HCS 430 Health Care Laws and Regulatory Issues

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Research and identify one article or a current legal case within the last 3 to 5 years (e.g., an issue that went to court to have the court determine the outcome) that involves one of the following issues:

  • A regulatory issue in health care
  • A regulatory issue specific to institutional health care

Write a 350- to 700-word paper that includes the following:

  • Summarize the case or article.
  • Define a law involved with the chosen regulatory issue from a state level (choose one common state) and a federal level.
    • Explain how and why the law was created.
  • Consider what you have read in the article or legal case on the selected regulatory issue, and explain the impact the regulatory issues and trends have on the health care industry.

Cite 1 peer-reviewed, scholarly, or similar reference to support your paper.

Format your assignment according to APA guidelines.

Conflict Resolution Paper

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Purpose

The purpose of this assignment is to learn how to identify and effectively manage conflicts that arise in care delivery settings resulting in better management of patient care, including appropriate delegation. You will gain insight into conflict management strategies and develop a plan to collaborate with a potential nurse leader about the conflict and its impact in a practice setting.

Directions

  1. Read Finkelman (2016), Chapter 13: Improving Teamwork: Collaboration, Coordination, and Conflict Resolution, section on Negotiation and Conflict Resolution, pp. 324-333.
  2. Write a 7 page paper (not including the title or References pages).  Follow APA format. Consult your APA manual, and consider using the APA resources provided by Chamberlain. Cite the course textbook and two scholarly sources. You are required to complete this assignment using the productivity tools required by Chamberlain University, which is Microsoft Office Word 2013 (or later version), or Windows and Office 2011 (or later version) for MAC. You must save the file in the “.docx” format. Do NOT save as Word Pad. A later version of the productivity tool includes Office 365, which is available to Chamberlain students for FREE by downloading from the student portal at http://my.chamberlain.edu  (Links to an external site.)Links to an external site.  Click on the envelope at the top of the page.
  3. Observe nurses in a care delivery setting. Identify a recurring conflict with the potential to negatively impact patient care. This should be from your practice setting or prelicensure experiences.
  4. Provide details of what happened, including who was involved, what was said, where it occurred, and what was the outcome that led you to decide the conflict was unresolved.
  5. REVIEW AND DISCUSS the four stages of conflict as found in Finkelman. IDENTIFY AND EXPLAIN how the stages of conflict relate to the example in your workplace.Do not use direct quotes.
  6. Describe how you would collaborate with a nurse leader to reach consensus on the best strategy to deal with the conflict. Besides the textbook, the paper needs to summarize conflict resolutions from two scholarly articles. 
  7. Describe the rationale for selecting the best strategy.
  8. Provide a summary or conclusion about this experience or assignment and how you may deal with conflict more effectively in the future.

Textbook:

Finkelman, A. (2016). Leadership and management for nurses: Core competencies for quality care (3rd ed.). Boston, MA: Pearson.

DQ

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Why is the concept of family health important? Consider the various strategies for health promotion. How does a nurse determine which strategy would best enable the targeted individuals to gain more control over, and improve, their health?

Communication and Education to Promote Change

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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.

Need Response to below discussion

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APA format 2 pages long 3 references 1 from walden university library

Due 3/20/19 at 7pm

 

Impact of Internal Factors on Development and Approval of Curriculum

Impact of Internal Factors

As a bone marrow transplant (BMT) coordinator, education of our patients and their caregivers is our most important role.  When we prepare a patient for their admission for their BMT, we plan a family conference that includes discussing and signing consents as well as going over general restrictions that will be required when the patient is discharged.  As the number of autologous transplants increased for Multiple Myeloma (MM) patients, we found we had less and less time to go over educational materials.  About two years ago, we decided to develop a MM school to help rectify this problem.  This would be a once a month class (in the beginning) and patients and their caregivers would attend.

Internal Factors

We pitched it to administration as a need justified by the increasing patient population as well as the idea that a better prepared patient and caregiver could equate to a decreased length of stay (LOS) as an inpatient.  As our first internal factor, decreasing inpatient LOS is and had been a goal of the hospital related to initiatives by CMS (CMS.gov, 2017).  We were given the go-ahead by administration.

The second internal factor that affected if we could start the school was related to resources (Keating & DeBoor, 2018).  Having a conference room with AV equipment available once a month could be a struggle since there was always issues with lack of space.  We were able to find an appropriate room at an odd time that would be big enough for 20 or more patients and caregivers.  Having enough coordinators to teach the class was our third internal factor (Keating & DeBoor, 2018).  There were two coordinators who were willing to teach the class and I was the back-up.

The actual curriculum was a power point presentation adapted from our BMT patient manual.  Having the visual aid was important to us to encourage interest in the material and retention of the information by the patient and caregiver (Shabiralyani et al., 2015).  We presented it to our MM physicians for input and critique and it was enthusiastically accepted.  Having the class would help the physicians – they would not have to go over basic instructions and could focus on the more complicated information.

Summary

Internal factors that impact starting a program can be daunting.  But if the need is justified without negative implications, it can be approved quicker than may be expected.  In the case of MM school, it would be good for the patients and caregivers, good for administration and their goal, and good for the providers in giving them more time to discuss other issues with their patients.

Note:  MM school is going strong with good attendance.  It is now twice a month, with the second class being offered on Saturdays.  The curriculum is revised annually with input from patients, caregivers, social workers, and the inpatient staff.  We are now working on a poster presentation of how it was started and how well it has worked for a future nursing conference.

References

CMS.gov (2017).  Outcome Measures.  Retrieved from https://www.cms.gov/medicare/Quality-

Initiatives-Patient-Assessment-Instruments/HospitalQualityInits/outcomeMeasures.html

Keating, S.B. & DeBoor, S.S. (Ed.). (2018).  Curriculum, Development, and Evaluation in

Nursing (4th Ed.).  New York, NY:  Springer.

DB 6 w 12 research

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Check attached file

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    db6w12resear

Legislation Testimoney/Advocacy Statement

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The Assignment: (1- to 2-page Comparison Grid; 1- to 2-page Legislation Testimony/Advocacy Statement)

Part 1: Legislation Comparison Grid

Based on the health-related bill you selected, complete the Legislation Comparison Grid Template. Be sure to address the following:

  • Determine the legislative intent of the bill you have reviewed.
  • Identify the proponents/opponents of the bill.
  • Identify the target populations addressed by the bill.
  • Where in the process is the bill currently? Is it in hearings or committees?
  • Is it receiving press coverage?

Part 2: Legislation Testimony/Advocacy Statement

Based on the health-related bill you selected, develop a 1- to 2-page Legislation Testimony/Advocacy Statement that addresses the following:

  • Advocate a position for the bill you selected and write testimony in support of your position.
  • Describe how you would address the opponent to your position. Be specific and provide examples.
  • Recommend at least one amendment to the bill in support of your position.
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    USW1_NURS_6050_LegislationComparisonGridTemplate1.doc

05684 -1- Page within 6Hrs

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#05684 Topic: Community Assessment

Number of Pages: 1 (Double Spaced)

Number of sources: 1

Writing Style: APA

Type of document: Coursework

Academic Level:High School

Category:   Nursing

Language Style: English (U.S.)

Order Instructions: ATTACHED

  • attachment

    05684.txt

DB Response to Sage with 2 new references in APA format

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In this discussion we will talk about out expected change outcomes and implantation process outcomes. We will focus on our outcome’s management. “The principles supporting outcomes management (OM) ascribed by Ellwood included emphasizing practice standards that providers can use to select interventions, measuring patient functional status, well-being, and disease-specific clinical outcomes, pooling outcome data on a massive scale, analyzing and disseminating outcomes, in relation to the interventions used, to appropriate decision makers and stakeholders” (LoBiondo-Wood, Haber, 2014, pg. 225)

Expected Change Outcomes

Our expected outcome would be patients with COPD who practice relaxation techniques versus not using relaxation techniques would see an improvement in their dyspnea and anxiety in a years’ time. Our goal would to be better control our patient’s COPD and decrease exacerbations and dyspnea. Also, to decrease the scores on the patients PHQ-9 and GAD-7 questionnaires. In doing so we would have less re-admissions to hospitals and a better quality of life. Our measurable goal would to have a decrease in admission to the hospital for COPD exacerbations. This would be measured by looking at how many times a patient was admitted to the hospital in the previous year and try to decrease this number. Then we would compare it to how many times she was hospitalized after educating them on relaxation techniques to see if the number of admissions decreased

Implementation Process Outcomes

The implementation process will be that every nurse will be doing both the education and screenings by the first week once we make the change in practice. The nurse manager will ensure that all nurses are educated on the relaxation techniques and screenings, and that they are being done with every COPD admission. By the second appointment for the COPD patients, our patients will be screened on performing the relaxation techniques correctly, PHQ-9, GAD-7 questionnaires, and if the patient has been to the hospital for a COPD exacerbation. We will continue to do these screenings at every appointment. We will see our COPD patients every 3 months to evaluate. We will see them at the end of the year and compare their current numbers to their numbers in the beginning of the year. Our nurses will have quarterly meetings to ensure everyone is teaching their relaxation techniques correctly and are doing their questionnaires. Specific barriers that we could run into is nursing staff rushing through the demonstration of the relaxation techniques and rushing the patients during their PHQ-9 and GAD-7questionsairs. This will be eliminated by giving the nurses more time when checking in COPD patients.

Reference

LoBiondo-Wood, G., & Haber, J. (2014). Nursing research: Methods and critical appraisal for   evidence-based practice (8th ed.). St. Louis, MO: Mosby Elsevier. ISBN-13: 978-0-323-      10086-1

05685 -1- Page within 6Hrs

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05685 Topic: Strengths and Weaknessess

Number of Pages: 1 (Double Spaced)

Number of sources: 1

Writing Style: APA

Type of document: Coursework

Academic Level:Undergraduate

Category:   Nursing

Language Style: English (U.S.)

Order Instructions: ATTACHED

  • attachment

    05685StrengthsandWeaknessess.txt