2790 Professional Nursing III – Residential and Online

Module 8 Discussion

The Patient with Chronic Renal Failure

Mr. Rojas is a 49-year-old patient with End Stage Renal Disease. He has a history of hypertension and uncontrolled type 1 diabetes (since he was 12 years old). His last Hemoglobin A1c was 12.8%. He is currently receiving hemodialysis three times per week for three hours. He is in the hospital because he went into DKA a few days ago when he had a stomach virus. He is asking you about renal transplantation.

What are the criteria to be placed in the transplant list?

What options for transplantation does Mr. Rojas have?

What recommendations can you give Mr. Rojas on treatment compliance?

What other renal replacement therapies could Mr. Rojas be educated about?

What are their advantages and disadvantages?

NUR2790 Professional Nursing III – Residential and Online

Module 9 Discussion

Brain Death: Ethical Considerations

Your patient is a 23-year-old female with a history of headaches. This morning she was experiencing a really bad headache as her boyfriend was driving her to the university. He thought she was sleeping and by the time they got to the school, 45 minutes later, she was not waking up. She was diagnosed with a cerebral aneurysm and you are taking care of her in the Neurological ICU.

What testing do you expect to be performed to diagnose brain death?

What is the procedure when a patient is determined to be brain dead?

Who should approach the family about organ donation?

The family is approached about organ donation. The patient indicated on her driver's license that she wanted to be an organ donor. Her mother refuses to consent for organ donation.

Do you think donation should happen anyway? Why or why not?

What will be the ethical consequences of your decision?

NUR2790 Professional Nursing III – Residential and Online

Module 10 Discussion

Ethical Dilemma

For patients with liver failure due to cirrhosis liver, transplantation may be the only possible treatment.

How is the care for the patient undergoing liver transplantation different from the care of a regular surgical patient?

What patient teaching is needed after a patient receives a liver transplant?

Should the patient with alcoholic cirrhosis be a candidate for a liver transplant?

Should government funds be used in the care of patients with cirrhosis who continue to consume alcohol?

NUR2790 Professional Nursing III – Residential and Online

Module 11 Discussion

Caring for Self!

You have learned a lot during your training to become a Registered Nurse. At this point in your education, where do you see yourself as a nurse? What unit would you like to work in and why?

To be able to care for patients, you must be able to care for yourself. What are some practices you plan to implement to help you care for yourself and why?

NUR2790 Professional Nursing III – Residential and Online

Module 01 Written Assignment – Cancer Symptoms and their Management

Cancer treatment is very aggressive in nature. The treatment can lead to symptoms that range from uncomfortable to life-threatening. Complete the Cancer Symptoms Management Table. Do not forget to include complementary alternative therapy that may help in symptom management.

NUR2790 Professional Nursing III – Residential and Online

Module 02 Written Assignment – End-of-Life Care Concept Map

Mr. Rivera is a 72-year-old patient with end stage COPD who is in the care of Hospice. He has a history of smoking, hypertension, obesity, and type 2 Diabetes. He is on Oxygen 2L per nasal cannula around the clock. His wife and 2 adult children help with his care. Develop a concept map for Mr. Rivera. Consider the patients Ethnic background (he and his family are from Mexico) and family dynamics. Please use the concept map form provided.

NUR2790 Professional Nursing III – Residential and Online

Module 03 Written Assignment – Phases of Burn Injury

A burn injury can severely affect a patient's physical and emotional well-being. As a nurse you may be in charge of taking care of a patient during any of the three phases of burns. Please complete the Phases of Burn Injury table to better understand the needs of a burn patient and ways to meet those needs.

NUR2790 Professional Nursing III – Residential and Online

Module 04 Written Assignment – Gas Exchange Exemplars

Complete the Gas Exchange Exemplar comparison table.

Comparison of Gas Exchange Exemplars:

	Pneumothorax	Tension Pneumothorax	Flail Chest	Hemothorax	Acute Respiratory Failure
Pathophysiology
Etiology
Clinical Manifestations
Interventions

NUR2790 Professional Nursing III – Residential and Online

Module 05 Written Assignment – Case Study

A 60-year-old male patient is admitted with chest pain to the telemetry unit where you work. While having a bowel movement on the bedside commode, the patient becomes short of breath and diaphoretic. The ECG waveform shows bradycardia.

What other assessment findings should you anticipate?

Why does this patient probably have bradycardia?

Does this dysrhythmia need treatment? Why or why not? What intervention would you implement first?

What is the drug treatment and dosage of choice for symptomatic bradycardia? How does this drug increase heart rate?

NUR2790 Professional Nursing III – Residential and Online

Module 06 Written Assignment – Types of Shock

It is very important to differentiate between the different types of shock since treatment may depend on this. Complete the Comparison Table on the different types of shock.

Comparison Table on Types of Shock

	Hypovolemic	Cardiogenic	Neurogenic	Anaphylactic	Septic
Pathophysiology
Causes
Signs/Symptoms
Nursing Diagnosis
Interventions:
Patient Teaching(for prevention)

NUR2790 Professional Nursing III – Residential and Online

Module 07 Written Assignment – Cardiovascular Exemplars

Complete the Cardiovascular Exemplar Table in its entirety.

Comparison of Cardiovascular Exemplars:

	Angina	Acute Myocardial Infarction
Pathophysiology
Etiology
Assessment Findings (including Diagnostics)
Nursing Diagnosis
Interventions (including meds and Surgical interventions)

NUR2790 Professional Nursing III – Residential and Online

Module 09 Written Assignment – Stroke Concept Map

Please use the concept map to plan care for Mr. Jackson. Mr. Jackson is a 38-year-old African American that presents with an altered level of consciousness (ALOC). He has been having headaches for the last three months but due to a hectic work schedule he has not been able to go to see his medical practitioner. During his last visit two years ago, his blood pressure was slightly elevated, but he never followed up. Upon arrival to the ED a CT scan is completed and it shows a large bleed near the frontal lobe. What should Mr. Jackson's plan of care include?

NUR2790 Professional Nursing III – Residential and Online

Module 10 Written Assignment – Concept Map

Your patient is a 52-year-old male with a history of smoking and alcohol abuse. He presents to the ED with complaints of “my skin looks yellow, my stomach hurts, and I feel nauseous”.He is taken to CT and a tumor near the pancreas is observed. It appears to be blocking the common bile duct. Develop a plan of care for the patient. Use the attached concept map.

NUR2790 Professional Nursing III – Residential and Online

Module 11 Written Assignment – Best Practice

Write a 1-2 page paper about some of the Best Practices you have learned about during this course. How will these practices improve patient's outcomes? You must use APA and have at least three references less than three years old to support your choices.

Integrating theory and research needs assessment

The Safety Medical Devices Act of 1990 was enacted by Congress to increase the amount of information the Federal Drug Administration (FDA) and suppliers receive from users on malfunctions, adverse events, and critical problems with medical devices. Despite the regulation enacted, studies show that there has been widespread underreporting of such events. FDA reports explicitly noted that less than 1% of device problems occurring in hospitals have been brought to their attention.

It was further found that the more serious the problem with the device, the less likely that it is reported. This indicates a large number of hospitals and other medical units have been advertently withholding such very significant information to proper government authorities. This could have been made because of fears that their hospitals may suffer the consequences, but to the detriment of the patients and the public.

The effects of withholding critical information will have adverse effects in the short and long terms. Suppliers may continue producing and gaining profits out of products and services that have been causing death and injuries to innocent people.Hospitals with sub-standard medical devices handled and operated by medical personnel and practitioners with sub-standard knowledge, skills, and competencies would continue to exist and gain profit, but at the same time continue destroying the lives and quality of family life of many.

Medical errors, also called “adverse events,” include missed and delayed diagnoses, mistakes during treatment, medication mistakes, delayed reporting of results, miscommunications during transfers and transitions in care, inadequate postoperative care, and mistaken identity. Patient safety also encompasses the concept of “reliability.” Reliability in health care is defined as patients getting the intended tests, medications, information, and procedures at the appropriate time and in accordance with their values and preferences. System-derived errors can occur when clinicians are tired after working long hours, stressed or cutting corners because they are in a hurry. Environmental factors like noise and lighting can distract clinicians. Mistakes also can be made because of a lack of standardized equipment and practices. For example, it is easy to understand how a patient can be administered the wrong medication if two different medicine vials look the same and the doctor is in a hurry when grabbing a medication. Providing clearly labeled, color-coded bottles or storing similar-looking vials in separate locations can help prevent mistakes like these from recurring (Patrick et al, 2008).

Research problem

This research project intends to determine the degree of compliance of the Patton – Fuller CommunityHospital with the Safe Medical Devices and policies and procedures in ensuring the safety of medical devices used.

The research questions are

1.What are the basic medical reporting requirements, policies, and procedures imposed by FDA on hospitals along the following?

Suspected medical device –related deaths

Medical device – related serious injuries

Other medical device-related adverse events

2.What have been the experiences of the hospital/s in relation to: suspected medical device-related deaths, medical device –related injuries, and other medical device-related adverse events, and how were these addressed?

3.How may the existing adverse – event reporting system of Patton – Fuller CommunityHospital be described along the aforementioned variables (Robbins & Coulter, 2002).

4.To what extent has the hospital been complying to the policies and procedures imposed by the FDA in accordance with:

1Medical Device Act of 1990,

2Medical devices amendments of 1992, and

3State-specific requirements?

5.How may the findings be used by FDA in further reviewing its Safe Medical Devices Act and in further improving the effectiveness of the implementation of the corresponding policies, procedures, and processes?

Hypothesis

1.There is a significant difference between the degree of compliance to Medical Device Reporting imposed by FDA and the extent of compliance of hospitals, particularly, Patton – FullerCommunity Hospital.

Significance of the study

1.Protect Patients and families. The results of the study may help the hospital to improve its services and be careful in the use of its medical devices.

2.Benefit hospital management and administration. This study would reveal some loopholes in their operations, particularly in the implementation of policies and procedures in relation to the use of their medical devices.

3.Benefit medical device suppliers. The adverse discovered through this study will be important feedback that would be used in further improving the products

4.Benefit the government. This research could help the government in monitoring and evaluating the implementation of the Safe Medical Devices Act of 1990, including its amendments.

Research design

This study will use a descriptive type of research design, specifically; a comparative–descriptive research design. Thisdesign is appropriate because the hospital will be described in terms of some basic variables such the number of years it has been in the industry; its size, categories of services offered, number of medical practitioners, and medical devices utilized. The hospital will also be described in terms of its experiences on medical device-related deaths and injuries and how these were addressed.

It is also comparative because the extent of compliance of the hospital will be compared to the standards of medical device reporting set by the FDA.

Both quantitative and qualitative data will be gathered.The quantitative part will be on quantifiable variables, such as average number of patients, hospital size statistics/figures, number of reports submitted by type of medical device and categories of related adverse incidents. Qualitative data will be gathered on the experiences of the hospitals, its medical practitioners, families of patients, and other stakeholders of the hospital on adverse events.

Samples

Respondents will be different groups of stakeholders: patients, medical practitioners, support personnel, households of patients, and others who have been directly or indirectly involved in the medical device- related adverse incidents.

A combination of purposive and stratified sampling techniques will be utilized. Respondents will be identified based on the purpose of the study. To ensure that the groups of stakeholders are represented, a stratified sampling technique will also be used. This would mean that the population would be divided into groups or strata and specific number of respondents will come from each.This is to ensure that each group is represented.

Instrument

The instruments that will be utilized are survey questionnaire, interview guide, and observation checklist. The survey questionnaire will have items on basic descriptive (basic information about the hospital, its facilities, and equipment, the patients, and others) whereas the interview guide and observation checklist will provide qualitative data that will supplement the data gathered from the questionnaire.

The instruments will be tested in terms of validity and reliability. The validity will test the questionnaire and other instruments to see if they provide answers to the research questions. The test of reliability is in terms of the instrument can provide stable results even when conducted twice to the same set of respondents. It will also be a test of consistency of the scores that will be derived from the responses.

Data analysis

To analyze the quantitative data that will be gathered, measures of central tendency (mean, median, mode), measures of variability (standard deviation, variance), t-test of difference between means (for two groups), and ANOVA (for three groups) will be used.

Time schedule

Weeks one and two – Determination of the Population for the Study. This will include knowing the number of target respondents. These include: medical practitioners, support personnel (laboratory assistants, technicians, etc), hospital administrators, and direct families of patients who were affected by the adverse events.

Weeks three and four – Identification of the sample from the various groups of stakeholders.

Weeks five and six – Preliminary data gathering from secondary sources. To provide a background of the study, related data from journals, newspapers, online sources will be obtained.

Weeks seven through ten – Preparation of instruments. This will include designing the survey questionnaires, interview guide, and observation checklists. Appropriate items that must be placed in each instrument must have to be determined.

Week 11 – 12- Validation of the instruments. Before the questionnaires are distributed to the respondents, they have to be pre-tested to ensure that the items are appropriate and adequate.

Week 13 – 14-Finalization of the instruments. Results of the validation will be used as basis in finalizing the instruments. Suggestions provided will be used as inputs in improving the questionnaires and other instruments.

Week 15 – 20-Data gathering. This includes distribution and retrieval of the questionnaires, conducting interviews, and observations.

Week 21 – 22-Preparation of Coding Sheets. The coding sheet will be where the responses will be posted.

Week 23 – 25-Tabulation of Data. After the responses are posted and tallied, the data will be organized in the form of tables, graphs, or other forms of charts.

Week 26 – 28 -Organization of Report. At this point the final research paper will be written where all the research questions are answered.

Week 29 – 31 -Preparation of Final Report. Checking of the full report and preparing the final form.

Week 32-Presentation of the Study.

References

Burns, A. C., and Bush, R. F. (2003).Marketing Research. Pearson Education,

Food and Drug Administration MedSun Medical Safety Network (2012) Retrieved from http://www.fda.gov/MedicalDevices/Safety/MedSunMedicalProductSafetyNetwork/default.htm

Ghauri, P., and Gronhaug, K. (2002). Research Methods in Business Studies:

A Practical Guide. Pearson Education Limited.

Patrick et al. (2008).”The anatomy and physiology of error in adverse healthcare events”.Advances in Health Care Management 7, 33–68.

Patton-Fuller Community Hospital Virtual Organization (2011) Retrieved from https://ecampus.phoenix.edu/secure/aapd/cist/vop/Healthcare/PFCH/index.aspInc.

Robbins, S. P., and Coulter, M. (2002).Management.Pearson Education

(Asia) Pte.Ltd.

Revise your needs assessment and draft, incorporating peer reviews if necessary.

THE PAPER IS ABOVE PLEASE ADD INFORMATION AS PER THE QUESTIONS IN RED

Format your paper consistent with APA guidelines.

Create a 10- to 12-slide Microsoft^®PowerPoint^® presentationto generate support from the chief operating officer, chief nursing officer, clinical engineering director, and nursing unit director.

Describe the proposal’s background.

Explainthe benefits.

Include speaker’s notes that provide explanation and references.

Due Thursday 03 Aug 2012

Essay 3 Complete a 2-3 page (500-750 word) essay on your chosen topic. This essay is due Week 15, of 

Essay 3

Complete a 2-3 page (500-750 word) essay on your chosen topic. This essay is due Week 15, of the semester. The essay should be typed, double-spaced using 12 point font. You should use Times New Roman or Courier font.

This is a personal essay. This means that you can use “I, me, my” in this paper.

NO LATE PAPERS WILL BE ACCEPTED.

Topics (CHOOSE ONLY ONE)

1. In “Cathedral” by Raymond Carver, we read about how sometimes people judge others. Topic: Have you ever judged anyone wrongly in your life and then changed your mind? Write about this experience.

2.  Have you ever felt as though others have judged you wrongly? Why? Write about this.

3. Out of everything we have read this term, which character are you most like? Why are you like this character? What does it tell us about you?

Using 500-1,000 words, discuss methods to evaluate the effectiveness of your proposed solution and variables to be assessed when evaluating project outcomes.

Example: If you are proposing a new staffing matrix that is intended to reduce nurse turnover, improve nursing staff satisfaction, and positively impact overall delivery of care, you may decide the following methods and variables are necessary to evaluate the effectiveness of your proposed solution:

Methods:

1. Survey of staff attitudes and contributors to job satisfaction and dissatisfaction before and after initiating change.

2. Obtain turnover rates before and after initiating change.

3. Compare patient discharge surveys before change and after initiation of change.

Variables:

1. Staff attitudes and perceptions.

2. Patient attitudes and perceptions.

3. Rate of nursing staff turnover.

Develop the tools necessary to educate project participants and to evaluate project outcomes (surveys, questionnaires, teaching materials, PowerPoint slides, etc.).

Refer to the “Module 4: Checklist.”

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

6 NRS 441v.11R.Module 4_Checklist.docx

Attachments:6-NRS-441v.11….docx