Within nursing, the patient’s perception is recognized as the patient’s reality. How does this way of knowing in nursing fit within an objective or subjective paradigm of the world? Explain your reasoning. 1 page, 2 sources.
see attached artcticles, if you prefer to use them.
The Quadruple Aim provides broad categories of goals to pursue to maintain and improve healthcare. Within each goal are many issues that, if addressed successfully, may have a positive impact on outcomes. For example, healthcare leaders are being tasked to shift from an emphasis on disease management often provided in an acute care setting to health promotion and disease prevention delivered in primary care settings. Efforts in this area can have significant positive impacts by reducing the need for primary healthcare and by reducing the stress on the healthcare system.
Changes in the industry only serve to stress what has always been true; namely, that the healthcare field has always faced significant challenges, and that goals to improve healthcare will always involve multiple stakeholders. This should not seem surprising given the circumstances. Indeed, when a growing population needs care, there are factors involved such as the demands of providing that care and the rising costs associated with healthcare. Generally, it is not surprising that the field of healthcare is an industry facing multifaceted issues that evolve over time.
In this module’s Discussion, you reviewed some healthcare issues/stressors and selected one for further review. For this Assignment, you will consider in more detail the healthcare issue/stressor you selected. You will also review research that addresses the issue/stressor and write a white paper to your organization’s leadership that addresses the issue/stressor you selected.
To Prepare:
The Assignment (3-4 Pages):
Analysis of a Pertinent Healthcare Issue
Develop a 3- to 4-page paper, written to your organization’s leadership team, addressing your selected national healthcare issue/stressor and how it is impacting your work setting. Be sure to address the following:
AACN Competencies and the school Mission, Vision, and Outcomes
According to a Gallup poll completed in 2013, 82% of respondents indicated that they believe nurses have high to very high levels of honesty and ethical standards, and nursing has been rated as the most trusted profession for several years (Gallup, 2010). What other values and characteristics are associated with the nursing profession? Which ones are the most professionally, academically, and personally significant to you?
For this Discussion, you will consider the alignment of qualities outlined by the AACN with those promoted by Walden University.
You will examine the AACN document appropriate for your degree path and consider how you can incorporate either the Essentials or the Quality Indicators into your academic endeavors.
To prepare:
By Wednesday 6/7/17, post 550 words essay in APA format with 3 references from the list below, that include the level one headings as numbered below:
Post a cohesive response that addresses the following:
1) Describe one or more significant ways in which Walden’s standpoint (i.e., vision, mission, social change message, and outcomes) relates to the AACN competencies as well as to your professional and academic goals.
2) Articulate a plan for incorporating social change into two of your professional and/or academic goals.
Required Readings
American Association of Colleges of Nursing (AACN). (2006). The essentials of doctoral education for advanced nursing practice. Washington, DC:Author. Retrieved from http://www.aacn.nche.edu/DNP/pdf/Essentials.pdf
[For DNP students ONLY]
American Association of Colleges of Nursing (AACN). (2006). The research-focused doctoral program in nursing: Pathways to excellence. Washington, DC: Author. Retrieved from http://www.aacn.nche.edu/education-resources/PhDPosition.pdf
“The Research-Focused Doctoral Program in Nursing: Pathways to Excellence” (pp. 4–16)
This section of the AACN document outlines the roles and expected learning outcomes for PhD students, and core curricular elements included in PhD programs.
Walden University Student Readiness Orientation
Access the Student Readiness Orientation (SRO) through the “My Courses” section of Blackboard. It will be available to you for one year. You can find the same information and more in the e-Guide, a companion website to the SRO. The e-Guide is available throughout your time at Walden. It can be accessed through the MyWalden Portal.
Walden University. (2011). Student publications: Vision, mission, and goals. Retrieved from http://catalog.waldenu.edu/
Select the current version of the “Walden University Student Handbook” from the drop-down menu.
In the left navigation bar, click “Introduction and Legal Information.”
Then click “Vision, Mission, and Goals.”
Read the information on the Walden University webpage, paying particular attention to Walden’s Vision, Mission, Goals, Social Change, and Outcomes message.
Document: Becoming a Successful Online Learner (PDF) (See attached PDF file)
This document contains valuable information, tips, and strategies for becoming a successful online learner in the DNP program.
Document: Citing a Discussion Posting in APA Style (PDF) (See attached PDF file)
The information in this document focuses on how to cite a Discussion posting or response in APA style.
Document: Technical Tips for Learning at Walden (PDF) (See attached PDF file)
Tips for working with various technologies, such as word-processing software, online classroom features, and your myWalden page, are addressed in this document.
Required Media
Laureate Education (Producer). (2011b). Introduction: The doctor of nursing practice [Video file]. Retrieved from https://class.waldenu.edu.
Please review this media in the Week 1 Resources.
Laureate Education (Producer). (2012a). Effective online communication: Scholarly writing in online discussion [Video file]. Retrieved from https://class.waldenu.edu
Note: The approximate length of this media piece is 5 minutes.
This media program presents valuable tips for writing scholarly Discussion posts.
Laureate Education (Producer). (2012f). Tips for effective online composition and communication [Video file]. Retrieved from https://class.waldenu.edu
Note: The approximate length of this media piece is 7 minutes.
This media program provides essential insights and information regarding the differences between online and in-person communication, the importance of tone in your e-communications, and how to write effective e-mail messages. All of these skills are essential to your success as an online learner.
Optional Resources
Westwood, C. (2010). Six simple steps to ensure you achieve your aims. Nursing Management, 17(4), 28–29.
Note: You will access this article from the Walden Library databases.
Hello please answer the following questions review the attachment, It should be in APA style with 3 references min. no older than 5 years, and 800 words minimum. Less than 20 % similarity.
1. Veronica, a 5-month-old girl with Down syndrome, and her family are being seen for a healthy checkup. The parents express concern about Veronica’s growth and her color. They are worried that her lips turn blue while she is eating.
a. As a culturally competent nurse, what knowledge would be critical in assessing the child and family health?
b. Describe the importance of nurses understanding the genetics of Down syndrome prior to interacting with the child and family.
c. Imagine the primary concern you would have if you were the parents.
2. Michelle is a 42-year-old African American woman who is 12 weeks pregnant. She works as a waitress and finished her GED when she was 21 years old. She is worried because she heard that her baby may have sickle cell disease even though she and her husband do not.
a. How would you help Michelle understand the genetics of sickle cell?
b. Would it be reasonable to tell Michelle that the baby can be tested? Why or why not?
Down syndrome, c. What other factors should you consider in shaping your discussion with Michelle?
3. A person of Mediterranean descent may have low blood levels of hemoglobin.
a. Describe why this is true and why nurses need to be aware of these differences in hemoglobin levels.
b. Explain how hemoglobin levels may affect a person’s health.
consider the validity and reliability of different assessment tools and diagnostic tests. explore issues such as sensitivity, specificity, and positive and negative predictive values. consider examples of children with various weight issues.
Child Health Case:
Choose one of the following:
(3–4 pages, not including title and reference pages):
Include the following:
Overview/Description of Final Paper: The final written assignment will synthesize what you have discovered about the different advanced practice roles and scope of practice found in the master of nursing curriculum: APRNs, nurse educator, nurse informaticist, and nurse administrator/executive. You will review all roles and then examine the specialty for which you were admitted, focusing on the scope of practice, core competencies, certification requirements, and legal aspects of practice for that specific role. You will also identify the practice environment and population you will be working with, as well as peers and colleagues. In addition, you will discuss your future leadership role and participation in professional organizations.
Your paper is to be based on current literature, standards of practice, core competencies, and certification bodies for your chosen role. The paper should be 8-10 pages excluding the title and reference pages, and APA format is required.
Based on your program of study, review the literature and address the following:
For the above category chosen, address the following:
APA format 2 pages long 3 references 1 from walden university library
please use one of the references from this post
An educational program’s worth is determined by a process that is defined as an evaluation (Keating & DeBoor, 2018). “Evaluation is a broad term that describes the process of determining the value, worth, or quality” (Billings & Halstead, 2016, p. 385). There are several evaluation models that are utilized by nursing programs and nursing educators.
During this week’s assigned readings, I found two models that could be used for the evaluation of an educational intervention in a healthcare setting. One is the RSA Model which was developed by Roberta Straessle Abruzzese, a nursing educator. This model is a triangle that progresses in a hierarchy fashion moving from process evaluation (the lowest level) to content evaluation, outcome evaluation, and the highest level – impact evaluation (DeSilets, 2010). Another attractive model is the CURRICULUM Model which includes context, content, and conduct. Under context the letters C – consider context and U – understand learners; content includes the letters R – wRite goals, R – wRite objectives, I – identify content, C – choose methods and materials, and U – unite resources; and conduct includes the letters L – lead implementation, U – undertake evaluation, and M – monitor outcomes (Kalb, 2009).
Although the above-referenced evaluation models are appropriate for an educational program within a healthcare setting, our team has chosen the Kirkpatrick Evaluation Model combined with a Shared Governance Model approach. The Kirkpatrick Evaluation Model “evaluates four levels of change: reaction, learning, behavior, and results” (Billings & Halstead, 2016, p. 389). Each of these levels must be evaluated before expanding upon the next. This model will be useful for the nurse and the educator as it will show if the training yields the desired outcomes; the degree of change on the nursing units; and the amount of content learned (Kirkpatrick Partners, 2019). Moses Cone Hospital already has a Shared Governance model in place which will aid in achieving quality patient care by aligning nursing professional practice with organizational values and beliefs (Nursing World, 2004). This model can help nurses by encouraging one another to provide evidenced-based care and live the mission, vision, and values of the Cone Health organization.
According to Billings & Halstead (2016, p. 395), “to design and implement an evaluation plan and then ignore the results would defeat the purpose of evaluation.” Evaluation of an educational program not only reveals the success of the said program; it can also assist the nurse educator in any changes that need to be made for future reference. “Implementing an educational model that is based on outcomes reflects the influence of education on practice” (Dickerson, Shinners, & Chappell, 2017).
References
Billings, D. M., & Halstead, J. A. (2016). Teaching in Nursing: A Guide for Faculty (5th ed.)
DeSilets, L. D. (2010, January). Another Look at Evaluation Models. The Journal of Continuing Education in Nursing, 41(1), 12-13. Retrieved from the Walden Library databases.
Dickerson, P. S., Shinners, J., & Chappell, K. (2017). Awarding credit for outcomes-based professional development. The Journal of Continuing Education in Nursing, 48(3), 97-98. Retrieved from the Walden Library databases.
Kalb, K. A. (2009, May/June). The three Cs model: The context, content, and conduct of nursing education. Nursing Education Perspectives, 30(3), 176-180. Retrieved from the Walden Library databases.
Keating, S. B., & DeBoor, S. S. (2018). Curriculum development and evaluation in nursing education (4th ed. New York, NY: Springer.
Nursing World. (2004). Shared governance models: The theory, practice, and evidence. Retrieved from http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/
ANAPeriodicals/OJIN/TableofContents/Volume92004/No1Jan04/SharedGovernance
Models.aspx
please use only 1 reference
150-200 words
please use your imagination for this post
Discussion: Developing a Philosophy, Goals, and Objectives
As addressed in this week’s Learning Resources, an organization’s philosophy statement derives from its mission and indicates the values and beliefs that steer decision making. An organization’s philosophy statement should be used to develop goals and objectives that lead to assured action.
As effective organizations recognize, “setting specific goals in a clear and compelling way—and insisting that people work together to achieve them—is the best way to get results” (Ashkenas, 2012, para. 9).
This Discussion builds on the Week 2 Discussion 2, as you create a philosophy statement, goals, and objectives for Mountain View Health Center, the organization featured in the case study introduced last week.
You will continue to work within the same small group. Note: You will develop an individual philosophy statement, goals, and objectives independently. Through the collegial exchange that follows, you will offer each other suggestions for refinement.
To prepare:
Review information on philosophy statements, goals, and objectives in Chapter 7 of the Marquis and Huston text and in the other Learning Resources.
Review the Mountain View Health Center case study presented in this week’s media, and reflect on the mission and vision statements you developed for Discussion 2 in Week 2.
Conduct additional research as necessary to strengthen your understanding of the process for creating a philosophy statement and developing goals and objectives and to deepen your thinking about the organization. For instance, you may research organizations with similarities to Mountain View and examine their philosophy statements, goals, and objectives.
Draft a philosophy statement for Mountain View Health Center.
Craft at least one goal and at least one related objective to operationalize the philosophy.
Consider what you have learned about the importance of the philosophy statement and the process of developing one, as well as the significance of and distinctions between goals and objectives.
Post a philosophy statement for Mountain View Health Center, at least one goal, and at least one related objective. Offer insights you have gained about the process of developing a philosophy statement, as well as the significance of and distinctions between organizational goals and objectives.
Read a selection of your colleagues’ responses. Consider the following:
Are the philosophy statements, goals, and objectives clearly written and easy to understand?
How well does the philosophy statement align with the mission and vision statements posted in Discussion 2 of Week 2? Does it reflect accepted values of the organization?
Are the goals and objectives specific, measureable, attainable, relevant, and time-bound?
How well do the philosophy statements, goals, and objectives reflect the stakeholders?
Respond to at least two of your colleagues on two different days by evaluating the strengths and weaknesses of their philosophy statements, goals, and objectives. Suggest opportunities for refinement.
Required Readings
Cara, C. M., Nyberg, J. J., & Brousseau, S. (2011). Fostering the coexistence of caring philosophy and economics in today’s health care system. Nursing Administration Quarterly, 35(1), 6–14.
Retrieved from the Walden Library databases.
The article addresses caring as a part of mission and philosophy and the benefits of this for nursing satisfaction and performance, patient satisfaction, quality of care, and cost reduction.
Lorenzi, N. M. (2011). AMIA’s realigned strategic plan. Journal of American Medical Informatics Association, 18(2), 203–208.
Retrieved from the Walden Library databases.
As you read this article, consider the process used to set goals and evaluate the extent to which the identified goals are specific, measureable, attainable, relevant, and time-bound.
Kenny, G. (2012). From the stakeholder viewpoint: Designing measurable objectives. Journal of Business Strategy, 33(6), 40–46.
Retrieved from the Walden Library databases.
Measurable objectives are an important part of the strategic planning process, yet many organizations struggle with formulating good objectives. In this article, the author suggests strategies for developing better objectives, which will then facilitate the planning process.
Urbanski, J., Baskel, M., & Martelli, M. (2011). Strategic planning—A plan for excellence for South Haven Health System. Nursing Administration Quarterly, 35(3), 227–234.
Retrieved from the Walden Library databases.
The article addresses stakeholder involvement as a key component of South Haven Health System’s success in strategic planning and describes how the system develops goals and objectives.
Lloyd-Jones, D. M., Hong, Y., Labarthe, D., Mozaffarian, D., Appel, L. J., Van Horn, L., . . . Rosamond, W. D. (2010). Defining and setting national goals for cardiovascular health promotion and disease reduction: The American Heart Association’s strategic impact goal through 2020 and beyond. Retrieved from http://circ.ahajournals.org/content/121/4/586.full.pdf+html
As you read this report, consider the process used to set goals and evaluate the extent to which the identified goals are specific, measureable, attainable, relevant, and time-bound.
Required Media
Laureate Education (Producer). (2013b). Case study: Mountain View Health Center [Interactive media]. Retrieved from CDN database. (NURS 6241)
This interactive multimedia piece presents a case study of an organization, with information about the types of activities performed there, organizational structure, strategic priorities, and financial allocations. You will use this as a resource for this week’s Discussion.
Optional Resources
Marquis, B. L., & Huston, C. J. (2015). Leadership roles and management functions in nursing: Theory and application (8th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.
Chapter 7, “Strategic and Operational Planning” (pp. 138–161)
Review as needed.
Sare, M., & Ogilvie, L. (2010). Strategic planning for nurses: Change management in health care.Sudbury, MA: Jones and Bartlett.
Chapter 7, “The Three Key Elements of the Strategic Planning Process: A Vision That Guides Nursing’s Future Action” (pp. 117–143)
Review as needed, focusing on the information about goals and objectives.
Kramer, M., Schmalenberg, C., & Maguire, P. (2010). Nine structures and leadership practices essential for a magnetic (healthy) work environment. Nursing Administration Quarterly, 34(1), 4–17.
Retrieved from the Walden Library databases.
The authors discuss the clinical environment of nursing and the leadership practices needed to promote quality patient care outcomes.
Required Assigned Topic for the focus of your paper.
• Person with Asthma OR breathing issues. Note: You will use the same scenario you developed and same mHealth app you identified in Week 2.
NR361 Milestone 2NR361 Milestone 2CriteriaRatingsPtsThis criterion is linked to a Learning OutcomeDefine: Approved Patient Scenario from Milestone 1Brief statement of the patient scenario from the Milestone 1 assignment, including revisions if required by Milestone 1 faculty feedback.30.0 ptsDefines (states) the brief patient scenario approved from Milestone 1 including excellent details in revisions (if required by Milestone 1 instructor feedback).26.0 ptsDefines (states) the brief patient scenario from Milestone 1 including good details in revisions (if required by Milestone 1 instructor feedback).24.0 ptsDefines (states) the brief patient scenario approved from Milestone 1 including fair details in revisions (if required by Milestone 1 instructor feedback).12.0 ptsDefinition of brief patient scenario is poorly done and/or revisions did not adhere to feedback from instructor on Milestone 10.0 ptsDoes not define (state) the nursing issue.30.0 pts
This criterion is linked to a Learning OutcomeTeach:Identify (3) teaching areas to improve patient outcomes. Information to be taught to patient should include information about the mHealth app, safety guidelines, and how to interpret and act on the information that is provided. Remember to use bullet points.75.0 ptsIdentifies 3 teaching areas to improve patient outcomes. Excellent details includes information about the mHealth app, safety guidelines for mHealth application, and how to interpret and act on the information of the mHealth application. Written in bullet points.66.0 pts
Identifies 3 teaching areas to improve patient outcomes. Good details includes information about the mHealth app, safety guidelines for mHealth application, and how to interpret and act on the information of the mHealth application. Written in bullet points.60.0 ptsIdentifies 2 or 3 teaching areas to improve patient outcomes. Fair data includes information about the mHealth app, safety guidelines for mHealth application, and/or how to interpret and act on the information of the mHealth application. Does not use bullet points or information is not clear.29.0 ptsIdentifies 1-2 teaching areas to improve patient outcomes. Poor data includes information about the mHealth app, safety guidelines for mHealth application, OR how to interpret and act on the information of the mHealth application. Does not use bullet points AND information is not clear.0.0 ptsDid not identify teaching measures to improve patient outcomes.75.0 pts
This criterion is linked to a Learning OutcomeEvaluate:Describe 3 ways you would determine and evaluate the success of the patient’s use of the mHealth app. Cite when appropriate. Remember to use bullet points.75.0 ptsDescribe in excellent detail 3 ways to determine and evaluate the success of the patient’s use of the mHealth app. Written in bullet points.66.0 ptsDescribes in good detail 3 ways to determine and evaluate the success of the patient’s use of the mHealth app. Written in bullet points.60.0 ptsDescribes in fair detail 2-3 ways to determine and evaluate the success of the patient’s use of the mHealth app. May not use bullet points or information is not clear.29.0 ptsDescribes in poor detail 1-2 ways to determine and evaluate the success of the patient’s use of the mHealth app. Does not use bullet points AND information is not clear.0.0 ptsDid not identify ways to evaluate the success of the patient’s use of the mHealth app.75.0 pts
This criterion is linked to a Learning OutcomeCitations and References:Include citations and references for the mHealth application in APA format and a scholarly peer-reviewed journal article related to the patient scenario published within the past 5 years.30.0 ptsExcellent citations and references in APA format for both the mHealth application and the scholarly peer-reviewed journal that is less than 5 years old26.0 ptsGood citations and references with minor errors in APA format for both/either the mHealth application and the scholarly peer-reviewed journal that is less than 5 years old24.0 ptsCitations and references with some errors in APA format for both/either the mHealth application and the scholarly peer-reviewed journal that is less than 5 years old12.0 ptsCitations and references with numerous errors in APA format for the mHealth application and the scholarly peer-reviewed journal.0.0 ptsDid not cite or reference in APA format.30.0 pts
This criterion is linked to a Learning OutcomeWritingcontains no spelling or grammatical errors. Reading level is appropriate for patient described.15.0 ptsGrammar, punctuation, and spelling are correct; Reading level appropriate for patient.13.0 ptsGood mechanics considering the elements listed in the first column12.0 ptsFair mechanics considering the elements listed in the first column.6.0 ptsPoor mechanics considering the elements listed in the first column0.0 ptsVery poor mechanics such that assignment is difficult to read.15.0 pts
This criterion is linked to a Learning OutcomeCorrect Topic and correct Template Use0.0 pts0 points deductedCorrect topic and correct template used for the assignment0.0 pts22.5 points deducted (10%)Incorrect topic OR incorrect/no template used results in a 22.5 point deduction (10%).0.0 pts
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