Discussion

 Similarity no more than 10% resources no more than 5 years

As an advanced practice nurse, one can engage in activism in order to achieve desired policy change at various levels including their own organization. Examine the following questions, should nurses be unionized and how does being unionized impact a workforce culture of safety? Be sure to include one MSN Essential in your discussion that relates to this topic.

Unit 4 Policy and Politics in The Workplace and Workforce Chapters 53,54,57,58 Nursing and the Courts, Licensure, Regulation & Safety Quality & Safety Policy Issues

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English Arguments

English Composition 1Details

Discussion 6.2 (B)

In the reading this week, you learned the importance of conducting research and collaborating with others. Some of you may be wondering how researchers collect data and collaborate. Therefore, we’re going to practice collaborating on an assignment.

Create a Google Doc and share it with me. In the doc, post the rough draft of your paper, so I can make a comment on your draft. Then check your Google Doc by opening it to see what I wrote.

Step 1: Paste your essay draft into a Google Doc.

Step 2: Share the Google Doc with kessig@ama.edu and wait a few days to see my comments. There is no need to save the document or download it. Each time when you open your Google Drive and select “Google Docs,” you will see record there.

Step 3: You do not need to post anything on the Week 6 Discussion Board for this assignment. Instead,  I will see your writing via the Google Doc. 

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An Unconscious Patient with a DNR Tattoo

Write a 1,250-1,500 word paper in which you explore decision making methods that can be used to resolve an ethical dilemma using the scenario provided in the assigned reading, “An Unconscious Patient With a DNR Tattoo.” Describe how to use the principles of ethical decision making (reviewed in this topic) to help resolve this ethical dilemma. Address the scenario to generate your conclusions about how you would proceed.

  1. What are the dimensions of the ethical dilemma?
  2. What are the potential organizational policies to which you will refer?
  3. Apply the four core health care ethical principles and the process of ethical decision making in formulating your assistance to the clinical staff.

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

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

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Nursing research DQ 2

  The following post is another student post to wish i have to reply. Please Make sure to add other information related to what the student posted. APA style 2 references and less than 20 % similarity  .3 paragraph with minimum 3 sentence

 

Continuous Variables

Continuous variables are considered as such because they may have an unlimited value between two points (Polit & Beck, 2017). Continuous variables are for example speed, distance, weight, temperature and age (McCue, 2015). Types of continuous variables that can be applied in the field of nursing are blood pressure reading, BMI, and potassium level. These are known as quantitative variables (Hoskin, n.d.)

A discrete variable is known as the type of data that can have a set value between two points (Polit & Beck, 2017). Examples of discrete values must be concrete and for this whole numbers are used to record the values. Examples of discrete variables include number of pregnancies, number of surgeries has had, number of houses sold by a realtor, number of patients seen at a clinic in a day and number of students that sign up for music class. Whole numbers are needed because for example, a realtor can sell 1 house but not 1.5 houses (Polit & Beck, 2017).

Categorical variables can be described as label as they place things into groups and order (UF Health, 2019). These are further subdivided into nominal or ordinal. Nominal categorical variables include gender, race, and hair color. Ordinal categorical variables include intensity of pain, and customer survey result. Dichotomous variables are considered those who fit into one of two categories such as gender for example, it can be female or female, a person can only be either dead or alive and time of day is either day or night (Polit & Beck, 2017).

Reference

Hoskin, T. (n.d.). Data Types. Retrieved May 10, 2020, from https://www.mayo.edu/research/documents/data-types/doc-20408956

McCue, C., (2015). Continuous Variable. Retrieved May 10, 2020, from https://www.sciencedirect.com/topics/computer-science/continuous-variable

Polit, D. F., & Beck, C. T. (2017). Resource manual for nursing research: generating and assessing evidence for nursing practice. Philadelphia: Wolters Kluwer.

Types of Variables. (n.d.). Retrieved May 10, 2020, from https://bolt.mph.ufl.edu/6050-6052/preliminaries/types-of-variables/

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Organizational development

  1. How would you describe the role of the OD professional? What skills are necessary for an OD practitioner?
  2. Identify and explain the various interventions used in the OD process.
  3. What is Appreciative Inquiry and how is it used in the OD process?
  4. Identify and explain the various barriers to change.

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NUR-514 Organizational Leadership and Informatics

I need 120 words for each assignment and each question with its individual references separate to each question

Unit 1

Topic 1: Health Care Systems, Organizational Relationships, and Interprofessional Health Care Environments

Q1

Discuss the shift to value-based health care and its impact on the roles and responsibilities of advanced registered nurses. What major evolving trends in the health care delivery system will affect your practice in the next 3-5 years, and how do you think advanced registered nurses will continue to influence the direction of health care?

Q2

From your experience, how can developing strong interprofessional relationships increase collaboration and benefit patient outcomes or organizational initiatives? What are some ways you can form an interprofessional team and collaborate with other advanced registered nurse roles? Make sure to incorporate the Interprofessional Education Collaborative (IPEC) competencies in your response.

STUDY MATERIALS

Read Chapters 5 and 6 in Advanced Practice Nursing: Essential Knowledge for the Profession. URL: https://www.gcumedia.com/digital-resources/jones-and-bartlett/2016/advanced-practice-nursing_essential-knowledge-for-the-profession_3e.php

Read Chapter 9 in Leadership in Nursing Practice: Changing the Landscape of Health Care. URL:https://www.gcumedia.com/digital-resources/jones-and-bartlett/2018/leadership-in-nursing-practice_changing-the-landscape-of-healthcare_3e.php

Read “Interprofessional Collaboration: Three Best Practice Models of Interprofessional Education,” by Bridges, Davidson, Odegard, Maki, and Tomkowiak, from Medical Education Online (2011). URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3081249/

Read “Core Competencies for Interprofessional Collaborative Practice: 2016 Update,” by Interprofessional Education Collaborative (2016). URL:https://nebula.wsimg.com/2f68a39520b03336b41038c370497473?AccessKeyId=DC06780E69ED19E2B3A5&disposition=0&alloworigin=1

Unit 2

Q1

From your experience in the health care industry, what is the difference between leadership and management? How can an advanced registered nurse both lead well and provide management? Think about interactions with patients, team members, daily tasks, and responsibilities as you formulate your response.

Q2

The underlying principle of servant leadership is that leaders address the needs of the team before their own and serve others before serving the self. After reviewing the topic materials and conducting your own research on servant leadership, describe how the vocation of the nurse is similar to the goals of a servant leader. Identify any examples you have seen in your practice, and the best way you can demonstrate servant leadership in nursing practice.

STUDY MATERIALS

Review Chapter 6 in Advanced Practice Nursing: Essential Knowledge for the Profession. URL: https://www.gcumedia.com/digital-resources/jones-and-bartlett/2016/advanced-practice-nursing_essential-knowledge-for-the-profession_3e.php  Read Chapters 2-4, 7, and 14 in Leadership in Nursing Practice: Changing the Landscape of Health Care. URL: https://www.gcumedia.com/digital-resources/jones-and-bartlett/2018/leadership-in-nursing-practice_changing-the-landscape-of-healthcare_3e.php Read “Great Leaders Inspire Great Followership,” by Cruz, from Leadership Excellence Essentials (2014). URL:https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=bth&AN=97399121&site=eds-live&scope=site   Read “Advancing the Nursing Profession Begins With Leadership,” by O’Neill, from Journal of Nursing Administration (2013). URL:https://lopes.idm.oclc.org/login?url=http://gateway.ovid.com.lopes.idm.oclc.org/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=ovft&AN=00005110-201304000-00001&PDF=y      Read “From Trait to Transformation: The Evolution of Leadership Theories,” by Johns and Moser, from Education (1989). URL:https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=4717838&site=ehost-live&scope=site

Read “Nursing Leadership From Bedside to Boardroom: Opinion Leaders’ Perceptions,” by Blizzard, Khoury, and McMurray (2015), located on the Campaign for Action website. URL: http://campaignforaction.org/resource/nursing-leadership-bedside-boardroom-opinion-leaders-perceptions/

Read “Leadership Styles: Choosing the Right Approach for the Situation,” located on the Mind Tools website. URL: http://www.mindtools.com/pages/article/newLDR_84.htm  Read “Transformational Leadership: Becoming an Inspirational Leader,” located on the Mind Tools website.URL: http://www.mindtools.com/pages/article/transformational-leadership.htm Read “Servant Leadership: Putting Your Team First, and Yourself Second,” located on the Mind Tools website. URL: https://www.mindtools.com/pages/article/servant-leadership.htm  Read “What Is the Difference Between Management and Leadership?” by Murray (2014), located on The Wall Street Journal website.    URL: http://guides.wsj.com/management/developing-a-leadership-style/what-is-the-difference-between-management-and-leadership/

Complete the “Nurse Manager Skills Inventory,” by the Nurse Manager Leadership Partnership (NMLP), located on the American Association of Critical-Care Nurses website. The resource is located under the “Authentic Leadership” heading. URL: https://www.aacn.org/nursing-excellence/healthy-work-environments/hwe-resources

These resources will be used to complete the Leadership Style Reflective Essay assignment, due in this topic. Please refer to the assignment details for additional instructions.

  1. Emotional Intelligence Assessment: “Emotional Intelligence Test”: http://testyourself.psychtests.com/testid/3038
  2. Personality Assessment: “Personality Traits Test”: http://testyourself.psychtests.com/bin/transfer?req=MnwyMjk2fDE5NTM1MTV8MXwxfDE=&refempt
  3. Learning Styles Assessment: “The VARK Questionnaire: How Do I Learn Best?”: http://vark-learn.com/the-vark-questionnaire/
  4. Values Assessment: “Values Profile”: http://testyourself.psychtests.com/bin/transfer?req=MnwzMzE5fDE5NTM1MTV8MXwxfDE=&refempt
  5. Values Assessment: “Rokeach Values Survey”: http://faculty.wwu.edu/tyrank/Rokeach%20Value%20Survey.pdf
  6. Diversity Assessment: “Cultural Competence Self-Test”:  https://www.oregon.gov/DHS/SENIORS-DISABILITIES/DD/PROVIDERS-PARTNERS/SCPAconference/Cultural%20Competence%20Self-Test.pdf

Explore the “Nurse Manager Leadership Partnership” section on the American Organization of Nurse Executives website.

URL:http://www.aone.org/resources/nurse-manager-leadership-partnership

Explore the “What Is Servant Leadership?” page of the Greenleaf Center for Servant Leadership website. URL: https://www.greenleaf.org/what-is-servant-leadership/

Unit 3

Q1

How have you seen or experienced organizational change within an organization? Did it go well or not? Was there any correlation in how the organizations used stakeholders or change models?

Q2

You have been selected to serve on a community outreach committee within your state’s nursing organization. The committee includes registered nurses of different specialties. At your first meeting, it becomes evident that not everyone is in agreement with a recent position statement about the role of spiritual care, with some members arguing they will no longer support the committee if the position statement is not revised or reversed. As a nurse leader, how could you draw from change theory to address these concerns and encourage collaboration on the committee?

STUDY MATERIALS

Review Chapter 5 in Advanced Practice Nursing: Essential Knowledge for the Profession. URL: https://www.gcumedia.com/digital-resources/jones-and-bartlett/2016/advanced-practice-nursing_essential-knowledge-for-the-profession_3e.php    Read Chapter 1 in Leadership in Nursing Practice: Changing the Landscape of Health Care. URL: https://www.gcumedia.com/digital-resources/jones-and-bartlett/2018/leadership-in-nursing-practice_changing-the-landscape-of-healthcare_3e.php

Unit 4

Q1

Are there professional barriers to being involved with the legislative process, such as retaliation from institutions or individuals who do not share your same viewpoints? What steps would you take to ensure you can represent the advanced registered nurse as a leader and patient advocate under these types of circumstances?

Q2

Chapter 14 in the textbook, Leadership in Nursing Practice: Changing the Landscape of Health Care, discusses the nursing profession’s lack of representation in health care policymaking, even though nurses currently represent the largest profession within the health care industry. The text suggests that this may be related to gender inequality, with women making up a large percentage of the nursing profession. Do you see any correlation to this argument?

STUDY MATERIALS

Read Chapters 11 and 13-15 in Leadership in Nursing Practice: Changing the Landscape of Health Care. URL: https://www.gcumedia.com/digital-resources/jones-and-bartlett/2018/leadership-in-nursing-practice_changing-the-landscape-of-healthcare_3e.php Read “Preparing Nurses for Leadership in Public Policy” (2014), located on the Robert Wood Johnson Foundation website. URL: http://www.rwjf.org/en/library/articles-and-news/2014/02/preparing-nurses-for-leadership-in-public-policy.html  Explore your state legislature website and access legislation information. The link to the Arizona State Legislature website is provided, but students living in other states should access their state departments. This resource will be used for the Topic 5 assignment. URL: http://www.azleg.gov/

Unit 5

Q1

Research an organization that uses an innovative model of care. How does this innovative model affect interprofessional collaboration? How might this model contribute to the delivery of cost of effective health care? Make sure to identify the organization and model in your response.

Q2

Define ACOs and discuss their impact on the contemporary health care system. How do ACOs drive cost-effectiveness, innovation, and collaboration in the delivery of health care?

STUDY MATERIALS

Read Chapters 8 and 9 in Advanced Practice Nursing: Essential Knowledge for the Profession. URL: https://www.gcumedia.com/digital-resources/jones-and-bartlett/2016/advanced-practice-nursing_essential-knowledge-for-the-profession_3e.php  Read Chapter 5 in Leadership in Nursing Practice: Changing the Landscape of Health Care. Review Chapter 1. URL: https://www.gcumedia.com/digital-resources/jones-and-bartlett/2018/leadership-in-nursing-practice_changing-the-landscape-of-healthcare_3e.php Read “Accountable Care Organizations (ACOs): General Information,” located on the Centers for Medicare and Medicaid Services website (2015).    URL: https://innovation.cms.gov/initiatives/ACO   Read “Accountable Care Organizations (ACO),” located on the Centers for Medicare and Medicaid Services website (2015). URL: https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/ACO/index.html?redirect=/aco/  Read “Productivity and Quality of Hospitals that Joined the Medicare Shared Savings Accountable Care Organization Program,” by Highfill and Ozcan, from International Journal of Healthcare Management (2016). URL:https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=bth&AN=118862971&site=eds-live&scope=site    Read “Accountable Care Organizations (ACOs),” by Dewey, from Salem Press Encyclopedia of Health (2016). URL:https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ers&AN=113931243&site=eds-live&scope=site

Unit 6

Q1

In what ways can informatics help health care providers overcome current or emerging barriers to care and increase access to safe, quality health care? Include a discussion of the value and challenges of clinical provider order entry (CPOE) and clinical decision support systems (CDSS) in providing safe patient care in your response.

Q2

Differentiate between EMRs and EHRs. Discuss the importance of interoperability in relationship to both types of records and to how the EMR and EHR improve quality and access to care.

STUDY MATERIALS

Read Chapters 12 and 15 in Advanced Practice Nursing: Essential Knowledge for the Profession. URL: https://www.gcumedia.com/digital-resources/jones-and-bartlett/2016/advanced-practice-nursing_essential-knowledge-for-the-profession_3e.php Read Chapters 2, 9, 10, 11, and 13 in Nursing Informatics and the Foundation of Knowledge. URL: https://www.gcumedia.com/digital-resources/jones-and-bartlett/2017/nursing-informatics-and-the-foundation-of-knowledge_4e.php   Read “EMR vs EHR – What Is the Difference?” by Garrett and Seidman (2011), located on the Health IT Buzz website. URL: https://www.healthit.gov/buzz-blog/electronic-health-and-medical-records/emr-vs-ehr-difference/   Read “What Is the Difference Between Health Informatics and Health Information Management?” by Kirshner, located on the Oregon Institute of Technology website. URL: http://www.oit.edu/docs/default-source/programs-information-technology-documents/health-informatics/what-is-the-difference-between-hi-him.pdf?sfvrsn=2   Read “Quality Measures,” located on the Centers for Medicare and Medicaid Services website (2016). URL: https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/QualityMeasures/index.html   Explore the American Health Information Management Association (AHIMA) website. URL: http://www.ahima.org/   Explore the Agency for Healthcare Research and Quality (AHRQ) website. URL: http://www.ahrq.gov/   Read “Writing an Issue Brief,” located on the American Association of Colleges of Pharmacy website (2016). This resource will help you complete your Topic 6 assignment. URL: https://www.aacp.org/article/writing-issue-brief  Read “The Mechanics of Writing a Policy Brief,” by DeMarco and Tufts, from Nursing Outlook (2014). This resource will help you complete your Topic 6 assignment.   URL: http://www.nursingoutlook.org/article/S0029-6554%2814%2900057-8/abstract Explore the issue briefs available on the Expert Policy Analysis page of the American Nurses Association (ANA) website. This resource will help you complete your Topic 6 assignment. URL: http://www.nursingworld.org/MainMenuCategories/Policy-Advocacy/Positions-and-Resolutions/Issue-Briefs   Explore the issue briefs available on the ACNM Library page of the American College of Nurse-Midwives (ACNM) website. This resource will help you complete your Topic 6 assignment. URL: https://www.midwife.org/default.aspx?bid=59&cat=7&button=Search

Unit 7

Q1

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

Q2

Review HIPAA, protected health information (PHI), and requirements for privacy and confidentiality in EHRs. Discuss one ethical and one legal issue related to the use of EHRs that directly impact advanced registered nursing practice. Discuss possible consequences for compromising patient data and measures you can implement in your own practice to protect patient privacy and confidentiality.

STUDY MATERIALS

Read Chapters 16 and 17 in Advanced Practice Nursing: Essential Knowledge for the Profession. URL: https://www.gcumedia.com/digital-resources/jones-and-bartlett/2016/advanced-practice-nursing_essential-knowledge-for-the-profession_3e.php Read Chapters 8, 14, 16, and 18 in Nursing Informatics and the Foundation of Knowledge. URL: https://www.gcumedia.com/digital-resources/jones-and-bartlett/2017/nursing-informatics-and-the-foundation-of-knowledge_4e.php   Review “What Is the Difference Between Health Informatics and Health Information Management?” by Kirshner, located on the Oregon Institute of Technology website. URL: http://www.oit.edu/docs/default-source/programs-information-technology-documents/health-informatics/what-is-the-difference-between-hi-him.pdf?sfvrsn=2 Review “Quality Measures,” located on the Centers for Medicare and Medicaid Services website (2016). URL: https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/QualityMeasures/index.html   Explore the Meaningful Use section of the Centers for Disease Control and Prevention (CDC) website. URL: http://www.cdc.gov/ehrmeaningfuluse/resources.html

Unit 8

Q1

Open and clear communication is critical for the effective functioning of the interprofessional team and the delivery of safe patient care. Discuss the way communication technologies can enhance coordination of care by interprofessional teams. Be sure to discuss a specific communication technology in your responseQ2

Virtual care and telehealth technologies have the capability to greatly expand access to quality health care. Discuss some benefits and drawbacks of virtual care/telehealth particularly related to the collaboration and coordination of care and the role of the advanced registered nurse.

STUDY MATERIALS

Read Chapters 15 and 23 in Nursing Informatics and the Foundation of Knowledge. URL: https://www.gcumedia.com/digital-resources/jones-and-bartlett/2017/nursing-informatics-and-the-foundation-of-knowledge_4e.php

Explore the HealthIT.gov website.URL: https://www.healthit.gov/

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Assessment 3 Instructions: Professional Product

Develop a professional product to improve care or the patient experience related to the identified health problem with a 2-4 page summary of intervention findings, evidence, and best-practice basis for the professional product.

Important: You must complete all of the assessments in order for this course.

For this assessment, you will develop and deliver a professional product to address the health problem defined in your first assessment to improve care and the patient experience. This will be delivered remotely rather than face-to-face to the individual or group (who can be friends and family) that you have identified. Appropriate examples include development of a community education program focused on a particular health issue or a handout to help the elderly and their families understand their Medicare and Medicaid options. The product must be useful in a practice setting, relevant to your project, and designed to improve some aspect of care or the patient experience.

A brief summary of the findings of your intervention and evidence-based support for your professional product should accompany your product.

Reminder: For this assessment, you are required to log in CORE ELMS the hours that you spend in remote contact with a patient (who could be a friend or family member). Three hours of remote contact is the minimum total amount of time required in this course. Planning time is not included and need not be logged.

As a baccalaureate nurse, you can enhance the experience, health, and lives of patients, families, and community members through personal interactions as well as by developing products to educate or improve the care experience. The ability to identify an appropriate product for improving the quality, safety, cost, and experience of care is an important skill. It also allows a BSN-prepared nurse to demonstrate mastery of patient-centered care delivery. These skills are critical as medicine becomes more personalized and nurses advance in their career and practice leadership.

Demonstration of Proficiency

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

  • Competency 1: Lead people and processes to improve patient, systems, and population outcomes.
    • Explain ways in which leadership of people and processes was utilized while designing an intervention and implementation plan.
  • Competency 2: Make clinical and operational decisions based upon the best available evidence.
    • Justify decisions related to developing a professional product with relevant research, evidence, and best practices.
  • Competency 3: Transform processes to improve quality, enhance patient safety, and reduce the cost of care.
    • Demonstrate process improvements in the quality, safety, or cost of care as a result of a direct clinical intervention and a developed professional product.
  • Competency 7: Implement patient-centered care to improve quality of care and the patient experience.
    • Demonstrate patient-experience improvements resulting from a clinical intervention and implementation of a newly developed professional product.
  • Competency 8: Integrate professional standards and values into practice.
    • Communicate professionally in writing that is clear and logically organized, with correct grammar, spelling, and use of APA style.

Important: You must complete all of the assessments in order for this course.

Preparation

Before submitting this assessment, you must have logged at least three remote contact hours in CORE ELMS. These hours will include only the time that you spent working remotely with patients, families, and/or community members to implement your intervention, collect and analyze data, and deliver your professional product to your target audience. Please be advised that the Volunteer Experience form requires that you provide the name and contact information for at least one individual with whom you worked as part of your direct clinical activity. Your faculty may reach out to this individual to verify that you have accurately documented and completed your clinical hours.

Instructions

For this assessment, you will develop and deliver a professional product to address the health problem defined in your first assessment to improve care and the patient experience. This will be delivered remotely rather than face-to-face to the individual or group that you have identified. Appropriate examples include development of a community education program focused on a particular health issue or a handout to help the elderly and their families understand their Medicare and Medicaid options. The product must be useful in a practice setting, relevant to your project, and designed to improve some aspect of care or the patient experience that can be used in your own practice, with your family or community.

Relevant products include but are not limited to:

  • Patient education handout (such as a medication sheet).
  • Patient safety plan.
  • Process improvement in-service.
  • Medicaid/Medicare patient coverage and finance guide.
  • Teaching plan.

Your submission will consist of two parts: an APA-formatted paper providing your rationale and supporting evidence, and the professional product.

For the brief APA-style paper, one organizational option is:

  • Summary of intervention and implementation:
    • What did you do?
    • How did you lead in terms of the processes used in the project?
      • With what participants?
    • Who were your interprofessional collaborators?
      • How did you lead them in this project?
      • What were your key findings?
  • Evidence-based rationale for professional product development:
    • What professional product did you develop?
    • Why did you choose this type of product?
    • How does it align with your intervention?
    • How will the product help improve outcomes?
    • How will the product enhance the patient experience?
    • How does the product improve a process related to quality, safety, and/or cost of care?
    • How do relevant research, evidence, and best practices support your choice of professional product and approach?

For your professional product, you may choose to develop a deliverable that could be used in your care setting to communicate and sustain relevant improvements related to the intervention you carried out. The key is that the professional product is useful to the target audience (such as a large-print Medicaid/Medicare patient coverage and finance guide that is easy for the elderly and their families to use, or an easily implemented process improvement in-service for home care nurses).

Scoring Guide Criteria

Your brief paper and professional product will be assessed according to the following scoring guide criteria:

  • Explain ways in which leadership of people and processes was utilized while designing an intervention and implementation plan.
  • Demonstrate process improvements in the quality, safety, or cost of care as a result of a direct clinical intervention and a developed professional product.
  • Demonstrate patient-experience improvements resulting from a clinical intervention and implementation of a newly developed professional product.
  • Justify decisions related to developing a professional product with relevant research, evidence, and best practices.
  • Communicate professionally in writing that is clear and logically organized, with correct grammar, spelling, and use of APA style.

Additional Requirements

  • Length of submission: APA-style paper should be 2–4 pages of content plus title and reference pages. There is no length requirement for your professional product. The type of deliverable you choose will determine its length and format.
  • Number of references: Cite a minimum of 5 sources of scholarly or professional evidence that support your decisions and rationale in your APA-style paper. Resources should be no more than 5 years old.
  • APA formatting: References and citations are formatted according to current APA style. Use appropriate APA citations (in-text and reference list) in the paper and professional product.

Portfolio Prompt: Remember to save the assessment to your ePortfolio. After you complete your program you may want to consider leveraging your Portfolio as part of a job search or other demonstration of your academic competencies.

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Week 3 Discussion 1 Principles of Teaching and Learning

Considering today’s forces, trends, and issues that influence curriculum development and the changing demands in healthcare delivery, discuss how you think the nursing curricula needs to change in order to prepare nurse graduates for their future role as practicing nurses. Cite two current references (published within the last five years) to support your discussion.

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Nurs

  • Consider the nurse leader’s role in achieving the IHI Quadruple Aim for this transition of care. (Hint: Draw from resources on systems thinking and nurse leaders’ ability to influence innovation and change.)

Assignment (5–6 pages, not including title and reference page):

Write a paper in which you address the following:

  • Identity your selected example of a transition of care.
  • Describe the key stakeholders that might be involved in this transition of care and the leadership strategies you would use to engage and influence them.
  • Explain how you, as a nurse leader along with your healthcare team, would apply systems thinking when providing a transition of care aligned with the IHI Quadruple Aim framework in order to improve it. Explain the fourth aim and strategy you would use and why.
  • Explain how systems thinking would inform your improvement plan for the specific transition of care you selected.

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Answer To Peer

Urinary Tract Infection

1. Urinalysis is necessary to verify the infection and presence of positive urine culture (Choe et al., 2017). It is particularly important to keep track of leukocytes and nitrites when utilizing a urine test strip (Ebell, Butler, & Hay, 2018). It may also be necessary to utilize ultrasound (RBUS) to detect genitourinary anomalies if it is established that the patient suffers from febrile UTI.

2. An UTI is most likely to be caused by bacteria and available evidence indicates that conditions like acute pyelonephritis are primarily caused by E. coli in close to eighty percent of the cases (Choe et al., 2017).

3. It could be appropriate to prescribe Cephalexin 10 mg/kg/d or Cefaclor 10 mg/kg/d (Choe et al., 2017). On the other hand, such factors as the expected pathogen should be taken into account when selecting an appropriate antibiotic agent. Additionally, the duration of the therapy should be between seven and fourteen days depending on the situation. Therefore, additional information is necessary to determine appropriate pharmacological treatment for the patient.

4. It is imperative to ensure that the patient and her mother have an understanding of safe dosing and follow the recommendations. Additionally, a healthcare professional should explain the need to follow the regimen and explain the risks that could be faced by the patient if recommendations are ignored. It is also necessary to explain the benefits of preventing UTI and the risks associated with possible antimicrobial resistance in the future. Available evidence indicates that cranberry and associated products have the potential to prevent UTI in children, and it would be appropriate to advise the patient to consume such products to avoid infections in the future (Choe et al., 2017). The patient should also be advised to drink plenty of water to dilute urine and reduce the risks related to UTI in the long-term.

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