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Nursing Writing Service has come at the right time. Not surprisingly, nursing writing requires lots of dedication considering the nature of the nursing field. So, you will need to research extensively from authoritative sources and then follow the proper formatting for you to earn good grades. Most of the time, bright students fail in their nursing career simply. Reason? They lack skills when it comes to the transfer of this idea to a paper. Like in all cases, the paper should be written in a coherent manner. In turn, this will motivate the instructor to award high grades. Also, while exams measure performance, it becomes necessary to pass every nursing test.  Further, this will make you become successful in the career. To achieve this, you need Nursing Writing Service help.

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Structural Versus Strategic Family Therapies

Although structural therapy and strategic therapy are both used in family therapy, these therapeutic approaches have many differences in theory and application. As you assess families and develop treatment plans, you must consider these differences and their potential impact on clients. For this Structural Versus Strategic Family Therapies Assignment, as you compare structural and strategic family therapy, consider which therapeutic approach you might use with your own client families.

                                        Learning Objectives

Students will:

· Compare structural family therapy to strategic family therapy

· Create structural family maps 
(Refer to Gerlach (2015) in this week’s Learning  

   Resources for guidance on creating a structural family map.) or LOOK AT THE 

   ATTACHED ONE.

· Justify recommendations for family therapy

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                                                     The Assignment

In a 2- to 3-page Structural Versus Strategic Family Therapies paper, address the following:

· Summarize the key points of both
structural family therapy and strategic family

therapy.

· Compare structural family therapy to strategic family therapy, noting the

strengths and weaknesses of each.

· Provide an example of a family in your practicum using a structural family map.

Note: Be sure to maintain HIPAA regulations 
(Refer to Gerlach (2015) in this 

  week’s Learning Resources for guidance on creating a structural family map.) or 

  LOOK AT THE ATTACHED ONE.

· Recommend a specific therapy for the family, and justify your choice using the

Learning Resources

Required Readings

Nichols, M. (2014). 
The essentials of family therapy
 (6th ed.). Boston, MA: Pearson.

Chapter 5, “Bowen Family Systems Therapy” (pp.      69–88)

Chapter 6, “Strategic Family Therapy” (pp.      89–109)

Chapter 7, “Structural Family Therapy” (pp. 110–128)

Gerlach, P. K. (2015). Use structural maps to manage your family well: Basic premises and examples. Retrieved from http://sfhelp.org/fam/map.htm

McNeil, S. N., Herschberger, J. K., & Nedela, M. N. (2013). 
Low-income families with potential adolescent gang involvement: A structural community family therapy integration model.
 American Journal of Family Therapy, 41(2), 110–120. doi:10.1080/01926187.2011.649110. Structural Versus Strategic Family Therapies.

Méndez, N. A., Qureshi, M. E., Carnerio, R., & Hort, F. (2014). The intersection of Facebook and structural family therapy volume 1. 
American Journal of Family Therapy, 42
(2), 167–174. doi:10.1080/01926187.2013.794046

Nichols, M., & Tafuri, S. (2013). Techniques of structural family assessment: A qualitative analysis of how experts promote a systemic perspective. 
Family Process, 52
(2), 207–215. doi:10.1111/famp.12025

Ryan, W. J., Conti, R. P., & Simon, G. M. (2013). Presupposition compatibility facilitates treatment fidelity in therapists learning structural family therapy. 
American Journal of Family Therapy, 41
(5), 403–414. doi:10.1080/01926187.2012.727673. Structural Versus Strategic Family Therapies.

Sheehan, A. H., & Friedlander, M. L. (2015). Therapeutic alliance and retention in brief strategic family therapy: A mixed-methods study. 
Journal of Marital and Family Therapy, 41
(4), 415–427. doi:10.1111/jmft.12113

Szapocznik, J., Muir, J. A., Duff, J. H., Schwartz, S. J., & Brown, C. H. (2015). Brief strategic family therapy: Implementing evidence-based models in community settings. 
Psychotherapy Research, 25
(1), 121–133. doi:10.1080/10503307.2013.856044

                                                     Required Media

Psychotherapy.net (Producer). (2010). 
Bowenian family therapy
 [Video file]. Mill Valley, CA: Author.

Triangle Productions (Producer). (2001). 
Brief strategic therapy with couples
[Video file]. La Jolla, CA: Author. Structural Versus Strategic Family Therapies.

Performance Appraisal – ideal nursing unit essay

Subjective and Objective Aspects

Discuss the subjective and objective aspects of performance appraisal evaluations and how nurse managers can make these experiences most useful to clinical nurses.

Evaluators

Examine and discuss who should evaluate clinical nurses. Should it be an evaluation by peers, oneself, nurse manager, shift supervisor, physician, nurse extender, and so on? Students should identify who should participate in the performance evaluation process and what their role should be, with a rationale for why they should contribute their feedback.

Analyze the common evaluator errors as defined in the assigned readings and describe each in your own words. Discuss how an evaluator can avoid these nasty pitfalls. Performance Appraisal – ideal nursing unit essay.

Performance Appraisal

In nursing clinical practice, performance appraisals are an integral part of improving performance and not a tool to find weaknesses in practice and punish nurse practitioners. Through collaboration with nurse managers and supervisors, nurses are provided with the opportunity to discuss their clinical performance and to highlight areas that are performed well and those that require support or training. This helps an individual to obtain adequate skills and knowledge to become an exemplary team player (Melnyk et al., 2014). In this paper, I will discuss the objective and subjective aspects that should be included in performance appraisals. A brief discussion of clinical nurse evaluators, the role played by each and the clinical tools that can be used to elicit feedback will also be provided. Performance Appraisal – ideal nursing unit essay.

Subjective and Objective Aspects of Performance Appraisal Evaluations

           
When conducting a performance appraisal evaluation, it is necessary to ensure that the likelihood of nurse employees to believe that the entire process is subjective rather than objective is important. Subjective aspects evaluate the performance of a nurse in general while objective aspects evaluate the performance of a nurse against specific established standards (Fan et al., 2015). Subjective features include intangible aspects that a nurse possesses such as personality, communication skills, conflict resolution skills, work quality, teamwork, strengths and weaknesses of nurse practitioners.

Nurse Managers can make good use of subjective aspects in clinical practice by using the information provided to control how nurses are rewarded and incentivized. Incentives motivate nurses with good performance to become the best and those who perform averagely or minimally to put more effort into their clinical practice (Fan et al., 2015).  Similarly, subjective aspects can be used to identify opportunities for training among nurses. In this context, training can be particular to obtain skills and knowledge in problem-solving, communication or to acquire knowledge about the specific topic area in the nursing field. Nurses can then apply this knowledge and skills in clinical practice to improve treatment outcomes. Performance Appraisal – ideal nursing unit essay.

In the evaluation process, objectivity based on tangible and measurable evidence and this has a less likelihood of biases. Therefore, objective aspects may include, specific ratings on the quantity of work done by a nurse, time to report and leave work, a completion rate of duties assigned among others (Fan et al., 2015).  Objective experiences can be made more useful when making decisions about the allocation of work/duties and promotions. This is because objectives aspects provide more tangible data that can be used to gauge a person’s capability to handle specific tasks.

Evaluators

Clinical nurses should be evaluated by nurse managers. Nurse managers have two roles in clinical practice: to serve as administrative leaders and to provide clinical care. Since they act as in charges, they plan, coordinate and evaluate nursing activities in healthcare settings. According to Fan et al., (2015), nurse managers are experts in their areas of practice and possess exemplary instructional, communication and interpersonal skills to be role models for new graduates, students, and other advancing nurses. Performance Appraisal – ideal nursing unit essay.

In the performance evaluation process, the role of nurse managers should be specific to orientation, training, appraisal and providing feedback. In orientation, nursing students should be provided with a description of the roles and responsibilities they will be performing. They should also engage then in continuous training to develop their skills and capabilities further (Spano-Szekely et al., 2016).  Preferably, they can also identify those with high potential and reward them to progressively inspire good performance. It is mandatory that when evaluating the students, nurse managers provide regular feedback to help the students determine whether additional skills and training are needed for acceptable performance, or whether they exceed expectations. Feedback also helps to minimize instances of poor practice. Possible tools that can be used to provide feedback include the feedback sandwich that starts with positive feedback, negative feedback then closing with specific that build a student’s trust and courage (Helminen et al., 2016).  The situation-behavior-impact is another tool which provides learners with the opportunity to reflect on their actions and what they are required to change. Performance Appraisal – ideal nursing unit essay.

 
References

Fan, J. Y., Wang, Y. H., Chao, L. F., Jane, S. W., & Hsu, L. L. (2015). Performance evaluation of nursing students following competency-based education. 
Nurse education today
, 
35
(1), 97-103.

Helminen, K., Coco, K., Johnson, M., Turunen, H., & Tossavainen, K. (2016). Summative assessment of the clinical practice of student nurses: A review of the literature.
International Journal of Nursing Studies
, 
53
, 308-319.

Melnyk, B. M., Gallagher‐Ford, L., Long, L. E., & Fineout‐Overholt, E. (2014). The establishment of evidence‐based practice competencies for practicing registered nurses and advanced practice nurses in real‐world clinical settings: Proficiencies to improve healthcare quality, reliability, patient outcomes, and costs. 
Worldviews on Evidence
‐
Based Nursing
, 
11
(1), 5-15.

Spano-Szekely, L., Griffin, M. T. Q., Clavelle, J., & Fitzpatrick, J. J. (2016). Emotional intelligence and transformational leadership in nurse managers. 
Journal of Nursing Administration
, 
46
(2), 101-108. Performance Appraisal – ideal nursing unit essay.

Crimes of the Heart: A Case Study on Cardiac Anatomy Essay Assignment paper

Tiffany is worried about her newborn son. Ever since she brought Caleb home from the hospital it has been so hard to get him to eat and he seems to be breathing too hard all the time. She stopped breastfeeding and tried every bottle and formula on the market, but nothing has worked. So, at his one month check-up, her stomach is in knots as they place Caleb on the scale. The nurse says, “9 pounds, 7 ounces.” Tiffaney realizes Caleb has only gained one pound since he was born and she breaks into tears. Crimes of the Heart: A Case Study on Cardiac Anatomy Essay Assignment paper.

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Tiffaney is worried about her newborn son. Ever since she brought Caleb home from the hospital it has been so hard to get him to eat and he seems to be breathing too hard all the time. She stopped breastfeeding and tried every bottle and formula on the market, but nothing has worked. So, at his one month check-up, her stomach is in knots as they place Caleb on the scale. The nurse says, “9 pounds, 7 ounces.” Tiffaney realizes Caleb has only gained one pound since he was born and she breaks into tears.

Dr. Baker checks over Caleb in the exam room, taking extra time feeling and listening to his chest. During the exam, Tiffaney explains her struggle with trying to get her son to eat and how he cries almost the entire day. After the exam, Dr. Baker says, “When I listen to Caleb’s heart I hear an extra sound called a murmur. Crimes of the Heart: A Case Study on Cardiac Anatomy Essay Assignment paper. I want to use an echocardiogram and an ECG to get a good picture of all the parts of his heart.”

After a full day of tests, Tiffaney meets with Dr. Baker in his office. He explains, “After a careful review of all the information, I have discovered that Caleb has a hole in the heart muscle wall between his right and left ventricles. We call it a ventricular septal defect. That is probably why he has been so irritable and hard to feed. The hole is not very big, but he will still need to have surgery to repair it.” Although the thought of her tiny son having surgery is terrifying, Tiffaney is relieved to know why things have been so tough at home.

Crimes of the Heart: A Case Study on Cardiac Anatomy Short Answer Questions:

1. Dr. Baker spends a long time listening to (auscultating) Caleb’s heart. Where do you think would be the best place to auscultate Caleb’s abnormal heart sound? Explain your answer.

2. Caleb has abnormal heart sounds that tipped the doctor off to a problem. In relation to the normal heart sounds, when would you expect to hear the abnormal sound Dr. Baker heard? Explain your answer Crimes of the Heart: A Case Study on Cardiac Anatomy Essay Assignment paper.

3. The defect in Caleb’s heart allows blood to mix between the two ventricular chambers. Due to this defect would you expect the blood to move from left-to-right ventricle or right-to-left ventricle during systole? Explain your answer.

4. What happens to Caleb’s systemic cardiac output as a result of his ventricular septal defect (VSD)? Explain your answer.

5. Based on the location of Caleb’s defect, what part of the conduction system might be at risk for abnormalities? Explain your answer.

****Read Crimes of the Heart: A Case Study on Cardiac Anatomy Essay Assignment paper instructions below and answer bulletin below****

2)I want to know where you find your nutrition information and how you distinguish quality from quackery. Please identify 3 websites with nutrition information, and provide us with:

—A link to each site

—A brief description of the site

—Reasoning for why you trust or don’t trust the content of the site

Word Count is your choice for both Crimes of the Heart: A Case Study on Cardiac Anatomy Essay Assignment paper assignments. Crimes of the Heart: A Case Study on Cardiac Anatomy Essay Assignment paper.

Crimes of the Heart: A Case Study on Cardiac Anatomy

Name:

Institution name

Dr. Baker spends a long time listening to (auscultating) Caleb’s heart.

Where on the thoracic surface do you auscultate to the tricuspid, mitral (bicuspid), pulmonary, and aortic valves?

The aortic valve is heard at the 2nd intercostal space at the right sternal border, the pulmonary valve is heard at the 2nd intercostal space at the left sternal border, the mitral valve is heard over the heart apex which is in the 5th intercostal space midclavicular line, and the tricuspid valve is heard in the right sternal border of the 5th intercostal space.

Where do you think would be the best place to auscultate Caleb’s abnormal heart sound? Explain your answer.

I think it would be would be from the lower left sternal border to the right lower sternal border because this would be right over where the murmur is happening.

Caleb has abnormal heart sounds that tipped the doctor off to a problem.

Name the normal sounds of the heart and indicate what causes these sounds.

The two normal heart sounds are lub which is S1 and dub which is s2. S1 is caused by the closure of mitral and tricuspid valves at the start of systole. S2 is caused by the closure of aortic and pulmonic valves, marking the end of systole (Stethographics.com, 2015).

In relation to the normal heart sounds, when would you expect to hear the abnormal sound Dr. Baker heard? Explain your answer.

You would expect to hear a swooshing noise in between S1 and S2. Crimes of the Heart: A Case Study on Cardiac Anatomy Essay Assignment paper.

The defect in Caleb’s heart allows blood to mix between the two ventricular chambers.

Due to this defect would you expect the blood to move from left-to-right ventricle or right-to-left ventricle during systole?

Left-to-right

Based

on your understanding of blood pressure and resistance in the heart and great vessels, explain your answer to question 3a.

Oxygenated blood is usually pushed out through the left ventricle to the other parts of the body under high pressure. But as a result of the defect some blood will be pushed through the hole to the right ventricle.

When an echocardiogram is performed, the technician color-codes oxygenated blood (red) and deoxygenated blood (blue).

In a healthy baby, what color would the blood be within the right and left ventricles, respectively?

The blood in the right ventricles has less oxygen and is therefore blue in color whereas blood on the left ventricles is rich in oxygen and is red in color (Kidshealth.org, 2015).

In Caleb’s heart, what color would the blood be within the right and left ventricles, respectively?

In Caleb’s situation, the red blood in the left ventricle which is rich in oxygen flows through the hole in the septum to mix with blue blood in the right ventricle which is deoxygenated (Kidshealth.org, 2015). Crimes of the Heart: A Case Study on Cardiac Anatomy Essay Assignment paper.

Caleb’s heart allows oxygenated and deoxygenated blood to mix. Based on your knowledge of the heart and the great vessels, describe other anatomical abnormalities that cause the mixing of oxygenated and deoxygenated blood.

The other anatomical abnormalities that cause the mixing of oxygenated and deoxygenated blood includes valve defects and transposition of the great arteries. The valve defect causes valvular insufficiency whereas transposition of the great arteries affects the aorta and the pulmonary artery (Encyclopedia Britannica, 2015). Crimes of the Heart: A Case Study on Cardiac Anatomy Essay Assignment paper.

What happens to Caleb’s systemic cardiac output as a result of his ventricular septal defect (VSD)? Explain your answer.

Children with ventricular septal defect (VSD) often demonstrate failure to thrive. Such patients usually have reduced systemic cardiac output which has been postulated as a

 

cause for their growth retardation (Corin et al., 1988).

One of the problems that worried Tiffaney was that Caleb seemed to be breathing too hard all the time. Let’s consider how this symptom is related to his heart defect.

  Describe what would happen to the blood volume and pressure entering the pulmonary circuit as a result of his VSD. Crimes of the Heart: A Case Study on Cardiac Anatomy Essay Assignment paper.

The back leak of blood from the systemic to the pulmonary circulation increases the volume of blood that the pulmonary circulation carries and as a result the blood volume and pressure becomes high. If this condition progresses, it causes damage to the pulmonary vasculature and development of irreversible pulmonary hypertension (Utmb.edu, 2015).

Describe what would happen to the myocardium of Caleb’s right ventricle as a result of his VSD.

As a result of being overworked, the myocardium enlarges and eventually gets damaged.

Based on the location of Caleb’s defect, what part of the conduction system might be at risk for abnormalities? Crimes of the Heart: A Case Study on Cardiac Anatomy Essay Assignment paper.

The ventricular septum

References

Corin, W., Swindle, M., Spann, J., Nakano, K., Frankis, M., & Biederman, R. et al. (1988). Mechanism of decreased forward stroke volume in children and swine with ventricular septal defect and failure to thrive. 
Journal Of Clinical Investigation
, 
82
(2), 544-551. doi:10.1172/jci113630

Encyclopedia Britannica,. (2015). 
congenital heart disease | pathology
. 
Encyclopedia Britannica
. Retrieved 2 July 2015, from http://www.britannica.com/science/congenital-heart-disease

Kidshealth.org,. (2015). 
Ventricular Septal Defect
. 
Kidshealth.org
. Retrieved 2 July 2015, from http://kidshealth.org/parent/medical/heart/vsd.html

Stethographics.com,. (2015). 
Basic Heart Sounds
. 
Stethographics.com
. Retrieved 2 July 2015, from http://www.stethographics.com/main/physiology_hs_introduction.html. Crimes of the Heart: A Case Study on Cardiac Anatomy Essay Assignment paper.

Utmb.edu,. (2015). 
Left to Right Shunts
. 
Utmb.edu
. Retrieved 2 July 2015, from http://www.utmb.edu/pedi_ed/core/cardiology/page_05.htm

Crimes of the Heart: A Case Study on Cardiac Anatomy

 

Tiffaney is worried about her newborn son. Ever since she brought Caleb home from the hospital it has been so hard to get him to eat and he seems to be breathing too hard all the time. She stopped breast-feeding and tried every bottle and formula on the market, but nothing has worked. So, at his one month check-up, her stomach is in knots as they place Caleb on the scale. The nurse says, “9 pounds, 7 ounces.” Tiffaney realizes Caleb has only gained one pound since he was born and she breaks into tears.

 

Dr. Baker checks over Caleb in the exam room, taking extra time feeling and listening to his chest. During the exam, Tiffaney explains her struggle with trying to get her son to eat and how he cries almost the entire day. After the exam Dr. Baker says, “When I listen to Caleb’s heart I hear an extra sound called a murmur. I want to use an echocardiogram and an ECG to get a good picture of all the parts of his heart.”

 

After a full day of tests, Tiffaney meets with Dr. Baker in his office. He explains, “After a careful review of all the information, I have discovered that Caleb has a hole in the heart muscle wall between his right and left ventricles. We call it a ventricular septal defect. That is probably why he has been so irritable and hard to feed. The hole is not very big, but he will still need to have surgery to repair it.” Although the thought of her tiny son having surgery is terrifying, Tiffaney is relieved to know why things have been so tough at home.

 

Short Answer Questions:

 

Dr. Baker spends a long time listening to (auscultating) Caleb’s heart.

Where on the thoracic surface do you auscultate to the tricuspid, mitral (bicuspid), pulmonary, and aortic valves?

You hear the tricuspid in the right sternal margin of the 5h intercostal space, the mitral valve in the 5th intercostal space in line with the middle of the clavicle (over the heart apex), the pulmonary semilunar valve in the 2nd intercostal space at the left sternal margin, and the aortic semilunar valve in the 2nd intercostal space at the right of the sternal margin. Crimes of the Heart: A Case Study on Cardiac Anatomy Essay Assignment paper.

Where do you think would be the best place to auscultate Caleb’s abnormal heart sound? Explain your answer.

Calebs defect is in the interventricular septum so the best place to auscultate would be the lower left sternal border because it is above the defect.

Caleb has abnormal heart sounds that tipped the doctor off to a problem.

Name the normal sounds of the heart and indicate what causes these sounds.

You normally hear two thumps. The first is lower and is caused by the closing of the atrioventricular valves- the tricuspid and bicuspid Crimes of the Heart: A Case Study on Cardiac Anatomy Essay Assignment paper. The second is due to the closing of the pulmonary semilunar and the aortic semilunar valve.

In relation to the normal heart sounds, when would you expect to hear the abnormal sound Dr. Baker heard? Explain your answer.

You would expect to hear the abnormal heart sounds between the sound made by the atrioventricular valve closing and the semilunar valve closing.

The defect in Caleb’s heart allows blood to mix between the two ventricular chambers.

Due to this defect would you expect the blood to move from left-to-right ventricle or right-to-left ventricle during systole?

We would expect the blood to flow from the left ventricle to the right ventricle during systole.

Based on your understanding of blood pressure and resistance in the heart and great vessels, explain your answer to question 3a.

The blood moves from the left to the right because it is moving from a high pressure area to an area of lower pressure. The right side has higher pressure because it is coming from the lungs and that side of the heart is stronger. The right side is lower because the pulmonary veins that lead into it do not create as high a pressure as the veins leading into the left side of the heart. Crimes of the Heart: A Case Study on Cardiac Anatomy Essay Assignment paper.

 

When an echocardiogram is performed, the technician color-codes oxygenated blood (red) and deoxygenated blood (blue).

In a healthy baby, what color would the blood be within the right and left ventricles, respectively?

In a healthy baby the right ventricle would have deoxygenated blood that is dark red and the left ventricle would have bright red oxygenated blood.

In Caleb’s heart, what color would the blood be within the right and left ventricles, respectively?

In Caleb’s heart, his left side would have normal red colored, oxygenated blood, while the right side would contain a mix of both deoxygenated (blue) and oxygenated (red) blood. Crimes of the Heart: A Case Study on Cardiac Anatomy Essay Assignment paper.

 

Caleb’s heart allows oxygenated and deoxygenated blood to mix. Based on your knowledge of the heart and the great vessels, describe other anatomical abnormalities that cause the mixing of oxygenated and deoxygenated blood.

One anatomical abnormality that could cause deoxygenated and oxygenated blood to mix would be if there was a hole in the interventricular septum between the left and right atrium. This condition is called atrial septal defect. Another anatomical condition that could cause the mixing of blood is called ductus arteriosus. This is when the ductus arteriosus does not close after birth and allow blood from the aorta to flow back to the pulmonary trunk.

What happens to Caleb’s systemic cardiac output as a result of his ventricular septal defect (VSD)? Explain your answer.

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Caleb’s systemic cardiac output would be much lower because instead of exiting the left atrium normally, much of the blood is leaking through the hole in his septal muscle.

 

One of the problems that worried Tiffaney was that Caleb seemed to be breathing too hard all the time. Let’s consider how this symptom is related to his heart defect.

Describe what would happen to the blood volume and pressure entering the pulmonary circuit as a result of his VSD.

Caleb has an increase in the amount of blood volume being pushed into the pulmonary circuit. This creates a higher blood pressure or pulmonary hypertension which can cause pulmonary edema.

Describe what would happen to the myocardium of Caleb’s right ventricle as a result of his VSD.

The myocardium in the right ventricle is experiencing extra pressure which leads to stretching of the myocardium (called hypertrophy). This is because of the left to right passage of blood that is putting extra pressure on the right side of the heart.

 

Based on the location of Caleb’s defect, what part of the conduction system might be at risk for abnormalities?

The atrioventricular bundle and the bundle of branches are along the interventricular septum so, if Caleb’s defect includes a large portion of the septum to win then the whole area could be at risk for abnormalities. Crimes of the Heart: A Case Study on Cardiac Anatomy Essay Assignment paper.

Organizational Analysis essay assignment paper example

Required Deliverables

Parts 1–3 of this five part assessment will guide the recommendations you make in Part 4, and help determine what form of leadership is needed in Part 5.

Part 1: SWOT (Strengths, Weaknesses, Opportunities, Threats) or PEST (Political, Economic, Socio-cultural, Technological) Analysis Table.

Part 2: Brief Organizational Assessment Narrative and Organizational Scorecard Table.

Part 3: Brief Gap Analysis Narrative and Gap Analysis Table.

Part 4: Executive Briefing Report.

Part 5: Brief Leadership Implications Narrative.

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Preparation

Before you create and submit your Deliverables, select a familiar health care organization to use in each assessment in this course. Choose the organization where you currently work, an organization where you have previously worked, or an organization where you might like to work in the future. Organizational Analysis essay assignment paper example.

Directions

Conduct an organizational analysis for your selected organization. Incorporate each of the following parts and be sure you carefully read the requirements for each. Organizational Analysis essay assignment paper example.

Part 1: Environmental Assessment

Conduct a brief environmental analysis using a tool such as SWOT or PEST and summarize your findings in table format. You may choose to do both a SWOT and a PEST (or other) analysis, but you are only required to do one. Include impact from the Affordable Care Act in your analysis.

Part 2: Organizational Assessment

Create a table based on your internal analysis of the organization’s mission, vision, values, culture, and strategic direction. Then, write a brief narrative in which you explain the organization’s mission, vision, values, and culture, as well as the current strategic direction. Organizational Analysis essay assignment paper example.

Apply a framework such as the organizational, or balanced, scorecard to measure performance relative to the strategy. Indicate if the strategy fits the external environment.

You may use any table format you wish, but be sure you include 1–2 priority performance indicators, internal benchmarks or targets (be sure you include financial and quality targets), and the four categories.

Note: Part 2 is comprised of your brief narrative and the organizational scorecard in table format.

Part 3: Gap Identification

Select 1–2 priority performance indicators within each of the four major categories: business operations, finance, customer satisfaction, and organizational learning and growth. Organizational Analysis essay assignment paper example.

Identify the performance measurements and internal benchmarks or targets for each of the priority performance indicators. Be sure you include financial and quality targets. Use a table similar to the organizational scorecard to identify the gaps between desired and actual performance. Be sure you integrate the strategic direction and scorecard into your gap identification.

Conduct a gap analysis of actual to benchmark or target outcomes. Refer to and integrate the organizational strategic direction and scorecard. Briefly explain any additional gaps you identified between stated organizational values and actual culture. Organizational Analysis essay assignment paper example.

Note: Part 3 is comprised of your gap identification table and a brief narrative.

Part 4: Leadership Recommendation

Write an executive briefing report in which you clearly and concisely outline evidence-based recommendations to close the identified gaps and better align with organizational strategy and targets. Organizational Analysis essay assignment paper example.

Include within your recommendations the resources that will be needed, such as human, financial, technical, and so on. Be sure that you reference your resources to support your recommendations. Keep in mind that this is an executive briefing report; you want to be thorough while still being concise.

Reference a minimum of five resources in this assessment. Look for professional, scholarly research articles on improving performance in health care organizations, how the Affordable Care Act is affecting health care organizations, and other related topics to use in guiding the recommendations you will make to close the gaps you have identified. Organizational Analysis essay assignment paper example.

Part 5: Leadership Implications

Write a brief narrative in which you explain the role of the organization’s leader with regard to shaping strategic direction, aligning organizational values and culture, and managing change. What are the critical success competencies needed to achieve desired organizational outcomes? Cite your resources to support your statements.

Additional Requirements

Structure: Include a title page, table of contents, and reference page.

Length: There is no required number of pages. Your length will vary depending on the organization you use. Begin each part of the briefing report on a new page. Your goal—and your challenge—is to provide as much detail and information as possible in a direct and concise way. Organizational Analysis essay assignment paper example.

References: Cite at least five current scholarly or professional resources.

Format: Use APA style for citations and references only. Otherwise, follow the formatting and style conventions of an executive briefing report. Use headings and subheadings as appropriate for a professional document.

Font: Times New Roman font, 12 point. Organizational Analysis essay assignment paper example.

 

PROFICIENT

DISTINGUISHED

Analyzes the environmental factors, including the Affordable Care Act, that affect the success of a health care organization.

Analyzes the environmental factors, including the Affordable Care Act, that affect the success of a health care organization and grounds the analysis on an in-depth examination of the literature.

Analyzes outcomes relative to the organizational directional strategy. Organizational Analysis essay assignment paper example.

Analyzes outcomes relative to the organizational directional strategy and assesses fit with the environment.

Identifies gaps in desired versus actual organizational performance.

Identifies gaps in desired versus actual organizational performance and demonstrates in-depth understanding of the relationship between environmental factors and organizational success.

Proposes evidence-based recommendations to close gaps identified in the organizational assessment. Organizational Analysis essay assignment paper example.

Proposes evidence-based recommendations to close gaps identified in the organizational assessment and considers the benefits and limitations of each recommendation.

Describes the critical success leadership competencies needed to achieve organizational outcomes.

Describes and analyzes the critical success leadership competencies needed to achieve organizational outcomes. Organizational Analysis essay assignment paper example.

Writes coherently, concisely, logically, and with strong support from relevant professional resources, in an appropriate format, with correct grammar, usage, and mechanics as expected of a health care administration professiona

Writes coherently, substantively, concisely, logically, and with strong support from relevant professional resources, in a consistently appropriate format, with correct grammar, usage, and mechanics as expected of a health care administration professional.

Organizational Analysis essay assignment paper example

nurs 6512 midterm and Final exam quiz

NURS 6512 – Advanced Health Assessment and Diagnostic Reasoning

The physical and emotional well-being of patients and families can be complex and multifaceted. Advanced practice nurses need to have the knowledge and ability to provide safe, competent, and comprehensive physical health assessments. Students in this course focus on concepts and skills to assess patients across the lifespan. They learn to use diagnostic reasoning, advanced communication, and physical assessment skills to identify changes in health patterns. Students also use a systematic approach through which they focus on the assessment of patients with acute and chronic health problems. The advanced skills of suturing, reading 12 Lead EKGs, and interpreting X-rays will be covered. Students engage in course assignments that emphasize risk assessment, diagnostic reasoning, and evidence-based assessment across the lifespan. nurs 6512 midterm and Final exam quiz.

♦ Students may take this as a non-degree course, which means they do not have to be enrolled in a program. Contact an Enrollment Advisor [1-866-492-5336 (U.S.);1-443-627-7222 (toll)] for more information.

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NURS 6512 Advanced Health Assessment and Diagnostic Reasoning: Welcome & Course Readings

Welcome & Course Readings

Welcome to your course guide

NURS 6512 Course Readings

Other Readings

Welcome to your nurs 6512 midterm and Final exam quiz course guide

Please find your required library readings below. If you have problems with the links below, please 
contact the Library
. If you have APA questions about these materials, please 
contact the Writing Center
.

NURS 6512 Course Readings

After clicking on a citation below, enter your myWalden user name and password at the prompt.

Please 
Ask a Librarian
 if you have any questions about the links. nurs 6512 midterm and Final exam quiz.

Athilingam, P., Visovsky, C., & Elliott, A.F. (2015). Cognitive screening in persons with chronic diseases in primary care: challenges and recommendations for practice. American Journal of Alzheimer’s Disease & Other Dementias, 30(6), 547-558. DOI: 10.1177/1533317515577127

Bearden, S. T., & Nay, L. B. (2011). Utility of EEG in differential diagnosis of adults with unexplained acute alteration of mental status. American Journal of Electroneurodiagnostic Technology, 51(2), 92–104.

Chadha, A. (2009). Assessing the skin. Practice Nurse, 38(7), 43–48.

Clothier, A.(2014). Assessing and managing skin tears in older people. Nurse Prescribing, 12(6),278-282.

Craig, M., & Infante, S. (2011). Abdominal mysteries: Pain, peritonitis, pancreatitis. Nephrology Nursing Journal, 38(2), 173–186.

De Jong, A., Dondorp, W. J., de Die-Smulders, C. E., Frints, S. G. M., & de Wert, G. M. (2010). Non-invasive prenatal testing: Ethical issues explored. European Journal of Human Genetics, 18(3), 272–277.

Espey, D., Jim, M., Bartholomew, M., Becker, T., Haverkamp, D., & Plescia, M (2014) Leading causes of death and all-cause mortality in American Indians and 
Allaska
 Natives. American Journal of Public Health, 104(S3), S303-S311.

Furman, C.D., Earnshaw, L.A., Farrer, L.A. (2014). A Case of Inappropriate Apolipoprotein E Testing in Alzheimer’s Disease Due to Lack of an Informed Consent Discussion. American Journal of Alzheimer’s Disease & Other Dementias, 29(7), 590-595. DOI: 10.1177/1533317514525829.

Gibbs, H., & Chapman-Novakofski, K. (2012). Exploring nutrition literacy: Attention to assessment and the skills clients need. Health, 4(3), 120–124.

Harmes, K.M., Blackwood, R.A., Burrows, H.L., Cooke, J.M., Harrison, R.V., & Passamani, P.P. (2013).Otitis Media: Diagnosis and Treatment. American Family Physicians, 88(7), 435-440.

Katz, J. N., Lyons, N., Wolff, L. S., Silverman, J., Emrani, P., Holt, H. L., & … Losina, E. (2011). Medical decision-making among Hispanics and non-Hispanic Whites with chronic back and knee pain: A qualitative study. BMC Musculoskeletal Disorders, 12(1), 78–85.

Laine, C. (2012). High-value testing begins with a few simple questions. Annals of Internal Medicine, 156(2), 162–163.
 nurs 6512 midterm and Final exam quiz.

Mahlknecht, P., Hotter, A., Hussl, A., Esterhammer, R., Schockey, M., & Seppi, K. (2010). Significance of MRI in diagnosis and differential diagnosis of Parkinson’s disease. Neurodegenerative Diseases, 7(5), 300–318.

Maron, B.J., Friedman, R.A., & Caplan, A.(2015).Ethics of preparticipation cardiovascular screening for athletes. Nature Reviews Cardiology, 12, 375–378. doi:10.1038/nrcardio.2015.21

McCabe, C., & Wiggins, J. (2010a). Differential diagnosis of respiratory disease part 1. Practice Nurse, 40(1), 35–41.

McCabe, C., & Wiggins, J. (2010b). Differential diagnosis of respiratory diseases part 2. Practice Nurse, 40(2), 33–41.

Melton, C., Graff, C., Holmes, G., Brown, L., & Bailey, J. (2014). Health literacy and asthma management among African-American adults: an interpretative phenomenological analysis. Journal of Asthma, 51(7), 703–713. doi: 10.3109/02770903.2014.906605

Mills, A. M., & Chen, E. H. (2011). Abdominal pain in special populations. Emergency Medicine Reports, 32(7), 81–91.

Qaseem, A., Alguire, P., Dallas, P., Feinberg, L. E., Fitzgerald, F. T., Horwitch, C., & … Weinberger, S. (2012). Appropriate use of screening and diagnostic tests to foster high-value, cost-conscious care. Annals of Internal Medicine, 156(2), 147–150 .

Sabbagh, C., Mauvis, F., Vecten, A., Ainseba, N., Cosse, C., Diouf, M., & Regimbeau, JM. (2014). What is the best position for analyzing the lower and middle rectum and sphincter function in a digital rectal examination? A randomized, controlled study in men. Digestive and Liver Disease, 46, 1082–1085. http://dx.doi.org/10.1016/j.dld.2014.08.045

Shiri, R., Solovieva, S., Husgafvel-Pursiainen, K., Telama, R., Yang, X., Viikari, J., Raitakari, O.T., & Viikari-Juntura, E. (2013). The role of obesity and physical activity in non-specific and radiating lowback pain: The Young Finns study. Semin Arthritis Rheum 42, 640–650. http://dx.doi.org/10.1016/j.semarthrit.2012.09.002

Sinclair, A.J., Gadsby R., Hillson, R., Forbes, A., & Bayer, A.J. (2013). Brief report: Use of the Mini-Cog as a screening tool for cognitive impairment in diabetes in primary care. Diabetes Research and Clinical Practice, 100,e23-e25. http://dx.doi.org/10.1016/j.diabres.2013.01.001

Smuck, M., Kao, M., Brar, N., Martinez-Ith, A., Choi, J., & Tomkins-Lane, C.C. (2014).Does physical activity influence the relationship between low back pain and obesity? The Spine Journal, 14,209–216. http://dx.doi.org/10.1016/j.spinee.2013.11.010

Steggall, M., & Cox, C. (2009). A step-by-step guide to performing a complete digital rectal examination. Gastrointestinal Nursing, 7(2), 28–32.

Tingle, J. (Ed.). (2013). Nursing law and ethics.

Wannasirikul, P., Termsirikulchai, L., Sujirarat, D., Benjakul, S., Tanasugarn, C. (2016). Health literacy, medication adherence, and blood pressure level among hypertension older adults treated at primary health care centers. Southeast Asian J Trop Med Public Health., 47(1):109-20.

Watkins, J. (2013). Skin rashes, part 1: Skin structure and taking a dermatological history. Practice Nursing ,24(1),30-33.

Watkins, J. (2013). Skin rashes, part 2: Distribution and different types of rashes. Practice Nursing, 24(3),124-127

Watkins, J. (2013). Skin rashes, part 3: localized rashes. Practice Nursing, 24(5),235-241.

Westhoff, C. L., Jones, H. E., & Guiahi, M. (2011). Do new guidelines and technology make the routine pelvic examination obsolete? Journal of Women’s Health, 20(1), 5–10.

Womack, J. (2010). Give your sports physicals a performance boost. The Journal of Family Practice, 59(8), 437–444.

RN to MSN Track

The RN Track is for registered nurses who hold a hospital diploma, associate degree in nursing, or bachelor’s degree (other than BSN). nurs 6512 midterm and Final exam quiz.

This track requires that you fulfill general education requirements. Once you meet these requirements, you can begin the foundations courses for the MSN.

If you already hold a Bachelor of Science in Nursing (BSN), see the 
BSN Track
.

Admission Requirements

A 
work experience form
 demonstrating two years of full-time or part-time nursing work experience employed as an RN.

The 
Technical Standards Policy & Clinical Site Acknowledgement Form
 with:

A statement of understanding of the MSN NP practicum requirements.

Identification of potential clinical sites in your local area for each of the four practicum requirements.

Additional Walden admission criteria required. Contact an enrollment advisor for more details. nurs 6512 midterm and Final exam quiz.

Completion Requirements

81 total quarter credits

Foundations courses (26 cr.)

Core courses (20 cr.)

Specialization courses (35 cr. includes the required 640 practicum hours)

This sequence represents the minimum time to completion. Time to completion will vary by student, depending on individual progress and credits transferred, if applicable. For a personalized estimate of your time to completion, call an enrollment advisor at 
844-767-9452
.

Foundations Courses. nurs 6512 midterm and Final exam quiz.

Course Code

Course

Credits

NURS 3101

Issues and Trends in Nursing

(6 cr.)

NURS 3151

Foundations of Nursing Research

(5 cr.)

NURS 4006

Topics in Clinical Nursing

(5 cr.)

NURS 4211

Role of the Nurse Leader in Population Health

(5 cr.)

NURS 4221

Leadership Competencies in Nursing and Healthcare

(5 cr.)

Core Courses

Course Code

Course

Credits

NURS 6050

Policy and Advocacy for Improving Population Health

(5 cr.)

NURS 6051

Transforming Nursing and Healthcare Through Technology

(5 cr.)

NURS 6052

Essentials of Evidence-Based Practice

(5 cr.)

NURS 6053

Interprofessional Organizational and Systems Leadership

(5 cr.)

Specialization Courses

Course Code

Course

Credits

NURS 6501

Advanced Pathophysiology

(5 cr.)

NURS 6521

Advanced Pharmacology

(5 cr.)

NURS 6512

Advanced Health Assessment and Diagnostic Reasoning

(5 cr.)

NURS 6531

Advanced Practice Care of Adults Across the Lifespan

(5 cr.)

NURS 6541

Primary Care of Adolescents and Children

(5 cr.)

NURS 6551

Primary Care of Women

(5 cr.)

NURS 6565

Synthesis in Advanced Nursing Practice Care of Patients in Primary Care Settings

(5 cr.)

*The baccalaureate degree program in nursing (BSN), master’s degree program in nursing (MSN), and Doctor of Nursing Practice (DNP) program at Walden University are accredited by the Commission on Collegiate Nursing Education (www.ccneaccreditation.org). Officially recognized by the U.S. Secretary of Education as a national accreditation agency, the Commission on Collegiate Nursing Education (CCNE) is an autonomous accrediting agency, contributing to the improvement of the public’s health. CCNE ensures the quality and integrity of baccalaureate, graduate, and residency programs in nursing. nurs 6512 midterm and Final exam quiz.

Walden currently cannot enroll residents of the following states/districts into any Nurse Practitioner specializations: Louisiana, Nevada, New York, Oklahoma, Oregon and Utah.

Note on Certification

The MSN nurse practitioner specializations are designed to prepare graduates to qualify to sit for national nurse practitioner certification exams, which are required for practice as a nurse practitioner in most states. Because no graduate program can guarantee that graduates will be permitted to practice as a nurse practitioner upon graduation, we encourage students to consult the appropriate Board of Nursing or state agency to determine specific certification exam requirements. Walden enrollment advisors can provide information relating to national certification exams; however, it remains the individual’s responsibility to understand, evaluate, and comply with all requirements relating to national certification exams for the state in which he or she intends to practice as requirements vary widely. Walden makes no representations or guarantee that completion of Walden coursework or programs will permit an individual to obtain national certification. For more information about nurse practitioner certification exams, students should visit the American Academy of Nurse Practitioners at www.aanpcertification.org, the American Nurses Credentialing Center at www.nursecredentialing.org, or other nurse practitioner certification exam websites. nurs 6512 midterm and Final exam quiz.

Note on Licensure, Authorization, Endorsement, or Other State Credential Necessary to Practice as a Nurse Practitioner

The MSN nurse practitioner specializations are designed to prepare graduates with an active registered nurse (RN) license to practice as nurse practitioners. However, each state Board of Nursing has its own academic and certification requirements and issues its own credential for an RN to be permitted to practice as a nurse practitioner in that state. Because no graduate program can guarantee that graduates will be permitted to practice as a nurse practitioner upon graduation, we encourage students to consult the appropriate Board of Nursing or state agency in the state in which he or she wishes to practice to determine specific requirements. Walden enrollment advisors can provide guidance relating to the state-by-state requirements for practice as a nurse practitioner; however, it remains the individual’s responsibility to understand, evaluate, and comply with all requirements relating to the practice as a nurse practitioner in the state in which he or she intends to practice as requirements vary widely. Walden makes no representations or guarantee that completion of Walden coursework or programs will permit an individual to obtain state licensure, authorization, endorsement, or other state credential. For more information about the requirements to practice as a nurse practitioner, students should contact the appropriate Board of Nursing or state agency. nurs 6512 midterm and Final exam quiz.

NURS 6512 Week 3 Quiz

Which of the following is a major function of dietary protein?

Which medication is frequently associated with weight gain?

Which of the following is not a characteristic of the plan portion of the problem-oriented medical record?

When recording assessments during the construction of the problem-oriented medical record, the examiner should:

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Subjective and symptomatic data are:

Which of the following is the most accurate reflection of an individual s food intake?

Adult recommended dietary fat intake is _____ % of daily caloric intake. NURS 6512 Week 3 Quiz.

You are using the rule of thumb for advising a 150-pound person regarding the appropriate number of calories to promote weight loss. Your advice is for the person to consume no more than _____ calories.

When recording physical findings, which data are recorded first for all systems?

Deficiency of which of the following is a concern in the vegetarian diet?

The position on a clock, topographic notations, and anatomic landmarks:

Which part of the information contained in the patient s record may be used in court?

A 17-year-old girl presents to the clinic for a sport s physical. Physical examination findings reveal bradycardia, multiple erosions of tooth enamel, and scars on her knuckles. She appears healthy otherwise. You should ask her if she:

Under normal circumstances, how much water is lost daily by the body? NURS 6512 Week 3 Quiz.

The recommended minimum daily protein requirement for the normal adult is:

During adolescence, the head size normally increases as a result of:

Mrs. Layton is a 33-year-old patient who has obesity. The majority of adult obesity begins:

Infants born to the same parents are normally within which range of weight of each other?

How much of the weight gained during a normal pregnancy is accounted for by the fetus?

In clinical practice, the Ballard Assessment Tool is used to assess a newborn’s: NURS 6512 Week 3 Quiz.

Nurs 6512 Wk 1 Discussion – Building a Health History

Effective communication is vital to constructing an accurate and detailed patient history. A patient’s health or illness is influenced by many factors, including age, gender, ethnicity, and environmental setting. As an advanced practice nurse, you must be aware of these factors and tailor your communication techniques accordingly. Doing so will not only help you establish rapport with your patients, but it will also enable you to more effectively gather the information needed to assess your patients’ health risks. Nurs 6512 Wk 1 Discussion – Building a Health History.

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For this Discussion, you will take on the role of a clinician who is building a health history for one of the following new patients:

·        76-year-old Black/African-American male with disabilities living in an urban setting

·        Adolescent Hispanic/Latino boy living in a middle-class suburb

·        55-year-old Asian female living in a high-density poverty housing complex

·        Pre-school aged white female living in a rural community. Nurs 6512 Wk 1 Discussion – Building a Health History.

·        16-year-old white pregnant teenager living in an inner-city neighborhood

To prepare:

With the information presented in Chapter 1 in mind, consider the following:

·        How would your communication and interview techniques for building a health history differ with each patient?

·        How might you target your questions for building a health history based on the patient’s age, gender, ethnicity, or environment?

·        What risk assessment instruments would be appropriate to use with each patient?

·        What questions would you ask each patient to assess his or her health risks?

·        Select 
one
 patient from the list above on which to focus for this Discussion. Nurs 6512 Wk 1 Discussion – Building a Health History.

·        Identify any potential health-related risks based upon the patient’s age, gender, ethnicity, or environmental setting that should be taken into consideration.

·        Select 
one
 of the risk assessment instruments presented in Chapter 1 or Chapter 26 of the course text, or another tool with which you are familiar, related to your selected patient.

·        Develop 
at least five
 targeted questions you would ask your selected patient to assess his or her health risks and begin building a health history. Nurs 6512 Wk 1 Discussion – Building a Health History.

Post a 1 page paper APA format
 1.
a description of the interview and communication techniques you would use with your selected patient.

2.
Explain why you would use these techniques.

3
Identify the risk assessment instrument you selected, and justify why it would be applicable to the selected patient.

4
Provide at least five targeted questions you would ask the patient. Nurs 6512 Wk 1 Discussion – Building a Health History.

Readings

·        Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2015). 
Seidel’s guide to physical examination
 (8th ed.). St. Louis, MO: Elsevier Mosby.

o   Chapter 1, “The History and Interviewing Process” (pp. 1–21)

This chapter explains the process of developing relationships with patients in order to build an effective health history. The authors offer suggestions for adapting the creation of a health history according to age, gender, and disability. Nurs 6512 Wk 1 Discussion – Building a Health History.

o   Chapter 26, “Recording Information” (pp. 616–631)

This chapter provides rationale and methods for maintaining clear and accurate records. The authors also explore the legal aspects of patient records.

·        Sullivan, D. D. (2012). 
Guide to clinical documentation
 (2nd ed.). Philadelphia, PA: F. A. Davis.

o   Chapter 1, “Medicolegal Principles of Documentation” (pp. 1–12 and abbreviations, pp. 18)

o   Chapter 2, “The Comprehensive History and Physical Exam” (pp. 19–36)

·        Deeks, A., Lombard, C., Michelmore, J., & Teede, H. (2009). The effects of gender and age on health related behaviors. 
BMC Public Health
,
 
9
, 213–220.

Retrieved from the Walden Library databases.

This article describes a study that sought to determine the effects of gender and age on health-related behaviors. In the study, the authors also investigated the effects of screening practices, health beliefs, and perceived future health needs. Nurs 6512 Wk 1 Discussion – Building a Health History.

·        Delpierre, C., Lauwers-Cances, V., Datta, G. D., Berkman, L., & Lang, T. (2009). Impact of social position on the effect of cardiovascular risk factors on self-rated health. 
American Journal of Public Health
, 
99
(7), 1278–1284.

Retrieved from the Walden Library databases.

This study assessed the influence of education level on the association between self-rated health and cardiovascular risk factors. The authors explain their methods and results, and they provide recommendations for similar studies in different countries and cultures.

·        Lee, D. W., Neumann, P. J., & Rizzo, J. A. (2010). Understanding the medical and nonmedical value of diagnostic testing. 
Value in Health
, 
13
(2), 310–314.

Retrieved from the Walden Library databases.

The authors of this article detail their attempts to develop a framework for defining the potential value of diagnostic testing. The authors also discuss the implications of their framework for health care delivery systems. Nurs 6512 Wk 1 Discussion – Building a Health History.

·        University of Michigan Medical School. (2003). 
Geriatric functional assessment
.

Retrieved from 
http://www.med.umich.edu/lrc/coursepages/m1/HGD/GeriatricFunctionalAssess.pdf

This article provides an exercise that emphasizes accurate functional status assessments and effective communication with older patients. The authors recommend tools and techniques to be used when caring for older patients.

Note about Uploading Media:

Please refer to the 
Kaltura Media Uploader
 page located in the course navigation menu.. The documents on this page provide guidance on how to upload media for your Health Assessment Videos assignments for this course.

Optional Resources

·        LeBlond, R. F., Brown, D. D., & DeGowin, R. L. (2009). 
DeGowin’s diagnostic examination
 (9th ed.). New York, NY: McGraw- Hill Medical.

o   Chapter 2, “History Taking and the Medical Record” (pp. 15–33). Nurs 6512 Wk 1 Discussion – Building a Health History.

NURS 6512 Week 11 Quiz Answers

One of the most important aspects to consider in the orthopedic screening examination is:

Which portion of the physical examination is best done with the patient standing?

Which patient position facilitates inspection of the chest and shoulders?

The least reliable indicator of newborn distress is: 

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Proprioception should be assessed while the patient is:

Part of the screening orthopedic component of the examination includes evaluating the person while:

To promote your examination time with a cooperative child, your approach to the examination should be to:

Palpation of epitrochlear nodes is part of the: NURS 6512 Week 11 Quiz Answers.

Throughout the history and physical examination, the clinician should:

The checkout station for preparticipation physical evaluation (PPE) is critical because at this point:

When conducting a geriatric assessment, basic activities of daily living (ADLs) include:

At your first meeting with a patient, it is usually best to say:

The goals of preparticipation sports evaluation include:

The reliability of health-related findings and observations is the responsibility of the:

To inspect the abdominal muscles, ask the: NURS 6512 Week 11 Quiz Answers.

The sequence of the physical examination should be individualized to:

The cranial nerves are usually assessed while the patient is in which position?

When a patient has not been compliant with instructions, an examiner should:

When conveying bad or distasteful news to the patient and family, it is best to:

When interviewing a disabled patient, it is best to speak to: NURS 6512 Week 11 Quiz Answers.

NURS 3101 – Issues and Trends in Nursing Essays and Exams

In this course, students are provided with an overview of the evolution of nursing as a profession and introduced to their new role as scholar-practitioners. They examine changes in the U.S. healthcare delivery system, the importance of information technology, and measures that promote quality, safety, and better health outcomes in patient care. Students consider major issues and trends in contemporary nursing and healthcare practice, including the influence of socioeconomic, ethical, legal, and political variables and professional values. Through weekly discussions and assignments, students explore and share personal experiences in the context of contemporary nursing issues, such as the nursing shortage, workforce challenges, healthcare financing, professional organizations, and diversity. They are challenged to examine and propose solutions to these nursing issues in addition to those in their workplace. Students reflect on Walden’s mission of social change and its impact on their future nursing practice as a scholar-practitioner. Because this is the first nursing course within the RN/BSN program, students learn to use Walden University’s resources to enhance writing skills. Students are also introduced to the tools essential to success at Walden.

♦ Students may take this as a non-degree course, which means they do not have to be enrolled in a program. Contact an Enrollment Advisor [1-866-492-5336 (U.S.); 1-443-627-7222 (toll)] for more information.

ORDER A CUSTOM-WRITTEN PAPER NOW

NURS 3101 Issues & Trends in Nursing: Welcome & Course Readings

Welcome & Course Readings

Welcome to your course guide

NURS 3101 Course Readings

Other Readings

Week 3 Assignment

Week 4 Assignment

Welcome to your course guide

Please find your required library readings below. If you have problems with the links below, please 
contact the Library
. If you have APA questions about these materials, please 
contact the Writing Center
.

Our experienced nursing essay writers will handle all your writing needs including.

NURS 3101 Course Readings

After clicking on a citation below, enter your myWalden user name and password at the prompt.

Please 
Ask a Librarian
 if you have any questions about the links.

Bradbury-Jones, C. & Taylor, J. (2014). Applying social impact assessment to nursing research. Nursing Standard, 28 (48), 45-49.

Fowler, M. D. M. (2015a). Guide to the code of ethics for nurses with interpretive statements: Development, interpretation, and application (2nd ed.). Silver Spring, MD: American Nurses Association
.

Fowler, M. D. M. (2015b). Guide to nursing’s social policy statement: Understanding the profession from social contract to social covenant. Silver Spring, MD: American Nurses Association.

Gilmartin, M. J. (2013). Principles and practices of social entrepreneurship for nursing. Journal of Nursing Education, 52(11), 641–644.

Hart, C. (2015). The Elephant in the room: Nursing and nursing power on an interprofessional team. The Journal of Continuing Education in Nursing, 46, 349-355. doi:10.3928/00220124-20150721-01

Heege, M. (2011). The empty carriage: Lessons in leadership from Florence Nightingale. Nursing Science Quarterly, 32 (121-25)

Hinds, P. S, Britton, D., Coleman, L., Engh, E. Kunze Humbel, T., Keller, S, Patterson Kelly, K., Menard, J, Lee, M. A., Roberts-Turner, R., & Walczak, D. (2014). Creating a career legacy map to help assure meaningful work in nursing. Nursing Outlook , 63(2), 211 – 218.

Ma, C., Shang, J, & Bott, M. (2015) Linking unit collaboration and nursing leadership to nurse outcomes and quality of care. Journal of Nursing Administration, 45(9), p. 435-442. DOI: 10.1097/NNA.0000000000000229

Martin, D., Godfrey, N., & Walker, M. (2015) The Baccalaureate Big 5. What Magnet Hospitals Should Expect From a Baccalaureate Generalist Nurse. Journal of Nursing Administration, 45 (3), p. 121-123.

Tinkham, M. R. (2013). Pursuing magnet designation: The role of structural empowerment. 
AORN Journal, 97
(2), 253—256.

5 Nursing Trends to Watch

Nursing is always changing—sometimes quickly, sometimes slowly. It’s helpful to step back once in a while and look at of some of the biggest developments in the field to know what’s ahead so you can be prepared to face new challenges and continue to thrive in your nursing career. NURS 3101 – Issues and Trends in Nursing Essays and Exams.

More Outpatient Care

Outpatient care is in demand due to a number of factors, including pressure to keep down costs and more effective technologies and treatments that have eliminated the need for overnight hospital stays. Financial constraints, such as high insurance deductibles, have also caused many patients to put off elective procedures. However, these patients often still require extensive medical attention, hence the need for more outpatient facilities and care. Nurses will also find opportunities in outpatient settings such as ambulatory care clinics, rehabilitation centers, and clinics attached to assisted-living facilities, and even telehealth providers.

The Importance of Cultural Competency

At its core, health care is about people, and different people have different needs. That has never been more true in the U.S. health care system than today, when nurses are helping individuals, families, and groups from ever more diverse backgrounds. Nurses who are who are sensitive to the cultural habits, traditions, and beliefs of their patients will be able to provide care that takes these into account. For example, some patients may speak English as a second language, affecting their understanding of directions or medical terminology; patients from certain religions may have dietary restrictions; and some individuals come from cultures where they fare best when they are surrounded by family rather than isolated in a hospital room. NURS 3101 – Issues and Trends in Nursing Essays and Exams.

Preventive Health

Wellness continues to be a growing issue in health care, especially as organizations move to keep costs down as they improve outcomes. Patients are becoming savvier about maintaining their own wellness, from modifying their diets to wearing trackers that measure their activity levels. Nurses can help by focusing on measures to prevent chronic illnesses such as diabetes, slow down or mitigate the effects of aging on the body via exercise, and improve overall wellness—as well as by educating patients about what further steps they can take on their own to improve their health.

Increasing Consumer Sophistication

Patients are also extremely knowledgeable about where to turn for health information, often doing their own research on the Internet. Consequently, patients may come to appointments with their own possible diagnoses and suggested treatments and medications. Such awareness can be as potentially harmful as it is helpful, forcing nurses to sort through possibly flawed information and incorrect assumptions as they perform health assessments. NURS 3101 – Issues and Trends in Nursing Essays and Exams.

The Rise of Nurse Informatics

As technology produces more data, supports better record keeping, and allows for detailed analysis, health informatics has become increasingly important in health care. Similarly, nurse informatics can support evidence-based nursing practice and improved patient care through better data collection, information analysis, easier and faster collaboration between health care professionals, and identification of both large- and small-scale health and patient trends. As they are situated on the front lines of patient care, nurse informaticists are especially suited for playing a greater role in health care planning and decision-making.

Nurses with higher education levels are better prepared to meet the fast-moving and frequently challenging nature of health care today. The online RN to Bachelor of Science in Nursing and online Master of Science in Nursing at the University of Saint Mary provide you with the nursing knowledge and critical-thinking skills required to succeed in today’s nursing environment. To find out more, request more information or call us at 877-307-4915 to speak to an admissions advisor. NURS 3101 – Issues and Trends in Nursing Essays and Exams.

Emerging trends in nursing

RNs embrace roles beyond the bedside.

Seun Ross, DNP, MSN, CRNP-F, NP-C, NEA-BC, is the director of Nursing Practice and Work Environment at the American Nurses Association (ANA). She’s published and lectured on numerous topics, including evidence-based practice, workforce management, RN work environment, competency, and mentoring novice RNs. Ross keeps looking ahead to what’s next in nursing, and she shared with us some of her thoughts on emerging roles and technology. NURS 3101 – Issues and Trends in Nursing Essays and Exams.

What are the current trends in nursing?

Seun Ross

There continues to be substantial movement to community-based care; increasing numbers of RNs are in public and community health and practicing care coordination in the community.  Nurses are opening businesses to help manage patients and working for Fortune 500 companies like Coca-Cola. More nurses are innovating—Johnson & Johnson has a great program, and ANA is advancing nurse-led innovation. It’s also exciting to see that more nurses are stepping into the political arena. NURS 3101 – Issues and Trends in Nursing Essays and Exams.

What brought about these changes?

Community-based nursing and the tech boom began ramping up in the late 1990s and early 2000s. To counter nursing shortages, electronic intensive care units (E-ICUs) were established, mostly in rural areas, to enable out-of-state nurses to monitor patients remotely via video camera. That’s when hospitals and other healthcare facilities started to look to robotics and machines for some nursing tasks, like stocking rooms and even monitoring patients.

Do you see robots doing more nursing tasks?

There’s a push for more automated caregivers like robots,machines, and artificial intelligence, all of which should be viewed as assistive to nursing and not a replacement. There are robots that can lift and turn patients, which canbe helpful to nurses. But these machines lack the intuition of a nurse, who, for example, can assess a clinical situation and use critical thinking to determine a course of action. Just because some tasks 
can 
be done by machines or robots doesn’t mean they 
should 
be. NURS 3101 – Issues and Trends in Nursing Essays and Exams.

How is technology playing a role in healthcare outside of the hospital setting?

We’re seeing significant changes in how healthcare is administered. There are pop-up clinics in malls (different from clinics within drugstores) where a patient can walk in and be seen by a nurse practitioner for a small fee. These clinics have virtually no equipment.

The technology is so advanced that a scan immediately takes heart rate and rhythm and other vital signs. Also, as the patient talks to the provider, the whole conversation is transcribed into the patient’s record. NURS 3101 – Issues and Trends in Nursing Essays and Exams.

Wearables like Fitbit and others have given consumers the opportunity to take better care of themselves, but these devices also benefit advanced practice registered nurses (APRNs). Consumers can monitor and send their vital signs directly to their APRN in real time (and it also gives the clinician the option to remotely monitor patients).

What are other opportunities for nurses?

For nurses who want to work in communities, I encouragepublic health nursing. It’s a field that gives nurses several options, not just working inschools, butthe opportunity to travel the United States or even the world and make a huge impact. Forthose who want to tap into their entrepreneurial spirit, concierge healthcare is booming. APRNs and RNs meet clients/patients wherever they are tocare for them. Originally startedas a service for the wealthy, now it’s in rural areas as a mechanism to increase access to care. NURS 3101 – Issues and Trends in Nursing Essays and Exams.

How can nurses explore these trends?

It’s a multipronged approach. Nursing schools should expand their community health education to prepare nurses for these trends and shift the focus from disease management to concentrate on partnering with patientsto achieve wellness. NURS 3101 – Issues and Trends in Nursing Essays and Exams.

There’s a common misconception that you must practice in a hospital before anything else, but that’s not true. Follow your interests. Do lots of reading, and not just nursing publications, but include 
Forbes 
and 
Modern Healthcare
. Get plugged into philanthropic organizations that focus on healthcare and, of course, ANA. Having diversity of thought when contemplating your nursing career is essential. NURS 3101 – Issues and Trends in Nursing Essays and Exams.