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Home>Homework Answsers>Nursing homework helpa year ago05.03.202430Report issuefiles (3)Asses2.docxAsses2-resourceslinkedbelowtohelpcompletethisassessment.docxExampleofAssessment2.pdfAsses2.docxAnalyze a professional environment and relevant data, and develop a change strategy (3-5 pages) and discuss how to implement it successfully.Collapse AllIntroductionNote: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, it is recommended that you complete the assessments in this course in the order in which they are presented.Knowing the best practice for our patients is very important in providing safe and effective care. Understanding best practices can help nurses identify areas of care that need to be improved. To identify areas of need, nurses must use evidence from various sources, such as the literature, clinical practice guidelines (CPG), professional organization practice alerts or position papers, and protocols. These sources of evidence can also be used to set goals for improvement and best practices with an eye toward improving the care experience or outcomes for patients.The challenge facing many care environments and health care practitioners is how to plan for change and implement changes. For if we cannot effectively implement changes in practice or procedure, then our goals of improving care will likely amount to nothing. This assessment focuses on allowing you to practice locating, assessing, analyzing, and implementing change strategies in order to improve patient outcomes related to one or more clinical goals.This assessment will take the form of a data table to identify areas for improvement and to set one or more outcome goals, as well as a narrative describing a change plan that would help you to achieve the goals you have set.Professional ContextOne area in health care that it is necessary to consider is the environment in which nurses work. It is important that this environment evolves and changes so that all patients are adequately supported. For this assessment, you will develop a change strategy to improve the health care environment. These changes can be rooted in a desire to improve clinical outcomes and data related to assessment accuracy, drug administration, or disease recovery rates. A key skill for master’s-level nurses is to be able to evaluate clinical data and create a change plan to help drive improvements in the data to reach set goals.ScenarioConsider a current environment. This could be your current care setting, the care setting presented in the scenario Vila Health: Using Concept Maps for Diagnosis, or a care setting in which you are interested in working. For the setting that you choose you will need to have a data set that depicts sub-optimal outcomes related to a clinical issue. This data could be from existing sources in the course, a relevant data set that already exists (a data set from the case study you used as a basis for your previous Concept Map assessment or from your current place of practice), or an appropriate data set that you have created yourself. (Note:if you choose to create your own data set, check with your instructor first for approval and guidance.)After you have selected an appropriate data set, use your understanding of the data to create at least one realistic goal (though you may create more) that will be driven by a change strategy appropriate for the environment and goal.Potential topics for this assessment could be:· Consider ways to help minimize the rate of secondary infections related to the condition, disease, or disorder that you focused on for your previous Concept Map assessment. As a starting point, you could ask yourself, “What could be changed to facilitate safety and minimize risks of infection?”· Consider how to help a patient experiencing traumatic stress or anxiety over hospitalization. As a starting point, you could ask yourself, “How could the care environment be changed to enhance coping?”Once you determine the change you would like to make, consider the following:· What data will you use to justify the change?· How can the team achieve this change with a reasonable cost?· What are the effects on the workplace?· What other implementation considerations do you need to consider to ensure that the change strategy is successful?· How does your change strategy address all aspects of the Quadruple Aim, especially the well-being of health care professionals?· Once the change strategy is implemented, how would you evaluate the efficiency and effectiveness of the care system if the desired outcomes are met?InstructionsYour assessment submission should include a data table that illustrates the current and desired states of the clinical issue you are attempting to improve through your application of change strategies. Additionally, you will need to explain the rationale for your decisions around your chosen change strategies, as well as how the change strategies will be successfully implemented. The bullet points below correspond to the grading criteria in the scoring guide. Be sure that your change strategy addresses all of them. You may also want to read the Change Strategy and Implementation scoring guide andGuiding Questions: Change Strategy and Implementation [DOCX]Download Guiding Questions: Change Strategy and Implementation [DOCX]to better understand how each grading criterion will be assessed.· Develop a data table that accurately reflects the current and desired states of one or more clinical outcomes.· Propose change strategies that will help to achieve the desired state of one or more clinical outcomes.· Justify the specific change strategies used to achieve desired outcomes.· Explain how change strategies will lead to quality improvement with regard to safety and equitable care.· Explain how change strategies will utilize interprofessional considerations to ensure successful implementation.· Communicate the change plan in a way that makes the data and rationale easily understood and compelling.· Integrate relevant sources to support assertions, correctly formatting citations and references using current APA style.Example assessment:You may use the assessment example,Assessment 2 Example [PDF]Download Assessment 2 Example [PDF], to give you an idea of what a Proficient or higher rating on the scoring guide would look like.Submission Requirements·Length of submission:3–5 double-spaced, typed pages, not including the title and reference pages. Your plan should be succinct yet substantive.·Number of references:Cite a minimum of 3–5 sources of scholarly or professional evidence that supports your goal setting, proposed change strategies, quality improvement, and interprofessional considerations. Resources should be no more than five years old.·APA formatting:TheAPA Template Tutorial [DOCX]can help you in writing and formatting your analysis. No abstract is required.Competencies MeasuredBy successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:· Competency 1: Design patient-centered, evidence-based, advanced nursing care for achieving high-quality patient outcomes.· Develop a data table that accurately reflects the current and desired states of one or more clinical outcomes.· Competency 2: Develop change strategies for improving the care environment.· Propose change strategies that will help to achieve the desired state of one or more clinical outcomes.· Justify the specific change strategies used to achieve desired outcomes.· Competency 3: Apply quality improvement methods to practice that promote safe, equitable quality of care.· Explain how change strategies will lead to quality improvement with regard to safety and equitable care.· Competency 4: Evaluate the efficiency and effectiveness of interprofessional care systems in achieving desired health care improvement outcomes.· Explain how change strategies will utilize interprofessional considerations to ensure successful implementation.· Competency 5: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with organizational, professional, and scholarly standards.· Convey purpose of the assessment narrative in an appropriate tone and style, incorporating supporting evidence, and adhering to organizational, professional, and scholarly communication standards.Asses2-resourceslinkedbelowtohelpcompletethisassessment.docxUse the resources linked below to help complete this assessment.Collapse AllAssessment· Bachman, T. E., Iyer, N. P., Newth, C. J. L., Ross, P. A., & Khemani, R. G. (2020).Thresholds for oximetry alarms and target range in the NICU: An observational assessment based on likely oxygen tension and maturity.BMC Pediatrics, 20, 1–8.· Dembek, Z. F., Chekol, T., & Wu, A. (2018).Best practice assessment of disease modelling for infectious disease outbreaks.Epidemiology and Infection, 146(10), 1207–1215.Change· Celebi Cakiroglu, O., Ulutas Hobek, G., & Harmanci Seren, A. K. (2022).Nurses’ views on change management in health care settings: A qualitative study.Journal of Nursing Management, 30(2), 439–446.· Hanrahan, K., Utech, J., Cullen, L., Tucker, S. J., & Gallagher-Ford, L. (2020).EBP 2.0: Implementing and sustaining change: Implementing improved central line flushing practices.The American Journal of Nursing, 120(8), 66–70.· Kourouche, S., Buckley, T., Van, C., Munroe, B., & Curtis, K. (2019).Designing strategies to implement a blunt chest injury care bundle using the behaviour change wheel: A multi-site mixed methods study.BMC Health Services Research, 19(1), 461–461.· Rafferty, A. M. (2018).Nurses as change agents for a better future in health care: The politics of drift and dilution.Health Economics, Policy and Law, 13(3–4), 475–491.· Werlau, T., Soares-Sardinha, S., Overman, A. S., Chutz, J., Emory, J., Jones, C. M., Lee, G., & Smith-Miller, C. A. (2020).Creating microclimates of change.JONA: The Journal of Nursing Administration, 50(7/8), 385–394.Evidence and Goal Setting· Crable, J. , Highfield, M. F. & Patmon, F. (2020).Evidence-based practice knowledge, attitudes, practices, and barriers.Nursing Critical Care, 15(5), 24–32.· DeVries, M. (2021).Beyond bean counting: Gathering and using data to drive improvements.Journal of Infusion Nursing, 44(1), 41–48.· Findlay, M., Rankin, N. M., Shaw, T., White, K., Boyer, M., Milross, C., De Abreu Lourenço, R., Brown, C., Collett, G., Beale, P., & Bauer, J. D. (2020).Best evidence to best practice: Implementing an innovative model of nutrition care for patients with head and neck cancer improves outcomes.Nutrients, 12(5), 1465.· Gannaway, P. (2020).Locating clinical practice guidelines.Nurse Educator, 45(1), 50.· Rohm, C. D., Whiteman, K., Swanson-Biearman, B., & Stephens, K. (2020).Interprofessional collaboration to reduce falls in the acute care setting.Medsurg Nursing,29(5), 303–307.· Stoner, M. S. (2020).Finding evidence-based resources for care.Home Healthcare Now, 38(1), 60.· Vermunt, N. P., Harmsen, M., Elwyn, G., Westert, G. P., Burgers, J. S., Olde Rikkert, M. G., & Faber, M. J. (2018).A three-goal model for patients with multimorbidity: A qualitative approach.Health Expectations, 21(2), 528–538.Pharmacology· Bruneau, J., Ahamad, K., Goyer, M. È., Poulin, G., Selby, P., Fischer, B., Wild, T. C., & Wood, E. (2018).Management of opioid use disorders: a national clinical practice guideline.Canadian Medical Association Journal, 190(9), E247–E257.· Gadbois, C., Chin, E. D., & Dalphonse, L. (2016).Health promotion in an opioid treatment program: An evidence-based nursing quality improvement project.Journal of Addictions Nursing, 27(2),127–142.· Lalau, J., Kajbaf, F., Bennis, Y., Lemaire, A., Belpaire, F., & De Broe, M. (2018).Metformin treatment in patients with type 2 diabetes and chronic kidney disease stages 3A, 3B, or 4.Diabetes Care, 31(3), 547–553.· Oster, E. (2018).Diabetes and diet: Purchasing behavior change in response to health information.American Economic Journal: Applied Economics, 10(4), 308–348.Evidence-Based Practice· Asrat, H. D., & Mekonnen, H. B. (2021).Implementation of evidence-based practice: The experience of nurses and midwives.PLoS One, 16(8), 1–12.Biopsychosocial· Da Silva, J. A. P., Geenen, R., & Jacobs, J. W. G. (2018).Chronic widespread pain and increased mortality: Biopsychosocial interconnections.Annals of the Rheumatic Diseases, 77(6), 790.· Wong, A., Samartzis, D., Cheung, P., & Cheung, J. (2019).How common is back pain and what biopsychosocial factors are associated with back pain in patients with adolescent idiopathic scoliosis?Clinical Orthopaedics and Related Research, 477(4), 676–686. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6437349/ExampleofAssessment2.pdfThis file is too large to display.View in new windowExampleofAssessment2.pdfThis file is too large to display.View in new windowAsses2.docxAnalyze a professional environment and relevant data, and develop a change strategy (3-5 pages) and discuss how to implement it successfully.Collapse AllIntroductionNote: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, it is recommended that you complete the assessments in this course in the order in which they are presented.Knowing the best practice for our patients is very important in providing safe and effective care. Understanding best practices can help nurses identify areas of care that need to be improved. To identify areas of need, nurses must use evidence from various sources, such as the literature, clinical practice guidelines (CPG), professional organization practice alerts or position papers, and protocols. These sources of evidence can also be used to set goals for improvement and best practices with an eye toward improving the care experience or outcomes for patients.The challenge facing many care environments and health care practitioners is how to plan for change and implement changes. For if we cannot effectively implement changes in practice or procedure, then our goals of improving care will likely amount to nothing. This assessment focuses on allowing you to practice locating, assessing, analyzing, and implementing change strategies in order to improve patient outcomes related to one or more clinical goals.This assessment will take the form of a data table to identify areas for improvement and to set one or more outcome goals, as well as a narrative describing a change plan that would help you to achieve the goals you have set.Professional ContextOne area in health care that it is necessary to consider is the environment in which nurses work. It is important that this environment evolves and changes so that all patients are adequately supported. For this assessment, you will develop a change strategy to improve the health care environment. These changes can be rooted in a desire to improve clinical outcomes and data related to assessment accuracy, drug administration, or disease recovery rates. A key skill for master’s-level nurses is to be able to evaluate clinical data and create a change plan to help drive improvements in the data to reach set goals.ScenarioConsider a current environment. This could be your current care setting, the care setting presented in the scenario Vila Health: Using Concept Maps for Diagnosis, or a care setting in which you are interested in working. For the setting that you choose you will need to have a data set that depicts sub-optimal outcomes related to a clinical issue. This data could be from existing sources in the course, a relevant data set that already exists (a data set from the case study you used as a basis for your previous Concept Map assessment or from your current place of practice), or an appropriate data set that you have created yourself. (Note:if you choose to create your own data set, check with your instructor first for approval and guidance.)After you have selected an appropriate data set, use your understanding of the data to create at least one realistic goal (though you may create more) that will be driven by a change strategy appropriate for the environment and goal.Potential topics for this assessment could be:· Consider ways to help minimize the rate of secondary infections related to the condition, disease, or disorder that you focused on for your previous Concept Map assessment. As a starting point, you could ask yourself, “What could be changed to facilitate safety and minimize risks of infection?”· Consider how to help a patient experiencing traumatic stress or anxiety over hospitalization. As a starting point, you could ask yourself, “How could the care environment be changed to enhance coping?”Once you determine the change you would like to make, consider the following:· What data will you use to justify the change?· How can the team achieve this change with a reasonable cost?· What are the effects on the workplace?· What other implementation considerations do you need to consider to ensure that the change strategy is successful?· How does your change strategy address all aspects of the Quadruple Aim, especially the well-being of health care professionals?· Once the change strategy is implemented, how would you evaluate the efficiency and effectiveness of the care system if the desired outcomes are met?InstructionsYour assessment submission should include a data table that illustrates the current and desired states of the clinical issue you are attempting to improve through your application of change strategies. Additionally, you will need to explain the rationale for your decisions around your chosen change strategies, as well as how the change strategies will be successfully implemented. The bullet points below correspond to the grading criteria in the scoring guide. Be sure that your change strategy addresses all of them. You may also want to read the Change Strategy and Implementation scoring guide andGuiding Questions: Change Strategy and Implementation [DOCX]Download Guiding Questions: Change Strategy and Implementation [DOCX]to better understand how each grading criterion will be assessed.· Develop a data table that accurately reflects the current and desired states of one or more clinical outcomes.· Propose change strategies that will help to achieve the desired state of one or more clinical outcomes.· Justify the specific change strategies used to achieve desired outcomes.· Explain how change strategies will lead to quality improvement with regard to safety and equitable care.· Explain how change strategies will utilize interprofessional considerations to ensure successful implementation.· Communicate the change plan in a way that makes the data and rationale easily understood and compelling.· Integrate relevant sources to support assertions, correctly formatting citations and references using current APA style.Example assessment:You may use the assessment example,Assessment 2 Example [PDF]Download Assessment 2 Example [PDF], to give you an idea of what a Proficient or higher rating on the scoring guide would look like.Submission Requirements·Length of submission:3–5 double-spaced, typed pages, not including the title and reference pages. Your plan should be succinct yet substantive.·Number of references:Cite a minimum of 3–5 sources of scholarly or professional evidence that supports your goal setting, proposed change strategies, quality improvement, and interprofessional considerations. Resources should be no more than five years old.·APA formatting:TheAPA Template Tutorial [DOCX]can help you in writing and formatting your analysis. No abstract is required.Competencies MeasuredBy successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:· Competency 1: Design patient-centered, evidence-based, advanced nursing care for achieving high-quality patient outcomes.· Develop a data table that accurately reflects the current and desired states of one or more clinical outcomes.· Competency 2: Develop change strategies for improving the care environment.· Propose change strategies that will help to achieve the desired state of one or more clinical outcomes.· Justify the specific change strategies used to achieve desired outcomes.· Competency 3: Apply quality improvement methods to practice that promote safe, equitable quality of care.· Explain how change strategies will lead to quality improvement with regard to safety and equitable care.· Competency 4: Evaluate the efficiency and effectiveness of interprofessional care systems in achieving desired health care improvement outcomes.· Explain how change strategies will utilize interprofessional considerations to ensure successful implementation.· Competency 5: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with organizational, professional, and scholarly standards.· Convey purpose of the assessment narrative in an appropriate tone and style, incorporating supporting evidence, and adhering to organizational, professional, and scholarly communication standards.Asses2-resourceslinkedbelowtohelpcompletethisassessment.docxUse the resources linked below to help complete this assessment.Collapse AllAssessment· Bachman, T. E., Iyer, N. P., Newth, C. J. L., Ross, P. A., & Khemani, R. G. (2020).Thresholds for oximetry alarms and target range in the NICU: An observational assessment based on likely oxygen tension and maturity.BMC Pediatrics, 20, 1–8.· Dembek, Z. F., Chekol, T., & Wu, A. (2018).Best practice assessment of disease modelling for infectious disease outbreaks.Epidemiology and Infection, 146(10), 1207–1215.Change· Celebi Cakiroglu, O., Ulutas Hobek, G., & Harmanci Seren, A. K. (2022).Nurses’ views on change management in health care settings: A qualitative study.Journal of Nursing Management, 30(2), 439–446.· Hanrahan, K., Utech, J., Cullen, L., Tucker, S. J., & Gallagher-Ford, L. (2020).EBP 2.0: Implementing and sustaining change: Implementing improved central line flushing practices.The American Journal of Nursing, 120(8), 66–70.· Kourouche, S., Buckley, T., Van, C., Munroe, B., & Curtis, K. (2019).Designing strategies to implement a blunt chest injury care bundle using the behaviour change wheel: A multi-site mixed methods study.BMC Health Services Research, 19(1), 461–461.· Rafferty, A. M. (2018).Nurses as change agents for a better future in health care: The politics of drift and dilution.Health Economics, Policy and Law, 13(3–4), 475–491.· Werlau, T., Soares-Sardinha, S., Overman, A. S., Chutz, J., Emory, J., Jones, C. M., Lee, G., & Smith-Miller, C. A. (2020).Creating microclimates of change.JONA: The Journal of Nursing Administration, 50(7/8), 385–394.Evidence and Goal Setting· Crable, J. , Highfield, M. F. & Patmon, F. (2020).Evidence-based practice knowledge, attitudes, practices, and barriers.Nursing Critical Care, 15(5), 24–32.· DeVries, M. (2021).Beyond bean counting: Gathering and using data to drive improvements.Journal of Infusion Nursing, 44(1), 41–48.· Findlay, M., Rankin, N. M., Shaw, T., White, K., Boyer, M., Milross, C., De Abreu Lourenço, R., Brown, C., Collett, G., Beale, P., & Bauer, J. D. (2020).Best evidence to best practice: Implementing an innovative model of nutrition care for patients with head and neck cancer improves outcomes.Nutrients, 12(5), 1465.· Gannaway, P. (2020).Locating clinical practice guidelines.Nurse Educator, 45(1), 50.· Rohm, C. D., Whiteman, K., Swanson-Biearman, B., & Stephens, K. (2020).Interprofessional collaboration to reduce falls in the acute care setting.Medsurg Nursing,29(5), 303–307.· Stoner, M. S. (2020).Finding evidence-based resources for care.Home Healthcare Now, 38(1), 60.· Vermunt, N. P., Harmsen, M., Elwyn, G., Westert, G. P., Burgers, J. S., Olde Rikkert, M. G., & Faber, M. J. (2018).A three-goal model for patients with multimorbidity: A qualitative approach.Health Expectations, 21(2), 528–538.Pharmacology· Bruneau, J., Ahamad, K., Goyer, M. È., Poulin, G., Selby, P., Fischer, B., Wild, T. C., & Wood, E. (2018).Management of opioid use disorders: a national clinical practice guideline.Canadian Medical Association Journal, 190(9), E247–E257.· Gadbois, C., Chin, E. D., & Dalphonse, L. (2016).Health promotion in an opioid treatment program: An evidence-based nursing quality improvement project.Journal of Addictions Nursing, 27(2),127–142.· Lalau, J., Kajbaf, F., Bennis, Y., Lemaire, A., Belpaire, F., & De Broe, M. (2018).Metformin treatment in patients with type 2 diabetes and chronic kidney disease stages 3A, 3B, or 4.Diabetes Care, 31(3), 547–553.· Oster, E. (2018).Diabetes and diet: Purchasing behavior change in response to health information.American Economic Journal: Applied Economics, 10(4), 308–348.Evidence-Based Practice· Asrat, H. D., & Mekonnen, H. B. (2021).Implementation of evidence-based practice: The experience of nurses and midwives.PLoS One, 16(8), 1–12.Biopsychosocial· Da Silva, J. A. P., Geenen, R., & Jacobs, J. W. G. (2018).Chronic widespread pain and increased mortality: Biopsychosocial interconnections.Annals of the Rheumatic Diseases, 77(6), 790.· Wong, A., Samartzis, D., Cheung, P., & Cheung, J. (2019).How common is back pain and what biopsychosocial factors are associated with back pain in patients with adolescent idiopathic scoliosis?Clinical Orthopaedics and Related Research, 477(4), 676–686. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6437349/ExampleofAssessment2.pdfThis file is too large to display.View in new windowAsses2.docxAnalyze a professional environment and relevant data, and develop a change strategy (3-5 pages) and discuss how to implement it successfully.Collapse AllIntroductionNote: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, it is recommended that you complete the assessments in this course in the order in which they are presented.Knowing the best practice for our patients is very important in providing safe and effective care. Understanding best practices can help nurses identify areas of care that need to be improved. To identify areas of need, nurses must use evidence from various sources, such as the literature, clinical practice guidelines (CPG), professional organization practice alerts or position papers, and protocols. These sources of evidence can also be used to set goals for improvement and best practices with an eye toward improving the care experience or outcomes for patients.The challenge facing many care environments and health care practitioners is how to plan for change and implement changes. For if we cannot effectively implement changes in practice or procedure, then our goals of improving care will likely amount to nothing. This assessment focuses on allowing you to practice locating, assessing, analyzing, and implementing change strategies in order to improve patient outcomes related to one or more clinical goals.This assessment will take the form of a data table to identify areas for improvement and to set one or more outcome goals, as well as a narrative describing a change plan that would help you to achieve the goals you have set.Professional ContextOne area in health care that it is necessary to consider is the environment in which nurses work. It is important that this environment evolves and changes so that all patients are adequately supported. For this assessment, you will develop a change strategy to improve the health care environment. These changes can be rooted in a desire to improve clinical outcomes and data related to assessment accuracy, drug administration, or disease recovery rates. A key skill for master’s-level nurses is to be able to evaluate clinical data and create a change plan to help drive improvements in the data to reach set goals.ScenarioConsider a current environment. This could be your current care setting, the care setting presented in the scenario Vila Health: Using Concept Maps for Diagnosis, or a care setting in which you are interested in working. For the setting that you choose you will need to have a data set that depicts sub-optimal outcomes related to a clinical issue. This data could be from existing sources in the course, a relevant data set that already exists (a data set from the case study you used as a basis for your previous Concept Map assessment or from your current place of practice), or an appropriate data set that you have created yourself. (Note:if you choose to create your own data set, check with your instructor first for approval and guidance.)After you have selected an appropriate data set, use your understanding of the data to create at least one realistic goal (though you may create more) that will be driven by a change strategy appropriate for the environment and goal.Potential topics for this assessment could be:· Consider ways to help minimize the rate of secondary infections related to the condition, disease, or disorder that you focused on for your previous Concept Map assessment. As a starting point, you could ask yourself, “What could be changed to facilitate safety and minimize risks of infection?”· Consider how to help a patient experiencing traumatic stress or anxiety over hospitalization. As a starting point, you could ask yourself, “How could the care environment be changed to enhance coping?”Once you determine the change you would like to make, consider the following:· What data will you use to justify the change?· How can the team achieve this change with a reasonable cost?· What are the effects on the workplace?· What other implementation considerations do you need to consider to ensure that the change strategy is successful?· How does your change strategy address all aspects of the Quadruple Aim, especially the well-being of health care professionals?· Once the change strategy is implemented, how would you evaluate the efficiency and effectiveness of the care system if the desired outcomes are met?InstructionsYour assessment submission should include a data table that illustrates the current and desired states of the clinical issue you are attempting to improve through your application of change strategies. Additionally, you will need to explain the rationale for your decisions around your chosen change strategies, as well as how the change strategies will be successfully implemented. The bullet points below correspond to the grading criteria in the scoring guide. Be sure that your change strategy addresses all of them. You may also want to read the Change Strategy and Implementation scoring guide andGuiding Questions: Change Strategy and Implementation [DOCX]Download Guiding Questions: Change Strategy and Implementation [DOCX]to better understand how each grading criterion will be assessed.· Develop a data table that accurately reflects the current and desired states of one or more clinical outcomes.· Propose change strategies that will help to achieve the desired state of one or more clinical outcomes.· Justify the specific change strategies used to achieve desired outcomes.· Explain how change strategies will lead to quality improvement with regard to safety and equitable care.· Explain how change strategies will utilize interprofessional considerations to ensure successful implementation.· Communicate the change plan in a way that makes the data and rationale easily understood and compelling.· Integrate relevant sources to support assertions, correctly formatting citations and references using current APA style.Example assessment:You may use the assessment example,Assessment 2 Example [PDF]Download Assessment 2 Example [PDF], to give you an idea of what a Proficient or higher rating on the scoring guide would look like.Submission Requirements·Length of submission:3–5 double-spaced, typed pages, not including the title and reference pages. Your plan should be succinct yet substantive.·Number of references:Cite a minimum of 3–5 sources of scholarly or professional evidence that supports your goal setting, proposed change strategies, quality improvement, and interprofessional considerations. Resources should be no more than five years old.·APA formatting:TheAPA Template Tutorial [DOCX]can help you in writing and formatting your analysis. No abstract is required.Competencies MeasuredBy successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:· Competency 1: Design patient-centered, evidence-based, advanced nursing care for achieving high-quality patient outcomes.· Develop a data table that accurately reflects the current and desired states of one or more clinical outcomes.· Competency 2: Develop change strategies for improving the care environment.· Propose change strategies that will help to achieve the desired state of one or more clinical outcomes.· Justify the specific change strategies used to achieve desired outcomes.· Competency 3: Apply quality improvement methods to practice that promote safe, equitable quality of care.· Explain how change strategies will lead to quality improvement with regard to safety and equitable care.· Competency 4: Evaluate the efficiency and effectiveness of interprofessional care systems in achieving desired health care improvement outcomes.· Explain how change strategies will utilize interprofessional considerations to ensure successful implementation.· Competency 5: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with organizational, professional, and scholarly standards.· Convey purpose of the assessment narrative in an appropriate tone and style, incorporating supporting evidence, and adhering to organizational, professional, and scholarly communication standards.Asses2-resourceslinkedbelowtohelpcompletethisassessment.docxUse the resources linked below to help complete this assessment.Collapse AllAssessment· Bachman, T. E., Iyer, N. P., Newth, C. J. L., Ross, P. A., & Khemani, R. G. (2020).Thresholds for oximetry alarms and target range in the NICU: An observational assessment based on likely oxygen tension and maturity.BMC Pediatrics, 20, 1–8.· Dembek, Z. F., Chekol, T., & Wu, A. (2018).Best practice assessment of disease modelling for infectious disease outbreaks.Epidemiology and Infection, 146(10), 1207–1215.Change· Celebi Cakiroglu, O., Ulutas Hobek, G., & Harmanci Seren, A. K. (2022).Nurses’ views on change management in health care settings: A qualitative study.Journal of Nursing Management, 30(2), 439–446.· Hanrahan, K., Utech, J., Cullen, L., Tucker, S. J., & Gallagher-Ford, L. (2020).EBP 2.0: Implementing and sustaining change: Implementing improved central line flushing practices.The American Journal of Nursing, 120(8), 66–70.· Kourouche, S., Buckley, T., Van, C., Munroe, B., & Curtis, K. (2019).Designing strategies to implement a blunt chest injury care bundle using the behaviour change wheel: A multi-site mixed methods study.BMC Health Services Research, 19(1), 461–461.· Rafferty, A. M. (2018).Nurses as change agents for a better future in health care: The politics of drift and dilution.Health Economics, Policy and Law, 13(3–4), 475–491.· Werlau, T., Soares-Sardinha, S., Overman, A. S., Chutz, J., Emory, J., Jones, C. M., Lee, G., & Smith-Miller, C. A. (2020).Creating microclimates of change.JONA: The Journal of Nursing Administration, 50(7/8), 385–394.Evidence and Goal Setting· Crable, J. , Highfield, M. F. & Patmon, F. (2020).Evidence-based practice knowledge, attitudes, practices, and barriers.Nursing Critical Care, 15(5), 24–32.· DeVries, M. (2021).Beyond bean counting: Gathering and using data to drive improvements.Journal of Infusion Nursing, 44(1), 41–48.· Findlay, M., Rankin, N. 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What are the stages in the business process lifecycle?IS PrinciplesWriter Community-Based Prevention choosePSY 390 Week 3 Individual Assignment – Classical Conditioning PaperProgram Planning and Community Needs Assessment to chooseFIN 534 Week 8 Chapter 15 SolutionCIM630Z1: Week One Discussion Question #2Problem Question

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