Discussion: Introduction to the Planning Process

The nursing process provides a cornerstone for care. Engaging in assessment, diagnosis, planning, implementation, and evaluation helps to move the patient from his or her current state toward a desired outcome. How does this correlate with the strategic planning process?In this Discussion, you examine similarities and differences between the nursing process and strategic planning. You also consider why it is important for a nurse leader-manager to be familiar with the planning hierarchy and to apply business principles to promote strategic change at the organizational or systems level.To prepare:Review the information related to the nursing process and the strategic planning process addressed in Chapter 4 of the Sare and Ogilvie text and the other Learning Resources. Think about how the nursing process is similar to and different from the strategic planning process.Reflect on the value of nurse leader-managers’ contributions to strategic planning, as discussed by Dr. Huston in this week’s media.Using the Walden library, identify an example from the literature that demonstrates why it is beneficial for nurse leader-managers to be familiar with the planning hierarchy and why they should be engaged in strategic planning in addition to and in contrast with operational planning.

By Day 3

Post an explanation of how you view the similarities and differences between the nursing process and the strategic planning process. Share an example from the literature that demonstrates why it is beneficial for nurse leader-managers to be aware of the planning hierarchy and why they should be engaged in strategic planning in addition to and in contrast with operational planning.

Marquis,  B. L., & Huston, C. J. (2017). Leadership roles and management  functions in nursing: Theory and application (9th ed.). Philadelphia,  PA: Lippincott, Williams & Wilkins.Chapter 7, “Operational Planning”                                          (Note: You may have read this in a previous course.)                                          This chapter describes the planning hierarchy and provides foundational information on strategic planning. As you read, think about distinctions between strategic and operational planning, as well as why a nurse leader-manager needs to be aware of and engaged in both.Sare, M. V., & Ogilvie, L. (2010). Strategic planning for nurses: Change management in health care. Sudbury, MA: Jones and Bartlett.“Introduction” (pp. xiii–xiv)Chapter 1, “Why Nursing Needs Strategic Planning: Professional Empowerment in the New Millennium” (pp. 3–16) Chapter 2, “The Healthcare Habitat: The Evolving Professional Home of Nursing” (pp. 17–40) Chapter 3, “The Business That We Find Ourselves In” (pp. 41–53) Chapter 4, “Just What Is Strategic Planning?” (pp. 57–82) Chapter 1 sets the context for why strategic planning is important for nurses and introduces key terms, while Chapter 2 addresses the evolving landscape of healthcare. Chapter 3 explores the merging of nursing care and business, as well as developments leading up to the current business model of care. Chapter 4 examines the nursing process and strategic planning.Carney, M. (2009). Enhancing the nurses’ role in healthcare delivery through strategic management: Recognizing its importance or not? Journal of Nursing Management, 17(6), 707–717.Retrieved from the Walden Library databases. The author examines the importance of strategic planning for nurse leader-managers and the extent to which nurses have adopted strategic planning into language and self-perception.

Week 4 Assignment Instructions

Tutor MUST have a good command of the English language

Please read all the instructions and requirements

Sources need to be less than five years old and journal/scholarly articles. 

No textbook or direct quotes 

All the Rubric requirements listed MUST be met.

***I have attached the  DPI Project Milestone: 10 Strategic Points for the Prospectus, Proposal, and Direct Practice Improvement Project Assignment with the instructor’s corrections/comments. This needs to be revised as well meeting the instructor’s expectations. 

Details:

Empirical research is the foundation of scholarly research and scholarly writing. An empirical article is defined as one that reports actual results of a research study. An empirical article includes a description of the study, an introduction, a research question, an explanation of the study’s methodology, a presentation of the results of the study, and a conclusion that discusses the results and suggests topics for further study.

As you search the library for scholarly research, you should limit your search to identify empirical articles. (You can use the “Empirical Research Checklist” from DNP-801 to assist in this determination.) After finding an empirical study, begin to assess the validity of the conclusion by determining if the conclusion answers the proposed research question and if the methodology is appropriate.

As you move forward in your doctoral journey, you will read research papers that will require you to assess the validity of the studies in question. To accomplish this, qualitative assessments about the research must be made by comparing, contrasting, and synthesizing what the research says.

In this assignment, you will continue to develop the skill of writing, by reviewing 15 research articles associated with your chosen topic and using the content to identify at least five major concepts and subthemes related to your topic.

General Requirements:

Use the following information to ensure successful completion of this assignment:

• Use      the “Empirical Research Checklist” to assist in the      determination of empirical articles.
• Use      the “Research Article Chart” to provide a summary review of each      component of your assignment.
• Doctoral      learners are required to use APA style for their writing assignments. The      APA Style Guide is 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 Turnitin. Please refer to the      directions in the Student Success Center.

Directions:

Part 1: Selection of 15 Articles 

Select 15 empirical articles related to your PICOT question. Use the “Empirical Research Checklist” worksheet to ensure that each article you select meets all of the established criteria. At least one article must demonstrate a quantitative methodology.

Clinical/PICOT Question:

In Patients > 65 years of age with central line catheters, how does staff training of key personnel and reinforcement of central line catheter hub hygiene after its insertion, along with the apt cleansing of the insertion site, reduce the incidence of CLABSIs (Central Line Associated Blood-stream Infections) at a level two trauma facility compared to standard care over a one-month period?

P: Patients > 65 years of age with a central line

I: Staff training and reinforcement of central catheter, hub hygiene

C: Compared to standard care

O: Reduce the incidence of CLABSIs (Central Line Associated Blood-stream Infections)

T: A period of one-month

Part 2: Research Article Chart

Using the articles acquired in Part 1, provide a summary review of each component using the “Research Article Chart” template.

Part 3: Synthesis of Research Studies

Based upon your review of the 15 research articles, identify at least five major concepts that relate to your project topic, and three subthemes related to each concept.

Using the information from the completed “Research Article Chart,” and the major concepts and subthemes you have identified, write a 2,000-3,000 word paper that synthesizes the content of the 15 research studies.

Summarize each major concept and focus on providing a detailed synthesis of the three identified subthemes that support that concept by addressing the following.

1. Introduction      of the identified subtheme
2. Summary      of the research questions posed by the studies
3. Summary      of the sample populations used
4. Summary      of the limitations of the studies
5. Summary      of the conclusion and recommendations for further research

NURS 610 Summation Paper – Health System Project Proposal

The document, will be scanned using the software Turnitin. Before the assignment can be uploaded, you will be required to agree with the plagiarism pledge. If you have any questions about this process, please refer to Canvas instructions for further clarification.

This paper is to be a summation, which is sometimes defined as a summary or argument reviewing the principal points made and expressing conclusions. This paper is to be a summation of the key points of the topics explored in assigned and recommended references (readings, videos, etc.), as well as in our weekly discussion postings in Canvas. Recall that you were given a semester-long scenario: 

You have been hired by a health system, which includes a large hospital and several outpatient centers located in different communities. This health system has never hired advanced practice nurses (APNs) before, but it now feels that the only way it will survive the current direction of health care is to incorporate APNs into its hospital and outpatient centers as soon as possible. You have been hired to be the project manager to help the health system with this endeavor. The health system understands that you are not yet an expert on all the elements of advanced practice nursing and how APN practice fits into the current U. S. health care system. Your job is to learn as much as you can about APNs and health care in general, and as you acquire this information, you will be sharing with the rest of the class what you have learned and how you think that information can be applied to your project with this health system. Your first task is to give the health system a name of your choosing, but try to avoid a name that is already taken by a currently existing hospital or system. Obviously, drawing from your experience with your current and/or previous employers is a logical approach, but do avoid “naming names.”

It was also noted that any of you could be hired as the project manager whether your education is that of a health administrator, nursing educator, or an APN, since this is a project that could be handled by someone with any of these degrees.

This paper is to take the form of a final project proposal—although you must maintain strict adherence to APA format including a title page, abstract, citations within the body of the document, and a reference list.

The “outline” for this paper will be the topics that were contained in the weekly discussion questions.  It will be a challenge to summarize and organize the volumes of material that you have acquired over the semester; not every topic will deserve equal attention in this paper. Your task, therefore, it to consider what the senior leaders of a health system really need to know in order to create positions for APNs that will help the organization provide quality, accessible, and cost-effective care. This paper should not reiterate platitudes about nursing doctrine; rather, it should address the expected realities of health care in the near and distant future and how effective utilization of APNs might ensure a health system’s success in dealing with those realities.

REMEMBER: The target audience for this paper is the senior/executive leadership of your organization, not the course faculty; therefore, you do not need to explain everything you learned about the U.S. health system that they would already know (probably better than you); see the notes in the criteria below for further explanation.  But you do need to provide enough detail to help the senior leaders understand the unique aspects of employing APNs, as well as how APN practice might fit into the business model of the organization within the specific context of your state and community.   Remember to address whether or not you will use all four types of APNs and whether PAs will be in the team.  The paper should be a maximum of 15 pages—title page, abstract, or reference list do NOT count toward the page requirement.

Please note that APA format requires (section) level headings. Minimally, there should be headings at levels 1 & 2, using the criteria below as the names for those headings. See page 62 in your APA manual for correct formatting of level headings.  The order of those headings should be in the order that is listed below. (Note: It is always advisable to follow the order of a criteria list provided by faculty because it facilitates the grading process. This manner of organization applies to grant writing, too!) Appropriate subheadings (i.e., levels 3, 4, or 5 are acceptable, but not necessarily required. It will be your decision to ascertain the number of headings needed to help you organize your thoughts as well as enhance its readability. Scholarly papers are not novels; it is vital that such papers be written in clear, precise, and logical fashion.

The paper is worth 140 points and will be graded according to the following criteria:

1. Overall scholarly tone, adherence to APA format, including grammar, punctuation, spelling, sentence construction, etc. Minimum of five references not including your text. (10 points)

2. Health care system BRIEFLY described, including the state located and which type of APNs would be added to the system, what type of services they would deliver, as well if PAs would be added (and what services they would deliver). (10 points)

3. Ability to convey the following issues involved when employing APNs in health systems:

a. What education/certification is required? (Do not copy and paste elements of the practice act; just summarize the basics.  Also, it is not necessary to list the names of certifying bodies.) (10 points)

b. Pertinent details of scope of practice of how each APN specialty would be used specifically in your health system.   (Again, do not copy and paste elements of the practice act; just summarize the basics.  Do not include history of APN specialties and do not explain the legislative/regulatory process. Just explain the basics of what constitutes legal practice in your state.  At this point, only discuss those types of APNs that will be used in the system.)  (20 points)

c. What are the elements of health system credentialing and privileging of APNs? Including whether APNs will have admitting privileges? (Do not explain the general issue of credentialing and privileging; simply explain what you expect your system would need to do.) (15 points)

d. What are the quality/safety issues of hiring APNs? Quality and safety are two interrelated but separate issues. Explain the quality and safety issues and how you plan to address these issues? (15 points)

e. Explain the basic liability/risk management issues when hiring APN’s. How will you prevent or avert liability and risk issues? (Do not explain the elements of ethical principles and theory; just focus on the unique aspects of liability/risk management for APNs.)  (20 points)

f. Explain how APNs fit into the interdisciplinary/interprofessional team. Can an APN lead an interprofessional team? Explain how APNs collaborate within this team. (20 points)

g. Explain the economic impact of using APNs in a health system. Describe how using APNs will benefit your health system. Do not explain the basics of Medicare and Medicaid or other reimbursement, just what elements of these programs are specific or unique to APNs and how reimbursement.) Include how APN care impacts healthcare cost. (20 points)