Tag: Clinical-Nursing

Application: Systems Theory NURS 6053: Interprofessional Organizational and Systems Leadership

Walden University Week 2 writing assignment 3-5 pages, APA format:

Note: I am retired military officer: Decision making within the organizational hierarchy is typically decentralized. The top-level leaders make decisions on the organization’s goals, but decisions are made at all levels of management creating the decentralized hierarchy. Also, the formal leadership style at this organization is a combination of transactional, transformational, situational and serving leader style.

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Note: The military culture is a unique organization in its own ways such as its mission, vision, strategic planning, and military community lifestyle.  The current organization primary mission is to Treat- Teach -Train. That being said, its mission is based on deployment platforms and a teaching hospital. Application: Systems Theory NURS 6053: Interprofessional Organizational and Systems Leadership.

Vision Statement: Superior Health Care and Readiness through prevention, innovation and partnerships (Local communities hospital and VA)

***I have included my week 1 writing discussion for reference.

For this Assignment, you apply systems theory to the examination of a problem in a department or a unit within a health care organization. (
Note:
 You may use the same problem you identified for the Discussion as long as it meets the criteria for this assignment.)

To prepare:

·         Review the Meyer article, “Nursing Services Delivery Theory: An Open System Approach,” in this week’s Learning Resources. Focus especially on the information presented in Table 1 (p. 2831) and Figure 2 (p. 2833).

·         Reflect on your organization or one with which you are familiar. Within a particular department or unit in this organization, identify a problem the staff is encountering. Application: Systems Theory NURS 6053: Interprofessional Organizational and Systems Leadership.

·         Using Table 1 in the Meyer article as a guide, analyze the department or unit, identifying inputs, throughput, output, cycles of events, and negative feedback. Consider whether the problem you have selected relates to input, throughput, output, cycles of events, and/or negative feedback.

·         Think about how you could address the problem: Consider what a desired outcome would be, then formulate related goals and objectives, and translate those goals into policies and procedures. Application: Systems Theory NURS 6053: Interprofessional Organizational and Systems Leadership.

·         Research professional standards that are pertinent to your identified problem.

·         Reflect on the organization’s mission statement and values. In addition, consider how addressing this problem would uphold the mission and values, while improving the organizational culture and climate. (Depending on the organization you have selected, you may have explored these in the Week 1 Discussion.)

To complete:

Write a 3- to 5-page paper that addresses the following:

·         Describe a department or unit within a health care organization using systems theory terminology. Include a description of inputs, throughput, output, cycles of events, and negative feedback.

·         Describe the problem you identified within the department or unit using an open- systems approach, and state where the problem exists using the systems theory model (input, throughput, output, cycles of events, or negative feedback). Application: Systems Theory NURS 6053: Interprofessional Organizational and Systems Leadership.

·         Based on this information, explain how you would address the problem as follows:

o    Formulate a desired outcome.

o    Identify goals and objectives that would facilitate that outcome.

o    Translate those goals and objectives into policies and procedures for the department or unit.

o    Describe relevant professional standards.

 

·         Explain how your proposed resolution to the problem would uphold the organization’s mission and values and improve the culture and climate. Application: Systems Theory NURS 6053: Interprofessional Organizational and Systems Leadership.

When I joined the Air Force in 1992, my initial goal was to serve only four years that extended to 2o years with many great rewarding experiences.  The military culture is a unique organization in its own ways such as its mission, vision, strategic planning, and military community lifestyle.  The current organization primary mission is to Treat- Teach -Train. That being said, its mission is based on deployment platforms and a teaching hospital. The organization trains physicians in graduate medical, educational programs which are integrated with a local state university school of medicine. The organization also has a stand-alone training program for nurses, technicians, dental hygienists and other types of healthcare providers just to name a few.

With the recent military personnel force reduction last year, the organization is now considered to be the third largest regional Air Force teaching hospital. Airmen from the medical center provided patients with a full range of health nursing and medical care services, ranging from newborns, laser eye surgery to comprehensive cancer care and frequently provide deployed medical support around the globe. Although there is no single definition of organization culture, Bellot (2011) defines organizational culture as of shared values and beliefs that govern how people behave in groups. Also, the military’s culture of an organization provides guidelines and boundaries that help the staff to know and to perform their jobs correctly for accountability. Besides, the culture of the military organization is so deep-rooted in the behavior of the airmen that there is cohesiveness of being mission ready.  Whereas, when a non-military member observed the military’s culture it is perceived as being too firm and involved, and the organization is very difficult to follow through. Thus, the culture can be thought of as ‘personality’ driven by the influence of the organization (Bellot, 2011). Application: Systems Theory NURS 6053: Interprofessional Organizational and Systems Leadership.

Furthermore, the culture and climate of the organization can be constant or fluid depends on the seasonal change in new leadership every two to four years related to relocating to another military base installation or transitioning to civilian. Whereas, the new inbound leadership style can have a positive or negative effect on upper and lower management and staff within the organization (Marqui & Huston, 2012). For example, when the organization receives a new hospital medical group or base wing commander. The staff will have an opportunity to complete a culture and climate assessment survey that measured and compared the attitudes and perceptions of hospital staff toward a broad range of culture-related issues. As a result, the surveys are provided an insight the need for change in our military culture due to internal and external influences. NURS 6053-10. Application: Systems Theory NURS 6053: Interprofessional Organizational and Systems Leadership.

Overall, the role of the nurse leader is to lead by example and to support the mission, vision, and values of the Air Force core values: integrity, service before self, and excellence in all we do. The goal is to pull the team to together to be in align with the organization’s values’ (Nelson & Gardent, 2011). Also, when I think of the roles and responsibilities of a nurse leader, who plays a significant role in advocating for nursing standard of care and patient-nurse relations via “interpersonal collaboration” comes to mind (ANA, 2015).  Also, nurse leaders need to communicate clearly and concisely and to structure their ideals strategically in line with the organization’s mission and goals (ANA, 2015).  Together with nurse frontline managers and clinical leaders, and nurse informatics leaders help set the organization’s direction and goals. In addition, these teams strive for consistent practices and accountability across an organization. Application: Systems Theory NURS 6053: Interprofessional Organizational and Systems Leadership.

References

American Nurses Association, (2015). Code of ethics.
Retrieved from http://www.nursingworld.org/Mobile/Code-of-Ethics

Bellot, J. (2011). Defining and assessing organizational culture. Nursing Forum, 46(1),

29–37. Retrieved from the Walden Library databases.

 

Nelson, W. A., & Gardent, P. B. (2011). Organizational values statements. Healthcare

Executive, 26(2), 56–59.  Retrieved from the Walden Library databases.

 

Marquis, B. L., & Huston, C. J. (2012). Leadership roles and management functions in

nursing: Theory and application 
(Laureate Education, Inc., custom ed.).

Philadelphia, PA: Lippincott, Williams & Wilkins. Application: Systems Theory NURS 6053: Interprofessional Organizational and Systems Leadership.

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

Week 2 assignment

NURS 6053 Interprofessional Organizational & Systems Leadership Essay assignment Paper

Assignment: Application: Systems Theory

As noted in the Learning Resources, systems theory provides a meaningful and beneficial means of examining challenges in health care organizations. To do this effectively, however, it is essential to assess all system components, as some may be relatively healthy while others are problematic.

For this Assignment, you apply systems theory to the examination of a problem in a department or a unit within a health care organization. (Note: You may use the same problem you identified for the Discussion as long as it meets the criteria for this NURS 6053 Interprofessional Organizational & Systems Leadership Essay assignment Paper.

To prepare:

Review the Meyer article, “Nursing Services Delivery Theory: An Open System Approach,” in this week’s Learning Resources. Focus especially on the information presented in Table 1 (p. 2831) and Figure 2 (p. 2833).

Reflect on your organization or one with which you are familiar. Within a particular department or unit in this organization, identify a problem the staff is encountering

Using Table 1 in the Meyer article as a guide, analyze the department or unit, identifying inputs, throughput, output, cycles of events, and negative feedback. Consider whether the problem you have selected relates to input, throughput, output, cycles of events, and/or negative feedback. NURS 6053 Interprofessional Organizational & Systems Leadership Essay assignment Paper.

Think about how you could address the problem: Consider what a desired outcome would be, then formulate related goals and objectives, and translate those goals into policies and procedures.

Research professional standards that are pertinent to your identified problem.

Reflect on the organization’s mission statement and values. In addition, consider how addressing this problem would uphold the mission and values, while improving the organizational culture and climate. (Depending on the organization you have selected, you may have explored these in the Week 1 Discussion.). NURS 6053 Interprofessional Organizational & Systems Leadership Essay assignment Paper.

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To complete:

By Day 7

Write a 3- to 5-page NURS 6053 Interprofessional Organizational & Systems Leadership Essay assignment Paper (page count does not include title and reference page) that addresses the following:

Describe a department or unit within a health care organization using systems theory terminology. Include a description of inputs, throughput, output, cycles of events, and negative feedback.

Describe the problem you identified within the department or unit using an open- systems approach, and state where the problem exists using the systems theory model (input, throughput, output, cycles of events, or negative feedback). NURS 6053 Interprofessional Organizational & Systems Leadership Essay assignment Paper.

Based on this information, explain how you would address the problem as follows:

Formulate a desired outcome.

Identify goals and objectives that would facilitate that outcome.

Translate those goals and objectives into policies and procedures for the department or unit.

Describe relevant professional standards. Essay assignments: NURS 6053 Interprofessional Organizational & Systems Leadership Paper

Explain how your proposed resolution to the problem would uphold the organization’s mission and values and improve the culture and climate.

The Assignment, Systems Theory, is due by Day 7 of Week 2.

Reminder: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements. All papers submitted must use this formatting.

This Assignment is due by Day 7 of Week 2 (this week) and must be submitted through the Week 2 Assignment Link.

Submission and Grading Information

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

Please save your Assignment using the naming convention “WK2Assgn+last name+first initial.(extension)” as the name.

Click the Week 2 Assignment Rubric to review the Grading Criteria for the Assignment.

Click the Week 2 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.

Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK2Assgn+last name+first initial.(extension)” and click Open.

If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.

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Essay assignments: NURS 6053 Interprofessional Organizational & Systems Leadership Paper

Week 4 assignment

Assignment: Application: Planned Change

in a Department or Unit

Health care organizations are continuously immersed in change from the emergence of new policies, to promote quality care and improve patient safety to keeping pace with the rapid growth in knowledge and best practices. Establishing a solid framework for planning and implementing change is a wise move, as it provides a foundation for the extensive coordination that will be needed to successfully facilitate the change.

For this Essay assignments: NURS 6053 Interprofessional Organizational & Systems Leadership Paper Assignment, you propose a change at the department or unit level and develop a plan for guiding the change effort.

To prepare:

Review Chapter 8 in the course text. Focus on Kurt Lewin’s change theory, and contrast it with other classic change models and strategies.

Reflect on problems, inefficiencies, and critical issues within a specific department, unit, or area in your organization or one with which you are familiar. Select one issue as a focal point for this assignment, and consider a change that could be made to address the issue.

Think about how the change would align with the organization’s mission, vision, and values as well as relevant professional standards. Essay assignments: NURS 6053 Interprofessional Organizational & Systems Leadership.

Using one of the change models or strategies discussed in Chapter 8, begin formulating a plan for implementing the change within the department/unit. Outline the steps that you and/or others should follow to facilitate the change effort. Align these steps to the change model or strategy you selected.

Determine who should be involved in initiating and managing the change. Consider the skills and characteristics that are necessary to facilitate this change effort.

To complete:

By Day 7

Write a 3- to 5-page Essay assignments: NURS 6053 Interprofessional Organizational & Systems Leadership paper (page count does not include title and reference page) that addresses the following:

Identify a problem, inefficiency, or issue within a specific department/unit.

Describe a specific, realistic change that could be made to address the issue.

Summarize how the change would align with the organization’s mission, vision, and values as well as relevant professional standards.

Identify a change model or strategy to guide your planning for implementing the change. Provide a rationale for your selection.

Outline the steps that you and/or others would follow to facilitate the change. Align these steps to your selected change model or strategy.

Explain who would be involved in initiating and managing this change. Describe the skills and characteristics that would be necessary to facilitate the change effort.

Reminder: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements. All papers submitted must use this formatting.

Note: This Assignment will serve as your Portfolio Assignment for this course.

Submission and Grading Information

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

Please save your Assignment using the naming convention “WK4Assgn+last name+first initial.(extension)” as the name.

Click the Week 4 Assignment Rubric to review the Grading Criteria for the Assignment.

Click the Week 4 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.

Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK4Assgn+last name+first initial.(extension)” and click Open.

If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.

Click on the Submit button to complete your Essay assignments: NURS 6053 Interprofessional Organizational & Systems Leadership submission.

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Essay assignments: NURS 6053 Interprofessional Organizational & Systems Leadership Paper

Week 7 assignment (1)

Assignment: Application: Leadership

Analysis Group Essay assignments: NURS 6053 Interprofessional Organizational & Systems Leadership Paper

This week you will begin a group paper that you will develop over the next few weeks. By Day 3 of this week, you will be placed in a collaborative group and provided with a work area for your group (See the Groups area below Week 11 in the left-hand navigation bar. If you do not see your team area by the end of Day 3, contact your Instructor.)

Before you begin to work with your group, read the information below describing the paper. Then join your group, introduce yourself, and begin work on selecting a topic.

To prepare:

Review the Peer Evaluation Form for important information on how this NURS 6053 Interprofessional Organizational & Systems Leadership Essay assignment Paper assignment is graded.

Identify a group facilitator.

Within your group, select a topic relevant to interprofessional leadership and the health care field on which to focus your group paper. The following are some potential topics for your group to consider:

Matrix organizations

Accountable care organizations

Horizontal and vertical organizations

Role conflict and ambiguity

Employee recruitment and selection

Interpersonal relationships in the C-suite of organizations (the relationships between the CEO, CFO, and CNO)

Resistance to change

Succession planning

Whistle blowing

“Just” culture

Team Stepps

When your group has selected a topic, the group facilitator will submit the topic to the Instructor for approval on the Discussion Board in the Week 5 Group Project Topic Forum. NURS 6053 Interprofessional Organizational & Systems Leadership Essay assignment Paper.

Conduct research on your topic using the Walden Library and other credible sources.

To complete:

By Day 7 of Week 7

As a group, write a 3- to 5 (page count does not include title and reference page) page paper that includes the following:

Section 1: Introduction

Section 2: Significance of the topic (based on literature that speaks to the relevancy of the concept selected in terms of interprofessional leadership)

Section 3: Review of the literature related to the concept that the group selects (current best practices, positive or negative impact on leadership or health care organizations, etc.)

Section 4: Application to nursing (e.g., implications or consequences for nursing leaders)

Section 5: Conclusion

All group members are expected to collaborate fully on this project, and your group paper should demonstrate an original and thoughtful application of the ideas presented in the Learning Resources and the research literature.

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NURS 6053 Interprofessional Organizational & Systems Leadership Essay assignment Paper

Week 7 assignment (2)

Assignment: Application: Leadership

Concept Analysis Group Paper

Continue to work on the Leadership Concept Analysis Group Paper, which you began in Week 5, tying in communication. How does the information on communication presented in this week’s Learning Resources relate to your selected concept? What insights have you gained this week that would inform how you communicate about this topic?

Note: For this project, all group members’ names should appear on the title page, and only the group facilitator should submit the final file. All students who are not the group facilitator will submit only a title page with their group member names on it.

To complete:

By Day 7

As a group, write a 3- to 5-page NURS 6053 Interprofessional Organizational & Systems Leadership Essay assignment Paper (page count does not include title and reference page) that includes the following:

Section 1: Introduction

Section 2:Significance of the topic (based on literature that speaks to the relevancy of the concept selected in terms of interprofessional leadership)

Section 3: Review of the literature related to the concept that the group selects (current best practices, positive or negative impact on leadership or health care organizations, etc.)

Section 4: Application to nursing (e.g., implications or consequences for nursing leaders)

Section 5: Conclusion

All group members are expected to collaborate fully on this project, and your group paper should demonstrate an original and thoughtful application of the ideas presented in the Learning Resources and the research literature.

Reminder: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements. All papers submitted must use this formatting.

Also, complete the evaluation:

Once you have completed your work on the Leadership Concept Analysis Group Paper this week, evaluate your peers in your group using the Peer Evaluation Form and the results of your efforts. This brief evaluation provides an opportunity for you to assess your teammates’ contribution to the project, as well as your own.

Complete this peer evaluation for each member of your team, including yourself. The average score from these evaluations will be used by your instructor to determine your final grade for the assignment worth 100 points. Not all students may receive the same grade. You must be an active participant in the development of the assignment to receive full points. Rate each team member on a scale of 1-100, with 100 being the highest. Include comments explaining why you gave your teammate this score.

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

Please save your Assignment using the naming convention “WK7Assgn2+last name+first initial.(extension)” as the name.

Click the Week 7 Assignment 2 Rubric to review the Grading Criteria for the NURS 6053 Interprofessional Organizational & Systems Leadership Essay assignment Paper.

Click the Week 7 Assignment 2 link. You will also be able to “View Rubric” for grading criteria from this area.

Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK7Assgn2+last name+first initial.(extension)” and click Open.

If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.

Click on the Submit button to complete your NURS 6053 Interprofessional Organizational & Systems Leadership Essay assignment Paper.

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NURS 6053 Interprofessional Organizational & Systems Leadership Essay assignment Paper

Week 10 assignment

Assignment: Application: Taking a Stand

Effective leaders have a high degree of self-awareness and know how to leverage their strengths in the workplace. Assessments are a valuable tool that professionals can use to learn more about themselves and consider how their temperament and preferences influence their interactions with others.

As you engage in this learning process, it is important to remember that everyone—regardless of temperament type or related preferences—experiences some challenges with regard to leadership. The key to success is being able to recognize and leverage your own strengths while honoring differences among your colleagues.

At some point in your leadership career, you will encounter an ethical or moral dilemma that requires you to take a stand and defend your position.

For this NURS 6053 Interprofessional Organizational & Systems Leadership Essay assignment Paper Assignment, you evaluate an issue and consider how you could act as a moral agent or advocate, facilitating the resolution of the issue for a positive outcome.

To prepare:

Consider the examples of leadership demonstrated in this week’s media presentation and the other Learning Resources.

To further your self-knowledge, you are required to complete the Kiersey Temperament as indicated in this week’s Learning Resources. Consider your leadership style, including your strengths for leading others and include your results from Kiersey Temperament Sorter to describe potential challenges related to your leadership style.

Mentally survey your work environment, or one with which you are familiar, and identify a timely issue/dilemma that requires you to perform the leadership role of moral agent or advocate to improve a situation (e.g., speaking or acting on behalf of a vulnerable patient, the need for appropriate staffing, a colleague being treated unfairly).

What ethical, moral, or legal skills, dispositions, and/or strategies would help you resolve this dilemma? Define the differences between ethical, moral, and legal leadership. NURS 6053 Interprofessional Organizational & Systems Leadership Essay assignment Paper.

Finally, consider the values and principles that guide the nursing profession; the organization’s mission, vision, and values; the leadership and management competencies addressed in this course; and your own values and reasons for entering the profession. What motivation do you see for taking a stand on an important issue even when it is difficult to do so?

To complete:

By Day 7

Write a 4 to 5 page NURS 6053 Interprofessional Organizational & Systems Leadership Essay assignment Paper. (page count does not include title and reference page) that addresses the following:

Introduce the conceptual frameworks of the ethical constructs of ethics, moral, or legal standards and the purpose of the paper.

Consider an ethical, moral, or legal dilemma that you have encountered in your work environment and describe it.

Analyze the moral, ethical, and legal implications utilized in this situation. Describe your role as a moral agent or advocate for this specific issue.

Consider your leadership styles identified by your self-assessment and determine if they act as a barrier or facilitation during this dilemma.

The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements.

Submission and Grading Information

To submit your completed NURS 6053 Interprofessional Organizational & Systems Leadership Essay assignment Paper Assignment for review and grading, do the following:

Please save your Assignment using the naming convention “WK10Assgn+last name+first initial.(extension)” as the name.

Click the Week 10 Assignment Rubric to review the Grading Criteria for the Essay assignments: NURS 6053 Interprofessional Organizational & Systems Leadership Assignment.

Click the Week 10 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.

Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK10Assgn+last name+first initial.(extension)” and click Open.

If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.

Click on the Submit button to complete your NURS 6053 Interprofessional Organizational & Systems Leadership Essay assignment Paper submission.

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.

NURS 5052/ 6052 Essentials of Evidence-Based Practice Essays and exams

NURS 6052 – Essentials of Evidence-Based Practice

(5 cr.)
 Nurses base practice on sound and tested evidence to ensure the safety, high quality, and cost-effectiveness of patient care. This course provides students the opportunity to gain a better understanding of the development and relationship of nursing theory, research, and practice. Through a variety of online activities and coursework, students explore the role of nursing theory in both research and practice. They examine research literature to differentiate and critique various research designs, including quantitative, qualitative, and mixed-method models; appraise statistical data; and analyze evidence. Acquired knowledge helps students to critically evaluate research to make decisions about use of findings to enhance practice.

ORDER A PLAGIARISM-FREE PAPER HERE

NURS 5052/NURS 6052: ESSENTIALS OF EVIDENCE-BASED PRACTICE – Assignment Week 7 (Grading Rubic and Media Attached)

Assignment: Critiquing Quantitative, Qualitative, or Mixed Methods Studies

Critiquing the validity and robustness of research featured in journal articles provides a critical foundation for engaging in evidence-based practice. In Weeks 5 and 6, you explored quantitative research designs. In Week 7, you will examine qualitative and mixed methods research designs. For this Assignment, which is due by Day 7

of Week 7, you critique a quantitative and either a qualitative or a mixed methods research study and compare the types of information obtained in each. NURS 5052/ 6052 Essentials of Evidence-Based Practice Essays and exams.

To prepare:

Select a health topic of interest to you that is relevant to your current area of practice. The topic may be your Course Portfolio Project or a different topic of your

choice.

Using the Walden Library, locate two articles in scholarly journals that deal with your portfolio topic: 1) Select one article that utilizes a quantitative research design and 2) select a second article that utilizes either a qualitative OR a mixed methods design. These need to be single studies not systematic or integrative reviews (including meta-analysis and metasynthesis). You may use research articles from your reference list. If you cannot find these two types of research on your portfolio topic, you may choose another topic.

Locate the following documents in this week’s Learning Resources to access the appropriate templates, which will guide your critique of each article:

Critique Template for a Qualitative Study

Critique Template for a Quantitative Study

Critique Template for a Mixed-Methods Study

Consider the fields in the templates as you review the information in each article. Begin to draft a paper in which you analyze the two research approaches as  indicated below. Reflect on the overall value of both quantitative and qualitative research. If someone were to say to you, “Qualitative research is not real science,”

how would you respond? NURS 5052/ 6052 Essentials of Evidence-Based Practice Essays and exams.

To complete this NURS 5052/ 6052 Essentials of Evidence-Based Practice Essays and exams Assignment:

Complete the two critiques using the appropriate templates.

Write a 2- to 3-page paper that addresses the following:

Contrast the types of information that you gained from examining the two different research approaches in the articles that you selected.

Describe the general advantages and disadvantages of the two research approaches featured in the articles. Use examples from the articles for support.

Formulate a response to the claim that qualitative research is not real science. Highlight the general insights that both quantitative and qualitative studies can provide to researchers. Support your response with references to the Learning Resources and other credible sources.

As you complete this Assignment, remember to:

Submit your paper to Grammarly and SafeAssign through the Walden Writing Center. Based on the Grammarly and SafeAssign reports, revise your paper as necessary.

Reminder: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The School of Nursing Sample Paper provided at the Walden Writing Center provides an example of those required elements (available from the Walden University website found in this week’s Learning

Resources). All papers submitted must use this formatting. NURS 5052/ 6052 Essentials of Evidence-Based Practice Essays and exams.

Combine all three parts of this assignment into one Word document including both critique templates and the narrative with your references. Submit this combined document. NURS 5052/ 6052 Essentials of Evidence-Based Practice Essays and exams.

Required Readings

Polit, D. F., & Beck, C. T. (2017). Nursing research: Generating and assessing evidence for nursing practice (10th ed.). Philadelphia, PA: Wolters Kluwer.

Chapter 10, “Rigor and Validity in Quantitative Research”

This chapter introduces the concept of validity in research and describes the different types of validity that must be addressed. Key threats to validity are also explored. NURS 5052/ 6052 Essentials of Evidence-Based Practice Essays and exams.

Chapter 11, “Specific Types of Quantitative Research”

This chapter focuses on the specific types of quantitative research that can be selected. The focus is on the purpose of the research rather than the research design.

These include such approaches as clinical trials, evaluation research, health services and outcomes research, needs assessments, or replication studies.

Cantrell, M. A. (2011). Demystifying the research process: Understanding a descriptive comparative research design. Pediatric Nursing, 37(4), 188–189. NURS 5052/ 6052 Essentials of Evidence-Based Practice Essays and exams.

Retrieved from the Walden Library databases.

The author of this article discusses the primary aspects of a prominent quantitative research design. The article examines the advantages and disadvantages of the

design.

Schultz, L. E., Rivers, K. O., & Ratusnik, D. L. (2008). The role of external validity in evidence-based practice for rehabilitation. Rehabilitation Psychology, 53(3),

294–302.

Retrieved from the Walden Library databases.

This article details the results of a study that sought to balance concern for rigor with concern for relevance. The authors of the article derive and determine a

rating format for relevance and apply it to cognitive rehabilitation.

Note: For the Discussion this week, you will need to read the method section of one of the following quasi-experimental studies. Refer to the details provided in the Week 6 Discussion area.

Metheny, N. A., Davis-Jackson, J., & Stewart, B. J. (2010). Effectiveness of an aspiration risk-reduction protocol. Nursing Research, 59(1), 18–25. NURS 5052/ 6052 Essentials of Evidence-Based Practice Essays and exams.

Retrieved from the Walden Library databases.

Padula, C. A., Hughes, C., & Baumhover, L. (2009). Impact of a nurse-driven mobility protocol on functional decline in hospitalized older adults. Journal of Nursing

Care Quality, 24(4), 325–331.

Retrieved from the Walden Library databases.

Yuan, S.-C., Chou, M.-C., Hwu, L.-J., Chang, Y.-O., Hsu, W.-H., & Kuo, H.-W. (2009). An intervention program to promote health-related physical fitness in nurses.

Journal of Clinical Nursing, 18(10), 1,404–1,411.

Retrieved from the Walden Library databases.

Walden University. (n.d.a.). Paper templates. Retrieved July 23, 2012, from http://writingcenter.waldenu.edu/57.htm

This resource provides you access to the School of Nursing Sample Paper, which will serve as a template for formatting your papers.

Document: Critique Template for a Qualitative Study (Word document)

Note: You will use this document to complete this week’s Assignment.

Document: Critique Template for a Quantitative Study (Word document)

Note: You will use this document to complete this week’s Assignment. NURS 5052/ 6052 Essentials of Evidence-Based Practice Essays and exams.

Document: Critique Template for a Mixed-Methods Study (Word document)

Note: You will use this document to complete this week’s Assignment.

Attachments:

Essentials of Evidenced-Based Practice

NURS 6052

Identification of Research Problem

S
ummary of Area of Interest

Identification of Problem

Significance for Nursing Practice

5 Questions

Question 1: What are the current orders each doctor typically orders on MI patients?

Question 2: What is each physician’s rationale for said orders? NURS 5052/ 6052 Essentials of Evidence-Based Practice Essays and exams.

Question 3: What barriers exist for doctors to implement EBP?

Question 4: Why are there no protocols in place in the hospital to follow AHA guidelines?

Question 5: How can protocols that adhere to AHA guidelines be implemented in the hospital?

Feasibility of 5 Questions

Critique Template for a Qualitative Study

NURS 5052/NURS 6052

Week 6 Assignment: Application: Critiquing Quantitative, Qualitative, or Mixed Methods Studies (due by 
Day 7
 of
 Week 7
). NURS 5052/ 6052 Essentials of Evidence-Based Practice Essays and exams.

Date:       FORMTEXT

Your name:       FORMTEXT

Article reference (in APA style):       FORMTEXT

URL:       FORMTEXT

What is a critique? Simply stated, a critique is a critical analysis undertaken for some purpose. Nurses critique research for three main reasons: to improve their practice, to broaden their understanding, and to provide a base for the conduct of a study.

When the purpose is to improve practice, nurses must give special consideration to questions such as these:

· Are the research findings appropriate to my practice setting and situation?

· What further research or pilot studies need to be done, if any, before incorporating findings into practice to assure both safety and effectiveness? NURS 5052/ 6052 Essentials of Evidence-Based Practice Essays and exams.

· How might a proposed change in practice trigger changes in other aspects of practice?

To help you synthesize your learning throughout this course and prepare you to utilize research in your practice, you will be critiquing a qualitative, quantitative, or mixed-methods research study of your choice.

If the article is unavailable in a full-text version through the Walden University Library, you must 
e-mail the article as a PDF or Word attachment to your Instructor.

QUALITATIVE RESEARCH CRITIQUE

1. 
Research Issue and Purpose

What is the research question or issue of the referenced study? What is its purpose? (Sometimes ONLY the purpose is stated clearly and the question must be inferred from the introductory discussion of the purpose.)

 

2. 
Researcher Pre-understandings

Does the article include a discussion of the researcher’s pre-understandings? What does the article disclose about the researcher’s professional and personal perspectives on the research problem? NURS 5052/ 6052 Essentials of Evidence-Based Practice Essays and exams.

 

3. 
Literature Review

What is the quality of the literature review? Is the literature review current, relevant? Is there evidence that the author critiqued the literature or merely reported it without critique? Is there an integrated summary of the current knowledge base regarding the research problem, or does the literature review contain opinion or anecdotal articles without any synthesis or summary of the whole? (Sometimes the literature review is incorporated into the introductory section without being explicitly identified.)

 

4. 
Theoretical or Conceptual Framework

Is a theoretical or conceptual framework identified? If so, what is it? Is it a nursing framework or one drawn from another discipline? (Sometimes there is no explicitly identified theoretical or conceptual framework; in addition, many “nursing” research studies draw on a “borrowed” framework, e.g., stress, medical pathology, etc.)

 

5. 
Participants

Who were the participants? Is the setting or study group adequately described? Is the setting appropriate for the research question? What type of sampling strategy was used? Was it appropriate? Was the sample size adequate? Did the researcher stipulate that information redundancy was achieved? NURS 5052/ 6052 Essentials of Evidence-Based Practice Essays and exams.

6. 
Protection of Human Research Participants

What steps were taken to protect human research subjects?

 

7. 
Research Design

What was the design of the study? If the design was modeled from previous research or pilot studies, please describe.

 

8. 
Data Collection/Generation Methods

What methods were used for data collection/generation?
 
Was triangulation used? NURS 5052/ 6052 Essentials of Evidence-Based Practice Essays and exams.

 

9. 
Credibility

Were the generated data credible? Explain your reasons.

 

10. 
Data Analysis

What methods were used for data analysis? What evidence was provided that the researcher’s analysis was accurate and replicable?

 

11. 
Findings

What were the findings?

 

12. 
Discussion of Findings

Was the discussion of findings related to the framework? Were those the expected findings? Were they consistent with previous studies? Were serendipitous (i.e., accidental) findings described
? NURS 5052/ 6052 Essentials of Evidence-Based Practice Essays and exams.

 

13. 
Limitations

Did the researcher report limitations of the study? (Limitations are acknowledgments of internal characteristics of the study that may help explain insignificant and other unexpected findings, and more importantly, indicate those groups to whom the findings CANNOT be generalized or applied. It is a fact that all studies must be limited in some way; not all of the issues involved in a problem situation can be studied all at once.)

 

14. 
Implications

Are the conclusions and implications drawn by the author warranted by the study findings? (Sometimes researchers will seem to ignore findings that don’t confirm their expectations as they interpret the meaning of their study findings.)

 

15. 
Recommendations

Does the author offer legitimate recommendations for further research? Is the description of the study sufficiently clear and complete to allow replication of the study? (Sometimes researchers’ recommendations seem to come from “left field” rather than following obviously from the discussion of findings. If a research problem is truly significant, the results need to be confirmed with additional research; in addition, if a reader wishes to design a study using a different sample or correcting flaws in the original study, a complete description is necessary.) NURS 5052/ 6052 Essentials of Evidence-Based Practice Essays and exams.

 

16. 
Research Utilization in Your Practice

How might this research inform your practice? Are the research findings appropriate to your practice setting and situation? What further research or pilot studies need to be done, if any, before incorporating findings into practice to assure both safety and effectiveness? How might the utilization of this research trigger changes in other aspects of practice?

 

NURS 6052 Essentials of Evidence-Based Practice: Welcome & Course Readings

 
Welcome & Course Readings

Welcome to your course guide

NURS 6052 Required Course Readings

Week 2

Week 3

Week 4

Week 5

Week 6

Week 7

Final Project

Welcome to your course guide

Please find your required library readings below. Please see the links on the left for library skills assignment support.

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 5052/ 6052 Essentials of Evidence-Based Practice Essays and exams.

NURS 6052 Required Course Readings

The links are for required readings found in the Walden databases 
ONLY
. For all other readings, see your course resources.

Enter your myWalden user name and password at the prompt.

Link directly to the journal: 
Qualitative Health Research

Adams, J. S. (2010). Utilizing evidence-based research and practice to support the infusion alliance. J
ournal of Infusion Nursing, 33
(5), 273–277.

Adams, S., & Titler, M. G. (2010). Building a learning collaborative. 
Worldviews on Evidence-Based Nursing, 7
(3), 165–173.

Aitken, L. M., Hackwood, B, Crouch, S., Clayton, S., West, N., Carney, D., & Jack, L. (2011). Creating an environment to implement and sustain evidence based practice: A developmental process. 
Australian Critical Care, 24
(4), 244–254.

Barnsteiner, J. H., Reeder, V. C., Palma, W. H., Preston, A. M., & Walton, M. K. (2010). Promoting evidence-based practice and translational research. 
Nursing Administration Quarterly, 34
(3), 217–225.

Cantrell, M. A. (2011). Demystifying the research process: Understanding a descriptive comparative research design. 
Pediatric Nursing, 37
(4), 188–189.

Cullen, L., & Adams, S. L. (2012). Planning for implementation of evidence-based practice. 
Journal of Nursing Administration, 42
(4), 222–230.
 NURS 5052/ 6052 Essentials of Evidence-Based Practice Essays and exams.

Dingle, P. (2011). Statin statistics: Lies and deception. 
Positive Health, 180
, 1.

Estrada, N. (2009). Exploring perceptions of a learning organization by RNs and relationship to EBP beliefs and implementation in the acute care setting. 
Worldviews on Evidence-Based Nursing, 6
(4), 200–209.

Fineout-Overholt, E., Williamson, K. M., Kent, B., & Hutchinson, A. M. (2010). Teaching EBP: Strategies for achieving sustainable organizational change toward evidence-based practice. 
Worldviews on Evidence-Based Nursing, 7
(1), 51–53.

Finn, P. (2011). Critical thinking: knowledge and skills for evidence-based practice. 
Language, Speech, and Hearing Services in Schools, 42
(1), 69–72.

Forsyth, D. M., Wright, T. L., Scherb, C. A., & Gaspar, P. M. (2010). Disseminating evidence-based practice projects: Poster design and evaluation. 
Clinical Scholars Review, 3
(1), 14–21.

Fouka, G., & Mantzorou, M. (2011). What are the major ethical issues in conducting research? Is there a conflict between the research ethics and the nature of nursing? 
Health Science Journal, 5
(1), 3–14.

Houde, S. C. (2009). The systematic review of literature: A tool for evidence-based policy. 
Journal of Gerontological Nursing, 35
(9), 9–12.

Houghton, C. E., Casey, D., Shaw, D., & Murphy, K. (2010) Ethical challenges in qualitative research: Examples from practice. 
Nurse Researcher, 18
(1), 15–25.

Katapodi, M. C., & Northouse, L. L. (2011). Comparative effectiveness research: Using systematic reviews and meta-analyses to synthesize empirical evidence. 
Research & Theory for Nursing Practice, 25
(3), 191–209.

Keough, V. A., & Tanabe, P. (2011). Survey research: An effective design for conducting nursing research. 
Journal of Nursing Regulation, 1
(4), 37–44.
 NURS 5052/ 6052 Essentials of Evidence-Based Practice Essays and exams.

Krainovich-Miller, B., Haber, J., Yost, J., & Jacobs, S. K. (2009). Evidence-based practice challenge: Teaching critical appraisal of systematic reviews and clinical practice guidelines to graduate students. 
Journal of Nursing Education, 48
(4), 186–195.

Majid, S., Foo, S., Luyt, B., Zhang, X., Theng, Y-L., Chang, Y-K., & Mokhtar, I. A. (2011). Adopting evidence-based practice in clinical decision making: Nurses’ perceptions, knowledge, and barriers. 
Journal of the Medical Library Association,
 99(3), 229–236.

Mallory, G. A. (2010). Professional nursing societies and evidence-based practice: Strategies to cross the quality chasm.
Nursing Outlook, 58
(6), 279–286.

Metheny, N. A., Davis-Jackson, J., & Stewart, B. J. (2010). Effectiveness of an aspiration risk-reduction protocol.
Nursing Research, 59
(1), 18–25.

Munten, G. van den Bogaard, J., Cox, K., Garretsen, H., & Bongers, I. (2010). Implementation of evidence-based practice in nursing using action research: A review. 
Worldviews on Evidence-Based Nursing, 7
(3), 135–157.

Newcomb, P. (2010). Evolving fairness in research on human subjects. 
Journal of Child and Adolescent Psychiatric Nursing, 23
(3), 123–124.

Newhouse, R. P., & Spring, B. (2010). Interdisciplinary evidence-based practice: Moving from silos to synergy. 
Nursing Outlook, 58
(6), 309–317.

Padula, C. A., Hughes, C., & Baumhover, L. (2009). Impact of a nurse-driven mobility protocol on functional decline in hospitalized older adults. 
Journal of Nursing Care Quality, 24
(4), 325–331.

Pringle, J., Hendry, C., & McLafferty, E. (2011). Phenomenological approaches: Challenges and choices. 
Nurse Researcher, 18
(2), 7–18.

Robeson, P., Dobbins, M., DeCorby, K., & Tirilis, D. (2010). Facilitating access to pre-processed research evidence in public health. 
BMC Public Health, 10
, 95.

Ryan-Nicholls, K. D., & Will, C. I. (2009). Rigour in qualitative research: Mechanisms for control. 
Nurse Researcher, 16
(3), 70–85.

Satterfield, J. M., Spring, B., Brownson, R. C., Mullen, E. J., Newhouse, R. P., Walker, B. B., & Whitlock, E. P. (2009). Toward a transdisciplinary model of evidence-based practice. 
The Milbank Quarterly, 87
(2), 368–390.

Schultz, L. E., Rivers, K. O., & Ratusnik, D. L. (2008). The role of external validity in evidence-based practice for rehabilitation. 
Rehabilitation Psychology, 53
(3), 294–302.

Shivnan, J. C. (2011). How do you support your staff? Promote EBP. 
Nursing Management, 42
(2), 12–14.

Smith, J., Bekker, H., & Cheater, F. (2011). Theoretical versus pragmatic design in qualitative research. 
Nurse Researcher, 18
(2), 39–51.  
  NURS 5052/ 6052 Essentials of Evidence-Based Practice Essays and exams.

Steurer, L. M. (2010). An evidence-based practice scholars program: One institution’s journey toward excellence. 
Journal of Continuing Education in Nursing, 41
(3), 139–143.

Stichler, J. F. (2010). Evaluating the evidence in evidence-based design. 
Journal of Nursing Administration, 40
(9), 348–351.

Tagney, J., & Haines, C. (2009). Using evidence-based practice to address gaps in nursing knowledge. 
British Journal of Nursing (BJN), 18
(8), 484–489.

Walker, W. (2011). Hermeneutic inquiry: Insights into the process of interviewing. 
Nurse Researcher, 18
(2), 19–27.

Williamson, K. M. (2009). Evidence-based practice: Critical appraisal of qualitative evidence. 
Journal of the American Psychiatric Nurses Association, 15
(3), 202–207.

Worral, P. S., Levin, R. F., & Arsenault, D. C. (2009). Documenting an EBP project: Guidelines for what to include and why. 
Journal of The New York State Nurses’ Association, 40
(2), 12–19.

Wuest, J. (2011). Are we there yet? Positioning qualitative research differently. 
Qualitative Health Research, 21
(7), 875–883.

Yakov, G., Shilo, Y., & Shor, T. (2010). Nurses’ perceptions of ethical issues related to patients’ rights law. 
Nursing Ethics, 17
(4), 501–510.
   NURS 5052/ 6052 Essentials of Evidence-Based Practice Essays and exams.

Implementation of the IOM future of nursing report essay assignment paper example

In a formal paper of 800-900 words you will discuss the work of the Robert Wood Johnson Foundation Committee Initiative on the Future of Nursing and the Institute of Medicine research that led to the IOM report, ”Future of Nursing: Leading Change, Advancing Health.” Identify the importance of the IOM ”Future of Nursing” report related to nursing practice, nursing education and nursing workforce development. What is the role of state-based action coalitions and how do they advance goals of the Future of Nursing: Campaign for Action?

Explore the Campaign for Action webpage (you may need to research your state’s website independently if it is not active on this site): http://campaignforaction.org/states. implementation of the IOM future of nursing report essay assignment paper example.

Review your state’s progress report by locating your state and clicking on one of the six progress icons for: education, leadership, practice, interpersonal collaboration, diversity, and data. You can also download a full progress report for your state by clicking on the box located at the bottom of the webpage.

ORDER A CUSTOM-WRITTEN PAPER NOW

In a paper of 1,000-1,250 words:

1.Discuss the work of the Robert Wood Johnson Foundation Committee Initiative on the Future of Nursing and the Institute of Medicine research that led to the IOM report, ”Future of Nursing: Leading Change, Advancing Health.”

2.Identify the importance of the IOM “Future of Nursing” report related to nursing practice, nursing education and nursing workforce development. implementation of the IOM future of nursing report essay assignment paper example.

3.What is the role of state-based action coalitions and how do they advance goals of the Future of Nursing: Campaign for Action?

Summarize two initiatives spearheaded by your state’s action coalition. In what ways do these initiatives advance the nursing profession? What barriers to advancement currently exist in your state? How can nursing advocates in your state overcome these barriers?

A minimum of three scholarly references are required for this assignment. implementation of the IOM future of nursing report essay assignment paper example.

Prepare this assignment according to the guidelines found in the APA Style Guide

 

Implementation of the IOM Future of Nursing Report one

A). Role of the Robert Wood Johnson Foundation Committee

In 2008, the Institute of Medicine (IOM) and the Robert Wood Johnson Foundation (RWJF) launched a 2-year initiative in response to the need to evaluate and transform the United States’ nursing practice (IOM, 2010). The Institute of Medicine instituted a committee on the Robert Wood Johnson Foundation Initiative on the future of nursing. The committee would be based at IOM and charged with a mandate of developing report comprising recommendations on the future of nursing. The report was generated based on assessment of the nursing situation at the time. The report provides an action-based blue-print for the transformation of the future nursing practice.

A number of barriers prevent the nursing practice from being able to respond effectively to dynamic changes in the healthcare environment and a constantly evolving system of health care. The obstacles must be overcome so that practicing nurses are well positioned lead transformation and advance health.  This rationale is a gap that led to the formation and the design of function of the committee. The committee examined the nursing situation in hospitals, war zones, homes, schools, community, long-term care facilities, public health centers, and retail health clinics. Nurses practicing in these settings have varying competency levels and educational qualification. Nursing professionals vary ranging from licensed nurses working in nursing homes, to scientists conducting nursing research in patient care and health promotion. The committee made considerations of nurses cutting across settings, roles, and education levels with an aim of envisioning the future of the nursing profession characterized by improved quality of care and the practice of nursing to the full extent. The general aim is that nurses should obtain higher education and training through an advanced system of education. implementation of the IOM future of nursing report essay assignment paper example.

B). Significance of the IOM “Future of Nursing” Report

Nursing profession comprises over 3 million practitioners making it the largest segment of the United States’ health care delivery workforce (IOM, 2010). Nurses work on the front-line in health care system and contribute a direct impact on patient care. The proximity to patients and scientific knowledge of processes across the continuum of care, make nurses the most potent healthcare staff in effecting significant transformation in the health care delivery system.  Implementation of the provisions of the report would enable nurses to be better equipped for leadership, diversity of patient needs, and scientific research capacity. implementation of the IOM future of nursing report essay assignment paper example.

The report designed four key messages that guided the formulation of recommendations significant to the nursing practice. First, nursing should be practiced to the full scope of training and education (Rubenfeld & Scheffer, 2010). This provision requires the redesign of the state and national regulations outlining the scope-of-practice for nurses. This will guide policy reform across all states so as to ensure that nurses perform duties that make total use of the full extent of education qualification. Secondly, nurse should obtain greater levels of training and education through an enhanced system of education. Through higher education, nurses can be able to deliver care that is patient centered and safe, across various settings of nursing practice.

Thirdly, nurses should partner with other health practitioners to redesign health care delivery system in the United States.  Promoting leadership capacities and opportunities for nurses will enable nurses to move forward in this partnership role. The fourth outline of need is that effective policy making and workforce planning require better data handling and information infrastructure.  This facilitates transformation in education and deployment of the nursing staff. The four key messages guided the development of far-reaching recommendations for reforms in the nursing practice. The recommendations aim to increase to 80% population of nurses with baccalaureate degrees and double the number of holders of doctorate qualification by 2020. The committee also recommended the implementation of the nurse residency programs. The final recommendation was to ensure that institutions and educators facilitate nursing programs that promote lifelong learning.  implementation of the IOM future of nursing report essay assignment paper example.

C). The Future of Nursing: Campaign for Action

The campaign is an initiative that was founded to facilitate the implementation of the IOM report by promoting collaborations across states (RWJF, 2011). The ultimate aim of the campaign is to enable all American citizens to have access to patient-centered and high-quality care with the participation of nurses to the full extent. The campaign utilizes action coalitions that comprise health, consumer, business and other leaders nationwide. Campaign for action is working at every level in every state to create sustainable change in order to improve health care for all people. The campaign actively engages all individuals, states, and national institutions from the government, health, philanthropic, education, and business sectors. The focus areas for the campaign include: strengthening education and training in nursing, enabling professional practice of nurses to the full extent, ensuring advanced inter-professional collaboration and coordination in patient care delivery, expansion of nursing leadership capacity and participation in health care management, and improvement of health care work force data collection and processing. The future of nursing: campaign for action is implemented by the Center to Champion Nursing in America (CCNA), an initiative of the AARP, the AARP Foundation, and the RWJF. It comprises 48 action coalitions, some health care organizations, policy makers, consumer advocates, academic, business, and philanthropic institutions and communities.

D). Rationale for state-based action coalitions

Health programs and state laws and regulations are unique to every state Rubenfeld, & Scheffer, 2010). The rationale in implementing action coalitions at the state level was to ensure greater participation and initiative ownership by state individual citizens, state government, and private health organizations. It does this while ensuring delivery of uniform health care programs through guidelines by CCNA and RWJF. Policies and legislation regarding health vary to a great extent across states. The RWJF and CCNA have the role of provision of planning tools and assistance, campaign and information resources, communication assistance, and facilitation of inter-State knowledge sharing and exchange. implementation of the IOM future of nursing report essay assignment paper example.

E). Texas Action Coalition

The State of Texas in collaboration with nursing leaders is advancing a plan that enables 106 nursing schools in the state to adopt a common menu of essential course modules. Institutions in nursing education are engaged in discussions that will integrate the various classes from various institutions. The 
Advancing Nursing Education Team
 will conduct consultations develop a common course structure for the various levels of nursing education across schools in Texas (RWJF, 2011). The second initiative relates to the practice of nursing to the full extent. The 
Advancing Nursing Practice Team
 is working on a program to define the roles of nurses in health care delivery.

References

Institute of Medicine. (2010). “The future of nursing: leading change, advancing health”. 
Report

Brief, Oct. 2010
. NW, Washington DC: National Academy of Sciences

Rubenfeld, M. & Scheffer, B. (2010). “Critical thinking tactics for nurses: achieving the IOM

Competencies” Sudbury, MA: Jones & Bartlett

RWJF. (2011). “Future of Nursing: Campaign for Action”. NW, Washington DC: Author

implementation of the IOM future of nursing report essay assignment paper example

 

Implementation of the IOM Future of Nursing Report two

“The Future of Nursing Leading Change, Advancing Health”

In 2008 The Institute of Medicine (IOM) and Robert Wood Johnson Foundation (RWJF) joined forces to develop a report to address the important issues facing nursing and healthcare in the future. “The Future of Nursing Leading Change, Advancing Health” was the product of this partnership and made several recommendations intended to shape the future of nursing to meet the current and future health care needs of the United States The report made several recommendations which include: nurses beginning to practice at the level of their education background, nurses should seek higher levels of education, and nurses should be partners in healthcare working together with physicians and health care providers to redesign healthcare to meet the needs of the future.

The IOM Report and the Nursing Shortage

The United states is currently facing significant nursing shortage in the several years and with this ongoing and expected shortage the effects of healthcare are far reaching. From 2008- 2020 Over 50% the nursing workforce are expected to leave the profession at time when healthcare demands increase with the aging population of the baby boomers (US Nursing Workforce, 2013).

With so many of the nursing workforce expected to retire and many new nurses leaving the workforce prematurely the IOM report is recommending ways to better prepare these nurses for to function in the role and possible decrease burn out and possible early exit from the nursing workforce. One of these recommendations includes a nurse residency programs. Not unlike physicians that complete residency programs to prepare them for practice and nurse residence program could better prepare and nurse to transition from school life to actual practice, better preparing highly skilled nurses to meet the more intensive demands in health care (Institute of Medicine 2011).

Nursing functioning at the Level of their Education

With the aging population and more people having access to healthcare largely due to the Affordable Health Care Act and a focus on prevention and wellness more and more people are seeking care and nursing must respond to that need. Nursing practice must change to help meet future demands. The IOM report in alignment with the recommendation that the entry level of RN increases to BSN level but also that all nurse must continue their education beyond the BSN and that nurses must be able to function at the level of their education. At this time many state legislatures do not allow for Advanced Practice Nurses and Certified Nurse Midwifes to function at their level of education. Adjusting legislature and the nursing scope of practice in these states will increase the number of primary care providers available to care for this increased population needs (IOM,2010). implementation of the IOM future of nursing report essay assignment paper example.

To this end several suggestions were made to state governments to make these recommendations a reality. Nursing boards should adjust scope of practice to allow nurses to practice at a level of their education, this would be especially important for Advanced Practice Nurses in allowing them to take an active part in the primary care of the state’s population. The IOM report also suggest that the entry level of education should be of Baccalaureate trained nurse. The report recommends that at least 80% of the American nurse’s workforce should be made up of bachelor’s degree or higher nurses by 2020. (Creating a More Qualified, 2015).

Nurses as Leaders

The IOM report states “Nurses should be full partners, with physicians and other health professionals, in redesigning health care in the United States” (IOM 2010). Throughout history nurses have played key roles in advocating for patients and carrying out the orders of physicians. With the ever increasing complexity and demands of health care nurses need to work as a full partner with other multidisciplinary teams to create policies and programs to continue to provide safe healthcare in this increasingly demanding healthcare environment. implementation of the IOM future of nursing report essay assignment paper example.

State Based Efforts to Support Future of Nursing: Campaign for Action

Many states are striving to make changes to do their part in advancing nursing goals. These coalitions are critical to make changes in nursing practice and meet the needs of future healthcare. New Mexico not unlike many states in the United States face critical nursing shortages now and increasing in the future. The New Mexico Center for Nursing Excellence (NMCNE) was established in 2002. Their main goal is to advocate for nursing profession to better meet the healthcare needs of New Mexico Residents and achieve the recommendations of the IOM report.

One of the projects to help support the implementation of IOM recommendations in the states is working with the University of New Mexico to better understand the effects of nursing shortage on the State of New Mexico. The NMCNE has initiated a study to examine the current and future projected needs of the nursing workforce in the state as more and more of the workforce plans to retire and needs of healthcare increases. Current Studies reveal that the increase in entrants to nursing profession trend should cover the number of nurses retiring and will help to maintain an even number of registered nurses. While the number of nurses remain stable the current number of nurses still will not meet the future needs of an aging population. Problems are noted with not having enough qualified nursing instructors to continue to train new nurses. As nursing wages have increased it was noted that the pay of nursing instructors has not. This imbalance leads to not having enough qualified nursing instructors therefore limiting the number of new nurses allowed into the programs throughout the state.

In 2010 the New Mexico Board of Nursing and the New Mexico Center for Nursing Excellence sponsored a report to the House that prescribed a statewide plans for nursing education. This plan identified the need for more instructors to teach and nursing schools in response to the shortage of qualified instructors. This plan also included the need to increase the number of Baccalaureate trained nurses in the state which support the IOM recommendations of having at least 80% of Nurses with BSN or higher in the workforce. The New Mexico Center for Nursing Excellence (NMCNE) has worked to developed partnerships with community colleges and four year universities to develop a curriculum that supports the BSN trained Registered Nurse. implementation of the IOM future of nursing report essay assignment paper example.

New Mexico Nursing Education Consortium (NMNEC) has worked to develop a curriculum which has 2 tracks. One track starts with an Associate Degree program and the other is in 4 year universities. Unlike many where many nurses complete a 2 year ADN program then end with licensing as a registered nurse at which time the nurse has the option to go back for higher learning at a later date. The NMNEC curriculum provides a continued progression toward the BSN without leaving the community college and community they reside in. Unlike many 2 year plus 2 year programs the student works simultaneously for their ADN and BSN program but attends school at the 2 years college in their home area. This is accomplished by attending bachelor level courses that are taught in the community college. This has far reaching goals of offering BSN programs where no 4-year university exist, allowing more students to study and graduate that do not reside in big metropolitan cities. Currently the programs are available in the Santa Fe Community College, New Mexico Junior College, San Juan College. The Goal is that by fall of 2017 this curriculum will be available in all public institutions. These programs aims to increase the number of BSN trained Registered nurses in the state which is one of the IOM report recommendations (Evans-Prior, Morton, & Brady, 2014).

Conclusion

Overall the IOM report recommendations have the ability to completely change the landscape of nursing in the United States. These changes are needed for the nursing community to keep up with allow healthcare in the united states to thrive. Increasing the level of education and training while allowing nurses to work at their educational potential will only help healthcare in a time when healthcare and the lives of Americans is at stake. Nurses play a key role as leaders in making these changes a reality. implementation of the IOM future of nursing report essay assignment paper example.

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References

Department of Health and Human Services: The US Nursing Workforce: Trend is Supply and

Education (2013). Retrieved from http://bhpr.hrsa.gov/healthworkforce/supplydemand/ nursing/nursingworkforce/nursingworkforcefullreport.pdf

Evans-Prior, D., Morton, N., & Brady, D. (2014).

New Mexico nursing education consortium (NMNEC ).
 New Mexico Nurse, 59
(2), 6-10. Retrieved from https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com.lopes.idm.oclc.org/login.aspx?direct=true&db=ccm&AN=104056254&site=eds-live&scope=site

Institute of Medicine (2010). The Future of Nursing: Leading Change,

Advancing Health. Washington DC: Author.

Institute of Medicine (2011). About the IOM. Retrieved from

http://www.iom.edu/About-IOM.aspx

Robert Wood Johnson Foundation (2011). About RWJF.

Retrieved from: http://www.rwjf.org/about/

In a formal implementation of the IOM future of nursing report essay assignment paper example of 800-900 words you will discuss the work of the Robert Wood Johnson Foundation Committee Initiative on the Future of Nursing and the Institute of Medicine research that led to the IOM report, ”Future of Nursing: Leading Change, Advancing Health.” Identify the importance of the IOM ”Future of Nursing” report related to nursing practice, nursing education and nursing workforce development. What is the role of state-based action coalitions and how do they advance goals of the Future of Nursing: Campaign for Action? implementation of the IOM future of nursing report essay assignment paper example.

Explore the Campaign for Action webpage (you may need to research your state’s website independently if it is not active on this site): http://campaignforaction.org/states

Review your state’s progress report by locating your state and clicking on one of the six progress icons for: education, leadership, practice, interpersonal collaboration, diversity, and data. You can also download a full progress report for your state by clicking on the box located at the bottom of the webpage.

In a paper of 1,000-1,250 words:

1.Discuss the work of the Robert Wood Johnson Foundation Committee Initiative on the Future of Nursing and the Institute of Medicine research that led to the IOM report, ”Future of Nursing: Leading Change, Advancing Health.”

2.Identify the importance of the IOM “Future of Nursing” report related to nursing practice, nursing education and nursing workforce development.

3.What is the role of state-based action coalitions and how do they advance goals of the Future of Nursing: Campaign for Action?

Summarize two initiatives spearheaded by your state’s action coalition. In what ways do these initiatives advance the nursing profession? What barriers to advancement currently exist in your state? How can nursing advocates in your state overcome these barriers? implementation of the IOM future of nursing report essay assignment paper example.

A minimum of three scholarly references are required for this assignment.

Prepare this implementation of the IOM future of nursing report essay assignment paper example according to the guidelines found in the APA Style Guide

Evolving Practice of Nursing and Patient Care Delivery Models Essay GCU

The RN to BSN program at Grand Canyon University meets the requirements for clinical competencies as defined by CCNE and AACN using nontraditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, their specific care discipline and their local communities.

ORDER A PLAGIARISM-FREE PAPER HERE

Please note: there are two parts.

As the country focuses on the restructuring of the U.S. health care delivery system, nurses will continue to play an important role. It is expected that more and more nursing jobs will become available out in the community, and fewer will be available in acute care hospitals. Evolving Practice of Nursing and Patient Care Delivery Models Essay GCU.

1.Write an informal presentation (500-700 words) to educate nurses about how the practice of nursing is expected to grow and change. Include the concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics.

2.Share your presentation with nurse colleagues on your unit or department and ask them to offer their impressions of the anticipated changes to health care delivery and the new role of nurses in hospital settings, communities, clinics, and medical homes. Evolving Practice of Nursing and Patient Care Delivery Models Essay GCU.

3.In 800-1,000 words summarize the feedback shared by three nurse colleagues and discuss whether their impressions are consistent with what you have researched about health reform. Evolving Practice of Nursing and Patient Care Delivery Models Essay GCU.

4.A minimum of three scholarly references are required for this assignment.

While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center. Evolving Practice of Nursing and Patient Care Delivery Models Essay GCU.

 

Evolving Practice of Nursing and Patient Care Delivery Models

I am a registered nurse and work in medical surgicalmental health unit for more than ten years. I would like to welcome you all in this informal education session. Today, I would like to discuss about the changing role of nurses and concept of continuum of care and the new health care delivery models such as Accountable Care Organizations (ACOs), medical homes, and nurse -managed health clinics. Evolving Practice of Nursing and Patient Care Delivery Models Essay GCU.

Evolving practice of Nursing and Health Care Models

Health care system is changing; it is not just focused on the curative care but the disease prevention and wellness. Also, the new healthcare reform has approach to the development of healthcare delivery models with the changes in nursing role from acute care settings to community health care. Patient Protection and Affordable Care Act (PPACA) formed at 2010 support the establishment of ACOs, medical homes and nurse-managed health clinics; also new payment policies. With the formation of Affordable Care Act (ACA), health has transformed from traditional treating approach to the preventive and wellness. Nurse’s role has also changed from front-line caregiver to the care integrators and coordinators and help in providing the health services to the underserved people. All the health models are focused on the concept of continuity of care which is defined as “a concept involving an integrated system of care that guides and tracks patient over time through a comprehensive array of health services spanning all levels of intensity of care” (Evashwick, 1989). It covers the delivery of healthcare over a period of time and for all levels and stages of care. Let’s talk about the three types of health care delivery model. Evolving Practice of Nursing and Patient Care Delivery Models Essay GCU.

Accountable Care Organizations (ACOs)

In accordance to the Center for Medicare and Medicaid services, “Accountable Care Organizations (ACOs) are groups of doctors, hospitals, and other health care providers, who come together voluntarily to give coordinated high quality care to their Medicare patients” (Cms.gov, n.d.). The ACO is the new unit built by the ACA; the health reform law 2010 which take care of the cost and quality of the care received by the patients. The main aim of ACO is to deliver flawless and high-quality care at the right time to the patients, especially the chronically ill patients. The ACO include the specific group of providers and suppliers assigned by the ACA and they encourage the active participation of nurse practitioners (NPs), clinical nurse specialists (CNSs) etc with physicians and physician assistants. As nursing leadership is encouraged in ACO, registered nurses can lead in quality assurance and develop the improvement initiatives (Nursingworld.org, n.d.). Evolving Practice of Nursing and Patient Care Delivery Models Essay GCU.

Medical Home/Health Home

Medical homes (patient-centered medical homes, PCMH), similar to Accountable Care Organizations are primary health care delivery model focused on the deliverance of the primary care that is patient-centered, managed, synchronized, accessible, ample and believe in quality and safety.  “The medical home is not a final destination instead, it is a model for achieving primary care excellence so that care is received in the right place, at the right time, and in the manner that best suits a patient’s needs” (Pcpcc.org, n.d.). This medical health model helps in solving the health care costs problem with the support of primary care providers such as physicians, nurse practitioners and certified nurse-midwives. Nurses being front-line healthcare workers play a vital role in this model as they can actively participate in health promotion and disease prevention, order and interpret laboratory tests and other studies and refer the patients who need specialized care. Evolving Practice of Nursing and Patient Care Delivery Models Essay GCU.

Nurse-Managed Health Centers (NMHCs)

NMHC is another initiation developed by ACA to promote the primary care, disease prevention and control of chronic conditions in the medically underserved and rural areas of United States. NMHC’s are managed by the nurses that include all the nurse practitioners, clinical nurse specialists, nurse midwives, and public health nurses. They provide many health services especially in the needed communities such as diagnosis and prescription to illness, pre- and post- natal care and referral to specialists (About Nurse-Managed Care, n.d.). This care model maintain the nurse managed clinics with the aim of enhancing access to primary care in the communities of medically underserved and/ or vulnerable populations, boost up the nursing practice and leadership for the nursing students by serving as clinical training sites and maintain the patient and workforce data.

To conclude, ACOs, medical homes and NMHCs are the concept of new health care delivery model created by the ACA to minimize the issues of health care cost and easy access of quality health care. These models are mainly patient-centered, competent, accessible and cost effective. The establishment of these types of health care delivery models has changed the role of nursing and set new parameter for the nurses. Nurses have advanced beyond the role of front-line healthcare workers to become care coordinators, efficiency experts and prove to be the backbone of most of these delivery care models. Nurse play as a care integrators and focused on the continuum care from the acute care to the community health settings through these models. Moreover, with the advancement of health technology and health reforms, preventive base health care has taken the priority than the curative care and nurse role is very important towards preventive health care too. Therefore, the opportunities for the nurses are increasing and the demand of the educated, skilled and professional nurses are vital during this changing time of health care system. Evolving Practice of Nursing and Patient Care Delivery Models Essay GCU.

Thank you for hearing me and participating in this session. If you have any queries, please feel free to ask. I would look forward to hearing your opinion.

Thanks!

Summary of the Feedback

After this author gave the presentation, all the nurse colleagues took part in discussion session about the benefits and changes that new health reforms and the health care models brought in health care system of the country. This paper will summarize the feedback received from three colleague nurses and forecast the role of nursing.

Nurses who took the active participation in the discussion have their own point of view regarding the healthcare reforms and change of nursing role. However, majority of the number have similar point of view about my presentation and support the new healthcare reform. They also appreciate the new health care delivery models and the role of nursing in these care models. Evolving Practice of Nursing and Patient Care Delivery Models Essay GCU.

‘Nurse A’, BSN nurse graduated from Bangladesh and working here in United States at recent times, talked about her experience she had as a nurse back in Bangladesh. She expressed that it was totally different; nurses are the front-line caregivers and are not allowed to take any decision; only follow the orders of the doctors. The role of nurse in health care system differs according the location and time. The emergence of importance of community health is providing the opportunities to the nurses in developed countries like the USA and this new health reform is being following by many developing countries as well. She is very happy and ambitious with this new healthcare reforms and healthcare models. Moreover, the role of nursing has been changing from the front-line caregiver to the care integrators and from acute care settings to the community. Nurses’ role in community settings is the major advancement in healthcare system such as NMHCs. Nurses can work as a leader of the organization in the community setting with self directed, critical thinking, and independent decision making qualities. She focused on NMHCs, where nurses are being encouraged to practice to the full extent of their skills and take significant leadership roles in health policy, planning, and provision. Therefore, new healthcare reforms help to provide nursing role a new perspective and lead to an innovation healthcare system. Evolving Practice of Nursing and Patient Care Delivery Models Essay GCU.

‘Nurse B’ was also very excited about the healthcare reform as it believes on the potential of nurses for the transformation of US health care system. She focused on importance of the new health reform because of increasing chronic disease and cost and also taking on preventive care over the curative care. The new healthcare delivery models (ACOs, NMHCS, medical homes) will enhance the preventive care services leading the management of the chronic diseases in the community settings. This will help in reducing the problem of rising the cost of health services and can make aware about the disease prevention and health promotion. Moreover, preventive care services will require huge number of educated nurse workforce and leadership to improve the community’s health care. She further added up that the nurses are the fundamental to the patient-centered care delivery model. The nurses have the capability of building a strong relationship and coordination with the patients and the health care providers’ team and lead in organizing and functioning of different health care models. According to her, the concept of the new health care delivery model of providing the facilities to the underserved people is commendable. Evolving Practice of Nursing and Patient Care Delivery Models Essay GCU.

‘Nurse C’ has different point of view regarding the healthcare reforms and healthcare models. She expressed her anxiety about the quality of the services provided by the hospitals and healthcare models when large number of people will be flooded into it for the treatment. She explained that Affordable Care Act (ACA) will benefit large number of people causing the crowd that will definitely affect the hospitals and health systems to take care of the influx of the new patients. That is increase in administrative cost, much more paper work, disease and care management, over-seeing and time dealing with Medicare for the millions of newly insured patients. She added that increase in number of patient will imply to the must increase in number of healthcare providers and nurses. If the strong and enough approach are not taken for the fulfillment of the need of nurses and healthcare providers then it will directly affect the quality of care. Moreover, it will affect the status and motivation of the existing nurse workforce. Therefore, she highly looked forward for the high-quality of health services provided to the patient that is she believed in quality rather than quantity.

To conclude, nurses are the major part of health care system and the role of nursing has changed and advanced with the implementation of the health care reform and health care delivery system. These types of reforms and models have transformed the entire health care system of the United States from acute care settings to community and benefitted many underserved people. However, knowledge and information of the health reforms should be given to everyone.

References

About Nurse-Managed Care. (n.d.). Retrieved February 24, 2016, from National Nursing Centers Consortium: 
http://nncc.us/index.php/about-nurse-managed-care

Cms.gov,. (n.d.). Accountable Care Organizations (ACO) – Centers for Medicare & Medicaid Services. Retrieved 23 February 2016, from 
https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/ACO/

Evashwick, C. (1989). Creating the continuum of care. 
Health matrix, 7
(1), 30-39.

Nursingworld.org,. (n.d.). Accountable Care Organizations. Retrieved 23 February 2016, from 
http://www.nursingworld.org/MainMenuCategories/Policy-Advocacy/Positions-and-Resolutions/Issue-Briefs/ACOs

Pcpcc.org,. (n.d.). 
Defining the Medical Home | Patient-Centered Primary Care Collaborative
. Retrieved 24 February 2016, from 
https://www.pcpcc.org/about/medical-home

Researches argue out that healthcare forms a big basis to how a country will develop economically if the overall state of healthcare delivery is good. A streamlined healthcare delivery ensures that the populace receives nursing in time and also reduces health sicknesses and consequently this reflects in the population by less health complications thus a healthy labor force. A healthy labor force reflects to improvement in the country’s economy. The practice of nursing and patient delivery has evolved greatly for the past decade. This has been made possible by the introduction of technology into healthcare which has improved the delivery of care to the patients. Evolving Practice of Nursing and Patient Care Delivery Models Essay GCU.

Continuum of care is a conception which involves an incorporated structure of healthcare whereby it directs and trails patient over a spread out time during an inclusive assortment of health services across every level of concentration of care. This concept provides a structure to show day-to-day management/decision making and presenting a structure for delivering of finest healthcare to all the sick citizens. Fundamentally, what this denotes is that this system consents to an individual like a sick person to have his or her healthcare administered efficiently from indispensable care, for instance making appointments and prescriptions, to further highly developed care, resembling the critical care and in-hospital (Spath, n.d.).

The complete concept of continuum of care in the setting of healthcare is described to be inclusive of rehabilitation, Alzheimer’s care, skilled nursing care, assisted living, and also independent living. This model generates a medical community whereby the ancillary staff together with doctors who are involved in a patient treatment all converse concerning their treatments, procedures, and diagnoses. It connects all the patient services and evades replicating them. Thus patient primary care commands tests that the health professionals don’t replicate. The model enables everybody to see the whole thing and hence allowing for improvedtreatments (Spath, n.d.).

An Accountable Care Organization commonly denoted ACO is a health care delivery organization which is described by a care delivery and payment model that look to bind provider repayments in order to value metrics and lessening in the whole price of healthcare for an allotted populace of patients. Groupings of coordinated care suppliers create an ACO, then they offer healthcare to a collection of patients. The ACO makes use of a variety of imbursement models ranging from symmetric/asymmetric shared savings, fee for service, or even capitation. The ACO model is entirely responsible to the sick people with the 3
rd
 party financier for the efficiency, appropriateness, and quality of the healthiness care supplier (Gold, 2011). Evolving Practice of Nursing and Patient Care Delivery Models Essay GCU.

The ACO concept has the planning around flexibility, and its build amid three sub-concepts. First of all, it brings out healthcare providers who have a strong stand of prime care and are jointly responsible for worth and full per capita charges transversely through the whole continuum of healthcare for a specified populace of patients. Secondly, the care payments are coupled with the quality improvements of the healthcare and this minimizes the overall costs in healthcare. Also, the concept revolves around dependable and increasingly more stylish performance dimension, to maintain enhancement and offer assurance that savings are realized in the course of improvements in healthcare (Gold, 2011).

The medical home model was first introduced into the country in 1967 by the American Academic of Pediatrics (AAP) with the aim of creating a core of children medical records. The prime aim of this concept was to give care to children with special concern needs. With time the concept evolved to capture every child’s medical and non-healthcare. In fact, currently the model has changed to even cover adults’ needs. The medical home has cultured affiliation amongst the primary provider, family, together with the patient in collaboration with professionals and support frrom the society. The focal point surrounding this model is the family and patient, and this concept of medical home is put up about this center (Fiore, 2012). Evolving Practice of Nursing and Patient Care Delivery Models Essay GCU.

The medical home is defined through several principles or rather called sub-concepts. For instance, every sick person has his/her personal physician where they have an association together with the aim of the doctor providing comprehensive and continuous care, together with giving first contact. Evolving Practice of Nursing and Patient Care Delivery Models Essay GCU. The care delivery is integrated and coordinated all through the multifaceted healthcare system. The safety and quality of health care makes the features of the medical home model. Decision making is guided by medical decision support and evidence based medication. A medical home is an imperative method for connecting the several sections of a child’s healthcare, as well as oral and behavioral health, in order to achieve these objectives (Fiore, 2012).

A nurse managed health clinic gives healthcare examinations in regions which are medically underserved especially in countryside and town locales in the U.S. where care accessibility is limited. This model of care delivery strongly puts lots of emphasizes on supervision of persistent illnesses like diabetes, hypertension, and asthma, disease prevention, and wellness promotion. The nurses in these care centers have equal practice scope as primary care doctors in terms of prescription privileges. These clinics have evolved considerable over time as they are generally allied with independent non-profit groups, universities, or even nursing institutions (Turton et al., 2010).

Nurse managed health clinics are well known for offering care at a considerably lesser cost in comparison to those of physician’s workplace or an imperative healthcare facility. This model has extensively improved the nursing and patient care delivery with its cost effective strategy. It has also improved the accessibility of primary care especially in regions where there are shortages of primary care givers (Turton et al., 2010). Evolving Practice of Nursing and Patient Care Delivery Models Essay GCU.

Assignment 1: 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 Assignment, as you compare structural and strategic family therapy, consider which therapeutic approach you might use with your own client families.

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Structural Versus Strategic Family Therapies Learning Objectives

Students will:

Compare structural family therapy to strategic family therapy

Create structural family maps

Justify recommendations for family therapy

To prepare:

Review this week’s Learning Resources and reflect on the insights they provide on structural and strategic family therapies.

Refer to Gerlach (2015) in this week’s Learning Resources for guidance on creating a structural family map.

The Structural Versus Strategic Family Therapies Assignment

In a 2- to 3-page 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.

Recommend a specific therapy for the family, and justify your choice using the Learning Resources.

Note:Please make sure the paper includes a title page, introduction (including a purpose statement), summary, and references. Lastly, Please follow uploaded rubric.

Assignment 1:
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 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

Justify recommendations for family therapy

To prepare:

Review this week’s Learning Resources and reflect on the insights they provide on structural and strategic family therapies.

Refer to
Gerlach
(2015) in this week’s Learning Resources for guidance on creating a structural family map.

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.

Recommend a specific therapy for the family, and justify your choice using the Learning Resources.

Note:Please make sure the Structural Versus Strategic Family Therapies paper includes a title page, introduction (including a purpose statement), summary, and references. Lastly, Please follow uploaded rubric.

Analyzing an Ethical Decision Essay Assignment Discussion examples.

In your role as a PMHNP, you will encounter several situations that will require your ability to make sound judgments and practice decisions for the safety and well-being of individuals, families, and communities. There may not be a clear-cut answer of how to address the issue, but your ethical decision making must be based on evidenced-based practice and what is good, right, and beneficial for patients. Analyzing an Ethical Decision Essay Assignment Discussion examples. You will encounter patients who do not hold your values, but you must remain professional and unbiased in the care you provide to all patients regardless of their socio-demographic and ethnic/racial background. You must be prepared to critically analyze ethical situations and develop an appropriate plan of action. For this Assignment, you review the literature and discover the various ethical dilemmas PMHNPs encounter and how these issues are typically addressed in your state.

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Learning Objectives

Students will:

• Analyze salient ethical issues in psychiatric mental health practice

• Compare ethical dilemmas with state health laws and regulations

• Analyze ethical decision-making processes

To prepare:

• Review literature for moral/ethical issues encountered by a PMHNP.

• Select one of the articles you found that was published within the last 5 years to use as a focus for this assignment.

Write a 2-page Analyzing an Ethical Decision Essay Assignment Discussion examples paper in which you do the following:

• Summarize the moral/ethical issue in the article (no more than 1 paragraph).

• Describe the moral and ethical dilemmas surrounding the issue.

• Analyze the ethical issue and compare them to the state health laws and regulations in your state.

• Outline the process of ethical decision making you would use to address this ethical dilemma.

Note: Be sure to use the Practicum Journal Template, located in this week’s Learning Resources.

see
attached

samples.

YMH Boston Vignette 4 Video Questions

Introduction

Comprehensive, integrated psychiatric assessment with adolescents is essential as it provides information that can be utilized in the development of appropriate intervention (AACAP, 2012a). Similarly, the practitioner has the opportunity to learn more about nature, consequences, and correlates the adolescent’s mental health problems using behavior changes (Gajbhare, 2014). Besides, the assessment also provides the practitioner with the extent to which the adolescent’s family can be involved not only in the comprehensive assessment but also in potential subsequent interventions (American Psychiatric Association, 2013). Further, the assessment begins the process of responding creatively to the adolescent’s denial and resistance as in the case of the vignette four video. This phase can be used as the initial stage of treatment experience. As such, is essential to examine the Vignette 4 video to determine the areas in which the practitioner did well and the areas that need improvement. Analyzing an Ethical Decision Essay Assignment Discussion examples.

The Areas the Practitioner Did Well

From the Vignette 4 video on Introduction to a Mental Health Assessment, the practitioner did well in informing the 16-year old boy patient about his rights to confidentiality and privacy which is an essential part of every introductory medical and mental health appointment (YMH Boston., 2013c). Analyzing an Ethical Decision Essay Assignment Discussion examples. He explained to the patient that the information he will provide will be kept confidential and that he will not reveal anything to his parents except when the information indicates that he is likely to cause harm to himself or other people. In an interview with adolescents, it is essential to recognize that confidentiality is the cornerstone of the therapeutic relationship. Without clarification of the limits of confidentiality, the practitioner may likely obtain incorrect or incomplete information during the history taking (YMH Boston, 2013a). Further, the practitioner did well in engaging the patient with open-ended questions about the problems he experiences at home and in school.

Areas that Need Improvement

From the video, it is clear that the practitioner needs to avoid the negative perception of his patients. It was clear that the practitioner’s facial expression and tone indicated that he was having some negative attitudes towards the patient when the teen said that his mother thinks he has anger management problem (American Psychological Association, 2017). Similarly, the practitioner needs to elicit strategies for the patient to communicate with his mother more effectively (YMH Boston., 2013c). Analyzing an Ethical Decision Essay Assignment Discussion examples.

Compelling Concerns

At this point of the clinical interview, there are various compelling concerns arising from the teenage-parent conflict. The patient presents as angry and disinterested (YMH Boston., 2013c). It is clear that the teen is going through a lot of stressful situations in his life. The teen seems to have anger management problem. However, this behavior could as a result of his developmental stage. At this stage, he wants to please his parents but at the same time wants to break away (Sadock, Sadock, & Ruiz, 2014). Similarly, the teen experiences a lot of peer pressure and peers are becoming more important at this stage in his life than his parents. The teen also experiences a lot of physiological and psychological changes in his life that he has to handle (Laureate Education, 2017). All these stressful situations result in a melting pot of teenage emotions which leads to anger. In most cases, the target of those emotions is often directed at parents, which explains why the parent feels that the boy has anger management problem. Similarly, teens often feel uncomfortable opening to their parents and find it awkward and annoying. The teens also do not like it when people push them around. They prefer to be around people who listen to them than those who command or order them around. Analyzing an Ethical Decision Essay Assignment Discussion examples.

In this Analyzing an Ethical Decision Essay Assignment Discussion examples assessment, the next question to ask the boy would be: “How do you get along with your father? It is essential to ask this question because he has spent the entire session talking about his mother and other persons in school. The practitioner needs to know how the patient relates to his family members to determine the appropriate intervention.

 

References

American Academy of Child & Adolescent Psychiatry (AACAP). (2012a). Practice parameter for psychodynamic psychotherapy with children. Journal of the American Academy of Child & Adolescent Psychiatry, 51(5), 541–557. Retrieved from http://www.jaacap.com/article/S0890-8567(12)00141-4/pdf

American Psychiatric Association. (2013). 
Diagnostic and statistical manual of mental disorders
 (5th ed.). Washington, DC: Author. Analyzing an Ethical Decision Essay Assignment Discussion examples.

American Psychological Association. (2017). Code of Ethics. Retrieved from http://www.apa.org/ethics/code/

Gajbhare, P. (2014). 
Mental status examination
 [Video file]. Retrieved from https://www.youtube.com/watch?v=VjWVYgf2UcU

Laureate Education (Producer). (2017d). Working with Children and Adolescents [Video file]. Baltimore, MD: Author.

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). 
Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry 
(11th ed.). Philadelphia, PA: Wolters Kluwer.

YMH Boston. (2013a, May 22). 
Vignette 1 – Introduction to a preventive services visit 
[Video file]. Retrieved from https://www.youtube.com/watch?v=pQy-jwiu7gM

YMH Boston. (2013c, May 22). 
Vignette 4 – Introduction to a mental health assessment
 [Video file]. Retrieved from https://www.youtube.com/watch?v=JCJOXQa9wcE. Analyzing an Ethical Decision Essay Assignment Discussion examples.

Comprehensive Integrated Psychiatric Assessment Discussion Essay.

Assignment- Practicum Journal Entry- Analyzing an Ethical Decision-WK1-FRWK4

In your role as a PMHNP, you will encounter several situations that will require your ability to make sound judgments and practice decisions for the safety and well-being of individuals, families, and communities. There may not be a clear-cut answer of how to address the issue, but your ethical decision making must be based on evidenced-based practice and what is good, right, and beneficial for patients. You will encounter patients who do not hold your values, but you must remain professional and unbiased in the care you provide to all patients regardless of their socio-demographic and ethnic/racial background. You must be prepared to critically analyze ethical situations and develop an appropriate plan of action. For this Comprehensive Integrated Psychiatric Assessment Discussion Essay Assignment, you review the literature and discover the various ethical dilemmas PMHNPs encounter and how these issues are typically addressed in your state.

Learning Objectives

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Students will:

• Analyze salient ethical issues in psychiatric mental health practice

• Compare ethical dilemmas with state health laws and regulations

• Analyze ethical decision-making processes. Comprehensive Integrated Psychiatric Assessment Discussion Essay.

To prepare:

• Review literature for moral/ethical issues encountered by a PMHNP.

• Select one of the articles you found that was published within the last 5 years to use as a focus for this assignment.

Write a 2-page paper in which you do the following:

• Summarize the moral/ethical issue in the article (no more than 1 paragraph).

• Describe the moral and ethical dilemmas surrounding the issue.

• Analyze the ethical issue and compare them to the state health laws and regulations in your state.

• Outline the process of ethical decision making you would use to address this ethical dilemma.

Note: Be sure to use the Practicum Journal Template, located in this week’s Learning Resources.

see
attached

samples.

What the Practitioner did well

The practitioner in video four allowed the patient plenty of time to answer questions and payed attention when the patient was talking. He clarified with the patient that the information given would be confidential unless the patient specified self-harm or harming anyone else. Health care Providers have access to patient’s information but due to the law of Health Insurance Portability and Accountability Act (HIPAA), we are unable to disclose any information lacking consent from the patients (Patient portals and HIPAA, 2017). The practitioner communicated with the patient the whole interview without stopping to take notes or any other distractions that could be make the patient feel uneasy. Comprehensive Integrated Psychiatric Assessment Discussion Essay.

How the Practitioner Can Improve

The practitioner can improve his assessment by making known to himself at the start of the visit. Patients feel comfortable to express themselves knowing who they are talking. There could be more open-ended questions in the interview, the patient would answer the initial questions with single answers. The practitioner asked too many why questions which can sometimes put the patient on the self-protective mode during the interview. Comprehensive Integrated Psychiatric Assessment Discussion Essay.

Compelling concerns

The interview with the patient went well the patient began to open up and conversate well while the practitioner was able to listen. The practitioner was able to gain good rapport with the patient which made the patient feel relaxed and express him. Having a good rapport with patients can help with the interview process and can also help if things did not go the way planned as well (Johnson, 2011).

What Question Next

Do you have any thoughts of hurting yourself or anyone else? The patient seems to be angry at his mother due to her asking him questions repetitively. This is a great question to ask next just to clarify if the patient has anger towards his mother to prevent any harm. People who grieve from having temper tantrums can sometimes be from another underlying diagnosis which may need to be checked as well in this current situation (El-Radhi, 2015). Comprehensive Integrated Psychiatric Assessment Discussion Essay.

Reference:

El-Radhi, A. S. (2015). Management of common behavior and mental health problems. British Journal Of Nursing, 24(11), 586-590. doi:10.12968/bjon.2015.24.11.586

Johnson, L. J. (2011). Good rapport with patients helps lessen lawsuit risk. Medical Economics, 88(1), 65.

Patient portals and HIPAA: Upholding security and patient rights. (2017). Briefings on HIPAA, 17(10), 1-5. Comprehensive Integrated Psychiatric Assessment Discussion Essay.