Change Implementation and Management Plan

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 PLEASE FOLLOW THE INSTRUCTION BELOW

ZERO PLAGIARISM

FIVE REFERENCES

It is one of the most cliché of clichés, but it nevertheless rings true: The only constant is change. As a nursing professional, you are no doubt aware that success in the healthcare field requires the ability to adapt to change, as the pace of change in healthcare may be without rival.

As a professional, you will be called upon to share expertise, inform, educate, and advocate. Your efforts in these areas can help lead others through change. In this Assignment, you will propose a change within your organization and present a comprehensive plan to implement the change you propose.

To Prepare:

  • Review the Resources and identify one change that you believe is called for in your organization/workplace.
    • This may be a change necessary to effectively address one or more of the issues you addressed in the Workplace Environment Assessment you submitted in Module 4. It may also be a change in response to something not addressed in your previous efforts. It may be beneficial to discuss your ideas with your organizational leadership and/or colleagues to help identify and vet these ideas.
  • Reflect on how you might implement this change and how you might communicate this change to organizational leadership.

The Assignment (5-6-minute narrated PowerPoint presentation):

Change Implementation and Management Plan

Create a narrated PowerPoint presentation of 5 or 6 slides with video that presents a comprehensive plan to implement the change you propose.

Your narrated presentation should be 5–6 minutes in length.

Your Change Implementation and Management Plan should include the following:

  • An executive summary of the issues that are currently affecting your organization/workplace (This can include the work you completed in your Workplace Environment Assessment previously submitted, if relevant.)
  • A description of the change being proposed
  • Justifications for the change, including why addressing it will have a positive impact on your organization/workplace
  • Details about the type and scope of the proposed change
  • Identification of the stakeholders impacted by the change
  • Identification of a change management team (by title/role)
  • A plan for communicating the change you propose
  • A description of risk mitigation plans you would recommend to address the risks anticipated by the change you propose

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7 C Care Management, Case Management, and Home Healthcare

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 Follow 3×3 Rule. THREE PARAGRAPHS OF AT LEAST THREE SENTENCES EACH ONE, WITH AT LEAST TWO  CITATIONS AND TWO REFERENCES NOT OLDER THAN 2015. 

APA STYLE. NO PLAGIARISM PLEASE.

 1. In thinking of five social determinants of health as identified in Healthy People 2020, identify the social determinants specifically that may be barriers to home care and case or care management services. Explain your answer.

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7 C Care Management, Case Management, and Home Healthcare

/in /by

 Follow 3×3 Rule. THREE PARAGRAPHS OF AT LEAST THREE SENTENCES EACH ONE, WITH AT LEAST TWO  CITATIONS AND TWO REFERENCES NOT OLDER THAN 2015. 

APA STYLE. NO PLAGIARISM PLEASE.

 1. In thinking of five social determinants of health as identified in Healthy People 2020, identify the social determinants specifically that may be barriers to home care and case or care management services. Explain your answer.

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7 N Social Context and the Future of Professional Nursing

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SELECT ONLY ONE QUESTION TO WORK ON!!!!!!!!!!!!!!!!!!!!!!!

·      Follow the discussion questions participation and submission guidelines.

·      Follow the 3 x 3 rule: minimum three paragraphs per DQ, with a minimum of three sentences each paragraph.

·      All answers or discussions comments submitted must be in APA format according to Publication Manual American Psychological Association (APA) (6th ed.) 2009 ISBN: 978-1-4338-0561-5

·      Minimum of two references, not older than 2015.

Chapter 7: Social Context and the Future of Professional Nursing

1.  How can you, as a student nurse, tell members of society what professional nurses do?

2.  What advantages do women have in nursing? What advantages do men have in the profession? What are the risks of being gender exclusive?

3.  What barriers to health care do you see in your community? How are the underprivileged served in our current healthcare system?

4.  As people age and experience health problems, their needs are often more complex and acute, thereby demanding an even more highly skilled nursing workforce. Considering the projections related to the nursing shortage, who will provide these healthcare services? Who will care for the old?

5.  How do changes in nursing education reflect nursing’s responsibility in the context of the social contract discussed earlier in this chapter?

6.  Based on the trends and recommendations presented in this chapter, what do you think nursing education will look like in 2025? What do you think the profession of nursing will look like in the year 2025?

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Appraisal of a systematic review using the John Hopkins Nursing Evidence-Based Practice Research Evidence Appraisal Tool.

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Last week, you explored quantitative inquiry and data. This week, you’ll have the opportunity to investigate summaries of multiple research studies, including systematic reviews. In the hierarchy of evidence quality, systematic reviews of randomized controlled trials are considered the gold standard of evidence. During this week you’ll learn how to appraise systematic reviews and other summaries of multiple studies using the Johns Hopkins Nursing Evidence-Based Practice Research Evidence Appraisal Tool. I bet you’re getting familiar with this tool after applying it in Weeks 1 and 2. 

Complete your own appraisal of a systematic review using the John Hopkins Nursing Evidence-Based Practice Research Evidence Appraisal Tool. This appraisal tool is used to evaluate qualitative, quantitative, and mixed methods research. Use Section I (part B) of the tool to appraise a systematic review. Select one of the eight practice problems that burden the overall health of the United States*use as the previous week (substance abuse disorders). 

Conduct a library search for one systematic review (without meta-analysis; with meta-analysis; meta-synthesis) addressing this problem. Appraise the systematic review using the Johns Hopkins Research Evidence Appraisal Tool. After appraising and determining the Level of Evidence and Grade of Quality for your selected systematic review, summarize your findings. Transfer your findings to the Johns Hopkins Individual Evidence Summary Tool. Complete each column including specific details about the systematic review.

Include your completed Johns Hopkins Individual Evidence Summary Tool and your systematic review as an attachment with your initial post. Also, include a permalink for your selected systematic review with your initial discussion post. Confirm the link allows access to the full-text study article. Our faculty team will review both your research study and Johns Hopkins Individual Evidence Summary Tool and provide guidance.

Analyze the evidence summary of the selected systematic review to address the following.

– Does the research design answer the research question? Explain your rationale.

– Were the study sample participants representative? Why or why not?

– Compare and contrast the study limitations in this study.

– Based on this evidence summary, would you consider this systematic review as support for your selected practice problem? Explain your rationale. 

– How does an integrative review, meta-analysis, systematic review, and meta-synthesis differ?

Instructions:

The student post provides support from a minimum of at least three (3) scholarly sources. The scholarly source when used is: 1) evidence-based, 2) scholarly in nature, 3) published within the last 5 years, and 4) an in-text citation. citations and references are included when information is summarized/synthesized and/or direct quotes are used, in which APA 7 style standards apply. 

• Textbooks are not considered scholarly sources. 

• Wikipedia, Wikis, .com website,s or blogs should not be used.

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Reply to my peer

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Reply to my peer

In your participation responses to your peers, comments must demonstrate thorough analysis of postings and extend meaningful discussion by building on previous postings.

Peer 1

After reading through conceptual modules, I decided to discuss Hamric’s Integrated Model of Advanced Practice Nursing.  This model helped me organize my beliefs and knowledge about advance practice nursing in multiple ways.  Hamric’s model has seven key elements and four categories (Tracy & O’Grady, 2018).  This model allows building blocks for others to update as healthcare evolves.

I like this model because the focus is on the patient and family first.  This is simple to me because I have practiced this way my entire career.  The challenging part will be transitioning from a registered nurse to an APN role.

The structure of this model for research on advance practice nursing is shown through evidence based practice.  Applying current research will improve patient and family outcomes.  Reading, understanding, utilizing, education and discussion will allow the patient and family to participate in the plan of care.  When you incorporate the patient it allows you to explain why you order labs, diagnostic test, and medications.  Following this model will help inform future research studies by patient compliance.  If new research is not used and published, thee is possibility of becoming a stagnant provider. 

Collaboration is useful within this model.  Collaborating with ancillary departments will improve the patient’s overall health, by ensuring the problems are identified and referring to the right provider and or department.  Departments such as therapy, social work, community resources.  

In order to prepare for an APN role and practice safely, you bust see the big picture.  An APN should focus on the safest and most efficient treatment.  I imagine myself as the “gate keeper”, wanting positive outcomes in my career.  Hamric’s model works well while treating patients holistically and comprehensively.  I intend on using this model after completing the FNP program.

References

Tracy,  M.,  & O’Grady, E.  (2018). Hamric and Hanson’s Advanced Practice Nursing: An

 Integrated Approach, (6th ed.). Sauders

Peer 2

 I feel my knowledge about advanced practice nursing is not as vast as I thought it was.  There seems to be more information than I had planned on.  I feel the models help organize features that are important to an advanced practice nurse (APN).  

The Strong Memorial Hospital’s Model of APN appealed to me due to my current job being in a hospital.  This model in a nutshell lays out some basic tenets and guidance, with 5 domains that an employee could work through from novice to expert. (Tracy & O’Grady 2019)

The Strong model provides structure, of several different aspects of the APN role which does include one arm for research. “The five domains are direct comprehensive patient care, support of systems, education, research, and publication and professional leadership. All domains have direct and indirect activities associated with them.” (Tracy O’Grady, 2019 p. 46) The Strong model does have a strong structure where concepts are easily identified and can be synthesized with all five of their branches. 

I find it interesting in this model that they state, “It is notable that this model was the result of a collaborative effort between practicing APRNs and APRN faculty members. One could infer that such a model would be useful for guiding clinical practice and planning curricula” (Tracy O’Grady, 2019 p.46) 

 The Strong model does have a clear picture with its five domains, it shows ways to provide comprehensive care, but could focus more on holistic care and ways to provide that care. I found the pictures they used to illustrate their model helped solidify the model in my head and gave a clearer picture of ways to follow their processes. 

Reference

Tracy, M. F., & O’Grady, E. T. (2019). Hamric and Hanson’s advanced practice nursing an integrative approach (6th ed.). Elsevier.

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Community and Public health

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 In 1,500-2,000 words, describe the teaching experience OF EDUCATING PEOPLE IN COMMUNITY ABOUT COVID-19 VIRUS, and discuss your observations OF YOUR AUDIENCE REGARDING THE EDUCATION. The written portion of this assignment should include:

  1. Introduction
  2. Summary of the teaching plan you used in educating the people 
  3. The epidemiological rationale for topic
  4. Evaluation of teaching experience
  5. Community response to teaching
  6. Areas of your strengths when educating people about COVID-19 and areas of improvement

Prepare this assignment according to the APA guidelines, 

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discussion question week 5

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Discussion Question 

Topics- What was the last communicable diseases effecting your community and what were the primary, secondary and tertiary prevention that the community health nurses have undertaken to prevent the spread of the disease?

·         Must address all of the topics.

·         100-word minimum/200-word maximum without the references.

·         Minimum of two references ,  in APA format, articles chosen must have been published within last 3-5 years.

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Nursing Homework

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Adult Health Nursing II

Neuro Simulation 

Ticket to Entry

1) Describe the pathophysiology of Cerebrovascular Accident (CVA). What are the signs and symptoms?

2) List possible risk factors for CVA.

3) What are the appropriate nursing interventions for a patient with a CVA?

4) Describe the National Institutes of Health Stroke Scale (NIHSS).

5) Which nursing assessments are most important to perform to evaluate potential symptoms of a stroke?

6) Research the possible medications for CVA. What are some special considerations for these medications, if any?

7) Research the pharmacology of Labetalol. What would be the indicated use of this medication for a stroke patient?

8) Discuss the collaborative management of CVA.

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Discussion question

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  Discussion: Treatment of Neurocognitive Disorders

Neurocognitive disorders (NCD) such as delirium,  dementia, and amnestic disorders are more prevalent in older adults. As  the population ages and as life expectancy in the United States  continues to increase, the incidence of these disorders will continue to  increase. Cognitive functioning such as memory, language, orientation,  judgment, and problem solving are affected in clients with NCDs. Caring  for someone with a neurocognitive disorder is not only challenging for  the clinician, but also stressful for the family. The PMHNP needs to  consider not only the client but also the “family as client.”  Collaboration with primary care providers and specialty providers is  essential. Anticipatory guidance also becomes extremely important.

In this Discussion, you will integrate several  sources of knowledge specific to NCDs as you discuss evidenced-based  therapies used to treat these disorders.

 

To prepare for this Discussion:

  • By Day 5 of Week 7, your Instructor will have assigned you a  neurocognitive disorder, which will be the focus for your initial post  for this Discussion. :  
  • Review the Learning Resources.

NEUROCOGNITIVE DISORDER ASSIGNED: Neurocognitive Disorder Due to Alzheimer’s Disease 

By Day 3

Post:

  • Explain the diagnostic criteria for your assigned neurocognitive disorder.
  • Explain the evidenced-based psychotherapy and psychopharmacologic treatment for your assigned neurocognitive disorder.
  • Identify the risks of different types of therapy and explain how  the benefits of the therapy that might be achieved might outweigh the  risks.
  • Support your rationale with references to the Learning Resources or other academic resource.

NOTE: Explain every question asked in detail please

            Use references

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