MSN FP6026: Analysis Of Position Papers For Vulnerable Populations

MSN FP6026: Analysis Of Position Papers For Vulnerable Populations

MSN FP6026: Analysis Of Position Papers For Vulnerable Populations

Develop a 4–6-page position about a specific health care issue as it relates to a target vulnerable population. Include an analysis of existing evidence and position papers to help support your position. Your analysis should also present and respond to one or more opposing viewpoints.

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

Position papers are a method to evaluate the most current evidence and policies related to health care issues. They offer a way for researchers to explore the views of any number of organizations around a topic. This can help you to develop your own position and approach to care around a topic or issue.

This assessment will focus on analyzing position papers about an issue related to addiction, chronicity, emotional and mental health, genetics and genomics, or immunity. Many of these topics are quickly evolving as technology advances, or as we attempt to push past stigmas. For example, technology advances and DNA sequencing provide comprehensive information to allow treatment to become more targeted and effective for the individual. However as a result, nurses must be able to understand and teach patients about the impact of this information. With this great power comes concerns that patient conditions are protected in an ethical and compassionate manner.

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

  • Competency 1: Design evidence-based advanced nursing care for achieving high-quality population outcomes.
    • Evaluate the evidence and positions of others that could support a team’s approach to improving the quality and outcomes of care for a specific issue in a target population.
    • Evaluate the evidence and positions of others that are contrary to a team’s approach to improving the quality and outcomes of care for a specific issue in a target population.
  • Competency 2: Evaluate the efficiency and effectiveness of interprofessional interventions in achieving desired population health outcomes.
    • Explain the role of the interprofessional team in facilitating improvements for a specific issue in a target population.
  • Competency 3: Analyze population health outcomes in terms of their implications for health policy advocacy.
    • Explain a position with regard to health outcomes for a specific issue in a target population.
  • Competency 4: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with organizational, professional, and scholarly standards.
    • Communicate an initial viewpoint regarding a specific issue in a target population and a synthesis of existing positions in a logically structured and concise manner, writing content clearly with correct use of grammar, punctuation, and spelling.
    • Integrate relevant sources to support assertions, correctly formatting citations and references using APA style.

 

Position papers are a way for individuals, groups, and organizations to express their views and intentions toward a specific issue. In health care, many position papers address specific policies, regulations, or other approaches to care. As a master’s-prepared nurse, you should feel empowered to express and advocate for your own views on policy and care matters. This is especially important when it comes to populations you or your organization cares for that are not receiving the quality, type, or amount of care that they require.

An important skill in creating a position paper or policy proposal is the ability to analyze and synthesize others’ views about the population or issue of interest to you. By synthesizing the positive and negative views of an issue, you can become better equipped to strengthen your own arguments and to respond to opposing views in an informed and convincing way.

QUESTIONS TO CONSIDER

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

SHOW LESS

Assessment 1 will be based on an analysis of position papers that are relevant to a health care issue related to a vulnerable population. Think about your experience working with vulnerable populations, and the issues related to health care you have observed for those populations, or reflect on the two Vila Health simulations in the Resources.

  • What is the vulnerable population that most interests you?
    • What is the health issue that is most prevalent or severe in the population?
    • How does the health issue impact the daily lives of members of the population?
    • How does the care environment in your chosen context impact both the population and the level of care related to the health issue?
    • What are the biggest challenges that you would need to overcome to improve the outcomes for the population related to the health issue?
  • What is your position on how to best work to improve the care and outcomes that the population is receiving?
    • What previously published position papers support your position, or the need to work to improve care and outcomes in general for the population?
      • How do these position papers support your assertions?
      • How could one or more of the position papers help you to form a treatment plan?
    • What previously published position papers contradict your position?
      • What, if any, of these differences would make your position stronger if you incorporated them?
      • How could you respond to any irreconcilable differences in such a way as to encourage buy-in for your position from those opposed?

Assessment Instructions

Scenario

Pretend you are a member of an interprofessional team that is attempting to improve the quality of health care and the outcomes in a vulnerable population. For the first step in your team’s work, you have decided to conduct an analysis of current position papers that address the issue and population you are considering.

In your analysis you will note the team’s initial views on the issue in the population as well as the views across a variety of relevant position papers. You have been tasked with finding the most current standard of care or evidenced-based practice and evaluating both the pros and cons of the issue. For the opposing viewpoints, it is important to discuss how the team could respond to encourage support. This paper will be presented to a committee of relevant stakeholders from your care setting and the community. If it receives enough support, you will be asked to create a new policy that could be enacted to improve the outcomes related to your chosen issue and target population.

The care setting, population, and health care issue that you use for this assessment will be used in the other assessments in this course. Consider your choice carefully. There are two main approaches for you to take in selecting the scenario for this assessment:

  1. You may use one of the issues and populations presented in the Vila Health: Health Challenges in Different Populations and Vila Health: Resources for Topical Research media pieces. For this approach, you may consider the population in the context of the Vila Health care setting, or translate it into the context in which you currently practice or have had recent experience.
  2. You may select a population and issue that is of interest to you and set them in the context of your current or desired future care setting. While you are free to choose any population of interest, the issue you choose should fall within one of the following broad categories:
    • Genetics and genomics.
      • Sickle cell, asthma, multiple sclerosis, myasthenia gravis.
    • Immunity.
      • Type 1 diabetes, systemic lupus erythematosus (SLE), congenital neutropenia syndrome.
    • Chronicity.
      • Arthritis, any type of cancer or lung or heart disease, obesity.
    • Addiction.
      • Abuse of alcohol, prescription drugs, tobacco, illegal substances.
    • Emotion and mental health.

Note: If you choose the second option, contact the FlexPath faculty for your section to make sure that your chosen issue and population will fit within the topic areas for this course.

Instructions

For this assessment you will develop a position summary and an analysis of relevant position papers on a health care issue in a chosen population. The bullet points below correspond to the grading criteria in the scoring guide. Be sure that your submission addresses all of them. You may also want to read the Analysis of Position Papers for Vulnerable Populations Scoring Guide and Guiding Questions: Analysis of Position Papers for Vulnerable Populations to better understand how each grading criterion will be assessed.

  • Explain a position with regard to health outcomes for a specific issue in a target population.
  • Explain the role of the interprofessional team in facilitating improvements for a specific issue in a target population.
  • Evaluate the evidence and positions of others that could support a team’s approach to improving the quality and outcomes of care for a specific issue in a target population.
  • Evaluate the evidence and positions of others that are contrary to a team’s approach to improving the quality and outcomes of care for a specific issue in a target population.
  • Communicate an initial viewpoint regarding a specific issue in a target population and a synthesis of existing positions in a logically structured and concise manner, writing content clearly with correct use of grammar, punctuation, and spelling.
  • Integrate relevant sources to support assertions, correctly formatting citations and references using APA style.

Example Assessment: You may use the assessment example, linked in the Assessment Example section of the Resources, to give you an idea of what a Proficient or higher rating on the scoring guide would look like.

Additional Requirements

  • Length of submission: 4–6 double-spaced, typed pages, not including the title and reference pages. Your plan should be succinct yet substantive. No abstract is required.
  • Number of references: Cite a minimum of 3–5 sources of scholarly or professional evidence that support your initial position on the issue, as well as a minimum of 2–3 sources of scholarly or professional evidence that express contrary views or opinions. Resources should be no more than five years old.
  • APA formatting: Use the APA Style Paper Template linked in the Resources. An APA Style Paper Tutorial is also provided to help you in writing and formatting your analysis.

GRADING RUBRIC:

1- Explain a position with regard to health outcomes for a specific issue in a target population.

Passing Grade:  Explains a position with regard to health outcomes for a specific issue in a target population, and identifies assumptions on which the plan is based.

2-  Explain the role of the interprofessional team in facilitating improvements for a specific issue in a target population.

Passing Grade:  Explains the role of the interprofessional team in facilitating improvements for a specific issue in a target population. Acknowledges challenges that the team may face in working together or in facilitating improvements.

3-  Evaluate the evidence and positions of others that could support a team’s approach to improving the quality and outcomes of care for a specific issue in a target population.

Passing Grade:  Evaluates the evidence and positions of others that could support a team’s approach to improving the quality and outcomes of care for a specific issue in a target population. Identifies knowledge gaps, unknowns, missing information, unanswered questions, or areas of uncertainty (where further information could improve the evaluation).

4-  Evaluate the evidence and positions of others that are contrary to a team’s approach for improving the quality and outcomes of care for a specific issue in a target population.

Passing Grade:  Evaluates the evidence and positions of others that are contrary to a team’s approach to improving the quality and outcomes of care for a specific issue in a target population. Impartially responds to conflicting data and other perspectives in a way that creates buy-in.

5-  Communicate an initial viewpoint regarding a specific issue in a target population and a synthesis of existing positions in a logically structured and concise manner, writing content clearly with correct use of grammar, punctuation, and spelling.

Passing Grade:  Communicates an initial viewpoint regarding a specific issue in a target population and synthesis of existing positions in a logically structured and concise manner, writing content clearly with correct use of grammar, punctuation, and spelling. Identifies specific strategies or approaches used to ensure clear communication.
6-  Integrate relevant sources to support assertions, correctly formatting citations and references using current APA style.

Passing Grade:  Integrates relevant sources to support assertions, correctly formatting citations and references using current APA style. Citations are free from all errors.

Running head: ANALYSIS OF PAPER POSITION

ANALYSIS OF PAPER POSITION

Analysis of Paper Position

Capella University

Alexander Ruche

March, 2021

The elderly is the most affected population in this country. People are expecting to live a longer life. Living for a longer life comes with opportunities not only to the families and society but to the older people. Staying for additional years is a chance to pursue activities with good opportunities including the advancement of technology. (Wanget al 2020). However, aging is associated with cellular and molecular damage leading to a decrease in capacity on physical and mental states. Therefore, the health risk vulnerability is high at this stage and conditions of health associated with aging are diabetes, osteopathy, depression, arthritis, and different type of cancer. The elderly tends to experience some health complex states and neither do they fall to any category of discrete state. These are delirium, falls, incontinence of urinary and associative ulcers. Comment by Dr. Loftus: Are – not is Comment by Dr. Loftus: Incorrect – (Wang, et al., 2020) – spaciing and punctuation! Comment by Dr. Loftus: Need citation for the source of this information. Comment by Dr. Loftus: Again, what is the source of this information?

Various factors are resulting in elderly diseases, some are related to genetics, some areas the results of the social and physical environment. Maintaining health behaviors has a great impact on the environment. Eating a balanced diet could be a result of some diseases because an inadequate intake of nutrients required by the body will lower immunity. A supportive environment is also good when it comes to maintaining. Globalization and development in technology could be affecting the elderly in one way or another. Comment by Dr. Loftus: All good information but what is the specific health issue for this population? You mentioned many issues but I would recommend focusing on just one and developing a specific position on what is needed to improve outcomes.

The interprofessional team in facilitating improvements

The interprofessional team is looking forward to providing efficient, quality, and improved care for elderly health. In this category, the health of the family is ideally designed to provide care to the elderly. (Martinet al 2018). Primary practitioners provide the necessary care to this population however there are challenges associated with this including insufficient facilities for the cancer patients. Due to the rising number of older people with difficulties in hospitals, the interdisciplinary approach is necessary to address their social and psychological issues. elderly require close attention, so the collaboration of family and the healthcare team is needed. The World Health Organization proposed integrated health care for the elderly. This includes an introduction, provision management, and organizing of health services like treating, diagnosing promotion of health, and even rehabilitation. Comment by Dr. Loftus: Yes – this is what is currently happening. The purpose of this paper is to identify a specific health issue experienced by a vulnerable population and to develop a position that will improve outcomes. Comment by Dr. Loftus: Alexander, the difficulty here is that you have not identified a specific health issue or a specific position on what is needed to improve outcomes. The discussion on the role of the interprofessional team should focus on facilitating outcomes for the specific health issue, in line with your position.

Corporations of the medical administration and the professional’s affiliates will work towards the success of medical services. The research has shown a health improvement on the elderly when the interprofessional team is involved. However, the elderly might not be willing to participate in health engagement because of the increased rate of dementia as the age advances. The effectiveness of the team should be involved with competence in being social, negotiation, and problem understanding. Administering services in healthcare need frequent attendant and paying attention to the prescription given by the physicians. The interprofessional are needed to follow up with the elderly caregivers so that medication given is strictly followed and frequents checkups are done appropriately. Always the elderly is associated with many diseases and therefore, a thorough diagnosis should be established for them. Comment by Dr. Loftus: This does not relate to a specific health issue or your position on what will improve outcomes, nor is there any evidence-based information to support.

Evaluating evidence of others that could support team approach

According to today’s system in health facilities, service delivery involves many processes from different health practitioners which varies basing on different education levels and training on the occupation. Team collaboration is becoming essential because elderly patients have to interact with different nurses and physicians. To safe on critical conditions of patients and to mitigate health risk to the elderly, professionals in health care need teamwork and communications. This is a way of avoiding medical error the vulnerable elderly people. According to the Institute of Medical, to err is to Human: Building a safer health system, suggested that are 48% of the deaths are caused by medical error including diseases such as diabetes, breast cancer, and Alzheimer’s diseases. Comment by Dr. Loftus: This is a bit awkwardly written. Comment by Dr. Loftus: Need proper citation. This should all support your position on what will improve outcomes.

Team collaborations enable the exchange of ideas, thoughts, and opinions which can save one’s life. In health care, it involves sharing of ensures cooperation’s, responsibility sharing and complementary role when caring a healthy elderly. Interprofessional between the physicians and nurses increases the knowledge improvement and continued support towards the welfare of the elderly. The support provided by the interprofessional team enables the elderly to accept and adopt the plans on illness treatment. This is where psychological support is given to the family members and the elderly. Improved patience outcomes have been seen in various field of health care where the trained professional engage in collaborative activities Comment by Dr. Loftus: This is very generalized information and not supported with evidence.

Common age-related challenges which are not categorically described as diseases need to be handled with care. Here interprofessional teamwork is safe and quality care to the patient who is chronic to some diseases. This interpersonal team can be achieved if the health care doctors, nurses, and health officers are trained about the importance of working together. It involves all the caregiver team engaging together and share information about a problem. The techniques have the possibility of giving improved patient care and outcomes. (Lewin et al 2018).For example, a patient who works in a medical facility and complains of chest pain is checked by a doctor who suspects it is a heart attack, the patient can there proceed to a cardiologist who confirms the problem. If it was not for interprofessional teamwork the life of the patients could have been lost by just assuming some pain-relieving medication. Medication can be started immediately if the patient’s case is emergency. By improving on error occurrence it facilitates the reduction of healthcare costs. When dealing with the elderly already the interprofessional team is aware of the diseases relating to the advanced age, the medication can be administering faster after a shorter period of the diagnostic process. Comment by Dr. Loftus: This is a bit awkwardly constructed sentence and not supported by evidence. Comment by Dr. Loftus: Alexander, your writing mechanics needs some work. Please take advantage of the resources available through Capella and enlist the assistance of your Tutor to improve.

Evaluating evidence and position of others that are contrary to the team approach

The contrary approach to dealing with elderly health care is the use of the multidisciplinary technique. This is where each person focuses on his/her discipline on the healthcare plan. this category-specific assessment is done by the individual rather than the joint assessment used in the interprofessional team. (Taylor et al 2018). According to the research, it states that the process is done hierarchically, every member is doing work on the same problem at a different. The technique has limitations toward disciplinary roles and communication among the healthcare specialist. Physicians, nurses, and other specialists are limited with the knowledge of the role. Giving an example of the elderly fighting with diabetes, the disease might be associated with pressure ulcers but the doctor treating diabetes may not concentrate much on the other illness unlike the interprofessional where the diseases could have been handled at the same time. Comment by Dr. Loftus: I do see your point here but this does not relate to a position on a different approach to improving outcomes for a specific health issue. Comment by Dr. Loftus: What research? You need to be specific about your sources of information.

Using the interprofessional way, the team is working on the same problem and even the elderly caregivers are involved. Effective communication between the team is continuous and that is the reason why the outcome of a treatment solution is quality. In the other disciplinary, occurrence of treatment error is common which can lead to loss of life, and administering of treatment takes time. Currently, Interprofessional Professional Education Collaboration (IPEC) is providing education on Interprofessionalism. This is preparing future health professionals for teamwork-based on care to the patients that will improve the health outcomes of the population. The World Health Organization is advising the same to health facilities when considering an acquisition of health professionals. It encourages the building of relationships among the team to enhance performances and improve the healthy life of the elderly.

References

Lewin, S., Booth, A., Glenton, C., Munthe-Kaas, H., Rashidian, A., Wainwright, M., … & Noyes, J. (2018). Applying GRADE-CERQual to qualitative evidence synthesis findings: introduction to the series

Martin, A., & Manley, K. (2018). Developing standards for an integrated approach to workplace facilitation for interprofessional teams in health and social care contexts: a Delphi study. Journal of interprofessional care32(1), 41-51.

.Taylor, C., Munro, A. J., Glynne-Jones, R., Griffith, C., Trevatt, P., Richards, M., & Ramirez, A. J. (2010). Multidisciplinary team working in cancer: what is the evidence?. Bmj340.

Wang, L., He, W., Yu, X., Hu, D., Bao, M., Liu, H., … & Jiang, H. (2020). Coronavirus disease 2019 in elderly patients: characteristics and prognostic factors based on 4-week follow-up. Journal of Infection80(6), 639-645

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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. MSN FP6026: Analysis Of Position Papers For Vulnerable Populations

  • 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. MSN FP6026: Analysis Of Position Papers For Vulnerable Populations

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Create an 8–10-slide mobilization plan PowerPoint presentation

Create an 8–10-slide mobilization plan PowerPoint presentation

Create an 8–10-slide mobilization plan PowerPoint presentation

Create an 8–10-slide mobilization plan PowerPoint presentation (with detailed speaker’s notes) for a mobilization plan by your health care organization to commit 20 nurses to participate in a 4-month-long multinational effort to treat patients exposed to a highly contagious virus in a hot zone in Africa.

This assessment is based upon the scenario below. The scenario is very limited in detail; where more detail is needed, incorporate any assumptions you make to flesh out the scenario. It is intended to assess your ability to communicate your approach to a challenge by evaluating issues of organization, leadership, safety, quality improvement, multiculturalism and diversity.

Your approach should be very conceptual and high-level.

Scenario
Your health care organization has recently committed 20 nurses to participate in a 4-month-long multinational effort to treat patients exposed to a highly contagious virus in a “hot zone” in Africa. The director of your organization has asked you, because of your previous medical mission experience, to outline nursing-related plans for preparing for the mobilization and present this information at an upcoming staff meeting.

Deliverable: Mobilization Plan PowerPoint Presentation

Create an 8–10-slide PowerPoint presentation (with detailed speaker’s notes) of your mobilization plan. It should be targeted toward members of the hospital’s administrative staff, nurses, and the physicians who will also participate in this medical mission.

  • Use bullet points and phrases on the slides.
  • The narrative, or explanation for each slide, should be in the speaker’s notes section.

The mobilization plan should address the following:

  • Identify the major stakeholders within the health care system that would be affected by the mobilization plan.
  • Analyze how the mobilization effort will impact staffing patterns and nursing care at the hospital.
  • Describe the medical mission team’s organizational structure of the mission team and how power is distributed.
    • Include one slide of an organizational diagram for the mission.
      • Describe the roles (in the speaker’s notes).
  • Assess how the organizational structure empowers team members.
    • Provide 1–2 examples of how team members will have power.
  • Identify key actions needed to assure quality of care and safety for mission patients and personnel.
  • Evaluate potential power issues that may arise when dealing with a multinational contingent.
    • (Be generic; that is, do not address individual nationalities, races, et cetera.)
    • Consider interactions with health care personnel from other countries.
  • Examine potential multicultural and diversity issues that mission personnel may encounter.
    • Consider that the indigenous population may be hostile to treatment.
    • Outline possible training requirements to improve cultural competencies of the personnel.

Additional Requirements

  • Written communication: Written communication should be free of errors that detract from the overall message.
  • APA formatting: Resources and in-text citations should be formatted according to current APA style and formatting.
  • Length: Presentation should be 8–10 slides. Include speaker’s notes on each content slide.
  • References: Include a minimum of three peer-reviewed resources on the final slide (in APA format).
  • General formatting: Choose an appropriate theme if using a template.

*Attached is an example of a well graded power point for this assignment to use as reference*

International Medical Mission for Nursing Professionals

Mobilization plan for the international medical mission.

Plan will consider the following aspects:

Understanding the impact of mobilization on staffing patterns and nursing at a health care organization.

Determining organizational structure and distribution of power in the mission team using case studies.

Examining potential multicultural and power issues the team may encounter during the medical mission to Africa.

Copyright © 2017 Capella University. Copy and distribution of this document is prohibited.

Mobilization of international missions are complex undertakings that require (a) meticulous planning of resources: human, fiscal, and material resources; (b) careful structuring of team member roles and authority; and (c) empowering the team to complete missions goals. The social structures, health care regulations and infrastructure, and needs of the host country also factor in the mobilization plan (Hawkins, 2013). Team members have to be prepared for the individual, professional, and organizational factors of moving temporarily to a new country.

The scenario:

A medical center has committed 20 nursing professionals (NPs) to a four-month-long multinational health mission in Liberia, West Africa, to treat patients affected by a highly contagious virus in a ‘hot zone.’ The team will also include administrative staff and physicians who will work with the NPs to achieve common goals. NPs are the primary care givers in any health setting. They are the ones assisting physicians, administering treatment and monitoring patient status in the clinical setting. Therefore, the majority of the staff on the medical mission will be NPs.

This presentation will detail plans for the mobilization of interprofessional health care workers to Africa. It will focus on the following points:

Identifying major stakeholders in the health care organization who will be affected by the mobilization plan.

Determining the impact of mobilization on staffing patterns and nursing at the organization.

Describing the organizational structure of the international medical mission and how power will be distributed among the team members.

Assessing team member empowerment derived from organizational structure.

Identifying key actions that should be taken by team members to ensure that patients receive quality and safe care. The key actions should also ensure the safety of team members during fieldwork.

Evaluating potential multicultural and diversity issues team members may encounter in the host country.

Evaluating potential power conflicts that may arise when dealing with a multinational contingent.

Slide 2

Stakeholders Affected by the Mobilization Plan

Major stakeholders affected by the mobilization

Organizational leadership and management staff

Investors

Nursing leadership and professionals

Physicians

Patients

How does mobilization impact staffing and care patterns in the medical Center?

It will cause shortage of staff.

Copyright © 2017 Capella University. Copy and distribution of this document is prohibited.

Major stakeholders affected by the mobilization are as follows:

Organizational leadership and management staff

Investors

Nursing leadership and professionals

Physicians

Patients

As a recognized medical Center known for its research studies on and treatment of contagious diseases, the organization is suitable for the medical mission.

How does mobilization impact staffing and care patterns in the medical center?

It will cause shortage of staff. As 20 NPs will be reassigned to the mission, the impact on nursing departments will be

Longer shift hours among NPs

High frequency of floating

Imbalance in nurse-to-patient ratio

Increased workload on NPs

According to systems theory, an organization is a collection of different parts that work in tandem to achieve organizational goals. However, changes in any one part can cause changes or affect the functioning of other parts as well (Huber, 2017). Therefore, organizational changes like mobilization of health care staff from different professional areas—administration, nursing, and medicine—will impact other areas of the medical center.

Organizational leadership, management staff, and investors will have to manage the medical center with fewer administrators, which will cause problems during allocation of resources and maintenance of facilities.

In the clinical setting, the shortage of NPs and physicians will affect patient outcomes as patients depend on their nurses and physicians to provide quality and safe care. According to Huber, when the number of NPs on a shift is high, patients are more satisfied because they can easily approach NPs for care-related problems. Increased approachability also empowers patients.

The medical center in this scenario is one of foremost centers in the United States known for its research studies on and treatment of contagious diseases. The organization’s health care professionals are experts who can help the African nationals affected by the viral contagion. Also, health care organizations have an obligation to use their human and material resources to help disadvantaged populations within and outside their community (Hawkins, 2013).

Other factors that make the medical center suitable for the medical mission is its achievement of Magnet recognition.

Incorporating the standards of Magnet, the organization has established shared governance in its leadership and management styles.

Its health care professionals show high-levels of autonomy, shared decision-making, and evidence-based practice and are capable of systematically solving organizational issues.

Magnet recognition improves organizational performance by (a) changing personnel policies and programs, (b) focussing on professional development, (c) improving relationships between community and health care organizations, and (d) improving the image of nursing (Luzinski, 2012).

The diversion of human resources from the medical center to the mission can cause a severe staff shortage. The nursing department will be affected the most because it will have to fill 20 positions to manage day-to-day tasks efficiently. Shortages in staff have been tied to problems such as negative patient outcomes; job dissatisfaction among health care professionals: NPs, physicians, and clinical technicians; decreased productivity of workforce, and disorder in the health care organization (Currie & Carr Hill, 2012). According to systems theory, problems in staffing will affect processes and structures in other departments of the medical center. Also, since all health care professionals depend on NPs to accomplish patient-related tasks, a shortage of nursing staff can affect patient care and administration of treatment.

Longer shifts for nurses can cause burnout (Huber, 2017). Shifts of more than nine hours affect the efficiency of NPs and will negatively affect their motivation to stay in the medical center, causing job dissatisfaction.

Floating is the redistribution of NPs from overstaffed units to understaffed units. However, floating is not possible when NPs have been mobilized for a medical mission, as all units face a shortage of staff (Huber, 2017).

Patients are assigned to NPs after careful planning and assessment of the workforce. If NPs are assigned too many patients, they may not be able to give equal quality of care and safety to all patients, which in turn may lead to negative patient outcomes (Huber, 2017).

During nurse shortages, existing nursing workforces are forced to fill the empty positions by taking up extra work. However, too many patient assignments, long shift hours, and inability to manage different duties can cause job dissatisfaction and even lead to harmful patient care practices (Huber, 2017).

Slide 3

Impact of Mobilization on Staffing and Care Patterns (2/2)

Strategies to maximize staffing and maintain high level of patient care:

Recruitment of NPs.

Unit size

Leadership styles

Retention strategies

Shared governance model of nursing management (Currie & Carr Hill, 2012).

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Organizational decisions such as the mobilization of staff are often the underlying factors behind problems in nurse staffing and delivery of patient care (Currie & Carr Hill, 2012). Ignoring these factors can worsen problems, as described by studies on systems theory effects on health care. In fact, the causes of systems problems vary every time. Therefore, strategies devised to mitigate problems must be flexible and must target the identified individual causes. The strategies described here take into account the changing nature of organizational systems and help nursing professionals adapt to problems.

Recruitment and retention strategies: The medical center should recruit more NPs to fill the gaps in nursing practice. It can strategize by targeting young professionals. Young or newly graduated NPs show better adaptability in nursing practice and are more satisfied with their job. In parallel, the medical center should also invest in retention strategies targeted at older NPs, who are more likely to retire or change jobs when dissatisfied with the work environment (Currie & Carr Hill, 2012). Retention strategies include providing opportunities for professional growth through training, setting up communication lines that allow NPs to express any work-related grievances, allowing sharing of workload among nurses, and assigning mentors to NPs so that they can better adapt to organizational change (Huber, 2017).

Unit size: Reorganizing nursing teams into smaller, but numerous autonomous teams within different units might improve staff conditions and avoid dissatisfaction, and mitigate turnover (Currie & Carr Hill, 2012). This is because smaller teams are better able to practice shared governance and decision-making in quality and safe patient care.

Leadership style: Managing staffing and care patterns are important nursing leadership duties. However, in order to execute staff management policies, nurse leaders have to develop effective leadership styles (Huber, 2017). Studies have shown that relational leadership styles, which focus on building productive relationships with people, have helped nurse leaders implement effective staff management strategies. Relational styles also develop authenticity in a nurse leader’s work, which is essential for building strong teams. A leader who develops authenticity in his or her work, builds trust, shares information and communicates with team members, and motivates staff to achieve organizational and health care goals. These leadership activities further empower NPs (Körner, Wirtz, Bengel, & Göritz, 2015).

Shared governance models: Distributing power among nurses allow NPs to make decisions to improve their units and productivity such as self-scheduling tasks or sharing workload without seeking approval from organizational leaders. Shared governance also improves job satisfaction and the self-worth of NPs by granting more autonomy (Currie & Carr Hill, 2012).

Slide 4

Organizational Structure of the Medical Mission Team

Characteristics of the organizational structure:

Shared governance model:

Lean and decentralized

Shared distribution of governance and management

Autonomy and independence

Nonhierarchical model:

Leaders do not have the final decision-making power. That power is equally distributed among all health care professionals—administrators, NPs, and physicians.

Team members will be structurally empowered during mission duties (Wong & Laschinger, 2014).

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Conflicts often arise in medical mission teams because of communication gaps and the lack of clarity on individual roles, communication gaps. Some members may also feel they have less power compared to other team members (Currie & Carr Hill, 2012). To instill unity in the mission team, leaders from all three fields—medicine, administration, and nursing—must collaborate with other team members and share leadership roles and responsibilities.

The shared governance model emphasizes decentralized and lean forms of governance. It encourages NPs to be autonomous and independent from the influence of physicians and administrators. Leadership roles are equally distributed among team members (Currie & Carr Hill, 2012).

Therefore, power is not concentrated to a few leaders in the team. All team members have the power to make decisions about their work and patient care. However, they should ensure that health care standards such as evidence-based practice, quality of care, and patient safety are maintained.

The distribution of power also allows team members, especially NPs, to develop leadership skills themselves. In a multinational effort, NPs who are allowed to participate in patient care rounds, organize resources and staff, and consult with other health care professionals are able to grow professionally (Currie & Carr Hill, 2012).

The decentralization of power structures also implies lack of hierarchy in health care practice. Leaders in the mission team have the practical purpose of being points of contact for other teams in the multinational effort. However, all information gathered during meetings with multinational teams is shared with the NPs, administrative staff, and physicians. Decisions made have the combined input from all team members.

The shared governance model also allows the team to become structurally empowered. Structural empowerment is the presence of social structures such as autonomy and leadership that enable health care professionals to accomplish work in meaningful ways. Structurally empowered NPs have access to educational and professional development resources, information about policies and goals, and opportunities to contribute and execute ideas, without the need for multiple layers of approval (Wong & Laschinger, 2014).

Slide 5

Organizational Structure of the Medical Mission Team

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Leadership

Team members

The mission head or mission coordinator is the first level of leadership. The main roles include coordinating efforts with and being the point of contact for leaders from other multinational teams. The mission head’s decision-making processes involve the administrative head, nurse leader, and physician leader, as well team members.

The administrative head is the point of contact for the administrative team. He or she is responsible for working with the mission head to manage resources and staff, and establishing communication lines.

The nurse leader is responsible for managing nursing resources and staff and coordinates with the mission head to organize nursing teams for clinical duties. The nurse leader also supervises the 20 NPs assigned to the mission team.

The physician leader manages doctors on clinical duty, assigns clinicians to rounds, and coordinates with the nurse leader and NPs on patient assignments and treatment.

All team members work closely together and communicate frequently, while providing regular reports to the field leaders and the mission head. This is done to prevent wastage of resources, and to manage time and costs effectively.

Leadership is essential to this scenario as he or she helps mobilize teams to action and represents the team in the multinational effort. However, the power to make decisions is not centralized to leadership. It is distributed among all team members. Information that leaders gather during meetings with other leaders are shared with team members, who will in turn provide feedback or ideas.

Slide 6

Mission Goal

Mission head

Admin head

Physician

Physician leader

Admin staff

Nurse leader

NP

Organizational Structure Empowering Team Members

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Leaders empower team members to make independent decisions.

Leaders gain authenticity by empowering their teams (Körner, Wirtz, Bengel, & Göritz, 2015).

Empowered team members grow professionally and individually.

For example: Interprofessional teams working out of Eastern Cape Province, South Africa, were able to facilitate exchange of skills between teams and leaders as well as participation from locals who were given information about treatment and disease prevention by enlightened and empowered health care professionals such as nurses(World Health Organization, 2013).

The development of authentic leaders, who display high levels of trust and respect for their team members, are directly related to empowerment and indirectly related to delivery of quality and safe patient care (Körner, Wirtz, Bengel, & Göritz, 2015).

Empowerment improves job satisfaction, thereby motivating team members to perform better.

Team members feel empowered when authentic leaders help them realize their professional and individual capabilities. Authentic leaders also encourage team members to contribute ideas and help them in accessing important resources for bettering health care goals.

Authentic leadership also rewards excellence, which further motivates team members.

The organizational structure will create an interactive and participative work environment that clears a path for team members to advance in their careers.

In a case study by World Health Organization (WHO), the interprofessional team working out of South Africa—medical officers, nurses, pharmacists, community care nurses, midwives, and nurse educators—were able to improve their own skill and knowledge because the organizational structure empowered them to take up mentorship roles, improve quality of care, communicate important information to locals, and facilitate exchange of skills and information between locals, team members, and leaders (WHO, 2013). These activities are usually performed by the group leader. Such a structure, when applied to the medical mission, will empower team members to simultaneously take up new roles and duties such as that of practitioners, leaders, and educators. By the time team members complete the mission, they will have grown professionally and individually and learned new skills.

Slide 7

Key Actions to Assure Quality of Care and Patient Safety

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The following are six key actions that mission team members should consider to ensure that patients receive quality and safe treatment. These actions also ensure a safe work environment for health care personnel.

Interprofessional communication

Patient-centered care

Role clarification

Team functioning

Collaborative leadership

Conflict resolution (Hepp et al., 2014)

Interprofessional communication is a key action for achieving good patient outcomes and maintaining effective interpersonal relationships between the mission team members. It includes consistent and formal communication methods, open-door policy and approachability of team members, and use of written, oral, electronic, or verbal forms of communication to record patient history, progress notes, and patient charts. With effective communication, team members are also able to build productive relationships with one another that will help them work collaboratively in the clinical setting.

Health care professionals must be dedicated to patient-centered care. It involves centering care and decision-making processes on patients and families. It includes a more holistic form of treatment that allows team members to customize care to patients and develop productive work relationships.

When leaders clarify individual roles in the team, team members develop an understanding of their own competencies. As team members take up new roles, they need to understand which tasks are more appropriate for them. This ensures that team members do not take up duties outside their boundaries of expertise. It also ensures better team dynamics as individuals learn to work with other health care providers and respect others’ expertise on clinical matters.

Team functioning ensures that the team functions like a well-oiled machine. Team members assist colleagues in work matters, value and respect each other’s contributions, and share a deeper sense of responsibility and accountability. Focusing on improving team functioning helps empower each team member, which improves job satisfaction. Teams members learn to delegate or share the workload, which are essential skills in the high-stress clinical environment.

Collaborative leadership is created when leaders work together on all matters with their teams. Hierarchy is not visible and nurse leaders and their NPs have a larger role to play in decisions as compared to decisions being made only by physicians or management.

Conflict resolution is a major problem in interprofessional and multinational efforts. Patient discharge is a common source of conflict, with one team leader taking over all the decision-making processes. The solution to conflict lies in teams trusting each other to make the right decision about patients and leaders giving autonomy to NPs to make such decisions (Hepp et al., 2014).

Slide 8

Potential Multicultural and Diversity Issues in the Mission

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Potential multicultural and diversity issues in the mission team:

Language barriers

Different medical practice standards of the host country

Lack of consideration for cultural differences

Forcing personal beliefs on patients or other multinational teams (Hawkins, 2013).

Solutions to address each issue

Multicultural and diversity issues are unavoidable in any interprofessional and multinational effort. In this case, the team heading to Africa will encounter a racially and ethnically different country. Cultures, values, traditions, social norms and structures, behaviors, and family structures will be very different from what the team has experienced. Language barriers, differences in medical practice standards of the country, lack of consideration of patient’s cultural differences, and forceful endorsement of personal beliefs on the patient or other teams can impede efforts for ensuring quality and safe care. In such a scenario, it is the responsibility of health care professionals to adapt and respect the cultural differences and assimilate them into medical practice (Hawkins, 2013).

Solutions include adding translators or multilingual health care professionals in the team, researching on various health care policies and standards of the host country and communicating that information to all team members (brochures or booklets are helpful in this regard), understanding and learning appropriate cultural behaviors, and respecting patient boundaries even if cultural differences are principally against the values of team members.

Slide 9

Potential Power Issues in the Mission

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Team members are expected to work with their own teammates and members of other multinational teams to accomplish mission goals.

Potential power issues include:

Conflict of power

Insubordination and differences of opinion

Conflict due to cultural differences that involve authority or leadership

Conflict over jurisdiction and allocation of resources (Wong & Laschinger, 2012).

Top priorities and strategies

Working with a large multidisciplinary and multinational team can create imbalances in power. Nurse leaders may have to head different teams and have to take steps to maintain their level of power and authority. They may face insubordination from team members who are not familiar with the style of leadership, care practice, and cultural beliefs. Conversly, NPs may have to report to leaders who are demotivating and inconsiderate of team members’ opinions. In such instances, NPs may not be able to address their grievances to their leaders. Team members may also face issues of power when allocating limited resources and infrastructures to different teams and groups. Also, NPs may conflict with physicians who may dominate decision-making roles and ignore valuable input from nursing teams on patient care.

The top priority for the mission team when addressing power issues are conflict resolution—preventing and solving conflicts in power.

Strategies for conflict resolution include establishing clear role and responsibilities from the beginning of work and using relational leadership styles to command respect and authority. Relational leadership styles improves productivity and patient outcomes through relationship-building. They give equal decision-making power to other team members and maintain open lines of communication. These aspects are crucual while preventing and resolving conflicts in power (Hawkins, 2012; Wong & Laschinger, 2012).

Slide 10

Conclusion

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Planning and undertaking a multinational interprofessional effort is no easy task. Even with enough planning, issues will still arise that affect delivery of quality and safe patient care and the dynamics of the team. Strategies such as culturally congruent practices help solve these problems and enrich the experiences of all people involved in the mission—health care providers and patients. By understanding the value of power and empowerment, trust, communication, and patient-centered practice, it is possible to achieve the goals of the mission team in Liberia.

Slide 11

References

Currie, E. J. & Carr Hill, R. A. (2012). What are the reasons for high turnover in nursing? A discussion of presumed causal factors and remedies. International Journal of Nursing Studies, 49(9), 1180-1189. http://dx.doi.org/10.1016/j.ijnurstu.2012.01.001

Hawkins, J. (2013). Potential pitfalls of short-term medical missions. Journal of Christian Nursing, 30(4), E1-E6. /orders/dx.doi.org/10.1097/01.CNJ.0000435282.54160.0d

Hepp, S. L., Suter, E., Jackson, K., Deutschlander, S., Makwarimba, E., Jennings, J., & Birmingham, L. (2015). Using an interprofessional competency framework to examine collaborative practice. Journal of Interprofessional Care, 29(2), 131-137. /orders/dx.doi.org/10.3109/13561820.2014.955910

Huber, D. L. (2017). Leadership and nursing care management (6th ed.) Philadelphia: W.B. Saunders. http://dx.doi.org/10.7748/nm.21.6.13.s14

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Slide 12

Körner, M., Wirtz, M. A., Bengel, J., & Göritz, A. S. (2015). Relationship of organizational culture, teamwork and job satisfaction in interprofessional teams (Webpage). BMC Health Services Research, 15(1). . /orders/dx.doi.org/10.1186/s12913-015-0888-y

Luzinski, C. (2012). An innovative environment where empowered nurses flourish. Journal of Nursing Administration, 42(1), 3–4. /orders/dx.doi.org/10.1097/NNA.0b013e31823c16fc

Wong, C. A., & Laschinger, H. K. (2013). Authentic leadership, performance, and job satisfaction: the mediating role of empowerment. Journal of Advanced Nursing, 69(4), 947-959. /orders/dx.doi.org/10.1111/j.1478- 5153.2010.00398.x

World Health Organization. (2013). Interprofessional collaborative practice in primary health care: Nursing and midwifery perspective—Case studies. Retrieved from http://www.who.int/hrh/resources IPE_SixCaseStudies.pdf

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  • Use of Direct Quotes

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The EBP process, the PICO(T) process, and the important step of critically appraising research evidence

The EBP process, the PICO(T) process, and the important step of critically appraising research evidence

The EBP process, the PICO(T) process, and the important step of critically appraising research evidence

Introduction

Evidence-based practice involves finding the best research evidence to support an intervention, which is integrated with patient preferences and values and professional expertise, and then implemented. Once you have searched and found relevant and timely research studies, the next step is to evaluate the quality of their methods, design, and other elements and to explore the application of the evidence they provide in different scenarios and settings. It is of paramount importance to correctly identify the type of research methods used in the study—quantitative or qualitative, or a mixture of both—and to evaluate the study to ensure those methods are high-quality, valid, reliable, and accurate. Consequently, doctoral professionals must develop a working knowledge of how to identify and critically appraise specific, important elements of both quantitative and qualitative research studies. Rapid critical appraisal tools assist in developing this skill.

Preparation

  • Review the media pieces in Weeks 1–3, focusing on the EBP process, the PICO(T) process, and the important step of critically appraising research evidence.
  • Review the following two quantitative and qualitative studies. You will describe the key elements of each study and complete a critical appraisal of each.
  • Locate the following tools, found in Appendix B in your Evidence-based practice in nursing and healthcare textbook. You will use these tools to complete the appropriate rapid critical appraisal for each study. Choose the tool that matches the methods and design of each study.
    • Rapid Critical Appraisal Questions for Randomized Controlled Trials (RCTs), page 711.
    • Rapid Critical Appraisal Questions for Qualitative Evidence, pages 715–716.

Note: Remember that you can submit all or a portion of your completed executive summary and both general overviews and critical appraisals to Smarthinking for feedback before you submit the final version for this assignment. If you plan on using this free service, be mindful of the turnaround time of 24–48 hours for receiving feedback.

Instructions

Write a paper in which you:

  • Describe the key elements of a research study.
  • Complete a rapid critical appraisal of each study.
  • Write an executive summary that compares the two studies.
Document Format and Length

Your document should be 4–5 pages in length, including the overviews, rapid critical appraisals, and executive summary.

Supporting Evidence

Include at least two resources, other than the course textbook, to support your critical appraisals. Provide in-text citations and references in APA format for each study, the critical appraisal tools, and other resources used.

Assignment Grading

The following requirements correspond to the scoring guide criteria, so be sure to address each point. Read the performance-level descriptions in the scoring guide for each criterion to see how your work will be assessed.

  • Describe the key elements of a research study.
    • Include the study’s purpose, methods, design, results, and any other aspects of the study you think are noteworthy.
    • Consider how the study contributes to the scholarly literature.
  • Evaluate the quality of each study, using the appropriate rapid critical appraisal tool (RCA).
    • Create a table or other organized format for your answers to the questions on the RCA tool for each study.
    • What evidence supports your assertions and conclusions?
  • Compare a qualitative and quantitative study’s quality, significance, and the practical application of results (evidence) in a health care setting.
    • Consider the following questions to guide the comparison of these studies in your executive summary:
      • Which study provides the best overall evidence? What elements in the study led you to this conclusion?
      • Which study provides subjective information that could be integrated to make positive changes to services, processes, systems, or patient care?
      • What is the significance of each study’s results in a hospital setting? How do the results affect patients?
      • How could the evidence found in each study be applied in different health care settings? In the overall health care industry?
  • Support main points, assertions, arguments, or conclusions with relevant and credible evidence.

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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.

  • 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. The EBP process, the PICO(T) process, and the important step of critically appraising research evidence

  • 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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    The EBP process, the PICO(T) process, and the important step of critically appraising research evidence
    The EBP process, the PICO(T) process, and the important step of critically appraising research evidence

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MSN-FP6011 Evidence-Based Patient-Centered Concept Map

MSN-FP6011 Evidence-Based Patient-Centered Concept Map

MSN-FP6011 Evidence-Based Patient-Centered Concept Map

Introduction Concept maps are an important tool in patient–centered care planning. A concept map helps to synthesize facts about a patient’s health needs and personal circumstances with available evidence and analysis. Such a tool becomes more useful when a patient has complex health, economic, and cultural needs.

In this simulation, you will be choosing a patient, conducting a short interview, and then assembling a concept map for use in that patient’s care plan.

Overview

You are a nurse at the Uptown Wellness Center. As you begin your shift, you get an email from the charge nurse. Click on the icon to read it.

Good morning,

We have two new patients coming in today.

First is Keith Rogers; he is a young man with a recent HIV diagnosis. He has described his living situation as unstable, and he has not begun treatment for HIV.

The other is Carole Lund. Carole is a new mother who had gestational diabetes during her pregnancy. She has continued to track her blood glucose postpartum, and is worried that it does not appear to be stabilizing.

Please review the attached patient profiles and decide which you’d like to take on today. When you’ve decided, talk to your patient and start planning his or her care. Thanks!

— Janie Poole

Keith Rogers Patient with HIV

Overview Reason for Referral: Keith is an 18–year–old African American man, and a recent high school graduate. He has HIV but has not been in treatment.

Situation: Although he has known his HIV status for some time, Keith is here today seeking treatment for the first time. He came alone on a city bus, and he doesn’t have a state–issued ID or insurance information, although he says he does have health insurance.

Interview:

Evidence-Based Patient-Centered Care Transcript

How long have you known you were HIV–positive? Since this summer. They had one of those trucks outside GG’s where you can get tested for free. GG’s, that’s our club. So me and Nick, we go get the test and it was positive.

They gave us these pamphlets after, but I can’t leave stuff like that around the house. My folks didn’t know about me and Nick. So I trashed those pamphlets on the way home. That was…like six months back I guess.

Since you haven’t been in treatment, have you been doing other things to protect your health? Yeah. So here’s the thing about that. Nick says he read on the Internet that meth is supposed to help. Like methamphetamines. And you don’t have to do very much and it slows it down so you don’t get sick as fast, but doctors can’t prescribe it because it’s illegal. So we tried that. Nick thinks it’s working, but I don’t know, man. It makes my heart beat real fast and that freaks me out.

He’d be mad if he knew I told you that, like maybe someone’s gonna show up at the house and bust us. I guess I don’t care anymore.

At intake you described your living situation as “unstable.” Can you tell me more about that? I’m at Nick’s right now. Mom threw me out of the house. I was…like, trying to find a way where I could get a test that wasn’t in front of a gay club, right, cuz…my folks just ain’t ready for that much truth, you know? So we’re at the clinic, and I get the test, and they call Moms in because technically I’m still a minor at that time, and we’re talking with the nurse or whoever and it just kinda comes out. How I got it. She hit the roof.

I don’t think that’s why she threw me out, though, even though at church they say it’s a sin. She’s scared. Everyone is scared. I got little sisters at home, Alexa and Marnie, and we only got one bathroom. It’s like…maybe I’m allowed to go ruin my life and they still love me and pray for me, but if I gave it to the girls…that they could never forgive.

So I’m sleeping on the couch at Nick’s place. His folks don’t want us sharing a bed, but they feed me and stuff. I don’t even know if Nick told them what’s up, so I just keep my mouth shut. If we break up over this, I’m in so much trouble.

What do you feel is the most important thing we can do to help you right now? Well. I have like five hundred dollars in the bank that I got for my birthday, but HIV drugs have gotta cost more than that. I’m under Dad’s insurance still, until I’m 25 I think. But I remember when my sisters were born it was so expensive anyway, and I’m scared that if the insurance company finds out, like…I have a terminal illness…that’ll just bankrupt the whole family. I can’t do that to them.

So I guess the first thing is, like, can you help me figure out how to do this without hurting anybody?

Carole Lund Patient with Diabetes

Overview Reason for Referral: Carole Lund is a 44–year–old woman of mixed Native American and European descent, and a new mother. She is concerned that she is not recovering from gestational diabetes.

Situation: Carole is here with her daughter, Kassandra, who is 10 weeks old. Carole was diagnosed with gestational diabetes at week 30 of her pregnancy. She has carefully logged her blood glucose since the diagnosis, and it shows 150–200 fasting, over 200 following meals.

Interview:

7/16/19, 9(24 AMEvidence-Based Patient-Centered Care Transcript

What diabetes treatments did you receive during your pregnancy? Well, they gave me a glucometer, so I started using that. I could see right away that the way I was eating was a problem; I would usually work straight through the day and then have one big meal in the evening, and that was making my numbers bounce all over. So I set alarms on my laptop, so three times a day I would get interrupted, have a small meal, take a short walk, and then test my blood sugar. That helped. And then I stopped drinking juice and soda, which I should have done years ago, and that helped too. But I don’t think my numbers improved as much as my OB/GYN wanted them to, but she said my blood sugar should return to normal after delivery.

Did your obstetrician advise you to take insulin during your pregnancy? She did, yeah, and we talked about it. I don’t like the idea of being dependent on a drug. I called my mother. She’s still on the reservation, so she called the elders, and we all agreed that injecting my body with an animal hormone was a bad idea. But then the doctor told me that they make synthetic insulin now, but that means it’s made in a laboratory somewhere, and I’m not sure that’s any better.

By then I was in my third trimester, and all the tests said Kassandra was big but healthy, so I thought we would just ride it out. It was supposed to clear up after she was born. But it hasn’t, and I know you have to be careful having a baby at my age. I want to do what’s best, but I don’t want to believe that insulin is my only option.

Are there any challenges in your life which you think may be interfering with your ability to follow a treatment plan? It’s harder now than it was before she was born. It’s just the two of us in the apartment, which is wonderful, but I don’t remember the last time I had a good night’s sleep. A lot of my work is freelance, so I make my own hours, but that also means if I’m not working I don’t get paid. I had family help while I was recovering from the C-section, and they helped cook healthy meals for me, and kept me on my schedule. Now it’s all on me — work, caring for my daughter, and managing my blood sugar. If I fall behind on anything, it will be looking after my health.

Do you have any other concerns you’d like to have addressed? I worry about Kassandra. She’s healthy and perfect, but I know that she’s at a greater risk for developing Type 2 Diabetes. I want to do whatever I can to reduce that risk, to care for her, and as she grows, to teach her how to care for herself.

Concept Map

Check–in Janie Poole Charge Nurse Well, it sounds like this is a more complex case than we thought at first. I’m going to need you to put together a concept map for your patient’s care plan.

I need a brief description of your patient, and then up to five diagnoses (there may not be that many). Go in order of urgency, and make sure you list the professional or scholarly evidence you used to formulate the diagnosis. Just use in–text citations, please; we want to keep this short and sweet.

Thanks for taking this on!

Conclusion

7/16/19, 9(24 AMEvidence-Based Patient-Centered Care Transcript

Using a concept map to plan a patient’s care can be essential when the case and the patient’s overall

needs are complex. In this simulation, you’ve used the details of a patient’s case to draft a concept map

for his or her care.

Click the button below to download the text for your concept map draft. You will use this text to create a

final concept map for your assignment in this unit.

After you’ve downloaded your text, you will put it into a concept map template. You may use the

template provided in the assignment, another template, or your own concept map format for your final

map.

Click any heading in your concept map to reveal the complete content.

Credits Subject Matter Expert:

Bressie, Marylee Interactive Design:

Olson, Lori Media Instructional Designer:

Dolezalek, Holly Instructional Designer:

Hagen, Brian Project Manager:

Hall, Nakeela

Licensed under a Creative Commons Attribution 3.0 License (http://creativecommons.org/licenses/by-nc-nd/3.0/)

 

ADDITIONAL INSTRUCTIONS FOR THE CLASS

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SCORE A+ WITH HELP FROM OUR PROFESSIONAL WRITERS – MSN-FP6011 Evidence-Based Patient-Centered Concept Map

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. MSN FP-6011 Evidence-Based Patient-Centered Care

  • 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.

  • Guarantee
    MSN-FP6011 Evidence-Based Patient-Centered Concept Map
    MSN-FP6011 Evidence-Based Patient-Centered Concept Map

  • Zero Plagiarism
  • On-time delivery
  • A-Grade Papers
  • Free Revision
  • 24/7 Support
  • 100% Confidentiality
  • Professional Writers

  • Services Offered

  • Multiple answer questions
  • SCORE A+ WITH HELP FROM OUR PROFESSIONAL WRITERS

    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

    • Custom paper writing
    • Question and answers
    • Essay paper writing
    • Editing and proofreading
    • Plagiarism removal services
    • Multiple answer questions

    SCORE A+ WITH HELP FROM OUR PROFESSIONAL WRITERS

    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