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Delegation

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Delegation

Provide a summary of the delegation guidelines in your state. Analyze how inappropriate may delegation jeopardize patient safety and quality patient care.  Discuss at least three barriers to delegation nurse managers may encounter. Describe at least three strategies nurse managers can use to reduce legal risks of delegation and strengthen the efficiency of the health care team.

Support your discussion and opinions with facts and relevant examples from personal nursing practice.

All submissions must have a minimum of two scholarly references to support your work.

Examples of work to show mastery:

  • 2-3 page paper – APA format

quality improvement opportunity

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Identify a quality improvement opportunity in your organization or practice. In a 1,250-1,500 word paper, describe the problem or issue and propose a quality improvement initiative based on evidence-based practice. Apply “The Road to Evidence-Based Practice” process, illustrated in Chapter 4 of your textbook, to create your proposal.

Include the following:

  1. Provide an overview of the problem and the setting in which the problem or issue occurs.
  2. Explain why a quality improvement initiative is needed in this area and the expected outcome.
  3. Discuss how the results of previous research demonstrate support for the quality improvement initiative and its projected outcomes. Include a minimum of three peer-reviewed sources published within the last 5 years, not included in the course materials or textbook, that establish evidence in support of the quality improvement proposed.
  4. Discuss steps necessary to implement the quality improvement initiative. Provide evidence and rationale to support your answer.
  5. Explain how the quality improvement initiative will be evaluated to determine whether there was improvement.
  6. Support your explanation by identifying the variables, hypothesis test, and statistical test that you would need to prove that the quality improvement initiative succeeded.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

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

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

 health-illness continuum.

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The benchmark assesses the following competency:

Benchmark: 5.1. Understand the human experience across the     health-illness continuum.

Research the health-illness continuum and its relevance to patient   care. In a 750-1,000 word paper, discuss the relevance of the   continuum to patient care and present a perspective of your current   state of health in relation to the wellness spectrum. Include the following:

  1. Examine the health-illness continuum and discuss why this     perspective is important to consider in relation to health and the     human experience when caring for patients.
  2. Reflect on your     overall state of health. Discuss what behaviors support or detract     from your health and well-being. Explain where you currently fall on     the health-illness continuum.
  3. Discuss the options and     resources available to you to help you move toward wellness on the     health-illness spectrum. Describe how these would assist in moving     you toward wellness (managing a chronic disease, recovering from an     illness, self-actualization, etc.).

Prepare this assignment according to the guidelines found in the APA   Style Guide. An abstract or thesis is required.

Reduces health care costs

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Choose one evidence-based practice that you see yourself using as a provider in your clinical practice and discuss how it meets the listed benefits.

Why should we, as healthcare providers, use evidence-based practice?

Evidence-based practice benefits:

  • Leads to highest quality care and patient outcomes
  • Reduces health care costs
  • Reduces geographic variations in the delivery of care
  • Increases healthcare provider empowerment and role satisfaction
  • Reduces healthcare provider turnover rate
  • Increases reimbursement from 3rd party payers
  • Reduces complications and payment denials
  • Meets the expectation of an informed public

Include 3 evidence-based articles to support your work that are less than 3 years old.

Before finalizing your work, you should:

  • be sure to read the Assignment description carefully (as displayed above);
  • consult the Grading Rubric (under the Course Home) to make sure you have included everything necessary; and
  • utilize spelling and grammar check to minimize errors.   4 pages not including title and reference pages

The Evolution of Greek Sculpture

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Question 1. The Evolution of Greek Sculpture

As we learned this week, sculptors in Ancient Greece strove to achieve perfection in the works of art they created. Carefully examine the following sculptures and read about each one in your textbook, course and video lectures, and through reliable internet resources:

Peplos Kore, from the Acropolis, Athens, c. 530 BCE
Warrior, found in the sea off Riace, Italy, c. 460-450 BCE
Hagesandros, Polydoros, and Athanadoros of Rhodes, Laocoön and His Sons, 2nd-1st c BCE

Then, in a minimum of 2 well-developed paragraphs, answer the following questions:

  • What specific visual similarities do you observe in these three sculptures?
  • What specific differences do you see? Consider the representation of the figure, facial expression or suggested emotion, additional objects portrayed, and the role of the viewer for each sculpture.
  • How is each sculpture representative of the period in Ancient Greece (e.g., Archaic, Classical, Hellenistic) in which it was created?

Be sure to explain your ideas clearly and support them by discussing specific details about each sculpture.

Question 2. Religious Symbolism

This week, we studied cultures that recognized a pantheon of gods and goddesses, such as Ancient Greece and Rome, and also explored the early artistic objects of the Jewish and Christian faiths.

Carefully examine the following sculptures and read about each one in your textbook, course and video lectures, and through reliable internet resources:

Initiation Rites of the Cult of Bacchus, wall painting in the Villa of the Mysteries, Pompeii, c. 50 BCE
Ark of the Covenant and Menorahs, wall painting in a Jewish catacomb, Villa Torlonia, Rome, 3rd c CE
The Transfiguration of Christ, Church of Sant’ Apollinare in Classe, 533-549 CE

Then, in a minimum of 3 well-developed paragraphs, address the following questions:

  1. What is the subject matter shown in each work?
  2. What is the belief system or faith represented in each work?
  3. What religious symbols do you observe in each work?
  4. How would the setting of each work have influenced how the contemporary viewer interpreted or understood its meaning?

Be sure to provide citations for any outside sources you reference in this part of your response.

Respond to both questions as thoroughly as possible, making sure to use information from this week’s readings, lectures, and additional resources. All responses should be in complete sentence form, using proper spelling and grammar.

secular view of authority

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Please provide me with at least 150 words for each unit assignment and also answer questions individually according to their units with each individual references.

Unit 3

You are in a place of influence in your professional life where you can help people be successful. Describe the relationship and what actions you have taken or could take to serve others. Based on the textbook, how does your response compare to the views of authority according to servant leadership? How does your response compare to the secular view of authority?

Unit 4

What is your given “authority” at your work place and/or professional life? Describe a time when you have exercised this authority in your journey as a professional nurse? How does your response compare to the secular view of power? How does your response compare to the secular view of authority? How does your response compare to the view of power according to servant leadership? How does your response compare to the view of authority according to servant leadership?

Unit 5

Describe a time in your professional life when you felt used and manipulated. What were the circumstances? Did you feel valued by the leader? Based on the textbook, explain how the issue of purpose, in the servant-leader paradigm, could have yielded a more beneficial outcome for the leader and yourself.

Unit 6

Resentment tears people and organizations apart. A servant leader focuses on leading and not dictating. Explain how you could transform feelings of resentment into a force for leading.

Unit 7

How do servant leaders, as compared with leaders using the transformational model of leadership, manage organization dynamics and lead change to ensure that the continued success of the stakeholders will be served? Is servant leadership or transformational leadership the best approach to these tasks? Why?

Unit 8

When we consider the word love as a verb instead of a feeling, the biblical worldview would state that this loving relationship is related to two principles: honor and protection. Explain how these two principles guide servant leadership in the workplace.

Unit 9

Servant leaders must be internally consistent with their words and actions. Describe a mentor that you have had that displayed this kind of credibility. Share an example of what you witnessed from this person. Based on the text, contrast your response to the secular view of power.

Unit 10

A credible person will do what they say. Describe a time when you felt free in displaying your integrity at work. Describe a time when you felt fearful displaying your integrity at work. What was the determining factor(s) that allowed you to lead by example versus going against your heart? If you never felt free in displaying your integrity at work, describe what conditions would need to exist for you to do so?

personal leadership philosophy

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Develop and submit a personal leadership philosophy that reflects what you think are characteristics of a good leader. Use the scholarly resources on leadership you selected to support your philosophy statement. Your personal leadership philosophy should include the following:

-A description of your core values

-A personal mission/vision statement

-An analysis of your CliftonStrengths Assessment summarizing the results of your profile

-A description of two key behaviors that you wish to strengthen

-A development plan that explains how you plan to improve upon the two key behaviors you selected and an explanation of how you plan to achieve your personal vision. Be specific and provide examples.

Program/policy evaluation

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Program/policy evaluation is a valuable tool that can help strengthen the quality of programs/policies and improve outcomes for the populations they serve. Program/policy evaluation answers basic questions about program/policy effectiveness. It involves collecting and analyzing information about program/policy activities, characteristics, and outcomes. This information can be used to ultimately improve program services or policy initiatives.

Nurses can play a very important role assessing program/policy evaluation for the same reasons that they can be so important to program/policy design. Nurses bring expertise and patient advocacy that can add significant insight and impact. In this Assignment, you will practice applying this expertise and insight by selecting an existing healthcare program or policy evaluation and reflecting on the criteria used to measure the effectiveness of the program/policy.

To Prepare:

Review the Healthcare Program/Policy Evaluation Analysis Template provided in the Resources.
Select an existing healthcare program or policy evaluation or choose one of interest to you and get approval to use it from your Instructor.
Review the healthcare program or policy evaluation and reflect on the criteria used to measure the effectiveness of the program or policy described.
The Assignment: (2–3 pages)

Based on the program or policy evaluation you selected, complete the Healthcare Program/Policy Evaluation Analysis Template. Be sure to address the following:

Describe the healthcare program or policy outcomes.
How was the success of the program or policy measured?
How many people were reached by the program or policy selected?
How much of an impact was realized with the program or policy selected?
At what point in program implementation was the program or policy evaluation conducted?
What data was used to conduct the program or policy evaluation?
What specific information on unintended consequences was identified?
What stakeholders were identified in the evaluation of the program or policy? Who would benefit most from the results and reporting of the program or policy evaluation? Be specific and provide examples.
Did the program or policy meet the original intent and objectives? Why or why not?
Would you recommend implementing this program or policy in your place of work? Why or why not?
Identify at least two ways that you, as a nurse advocate, could become involved in evaluating a program or policy after 1 year of implementation.

challenges

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*must also complete handout*

Choose two issues or challenges that the leaders of today’s health care organizations face. Select from among the following topics:

1.   Staff Shortage (Physicians, Nurses, Allied Health Providers, Ancillary Services)
2.   Reorganization in Response to Merger or Consolidation of Services
3.    Layoffs as a Result of Declining Revenues
4.   Influx of Registry, Part-Time, and Temporary Contract Staff
5.   Poor Performance Outcomes Leading to a Reduction in Medicare Reimbursement Dollars

6.   Poor Job Satisfaction Rates Resulting in Turnover

 

You are the manager of an ancillary service department at a large, 500+ bed hospital. Develop a proposal (750-1,200 words) that is directed toward your staff, in which you address the following:

•  Inform the staff of the two issues (from the topics provided) your organization is facing.

•  Describe the impact of these issues on your department.

•  Describe how improved communication, collaboration, and teamwork can improve conditions in your department.

•  Identify at least two examples from the required or recommended readings of techniques found to foster inclusion and improve communication and collaboration.

•  A minimum of three academic references from credible sources are required for this assignment.

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

This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center. Only Word documents can be submitted to Turnitin.

 

Rubric:

  1. Two issues/challenges are identified from among those listed in the assignment instructions.
  2. Comprehensive and compelling discussion regarding organizational issues, their impact, opportunities for improvement, and recommendations to foster a shared vision is offered.
  3. Thesis and/or main claim are comprehensive; contained within the thesis is the essence of the paper. Thesis statement makes the purpose of the paper clear.
  4. There is a sophisticated construction of paragraphs and transitions. Ideas progress and relate to each other. Paragraph and transition construction guide the reader. Paragraph structure is seamless.
  5. Writer is clearly in command of standard, written, academic English.

professional nursing practice

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Collaborative identification and interpretation of practice problems is a requirement of professional practice (AACN, 2008). Locating and summarizing literature using credible online databases is necessary for evidence-based nursing (AACN, 2008; QSEN, 2018).

Purpose

This assignment provides a learning activity for students to experience a practice-based scenario and apply a process worksheet designed to assist in the identification of an independent nursing problem or concern, develop a PICOT clinical question, and search for evidence using credible online databases/sources.

Course Outcomes

This assignment enables the student to meet the following Course Outcomes.

CO1: Examine the sources of evidence that contribute to professional nursing practice. (PO 7)

CO2: Apply research principles to the interpretation of the content of published research studies. (POs 4 & 8)

CO4: Evaluate published nursing research for credibility and significance related to evidence-based practice. (POs 4 & 8)

CO5: Recognize the role of research findings in evidence-based practice. (POs 7 & 8)

Due Date

Submit the completed PPL Worksheet by Sunday, 11:59 p.m. MT at the end of Week 3.

Points

This assignment is worth 175 points.

Directions

1. Read over each of the following directions.

2. You must read the Assignment Practice Scenario below before completing the PPL Worksheet.

3. Download and use the required PPL Worksheet (Links to an external site.)Links to an external site..

4. Review the information provided in our library of how to search for journal articles here (Links to an external site.)Links to an external site..

5. Review the information provided in our library of how to locate and copy a journal permalink (Links to an external site.)Links to an external site..

6. You are required to complete the worksheet using the productivity tools required by University, which is Microsoft Office Word 2013 (or later version), or Windows and Office 2011 (or later version) for MAC. You must save the file in the “.docx” format. Do NOT save as Word Pad. A later version of the productivity tool includes Office 365,

7. Complete each section of the Problem/PICOT/Literature (PPL) Worksheet. For the Clinical PICOT Question, you are required to use one type of question from the American Academy of Ambulatory Care Nursing (AAACN). Please access the template to select the question type from the following link:

American Academy of Ambulatory Care Nursing (AAACN). (2018). AAACN research toolkit: Template for asking PICOT questions. Retrieved from https://www.aaacn.org/sites/default/files/documents/misc-docs/1e_PICOT_Questions_template.pdf  (Links to an external site.)Links to an external site.

8. Be sure to use the PPL grading rubric to make certain you are meeting all grading criteria of the PPL Worksheet.

9. Use correct grammar, spelling, punctuation, and in-text APA formatting.

10. Submit the completed PPL Worksheet on the Week 3 Assignment page.

**Academic Integrity Reminder**

College of Nursing values honesty and integrity. All students should be aware of the Academic Integrity policy and follow it in all discussions and assignments.

By submitting this assignment, I pledge on my honor that all content contained is my own original work except as quoted and cited appropriately. I have not received any unauthorized assistance on this assignment. Please see the grading criteria and rubrics on this page.

Please see the grading criteria and rubrics on this page.

NOTE: Please use your browser’s File setting to save or print this page.

Assignment Practice Scenario

Your Chief Nurse Executive (CNE) recognizes you are pursuing your BSN and has asked you to be a member of the nursing evidence-based practice (NEBP) committee. She has advised the members that the purpose is to conduct nursing research studies involving clinical practice problems. Increasing nurses’ awareness of quality and safety concerns will help develop an attitude of inquiry and asking questions (Sherwood & Barnsteiner, 2017). Baccalaureate nurses “collaborate in problem identification, participate in the process of search, retrieval, and documentation of evidence, and integrate evidence using credible databases and internet resources” (AACN, 2008, pp. 16-17).

The CNE has advised all members of the following areas of quality and safety clinical practice that each committee member needs to consider and choose one as a priority area for conducting a research study. Sources of research problems come from nursing clinical practice (Houser, 2018):

Quality

Safety

Patient satisfaction
Patient education

Falls

Non-pharmacological pain management

Errors (any). Examples include:

·  Medication

·  Patient identification

·  Communication

Readmissions
Length of stay
Costs

Healthcare Associated Infections (HAIs). (Any type)
Examples include:

·  Central Line Associated Blood Stream Infections (CLABSI)

·  Catheter Associated Urinary Tract Infections (CAUTI)

·  Ventilator Associated Pneumonia (VAP)

·  Surgical Site Infections (SSI)

Sepsis

Discharge Teaching/Coaching
Transitions of Care/Level of Care

Pressure Ulcers
Skin Integrity

Your CNE has requested that you are to select one area and complete the PPL Worksheet using that topic. The committee will collaborate and decide as a team which nursing clinical problem area will be the priority focus of their next research study. Thank you for your valuable contributions to this important NEBP committee.

References

American Association of Colleges of Nurses (AACN). (2008). Executive summary: The essentials of baccalaureate education for professional nursing practice (2008). Retrieved from http://www.aacnnursing.org/Education-Resources/AACN-Essentials

Houser, J. (2018). Nursing research: Reading, using, and creating evidence (4th ed.). Sudbury, MA: Jones and Bartlett.

Sherwood, G., & Barnsteiner, J. (2017). Quality and safety in nursing: A competency approach to improving outcomes (2nd ed.). Hoboken, NJ: Wiley-Blackwell.

Quality and Safety Education for Nurses (QSEN). (2018). QSEN knowledge, skills, and attitude competencies. Retrieved from http://qsen.org/competencies/pre-licensure-ksas/

NR439 PPL Worksheet Rubric

NR439 PPL Worksheet Rubric

Criteria  RatingsPts

This criterion is linked to a Learning Outcome Clinical Nursing Practice Problem

Identify one quality or safety clinical priority area from the assignment guidelines practice scenario. Summarize the independent clinical nursing practice problem/issue you believe is the most important. Summarize your rationale (why) for choosing the problem.

25.0 pts

Clearly identifies one quality and safety clinical priority practice problem from the assignment guidelines practice scenario. Thoroughly summarizes the importance of the problem/issue. Thoroughly summarizes the rationale (why) the problem was chosen.

22.0 pts

Criteria from the first column are mostly summarized or one criteria lacks details or is missing.

20.0 pts

Criteria from the first column are minimally summarized or two criteria lack details or are not present.

10.0 pts

Criteria from the first column are poorly summarized.

0.0 pts

Criteria are not discussed.

25.0 pts

This criterion is linked to a Learning Outcome Clinical PICOT Question

Using the AAACN Template for Asking PICOT Questions located in the assignment guidelines, write out your PICOT question. You must use one type of question from the AAACN template.

20.0 pts

PICOT question with all 5 elements correct.

18.0 pts

PICOT question with 4 elements correct.

16.0 pts

PICOT question with 3 elements correct.

8.0 pts

PICOT question with 1-2 elements correct.

0.0 pts

PICOT question with no elements correct or no PICOT question present.

20.0 pts

This criterion is linked to a Learning Outcome PICOT Elements

Identify each of the elements for your PICOT.

20.0 pts

All 5 PICOT elements are correctly identified.

18.0 pts

4 PICOT elements are correctly identified.

16.0 pts

3 PICOT elements are correctly identified.

8.0 pts

1-2 PICOT elements are correctly identified.

0.0 pts

No PICOT elements are correctly identified or are not present.

20.0 pts

This criterion is linked to a Learning Outcome Evidence Retrieval Process

Using the Chamberlain College of Nursing library, locate an original nursing report/article of a single nursing study published from a nursing source/journal within the last 10 years that is relevant to your chosen clinical nursing practice problem/issue. Provide a complete APA reference to the study and the permalink. *Meta-analysis, Meta-synthesis, Systematic Reviews should not be used.

20.0 pts

All of the five criteria are present or one criteria is missing: 1. Complete study reference is provided in APA. 2. Uses the Chamberlain College of Nursing library by providing the permalink for the study. 3. Study is less than 10 years old. 4. Single original nursing study. 5. Study is from a nursing source/journal *Meta-analysis, Meta-synthesis, Systematic Reviews should not be used.

18.0 pts

Missing two criteria from the A column.

16.0 pts

Missing three criteria from the A column

8.0 pts

Missing four criteria from the A column.

0.0 pts

Missing all five criteria from the A column or none of the criteria are present.

20.0 pts

This criterion is linked to a Learning Outcome Implications of Literature Evidence

Summarizes how the study is relevant to your chosen clinical nursing practice problem/issue. Summarizes why you believe the nursing evidence-based practice committee should focus their next research study on this practice problem.

25.0 pts

Thoroughly summarizes how the study is relevant to your chosen clinical nursing practice problem/issue. Thoroughly summarizes why you believe the nursing evidence-based practice committee should focus their next research study on this practice problem. Excellent details provided.

22.0 pts

Mostly summarizes the criteria in the first column or one criteria lacks details.

20.0 pts

Fairly summarizes the criteria in the first column or one criteria is missing. Fair details are provided.

10.0 pts

Poorly summarizes the criteria in the first column. Poor details are provided.

0.0 pts

Criteria are not summarized or is missing.

25.0 pts

This criterion is linked to a Learning Outcome Literature Search Terms

Identifies 4 (or more) relevant searchable terms you used for your search for literature.

25.0 pts

Identifies 4 (or more) relevant searchable terms used for the search for literature.

22.0 pts

Identifies 3 relevant searchable terms used for the search for literature.

20.0 pts

Identifies 2 relevant searchable terms used for the search for literature.

10.0 pts

Identifies 1 relevant searchable term used for the search for literature.

0.0 pts

No Marks

25.0 pts

This criterion is linked to a Learning Outcome Literature Search Strategies

Identifies 4 (or more) relevant search strategies you used to narrow/limit your search for literature.

25.0 pts

Identifies 4 (or more) relevant strategies used to narrow/limit the search for literature.

22.0 pts

Identifies 3 relevant strategies used to narrow/limit the search for literature.

20.0 pts

Identifies 2 relevant strategies used to narrow/limit the search for literature.

10.0 pts

Identifies 1 relevant strategy used to narrow/limit the search for literature.

0.0 pts

No strategies identified or strategies are not present.

25.0 pts

This criterion is linked to a Learning Outcome Scholarly Writing, Mechanics, Organization, Spelling, Sentence Structure, Grammar

8.0 pts

Excellent writing, mechanics, organization, spelling, sentence structure, grammar. 1-2 errors noted.

6.0 pts

Good writing, mechanics, organization, spelling, sentence structure, grammar. A few errors noted.

3.0 pts

Fair writing, mechanics, organization, spelling, sentence structure, grammar. Some errors noted.

2.0 pts

Poor writing, mechanics, organization, spelling, sentence structure, grammar. Many errors noted.

0.0 pts

Very poor writing, mechanics, organization, spelling, sentence structure, grammar. Errors throughout are noted. Writing is difficult to understand or follow.

8.0 pts

This criterion is linked to a Learning Outcome APA In-Text Formatting for Cited Sentences

7.0 pts

Excellent APA formatting. Uses APA in-text citation formatting with no errors.

6.0 pts

Good APA formatting. Uses APA in-text citation formatting with 1-2 errors noted.

4.0 pts

Fair APA formatting. Uses APA in-text citation formatting with some errors noted or does not use in-text citation formatting.

3.0 pts

Poor APA formatting with many errors noted.

0.0 pts

Very poor APA with errors noted throughout.

7.0 pts

This criterion is linked to a Learning Outcome Assigned PPL Worksheet Used

0.0 pts

Assigned PICOT Worksheet form NOT used for this assignment results in loss of 10% (17.5 points) from points possible. 17.5 points deducted

0.0 pts

Assigned PICOT Worksheet form used for this assignment. 0 points deducted

0.0 pts

Total Points: 175.0