Research a health care organization or network that spans several states with in the United States (United Healthcare, Vanguard, Banner Health, etc.). Assess the readiness of the health care organization or network you chose in regard to meeting the health care needs of citizens in the next decade.

Prepare a 1,000-1,250 word paper that presents your assessment and proposes a strategic plan to ensure readiness. Include the following:

1. Describe the health care organization or network.
2. Describe the organization’s overall readiness based on your findings.
3. Prepare a strategic plan to address issues pertaining to network growth, nurse staffing, resource management, and patient satisfaction.
4. Identify any current or potential issues within the organizational culture and discuss how these issues may affect aspects of the strategic plan.
5. Propose a theory or model that could be used to support implementation of the strategic plan for this organization. Explain why this theory or model is best.

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.

You are required to submit this assignment to LopesWrite

This Assignment addresses this course outcome:

MN502-4: Develop a philosophy that supports advanced nursing practice reflecting the values, beliefs, and cultural competencies relative to nursing practice, science, and theory.

Now that you have spent the last 8 weeks discussing theory development and exploring models and philosophies that guide advance practice nursing, it is time for you to put it all together. In this Assignment, you will create a presentation using any form of presentation software (e.g., PowerPoint®, Prezi™, Movenote™, Powtoons™, Slidedog™, and so on). Your presentation should bring together the theory that best fits your concept of advance practice nursing, the model that you will use to translate this into practice, and your final philosophy of advance practice nursing related to your role after graduation.

Please remember that your presentation should contain slides that have bullet points. The bullets should number no more than four to six per slide. The bullet point is not written as a complete sentence. It contains key words. You, as the presenter will explain in depth what each bullet point means in the audio portion of the presentation. Slides may contain graphics, but should be uncluttered. Background and font colors should be of sufficient contrast to make reading them easy on the eyes. Attention to colors should be paid so that a person who is colorblind can easily read the presentation.

Assignment Details

The presentation should consist of a series of slides that include:

• Title Slide: A title slide that identifies the title of the presentation and name of the student.
• Introduction Slide: An introduction slide that includes brief information about you and your program track. The slide should also explain to the audience the purpose of the presentation.
• Model Slides: The third and fourth slides will address your chosen model. The bullet points should consist of the specific characteristics of the model. You will need at least one citation that identifies where the model came from. Your audio will expound upon the model and what the characteristics mean. The fourth slide should include why you chose the model and how you will apply it in practice.
• Theory Slides: The next three slides will focus on your chosen theory. The first slide should present your theory and why you chose it. The next slide would present the key concepts of the theory and how it has been used to date in past research no older than 5 years ago. The third slide will discuss how you will use this theory in practice as an advance practice nurse upon graduation.
• Philosophy Slide: The next area will consist of one slide that presents your philosophy of advance practice nursing in the post-graduate role you will assume. The philosophy statement will consist of one to three sentences that distill the essence of what you believe advance practice nursing is and your conception of nursing as a profession. It is written in the first person and present tense. It is a personal statement of your beliefs about the profession of nursing. This should present guiding statements for your future practice in the advanced practice role. An example of a philosophy statement might read this way: Advanced practice nursing takes the art and science of nursing to a level of “other” and “self” interacting together to reach a state of optimal wellness guided with compassion and love for the culture of the “other.”
• Graphical Slide: The next-to-last slide will be a graphical representation of how the model, theory, and your philosophy fit together.
• Conclusion Slide: The last slide will be a conclusion that brings together everything you have presented. It is not a summary that just reiterates what you presented. It is a judgment about what you presented and bring the audience home, ending the presentation on a positive note about the future.

You will need supporting citations for your theory and model slides, and possibly for your philosophy, as appropriate. You will include the citations where appropriate and your very last slide will be a reference slide.

The total slide count should not exceed 15 slides. This does not include the reference slide(s) or the title slide.

1. Organization, documentation, references formatting guidelines must follow APA 6th edition: To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Resources.

Total points: 260

Assignment Requirements

Before finalizing your work, you should:

• Minimum requirement of at least 5 sources of support
• be sure to read the Assignment description carefully (as displayed above);
• consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; and
• utilize spelling and grammar check to minimize errors.

Your writing Assignment should:

• follow the conventions of Standard English (correct grammar, punctuation, etc.);
• be well ordered, logical, and unified, as well as original and insightful;
• display superior content, organization, style, and mechanics; and
• use APA 6th Edition

How to Submit

Submit your Assignment to the unit Dropbox before midnight on the last day of the unit.

When you are ready to submit your Assignment, submit to unit dropbox. Make sure to save a copy of your work and be sure to confirm that your file uploaded correctly.

Instructions
Read the following argument examples in this activity.

Argument 1
Dick and Jane have insured their house and cars with Farmer’s Mutual for 10 years. During this time, they filed only one claim for $500, and the premiums have risen 100%. Two weeks ago, while backing out of the garage, Jane damaged the right fender. They didn’t fix it, and yesterday, while Jane was parked at the supermarket, someone hit the right side of the car, damaging everything but the right fender. When Jane checks the insurance policy, she discovers that while the supermarket accident is covered, the damaged right fender is not.

Jane says, “Let’s claim that all the damage happened at the supermarket. It’s only fair. The insurance company has made thousands of dollars from our premiums alone, not to mention all the other people they insure, so they’ll hardly miss the few thousands that their repairs will cost. Many of their friends have done the same – included items that were not part of actual collision damage. It’s unlikely that they we will be discovered, because the fender could easily have been damaged in the collision.”

Argument 2
In a world where medical resources are in ever-shorter supply, allocation of those resources is becoming an issue. Critical care units (ICU) put heavy demand on hospital resources. Adult medical intensive care units (MICU’s) are often occupied by elderly patients in the final stages of chronic illnesses. Neonatal ICU’s, however, are reserved for premature infants that need critical care in the first few days of life. Surveys of mortality rates in relation to amount of care for both units show that on a cost/benefit basis, outcomes for NICU patients are statistically better than those for MICU patients. Since hospitals should prioritize outcomes, it is clear that resources should be allocated more heavily to the NICU.

Using the examples in the introduction of this activity, address the following:

1. Briefly analyze each argument as follows:
   • State the issue and the conclusion.
   • For each argument, analyze the argument:
     • State if it is deductive or inductive.
     • Explain how the argument follows the form of an inductive or deductive argument.
   • Reference words, phrases, the structure of the argument, or any other facts or observations you believe support your claim.
2. Diagram the argument.

Writing Requirements (APA format)

• Length: 1-2 pages total (not including title page or references page)
• 1-inch margins
• Double spaced
• 12-point Times New Roman font
• Title page

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 Chamberlain 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, which is available to Chamberlain students for FREE by downloading from the student portal at http://my.chamberlain.edu (Links to an external site.)Links to an external site.. Click on the envelope at the top of the page.
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**

Chamberlain 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):

QualitySafetyPatient satisfaction
Patient educationFallsNon-pharmacological pain managementErrors (any). Examples include:

• Medication
• Patient identification
• Communication

Readmissions
Length of stay
CostsHealthcare 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)

SepsisDischarge Teaching/Coaching
Transitions of Care/Level of CarePressure 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/

Rubric

NR439 PPL Worksheet RubricNR439 PPL Worksheet RubricCriteriaRatingsPtsThis criterion is linked to a Learning OutcomeClinical Nursing Practice ProblemIdentify 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 ptsClearly 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 ptsCriteria from the first column are mostly summarized or one criteria lacks details or is missing.20.0 ptsCriteria from the first column are minimally summarized or two criteria lack details or are not present.10.0 ptsCriteria from the first column are poorly summarized.0.0 ptsCriteria are not discussed.25.0 pts
This criterion is linked to a Learning OutcomeClinical PICOT QuestionUsing 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 ptsPICOT question with all 5 elements correct.18.0 ptsPICOT question with 4 elements correct.16.0 ptsPICOT question with 3 elements correct.8.0 ptsPICOT question with 1-2 elements correct.0.0 ptsPICOT question with no elements correct or no PICOT question present.20.0 pts
This criterion is linked to a Learning OutcomePICOT ElementsIdentify each of the elements for your PICOT.20.0 ptsAll 5 PICOT elements are correctly identified.18.0 pts4 PICOT elements are correctly identified.16.0 pts3 PICOT elements are correctly identified.8.0 pts1-2 PICOT elements are correctly identified.0.0 ptsNo PICOT elements are correctly identified or are not present.20.0 pts
This criterion is linked to a Learning OutcomeEvidence Retrieval ProcessUsing 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 ptsAll 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 ptsMissing two criteria from the A column.16.0 ptsMissing three criteria from the A column8.0 ptsMissing four criteria from the A column.0.0 ptsMissing all five criteria from the A column or none of the criteria are present.20.0 pts
This criterion is linked to a Learning OutcomeImplications of Literature EvidenceSummarizes 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 ptsThoroughly 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 ptsMostly summarizes the criteria in the first column or one criteria lacks details.20.0 ptsFairly summarizes the criteria in the first column or one criteria is missing. Fair details are provided.10.0 ptsPoorly summarizes the criteria in the first column. Poor details are provided.0.0 ptsCriteria are not summarized or is missing.25.0 pts
This criterion is linked to a Learning OutcomeLiterature Search TermsIdentifies 4 (or more) relevant searchable terms you used for your search for literature.25.0 ptsIdentifies 4 (or more) relevant searchable terms used for the search for literature.22.0 ptsIdentifies 3 relevant searchable terms used for the search for literature.20.0 ptsIdentifies 2 relevant searchable terms used for the search for literature.10.0 ptsIdentifies 1 relevant searchable term used for the search for literature.0.0 ptsNo Marks25.0 pts
This criterion is linked to a Learning OutcomeLiterature Search StrategiesIdentifies 4 (or more) relevant search strategies you used to narrow/limit your search for literature.25.0 ptsIdentifies 4 (or more) relevant strategies used to narrow/limit the search for literature.22.0 ptsIdentifies 3 relevant strategies used to narrow/limit the search for literature.20.0 ptsIdentifies 2 relevant strategies used to narrow/limit the search for literature.10.0 ptsIdentifies 1 relevant strategy used to narrow/limit the search for literature.0.0 ptsNo strategies identified or strategies are not present.25.0 pts
This criterion is linked to a Learning OutcomeScholarly Writing, Mechanics, Organization, Spelling, Sentence Structure, Grammar8.0 ptsExcellent writing, mechanics, organization, spelling, sentence structure, grammar. 1-2 errors noted.6.0 ptsGood writing, mechanics, organization, spelling, sentence structure, grammar. A few errors noted.3.0 ptsFair writing, mechanics, organization, spelling, sentence structure, grammar. Some errors noted.2.0 ptsPoor writing, mechanics, organization, spelling, sentence structure, grammar. Many errors noted.0.0 ptsVery 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 OutcomeAPA In-Text Formatting for Cited Sentences7.0 ptsExcellent APA formatting. Uses APA in-text citation formatting with no errors.6.0 ptsGood APA formatting. Uses APA in-text citation formatting with 1-2 errors noted.4.0 ptsFair APA formatting. Uses APA in-text citation formatting with some errors noted or does not use in-text citation formatting.3.0 ptsPoor APA formatting with many errors noted.0.0 ptsVery poor APA with errors noted throughout.7.0 pts
This criterion is linked to a Learning OutcomeAssigned PPL Worksheet Used0.0 ptsAssigned PICOT Worksheet form NOT used for this assignment results in loss of 10% (17.5 points) from points possible. 17.5 points deducted0.0 ptsAssigned PICOT Worksheet form used for this assignment. 0 points deducted0.0 pts
Total Points: 175.0PreviousNext

I completed two assessments for this class, everything was distinguished; However, I missed to cover the topic mentioned above.

I attached my two jobs completed and evaluated, see attachments at the end.

All I need to do now is incorporate this topic to my work. I just need this topic  to be addressed  “Identify barriers to implementing evidence-based strategies to bridge gaps in the health care service provided by an organization to a vulnerable or diverse population”. Nothing else need to be written . Just maybe three paragraphs with the new information.

Here is the feedback from the professor:
“It seems like this cirterion was missing?  Be sure to dentify barriers to bridge gaps in healthcare services provided by an organizations/consequences of failing to overcome barriers – please highlight revisions in yellow-  thanks!”

I attached my work at the end. Again, nothing else to be fixed just to ass new information as the professor requested. And to be highlighted.

Thank you !