Many sources exist that are triggers for theory development through the study of concepts and their related propositions. One such trigger is the research process, which, while it answers many questions, generates others based on research outcomes. Identify some possible questions for research study, the answers to which would serve to generate theory.

Many sources exist that are triggers for theory development through the study of concepts and their related propositions. One such trigger is the research process, which, while it answers many questions, generates others based on research outcomes. Identify some possible questions for research study, the answers to which would serve to generate theory.
Compare the nursing philosophy of Benner and Henderson on the basis of the following criteria.
provide a substantive response that illustrates a well-reasoned and thoughtful response; is factually correct with relevant scholarly citations,references, and examples that demonstrates a clear connection to the readings
Guidelines: Support your responses with scholarly academic references using APA style format. Assigned course readings and online library resources are preferred. Weekly lecture notes are designed as overviews to the topic for the respective week and should not serve as a citation or reference.
In your discussion question response, provide a substantive response that illustrates a well-reasoned and thoughtful response; is factually correct with relevant scholarly citations,references, and examples that demonstrates a clear connection to the readings.
In your participation responses to your peers, comments must demonstrate thorough analysis of postings and extends meaningful discussion by building on previous postings.
Note: Review South University’s Substantive Participation Policy Criteria, Helpful Tips, and Late Policy available by clicking on the South University Policy and Guidelines navigation tab. The late policy applies to late discussion question responses.
Select a discussion question
QUESTION 1
Many sources exist that are triggers for theory development through the study of concepts and their related propositions. One such trigger is the research process, which, while it answers many questions, generates others based on research outcomes. Identify some possible questions for research study, the answers to which would serve to generate theory.
QUESTION 2
Choose a theory that finds practical application in critical care/pediatric/psychiatric nursing and discuss the origins of the theory based on the following criteria:
How did the happenings of the nursing profession impact the origin of this theory?
What values, evidence, or existing knowledge did the theorist cite to support the theory?
What was the theorist’s motivation behind writing the theory?
QUESTION 3
Compare the nursing philosophy of Benner and Henderson on the basis of the following criteria.
Main ideas of the theory
Main concepts
Relationships between concepts
How different concepts affect each other
Cite an example or case study from your field where both these philosophies find practical utility.

 
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Discuss patient positioning for the patient with Acute Respiratory Distress Syndrome including the use of prone positioning. What is the current evidence for turning schedules in this patient population.

Discuss patient positioning for the patient with Acute Respiratory Distress Syndrome including the use of prone positioning. What is the current evidence for turning schedules in this patient population.
Nursing (Discussion Question & Reply to Two Postings)
Order Description
Respond to the assigned Discussion about (ARDS & VAP) give a complete and thorough answer
Remember to cite one reference from the
A peer reviewed journal article, Database Collection. Respond to at least two of your
colleagues’ answers and reference your responses. The grade on this discussion will be based on
your initial response to the discussion and two responses to your colleagues’ post. For each
response, cite a reference.
Discussion responses will generally be at least 200 words. All entries should use appropriate
grammar and follow general APA guidelines.
Discussions
Instructions: Respond to the assigned Discussion and give a complete and thorough answer
(Review the Discussion Question Rubric. Remember to cite one reference from the
A peer reviewed journal article, Database Collection. Respond to at least two of your
colleagues’ answers and reference your responses. The grade on this discussion will be based on
your initial response to the discussion and two responses to your colleagues’ post. For each
response, cite a reference.
Discussion responses will generally be at least 200 words. All entries should use appropriate
grammar and follow general APA guidelines.
DISCUSSION BOARD QUESTION #1
(Needs to be answered)
2. Patient Positioning
Discuss patient positioning for the patient with Acute Respiratory Distress Syndrome including the use of prone positioning. What is the current evidence for turning schedules in this patient population.
REPLY TO THE FOLLOWING TWO POST:
Respond to at least two of your colleagues’ answers and reference your responses. Discussion responses will generally be at least 200 words. All entries should use appropriate grammar and follow general APA guidelines.
Colleagues POST #1
The question asked:
Describe the pathophysiology of Acute Respiratory Distress Syndrome. List 3 interventions and describe how each should improve oxygenation.
Acute Respiratory Distress Syndrome (ARDS) can be a life threatening condition if not diagnosed and corrected quickly. ARDS can be diagnosed with the criteria of: hypoxemia refractory to oxygen administration, decreased pulmonary compliance, dyspnea, pulmonary edema from non-cardiac causes, and pulmonary infiltrates noted on X-ray (Ignatavicius& Workman, 2016). Often caused by trauma, ARDS can be seen in patients with previously healthy lungs. I recently cared for a woman laboring in ARDS. Her cause was not trauma, but regardless of the etiology, the underlying mechanisms of action are the same. The main problem is the systemic inflammation that occurs in the alveoli (Ignatavicius& Workman, 2016). This inflammation along the capillary exchange allows the cell walls to become expanded and therefore more permeable to fluids and other molecules when the primary intention is permeability of oxygen molecules. Due to this, the fluid begins to penetrate the alveoli and cause protein saturated fluid to pool inside the tiny structures (Ignatavicius& Workman, 2016); thus, the decreased oxygen saturations to the lungs and other tissues. The decreased lung compliance is caused by the decreased production of surfactant from damaged pneumocytes, and the dilution of surfactant from additional fluids (Ignatavicius& Workman, 2016). Due to these changes, the alveoli become difficult to expand and can collapse further contributing to the poor gas exchange (Ignatavicius& Workman, 2016). These mechanisms result in the difficult labored breathing noted on assessment and the fluid noted upon chest X-ray. Interventions to relieve the symptoms of ARDS include intubation with CPAP to apply a positive airway pressure and prevent alveolar collapse and improve alveoli participating in gas exchange (Ignatavicius& Workman, 2016). Positioning and every 2 hour position changes are also an important intervention. This allows improved gas exchange and improved perfusion (Ignatavicius& Workman, 2016). Other interventions can include medications to fight infections and fluid restrictions (Ignatavicius& Workman, 2016). The fluid restriction was key in my ARDS patient. Until the inflammation of the membranes subsided, the fluid would continue to cross the barrier into the alveoli. By limiting fluid intake, and in this case adding Lasix, the excess fluids were slowly pulled back into the vascular beds, circulated appropriately, and ultimately excreted. This took several days before marked improvement was noted in the patient’s respiratory assessment. The rapid recognition and appropriate treatment are critical in the recovery of these patients.
Ignatavicius, D. D., & Workman, M. L. (2016). Medical surgical nursing: Patient-centered collabrative care. St. Louis, MO: Elsevier.
Colleagues POST #2
Respond to at least two of your colleagues’ answers and reference your responses. Discussion responses will generally be at least 200 words. All entries should use appropriate grammar and follow general APA guidelines.
The question asked:
Describe best practices for patient safety and quality care for the prevention of Ventilator Associated Pneumonia (VAP) in the mechanically ventilated patient.
Ventilator Associated Pneumonia is a condition characterized by a lung infection in patients who are on a ventilator breathing machine. According toIgnatavicius & Workman (2013), VAP is a type of hospital acquired pneumonia where the mortality rate increases based on the type of microorganism that is present; such are Klebsiela, and Acinetobacter. VAP infections rates are increasing with patients who are intubated. The authors continues by saying research indicates that a VAP bundle when utilized effectively by nurses has shown to decrease infection rates. The VAP bundle focuses on three areas, head of bed elevated, hand hygiene, and oral care (Ignatavicius& Workman, 2013).
Working in an Intensive Care Unit, I am very familiar with VAP bundle. Every shift we have to audit the previous nurse to make certain they have documented in the three areas plus several other areas of the VAP bundle. However it is important to note nurses must actually perform the interventions and of course document them afterwards.
Best practice for patient safety, quality care, and evidence based research also indicates that the following are effective measure to prevent or decrease VAP rates; refrain from wearing jewelry on the upper distal extremities, head of bed at least 30 degrees, disinfect mouth prior to intubation, perform proper hand hygiene, suction every two hours, full mouth care once per shift, wean trial should begin as soon as possible, always verify initial x-ray for endotracheal tube and oral/nasogastric tube before giving fluids, and use caution when moving patient especially within one hour of feeding (Ignatavicius & Workman, 2013).
In one recent scientific journal, VAP bundle has been associated with a reduction of infections and the ICU where the study was conducted saw its VAP rates cut dramatically. Additionally, the Institute for Healthcare Improvement (IHI) developed a VAP bundle that included the following; daily sedation vacation, readiness to wean, head of bed elevated, and peptic ulcer prophylactic treatment which are also part of the best practice for patient safety and quality care initiative (Beattie, Shepherd, Maher, & Grant, 2012).
Beattie, M., Shepherd, A., Maher, S., Grant, J. (2012). Continual improvement in ventilator acquired pneumonia bundle compliance: A retrospective case matched review. Intensive & Critical Care Nursing, 28(5), 255-262. Retrieved from http://eds.b.ebscohost.com.libproxy.lamar.edu/ehost/pdfviewer/pdfviewer?vid=10&sid=080e8ffc-938c-459a-ab00-badd80ebe12c%40sessionmgr110&hid=122
Ignatavicius, D. D., & Workman, M. D., (2013). Medical-surgical nursing patient-centered collaborative care (8th ed.). St. Louis, Missouri: Elsevier.

 
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Review the following (or similar) website and selects a professional nursing organization offering a certification of interest to you in your current position or one to which you aspire.

Review the following (or similar) website and selects a professional nursing organization offering a certification of interest to you in your current position or one to which you aspire.
Professional Nursing Organization and Certification:
Guidelines
PURPOSE
The purpose of this assignment is to investigate a professional nursing organization that offers certification in an area of clinical or nonclinical expertise. You are to select a professional nursing organization and determine if it offers a certification that will be of benefit to you in your current position or a future position to which you aspire. The organization and certification may be in either a clinical or nonclinical area; however, leadership development opportunities are important.
For example, you may aspire to be a Certified Registered Nurse Anesthetist (CRNA). Or, you may be currently interested in becoming a Certified Wound Care Specialist, Emergency Department Nurse or Medical-Surgical Nurse. Other organizations may be considered on a case-by-case basis AFTER approval from your instructor. An example would be if you want to become a CDE (Certified Diabetes Educator). This certification is sponsored by the American Association of Diabetes Educators which is not exclusively a nursing organization. Or, becoming certified as an IBCLC may be of interest to RNs working in Mother-Baby Departments and is sponsored by the International Lactation Consultant Association.
The organization MUST offer certification for registered nurses. If you have any questions about whether the organization is a “fit” for this assignment, contact your instructor.
You will complete the form provided in Doc Sharing carefully providing all the information requested.
COURSE OUTCOMES
This assignment enables you to meet the following course outcome(s).
CO 1: Apply leadership concepts, skills, and decision making in the provision of high quality nursing care, healthcare team management, and the oversight and accountability for care delivery in a variety of settings. (PO #2)
CO 6: Develop a personal awareness of complex organizational systems and integrate values and beliefs with organizational mission. (PO #7)
CO 8: Apply concepts of quality and safety using structure, process, and outcome measures to identify clinical questions as the beginning process of changing current practice. (PO #8)
POINTS
This assignment is worth a total of 225 points.
DUE DATE
The Professional Nursing Organization and Certification assignment is due at the end of Week 2. Submit the completed assignment (form) to Professional Nursing Organization and Certification in the Dropbox by Sunday, 11:59 p.m. MT. Consult the course policies, under the Course Home tab, for details regarding late assignments. Post questions about this assignment in the weekly Q & A Forum or e-mail your instructor directly.
DIRECTIONS
1. Review the following (or similar) website and selects a professional nursing organization offering a certification of interest to you in your current position or one to which you aspire. www.nurse.org/orgs.shtml
2. Thoughtfully and completely answer the questions on the form.
3. Submit the form with your answers to the Dropbox by 11:59 p.m. (MT) on Sunday of Week 2.
4. Review the section on Academic Honesty found in Chamberlain Course Policies. All work must be original (in your own words).
5. BTLS, ACLS, ATLS, NALS, PALS and other similar certifications do NOT qualify for this assignment. Again, if you have any questions about the organization or the certification, contact your instructor for clarification.
6. All work must be original (in your own words). Simply copying and pasting information from the website is not sufficient to address the criteria, and may be viewed as a violation of the Academic Integrity Policy.
GRADING CRITERIA
Category Points % Description
Description of professional organization 40 18% • Names organization that offers certification.
• Describes the organization’s mission, vision, and values and whether they align or conflict with your own professional viewpoint.
• Indicates membership eligibility criteria.
• Describes the financial aspects of membership such initial joining and on-going fees.
• Include a workable link to organization’s website is included for faculty review.
Certification requirements 30 13% Describes criteria for initial certification including education, testing, required practice hours (if applicable), fees etc. Are you currently eligible for this certification? If not, what barriers would you need to overcome to become eligible, e.g., the educational preparation?
Recertification requirements 30 13% Describes criteria for recertification including education, testing, practice hours (if applicable), fees etc. Do you think these requirements are achievable and reasonable, e.g., do you believe you could meet the practice hour requirements in the time allotted?
Practice impact 50 22% Describes how membership (participation in the organization’s activities) will benefit your nursing practice, improve patient outcomes, enhance quality, safety, etc. Be specific and provide examples.
Certification impact 50 22% Describes how certification and recertification will improve patient outcomes, enhance quality and safety and so forth. What personal benefits may you realize, e.g., increased salaries or bonuses.
Scholarly writing and formatting 25 12% • Date, name of the student and instructor appears on the form.
• Punctuation and sentence structure are correct.
• Evidence of spell and grammar check.
• With the exception of the organization’s mission, vision, and value statements, which must be in quotation marks, all work must be original (in the student’s own words).
Total 225 points 100% A quality assignment will meet or exceed all of the above requirements.
GRADING RUBRIC
Assignment Criteria A
Outstanding or Highest Level of Performance B
Very Good or High Level of Performance C
Competent or Satisfactory Level of Performance F
Poor or Failing or Unsatisfactory Level of Performance
Description of professional organization
40 points Names organization that offers certification. Thoroughly describes organization’s mission, vision, and values, indicating membership eligibility criteria and yearly financial implications of membership. Relates this to own professional viewpoint.
Working link to organization’s website is included for faculty review.
37–40 points Names organization that offers certification. Clearly describes the organization’s mission, vision, and values, indicating membership eligibility criteria. Omits financial implications of membership. Relates this to own professional viewpoint.
Working link to organization’s website is included for faculty review.
34–36 points Names organization that offers certification. Briefly describes the organization’s mission, vision, and values. Omits membership eligibility criteria and yearly financial implications of membership. Does not relate this to own professional viewpoint.
Link to organization’s website is included but may not work.
31–35 points Does not describe the organization’s mission, vision, and values. Does not relate this to own professional viewpoint. Omits other key information. Does not include link to organization’s website.
0–30 points
Certification requirements
30 points Thoroughly describes criteria for initial certification including education, testing, required practice hours (if applicable), fees etc. Describes eligibility and barriers to overcome if they exist.
28–30 points Clearly describes criteria for initial certification but omits one of the following: education, testing, required practice hours (if applicable), fees etc. Describes eligibility but not the barriers.
26–27 points Briefly describes criteria for initial certification but omits two or three of the following: education, testing, required practice hours (if applicable), fees etc. Does not describe eligibility.
23–25 points Does not describe criteria for initial certification. Does not describe eligibility.
0–22 points
Recertification requirements
30 points Thoroughly describes criteria for recertification including education, testing, practice hours (if applicable), fees etc. Expresses opinion about personal achievability.
28–30 points Clearly describes criteria for recertification but omits one of the following: education, testing, practice hours (if applicable), fees etc. Expresses opinion about personal achievability.
26–27 points Briefly describes criteria for recertification but omits two or three of the following: education, testing, practice hours (if applicable), fees etc. Does not express opinion about personal achievability.
23–25 points Does not describe criteria for recertification. Does not express opinion about personal achievability.
0–22 points
Practice impact
50 points Thoroughly describes how membership (participation in the organization’s activities) will benefit your nursing practice, improve patient outcomes, enhance quality, safety, etc. Be specific and provide examples.
46–50 points Clearly describes how membership (participation in the organization’s activities) will benefit your nursing practice but does not mention improvement of patient outcomes OR enhanced quality, safety, etc. Be specific and provide examples.
42–45 points Briefly describes how membership (participation in the organization’s activities) will benefit your nursing practice but does not mention improvement of patient outcomes AND enhanced quality, safety, etc. Does not provide examples.
38–41 points Does not describe how membership (participation in organization’s activities) will benefit patient care. Does not provide examples.
0–37 points
Certification impact
50 points Thoroughly describes how certification and recertification will benefit your nursing practice, improve patient outcomes, enhance quality, safety, etc. Describes personal benefits of certification.
46–50 points Clearly describes how certification and recertification will benefit your nursing practice but does not mention improvement of patient outcomes OR enhanced quality, safety, etc. Describes personal benefits of certification.
42–45 points Briefly describes how certification and recertification will benefit your nursing practice but does not mention improvement of patient outcomes AND enhanced quality, safety, etc. Does not describe personal benefits of certification.
38–41 points Does not describe how certification and recertification will benefit patient care. Does not describe personal benefits of certification. 0–37 points
Scholarly writing and formatting
25 points Date, name of the student and instructor appears on form.
No punctuation or sentence structure errors are noted.
No spelling or grammar errors noted.
Mission, vision, and values statement, if directly quoted, are in quotation marks. Other information is paraphrased in student’s words.
23–25 points Date or name of the student or instructor is missing
One-two punctuation and/or sentence structure errors noted.
One-two spelling or grammar errors noted.
Mission, vision, and values statement, if quoted directly, are in quotation marks. Other information partially paraphrased in student’s words.
21–22 points Date and name of the student or instructor are missing.
Three-four punctuation and/or sentence structure errors noted.
Three-four spelling or grammar errors noted.
Direct quotes are attributed but not in quotation marks.
19–20 points No student identification.
Multiple typos.
Multiple grammar and punctuation errors noted.
No evidence of proof-reading prior to submitting assignment. Mission, vision, and values statement, if directly quoted, are not in direct quotes, and other information mostly or totally copied from the website.
0–18 points
Total possible points = 225 Your score= A quality assignment will meet or exceed all of the above requirements.
Professional Nursing Organization and Certification Form
Directions: After completing your assignment, you must complete this form and submit it to the Dropbox. The form is expandable and will enlarge the textbox to accommodate your answers. Do not rely only on this form for everything you must include! Please look in Doc Sharing for specific instructions in the Guidelines for this assignment.
Category Fill in your answers in this column.
Description of professional organization that offers certification: Mission, vision, values, membership eligibility, financial implications, workable link to website. Be specific. Describe how the organization aligns with your own professional viewpoint.
Certification requirements: Criteria for initial certification. Describe your eligibility and what barriers may exist to this certification. Be specific.
Recertification requirements: Criteria for recertification. Describe whether these are achievable and reasonable. Be specific.
Practice impact: Active membership, nursing practice, outcomes, quality, safety, etc. Provide examples and be specific.
Certification impact: Certification and recertification benefits for self, nursing practice, outcomes, quality, safety, etc. Explain personal benefits of certification. Be specific.

 
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Write a professionalfour to five page paper (not including the cover page or reference page), in APA format, on the identified disorder or behavior with the concept “anxiety.” You are to use primary sources (research articles) only, from 2011 to the present, with studies that have been done in the United States, United Kingdomand/or Australia.

Write a professionalfour to five page paper (not including the cover page or reference page), in APA format, on the identified disorder or behavior with the concept “anxiety.” You are to use primary sources (research articles) only, from 2011 to the present, with studies that have been done in the United States, United Kingdomand/or Australia.
Evidence-Based Mental Health Nursing Concept Paper
Instructions
Write a professionalfour to five page paper (not including the cover page or reference page), in APA format, on the identified disorder or behavior with the concept “anxiety.” You are to use primary sources (research articles) only, from 2011 to the present, with studies that have been done in the United States, United Kingdomand/or Australia. At least three of the research articles must include nurses as authors.
The paper must include the following:
1. Definition of the concept “anxiety” in regards to the disorder or behavior;
2. Analysis of the four research articles focusing on the concept;
3. Application ofthe concept to clients on a mental health unit; and
4. Discussion of how the concept is significant in mental health nursing practice.
The identified disorder or behavior will be distributed in class.
The paper is dueMarch 3, 2016.
Submit the final version of the paper (1) in TurnItIn, (2) in TaskStream, and (3) at the beginning of class a hard copy placed on the desk.
Submit a copy of each article with the hard copy.
Grading Criteria
See the Evidence-Based Mental Health Nursing Concept PaperEvaluation form in eCourses.
A total of 24 points is equivalent to a grade of 100. The grade will be recorded as your groupconcept paper grade. Everyone in the group will receive the same grade.

 
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 The post Write a professionalfour to five page paper (not including the cover page or reference page), in APA format, on the identified disorder or behavior with the concept “anxiety.” You are to use primary sources (research articles) only, from 2011 to the present, with studies that have been done in the United States, United Kingdomand/or Australia. http://superessaywriters.com/order.php

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Utilise the Clinical Reasoning Cycle (Levett-Jones, 2013) (a clinical decision making framework) to plan and evaluate person-centred care

Utilise the Clinical Reasoning Cycle (Levett-Jones, 2013) (a clinical decision making framework) to plan and evaluate person-centred care
Case study/nursing care of the person
Order Description
You should discusses the provision and coordination of person-centred care linked to a real person you have cared for whilst on clinical placement (the essay can be written in a first person as this case study is my personal clinical placement’s experience).
• Utilise the Clinical Reasoning Cycle (Levett-Jones, 2013) (a clinical decision making framework) to plan and evaluate person-centred care • Considering the person’s situation, collect, process and present related health information • Identify and prioritise at least three (3) nursing problems/issues based on the health assessment data that you have identified for the person at the centre of care in Recovery room (PACU) (for example: atrial fibrillation, hypertension and postoperative pain) as a current serious problems (for example: patient had a hip replacement) • Establish goals for priority of nursing care as related to the nursing problem/issues identified • Discuss the nursing care of the person; link it to assessment data and history • Evaluate your nursing care strategies to justify the nursing care provided • Reflect on the person’s outcomes
Marking criteria
Structure: The content in the case study matches the outline presented in the introductory paragraph. Paragraphs are organised, and there is a logical progression of ideas so that content flows from one paragraph to the next. The case study ends with a rational conclusion.
Content: Comprehensively defines and discusses the provision of ethical, legal, evidence based, and holistic person centred care, including the establishment of realistic and relevant goals. Includes relevant discussion on the collection, processing and presentation of client/patient information clearly identifies and prioritises nursing issues/ problems.
Critical thinking, reasoning and evaluation of evidence: There is evidence of both depth and breadth of reading. A considered argument related to nursing care and issues/problems is presented, and is supported by adequate and appropriate evidence.
Referencing: Credible and relevant (Australian sources 2010-2015) references are used. Accurate use of APA referencing style in all instances. A range of in-text citations has been used.

 
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Provide a suitable conclusion to your paper (5 marks)

Provide a suitable conclusion to your paper (5 marks)
Managing key challenges to successful transition to graduate nursing practice
9052: Transition to Graduate Practice
Assessment 2 – Managing key challenges to successful transition to graduate nursing practice
(2200-2500 words, grade value – 60% excluding the reference list)
The Assessment 2 paper should predominantly be written in narrative form but you may prefer to list specific learning goals and objectives.
Each 100 words or part thereof beyond the upper or lower limit will incur a 5% (3 marks) penalty.
In Assessment 2, you are asked to develop an academic paper that demonstrates how you will draw on your strengths and capabilities to successfully progress from being a student nurse to a graduate nurse. Your written work in Assessment 2 will provide you with a basis for updating or enhancing your own Professional Portfolio, such as in relation to critical reflections on and self-assessment of your professional practice, and undertaking continuing professional development.
You will need to critically reflect on how you will address and manage up to six (6) key challenges that you are likely to encounter in transitioning to graduate practice. In particular, you are asked to describe how you intend to address and manage the key challenges you are likely to experience in relation to:
a. Applying for a position as a Registered Nurse, including attending and succeeding in a job interview
b. Successfully completing your first 6 months of practice as a first year Registered Nurse.
While a scholarly work is expected, this assessment is substantially reflective, so the appropriate use of the first person is acceptable. Ensure your paper commences with a suitable introduction and ends with a suitable conclusion.
The following general guidelines for the presentation of the written papers must be observed.
Presentation:
• Use Word (.doc or .docx format) – do not submit in PDF
• A Times New Roman font size ‘12’
• Double line spacing on A4 clear paper
• A left margin of 2.5 cm on each page
• All pages need to include a footer with your Student ID number and the page number.
Structure:
• Presented professionally in an academic style
• The paper must be expressed clearly and succinctly with correct grammatical expression and spelling
• Use a variety of credible sources to support the discussion, analysis and debate (it is expected that students use database searches to obtain recent, refereed manuscripts)
• Adhere to the presentation requirements described specifically for each assessment activity
• APA (6th ed.) referencing style must be used.
• Assessment 2 – Managing key challenges to successful transition to graduate nursing practice (2200-2500 words, grade value – 60%)
Assessment 2 must be completed in 2200-2500 words(excluding the reference list) and is worth 60 marks.
The Assessment 2 paper should predominantly be written in narrative formbut you may prefer to list specific learning goals and objectives. The word limits show the minimum and maximum word count (excluding the reference list). Each 100 words or part thereof beyond the upper or lower limit will incur a 5% (3 marks) penalty.
In Assessment 2, you are asked to develop an academic paper that demonstrates how you will draw on your strengths and capabilities to successfully progress from being a student nurse to a graduate nurse. Your written work in Assessment 2 will provide you with a basis for updating or enhancing your own Professional Portfolio, such as in relation to critical reflections on and self-assessment of your professional practice, and undertaking continuing professional development.
You will need to critically reflect on how you will address and manage up to six (6) key challenges that you are likely to encounter in transitioning to graduate practice. In particular, you are asked to describe how you intend to address and manage the key challenges you are likely to experience in relation to:
a. Applying for a position as a Registered Nurse, including attending and succeeding in a job interview
b. Successfully completing your first 6 months of practice as a first year Registered Nurse.
While a scholarly work is expected, this assessment is substantially reflective, so the appropriate use of the first person is acceptable. Ensure your paper commences with a suitable introduction and ends with a suitable conclusion.
Word limits: 2200-2500 words (excluding in-text citations and the reference list)
Marking criteria for Assessment 2 – 9052: Transition to Graduate Practice (S1 2016)
Assessment 2 – Develop an academic work that demonstrates how you will draw on your strengths and capabilities to successfully progress from being a student nurse to a graduate nurse.You will need to critically reflect on how you will address and manage up to six (6) key challenges that you are likely to encounter in transitioning to graduate practice(2200-2500 words, grade value – 60%).
1. Provide a suitableintroduction to your paper (5 marks)
Criteria HD [4.3-5.0] D [3.8-4.2] C [3.3-3.7] P [2.5-3.2] Not pass [<2.5] Marks Comments
• Suitable introduction to the assessment paper
• Writing style, grammar, spelling & expression Exemplary achievement in crafting and presentinga suitable introduction to the paper. High level of achievement in crafting and presentinga suitable introduction to the paper. Good level of achievement in crafting and presentinga suitable introduction to the paper. Acceptable level of achievement in crafting and presentinga suitable introduction to the paper. Did not reach an acceptable level of achievement in crafting and presentinga suitable introduction to the paper.
2. Critically reflect on how you will address and manage the key challenges you are likely to experience in relation to applying for a position as a Registered Nurse, including attending and succeeding in a job interview(15 marks)
Criteria HD [12.7-15.0] D [11.3-12.7] C [9.8-11.2] P [7.5-9.7] Not pass [<7.5] Marks Comments
• Critical reflection on managing key challenges
• Appropriate use and integration of the literature
• Writing style, grammar, spelling & expression Exemplary achievement in critically evaluating & analysing personal experiences & understandings. High level of achievement in critically evaluating & analysing personal experiences & understandings. Good level of achievement in critically evaluating & analysing personal experiences & understandings. Acceptable level of achievement in critically evaluating & analysing personal experiences & understandings. Did not reach an acceptable level of achievement in critically evaluating & analysing personal experiences & understandings.
3. Critically reflect on how you will address and manage the key challenges you are likely to experience in relation to successfully completing your first 6 months of practice as a first year Registered Nurse (25 marks)
Criteria HD [21.2-25.0] D [18.8-21.1] C [16.2-18.7] P [12.5-16.2] Not pass [<12.5] Marks Comments
• Reflects on experiences
• Integrates literature
• Considers expectations of new graduates
• Writing style, grammar, spelling & expression Exemplary achievement in reflecting on experiences, integrating the literature into the narrative and considering expectations of new graduates by others. High level of achievement in reflecting on experiences, integrating the literature into the narrative and considering expectations of new graduates by others. Good level of achievement in reflecting on experiences, integrating the literature into the narrative and considering expectations of new graduates by others. Acceptable level of achievement in reflecting on experiences, integrating the literature into the narrative and considering expectations of new graduates by others. Did not reach an acceptable level of achievement in reflecting on experiences, integrating the literature into the narrative and considering expectations of new graduates by others.
4. Provide a suitable conclusion to your paper (5 marks)
Criteria HD [4.3-5.0] D [3.8-4.2] C [3.3-3.7] P [2.5-3.2] Not pass [<2.5] Marks Comments
• Summation &concluding remarks
• Writing style, grammar, spelling & expression Exemplary achievement in crafting and presentinga summative conclusion to the paper. High level of achievement in crafting and presentinga summative conclusion to the paper. Good level of achievement in crafting and presentinga summative conclusion to the paper. Acceptable level of achievement in crafting and presentinga summative conclusion to the paper. Did not reach an acceptable level of achievement in crafting and presentinga summative conclusion to the paper.
5. Structure, presentation and referencing (10 marks)
Criteria HD [8.5-10.0] D [7.5-8.4] C [6.5-7.4] P [5.0-6.5] Not pass [<5.0] Marks Comments
• Structure
• Presentation
• Up to six key challenges discussed
• Referencing Exemplary achievement in adhering to the structure, presentation, number of challenges and referencing. High level of achievement in adhering to the structure, presentation, number of challenges and referencing. Good level of achievement in adhering to the structure, presentation, number of challenges and referencing. Acceptable level of achievement in adhering to the structure, presentation, number of challenges and referencing. Did not reach an acceptable level of achievement in adhering to the structure, presentation, challenges and referencing.

 
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Steps such as patient portal implementation, security measures, information collection, and HIPPA compliance are discussed and several information specialists (IT) explain why meaningful use is important in patient safety and quality care improvement

Steps such as patient portal implementation, security measures, information collection, and HIPPA compliance are discussed and several information specialists (IT) explain why meaningful use is important in patient safety and quality care improvement
Order Description
Half of page per response to my peers, with references, use first person, thank you. Discussion attached.
Respond in one or more of the following ways:
1)Ask a probing question, substantiated with additional background information, evidence, or research using an in-text citation in APA format.
2)Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
3)Validate an idea with your own experience and additional research.
4)Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.
(Darinka)
HITECH Legislation
The federal Health Information Technology for Economic and Clinical Health Act (HITECH) was enacted in 2009 as part of the American Recovery and Reinvestment Act (ARRA) (Gialanella, 2012). The purpose of the ARRA was to stimulate the economy and improve health care (Gialanella, 2012). As a result, health information technology policies and standards, privacy and security, and meaningful use were developed to meet the requirements to protect patient health information and receive financial incentives tied to reimbursement initiatives (Gialanella, 2012).
HITECH Impact on my Organization
My facility recently implemented computerized physician order entry (CPOE) as a result of the new legislation. The for-profit facility is part of the Hospital Corporation of America (HCA), the largest provider of health services in America. The implementation of a large computer system, or any business or clinically associated improvement, is enacted throughout all organizations and most hospitals are not given a choice regarding which technology to implement. As a result, all facilities utilize the same computer systems. Although this is considered a wise business strategy, due to cost benefits and improved patient care coordination, most organizations would rather have input regarding decisions that affect clinicians and workflow processes.
The implementation of CPOE had a positive impact on the organization because it helped to meet compliance regulations associated with reimbursement, but it was not met with enthusiasm by clinicians. I am not sure that my facility would have chosen to implement the technology if it were not related to long-term financial incentives and reimbursement. The act essentially forced one of the largest providers of health care to implement the computer system and comply with meaningful use criteria. As a for-profit organization, HCA values the profit margins it generates and although it strives to ensure high-quality care, meeting financial goals across hospital divisions is equally as important to stakeholders. My facility is an excellent example of how the legislation forced facilities to start to comply with the requirements and mandated the necessary infrastructure to support the proper use to obtain meaningful data.
Address how its related incentives influence the adoption of health information technology in health care and impact the quality of patient care
How Incentives Influence Adoption of Health Information Technology
The HITECH provision was created to provide financial incentives for hospitals to implement necessary tools to provide meaningful information and care coordination across providers (Murphy, 2010). Five initiatives meet meaningful use criteria:
1. Improve quality, safety, and efficiency, and reduce health disparities.
2. Engage patients and families.
3. Improve care coordination.
4. Improve population and public health.
5. Ensure adequate privacy and security protections for personal health information (Murphy, 2010).
The federal government allocated $19 billion to incentivize providers to implement electronic health records (EHR) (Murphy, 2012). According to Brown (2010) the final ruling surrounding meaningful use has three stages and criteria associated core requirements. There are 14 eligibility core requirements for hospitals to meet and 15 core requirements for healthcare providers (Brown, 2010). Ten additional objectives are required, and both hospitals and providers must chose five. As long as hospitals/providers meet and submit the measures within the specified year, then they will receive the incentive payments (Murphy, 2010).
Technology and reporting requirements will have a large impact on patient care are projected to be extensive. Clinical research is perhaps one of the biggest benefits of HIT implementation (Gialanella, 2012). Specified quality measures are reported to Medicare and Medicaid and will impact the delivery of care affecting cost, and improve quality through tracking data that lead to evidence-based care. The measures will also enhance coordination of patient care among providers to reduce repeat testing and decrease medical errors (Gialanella, 2012). Health care reform is focusing on promoting prevention, early detection, and improved management of chronic diseases through health information technology. Promoting wellness will be enhanced through the use of HIT for early detection of disease states, rapid responses to pandemics, and identify at risk-patient populations (Gialanella, 2012).
Provide a summary of the article you identified and explain how it demonstrates the ability of health information technology to meet the requirements of meaningful use.
Summary of Article and Demonstration of Technology to Meet Meaningful Use
Authors Jones, Heaton, Friedberg, and Schneider (2011) investigated meaningful use as it relates to decreasing hospital mortality in three areas – heart attack, heart failure, and pneumonia by using electronic medication order entry systems. There is uncertainty whether meaningful use standards will improve care, reduce errors, and improve patient safety. Evaluating the benefit of electronic order entry is sought to provide data to support the assertion (Jones et al., 2011). Stage one meaningful use requires facilities to use computer order entry systems for approximately 30% of patients to be eligible for reimbursement. The percentage of use requirements would increase with subsequent stages eventually requiring 80% use of computer order entry for eligible patients by stage three (Jones et al., 2011). The authors obtained data from the Association Annual Survey database. The database provided data on 4,156 acute care facilities included in the Hospital Compare Database of which 2,543 had responded to the 2007 American Hospital Association Information Technology Supplement. 2,543 represented the cohort size (Jones et al., 2011).
The authors reported 61% of the hospitals studied did not use electronic medication order entry, 13% of the hospitals reported ordering from one to 25%, four percent of hospitals reported ordering 26 to 50%, and six percent of hospitals reported using electronic ordering from 51 to 90% of patients (Jones et al., 2011). Despite the small number of facilities utilizing computer order entry in any capacity the benefit of its use was appreciated with improved mortality rates in heart attack and heart failure categories (Jones et al., 2011). Significantly improved mortality was seen with higher use of computer order entry systems and a much better statistics.
Overall, the authors reported that hospitals meeting stage one requirements could appreciate 1.2% reduction in mortality rates, but this is not statistically significantly because estimated thresholds were not met (Jones et al., 2011). With stage 2 requirements, reduced mortality could be as high as 2.1% (Jones et al., 2011). The study was beneficial in proving that greater use of computer order entry has the potential in reducing mortality rates.
References
Brown, B. (2010). The final rules for meaningful use of EHRs. Journal of Health Care Compliance,12(5), 49–50. Retrieved from http://sfxhosted.exlibrisgroup.com/waldenu?url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&ctx_enc=info:ofi/enc:UTF-8&ctx_ver=Z39.88-2004&rfr_id=info:sid/sfxit.com:azlist&sfx.ignore_date_threshold=1&rft.object_id=111030132863024&rft.object_portfolio_id=&svc.fulltext=yes
Gianlanella, K. M. (2012). Legislative aspects of nursing informatics: HITECH and HIPPA. In McGonigle, D., & Mastrian, K. G. (Eds.). Nursing informatics and the foundation of knowledge. (pp. 161-184). (Laureate Education, Inc., custom ed.). Burlington, MA: Jones & Bartlett Learning
Jones, S. S., Heaton, P., Friedberg, M. W., & Schneider, E. C. (2011). Today’s ‘Meaningful Use’ Standard For Medication Orders By Hospitals May Save Few Lives; Later Stages May Do More. Health Affairs, 30(10), 2005-2012. doi:10.1377/hlthaff.2011.0245
Murphy, J. (2010b). Nursing informatics. The journey to meaningful use of electronic health records.Nursing Economic$, 28(4), 283–286.
Retrieved from http://search.proquest.com/openview/a5ca4c04a06bbb25597728fa8424c252/1?pq-origsite=gscholar
(Linsey)
HIT , HIPPA, and HITECH
The Health Information Technology for Economic and Clinical Health Act (HITECH) of 2009 was in acted to improve the quality of healthcare, reduce cost, and improve communication across the healthcare community (McGonigle, & Mastrian, 2012). The HITECH has had both positive and negative impact on my current organization. The positive has been strengthening Health Insurance Portability and Accountabilty Act (HIPPA), “The HITECH Act has improved privacy and security of patient health information by applying the requirements of HIPPA directly to the business associates of covered entities” (McGonigle, & Mastrian, 2012, p. 179). It also helps with decreasing disparities between health facilities and quality of care. “All patients, regardless of race, ethnicity, or socioeconomic status should receive care that is effective, safe, and timely. With the national health information technology (HIT) infrastructure contemplated by the HITECH Act, such disparities are bound to decrease” (McGonigle, & Mastrian, 2012, p.167). The implementation of electronic health records and HIT the HIPPA compliance has strengthened and also verification of patient’s information is easier. The negatives of the HITECH is the expense, “the size, complexity, and capabilities of the covered entity or business associate; the technical infrastructure, hardware, and software security capabilities of the covered entity or business associate; the financial costs of implementing security measures; and the probability and criticality of potential risks to electronic protected health information( ePHI) security breaches” (Kempfert & Reed, 2011, p.261).
Incentives and Meaningful Use
Incentives from the HITECH have been overall favorable in the adopting of electronic health records (EHR); however, due to the cost of buying equipment, software, and training, the benefits of the incentives are not seen until later. The HITECH act also provides significant monetary incentives for providers who engage in meaningful use of HIT. Meaningful use (MU) is the new standard that has entered healthcare. This week in my practice there is a meaningful use meeting. We are going through all the things we must address in every patient’s note to get incentives for meaningful use. The physician’s are tracked on if they are meeting the criteria and us, as their nurses honestly must do most of the work to comply.
Summary of Article
MU means that you’re digital records in a way that provides improved patient care-not just that you’ve moved from paper files to computer files. The best way to improve patient care is to make sure that medical staff always has the right information at the right time. Automated document and reports management are key components to achieving MU” (Colpas, 2013, p. 11). The article Contemplating Meaningful Use overviews that steps of MU and the steps that facilities must take to achieve compliance and incentives. Steps such as patient portal implementation, security measures, information collection, and HIPPA compliance are discussed and several information specialists (IT) explain why meaningful use is important in patient safety and quality care improvement. This article was interesting as is gave a guideline to the many ways for facilities to implement their meaningful use programs for success.
References
Colpas, P. (2013). Contemplating meaningful use. Health Management Technology, 34(8), 8-11.
Kempfert, A. E., & Reed, B. D. (2011). Health Care Reform In the United States: HITECH Act and HIPAA Privacy, Security, and Enforcement Issues. FDCC Quarterly, 61(3), 240-273.
McGonigle, D., & Mastrian, K. G. (2012). Nursing informatics and the foundation of knowledge (Laureate Education, Inc., custom ed.). Burlington, MA: Jones and Bartlett Learning.
(Starr)
HITECH Act
The Health Information Technology for Economic and Clinical Health Act (HITECH) enacted February 17, 2009, is part of the American Recovery and Reinvestment Act (ARRA) (McGonigle, & Mastrian, 2012). “The ARRA was enacted to stimulate various sectors of the US economy during the most severe recession this country has experienced since the Great depression of the late 1920s and early 1930s” (McGonigle, & Mastrian, 2012, p.161). The HITECH act addresses the development, adoption and implementation of Health Information Technology (HIT) policies, standers, and provides enhanced privacy and security for patient’s information (McGonigle, & Mastrian, 2012, p.162).
Currently in my facility computerized physician order entry (CPOE) is implemented; a few years ago this was a positive impact on my facility due to meeting compliance regulation associated with reimbursement with the government. However, with this positive impact was negative impact related to staff moral in learning the new computerized program.
Effects of HITECH Act
HITECH Act has had many positive and negative effects, like any new legislation implemented. One of the positive contributions noted from the HITECH ACT is increased strength and enforcement of Health Information Privacy act (HIPA) (McGonigle, & Mastrian, 2012). HITECH Act also contributes to patients explanation of care and billing; “existing accounting rules are enhanced under this act, giving patient the right to access electronic health record (EHR) and receive an accounting of all disclosures” (McGonigle, & Mastrian, 2012, p.179). Most would agree that the expense of HITECH has been a negative. The complexity and time spent of the HITECH act has been a burden for many businesses, and lack of nurse implementation can also cause some negativity.
Meaningful definition
According to Healthit.gov meaningful use is using certified electronic health record (EHR) technology to:
•Improve quality, safety, efficiency, and reduce health disparities
•Engage patients and family
•Improve care coordination, and population and public health
•Maintain privacy and security of patient health information (Healthit.gov, 2015).
The Healthit.gov also states “to receive an EHR incentive payment, providers have to show that they are “meaningfully using” their certified EHR technology by meeting certain measurement thresholds that range from recording patient information as structured data to exchanging summary care records” (Healthit.gov, 2015).
Summary of article
Kruse, Bolton, & Freriks conducted a systemic review study attempting to answer whether the use of patient portals increase patient outcomes. The conclusion of this study stated the ability of the patients to be able to view their health information electronically meets the intent of Meaningful use (Kruse, Bolton, & Feriks, 2015). Patient portals use is intertwined with many of the meaningful use bullets, such as engaging patients and families, and improve care coordination. Patient portals are very helpful with encouraging patient to be apart of their own care.
Reference
HealthIT.gov. (2015, February 1). Meaningful Use Regulation. Retrieved July 27, 2015,
from http://www.healthit.gov/policy-researchers-implementers/meaningful-use-
regulations
Kruse, C. S., Bolton, K., & Freriks, G. (2015). The effect of patient portals on quality
outcomes and its implications to meaningful use: a systematic review. Journal Of
Medical Internet Research, 17(2), e44. doi:10.2196/jmir.3171
McGonigle, D., & Mastrian, K. G. (2012). Nursing informatics and the foundation of knowledge (Laureate Education, Inc., custom ed.). Burlington, MA: Jones and Bartlett Learning.
(Lowell)
HITECH Legislation and Hospital-Acquired Infections
One of the main purposes of the federal Health Information Technology for Economic and Clinical Health Act (HITECH) of 2009 is to improve healthcare quality by enhancing coordination of services between and among the various healthcare providers a patient may have, fostering more appropriate healthcare decisions at the time and place of delivery of services, and preventing medical errors and advancing the delivery of patient-centered care (McGonigle & Mastrian, p.163). The goals of this Act are to insure that each patient has the safest, and most appropriate medical care possible. My hospital has been influenced greatly by the HITECH Act when it comes to reimbursement from Medicare and Medicaid services. The tracking and documentation of hospital-acquired infections is a main topic of observation at my organization.
At my hospital, when a patient obtains a hospital-acquired infection, or a hospital-acquired pressure ulcer, it is documented with our Risk Management department. The data is continuously reported to Medicare and Medicaid. After evaluation of the documentation, reimbursements are either deducted, or held entirely, depending on the severity of the situation. Reporting hospital-acquired infections is extremely important in meeting criteria for meaningful use. According to Judy Murphy (2010), one of the criteria for meeting meaningful use is the initiative to improve quality, safety, and efficiency, and reduce health disparities. The main focus of reporting these incidents is not to get hospitals in trouble, but rather to determine actions that need to be put in place in order to improve patient care. Working to provide a safer environment for patients ensures that hospitals will continue to grow.
Article Review
In the article Mandatory Reporting of Hospital-Acquired Infections: Steps for Success, authors Cardo, Brennan, and Peaden (2005) examine the benefits of reporting infections to a national database. They state that the overall goal is to examine the cause for the infections, and implement a system to prevent them. The state of Pennsylvania mandates that all hospital-acquired infection information be public record. This is to reinforce the strategy by giving information to health care providers so that they can identify opportunities to contain costs and improve the quality of care they deliver (Cardo, et al. 2005). This article reflects the use of health information technology by acquiring data, and using it to improve patient safety, and reduce the risks of complications with hospitalizations.
References
Cardo, D., Brennan, P., & Peaden, D. J. (2005). Mandatory reporting of hospital-acquired infections: steps for success.Journal of Law, Medicine & Ethics, 33(4), 86-88.
McGonigle, D., & Mastrian, K. G. (2012). Nursing informatics and the foundation of knowledge (Laureate Education, Inc., custom ed.). Burlington, MA: Jones and Bartlett Learning.
Murphy, J. (2010b). Nursing informatics. The journey to meaningful use of electronic health records. Nursing Economic$, 28(4), 283–286.
Retrieved from the Walden Library databases.

 
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What are the accrediting bodies’ requirements for program evaluation?

What are the accrediting bodies’ requirements for program evaluation?
Curriculum Design & Evaluation in Nursing Ed
Learning Outcomes and Evaluation Strategies;
In Part 2 of the scenario from Week 1, you are the new Dean of Nursing in the fictitious University of the Seven Seas, College of Nursing (USS CON) and you are tasked to design a BSN curriculum for the new nursing program. This week you will write your learning outcomes (similar to your goals but more narrow in focus), and evaluation strategies. Remember that program outcomes flow from and are reflective of your nursing department philosophy and goals.
For Part 2 of the Scenario you will develop your learning outcomes and evaluation strategies. You will create a 6–8-page paper(excluding title page, references, and Appendices) addressing these items. Be sure to include:
• Learning outcomes that represent a vision of what students would achieve.
• Evaluation strategies that will illustrate how you will measure that your learners met the learning outcomes, through standardized tests and other means.
• Program, Course, and Student Evaluations. Use the following questions to develop these evaluation strategies:
Program evaluation:
• What are the accrediting bodies’ requirements for program evaluation?
• Who will be responsible for preparing the report?
• How often does a report have to be written?
Course evaluation:
• Does the university have a standard course evaluation form?
• What information would be included in a course evaluation form?
• Who would be responsible for administering the course evaluations?
• How will you ensure student confidentiality and privacy?
Student evaluation:
• How often will you do formative evaluations of the students?
• How often will you do summative evaluations of the students?
• How will you measure that your learners have met the learning outcomes (through standardized tests and other means)?
• What will be the grading scale for the program?
• How will the program deal with students who grieve their grades?
Your learning outcomes and evaluation strategies should be completed in a Word document and submitted to the W2: Assignment 2 Dropbox by Tuesday, August 18, 2015. Be sure to follow proper APA guidelines in your paper.
Assignment 2 Grading Criteria Maximum Points
Learning outcomes are a vision of what students would achieve upon program completion. 20
Learning outcomes are aligned to the program philosophy and goals. 20
Evaluation strategies are appropriate to the desired level of knowledge, skill, and experience of the learners. 20
Evaluation strategies are appropriate and include standardized tests and other means. 20
Provides a thorough discussion of program evaluation strategies, including all criteria. 35
Provides a thorough discussion of course evaluation strategies, including all criteria. 35
Provides a thorough discussion of student evaluation strategies, including all criteria. 35
Followed APA guidelines for writing style, spelling and grammar, and citation of sources. 20
Total: 205

 
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What made this leader you interviewed unique and impressionable?

What made this leader you interviewed unique and impressionable?
REQUIRED TEXTS
Sullivan, E.J. (2012). Effective leadership and management in nursing. (8th Ed.). Upper Saddle River, NJ: Prentice-Hall. ISBN-10: 0132814544 | ISBN-13: 978-0132814546
INSTRUCTIONS FOR INTERVIEW
Assignment Instructions
Use the attached questions to interview a nurse leader in a healthcare organization and submit a narrative analysis. This person must be a nurse over several nursing and/or clinical departments. All interviews must be in person. Support and define the healthcare leader’s answers with cited work.
This narrative paper requires you to use at least 2 or more professional nursing journals in addition to your textbook. Cite things such as management and leadership terms and styles and support and define what makes this person a leader.
Think about how the top level nursing position of a healthcare organization might affect you as a mid-level nurse leader. What things have you learned from this interview which affects your opinion of the interactions which occur or need to occur in a healthcare organization between the top nurse position and mid-level and staff level nurses?
Remember to maintain strict confidentiality regarding any information you obtain through this interview. I recommend you let the healthcare professional you interview know everything discussed is kept confidential.
Please post your compiled narrative here. Do not submit a question and answer format for this assignment.
A grading rubric is also attached. The rubric will be used to grade all interviews for this course and can help you know what is expected on the written interview in order to get the maximum number of points on this assignment. Your finished paper should be 5-6 pages.
Supporting Materials
· Interview Grading Rubric
· Interview Assignment Instructions
· S487 Interview Assignment Questions
Questions for Healthcare Leaders: Use the questions below to prepare your narrative paper and ask for a response to each question. Compare and contrast your responses with the healthcare leader’s responses. Use citations, for example: (Sharer, 2009), when using the work of others including assigned textbook readings and PowerPoint presentations. Post your interview narrative under Interview in the Assignments Tab on Canvas. Please ask any questions under ‘Forums – Course-related Questions and Discussions.’
(1) What do you believe is the single most important trait for leaders to possess in a healthcare setting?
(2) What is your leadership style? Why did you select this style?
(3) How important is communication to a leader? What communication tools do you use?
(4) How do you motivate your group or team?
(5) What makes Healthcare unique from other businesses? How does the physician factor affect a hospital’s operations?
(6) What do you feel is the most challenging problem facing healthcare leaders today?
(7) What is nursing’s role in the budget process in your organization? How could it be better?
(8) What barriers do you see to the provision of quality patient care?
(9) What types of healthcare entities could work better with organization’s like yours in order to promote continuity of patient/client care?
(10) How does your organization collaborate with other healthcare providers to improve quality and continuity of care?
(11) How do cultural and generational differences affect the health care environment? (In your analysis compare and contrast the values of different generations).
(12) What changes and challenges will nurses face in the future?
(13) What are the advantages and disadvantages of achieving Magnet Status? How can excellence in nursing care be achieved? Why it is important?
(14) How does an organization’s environment affect success?
(15) If you had it to do over again, would you choose the same profession? Why or why not?
Questions to be answered by YOU after the interview:
(16) Analysis of this leader’s leadership Style (Use citations from current literature to support leadership characteristics or theories): In your analysis include the answers to the following questions:
1. What made this leader you interviewed unique and impressionable?
2. What were some key attributes that you liked about this leader?
(17) New insights to your leadership Style (Use citations from current literature to support leadership characteristics or theories):

 
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Identify and explore the patient’s needs and problems.Help to develop the patient’s strengths and new coping skills.

Identify and explore the patient’s needs and problems.Help to develop the patient’s strengths and new coping skills.
Effective communication is the key to providing quality nursing care to our patients”
Paper Details
Find the attched file of essay details for NUR 113 “Effective communication is the key to providing quality nursing care to our patients”
Define therapeutic communication
Identify key features of therapeutic communication
Understand verbal communication principles
Explore forms of non-verbal communication
Understand the importance of active listening skills in nursing
Identify the barriers to listening
It is the purposeful use of communication to build and maintain helping relationships with patients, families and significant others.
Its techniques encourage the patient to express feelings and thoughts in a safe, nonjudgmental manner.
Assessment, diagnosis, planning, implementation and evaluation of a patient’s care depend on therapeutic communication between the nurse, patient, family, significant others and the multidisciplinary team (MDT).
(O’Toole, 2012)
To establish effective therapeutic communication trust, rapport, empathy, respect, privacy, confidentiality and boundaries should pre vail.
therapeutic communication occurs within the nursing context.
Provides exchange of health related information.
Requires knowledge and attitudes pertinent to nursing.
It is patient centred and goal directed.
It is responsive without being overly accommodating.
It is assertive without being domineering.
Trust
Rapport
Empathy
Respect
Privacy
Confidentiality
Boundaries
Trust – confidence in and reliance upon the health professional to provide quality service that is always in the best interests of the person seeking assistance. Trust is critical in the nurse-client relationship because the client is in a vulnerable position. Initially, trust in a relationship is fragile, so it’s especially important that a nurse keep promises to a client. If trust is breached, it becomes
difficult to re-establish
Rapport – A connection between two people based on trust and awareness that they have a common goal.
Empathy – the direct, clear and accurate understanding and expression of the emotions of an individual.
Respect – Unconditional positive regard for self and others regardless of weaknesses or failure, position or status, beliefs and values, and marital possessions or socioeconomic level. It assumes all human beings have innate worth and value. Respect is the recognition of the inherent dignity, worth and uniqueness of every individual, regardless of socio-economic status, personal
attributes and the nature of the health problem.
Privacy – someone’s right to keep their personal matters and relationships secret.
Confidentiality – Keeping information within a particular context; involves keeping information private.
Boundaries – A boundary is a limit, or a behavioral line which cannot be crossed.
Warning signs of unhealthy boundaries could be:
You share personal problems or aspects of your intimate life with patients.
You keep secrets with patients.
You become defensive when someone questions your interaction with.
You have received gifts from a patient.
You speak to the patient about your own professional needs or inability.
You speak poorly of co-workers or the hospital to patients.
You talk to patients/families about things that are out of your scope of practice.
You give certain patients extra time or attention.
You give patients personal contact information or money.
You fail to set limits with a patient.
You spend duty time with patients.
You feel that you understand the patient’s problems better than other members of the healthcare team.
Case study
(Source: http://samples.jbpub.com/9781449691776/9781449691776_CH05_Pass2.pdf
Susan is a 38-year old woman coming into the outpatient surgery centre for a breast biopsy. She sits in the waiting room with her husband and is obviously nervous – starting unblinking at the wall, taping her feet, and writing a tissue in her hand. The perioperative nurse approaches Susan to introduce herself and bring her into the operation suite to prepare for surgery.Nurse: “Mrs R., I am Laurie Snow, and I will be the nurse working with you today. What do you like to be called?”
Pt: “Hello, Call me Sue; that’s what everyone else calls me. This is my husband, Andrew.”
Nurse: (she shakes hands with the patient and her husband.) “it is nice to meet both of you, Sue. I would like to explain what’s going to happen today, get a little more information from you, and answer any questions that you may have about the surgery.”
Pt: “Oh, thank you. I am so scared. I don’t know how I am going to get through this.”
Nurse: “It’s common to feel nervous about surgery. My goal is to help you through today. I will explain everything as we go along and answer any questions you and Andrew may have.”
Pt: “I am glad that you will be there. May my husband come with me?”
Nurse: “of course.”
What is the role of the nurse?
Identified herself by name.
Established her credentials and her role.
Greeted the patient by her preferred name.
Addressed both the patient and her husband by their preferred names.
Reflected and normalised the patient’s anxiety by explaining her role.
Acknowledged that the patient might have questions and she was there to help.
(Source: http://samples.jbpub.com/9781449691776/9781449691776_CH05_Pass2.pdf)
Demonstrate genuineness, empathy and positive regard towards the patient.
Focus on the patient’s thoughts, feelings and experiences.
Identify and explore the patient’s needs and problems.
Help to develop the patient’s strengths and new coping skills.
Assist the patient to develop a sense of independence and self-reliance.
What is the role of the patient?
Explore one’s thoughts, feelings and experiences;
Identify and explore the one’s needs and problems;
Take steps to draw on one’s strengths and to develop one’s coping skills; and
Take steps to develop a sense of independence and self-reliance
Accurate
Factual
Objective
Complete
Concise
Contemporaneous (timely)
Privacy and confidentiality
Document key verbal communication
Culturally sensitive
(Hally, 2009, p. 141)
Principles
Explanation/Rationale
Verbal communication in nursing practice
All verbal communication in nursing practice should be courteous and polite. It should convey care and respect for the patient, and be accompanied by appropriate non-verbal communication.
Accurate
Be specific and correct.
Factual
Be truthful.
Objective
Avoid subjective comments or personal opinions that reflect negatively on other people – patients or colleagues.
Complete
Do not avoid verbal communication.
Avoid omissions (do not leave out important information)
If care is omitted, state why.
Concise
Be brief.
Avoid repetition and do not routinely report normal data or information recorded on standard documents
Repeat only unusual or significant data in handover.
Contemporaneous (timely)
Report deterioration in the patient’s condition, clinical emergencies, abnormal findings or errors immediately.
Privacy and confidentiality
Nurses must ensure that all verbal communication about patients remains private and confidential, according to the laws governing privacy and confidentiality of health information.
Document key verbal communication
All verbal reports (e.g., advising a doctor that the patient has chest pain) and referrals (e.g., to a social worker) should be documented.
Culturally sensitive
Care should be taken to ensure that verbal interactions are culturally sensitive.
“I will check your cannula regularly for any signs of phlebitis”.
“Can you provide a midstream urine?”
“I need to know when you have passed flatus post operatively. We are concerned about a paralytic ileus”
“I am just checking your oxygen sat for adequate tissue perfusion”
“You are little hypotensive. Don’t stand up in a hurry. I am worried thParalysis of the intestine
A partial or complete non-mechanical blockage of the small and/or large intestine
Tissue perfusion is the amount of blood that a tissue is receiving from the circulation.
Oxygen saturation is a term referring to the concentration of oxygen in the blood.
Fainting – vasodepressor response, caused by a drop in blood pressure (to as low as 80/20) without much change in heart rate. This phenomenon occurs due to vasodilation, probably as a result of withdrawal of sympathetic nervous system tone.
at you will have a vaso vagal”

 
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