week 10

  

For this discussion, you are asked to review the student learning outcomes for this course and discuss how you met these outcomes. The intention here is to provide you an opportunity to “reflect” on the learning achieved during this term and how you successfully met these learning outcomes. If you do not feel you successfully met the objective, discuss your plans to successfully complete the objective in the future.

Upon completion of this course, the student should be able to:

1. Critically analyze current practice to formulate researchable problems.

2. Evaluate research as the basis for decision-making to improve outcomes through translation into evidence-based practice. 

3. Synthesize an understanding of the research process through development of a proposal to address a nursing problem or focus area identified in nursing practice.

4. Investigate ethical issues related to the conduct of scientific research, including informed consent, data management, data analysis, and protection of human subjects.

5. Explore national and international initiatives and research priorities.

Spiritual Memories

 

Peterson,S.J & Bredow, T.S.(2020). Middle Range Theories. Application to Nursing Research and Practice (5th Edition). Wolters Kluwer. ISBN 9781975108311

American Psychological Association. (2020). Publication Manual of the American Psychological Association (7th ed.).

Care Setting Environmental Analysis

 

Write a 4–7-page analysis of your care setting that supports development of a strategic plan and includes both the discovery and dream phases of an appreciative inquiry (AI) project and a strengths, weaknesses, opportunities, and threats (SWOT) analysis of the care setting.

Note: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, you must complete the assessments in this course in the order in which they are presented.

Identifying analysis techniques for assessing competitive advantage is important for building health care strategy. Sustaining health care competitive advantage requires that leaders understand environmental demands to assist with minimizing weakness and threats from the external environment. This assessment provides you with an opportunity to examine your health care environment to determine whether what is being accomplished in your organization, department, team, community project, or other care setting is making a positive difference.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

  • Competency 1: Evaluate qualities and skills that promote effective leadership within health care organizations.
    • Analyze the leadership characteristics and skills most desired in the person leading potential performance improvement projects, taking both an appreciative inquiry (AI) and a strengths, weaknesses, opportunities, and threats (SWOT) approach.
  • Competency 2: Apply strategies to lead high-performing health care teams to meet organizational quality and safety goals.
    • Synthesize stories and evidence about times when a care setting performed at its best with regard to quality and safety goals.
    • Conduct a SWOT analysis of a care setting, with respect to quality and safety goals.
    • Describe an area of concern identified in a SWOT analysis—relevant to a care setting’s mission, vision, and values—that should be improved.
    • Compare the AI and SWOT approaches to analysis with regard to data gathering and interactions with others.
  • Competency 3: Apply cultural, ethical, and regulatory considerations to leadership decision making.
    • Propose positive, attainable quality and safety improvement goals for a care setting.
  • Competency 5: Communicate with stakeholders and constituencies to build collaborative partnerships and create inclusive work environments.
    • Communicate analyses clearly and in a way that demonstrates professionalism and respect for stakeholders and colleagues.
    • Integrate relevant and credible sources of evidence to support assertions, correctly formatting citations and references using APA style.

 QUESTIONS TO CONSIDER

 

  • As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.
    One key aspect to being an effective leader, manager, or administrator is an awareness of your leadership strengths, weaknesses, and style.

    • How would you assess your general leadership, communication, and relationship-building skills?
    • How would describe your leadership style?
    • Imagine the future for a care setting that is your place of practice or one in which you would like to work.
    • What aspirational goals can you envision that would lead to improvements in health care quality and safety?
    • How well do these goals align with the mission, vision, and values of your care setting?

 

Assessment Instructions

Note: You will use the results of this analysis to develop a strategic plan in Assessment 2.

Preparation

You have been asked to conduct an analysis of your care setting that will result in two potential pathways toward a strategic plan to improve health care quality and safety in your organization, department, team, community project, or other care setting. To accomplish this, you will take two approaches to the analysis:

  1. Complete the discovery and dream phases of an appreciative inquiry (AI) project.
  2. Conduct a strengths, weaknesses, opportunities and threats (SWOT) analysis.

To help ensure that your analysis is well-received, the requester has suggested that you:

  • Present your analysis results in four parts:
    • Part 1: Appreciative Inquiry Discovery and Dream.
    • Part 2: SWOT Analysis.
    • Part 3: Comparison of Approaches.
    • Part 4: Analysis of Relevant Leadership Characteristics and Skills.
  • Your analysis should be 4–7 pages in length.

Note: Remember, you can submit all, or a portion, of your draft plan to Smarthinking for feedback before you submit the final version for this assessment. However, be mindful of the turnaround time for receiving feedback, if you plan on using this free service.

Analysis Requirements

Note: The requirements outlined below correspond to the grading criteria in the scoring guide, so at a minimum, be sure to address each point. In addition, you are encouraged to review the performance level descriptions for each criterion to see how your work will be assessed.

Writing, Supporting Evidence, and APA Style
  • Communicate professionally when conducting interviews and collecting data.
  • Write clearly, with professionalism and respect for stakeholders and colleagues.
  • Integrate relevant sources of evidence to support your assertions.
    • Cite at least 3–5 sources of scholarly or professional evidence.
    • Include relevant interview information.
  • Format your document using APA style. The APA Style Paper Template and associated tutorial, linked in the Resources, are provided for your use. Be sure to include:
    • A title page and reference page. An abstract is not required.
    • A running head on all pages.
    • Appropriate section headings.
    • Properly formatted citations and references.
  • Proofread your writing to minimize errors that could distract readers and make it more difficult to focus on the substance of your analysis.
Part 1: Appreciative Inquiry Discovery and Dream
  • Synthesize stories and evidence about times when a care setting performed at its best with regard to quality and safety goals.
    • Collect stories from your care setting. You may collect stories through interviews or conversations with colleagues or provide your own.
    • Explain how your stories are related to quality and safety goals.
    • Describe the evidence you have that substantiates your stories.
    • Identify the positive themes reflected in your stories.
    • Describe other evidence (for example: data, awards, accreditations) that validates your care setting’s positive core.
  • Propose positive, yet attainable, quality and safety improvement goals for your care setting.
    • Explain how accomplishing these goals will lead to ethical and culturally-sensitive improvements in quality and safety.
    • Explain how your proposed goals align with your care setting’s mission, vision, and values.
Part 2: SWOT Analysis
  • Conduct a SWOT analysis of your care setting, with respect to quality and safety goals.
    • Provide a narrative description of your analysis.
    • Identify the assessment tool you used as the basis of your analysis.
    • Describe your key findings and their relationships to quality and safety goals.
  • Describe one area of concern that you identified in your SWOT analysis—relevant to your care setting’s mission, vision, and values—for which you would propose pursuing improvements.
    • Explain how this area of concern relates to your care setting’s mission, vision, and values.
    • Explain why you believe it will be necessary and valuable to pursue improvements related to this area of concern.
Part 3: Comparison of Approaches

Compare the AI and SWOT approaches to analysis and reflect on the results.

  • Describe your mindset when examining your care setting from an AI perspective and from a SWOT perspective.
  • Describe the types of data and evidence you searched for when taking an AI approach and a SWOT approach.
  • Describe the similarities and differences between the two approaches when communicating and interacting with colleagues.
Part 4: Analysis of Relevant Leadership Characteristics and Skills

Analyze the leadership characteristics and skills most desired in the person leading potential performance improvement projects, taking both an AI and SWOT approach.

  • Explain how these characteristics and skills would help a leader facilitate a successful AI-based project and a successful SWOT-based project.
  • Comment on any shared characteristics or skills you identified as helpful for both AI and SWOT approaches.

 GRADING RUBRIC

1-  Synthesize stories and evidence about times when a care setting performed at its best with regard to quality and safety goals. 

Passing Grade:  Synthesizes stories and evidence about times when a care setting performed at its best with regard to quality and safety goals. Identifies knowledge gaps, unknowns, missing information, unanswered questions, or areas of uncertainty (where further information could improve the synthesis). 

2-  Propose positive, attainable quality and safety improvement goals for a care setting. 

Passing Grade:  Proposes positive, attainable quality and safety improvement goals for a care setting, and identifies assumptions on which proposed goals are based. 

3-  Conduct a SWOT analysis of a care setting, with respect to quality and safety goals. 

Passing Grade:  Conducts a SWOT analysis of a care setting, with respect to quality and safety goals, and impartially considers conflicting data and other perspectives. 

4-  Describe an area of concern identified in a SWOT analysis—relevant to a care setting’s mission, vision, and values—that should be improved.
 

Passing Grade:  Describes an area of concern identified in a SWOT analysis—relevant to a care setting’s mission, vision, and values—that should be improved. Identifies criteria that could be used to evaluate such an improvement.

5-  Compare the AI and SWOT approaches to analysis with regard to data gathering and interactions with others. 

Passing Grade:  Compares the AI and SWOT approaches to analysis with regard to data gathering and interactions with others, and acknowledges one’s own assumptions and biases 

6-  Analyze the leadership characteristics and skills most desired in the person leading potential performance improvement projects, taking both an AI and SWOT approach. 

Passing Grade:  Analyzes the leadership characteristics and skills most desired in the person leading potential performance improvement projects, taking both an AI and SWOT approach. Identifies areas of uncertainty or knowledge gaps.
 

7-  Communicate analyses clearly and in a way that demonstrates professionalism and respect for stakeholders and colleagues. 

Passing Grade:  Communicates analyses clearly, logically, and persuasively, demonstrating professionalism and respect for stakeholders and colleagues. Grammar and mechanics are virtually error-free. 

8-  Integrate relevant and credible sources of evidence to support assertions, correctly formatting citations and references using APA style. 

Passing Grade:  Integrates relevant and credible sources of evidence to support assertions, correctly formatting citations and references using APA style. Citations are error-free.
 

Holistic

Choose an adult (over the age of 18), can be a friend or relative, and perform a Holistic Health Assessment on them.  Your assessment should include the following 7 parts: Health History and Assessment of Physiological, Psychological (stress, coping), Social, Cultural, Developmental and Spiritual.

Paper requirements: Label each part above with a Level 1 heading; paper should be 1250 words minimum with at least 3 scholarly sources and the textbook.

  • First, describe the data gathered on your client for each of the 7 assessments; it should be clearly documented in detail in your paper.
  • Also, interpret the findings according to pathophysiologic disease states and then choose ONE physiologic abnormality found and discuss possible pathophysiologic reasons for the abnormality related to a holistic basis. How does this abnormality impact the other areas of the patient’s life, especially those areas discussed in this course?
  • Next, discuss the client’s stress and coping mechanisms.  Are they healthy?  What improvements could be made?
  • Finally, create a teaching plan that addresses the client holistically.  Describe at least one client goal for each of the categories (physical, psychological, social, cultural, developmental, and spiritual).  AND answer: How would you teach the client about each goal?  How would you evaluate your teaching?

CDC

The CDC and Healthy People 2020 continue to educate on the importance, the improved ease of access and insurance coverage for screenings and vaccinations. It is the responsibility of nurses to engage our aging adults in self-advocating for services that benefit the individual and community health. 

A: How can you, as a registered nurse, impact older adults to encourage routine vaccination? 

B: What impact does this have on the community as a whole?

Your initial posting should be at least 400 words

Evidence based practice

 

For  each Barrier to Patient Centered Care, identify facilitators that could  be introduced to balance/offset the barrier. Provide rationale for your  response based on (text books, articles,  practice guidelines, etc) as appropriate:

Barriers:

  1. Competing care obligations (patient–load) interfere with prioritizing discussions of discharge planning with patient/planning.
  2. Discharge communication ranged from simple one-sided instruction to shared decision making.
  3. Patients did not feel prepared for discharge and post-discharge care was not individualized.
  4. Discharge process/decisions affected by pressure for available beds.

Patho

A 65-year-old patient is 8 days post op after a total knee replacement. Patient suddenly complains of shortness of breath, pleuritic chest pain, and palpitations. On arrival to the emergency department, an EKG revealed new onset atrial fibrillation and right ventricular strain pattern – T wave inversions in the right precordial leads (V1-4) ± the inferior leads (II, III, aVF)
In your Case Study Analysis related to the scenario provided, explain the following
The cardiovascular and cardiopulmonary pathophysiologic processes that result in the patient presenting these symptoms.
Any racial/ethnic variables that may impact physiological functioning.
How these processes interact to affect the patient.
all papers submitted include a title page, introduction, summary, and references.

Research paper

This project has to be in APA format, it is evaluated by Turnitin and it is about human growth and development. I selected Chapter 2 and within it the module 2.3. I post two PowerPoints with summaries of that module and the pages of the book for which I am taking the class. It’s just talking about module 2.3.

Informatics

  

As health care relies on continuous quality improvement (CQI) processes, how would you describe the DNP’s role in healthcare to collaborate and contribute to the CQI process? What skills would you need as a DNP to increase your technology-related knowledge and skills? Please support your discussion with relevant scholarly research.