HLT 362 Assignment: Quality Improvement Proposal

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HLT 362 Assignment: Quality Improvement Proposal

Description

Identify a quality improvement opportunity in your organization or practice. In a 1,250-1,500 word paper, describe the problem or issue and propose a quality improvement initiative based on evidence-based practice. Apply “The Road to Evidence-Based Practice” process, illustrated in Chapter 4 of your textbook, to create your proposal.

Include the following:

1. Provide an overview of the problem and the setting in which the problem or issue occurs.
2. Explain why a quality improvement initiative is needed in this area and the expected outcome.
3. Discuss how the results of previous research demonstrate support for the quality improvement initiative and its projected outcomes. Include a minimum of three peer-reviewed sources published within the last 5 years, not included in the course materials or textbook, that establish evidence in support of the quality improvement proposed.
4. Discuss steps necessary to implement the quality improvement initiative. Provide evidence and rationale to support your answer.
5. Explain how the quality improvement initiative will be evaluated to determine whether there was improvement.
6. Support your explanation by identifying the variables, hypothesis test, and statistical test that you would need to prove that the quality improvement initiative succeeded.

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While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center. HLT 362 Assignment: Quality Improvement Proposal

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Objectives:

 

 

1. Differentiate among experimental research, quasi-experimental, and nonexperimental research.

2. Identify key differences between qualitative and quantitative research.

3. Differentiate between research and quality improvement.

Description:

Read Chapter 4 in Applied Statistics for Health Care.

The Visual Learner: Statistics

 

Description:

Refer to the “Visual Learner: Statistics” to learn more about the statistical calculations presented in this topic.

Chapter 14: Regression

Description:

Review “Chapter 14: Regression,” and watch the associated videos by Lane, from Online Statistics Education: An Interactive Multimedia Course of Study.

Is This Quality Improvement or Research?

Description:

Read “Is This Quality Improvement or Research?” by Merrill, from American Nurse Today (2015).

Differentiating Between Research and Quality Improvement

Description:

Read “Differentiating Between Research and Quality Improvement,” by Gregory, from Journal of Perinatal and Neonatal Nursing (2015).

Chapter 44: Tools and Strategies for Quality Improvement and Patient Safety

Description:

Read “Chapter 44: Tools and Strategies for Quality Improvement and Patient Safety,” by Hughes, from the online eBook, Patient Safety and Quality: An Evidence-Based Handbook for Nurses (2008), available on the National Center for Biotechnology Information (NCBI) website.

Focusing on the Fundamentals: A Simplistic Differentiation Between Qualitative and Quantitative Research
Description:

Read “Focusing on the Fundamentals: A Simplistic Differentiation Between Qualitative and Quantitative Research,” by Rutberg and Bouikidis, from Nephrology Nursing Journal (2018). HLT 362 Assignment: Quality Improvement Proposal

NUR 514 Assignment Leadership Style Reflective

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NUR 514 Assignment Leadership Style Reflective

NUR 514 Assignment Leadership Style Reflective

 

Description:

The purpose of this assignment is to assist learners in developing effective communication by emphasizing the proper application of APA style. APA style is required for the graduate program.

Refer to the resources in the course materials and Student Success Center for assistance with APA. Use the APA Style Guide resource, located in the Student Success Center, to complete this assignment.

For this assignment, complete the following:

Self-Assessment

Self-awareness is essential for developing leadership skills. Recognizing your own strengths, weaknesses, and values, and understanding emotional intelligence and learning styles can help you to be a more effective nurse leader.

For this assignment, you have the opportunity to take a variety of self-assessments to learn more about yourself and identify your assets and weaknesses as a leader. This will assist you in discovering how you can improve your own self-leadership skills. You will be asked to think critically about your results and submit a reflection as directed below.

Refer to the study materials. Select and complete three self-assessments. Be sure to document the results of each assessment to assist you in completing the reflection portion of the assignment below. NUR 514 Assignment Leadership Style Reflective

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Self-Assessment Reflection

Becoming self-aware is an ongoing process requiring introspection. The more often people practice self-reflection, the more opportunities they have to understand their own behaviors and adapt their approaches to working with other people, which can improve both your own and other’s abilities to meet their professional goals.

In a 1,000-1,250 word reflective essay, address the following:

  1. 1. Provide a rationale and brief summary for selecting each self-assessment. Summarize the results you obtained on each assessment.
  2. Identify the leadership style that closely aligns to your philosophy of care and explain what appeals to you about that style.
  3. Reflect on how you might incorporate elements of that particular style as you exercise leadership in a practice or health care organization setting.
  4. Discuss any particular areas for improvement the assessments helped you identify and some steps for improving your leadership capabilities.
  5. Analyze the characteristics of an effective professional nurse leader, or individuals in nursing leadership. Discuss the characteristics and explain why they are effective for leadership in nursing.
  6. Analyze different leadership theories and leadership styles. Select one theory and leadership style, different from your own, and explain how they each support a professional nurse leader or individual in nursing leadership. Consider how the theory shapes the nurse leader in such things as collaboration, conflict resolution, decision making, and negotiation. NUR 514 Assignment Leadership Style Reflective

 

You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Complete the “APA Writing Checklist” to ensure that your paper adheres to APA style and formatting criteria and general guidelines for academic writing. Include the completed checklist as an appendix at the end of your paper.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Course Materials if you need assistance. NUR 514 Assignment Leadership Style Reflective

NUR 513 Discussion Question Two

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NUR 513 Discussion Question Two

Topic 3 DQ 2

Description:

What is your personal worldview? Connect your world view to cultural and spiritual competence. How will your worldview and cultural and spiritual competence affect your future practice and role? Consider both the provision of safe, quality care to diverse populations and interprofessional relationships.

Description

Objectives:

1. Discuss the role of the advanced registered nurse in promoting health and disease prevention for diverse populations.
2. Discuss the impact of diversity, global perspectives, and the advanced registered nurse’s role in
advancing health equity. NUR 513 Discussion Question Two
3. Relate cultural and spiritual competence to the advanced registered nurse’s scope of practice.
4. Determine how your personal worldview may affect your future practice and role.
El Study Materials

Advanced Practice Nursing: Essential Knowledge for the Profession

Description:

Read Chapters 7, 8, and 24 in Advanced Practice Nursing: Essential Knowledge for the Profession.

Diversity Rx

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Description:

Explore the Diversity Rx website.

Tanenbaum Center for lnterreligious Understanding

Description:

Explore the Tanenbaum Center for Interreligious Understanding website.

Description:

Read Chapters 11, 26, and 27 in Advanced Practice Nursing: Essential Knowledge for the Profession.

Leadership in Nursing Practice: Changing the Landscape of Health Care

Description:

Review Chapter 2 in Leadership in Nursing Practice: Changing the Landscape of Health Care.

American Nurses Association – Advanced Practice Nurses

Description:

Explore the Advanced Practice Nurses page of the American Nurses Association (ANA) website.

American Association of Colleges of Nursing – Students

Description:

Explore the Students page of the American Association of Colleges of Nursing website. NUR 513 Discussion Question Two

American Nurses Association

Description:

Explore the American Nurses Association (ANA) website

Advanced Practice Nursing: Essential Knowledge for the Profession

Description:

Read Chapters 7, 8, and 24 in Advanced Practice Nursing: Essential Knowledge far the Profession.

Diversity Rx

Description:

Explore the Diversity Rx website.

Tanenbaum Center for lnterreligious Understanding

Description:

Explore the Tanenbaum Center for Interreligious Understanding website

As an advanced registered nurse in school nursing, I will serve in a low-income and primarily Hispanic community. The Hispanic community faces increased obstacles to obtaining healthcare, higher rates of uninsured, tend to have low educational attainment, higher rates of behavioral risk, higher rates of unemployment, and higher risk for some chronic health conditions (DeNisco, 2021). As a school nurse, I have the unique opportunity to serve the students as well as the community to help promote health and wellness.

I can provide health education to students and their families on healthy lifestyle behaviors such as healthy eating and staying active to promote health and wellness and reduce the risk for chronic health conditions. I can also provide families with anticipatory guidance, parenting tips, and recommendations for wellness/preventative care for students and families. I can help connect families to needed resources so that they can obtain needed health care, including wellness and preventative healthcare, and serve as a care coordinator. I can also provide resources for vision care, hearing care, food, housing, billing assistance, etc. I can provide vision and hearing screenings to students. I can complete a community assessment to determine the needs of the community and then develop health programs to address the community’s unique needs, that incorporate their culture and preferences, to improve the health of the students and community.

We live in a diverse world. The Hispanic population increased by 43% in the United States, making them the fastest-growing population in the United States (DeNisco, 2021). It is important to understand different cultures and have a global perspective, to ensure you are meeting the needs of the patient or community you serve in a culturally sensitive manner, that meets the needs of the patient and not the provider. Taking the time to learn about the Hispanic population I serve, including their culture, values, and beliefs, will help me better understand how to be the healthcare provider they need and thus help reduce inequality. NUR 513 Discussion Question Two

Reference:

DeNisco, S. M. (2021). Advanced practice nursing: Essential knowledge for the profession. (4th ed.) Jones & Bartlett Learning, LLC.

 

https://nursingassignmentcrackers.com/nur-513-discussion-question-two-3/

NUR 6665 Assignment: Practicum Site Information

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NUR 6665 Assignment: Practicum Site Information

NUR 6665 Assignment: Practicum Site Information

 

Photo Credit: EscoLux / E+ / Getty Images

Prior to starting the course, you should have applied for a practicum site following the guidelines for psychiatric-mental health nurse practitioner (PMHNP) practice. Now it is time to make it official. For this Assignment, you provide your Clinical Faculty with information about your practicum site, your Preceptor, and your clinical calendar.

To Prepare

  • Verify that your practicum application has been approved by logging in to Meditrek.
  • Access the Practicum Site Information Form from the Learning Resources.

The Assignment

Complete the designated areas of the Practicum Site Information Form, including your practicum site and contact information, your Preceptor and contact information, and a schedule of when you plan to engage in practicum activities onsite. NUR 6665 Assignment: Practicum Site Information

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By Day 2 of Week 1

Submit your completed Practicum Site Information Form. 

Submit Your Assignment by Day 7 of Week 1.

Introduction

Tell me and I forget, teach me and I may remember, involve me and I learn.
—Xun Kuang, Chinese Confucian philosopher

Welcome to your PMHNP Care Across the Lifespan I Practicum! The practicum experience is an experiential

learning opportunity which allows you to gain and refine your clinical advanced nursing skills under the mentorship of a Preceptor. As you engage with patients in the practicum setting, your involvement will extend your learning about a variety of psychiatric and mental health care needs for patients across the lifespan.

Throughout the next 11 weeks, you will evaluate your skill development, reflect on patient encounters, and generate goals related to your growth as an advanced practice nurse. This week, you start by assessing your strengths and opportunities related to psychiatric-mental health nurse practitioner (PMHNP) clinical skills. 

Learning Objectives

Students will:

  • Complete practicum site form
  • Assess clinical skills related to advanced psychiatric-mental health nursing practice
  • Develop measurable goals and objectives for the practicum experience
  • Describe clinical hours and patient encounters 

 

PRAC – 6665 Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan I Practicum
Week 1: Competencies of Advanced Nursing Practice
What do I have to do? When do I have to do it?
Review your Learning Resources. Days 1–7
Assignment 1: Practicum Site Information Submit Assignment 1 by Day 2.
Assignment 2: Clinical Skills Self-Assessment Submit Assignment 2 by Day 7.
Assignment 3: Clinical Hour and Patient Logs Track your clinical hours and patient encounters in
Meditrek throughout this practicum course. Each week,
your logs must be completed by Day 7. NUR 6665 Assignment: Practicum Site Information
Introduction
Tell me and I forget, teach me and I may remember, involve me and I learn.
—Xun Kuang, Chinese Confucian philosopher
Welcome to your PMHNP Care Across the Lifespan I Practicum! The practicum experience is an experiential learning opportunity which allows you to gain and refine your clinical advanced nursing skills under the mentorship of a Preceptor. As you engage with patients in the practicum setting, your involvement will extend your learning about a variety of psychiatric and mental health care needs for patients across the lifespan.
Throughout the next 11 weeks, you will evaluate your skill development, reflect on patient encounters, and generate goals related to your growth as an advanced practice nurse. This week, you start by assessing your strengths and opportunities related to psychiatric-mental health nurse practitioner (PMHNP) clinical skills.
Learning Objectives
Students will:
• Complete practicum site form
• Assess clinical skills related to advanced psychiatric-mental health nursing practice
• Develop measurable goals and objectives for the practicum experience
• Describe clinical hours and patient encounters
________________________________________
Learning Resources

Required Readings (click to expand/reduce)

American Academy of Child and Adolescent Psychiatry. (2018). CPT code training module. https://www.aacap.org/App_Themes/AACAP/docs/clinical_practice_center/business_of_practice/cpt/2018_CPT_module_revised_March_2018.pdf

American Association of Nurse Practitioners. (2019). Discussion paper: Standards of practice for nurse practitioners. https://storage.aanp.org/www/documents/advocacy/position-papers/StandardsOfPractice.pdf

American Psychiatric Association. (2020). Coding and reimbursement. https://www.psychiatry.org/psychiatrists/practice/practice-management/coding-reimbursement-medicare-and-medicaid/coding-and-reimbursement

American Psychiatric Nurses Association. (2013). Population-focused nurse practitioner competencies. https://www.apna.org/files/Councils/Population-Focused-NP-Competencies-2013.pdf
Note: Review the Psychiatric Mental Health Nurse Practitioner Competencies.

International Council of Nurses. (2020). Guidelines on advanced practice nursing 2020. https://www.icn.ch/system/files/documents/2020-04/ICN_APN%20Report_EN_WEB.pdf. NUR 6665 Assignment: Practicum Site Information

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Meditrek
https://edu.meditrek.com/Default.html
Note: Use this link to log into Meditrek to report your clinical hours and patient encounters.

The National Organization of Nurse Practitioner Faculties
https://www.nonpf.org/

The National Organization of Nurse Practitioner Faculties. (2017). Nurse practitioner core competencies content.
https://cdn.ymaws.com/www.nonpf.org/resource/resmgr/competencies/20170516_NPCoreCompsContentF.pdf

Walden University Academic Skills Center. (2017). Developing SMART goals.
https://academicguides.waldenu.edu/ld.php?content_id=51901492

Walden University Field Experience. (2020a). Field experience: College of Nursing.
https://academicguides.waldenu.edu/fieldexperience/son/home

Walden University Field Experience. (2020b). MSN nurse practitioner practicum manual.
https://academicguides.waldenu.edu/fieldexperience/son/formsanddocuments

Walden University Field Experience. (2020c). Walden University School of Nursing: Practicum orientation and resource guide for students: MSN—nurse practitioner.
https://academicguides.waldenu.edu/StudentPracticum/NP_StudentOrientation

Document: Practicum Site Information Form (Word document)

Document: PMHNP Clinical Skills List (PDF)

Document: PMHNP Clinical Skills Self-Assessment Form (Word document)

________________________________________
Acknowledgment
Practicum Manual Acknowledgment
The Practicum Manual describes the structure and timing of the classroom-based and practicum experiences and the policies students must follow to be successful in the nurse practitioner (NP) specialties.
• Field Experience: MSN Nurse Practitioner Practicum Manual

Click here and follow the instructions to confirm you have downloaded and read the entire MSN Nurse Practitioner Practicum Manual and will abide by the requirements described in order to successfully complete this program. NUR 6665 Assignment: Practicum Site Information

NURS 6053 Discussion: Workplace Environment Assessment

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NURS 6053 Discussion: Workplace Environment Assessment

NURS 6053 Discussion: Workplace Environment Assessment

How healthy is your workplace?

You may think your current organization operates seamlessly, or you may feel it has many issues. You may experience or even observe things that give you pause. Yet, much as you wouldn’t try to determine the health of a patient through mere observation, you should not attempt to gauge the health of your work environment based on observation and opinion. Often, there are issues you perceive as problems that others do not; similarly, issues may run much deeper than leadership recognizes.

There are many factors and measures that may impact organizational health. Among these is civility. While an organization can institute policies designed to promote such things as civility, how can it be sure these are managed effectively? In this Discussion, you will examine the use of tools in measuring workplace civility. NURS 6053 Discussion: Workplace Environment Assessment

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To Prepare:

  • Review the Resources and examine the Clark Healthy Workplace Inventory, found on page 20 of Clark (2015).
  • Review and complete the Work Environment Assessment Template in the Resources.

 

By Day 3 of Week 7

Post a brief description of the results of your Work Environment Assessment. Based on the results, how civil is your workplace? Explain why your workplace is or is not civil. Then, describe a situation where you have experienced incivility in the workplace. How was this addressed? Be specific and provide examples.

By Day 6 of Week 7

Respond to at least two of your colleagues on two different days by sharing ideas for how shortcomings discovered in their evaluations and/or their examples of incivility could have been managed more effectively.

Submission and Grading Information

Grading Criteria

 

To access your rubric:

Week 7 Discussion Rubric

 

Post by Day 3 and Respond by Day 6 of Week 7

 

To participate in this Discussion:

 

Week 7 Discussion

RE: Discussion – Week 7
Collapse

Hi Torie,

Thank you for your discussion post. I am sorry for the way the nurse brought a personal or family matter to work to the extent of threatening you. That is unprofessional and uncivil behavior. Having a healthy work environment has many benefits, ranging from greater job satisfaction to increased productivity among staff members and reduced employee turnover rate. A healthy work environment enables nurses to deliver high-quality patient care (American Association of Critical-Care Nurses, 2020). A healthy work environment includes better nurse staffing and retention, reduced workplace violence, reduced morale, and physical distress.

A healthy work environment can be created and sustained through honest and open communication among staff members and management. Expected behaviors must be communicated to everyone, and the consequences of uncivilized behaviors must also be communicated to the rest of the team members. According to Griffin and Clark (2014), incivility has no place in organizational development, for it is harmful to the work environment. Incivility at the workplace must be addressed to prevent reoccurrence.

Staff members should be encouraged to utilize the Clark Healthy Workplace Inventory to conduct workplace assessments. Clark Healthy Workplace Inventory is used to conduct a workplace assessment and determine how healthy a workplace is (Clark, 2015). The results of this assessment should be communicated to the management level for immediate intervention

 

References

American Association of Critical-Care Nurses (2020). Healthy work environments.

https://www.aacn.org/nursing-excellence/healthy-work-environments

Clark, C.M. (2015). Conversations to inspire and promote a more civil workplace. American

            Nurse Today, 10(11): 18-23.

https://www.myamericannurse.com/wp-content/uploads/2015/11/ant11-CE-Civility-1023.pdf

Griffin, M., & Clark, C. M. (2014). Revisiting cognitive rehearsal as an intervention against

incivility and lateral violence in nursing: 10 years later. Journal of Continuing Education in Nursing, 45(12), 535–542. doi:10.3928/00220124-20141122-02

NURS_6053_Module04_Week07_Discussion_Rubric

Excellent Good Fair Poor
Main Posting
Points Range: 45 (45%) – 50 (50%)

Answers all parts of the discussion question(s) expectations with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources.

Supported by at least three current, credible sources.

Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.
Points Range: 40 (40%) – 44 (44%)

Responds to the discussion question(s) and is reflective with critical analysis and synthesis of knowledge gained from the course readings for the module.

At least 75% of post has exceptional depth and breadth.

Supported by at least three credible sources.

Written clearly and concisely with one or no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.
Points Range: 35 (35%) – 39 (39%)

Responds to some of the discussion question(s).

One or two criteria are not addressed or are superficially addressed.

Is somewhat lacking reflection and critical analysis and synthesis.

Somewhat represents knowledge gained from the course readings for the module.

Post is cited with two credible sources.

Written somewhat concisely; may contain more than two spelling or grammatical errors.

Contains some APA formatting errors.
Points Range: 0 (0%) – 34 (34%)

Does not respond to the discussion question(s) adequately.

Lacks depth or superficially addresses criteria.

Lacks reflection and critical analysis and synthesis.

Does not represent knowledge gained from the course readings for the module.

Contains only one or no credible sources.

Not written clearly or concisely.

Contains more than two spelling or grammatical errors.

Does not adhere to current APA manual writing rules and style.
Main Post: Timeliness
Points Range: 10 (10%) – 10 (10%)
Posts main post by day 3.
Points Range: 0 (0%) – 0 (0%)
Points Range: 0 (0%) – 0 (0%)
Points Range: 0 (0%) – 0 (0%)
Does not post by day 3.
First Response
Points Range: 17 (17%) – 18 (18%)

Response exhibits synthesis, critical thinking, and application to practice settings.

Responds fully to questions posed by faculty.

Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.

Demonstrates synthesis and understanding of learning objectives.

Communication is professional and respectful to colleagues.

Responses to faculty questions are fully answered, if posed.

Response is effectively written in standard, edited English. NURS 6053 Discussion: Workplace Environment Assessment
Points Range: 15 (15%) – 16 (16%)

Response exhibits critical thinking and application to practice settings.

Communication is professional and respectful to colleagues.

Responses to faculty questions are answered, if posed.

Provides clear, concise opinions and ideas that are supported by two or more credible sources.

Response is effectively written in standard, edited English.
Points Range: 13 (13%) – 14 (14%)

Response is on topic and may have some depth.

Responses posted in the discussion may lack effective professional communication.

Responses to faculty questions are somewhat answered, if posed.

Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.
Points Range: 0 (0%) – 12 (12%)

Response may not be on topic and lacks depth.

Responses posted in the discussion lack effective professional communication.

Responses to faculty questions are missing.

No credible sources are cited.
Second Response
Points Range: 16 (16%) – 17 (17%)

Response exhibits synthesis, critical thinking, and application to practice settings.

Responds fully to questions posed by faculty.

Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.

Demonstrates synthesis and understanding of learning objectives.

Communication is professional and respectful to colleagues.

Responses to faculty questions are fully answered, if posed.

Response is effectively written in standard, edited English.
Points Range: 14 (14%) – 15 (15%)

Response exhibits critical thinking and application to practice settings.

Communication is professional and respectful to colleagues.

Responses to faculty questions are answered, if posed.

Provides clear, concise opinions and ideas that are supported by two or more credible sources.

Response is effectively written in standard, edited English.
Points Range: 12 (12%) – 13 (13%)

Response is on topic and may have some depth.

Responses posted in the discussion may lack effective professional communication.

Responses to faculty questions are somewhat answered, if posed.

Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.
Points Range: 0 (0%) – 11 (11%)

Response may not be on topic and lacks depth.

Responses posted in the discussion lack effective professional communication.

Responses to faculty questions are missing.

No credible sources are cited.
Participation
Points Range: 5 (5%) – 5 (5%)
Meets requirements for participation by posting on three different days.
Points Range: 0 (0%) – 0 (0%)
Points Range: 0 (0%) – 0 (0%)
Points Range: 0 (0%) – 0 (0%)
Does not meet requirements for participation by posting on 3 different days.
Total Points: 100

Name: NURS_6053_Module04_Week07_Discussion_Rubric

RE: Discussion – Week 7
COLLAPSE

Workplace Environment Assessment

Working in the emergency department is one of those areas; a healthy work environment is essential. The emergency department is an area with high-stress levels as nurses often experience traumatic events. Maintaining civility in the emergency department is crucial as they provide services to the community that is relied upon (Shakespeare-Finch & Daley, 2017, p. 32).  An organization not only has to promote and maintain civility but address incivility when it arises. The use of the cellphone at the workplace is a distraction and interrupts

Work Environment Assessment

Upon completing the Workplace Environment Assessment, I work in a moderately healthy environment. In the emergency room, I work in, and there are a shared vision and mission. We respect and trust one another during high-stress situations such as traumas and code blues. We collectively communicate well with one another, promoting high-quality healthcare and addressing patient needs. When there is a communication breakdown amongst staff, we tend to go to our separate corners take time to collect thoughts, and come back to discuss the issue at hand. Overall the emergency department functions very well, but outside the realm of the emergency room, that is where things seem to fall short. Several neutrals stemmed from shared governance, conflict resolution skills, salaries, benefits, and career advancement. When there are physician-related issues such as not rounding on patients promptly, being unable to get a hold of physicians, or trying to physicians to comply with standards of care such as the Sepsis bundle, the blame tends to fall back on nursing. This puts nurses and physicians pitted against each other rather than a collaborative effort (Clark, 2015, p. 21). Another hospital in our area gives additional compensation for obtaining certifications such as Certified Emergency Nurse (CEN), but the hospital I work in does not. There is little career advancement as leaders tend to hold positions such as clinical supervisors or directors for many years. Low key points stemmed from a lack of mentorship programs and limited resources for professional growth. NURS 6053 Discussion: Workplace Environment Assessment

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Incivility Incident in the Workplace

Several years ago, I had a patient that had gone across to Mexico to get an abdominoplasty or “tummy tuck.” She had normal vital signs, but her abdominal wall incisions were dehisced, and she had white drainage that was oozing from the wounds. She had computerized tomography of the abdomen and pelvis, labs with blood cultures, urine all exams were within normal limits, so the emergency room physician planned to discharge her. I remember when it was time to release her, she looked uncomfortable and still had drainage from the wounds. I spoke with my charge nurse because I felt she was an unsafe discharge. She told me that it was the doctor’s decision and if he thought she could go home, she could be discharged. For the next hour, I argued with the physician that she needed to be admitted to the hospital, but as I questioned his decision, he started to become upset since I was questioning his judgment. The charge nurse also was getting annoyed that I was delaying the discharge, but I stood my ground.  At that point, I asked him if he had consulted the surgeon on-call he said “NO” he did not. When I suggested this, he told me you know since she had her procedure done in Mexico, no surgeon will be willing to operate on her since her procedure was done somewhere else. I told him that I was ready to discharge her home without hesitation if he consulted the surgeon. Also, I pointed out to him that if the patient did get discharged and returned to the emergency department, the decision would not be on him but the surgeon on call. In the end, the surgeon was paged, and he accepted her under his services. Several days later, I ran into the surgeon, and he told me when he took the patient to the Operating Room, he had to lavage large amounts of drainage, and without surgical intervention, her condition would have been far worse.

Conclusion

Working in the high-stress area incivility will happen, the key is to remain calm, address the situation in a respectful manner. In the example given, a conversation between the physician and me led to a solution that both were content with. Working in the emergency department can be challenging regarding teamwork and communication (Weigl & Schneider, 2017, p. 21).  When engaging in a challenging conversation, choose a safe zone and not in the presence of family and patient (Clark, 2015, p. 19).

References

Clark, C. M. (2015, November). Conversations to inspire and promote a more civil workplace. American Nurse Today, 10, 18-23. Retrieved from https://www.americannursetoday.com/wp-content/uploads/2015/11/ant11-CE-Civility-1023.pdf

Shakespeare-Finch, J., & Daley, E. (2017). Workplace Belongingness, Distress, and Resilience in EmergencyService Workers. Psychological Trauma: Theory, Research, Practice & Policy, 9, 32-35. http://dx.doi.org/ doi:10.1037/tra0000108

Weigl, M., & Schneider, A. (2017, January). Associations of work characteristics, employee strain and self-perceived quality of care in Emergency Departments: A cross-sectional study. International Emergency Nursing, 30, 20-24. http://dx.doi.org/https://doi.org/10.1016/j.ienj.2016.07.002. NURS 6053 Discussion: Workplace Environment Assessment

HLT 302 Grand Canyon Week 4 Assignment Healing Hospital: A Daring Paradigm

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HLT 302 Grand Canyon Week 4 Assignment Healing Hospital: A Daring Paradigm

Consider how the paradigm of a healing hospital might influence your philosophy of caregiving and write an essay of 750-1,000 words that addresses the following:

1- Describe the components of a healing hospital and their relationship to spirituality.

2- What are the challenges of creating a healing environment in light of the barriers and complexities of the hospital environment?

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3- Include biblical aspects that support the concept of a healing hospital.

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.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center. HLT 302 Grand Canyon Week 4 Assignment Healing Hospital: A Daring Paradigm

NURS 8302 Assignment Leadership Assessment

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NURS 8302 Assignment Leadership Assessment

What personal strengths do you have that would make you an effective nurse leader? What potential gaps might you need to address to improve your ability to be an effective nurse leader?

As a future DNP-prepared nurse, you will be called upon as a leader in your field, a leader in your practice, and a leader in your organization. Throughout your program of study, you will develop the skills, strategies, and knowledge to not only harness this role successfully but to do so at a high level of achievement and performance.

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Photo Credit: [Squaredpixels]/[iStock / Getty Images Plus]/Getty Images

However, everyone must acknowledge both their own strengths and weaknesses, as a leader, and identify potential areas of improve to enhance these capabilities.

For this Assignment, you will explore your strengths and potential gaps based on the nurse leadership competencies provided. After assessing your performance, reflect on potential goals you might set to improve as a nurse leader. You will also reflect on how this goal setting and self-examination will not only improve your nursing practice but also your healthcare organization. NURS 8302 Assignment Leadership Assessment

To Prepare:

  • Review the nurse leadership competencies presented in the Learning Resources for this week.
  • Reflect on these competencies, and consider your own personal strengths and potential gaps in relation to these competencies.
  • Consider potential goals for your leadership development in relation to the nurse leadership competencies presented.

The Assignment: (4–5 pages)

  • Explain your self-assessment in relation to the nurse leadership competencies. Be sure to identify your strengths and potential

    gaps in relation to these competencies.

  • Describe at least four goals for nurse leadership development that you would like to pursue, given the results of your self-assessment. Be specific.
  • Explain why these goals are pertinent to your development as a nurse leader. How will developing these leadership competencies support your healthcare organization or nursing practice? Be specific.

Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at https://academicguides.waldenu.edu/writingcenter/templates/general#s-lg-box-20293632). All papers submitted must use this formatting.

By Day 7

Submit your Assignment by Day 7 of Week 9.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

  • Please save your Assignment using the naming convention “WK9Assgn+last name+first initial.(extension)” as the name.
  • Click the Week 9 Assignment Rubric to review the Grading Criteria for the Assignment.
  • Click the Week 9 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.
  • Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK9Assgn+last name+first initial.(extension)” and click Open.
  • If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database. NURS 8302 Assignment Leadership Assessment
  • Click on the Submit button to complete your submission.

Grading Criteria

To access your rubric:

Week 9 Assignment Rubric

 

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

Submit your Week 9 Assignment draft and review the originality report.

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Submit Your Assignment by Day 7 of Week 9

 

To participate in this Assignment:

Week 9 Assignment

Rubric Detail

Select Grid View or List View to change the rubric’s layout. NURS 8302 Assignment Leadership Assessment

Content

Name: NURS_8302_Week9_Assignment_Rubric

  Excellent Good Fair Poor
Explain your self-assessment in relation to the nurse leadership competencies. 

Be sure to identify your strengths and potential gaps in relation to these competencies.

 Points Range: 32 (32%) – 35 (35%) 

The response accurately and clearly explains in detail the self-assessment in relation to the nurse leadership competencies.

The response includes an accurate and complete identification of the strengths and potential gaps in relation to the nurse leadership competencies.

 Points Range: 28 (28%) – 31 (31%) 

The response accurately explains the self-assessment in relation to the nurse leadership competencies.

The response includes an accurate identification of the strengths and potential gaps in relation to the nurse leadership competencies.

 Points Range: 25 (25%) – 27 (27%) 

The response inaccurately or vaguely explains the self-assessment in relation to the nurse leadership competencies.

The response includes inaccurate or vague identification of the strengths and potential gaps in relation to the nurse leadership competencies.

 Points Range: 0 (0%) – 24 (24%) 

The response inaccurately and vaguely explains the self-assessment in relation to the nurse leadership competencies, or it is missing.

The response includes inaccurate and vague identification of the strengths and potential gaps in relation to the competencies nurse leadership competencies, or it is missing.
Describe at least four goals for nurse leadership development that you would like to pursue, given the results of your self-assessment. Be specific. Points Range: 23 (23%) – 25 (25%) 

The response comprehensively and fully describes in detail four goals for leadership development.

 Points Range: 20 (20%) – 22 (22%) 

The response describes four goals for leadership development.

 Points Range: 18 (18%) – 19 (19%) 

The response inaccurately or vaguely describes four goals for leadership development.

OR

The response describes less than four goals.

 Points Range: 0 (0%) – 17 (17%) 

The response inaccurately and vaguely describes four goals for leadership development, or it is missing
Explain why these goals are pertinent to your development as a nurse leader. Explain how the development of these leadership competencies support your healthcare organization or nursing practice. Be specific. Points Range: 23 (23%) – 25 (25%) 

The response accurately and comprehensively explains in detail how the goals outlined are pertinent to the development of a nurse leader.

The response clearly and accurately explains in detail how these competencies support their healthcare organization or nursing practice.

 Points Range: 20 (20%) – 22 (22%) 

The response accurately explains how the goals outlined are pertinent to the development of a nurse leader.

The response explains how these competencies support their healthcare organization or nursing practice.

 Points Range: 18 (18%) – 19 (19%) 

The response inaccurately or vaguely explains how the goals outlined are pertinent to the development of a nurse leader.

The response inaccurately or vaguely explains how these competencies support their healthcare organization or nursing practice.

 Points Range: 0 (0%) – 17 (17%) 

The response inaccurately and vaguely explains how the goals outlined are pertinent to the development of a nurse leader, or it is missing.

The response inaccurately and vaguely explains how these competencies support their healthcare organization or nursing practice, or it is missing.
Written Expression and Formatting—Paragraph Development and Organization:
Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria.		 Points Range: 5 (5%) – 5 (5%) 

Paragraphs and sentences follow writing standards for flow, continuity, and clarity. NURS 8302 Assignment Leadership Assessment

A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria.

 Points Range: 4 (4%) – 4 (4%) 

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. Purpose, introduction, and conclusion of the assignment is stated, yet is brief and not descriptive.

 Points Range: 3.5 (3.5%) – 3.5 (3.5%) 

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time.

Purpose, introduction, and conclusion of the assignment is vague or off topic.

 Points Range: 0 (0%) – 3 (3%) 

Paragraphs and sentences follow writing standards for flow, continuity, and clarity less than 60% of the time.

No purpose statement, introduction, or conclusion was provided.
Written Expression and Formatting – English writing standards:
Correct grammar, mechanics, and proper punctuation		 Points Range: 5 (5%) – 5 (5%) 

Uses correct grammar, spelling, and punctuation with no errors.

 Points Range: 4 (4%) – 4 (4%) 

Contains a few (1 or 2) grammar, spelling, and punctuation errors.

 Points Range: 3.5 (3.5%) – 3.5 (3.5%) 

Contains several (3 or 4) grammar, spelling, and punctuation errors.

 Points Range: 0 (0%) – 3 (3%) 

Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list. Points Range: 5 (5%) – 5 (5%) 

Uses correct APA format with no errors.

 Points Range: 4 (4%) – 4 (4%) 

Contains a few (1 or 2) APA format errors.

 Points Range: 3.5 (3.5%) – 3.5 (3.5%) 

Contains several (3 or 4) APA format errors.

 Points Range: 0 (0%) – 3 (3%) 

Contains many (≥ 5) APA format errors.

Healthcare Facility as an Administrator Assignment

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Healthcare Facility as an Administrator Assignment

Conflict in the workplace might be inevitable, as employees have different personalities, goals, and opinions. Learning how to handle conflicts efficiently is the key to preventing it from hindering employees’ professional growth. This week, you will identify and apply an appropriate conflict resolution model to solve a real-life workplace conflict scenario. Healthcare Facility as an Administrator Assignment

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Imagine that you were newly hired at a healthcare facility as an administrator. In your first few days at work, you came to learn that there was a major conflict occurring between employees and they had formed two opposing groups. Each side did not get along with the other and they had banded together in an “us vs. them” mentality. Furthermore, the employees involved were resistant to solving any issues and the supervisor, along with other management staff, was aware of the problem but chose not to intervene. In your first week at work, you realize that the organization has no conflict resolution policy. After bringing it to your supervisor’s notice he makes it your first assignment.

In a 2-3 page paper present an executive summary of a conflict resolution plan explaining the key steps that will be implemented to help the current conflicting parties to reach a peaceful resolution. Healthcare Facility as an Administrator Assignment

DNP 960 Topic 6 DPI Project – Working Draft Chapter 4 or Negotiated Progress Deliverable

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DNP 960 Topic 6 DPI Project – Working Draft Chapter 4 or Negotiated Progress Deliverable

Once IRB approval for your Proposal is obtained, learners will commence the implementation phase of the DPI Project. For the remainder of the course, learners are expected to develop working drafts of Chapters 4 and 5 of the final DPI Project. These chapters will undergo further revision in DNP-965 with the requirement that the entire DPI Project will be submitted to the DPI Committee at the end of DNP-965. DNP 960 Topic 6 DPI Project – Working Draft Chapter 4 or Negotiated Progress Deliverable

If there is a delay in obtaining IRB approval, extensive revisions are required, or implementation issues arise that affect scheduled completion of DPI Project chapters, learners may not be able to submit DPI Project deliverables as prescribed in this course and may negotiate a progress deliverable instead. Dependent upon the development and progress status of the DPI Project at this time, students will submit one of the following options in this topic, as described below:

  • OPTION 1: DPI Project – Working Draft Chapter 4
  • OPTION 2: Negotiated Progress Deliverable

General Requirements:

For both deliverable options, use the following information to ensure successful completion of the assignment:

  • Remember to use the appropriate forms and templates (if required) for completing this assignment. These are available on the PI Workspace of the DC Network.
  • APA format is required for essays only. Solid academic writing is always expected. For all assignment delivery options, documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
  • This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion
  • You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center. DNP 960 Topic 6 DPI Project – Working Draft Chapter 4 or Negotiated Progress Deliverable

OPTION 1: DPI Project – Working Draft Chapter 4:

Submission of the completed DPI Project – Working Draft Chapter 4 is the recommended deliverable to progress through the DPI Project implementation phase.

  1. Locate the “Final DPI Project Template” in the PI Workspace area of the DC Network and utilize it to develop and submit initial and ongoing working versions of Chapter 4 of your DPI Project.
  2. Review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

OPTION 2: Negotiated Progress Deliverable:

If you are unable to submit the above deliverable, you and your chair will have negotiated a Topic 6 Negotiated Progress Deliverable for this topic and included it in your Individual Success Plan (ISP) in Topic 1. You will submit the intended deliverable in this topic for the purpose of grading.

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Locate your completed “Individual Success Plan” (ISP) document from Topic 1 of this course. Use it to determine what deliverable must be submitted during this topic.

  1. Complete the DPI Project deliverable planned for this topic.
  2. Review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Portfolio Practice Hours:

Practice immersion assignments are based on your current course objectives, and are intended to be application-based learning using your real-world practice setting. These assignments earn practice immersion hours, and are indicated in the assignment by a Portfolio Practice Hours statement that reminds you, the learner, to enter in a corresponding case log in Typhon. Actual clock hours are entered, but the average hours associated with each practice immersion assignment is 10. DNP 960 Topic 6 DPI Project – Working Draft Chapter 4 or Negotiated Progress Deliverable

You are required to complete your assignment using real-world application. Real-world application requires the use of evidence-based data, contemporary theories, and concepts presented in the course. The culmination of your assignment must present a viable application in a current practice setting. For more information on parameters for practice immersion hours, please refer to DNP resources in the DC Network. DNP 960 Topic 6 DPI Project – Working Draft Chapter 4 or Negotiated Progress Deliverable

To earn portfolio practice hours, enter the following after the references section of your paper:

PSY 402 Topic 2 Brain and Nervous System Presentation

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PSY 402 Topic 2 Brain and Nervous System Presentation

Details:
Create a PowerPoint presentation (9-12 slides) that outlines the basic functions of the brain and nervous system. Be sure to address the following issues in your presentation:

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  •  Brain: Illustrate the major lobes of the brain as well as the areas in the sub-cortex. A brief description of the function of each component should be included.
    1. Show the gross anatomy of the brain.
    2. Show both the neurons and various types of glial cells.
    3. Identify the structure of a neuron.
  • Nervous System: Illustrate the major components of the nervous system (Central/Peripheral, Autonomic/Somatic, and Sympathetic/Parasympathetic). Also, include the basic functions of each section, along with the basic functions of neurons.
    1. Show the gross anatomy of the nervous system
    2. Show synaptic transmission
    3. Explain what happens to cells during an action potential

Speaker notes, of 50-75 words, are required for each slide. The title and reference slide do not count toward the total slide count. PSY 402 Topic 2 Brain and Nervous System Presentation

You are required to use a minimum of four to six scholarly resources.

While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center. PSY 402 Topic 2 Brain and Nervous System Presentation