Benchmark – Critical Decision-Making and Organizational Performance

View the scenario called “Critical Decision Making for Providers” found in the Allied Health Community media.

In a 1,000-1,250-word paper, examine the scenario involving Mike, the lab technician, and discuss the following:

  1. Discuss the consequences of a failure to report.
  2. Explain the impact his decision had on patient safety and organizational performance (risk for litigation, organization’s quality metrics, workload of other hospital departments, etc.).
  3. As Mike’s manager, describe how you would address the issue with him and steps you would take to ensure other staff members do not repeat the same kind of mistake.
  4. Reflect on the scenario and describe what underlying aspects or issues may be contributing to workplace dilemmas such as this.
  5. Consider the manner in which most health care organizations function (structure, people, technology, environment). As a leader, discuss what principles of organizational behavior and development can be applied to effectively contribute to the success of a health care organization. How could these principles be applied to this scenario?

A minimum of three academic references from credible sources are required for this assignment.

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. Refer to the LopesWrite Technical Support articles for assistance. 

Benchmark Information

This benchmark assignment assesses the following programmatic competency:

BS Health Sciences

4.1: Apply the principles of organizational behavior and development in order to effectively contribute to the success of health care organizations.

Nursing

Reflect on your current or prior practice setting.

·  Paragraph One: Briefly describe the type(s) of nursing health assessments you commonly perform. 

o  Explain how your nursing health assessments are focused or comprehensive.

o  Provide examples of key subjective and objective data collected by nurses in this setting.

·  Paragraph Two: Describe the typical patient population in your practice setting.

o  What are some special considerations that you have used for obtaining an accurate health history and physical assessment in this patient population?

§  Examples may include age, lifestyle, financial status, health status, culture, religion, or spiritual practices.

Diabetes Mellitus type 2

 

Must use the sample template for your soap note,  

Follow the MRU Soap Note Rubric as a guide

Use APA format and must include minimum of 2 Scholarly Citations.

Soap notes will be uploaded to Moodle and put through TURN-It-In (anti-Plagiarism program)

Turn it in Score must be less than 50% or will not be accepted for credit, must be your own work and in your own words. You can resubmit, Final submission will be accepted if less than 50%. Copy paste from websites or textbooks will not be accepted or tolerated. Please see College Handbook with reference to Academic Misconduct Statement.

The use of tempates is ok with regards of Turn it in, but the Patient History, CC, HPI, The Assessment and Plan should be of your own work and individualized to your made up patient. 

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Discussion #3

 Identify a population to assess and develop an evidence-based, primary care health promotion recommendations to deliver in their own communities (Ex: Hispanics-Diabetes, Africanamericans and Prostate Cancer,etc). 

Building a Professional Identity

 

In 500 words, describe the components necessary to create an effective professional identity and explain why professional networks are essential for professional development. 

Prepare this assignment according to the APA guidelines found in the APA Style Guide. PLEASE BE SURE TO TO READ THE ATATCHED APA 7TH EDITION GUIDE AND BE SURE TO USE THAT FORMAT.

Discussion: The Role of the RN/APRN in Policy Evaluation (needs at least 3 paragraph and at least 3 references)

In the Module 4 Discussion, you considered how professional nurses can become involved in policy-making. A critical component of any policy design is evaluation of the results. How comfortable are you with the thought of becoming involved with such matters?

Some nurses may be hesitant to get involved with policy evaluation. The preference may be to focus on the care and well-being of their patients; some nurses may feel ill-equipped to enter the realm of policy and political activities. However, as you have examined previously, who better to advocate for patients and effective programs and polices than nurses? Already patient advocates in interactions with doctors and leadership, why not with government and regulatory agencies?

In this Discussion, you will reflect on the role of professional nurses in policy evaluation.

To Prepare:

  • In the Module 4 Discussion, you considered how professional nurses can become involved in policy-making.
  • Review the Resources and reflect on the role of professional nurses in policy evaluation.

By Day 3 of Week 9

Post an explanation of at least two opportunities that currently exist for RNs and APRNs to actively participate in policy review. Explain some of the challenges that these opportunities may present and describe how you might overcome these challenges. Finally, recommend two strategies you might make to better advocate for or communicate the existence of these opportunities. Be specific and provide examples.

Reply to the discussion (Taylor)-Needs 2 paragraph and at least 3 references

Policy Review in Nursing

Main Question Post- Nurses need to be a part of the policy review process to better their organizations and careers. Nurses can participate in policy review by joining a professional nursing organization. According to (Derouin 2019), professional organizations are “asked to assist with data collection and eventual dissemination of summative evaluation data” (p. 122). With nurses helping to gather data, they can participate in policy review by gathering information and knowledge to better a policy and evaluating the outcomes. Professional organizations are a great way to learn from others in your organization and get their opinion on policy review. Nurses can also participate in policy review by using evidence-based research and data to contact their legislation regarding health policy issues or concerns. During policy review, gathering reliable information and reflecting on it can help improve research and implement better policy. By presenting legislation with a concrete proposal to enhance policy, the review process will help improve any issues. Nurses will better understand the importance of policy review by being an active participant.

Challenges may arise when you mix nurses and policy review. When joining a professional organization, you may deal with the others’ opinions that you don’t quite agree upon. Professional organizations help build your networking team, but if your ideas and opinions don’t match others, it can make it difficult for you to build a strong team. According to Derouin (2019), a few challenges to health policy evaluation include lack of resources to complete assessment, lack of comparative results, and social media. Lack of resources could be a challenge, but joining a professional organization can provide you with many resources for a policy review. Lack of results could be a challenge, but engaging in evidence-based research can help you form a proposal to send to the legislature to improve policy review. With the upcoming presidential election, health policy has been discussed a lot on social media. Social media is a great way to discuss and learn the opinions of others. Using social media, Professional Nursing Organizations can share policy information amongst their members and followers (Waddell, 2018). Social media and ever-changing technology can help nursing challenges when participating in policy review, such as HIPPA violations. Policy evaluation “serves as the key to improving quality, safety, efficiency of clinical practice as well as assessing the impact of emerging innovations and science (Polit & Peck, 2012)” (Derouin, 2019, p. 118). Whether it’s through joining a professional organization, accessing social media, or using evidence-based research, nurses need to be active participants in policy review to better their profession, organization, and communities.

Strategies to communicate issues between nurses and policy review are essential. Gazarian et al. (2020) recommended the using research over how to put health policy into action to help determine ways to improve health care.  One strategy to help with writing to the legislature regarding policy review would be to use writing resources, like Grammarly, to help with punctuation and plagiarism. Another approach when writing to legislation would be to research evidence-based data using reliable and credible databases. Nurses need to use evidence-based research to improve health policy as well as healthcare as a whole. The ability to search for reliable and up-to-date information will help you construct a solid proposal to present to the legislature. A strategy to advocate about joining professional organizations would be to reach out to fellow APRNs in your community. Communicate and see if they are involved in any professional organizations and persuade them to join with you. Banding together to work as a team will lead to success.

References

Derouin, A. (2019). Health policy and social program evaluation. In J. A. Milstead, & N. M. Short (Eds.), Health policy and politics: A nurse’s guide (6th ed., pp 115-131). Burlington, MA: Jones & Bartlett Learning

Gazarian, P., Ballout, S., Heelan-Fancher, L., & Sundean, L. J. (2020). Theories, models, and frameworks used in nursing health policy dissertations: A scoping review. Applied Nursing Research. https://doi-org.ezp.waldenulibrary.org/10.1016/j.apnr.2020.151234

Waddell, A. (2019). Nursing organizations’ health policy content on facebook and twitter preceding the 2016 united states presidential election. Journal of Advanced Nursing75(1), 119–128. https://doi-org.ezp.waldenulibrary.org/10.1111/jan.13826

Reply to Leigh- Needs 2 paragraph and at least 3 references

Main Discussion Post

Many nursing professionals hesitate to get involved in either policy-making or policy evaluation due to the lack of confidence in preparedness or knowledge. In opposition, the Institute of Medicine believes that “nurses were vital to the redesign of healthcare systems, needed to be viewed as partners of physicians and other healthcare providers, and needed to be “at the table” to ensure effective planning, implementation, and ongoing evaluation of healthcare policies” (Milstead, J.A., Short, N.M., (2019). Even though nurses struggle with assurance, many opportunities are offered to become educated in policy evaluation.

Opportunities for policy evaluation in the nursing profession are presented at the state and national levels. Joining state nursing associations presents nurses with the opportunity to gain knowledge of policymaking and evaluation. Through attending conferences, connecting with other members throughout your state, lobbying, speaking to the media on nurses’ behalf, protecting your states’ Nursing Practice Act, and advocating allows nurses to advance their policy evaluation knowledge (Arkansas Registered Nurses Association (ARNA), (2020). Even though there are many benefits, challenges are also exposed. Due to an increased workload of Advanced Practicing Registered Nurses (APRNs) and Registered Nurses (RNs), being apart of either state or national level associations presents challenges that may be overcome with proper time management.  

Another opportunity for the professional nursing community is the ability to reach out the local and federal legislation. “Working with your elected representatives on smaller nursing issues related to your experience builds credibility so they’ll be more likely to turn to you when they’re looking for resources for larger nursing issues (Oestberg, Fredrik MSN, RN. (2013). By sharing personal experiences and evidence-based practice research with members of legislation allows nurses to assist in policy evaluation through checking the value, effectiveness, and impact (Oestberg, Fredrik MSN, RN. (2013). Challenges that may be presented are the inabilities to contact local and federal legislation and the differences of opinion. If unable to contact members of legislation, forming relationships with either your organization policy-makers, members of your organization’s administration, or even your educational coordinator may assist in communication.  

In order for the knowledge and confidence of nursing professionals to grow, they have to be informed of the available opportunities. By the encouragement of the administration, management, and educational coordinators, practicing RN’s and APRN’s would have the opportunity to advocate for their healthcare profession.

References:

Arkansas Registered Nurses Association (ARNA). (2020, January 7). Membership Benefits. https://arna.org/membership/benefits/.

Milstead, J.A., Short, N.M., (2019). Interprofessional Practice. Health Policy and Politics- A Nurse’s Guide. (pp. 117). Jones and Bartlett Learning.

American Nurses Association (ANA). (n.d.). Health Policy.

Oestberg, Fredrik MSN, RN. (2013). Getting involved in policy and politics, Nursing Critical Care: (Volume 8. Issue 3. pp 48). doi: 10.1097/01.CCN.0000429392.92546.6f

Health Assessment 8

 

Signature Assignment Title: The Holistic Patient Assessment

Part 1: Choose an adult (over the age of 18) friend or relative and perform a holistic health assessment. Clearly document your holistic health assessment data

Your assessment should include the following parts:

  • Health History
  • Physiological Assessment
  • Psychological Assessment
  • Social Assessment
  • Cultural Assessment
  • Developmental Assessment
  • Spiritual Assessment

Part 2: Interpret the findings in your holistic health assessment data according to pathophysiologic disease states.  

  • Choose one physiologic abnormality and discuss possible pathophysiologic reasons for the abnormality.  
  • Look at the abnormality on a holistic basis.  
  • How does this abnormality impact the other areas of the patient’s life, especially those areas discussed in this course?
  • Discuss the client’s stress and coping mechanisms.  
  • Are they healthy?  
  • What improvements could be made?

Part 3: Create a teaching plan that addresses the client holistically by applying the assessment data you have analyzed.  

  • Describe at least one client goal for each of the categories (physical, psychological, social, cultural, developmental, and spiritual).
  • How will you teach the client about the goal?  
  • How will you evaluate your teaching?  

Part 4: Prepare a PowerPoint presentation for your patient teaching.  

  • You should have at least six slides (one for each type of goal – physical, psychological, social, cultural, developmental, and spiritual), in addition to the title slide, objective slide, and references slide.  
  • Please be sure to have at least one scholarly source in the PPT.

Assignment Expectations:

  • Length: Essay of 1250-1500 words; PP of 6-12 content slides (and include a title, objective, and reference slides – these do not count towards the required content slides)
  • Structure: PP as noted above. Essay: Include a title page and reference page in APA format. These do not count towards the minimum word count for the essay part of the assignment. Your essay must include an introduction and a conclusion. 
  • References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of three scholarly sources plus the textbook are required.
  • Rubric: This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level.
  • Format: Save your assignment as a Microsoft Word document (.doc or .docx)

Caps Assignment W4

Searching and Evaluating Cultural and/or Ethical Resources

Search and Evaluate 

This week, you will find three scholarly, peer-reviewed research articles on your topic. Remember that next week you will submit a paper on Cultural and/or Ethical perspectives of inquiry, so use this week’s assignment to prepare materials and collect information for that purpose.

Use articles that will help you explain and describe cultural and/or ethical, legal or regulatory issues related to your topic. You will analyze and evaluate these articles in your submission, which should include:

  • A brief introductory paragraph
  • Three separate paragraphs, one for each of the three articles, each presenting: 
    • A brief 3–4 sentence summary of the article (use in-text citations)
    • An explanation as to what makes this source credible
    • An explanation of why the article will be useful in addressing your problem or issue
  • A brief conclusory paragraph
  • An APA Style reference list on a separate page

Your paper should be 1–3 pages in length (including the References page). Adhere to APA Style throughout.

Nano

 

Write two to three well-developed paragraphs (450–500 words) using APA formatting, integrating two evidence-based resources to include clinical practice guidelines as well as the course textbook. (Do not use lay press Internet sites).

Include the following in your initial post:

  1. Explanation of the pathophysiology of the diagnosis.
  2. Description of the drug category: Overview of use/action.
  3. Analysis of the specific agents:
    • Pharmacokinetics/pharmacotherapeutics, adverse drug reactions, interactions, monitoring, patient education

    Please choose two diagnoses from the following list:

    • Migraine
    • Seizure Disorder
    • Alzheimer’s Disease
    • Bell’s Palsy
    • Insomnia
  4. For each of the two diagnoses you choose, select two drug categories used for treatment.
  5. For each of the two drug categories, choose two specific pharmacological agents.

Course Text book :

 Woo, Terri Moser and Robinson, Marylou V. (2020). Pharmacotherapeutics for Advanced Practice Nurse Prescribers. (5th ed.) Philadelphia, PA: F.A. Davis Company. 

RUBRIC

Discussion Question Rubric

Note: Scholarly resources are defined as evidence-based practice, peer-reviewed journals; textbook (do not rely solely on your textbook as a reference); and National Standard Guidelines. Review assignment instructions, as this will provide any additional requirements that are not specifically listed on the rubric.

Note: The value of each of the criterion on this rubric represents a point range. (example: 17-0 points)

Discussion Question Rubric – 100 PointsCriteriaExemplary
Exceeds ExpectationsAdvanced
Meets ExpectationsIntermediate
Needs ImprovementNovice
InadequateTotal PointsQuality of Initial PostProvides clear examples supported by course content and references.

Cites three or more references, using at least one new scholarly resource that was not provided in the course materials.

All instruction requirements noted.

40 pointsComponents are accurate and thoroughly represented, with explanations and application of knowledge to include evidence-based practice, ethics, theory, and/or role. Synthesizes course content using course materials and scholarly resources to support importantpoints.

Meets all requirements within the discussion instructions.

Cites two references.

35 pointsComponents are accurate and mostly represented primarily with definitions and summarization. Ideas may be overstated, with minimal contribution to the subject matter. Minimal application to evidence-based practice, theory, or role development. Synthesis of course content is present but missing depth and/or development.

Is missing one component/requirement of the discussion instructions.

Cites one reference, or references do not clearly support content.

Most instruction requirements are noted.

31 pointsAbsent application to evidence-based practice, theory, or role development. Synthesis of course content is superficial.

Demonstrates incomplete understanding of content and/or inadequate preparation.

No references cited.

Missing several instruction requirements.

Submits post late.

27 points40Peer Response PostOffers both supportive and alternative viewpoints to the discussion, using two or more scholarly references per peer post. Post provides additional value to the conversation.

All instruction requirements noted.

40 pointsEvidence of further synthesis of course content. Provides clarification and new information or insight related to the content of the peer’s post.

Response is supported by course content and a minimum of one scholarly reference per each peer post.

All instruction requirements noted.

35 pointsLacks clarification or new information. Scholarly reference supports the content in the peer post without adding new information or insight.

Missing reference from one peer post.

Partially followed instructions regarding number of reply posts.

Most instruction requirements are noted.

31 pointsPost is primarily a summation of peer’s post without further synthesis of course content.

Demonstrates incomplete understanding of content and/or inadequate preparation.

Did not follow instructions regarding number of reply posts.

Missing reference from peer posts.

Missing several instruction requirements.

Submits post late.

27 points40Frequency of DistributionInitial post and peer post(s) made on multiple separate days.

All instruction requirements noted.

10 pointsInitial post and peer post(s) made on multiple separate days.

8 pointsMinimum of two post options (initial and/or peer) made on separate days.

7 pointsAll posts made on same day.

Submission demonstrates inadequate preparation.

No post submitted.

6 points10OrganizationWell-organized content with a clear and complex purpose statement and content argument. Writing is concise with a logical flow of ideas.

5 pointsOrganized content with an informative purpose statement, supportive content, and summary statement. Argument content is developed with minimal issues in content flow.

4 pointsPoor organization and flow of ideas distract from content. Narrative is difficult to follow and frequently causes reader to reread work.

Purpose statement is noted.

3 pointsIllogical flow of ideas. Prose rambles. Purpose statement is unclear or missing.

Demonstrates incomplete understanding of content and/or inadequate preparation.

No purpose statement.

Submits assignment late.

2 points5APA, Grammar, and SpellingCorrect APA formatting with no errors.

The writer correctly identifies reading audience, as demonstrated by appropriate language (avoids jargon and simplifies complex concepts appropriately).

Writing is concise, in active voice, and avoids awkward transitions and overuse of conjunctions.

There are no spelling, punctuation, or word-usage errors.

5 pointsCorrect and consistent APA formatting of references and cites all references used. No more than two unique APA errors.

The writer demonstrates correct usage of formal English language in sentence construction. Variation in sentence structure and word usage promotes readability.

There are minimal to no grammar, punctuation, or word-usage errors.

4 pointsThree to four unique APA formatting errors.

The writer occasionally uses awkward sentence construction or overuses/inappropriately uses complex sentence structure. Problems with word usage (evidence of incorrect use of thesaurus) and punctuation persist, often causing some difficulties with grammar. Some words, transitional phrases, and conjunctions are overused.

Multiple grammar, punctuation, or word usage errors.

3 pointsFive or more unique formatting errors or no attempt to format in APA.

The writer demonstrates limited understanding of formal written language use; writing is colloquial (conforms to spoken language).

The writer struggles with limited vocabulary and has difficulty conveying meaning such that only the broadest, most general messages are presented.

Grammar and punctuation are consistently incorrect. Spelling errors are numerous.

Submits assignment late.

2 points5 

Evidence-based Practice (EBP)

   

Dissemination  of EBP and research, such as presenting results at a conference or  writing an article for a journal, is an important part of professional  practice. Identify one professional journal and one nursing or health  care conference where you might present your project. Discuss why each  of your choices is the best option for you to disseminate your new  knowledge.

 Discuss why EBP is an essential component of the practice of a  BSN-prepared RN. Identify two ways in which you will continue to  integrate evidence into your practice and encourage it within your work  environment. What obstacles could challenge this plan, and what steps  will you take to minimize their impact?