Category: Nursing

What quality standards or performance measures guide your role or specialty as an advanced registered nurse? Using these standards, discuss how informatics can be used to improve quality of care. Make sure to discuss meaningful use and incorporate the topic materials, such as the American Health Information Management Association (AHIMA) and Information Governance websites in your response. GCU NUR-514 WK7 DQ1.

NUR 648E Role of Nurse Educator and Curriculum Development

Health care is a continually evolving field driven by various changes. Nurse educators need an understanding of changes in health care and the driving forces behind them in order to create a relevant and contemporary curriculum. The purpose of this assignment is to describe the role of the nurse educator and to identify internal and external influences on curriculum development and how those changes influence the role of the nurse educator.

In a 1,000-1,250 word essay, describe various aspects of the role of a nurse educator and the internal and external influences driving curriculum development. Include the following in your essay: NUR 648E Role of Nurse Educator and Curriculum Development

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Summarize the role of a nurse educator in curriculum development according to the National League for Nursing Nurse Educator Competencies.

Explain how the nurse educator role changes in different settings (e.g., classroom, clinical, bedside, or simulation).

Explain how nursing education theories influence the nurse educator role. Provide specific examples.

Explain what curriculum is and summarize the curriculum design process.

Identify three internal and three external influences on curriculum development. Describe how they play a role in curriculum development. NUR 648E Role of Nurse Educator and Curriculum Development.

This assignment requires 4-6 cited sources.

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

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

You are required to submit this NUR 648E Role of Nurse Educator and Curriculum Development assignment to LopesWrite. Please refer to the directions in the Student Success Center.

Implementation of Community-Based Education to Promote Colorectal Cancer Knowledge and Screening Rates in Hispanics

The projects goal is to increase colorectal cancer screening rates in hispanics and since there may not be so much data on that population, you may also add that this population is a vulnerable population

and their Socioeconomic status can also impact.

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Through this assignment student will identify a clinical problem and formulate a question in PICO (Population, (any possible) Intervention, Comparison group if appropriate, and Outcome) format to be used as search terms for your research literature review later in the course. The PICO you describe in this paper may or may not end up being the intervention you ultimately select following your review of the literature, but it is a lead off term for your search. Implementation of Community-Based Education to Promote Colorectal Cancer Knowledge and Screening Rates in Hispanics.

*I want my PICO to be this: In the Hispanic community (P), what is the effect of the implementation of Community-based education (I) to promote Colorectal Cancer knowledge and screening rates (O) compared to no intervention (C)? *

The purpose of this paper is to tell us everything you can about the clinical problem you have chosen. The clinical problem must have a link to patient outcomes/population health. This paper is not about your project or the intervention. Stay focused on the problem! This is a scholarly paper. Scholarly papers are to be written in APA 6th Edition format. Implementation of Community-Based Education to Promote Colorectal Cancer Knowledge and Screening Rates in Hispanics.

Required content and format of the problem identification assignment should include but is not limited to the following items:

1. Introduction (10 points). Introduce the clinical problem from a global perspective, explaining why this is a concern. Then narrow in on clinical problem of interest within your facility. Include a purpose statement at the end of the paragraph introducing the purpose of the paper (identify and describe a clinical problem). Please note the title (level 1 header) preceding this section is the same title as listed on the cover page. DO NOT use a header titled “Introduction” for this is assumed. Implementation of Community-Based Education to Promote Colorectal Cancer Knowledge and Screening Rates in Hispanics.

2. Background (15 points). This includes information regarding the problem of interest. Students should approach from a global or national level/concern then drill down to the localized institutional problem. Share the risk factors or causes associated with the problem. Share barriers to addressing the problem. Provide supporting evidence to demonstrate that the clinical problem exists or is a concern within the facility where you will be doing your project. If available, share data from your site, region, or national databases supporting the problem. Do not name your practice site; just describe it thoroughly.

3. Significance (15 points). Share the significance of the problem of interest for clinical practice. Explain why it is important this problem needs to be addressed on a global/national level then drill down to your site/practice. Share the rates of the problem including any morbidity/mortality statistics, if applicable. Associate some financial value to this. Describe how correcting this problem impacts financial status and may improve patient/health care outcomes (do not share your chosen intervention yet though), Implementation of Community-Based Education to Promote Colorectal Cancer Knowledge and Screening Rates in Hispanics.

4. PICO question (10 points). Introduce/explain what the PICO acronym means and why it is utilized within EBP (e.g. to search the literature). Develop a paragraph about each aspect of this acronym. Present the question that will guide the inquiry into the research literature in PICO format. Clearly align the question with the problem introduced earlier: the patient population, a possible intervention, and intended outcome(s). These PICO elements will serve as the search terms for your later research literature review. The purpose of the literature review will be to uncover possible interventions you can use at your site to address the problem. Your PICO may or may not include the intervention (I) you ultimately select.

5. Conclusion (5 points).

6. Written in APA (6th edition) format (10 points).

7. Correct spelling, grammar, and punctuation (10 points).

8. Organization and presentation of content (10 points).

This paper should be approximately 8 pages (not including cover page or references). Implementation of Community-Based Education to Promote Colorectal Cancer Knowledge and Screening Rates in Hispanics

NURS-6501 week 1 Discussion: Alterations in Cellular Processes

Discussion: Alterations in Cellular Processes

Photo Credit: Getty Images

At its core, pathology is the study of disease. Diseases occur for many reasons. But some, such as cystic fibrosis and Parkinson’s Disease, occur because of alterations that prevent cells from functioning normally.

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Understanding of signals and symptoms of alterations in cellular processes is a critical step in diagnosis and treatment of many diseases. For the Advanced Practice Registered Nurse (APRN), this understanding can also help educate patients and guide them through their treatment plans. NURS-6501 week 1 Discussion: Alterations in Cellular Processes.

For this Discussion, you examine a case study and explain the disease that is suggested. You examine the symptoms reported and explain the cells that are involved and potential alterations and impacts.

To prepare:

By Day 1 of this week, you will be assigned to a specific scenario for this Discussion. Please see the “Course Announcements” section of the classroom for your assignment from your Instructor.

By Day 3 of Week 1

Post an explanation of the disease highlighted in the scenario you were provided. Include the following in your explanation:

The role genetics plays in the disease. NURS-6501 week 1 Discussion: Alterations in Cellular Processes.

Why the patient is presenting with the specific symptoms described.

The physiologic response to the stimulus presented in the scenario and why you think this response occurred.

The cells that are involved in this process.

How another characteristic (e.g., gender, genetics) would change your response. NURS-6501 week 1 Discussion: Alterations in Cellular Processes.

NURS 6050 Agenda Comparison Grid Template

Regardless of political affiliation, every citizen has a stake in healthcare policy decisions. Hence, it is little wonder why healthcare items become such high-profile components of presidential agendas. It is also little wonder why they become such hotly debated agenda items.

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In Part 1 of this module’s Assignment, you were asked to begin work on an Agenda Comparison Grid to compare the impact of the current/sitting U.S. president and the two previous presidents’ agendas on the healthcare item you selected for study. In this NURS 6050 Agenda Comparison Grid Template Discussion, you will share your first draft with your colleagues to receive feedback to be applied to your final version.

To Prepare:

Review the Resources and reflect on the importance of agenda setting.

Consider how federal agendas promote healthcare issues and how these healthcare issues become agenda priorities.

Review Part 1 of the Module 1 Assignment and complete the requirements for this NURS 6050 Agenda Comparison Grid Template Discussion.

Agenda Comparison Grid Template

Agenda Comparison Grid and Fact Sheet
or Talking Points Brief Assignment Template for Part 1 and Part 2

 

Part 1: Agenda Comparison Grid

 

Use this Agenda Comparison Grid to document information about the population health/healthcare issue your selected and the presidential agendas. By completing this grid, you will develop a more in depth understanding of your selected issue and how you might position it politically based on the presidential agendas.

 

You will use the information in the Part 1:
Agenda Comparison Grid
to complete the remaining Part 2 and Part 3 of your Assignment. NURS 6050 Agenda Comparison Grid Template.

 

 

Identify the Population Health concern you selected.

 

 

Describe the Population Health concern you selected and the factors that contribute to it.

 

NURS 6050 Agenda Comparison Grid Template

 

Administration (President Name)

(Current President)

(Previous President)

(Previous President)

Describe the administrative agenda focus related to this issue for the current and two previous presidents.

 

 

 

 

 

 

 

 

 

 

Identify the allocations of financial and other resources that the current and two previous presidents dedicated to this issue.

 

 

 

 

 

 

 

 

 

Explain how each of the presidential administrations approached the issue.

 

 

 

 

 

 

 

 

 

 

 

Part 2: Agenda Comparison Grid Analysis

 

Using the information you recorded in Part 1: Agenda Comparison Grid, complete the following to document information about the population health/healthcare issue your selected

 

Administration (President Name)

(Current President)

(Previous President)

(Previous President)

Which administrative agency would most likely be responsible for helping you address the healthcare issue you selected?

 

 

 

 

 

 

 

How do you think your selected healthcare issue might get on the agenda for the current and two previous presidents? How does it stay there?

Who would you choose to be the entrepreneur/ champion/sponsor of the healthcare issue you selected for the current and two previous presidents?

 

Note: Part 3: of the Module 1: Assignment: Agenda Comparison Grid and Fact Sheet or Talking Points Brief is a 1-page Fact Sheet or Talking Points Brief the you will create in a separate document.

 

 

 

Agenda Comparison Grid and Fact Sheet or Talking Points Brief Assignment Template for Part 1 and Part 2

 

Part 1: Agenda Comparison Grid

 

Use this Agenda Comparison Grid to document information about the population health/healthcare issue your selected and the presidential agendas. By completing this grid, you will develop a more in depth understanding of your selected issue and how you might position it politically based on the presidential agendas.

 

You will use the information in the Part 1: Agenda Comparison Grid to complete the remaining Part 2 and Part 3 of your Assignment.

 

 

Identify the Population Health concern you selected.

Abortion

Describe the Population Health concern you selected and the factors that contribute to it.

Abortions has been a debate in healthcare for many year, but most recently, it has become a huge topic of discussion and debate in politics. Abortion laws affect many different populations and there are many factors that contribute to the debate. Factors that contribute to abortion are the effects abortion has on birthrates, the economic impact of abortion, changes of sexual behavior among teens. A recent study was performed to determine the factors affecting the mental well-being of a woman after abortion. Implications of the study included; Source of stress experienced by women after abortion and the effects abortion has in regards to religious beliefs (Annas, G. n.d.). According to a 2011 study of the British Journal of psychiatry 81 percent were likely to experience a mental health disorder such as anxiety disorder, depression, alcohol abuse, marijuana abuse, and suicide (Laguna Treatment Center, 2019). Other studies, found that women were more emotionally stressed if they were denied an abortion (Laguna Treatment Center, 2019). The reason for this was they were not prepared to have children, rape, the child had birth complications, and parents of the child were unable to care for the baby, or shame.

 

Administration (President Name)

(Current President)

Donald Trump

(Previous President)

Barack Obama

(Previous President)

George W. Bush

Describe the administrative agenda focus related to this issue for the current and two previous presidents.

On January 19, 2018, while speaking to participants at the annual March for Life, a rally for activists who opposed abortion, President Donald Trump said that his administration “will always defend the very first right in the Declaration of Independence, and that is the right to life. We are protecting the sanctity of life and the family as the foundation of our society (whitehouse.gov, n.d.). President Trump is % against abortion. He has always maintained that is and will always be the case for him as long as he is president.

 

 

 

 

 

 

 

 

 

Obama strongly supported a women’s right to choose to terminate her pregnancy for any reason through legal and safe abortion procedures as defined by Roe. Obama wound do just about anything and everything he could to preserve a women’s right to affordable and unfettered abortion on demand as promoted by tax subsidized abortion providers like Planned Parenthood. (
www.nrlc.org
, April, 201). He believed it was a moral issue and did not feel the government should be involved. Obama enacted the freedom of choice Act in 2008, which would codify the right to abortion by eliminating all federal and state-level restrictions on the procedure (The federalist, 2019 para.9).

President Bush is likely the president that was the most sensitive on the subject than the other two presidents.

Bush supported a constitutional amendment making the procedure illegal – except in cases of rape, incest and when the woman’s life was in jeopardy. But he also added that Americans didn’t support the measure, so there was no need to pursue it. He also added that he not require his Supreme Court nominees to pass an anti-abortion litmus test (Abortion without the rhetoric, 2012). He did not believe in intentional death of babies, but he  believed women should have some rights initially, but then he took away funding, and settled for Partial abortion.

Identify the allocations of financial and other resources that the current and two previous presidents dedicated to this issue.

Trump signed an executive order reinstating the ban known as the Mexico City Policy. This policy prohibits the U, S. giving federal family planning funding to international health groups that provide abortion care” (Freiburger, C., 2019).This would include organizations such as Planned Parenthood.

Shortly afterwards, the President’s press secretary Sean Spicer made a bold statement that stated, “ Mr. Trump was/is standing up for all Americans – including the unborn” (Freiburger, C., 2019).

 

 

 

 

 

 

 

The Obama administration finalized a rule to stop states from withdrawing federal money from Planned Parenthood and other health clinics that provide abortions.

The protections were in effect two days before Donald Trump took office.

Under the rule, states are legally required to distribute federal funds for services related to contraception, fertility, pregnancy, sexually transmitted infections and breast and cervical cancer screening, regardless of whether they also perform abortions (Annas, G. n.d.).

Upon taking office, President Bush reinstated the “Mexico City Policy,” also known by critics as the “Global Gag Rule.” This rule required that all non-governmental organizations (NGOs) that receive federal funding must refrain from performing or promoting abortion services (prolifeprofiles.com, n.d.).

Explain how each of the presidential administrations approached the issue.

Trump’s major actions on abortion during his first two years in office were: Signing a resolution that allowed states to withhold federal funding for health care providers that perform abortions into law; Reinstating the Mexico City Policy, which prohibited foreign aid and federal funding for international NGOs that performed abortions or offered related services; and issuing a proposal to modify the Title X family planning program that proposed making family planning clinics that refer patients for abortions and share finances or facilities with abortion providers ineligible to receive funding from the program. Additionally, healthcare providers would not be required to provide abortion counseling if it violated their moral or religious beliefs (Israel, M., 2018).

 

 

 

 

 

 

 

 

As president, Obama dedicated himself to promoting abortion, rather than reduce them as he promised. He has done this by; expanding abortions through Obamacare, appointing a bevy of pro-abortion judges and officials, moving to strip medical professionals of conscience rights, and forcing taxpayers to fund groups who provide abortions in other countries (Annas, G. (n.d.).

NURS 6050 Agenda Comparison Grid Template

On November 5, 2003, Bush signed into law the “Partial Birth Abortion Ban Act,” which prohibited a form of late term abortions dubbed “partial birth abortions” by pro-life groups and referred to in medical literature as “intact dilation and extraction.”  Under this law, “Any physician who, in or affecting interstate or foreign commerce, knowingly performs a partial-birth abortion and thereby kills a human fetus shall be fined under this title or imprisoned not more than 2 years, or both.” In 2007 its constitutionality was upheld by the U.S. Supreme Court, in the case of Gonzales v. Carhart; Bush supported the Texas Parental Notification Law which required doctors to notify a parent or guardian by phone or certified mail at least 48 hours before performing an abortion on a minor girl.  It also allowed a judicial bypass where extenuating circumstances existed, provided a $10,000 fine for failing to notify and waived notification in cases of medical emergency.

 

In his own words he stated, “I will lead our nation toward a culture that values life — the life of the elderly and the sick, the life of the young, and the life of the unborn. I know good people disagree on this issue, but surely we can agree on ways to value life by promoting adoption and parental notification, and when Congress sends me a bill against partial-birth abortion, I will sign it into law” NURS 6050 Agenda Comparison Grid Template

(On the issues.org, n.d.).

 

 

 

 

 

 

Part 2: Agenda Comparison Grid Analysis

 

Using the information you recorded in Part 1: Agenda Comparison Grid, complete the following to document information about the population health/healthcare issue your selected

 

Administration (President Name)

(Current President)

(Previous President)

(Previous President)

Which administrative agency would most likely be responsible for helping you address the healthcare issue you selected?

 

The Centers for Disease Control and Prevention (CDC), the government agency currently responsible for compiling U.S. abortion data.

 

In 1996, as well, the Food and Drug Administration (FDA) took significant steps toward approving the use of medical (nonsurgical) abortion in the United States, essentially by “preapproving” the use of mifepristone, popularly known as RU 486, as an abortifacient.

 

The Department of Health and Human Services play a huge role in addressing administrative policies for abortions.

 

 

 

NURS 6050 Agenda Comparison Grid Template

How do you think your selected healthcare issue might get on the agenda for the current and two previous presidents? How does it stay there?

President Trump addressed abortion often in his run for president. He has already addressed the issue as the president. President Trump’s first day in the Oval Office on Monday, he signed a ban on federal money going to international groups that perform or provide information on abortions.

NURS 6050 Agenda Comparison Grid Template

During his first week in office, Obama made it clear that he would support abortion when he made it a priority to overturn the Mexico City Policy. Republican President Ronald Reagan first created the Mexico City Policy in 1984, stopping funding for international groups which perform or provide information on abortions. It was reinstated by George W. Bush and then it was overturned again by President Barack Obama in 2009 (Bilger, 2018).

The Mexico City Policy created by President Reagan was reinstated when President George W Bush took over in 2001. Also in 2001, President Bush declared that federal funds could not be used for embryonic stem cell research, which requires the destruction of human embryos. Instead, Bush promoted adult stem cell research, which does not destroy embryos. In 2002, Bush signed the Born-Alive Infants Protection Act, which extends legal protection to infants who survive induced abortions by providing them with identical legal protections as babies who are born prematurely.

 

In 2003, President Bush signed into law the Partial-Birth Abortion Ban Act, which prohibits late-term abortions.

 

In 2004, Bush signed the Unborn Victims of Violence Act, which defines a child “in utero” at any stage of development as human, and accords the child the legal rights of the victim if subject to certain crimes that involve death or injury.

 

In 2005 and 2006, Bush appointed two pro-life justices, Justice John Roberts and Justice Samuel Alito, respectively, to the U.S. Supreme Court.

 

In 2007, both justices voted to uphold the federal Partial-Birth Abortion Ban Act of 2003, which was challenged in a lawsuit.

 

In 2007, Bush also sent congressional Democratic leaders a letter threatening to veto any bill that weakened existing pro-life policy.

 

In 2008, Health and Human Services Secretary Mike Leavitt issued a regulation to protect the rights of federally funded health care providers to decline to participate in services to which they morally object, including abortion.

(Ryan, 2009).

Who would you choose to be the entrepreneur/ champion/sponsor of the healthcare issue you selected for the current and two previous presidents?

I personally would choose President George W. Bush. His stand on abortion laws were more from a sympathetic and personal approach. He was very much a Christian President and this played a big role into his views and his acts on the subject, while the others are very much opposite. President Trump does not seem to view the sides of abortion that in fact may warrant it, such as a rape victim. President Obama is very much an advocate for abortion and is adamant that abortions should be a choice for women regardless of the reason. He does not seem to have regard for anyone’s ethical or religious beliefs on the matter.

References:

Abortion without the rhetoric. (2012, April 04). Retrieved from https://abortion.info/politics/presidents-and-abortion/george-w-bush-2001-2009/

Annas, G. (n.d.). Abortion Politics and Health Insurance Reform | NEJM. Retrieved from https://www.nejm.org/doi/full/10.1056/NEJMp0911513.

Bilger, M. (2018, December 13). Barack Obama, The Abortion President, Receives Human Rights Award. Retrieved from

Barack Obama, The Abortion President, Receives Human Rights Award

Freiburger, C. (2019, February 22). Trump admin cuts $60 million from Planned Parenthood. Retrieved from
https://www.ontheissues.org/Celeb/Donald_Trump_Abortion.htm

George W. Bush Former President of the U.S. (R) Tier 4 – Personhood Never. (n.d.). Retrieved from http://prolifeprofiles.com/george-w-bush-abortion

Ryan, J. (2009, January 16). Bush Had Best Pro-Life Record of Any President, Say Pro-Life Groups. Retrieved from
https://www.cnsnews.com/news/article/bush-had-best-pro-life-record-any-president-say-pro-life-groups
.

The Federalist. (2019). How The Obama Presidency Normalized Abortion Extremism. Retrieved from https://thefederalist.com/2019/03/04/how-the-obama-presidency-normalized-abortion-extrimism/ NURS 6050 Agenda Comparison Grid Template

 

 

Note: Part 3: of the Module 1: Assignment: Agenda Comparison Grid and Fact Sheet or Talking Points Brief is a 1-page Fact Sheet or Talking Points Brief the you will create in a separate document. NURS 6050 Agenda Comparison Grid Template

Benchmark – Capstone Project Change Proposal/ Topic falls in Psychiatric inpatient Unit

Week 9 Benchmark Assignment
: Capstone project change proposal. Ensure you submit a well written, APA formatting academic paper, ensure you use the rubric and assignment directions to include all required aspects. As this is your BSN final submission you need to ensure it is high level with comprehensive paragraphs, in-depth details, not quotes, excellent APA, paper formatting, frequent use of citations and high level grammar and writing skills. Please utilize the GCU writing resources if you need to. In the assignment you will be using several of the assignments created earlier in this course. The plagiarism checker should not mark these giving a false high similarity it is set to ignore work from this course. Benchmark – Capstone Project Change Proposal/ Topic falls in Psychiatric inpatient Unit. There are 10 required aspects, for 1 and 2 you want to write the intro and these two requirements using all of the knowledge and understanding you have gained in this course on your topic with in-depth overviews and discussions, for 3 and 4 utilize previous assessments but ensure you make adjustments so the paper flows well with strong transition statements, for 5 provide a comprehensive overview of your research including the data bases, search phrases and key words, success and frustrations with citations to back up your statements, for 6 add in the week 6 assignment making any changes required from your graded feedback of the assignment, for 7 you want to find an existing theory that is aligned with your project and add an overview of the theory and a discussion of how the theory is well aligned with your project, remember it must be an existing theory, a nursing theory is not required but you cannot make up a theory you must research and find a theory (like Lewin’s or Orem’s or Watson’s etc.), for 8 you want to create an in depth overview of how you will implement your change with outcomes stated, all of the steps of implementation with an explanation of each step, 9 is a discussion of barriers, you started this in discussion question and can expand on your posting with a strong discussion of all potential barriers (facility, financial, staff, patients etc.) and how you will overcome them, 10 is an actual appendix section you add after the reference page with the tools for implementation such as powerpoints, speakers notes, tools, posters, brochures…Benchmark – Capstone Project Change Proposal/ Topic falls in Psychiatric inpatient Unit…consider any and all education and implementation tools needed and include those in the appendix.

Practicum Reflective Journal:
Ensure you review the week 1 announcement and scoring rubric you need to meet and include essential topics in your journal, this is done in a word document for submission.

Scholarly Activities:
this is a 5 paragraph submission with an overview of scholarly activities, please use the template to complete this found within the assignment directions, this is done in a word document for submission.

Practice Hours Documentation Portfolio
: This is a multiple assignment submission, please try to put all of the documents into one word document for submission, ensure your ISP is signed by your mentor (electronic signatures are fine), the comprehensive clinical hours log is a word document with all of your weekly hour statements combined into one document, the PICET is added into this as it has the evaluations. You do not need my signature for anything prior to submission, but you do need you and your mentors signatures prior to submission. Benchmark – Capstone Project Change Proposal/ Topic falls in Psychiatric inpatient Unit.

Practice Immersion Clinical Evaluation Tool (PICET)
please complete the form attached, you will submit it twice as part of the above assignment and to this assignment. I apologize for the double submission but it is currently a course requirement.

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Benchmark – Capstone Project Change Proposal

In this assignment, students will pull together the change proposal project components they have been working on throughout the course to create a proposal inclusive of sections for each content focus area in the course. At the conclusion of this project, the student will be able to apply evidence-based research steps and processes required as the foundation to address a clinically oriented problem or issue in future practice. Benchmark – Capstone Project Change Proposal/ Topic falls in Psychiatric inpatient Unit.

Students will develop a 1,250-1,500 word paper that includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the capstone change proposal:

Background

Problem statement

Purpose of the change proposal

PICOT

Literature search strategy employed

Evaluation of the literature

Applicable change or nursing theory utilized

Proposed implementation plan with outcome measures

Identification of potential barriers to plan implementation, and a discussion of how these could be overcome

Appendix section, if tables, graphs, surveys, educational materials, etc. are created

Review the feedback from your instructor on the Topic 3 assignment, PICOT Statement Paper, and Topic 6 assignment, Literature Review. Benchmark – Capstone Project Change Proposal/ Topic falls in Psychiatric inpatient Unit Use the feedback to make appropriate revisions to the portfolio components before submitting.

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

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

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center. Benchmark – Capstone Project Change Proposal/ Topic falls in Psychiatric inpatient Unit

Discussion: Organizational Fit Essay

What does it mean to “fit” within an organization? In considering nurse recruits, how important is it for a potential nurse hire to share the beliefs and values of the organization? Yet, is fit important in all areas? In what ways might different perspectives on quality nursing be welcome in a healthcare setting?

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These are all questions to consider as you prepare for this first Discussion. As a nurse executive, imagine interviewing three candidates for a specific job. The details of the position are not provided, only an assessment of each candidate’s basic qualifications. Consider your responses and perspectives on each candidate and how the concept of fit factors in your decision making. Discussion: Organizational Fit Essay.

To Prepare:

Review the Learning Resources. Pay particular attention to information that explains the role of nurse executives in recruitment and selection of employees and guidance for determining applicant qualifications, such as stages of ability in developing specific skills.

Consider the following scenarios of three candidates (A, B, and C) to interview. As a nurse executive, how would you view each?

Candidate A has all the necessary competencies but discussion, during the personal interview, suggests that the individual may not be a team player or open to working in a collaborative environment.

Candidate B lacks some of the necessary competencies but demonstrates clear evidence of being a team player and is comfortable in a collaborative environment. Discussion: Organizational Fit Essay.

Candidate C went to the same nursing school as you and, as you speak, you realize your social networks overlap as you know many of the same people, professionally and personally. This candidate lacks several of the necessary competencies for this position.

Consider the challenge of assessing both fit and technical qualifications when interviewing candidates and making hiring decisions. Are there situations where there is a tradeoff between fit and technical qualifications? If so, how might such a situation present itself?

Reflect on the potential for rater bias in this scenario. To what extent would you be drawn to the candidate with whom you can best identify? How do you assess the truthfulness of a candidate’s responses to questions? How much would you consider other explanations, such as nervousness, in assessing why the first candidate did not seem like a team player? How do you assess the validity of the interview information, including how you weigh different selection criteria?

Decide which candidate you would hire, and why Discussion: Organizational Fit Essay.

Consider your reasoning for not hiring each of the other candidates.

Post the following:

*A brief explanation of which candidate you would hire, and why. Explain what qualities you would give the most consideration and how your hiring decision relates to either good fit or bad fit for the organization. Also, explain your strategies for assessing the validity of interview information and for avoiding rater bias. Be specific and provide examples, with support from the Learning Resources or other current literature. Discussion: Organizational Fit Essay

Pediatric clinical experiences Practicum – Journal Entry 1

As a future advanced practice nurse, it is important that you are able to connect your didactic experience to your Practicum experience. By applying the concepts you study in the classroom to clinical settings, you better prepare yourself for your future professional career. Each week, you complete an assignment that prompts you to reflect on your Practicum experiences and relate them to the material presented in the classroom.

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To prepare for this course’s Practicum experience, address the following in your Practicum journal:

Explain what most excites and/or concerns you about pediatric clinical experiences. Include a description of your strengths and weaknesses in terms of working with children and how these strengths and weaknesses might impact your Practicum experience.

Discuss your personal definition of family and family roles might impact the assessment of a child and his or her family. Then, explain how culture (both the culture of the provider and that of the child and his or her family) may further influence the assessment. Pediatric clinical experiences Practicum – Journal Entry 1.

Select and explain a nursing theory to guide your practice with pediatric patients.

Based on your strengths, weaknesses, and theory of nursing practice, develop goals and objectives for the Practicum experience in this course. Be sure to consider the NAPNAP Position Statement on Age Parameters for Pediatric Nurse Practitioner Practice from this week’s Learning Resources.

Create a timeline of Practicum activities based on your Practicum requirements.

2–3-page limit. Use title page and references according to APA. Pediatric clinical experiences Practicum – Journal Entry 1.

Sharp Printing, AG case study

Read through the Sharp Printing, AG case found in chapter 5 of the textbook. This case refers to Lauren, an experienced employee who is assigned as the project manager to the project at hand. According to the WBS, the estimate on this project was increasingly over budget. In preparation for a meeting with stakeholders, Lauren brainstormed suggestions to resolve some of the estimates originally compiled.

Decide what you would do if you were the project manager on this project. Identify which suggestions offered were supportive to the end result of the project. Sharp Printing, AG case study.

Answer the corresponding questions provided at the end of the case (500-750 words). Use references from the reading materials to support your response.

APA format is not required, but solid academic writing is expected.

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Case Study “Sharp Printing, AG”

1.1.At this point what would you do if you were the project manager?

1.2. Was top management acting correctly in developing an estimate?

1.3. What estimating techniques should be used for a mission critical project such as this?

 

Abstract

This report is focused on answering the key questions from the case “Sharp Printing, AG”. The organization needed to acquaint a color laser printer with buyers and organizations for under $200. The top administration chose with real deliverables, item dispatch dates and evaluated expenses of the whole venture based on their experience. Meeting with the center level administration was booked where every one of the particulars and venture points of interest were given out. Lauren was picked as the task administrator of the undertaking who was cynic of the high danger of the venture. An estimation of the whole venture was attempted to choose the objectivity of the top administration. The results of the evaluations were that the expense were 5125.000, 20% over the normal cost and time required was additionally 4 months more than anticipated to assemble the innovation Sharp Printing, AG case study.

 

 

Introduction of the case

Lauren was chosen to be the project administrator of a task of actualizing a color laser printer for customer and business market at a sensible cost. However there were issues in expense and time estimates. Contextual investigation is about what requirements to done by the undertaking supervisor to conquer this issue.

 

At this point what would you do if you were the project manager?

The present state is that the laser printer is a prominent, key undertaking to build income. Time to market is imperative. It is sensible to expect the base up appraisal is more precise than the underlying macro estimate. If I were a project manager, I would use the priority matrix in order to help the top administration to develop clear priorities. Time is considered as one of the significant factors as the color printer is a technology where a short delay could cause the rivals to introduce the same product with particularly low price that could make the whole project valueless. Hence, the time to market would be focused on. On the other hand, performance is considered to be the critical factors in developing the product that also has reasonable quality. Hence, it is significant to offer the value for money for the item except the product will be unsuccessful in the long time period. Another area of the priority matrix is the cost. This factor is due to the fact that the estimate showed that the price has already amplified than the estimate of the senior management where the efforts of cost cutting which included talking with the design, production and marketing administrators were not capable of creating the great impact. Hence, time is considered as the important factor while performance is also needed, so the only choice that we have to admit is increased costs.

In addition to this, I would also plan a meeting with the senior administration in order to explain the priority matrix while getting the consent to augment the cost. At the similar period, I would take certain decisions in order to change the scope of the project where necessary. I would observe whether producing within the organization or outsourcing technology can decrease the issue of cost. On the other hand, I will also conduct the break even analysis with the different estimated cost in order to get know whether the company could attain the full profit which the senior managers expected. I would also use the work breakdown structure which would better assess the risks connected with the cost and time of the project while inspiring the use time phased budget when conducting the estimations. Lastly, I would also conduct a meeting with the project team in order to entail them the revised budget estimate as well as revised work breakdown structure. I would also get their feedback about the revisions. In case the project team becomes satisfied with the revised plan, I would continue the project and also license the project.

Was top management acting correctly in developing an estimate?

Based on the analysis of the situation, it seemed that the senior administration has made the judgment call by relying on the faulty and inaccurate information. The project is known not a noteworthy leap forward in the business. Determinations, including the cost appraisal, were set up exclusively in light of their related knowledge. There was insufficient thought in building up an estimate. Both sides neglected to achieve an agreement on their evaluations. There was additionally miscommunication between top administrations. They have utilized macro estimate which are just adequate to organize ventures, yet not for the precise task gauge. Top administration was as well “blinded” with the “guaranteed rewards”. The promising figure for evaluations was plainly improbable.

What estimating techniques should be used for a mission critical project such as this?

In spite of the fact that it is anything but difficult to propose assessing down to the work package level, there are mission basic activities where time is basic and expense must be precisely controlled. If the printer costs the company excessively, the company might not be capable for selling it for no more than $200 without losing cash.  As this project includes the elements which both estimating techniques are utilized in, the company must utilize both bottom-up and top-down methods in order to determine the necessities. A top-down method which must be utilized is the consensus methodology. This method utilizes the past experiences of senior management in order to give a rough knowledge about the time and cost which the project might entail. Sharp Printing, AG case study, On the other hand, additional useful top-down methodology is the function point’s method. This method offers an enhanced in-depth look at the single deliverables as well as the difficulty included in accomplishing them.

Other methods such as apportionment and ratio methods must not be used for the mission critical projects. This is because these methods tend to rely largely on the information from previous projects. As mission critical projects involve exploiting something which is never done beforehand (Assante et al., 2013), information and data from previous projects would result in a flawed estimate.

 

SHARP PRINTING CASE STUDY

At this point, what would you do if you were the project manager?

 
Performing a detailed and in-depth analysis so that different constraints and risks are identified. This helps the project manager to clearly understand and analyze the situation in the most effective manner.

Another relevant option from the viewpoint of the project manager is to arrange a meeting with the top management. This would help in identifying the company priorities specific to the project. The different constraints associated with the project could be discussed collectively in the presence of top management so that approval can be obtained and clarifications can be made regarding major decisions. Sharp Printing, AG case study.

As per discussion with the top management, fresh and better efficient project scope can be prepared so that actions can be taken as per plan and probabilities of positive results are boosted.

 

Was top management acting correctly in developing an estimate?

The estimates prepared were not accurate because the formulated estimates about the cost and time was more than that estimated by the top management. The top management has already fixed figures for time and cost. As the estimates generated were more than that of the top management’s figures, they need to be revised.

Top managements effectiveness in making the estimates were not excellent in a sense that it had variations. Further measures should be taken to generate a more effective estimate with proper strategies to improve the efficiency of data analysis Sharp Printing, AG case study.

 

What estimating techniques should be used for a mission critical project such as this?

Two kinds of estimation techniques can be used in this case:

Time Estimating

Cost Estimating

 

The different techniques that can be used to perform Time Estimation are:

Project Evaluation Review Technique (PERT) – This technique helps analyze different tasks and steps involved in a project and give time estimation with better accuracy and reliability.

Three point estimate technique – Taking three scenarios to get assumptions on project activity and the time taken.

Top down estimation – Involving senior management to get a time based estimation of the project.

Bottom up estimation – Involving the workforce to get a time based estimation.

 

The different techniques that can be used to perform Cost estimation are:

Top down estimation – Involving information from top management and using historical data to obtain cost estimation.

Bottom up estimation – Using the sum of individual costs obtained from estimates of individual department costs.

Three points estimation technique – using the three estimates – optimistic, pessimistic and normal estimates to determine the cost involved.

Use of software – Using various software tools to estimates costs involved Sharp Printing, AG case study

Risks Mitigation in Medical Coding Contracts Essay

Healthcare organizations enter into written contracts every day. Typically, the HIM professional secures contracts for transcription, record copying, imaging, record storage, coding, other outsourcing, or consulting services. Although contracts can prevent confusion and conflict, they can also bind the inattentive signer to conditions that are difficult or impossible to meet.

Your CEO and CFO are in the process of reviewing contracts between outside vendors and your organization. They have asked you to review the current contract you have with ABC Coding Services. Your focus will be to identify any areas which may mitigate risk to the organization. Risks Mitigation in Medical Coding Contracts Essay.

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As you read the contract, think about the requirements you have for your own staff within the HIM department: Confidentiality standards and requirements, disclosure or redisclosure of patient information, productivity standards, HIPAA privacy rule (42 CFR, Part 160-164)

Include the following.

    Review the current contract with ABC Coding Services: ABC Coding Services Contract.

    Identify five (5) areas you feel might pose a risk to the organization.

    Determine how you would change the risk areas addressed in the contract.

Contractual Agreement

This agreement is made effective as of September 1, 20XX, by and between ABC Coding Services and Rasmussen Hospital and Clinics. In this Agreement, the party who is contracting to receive services shall be referred to as Rasmussen Hospital and Clinics, and the party who will be providing the services shall be referred to as ABC Coding Services.

 

The parties agree as follows:

Description of Services:
Commencing September 1, 20XX, ABC Coding Services will provide the following services (collectively, the “Services”):

Provide ICD diagnoses and procedure codes for inpatient services

Provide ICD diagnoses for outpatient services

Provide CPT codes for outpatient services Risks Mitigation in Medical Coding Contracts Essay

Performance of Services:

Rasmussen Hospitals and Clinics will rely on ABC Coding Services to work as many hours as may be reasonably necessary to fulfill the obligations under this agreement.

Rasmussen Hospital and Clinics will not review assigned coders’ resumes, contact previous healthcare facilities, and reject any coders of ABC Coding Services

Rasmussen Hospital and Clinics will not review coded records from ABC Coding Services as to acceptable standards of coding accuracy and how performance will be measured

Rasmussen Hospital and Clinics will not terminate the use of a particular coder when acceptable standards of accuracy are not maintained

 

Price and Payment Terms:
Rasmussen Hospital and Clinics will pay a fee to ABC Coding Services for the Services in the amount of $10.00 per coded record. Upon termination of this Agreement, payments under this paragraph shall cease, however, ABC Coding Services shall be entitled to payments for periods or partial periods that accrued prior to the date of termination and for which ABC Coding Services has not yet been paid.

Term/Termination:
This Agreement shall terminate automatically upon completion by ABC Coding Services of the Services required by this Agreement. Either party may terminate this agreement with or without cause by submitting a 2-day written notice.

Relationship of Parties:
It is understood by the parties that ABC Coding Services is an independent contractor and not an employee of Rasmussen Hospitals and Clinics. ABC Coding Services employees may be eligible for fringe benefits, including health insurance, holidays, paid vacation, or any other employee benefit from Rasmussen Hospital and Clinics.

Legal Fees and Court Costs:
In the event any legal action is taken to enforce this agreement or any portion thereof, the party that prevails in that suit shall be entitled to recover from the other, reasonable attorney fees plus the cost of said suit.

Notices:
All notices required or permitted under this Agreement shall be in writing and shall be deemed delivered when delivered in person or deposited in the United States mail, postage prepaid, addressed as follows:

Rasmussen Hospital and Clinics, P.O. Box 45, Mytown, MN

ABC Coding Services, P.O. Box 87, Ourtown, MN

Such address may be changed from time to time by either party by providing written notice to the other in the manner set forth above.

Entire Agreement:
This Agreement contains the entire agreement of the parties and there are no other promises or conditions in any other agreement whether oral or written. This Agreement supersedes any prior written or oral agreements between the parties.

Amendment:
This Agreement may be modified or amended if the amendment is made in writing and is signed by both parties.

Severability:
If any provision of this Agreement shall be held to be invalid or unenforceable for any reason, the remaining provisions shall continue to be valid and enforceable. If a court finds that any provision of this Agreement is invalid or unenforceable, but that by limiting such provision, it would become valid and enforceable, then such provision shall be deemed to be written, construed, and enforced as so limited. Risks Mitigation in Medical Coding Contracts Essay.

Waiver of Contractual Right:
The failure of either party to enforce any provision of this Agreement shall not be construed as a waiver or limitation of that party’s right to subsequently enforce and compel strict compliance with every provision of this Agreement.

Applicable Law:
This Agreement shall be governed by the laws of the State of Minnesota.

 

Signature Party Receiving Service _________________________________

 

Signature Party Providing Service___________________________________

 

 

Review of the current contract with ABC Coding Services

A contract is to be signed between ABC Coding Services and Rasmussen Hospital and Clinics. ABC Coding services will be charged with the responsibility of coming up with common medical alphanumeric codes with regards to medical services, healthcare diagnosis, equipment and procedures in an efficient and effective manner.  Extraction of the codes in medical diagnosis and procedures can be obtained from medical records in results from the radiology, laboratory results. In addition, it will be the responsibility of ABC Coding Services to ensure that the process of billing for obtaining information from documents, allocating right codes and creating claims to facilitate payments is as precise and proficient as possible (Johnson & Linker, 2017) Risks Mitigation in Medical Coding Contracts Essay.

Furthermore, ABC Coding Services will have the task to make provisions of procedural codes and ICD diagnosis for inpatient services and CPT and ICD diagnosis codes for outpatient services. Payment by Rasmussen Hospital and Clinics to ABC Coding services will be $10 for every coded record. However, in case any of the parties may need to terminate the contract, a two-day prior written notice has to be provided.

Areas I feel might pose a risk to the organization.

Going by the fact that Rasmussen does not have the provision to review assigned resumes of the codes or reject any coders provided by ABC Coding Services is one of the greatest risks to the hospital. This means that the management of Rasmussen is not allowed to question the integrity of ABC Coding Services which may do away with the standards put across by the health organization to accept any coders presented by ABC Coding Services (Johnson & Linker, 2017).

Another issue of concern is the fact that coded records by ABC Coding Services will not be reviewed by Rasmussen Hospital and Clinics. In other words, this hospital is not allowed to verify that the required standards have been met by ABC Coding Services which puts too much confidence in the precision levels of this company. For this matter, Rasmussen cannot set particular anticipations that ought to be met by the vendor they contract which questions the ways to rate the performance of the company (Jurek, Mosay & Neris, 2016) Risks Mitigation in Medical Coding Contracts Essay.

By guaranteeing that ABC Coding Services employees are eligible for employee benefits form Rasmussen Hospital and Clinics is out of order and a risk to the management of the hospital that needs more attention. This is due to the fact that, ABC Coding Services is an independent organization and not employees of Rasmussen Hospital and Clinics.

Lastly, the condition that Rasmussen hospital and Clinics cannot terminate the use of any coder without levels of accuracy failed to be met is a great risk to the hospital management. By signing this contract, ABC Coding services will have the getaway not to do a credible job causing errors in the entire system that may result in additional financial losses. Another financial risk is tied to the provision of ABC Coding Services for payments in durations accrued before contract termination date. It is likely that the vendor may utilize this opportunity to regain unrestricted overpayment (Popov, Lyon & Hollcroft, 2016).

How I would change the risk areas addressed in the contract.

The best approach to mitigate the above-mentioned risks is not to agree to and make payments to demands that pave way for the vendor to perform a job that is not of particular set standards. With the fact that no review will be done for the medical records, efforts to ensure manipulation of claims has to be provided to counteracting such requirements. This can include a requirement by Rasmussen Hospital and Clinics to the vendor to notify and explain to a physician the existence of variations.

Another best approach is not to permit autonomous changes that give ABC Coding Services the liberty to undertake anything they think of. According to the contract, ABC Coding services awards itself a lot of authority. It is evident that it provides itself the go-ahead to perform a number of complex tasks and changes. Despite the goodness of the demands in the contract, the requirement to provide an earlier written notice in case there is a need for amendments has to be reconsidered Risks Mitigation in Medical Coding Contracts Essay.

Therefore, both ABC Coding Services and Rasmussen Hospital and Clinics need to come to an agreement with regards to both parties achieving satisfaction. Measures to ensure that the hospital validates the integrity, accuracy, and credibility of the services provided by the company needs to be met by particular measures laid down by the hospital agreeable to the vendor. On the other hand, the vendor needs to ensure the services provided to the Hospital are not interfered with by measures set by them agreeable to both parties.

 

References

Johnson, S. L., & Linker, R. I. (2017). 
Understanding medical coding: A comprehensive guide.

Jurek, J. H., Mosay, S., & Neris, D. (2016). 
Conquer medical coding: A critical thinking    approach with coding simulations.

Popov, G., Lyon, B. K., & Hollcroft, B. (2016). 
Risk assessment: A practical guide to assessing    operational risks. Risks Mitigation in Medical Coding Contracts Essay.