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After working with your preceptor to assess organizational policies, create a list of measurable outcomes for your capstone project intervention. Write a list of three to five outcomes for your proposed intervention. Below each outcome, provide a one or two sentence rationale.

The assignment will be used to develop a written implementation plan.

APA style is not required, but solid academic writing is expected.

CASE STUDY 

Individuals and a Family as a Client 

Mila Jefferies is a recently widowed 36-year-old mother of two children and the daughter of two aging parents in the southeastern United States. She and her children have recently relocated from an urban neighborhood to a rural town to care for her parents, Robert and Susan. The move involved a job change for Elizabeth, a change in schools for the children, and an increased distance from the family of the children’s deceased father. Mila’s older child is a 5-year-old daughter, recently diagnosed with autism spectrum disorder and dyslexia. The younger of the two children is a 3-year-old boy with asthma that has been difficult to control since the move. Robert is a 72-year-old Methodist minister who recently suffered a stroke, leaving him with diminished motor function on his left side and difficulty swallowing. Susan is 68 years old and suffers from fibromyalgia, limiting her ability to assist with the daily care of her husband. She has experienced an increase in generalized pain, difficulty sleeping, and worsening fatigue since her husband’s stroke. 

Use the Neuman systems model as a conceptual framework to respond to the following: 

• Describe the Jefferies family as a client I system using each of the five variables. 

• What actual and potential stressors threaten the family? Which stressors are positive, and which are negative? Separate the actual and potential stressors that threaten the individual members of the family. Which of the stressors are positive, and which are negative? 

• What additional nursing assessment data are needed considering Robert’s medical diagnoses? What additional data would be helpful for Susan’s medical diagnoses? What about each of the children? 

• What levels of prevention intervention(s) are appropriate for the Jefferies family? Propose potential prevention intervention(s) for each member of the family. 

• Identify your nursing priorities if you were providing care to this family.

1 page 

Excluding cover and reference page

In 1,500-2,000 words, describe the teaching experience and discuss your observations. The written portion of this assignment should include:

1. Summary of teaching plan
2. Epidemiological rationale for topic
3. Evaluation of teaching experience
4. Community response to teaching
5. Areas of strengths and areas of improvement

Prepare this assignment according to the APA 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.

Directions:
•With the realization that pain is highly prevalent among older adults, please answer the following questions.

Questions:
1. What are some ways you as the nurse can utilize to determine pain in the older adult?
2. What are some of the potential barriers related to self-reporting of pain in the older adult?
3. What is the prevalence of pain in the older adult?
4. Describe and compare your findings for each of the following:
a. Numeric rating scale
b. Visual analog scale
c. McGill pain questionnaire
d. Pain in dementia patients

Location: UPTOWN CHICAGO NEIGHBORHOOD

Part 2: Analysis of Assessment Data

1. Based on observations from the windshield survey, identify strengths of the community.

2. List and prioritize 5 potential community risk factors (weaknesses).

3. Identify community resources that may help address the highest priority weakness (either currently in existence or something you propose to help address this problem).

The purpose of the assignment is for you to provide a critical analysis of the reading.

What this means is that you will present what, in your opinion, are the strengths and

weaknesses of the book. Keep in mind that your audience has some knowledge of U.S. history.

Assignment:

Write a 800-1500 word essay addressing each of the following points/questions. Be sure to completely answer all the questions for each bullet point. There should be four sections, one for each bullet below. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least three (3) citations in your essay. Make sure to reference the citations using the APA writing style for the essay. The cover page and reference page do not count towards the minimum word amount.

• Minority groups are present all over the United States. Name at least three minority groups and explain why each is categorized as such. 
• Within the United States there have been two views toward assimilation: the “melting pot” tradition and the Anglo-conformity view. In your opinion, which view accurately describes the United States today, and why?
• In 2000, women held 45% of jobs classified as executive, administrative, and managerial. But, in 2011, women held only 16.1% of Fortune 500 board seats, filled only 14.1% of corporate officer positions, and were 7.5% of the country’s top earners. Citing gender stratification in the workplace, in your own opinion why do you think women are being held back from obtaining these top positions?
• Cultural transmission theorists believe gender identities and behaviors are a gradual process of learning that begins in infancy. It suggests that teachers and other adults shape a child’s behavior by reinforcing responses that are deemed appropriate to the child’s gender role and discouraging inappropriate ones. What is your personal opinion on this theory? Do you believe that the cultural transmission theory will determine who/what a person will be in adulthood? Why?

Prepare a 10–20-slide presentation of the strategic plan you developed in Assessment 2, to be delivered to key stakeholders at a strategic visioning session.

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.

SHOW LESS

The implementation and success of a strategic plan depends on the support of key stakeholders. This in turn depends on your ability to communicate clearly and persuasively with decision makers and to sell your vision of the future. You must also be able to lead the initiative and sustain strategic direction. This assessment provides you with an opportunity to showcase your strategic thinking and exercise the communication skills necessary to move your strategic plan forward toward implementation.

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.
  • Explain why one’s leadership qualities and skills are well suited to successfully implementing a strategic plan and sustaining strategic direction.
• Competency 2: Apply strategies to lead high-performing health care teams to meet organizational quality and safety goals.
  • Summarize a strategic plan aimed at achieving desired quality or safety improvements within a care setting.
  • Describe the necessary actions for aligning the structure, systems, shared values, management style, staff, and skills of a care setting with strategic goals.
  • Explain how the implementation and outcomes of a strategic plan will be evaluated against current performance benchmarks.
• Competency 3: Apply cultural, ethical, and regulatory considerations to leadership decision making.
  • Explain how relevant cultural, ethical, and regulatory considerations influence the design of a strategic plan and strategies for its implementation.
• Competency 4: Integrate leadership and health care theories into the role of the nurse leader.
  • Explain one’s role, as a nurse leader, in successfully implementing a strategic plan and sustaining strategic direction.
• Competency 5: Communicate with stakeholders and constituencies to build collaborative partnerships and create inclusive work environments.
  • Explain a strategy for communicating with stakeholders and constituencies who are essential to implementing a strategic plan and sustaining strategic direction.
  • 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.

Reflect on the current cultural climate in your care setting.

• What aspects of the current cultural climate would aid in achieving one or more specific goals contained in your strategic plan?
• What aspects of the current cultural climate would present a challenge in achieving one or more specific goals contained in your strategic plan?
• What leadership theories, models, or strategies could help you turn this challenge into an opportunity?

Effectively communicating with internal and external stakeholders and constituencies can help in achieving strategic initiatives.

• How would you communicate the essential aspects of the strategic plan you developed in Assessment 2 to stakeholders or groups, both internal and external to your care setting?

Assessment Instructions

Note: In this assessment, you will develop a presentation to stakeholders for the strategic plan you developed in Assessment 2.

Preparation

Your strategic plan has been reviewed, and you have been asked to present your plan—including operational recommendations and strategic control mechanisms—at a strategic visioning session with key stakeholders (senior leaders if your plan is organization-wide, community leaders if your plan is for a community health project, or the nurse manager of a specific department or team). This session is the next step in moving your plan toward implementation.

Your deliverable for this assessment is a slide deck of 10–20 slides to supplement your presentation and facilitate discussion of your plan. You may use Microsoft PowerPoint or any other suitable presentation software. Please use the notes section of each slide to develop your talking points and reference your sources, as appropriate.

If you choose to use PowerPoint and need help designing your presentation, a link to Microsoft tutorials is provided in the Supplemental Resources in the left-hand navigation pane of your FlexPath courseroom. An additional PowerPoint guide is linked in the Resources.

Presentation Design Tips

Being able to effectively address any audience is a necessary leadership skill. Remember that you are the speaker, not a projectionist. Your purpose is not to present a slide show. Your audience is there to listen to what you have to say, not read your slides—or worse, listen to you read them. Design your presentation slides to compliment and reinforce your message and engage your listeners.

The following tips will help you create presentation slides that work to your advantage:

• Focus on the content of your presentation and the development of your main points. Remember that your purpose is to garner support for your plan and build partnerships for implementation.
• Consider your intended audience and how best to communicate effectively with them.
• Create slides that support your presentation. They should not be your presentation.
  • Use a professional presentation template, or one used in your organization.
  • Ensure that your slide background provides sufficient visual contrast for your text and graphics.
  • Avoid filling your slides with text. Use speaker notes to record the details you want to communicate to your audience.
  • Be judicious in your use of bulleted lists. You might even consider a separate slide for each main point.
  • Use images and graphics, when appropriate, to illustrate information and make your points. Presentation slides are a visual medium. Images are more effective than text at engaging your audience.
  • Avoid using images that are simply decorative. They can be a visual distraction and do not contribute to your message.
  • Avoid using flashy slide transitions and animations. They can be both distracting and annoying. Keep your slide transitions consistent throughout the presentation.
  • Add a slide to the end of your presentation to prompt questions from the audience.

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.

Communication, Supporting Evidence, and APA Style

• Present your plan in a professional and respectful way, with the goal of garnering support for your plan and building partnerships for implementation.
  • Address stakeholders’ needs and concerns.
  • Communicate the need to work collaboratively on implementation.
• Integrate relevant and credible sources of evidence to support your assertions.
  • Cite at least 3–5 sources of scholarly or professional evidence.
• Apply correct APA formatting to all in-text citations and references.
• Add a references slide to your slide deck.
• Proofread your slides to minimize errors that could distract the audience and make it more difficult to focus on the substance of your presentation.

Presentation

• Summarize your plan for achieving 2–3 main goals. Include corresponding metrics, targets, and initiatives to help achieve the desired quality or safety improvements in the care setting.

Note: It may be useful to think about what you hoped to achieve in addressing your care setting’s positive core or specific area of concern in Assessment 1. For example:

• Progress toward achieving the Triple Aim.
• Better patient safety outcomes.
• Lower readmission rates.
• Higher volume of patients and care.
• Increased financial gain.
• Minimizing staff burnout.
• Improved relationship and trust with the community or a specific population.

In addition, remember to consult the literature, research studies, and resources from professional and governmental organizations when developing metrics, targets, and initiatives.

• Explain how you will communicate your plan to those stakeholders and constituencies who are essential to implementing your plan and sustaining strategic direction.
  • Identify the key individuals or groups with whom you must communicate.
  • Identify the cultural or ethical factors, if any, that are relevant to the design of your communication plan, including how key individuals or groups typically prefer to be contacted.
• Describe the actions you will take to align your care setting’s structure, systems, shared values, management style, staff, and skills with your strategic goals.
  • Describe the changes that are needed to achieve your goals.
  • Describe the goals and processes for on-boarding relevant individuals or groups.
• Explain how you will evaluate the success of your strategic plan.
  • Define successful implementation.
  • Describe the successful outcomes for this project.
  • Explain how will you compare outcomes to current performance benchmarks.
  • Explain how will you collect data to evaluate whether you have achieved specific goals and outcomes.
  • Identify your priorities, assuming you cannot accomplish everything.
• Explain how relevant cultural, ethical, and regulatory considerations influenced the design of your strategic plan and strategies for its implementation.
• Explain your role, as a nurse leader, in successfully implementing your proposed plan and sustaining strategic direction.
  • Explain how leadership and health care theories support your role.
• Explain why your leadership qualities and skills will enable you to successfully implement your plan and sustain strategic direction.
  • Explain why should you be the one to lead this initiative.
  • Explain how have you demonstrated some or all of these qualities in past work.

Additional Requirements

In addition to your slide deck, submit any other relevant documentation or links for this assessment (if you used presentation software or technology other than PowerPoint).

GRADING RUBRIC:

1-  Summarize a strategic plan aimed at achieving desired quality or safety improvements within a care setting. 

Passing Grade:  Summarizes a strategic plan aimed at achieving desired quality or safety improvements within a care setting, and notes inherent weaknesses or threats. 

2-  Explain a strategy for communicating with stakeholders and constituencies who are essential to implementing a strategic plan and sustaining strategic direction. 

Passing Grade:  Explains a strategy for communicating with stakeholders and constituencies who are essential to implementing a strategic plan and sustaining strategic direction, and identifies assumptions on which the strategies are based. 

3-  Describe the necessary actions for aligning the structure, systems, shared values, management style, staff, and skills of a care setting with strategic goals. 

Passing Grade:  Describes the necessary actions for aligning the structure, systems, shared values, management style, staff, and skills of a care setting with strategic goals; proposes criteria for evaluating the success of orientation and on-boarding. 

4-  Explain how the implementation and outcomes of a strategic plan will be evaluated against current performance benchmarks. 

Passing Grade:  Explains how the implementation and outcomes of a strategic plan will be evaluated against current performance benchmarks, and identifies areas of uncertainty or knowledge gaps. 

5-  Explain how relevant cultural, ethical, and regulatory considerations influence the design of a strategic plan and strategies for its implementation. 

Passing Grade:  Explains how relevant cultural, ethical, and regulatory considerations influence the design of a strategic plan and strategies for its implementation; identifies potential conflicts related to cultural, ethical, and regulatory considerations. 

6-  Explain one’s role, as a nurse leader, in successfully implementing a strategic plan and sustaining strategic direction. 

Passing Grade:  Explains one’s role, as a nurse leader, in successfully implementing a strategic plan and sustaining strategic direction, and identifies assumptions. 

7-  Explain why one’s leadership qualities and skills are well suited to successfully implementing a strategic plan and sustaining strategic direction. 

Passing Grade:  Explains why one’s leadership qualities and skills are well suited to successfully implementing a strategic plan and sustaining strategic direction, including plans that acknowledge opportunities for personal growth. 

8-  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. 

9-  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. 

TOPIC TO BE WRITTEN ON IS IN THE UPLOADED DOUMENT

Outline

You will want to delete ALL the blue text in this outline and replace it with information specific to your topic. Please use in-text APA citations throughout your outline. Show me what sources you’re using in your paper and whereyou’re using them. Your outline should be detailed; writing your rough draft from your outline should be easy. 

I.  Introduction– 

a.  Point 1: Introduce the topic with background information and define terminology. Go from broad to specific. Think of your introduction as an upside-down triangle. 

b.  Point 2: Get more specific here. 

c.  Point 3: Get even MORE specific here.

d.  Thesis statement: Your final sentence should mention that the paper will discuss ethical arguments surrounding your topic.

II.  Body Paragraph 1 – Technical aspects of your topic—

a.  Topic Sentence: Your topic sentence goes here. In this paragraph, you will talk about what we need to know in order to understand your topic.  Your audience needs to know the “what” before you talk about ethical arguments. For example, I can’t properly argue that we need more PPE masks to fight COVID-19 if I don’t first tell my audience what PPE is and what COVID-19 is.

b.  Additional detail 1: ________________________________________

c.  Additional detail 2:________________________________________

d.  Additional detail 3:________________________________________

III.  Body Paragraph 2 – Description of public policy debates surrounding your topic—

a.  Topic Sentence: Your topic sentence goes here. In this paragraph, you’ll give additional background/history of the topic—what laws exist? Are there monumental cases? You want to set up the debate. If I want to argue that additional money needs to be allocated for PPE, I need to let my audience know why there isn’t enough PPE in the first place. What laws or policy decisions led to the place we’re currently in? What are some monumental cases (for example, Brittany Maynard for PAS or Roe v. Wade for abortion).

b.  Additional detail 1:________________________________________

c.  Additional detail 2:________________________________________

d.  Additional detail 3:________________________________________

IV.  Body Paragraph 3 – Why is ___ Ethical? 

a.  Topic Sentence: What is one “side” of the debate? Make sure that you’re making ethical arguments here. Instead of “reporting” what one side believes, I want you to make the argument. You’ll be saying something like “PAS is considered ethical because of A, B, and C.”  

b.  Supporting detail: Here you’ll explain your first reasons why your issue is ethical. For every supporting detail, you’ll want to have a fact taken from a source. For example, if I am arguing that PAS is ethical because it supports the principle of autonomy, I want to bring in a source that talks about autonomy. I want to cite that source here (author, date).

c.  Explanation of supporting detail #1: After that, you will have a sentence or two that explains the connects the “source” or “fact” back to your topic sentence. Let’s say that your first supporting detail was that X% of people file for bankruptcy each year. You have to tell me how that connects to your argument that health care access should be expanded. Is it unethical that X% of people go bankrupt for something out of their control? If so, you want to state that. 

d.  Supporting detail 2: Repeat the above supporting detail #2. 

e.  Explanation of supporting detail #2: Repeat the above supporting detail #2.

f.  Supporting detail 3: Repeat the above supporting detail #3.

g.  Explanation of supporting detail #3: Repeat the above supporting detail #3.

V.  Body Paragraph 4 – The Other Side

a.  Topic Sentence: Write your topic sentence here. In this paragraph, you will outline the points made by the “other side” and tell me why their thinking is wrong. 

b.  Supporting detail 1: What is one reason why people think about ___ differently? For example, maybe their religious views tell them that PAS is unethical. Explain that point and cite your source. 

c.  Refute supporting detail #1: After that, tell me what YOUR side would say about that. Why is this thinking incorrect, incomplete, or flat out wrong? For example, you might talk about how religious views should be respected, but s unethical to based laws on one groups religious beliefs. You might use a citation here as well. 

d.  Supporting detail 2: Give me another premise used by the other side. Citation, please! 

e.  Refute of supporting detail #2: Refute it. 

f.  Supporting detail 3: Give me another premise used by the other side.

g.  Refute supporting detail #3: Refute it.

VI.  Opinion and Conclusion 

a.  Restate your thesis: Give me a one sentence recap. What was this paper about? 

b.  Statement of Opinion (don’t use “I”/first person). Here you will reiterate what the most ethical position is. 

c.  Give me a brief summary of why this is the case 2-3 sentences here. You might want to consider rephrasing the reasons why ___ is ethical and the reasons why the other side is wrong. 

d.  Concluding sentence/statement Give me a one sentence, final take away. 

References

Author’s Last Name, First initial. Middle initial. (Year). Title of article. Journal Title, Volume Number(Issue number), Page numbers. 

WCU. (2020). Week #: Scenario Title. In PHIL 434: Medical Ethics and Issues: Spring 2020 [Video]. Retrieved from learn.westcoastuniversity.edu

 Discuss and identify a specific population group or aggregate that have high levels of tuberculosis, and identify health policies that advocate for the improvement of health in this population group. 

Health Policy Brief -Assignment

 Below is the link for the Health Policy:

 https://www.govtrack.us/congress/bills/116/s3821/text 

Purpose: This assignment is for you to prepare a policy brief. The assignment engages you in learning about an issue and to accurately – and in a non-biased fashion — identify the policy and political issues that are central to that topic.

Guidelines:

· You will select a current healthcare related bill

· Review the resources provided regarding preparing a one-page policy brief.

· You will prepare a one-page health policy brief, often referred to as a one-page leave behind. 

· Your design format does not have to be exactly like any of the samples provided but must contain the same information.

· For the purposes of this assignment, you will assume the role of a group of registered nurses (should you decide that this is important to include in your brief).

· Your audience will be your senator and local delegate that you will be meeting with (hypothetically) soon.

· The sections must be divided by headings, as you will see in the examples.

· You may single-space.

· The brief should be visually pleasing and easy to read.

· You may want to Include bullets instead of lengthy paragraphs.

· Try to stick to only one or two references. There are to be in APA format (you may single-space.

*This is a sample layout. You can decide on your own design and even headings, as long as this information is provided.

Title: Name and number of Bill

Summary

· Statement of the Issue/Problem (aka introduction). This should be a brief (2-3 sentence) describing the issue. 

· Begin with a brief overview of the policy issue and state the

problem you hope to solve or the objective you hope to achieve.

· Map where your argument will take the reader and explicitly

outline your thesis/key point.

Background & Evidence 

· An explanation of the problem and its significance. 

· Briefly explain the history of the policy issue.

· Persuasively outline why your policy recommendation(s) will solve the problem or achieve the objective you highlighted in your introduction.

· Use evidence from research studies, case studies, legislative experiences of other jurisdictions, reputable polling/surveys and other sources to support your perspectives and advance your credibility.

Recommendation

· List recommendations about what you want your senator and delegate to do.

Reference(s) (of your information)

NOTE: See attachments for sample and rubric.