NURS FPX Assessments

NURS FPX Assessments

NURS FPX 6008 Assessment 4 Lobbying for Change

NURS FPX 6410 Assessment 3 Exploration of Regulations and Implication for Practice

NURS FPX 6410 Assessment 2 Executive Summary to Administration

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 

Oyeleye, O. A. (2021). The HIPAA Privacy Rule, COVID-19, and Nurses’ privacy rights. Nursing2021, 51(2), 11-14. /orders/doi.org/10.1097/01.nurse.0000731892.59941.a9 

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; 

1. American Civil War
2. Establishment of hospital-based nursing school
3. Legislation of Nursing Licensure
4. Establishment of the American Nurse Association
5. 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.

/orders/doi.org/10.1016/j.outlook.2021.05.012 

Goldstone, I. (2023). Kate McTavish Lady Superintendent and the formative years of the School for Nurses, Prince Rupert General Hospital.

/orders/bcnursinghistory.ca/wp-content/uploads/2022/10/HoN_NEWSLETTER_Summer_2022_EMAIL.pdf 

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.

/orders/doi.org/10.1016/j.aucc.2018.09.007 

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. 

/orders/doi.org/10.1080/16549716.2020.1788262 

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. 

/orders/doi.org/10.2105/ajph.2019.305465 

Petro, J. A., Wilson, S., & Catalano, M. (2022). Susan Dimock, Pioneering 19th Century American Surgeon/Physician. Annals of Surgery Open, 3(4), e208.

/orders/doi.org/10.1097/as9.0000000000000208 

1. (2021, June 24). History of Nursing Timeline. Post University. /orders/post.edu/blog/history-of-nursing-education-timeline/

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.

References

Bullin, C. (2018). Doctoral education supported hypothetical nurse  in their teaching roles: BMC nursing, 17(1), 1-18. (“[Solved] What is the value of a master’s degree in nursing …”) /orders/bmcnurs.biomedcentral.com/articles/10.1186/s12912-018-0273-

Chang, C. Y., Lai, C. L., & Hwang, G. J. (2018). The Trends of mobile learning styles studies in nursing education. Computers & Education, 116, 28-48. (“Chiu-Lin, Lai – Google Scholar”) /orders/www.sciencedirect.com/science/article/pii/S0360131517301999

Evans, J. D. (2018). Why I am a nurse educators: Nursing education outlook perspectives, 39(2), 61-65. (“Why We Became Nurse Educators (Journal Club) – Nursing …”) /orders/journals.lww.com/neponline/FullText/2018/03000/Why_We_Became_Nurse_Educators__Findings_From_a.3.aspx

Herrman, J. W. (2019). Creative teaching strategies for the nurse educator. FA Davis. /orders/books.google.com/books?hl=en&lr=&id=jjHEDwAAQBAJ&oi=fnd&pg=PR1&dq=teaching+as+a+nurse+educator+role&ots=dEhHD7nbRX&sig=oWVsWBY2Hn3FdG9paEGpsLkqfqI

Meldrum, C. A. (2020). Qualifications of the Research Staff. Principles and Practice of Clinical Trials, 1-11. /orders/link.springer.com/content/pdf/10.1007/978-3-319-52677-5_283-1.pdf

Reising, D. L., James, B., & Morse, B. (2018). The clinical instructor characteristics affecting clinical practices. Nursing teaching perspectives, 39(1), 4-9. /orders/journals.lww.com/neponline/fulltext/2018/01000/Student_Perceptions_of_Clinical_Instructor.3.aspx

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.

/orders/doi.org/10.3322/caac.21586 

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.

/orders/doi.org/10.2147/jmdh.s358733 

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.

/orders/doi.org/10.1177/0193945919883395 

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.

/orders/doi.org/10.1056/nejmoa2026141 

Minejima, E., & Wong-Beringer, A. (2020). Impact of socioeconomic status and race on sepsis epidemiology and outcomes. The Journal of Applied Laboratory Medicine.

/orders/doi.org/10.1093/jalm/jfaa151 

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.

/orders/doi.org/10.1177/1460458218796644 

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.

/orders/doi.org/10.1016/j.avsg.2021.02.022 

Wahl, E., Makris, U. E., & Suter, L. G. (2022). Taxonomy of quality of care indicators. Rheumatic Disease Clinics of North America, 48(3), 601–615.

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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.

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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.

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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.

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

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.
• Uk, D. (n.d.). Diabetes clinics. Retrieved June 9, 2021, from /orders/www.diabetes.org.uk/guide-to-diabetes/young-adults/diabetes-clinics
• 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

Assessment 4 Instructions: Training Session for Policy Implementation

Top of Form

Bottom of Form

• PRINT
• 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:

• • Assessment 4 Example [PDF].

Strategy Summary and Training Agenda Format and Length

Format your document using APA style.

• • Use the APA Style Paper Template [DOCX]. An APA Style Paper Tutorial [DOCX] is also provided to help you in writing and formatting your strategy summary and agenda. Be sure to include:

• • • 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

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.