Tag Archive for: nursing

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 community, state, or federal policy evaluation or choose one of interest to you and get approval to use it from your Instructor.
  • Review community, state, or federal policy evaluation and reflect on the criteria used to measure the effectiveness of the program or policy described.

The Assignment: (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.

The bill is the following:

The convening of the 2020 legislative session this Monday demonstrated that granting APRNs full practice authority is a top priority of the House. For the first time in Florida House history, Speaker Oliva designated a nurse practitioner, Dr. Doreen Cassarino, as the “Nurse Practitioner of the Day.”

Monday also marked the launch of a coalition, Floridians Unite for Health Care, to push for the passage of HB 607, a bill removing unnecessary restrictions on APRNs. This coalition will bring together nursing organizations from across the state, including the Florida Nurses Association, the Florida Nurse Practitioner Network and the Florida Coalition of Advanced Practice Nurses. Check out Floridians Unite for Health Care to see the growing support for HB 607.

We are pleased to report that HB 607 moved through to its next committee and we look forward to providing you with continued updates of the progress of this bill throughout the session. Please visit NursingFlorida and click contact your legislators to voice your support for HB 607!

Quick Facts on House Bill 607 – Advanced Practice Registered Nurses:

  • INCREASES access to care in Florida, currently only 2% of physicians practice in our 30 rural counties
  • MAINTAINS safe and quality care provided by over 32,000 APRNs licensed in Florida
  • DECREASES health care costs in our state, resulting in a cost savings of $50-493 per Floridian
  • REDUCES unnecessary regulations on APRNs, which will have a positive impact on Florida’s economy estimated at over $1 billion due to increased wages and job creation

Thank you for your continued support!

NursingFlorida

TEMPLATE IS ATTACHED. PLEASE FILL IT OUT.

workforce culture

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You must answer the 2 questions four times. You must submit four documents (each one 1 page), in each one you must answer the 2 questions. Copy and paste will not be admitted. You should address the questions with different wording, different references, but always, objectively answering the questions.

 

1) **********minimum 4 full pages ( not words)**************************** (cover or reference page not included)

2)¨**********APA norms

3)********** It will be verified by Turnitin and SafeAssign

__________________________________________________________

Read well. 

You must answer the 2 questions four times. You must submit four documents (each one 1 page), in each one you must answer the 2 questions. Copy and paste will not be admitted. You should address the questions with different wording, different references, but always, objectively answering the questions.

______________________________________________________________

As an advanced practice nurse, one can engage in activism in order to achieve desired policy change at various levels including their own organization.

Questions:

1) Should nurses be unionized (yes/not) and explain why.

2)how does being unionized impact a workforce culture of safety?

Mandatory: Be sure to include one MSN Essential in your discussion that relates to this topic. Check file attached

I. Background for Practice from Sciences and Humanities

II. Organizational and Systems Leadership

III. Quality Improvement and Safety

IV. Translating and Integrating Scholarship into Practice

V. Informatics and Healthcare Technologies

VI. Health Policy and Advocacy

VII. Interprofessional Collaboration for Improving Patient and Population Health Outcomes

VIII. Clinical Prevention and Population Health for Improving Health

The Principle of Behavior

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Overview: The Principle of Behavior

Our successes and our failures are often directly related to our behaviors. In management, it is often possible to predict the longevity of a manager by his/her command of leadership behaviors. This section of the book illustrates this, and, hopefully, you will think of these behaviors for many years to come.

Objectives

• Examine dynamics of interpersonal and organizational communication that affect implementation of the collaborative nursing roles.

• Identify characteristics of an effective change agent.

• Identify the leadership style that would be best for you.

Directions

Before completing this assignment, read the third section (pages 125-233) of Covey’s The Speed of Trust.

In this assignment, you will write a short (1-2 pages), opinion paper. The paper is to be based on your own experiences and opinions. You should critically reflect on your personal experiences and apply what you have learned in the module to your current practice. Justify and explain your responses with examples and thorough explanations.

Consider a manager in your current or previous job to discuss the following:

• Discuss three of the behaviors that this person has mastered.

• Discuss three of the behaviors in which this person falls short.

Reflect on your own leadership ability and discuss the following:

• Discuss three of the behaviors that you have mastered.

• Discuss three behaviors you plan to work on.

Political Theory and the Budget

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This is a graded discussion: 25 points possible

             due Aug 18           

Week 6 Discussion 2: Political Theory and the Budget

2      2 unread replies.    2      2 replies.

Required Resources
Read/review the following resources for this activity:

  • Textbook: Review Chapter 2, 3 (pp. 56-59), 13
  • Lesson
  • Additional scholarly sources you identify through your own research

Initial Post Instructions
Explain how a liberal and conservative would approach developing the US budget. Use evidence (cite sources) to support your response from assigned readings or online lessons, and at least one outside scholarly source.

Follow-Up Post Instructions
Respond to at least  two peers or one peer and the instructor. Further the dialogue by  providing more information and clarification. Minimum of 1 scholarly  source, which can include your textbook or assigned readings or may be  from your additional scholarly research.

Writing Requirements

  • Minimum of 3 posts (1 initial & 2 follow-up)
  • APA format for in-text citations and list of references

Grading
This activity will be graded using the Discussion Grading Rubric. Please review the following link:

Course Outcomes (CO): 7

Due Date for Initial Post: By 11:59 p.m. MT on Wednesday
Due Date for Follow-Up Posts: By 11:59 p.m. MT on Sunday

musculoskeletal complaint

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Discussion:

Your first patient has a musculoskeletal complaint. Using the chart of musculoskeletal medical word elements from your textbook, construct 10 medical terms that would reasonably be involved in a complaint dealing with the muscles and/or bones. Each term should include its meaning in parentheses. Then list 3 tests or procedures that would reasonably be involved in evaluating a patient like this.

NOTE: I am asking that you either bold or underline each term, which will be a benefit to both you and me.

Your second patient has a gastrointestinal complaint. Using the chart of digestive medical word elements from your textbook, construct 10 medical terms that would reasonably be involved in a complaint dealing with the digestive tract. Each term should include its meaning in parentheses. Then list 3 tests or procedures that would reasonably be involved in evaluating a patient like this.

Your final patient has a respiratory problem, so something having to do with her breathing or lungs needs to be described. Again, use at least 10 terms from the reading, especially using the respiratory medical word elements from your textbook. Also, you need to include 3 tests or procedures that will help you to discover what the problem with your patient is.

Fetal Abnormality

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Case Study: Fetal Abnormality

Jessica is a 30-year-old immigrant from Mexico City. She and her husband Marco have been in the United States for the last three years and have finally earned enough money to move out of their Aunt Maria’s home and into an apartment of their own. They are both hard workers. Jessica works 50 hours a week at a local restaurant and Marco has been contracting side jobs in construction. Six months before their move to an apartment, Jessica finds out she is pregnant.

Four months later, Jessica and Marco arrive at the county hospital, a large, public, nonteaching hospital. A preliminary ultrasound indicates a possible abnormality with the fetus. Further scans are conducted, and it is determined that the fetus has a rare condition in which it has not developed any arms and will not likely develop them. There is also a 25% chance that the fetus may have Down syndrome.

Dr. Wilson, the primary attending physician, is seeing Jessica for the first time, since she and Marco did not receive earlier prenatal care over concerns about finances. Marco insists that Dr. Wilson refrain from telling Jessica the scan results, assuring him that he will tell his wife himself when she is emotionally ready for the news. While Marco and Dr. Wilson are talking in another room, Aunt Maria walks into the room with a distressed look on her face. She can tell that something is wrong and inquires of Dr. Wilson. After hearing of the diagnosis, she walks out of the room wailing loudly and praying aloud.

Marco and Dr. Wilson continue their discussion, and Dr. Wilson insists that he has an obligation to Jessica as his patient and that she has a right to know the diagnosis of the fetus. He furthermore is intent on discussing all relevant factors and options regarding the next step, including abortion. Marco insists on taking some time to think of how to break the news to Jessica, but Dr. Wilson, frustrated with the direction of the conversation, informs the husband that such a choice is not his to make. Dr. Wilson proceeds back across the hall, where he walks in on Aunt Maria awkwardly praying with Jessica and phoning the priest. At that point, Dr. Wilson gently but briefly informs Jessica of the diagnosis and lays out the option for abortion as a responsible medical alternative, given the quality of life such a child would have. Jessica looks at him and struggles to hold back her tears.

Jessica is torn between her hopes of a better socioeconomic position and increased independence, along with her conviction that all life is sacred. Marco will support Jessica in whatever decision she makes but is finding it difficult not to view the pregnancy and the prospects of a disabled child as a burden and a barrier to their economic security and plans. Dr. Wilson lays out all of the options but clearly makes his view known that abortion is “scientifically” and medically a wise choice in this situation. Aunt Maria pleads with Jessica to follow through with the pregnancy and allow what “God intends” to take place and urges Jessica to think of her responsibility as a mother.

Based on “Case Study: Fetal Abnormality” and other required topic study materials, write a 750-1,000-word reflection that answers the following questions:

1. What is the Christian view of the nature of human persons, and which theory of moral status is it compatible with? How is this related to the intrinsic human value and dignity?

2. Which theory or theories are being used by Jessica, Marco, Maria, and Dr. Wilson to determine the moral status of the fetus? What from the case study specifically leads you to believe that they hold the theory you selected?

Fetal Abnormality

4. What theory do you agree with? Why? How would that theory determine or influence the recommendation for action?

Remember to support your responses with the topic study materials.

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.

sociocultural factors

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*Question 1: The icebreaker for this Discussion is as follows:

Ice-breaker: “If I had the power to change a (negative) cultural practice, I would choose_______. I chose this because__________.”

After answering the icebreaker question above, please answer the following question in your Discussion response:

*Question 2: According to Airhihenbuwa, “negative enablers” are sociocultural factors that impede the adoption of a desired health behavior.

*Question 3: Please share with the class which cultural group you chose for your SLP and provide some examples of negative enablers that might influence the health behaviors of members of that cultural group. How might they lead to health disparities? Be specific — provide an example.

Nursing Care Models Worksheet Guidelines

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Nursing Care Models Worksheet Guidelines

Updated 9/2019

Chamberlain Nursing logo

Purpose

The purpose of this assignment is to identify nursing care models (not Nursing Theories) utilized in today’s various health care settings and enhance your knowledge of how models impact the management of care and may influence delegation. You will assess the effectiveness of models and determine how you would collaborate with a nurse leader to identify opportunities for improvement to ensure quality, safety and staff satisfaction.

Course Outcomes

Completion of this assignment enables the student to meet the following course outcomes.

CO1: Apply leadership concepts, skills, and decision making in the provision of high quality nursing care, healthcare team management, and the oversight and accountability for care delivery in a variety of settings. (PO2)

CO2: Implement patient safety and quality improvement initiatives within the context of the interprofessional team through communication and relationship building. (PO3)

CO3: Participate in the development and implementation of imaginative and creative strategies to enable systems to change. (PO7)

CO4: Apply concepts of leadership and team coordination to promote the achievement of safe and quality outcomes of care for diverse populations. (PO4)

CO6: Develop a personal awareness of complex organizational systems and integrate values and beliefs with organizational mission. (PO7)

CO7: Apply leadership concepts in the development and initiation of effective plans for the microsystems and/or system-wide practice improvements that will improve the quality of healthcare delivery. (PO2, and 3)

CO8: Apply concepts of quality and safety using structure, process, and outcome measures to identify clinical questions as the beginning process of changing current practice. (PO8)

 

Points

This assignment is worth 200 points.

Directions: Use this form to complete the Week 5 Nursing Care Models Assignment: Nursing Care Models Worksheet  (Links to an external site.)

  1. Read your text, Finkelman (2016), pp- 111-116.
  2. You are required to complete the assignment using the template.
  3. You will cite the textbook and one scholarly source for each of the two models. Scholarly references must be published within the last 5 years, peer-reviewed, from the Chamberlain Library only and you will need to provide the Permalink
  4. Review the information provided in our library of how to search for journal articles (Links to an 
  5. Review the information provided in the library on how to locate and copy a journal permalink
  6. Observe staff in delivery of nursing care provided. Practice settings may vary depending on availability.
  7. Identify the Model of nursing care that you observed. Be specific about what you observed, who was doing what, when, how and what led you to identify the particular model
  8. Review and summarize one scholarly resource (not your textbook) related to the nursing care model you observed in the practice setting.
  9. Review and summarize one scholarly resource (not including your text) related to a nursing care model that is different from the one you observed in the practice setting.
  10. Discuss the nursing care model from step #9, and how it could be implemented to improve quality of nursing care, safety and staff satisfaction. Be specific.
  11. Summarize this experience/assignment and what you learned about the two nursing care models.

optimum healthy state

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Patients who are ill depend on nurses to help them return to an optimum healthy state.Utilizing the nursing process allows nurses to take an active role in a patient’s care.According to Oliveira and Tariman (2017), nurses spend more contact hours with the patient than any other member of the healthcare team. Therefore, nurses have an important role as a patient advocate.It is the duty of a nurse to speak up on behalf of a patient to protect their basic rights and safeguard their safety (Oliveira and Tariman, 2017). Advocating for patients may be difficult for some nurses because the patient may want or decline treatment and it is the nurse’s responsibility to make sure their wishes are met. Patient advocacy also entails speaking to other members of the healthcare team to maintain the best interests of the patient. Standing up for patient’s rights, no matter how difficult it is, is a nurse’s responsibility (Grand Canyon University, 2018). Barriers that nurses may encounter are lack of support from administrators, acuity of patients, not using evidence-based practice, lack of assertiveness or confidence (Oliveira and Tariman, 2017). It is important for nurses to remember that one must practice according to the guidelines set by the nursing practice act of their state and advocate for their patient within their scope and standards of practice.

In my experience as a labor and delivery nurse I have had several opportunities to advocate for my patients. In one instance I had a laboring patient who was very adamant that she did not want an epidural. She wanted to experience a labor with minimal interventions. When her physician came to evaluate her, he was upset that she did not have an epidural. He started to try to intimidate and scare her into getting one.There was no medical necessity for it and she looked at me and started to cry. I verbalized to the physician that she did not want an epidural and I was going to be sure that whatever her wishes were, we were going to respect them, no matter how inconvenient he felt it was for him, as long as there was no medical contraindication. My patient delivered with no epidural and was so thankful and appreciative that I helped her not get bullied into an unnecessary procedure when there was no medical indication for it.

U.S. Environmental Protection Agency’s

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Visit the U.S. Environmental Protection Agency’s MyEnvironment site at http://www.epa.gov/myenvironment and enter your city and state or zip code, or location into the location box. Explore the site to learn more about your environment and things that might be impacting the health of its citizens.

  • Identify something new you learned about your environment and how it could be affecting health by completing this statement, “I didn’t know _____.
  • How could you, in the role of a community health nurse, address these concerns?

Optional: For more environmental health information, you can also visit:

Nies, M. A., & McEwen, M. (2015). Community/Public health nursing: Promoting the health of populations (6th ed.). St. Louis, MO: Saunders/Elsevier.

  • Chapter 14: Environmental Health
  • APA FORMAT