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policy evaluation

Some nurses may be hesitant to get involved with

Some nurses may be hesitant to get involved with policy evaluation. The preference may be to focus on the care and well-being of their patients; some nurses may feel ill-equipped to enter the realm of policy and political activities. However, as you have examined previously, who better to advocate for patients and effective programs and polices than nurses? Already patient advocates in interactions with doctors and leadership, why not with government and regulatory agencies?

In this Discussion, you will reflect on the role of professional nurses in policy evaluation.

To Prepare:

  • In the Module 4 Discussion, you considered how professional nurses can become involved in policy-making.
  • Review the Resources and reflect on the role of professional nurses in policy evaluation.

By Day 3 of Week 9

Post an explanation of at least two opportunities that currently exist for RNs and APRNs to actively participate in policy review. Explain some of the challenges that these opportunities may present and describe how you might overcome these challenges. Finally, recommend two strategies you might make to better advocate for or communicate the existence of these opportunities. Be specific and provide examples.

. The preference may be to focus on the care and well-being of their patients; some nurses may feel ill-equipped to enter the realm of policy and political activities. However, as you have examined previously, who better to advocate for patients and effective programs and polices than nurses? Already patient advocates in interactions with doctors and leadership, why not with government and regulatory agencies?

In this Discussion, you will reflect on the role of professional nurses in policy evaluation.

To Prepare:

  • In the Module 4 Discussion, you considered how professional nurses can become involved in policy-making.
  • Review the Resources and reflect on the role of professional nurses in policy evaluation.

By Day 3 of Week 9

Post an explanation of at least two opportunities that currently exist for RNs and APRNs to actively participate in policy review. Explain some of the challenges that these opportunities may present and describe how you might overcome these challenges. Finally, recommend two strategies you might make to better advocate for or communicate the existence of these opportunities. Be specific and provide examples.

Cost Accounting

Discussion: Cost Accounting

After completing this week’s readings, including, “Anticipating Utilization Trends in an Evolving Market ,” describe the ways in which healthcare financial managers use financial resources and cost classifications to allocate indirect costs to direct costs when determining patient charges. Also, explain how utilization rates are related to volumes and revenue generation.

Reading article attached below please use in addition to other articles to answer

quality improvement data

  • What are the best strategies the nurse can employ to empower patients and support patients’ rights to improve quality of care? (Some considerations to keep in mind may include: providing information on effectiveness, risks, and benefits of alternative treatments.)
  • In what ways can NDNQI data from dashboards or quality improvement data be used to support nurse empowerment in practice?
  • How has your institution empowered the nursing staff through the use of quality improvement data?
  • Provide an example of how you have personally empowered either a patient or a fellow nurse.

Demonstration of Proficiency

For this assessment you will create a 5-10 minute video reflection on an experience in which you collaborated interprofessionally, as well as a brief discussion of an interprofessional collaboration scenario and how it could have been better approached.

Interprofessional collaboration is a critical aspect of a nurse’s work. Through interprofessional collaboration, practitioners and patients share information and consider each other’s perspectives to better understand and address the many factors that contribute to health and well-being (Sullivan et al., 2015). Essentially, by collaborating, health care practitioners and patients can have better health outcomes. Nurses, who are often at the frontlines of interacting with various groups and records, are full partners in this approach to health care.

Reflection is a key part of building interprofessional competence, as it allows you to look critically at experiences and actions through specific lenses. From the standpoint of interprofessional collaboration, reflection can help you consider potential reasons for and causes of people’s actions and behaviors (Saunders et al., 2016). It also can provide opportunities to examine the roles team members adopted in a given situation as well as how the team could have worked more effectively.

As you begin to prepare this assessment you are encouraged to complete the What is Reflective Practice? activity. The activity consists of five questions that will allow you the opportunity to practice self-reflection. The information gained from completing this formative will help with your success on the Collaboration and Leadership Reflection Video assessment. Completing formatives is also a way to demonstrate course engagement

Note: The Example Kaltura Reflection demonstrates how to cite sources appropriately in an oral presentation/video. The Example Kaltura Reflection video is not a reflection on the Vila Health activity. Your reflection assessment will focus on both your professional experience and the Vila Health activity as described in the scenario.

References

Saunders, R., Singer, R., Dugmore, H., Seaman, K., & Lake, F. (2016). Nursing students’ reflections on an interprofessional placement in ambulatory care. Reflective Practice, 17(4), 393–402.

Sullivan, M., Kiovsky, R., Mason, D., Hill, C., & Duke, C. (2015). Interprofessional collaboration and education. American Journal of Nursing, 115(3), 47–54.

Demonstration of Proficiency

  • Competency 1: Explain strategies for managing human and financial resources to promote organizational health.
    • Identify how poor collaboration can result in inefficient management of human and financial resources supported by evidence from the literature.
  • Competency 2: Explain how interdisciplinary collaboration can be used to achieve desired patient and systems outcomes.
    • Reflect on an interdisciplinary collaboration experience noting ways in which it was successful and unsuccessful in achieving desired outcomes.
    • Identify best-practice interdisciplinary collaboration strategies to help a team to achieve its goals and work more effectively together.
  • Competency 4: Explain how change management theories and leadership strategies can enable interdisciplinary teams to achieve specific organizational goals.
    • Identify best-practice leadership strategies from the literature, which would improve an interdisciplinary team’s ability to achieve its goals.
  • Competency 5: Apply professional, scholarly, evidence-based communication strategies to impact patient, interdisciplinary team, and systems outcomes.
    • Communicate in a professional manner that is easily audible and uses proper grammar. Format reference list in current APA style.

Professional Context

This assessment will help you to become a reflective practitioner. By considering your own successes and shortcomings in interprofessional collaboration, you will increase awareness of your problem-solving abilities. You will create a video of your reflections, including a discussion of best practices of interprofessional collaboration and leadership strategies, cited in the literature.

Scenario

As part of an initiative to build effective collaboration at your Vila Health site, where you are a nurse, you have been asked to reflect on a project or experience in which you collaborated interprofessionally and examine what happened during the collaboration, identifying positive aspects and areas for improvement.

You have also been asked to review a series of events that took place at another Vila Health location and research interprofessional collaboration best practices and use the lessons learned from your experiences to make recommendations for improving interprofessional collaboration among their team. Your task is to create a 5–10 minute video reflection with suggestions for the Vila Health team that can be shared with leadership as well as Vila Health colleagues at your site. Note: If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact [email protected] to request accommodations. If, for some reason, you are unable to record a video, please contact your faculty member as soon as possible to explore options for completing the assessment.

Instructions

Using Kaltura, record a 5–10 minute video reflection on an interprofessional collaboration experience from your personal practice, proposing suggestions on how to improve the collaboration presented in the Vila Health: Collaboration for Change activity.

Be sure that your assessment addresses the following criteria. Please study the scoring guide carefully so you will know what is needed for a distinguished score:

  • Reflect on an interdisciplinary collaboration experience, noting ways in which it was successful and unsuccessful in achieving desired outcomes.
  • Identify how poor collaboration can result in inefficient management of human and financial resources, citing supporting evidence from the literature.
  • Identify best-practice leadership strategies from the literature that would improve an interdisciplinary team’s ability to achieve its goals, citing at least one author from the literature.
  • Identify best-practice interdisciplinary collaboration strategies to help a team achieve its goals and work together, citing the work of at least one author.
  • Communicate in a professional manner, is easily audible, and uses proper grammar. Format reference list in current APA style.

You will need to relate an experience that you have had collaborating on a project. This could be at your current or former place of practice, or another relevant project that will enable you to address the requirements. In addition to describing your experience, you should explain aspects of the collaboration that helped the team make progress toward relevant goals or outcomes, as well as aspects of the collaboration that could have been improved.

A simplified gap-analysis approach may be useful:

  • What happened?
  • What went well?
  • What did not go well?
    • What should have happened?

After your personal reflection, examine the scenario in the Vila Health activity and discuss the ways in which the interdisciplinary team did not collaborate effectively and the negative implications for the human and financial resources of the interdisciplinary team and the organization as a whole.

Building on this investigation, identify at least one leadership best practice or strategy that you believe would improve the team’s ability to achieve their goals. Be sure to identify the strategy and its source or author and provide a brief rationale for your choice of strategy.

Additionally, identify at least one interdisciplinary collaboration best practice or strategy to help the team achieve its goals and work more effectively together. Again, identify the strategy, its source, and reasons why you think it will be effective.

You are encouraged to integrate lessons learned from your self-reflection to support and enrich your discussion of the Vila Health activity.

You are required to submit an APA-formatted reference list for any sources that you cited specifically in your video or used to inform your presentation. The Example Kaltura Reflection will show you how to cite scholarly sources in the context of an oral presentation.

Refer to the Campus tutorial Using Kaltura [PDF] as needed to record and upload your reflection.

Additional Requirements

  • References: Cite at least 3 professional or scholarly sources of evidence to support the assertions you make in your video. Include additional properly cited references as necessary to support your statements.
  • APA Reference Page: Submit a correctly formatted APA reference page that shows all the sources you used to create and deliver your video.
    • You may wish to refer to the Campus APA Module for more information on applying APA style.

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: Remember to save the final assessment to your ePortfolio so that you may refer to it as you complete the final Capstone course.

qualitative or quantitative.

Details:

Identify a barrier or issue in health care that I would like to address is nurse shortage in hospitals and how quality of care suffers. Perform a literature review on the barrier or issue using the GCU Library. Present 8-10 peer-reviewed primary research articles. These articles should be either qualitative or quantitative.

You may use either health care or nursing peer-reviewed journals; however, at least half of the primary articles must come from a peer-reviewed nursing journal. The peer-reviewed articles must consist of research published within the last 5 years.

Use the “Literature Review: Table of Evidence” template to document your detailed assessment of each primary study. This document helps break down the components of each article to ensure the article meets the requirements for a professional nursing paper. Ensure that each of your articles provides information that meets each criterion listed. Provide a detailed and clear explanation when describing how each article supports your Capstone Project and evidence-based practice (between five and six sentences).

This assignment uses a “Literature Review: Table of Evidence Grading Form” that corresponds to the “Literature Review: Table of Evidence” template. Instructors will be using the grading form to assess the assignment and provide feedback; therefore, students should review the grading form prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

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

Community-Based Organizations

In the chapter, “How Community-Based Organizations Are  Addressing Nursing’s Role in Transforming Health Care,” the authors  describe the community as the focus of advocacy action for change. They  list a series of questions that help community teams develop organizing  principles to guide their interventions, and the aim is to attack social  determinants of health to make community change.

Suppose a community team identifies lack of access to  exercise modalities as a public health issue. If the team were to  determine that pedestrian walkways need to be constructed, discuss at  least two factors that would facilitate the development of the walkways  and two that would hinder the development. For the hindrances, discuss  ways that the team might work to overcome those hindrances.

Afferent lymphatic vessel

In the diagram below, the black arrow is pointing to which of the following?
xid-77031725_1.png

 

a.

Inner cortex

 

b.

Afferent lymphatic vessel

 

c.

Capsule

 

d.

Hilum

5 points  

QUESTION 3

  • In the diagram below, the black arrow is pointing to which of the following?

xid-77031724_1.png

 

a.

Hilum

 

b.

Afferent lymphatic vessel

 

c.

Capsule

 

d.

Inner cortex

5 points  

QUESTION 4

  • In the diagram below, the black arrow is pointing to which of the following?

xid-77031723_1.png

 

a.

Afferent lymphatic vessel

 

b.

Hilum

 

c.

Inner cortex

 

d.

Capsule

5 points  

QUESTION 5

  • In the diagram below, the black arrow is pointing to which of the following?

xid-77031722_1.png

 

 

a.

Capsule

 

b.

Hilum

 

c.

Afferent lymphatic vessel

 

d.

Inner cortex

5 points  

QUESTION 6

  • Identify the part of the lymph node that the highlighted line is pointing to below: Your response may be one or more words or phrases.

UISApic1.png

 

5 points  

QUESTION 7

  • Identify the part of the lymph node that the highlighted line is pointing to below: Your response may be one or more words or phrases.

UISApic2.png

5 points  

QUESTION 8

  • Identify the part of the lymph node that the highlighted line is pointing to below: Your response may be one or more words or phrases.

UISApic4.png

 

5 points  

QUESTION 9

  • Identify the part of the lymph node that the highlighted line is pointing to below: Your response may be one or more words or phrases.

UISApic3.png

 

5 points  

QUESTION 10

More than 70 micro-organisms have been identified as capable of causing serious disease in man. List and describe the four types of micro-organisms that cause disease. Your response should be at least 75 words in length.
 

15 points  

QUESTION 11

Describe the processes of cell reproduction. List and provide brief explanations of the stages and phases that are involved.

Your response should be at least 300 words in length.
Match words with definitions

Connective tissue

Reticular fibers (fibres: UK)

Tendons

White blood cells

Immune system

Thrombosis

Muscle

Blood

Endogenous

Sweat

 

a.

An infection that comes from within the body.

 

b.

Lymphocytes, phagocytes that destroy infectious organisms.

 

c.

Tissue is concerned with movement.

 

d.

An example of a liquid connective tissue.

 

e.

During tissue repair platelets promote this.

 

f.

Connects body parts to one another.

 

g.

Stringy structures within dense connective tissue.

 

h.

A chemical barrier against infection.

 

i.

Forms the internal skeleton of soft organs such as the spleen.

 

j.

Integrated collection of organs and cells that protect the body from disease.

family history of heart disease

Dave is a 46-year-old attorney with a family history of heart disease (his father had a heart attack at the age of 56) whose recent blood tests reveal high blood LDL cholesterol and triglyceride levels. His doctor has advised him to eat less fat in his diet. Dave is a self-confessed “foodie” and he enjoys wine and cheese at several social functions each week. He cooks with “real” butter at home and uses half milk and half cream in his coffee. Although fairly inactive, Dave keeps his weight stable at 170 pounds. He is 5 feet 10 inches tall. 1. What factors may be contributing to Dave’s elevated cholesterol and triglyceride levels? 2. From the history given, identify the main sources of saturated fat in Dave’s diet. What are some reasonable changes he could make to lower his intake of saturated fat from these foods? 3. Assume Dave eats about 2000 kcalories a day and that his doctor has advised him to limit his fat intake to 35 percent of his daily kcalories. Refer to the “How to” feature (p. 155) of this chapter to calculate his personal Daily Value for fat. 4. According to the 2010 Dietary Guidelines for Americans, what is the maximum percentage of kcalories from saturated fat that Dave should consume each day? Remembering that 1 gram of fat contains 9 kcalories, calculate the maximum grams of saturated fat that Dave should eat each day based on his daily intake of 2000 kcalories. 5. Using information from Highlight 5, what additional advice would you offer Dave to improve his heart health? 6. Plan a one-day menu for Dave with higher amounts of healthful fatty acids and lower amounts of harmful fatty acids.

cultural and ethical perspective of inquiry.

  1. Compose a focused paper that explains and describes your healthcare issue or topic from a cultural and ethical perspective of inquiry. (You will cover two perspectives in one paper.)
  2. Form and answer two levels of research questions for each inquiry to address your chosen topic.
  • Choose a “Level 1 Research Question/Writing Prompt” from both of the lists below to answer in the paper.
  • Compose a “Level 2 Research Question/Writing Prompt” for each kind of inquiry that provides detail, specificity, and focus on your inquiry, research, and writing.
  • State your research questions in your paper’s introduction.
  • Form the body of your paper by answering each research question and support your assertions with evidence (research).
  • In the conclusion of the paper, briefly review the issues, research questions, answers, and insights.
  1. Level 1 Research Questions/Writing Prompts
    ETHICAL Perspective of Inquiry
  • What laws govern or pertain to the issue?
  • What ethical obstacles affect how the medical community addresses the issue?
  • How do ethical theories apply to the issue?
  • How do money, power, and control matters relate to the issue and its treatment?
  1. Level 1 Research Questions/Writing Prompts
    CULTURAL Perspective of Inquiry
  • Which cultural values and/or norms influence the issue?
  • How is the issue addressed differently in varying cultural contexts and situations?
  • Which cultures or societies are most affected by the issue? Why?
  • Which cultural traditions affect the treatment(s)?
  1. Your paper must be five pages in length and reference four to six scholarly, peer-reviewed resources. Be sure to follow current APA Style (e.g., spacing, font, headers, titles, abstracts, page numbering).

external environmental analysis

Assignment:

Exercises:

1. What part does external environmental analysis play in the development of value adding support strategies? What part does strategy formulation play?

2. What are the basic building blocks of structure? What are the advantages and disadvantages of each?

Professional Development:

Case #3: Community Blood Center of the Carolinas: Donations, Donations, Donations

Using Exhibit 9-6 (pp. 375 & 376) as an example, complete a strategic thinking map that compares the results of an internal environmental analysis against the value adding support strategies requirements. This map will extend and further articulate the strategic thinking maps developed in strategy formulation and the development of the service delivery strategy.

The value adding support strategies provide a powerful means to change the organization and create a competitive advantage, especially because some of the value assign support activities are less visible to those outside the organization, making the competitive advantage much more difficult to imitate or duplicate. Decisions concerning the organization’s culture, structure, and resources are strategic in nature and should be made by strategic thinkers.

Ginter, P. M., Duncan, W. J., & Swayne, L. E. (2013). Strategic Management of Health Care Organizations (7th ed.). San Francisco: Jossey-Bass. (Chapter 9)

the case study is on google. unable to post 23 pages