Nursing Archives - Page 131 of 134

What is the primary means of physical assessment for identifying myocardial infarction and angina?

EBP

What is the primary means of physical assessment for identifying myocardial infarction and angina?

What are the causes and differences of the two?

According to evidence-based practice (EBP), what are the best methods of treatment for achieving optimum health outcomes with both of these conditions?

Utilize sources within 5 years

What situation would be appropriate to address in your work setting? How would you assess the needs and identify appropriate interventions for change?

Intervention Strategy

Develop a written intervention strategy, 4-pages in length, that can be applied to the resolution or management of a nursing leadership problem.

Introduction

Note:

Complete Assessments 1 and 2 before beginning this assessment. You will choose one of the leadership problems illustrated in the associated case study scenarios presented in those assessments as the focus in this assessment.

Successful leadership strategies derive from each leader’s strengths, the situation at hand, the environment, and key stakeholders’ involvement. Decision making, problem solving, and critical thinking are learned skills and constitute the criteria by which expertise is judged. In addition to these skills, a solid grounding in leadership theory and strategies, as well as an awareness of how health care policy and legislation can influence such strategies, will better prepare you to respond to a wide range of leadership situations.

This assessment provides an opportunity for you to develop your own innovative approach to resolving or managing a leadership problem, informed by applicable leadership theories and strategies and your assessment of how current health care policy, legislation, and change models might influence that approach.

Preparation

As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.

Consider a bill from the ANA’s Policy & State Government Affairs program or another professional nursing association.

ANA. (n.d.). Practice & advocacy: State. https://www.nursingworld.org/practice-policy/advocacy/state/

What impact would this bill have on nursing practice, whether or not it passed?

Imagine that you are in charge of a specialty area in your organization and tasked with developing collaborative, cost-effective, and innovative strategies to facilitate positive change.

What situation would be appropriate to address in your work setting?
How would you assess the needs and identify appropriate interventions for change?

Is the intervention cost-effective?

How does the intervention align with the overall organizational culture?
Review the case study scenarios from Assessments 1 and 2:

Sleeping on the Job:

A Managerial Challenge [DOCX].
Managing the Toxic Leader [DOCX].

Choose either one of the leadership problems presented in these case studies.

Then, explore an intervention strategy, based on your evaluation of applicable leadership theories or strategies in the literature, that could be applied to the resolution or management of the problem.

Instructions

Develop an intervention strategy to resolve or manage a nursing leadership problem.

Supporting Evidence
Cite at least 5 sources of credible scholarly or professional evidence to support your strategy.

Intervention Strategy Development
Note:

The requirements outlined below correspond to the grading criteria in the Intervention Strategy Scoring Guide. Be sure that your strategy addresses each point, at a minimum. You may also want to read the scoring guide to better understand how each criterion will be assessed.

Identify a leadership theory or strategy most applicable to resolving or managing your chosen nursing leadership problem.

Evaluate the theories and strategies you have read about and are already familiar with.

Examine new theories and strategies, as desired. Focus your research on the scholarly and professional literature that can be found in the Capella library or on the Internet.

What is the theory or strategy?

What are the characteristics of the theory or strategy? What does it involve?

Why did you choose that particular theory or strategy?

Explain how your chosen leadership theory or strategy can be applied to resolve or manage your chosen nursing leadership problem.

Provide examples from the literature to support your explanation.

How has the theory or strategy been applied in similar situations?

Explain how consideration of an organizational change model influences your intervention strategy.

How can effective change leadership help build a health care organization’s or system’s capacity for health promotion and facilitate attainment of

organizational goals?
Explain how health care policy and legislation might affect the resolution or management of the problem.

What health care policies or legislation might have an impact?
What would that impact be?

Write clearly and concisely, using correct grammar and mechanics.
Express your main points and conclusions coherently.
Proofread your writing to minimize errors that could distract readers and make it more difficult to focus on the substance of your analysis.
Support your main points, claims, and conclusions with credible scholarly or professional evidence, correctly formatting citations and references using current APA style.

Additional Requirements

Format your document using APA style.

Use the APA Style Paper Tutorial [DOCX] to help you in writing and formatting your document. Be sure to include:

A title page and reference page. An abstract is not required.
A running head on all pages.

Appropriate section headings.

Your document should be 4–pages in length, not including the title page and references page.

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

Competency 1:

Evaluate theories and practices of leadership and management for professional nursing practice.

Identify a leadership theory or strategy that has some applicability to resolving or managing a particular nursing leadership problem.

Explain how a particular leadership theory or strategy can be applied to resolve or manage a nursing leadership problem.

Competency 2:

Analyze how organizational goals, models of patient care delivery, and systems models affect health care service delivery.

Explain how consideration of an organizational change model influences an intervention strategy.

Competency 3:

Analyze the impact of health care policy, legal and regulatory, and quality control on health care delivery and patient outcomes.

Explain how health care policy and legislation might affect the resolution or management of a nursing leadership problem.

Competency 4:

Communicate effectively across disciplines, demonstrating respect for self and others.

Write clearly and concisely, using correct grammar and mechanics.
Support main points, claims, and conclusions with scholarly or professional evidence, correctly formatting citations and references using current APA style.
SCORING GUIDE

Use the scoring guide to understand how your assessment will be evaluated.

Resources
• Batras, D., Duff, C. & Smith, B. J. (2014). Organizational change theory: Implications for health promotion practice. Health Promotion International, 31(1), 231–241.

• A review of selected organizational change models to identify the most pertinent insights for health promotion practitioners.

• Chiocchio, F., Rabbat, F., & Lebel, P. (2015). Multi-level efficacy evidence of a combined interprofessional collaboration and project management training program for healthcare project teams. Project Management Journal, 46(4), 20–34.

• Provides initial benchmark measures regarding the pertinence of project management and interprofessional collaboration training for health care project teams.

• Cianelli, R., Clipper, B., Freeman, R., Goldstein, J., & Wyatt, T. H. (2016).

The innovation road map: A guide for nurse leaders [PDF]. https://www.aonl.org/
• An infographic presenting key concepts in innovation for health care leaders.

This resource will be useful for all of the assessments in this course.

• American Nurses Association. (2015). Code of ethics for nurses with interpretive statements.

• ANA. (n.d.). Practice & advocacy: State. https://www.nursingworld.org/practice-policy/advocacy/state/

• Assessment 3 Context [DOCX].

• This addresses the role of nursing in influencing health care policy and legislation from an ethical perspective.

Write a paragraph listing a simple explanation of four caring behaviors that will make the work environment a more caring environment.

Caring

Caring Assignment
Answer the following questions.

Each paragraph should be a minimum of 4 sentences each, 12-point font, double spaced lines.

1. List five examples of transpersonal caring related to your personal, classroom, or clinical experiences.

Write a paragraph about each experience.

Consider the following items:

a. What made it a transpersonal experience?

b. List the characteristics or behavior and feelings that occurred during the transpersonal caring moment.

Did it happen to you or was it observed?

What was your personal reaction?

2. Write a paragraph listing a simple explanation of four caring behaviors that will make the work environment a more caring environment.

Examples of things that could be listed are:

a. Being on time

b. Being organized/prepared

c. Participating as a team player

d. Not taking part in workplace gossip

3. Write a one-page essay defining your personal motivation for attending school to become a licensed practical nurse.

This assignment should be a well-thought out essay that explains, in an organized manner, the motivational drive of the student.
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Which article have you selected to analyze for the final project?What is the hypothesis in this article?

Food Environments and Obesity: Household Diet Expenditure Versus Food Deserts

In your journal assignment, address the following for the primary article (article is attached) in your selected set:

1∙ Which article have you selected to analyze for the final project?

2∙ What is the purpose of this article?

3∙ What are the research question(s) asked in this article?

4∙ What is the hypothesis in this article?

What would you like to know more about the topic?Do you think the topic is under-appreciated or underreported? Or has it been reported on recently?

Peer Review on Topic Submission

You are asked to peer review the student’s topic submissions below. For the topic submission, respectfully comment on:

• What parts of the topic submission do you like?

• Do you think the topic is under-appreciated or underreported? Or has it been reported on recently?

• Do you find any parts of the topic submission confusing?

• Do you have any helpful, constructive suggestions about how to make the topic submission even more engaging/interesting?

• What would you like to know more about the topic?

Topic Submission

The central topic of our talk is going to be about LVADs (Left Ventricular Assist Device).We thought it would be interesting because we both currently work in the cardiothoracic telemetry unit. We get patients with LVADs, but because we are new nurses, we do not have a lot of knowledge about it. We thought it would be great to know more about current contraptions like the LVADs that can help prolong an important organ and evidently prolong someone’s life. It is a device that mainly benefits a certain group (geriatric and/or with related cardiac problems).

What is the most important characteristic for effective leadership? (List the five most important characteristics and then make a case for the most important of these five.)

The Ideal Leader

Consider your existing convictions about ideal leaders in light of the readings and resources you have explored thus far in this course.Construct a short 2-page (500 words) APA styled paper guided by the following questions:
• Think of a good leader that you have known, what makes that person an effective leader?

• What is the most important characteristic for effective leadership? (List the five most important characteristics and then make a case for the most important of these five.)

• Do you feel that leadership can be learned, or is it an innate skill?

• How do/should effective leaders work with and participate in teams?

• What career-related questions or concerns do you have as nurses with regard to leadership?

Readings

8 Major Leadership theories: Strengths, Weaknesses and Examples

Two attached PDF files

Describe how a researcher determines the sampling criteria (inclusion and exclusion criteria) for a study.how you would establish validity or reliability in a research study you would conduct.

1. Analyze the terms validity and reliability and their meaning in quantitative research.

Give an example of how you would establish validity or reliability in a research study you would conduct.

2. Describe how a researcher determines the sampling criteria (inclusion and exclusion criteria) for a study.

200 WORDS EACH
2 REFERENCES EACH, WITHIN 5 YEARS, PEER REVIEWED

Discuss how the values of recovery are developed and integrated into professional practice

Concepts of Engagement: Empowerment and Recovery

Mental Health Nurses have a responsibility for developing mental health practice which works towards implementing the values and principles of empowerment and recovery.

Using recovery literature critically discuss how the values of recovery are developed and integrated into professional practice

Describe how your project will improve services or outcomes and distinguish the organization from their competitors.

Innovative Healthcare Initiative

Your Business Case Plan should be based on the information that you learn within your clinical facility. Be sure to review the mission, vision, and values to understand the organizations purpose and culture. Based on your interpretation of the organization, what opportunities have you discerned that could improve their services?

Remember, you are not writing a BCP for a board of directors; that would take more time and resources than we have at our disposal and exceeds the boundaries of this course.

However, you are expected to follow the outline of the BCP and provide the required elements as outlined in the assignment instructions and grading rubric.

See the Course Schedule for the due date. Follow the guidelines below to complete your Business Case Plan.

Review the Business Case Plan Rubric [DOCX] for grading criteria and guidelines for creating your plan.
Use the following headings in your plan:

Executive summary

The primary purpose of the executive summary, the first section of the BPC, is to provide a condensed overview of the main document and capture the attention of the reader(s), and key stakeholder(s)

While the executive summary is the first section of a BCP, it should be written after you complete the other sections; remember it summarizes the entire presentation.

Define the Proposal
The purpose of this should be enumerated in three subsections:

1) Provide a factual summary of the current situation or environment;

2) Provide a clear analysis of the problem; and

3) Identify the solution. It is important to provide the reader with a clear picture of why you are making this proposal and then to help them understand the problem.

It is vitally important to align the organization’s mission, vision, and goals with your proposal

Clearly portray your solution to the problem through a relatively succinct description

Describe how your project will improve services or outcomes and distinguish the organization from their competitors.

Presentation of Options

This section focuses on brainstorming ideas and identifying alternative solutions to address and resolve the identified problem.; you are presenting the reader with options.

At a minimum, present the reader with two additional options to counterbalance the proposed option.

If one of your choices includes a status quo option, one that requires no change from the current situation, it is important to connect the consequences of doing so with the organization and how it will or will not address the problem being faced.

Market Analysis and Opportunity

This section will focus on the environment in which you plan to establish and grow your proposed idea(s) if approved. The market analysis may be internal (within your organization) or external (within the community environment).

Most nursing proposals are based upon inter-organizational (internal) analysis rather than external analysis.

Goals and Objectives

Consider what it is that you want to accomplish with this proposal Clearly describe your expectations for success and how that success will be identified and measured for key stakeholders.

Goals are generally broad and long-term as they determine the direction that you want to take.

Objectives are more detailed and define the specific, measurable actions that must be taken to achieve the overall goal.

It is important that goals and objectives are written in specific, measurable, and time-bound terms.

You may have multiple objectives that support the achievement of one goal.
Performance measures are the strategies that define the how, the actions, taken to meet identified objectives. They quantitatively assess each objective.

Each objective may have one or more performance measures that are used to determine if the objective has been achieved or not.

Implementation Plan and Timeline

Building on the identified goals and objectives, it is important to develop a detailed implementation plan that includes important milestones and deliverables with expected dates of completion.

Follow up any narrative descriptions of the implementation plan with a table to illustrate data

Key stakeholders will need to understand the resources required to implement the project in terms of financial, physical, and human capital support

Evaluation of the Program

This section will describe the evaluation plan for on-going assessment, measurement, and assurance of quality outcomes.
Performance measures should include both financial and service outcomes in their metrics for measurement and align with established goals and objectives for the proposal.

Financial Data and Projections

In this section you will need to provide a comprehensive financial picture of the project with budgetary assumptions and performance expectations clearly outlined.

In nursing, the BCP is typically focused on services, interdepartmental improvements or changes. As such, the financial analysis for the interdepartmental proposal has focused on expected revenue in the form of improved reimbursement or expanded service lines.

Projected costs of the proposed project- renovation of physical space, equipment, and salaries are offset by cost savings in decreased overtime or premium pay or better reimbursement rates.

This information will help you and your key stakeholders to decide if your proposal is worth initiating, or if you need to reevaluate key assumptions. It is important to prepare projections that both realistic and inclusive, but also account for any known financial risks.

Identify Risks Key stakeholders and decision makers will be looking for a comprehensive analysis of risk that addresses three aspects:

1) a detailed discussion of risks related to the identified problem as noted in the Proposal section,

2) a detailed discussion of risk as they relate to each of the identified options noted in the Presentation of Options section, and

3) describe risks in terms of proceeding or not proceeding with your proposal. Risks should be described in easy to define terms and address the likelihood of their occurrence.
Consider threats and opportunities that you identified in the Market

Analysis and provide a discussion of them here.
Benefits can be defined as savings in terms of revenue, productivity, and improved reimbursement rates that are the result of improving outcomes and achieving greater efficiency in processes.

Recommendation – Based on the financial analysis, present your final recommendation and explain your rationale. Highlight the benefits and costs involved and point out how the recommended solution clearly demonstrates the greatest ROI
Include a table to summarize financial information

Summary/conclusion

Emphasize the crucial parts of your BCP that you want key stakeholders and decision-makers to remember after the presentation.

This is a persuasive argument, your last chance to sell your idea and convince them that your proposal has merit and should be approved.

Highlight the strengths of the proposal and critical points.

Review the problem in terms of why the proposal is so important.

Remind them of the possible solutions and the benefits and risks of each.
Point out the return of investment highlighting why your proposal is the most efficient, effective option for the organization.

Lastly, based on the information presented state your final recommendation.

Note: When using tables you may include them as an addendum so as not to exceed the page limit.

What would be the positive outcome if the solution was implemented? What changes would need to occur in the community to foster implementation?

Healthcare Policy

In this course, the students will have the opportunity to identify a healthcare policy concern and community

healthcare concern which can be improved with a change in policy, ordinance or the language in existing

law. The outcome would be the potential for improved health for a population group. Students will present

a proposed solution or change to an elected official, and provide an analysis of the project. While students

are not responsible for ensuring the implementation of their identified solution to the healthcare policy

concern, the student is required to meet with an elected official to present the concern and

proposed resolution. The purpose of this current assignment is to identify the community-based healthcare

policy concern and provide an extensive evidenced-based foundation for proposing a policy change to an

This assignment enables the student to meet the following course outcomes:

CO 1. Employ strategies to impact the development, implementation, and consequences of Holistic focused healthcare policies at the institutional, local, national, and international levels using evidence-based practice principles.

CO 3. Demonstrate professional and personal growth regarding the advocacy role of the advance practice nurse in healthcare policy for diverse healthcare settings.

CO 5. Advocate for institutional, local, national, and international policies that influence person-centered healthcare, consumers, and nursing practice.

Due Date Sunday 11:59 p.m. MT at the end of Week 2

Students are given the opportunity to request an extension on assignments for emergent situations. Supporting documentation must be submitted to the assigned faculty. If the student’s request is not approved, the assignment is graded and a late penalty is applied as follows:

If the student’s request is approved, the student will be informed of the revised due date. Should the student fail to meet the revised due date, the assignment is graded and a late penalty is applied as follows:

Description of the Assignment

For this assignment, the student must first select a healthcare policy concern. The concern must be a community-based, public health policy concern. Student may not use healthcare entities or organizational concerns occurring within a private or public healthcare facility. Scholarly evidence supporting the concern must be presented that provides a comprehensive picture of the selected healthcare concern as well as the student-identified solution. The elected official whom the student will interview is also identified in this paper.

Criteria for Content

Overview of healthcare policy: This section introduces healthcare policy. It should contain the following elements

Define healthcare policy in general and its implications for the nursing profession

Define the role of advocacy and how it can impact healthcare policy

Explain how the role of advocacy is consistent with the responsibilities of an advance practice nurse

Identification of selected healthcare policy concern: This section provides foundational information regarding the student-selected healthcare policy

concern. It should contain the following elements:

Specifically identify the selected healthcare policy concern
Description of the impacted population group

Provide a comprehensive description of the selected healthcare concern by including:

How frequently does it occur?
What impact does the selected healthcare concern have upon the

community and population group?
Description of student-identified solution to the selected healthcare

concern: This section presents a comprehensive picture of the student-selected solution to the selected healthcare concern. It should contain the following elements:

Identify, with specific detail, the solution to the student-selected healthcare concern

Identify the following areas:
What would be the positive outcome if the solution was implemented?
What changes would need to occur in the community to foster

implementation?
What changes would need to occur in the population group to foster implementation?

What measureable actions will demonstrate a positive outcome if the solution was implemented?

What might be 2 (two) challenges to implementing the proposed solution and how can each of these challenges be avoided or resolved?

Identification of elected official: This section identifies the elected official that the student will present the selected healthcare concern and its solution to. It should contain the following elements:

The name of the elected official
The position of the elected official

Explanation of why this individual was selected
Conclusion: This section provides a comprehensive and concise review of the key elements of the assignment.

Preparing the Assignment

Criteria for Format and Special Instructions

Title page, body of paper, and reference page must follow APA guidelines as found in the current edition of the manual. This includes the use of headings for each section of the paper except for the introduction where no heading is used.
A minimum of 6 (six) appropriate research-based scholarly references must be used of which 2 may be empirical evidence from state and county website data… (Check with your instructor regarding .org or .gov sites). Required textbook for this course, dictionary and Chamberlain College of Nursing lesson information may NOT be used as scholarly references for this assignment.

For additional assistance regarding scholarly nursing references,

See the course Library Guide. Be aware that information from .com websites may be incorrect and should be avoided. References are current – within a 5-year time frame unless a valid rationale is provided and the instructor has approved them prior to submission of the assignment.

Ideas and information from scholarly, peer reviewed, nursing sources must be cited must be cited within the text of the paper as well as appearing in the reference list with correct APA format.

Rules of grammar, spelling, word usage, and punctuation are followed and consistent with formal, scientific writing.

This assignment must be submitted to TurnItIn™ (TII) as required by the TurnItIn™ policy. To allow sufficient time for revision, early submission of the assignment to TurnItIn™ is highly encouraged. The final submission will be graded by faculty. If a TurnItin™ report indicates that plagiarism has occurred, the Academic Integrity policy will be followed.

This criterion is linked to a Learning OutcomeOverview of Healthcare Policy
20 pts
Presentation of information was exceptional and included all the following elements: • Define healthcare policy in general and its implications for the nursing profession • Define the role of advocacy and how it can impact healthcare policy • Explain how the role of advocacy is consistent with the responsibilities of an advance practice nurse

Presentation of information was good, but was superficial in places and included all the following elements: • Define healthcare policy in general and its implications for the nursing profession • Define the role of advocacy and how it can impact healthcare policy • Explain how the role of advocacy is consistent with the responsibilities of an advance practice nurse

Presentation of information was minimally demonstrated in the all the following elements: • Define healthcare policy in general and its implications for the nursing profession • Define the role of advocacy and how it can impact healthcare policy • Explain how the role of advocacy is consistent with the responsibilities of an advance practice nurse

Presentation of information in one of the following elements fails to meet expectations: • Define healthcare policy in general and its implications for the nursing profession • Define the role of advocacy and how it can impact healthcare policy • Explain how the role of advocacy is consistent with the responsibilities of an advance practice nurse

Presentation of information is unsatisfactory in two or more of the following elements: • Define healthcare policy in general and its implications for the nursing profession • Define the role of advocacy and how it can impact healthcare policy • Explain how the role of advocacy is consistent with the responsibilities of an advance practice nurse
20 pts
This criterion is linked to a Learning OutcomeIdentification of Selected Healthcare Policy Concern

Presentation of information was exceptional and included all the following elements

• Specifically identify the selected healthcare concern • Description of the impacted population group

• Provide a comprehensive description of the selected healthcare concern by including: o How frequently does it occur?