You work for a tourism board at a top destination within the United States that among other tasks, sends information out to potential visitors, provides advertising for the destination, sells tickets to local events and parks, and helps drive economic growth by attracting visitors to the region. The market research team for your organization has decided to try and gather more insight into how their ticket sales are impacting the local economy and have asked for your assistance.

  

Instructions:

This is an article critique assignment. 

Attached is the article that has to be read and critiqued. 

Attached is also an example article from the book of how the assignment should be done (HIGHLIGHTED). 

Attached is also the rubric of the parts of the article that need to be critiqued. PLEASE INCLUDE EVERY SECTION, IT IS WHAT WE ARE BEING GRADED ON. 

****YOU MUST FOLLOW THE RUBRIC

**APA STYLE, NO REFERENCE NEEDED

**IT DOES NOT NEED TO BE ESSAY FORM

**IT COULD BE IN BULL POINT FORMAT WITH EACH SECTION DIVIDED

Make sure you take your time please!!

  

Influencing Multiple Systems Through Evidence-Based Change

As an advance practice nurse, your work is informed by many factors beyond your direct reach, and your influence extends beyond the immediate context in which you labor. Likewise, the changes you propose as a nurse leader are influenced by multiple systems and, in turn, can have an impact on many different groups. One of the ways to distinguish yourself as a leader is to be knowledgeable about these spheres of influence and to promote awareness of the potential effects that may result from a change.

Indeed, with the fluid and persistently evolving nature of change, it is essential that you stay abreast of latest developments that may affect the practice environment. This is especially critical for maintaining or adapting a change once it has been implemented. As discussed in Weeks 8 and 9, you may need to make adjustments based on evaluation of outcomes; in addition, you must also be prepared for adjustments based on developments within or outside your targeted environment.

To prepare:

• What are some possible adjustments that you might      need to make based on the evaluation of outcomes? Consider insights from      the Discussion in Weeks 8 and 9.
• Consider the evidence-based change you are proposing      for your practicum setting: What other systems or components of a system      are within the sphere of influence of this change? How could evolving      issues internal to the setting, such as budget, staffing shortage,      regulations or external to it, such as supply, funding, national      priorities, and disasters, affect the implementation—and ultimately the sustainability—of      such a change?
• How might your proposed change, in turn, affect      policy or practice at other levels beyond your initial focus?

By tomorrow Wednesday 5/1/19  2pm (America/New York time), write a minimum of 550 words essay in APA format with at least 3 references (see list or required readings below). Include the level one headers as numbered below:

Post a cohesive response that addresses the following:

1) Describe at least three evolving issues that are internal or external to your practicum setting that could affect the implementation and sustainability of your proposed change.

2)  From what systems level do those issues originate (e.g., organizational, local, state, national, global) and what other systems are then involved in response to that factor?

3) How might your proposed change, in turn, lead to shifts at other levels beyond your initial focus?

Required Readings

White, K. M., & Dudley-Brown, S.(2016). Translation of evidence into nursing and health care practice. (2nd edition)  New York, NY: Springer Publishing Company.

• Review Chapter 11  “Information Technology:      A Foundation and Enabler for Translation”
• Review Chapter 15 “Best Practices in      Translation: Challenges and Barriers in Translation”

Braithwaite, J., Westbrook, M., Nugus, P., Greenfield, D., Travaglia, J., Runciman, W., & … Westbrook, J. (2013). Continuing differences between health professions’ attitudes: the saga of accomplishing systems-wide interprofessionalism. International Journal for Quality in Health Care, 25(1), 8-15. doi: 10.1093/intqhc/mzs071

Hoyle, C., & Johnson, G. (2015). Building skills in organizational and systems change. Nurse Practitioner, 40(4), 15-23. doi:

10.1097/01.NPR.0000461948.38539. fc

Jeungok, C., & Zucker, D. M. (2013). Self-assessment of nursing informatics competencies for Doctor of Nursing practice students. Journal of Professional Nursing, 29(6), 381-387. doi: 10.1016/j.profnurs.2012.05.014

Toussaint, J. S. (2015). The Framework for a Whole-System Transformation. Journal Of Healthcare Management, 60(6), 386-389. 

 

Assessing and Planning Care for an Elderly Person

In order to gain an insight into the world of elder adults, it is important to understand how they view themselves and the values they hold. Additionally it is important to assess and determine his/her needs and establish appropriate interventions for this individual.

By the due date assigned, choose an older adult to interview. This cannot be a patient in your clinical setting. You can use a friend, family member, or co-worker. The older adult should be 65 years or older. Use the format provided to record the responses. A list of questions is available for you to start with. Include 2–3 questions of your own to get a complete picture of the older adult. Summarize your findings and also contrast the responses with findings in your readings and other current literature.

Download a patient questionnaire. This form should be used as an example.

After gaining permission, conduct a physical and mental functional assessment of the older adult you have chosen. Review your readings for the process of functional assessment.

Make use of the tools discussed this week to complete a comprehensive assessment of your patient. Search the Internet for resources on these tools.

1. Tinetti Balance and Gait Evaluation
2. Katz Index of Activities of Daily Living
3. Assessment of Home Safety
4. The Barthel Index

Make sure the older adult is clearly identified on the tools. Do not include their name, but do include professional or other designation, and age. Your name should also be identified on the tool. (This should be a part of your Appendix.)

Compare and contrast the age-related changes of the older person you interviewed and assessed with those identified in this week’s reading assignment. During this data analysis process provide at least 4–6 preliminary issues that you have identified. Identify three alterations in health that you would propose and describe them. Identify a minimum of three comprehensive interventions for each problem.

Make sure that you integrate personal cultural awareness and cultural competency.

Paper should be 5–6 pages, not including the questionnaire or tools used. These should be attached as an Appendix. Remember to use headings to identify the different sections in your paper.

On a separate references page, cite all sources using APA format.

• Use this APA Citation Helper as a convenient reference for properly citing resources.
• This handout will provide you the details of formatting your essay using APA style.
• You may create your essay in this APA-formatted template.