nursing multidimensional care2

Competency

Select appropriate nursing interventions for clients with upper and lower gastrointestinal disorders. SIGN UP FOR YOUR TOPIC HERE: https://docs.google.com/spreadsheets/d/1a9aocm6ahrPHEhRBuFtYaXiR19DmdkmDTdYLacyj0Es/edit?usp=sharing

Scenario

Patient and family education is important in increasing adherence. To provide education to patient and families, you are going to create a poster about a gastrointestinal disorder that will be displayed in a physician’s office.

Instructions

Please be sure to include the following in your poster design.

  • Overview of the disorder
  • Causes of the disorder
  • Diagnostic tests to diagnosis the disorder
  • Assessment findings
  • Multidimensional nursing care interventions for the disorder

Resources

For assistance with research, refer to the Nursing Research Guide.

For assistance creating a poster, refer to the following FAQ.

Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.

Save your assignment as a Microsoft Word document. (Mac users, please remember to append the “.docx” extension to the filename.) The name of the file should be your first initial and last name, followed by an underscore and the name of the assignment, and an underscore and the date. An example is shown below:

Please make your initial post by midweek, and respond to at least two other student’s post by the end of the week. (Minimum 200 words in each reply, build on their presentation with something you found in your research) Please check the Course Calendar for specific due dates.

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Evaluate the role of health policy and organizational structure on quality improvement within health care environments.

Evaluate the role of health policy and organizational structure on quality improvement within health care environments.

Directions

For this Assignment, you will write a position paper in which you will choose and support a policy change which reinforces the role of the nurse as a leader in ensuring access to quality health care in developed and underdeveloped countries. You should approach this assignment from the perspective of your specialty track. Information which may be helpful in selecting a proposed policy change can be found in your textbook Health Policy and Politics: A Nurse’s Guide The word count for your position paper will be 1000 to 1600 words. You must support your work with at least eight scholarly peer reviewed articles. Your paper must include the following topics:

  • Current nursing issues related to globalization of healthcare
  • The proposed policy change
  • Agenda setting strategies (Process by which your proposal will gain attention of stakeholders and/or the public)
  • A model or theory that can be used to bring about the change
  • Design strategies
  • Implementation strategies
  • Evaluation strategies
  • Conclusion

Assignment Requirements

Before finalizing your work, you should:

  • be sure to read the Assignment description carefully (as displayed above);
  • consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; and
  • utilize spelling and grammar check to minimize errors.

Your writing Assignment should:

  • follow the conventions of Standard English (correct grammar, punctuation, etc.);
  • be well ordered, logical, and unified, as well as original and insightful;
  • display superior content, organization, style, and mechanics; and
  • use APA formatting and citation style.

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Outcome Measures, Issues, and Opportunities

Draft a 6-page report on outcome measures, issues, and opportunities for the executive leadership team or applicable stakeholder group.

Note: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, you must complete the assessments in this course in the order in which they are presented.

SHOW LESS

As a nurse leader, you may be called upon to submit a detailed report to your executive leadership team and key stakeholders that describes a quality or safety problem and its effects on outcomes, fully supported by relevant and credible data.

This assessment provides an opportunity to draft such a report in which you can call attention to quality and safety issues and opportunities, effectively support your position, and lay out a plan for change.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

  • Competency 1: Analyze quality and safety outcomes from an administrative and systems perspective.
    • Identify typical quality and safety outcomes and their associated measures.
  • Competency 3: Determine how specific organizational functions, policies, processes, procedures, norms, and behaviors can be used to build reliability and high-performing organizations.
    • Analyze organizational functions, processes, and behaviors in high-performing organizations.
    • Determine how organizational functions, processes, and behaviors support and affect outcome measures for an organization.
    • Identify performance issues or opportunities associated with particular organizational functions, processes, and behaviors and the quality and safety outcomes they affect.
  • Competency 4: Synthesize the various aspects of the nurse leader’s role in developing, promoting, and sustaining a culture of quality and safety.
    • Outline a strategy for ensuring that all aspects of patient care are measured and that knowledge is shared with the staff.
  • Competency 5: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with applicable organizational, professional, and scholarly standards.
    • Write coherently and with purpose, for a specific audience, using correct grammar and mechanics.
    • Integrate relevant and credible sources of evidence to support assertions, correctly formatting citations and references using APA style.

 

Questions to Consider

As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.

Organizational functions, processes, and behaviors can include leadership practices, communications, quality processes, financial management, safety and risk management, interprofessional collaboration, strategic planning, using the best available evidence, and questioning the status quo on all levels.

  • What are some examples of organizational functions, processes, and behaviors related to the outcome measures and performance issues discussed in your executive summary?
  • How would you implement change in addressing particular issues and opportunities?
  • In what ways do stakeholders support outcome success?

Assessment Instructions

This assessment is based on the executive summary you prepared in the previous assessment.

Preparation

Your executive summary captured the attention and interest of the executive leadership team, who have asked you to provide them with a detailed report addressing outcome measures and performance issues or opportunities, including a strategy for ensuring that all aspects of patient care are measured.

Note: Remember that you can submit all or a portion of your draft report to Smarthinking for feedback before you submit the final version for this assessment. However, be mindful of the turnaround time of 24–48 hours for receiving feedback, if you plan on using this free service.

Requirements

Note: The requirements outlined below correspond to the grading criteria in the Outcome Measures, Issues, and Opportunities Scoring Guide. Be sure that your written analysis addresses each point, at a minimum. You may also want to read the Outcome Measures, Issues, and Opportunities Scoring Guide and Guiding Questions: Outcome Measures, Issues, and Opportunities (linked in the Resources) to better understand how each criterion will be assessed.

Drafting the Report
  • Analyze organizational functions, processes, and behaviors in high-performing health care organizations or practice settings.
  • Determine how organizational functions, processes, and behaviors affect outcome measures associated with the systemic problem identified in your gap analysis.
  • Identify the quality and safety outcomes and associated measures relevant to the performance gap you intend to close. Create a spreadsheet showing the outcome measures.
  • Identify performance issues or opportunities associated with particular organizational functions, processes, and behaviors and the quality and safety outcomes they affect.
  • Outline a strategy, using a selected change model, for ensuring that all aspects of patient care are measured and that knowledge is shared with the staff.
Writing and Supporting Evidence
  • Write coherently and with purpose, for a specific audience, using correct grammar and mechanics.
  • Integrate relevant and credible sources of evidence to support assertions, correctly formatting citations and references using APA style.

Additional Requirements

Format your document using APA style.

  • Use the APA paper template linked in the resources. Be sure to include:
    • A title page and reference page. An abstract is not required.
    • A running head on all pages.
    • Appropriate section headings.
    • Properly-formatted citations and references.
  • Your report should be 6 pages in length, not including the title page and reference page.
  • Add your Quality and Safety Outcomes spreadsheet to your report as an addendum.

Grading Rubric:

1-  Analyze organizational functions, processes, and behaviors in high-performing organizations.

Passing Grade:  Analyzes organizational functions, processes, and behaviors in high-performing organizations, and identifies knowledge gaps, unknowns, missing information, unanswered questions, or areas of uncertainty (where further information could improve the analysis).

2-  Determine how organizational functions, processes, and behaviors support and affect outcome measures for an organization.

Passing Grade:  Determines how organizational functions, processes, and behaviors support and affect outcome measures for an organization, and identifies assumptions and reasons on which determination is based.

3-  Identify typical quality and safety outcomes and their associated measures.

Passing Grade:  Identifies typical quality and safety outcomes and their associated measures, and evaluates the quality of the data.

4-  Identify performance issues or opportunities associated with particular organizational functions, processes, and behaviors and the quality and safety outcomes they affect.

Passing Grade:  Identifies performance issues or opportunities associated with particular organizational functions, processes, and behaviors and the quality and safety outcomes they affect, and identifies knowledge gaps, unknowns, missing information, unanswered questions, or areas of uncertainty.

5-  Outline a strategy for ensuring that all aspects of patient care are measured and that knowledge is shared with the staff.

Passing Grade:  Outlines a strategy, using a selected change model, for ensuring that all aspects of patient care are measured and that knowledge is shared with the staff, highlighting opportunities for interprofessional collaboration.

6-  Write coherently and with purpose, for a specific audience, using correct grammar and mechanics.

Passing Grade:  Writes coherently and with purpose. Grammar and mechanics are error-free.

7-  Integrate relevant and credible sources of evidence to support assertions, correctly formatting citations and references using APA style.

Passing Grade:  Integrates relevant, credible, and convincing sources of evidence to support assertions. Sources are current, and citations and references are error-free.

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Letters/Emails to or Interview with a Legislator

Task: View this topic

Description
Points: 160 | Due Date: Week 6, Day 7 | CLO: 6 | Grade Category: Assignments

Assignment Prompt

Public policy has a major impact on your practice and your patients. Advocacy is an expectation of the advanced practice nurse. Elected officials care about what their constituents have to say. To make a difference, you need to be informed and engaged. Contacting your legislator and discussing issues is an important attribute of nurse leaders. In your interactions with lawmakers you want to be positive and nonpartisan, personal, persistent, patient, focused on your message, and provide accurate information.

Directions

Determine the issue or message (e.g., telehealth impact on your practice) you wish to discuss with your legislator(s). Resource: The American Nurses Association Federal Legislative Priorities for 2019.
Identify your legislator and contact information from his or her website and/or search here.
Choose one method of Advocacy: Face-to-Face or Letter/ Email.
Advocacy Option #1:

Face-to-Face: Meet in person with a state or federal legislator or the legislator’s assistant/aide. The student may have to meet with the legislator’s assistant (especially if federal legislator) which is acceptable. Making an appointment might be time consuming (especially if federal legislator), so you will need to begin the appointment process early in course. Students in the same legislative district may go together.
Once you have completed the visit, each student will write a summary (one-page) and thank-you note (even when the visit is conducted with other students).
Summary may include: Was legislator/assistant: — knowledgeable about APN role and topic or at least willing to become informed? Was he or she willing to express support or opposition? Was he or she cordial or merely civil, helpful or confrontational, or informative about the political process?
Post the summary and a copy of your thank you note (letter or email) in the D2L assignment link.
Advocacy Option #2:

Letter or Email: The student must write three (3) letters or emails or a combination of letters/emails to their identified legislators (State and/or Federal). The letters/emails may be the same topic to three different legislators or three different topics to three different legislators. Legislators read correspondence, especially when it is personalized and clearly from a constituent. The following guidelines should be used when writing to your representative:
Be brief (one page or less), and use your own words.
Begin with the appropriate heading and address.
Be specific: State the specific bill number and issue and state your opinion in the first sentence.
Relate your experience with the issue. Use personal examples when possible. Your interest and concern about the issue is important.
Ask the legislator to specifically commit to supporting or opposing the legislation you are writing about.
Ask for specific reasons they are supporting or opposing the proposal.
Sign and print your name and include your address and other contact information.
If you have pertinent materials and/or editorials from local papers, include them.
Cite any references at the end of the letter or email usingAPA format.
Avoid form letters/emails if possible. If you are using a sample or form letter, be sure to adapt it, especially in the first sentence and paragraph. Legislators and their aides recognize form letters and are less likely to be influenced by them.
Thank him or her for considering your opinion.
Submit the three letters and/or emails in Word docs in the D2L assignment link along with a separate one-page reflection on your experience.
Resource:

Sample Legislative Letter
Expectations

Due: Monday, 11:59 pm PT
See USU NUR Writing Assignment Rubric for additional details and point weighting.

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Ledbetter assignment

1. Watch A Call to Duty: Ledbetter v. Goodyear (Links to an external site.). Please watch video.

2. What were your impressions of Ms. Ledbetter?

3. Were you surprised that an employer would engage in unequal payment practices?

4. At your current employment or in a past job, were you discouraged to talk with others about your pay rate? Would you feel comfortable discussing your pay rate with a fellow employee?

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Psychopharma (SOAP NOTE)

Assignment 1: Introduction to the PMHNP SOAP Note

Introduction

The PMHNP SOAP note is a tool utilized to guide clinical reasoning to assess, diagnosis, and develop a treatment plan for a patient based on information presented and current evaluation of the patient. These notes serve as an important source of information about the health status of the patient and can be used to communicate this status to other health care professionals.

Instructions

Review the following resources: (See attachments)

  1. Complete the SOAP Note Questionnaire and submit to this assignment.

Background: I am currently enrolled in the Psych Mental Health Nurse Practitioner Program, I am a Registered Nurse, and I work in a Psychiatric Hospital.

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Week two project theories of nursing

Instructions

Week 2 Project

This week you will turn in a draft of your “Personal Philosophy and Theoretical Concepts” paper. Your paper should contain the following sections:

  • Nursing Autobiography: A brief (1 page) discussion of your background in nursing. This does not include future goals.
  • The Four Metaparadigms:Describe what the literature says about the basic four metaparadigms/concepts of patient, nurse, health, and environment. Do not relate the metaparadigms to the theory you have chosen.
  • Briefly describe the theory you have chosen.
  • Two Practice-Specific Concepts:in separate subsections discuss each of your two concepts:What is the definition of the concept (outside of the theory)?How does your theorist define your concept?How does this concept apply to your clinical setting? Give an example of how nurses in your area provide care that correlates with the theorist’s definition of the concept.

You MUST use the attached template here to complete your paper.

The paper is to be thoroughly researched and well documented, with relevant material from the nursing theorists presented incorporated into the paper. Use the current edition of the APA Manual throughout the paper. Sources should focus on references from nursing theory but may also include conceptual and theoretical material from other professional domains. The paper, excluding references or appendices, is to be limited to 3-5 pages. Writing should be succinct and well organized, as it is impossible for the facilitator to evaluate form and content separately.

i have attached the templeTe to this document. I have 6 years of experience in the nursing field I work in telemetry/ med surg/ Neuro telemetry/ home heaLth and now I am In management. I have chosen pigens theories for this paper and I have want To be a family nurse practitioner.

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NURS 5051 – Week 1 Discussion

Please see attached document with complete instructions

To Prepare:

  • Reflect on the concepts of informatics and knowledge work as presented in the Resources.

1. https://www.youtube.com/watch?reload=9&v=fLUygA8Hpfo

2. See attached articles –

  • Consider a  hypothetical scenario based on your own healthcare practice or  organization that would require or benefit from the access/collection and application of data.

Your scenario may involve a patient, staff, or management problem or gap. – I work in a psychiatric unit.

Instructions:

1. Post a description of the focus of your scenario.

2. Describe the data that could be used and how the data might be collected and accessed.

3. What knowledge might be derived from that data?

4. How would a nurse leader use clinical reasoning and judgment in the formation of knowledge from this experience?

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Culture on death issues

 Select a culture other than your own and explore their death rituals. Using Ray’s Transcultural Communicative Spiritual-Ethical CARING Tool from Chapter 6 page 179, discuss how you would adapt your nursing care in this culturally dynamic situation.

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Discussion Week 8

**THIS DISCUSSION IS DIVIDE IN TWO PARTS –

 

1. MAIN DISCUSSION POST BY TUESDAY 04/27/2021 BEFORE 8:00 PM EST

 

2. TWO REPLIES BY FRIDAY 04/30/2021 BEFORE 8:00 PM EST

 

Discussion: Developing a Culture of Evidence-Based Practice

As your EBP skills grow, you may be called upon to share your expertise with others. While EBP practice is often conducted with unique outcomes in mind, EBP practitioners who share their results can both add to the general body of knowledge and serve as an advocate for the application of EBP.

In this Discussion, you will explore strategies for disseminating EBP within your organization, community, or industry.

 

To Prepare:

· Review the Resources (See below references and attached PDF documents) and reflect on the various strategies presented throughout the course that may be helpful in disseminating effective and widely cited EBP.

· This may include: unit-level or organizational-level presentations, poster presentations, and podium presentations at organizational, local, regional, state, and national levels, as well as publication in peer-reviewed journals.

· Reflect on which type of dissemination strategy you might use to communicate EBP.

 

Instructions:

1. Post at least two dissemination strategies you would be most inclined to use and explain why.

2. Explain which dissemination strategies you would be least inclined to use and explain why.

3. Identify at least two barriers you might encounter when using the dissemination strategies you are most inclined to use.

4. Be specific and provide examples.

5. Explain how you might overcome the barriers you identified.

 

** At least 3 References**

 

 

Resources from School – References (attached documents)

Gallagher-Ford, Lynn MSN, RN, NE-BC; Fineout-Overholt, Ellen PhD, RN, FNAP, FAAN; Melnyk, Bernadette Mazurek PhD, RN, CPNP/PMHNP, FNAP, FAAN; Stillwell, Susan B. DNP, RN, CNE Evidence-Based Practice, Step by Step: Implementing an Evidence-Based Practice Change, AJN, American Journal of Nursing: March 2011 – Volume 111 – Issue 3 – p 54-60 doi: 10.1097/10.1097/01.NAJ.0000395243.14347.7e

 

Newhouse, R. P. , Dearholt, S. , Poe, S. , Pugh, L. C. & White, K. M. (2007). Organizational Change Strategies for Evidence-Based Practice. JONA: The Journal of Nursing Administration, 37(12), 552-557. doi: 10.1097/01.NNA.0000302384.91366.8f.

 

Melnyk, B. M. (2012). Achieving a High-Reliability Organization Through Implementation of the ARCC Model for Systemwide Sustainability of Evidence-Based Practice. Nursing Administration Quarterly, 36(2), 127–135. doi: 10.1097/NAQ.0b013e318249fb6a.

 

Melnyk, B. M. , Fineout-Overholt, E. , Gallagher-Ford, L. & Stillwell, S. B. (2011). Evidence-Based Practice, Step by Step: Sustaining Evidence-Based Practice Through Organizational Policies and an Innovative Model. AJN, American Journal of Nursing, 111(9), 57-60. doi: 10.1097/01.NAJ.0000405063.97774.0e.

 

Melnyk, B. M., Fineout-Overholt, E., Giggleman, M., & Choy, K. (2017). A Test of the ARCC (c) Model Improves Implementation of Evidence-Based Practice, Healthcare Culture, and Patient Outcomes. WORLDVIEWS ON EVIDENCE-BASED NURSING14(1), 5–9. https://doi-org.ezp.waldenulibrary.org/10.1111/wvn.12188

 

**THIS DISCUSSION IS DIVIDE IN TWO PARTS

 

 

 

1.

 

MAIN DISCUSSION POST BY TUESDAY

04/27

/2021

BEFORE 8:00 PM

EST

 

 

2.

 

TWO REPLIES BY FRIDAY

04/30

/2021 BEFORE 8:00 PM EST

 

 

Discussion: Developing a Culture of Evidence

Based Practice

 

As your EBP skills grow, you may be called upon to share your expertise with others. While EBP

practice is often conducted with unique outcomes in mind, EBP practitioners who share their results

can both add to the general body of knowledge and serve as an

 

advocate for the application of EBP.

 

In this Discussion, you will explore strategies for disseminating EBP within your organization,

community, or industry.

 

 

 

To Prepare:

 

·

 

Review the Resources

 

(See below

references

 

and

 

attached

 

PDF

 

documents)

 

and reflect on

the various s

trategies presented throughout the course that may be helpful in disseminating

effective and widely cited EBP.

 

o

 

This may

include

:

unit

level or organizational

level presentations, poster presentations,

and podium presentations at organizational, local, regi

onal, state, and national levels, as

well as publication in peer

reviewed journals.

 

·

 

Reflect on which type of dissemination strategy you might use to communicate EBP.

 

 

Instructions:

 

1.

 

Post a

t least two dissemination strategies you would be most inclined t

o use and explain why.

 

2.

 

Explain which dissemination strategies you would be least inclined to use and explain why.

 

3.

 

Identify at least two barriers you might encounter when using the dissemination

strategies

 

you

are most inclined to use.

 

4.

 

Be specific and provi

de examples.

 

5.

 

Explain how you might overcome the barriers you identified.

 

 

** At least 3 References**

 

 

 

Resources

 

from School

 

References

(attached do

cuments)

 

Gallagher

Ford, Lynn MSN, RN, NE

BC; Fineout

Overholt, Ellen PhD, RN, FNAP, FAAN; Melnyk, Bernadette Mazurek PhD,

RN, CPNP/PMHNP, FNAP, FAAN; Stillwell, Susan B. DNP, RN, CNE Evidence

Based Practice, Step by Step: Implementing

an Evidence

Based Practice Change, AJN, American Journal of Nursing: March 2011

 

Volume 111

 

Issue 3

 

p 54

60

 

 

doi:

10.1097/10.1097/01.NAJ

.0000395243.14347.7e

 

 

Newhouse, R. P. , Dearholt, S. , Poe, S. , Pugh, L.

 

C. & White, K. M. (2007). Organizational Change Strategies for Evidence

Based Practice. JONA: The Journal of Nursing Administration, 37(12), 552

557. doi:

10.1097/01.NNA.0000302384.91366.8f.

 

 

**THIS DISCUSSION IS DIVIDE IN TWO PARTS –

 

1. MAIN DISCUSSION POST BY TUESDAY 04/27/2021 BEFORE 8:00 PM

EST

 

2. TWO REPLIES BY FRIDAY 04/30/2021 BEFORE 8:00 PM EST

 

Discussion: Developing a Culture of Evidence-Based Practice

As your EBP skills grow, you may be called upon to share your expertise with others. While EBP

practice is often conducted with unique outcomes in mind, EBP practitioners who share their results

can both add to the general body of knowledge and serve as an advocate for the application of EBP.

In this Discussion, you will explore strategies for disseminating EBP within your organization,

community, or industry.

 

To Prepare:

 Review the Resources (See below references and attached PDF documents) and reflect on

the various strategies presented throughout the course that may be helpful in disseminating

effective and widely cited EBP.

o This may include: unit-level or organizational-level presentations, poster presentations,

and podium presentations at organizational, local, regional, state, and national levels, as

well as publication in peer-reviewed journals.

 Reflect on which type of dissemination strategy you might use to communicate EBP.

 

Instructions:

1. Post at least two dissemination strategies you would be most inclined to use and explain why.

2. Explain which dissemination strategies you would be least inclined to use and explain why.

3. Identify at least two barriers you might encounter when using the dissemination strategies you

are most inclined to use.

4. Be specific and provide examples.

5. Explain how you might overcome the barriers you identified.

 

** At least 3 References**

 

 

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