Molar Mass Determination by Freezing Point Depression
Molar Mass Determination by Freezing Point Depression
1
P R O P
344
m o d u l a r · l a b o r a t o r y · p r o g r a m · i n · c h e m i s t r y
program editor: H. A. Neidig
Molar Mass Determination by Freezing Point Depression
in t-Butyl Alcohol
prepared by M. Gillette and S. R. Johnson, Indiana University at Kokomo
Background Information
I. The Concept of Physical States or Phases
Pure molecular substances can exist in three physi- cal states, often referred to as phases: solid, liquid, or gas. The extent to which the individual molecules are free to move independently of each other is differ- ent in each of these states. This freedom results from the extent to which one molecule has influence on, or is influenced by, other molecules in its immediate vi- cinity. The physical state of a substance depends upon two factors:
Intermolecular interactions resulting from hydro- gen-bonding, dipole-dipole interactions, and/or Lon- don forces characteristic of the particular
The amount of kinetic energy possessed by the molecules of the substance, which depends on
II. The Melting Point of a Substance
In the solid phase, the molecules of a substance have insufficient kinetic energy to overcome intermolecu- lar attractions. Therefore, the substance has a rigid structure. When we heat a solid substance, the ki- netic energy of the molecules increases. They begin to move with respect to one another. As we continue to heat the substance, the molecular motion be- comes sufficient to cause the outer parts of the rigid structure to begin to break down, and we obtain a mixture of the solid and liquid. We call the breakdown process melting and the temperature at which the transition occurs, the melting point. Application of additional heat converts the entire sample from solid to liquid. In the liquid phase, intermolecular interac- tions are weaker than in the solid phase.
III. The Freezing Point of a Substance
We can reverse the melting process at any point sim- ply by removing heat from a substance. For example,
Table 1 Some molal freezing point depression constants
solvent
freezing point, ° C
Kf,
° C kg mol–1
water
0.00
1.86
acetic acid
16.6
3.90
benzene
5.50
5.10
camphor
179.8
40.0
cyclohexanol
25
39.3
cyclohexane
6.5
20.2
nitrobenzene
5.25
6.87
as a pure liquid cools, the molecules lose kinetic en- ergy. At some temperature they have insufficient en- ergy to overcome intermolecular forces, and the solid phase begins to form. We call the change from liquid to solid freezing and the temperature at which the transition occurs, the freezing point. The melt- ing and freezing points of a substance should theo- retically be the same. Because freezing and melting depend only on temperature and the particular intermolecular interactions characteristic of a sub- stance, the freezing (or melting) point is a physical constant of the substance.
IV. The Freezing Point of a Solution
When we dissolve a nonvolatile solute in a liquid, we obtain a solution. The liquid in which the solute dis- solves is the solvent. The presence of a solute af- fects the freezing behavior of the solvent. This is be- cause the individual solute particles interfere with the intermolecular interactions that would establish the freezing behavior of the solvent if it were pure. Hence, the freezing point of the solvent is depressed, or low- ered, by the presence of solute particles. The identity
of the solute is not as important as is the number of
V. Using Freezing Point Measurements
Freezing point measurements are easy to make. We can use the relationship expressed in Equation 1 to determine the molar mass of an unknown. First, we determine the freezing point of a carefully weighed amount of solvent. Next, we add a carefully weighed amount of unknown solute to the solvent and repeat the freezing point determination. From these data,
DTf is calculated. By rearranging Equation 2 and solv- ing for mc, we obtain Equation 3.
solute particles in solution.
If the solute and solvent react, new substances are formed, resulting in a complex system that is not
m c =
DTf , ° C
K f , ° C molal–1
(Eq. 3)
as easily interpreted as the one we are discussing. For our purposes, we will assume no reaction be-
Because Equations 1 and 3 are related to each other
by the common mc, we write Equation 4.
tween solute and solvent.
The extent of freezing point depression caused by the presence of solute particles is different for each
DTf
K f
= number of moles of solute mass of solvent
(Eq. 4)
solvent but is always dependent on the molality of the solute. Molality is the number of moles of solute in one kilogram of solvent (Equation 1).
The number of moles of solute can also be found from Equation 5.
number of moles = mass of solute, g
m c =
number of moles of solute
(Eq. 1)
of solute
molar mass of solute, g mole –1
(Eq. 5)
mass of solvent, kg
The proportionality constant relating the change in
freezing point (DTf) to the molality of solute particles (mc) is the molal freezing point depression con-
Because Equations 1 and 5 each have the term “num- ber of moles of solute,” we substitute Equation 5 into Equation 1 and obtain Equation 6.
(mass of solute, g)
stant, Kf. The mathematical expression for this rela-
mc = æmolar mass,ö æ
mass of ö
(Eq. 6)
tionship is given in Equation 2.
DTf = Tf – Tf¢ = (Kf)(mc) (Eq. 2) where Tf is the freezing point of the pure solvent and
Tf¢ is the freezing point of the solution. The molal
freezing point depression constants for several sol- vents are listed in Table 1.
èô g mole –1 ôø ôèsolvent, kgôø
Then we combine Equations 3 and 6, as a result of the common mc, and obtain Equation 7. Now our experi- mental data provide the necessary information to de- termine the molar mass of an unknown compound, using Equation 7.
gram molar
(mass solute, g) æôKf , °C kg solventöô
Thus, Na+ and Cl– ions have identical effects on the freezing point of an NaCI solution. Some other
mass of solute =
g mole –1
ôæ mass of
öô(DTf , ° C)
colligative properties are boiling point elevation, va-
è per mole solute ø
èsolvent, kgø
(Eq. 7)
por pressure lowering, and osmotic pressure.
Consider the following example. Suppose you dis- solved 30.9 g of an unknown solute in 500 g of cyclo- hexane and found that the freezing point of the mixture was 8.17 ° C lower than that of pure cyclohexane. What is the molar mass of the unknown? Substituting the ex- perimental data into Equation 7, we have
VII. Determining the Molar Mass of the Unknown in this Experiment
In this experiment, you will cool a known mass of t-butyl alcohol and measure its temperature as it changes with time. Note that as with most organic
gram molar mass of unknown
= (20.2 ° C kg mol–1 ) (30.9 g)
(8.17 ° C) (5.00 ´ 10 –1 kg)
materials, contact with liquid t-butyl alcohol or its va-
pors should be avoided since both are irritating and flammable. You will plot these data and prepare a
= 153 g mol–1
VI. Colligative Properties
The proper interpretation of results obtained using the above method of molar mass determination de- pends upon a clear understanding of the principles in- volved. The depression of the freezing point of a sol- vent depends on the number of solute particles in the solution which is indicated by the molality of particles in the solution. Often, we think of molecules as single particles, so we assume that 1 gram-molar mass of solute is equivalent to 1 mol or 6.022 ´ 1023 particles of solute. This is not always the case, however. Some substances dissociate or associate in a solvent. In such cases, 1 mol of solute does not produce 1 mol of dissolved particles.
Consider a 1.00 ´ 10–3 molal aqueous solution of NaCI. What occurs when NaCI is dissolved in water? Equation 8 describes this process.
graph similar to the one shown in Figure 1.
NaCl(s) ¾¾H2¾O¾®
Na+(aq) + Cl–(aq) (Eq. 8)
Figure 1 Cooling curve for a liquid solvent
The molar mass of NaCI is 58.5 g mol–1. When we dis- solve 0.0585 g NaCI in 1.00 kg H2O, we find that we have prepared a solution that acts like a 2.00 ´ 10–3 molal solution in terms of its freezing point behavior, even though it is actually a 1.00 ´ 10–3 molal solution in terms of the number of moles of NaCI present. This difference occurs because 1 mol of NaCI dissociates into 2 mol of ions in water.
The necessity of considering the number of sol- ute particles and not simply the molality of the solute is emphasized by the variable mc in Equation 1. The
subscript c refers to the word colligative. Colligative
properties, such as freezing point, are properties of solutions that are affected by the number of sol- ute particles present, regardless of their identity.
In Figure 1, you can see that the temperature de- creases as the liquid cools and then remains almost constant once freezing begins and both the liquid and solid phases are present. Frequently, there is a dip (see Figure 1) in the temperature curve at the freez- ing point. The dip is due to supercooling and should be ignored when determining the freezing point. Straight lines are fit to the liquid and liquid-solid por- tions of the curve and the latter is extrapolated to find the freezing point, Tf.
You will then add a known mass of water to the sample of t-butyl alcohol and collect temperature– time data for the cooling of this solution. From these data, you will determine the molal freezing point con- stant of t-butyl alcohol, using Equation 9.
K = DTf
f m c
(Eq. 9)
thermometers, you must use the same thermometer to measure the cooling temperatures of t-butyl alco- hol, of your solution of water and t-butyl alcohol, and
Finally, you will add a known mass or volume of
your assigned unknown to a sample of t-butyl alcohol and cool the solution while collecting time–tempera- ture data. You can measure the volume of liquid un- knowns with a pipet or buret and then calculate the mass of the sample, using the density of the unknown and Equation 10.
of your solution of t-butyl alcohol and unknown.
Procedure
mass of
æ volume of ö æ
density of ö
Chemical Alert
t-butyl alcohol—flammable and irritant
unknown, g = ôèunknown, mLôø èôunknown, g mL–1ôø
(Eq. 10)
From these data, you will determine the molar mass of your unknown.
Figure 2 shows a typical cooling curve for a solu- tion. Care must be taken in analyzing this type of curve. Notice that the portion of the curve represent- ing the liquid-solid mixture has a negative slope un- like the case of the pure solvent shown in Figure 1. This difference occurs because, as the solvent freezes from the solution, the molality of the solute in the remaining solution increases. This increase causes a decrease in the freezing point of the solu- tion. A best straight line is drawn through the data points. This line is extended to the left until it inter- sects the portion of the curve representing the cool- ing of the liquid. The temperature corresponding to this point of intersection is the freezing point of the so- lution, Tf.
Figure 2 Cooling curve for a typical solution
The determination of molar mass hinges on the
accuracy with which you determine DTf. Because of the variation in temperature measured with different
I. Determining the Freezing Temperature of t-Butyl Alcohol
Weigh a large test tube in a 250-mL Erlenmeyer flask to the nearest 0.1 g. Record this mass on Data Sheet
Measure 25 mL ±1 mL of t-butyl alcohol in a gradu- ated cylinder and transfer the alcohol to the test tube. Measure the mass of the alcohol, test tube, and flask. Record this mass on Data Sheet 4.
Assemble the apparatus as shown in Figure 3. Place the thermometer so that the end of the ther- mometer bulb is at the midpoint of the t-butyl alcohol and so that the thermometer does not touch the side of the test tube. Adjust the stirrer so that it can be moved from the bottom of the test tube to almost the top of the liquid.
Fill the 600-mL beaker two-thirds full of cold tap water. If the temperature of the tap water is greater than 20 ° C, add several small pieces of ice to the water to cool it below 20 ° C. Measure the temperature of the water and record the temperature on Data Sheet 1.
Immerse the test tube assembly in the cold water. Position the test tube assembly in the ice-water so that the tube is in the center of the beaker. Make
Figure 3 Freezing point determination apparatus
certain the level of the alcohol in the test tube is 5 mm below the water level in the beaker.
Stir the alcohol continuously and steadily during the determination. Record on Data Sheet 1 time–tem- perature data to the nearest 0.1 or 0.2 ° C every 15 s, beginning immediately after you place the test tube in the ice-water bath. End the determination 3 min after the alcohol has become slushy.
Remove the assembly from the water bath. Use your hands to warm the test tube and melt the alcohol. Raise the alcohol temperature to 25 ° C.
Do another determination, using the same t-butyl alcohol sample.
Use this same sample for Part II.
II. Determining Kf of t-Butyl Alcohol
Stir the t-butyl alcohol and water mixture until the water has completely dissolved and the solution ap- pears homogeneous.
Immerse the assembly in the ice-water bath. Make certain the liquid level in the test tube is 5 mm below the water level in the beaker. Constantly, but not vigorously, stir the solution and the ice-water bath. Record on Data Sheet 2 time–temperature data to the nearest 0.1 or 0.2 ° C every 15 s, beginning imme- diately after you place the test tube in the ice-water bath. End the determination 3 min after the solution has become slushy.
Remove the assembly from the water bath. Use your hands to warm the test tube and melt the solu- tion. Raise the alcohol temperature to 25 ° C.
Do another determination, using the same solution.
Discard your t-butyl alcohol solution following the directions of your laboratory instructor.
III. Determining the Gram Molar Mass of the Unknown
Add several pieces of ice to your ice-water bath.
Obtain an unknown from your laboratory instruc- tor. Record the code number of your unknown on Data Sheet 4.
Weigh a large test tube in a 250-mL Erlenmeyer flask to the nearest 0.1 g. Record this mass on Data Sheet 4. Measure 25 mL ± 1 mL of t-butyl alcohol in a graduated cylinder and transfer the alcohol to the test tube. Measure the mass of the alcohol, test tube, and flask. Record this mass on Data Sheet 4.
Determine the mass of a sheet of weighing paper on an analytical balance to the nearest one thou- sandth of a gram (0.001 g). Weigh on this paper
2.0 g ± 0.1 g of the solid unknown to the nearest one thousandth of a gram (0.001 g). Record this mass on Data Sheet 4. Carefully transfer the solid to the test tube containing t-butyl alcohol.
Note: Carefully stir the t-butyl alcohol solution making certain the loop of the stirrer remains under the surface of the liquid at all times.
If your unknown is a liquid, pipet 2.0 mL of it into the test tube containing the alcohol. Record on Data Sheet 4 the volume and the density of the liquid unknown.
Note: Your laboratory instructor will inform you whether or not the class will do Part II of this experiment. If not, information will be given as to how to proceed to Part lIl.
Add several pieces of ice to your water bath.
Using a pipet, carefully add 0.20 mL (0.20 g) of distilled or deionized water to the sample of t-butyl al- cohol used in Part I.
Carefully stir the t-butyl alcohol and unknown un- til the unknown compound has completely dissolved and the solution appears to be homogeneous.
Check the temperature of your ice-water bath. If the temperature is not between 14 ° C and 16 ° C, add several pieces of ice to the bath.
Immerse the assembly in the ice-water bath. Po- sition the test tube as you did in Part II. Make certain the level of the solution in the test tube is 5 mm below the level of the ice-water in the beaker. Constantly stir the unknown solution and the ice-water bath. Record on Data Sheet 3 time–temperature data to the near- est 0.2 °C every 15 s, beginning immediately after you placed the test tube in the ice-water bath. End the de- termination 3 min after the solution has become slushy.
Remove the assembly from the ice-water bath. Use your hands to warm the test tube and melt the so- lution. Raise the temperature to 25 °C.
Do another determination, using the same un- known solution.
Discard the unknown solution following the direc- tions of your laboratory instructor.
Calculations
(Do the following calculations for each determination and record the results on Data Sheet 4.)
I. Determining the Freezing Temperature of t-Butyl Alcohol
For each set of time–temperature data obtained during the freezing point measurements of t-butyl al- cohol, prepare a cooling curve by plotting tempera- ture (ordinate) versus time (abscissa).
Determine the freezing point of t-butyl alcohol for each
Determine the mean freezing point of t-butyl
II. Determining Kf of t-Butyl Alcohol
For each set of time–temperature data obtained during the cooling of the t-butyl alcohol and water so- lution, prepare a cooling curve by plotting tem- perature (ordinate) versus time (abscissa).
Determine the freezing point of the
Calculate the freezing point depression caused by the addition of water, using Equation
Determine the mass, in grams, of water added (d = 00 g mL–1).
From the mass of water added and the gram molar mass of water, determine the number of moles of water
Calculate the molality of water in the solution, using Equation
Determine Kf of t-butyl alcohol, using Equation
Calculate the mean Kf of t-butyl
III. Determining the Gram Molar Mass of the Unknown
Prepare a cooling curve by plotting temperature (ordinate) versus time (abscissa).
Determine the freezing point of the
Calculate the depression in freezing point caused by the addition of your unknown, using Equation
If your unknown is a liquid, calculate its mass, us- ing Equation
Calculate the molality of your unknown solution, using Equation
Calculate the gram molar mass of your unknown, using Equation
Calculate the mean gram molar mass of your
Post-Laboratory Questions
(Use the spaces provided for the answers and additional paper if necessary.)
Obtain from your laboratory instructor the gram molar mass of your unknown. Calculate the percent error for the gram molar mass of your
A student, following the procedure described in this module, used water as the solvent and encoun- tered some interesting Comment on the ef- fect, if any, each of the following situations could have had on the experimental results.
The unknown, a white powder, failed to dis- solve in the
solution almost immediately after the addition of the
g NaCI per 1.000 kg H2O
DTf , ° C
solid.
5.845
0.348
0.585
0.0360
0.293
0.0182
The student returned to the laboratory in- structor for a different solid unknown. This unknown dissolved, but bubbles were seen escaping from the
A student determined the Kf of t-butyl alcohol us- ing tap water instead of distilled or deionized water. Describe the problems that might have been encoun- How would these problems affect the magni- tude of Kf ?
As a research chemist, you are interested in studying the extent and types of interactions in aque- ous salt solutions. As part of this study, you weigh three samples of NaCI and dissolve each in 000 kg H2O. You then measure the freezing temperature of each solution and compare these temperatures to the freezing point of water. The data you collect are tabulated below. Explain the observed results. Predict and briefly explain the result you would expect for a solution made up of 29.22 g NaCI dis- solved in 1.000 kg H2O.
(3) As the student was setting up the apparatus to measure the freezing point of the unknown solu- tion, the thermometer assembly rolled off the labora- tory bench, and the thermometer broke. The student obtained a new thermometer and performed the ex- periment as instructed.
name section date
Data Sheet 1
freezing point of
t-butyl alcohol
determination
first
second
temperature of
water bath, ° C
determination
determination
first second
first second
time,
temp, ° C temp, ° C
time,
temp, ° C temp, ° C
sec
sec
0
255
15
270
30
285
45
300
60
315
75
330
90
345
105
360
120
375
135
390
150
405
165
420
180
535
195
450
210
465
225
480
240
Data Sheet 2
freezing point
of solution of t-butyl alcohol and water
determination
first
second
temperature of
water bath, ° C
determination
determination
first second
first second
time,
temp, ° C temp, ° C
time,
temp, ° C temp, ° C
sec
sec
0
255
15
270
30
285
45
300
60
315
75
330
90
345
105
360
120
375
135
390
150
405
165
420
180
535
195
450
210
465
225
480
240
Data Sheet 3
freezing point
of solution of unknown and t-butyl alcohol
determination
first
second
temperature of
water bath, ° C
determination
determination
first second
first second
time,
temp, ° C temp, ° C
time,
temp, ° C temp, ° C
sec
sec
0
255
15
270
30
285
45
300
60
315
75
330
90
345
105
360
120
375
135
390
150
405
165
420
180
535
195
450
210
465
225
480
240
Data Sheet 4
I. Determining the Freezing Temperature of t-Butyl Alcohol
mass of t-butyl alcohol, test tube, and flask, g
mass of test tube and flask, g
mass of t-butyl alcohol, g
freezing point of t-butyl alcohol, ° C
determination
first second
mean freezing point of t-butyl alcohol, ° C
II. Determining Kf of t-Butyl Alcohol
mass of water, g
mass of t-butyl alcohol, g
determination
first second
freezing point of water and t-butyl alcohol solution, ° C
freezing point depression, ° C
number of mol of water added
molality of water in solution, mc
Kf of t-butyl alcohol, ° C molal–1
mean Kf of t-butyl alcohol, ° C molal–1
III. Determining the Gram Molar Mass of the Unknown
mass of t-butyl alcohol, test tube, and flask, g
mass of test tube and flask, g
mass of t-butyl alcohol, g
solid unknown number liquid unknown number
mass of solid unknown and
weighing paper, g
volume of liquid unknown, mL
mass of weighing paper, g
density of liquid unknown, g mL–1
mass of solid unknown, g mass of liquid unknown, g
freezing point of unknown solution, ° C
determination
first second
freezing point depression, ° C
molality of unknown solution, mc
gram molar mass of unknown, g mol–1
mean gram molar mass of unknown, g mol–1
Pre-Laboratory Assignment
Read MISC 327, Graphical Representation of Data, in this series or another authoritative source that describes the principles of
A student beginning this experiment accidentally spilled some t-butyl alcohol on his hands and on the laboratory bench. Describe any potential danger this situation might cause and state the proper method of cleaning up from the
Using the graph paper on the next page, draw the cooling curve for
Determine the freezing point of nitroben- zene from the
answer
On the same graph draw the cooling curve for the unknown solution composed of 0 g of nitrobenzene and 5.00 mL of the liquid unknown.
Determine the freezing point of the un- known
The freezing point depression of a solution of nitrobenzene and a nonionic unknown was used to determine the molar mass of the Time–temperature data for the cooling of nitroben- zene and for the cooling of a solution containing 50.0 g of nitrobenzene and 5.00 mL of a nonionic liquid un- known, are given below. The density of the unknown
was 0.714 g mL–1. The Kf of nitrobenzene is 6.87 ° C Kg mol–1.
nitrobenzene nitrobenzene +
DTf.
answer
Determine the freezing point depression,
answer
Calculate the molality of the solution, mc.
answer
Calculate the gram molar mass of the
time, min
temp, ° C
time, min
temp, ° C
0.0
12.50
0.0
9.00
0.5
10.75
0.5
8.00
1.0
8.75
1.0
7.00
1.5
6.50
1.5
5.00
2.0
4.80
2.0
3.75
2.5
4.50
2.5
3.00
3.0
4.25
3.0
1.25
4.0
4.50
4.0
–1.25
5.0
5.00
5.0
–2.25
6.0
5.30
6.0
–2.50
7.0
5.30
7.0
–2.25
8.0
5.30
8.0
–1.80
9.0
5.30
9.0
–1.50
10.0
5.30
10.0
–1.60
11.0
5.20
11.0
–1.75
12.0
5.20
12.0
–1.80
13.0
5.20
13.0
–1.90
14.0
5.20
14.0
–2.00
15.0
5.20
15.0
–2.10
16.0
5.20
16.0
–2.20
unknown
unknown.
answer
Briefly explain why it is absolutely critical that the test tube containing the sample of nitrobenzene be absolutely dry when determining the freezing tem- perature of
ISBN 0-87540-344-1
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Communication
Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.
We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium.
Looking for a Similar Assignment? Order a custom-written, plagiarism-free paper
Please complete the interactive module
This assignment should mostly be a review for you on knowledge from prior courses, but it is important for you to review as you consider screening and prevention at the APRN level. When you have completed the module, please complete the Reflection and upload it to the Drobox in Moodle.
Describe three things that you have learned from completing this module? Was this new knowledge for you or a refresher of past knowledge?
How will you apply this new knowledge to your developing advanced practice? Please use specific examples in your reply. Consider patients who you have seen in clinical and how this information may impact how you care for them. You should provide one example for each point of newly acquired knowledge.
We are a professional custom writing website. If you have searched for a question and bumped into our website just know you are in the right place to get help with your coursework.
Do you handle any type of coursework?
Yes. We have posted our previous orders to display our experience. Since we have done this question before, we can also do it for you. To make sure we do it perfectly, please fill out our Order Form. Filling the order form correctly will assist our team in referencing, specifications, and future communication.
Is it hard to Place an Order?
1. Click on “Order Now” on the main Menu and a new page will appear with an order form to be filled.
2. Fill in your paper’s requirements in the “PAPER INFORMATION” section and the system will calculate your order price/cost.
3. Fill in your paper’s academic level, deadline, and the required number of pages from the drop-down menus.
4. Click “FINAL STEP” to enter your registration details and get an account with us for record-keeping and then, click on “PROCEED TO CHECKOUT” at the bottom of the page.
5. From there, the payment sections will show, follow the guided payment process and your order will be available for our writing team to work on it.
We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium.
Discussion Questions (DQ)
Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.
Weekly Participation
Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
APA Format and Writing Quality
Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes
I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.
LopesWrite Policy
For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.
Late Policy
The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
Communication
Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.
We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium.
Looking for a Similar Assignment? Order a custom-written, plagiarism-free paper
As a future Walden nursing graduate, you will take your place beside many Walden scholar-practitioner nurses that have preceded you. The current political milieu in the world of health care creates abundant opportunities for nurses like you to move health care toward positive social change.
To prepare
Review the Week 6 Required Readings and Media.
Visit to the Writing Resources page in the Start Here module.
BY DAY 3
Post a 3-paragraph response (of at least 350 words) to the following:
Today, social change is still the beating heart of Walden, from innovative approaches to education to countless student and alumni success stories. Review the types of social agents in the “What kind of social change agent are you?” infographic found in the Resources. How does the principle of social change bring perspective and meaning to you, your education, and/or your nursing practice?
BY DAY 7
Read two or more of your colleagues’ postings from the Discussion question.
Respond with a comment that asks for clarification, supports, or contributes additional information to two or more of your colleagues.
Return to this Discussion in a few days to read the responses to your initial posting and continue the Discussion for the remainder of the week. Note what you have learned and/or any insights you have gained because of the comments your classmates made.
See the Discussion Response and Grading Rubric.
Feel Free to check;
NURS 3100 WEEK 6 ASSIGNMENT 1
POSITIVE SOCIAL CHANGE
Nursing, at its very core, is a profession rooted in social change and growth. As a nurse returning to school to further your education, you can learn to enhance your practice to become a “Walden Scholar of Change.” The nursing professional holds a responsibility to serve the interests of people and society. As part of this responsibility, nurses are bound by Nursing’s Social Policy Statement. Consider how your own professional practice can expand in shaping the future of nursing, improving the profession, and enhancing the quality of the health care that nursing delivers.
To prepare
Review the Week 6 Required Reading and Media Resources.
Read the Week 6 Assignment Rubric.
Go to the Writing Resources page to download the SON Writing Template to format your paper. There you will also find APA-related resources.
Find at least one current Walden Library article to support your scholarly opinions in the paper.
Assignment: 2-to-3-page Paper
In this Assignment, you will discuss how furthering your nursing education, with a focus on social change, will enhance your current practice and supports your future career planning. Nursing’s Social Contract entails expectations between the nursing profession and society to elevate the health of society.
Choose 2 of Nursing’s Social Contract elements and discuss how they are foundational to your nursing practice. Elements include caring service; privacy of the patient; knowledge, skill, and competence; hazardous service; responsibility and accountability; progress and development; ethical practice; collaboration; promotion of the health of the public; etcetera.
Address your future career planning. How do you intend to make a difference by confronting a current challenge in health care where you live, in your profession, or on a global scale?
Support your responses with at least two scholarly sources from the Learning Resources and/or outside sources. Reference in proper APA format.
Before you submit your final paper for grading, submit it to the Turnitin Draft area of the course. Use the information provided in the Originality Report (Walden University, n.d.) to revise your paper. Paraphrasing and citing your sources in-text will decrease the similarity score. Go to Academic Integrity to learn how to interpret your originality score. Revise your paper before submitting it to Week 6 Assignment within the course.
BY DAY 7
Submit your paper.
SUBMISSION INFORMATION
Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the Turnitin Drafts from the Start Here area.
To submit your completed assignment, save your Assignment as WK6Assgn1+last name+first initial.
Then, click on Start Assignment near the top of the page.
Next, click on Upload File and select Submit Assignment for review.
Rubric
NURS_3100_Week_6_Assignment_1_Rubric
NURS_3100_Week_6_Assignment_1_Rubric
Criteria
Ratings
Pts
Required ContentChoose 2 of Nursing’s Social Contract elements and discuss how they are foundational to your nursing practice.
59 to >52.0 pts
Excellent
Student provided a fully developed explanation of how two of Nursing’s Social Contract elements are foundational to your nursing practice.
52 to >46.0 pts
Proficient
Student provided a developed explanation of how two of Nursing’s Social Contract elements are foundational to your nursing practice.
46 to >40.0 pts
Basic
Student provided a minimally developed explanation of how two of Nursing’s Social Contract elements are foundational to your nursing practice.
40 to >0 pts
Needs Improvement
Student provided an under-developed explanation of how two of Nursing’s Social Contract elements are foundational to your nursing practice.
59 pts
How do you intend to make a difference by confronting a current challenge in health care where you live, in your profession, or on a global scale?
60 to >53.0 pts
Excellent
Student provided a fully developed description of how you intend to make a difference by confronting a current challenge in health care where you live, in your profession, or on a global scale.
53 to >47.0 pts
Proficient
Student provided a developed description of how you intend to make a difference by confronting a current challenge in health care where you live, in your profession, or on a global scale.
47 to >41.0 pts
Basic
Student provided a minimally developed description of how you intend to make a difference by confronting a current challenge in health care where you live, in your profession, or on a global scale.
41 to >0 pts
Needs Improvement
Student provided an under-developed description of how you intend to make a difference by confronting a current challenge in health care where you live, in your profession, or on a global scale.
60 pts
Professional Writing: Clarity, Flow, and Organization
17 to >15.0 pts
Excellent
Content is free from spelling, punctuation, and grammar/syntax errors. Writing demonstrates very well-formed sentence and paragraph structure. Content presented is completely clear, logical, and well-organized.
15 to >13.0 pts
Proficient
Content contains minor spelling, punctuation, and/or grammar/syntax errors. Writing demonstrates appropriate sentence and paragraph structure. Content presented is mostly clear, logical, and well-organized.
13 to >11.0 pts
Basic
Content contains moderate spelling, punctuation, and/or grammar/syntax errors. Writing demonstrates adequate sentence and paragraph structure and may require some editing. Content presented is adequately clear, logical, and/or organized, but could benefit from additional editing/revision.
11 to >0 pts
Needs Improvement
Content contains significant spelling, punctuation, and/or grammar/syntax errors. Writing does not demonstrate adequate sentence and paragraph structure and requires additional editing/proofreading. Key sections of presented content lack clarity, logical flow, and/or organization.
17 pts
Professional Writing: Context, Audience, Purpose, and Tone
17 to >15.0 pts
Excellent
Content clearly demonstrates awareness of context, audience, and purpose. Tone is highly professional, scholarly, and free from bias, and style is appropriate for the professional setting/workplace context.
15 to >13.0 pts
Proficient
Content demonstrates satisfactory awareness of context, audience, and purpose. Tone is adequately professional, scholarly, and/or free from bias, and style is consistent with the professional setting/workplace context.
13 to >11.0 pts
Basic
Content demonstrates basic awareness of context, audience, and purpose. Tone is somewhat professional, scholarly, and/or free from bias, and style is mostly consistent with the professional setting/workplace context.
11 to >0 pts
Needs Improvement
Content minimally or does not demonstrate awareness of context, audience, and/or purpose. Writing is not reflective of professional/scholarly tone and/or is not free of bias. Style is inconsistent with the professional setting/workplace context and reflects the need for additional editing.
17 pts
Professional Writing: Originality, Source Credibility, and Attribution of Ideas
17 to >15.0 pts
Excellent
Content reflects original thought and writing and proper paraphrasing. Writing demonstrates full adherence to reference requirements, including the use of credible evidence to support a claim, with appropriate source attribution (when applicable) and references.
15 to >13.0 pts
Proficient
Content adequately reflects original writing and paraphrasing. Writing demonstrates adequate adherence to reference requirements, including the use of credible evidence to support a claim, with appropriate source attribution (when applicable) and references. There are one or two minor errors.
13 to >11.0 pts
Basic
Content somewhat reflects original writing and paraphrasing. Writing somewhat demonstrates adherence to reference requirements, including the use of credible evidence to support a claim, with appropriate source attribution (when applicable) and references. There are two or three minor errors.
11 to >0 pts
Needs Improvement
Content does not adequately reflect original writing and/or paraphrasing. Writing demonstrates inconsistent adherence to reference requirements, including the use of credible evidence to support a claim, with appropriate source attribution (when applicable) and reference. There are numerous and/or significant errors.
17 pts
Total Points: 170
NURS 3100 WEEK 6 ASSIGNMENT 2
JOURNAL: OBSERVE, PROCESS, AND REFLECT
As mentioned in Week 1 Assignment, the objective of the Journal Assignment is to provide you with a private place to “think on the page.” As a reminder, the Journal is not formal writing, and only you and your Instructor will see your Journal Assignment. Although these assignments are meant to be free writing, you should revise before submitting.
As you write, think about the audience to whom you are writing and the difference between personal writing and scholarly writing. Your Journal writing falls into the category of personal writing and should be approached in that way. Think of the Journal as an academic reflection space.
To prepare
Review the Week 6 Assignment 2 Rubric.
Review the information about how to complete Journal Assignments
Think about the feelings you have experienced while completing your first BSN course.
Reflect on your goals and think about how you plan to achieve them.
Think about the material you encountered in the course this week and consider one aspect of the classroom resources (Assignments, Discussions, or assigned readings) that surprised you. Be sure to think about why the material interested you as a thinker.
Set a timer (on the stove, a clock, or on your phone) and write for 10 minutes without stopping.
You may find it helpful to use the following format as a guide for your Journal writing:
Observe. Describe the week’s content and resources as if you are writing to a person who has not seen, heard, or observed them.
Process. Answer the question, “What does this content or topic mean?”
Reflect. Answer the question, “What is the value of understanding this material?”
This Assignment is for you to share your feelings. You will not be graded on your writing.
BY DAY 7
Submit a minimum 150-word Journal Assignment. How do you feel about completing your first BSN course? What were the challenges you faced these past six weeks? Were you able to overcome those challenges or are they a work in progress? What tools or resources did you or would you use to overcome these challenges?
SUBMISSION INFORMATION
Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the Turnitin Drafts from the Start Here area.
To submit your completed assignment, save your Assignment as WK6Assgn2+last name+first initial.
Then, click on Start Assignment near the top of the page.
Next, click on Upload File and select Submit Assignment for review.
Rubric
NURS_3100_Week_6_Assignment_2_Rubric
NURS_3100_Week_6_Assignment_2_Rubric
Criteria
Ratings
Pts
Required Content… How do you feel about completing your first BSN course?
20 pts
Satisfactory
Writer successfully addressed all issues and questions given in the assignment details.
0 pts
Unsatisfactory
Writer did not successfully address all aspects of the assignment.
20 pts
What are your goals, and how do you plan to achieve them?
20 pts
Satisfactory
Writer successfully addressed all issues and questions given in the assignment details.
0 pts
Unsatisfactory
Writer did not successfully address all aspects of the assignment.
20 pts
Total Points: 40
ADDITIONAL INSTRUCTIONS FOR THE CLASS
Who We Are
We are a professional custom writing website. If you have searched for a question and bumped into our website just know you are in the right place to get help with your coursework.
Do you handle any type of coursework?
Yes. We have posted our previous orders to display our experience. Since we have done this question before, we can also do it for you. To make sure we do it perfectly, please fill out our Order Form. Filling the order form correctly will assist our team in referencing, specifications, and future communication.
Is it hard to Place an Order?
1. Click on “Order Now” on the main Menu and a new page will appear with an order form to be filled.
2. Fill in your paper’s requirements in the “PAPER INFORMATION” section and the system will calculate your order price/cost.
3. Fill in your paper’s academic level, deadline, and the required number of pages from the drop-down menus.
4. Click “FINAL STEP” to enter your registration details and get an account with us for record-keeping and then, click on “PROCEED TO CHECKOUT” at the bottom of the page.
5. From there, the payment sections will show, follow the guided payment process and your order will be available for our writing team to work on it.
We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium.
Discussion Questions (DQ)
Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.
Weekly Participation
Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
APA Format and Writing Quality
Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes
I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.
LopesWrite Policy
For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.
Late Policy
The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
Communication
Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours. NURS 3100 Week 6, Issues and Trends
We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium.
Looking for a Similar Assignment? Order a custom-written, plagiarism-free paper
In advocating for institutional policy changes related to local, state, or federal health care laws or policies, health leaders must be able to develop and present clear and well-written policy and practice guideline proposals that will enable a team, a unit, or an organization as a whole to resolve relevant performance issues and bring about improvements in the quality and safety of health care. This assessment offers you an opportunity to take the lead in proposing such changes.
As a master’s-level health care practitioner, you have a valuable viewpoint and voice on policy development, both inside and outside your care setting. Developing policy for internal purposes can be a valuable process toward quality and safety improvement, as well as ensuring compliance with various health care regulatory pressures. This assessment offers you an opportunity to take the lead in proposing such changes.
Instructions
Propose an organizational policy and practice guidelines that you believe will lead to an improvement in quality and performance associated with the benchmark underperformance you advocated for improving in Assessment 1. Be precise, professional, and persuasive in demonstrating the merit of your proposed actions.
Requirements
The policy proposal requirements outlined below correspond to the scoring guide criteria, so be sure to address each main point. Read the performance-level descriptions for each criterion to see how your work will be assessed.
In addition, be sure to note the requirements for document format and length and for supporting evidence.
Explain the need for creating a policy and practice guidelines to address a shortfall in meeting a benchmark metric prescribed by local, state, or federal health care policies or laws.
What is the current benchmark for the organization and the numeric score for the underperformance?
How is the benchmark underperformance potentially affecting the provision of quality care or the operations of the organization?
What are the potential repercussions of not making any changes?
What evidence supports your conclusions?
Summarize your proposed organizational policy and practice guidelines.
Identify applicable local, state, or federal health care policy or law that prescribes relevant performance benchmarks that your policy proposal addresses.
Keep your audience in mind when creating this summary.
Analyze the potential effects of environmental factors on your recommended practice guidelines.
What regulatory considerations could affect your recommended guidelines?
What resources could affect your recommended guidelines (staffing, financial, and logistical considerations, or support services)?
Explain ethical, evidence-based practice guidelines to improve targeted benchmark performance and the impact the proposed changes will have on the targeted group.
What does the evidence-based literature suggest are potential strategies to improve performance for your targeted benchmark?
How would these strategies ensure performance improvement or compliance with applicable local, state, or federal health care policy or law?
How can you ensure that these strategies are ethical and culturally inclusive in their application?
What is the direct impact of these changes on the stakeholders’ work setting and job requirements?
Explain why particular stakeholders and groups must be involved in further development and implementation of your proposed policy and practice guidelines.
Why is it important to engage these stakeholders and groups?
How can their participation produce a stronger policy and facilitate its implementation?
Present strategies for collaborating with the stakeholder group to implement your proposed policy and practice guidelines.
What role will the stakeholder group play in implementing your proposal?
Why is the stakeholder group and their collaboration important for successful implementation?
Organize content so ideas flow logically with smooth transitions.
Proofread your proposal, before you submit it, to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your proposal.
Use paraphrasing and summarization to represent ideas from external sources.
Be sure to apply correct APA formatting to source citations and references.
Policy Proposal Format and Length
It may be helpful to use a template or format for your proposal that is used in your current organization. The risk management or quality department could be a good resource for finding an appropriate template or format. If you are not currently in practice, or your organization does not have these resources, many appropriate templates are freely available on the Internet.
Your policy should be succinct (about one paragraph). Overall, your proposal should be 4–6 pages in length.
Supporting Evidence
Cite 3–5 references to relevant research, case studies, or best practices to support your analysis and recommendations.
Portfolio Prompt: You may choose to save your policy proposal to your ePortfolio.
Competencies Measured
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:
Competency 1: Analyze relevant health care laws, policies, and regulations; their application; and their effects on organizations, interprofessional teams, and professional practice.
Explain and interpret for stakeholders the need for creating a policy and practice guidelines to address a shortfall in meeting a benchmark metric prescribed by local, state, or federal health care policies or laws.
Competency 2: Lead the development and implementation of ethical and culturally sensitive policies that improve health outcomes for individuals, organizations, and populations.
Summarize a proposed organizational policy or practice change guideline and analyze the potential effects of environmental factors on recommended practice guidelines.
Competency 3: Evaluate relevant indicators of performance, such as benchmarks, research, and best practices, to inform health care laws and policies for patients, organizations, and populations.
Explain how ethical, evidence-based practice guidelines to improve targeted benchmark performance will impact a stakeholder group needed for successful implementation of the policy or practice change.
Competency 4: Develop strategies to work collaboratively with policy makers, stakeholders, and colleagues to address environmental (governmental and regulatory) forces.
Explain why particular stakeholders and groups must be involved in further development and implementation of a proposed policy or practice change to improve quality and outcomes. Present strategies for collaborating with a stakeholder group to implement a proposed policy and practice guidelines.
Competency 5: Produce clear, coherent, and professional written work, in accordance with Capella’s writing standards.
Organize content so ideas flow logically with smooth transitions.
Support main points, assertions, arguments, conclusions, or recommendations with relevant and credible evidence.
ADDITIONAL INSTRUCTIONS FOR THE CLASS
Who We Are
We are a professional custom writing website. If you have searched for a question and bumped into our website just know you are in the right place to get help with your coursework.
Do you handle any type of coursework?
Yes. We have posted our previous orders to display our experience. Since we have done this question before, we can also do it for you. To make sure we do it perfectly, please fill out our Order Form. Filling the order form correctly will assist our team in referencing, specifications, and future communication.
Is it hard to Place an Order?
1. Click on “Order Now” on the main Menu and a new page will appear with an order form to be filled.
2. Fill in your paper’s requirements in the “PAPER INFORMATION” section and the system will calculate your order price/cost.
3. Fill in your paper’s academic level, deadline, and the required number of pages from the drop-down menus.
4. Click “FINAL STEP” to enter your registration details and get an account with us for record-keeping and then, click on “PROCEED TO CHECKOUT” at the bottom of the page.
5. From there, the payment sections will show, follow the guided payment process and your order will be available for our writing team to work on it.
We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium. NURS FPX 6004 Assessment 2 Policy Proposal
Discussion Questions (DQ)
Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.
Weekly Participation
Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
APA Format and Writing Quality
Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes
I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.
LopesWrite Policy
For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.
Late Policy
The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
Communication
Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.
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For this assessment, you will develop a letter to an official in your state or local government. The purpose of this letter is to advocate for action with regards to your chosen health care environment issue.
Remember, when writing the letter, you must use your personal address and telephone number unless you are exclusively representing a group or your organization.
Overall, your assessment submission will be assessed on the following criteria:
Summarize the health care economic issue that you are addressing.
Keep this brief but try to include details about how the issue is currently impacting the elected officials’ constituents.
Explain the positive outcomes that will occur if the issue is addressed and the negative outcomes that will occur if the issue is not addressed.
Tailor this messaging to focus on the impacts in the communities and organizations that are relevant to the elected official you are writing to.
Summarize key information from scholarly sources to support the importance of addressing the issue; the issue’s overall impact on health care at the institutional, local, state, or national level; and proposed changes or actions to address the issue.
Cite at least five current, scholarly sources that support your argument and help provide the elected official (who may not have a detailed knowledge of the health care environment) with an understanding of the issues, changes, or actions that you are proposing to drive improved outcomes.
Make sure to include information from both a health care and an economic perspective. An elected official may be more responsive to one perspective than another.
Explain how personal, professional, and organizational experiences have informed the resource planning and risk analysis for working toward addressing the economic issue.
Convey purpose, in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and scholarly communication standards.
Remember to conclude your letter with a summary of your position on the issue and a compelling reason that the elected official should act in your favor and support your issue or initiative.
Competencies Measured
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:
Competency 1: Analyze the effects of financial and economic factors (such as cost-benefit, supply and demand, return on investment, and risks) in a health care system on patient care, services offered, and organizational structures and operation.
Summarize the health care economic issue that you are addressing.
Competency 2: Develop ethical and culturally equitable solutions to economic problems within a health care organization in an effort to improve the quality of care and services offered.
Explain the positive outcomes that will occur if the issue is addressed and negative outcomes that will occur if the issue is not addressed.
Competency 3: Justify the qualitative and quantitative information used to guide economic decision making to stakeholders and colleagues.
Summarize key information from scholarly sources to support the importance of addressing the issue; the issue’s overall impact on health care at the institutional, local, state, or national level; and proposed changes or actions to address the issue.
Competency 4: Develop ethical and culturally equitable economic strategies to address dynamic environmental forces and ensure the future security of an organization’s resources and its ability to provide quality care.
Explain how personal, professional, and organizational experiences have informed the resource planning and risk analysis for working toward addressing the economic issue.
Additional Requirements
Audience: Make sure you are addressing your letter to an actual local or state official.
Length of Submission: 1–2 double spaced pages (500-600 words). Your letter needs to be succinct and persuasive.
Number of References: Cite at least five sources of evidence to support your identification of the gap. This could be public health data, a peer-reviewed journal article, or another scholarly source.
APA formatting: Resources and citations are formatted according to current APA 7 style.
NURS FPX 6410 Assessment 3 Exploration of Regulations and Implication for Practice
Exploration of Regulations and Implications for Practice
Investigation of Regulations and Their Implications for Practice Informatics enables the integration of information and communication technologies into the practice of nurses to manage relevant information for the improvement of healthcare and to improve outcomes (Strudwick et al., 2019). The Electronic Health Record System (EHR) is a prime example of the advanced technology in informatics. EHR ensures that data is managed effectively and that adverse events are minimized by reducing documentation and the burden on nurses. Emotional exhaustion can be reduced through improved communication and a more straightforward clinical procedure (Alzu’bi et al., 2021). This study aims to identify the safety measures that can be used with EHR and analyze the potential risk.
Safety Issue Involved
Safety Concerns Medication errors join a growing list of health-related issues that make professionals’ jobs more difficult as healthcare advances and changes. Drug errors result in the deaths of approximately 10,000 Americans annually (Manias et al., 2019). Mistakes with medications are frequently ignored. Prescription mix-ups are concerning in light of the fact that they can hurt patients by utilizing some unacceptable medication, regulating it at some unacceptable time, or distinguishing some unacceptable patient. They may experience adverse reactions and allergic reactions if the medication does not match their diagnoses. The danger posed by medication errors can be greatly reduced with the right precautions. Adverse drug events can be brought on by a variety of factors, including individual errors, inadequate communication, misunderstood printing, and confusion regarding medicine names (Giuliano, 2018).
Informatics Model & Safe Practice
Safe Practice and an Informatics Model An informatics model can be used to ensure that the procedures are secure and error-free. One of these is the Technology Informatics Guiding Education Reform model (TIGER). The HIMSS has launched this program to provide the workforce with all the resources or tools they require by integrating eHealth into education (Chen et al., 2022). A multidisciplinary and collaborative approach is required to transform health. This model for nursing staff training encourages the use of safe techniques that reduce adverse drug reactions. Drug slip-ups could cause patients critical affliction and harm, and broadened hospitalizations on account of these mix-ups can bring down certain patient results and raise medical services uses. Safe practice ought to be the primary goal of healthcare as a result.
EHR is a safe method of healthcare technology that would deliver better outcomes. EHR upgrades information assortment by eliminating the act of jotting remedies, which might build weight and vagueness and limit blunder. The processing of data is improved by EHR, making it more legitimate, dependable, and durable. It could have clinical notifications that let nurses know about any errors so they can fix them. Access to patient data has improved, making it easier to make decisions and find practice gaps. Utilizing technologies like HER (Fragidis et al.,), nurse informatics professionals ensure that the data are utilized to its full potential. 2018).
Intended Goals
Intended Objectives The primary goal of the most recent technological advancements in the EHR is to cut down on prescription errors and the deaths they cause. It ought to make it possible for nurses to perform the most beneficial procedures, thereby improving the outcomes for patients and increasing patient confidence and satisfaction with the healthcare system. Better access to patient data and documentation is required for nurses to reduce drug-related adverse events and prevent fatigue (Joukes et al., 2019). This innovation would help nurses avoid incorrect diagnoses and adverse drug events by better reviewing the data to determine the appropriate medication based on medical health.
Outcomes
Results Many healthcare organizations are currently implementing EHRs to improve care quality. EHR research shows that alerts for doctors improve patient safety and clinical outcomes. EHR streamlines the work of nurses by allowing them to check the detailed diagnosis before they visit the patient. Attendants may now rapidly check for incidental effects to be cautious prior to giving medications (Robinson et al., 2018). With the utilization of the EHR, the specialist’s arrangement is appropriately valued, and reviews can recognize drug mistakes rapidly and actually to assist with forestalling them. According to Alzu’bi et al., the drawbacks of EHR, such as increased effort, exhaustion, and problematic processes, have been observed to become increasingly consistent. On the other hand, the benefits of EHR were observed to materialize quickly. 2021). There was an improvement in productivity, communication, healthcare quality, and availability. The incorporated changes have resulted in happier nurses and patients.
Applying the Standards of Practice
Implementing the Standards of Practice Through the establishment of standards of practice, it would be possible to ensure that safety procedures are simple and effective. A kind of checklist, practice guidelines provide medical professionals with a template or pattern to follow in order to ensure the safety of the procedure being carried out. The American Nurses Association (ANA) has established nursing practice standards (Linton et al.,) in an effort to promote a safe and moral workplace and to raise awareness of pressing issues that require immediate attention. 2020).
The ANA provides a set of guidelines that include an assessment phase in which nurses must efficiently collect data, a prognosis phase in which nurses should analyze the retrieved data, effective characterization should be achieved by recognizing patterns, scheduling must be implemented to improve that consequence, that plan must be implemented, and finally the plan must be monitored and evaluated to track its development (Linton et al., 2020). The Code of Ethics, which is based on the four fundamental values of autonomy, fairness, beneficence, and respect for human dignity, also provides the Nurse Practice Standards (Layman, 2020). Medical attendants ought to grasp these standards.
Autonomy recognizes the significance of patient populations in decision-making.
Value advances the wellbeing and prosperity of patients and representatives.
Non-maleficence requires the prevention of harm, and any treatment plan that may do so should be reported. Justice puts equality into practice.
Impacts of Regulatory Constraints
Consequences of Regulatory Restrictions A nurse practitioner is one who effectively adheres to the guidelines established at any level—global, institution, or state—because it is essential to consider regulatory concerns when providing treatment. According to management controls, one must enthusiastically accept and adapt to EHR in order to successfully adopt it. In addition, the importance of training in assisting employees transition to EHR cannot be overstated (Chou et al., 2018). The development of a secure and robust network, the reduction of paper usage, the improvement of joint commission compliance, and the appropriate competence for the implementation of EHR are all necessary.
Another administrative factor is the HIPAA-mandated standard of practice for protecting the privacy of EHR data. The password-protected stored data should only be accessible by authorized users. Since this data is fragile, security and privacy are vital to forestall deceptive patient abuse (Rosenbloom et al., 2019). Both governmental and non-governmental organizations are pushing the fields of health informatics in order to improve patient safety by directing nurses.
Structure of Ethical & Legal Practices
Structure of Ethical and Legal Practices Frameworks of ethical and legal practices must be taken into account when employing the science of informatics, which in this case is EHR. Secrecy is one of the really moral issues with the utilization of EHRs due to the potential risks presented by insufficient assurance of extremely delicate confidential data. Utilizing EHR can be time-consuming for nurses due to a lack of knowledge or training. There may be ethical concerns if a third party becomes particularly interested in the data stored in this device. Correct application of policies and protective structures is essential.
Ethical considerations include determining who has access to the records and whether there is a justification for their storage (Layman, 2020). EHR reception is another issue that requires cautious thought since it requires a lot of financing, cooperation, and instruction to be carried out effectively. The reliability or quality of the information stored in the EHR may be compromised.
The legal implications of using an EHR should also be taken into consideration, such as the availability of accounting adjustments to ensure that the data being entered, such as ethnicity or sex, is not removed or altered. Legal issues that may be connected to EHR include privacy violations, data errors, and the removal of potentially crucial information (Layman, 2020). To save respectability, sections should be finished on time, without blunders, and should know about any cautions or ideas presented by the EHR. Nursing informatics must adhere to the ethics code and be aware of the legal and ethical requirements in order to safeguard the patient’s data.
Stakeholders
Stakeholders Stakeholders are essential participants who need to be involved in every phase of the project in order to guarantee that the software is installed and used in accordance with industry standards. Through presentations and discussions, effective communication with stakeholders is necessary to enable efficient data transfer. To fix any issue and safeguard the patient’s protection, they should stay educated and involved. Stakeholders for this project include clinicians, IT examiners, clinicians, medical executives, and accounting staff. Based on the identified gaps in healthcare, particularly those related to medication errors, the utilization of nurse informatics would permit creativity and the creation of new projects (Pollock et al., 2018).
As stakeholders in the design and implementation, nurses and doctors’ participation would be crucial due to their proximity to patients. The billing team will ensure that the system is effectively integrated with the organizations’ payment processing plans, while the board members will make the most important decisions regarding the EHR’s finances and operating system. IT auditors will also check to see that all standards are being followed and that patient security is strong. The stakeholders, such as nurses and doctors, need to be educated about the EHR in order to guarantee that it is utilized safely and effectively.
Conclusion
The Electronic Health Record System (EHR) is a prime example of the advanced technology in informatics. Mistakes with medication can cause harm to patients if the wrong drug is used, administered at the wrong time, or the wrong patient is identified. Utilizing nurse informatics would make it possible to be innovative and develop new projects based on the identified gaps in healthcare, particularly those related to medication errors. To get the patient’s information, nursing informatics should be aware of the legitimate and moral prerequisites and stick to the morals code.
References
Alzu’bi, A. A., Watzlaf, V. J. M., & Sheridan, P. (2021). Electronic health record (EHR) abstraction. Perspectives in Health Information Management, 18(1), 1.
Chen, Y., Cai, Z., Lin, B., Yan, L., Zheng, W., Kuo, M. C., Hübner, U., & Chang, P. (2022). Developing a professional-practice-model-based nursing organizational informatics competency model. International Journal of Medical Informatics, 166, 104840.
Chou, R., Baker, W. L., Bañez, L. L., Iyer, S., Myers, E. R., Newberry, S., Pincock, L., Robinson, K. A., Sardenga, L., Sathe, N., Springs, S., & Wilt, T. J. (2018). Agency for healthcare research and quality evidence-based practice center methods provide guidance on prioritization and selection of harms in systematic reviews. Journal of Clinical Epidemiology, 98, 98–104.
Fragidis, L. L., & Chatzoglou, P. D. (2018). Implementation of a nationwide electronic health record (EHR). International Journal of Health Care Quality Assurance, 31(2), 116–130.
Giuliano K. K. (2018). Intravenous smart pumps: Usability issues, intravenous medication administration error, and patient safety. Critical Care Nursing Clinics of North America, 30(2), 215–224.
Joukes, E., de Keizer, N. F., de Bruijne, M. C., Abu-Hanna, A., & Cornet, R. (2019). Impact of electronic versus paper-based recording before EHR implementation on health care professionals’ perceptions of EHR use, data quality, and data reuse. Applied Clinical Informatics, 10(2), 199–209.
Manias, E., Cranswick, N., Newall, F., Rosenfeld, E., Weiner, C., Williams, A., Wong, I. C., Borrott, N., Lai, J., & Kinney, S. (2019). Medication error trends and effects of person-related, environment-related and communication-related factors on medication errors in a pediatric hospital. Journal of Pediatrics and Child Health, 55(3), 320–326.
Robinson, K. E., & Kersey, J. A. (2018). Novel electronic health record (EHR) education intervention in large healthcare organization improves quality, efficiency, time, and impact on burnout. Medicine, 97(38), e12319.
Rosenbloom, S. T., Smith, J. R. L., Bowen, R., Burns, J., Riplinger, L., & Payne, T. H. (2019). Updating HIPAA for the electronic medical record era. Journal of the American Medical Informatics Association: JAMIA, 26(10), 1115–1119.
Strudwick, G., Nagle, L., Kassam, I., Pahwa, M., & Sequeira, L. (2019). Informatics competencies for nurse leaders: A scoping review. The Journal of Nursing Administration, 49(6), 323–330.
NURS FPX 6410 Assessment 2 Executive Summary to Administration
Executive Summary
Quality and safety outcomes are the essential elements of the healthcare organization to provide evidence-based care and recognize the gaps in the outcomes so changes and improvements can be made to address the gaps. The systemic problem that would be focused on is medication errors in the healthcare organization of Vila Health facility. Some indicators can be helped to evaluate the outcomes measures like compliance rate with the evidence-based practice guideline, mortality rates, patient satisfaction, and patient safety indicators.
Explaining Key Quality & Safety Outcomes
Healthcare organizations use quality outcomes as measures to evaluate the performance of the nurses or the interventions towards healthcare issues. The outcome measures that are mainly evaluated for medication error are patient satisfaction, patient-reported outcomes, mortality, and readmission rates. There can be finance and process outcomes related to this, like the adherence to the guidelines and cost per patient or the duration of the patient’s stay. Both the quality and safety outcomes are essential to understand the severity of the issue. For example, in the case of medication errors, there is a decrease in the quality outcomes of patient satisfaction and trust the patients have in healthcare (Tariq et al., 2022). Regarding safety, 7,000 to 9,000 people die yearly due to medication errors in the US, and the cost of treating patients with medication errors exceeds $40 billion each year (Tariq et al., 2022). These significant consequences need interventions and outcome measures to address the situation effectively.
The strength of these outcome measures is that they help establish a benchmark for the organization to do better; there is recognition of the areas of weaknesses so they can be targeted with interventions and strategies; this also leads to increased accountability and or provides standardized and objective measures for the performance of the healthcare organization.
The weakness of these outcome measures can be the time-consuming process of collecting data and evaluating it. It may not reflect the exact perspectives of the healthcare providers and the patients. Outcome measures may also need to capture the external factors that impact the outcomes. For example, the mortality rates in healthcare could also vary with age, gender, and socioeconomic status rather than just medication errors. There is also a potential for manipulation; for example, to reduce the cases of medication errors, instead of interventions that educate the nurses, the organization may resort to strict punishments for healthcare providers, which may result in limited reporting of the cases by them leading to less number of cases overall.
Determining the Strategic Value
The safety and quality outcome measures have strategic values that must be determined. They are essential as they help achieve an organization’s goals and make improvement plans. Strategic value can be provided to the organization by improving patient outcomes with increased satisfaction after the quality and safety outcomes enable the healthcare stakeholders to identify the areas where there can be an improvement to reduce medication errors. The organization can better understand where the staff is lacking and where there is underperformance. For example, standardized medication administration processes can improve the outcome measure of high readmission rates due to medication errors (Uitvlugt et al., 2021). The safety and quality outcome measures can also bring the organization’s value to the stakeholders, like the patients, clinicians, or nurses. For example, the outcome measure of high patient satisfaction may attract more patients to receive their treatment. This can increase revenue, making everything more cost-effective. The outcome measures also support decision-making related to different changes or interventions. For example, the Bar-code medication administration system (BCMA) intervention can be prioritized after evaluating the quality and safety outcomes of high mortality rates. This could be because BCMA has proven to be effective in reducing medication errors by providing intelligent tools that check prescriptions’ safety automatically to develop a culture of safety that is also timely (Naidu & Alicia, 2019).
The existing outcome measures can add value to the organization by combining all the measures, like patient satisfaction, adverse events, readmission rates, and mortality rates, to gain an even deeper understanding of the organizational performance. Trends can be studied through graphs and charts to see if the organization’s mission and goals are being met.
Analyzing Relationships Between Medication Errors & Quality and Safety Outcomes
Since medication errors are rising and a severe concern for Vila’s health as they lead to adverse events and even fatalities, it is essential to analyze the relationships between medication errors and specific quality and safety outcomes. The specific safety and quality outcomes studied are adverse events, patient satisfaction, length of stay, mortality rate, and hospital readmissions. Medication errors are usually due to inadequate training of staff, lack of communication, high workload, and poor work environment. Such factors increase the risk of medication errors, leading to patient complications and adverse events (Neugebauer et al., 2021). Adverse events harm patients and lead to healthcare costs. Medication errors also contribute to the quality outcomes of stay as medication errors and adverse events leading to complications increase the length of stay for more treatment, increasing the costs and decreasing patient outcomes (Rasool et al., 2020). Due to all of this, medication errors reduce patient satisfaction, impacting healthcare’s reputation and patient trust. Medication errors can also lead to hospital readmission, negatively impacting patient outcomes.
NURS FPX 6212 Assessment 2 Executive Summary
The additional data that could be collected to gain an even better understanding of the medication errors is understanding the underlying factors contributing to it with root-cause analysis, data can be collected on the different types of medication errors and their severity, and data can also be collected on the training and education level of the healthcare providers to determine the relationship.
Strategic Initiatives
The strategic initiatives that can be taken for a culture of safety and quality related to the outcome measure of patient satisfaction can be the development of educational programs for patients that increase their awareness and confidence in medications (Cha et al., 2021). Patients can be given surveys or questionnaires to rate their medical experience and satisfaction. The initiative for the outcome measure for the length of stay can be providing training and workshops to the healthcare providers so they are confident in preventing medication errors. There can be the implementation of technology like BCMA for checking prescriptions to avoid errors and adverse events that may prevent prolonged stays at the hospital for the patient (Naidu & Alicia, 2019). A medication safety committee can also be formed to analyze the trends of medication errors and root causes for the outcome measure of adverse events.
The Vila Health strategic plan is to provide patient-centered care by reducing harm while minimizing human errors at the facility. In light of the current situation with increasing medication errors, the organization must adapt to technologies like BCMA, address workforce challenges, address lack of competency and training, and improve healthcare disparities.
Leadership Team Supporting Adoption of Proposed Practice
A leadership team is crucial to implementing safety and quality outcomes changes. The leadership team helps gather and provide the necessary resources for the implementation of the proposed changes described before. The resources can include equipment, staffing, and finances to train healthcare providers to prevent medication errors. The leadership team will also enhance communication and collaboration by engaging all the stakeholders and effectively communicating the initiatives for the changes to the stakeholders. The interprofessional collaboration promoted by the leadership team would ensure that high-quality care is delivered to the patients and that professionals from different disciplines are engaged for shared-decision making and quality improvements. The leadership team would gather all the relevant data related to the quality and safety outcomes to monitor the progress of the implementations to evaluate the success. Barriers and gaps can be identified to make adjustments accordingly. The leadership team is essential to manage change so there is a smooth transition for the members of the organization when the change is being implemented (Oreg & Berson, 2019).
Conclusion
Safety and quality outcomes are crucial to the healthcare issue of medication errors. Implementing technologies like BCMA, educating staff, and educating patients can help improve patient healthcare outcomes and patient satisfaction and reduce the cases of adverse events. The role of leadership also plays a vital role in adapting to the changes.
References
Cha, S. S., Kim, M., Moon, H. S., & Lee, E. (2021). Development and effectiveness of a patient safety education program for inpatients. International Journal of Environmental Research and Public Health, 18(6), 3262. /orders/doi.org/10.3390/ijerph18063262
Naidu, M., & Alicia, Y. L. Y. (2019). Impact of bar-code medication administration and electronic medication administration record system in clinical practice for an effective medication administration process. Health, 11(05), 511–526. /orders/doi.org/10.4236/health.2019.115044
Neugebauer, J., Tóthová, V., Chloubová, I., Hajduchová, H., Brabcová, I., & Prokešová, R. (2021). Causes and interventions of medication errors in healthcare facilities. Příčiny a intervence medikačního pochybení ve zdravotnických zařízeních. Ceska a Slovenska farmacie : casopis Ceske farmaceuticke spolecnosti a Slovenske farmaceuticke spolecnosti, 70(2), 43–50.
Oreg, S., & Berson, Y. (2019). Leaders’ impact on organizational change: Bridging theoretical and methodological chasms. Academy of Management Annals, 13(1), 272–307. /orders/doi.org/10.5465/annals.2016.0138
Rasool, M. H., Rehman, A. U., Imran, I., Abbas, S., Shah, S., Abbas, G., Khan, I., Shakeel, S., Hassali, M. A., & Hayat, K. (2020). Risk factors associated with medication errors among patients suffering from chronic disorders. Frontiers in Public Health, p. 8. /orders/doi.org/10.3389/fpubh.2020.531038
Uitvlugt, E. B., Janssen, M. J. A., Siegert, C. E., Kneepkens, E., Van Den Bemt, B. J. F., Van Den Bemt, P. M. L. A., & Karapinar-Çarkit, F. (2021). Medication-related hospital readmissions within 30 days of discharge: Prevalence, preventability, type of medication errors and risk factors. Frontiers in Pharmacology, 12. /orders/doi.org/10.3389/fphar.2021.567424
NURS FPX 6410 Assessment 1 Presentation to Informatics Staff
Presentation to Informatics Staff
Hello, my name is Yadeisys, and I will deliver a presentation to the nursing informatics staff on the value of nursing practice standards. Along with defining valid and invalid data, I will also review how to utilize the data to examine gaps in nursing practice. Evidence-based practices must be incorporated into treatment and research through nursing informatics.
Applying Theoretical Frameworks or Models
The Empowerment Informatics Framework can assist practicing nurses in using technology ethically to facilitate self-management. It can also assess the methods to implement several interventions (Faustorilla, 2020). Technology helps the nursing staff to focus on patients’ needs first; therefore this is a patient-centered healthcare strategy (Toni et al., 2021). An electronic personal health record (ePHR) has the potential to assist chronic patients with self-management, education, and counseling. The Empowerment Informatics Framework (EIF) is focused on empowering patients in healthcare settings via safe and high-quality care (Toni et al., 2021).
Nurses engage the empowered patient by utilizing health-enabling technologies (HET) and promoting self-care management (Faustorilla, 2020). The EIF exhibits interactions between nurses and patients while collaborating with health-enabling technologies (HET). The main goal of the EIF is to provide patients with the necessary knowledge, skills, and preferences to learn about the management of diseased conditions (Toni et al., 2021).
According to Turley’s Model (1996), nursing informatics is the nexus between the field of informatics and discipline-specific science (nursing). Within the field of nursing science, this paradigm offers a multidisciplinary approach and integrates computer science, information science, and cognitive science (Zhang et at., 2021). These ideas can aid informatics nurse experts in comprehending how nurses make decisions and process information, which will help them develop valuable solutions to support nursing procedures. Because of this, cognitive science is most beneficial to informatics nurse experts who focus on user-related informatics challenges including decision-making and the design of computer interfaces for nurses (Zhang et at., 2021).
Importance of Standards in Nursing Practice
In order to help professional nurses maintain patient safety and clinical competency, standards of practice are established in healthcare settings. American Nurses Association set standards for nursing practices as guidelines. It is a suggested route for safe practices and a tool for effective professional performance. It offers a starting point for assessing the standard of nursing care and boosts effectiveness and efficiency (Poorchangizi et al., 2019). The area of accountability for nurses may be made more transparent through standards. Nurses must be attentive to avoid social and cultural differences and be able to care for patients without passing judgment on them. They must also appreciate and concur with the patient’s values and beliefs. These standards improve interdisciplinary collaboration via following nurses’ standards such as fairness in treatment, promoting patient sovereignty, improvement in benevolence, and non-maleficence (Poorchangizi et al., 2019).
Examples of the Standards of Practice
According to the American Nursing Association’s (ANA) scope and criteria, nurse informaticians (NI) must present a viewpoint that exemplifies nursing values and beliefs. Registered Nurses (RNs) must be able to efficiently gather patient data and information relevant to their health or circumstance (Schmidt & McArthur, 2018). For instance, nurses may collect information about the patient’s family history and monitor blood pressure in hypertensive patients. The nurse would create a care plan after diagnosis and teach the hypertensive patient self-management strategies. In order to enable subsequent access, all the data will be recorded and stored in the EHR (Schmidt & McArthur, 2018).
In order to identify prospective or accurate diagnoses, RNs must be able to examine the data acquired during the evaluation phase. Effective patient outcome prediction should be a skill for registered nurses. RNs can then carry out the chosen plan (Schmidt & McArthur, 2018). This may be accomplished by organizing the patient’s care, including treatment delivery, and encouraging wellness and secure healing settings. No matter their background, nurses must show advocacy and support for their patients’ needs. A registered nurse must be able to communicate with patients, their families, and other medical staff (Zhang et at., 2021).
Distinguishing Between Validated Data & Invalidated Data
While incorrect data give no information about the actual value, valid data represent a fundamental value that yields accurate outcomes. Validation is the process of double-checking data to ensure their accuracy. Data validation guarantees accurate and complete assessment information (Bossen et al., 2019). For instance, the data is deemed legitimate and reliable if a nurse puts the hypertensive patient’s blood pressure data into the system after checking it. The veracity of the data could be impacted by human mistakes, if the data entry process takes longer than expected (Bossen et al., 2019).
Data that is invalid will be not reliable and it could happen due to poor communication, a delay in data entry, or a human mistake. Data validation offers advice on improving data quality and giving a general picture of data that makes it possible to appreciate somewhat and understand study results (Kislaya et al., 2019). Training in data collection, simple and concise form design, lowering the burden of data collection procedure, and assuring data ownership are all factors that increase data quality (Bossen et al., 2019).
How Validated Data Can Identify Gaps in Practice
Validated data decreases the likelihood of finding erroneous results and aids in defect mitigation because it accurately depicts the situation. Validated data identify areas of weakness or deficiency and enable resource refocusing. Validated data aids in examining processes to close practice gaps (Kislaya et al., 2019). Additionally, the distinction between the actual state of practice and the desired state can be made with validated data. This kind of comparison allows for identifying potential improvement gaps and better results. Using established gap analysis techniques helps lower the likelihood of future adverse outcomes for hypertension individuals (Kislaya et al., 2019).
Analyzing the Specific Regulatory Bodies
Big data can only be utilized if security and privacy concerns are handled, regardless of how important they are for the success of all healthcare organizations and how valuable big data is for the advancement of medical knowledge. Data breaches can be prevented by data encryption (Moore & Frye, 2019). This encryption safeguards and maintains data ownership through every stage of the data lifecycle, from the data center to the endpoint. The Health Insurance Portability and Accountability Act is the law that governs the healthcare sector that is the most well-known and prominent (HIPAA). It lays out the necessary precautions that medical professionals and others must take to ensure the privacy of patient records (Moore & Frye, 2019).
For the first time, the HIPAA Privacy Rule establishes national standards to safeguard patients’ medical records and other private health information. In order to minimize privacy and confidentiality concerns, data must be protected while employing technologies like EHR (Oyeleye, 2021). HITECH safeguards sensitive patient data by controlling who gets access to patient records, how patients are informed when there is a breach, and how HITECH and HIPAA compliance laws are upheld. The HITECH Act pushed healthcare organizations to adopt electronic health records and enhance security and privacy of patient information (Oyeleye, 2021).
Evaluating Ethical & Legal Practices
The non-maleficence principle of medical ethics states that a healthcare provider’s top priority should be to protect patients from harm and injury. To support transparent reporting, managers must promote multidisciplinary teamwork. In medical practice, informed consent is a legal notion developed from the ethical standard of autonomy. Regarding medical law and ethics, respect for autonomy refers to self-determination or freedom of choice (Varkey, 2021). Patients have the right to decide the intervention and treatment they want. The patient should be involved in the decision-making process by the medical personnel. Healthcare professionals should teach hypertension patients how to manage their condition independently, to raise awareness of the condition. Managers of public health can encourage openness. For instance, they might educate users on how the system uses and distributes the information that has been gathered about them. This will support transparency, stimulate research and innovation, and assist decision-making (Varkey, 2021).
Transmission of Data, Information, and Plans to Key Stakeholders
The lifeline of any effective hospital or clinic is accurate information. Healthcare staff can only decide on how to diagnose and treat a patient with precise data to examine. The availability of ready-to-use data and information from multiple hospital departments aids in better patient care and increased efficiency (Varkey, 2021). The most crucial stakeholders in any hospital or clinic are the patients. Patients can avoid lengthy wait times in hospitals by efficiently scheduling appointments online. Patients can quickly schedule an appointment based on their availability. Quick access to patient information assists clinicians in managing their time and inefficient therapies. The doctor can gather data from several departments for diagnosis and therapy because EHR combines all the departments (Varkey, 2021). Additionally, it facilitates better patient-doctor communication. Instead of the traditional paperwork needed, nurses can easily input the data collected from a patient with the aid of EHR technology. By using these strategies nursing staff are capable of handling large amounts of data anywhere and anytime.
References
Bossen, C., Pine, K. H., Cabitza, F., Ellingsen, G., & Piras, E. M. (2019). Data work in healthcare: An Introduction. Health Informatics Journal, 25(3), 465-474. /orders/doi.org/10.1177/1460458219864730
Faustorilla, J. F. (2020). Initiating developments of nursing informatics within a caring perspective for Philippine nursing. Journal of Health and Caring Sciences, 2(1), 78-89. /orders/doi.org/10.37719/jhcs.2020.v2i1.rna002
Kislaya, I., Santos, A. J., Lyshol, H., Antunes, L., Barreto, M., Gaio, V., & Nunes, B. (2020). Collecting valid and reliable data: Fieldwork monitoring strategies in a health examination survey. Portuguese Journal of Public Health, 38(2), 81-90. /orders/doi.org/10.1159/000511576
Moore, W., & Frye, S. (2019). Review of HIPAA, part 1: History, protected health information, and privacy and security rules. Journal of nuclear medicine technology, 47(4), 269-272. /orders/doi.org/10.2967/jnmt.119.227819
Poorchangizi, B., Borhani, F., Abbaszadeh, A., Mirzaee, M., & Farokhzadian, J. (2019). The importance of professional values from nursing students’ perspective. BMC Nursing, 18(1), 1-7. /orders/doi.org/10.1186/s12912-019-0351-1
Schmidt, B. J., & McArthur, E. C. (2018). Professional nursing values: A concept analysis. Nursing Forum, 53(1), 69-75. /orders/doi.org/10.1111/nuf.12211
Toni, E., Pirnejad, H., Makhdoomi, K., Mivefroshan, A., & Niazkhani, Z. (2021). Patient empowerment through a user-centered design of an electronic personal health record: A qualitative study of user requirements in chronic kidney disease. BMC Medical Informatics and Decision Making, 21(1), 1-15. /orders/doi.org/10.1186/s12911-021-01689-2
Varkey, B. (2021). Principles of clinical ethics and their application to practice. Medical Principles and Practice, 30(1), 17-28. /orders/doi.org/10.1159/000509119
Zhang, T., Wu, X., Peng, G., Zhang, Q., Chen, L., Cai, Z., & Ou, H. (2021). Effectiveness of standardized nursing terminologies for nursing practice and healthcare outcomes: A Systematic Review. International Journal of Nursing Knowledge, 32(4), 220–228. /orders/doi.org/10.1111/2047-3095.12315
NURS FPX 6103 Assessment 1 History of Nurse Education
NURS FPX 6103 Assessment 1 The History of Nursing Education
Nursing education refers to the formal learning and training that can teach clinical skills, patient care methods, and best collaboration practices of a nursing professional. There are four components of nursing education such as role, knowledge, process, and values. Nursing education is so much of important for better health outcomes for the patient. In this paper, we will discuss the five significant historical influences on nursing and the nursing education environment. Moreover, in this paper, all the trends will be discussed that may impact the future of nursing and nursing education.
Historical Influences on Nursing and Nursing Education
Nursing is an old profession and is useful for better health outcomes for the patient. It is equally beneficial for the growth of healthcare facilities. From the research of PU (2021), it is found that the nursing profession started in the 18th and 19th centuries. The nursing profession plays a key role in healthcare facilities and is first created by Florence Nightingale. Following are five main events that have lead to the advent of nursing education, they include;
American Civil War
Establishment of hospital-based nursing school
Legislation of Nursing Licensure
Establishment of the American Nurse Association
Introduction of Degree Programs
American Civil War is one of the leading causes that lay the foundation for the development of the nursing profession in the country. Before the civil war, women were only limited to the household and their influence was also on their homes only. However, during the Civil War, many women volunteered to offer nursing care to soldiers, which influenced public perception of their role in healthcare and the necessity of professional training (López et al, 2021). The American Medical Association’s (AMA) president’s approval of formal nursing education in 1868, three years after the end of the Civil War, is a perfect demonstration of the influence.
The second event was motivated by Florence Nightingale’s opening of a nursing school with a hospital focus in London in 1860 followed by the Crimean War. The first nursing education school in the US was built in 1872 at New England Hospital for Women, which provides a degree or diploma to their students after studying for one year (Petro et al, 2022). It may smooth the way for the formation of more nursing schools, formal nursing education, and the need for certification to be successful in the field of nursing. After that, in 1901, the International Council of Nurses (ICN) passed a resolution for nurses to get a nursing license after passing the examination (Goldstone et al, 2023). It may also lead to the establishment of the nursing licensing framework.
American Nurse Association (ANA) is another professional organization for the advancement of nursing care, and it was founded in 1911 (Abushaikha et al, 2021). After the advent of the ANA, registered nurses were able to provide nursing care in an organized way. These are currently helpful in meeting the ethical and professional standards of healthcare and may advance their profession. Finally, with the new advancement of technologies, the degree level of training also transitioned from a hospital-based diploma program to a higher professional degree level (Gullick et al, 2019). In addition to that, associate degree or baccalaureate program also had a great impact and influence on the quality of nursing education and scholarship in their profession.
Trends with Impact on Nursing and Nursing Education
Several trends have a great impact on the future of nursing education and nursing. From the study of Gyawali et al (2020), it is found that the most notable trends may include the increased emphasis on prevention and safety (first trend), the need for equitable healthcare (second trend), and the emphasis on providing individualized patient care within the community (third trend). Nursing education may have a significant impact on the improvement of healthcare for people, families, and their communities. It focuses on the improvement of communities rather than individuals and may show the effectiveness of care when individuals are considered part of the wider community. As per the views of the National Academy of Medicine, it is stated that the country may have to improve its nursing workforce capacity and education in response to this trend.
The second trend is related to focus on patient safety, prevention, and self-care, which may require teamwork in both the current and future nursing practice to guarantee that patients will receive treatment from all the healthcare professionals in the healthcare facilities. It has a great impact on the historical roots of system-based nursing, which promote system thinking, and it may require additional training for nurses to be successful in their fields.
The third trend is the demand for equitable health care for all populations, which may require civilized nursing education and practices. Health disparities are the term used by the medical community to describe the unequal distribution of favorable health outcomes. When there is an unequal distribution of resources (environmental, financial, & social), it can lead to a health discrepancy. Groups with stronger social or economic impediments are disproportionately impacted by health disparities. For instance, a health gap exists when the rate of maternal death is higher for Black women than it is for white women (McLeod et al., 2020). Health disparities in the United States disproportionately affect individuals of different races. This may happen because of a lack of money or access to medical care. Even after accounting for differences in age, geography, education, and socioeconomic status, research show that black Americans die younger and are more likely to experience preventable illness than white Americans. Thus, one can conclude that the roots of these trends can be traced from the history and it require pro-active policies to cope with such disparities.
References
Abushaikha, L., Edwards, J. E., & Cesario, S. (2021). “Moms and babies first”-A historical overview of the Association of Women’s Health Obstetric and Neonatal Nurses. Nursing Outlook, 69(6), 1049–1057.
Gullick, J., Lin, F., Massey, D., Wilson, L., Greenwood, M., Skylas, K., Woodard, M., Tembo, A. C., Mitchell, M., & Gill, F. J. (2019). Structures, processes and outcomes of specialist critical care nurse education: An integrative review. Australian Critical Care, 32(4), 331–345.
Gyawali, B., Khanal, P., Mishra, S. R., van Teijlingen, E., & Wolf Meyrowitsch, D. (2020). Building Strong Primary Health Care to Tackle the Growing Burden of Non-Communicable Diseases in Nepal. Global Health Action, 13(1), 1788262.
López, M., Mirón-González, R., Castro, M.-J., & Jiménez, J.-M. (2021). Training of volunteer nurses during the Spanish Civil War (1936–1939): A historical study. PLOS ONE, 16(12), e0261787./orders/doi.org/10.1371/journal.pone.0261787
McLeod, K. E., Butler, A., Young, J. T., Southalan, L., Borschmann, R., Sturup-Toft, S., Dirkzwager, A., Dolan, K., Acheampong, L. K., Topp, S. M., Martin, R. E., & Kinner, S. A. (2020). Global Prison Health Care Governance and Health Equity: A Critical Lack of Evidence. American Journal of Public Health, 110(3), 303–308.
NHS FPX 6103 The History of Nursing Education Assessment 2 Applying the Tripartite Model KP
Teaching is one of the most significant roles of nurse educators. In this role, besides caring for patients, nurse educators who are passionate about teaching dedicate their time to teaching and advocating for nurses (Bullin, 2018). They instruct aspiring nurses in practical educational settings and guide them towards becoming practical nurses. This nurse educator role is nursing teachers, where the role players instruct and guide other nurses towards their nursing profession (Bullin, 2018). The contexts where this role applies in universities, colleges, and research hospitals. Besides teaching in these settings, nursing teachers also care for patients.
The teaching, service, and scholarship expectations for a Nursing Teacher
Teaching and learning are significant in all faculties and for all new educators. However, although teaching is a responsibility in nursing, it is not the only focus for nursing educators. However, nurse educators who take the teaching role must develop it with experience, time, and knowledge (Evans, 2018). Each nursing teacher creates their unique teaching style influenced by pedagogies, individual beliefs, learners’ styles, and philosophies in their academic institutions. It is important for all nursing educator to improve their educational teaching skills for nursing (Herrman, 2019). Concerning service, it is a way of giving time and energy to the community. Nursing teachers can offer their services through serving in nursing school committees, speaking at local events, becoming board and advisory members, and mentoring new faculty. Lastly, they must engage in research to serve their scholarship expectations (Bullin, 2018). They can do this by obtaining grants, publishing material, presenting scholarly work, and consulting.
Publications, Journals, and Conferences that Could be a Fit for the Scholarship of Nursing Teachers
Various platforms support the development of nursing educators and nursing education as a field in nursing. Nursing teachers also find support from various academic professions and platforms. They can use journals like the Journal of Professional Nursing, Nurse Education Today, Journal of Nursing Education, and Teaching and Learning in Nursing (Chang et al., 2018). They could also participate in conferences such as Nursing Advancement Professionals (NAP) Conference, Graduate Nursing Admissions Professional (GNAP) Conference, and CNL Summit. The scholarships created for education in nursing include the creation of teaching plans and assessing methods, knowledge of education-learning theories, role modeling, and program development.
A Plan for Nurse Teachers to Meet their Roles
Indeed, being a nursing teacher is a challenging and demanding role as it prepares individuals to become future nurses. Hence, there is a significant need to be prepared to practice the role and meet all expectations of a nursing teacher. First, it is vital to loving the role. Having a passion for teaching nurses and a desire to make a difference goes a long way in helping nurse teachers to deliver their duties. Secondly, a nurse teacher must possess various elements, including academic knowledge, clinical experience, and excellent communication skills (Reising et al., 2018). Lastly, they must address the needs of their role by addressing various learning styles and establishing innovative ways to deliver content to their students.
Additional qualifications
Although nursing teachers or educators generally do not need certifications, having them is an added advantage. Hence, nurse educators could have certifications like Certified Clinical Research Associate (CCRA) and Certified Clinical Research Coordinator (CCRC) (Meldrum, 2020). Having these certifications can help nurse educators to climb the radar in their profession by attaining coveted positions in nursing education.
Qualifications and Areas of Expertise Related to Teaching in Nursing
For nursing teachers to serve as change agents in their field, they must have several qualifications and expertise. These may include leadership, professionalism, interpersonal skills, and core competencies (Herrman, 2019). These qualifications ate vital because nurse educators deal with people, and they must interact significantly with them for their instructions to be practical.
NURS FPX 6008 Assessment 3 Identifying a Local Healthcare Economic Issue
The economy in the United States plays a significant role in determining the diversity of interrelationships between employment, health insurance, costs, and outcomes. Despite the fact that the United States spends more on healthcare, many Americans still cannot afford medical treatment due to a lack of insurance, expensive patient health plans, and distant clinics (Alcaraz et al., 2019). The mission of the Villa Healthcare organization is to reduce suffering by providing quality healthcare to those who cannot afford it, including the elderly, the underserved, the disabled, and the chronically ill. High rates of hospital readmission pose a major economic challenge for villa healthcare. Both patient safety and the surrounding community are suffering as a result of this problem.
Health Care Economic Issue
NURS FPX 6008 Assessment 1 Identifying a Local Health Care Economic Issue
The Villa Healthcare Hospital can be found in Minneapolis, which is the capital city of the state of Minnesota. The Villa Healthcare System consists of a series that includes a variety of medical facilities, including clinics, hospitals, and other medical centers. It is estimated that approximately 800k people are living in the area surrounding the Villa Hospital (Warren, 2020). The majority of the population (7.4%) consists of Whites (both Hispanic and non-Hispanic), while 9% are Black and 7% are Asian American (Warren, 2020). The cultural backgrounds of patients determine how they deal with disease and its treatment. The uncertainty and misinterpretation over cultural differences can destroy the trust and treatment compliance of patients, which are particularly problematic in today’s diverse ethnic environment. The majority of readmissions happen among patients whose medical requirements cannot be fulfilled due to cultural differences. Culture has a significant impact on health. It influences how people think about and talk about health, illness, and death. Also, it influences how they approach disease prevention and health promotion; how they feel and talk about illness and pain; where they go and what treatments they choose; and much more. Villa Healthcare’s high number of hospital readmissions will unavoidably have an adverse impact on the quality of treatment provided to its patients. Increased patient stress from financial burdens and increased death rates are just two examples of the negative health outcomes that are linked to readmission (Beauvais et al., 2022). On the other hand, higher patient satisfaction and better results are connected to lower readmission rates. Inadequate patient education is a significant reason for readmissions.
It has also been discovered that readmitted patients had a greater in-hospital mortality rate. According to the results of previous studies, readmissions cause patients to spend more time in the hospital and resulting in higher costs (Kitzman et al., 2021). Revenue declines as a result of readmissions because of the fines imposed by Medicare and other insurers. Nurses’ workloads, administrative responsibilities, ability to influence scheduling, and morale are all negatively impacted by the high rate of hospital readmissions (Kitzman et al., 2021).
Multiple interventions have been shown to minimize readmission rates among patients who have been discharged. These interventions include medication reconciliation, assessments of patient requirements, patient education, timely scheduling of outpatient visits, and telephone follow-up. There is a 30% reduction in readmissions for patients who can follow their aftercare instructions without confusion (Sinha et al., 2018).
The Rationale for Choosing the Health Care Economic Issue
NURS FPX 6008 Assessment 1 Identifying a Local Health Care Economic Issue
High rates of hospital readmission are problematic for patients, healthcare providers, and the healthcare system as a whole. Reducing hospital readmissions is an important priority with many potential advantages. Reducing the number of patients who need to be readmitted after being discharged is also beneficial because it lowers healthcare costs. The Medicare and Medicaid Services Centers estimate that the Hospital Readmission Reduction Program (HRRP) will save around $521 million annually (Sinha et al., 2018). HRRP is aimed to reduce hospital readmissions by enhancing care integration and communication. Hospital readmissions cost around $25 billion annually due to things like medical errors and problems, ineffective discharge processes, and a lack of coordinated follow-up treatment (Sinha et al., 2018). Better coordination, involvement, and communication help patients understand their diagnoses and treatment strategies. These methods can help improve patient satisfaction by facilitating the hospital-to-home transition. Hospitals must understand the ethical aspect of patient readmission. My experience as a nurse at Villa Healthcare has shown me how a failure to properly educate patients can result in less reliable and equitable treatment of people of various origins and cultures. When nurses are overworked and stressed, they can’t treat patients equally regardless of their race or culture, which damages patients’ trust in the care they receive. All of these factors highlight the rationale for choosing the economic issue of hospital readmissions.
Effects of Healthcare Economic Issues on the Organization, Colleagues, and Community
NURS FPX 6008 Assessment 1 Identifying a Local Health Care Economic Issue
The elevated levels of hospital readmissions have negatively impacted my career and contributed to my stress levels. Since we regularly have to work overtime, my coworkers and I are inevitably distressed and frequently make more errors. Due to the increasing workload, we were unable to provide quality care for the patients. Patients who are readmitted multiple times develop a dependency on a healthcare system. Because of their inability to self-manage their illness, they are repeatedly readmitted to the hospital. Repeated readmission is a problem for many patients, creating a vicious cycle. Single readmission to hospital costs around $11,200 (Winograd et al., 2020). Everyone at Villa Healthcare is stressed and received insufficient acknowledgment for their efforts.
NURS FPX 6008 Assessment 1 Identifying a Local Health Care Economic Issue
Furthermore, the Villa Healthcare hospital readmissions could lead to further increased costs, lower wages, higher tax rates, and a deprived economy overall. In addition to this issue, there is the concern of lengthy wait durations for individuals who require immediate medical assistance. Waiting times ultimately lowers community service quality. A decline in health outcomes has the potential to harm the hospital’s profitability and reputation in the community. It would be necessary for patients to return to Villa Healthcare in the event of a wrong diagnosis or inadequate patient education. In addition, the organization suffers greatly from the high rate of readmission in the low-income community. Also, cultural differences can make it hard for nurses to comprehend the requirements of patients from various ethnic groups (Joo & Liu, 2019). That is why they are unable to educate the patients about their treatment, medication, and self-management. Hospital readmissions negatively impact medical care, work, organization, and patient community.
The Gap That Is Contributing to the Need to Address the Economic Issue
NURS FPX 6008 Assessment 1 Identifying a Local Health Care Economic Issue
Five gaps contribute to the need to address the economic issue of hospital readmissions in Villa Healthcare.
NURS FPX 6008 Assessment 1 Identifying a Local Health Care Economic Issue
Disengagement and Non-Compliance: These factors are associated with a patient’s lack of interest or compliance with their treatment plan. The most common reasons for avoidable readmissions are lack of participation and non-compliance.
Health Complications: Some medical issues have a more frequent chance of developing complications that might necessitate a return to the hospital. The majority of individuals with serious diseases like congestive heart disease or individuals who undergo surgeries like amputation end up back in the hospital within 1 month, according to studies (Sivaharan et al., 2021).
Inadequate Care Transition: Patients are not prepared for their care transition from hospital to home or another care setting during either the discharge or post-discharge procedures. There is a significant gap in the transition that contributes to the problem of hospital readmissions, and that is the lack of follow-up consultations, home health care, and comprehensive care instructions (Sivaharan et al., 2021).
Discharge Instructions Misinterpretations; Due to misunderstandings of their post-hospitalization care instructions, some patients end up being readmitted. They may be underestimating the importance of their therapy or the seriousness of their medication. Sometimes, they don’t understand the directions, or they acquire information that contradicts itself.
Demographic Factors; Recent studies have shown that males, the aged, and individuals from lower socioeconomic backgrounds have a higher risk to require hospital readmission (Minejima & Beringer, 2020). Furthermore, Medicaid and Medicare patients had significantly higher readmission rates than those with private health insurance.
Conclusion
In conclusion, the high readmission rate at Villa Healthcare is linked to a serious healthcare economic issue. This issue is chosen because of the detrimental impact it has on the organization’s effectiveness and the surrounding patient community. It also negatively impacts healthcare workers, the organization, and patients. Gaps in addressing the healthcare economic issue may include disengagement of patients, health complications, inadequate care transition, demographic factors, etc.
References
Alcaraz, K. I., Wiedt, T. L., Daniels, E. C., Yabroff, K. R., Guerra, C. E., & Wender, R. C. (2019). Understanding and addressing social determinants to advance cancer health equity in the United States: A blueprint for practice, research, and policy. CA: A Cancer Journal for Clinicians, 70(1), 31–46.
Beauvais, B., Whitaker, Z., Kim, F., & Anderson, B. (2022). Is the hospital value-based purchasing program associated with reduced hospital readmissions? Journal of Multidisciplinary Healthcare, Volume 15, 1089–1099.
Joo, J. Y., & Liu, M. F. (2019). Nurses’ barriers to care of ethnic minorities: A qualitative systematic review. Western Journal of Nursing Research, 42(9), 019394591988339.
Kitzman, D. W., Whellan, D. J., Duncan, P., Pastva, A. M., Mentz, R. J., Reeves, G. R., Nelson, M. B., Chen, H., Upadhya, B., Reed, S. D., Espeland, M. A., Hewston, L., & O’Connor, C. M. (2021). Physical rehabilitation for older patients hospitalized for heart failure. New England Journal of Medicine, 385(3), 203–216.
Minejima, E., & Wong-Beringer, A. (2020). Impact of socioeconomic status and race on sepsis epidemiology and outcomes. The Journal of Applied Laboratory Medicine.
Sinha, S., Dillon, J., Dargar, S. K., Archambault, A., Martin, P., Frankel, B. A., Lee, J. I., Carmel, A. S., & Safford, M. (2018). What to expect that you’re not expecting: A pilot video education intervention to improve patient self-efficacy surrounding discharge medication barriers. Health Informatics Journal, 25(4), 1595–1605.
Sivaharan, A., Boylan, L., Witham, M. D., & Nandhra, S. (2021). Sarcopenia in patients undergoing lower limb bypass surgery is associated with higher mortality and major amputation rates. Annals of Vascular Surgery, 75, 227–236.
Warren, R. (2020). Reverse migration to Mexico led to US undocumented population decline: 2010 to 2018. Journal on Migration and Human Security, 8(1), 32–41.
Winograd, D., Staggers, K. A., Sebastian, S., Takashima, M., Yoshor, D., & Samson, S. L. (2020). An effective and practical fluid restriction protocol to decrease the risk of hyponatremia and readmissions after transsphenoidal surgery. Neurosurgery.
NURS FPX 6008 Assessment 2 Needs Analysis for Change
Need Analysis for Change
Nurses strive to provide care that promote outcomes such as safety, quality, and efficiency in their practice. Often, they translate evidence-based interventions into practice with the aim of aligning care interventions with the needs and expectations of their patients. However, organizational issues such as shortage of nurses threaten the realization of these outcomes. Therefore, this paper builds on the previous projects by examining further the issue of nursing shortage and the need for addressing it in healthcare.
Summary of the Chosen Economic Issue and Its Impact
The selected issue for the project is inadequate staffing among nurses. According to the data by World Health Statistics Report, America has 3.9 million of the 29 million nurses globally. Despite this, it experienced an acute shortage of more than one million nurses by 2020. The statistics by the American Nurses Association show that more than 275000 nurses will be needed from 2020 to 2030 to fill the current gap in healthcare workforce. The issues of concern contributing to the worsening shortage of nurses in America include aging population, high turnover rates, lack of nursing educators, and inequitable workforce distribution (Haddad et al., 2022). Nursing shortage have negative impacts on healthcare, patients, and colleagues. First, it increases nurses’ workload, which causes burnout, occupational stress, low job satisfaction, and high turnover rates among nurses. Nursing shortage also lowers the quality of care due to increased cases of safety issues such as medical errors in the care process. Communities suffer from poor quality of care, increased safety issues, and disease burden among the population. Nursing shortage also increases costs incurred by healthcare organizations in hiring, training, and struggling to retain their staff (Haryanto, 2019; Marć et al., 2019). Despite the pervasiveness in nursing shortage, minimal interventions have been adopted in my practice site to address the issue. In addition, nurses have not explored evidence-based interventions that can be used to improve retention rates among them. Consequently, it is crucial to implement measures that will address the issue for optimum outcomes in healthcare.
Assessment 2 Instructions
Complete a systematic evaluation of a unit, facility, or organization with which you are familiar, in an attempt to identify the need to address the economic health care issue.
Introduction
Note: Each assessment in this course builds upon the work you have completed in previous assessments. Therefore, you must complete the assessments in the order in which they are presented.
As a master’s-level health care practitioner, you may sometimes be tasked with the need to complete a systematic evaluation as a way of improving your organization’s outcomes. In this assessment, you will have a chance to practice these skills by completing a systematic evaluation of a unit, facility, or organization that you are familiar with in an attempt to identify the need to address the economic health care issue that you presented in the previous assessment. This systematic evaluation is often referred to as a needs analysis. Understanding how to do a needs analysis will be key as you advance through your career in the health care environment.
Background and Context
As a master’s-level health care practitioner, you may sometimes be tasked with the need to complete a systematic evaluation as a way of improving your organization’s outcomes. In this assessment, you will have a chance to practice these skills by completing a systematic evaluation of a unit, facility, or organization that you are familiar with in an attempt to identify the need to address the economic health care issue that you presented in the previous assessment. This systematic evaluation is often referred to as a needs analysis. Understanding how to do a needs analysis will be key as you advance through your career in the health care environment.
Instructions
Be sure to address each main point. Review the assessment instructions and scoring guide, including performance-level descriptions for each criterion, to ensure you understand the work you will be asked to complete and how it will be assessed. In addition, note the requirements for document format and length and for supporting evidence.
Overall, you will be assessed on the following criteria:
Summarize your chosen economic issue and its impact on your work, organization, colleagues, and community.
Reiterate your rationale for pursuing this issue, as well as the gap contributing to it that you identified in your previous assessment.
Identify any socioeconomic or diversity disparities that exist with how your chosen economic issue impacts any particular groups or populations.
Use at least one piece of evidence to support this disparity (public health data, aggregated data from an organization, or other scholarly resources).
Explain the findings of evidence-based or scholarly sources regarding the need to address your chosen issue and pursue potential change or implementation plans.
For example, if your implementation plan includes the need for increased staffing, you might want to research errors or patient falls that occurred as a result of high patient and low staff ratio in the literature.
Use at least four evidence-based or scholarly sources that are relevant to your chosen topic to support your explanation.
Explain the predicted outcomes and opportunities for growth as the result of the proposed change or implementation plan.
Outcomes and opportunities for growth should focus on economic considerations.
Convey purpose, in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and scholarly writing standards.
Additional Requirements
Length of Submission: 3–5 double-spaced pages.
Number of References: Cite at least four sources of evidence to support your identification of the gap. This could be public health data, a peer-reviewed journal article, or another scholarly source.
APA formatting: Titles, headings, resources, and citations are formatted according to the current APA style.
Note: As you revise your writing, check out the resources listed on the Writing Center’s Writing Support page.
Competencies Measured
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:
Competency 1: Analyze the effects of financial and economic factors (such as cost-benefit, supply and demand, return on investment, and risks) in a health care system on patient care, services offered, and organizational structures and operation.
Summarize the chosen economic issue and its impact on your work, organization, colleagues, and community.
Competency 2: Develop ethical and culturally equitable solutions to economic problems within a health care organization in an effort to improve the quality of care and services offered.
Identify any socioeconomic or diversity disparities that exist with how your chosen economic issue impacts any particular groups or populations.
Competency 3: Justify the qualitative and quantitative information used to guide economic decision making to stakeholders and colleagues.
Explain the findings of evidence-based or scholarly sources regarding the need to address your chosen issue and pursue potential change or implementation plans.
Competency 4: Develop ethical and culturally equitable economic strategies to address dynamic environmental forces and ensure the future security of an organization’s resources and its ability to provide quality care.
Explain the predicted outcomes and opportunities for growth as the result of the proposed change or implementation plan.
Competency 5: Produce clear, coherent, and professional written work, in accordance with Capella writing standards.
Convey purpose, in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and scholarly writing standards.
Needs Analysis for Change Scoring Guide
Criteria
Non-performance
Basic
Proficient
Distinguished
Summarize the chosen economic issue and its impact on your work, organization, colleagues, and community.
Does not provide any type of summary of the chosen economic issue and its impact on your work, organization, colleagues, and community.
Provides an unclear or incomplete summary of the chosen economic issue and its impact on your work, organization, colleagues, and community.
Summarizes the chosen economic issue and its impact on your work, organization, colleagues, and community.
Summarizes the chosen economic issue and its impact on your work, organization, colleagues, and community. Notes the rationale for pursing the issue, as well as a gap contributing to it.
Identify any socioeconomic or diversity disparities that exist with how your chosen economic issue impacts any particular groups or populations.
Does not identify any disparities that exist with regards to the chosen economic issue.
Identifies disparities that exist with regards to the chosen economic issue. However, does not relate the disparities to any socioeconomic or diversity considerations.
Identifies any socioeconomic or diversity disparities that exist with how your chosen economic issue impacts any particular groups or populations.
Identifies any socioeconomic or diversity disparities that exist with how your chosen economic issue impacts any particular groups or populations. Supports assertion by using at least one piece of evidence (public health data, aggregated data from an organization, or other scholarly resource).
Explain the findings of evidence-based or scholarly sources regarding the need to address your chosen issue and pursue potential change or implementation plans.
Does not identify the findings of evidence-based or scholarly sources.
Identifies the findings of evidence-based or scholarly sources, but the relevance to regarding the need to address the chosen issue is unclear or misaligned.
Explains the findings of evidence-based or scholarly sources regarding the need to address your chosen issue and pursue potential change or implementation plans.
Explains the findings of evidence-based or scholarly sources regarding the need to address your chosen issue and pursue potential change or implementation plans. Cites at least four relevant evidence-based or scholarly sources to support explanation.
Explain the predicted outcomes and opportunities for growth as the result of the proposed change or implementation plan.
Does not identify possible outcomes and opportunities of growth.
Identifies possible outcomes and opportunities of growth, but their relationship to the proposed change or implementation plan is unclear.
Explains the predicted outcomes and opportunities for growth as the result of the proposed change or implementation plan.
Explains the predicted outcomes and opportunities for growth as the result of the proposed change or implementation plan. Notes the specific economic benefits for patients and the organization.
Convey purpose, in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and scholarly writing standards.
Does not convey purpose, in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and writing scholarly standards.
Conveys purpose, in an appropriate tone or style. Clear, effective communication is inhibited by insufficient supporting evidence or minimal adherence to applicable writing standards.
Conveys purpose, in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and scholarly writing standards. Attempts to apply APA style and formatting.
Conveys clear purpose, in a tone and style well-suited to the intended audience. Supports assertions, arguments, and conclusions with relevant, credible, and convincing evidence. Exhibits strict and nearly flawless adherence to organizational, professional, and scholarly writing standards, including APA style and formatting. Notes the specific economic benefits for patients and the organization.
NURS FPX 6008 Assessment 1 Proposal of New Economic Opportunity
The role and function of Raulerson Hospital, like all other medical institutions, is to provide quality healthcare for patients. A factor that plays a part in the quality of the healthcare experience is the creation of separate departments for various healthcare services. Different hospitals have separate cardiac departments, liver centres, and urology centres etcetera. The healthcare services at Raulerson Hospital would be significantly improved if a specific Diabetes Care Unit is introduced within the premises. A diabetes clinic is where the patients can meet experts to discuss and treat their condition viz. diabetes (Uk, n.d.). A diabetes center would serve well to help people check their blood sugar levels while simultaneously giving them a place to get in touch with specialists. An annexed diabetes care unit would help centralize the experts and specialists in one place, where they will be easily accessible and reachable by the patients. The reason why someone would choose to go to an actual specialist instead of their usual doctor or GP is the amount of knowledge the former would have about their condition (Uk, n.d.).
Raulerson Hospital is located in Okeechobee, which has a population of 5,724 according to the 2019 census. In 2019, the total prevalence of diabetes worldwide was seen to be 9.3% (Saeedi et al., 2019). Going by that rate, it can be seen that around 530 people are diabetic in a city with a population of 5,724 people. Diabetes needs constant care and consultation, which leads us to understand that it can be highly useful for a specific department/clinic to be introduced in the complex.
Outcomes of Starting a Diabetes Clinic
The six areas of healthcare quality are defined as timeliness, safety, patient-centeredness, efficiency, equity and effectiveness (Agency for Healthcare Research and Quality, 2016). By introducing a diabetes clinic in the Raulerson Hospital, we can focus on patient-centeredness, which will involve the provision of healthcare based on the patient’s history and personality etcetera. Furthermore, the efficiency and effectiveness can also be enhanced due to the fact that the diabetes clinic will work as a separate unit, and since it will be working to fulfil just the singular duty of providing healthcare for diabetes patients, it will do it more efficiently and proficiently as compared to a medical institute working to accommodate all types of patients and treatments.
The setting up of the diabetes unit will be useful for the residents of Okeechobee who have to regularly make trips to the hospital for their treatment. The dedicated diabetes unit will be beneficial since the professionals and the doctors will be able to forge connections with the patients and will be able to correspond and collaborate with them on a more intimate level. Furthermore, going to one doctor or specialist repeatedly helps them understand the personality, idiosyncrasies and history of the patient.
The start-up cost of setting up a diabetes clinic will be significant. Aside from the building and the basic equipment, special equipment for blood tests will also be needed. Nowadays, there is a range of different technological equipment that aids in the various analyses and evaluations related to diabetes.
The positive impact of setting up a diabetes unit is quite apparent and ostensible. However, there are some negative effects such as the burden it will place on the main hospital, and the extra workforce that will be required for its running.
Factors affecting the Setting up of a Separate Diabetes Unit
There are different factors that can play a part in the setting up of the clinic. The Raulerson Hospital is at the centre of the medical complex in Okeechobee. It is a large institution with no considerable competition. This leads us to believe that the environmental factors are in favour of the proposed project. There are several homes and residential units in the vicinity as well which can be a source of steady and regular clients.
The cost of this project in total is calculated to be $400,000. This cost will be solely for the construction of the new building and the new equipment. Since the existing premises of the hospital will be used for this project, there will not be any additional cost for land. The entire capital will be taken from the institution’s reserve.
By looking at the data discussed earlier, an average of around 530 people can be suffering from diabetes in Okeechobee. In this number, there can be a majority of those who are suffering from type 2 diabetes, which needs to be constantly and regularly checked. According to a study, 90% of all diabetics suffer from type 2 (Santos-Longhurst, 2020). This shows that out of the 500 patients, 450 patients will be suffering from type 2 diabetes. With regular appointments, it can be calculated that 50 patients will visit the clinic every week. The consultation fee will be fixed at $100. Even if taken loosely, it can be seen that the clinic will be making a revenue of $5000 every week. Subtracting the expenses, it can be predicted that in the first four to six years, the clinic will break even and record a cash surplus.
Analysis of Supply and Demand for the Diabetes Clinic
From the total of 530 patients calculated from the population, 450 can be understood to be suffering from type 2 diabetes (Santos-Longhurst, 2020). Unlike ERs and UCCs (Urgent Care Centers), the diabetes clinic will not be a one-time treatment spot. Rather, due to the fact that 90% of all diabetics will be suffering from type 2 (which needs repeated consultation and treatment), the clinic will see a steady stream of patients who will regularly visit the premises.
NHS FPX 6008 Assessment 1 Proposing a New Initiative
Since the Raulerson Hospital is the only major general healthcare institution in the vicinity, the concept of competition or loss of clients can be mitigated. There are other medical centres in the vicinity such as the Okeechobee Eye Center and the Dentistry, but these do not deter the progress of the diabetic clinic.
Being the only available institution in the area, it can be predicted that there will be a positive demand for the diabetic healthcare service that is being proposed.
The project is, however, not free of areas of uncertainty. The limited number of patients in a small place such as Okeechobee can pose a threat to the sustainability of the project. Similarly, unresponsiveness from the patient’s side or simple unawareness about the seriousness of their condition can pose similar threats to the success of the diabetes clinic.
Conclusion
The above-given economic and environmental data supports the viability of this project by illustrating the number of diabetes patients in the area, as well as the percentage of type 2 patients among said diabetics. The costs calculated for the project also point to the fact that this project will prove to be beneficial for the institution by breaking even quite early in its existence. All this data shows that setting up a diabetic department/clinic will be a lucrative idea.
References
Saeedi, P., Petersohn, I., Salpea, P., Malanda, B., Karuranga, S., Unwin, N., . . . Williams, R. (2019). Global and regional diabetes prevalence estimates for 2019 and projections for 2030 and 2045: Results from the International Diabetes Federation Diabetes Atlas, 9th edition. Diabetes Research and Clinical Practice, 157, 107843. /orders/doi.org/10.1016/j.diabres.2019.107843
Santos-Longhurst, A. (2020, August 15). Type 2 Diabetes Statistics and Facts. Retrieved June 9, 2021, from /orders/www.healthline.com/health/type-2-diabetes/statistics#:%7E:text=Worldwide,have%20diabetes%20have%20type%202.
Agency for Healthcare Research and Quality. (2016). The six domains of health care quality. /orders/ahrq.gov/professionals/quality-patient safety/talkingquality/create/sixdomains.html
NURS FPX 6004 Assessment 3 Training Session for Policy Implementation
Develop a 2-5-page training strategies summary and annotated agenda for a training session that will prepare a role group to succeed in implementing your proposed organizational policy and practice guidelines.
Introduction
Training and educating those within an organization who are responsible for implementing and working with changes in organizational policy is a critical step in ensuring that prescribed changes have their intended benefit. A leader in a health care profession must be able to apply effective leadership, management, and educational strategies to ensure that colleagues and subordinates will be prepared to do the work that is asked of them.
As a master’s-level health care practitioner, you may be asked to design training sessions to help ensure the smooth implementation of any number of initiatives in your health care setting. The ability to create an agenda that will ensure your training goals will be met, and will fit into the allotted time, is a valuable skill for preparing colleagues to be successful in their practice.
Note: Remember that you can submit all, or a portion of, your draft strategy summary and annotated training agenda to Smarthinking for feedback, before you submit the final version for this assessment. If you plan on using this free service, be mindful of the turnaround time of 24–48 hours for receiving feedback.
To help ensure a smooth rollout and implementation of your proposed policy and practice guidelines, design a training session for one of the role groups in the organization that will be responsible for implementation.
Write a brief summary of your strategies for working with your chosen role group.
Explain how this training session will help prepare the group to succeed in implementing your proposed policy and practice guidelines, and why you chose this group to pilot your proposal.
Prepare an annotated agenda for a two-hour training session.
During this training session, you will want to ensure that the individuals you are training understand the new policy and practice guidelines. You will need them to buy into the importance of the policy in improving the quality of care or outcomes and their key role in successful policy implementation. You must help them acquire the knowledge and skills they need to be successful in implementing the policy and practice guidelines.
As outcomes of this training session, participants are expected to:
Understand the organizational policy and practice guidelines to be implemented.
Understand the importance of the policy to improving quality or outcomes.
Understand that, as a group, they are key to successful implementation.
Possess the necessary knowledge and skills for successful implementation.
Requirements
The strategy summary and annotated training agenda requirements outlined below correspond to the scoring guide criteria, so be sure to address each main point. Read the performance-level descriptions for each criterion to see how your work will be assessed. In addition, be sure to note the requirements for document format and length and for supporting evidence.
Summarize evidence-based strategies for working with the role group to obtain their buy-in and prepare them to implement the new policy and apply the associated practice guidelines to their work.
Why will these strategies be effective?
What measures might provide early indications of success?
Explain the impact of the new policy and practice guidelines.
How they will be implemented?
How will they affect the daily work routines and responsibilities of the role group?
Justify the importance of the new policy and practice guidelines with regard to improving the quality of care or outcomes related to the role group’s work.
How will the policy and guidelines help improve the quality of care or outcomes?
Explain the role group’s importance in implementing the new policy and practice guidelines.
Why is the work and buy-in of the role group important for successful implementation?
How could you help the group feel empowered by their involvement during implementation?
Determine appropriate and effective instructional content, learning activities, and materials for the training session.
How will each proposed activity on your agenda support learning and skill development?
Can you complete the training within the allotted two hours?
Organize content so ideas flow logically with smooth transitions.
Proofread your strategy summary and training agenda, before you submit it, to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your strategies.
Support main points, assertions, arguments, conclusions, or recommendations with relevant and credible evidence.
Be sure to apply correct APA formatting to source citations and references.
Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:
A title page and references page. An abstract is not required.
A running head on all pages.
Appropriate section headings.
Be sure your strategy summary and agenda is 2–5 pages in length, not including the title page and references page.
Supporting Evidence
Cite 2–4 external sources to support your strategies for working with the group you have identified and generating their buy-in, as well as for your approach to the training session, activities, and materials.
Note: Faculty may use the Writing Feedback Tool when grading this assessment. The Writing Feedback Tool is designed to provide you with guidance and resources to develop your writing based on five core skills. You will find writing feedback in the Scoring Guide for the assessment, once your work has been evaluated.
Portfolio Prompt: You may choose to save your strategy summary and agenda to your ePortfolio.
Competencies Measured
By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:
Competency 1: Analyze relevant health care laws, policies, and regulations; their application; and their effects on organizations, interprofessional teams, and professional practice.
Explain the impact of new policy and practice guidelines.
Competency 2: Lead the development and implementation of ethical and culturally sensitive policies that improve health outcomes for individuals, organizations, and populations.
Justify the importance of a new policy and practice guidelines with regard to improving the quality of care or outcomes related to a selected role group’s work.
Determine appropriate and effective instructional content, learning activities, and materials for a training session.
Competency 4: Develop strategies to work collaboratively with policy makers, stakeholders, and colleagues to address environmental (governmental and regulatory) forces.
Summarize evidence-based strategies for working with a selected role group to promote their buy-in and prepare them to implement a new policy and apply associated practice guidelines to their work.
Explain a selected role group’s importance in implementing a new policy and practice guidelines.
Competency 5: Produce clear, coherent, and professional written work, in accordance with Capella’s writing standards.
Organize content so ideas flow logically with smooth transitions.
Support main points, assertions, arguments, conclusions, or recommendations with relevant and credible evidence.
SCORING GUIDE
Use the scoring guide to understand how your assessment will be evaluated.
Training Session for Policy Implementation Scoring Guide
CRITERIA
NON- PERFORMANCE
BASIC
PROFICIENT
DISTINGUISHED
Summarize
Does not suggest
Suggests poorly-
Summarizes
Succinctly summarizes evidence-
evidence-based
approaches for
developed
evidence-based
based strategies for working with a
strategies for
working with a
approaches for
strategies for
selected role group to promote
working with a
specific group to
working with a
working with a
their buy-in and prepare them to
selected role group
ensure buy-in
specific group,
selected role
implement a new policy and apply
to promote their
and
which will not
group to promote
associated practice guidelines to
buy-in and prepare
preparedness to
clearly ensure
their buy-in and
their work. Argues effectively for
them to implement a
implement a
buy-in and
prepare them to
the efficacy of these strategies and
new policy and
policy and apply
preparedness, or
implement a new
suggests insightful measures
apply associated
practice
strategies are not
policy and apply
indicative of early success.
practice guidelines
guidelines.
supported by
associated
to their work.
evidence.
practice
guidelines to their
work.
Explain the impact
Does not
Describes a new
Explains the
Explains the impact of a new
of a new policy and
describe a new
policy and
impact of a new
policy and practice guidelines.
practice guidelines.
policy and
practice
policy and
Offers clear insight into their
practice
guidelines.
practice
implementation and effects on the
guidelines.
guidelines.
role group’s daily work routines
and responsibilities. Interprets
complex policy considerations or
practice guidelines with respect
and clarity.
Justify the
Does not justify
Presents
Justifies the
Justifies the importance of a new
importance of a new
the importance of
unconvincing
importance of a
policy and practice guidelines with
policy and practice
a new policy and
justification for the
new policy and
regard to improving the quality of
guidelines with
practice
importance of a
practice
care or outcomes related to a
regard to improving
guidelines with
new policy and
guidelines with
selected role group’s work.
the quality of care or
regard to
practice
regard to
Presents a compelling and
outcomes related to
improving the
guidelines with
improving the
persuasive argument that will
a selected role
quality of care or
regard to
quality of care or
appeal to the group.
group’s work.
outcomes related
improving the
outcomes related
to a selected role
quality of care or
to a selected role
group’s work.
outcomes related
group’s work.
to a selected role
group’s work.
Explain a selected
Does not
Describes the
Explains a
Provides a clear, concise,
role group’s
describe the
selected group’s
selected role
explanation of a selected role
importance in
selected group’s
role in
group’s
group’s importance in
implementing a new
role in
implementing a
importance in
implementing a new policy and
policy and practice
implementing a
new policy and
implementing a
practice guidelines. Suggests an
guidelines.
new policy and
practice
new policy and
empowering, future vision
practice
guidelines.
practice
highlighting the positive
guidelines.
guidelines.
contributions of the group.
CRITERIA
NON- PERFORMANCE
BASIC
PROFICIENT
DISTINGUISHED
Determine
Does not
Describes
Determines
Determines appropriate and
appropriate and
describe
instructional
appropriate and
effective instructional content,
effective
instructional
content, activities,
effective
learning activities, and materials
instructional
content, learning
and materials for
instructional
for a training session. Provides
content, learning
activities, and
a training session.
content, learning
convincing justification for the
activities, and
materials for a
activities, and
effectiveness of each proposed
materials for a
training session.
materials for a
activity in supporting learning and
training session.
training session.
skill development, exhibiting
insight into the group’s work and
the particular demands of
implementing a new policy and
practice guidelines.
Organize content so
Does not
Organizes content
Organizes content
Organizes content so clarity is
ideas flow logically
organize content
with some logical
so ideas flow
enhanced and all ideas flow
with smooth
for ideas to flow
flow and smooth
logically with
logically with smooth transitions.
transitions.
logically with
transitions.
smooth
smooth
transitions.
transitions.
Support main
Does not support
Sources lack
Supports main
Supports main points, assertions,
points, assertions,
main points,
relevance or
points, assertions,
arguments, conclusions, or
arguments,
assertions,
credibility, or the
arguments,
recommendations with relevant,
conclusions, or
arguments,
evidence is not
conclusions, or
credible, and convincing evidence.
recommendations
conclusions, or
persuasive or
recommendations
Skillfully combines virtually error-
with relevant and
recommendations
explicitly
with relevant and
free source citations with a
credible evidence.
with relevant and
supportive of main
credible evidence.
perceptive and coherent synthesis
credible
points, assertions,
of the evidence.
evidence.
arguments,
conclusions, or
recommendations.
NURS FPX 6004 Assessment 2 Policy Proposal
Assessment 2 Instructions: Policy Proposal
Introduction
In advocating for institutional policy changes related to local, state, or federal health care laws or policies, health leaders must be able to develop and present clear and well-written policy and practice guideline proposals that will enable a team, a unit, or an organization as a whole to resolve relevant performance issues and bring about improvements in the quality and safety of health care. This assessment offers you an opportunity to take the lead in proposing such changes.
As a master’s-level health care practitioner, you have a valuable viewpoint and voice on policy development, both inside and outside your care setting. Developing policy for internal purposes can be a valuable process toward quality and safety improvement, as well as ensuring compliance with various health care regulatory pressures. This assessment offers you an opportunity to take the lead in proposing such changes.
Instructions
Propose an organizational policy and practice guidelines that you believe will lead to an improvement in quality and performance associated with the benchmark underperformance you advocated for improving in Assessment 1. Be precise, professional, and persuasive in demonstrating the merit of your proposed actions.
Requirements
The policy proposal requirements outlined below correspond to the scoring guide criteria, so be sure to address each main point. Read the performance-level descriptions for each criterion to see how your work will be assessed.
In addition, be sure to note the requirements for document format and length and for supporting evidence.
Explain the need for creating a policy and practice guidelines to address a shortfall in meeting a benchmark metric prescribed by local, state, or federal health care policies or laws.
What is the current benchmark for the organization and the numeric score for the underperformance?
How is the benchmark underperformance potentially affecting the provision of quality care or the operations of the organization?
What are the potential repercussions of not making any changes?
What evidence supports your conclusions?
Summarize your proposed organizational policy and practice guidelines.
Identify applicable local, state, or federal health care policy or law that prescribes relevant performance benchmarks that your policy proposal addresses.
Keep your audience in mind when creating this summary.
Analyze the potential effects of environmental factors on your recommended practice guidelines.
What regulatory considerations could affect your recommended guidelines?
What resources could affect your recommended guidelines (staffing, financial, and logistical considerations, or support services)?
Explain ethical, evidence-based practice guidelines to improve targeted benchmark performance and the impact the proposed changes will have on the targeted group.
What does the evidence-based literature suggest are potential strategies to improve performance for your targeted benchmark?
How would these strategies ensure performance improvement or compliance with applicable local, state, or federal health care policy or law?
How can you ensure that these strategies are ethical and culturally inclusive in their application?
What is the direct impact of these changes on the stakeholders’ work setting and job requirements?
Explain why particular stakeholders and groups must be involved in further development and implementation of your proposed policy and practice guidelines.
Why is it important to engage these stakeholders and groups?
How can their participation produce a stronger policy and facilitate its implementation?
Present strategies for collaborating with the stakeholder group to implement your proposed policy and practice guidelines.
What role will the stakeholder group play in implementing your proposal?
Why is the stakeholder group and their collaboration important for successful implementation?
Organize content so ideas flow logically with smooth transitions.
Proofread your proposal, before you submit it, to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your proposal.
Use paraphrasing and summarization to represent ideas from external sources.
Be sure to apply correct APA formatting to source citations and references.
Policy Proposal Format and Length
It may be helpful to use a template or format for your proposal that is used in your current organization. The risk management or quality department could be a good resource for finding an appropriate template or format. If you are not currently in practice, or your organization does not have these resources, many appropriate templates are freely available on the Internet.
Your policy should be succinct (about one paragraph). Overall, your proposal should be 4–6 pages in length.
Supporting Evidence
Cite 3–5 references to relevant research, case studies, or best practices to support your analysis and recommendations.
Portfolio Prompt: You may choose to save your policy proposal to your ePortfolio.
Competencies Measured
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:
Competency 1: Analyze relevant health care laws, policies, and regulations; their application; and their effects on organizations, interprofessional teams, and professional practice.
Explain and interpret for stakeholders the need for creating a policy and practice guidelines to address a shortfall in meeting a benchmark metric prescribed by local, state, or federal health care policies or laws.
Competency 2: Lead the development and implementation of ethical and culturally sensitive policies that improve health outcomes for individuals, organizations, and populations.
Summarize a proposed organizational policy or practice change guideline and analyze the potential effects of environmental factors on recommended practice guidelines.
Competency 3: Evaluate relevant indicators of performance, such as benchmarks, research, and best practices, to inform health care laws and policies for patients, organizations, and populations.
Explain how ethical, evidence-based practice guidelines to improve targeted benchmark performance will impact a stakeholder group needed for successful implementation of the policy or practice change.
Competency 4: Develop strategies to work collaboratively with policy makers, stakeholders, and colleagues to address environmental (governmental and regulatory) forces.
Explain why particular stakeholders and groups must be involved in further development and implementation of a proposed policy or practice change to improve quality and outcomes. Present strategies for collaborating with a stakeholder group to implement a proposed policy and practice guidelines.
Competency 5: Produce clear, coherent, and professional written work, in accordance with Capella’s writing standards.
Organize content so ideas flow logically with smooth transitions.
Support main points, assertions, arguments, conclusions, or recommendations with relevant and credible evidence.
ADDITIONAL INSTRUCTIONS FOR THE CLASS
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Discussion Questions (DQ)
Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.
Weekly Participation
Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week. NHS FPX6008 Assessment 4: Lobbying for Change
APA Format and Writing Quality
Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes
I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.
LopesWrite Policy
For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score. NHS FPX6008 Assessment 4: Lobbying for Change
Late Policy
The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
Communication
Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.
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NURS FPX 6004 Assessment 3 Training Session for Policy Implementation
NURS FPX 6004 Assessment 3 Training Session for Policy Implementation
Learner’s Name Capella University
NHS6004: Health Care Law and Policy Instructor Name
January 1, 2021
Training Session for Policy Implementation
Sound policy and practice guidelines for the management of medication errors are critical for a premier medical center such as Mercy Medical Center. For the successful implementation of the policy on managing medication errors, members of the nursing staff at the medical center who will be responsible for enacting the policy must thoroughly understand the strategies prescribed by the policy. A training program designed for staff members will ensure effective dissemination of the knowledge and skills required to implement the policy guidelines. The training program outlined in this paper will be conducted for a pilot group of 20 members of the nursing staff from the pediatric division of the medical center.
Promoting Nurses’ Buy-In
According to Ruddy et al. (2016), for authentic transformation of medical practice technical changes are necessary but not sufficient. Systemic practice changes happen when those who practice are transformed. In a study by French-Bravo et al. (2020), nurses perceived that strong communicative relationships with nurse managers encouraged their buy-in to organizational initiatives. Nurse managers developed such strong relationships with nurses through multimodal approaches to communicating with nurses and influencing them. In addition to communicating information through email, huddles, and staff meetings, nurse managers communicated the rationale for change using data in the form of statistics, facts, and patient feedback comments. Nurse managers also served as role models to influence change, influenced the culture of units, and demonstrated characters such as approachableness and attentiveness to influence nurses. Nurse managers also facilitated change through management support and staff engagement through strategies such as making time to listen to nurses’ concerns and supporting them as individuals and collectively as a team. A staff-led decision-making approach facilitated by nurse managers involved helping staff understand unit goals, supporting them to drive the work of the unit, and increasing manager-facilitated peer communication (French-Bravo et al., 2020). Nurse managers, head nurses, and other members of nursing leadership will therefore play a crucial role in promoting buy-in of nurses to implement the policy and practice guidelines.
Early Indicators of Success
Three types of indicators can project the success of the policy at an early stage: structural indicators, process indicators, and outcome indicators. Structural indicators emphasize the quality of organizational aspects, for example, the availability and effective functioning of equipment such as automated dispensing cabinets. Process indicators focus on the process of care delivery. Efficiency in prescription management and in diagnosis management are two process indicators that measure the effectiveness of the policy. Outcome indicators are result oriented. Reduction in readmission rates, reduction in postsurgical wound infection rates, and patient experience are a few outcome indicators that can measure the success of the policy (Grol et al., 2013).
Nurses’ perceptions about automated dispensing cabinets are important indicators of their readiness to implement the practice guidelines (Metsämuuronen et al., 2020). Understanding their perceptions will help the center’s management gauge the success of initiatives aimed at promoting buy-in. Survey questionnaires that include questions related to the change in policy and practice guidelines can be developed to measure nurses’ perceptions about changes in their work environment (Norman & Sjetne, 2017).
Impact of Policy and Practice Guidelines
The policy on the management of medication errors states the procedure that must be followed in case of a medication error. The scope of the policy extends to the nursing, emergency care, and medical staff employed at Mercy Medical Center (Black County Partnership, 2015). The policy requires that the medical center form a multidisciplinary committee. This committee will assess potential discrepancies and address shortfalls in medication processes (Weant et al., 2014).
Approaches to reduce medication errors include setting up a standardized medication error analysis system and implementation of automated dispensing cabinets. To set up a standardized medication error analysis system, the multidisciplinary committee should classify, prioritize, and regularize the process of reporting medication errors. Understanding the causes of medication errors through medication error analysis becomes simpler with the availability of accurate data. Automated dispensing cabinets are computerized systems for medicine management and are installed in health care units. These cabinets are used to manage errors that occur when dispensing medication. The cabinets store and dispense medication and electronically track drug inventory (Weant et al., 2014).
Impact of Policy Implementation on Nurses’ Work
Medication errors are indicative of poor-quality health care services in a medical center. The proposed policy can prevent medication errors, ensure patient safety, help the medical center avoid litigation for medical negligence, prevent harm to the medical center’s reputation, and reduce unnecessary expenses (Black County Partnership, 2015). A study by Bourcier et al. (2016), indicated that implementation of automated dispensing cabinets dramatically reduced the time that head nurses spent on weekly inventories and orders. This allowed nurses and head nurses to focus on their core responsibilities. The policy and guidelines change will increase the efficiency of the nursing staff by decreasing the effort and time spent on medication procedures, which will increase the job satisfaction of the members of the nursing staff.
Concerns Over the Policy
The pilot group selected will be trained on the two strategies: installation and use of automated dispensing cabinets and standardized medication error analysis. Staff members could be apprehensive about reporting errors considering the degree of fatality of the error and the disciplinary action as a consequence of underreporting (Chu, 2016). Such apprehension may cause the nursing staff to object to the establishment of a standardized system for medication error analysis. Implementation of the second strategy, installation of automated dispensing cabinets, would be beneficial for medication management and prevention of errors; however, automated dispensing cabinets can potentially cause errors in the retrieval of medication in case of mismanagement of medical inventory (Weant et al., 2014). This could be a potential concern for the nursing staff.
Interpreting the Policy for Nursing Staff
One of the complexities of implementing the strategies of the policy is deciding to report an event as a medication error. The lack of standard definitions for medication errors leads to unidentified errors because there is uncertainty around whether an error needs to be reported.
The implementation of a standardized system for medication error analysis would require that medication errors be clearly defined. This would help nurses identify medication errors accurately and report them (Chu, 2016).
The number of medication errors in Mercy Medical Centre’s medical and surgical units increased by 50% from 2015 to 2016. Most medication errors occur during medication administration by nursing staff (Ofusu & Jarrett, 2015). The training program on policy implementation, therefore, intends to familiarize the nursing staff with complex sections of the policy such as the repercussions of negligence and the protocol to be followed while addressing medication errors. The nursing staff will also be clearly informed of the chain of command for the purpose of reporting errors.
Importance of Policy and Practice Guidelines in Nurses’ Work
Improved management of medication errors could reduce stress and improve work satisfaction for nurses. A study by Metsämuuronen et al. (2020) assessed perceptions of nurses in an observational study and an online survey to find that nurses believed that automated dispensing cabinets would make their work easier. The nurses were able to save time and focus on direct patient care activities. Another such study by Zaidan et al. (2016) has also indicated that nurses were satisfied with the implementation and believed that these systems were easy to use and helped them carry out their job safely.
Role of Nursing Staff in Policy Implementation
Nursing staff plays an important role in the implementation of a medication error management policy because of their proximity to patients and medication processes. A nurse is the last person involved in the administering of drugs. A nurse is responsible for physically administering the right drug to a patient and can therefore easily identify and correct any error in the medication process (Ofusu & Jarrett, 2015). In order to ensure that the policy on managing medication errors is implemented efficiently, the nursing staff must focus on maintaining accuracy and regularity in reporting medication errors. The nursing staff can prevent errors in drug administration by practicing the five rights: right dose, right patient, right time, right drug, and right route. The nursing staff can ensure that there are no medication errors while administering medication. Some ways the nursing staff can contribute positively toward policy implementation include calculating the amount of drugs accurately, reducing distractions while administering medication, informing patients about the effects of a drug, and continuous revision of pharmacological knowledge (Chu, 2016).
Training Nursing Staff on the Policy
Nursing staff is involved in medication processes such as prescription and administration of medication. During drug administration, a nurse is the last person who may be able to rectify errors. While patient safety is a priority for nursing staff, they cause most medication errors because of constant distractions and interruptions in their work routine (Ofusu & Jarrett, 2015). It is important to train the nursing staff on the guidelines of the policy as inexperienced and untrained staff may not be able to anticipate or identify a medication error. The policy on managing medication errors requires that automated dispensing cabinets be set up and medication error analysis be performed. For the successful implementation of automated dispensing cabinets, it is crucial that the nursing staff be trained on the safe use of these devices. While automated dispensing cabinets are introduced to reduce errors, their incorrect usage can create problems in dispensing medication (Hamilton-Griffin, 2016). To implement the second strategy, namely medication error analysis, nursing staff must be trained on new procedures that will enable them to accurately and regularly report medication errors. Reinforcing the importance of reporting during training will encourage nurses to adopt the medication error reporting procedures, ensuring the availability of adequate data to perform a medication error analysis.
Training Process
A 2-hour workshop will be conducted to train the nursing staff on the use of automated dispensing cabinets and medication error analysis. A day before the training, a questionnaire will be circulated to the pilot group to assess their understanding of the two strategies. This workshop
will be divided into two sessions of an hour each. The first session will be conducted by local opinion leaders, who are individuals recognized as clinical experts in a specific field of medication. The opinion leaders will discuss the technical know-how required to operate automated dispensing cabinets and the steps that must be followed for medication error analysis. This session by local opinion leaders would have an influential impact on the nursing staff because of the presence of a familiar figure whose credentials are known.
The second session will involve simulation-based training. Here, the staff will participate in situations in which they have to operate automated dispensing cabinets and perform a mock medication error analysis. This session will give the staff real-world experience and provide insights into potential complexities they may encounter while using the automated dispensing cabinets or conducting a medication error analysis (Grol et al., 2013).
Training Material for Skill Development
Each participant will be given a handout containing the policy guidelines, a document listing the steps to follow while conducting a medication error analysis, and a user manual for the use of automated dispensing cabinets. In addition, a printed version of the content covered by the opinion leader will also be provided to the staff for future reference. In order to ensure continuous learning, the nursing staff will be given access to a virtual classroom using a log-in ID and password to access lectures and self-learning exercises (Grol et al., 2013). The handouts and the virtual learning material will be designed to help the staff members develop skills such as critical thinking and attention to detail and the confidence required to implement the strategies of the policy.
Conclusion
The policy on the management of medication errors was proposed by the leadership of Mercy Medical Center to reduce and prevent the occurrence of medication errors. For the successful implementation of the policy, it is essential to design a training program for the hospital staff on the various strategies of the policy. The program will help staff members understand the importance of managing medication errors, thereby improving patient safety, the medical center’s reputation, and the staff’s job satisfaction.
Bourcier, E., Madelaine, S., Archer, V., Kramp, F., Paul, M., & Astier, A. (2016).
Implementation of automated dispensing cabinets for management of medical devices in an intensive care unit: Organisational and financial impact. European Journal of Hospital Pharmacy, 23(2), 86–90. /orders/europepmc.org/article/pmc/6451497
Chu, R. Z. (2016). Simple steps to reduce medication errors. Nursing 2016, 46(8), 63–65. /orders/doi.org/10.1097/01.nurse.0000484977.05034.9c
Grol, R., Wensing, M., Eccles, M., & Davis, D. (2013). Improving patient care: The implementation of change in health care. /orders/ebookcentral-proquest- com.library.capella.edu/lib/capella/reader.action?docID=1153537
Hamilton-Griffin, K. (2016). Developing improvement strategies on the use of automated dispensing cabinets to reduce medication errors in a hospital setting (Doctoral dissertation). ProQuest. (Order No. 10127834)
French‐Bravo, M., Nelson‐Brantley, H. V., Williams, K., Ford, D. J., Manos, L., & Veazey Brooks, J. (2020). Exploring nurses’ perceptions of nurse managers’ communicative relationships that encourage nurses’ decisions to buy‐in to initiatives that enhance patients’ experiences with care. Journal of Nursing Management, 28(3), 567– 576. /orders/doi-org.library.capella.edu/10.1111/jonm.12958
Metsämuuronen, R., Kokki, H., Naaranlahti, T., Kurttila, M., & Heikkilä, R. (2020). Nurses´ perceptions of automated dispensing cabinets — an observational study and an online survey. BMC Nursing, 19, 1-9. /orders/doi.org/10.1186/s12912-020-00420-2
Norman, R. M., & Sjetne, I. S. (2017). Measuring nurses’ perception of work environment: A scoping review of questionnaires. BMC Nursing, 16(1), 66. /orders/doi.org/10.1186/s12912-017-0256-9
Ofusu, R., & Jarrett, P. (2015). Reducing nurse medicine administration errors. Nursing Times, 111(20), 12–14.
Ruddy, M. P., Thomas-Hemak, L. & Meade, L. (2016). Practice Transformation. Academic Medicine, 91(5), 624–627. /orders/doi.org/10.1097/ACM.0000000000001059
Weant, K. A., Bailey, A. M., & Baker, S. N. (2014). Strategies for reducing medication errors in the emergency department. Open Access Emergency Medicine, 6, 45–55. /orders/doi.org/10.2147/OAEM.S64174
Zaidan, M., Rustom, F., Kassem, N., Al Yafei, S., Peters, L., & Ibrahim, M. I. M. (2016).
Nurses’ perceptions of and satisfaction with the use of automated dispensing cabinets at the Heart and Cancer Centers in Qatar: a cross-sectional study. BMC nursing, 15(1), 4. /orders/doi.org/10.1186/s12912-015-0121-7
NURS FPX 6004 Assessment 3 Training Session for Policy Implementation
Assessment 4 Instructions: Training Session for Policy Implementation
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Develop a 2-5-page training strategies summary and annotated agenda for a training session that will prepare a role group to succeed in implementing your proposed organizational policy and practice guidelines.
Introduction
Training and educating those within an organization who are responsible for implementing and working with changes in organizational policy is a critical step in ensuring that prescribed changes have their intended benefit. A leader in a health care profession must be able to apply effective leadership, management, and educational strategies to ensure that colleagues and subordinates will be prepared to do the work that is asked of them.
As a master’s-level health care practitioner, you may be asked to design training sessions to help ensure the smooth implementation of any number of initiatives in your health care setting. The ability to create an agenda that will ensure your training goals will be met, and will fit into the allotted time, is a valuable skill for preparing colleagues to be successful in their practice.
Note: Remember that you can submit all, or a portion of, your draft strategy summary and annotated training agenda to Smarthinking for feedback, before you submit the final version for this assessment. If you plan on using this free service, be mindful of the turnaround time of 24–48 hours for receiving feedback.
To help ensure a smooth rollout and implementation of your proposed policy and practice guidelines, design a training session for one of the role groups in the organization that will be responsible for implementation.
Write a brief summary of your strategies for working with your chosen role group.
Explain how this training session will help prepare the group to succeed in implementing your proposed policy and practice guidelines, and why you chose this group to pilot your proposal.
Prepare an annotated agenda for a two-hour training session.
During this training session, you will want to ensure that the individuals you are training understand the new policy and practice guidelines. You will need them to buy into the importance of the policy in improving the quality of care or outcomes and their key role in successful policy implementation. You must help them acquire the knowledge and skills they need to be successful in implementing the policy and practice guidelines.
As outcomes of this training session, participants are expected to:
Understand the organizational policy and practice guidelines to be implemented.
Understand the importance of the policy to improving quality or outcomes.
Understand that, as a group, they are key to successful implementation.
Possess the necessary knowledge and skills for successful implementation.
Requirements
The strategy summary and annotated training agenda requirements outlined below correspond to the scoring guide criteria, so be sure to address each main point. Read the performance-level descriptions for each criterion to see how your work will be assessed. In addition, be sure to note the requirements for document format and length and for supporting evidence.
Summarize evidence-based strategies for working with the role group to obtain their buy-in and prepare them to implement the new policy and apply the associated practice guidelines to their work.
Why will these strategies be effective?
What measures might provide early indications of success?
Explain the impact of the new policy and practice guidelines.
How they will be implemented?
How will they affect the daily work routines and responsibilities of the role group?
Justify the importance of the new policy and practice guidelines with regard to improving the quality of care or outcomes related to the role group’s work.
How will the policy and guidelines help improve the quality of care or outcomes?
Explain the role group’s importance in implementing the new policy and practice guidelines.
Why is the work and buy-in of the role group important for successful implementation?
How could you help the group feel empowered by their involvement during implementation?
Determine appropriate and effective instructional content, learning activities, and materials for the training session.
How will each proposed activity on your agenda support learning and skill development?
Can you complete the training within the allotted two hours?
Organize content so ideas flow logically with smooth transitions.
Proofread your strategy summary and training agenda, before you submit it, to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your strategies.
Support main points, assertions, arguments, conclusions, or recommendations with relevant and credible evidence.
Be sure to apply correct APA formatting to source citations and references.
Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:
A title page and references page. An abstract is not required.
A running head on all pages.
Appropriate section headings.
Be sure your strategy summary and agenda is 2–5 pages in length, not including the title page and references page.
Supporting Evidence
Cite 2–4 external sources to support your strategies for working with the group you have identified and generating their buy-in, as well as for your approach to the training session, activities, and materials.
Note: Faculty may use the Writing Feedback Tool when grading this assessment. The Writing Feedback Tool is designed to provide you with guidance and resources to develop your writing based on five core skills. You will find writing feedback in the Scoring Guide for the assessment, once your work has been evaluated.
Portfolio Prompt: You may choose to save your strategy summary and agenda to your ePortfolio.
Competencies Measured
By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:
Competency 1: Analyze relevant health care laws, policies, and regulations; their application; and their effects on organizations, interprofessional teams, and professional practice.
Explain the impact of new policy and practice guidelines.
Competency 2: Lead the development and implementation of ethical and culturally sensitive policies that improve health outcomes for individuals, organizations, and populations.
Justify the importance of a new policy and practice guidelines with regard to improving the quality of care or outcomes related to a selected role group’s work.
Determine appropriate and effective instructional content, learning activities, and materials for a training session.
Competency 4: Develop strategies to work collaboratively with policy makers, stakeholders, and colleagues to address environmental (governmental and regulatory) forces.
Summarize evidence-based strategies for working with a selected role group to promote their buy-in and prepare them to implement a new policy and apply associated practice guidelines to their work.
Explain a selected role group’s importance in implementing a new policy and practice guidelines.
Competency 5: Produce clear, coherent, and professional written work, in accordance with Capella’s writing standards.
Organize content so ideas flow logically with smooth transitions.
Support main points, assertions, arguments, conclusions, or recommendations with relevant and credible evidence.
SCORING GUIDE
Use the scoring guide to understand how your assessment will be evaluated.
Training Session for Policy Implementation Scoring Guide
CRITERIA
NON- PERFORMANCE
BASIC
PROFICIENT
DISTINGUISHED
Summarize
Does not suggest
Suggests poorly-
Summarizes
Succinctly summarizes evidence-
evidence-based
approaches for
developed
evidence-based
based strategies for working with a
strategies for
working with a
approaches for
strategies for
selected role group to promote
working with a
specific group to
working with a
working with a
their buy-in and prepare them to
selected role group
ensure buy-in
specific group,
selected role
implement a new policy and apply
to promote their
and
which will not
group to promote
associated practice guidelines to
buy-in and prepare
preparedness to
clearly ensure
their buy-in and
their work. Argues effectively for
them to implement a
implement a
buy-in and
prepare them to
the efficacy of these strategies and
new policy and
policy and apply
preparedness, or
implement a new
suggests insightful measures
apply associated
practice
strategies are not
policy and apply
indicative of early success.
practice guidelines
guidelines.
supported by
associated
to their work.
evidence.
practice
guidelines to their
work.
Explain the impact
Does not
Describes a new
Explains the
Explains the impact of a new
of a new policy and
describe a new
policy and
impact of a new
policy and practice guidelines.
practice guidelines.
policy and
practice
policy and
Offers clear insight into their
practice
guidelines.
practice
implementation and effects on the
guidelines.
guidelines.
role group’s daily work routines
and responsibilities. Interprets
complex policy considerations or
practice guidelines with respect
and clarity.
Justify the
Does not justify
Presents
Justifies the
Justifies the importance of a new
importance of a new
the importance of
unconvincing
importance of a
policy and practice guidelines with
policy and practice
a new policy and
justification for the
new policy and
regard to improving the quality of
guidelines with
practice
importance of a
practice
care or outcomes related to a
regard to improving
guidelines with
new policy and
guidelines with
selected role group’s work.
the quality of care or
regard to
practice
regard to
Presents a compelling and
outcomes related to
improving the
guidelines with
improving the
persuasive argument that will
a selected role
quality of care or
regard to
quality of care or
appeal to the group.
group’s work.
outcomes related
improving the
outcomes related
to a selected role
quality of care or
to a selected role
group’s work.
outcomes related
group’s work.
to a selected role
group’s work.
Explain a selected
Does not
Describes the
Explains a
Provides a clear, concise,
role group’s
describe the
selected group’s
selected role
explanation of a selected role
importance in
selected group’s
role in
group’s
group’s importance in
implementing a new
role in
implementing a
importance in
implementing a new policy and
policy and practice
implementing a
new policy and
implementing a
practice guidelines. Suggests an
guidelines.
new policy and
practice
new policy and
empowering, future vision
practice
guidelines.
practice
highlighting the positive
guidelines.
guidelines.
contributions of the group.
CRITERIA
NON- PERFORMANCE
BASIC
PROFICIENT
DISTINGUISHED
Determine
Does not
Describes
Determines
Determines appropriate and
appropriate and
describe
instructional
appropriate and
effective instructional content,
effective
instructional
content, activities,
effective
learning activities, and materials
instructional
content, learning
and materials for
instructional
for a training session. Provides
content, learning
activities, and
a training session.
content, learning
convincing justification for the
activities, and
materials for a
activities, and
effectiveness of each proposed
materials for a
training session.
materials for a
activity in supporting learning and
training session.
training session.
skill development, exhibiting
insight into the group’s work and
the particular demands of
implementing a new policy and
practice guidelines.
Organize content so
Does not
Organizes content
Organizes content
Organizes content so clarity is
ideas flow logically
organize content
with some logical
so ideas flow
enhanced and all ideas flow
with smooth
for ideas to flow
flow and smooth
logically with
logically with smooth transitions.
transitions.
logically with
transitions.
smooth
smooth
transitions.
transitions.
Support main
Does not support
Sources lack
Supports main
Supports main points, assertions,
points, assertions,
main points,
relevance or
points, assertions,
arguments, conclusions, or
arguments,
assertions,
credibility, or the
arguments,
recommendations with relevant,
conclusions, or
arguments,
evidence is not
conclusions, or
credible, and convincing evidence.
recommendations
conclusions, or
persuasive or
recommendations
Skillfully combines virtually error-
with relevant and
recommendations
explicitly
with relevant and
free source citations with a
credible evidence.
with relevant and
supportive of main
credible evidence.
perceptive and coherent synthesis
credible
points, assertions,
of the evidence.
evidence.
arguments,
conclusions, or
recommendations.
ADDITIONAL INSTRUCTIONS FOR THE CLASS
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Discussion Questions (DQ)
Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.
Weekly Participation
Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week. NURS FPX 6004 Assessment 3 Training Session for Policy Implementation
APA Format and Writing Quality
Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes
I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.
LopesWrite Policy
For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.
Late Policy
The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
Communication
Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours. NURS FPX 6004 Assessment 3 Training Session for Policy Implementation
We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium.
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NURS FPX 6008 Assessment 2 Needs Analysis for Change
Need Analysis for Change
Nurses strive to provide care that promote outcomes such as safety, quality, and efficiency in their practice. Often, they translate evidence-based interventions into practice with the aim of aligning care interventions with the needs and expectations of their patients. However, organizational issues such as shortage of nurses threaten the realization of these outcomes. Therefore, this paper builds on the previous projects by examining further the issue of nursing shortage and the need for addressing it in healthcare.
Summary of the Chosen Economic Issue and Its Impact
The selected issue for the project is inadequate staffing among nurses. According to the data by World Health Statistics Report, America has 3.9 million of the 29 million nurses globally. Despite this, it experienced an acute shortage of more than one million nurses by 2020. The statistics by the American Nurses Association show that more than 275000 nurses will be needed from 2020 to 2030 to fill the current gap in healthcare workforce. The issues of concern contributing to the worsening shortage of nurses in America include aging population, high turnover rates, lack of nursing educators, and inequitable workforce distribution (Haddad et al., 2022). Nursing shortage have negative impacts on healthcare, patients, and colleagues. First, it increases nurses’ workload, which causes burnout, occupational stress, low job satisfaction, and high turnover rates among nurses. Nursing shortage also lowers the quality of care due to increased cases of safety issues such as medical errors in the care process. Communities suffer from poor quality of care, increased safety issues, and disease burden among the population. Nursing shortage also increases costs incurred by healthcare organizations in hiring, training, and struggling to retain their staff (Haryanto, 2019; Marć et al., 2019). Despite the pervasiveness in nursing shortage, minimal interventions have been adopted in my practice site to address the issue. In addition, nurses have not explored evidence-based interventions that can be used to improve retention rates among them. Consequently, it is crucial to implement measures that will address the issue for optimum outcomes in healthcare.
Note: Each assessment in this course builds upon the work you have completed in previous assessments. Therefore, you must complete the assessments in the order in which they are presented.
As a master’s-level health care practitioner, you may sometimes be tasked with the need to complete a systematic evaluation as a way of improving your organization’s outcomes. In this assessment, you will have a chance to practice these skills by completing a systematic evaluation of a unit, facility, or organization that you are familiar with in an attempt to identify the need to address the economic health care issue that you presented in the previous assessment. This systematic evaluation is often referred to as a needs analysis. Understanding how to do a needs analysis will be key as you advance through your career in the health care environment.
Background and Context
As a master’s-level health care practitioner, you may sometimes be tasked with the need to complete a systematic evaluation as a way of improving your organization’s outcomes. In this assessment, you will have a chance to practice these skills by completing a systematic evaluation of a unit, facility, or organization that you are familiar with in an attempt to identify the need to address the economic health care issue that you presented in the previous assessment. This systematic evaluation is often referred to as a needs analysis. Understanding how to do a needs analysis will be key as you advance through your career in the health care environment.
Instructions
Be sure to address each main point. Review the assessment instructions and scoring guide, including performance-level descriptions for each criterion, to ensure you understand the work you will be asked to complete and how it will be assessed. In addition, note the requirements for document format and length and for supporting evidence.
Overall, you will be assessed on the following criteria:
Summarize your chosen economic issue and its impact on your work, organization, colleagues, and community.
Reiterate your rationale for pursuing this issue, as well as the gap contributing to it that you identified in your previous assessment.
Identify any socioeconomic or diversity disparities that exist with how your chosen economic issue impacts any particular groups or populations.
Use at least one piece of evidence to support this disparity (public health data, aggregated data from an organization, or other scholarly resources).
Explain the findings of evidence-based or scholarly sources regarding the need to address your chosen issue and pursue potential change or implementation plans.
For example, if your implementation plan includes the need for increased staffing, you might want to research errors or patient falls that occurred as a result of high patient and low staff ratio in the literature.
Use at least four evidence-based or scholarly sources that are relevant to your chosen topic to support your explanation.
Explain the predicted outcomes and opportunities for growth as the result of the proposed change or implementation plan.
Outcomes and opportunities for growth should focus on economic considerations.
Convey purpose, in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and scholarly writing standards.
Additional Requirements
Length of Submission: 3–5 double-spaced pages.
Number of References: Cite at least four sources of evidence to support your identification of the gap. This could be public health data, a peer-reviewed journal article, or another scholarly source.
APA formatting: Titles, headings, resources, and citations are formatted according to the current APA style.
Note: As you revise your writing, check out the resources listed on the Writing Center’s Writing Support page.
Competencies Measured
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:
Competency 1: Analyze the effects of financial and economic factors (such as cost-benefit, supply and demand, return on investment, and risks) in a health care system on patient care, services offered, and organizational structures and operation.
Summarize the chosen economic issue and its impact on your work, organization, colleagues, and community.
Competency 2: Develop ethical and culturally equitable solutions to economic problems within a health care organization in an effort to improve the quality of care and services offered.
Identify any socioeconomic or diversity disparities that exist with how your chosen economic issue impacts any particular groups or populations.
Competency 3: Justify the qualitative and quantitative information used to guide economic decision making to stakeholders and colleagues.
Explain the findings of evidence-based or scholarly sources regarding the need to address your chosen issue and pursue potential change or implementation plans.
Competency 4: Develop ethical and culturally equitable economic strategies to address dynamic environmental forces and ensure the future security of an organization’s resources and its ability to provide quality care.
Explain the predicted outcomes and opportunities for growth as the result of the proposed change or implementation plan.
Competency 5: Produce clear, coherent, and professional written work, in accordance with Capella writing standards.
Convey purpose, in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and scholarly writing standards.
Needs Analysis for Change Scoring Guide
Criteria
Non-performance
Basic
Proficient
Distinguished
Summarize the chosen economic issue and its impact on your work, organization, colleagues, and community.
Does not provide any type of summary of the chosen economic issue and its impact on your work, organization, colleagues, and community.
Provides an unclear or incomplete summary of the chosen economic issue and its impact on your work, organization, colleagues, and community.
Summarizes the chosen economic issue and its impact on your work, organization, colleagues, and community.
Summarizes the chosen economic issue and its impact on your work, organization, colleagues, and community. Notes the rationale for pursing the issue, as well as a gap contributing to it.
Identify any socioeconomic or diversity disparities that exist with how your chosen economic issue impacts any particular groups or populations.
Does not identify any disparities that exist with regards to the chosen economic issue.
Identifies disparities that exist with regards to the chosen economic issue. However, does not relate the disparities to any socioeconomic or diversity considerations.
Identifies any socioeconomic or diversity disparities that exist with how your chosen economic issue impacts any particular groups or populations.
Identifies any socioeconomic or diversity disparities that exist with how your chosen economic issue impacts any particular groups or populations. Supports assertion by using at least one piece of evidence (public health data, aggregated data from an organization, or other scholarly resource).
Explain the findings of evidence-based or scholarly sources regarding the need to address your chosen issue and pursue potential change or implementation plans.
Does not identify the findings of evidence-based or scholarly sources.
Identifies the findings of evidence-based or scholarly sources, but the relevance to regarding the need to address the chosen issue is unclear or misaligned.
Explains the findings of evidence-based or scholarly sources regarding the need to address your chosen issue and pursue potential change or implementation plans.
Explains the findings of evidence-based or scholarly sources regarding the need to address your chosen issue and pursue potential change or implementation plans. Cites at least four relevant evidence-based or scholarly sources to support explanation.
Explain the predicted outcomes and opportunities for growth as the result of the proposed change or implementation plan.
Does not identify possible outcomes and opportunities of growth.
Identifies possible outcomes and opportunities of growth, but their relationship to the proposed change or implementation plan is unclear.
Explains the predicted outcomes and opportunities for growth as the result of the proposed change or implementation plan.
Explains the predicted outcomes and opportunities for growth as the result of the proposed change or implementation plan. Notes the specific economic benefits for patients and the organization.
Convey purpose, in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and scholarly writing standards.
Does not convey purpose, in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and writing scholarly standards.
Conveys purpose, in an appropriate tone or style. Clear, effective communication is inhibited by insufficient supporting evidence or minimal adherence to applicable writing standards.
Conveys purpose, in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and scholarly writing standards. Attempts to apply APA style and formatting.
Conveys clear purpose, in a tone and style well-suited to the intended audience. Supports assertions, arguments, and conclusions with relevant, credible, and convincing evidence. Exhibits strict and nearly flawless adherence to organizational, professional, and scholarly writing standards, including APA style and formatting. Notes the specific economic benefits for patients and the organization.
ADDITIONAL INSTRUCTIONS FOR THE CLASS
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We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium.
Discussion Questions (DQ)
Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.
Weekly Participation
Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week. NURS FPX 6008 Assessment 2 Needs Analysis for Change
APA Format and Writing Quality
Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes
I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.
LopesWrite Policy
For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.
Late Policy
The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
Communication
Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours. NURS FPX 6008 Assessment 2 Needs Analysis for Change
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NURS FPX 6008 Assessment 1 Identifying a Local Health Care Economic Issue
NURS FPX 6008 Assessment 1 Identifying a Local Health Care Economic Issue
The economy in the United States plays a significant role in determining the diversity of interrelationships between employment, health insurance, costs, and outcomes. Despite the fact that the United States spends more on healthcare, many Americans still cannot afford medical treatment due to a lack of insurance, expensive patient health plans, and distant clinics (Alcaraz et al., 2019). The mission of the Villa Healthcare organization is to reduce suffering by providing quality healthcare to those who cannot afford it, including the elderly, the underserved, the disabled, and the chronically ill. High rates of hospital readmission pose a major economic challenge for villa healthcare. Both patient safety and the surrounding community are suffering as a result of this problem.
Health Care Economic Issue
NURS FPX 6008 Assessment 1 Identifying a Local Health Care Economic Issue
The Villa Healthcare Hospital can be found in Minneapolis, which is the capital city of the state of Minnesota. The Villa Healthcare System consists of a series that includes a variety of medical facilities, including clinics, hospitals, and other medical centers. It is estimated that approximately 800k people are living in the area surrounding the Villa Hospital (Warren, 2020). The majority of the population (7.4%) consists of Whites (both Hispanic and non-Hispanic), while 9% are Black and 7% are Asian American (Warren, 2020). The cultural backgrounds of patients determine how they deal with disease and its treatment. The uncertainty and misinterpretation over cultural differences can destroy the trust and treatment compliance of patients, which are particularly problematic in today’s diverse ethnic environment. The majority of readmissions happen among patients whose medical requirements cannot be fulfilled due to cultural differences. Culture has a significant impact on health. It influences how people think about and talk about health, illness, and death. Also, it influences how they approach disease prevention and health promotion; how they feel and talk about illness and pain; where they go and what treatments they choose; and much more. Villa Healthcare’s high number of hospital readmissions will unavoidably have an adverse impact on the quality of treatment provided to its patients. Increased patient stress from financial burdens and increased death rates are just two examples of the negative health outcomes that are linked to readmission (Beauvais et al., 2022). On the other hand, higher patient satisfaction and better results are connected to lower readmission rates. Inadequate patient education is a significant reason for readmissions.
It has also been discovered that readmitted patients had a greater in-hospital mortality rate. According to the results of previous studies, readmissions cause patients to spend more time in the hospital and resulting in higher costs (Kitzman et al., 2021). Revenue declines as a result of readmissions because of the fines imposed by Medicare and other insurers. Nurses’ workloads, administrative responsibilities, ability to influence scheduling, and morale are all negatively impacted by the high rate of hospital readmissions (Kitzman et al., 2021).
Multiple interventions have been shown to minimize readmission rates among patients who have been discharged. These interventions include medication reconciliation, assessments of patient requirements, patient education, timely scheduling of outpatient visits, and telephone follow-up. There is a 30% reduction in readmissions for patients who can follow their aftercare instructions without confusion (Sinha et al., 2018).
The Rationale for Choosing the Health Care Economic Issue
NURS FPX 6008 Assessment 1 Identifying a Local Health Care Economic Issue
High rates of hospital readmission are problematic for patients, healthcare providers, and the healthcare system as a whole. Reducing hospital readmissions is an important priority with many potential advantages. Reducing the number of patients who need to be readmitted after being discharged is also beneficial because it lowers healthcare costs. The Medicare and Medicaid Services Centers estimate that the Hospital Readmission Reduction Program (HRRP) will save around $521 million annually (Sinha et al., 2018). HRRP is aimed to reduce hospital readmissions by enhancing care integration and communication. Hospital readmissions cost around $25 billion annually due to things like medical errors and problems, ineffective discharge processes, and a lack of coordinated follow-up treatment (Sinha et al., 2018). Better coordination, involvement, and communication help patients understand their diagnoses and treatment strategies. These methods can help improve patient satisfaction by facilitating the hospital-to-home transition. Hospitals must understand the ethical aspect of patient readmission. My experience as a nurse at Villa Healthcare has shown me how a failure to properly educate patients can result in less reliable and equitable treatment of people of various origins and cultures. When nurses are overworked and stressed, they can’t treat patients equally regardless of their race or culture, which damages patients’ trust in the care they receive. All of these factors highlight the rationale for choosing the economic issue of hospital readmissions.
Effects of Healthcare Economic Issues on the Organization, Colleagues, and Community
NURS FPX 6008 Assessment 1 Identifying a Local Health Care Economic Issue
The elevated levels of hospital readmissions have negatively impacted my career and contributed to my stress levels. Since we regularly have to work overtime, my coworkers and I are inevitably distressed and frequently make more errors. Due to the increasing workload, we were unable to provide quality care for the patients. Patients who are readmitted multiple times develop a dependency on a healthcare system. Because of their inability to self-manage their illness, they are repeatedly readmitted to the hospital. Repeated readmission is a problem for many patients, creating a vicious cycle. Single readmission to hospital costs around $11,200 (Winograd et al., 2020). Everyone at Villa Healthcare is stressed and received insufficient acknowledgment for their efforts.
NURS FPX 6008 Assessment 1 Identifying a Local Health Care Economic Issue
Furthermore, the Villa Healthcare hospital readmissions could lead to further increased costs, lower wages, higher tax rates, and a deprived economy overall. In addition to this issue, there is the concern of lengthy wait durations for individuals who require immediate medical assistance. Waiting times ultimately lowers community service quality. A decline in health outcomes has the potential to harm the hospital’s profitability and reputation in the community. It would be necessary for patients to return to Villa Healthcare in the event of a wrong diagnosis or inadequate patient education. In addition, the organization suffers greatly from the high rate of readmission in the low-income community. Also, cultural differences can make it hard for nurses to comprehend the requirements of patients from various ethnic groups (Joo & Liu, 2019). That is why they are unable to educate the patients about their treatment, medication, and self-management. Hospital readmissions negatively impact medical care, work, organization, and patient community.
The Gap That Is Contributing to the Need to Address the Economic Issue
NURS FPX 6008 Assessment 1 Identifying a Local Health Care Economic Issue
Five gaps contribute to the need to address the economic issue of hospital readmissions in Villa Healthcare.
NURS FPX 6008 Assessment 1 Identifying a Local Health Care Economic Issue
Disengagement and Non-Compliance: These factors are associated with a patient’s lack of interest or compliance with their treatment plan. The most common reasons for avoidable readmissions are lack of participation and non-compliance.
Health Complications: Some medical issues have a more frequent chance of developing complications that might necessitate a return to the hospital. The majority of individuals with serious diseases like congestive heart disease or individuals who undergo surgeries like amputation end up back in the hospital within 1 month, according to studies (Sivaharan et al., 2021).
Inadequate Care Transition: Patients are not prepared for their care transition from hospital to home or another care setting during either the discharge or post-discharge procedures. There is a significant gap in the transition that contributes to the problem of hospital readmissions, and that is the lack of follow-up consultations, home health care, and comprehensive care instructions (Sivaharan et al., 2021).
Discharge Instructions Misinterpretations; Due to misunderstandings of their post-hospitalization care instructions, some patients end up being readmitted. They may be underestimating the importance of their therapy or the seriousness of their medication. Sometimes, they don’t understand the directions, or they acquire information that contradicts itself.
Demographic Factors; Recent studies have shown that males, the aged, and individuals from lower socioeconomic backgrounds have a higher risk to require hospital readmission (Minejima & Beringer, 2020). Furthermore, Medicaid and Medicare patients had significantly higher readmission rates than those with private health insurance.
Conclusion
In conclusion, the high readmission rate at Villa Healthcare is linked to a serious healthcare economic issue. This issue is chosen because of the detrimental impact it has on the organization’s effectiveness and the surrounding patient community. It also negatively impacts healthcare workers, the organization, and patients. Gaps in addressing the healthcare economic issue may include disengagement of patients, health complications, inadequate care transition, demographic factors, etc.
References
Alcaraz, K. I., Wiedt, T. L., Daniels, E. C., Yabroff, K. R., Guerra, C. E., & Wender, R. C. (2019). Understanding and addressing social determinants to advance cancer health equity in the United States: A blueprint for practice, research, and policy. CA: A Cancer Journal for Clinicians, 70(1), 31–46.
Beauvais, B., Whitaker, Z., Kim, F., & Anderson, B. (2022). Is the hospital value-based purchasing program associated with reduced hospital readmissions? Journal of Multidisciplinary Healthcare, Volume 15, 1089–1099.
Joo, J. Y., & Liu, M. F. (2019). Nurses’ barriers to care of ethnic minorities: A qualitative systematic review. Western Journal of Nursing Research, 42(9), 019394591988339.
Kitzman, D. W., Whellan, D. J., Duncan, P., Pastva, A. M., Mentz, R. J., Reeves, G. R., Nelson, M. B., Chen, H., Upadhya, B., Reed, S. D., Espeland, M. A., Hewston, L., & O’Connor, C. M. (2021). Physical rehabilitation for older patients hospitalized for heart failure. New England Journal of Medicine, 385(3), 203–216.
Minejima, E., & Wong-Beringer, A. (2020). Impact of socioeconomic status and race on sepsis epidemiology and outcomes. The Journal of Applied Laboratory Medicine.
Sinha, S., Dillon, J., Dargar, S. K., Archambault, A., Martin, P., Frankel, B. A., Lee, J. I., Carmel, A. S., & Safford, M. (2018). What to expect that you’re not expecting: A pilot video education intervention to improve patient self-efficacy surrounding discharge medication barriers. Health Informatics Journal, 25(4), 1595–1605.
Sivaharan, A., Boylan, L., Witham, M. D., & Nandhra, S. (2021). Sarcopenia in patients undergoing lower limb bypass surgery is associated with higher mortality and major amputation rates. Annals of Vascular Surgery, 75, 227–236.
Warren, R. (2020). Reverse migration to Mexico led to US undocumented population decline: 2010 to 2018. Journal on Migration and Human Security, 8(1), 32–41.
Winograd, D., Staggers, K. A., Sebastian, S., Takashima, M., Yoshor, D., & Samson, S. L. (2020). An effective and practical fluid restriction protocol to decrease the risk of hyponatremia and readmissions after transsphenoidal surgery. Neurosurgery.
We are a professional custom writing website. If you have searched for a question and bumped into our website just know you are in the right place to get help with your coursework.
Do you handle any type of coursework?
Yes. We have posted our previous orders to display our experience. Since we have done this question before, we can also do it for you. To make sure we do it perfectly, please fill out our Order Form. Filling the order form correctly will assist our team in referencing, specifications, and future communication.
Is it hard to Place an Order?
1. Click on “Order Now” on the main Menu and a new page will appear with an order form to be filled.
2. Fill in your paper’s requirements in the “PAPER INFORMATION” section and the system will calculate your order price/cost.
3. Fill in your paper’s academic level, deadline, and the required number of pages from the drop-down menus.
4. Click “FINAL STEP” to enter your registration details and get an account with us for record-keeping and then, click on “PROCEED TO CHECKOUT” at the bottom of the page.
5. From there, the payment sections will show, follow the guided payment process and your order will be available for our writing team to work on it.
We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium.
Discussion Questions (DQ)
Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.
Weekly Participation
Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
APA Format and Writing Quality
Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes
I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source. NURS FPX 6008 Assessment 1 Identifying a Local Health Care Economic Issue
LopesWrite Policy
For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.
Late Policy
The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
Communication
Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.
We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium.
Looking for a Similar Assignment? Order a custom-written, plagiarism-free paper
NHS FPX 6103 Assessment 2 Applying the Tripartite Model KP
Teaching is one of the most significant roles of nurse educators. In this role, besides caring for patients, nurse educators who are passionate about teaching dedicate their time to teaching and advocating for nurses (Bullin, 2018). They instruct aspiring nurses in practical educational settings and guide them towards becoming practical nurses. This nurse educator role is nursing teachers, where the role players instruct and guide other nurses towards their nursing profession (Bullin, 2018). The contexts where this role applies in universities, colleges, and research hospitals. Besides teaching in these settings, nursing teachers also care for patients.
The teaching, service, and scholarship expectations for a Nursing Teacher
Teaching and learning are significant in all faculties and for all new educators. However, although teaching is a responsibility in nursing, it is not the only focus for nursing educators. However, nurse educators who take the teaching role must develop it with experience, time, and knowledge (Evans, 2018). Each nursing teacher creates their unique teaching style influenced by pedagogies, individual beliefs, learners’ styles, and philosophies in their academic institutions. It is important for all nursing educator to improve their educational teaching skills for nursing (Herrman, 2019). Concerning service, it is a way of giving time and energy to the community. Nursing teachers can offer their services through serving in nursing school committees, speaking at local events, becoming board and advisory members, and mentoring new faculty. Lastly, they must engage in research to serve their scholarship expectations (Bullin, 2018). They can do this by obtaining grants, publishing material, presenting scholarly work, and consulting.
Publications, Journals, and Conferences that Could be a Fit for the Scholarship of Nursing Teachers
Various platforms support the development of nursing educators and nursing education as a field in nursing. Nursing teachers also find support from various academic professions and platforms. They can use journals like the Journal of Professional Nursing, Nurse Education Today, Journal of Nursing Education, and Teaching and Learning in Nursing (Chang et al., 2018). They could also participate in conferences such as Nursing Advancement Professionals (NAP) Conference, Graduate Nursing Admissions Professional (GNAP) Conference, and CNL Summit. The scholarships created for education in nursing include the creation of teaching plans and assessing methods, knowledge of education-learning theories, role modeling, and program development.
A Plan for Nurse Teachers to Meet their Roles
Indeed, being a nursing teacher is a challenging and demanding role as it prepares individuals to become future nurses. Hence, there is a significant need to be prepared to practice the role and meet all expectations of a nursing teacher. First, it is vital to loving the role. Having a passion for teaching nurses and a desire to make a difference goes a long way in helping nurse teachers to deliver their duties. Secondly, a nurse teacher must possess various elements, including academic knowledge, clinical experience, and excellent communication skills (Reising et al., 2018). Lastly, they must address the needs of their role by addressing various learning styles and establishing innovative ways to deliver content to their students.
Additional qualifications
Although nursing teachers or educators generally do not need certifications, having them is an added advantage. Hence, nurse educators could have certifications like Certified Clinical Research Associate (CCRA) and Certified Clinical Research Coordinator (CCRC) (Meldrum, 2020). Having these certifications can help nurse educators to climb the radar in their profession by attaining coveted positions in nursing education.
Qualifications and Areas of Expertise Related to Teaching in Nursing
For nursing teachers to serve as change agents in their field, they must have several qualifications and expertise. These may include leadership, professionalism, interpersonal skills, and core competencies (Herrman, 2019). These qualifications ate vital because nurse educators deal with people, and they must interact significantly with them for their instructions to be practical.
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We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium.
Discussion Questions (DQ)
Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.
Weekly Participation
Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week. NHS FPX 6103 Assessment 2 Applying the Tripartite Model
APA Format and Writing Quality
Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes
I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.
LopesWrite Policy
For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.
Late Policy
The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
Communication
Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.
We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium.
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NURS FPX 6410 Assessment 1 Presentation to Informatics Staff
Presentation to Informatics Staff
Hello, my name is Yadeisys, and I will deliver a presentation to the nursing informatics staff on the value of nursing practice standards. Along with defining valid and invalid data, I will also review how to utilize the data to examine gaps in nursing practice. Evidence-based practices must be incorporated into treatment and research through nursing informatics.
Applying Theoretical Frameworks or Models
The Empowerment Informatics Framework can assist practicing nurses in using technology ethically to facilitate self-management. It can also assess the methods to implement several interventions (Faustorilla, 2020). Technology helps the nursing staff to focus on patients’ needs first; therefore this is a patient-centered healthcare strategy (Toni et al., 2021). An electronic personal health record (ePHR) has the potential to assist chronic patients with self-management, education, and counseling. The Empowerment Informatics Framework (EIF) is focused on empowering patients in healthcare settings via safe and high-quality care (Toni et al., 2021).
Nurses engage the empowered patient by utilizing health-enabling technologies (HET) and promoting self-care management (Faustorilla, 2020). The EIF exhibits interactions between nurses and patients while collaborating with health-enabling technologies (HET). The main goal of the EIF is to provide patients with the necessary knowledge, skills, and preferences to learn about the management of diseased conditions (Toni et al., 2021).
According to Turley’s Model (1996), nursing informatics is the nexus between the field of informatics and discipline-specific science (nursing). Within the field of nursing science, this paradigm offers a multidisciplinary approach and integrates computer science, information science, and cognitive science (Zhang et at., 2021). These ideas can aid informatics nurse experts in comprehending how nurses make decisions and process information, which will help them develop valuable solutions to support nursing procedures. Because of this, cognitive science is most beneficial to informatics nurse experts who focus on user-related informatics challenges including decision-making and the design of computer interfaces for nurses (Zhang et at., 2021).
Importance of Standards in Nursing Practice
In order to help professional nurses maintain patient safety and clinical competency, standards of practice are established in healthcare settings. American Nurses Association set standards for nursing practices as guidelines. It is a suggested route for safe practices and a tool for effective professional performance. It offers a starting point for assessing the standard of nursing care and boosts effectiveness and efficiency (Poorchangizi et al., 2019). The area of accountability for nurses may be made more transparent through standards. Nurses must be attentive to avoid social and cultural differences and be able to care for patients without passing judgment on them. They must also appreciate and concur with the patient’s values and beliefs. These standards improve interdisciplinary collaboration via following nurses’ standards such as fairness in treatment, promoting patient sovereignty, improvement in benevolence, and non-maleficence (Poorchangizi et al., 2019).
Examples of the Standards of Practice
According to the American Nursing Association’s (ANA) scope and criteria, nurse informaticians (NI) must present a viewpoint that exemplifies nursing values and beliefs. Registered Nurses (RNs) must be able to efficiently gather patient data and information relevant to their health or circumstance (Schmidt & McArthur, 2018). For instance, nurses may collect information about the patient’s family history and monitor blood pressure in hypertensive patients. The nurse would create a care plan after diagnosis and teach the hypertensive patient self-management strategies. In order to enable subsequent access, all the data will be recorded and stored in the EHR (Schmidt & McArthur, 2018).
In order to identify prospective or accurate diagnoses, RNs must be able to examine the data acquired during the evaluation phase. Effective patient outcome prediction should be a skill for registered nurses. RNs can then carry out the chosen plan (Schmidt & McArthur, 2018). This may be accomplished by organizing the patient’s care, including treatment delivery, and encouraging wellness and secure healing settings. No matter their background, nurses must show advocacy and support for their patients’ needs. A registered nurse must be able to communicate with patients, their families, and other medical staff (Zhang et at., 2021).
Distinguishing Between Validated Data & Invalidated Data
While incorrect data give no information about the actual value, valid data represent a fundamental value that yields accurate outcomes. Validation is the process of double-checking data to ensure their accuracy. Data validation guarantees accurate and complete assessment information (Bossen et al., 2019). For instance, the data is deemed legitimate and reliable if a nurse puts the hypertensive patient’s blood pressure data into the system after checking it. The veracity of the data could be impacted by human mistakes, if the data entry process takes longer than expected (Bossen et al., 2019).
Data that is invalid will be not reliable and it could happen due to poor communication, a delay in data entry, or a human mistake. Data validation offers advice on improving data quality and giving a general picture of data that makes it possible to appreciate somewhat and understand study results (Kislaya et al., 2019). Training in data collection, simple and concise form design, lowering the burden of data collection procedure, and assuring data ownership are all factors that increase data quality (Bossen et al., 2019).
How Validated Data Can Identify Gaps in Practice
Validated data decreases the likelihood of finding erroneous results and aids in defect mitigation because it accurately depicts the situation. Validated data identify areas of weakness or deficiency and enable resource refocusing. Validated data aids in examining processes to close practice gaps (Kislaya et al., 2019). Additionally, the distinction between the actual state of practice and the desired state can be made with validated data. This kind of comparison allows for identifying potential improvement gaps and better results. Using established gap analysis techniques helps lower the likelihood of future adverse outcomes for hypertension individuals (Kislaya et al., 2019).
Analyzing the Specific Regulatory Bodies
Big data can only be utilized if security and privacy concerns are handled, regardless of how important they are for the success of all healthcare organizations and how valuable big data is for the advancement of medical knowledge. Data breaches can be prevented by data encryption (Moore & Frye, 2019). This encryption safeguards and maintains data ownership through every stage of the data lifecycle, from the data center to the endpoint. The Health Insurance Portability and Accountability Act is the law that governs the healthcare sector that is the most well-known and prominent (HIPAA). It lays out the necessary precautions that medical professionals and others must take to ensure the privacy of patient records (Moore & Frye, 2019).
For the first time, the HIPAA Privacy Rule establishes national standards to safeguard patients’ medical records and other private health information. In order to minimize privacy and confidentiality concerns, data must be protected while employing technologies like EHR (Oyeleye, 2021). HITECH safeguards sensitive patient data by controlling who gets access to patient records, how patients are informed when there is a breach, and how HITECH and HIPAA compliance laws are upheld. The HITECH Act pushed healthcare organizations to adopt electronic health records and enhance security and privacy of patient information (Oyeleye, 2021).
Evaluating Ethical & Legal Practices
The non-maleficence principle of medical ethics states that a healthcare provider’s top priority should be to protect patients from harm and injury. To support transparent reporting, managers must promote multidisciplinary teamwork. In medical practice, informed consent is a legal notion developed from the ethical standard of autonomy. Regarding medical law and ethics, respect for autonomy refers to self-determination or freedom of choice (Varkey, 2021). Patients have the right to decide the intervention and treatment they want. The patient should be involved in the decision-making process by the medical personnel. Healthcare professionals should teach hypertension patients how to manage their condition independently, to raise awareness of the condition. Managers of public health can encourage openness. For instance, they might educate users on how the system uses and distributes the information that has been gathered about them. This will support transparency, stimulate research and innovation, and assist decision-making (Varkey, 2021).
Transmission of Data, Information, and Plans to Key Stakeholders
The lifeline of any effective hospital or clinic is accurate information. Healthcare staff can only decide on how to diagnose and treat a patient with precise data to examine. The availability of ready-to-use data and information from multiple hospital departments aids in better patient care and increased efficiency (Varkey, 2021). The most crucial stakeholders in any hospital or clinic are the patients. Patients can avoid lengthy wait times in hospitals by efficiently scheduling appointments online. Patients can quickly schedule an appointment based on their availability. Quick access to patient information assists clinicians in managing their time and inefficient therapies. The doctor can gather data from several departments for diagnosis and therapy because EHR combines all the departments (Varkey, 2021). Additionally, it facilitates better patient-doctor communication. Instead of the traditional paperwork needed, nurses can easily input the data collected from a patient with the aid of EHR technology. By using these strategies nursing staff are capable of handling large amounts of data anywhere and anytime.
References
Bossen, C., Pine, K. H., Cabitza, F., Ellingsen, G., & Piras, E. M. (2019). Data work in healthcare: An Introduction. Health Informatics Journal, 25(3), 465-474. /orders/doi.org/10.1177/1460458219864730
Faustorilla, J. F. (2020). Initiating developments of nursing informatics within a caring perspective for Philippine nursing. Journal of Health and Caring Sciences, 2(1), 78-89. /orders/doi.org/10.37719/jhcs.2020.v2i1.rna002
Kislaya, I., Santos, A. J., Lyshol, H., Antunes, L., Barreto, M., Gaio, V., & Nunes, B. (2020). Collecting valid and reliable data: Fieldwork monitoring strategies in a health examination survey. Portuguese Journal of Public Health, 38(2), 81-90. /orders/doi.org/10.1159/000511576
Poorchangizi, B., Borhani, F., Abbaszadeh, A., Mirzaee, M., & Farokhzadian, J. (2019). The importance of professional values from nursing students’ perspective. BMC Nursing, 18(1), 1-7. /orders/doi.org/10.1186/s12912-019-0351-1
Schmidt, B. J., & McArthur, E. C. (2018). Professional nursing values: A concept analysis. Nursing Forum, 53(1), 69-75. /orders/doi.org/10.1111/nuf.12211
Toni, E., Pirnejad, H., Makhdoomi, K., Mivefroshan, A., & Niazkhani, Z. (2021). Patient empowerment through a user-centered design of an electronic personal health record: A qualitative study of user requirements in chronic kidney disease. BMC Medical Informatics and Decision Making, 21(1), 1-15. /orders/doi.org/10.1186/s12911-021-01689-2
Zhang, T., Wu, X., Peng, G., Zhang, Q., Chen, L., Cai, Z., & Ou, H. (2021). Effectiveness of standardized nursing terminologies for nursing practice and healthcare outcomes: A Systematic Review. International Journal of Nursing Knowledge, 32(4), 220–228. /orders/doi.org/10.1111/2047-3095.12315
ADDITIONAL INSTRUCTIONS FOR THE CLASS
Who We Are
We are a professional custom writing website. If you have searched for a question and bumped into our website just know you are in the right place to get help with your coursework.
Do you handle any type of coursework?
Yes. We have posted our previous orders to display our experience. Since we have done this question before, we can also do it for you. To make sure we do it perfectly, please fill out our Order Form. Filling the order form correctly will assist our team in referencing, specifications, and future communication.
Is it hard to Place an Order?
1. Click on “Order Now” on the main Menu and a new page will appear with an order form to be filled.
2. Fill in your paper’s requirements in the “PAPER INFORMATION” section and the system will calculate your order price/cost.
3. Fill in your paper’s academic level, deadline, and the required number of pages from the drop-down menus.
4. Click “FINAL STEP” to enter your registration details and get an account with us for record-keeping and then, click on “PROCEED TO CHECKOUT” at the bottom of the page.
5. From there, the payment sections will show, follow the guided payment process and your order will be available for our writing team to work on it.
We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium.
Discussion Questions (DQ)
Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.
Weekly Participation
Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
APA Format and Writing Quality
Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes
I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.
LopesWrite Policy
For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.
Late Policy
The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
Communication
Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.
We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium.
Looking for a Similar Assignment? Order a custom-written, plagiarism-free paper