Category: Nursing

  • Title: Ethical and Policy Issues in Care Coordination: Empowering Nurses to Advocate for Patient Safety and Quality Care “Ethical and Policy Considerations in Care Coordination: Impact on Patients and the Community”

    PLEASE SEE ATTACHED RUBRIC/SCORING GUIDE AND MAKE SURE TO INCLUDE EVERYTHING IT IS ASKING.
    PLEASE MAKE SURE ALL APURCES ARENO MORE THAN 5 YEARS OLD ( I need 3-5 sources)
    ALSO ATTACHED IS THE TOPIC:
    • American Nurses Association: The American Nurses Association is a professionalorganization that represents nurses and advocates for policies that improve patient care
    and safety
    This assessment provides an opportunity for you to develop a presentation for a local community organization, which provides an overview of ethical standards and relevant policy issues that affect the coordination of care. Completing this assessment will strengthen your understanding of ethical issues and policies related to the coordination and continuum of care, and will empower you to be a stronger advocate and nursing professional.
    Your nurse manager at the community care center is well connected and frequently speaks to a variety of community organizations and groups. She has noticed the good work you are doing in your new care coordination role and respects your speaking and presentation skills. Consequently, she thought that an opportunity to speak publicly about contemporary issues in care coordination would be beneficial for your career and has suggested reaching out to a community organization or support group to gauge their interest in hearing from you, as a care center representative, on a topic of interest to both you and your prospective audience. You have agreed that this is a good idea and have decided to research a community organization or support group that might be interested in learning about ethical and policy issues related to the coordination of care.
    For this assessment:
    Use the Assessment 02 Supplement: Ethical and Policy Factors in Care Coordination [PDF] Download Assessment 02 Supplement: Ethical and Policy Factors in Care Coordination [PDF] to select the community organization or support group that you plan to address.
    Develop a PowerPoint with typed speaker notes (the script for your voice recording) and audio voice-over recording, intended for that audience. Video is not required.
    Note: PowerPoint has a feature to type the speaker notes directly into the presentation. You are encouraged to use that feature or you may choose to submit a separate document. See Microsoft Office Software for technical support about the use of PowerPoint, including voice recording and speaker notes.
    For this assessment, develop your presentation slides and speaker notes, then record your presentation. You are not required to deliver your presentation to an actual audience.
    Presentation Format and Length
    You may use PowerPoint (recommended) or other suitable presentation software to create your slides and add your voice over. If you elect to use an application other than PowerPoint, check with your faculty to avoid potential file compatibility issues.
    Be sure that your slide deck includes the following slides:
    Title slide.
    Presentation title.
    Your name.
    Date.
    Course number and title.
    References (at the end of your presentation).
    Your slide deck should consist of 10–12 slides, not including a title and references slide with typed speaker notes and audio voice over. Your presentation should not exceed 20 minutes.
    Create a detailed narrative script for your presentation, approximately 4–5 pages in length.
    Supporting Evidence
    Cite 3–5 credible sources from peer-reviewed journals or professional industry publications to support your presentation. Include your source citations on a references page appended to your narrative script.
    Grading Requirements
    The requirements outlined below correspond to the grading criteria in the Ethical and Policy Factors in Care Coordination Scoring Guide, so be sure to address each point. Read the performance-level descriptions for each criterion to see how your work will be assessed.
    Explain how governmental policies related to the health and/or safety of the community affect the coordination of care.
    Provide examples of a specific policy affecting the organization or group.
    Refer to the assessment resources for help in locating relevant policies.
    Be sure influential policies include the Health Insurance Portability and Accountability Act (HIPPA).
    Identify national, state, and local policy provisions that raise ethical questions or dilemmas for care coordination.
    What are the implications and consequences of specific policy provisions?
    What evidence do you have to support your conclusions?
    Assess the impact of the code of ethics for nurses on the coordination and continuum of care.
    Consider the factors that contribute to health, health disparities, and access to services.
    Consider the social determinants of health identified in Healthy People 2020 as a framework for your assessment.
    Provide evidence to support your conclusions.
    Communicate key ethical and policy issues in a presentation affecting the coordination and continuum of care for a selected community organization or support group. Either speaker notes or audio voice-over are included for a proficient score; both speaker notes and the audio voice over are included for a distinguished score.
    Present a concise overview.
    Support your main points and conclusions with relevant and credible evidence.
    As coordinators of care, nurses must be aware of the code of ethics for nurses and health policy issues that affect the coordination of care within the context of the community. To help patients navigate the continuum of care, nurses must be proficient at interpreting and applying the code of ethics for nurses and health policy, specifically, the Affordable Care Act (ACA). Being knowledgeable about ethical and policy issues helps ensure that care coordinators are upholding ethical standards and navigating policy issues that affect patient care.
    By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:
    Competency 4: Defend decisions based on the code of ethics for nursing.
    Assess the impact of the code of ethics for nurses on the coordination and continuum of care
    Competency 5: Explain how health care policies affect patient-centered care.
    Explain how governmental policies related to the health and/or safety of a community affect the coordination of care.
    Identify national, state, and local policy provisions that raise ethical questions or dilemmas for care coordination.
    Competency 6: Apply professional, scholarly communication strategies to lead patient-centered care.
    Communicate key ethical and policy issues in a presentation affecting the coordination and continuum of care for a selected community organization or support group, using PowerPoint or other appropriate software. Both speaker notes and audio voice-over are included.

  • “Enhancing a Lesson Plan: Incorporating Teaching Points and SMART Goals for Effective Instruction”

    I need a re-write of this assignment that I did. I am going to attach the instructions and the paper that I did before for context. I apparently didn’t include enough teaching points and I didn’t Identify SMART GOALS in the plan and that is what I need added to it. This is going to lead up to a presentation that I will be putting an order for as soon as I get this back. Everything is attached below. Please feel free to reach out if you have any questions. 

  • “Assessing the Health of My Community: Strengths, Hopes, and Reflections” Assessing the Health of My Community: Strengths, Hopes, and Reflections My community is a small, rural town located in the

    “The Final Word”
    Give a brief summary evaluation of your community’s health, the major strengths of your community, and the hopes for your community in the future.  Also, discuss what has resonated with you in this course.
    Submission Instructions:
    Your initial post should be at least 400 words, formatted and cited in current APA style with support from at least 2 academic sources.

  • “Managing Type 2 Diabetes in a Middle-Aged Male: A Case Study on Maximizing Renal Health and Optimizing Therapy Options”

    A 51-year-old male has been living with Type 2 diabetes for eight years. He is a non-smoker, drinking less than 14 units of alcohol per week.  He has no personal or family history of major adverse atherosclerotic cardiovascular events.   There is no evidence of diabetic retinopathy although he has reduced sensation to monofilament testing in his left great toe.
    Recent investigations show the following:
    BP: 157/94 mm Hg (confirmed by home blood pressure monitoring)
    BMI: 33 kg/m2
    Waist circumference: 42inches (106cm).
    Investigations:
    Urinary Albumin/creatinine ratio (uACR): 38 mg/mmol (334 mg/g)
    Estimated glomerular filtration rate: 55 mL/min/1.73 m2
    HbA1c: 71.6 mmol/mol (8.7%)
    Total cholesterol: 4.2 mmol/l (162.4 mg/dL)
    LDL cholesterol 3.3 mmol/L (130 mg/dL)
    Triglycerides (TG): 1.75 mmol/l (155 mg/dL)
    Medication:
    Metformin 500mg bd
    Ramipril 2.5mg daily
    Atorvastatin 20mg daily
    QUESTIONS
    Having considered this patient’s results answer the following questions:
    As a primary care health care professional how will you establish, categorise and manage this man, to maximise his renal status? 
    Ideally,  and referring to current evidence-based guidance, how would you support this patient to optimise the therapy options for him?

  • Title: Online Resource Toolkit for Implementing a Safety Improvement Initiative in Healthcare Settings Introduction: In healthcare, patient safety is of utmost importance and healthcare professionals, especially nurses, play a critical role in ensuring a safe environment for patients. To support nurses

    Assemble an online resource tool kit containing at least 12 annotated resources that you consider critical to the success of your safety improvement initiative. These resources should enable nurses and others to implement and maintain the safety improvement you have developed.
    It is recommended that you focus on the 3 or 4 most critical categories or themes with respect to your safety improvement initiative. For example, for an initiative that concerns improving workplace safety for practitioners, you might choose broad themes such as general organizational safety and quality best practices; environmental safety and quality risks; individual strategies to improve personal and team safety; and process best practices for reporting and improving environmental safety issues.
    Following the recommended scheme, you would collect 3 resources on average for each of the 4 categories focusing on a specific patient safety issue. Each resource listing should include the following:
    An APA-formatted citation of the resource with a working link.
    A description of the information, skills, or tools provided by the resource.
    A brief explanation of how the resource can help nurses better understand or implement the safety improvement initiative pertaining to a specific patient safety issue.
    A description of how nurses can use this resource and when its use may be appropriate.
    I am attaching an example and the powerpoint of the safety plan used.

  • Title: “Universal Healthcare: Examining the Pros and Cons of Different Delivery Models in the United States”

    Take a position on how the United States should deliver healthcare:
    Free, Universal 
    Keep status quo-insurance companies as intermediaries 
    Privatize 
    Other suggestion
    Provide research to back your position:
    Data from other countries 
    Cost to individuals and government 
    How many Americans will be covered? How many won’t? 
    Anticipated healthcare outcomes 
    Prescription costs 
    Changes for healthcare professionals 
    Overall effect on budget-increase or decrease spending? 
    Pros and cons of your system 

  • Staffing Shortages: A Root Cause Analysis and Improvement Plan for Patient Safety Introduction Staffing shortages have become a major concern in healthcare organizations, leading to compromised patient safety and quality of care. This issue has been exacerbated by the increasing demand

    Issue: Staffing Shortages
    The purpose of this assessment is to demonstrate your understanding of and ability to analyze a root cause of a specific safety concern in a health care setting. You will create a plan to improve the safety of patients related to the safety quality issue presented in your Assessment Supplement PDF in Assessment 1. Based on the results of your analysis, using the literature and professional best practices as well as the existing resources at your chosen health care setting, provide a rationale for your plan.
    Use the Root-Cause Analysis and Improvement Plan [DOCX] Download Root-Cause Analysis and Improvement Plan [DOCX]template to help you to stay organized and concise. This will guide you step-by-step through the root cause analysis process.
    Additionally, be sure that your plan addresses the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so you understand what is needed for a distinguished score.
    Analyze the root cause of a specific patient safety issue in an organization.
    Apply evidence-based and best-practice strategies to address the safety issue.
    Create a feasible, evidence-based safety improvement plan to address a specific patient safety issue.
    Identify organizational resources that could be leveraged to improve your plan.
    Communicate in writing that is clear, logical, and professional, with correct grammar and spelling, using current APA style.
    Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like but keep in mind that your Assessment 2 will focus on the quality issue you selected in Assessment 1.
    Length of submission: Use the provided Root-Cause Analysis and Improvement Plan template to create a 4–6 page root cause analysis and safety improvement plan pertaining to a specific patient safety issue.
    Number of references: Cite a minimum of 3 sources of scholarly or professional evidence that support your findings and considerations. Resources should be no more than 5 years old.
    APA formatting: Format references and citations according to current APA style.

  • Nursing Care Plan Rubric

    Develop a rubric for a Nursing Care plan. For information about the College’s care plan please to this guide NWCNHS undergraduate care plan.Links to an external site. https://cnhs.fiu.edu/resources/students/clinicals-fieldwork/nursing/index.html
    Rubric
    NGR6718 Assignment #3 Rubric
    Criteria Ratings Pts
    This criterion is linked to a Learning OutcomeRubric
    10 to >7.0 pts
    High
    Evidence based writing evident the entire rubric. No ambiguous statements evident. All or almost all essential elements such as content evaluated and points assigned to each level of compliance are present.
    7 to >4.0 pts
    *
    Evidence based writing evident in greater than half of the rubric. Minimal ambiguity. Most of essential elements such as content evaluated and points assigned to each level of compliance are present.
    4 to >1.0 pts
    *
    Evidence based writing evident in at least half of rubric. Minimal ambiguity. Essential elements such as content evaluated and points assigned to each level of compliance are missing.
    1 to >0 pts
    Low
    Minimal to no indication of evidence-based test item and objective writing present. Writing is confusing and/or ambiguous. All essential elements of rubric are missing
    10 pts

  • Motivational Interviewing with Mary: A Step-by-Step Approach to Encouraging Change in Alcohol Dependence

    After studying Module 2: Lecture Materials & Resources, discuss the following:
    Mary is 27 years old and has had a history of alcohol dependence for several years. Mary has a daughter Kylie, aged 3 years, who displays signs of fetal alcohol syndrome. Social work services have been involved with Mary and Kylie since her birth, culminating in Kylie being looked after by the local authority as a result of Mary arriving to collect Kylie from the local nursery while significantly under the influence of alcohol. Mary has demonstrated ambivalence regarding her ability to control her alcohol use. Mary has referred herself to a local counseling agency as suggested by the social worker and her PCP.
    Discuss how you might use the principles of motivational interviewing with Mary.   
    Provide a detailed overview of how the interview may progress.  Include each step of motivational interviewing in your discussion.
    Describe how a provider would recognize this patient is ready to change.  Use principles of motivational interviewing to support your answer.
    Submission Instructions:
    Your initial post should be at least 500 words, formatted, and cited in the current APA style.
    Provide support for your work from at least 2 academic sources less than 5 years old. 
    Your initial post is worth 8 points.
    Read
    Tusaie, K. R., & Fitzpatrick, J. J. (2016).
    Pages 435-524
    Wheeler, K (2020).
    Chapter 9
    NUR 650 Motivational Interviewing.pptx Download NUR 650 Motivational Interviewing. pptx
    St. Thomas University. (2022). Motivational interviewing [slides].
    As part of your readings in this module, please also review the following:
    Syllabus
    APA and Research GuidesLinks to an external site.
    Watch
    Motivational Interviewing – Good Example – Alan Lyme (00:09:23)
    TheIRETAchannel “Motivational Interviewing – Good Example – Alan Lyme” YouTube. https://www.youtube.com/watch?v=67I6g1I7Zao&t=1s
    Motivational Interviewing – Good Example – Alan Lyme – https://www.youtube.com/watch?v=67I6g1I7Zao&t=1s 
    Skill Demonstration Motivational Interviewing (0:15:46)
    The Good Soul “Skill Demonstration Motivational Interviewing” YouTube. https://www.youtube.com/watch?v=JyV27AP4qwg
    Skill Demonstration Motivational Interviewing – https://www.youtube.com/watch?v=JyV27AP4qwg

  • “Improving Outcomes: A Failure Mode and Effects Analysis and Ishikawa Cause and Effect Diagram for an Identified Practice Problem” Title: Quality Improvement Analysis for Enhancing Safety and Efficiency in Gamma Knife Radiosurgery: A Case Study Using FMEA and Cause and Effect Analysis

    The purpose of this assignment is to critically evaluate a practice problem idea you identified. This assignment builds on the Week 4 assignment. Information used in the Week 4 assignment may be used as a basis for this assignment. The goal is to develop a deeper understanding of the identified practice problem idea, using two continuous quality improvement tools, specifically, a Failure Mode and Effects Analysis (FMEA) and an Ishikawa (fishbone) cause and effect diagram to analyze, improve, and mitigate related risks. This assignment will allow you to apply competencies through sequential development of workflow steps in relation to an identified practice problem idea and promotion of presentation skills. Assignment content supports professional formation, communication, and dissemination skills relevant to the DNP-prepared nurse.
    Instructions
    This assignment has four components:
    Identified practice problem idea in PICOT format
    Failure Mode and Effects Analysis
    Ishikawa (Fishbone) cause and effect diagram
    Professional PowerPoint with speaker notes at the bottom of each slide to disseminate information
    Follow these guidelines when completing each component of the assignment. Contact your course faculty if you have questions.
    Consider the identified practice problem idea used in the Week 4 translation science project including PICOT, background, and significance. Incorporate course faculty feedback from the Week 4 assignment.
    Review the examples of the failure mode and effects analysis and fishbone diagram in the Week 4 Explore section of the course called Evidence-Based Practice: Improving Outcomes.
    Download the required documents inserted in the guidelines:
    Link (PPT): PowerPoint TemplateLinks to an external site.
    Link (Word doc): Failure Mode and Effects Analysis TemplateLinks to an external site.
    Link (Word doc): Ishikawa Fishbone Template ALinks to an external site. (Word 2016 or higher)
    Link (Word doc): Ishikawa Fishbone Template BLinks to an external site. (older version of Word)
    Complete the failure mode and effects analysis and then the Ishikawa fishbone diagram. The Ishikawa fishbone diagram requires Word 2016 to download. If you do not have the Word 2016 version, you may update your current version of Word (click on the following link for instructions: Office 365Links to an external site.) or use the alternative version provided or create your own fishbone diagram as long as you are addressing the five areas:
    People
    Environment
    Materials
    Methods
    Equipment
    Create the PowerPoint Presentation.
    The assignment should include the following components. Use the templates provided for the assignment. 
    Introduction (1 slide)
    Title of Practice Problem Analysis Presentation
    Student Name
    Assignment Title
    Course Faculty Name
    Practice Problem Identification (1-3 slides)
    State identified practice problem as a PICOT question in question format.
    Identify all PICOT components.
    Describe the background and significance of the identified practice problem idea (cited).
    Develop inclusion criteria for the population of interest.
    Develop exclusion criteria for the population of interest.
    Failure Mode and Effects Analysis (1-2 slides)
    Identify three steps in the identified practice problem idea process with potential breakdown or process gaps.
    Identify at least one potential error (failure mode) for each of the three process steps.
    Identify at least one possible cause of failure (failure cause) for each of the three process steps.
    Identify at least one adverse consequence (failure effect) for each of the three process steps.
    Using a scale 1-10, rate likelihood of occurrence of failure for each process step.
    Using a scale 1-10, rate likelihood of detection of failure for each process step.
    Using a scale 1-10, rate likelihood of severity of harm if failure occurs for each process step.
    Calculate the Risk Profile Number (Multiply likelihood of occurrence X likelihood of detection X likelihood of severity or harm).
    Summarize FMEA analysis.
    Note: The following article has scoring guidelines for FMEA ratings which may be helpful.
    Warnick, R. E., Lusk, A. R., Thaman, J. J., Levick, E. H., & Seitz, A. D. (2020). Failure mode and effects analysis (FMEA) to enhance safety and efficiency of Gamma Knife Radiosurgery.Links to an external site.  Journal of Radiosurgery and SBRT, 7, 115-125.
    Ishikawa (Fishbone) Cause and Effect Diagram (1-2 slides)
    Identify people involved in the identified practice problem idea.
    Identify the environment in which the identified practice problem idea occurs.
    Identify the materials used.
    Identify the methods used.
    Identify the equipment used.
    Summarize cause and effect analysis.
    Evidence-Based Intervention (1 -2 slides)
    Identify the evidence-based intervention for your identified practice problem idea (listed in PICOT).
    Identify barriers to overcome based upon what you learned from the FMEA and Fishbone Analyses.
    Discuss feasibility of the evidence-based intervention.
    Conclusion (1 slide)
    Summarize the purpose and findings of the analysis.
    Provide and justify the main conclusions.
    Draw inferences from the quality improvement analysis.
    References (1 slide)
    Include in-text citations used in the presentation.
    Provide complete matching references in correct APA format.
    Include minimum of four scholarly sources.
    Writing Requirements
    Length: Maximum of 14 slides
    Standard English usage and mechanics
    APA format guidelines for in-text citation and references
    Clear, succinct, and readable slides
    Elaboration on the slide questions
    Speaker notes section with legible comprehensive notes for each slide
    Graduate Re-Purpose Policy
    The late assignment policy and the reuse repurpose policy (located in the student handbook) apply to this assignment.