The purpose of this assignment is to gain real-world insight into how risk management programs operate within health care organizations.

Select a local health care organization where you can conduct an interview with an employee who is involved in risk management processes. This organization can be your current employer or a different health care facility in your community. Acute care, urgent care, large multi‐provider private medical clinics, assisted living facilities, and community/public health clinical facilities are all ideal options to complete the requirements of this assignment. Select an individual who can provide sufficient information regarding how their organization manages risk within its facility to answer the questions below.

In your interview, address the following:

1. Risk management strategies used in the organization’s risk control program, along with specific examples.

2. How the facility’s educational risk management program addresses key professional, legal, and ethical issues, such as prevention of negligence, malpractice litigation, and vicarious liability.

3. Policies the facility has implemented that address how to manage emergency triage in high‐risk areas of health care service delivery (e.g., narcotics inventories, declared pregnancy policies, blood-borne disease sector, etc.).

4. Challenges the organization faces in managing and controlling high-risk health care (e.g., infectious diseases, nuclear medicine, abortion, class 4 narcotics/opioids, etc.).

5. Strategies the facility utilizes to monitor, evaluate, and maintain compliance within its risk management program.

After conducting the interview, compose a 750‐900 word summary analysis of the interview that includes the questions above, in conjunction with the interviewee’s responses. In addition, include the following elements in your response:

1. An assessment of the organization’s risk management program, including how it attends to high-risk health care and legal concerns.

2. Action steps you would take to improve one area of the organization’s risk management program, along with your rationale for doing so.

Cite appropriate references as needed to support your statements and rationale.

Prepare this assignment according to the guidelines found in the APA Style Guide

Compare and contrast two change theories, and determine which theory makes the most sense for implementing your specific EBP project. Why? Has your mentor used either theory, and to what result?

 

The first change theory is Lewin’s Change Theory. This theory is very widely used in nursing. This theory has three stages the unfreezing stage, moving stage, and refreezing stage. The theory has driving and resistant forces and for the theory to be successful the driving forces have to overcome the resistant forces. The other change theory is Rogers’ Change Theory. This theory has 5 stages and they are awareness, interest, evaluation, implementation and adoption.(Oguejiofo,2017) It is successful when nurses who ignored the proposed change earlier adopt it because of what they hear from nurses who adopted it initially. Both of these theory’s are widely used in nursing and both require nurses that want the change or who are willing to make the change. My mentor has used the Lewin’s change theory recently. The hospital already has hourly rounding but she just introduced new paperwork that has to be signed every hour. The unfreezing period she just explained how the new way will be better and she showed the nurses how it will be easier because the techs can also sign the sheet. The moving stage she let the nurses tell her how they feel about the whole situation and letting them express what they think will work. The final stage is refreezing and during this stage she went around for the first week making sure the nurses get this in their daily habit. I believe this theory makes more sense to my EBP because there are a lot of nurses that will be the driving force to make this happen and less people being the resistant force. So, it will be more likely to succeed.

References:

 

Oguejiofo,N. September 26, 2017. Change Theories in Nursing. https://bizfluent.com/about-5544426-change-theories-nursing.html

PREPARING THE SCHOLARLY PAPER PHASE 2

1. Carefully read these instructions and the Rubric.
2. Download the Week 6 Scholarly Paper Phase 2 Template (Links to an external site.). Use of the assigned template is required. Rename that document as Your Last Name Scholarly Paper Phase 2.docx, for example Smith Scholarly Paper Phase 2. Save it to your own computer or drive in a location where you will be able to retrieve it later.
3. Type your assignment directly on the saved template using Microsoft Word. The document must be saved as a .docx. Save frequently to prevent loss of your work.
4. The only resource for your paper is the following assigned article, “Safety culture: A journey to zero: Interprofessional collaboration drives culture change.” (Links to an external site.)
   Note: Logging in to the Chamberlain Library is needed to access this article. Use of the assigned article is required. You must click on the PDF Full Text link on the upper left portion of the page to download the correct version of this required article.
5. Follow the instructions and specifics on the assigned required template and the rubric. You will demonstrate your scholarly writing abilities as well as APA abilities in references, citations, quotations, and paraphrasing.
6. See rubric for length limitations for each section and other criteria.
7. For the Introduction section (see rubric for details),
   1. introduce the assigned paper topic;
   2. explain that the purpose of this paper is to provide a summary of the assigned article;
   3. explain that that the impact of the article contents on your own future practice will be included; and
   4. length must be 50–75 words.
8. For the Article Summary section (see rubric for details),
   1. clearly summarize the major content of the assigned article using 175–200 words;
   2. content must include main ideas from across the entire article;
   3. specifics should be excellent;
   4. content must be attributed to the correct source; and
   5. instructor feedback from Week 4 Scholarly Paper Phase 1 must be used to revise and improve this section.
9. For the Impact section,
   1. clearly state how learning from the assigned article will impact your future practice;
   2. length must be 125–150 words;
   3. writing must be concise and clearly relate the assigned article contents to practice;
   4. use first person in this section; and
   5. instructor feedback from Week 4 Scholarly Paper Phase 1 must be used to revise and improve this section.
10. For the Conclusion,
    1. write a concise summary of main points of the paper;
    2. provide a concluding statement; and
    3. length must be 75–100 words.
11. Double check your work with the rubric prior to submission.
12. Note: Assigned Template must be used for this assignment. The Assigned Template has been specially prepared to help you do well on this assignment. See #2 above.
13. Note: Assigned Article must be used for this assignment. Failure to do so may result in loss of points and/or Academic Integrity violation investigation.

1. Carefully read these instructions and the Rubric.
2. Download the Week 6 Scholarly Paper Phase 2 Template (Links to an external site.). Use of the assigned template is required. Rename that document as Your Last Name Scholarly Paper Phase 2.docx, for example Smith Scholarly Paper Phase 2. Save it to your own computer or drive in a location where you will be able to retrieve it later.
3. Type your assignment directly on the saved template using Microsoft Word. The document must be saved as a .docx. Save frequently to prevent loss of your work.
4. The only resource for your paper is the following assigned article, “Safety culture: A journey to zero: Interprofessional collaboration drives culture change.” (Links to an external site.)
   Note: Logging in to the Chamberlain Library is needed to access this article. Use of the assigned article is required. You must click on the PDF Full Text link on the upper left portion of the page to download the correct version of this required article.
5. Follow the instructions and specifics on the assigned required template and the rubric. You will demonstrate your scholarly writing abilities as well as APA abilities in references, citations, quotations, and paraphrasing.
6. See rubric for length limitations for each section and other criteria.
7. For the Introduction section (see rubric for details),
   1. introduce the assigned paper topic;
   2. explain that the purpose of this paper is to provide a summary of the assigned article;
   3. explain that that the impact of the article contents on your own future practice will be included; and
   4. length must be 50–75 words.
8. For the Article Summary section (see rubric for details),
   1. clearly summarize the major content of the assigned article using 175–200 words;
   2. content must include main ideas from across the entire article;
   3. specifics should be excellent;
   4. content must be attributed to the correct source; and
   5. instructor feedback from Week 4 Scholarly Paper Phase 1 must be used to revise and improve this section.
9. For the Impact section,
   1. clearly state how learning from the assigned article will impact your future practice;
   2. length must be 125–150 words;
   3. writing must be concise and clearly relate the assigned article contents to practice;
   4. use first person in this section; and
   5. instructor feedback from Week 4 Scholarly Paper Phase 1 must be used to revise and improve this section.
10. For the Conclusion,
    1. write a concise summary of main points of the paper;
    2. provide a concluding statement; and
    3. length must be 75–100 words.
11. Double check your work with the rubric prior to submission.
12. Note: Assigned Template must be used for this assignment. The Assigned Template has been specially prepared to help you do well on this assignment. See #2 above.
13. Note: Assigned Article must be used for this assignment. Failure to do so may result in loss of points and/or Academic Integrity violation investigation.

Case Study: Mr. M.

It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.

Evaluate the Health History and Medical Information for Mr. M., presented below.

Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.

Health History and Medical Information

Health History

Mr. M., a 70-year-old male, has been living at the assisted living facility where you work. He has no know allergies. He is a nonsmoker and does not use alcohol. Limited physical activity related to difficulty ambulating and unsteady gait. Medical history includes hypertension controlled with ACE inhibitors, hypercholesterolemia, status post appendectomy, and tibial fracture status postsurgical repair with no obvious signs of complications. Current medications include Lisinopril 20mg daily, Lipitor 40mg daily, Ambien 10mg PRN, Xanax 0.5 mg PRN, and ibuprofen 400mg PRN.

Case Scenario

Over the past 2 months, Mr. M. seems to be deteriorating quickly. He is having trouble recalling the names of his family members, remembering his room number, and even repeating what he has just read. He is becoming agitated and aggressive quickly. He appears to be afraid and fearful when he gets aggressive. He has been found wandering at night and will frequently become lost, needing help to get back to his room. Mr. M has become dependent with many ADLs, whereas a few months ago he was fully able to dress, bathe, and feed himself. The assisted living facility is concerned with his rapid decline and has decided to order testing.

Objective Data

1. Temperature: 37.1 degrees C
2. BP 123/78 HR 93 RR 22 Pox 99%
3. Denies pain
4. Height: 69.5 inches; Weight 87 kg

Laboratory Results

1. WBC: 19.2 (1,000/uL)
2. Lymphocytes 6700 (cells/uL)
3. CT Head shows no changes since previous scan
4. Urinalysis positive for moderate amount of leukocytes and cloudy
5. Protein: 7.1 g/dL; AST: 32 U/L; ALT 29 U/L

Critical Thinking Essay

In 750-1,000 words, critically evaluate Mr. M.’s situation. Include the following:

1. Describe the clinical manifestations present in Mr. M.
2. Based on the information presented in the case scenario, discuss what primary and secondary medical diagnoses should be considered for Mr. M. Explain why these should be considered and what data is provided for support.
3. When performing your nursing assessment, discuss what abnormalities would you expect to find and why.
4. Describe the physical, psychological, and emotional effects Mr. M.’s current health status may have on him. Discuss the impact it can have on his family.
5. Discuss what interventions can be put into place to support Mr. M. and his family.
6. Given Mr. M.’s current condition, discuss at least four actual or potential problems he faces. Provide rationale for each.

You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

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

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