Discussion – Week 7COLLAPSE

Workplace Environment Assessment

How healthy is your workplace?

You may think your current organization operates seamlessly, or you may feel it has many issues. You may experience or even observe things that give you pause. Yet, much as you wouldn’t try to determine the health of a patient through mere observation, you should not attempt to gauge the health of your work environment based on observation and opinion. Often, there are issues you perceive as problems that others do not; similarly, issues may run much deeper than leadership recognizes.

There are many factors and measures that may impact organizational health. Among these is civility. While an organization can institute policies designed to promote such things as civility, how can it be sure these are managed effectively? In this Discussion, you will examine the use of tools in measuring workplace civility.

To Prepare:

• Review the Resources and examine the Clark Healthy Workplace Inventory, found on page 20 of Clark (2015).
• Review and complete the Work Environment Assessment Template in the Resources.

By Day 3 of Week 7

Post a brief description of the results of your Work Environment Assessment. Based on the results, how civil is your workplace? Explain why your workplace is or is not civil. Then, describe a situation where you have experienced incivility in the workplace. How was this addressed? Be specific and provide examples.

By Day 6 of Week 7

Learning Resources

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings

Marshall, E., & Broome, M. (2017). Transformational leadership in nursing: From expert clinician to influential leader (2nd ed.). New York, NY: Springer.
Chapter 5, “Collaborative Leadership Contexts: Networks, Communication, Decision Making, and Motivation” (pp. 121–144)
Chapter 9, “Creating and Shaping the Organizational Environment and Culture to Support Practice Excellence” (pp. 247–278)
Chapter 10, “Building Cohesive and Effective Teams” (pp. 279–298)

Select at least ONE of the following:

Clark, C. M., Olender, L., Cardoni, C., & Kenski, D. (2011). Fostering civility in nursing education and practice: Nurse leader perspectives. Journal of Nursing Administration, 41(7/8), 324–330. doi:10.1097/NNA.0b013e31822509c4
Note: You will access this article from the Walden Library databases.

Clark, C. M. (2018). Combining cognitive rehearsal, simulation, and evidence-based scripting to address incivility. Nurse Educator. doi:10.1097/NNE.0000000000000563
Note: You will access this article from the Walden Library databases.

Clark, C. M. (2015). Conversations to inspire and promote a more civil workplace. American Nurse Today, 10(11), 18–23. Retrieved from https://www.americannursetoday.com/wp-content/uploads/2015/11/ant11-CE-Civility-1023.pdf

Griffin, M., & Clark, C. M. (2014). Revisiting cognitive rehearsal as an intervention against incivility and lateral violence in nursing: 10 years later. Journal of Continuing Education in Nursing, 45(12), 535–542. doi:10.3928/00220124-20141122-02
Note: You will access this article from the Walden Library databases.

Document: Work Environment Assessment Template (Word document)

Required Media

TEDx. (2017, April). Jody Hoffer Gittell: The power of a simple idea [Video file]. Retrieved from https://www.youtube.com/watch?v=X7nL5RC5kdE

Laureate Education (Producer). (2009a). Working with Groups and Teams [Video file]. Baltimore, MD: Author.

SAMPLE ANSWER

Week 7 Discussion: Initial Post 

Workplace Environment Assessment Results

According to the Clark Healthy Workplace Inventory, my work environment result has a sum total of 62, otherwise known as “barely healthy.” Two things that surprised me about the results were less than adequate communication on all levels and ineffective conflict resolution amongst peers. This barely healthy work environment has led to a very high turnover rate amongst staff, thus dropping retention rates amid the organization. Inevitably, this has offered keen insight into one idea that I noticed prior to conducting the assessment, organizational compensation. In an attempt to retain sufficient staff, the organization offers competitive salaries, benefits, compensations, and other rewards.

Civility or Non-Civility

The results of the assessment show that there is much work to be done regarding the civility of my work environment. Based on the results, the environment is barely healthy and one would argue that there is an aura of incivility. The biggest concern posed towards my work environment is lack of communication and respect. Staff are not having respectful, honest, crucial conversations that need to be had in order to make the work environment thrive. Instead, feelings are harbored, conflicts never get resolved and we have a revolving door of staff leaving the organization as soon as they join. Griffin and Clark (2014), incivility has no place in organizational development for it is harmful to the work environment. Measures must be put in place by organizational leadership to ensure shared responsibility in addressing the problem appropriately.

How I Experienced Incivility and Addressed It

Therefore, Clark (2015) speaks of the adventitious benefits of the DESC model when attempting to structure civil conversation. My organization could benefit from the implementation of the DESC model to address difficult conversation. For example, a bulk of the miscommunication comes from the nursing staff. As a blatant display of incivility, staff often time gossip behind the backs of peers and retain feelings of resentment towards one another. There is no discretion. As a new nurse on the unit, I recall several times where I was often ridiculed with no clear communication to follow. As an organizational standard, you are paired with a preceptor for the entirety of orientation. One of the main roles to learn during this time is the art of triaging and setting an acuity for patients for the department. As the triage nurse, you are the first person to lay eyes on the patient, determining for others in the department how severe patient’s condition is and how many resources they will need. During the triage process, there are several questions and commands that must be completed on every patient. New to the process, I was unfortunately missing some of the questions. In turn, this upset a number of the older, more experienced nurses, causing them to text my preceptor that I was not sufficiently trained. This upset me because I had no idea of my wrongdoing, for no one ever approached me to show me the correct method. Being the type of person that I am, I always look for resolution to problems. I then, sought out the nurse and approached her about the problem. I was sure to let her know that I was aware of the ridicule and I offered for her to show me the appropriate way to ask the triage questions. “For the sake of patient safety, healthcare professionals need to focus on our higher purpose—providing safe, effective patient care—and communicate respectfully with

each other” (Clark, 2015). 

To apply the DESC theory, the experienced nurse would have described to me the problem she had with me not asking all questions to the patient. Next, she would express her concern that the patient would not be adequately triaged. Following, she could then state alternatives as to how I may ask the questions. Lastly, she could have presented the consequences that the patient would eventually suffer, for the medical team might miss an important aspect of care, after not adequately being triaged. All in all, we as nurses have “professional and ethical obligation to foster civility and healthy work environments to protect patient safety” (Clark, 2019, p.64).

References

Clark, C. M. (2015). Conversations to inspire and promote a more civil workplace. American Nurse Today, 10(11), 18–23. Retrieved from https://www.americannursetoday.com/wp-content/uploads/2015/11/ant11-CE-Civility-1023.pdf 

Cynthia M., C. (2019). Combining Cognitive Rehearsal, Simulation, and Evidence-Based Scripting to Address Incivility. Nurse Educator, (2), 64. https://doi-org.ezp.waldenulibrary.org/10.1097/NNE.0000000000000563

Griffin, M., & Clark, C. M. (2014). Revisiting cognitive rehearsal as an intervention against incivility and lateral violence in nursing: 10 years later. The Journal of Continuing Education in Nursing, 45(12), 535-542.  

Less than 10 % similarity

References APA

This is another student post to which i have to react adding some extra information related this post. 

short answers. 

The current American model (ACA) is based on private healthcare. Americans lack universal access to health, so they depend on private insurance for health care. There are three ways to get coverage in the US: through a job – companies with more than 50 full-time workers must pay for part of the policy – buying it individually or, in the case of people without resources and older age 65, through two public programs.

In the present year, 2020, the Covid-19 pandemic has brought into sharp focus the need for health care reforms that promote universal access to affordable care.

About half of Americans receive health coverage through their employer, and with record numbers filing for unemployment insurance, millions find themselves without health insurance in the midst of the largest pandemic in a century. Even those who maintain insurance coverage may find care unaffordable. (King, 2020)

Before the pandemic, research showed that more than half of Americans with employer-sponsored health insurance had delayed or postponed recommended treatment for themselves or a family member in the previous year because of cost. The loss of jobs, income, and health insurance associated with the pandemic will greatly exacerbate existing health care cost challenges for all Americans. (King, 2020)

The pandemic has wreaked havoc on the country’s health system but at the same time has exposed the serious shortcomings of the American health system. However, it should not be hidden that before this event a health reform was necessary in which universal access to quality care for all Americans was guaranteed.

An adequate reform could be based on the Canadian health model, much like the British health model. In both countries, the health system is financed by the government and is based on five principles: it is accessible to all regardless of income, it offers complete services, it is publicly managed, and it is universally accessible to citizens and permanent residents. However, in the Canadian model some services such as dental and vision services are not covered. (Thomson, 2012)

Clearly, no health model will be 100% perfect and mishaps may arise along the way that must be addressed and improved, but health is a right that all people must have and a country that is a world power such as the United States, with excellent management can achieve a quality health system that is truly affordable for each and every one of its habitants.

10 essential health benefits in the ACA

1. Ambulatorypatient services
2. Emergencyservices
3. Hospitalization
4. Maternityand newborn care
5. Mentalhealth and substance use disorder services, including behavioral healthtreatment
6. Prescriptiondrugs
7. Rehabilitativeand habilitative services and devices
8. Laboratoryservices
9. Preventiveand wellness services and chronic disease management
10. Pediatricservices, including oral and vision care (Bagley & Levy, 2014)

Successes of the ACA

More than 20 million previously uninsured people got coverage between 2010 and 2017. In part it was because the economy improved, but many were also able to buy their own coverage thanks to federal subsidies provided by law to pay for part of the cost of insurance. Other provisions of the ACA played an important role, including a ban on restricting access to care for people with pre-existing conditions, expanding the Medicaid program to more low-income adults, and allowing children to remain in the your parents’ health plans up to age 26. (Williams, 2020)

Failures of the ACA

A growing number of insurers that signed up in 2014 – the reform’s first year of implementation – have been leaving the state regulated markets, year after year. (Williams, 2020)

Therefore, competition between policy providers has decreased, there were fewer and fewer options to choose from, reaching the point that in many counties (which act as municipal associations to offer services continuously) there was only one company that offered ACA-type policies.

At the end of October 2016, the Obama Administration announced that the ACA-type policies that insurers were going to offer for the year 2017 incorporated a national average increase in premiums of 25%. This increase was not territorially uniform at all; in states like Arizona, Illinois, Montana, Oklahoma, Pennsylvania and Tennessee it was about 50%. (Williams, 2020)

Overall, the ACA has led to an increased number of individuals with insurance; however, in many ways, it has not improved the coverage. As a result, the quality of care has not been shown to have increased. Further, the majority of the increased insurance enrollment has been with Medicaid expansion. Consequently, ACA does not work well for the working and middle class who receive much less support, particularly those who earn more than 400% of the federal poverty level, who constitute 40% of the population and do not receive any help. Further, as so many individuals don’t do well under the ACA, only about 40% of those eligible for subsidies have signed up and, with multiple insurers declaring losses, the ACA is not financially sustainable because not enough healthy people are on the rolls to compensate for the sick. (Center, 2017)

REFERENCES:

Bagley, N., & Levy, H. (2014). Essential health benefits and the Affordable Care Act: Law and process. Journal of Health Politics, Policy and Law, 39(2), 441-465.

Center, H., Woods, C. A., Manchikanti, L., & Purdue Pharma, L. P. (2017). A critical analysis of Obamacare: Affordable care or insurance for many and coverage for few. Pain Physician, 20, 111-138.

King, Jaime S. “Covid-19 and the need for health care reform.” New England Journal of Medicine (2020).

Thomson, S., Osborn, R., Squires, D., & Jun, M. (2012). International profiles of health care systems 2012: Australia, Canada, Denmark, England, France, Germany, Iceland, Italy, japan, the Netherlands, New Zealand, Norway, Sweden, Switzerland, and the United States.

Williams, R. A. (2020). Healthcare Reform Law (Obamacare): Update on “The Good, the Bad, and the Ugly” and the Persistence of Polarization on Repeal and Replace. In Blacks in Medicine (pp. 91-95). Springer, Cham.

 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 one (1) source using  citations in your essay. Make sure to cite using the APA writing style  for the essay. The cover page and reference page are required. Review  the rubric criteria for this assignment. 

Conduct a literature search to select a qualitative research study on the topic identified in Module 1. Conduct an initial critical appraisal of the study. 

 RESEARCH STUDY IS ATTACHED

Respond to the overview questions for the critical appraisal of qualitative studies, including:

• What type of qualitative research design was utilized to conduct the study?
• Are the results valid/trustworthy and credible?
• How were the participants chosen? 
• How were accuracy and completeness of data assured? 
• How plausible/believable are the results? 
• Are implications of the research stated?
• May new insights increase sensitivity to others’ needs? 
• May understandings enhance situational competence?
• What is the effect on the reader?
• Are the results plausible and believable? 
• Is the reader imaginatively drawn to the experience? 
• What are the results of the study?
• Does the research approach fit the purpose of the study? 
• How does the researcher identify the study approach?
• Are the data collection and analysis techniques appropriate? 
• Is the significance/importance of the study explicit?
• Does the literature support a need for the study? 
• What is the study’s potential contribution? 
• Is the sampling clear and guided by study needs?
• Does the researcher control selection of the sample? 
• Do sample size and composition reflect the study needs? 
• Is the phenomenon (human experience) clearly identified? 
• Are data collection procedures clear?
• Are sources and means of verifying data explicit? 
• Are researcher roles and activities explained? 
• Are data analysis procedures described?
• Does analysis guide directions of sampling when it ends? 
• Are data management processes described? 
• What are the reported results (descriptive or interpretation)? 
• How are specific findings presented?
• Are the data meanings derived from data described in context? 
• Does the writing effectively promote understanding? 
• Will the results help me care for my patients?
• Are the results relevant to persons in similar situations? 
• Are the results relevant to patient values and/or circumstances? 
• How may the results be applied to clinical practice?

Assignment Expectations:

Length: Clearly and fully answer all questions; attach a copy of the article
Structure: Include a title page and reference page in APA format. 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 one (1)  scholarly source for the article is required for this assignment.
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 

Respond to at least two of your colleagues* on two different days and explain how the regulatory environment and the regulations selected by your colleague differ from your state/region. Be specific and provide examples.

1 Response for each discussion. Discussion 1 and 2

Discussion 1

APRN Board of Nursing Regulations in Kansas and Missouri

MAIN QUESTION POST- Throughout history, defining APRNs scope of practice has been an ongoing issue in different states. According to Loversidge (2019), “the actual practice acts are inevitably a product of individual states’ political forces, so titles, definitions, criteria for entrance into practice, scopes of practice, reimbursement policies, and models of regulation are state-specific” (p.63). APRN regulations are state-specific and can differ in multiple ways. In Kansas, it is important to know the license renewal regulations. When renewing your license in Kansas, you must complete 30 hours of continuing nursing education about the advanced practice registered nurses role (“Kansas Administrative Regulations,” n.d.). Also, you can’t roll-over continuing nursing educations hours from different years. If the Kansas Board of Nursing asks for proof of the education you completed, you must provide it. As an APRN in Kansas, when prescribing controlled substances, you must put the D.E.A. registration number issued to the advanced practice registered nurse (“Kansas Administrative Regulations,” n.d.). When prescribing medications, it is crucial to know the rules behind what an APRN can and cannot prescribe and the correct way to fill out prescriptions.

In Missouri, as an APRN, you do not have to do continuing nursing education hours to renew your license. Also, in Missouri, APRNs do not have the authority to prescribe schedule II controlled substances. Only being one state apart shows that each state defines its regulations for APRNs. In Missouri, when renewing your license, you need to know your “RN license expires every odd-numbered year on April 30th and you must keep your RN license current to maintain your APRN recognition (“State of Missouri Advanced Practice Registered Nurse Document of Recognition Renewal Instructions,” n.d.). In Kansas, when renewing your license, you need to know “advanced practice registered nurse licenses shall be renewed on the same biennial cycle as the cycle for the registered professional nurse licensure renewal” (“Kansas Administrative Regulations,” n.d.). As you can see, each state has specific regulations on when to renew your license, which shows the importance of researching your state board of nursing regulations.

Regulations for Advanced Practice Registered Nurses (APRNs): Legal Authority to Practice

When it comes to allowing full practice authority for APRNs it differs from state to state.  Not all states allow full practice authority as an APRN and this causes a barrier to the accessibility and affordability to health services for low income citizens (Bosse et al., 2017).With the shortage of primary care doctors, the states that do not allow full practice authority limit healthcare access to their vulnerable populations (Bosse et al., 2017).  The regulations of license renewal requirements and the ability to prescribe controlled substances apply to all APRNs, depending on their educations and state laws. Even though they differ by state, APRNs need to abide by the rules for renewing and keeping their current licenses, such as through education hours and meeting renewal deadlines. When prescribing controlled medications following the rules for what to write, such as DEA numbers or the physician they are working under, is essential for APRNs. Researching and understanding your state board of nursing APRN regulations is crucial for your success in your career as an APRN.

Discussion 2

Comparison between South Carolina and North Carolina Nursing Regulations

South Carolina, my home state, is a part of AANP Region 4, which includes KY, NC, SC and TN.

Nurse Practitioner in South Carolina

Practice Authority

Written protocol with a physician is required. The protocol must outline information for delegated medical acts and a description of how consultation with the physician is provided. The protocol must be reviewed annually. 

Prescriptive Authority

Drugs and devices prescribed must be within the NP’s specialty and listed in the written protocol developed by the NP and the supervising physician. An NP may also prescribe Schedules II-V controlled substances. 

Nurse Practitioner as a Primary Care Provider

NPs are recognized in state policy as primary care providers. The South Carolina Medicaid Provider Manual lists the provider types that may enroll as a primary care provider.

(Scope of Practice Policy.2020)

Nurse Practitioner in North Carolina

Practice Authority

Collaborative practice agreement required between the NP and the supervising physician. The agreement must establish minimum standards of consultation and must be reviewed yearly.

Prescriptive Authority

The drugs and devices an NP may prescribe must be outlined in the collaborative practice agreement. Schedules II-V controlled substances may be prescribed if outlined in the agreement. 

Nurse Practitioner as a Primary Care Provider

NPs are recognized in state policy as primary care providers. Primary care means preventive, diagnostic, treatment, consultant, referral and other services rendered by physicians, physician assistants and nurse practitioners.

(Scope of Practice Policy.2020)

            In the states of South Carolina and North Carolina nurse practitioners are not allowed to practice to their full scope of practice without the oversight of a Medical doctor. As far as I can tell through some research is that only 14 states allow for nurse practitioners to practice without physician oversight. These states include Alaska, Arizona, Hawaii, Idaho, Iowa, Montana, New Hampshire, New Mexico, North Dakota, Oregon, Rhode Island, Utah, Washington, Wyoming. (Beckers, 2019). While I feel that having no limits on my education and training in the practice setting, I think that have a physician to collaborate with will help me with the anxiety of being an autonomous provider. I might can see where this may get redundant when becoming a more experienced family nurse practitioner. In both SC and NC, the NP can prescribe Schedules II-V controlled substances within the scope of the agreement guidelines with overseeing physicians. Both states only allow for no more than a 30-day supply of these medications. It is the position of AANP that NP prescriptive authority be solely regulated by state boards of nursing and in accordance with the NP role, education and certification. (AAPN.2020). Both states recognize nurse practitioners as a primary care provider. Therefore, allowing reimbursement from Medicaid and Medicare and private insurance companies. For nurse practitioners wanting to open their own practice in the states of NC and SC would have to live with in 45 miles of the overseeing physician. If this were one’s goal to own their own practice it would probably be a lot less headache to do so in one of the states that allow full scope of practice with out an agreement with a physician.

 “Veterans Nearing the End of Life: Distinct Needs, Specialized Care 

1 page at least 1 reference

Discussion 1: Evidence Base in Design

When politics and medical science intersect, there can be much debate. Sometimes anecdotes or hearsay are misused as evidence to support a particular point. Despite these and other challenges, however, evidence-based approaches are increasingly used to inform health policy decision-making regarding causes of disease, intervention strategies, and issues impacting society. One example is the introduction of childhood vaccinations and the use of evidence-based arguments surrounding their safety.

In this Discussion, you will identify a recently proposed health policy and share your analysis of the evidence in support of this policy.

To Prepare:

• Review the      Congress website provided in the Resources and identify one recent (within      the past 5 years) proposed health policy.
• Review the      health policy you identified and reflect on the background and development      of this health policy.

By Day 3 of Week 7

Post a description of the health policy you selected and a brief background for the problem or issue being addressed. Explain whether you believe there is an evidence base to support the proposed policy and explain why. Be specific and provide examples.##

·

NURS-6050N-66/NURS-6050C-66-Policy & Advocacy 

•  Overview: You will develop a presentation consisting of 8 –10 slides for the leaders of a health care organization or community-based care delivery service in which you explore current organizational or community resources for a specific situation related to care delivery.
  Note: Complete the assessments in this course in the order in which lol  they are presented.
  To affect quality care coordination as a leader in practice, you have to understand the outcomes you want to achieve, the best practice that supports the outcomes, the related legal and ethical concerns and how to determine recommendations to produce the outcomes. This includes collaboration with the interprofessional team, data use, and the ability to communicate clearly and precisely.
  SHOW MORE
• Toggle DrawerQuestions to Consider
• Toggle DrawerResources
• Assessment Instructions
• Note: Complete the assessments in this course in the order in which they are presented.
  Preparation
  This assessment requires you to create a presentation and develop a script For each slide as it would be presented. 
• For tips on creating a PowerPoint presentation, refer to the Effective Presentations section in the Resources for this assessment. Refer to the Using Kaltura tutorials to learn how to use Kaltura to record your presentation.
  Note: Remember that you can submit all, or a portion of, your draft care plan to Smarthinking for feedback, before you submit the final version for this assessment. However, be mindful of the turnaround time of 24–48 hours for receiving feedback, if you plan on using this free service.
  Context
  Using health care information systems to effect change is critical to creating quality outcomes. A leader in practice for care coordination needs to be able to measure and evaluate change using data.
  Requirements
  You will develop a presentation for the leaders of a health care organization or community-based care delivery service in which you explore current organizational or community resources for a specific situation related to care delivery. Your presentation will include either voice-over or video of you speaking about your presentation to the audience. Your slides should include bulleted points (one line each) that highlight your points for each topic. Your slides should not be text-intensive; put all the details in the speaker notes.
  PRESENTATION FORMAT AND LENGTH
  At a minimum, your presentation must include the following slides:
  • Title.
  • Purpose (the reasons for your presentation).
  • A specific situation related to care delivery and current organizational or community resources.
  • The legal and ethical issues that can occur due to the current practice.
  • Recommendations for improvement and a comparison to current practice.
  • An evidence-based intervention.
  • Explanation of data use and interprofessional support.
  • References (at the end of your presentation).
  • The content of your presentation should consist of 8–10 slides, not including the title, purpose, and references slides. Do not exceed 10 slides as this could create problems for submitting your work to SafeAssign.
    Note: You may vary from the suggestion above, but you must meet all the criteria listed below. Please read the full instructions carefully.
    SUPPORTING EVIDENCE
    In your presentation:
  • Cite 5–7 sources of credible, scholarly, or professional evidence to support your analysis and recommendations.
  • List your sources on the references slide.
  • PRESENTATION TOOLS
    You may use Microsoft PowerPoint or any other suitable presentation software to create your slides. If you elect to use an application other than PowerPoint, check with your faculty to avoid potential file compatibility issues.
    Use the speaker’s notes section of each slide to develop your talking points and cite your sources, as appropriate. If you need help designing your presentation, you are encouraged to review the various presentation resources provided for this assessment. These resources will help you to design an effective presentation, whether you choose to use PowerPoint or other presentation software.
    You have the option of either recording a voice-over track for your presentation or creating a video of you speaking about your presentation to the audience. In the latter, the presentation will be in the background and you will be on camera. In either case, you may use Kaltura or similar software for your audio or video recording. If using Kaltura, refer to the Using Kaltura tutorials for directions on recording and uploading your media in the courseroom.
    Note: If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact [email protected] to request accommodations.
    Directions
    Note: The requirements outlined below correspond to the grading criteria in the scoring guide. Be sure that your presentation addresses each point, at a minimum. You may also want to read the Community Resources and Best Practices Scoring Guide to better understand how each criterion will be assessed.
    For this assessment, you will create a presentation for the leaders of a health care organization or community-based care delivery service to explore current organizational or community resources for a specific situation related to care delivery. Following these instructions will help ensure you meet the scoring guide criteria:
  • Begin your presentation with a description or summary of a specific situation related to care delivery and current practices. Analyze the legal and ethical issues that can occur due to the current practice.
  • Recommend best practices (interventions) and compare against current practice outcomes or data. Include the positive effects of the intervention for the support of ethical and legal practices.
  • Identify an effective evidence-based intervention from existing research applicable to your situation. Define stakeholders, including organizations, settings, and populations affected. Be inclusive when considering the range of stakeholders.
  • Define interprofessional support for the intervention. Explain not only if this includes stakeholders, but also who is responsible in collaboration with care coordination leader for developing, implementing, and sustaining the intervention.
  • Explain how you will measure baseline data. (What data are currently in place? Does current data show if practices are effective? Are benchmarks being met? Is there a gap in practice?) Define the scheduled evaluation periods you will use to monitor and measure data outcomes (for example, systematic evaluations or other).
  • Conclude by developing recommendations to sustain the intervention outcomes for improved practice.
  • Scoring Guide Criteria
    Your assessment should meet the following scoring guide criteria:
  1. Analyze the ethical issues pertaining to using health care information systems for care coordination.
  2. Evaluate the legal issues of current practices and potential changes.
  3. Compare current outcomes to outcomes seen with best practices.
  4. Identify an appropriate evidence-based intervention.
  5. Define role of stakeholders and interprofessional teams in an intervention.
  6. Explain the use of data-driven outcomes, including data measures and evaluation periods.
  7. Recommend ongoing practices to sustain outcomes.
  8. Communicate effectively in a manner consistent with professional and scholarly expectations.
  9. Additional Requirements
     Your assessment should also meet the following requirements:
  • Communication: Communicate in a manner that is scholarly, professional, respectful, and consistent with expectations for professional practice in education. Original work and critical thinking are required regarding your assessment and scholarly writing. Your writing must be free of errors that detract from the overall message.
  • Media presentation: Include 8–10 slides, with notes or a transcript to ensure accessibility to everyone. Upload the presentation.
  • Resources: Include 5–7 scholarly resources, other than the text or articles in the Resources. Include citations at the end of the presentation.
  • APA guidelines: Resources and citations are formatted according to current APA style and format. When appropriate, use APA-formatted headings.
  • Font and font size: Use a professional-looking font ofappropriate size and weight for presentation, generally 24–28 points for headings and no smaller than 18 points for bullet-point text.
  • Portfolio Prompt: You may choose to save this learning activity to your ePortfolio.

I need help with my discussion assignment. 

 
Discuss the use of narcotic/opioid/barbiturate/sleep medication in the United States, including the change in patterns over the past 15 years, and the implications for health, insurers, and prescribers. 

Prepare this assignment as a 1,500-1,750 word paper using the instructor feedback from the previous course assignments and the guidelines below.

PICOT Question 

Revise the PICOT question you wrote in the Topic 1 assignment using the feedback you received from your instructor.

The final PICOT question will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study).

Research Critiques

In the Topic 2 and Topic 3 assignments, you completed a qualitative and quantitative research critique on two articles for each type of study (4 articles total). Use the feedback you received from your instructor on these assignments to finalize the critical analysis of each study by making appropriate revisions.

The completed analysis should connect to your identified practice problem of interest that is the basis for your PICOT question.

Refer to “Research Critiques and PICOT Guidelines – Final Draft.” Questions under each heading should be addressed as a narrative in the structure of a formal paper.

Proposed Evidence-Based Practice Change

Discuss the link between the PICOT question, the research articles, and the nursing practice problem you identified. Include relevant details and supporting explanation and use that information to propose evidence-based practice changes.

General Requirements

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.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance