The CEO and the Board of Directors has tasked you with developing an intake packet for new patients that will reestablish patient trust in the facility, employees, and staff. The patient packet will address new patient concerns by including information about HIPAA, informed consent, a confidential health history report, and a living will. The new packet will also include the values of the organization and a code of ethics.

Your intake packet will start with the Hospital’s Code of Ethics that includes at least 10 ethical points. The code of ethics should include (at a minimum) include an additional 3

• Patient relations
• Physician activities
• Billing for services
• Political activities
• Conflict of interest
• Communication, including social media
• Privacy

The Code of Ethics should be submitted in bullet format in a Word document with an introduction. APA formatting for the ethical points and proper grammar is required.

Upon completion of your code of ethics, please prepare a PowerPoint presentation  in which you explain each ethical point and its relevance in the healthcare industry with examples to the CEO, so that she can answer questions from the Board.

1. The PowerPoint should have a minimum of 5 slides and a maximum of 12.
2. Describe each ethical point in the Code of Ethics.
3. Use the notes area on each slide as needed to expand on the key points.

1.10 or more ethical points included, but one or two are underdeveloped.

2.Identifies the ethical points and demonstrates the relevance to the healthcare industry but includes examples that are irrelevant or lack details.

No plagiarism please.

Will need minimum of 300 words, APA Style, double spaced, times new roman, font 12, and Include: (3 references within years 2015-2018) with intext citations. 

The foundation of pediatric healthcare visits, both sick and well, starts with a thorough health history; from the data collected, an accurate physical examination and diagnosis can be made. Primary care healthcare visits are an integral part of ensuring the health and well-being of the child. In children that participate in sports, a preparticipation physical examination (PPE) is required and may be the only contact the healthy child has with their healthcare provider.  

Discussion:

Case:

Shelby is a 5-year-old female, brought to the clinic by her parents and will be starting kindergarten in the fall. The parents state that she needs her physical and shot record to register her for school. The parents state that she has been healthy and voice no concerns although Shelby is “scared” about the exam and vaccines.

Answer:

How would you address Shelby’s fear of the exam and vaccines? 

What age-appropriate screenings and lab tests are recommended for Shelby? What immunizations will Shelby require, if any? 

Throughout this course you will be developing a formal, evidence-based practice proposal.

The proposal is the plan for an evidence-based practice project designed to address a problem, issue, or concern in the professional work setting. Although several types of evidence can be used to support a proposed solution, a sufficient and compelling base of support from valid research studies is required as the major component of that evidence. Proposals are submitted in a format suitable for obtaining formal approval in the work setting. Proposals will vary in length depending upon the problem or issue addressed; they can be between 3,500 and 5,000 words. The cover sheet, abstract, references page, and appendices are not included in the word limit.

Section headings and letters for each section component are required. Responses are addressed in narrative form in relation to that number. Evaluation of the proposal in all sections is based upon the extent to which the depth of content reflects graduate-level critical-thinking skills.

This project contains seven formal sections:

1. Section A: Organizational Culture and Readiness Assessment
2. Section B: Problem Description
3. Section C: Literature Support
4. Section D: Solution Description
5. Section E: Change Model
6. Section F: Implementation Plan
7. Section G: Evaluation of Process

Each section (A-G) will be submitted as separate assignments so your instructor can provide feedback (refer to applicable modules for further descriptions of each section).

The final paper will consist of the completed project (with revisions to all sections), title page, abstract, reference list, and appendices. Appendices will include a conceptual model for the project, handouts, data and evaluation collection tools, a budget, a timeline, resource lists, and approval forms.

Use the “NUR-699 EBP Implementation Plan Guide” and “NUR-699 Evidence-Based Practice Project Student Example” to assist you. Also refer to “NUR-699 Evidence-Based Practice Project Proposal Format.”

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is 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 Turnitin. Please refer to the directions in the Student Success Center.

NUR699.R.Evidence-BasedPracticeProjectProposalFormat_student.docxNUR699.R.EBPStudentExample_Student.docxNUR699.R.EvidenceBasedPracticeProposalFinalPaperOverview_student.docxNUR699.R.EBPimplementationPlanGuide_student.docx

Required Reading

Iwelunmor, J., Newsome, V., & Airhihenbuwa, C.O. (2014). Framing  the impact of culture on health: a systematic review of the PEN-3  cultural model and its application in public health research and  interventions. Ethnicity & Health, 19(1), 20-46. doi: 10.1080/13557858.2013.857768

NOTE: In the following document, just read the Intro, review the Key Concepts, and then view the Lecture: 

U.S. Department of Health & Human Services, Maternal Child Health Bureau (2009). Core concepts in cultural competence. Accessed from http://support.mchtraining.net/national_ccce/case0/home.html

U.S. Department of Health and Human Services, Office of Minority Health (2017). The national standards for Culturally and Linguistically Appropriate Services in Health and Health Care (CLAS). Retrieved from https://minorityhealth.hhs.gov/omh/browse.aspx?lvl=2&lvlid=53

Optional Reading

Airhihenbuwa, C. & Webster, J. D. (2004) Culture and African contexts of HIV/AIDS prevention, care and support. Journal of Social Aspects of HIV/AIDS Research Alliance, 1(1), 4-14. Retrieved from http://www.ajol.info/index.php/saharaj/article/viewFile/30064/22717

Yick, A. & Oomen-Early, J. (2009). Using the PEN-3 model to plan  culturally competent domestic violence intervention and prevention  services in Chinese-American and immigrant communities. Health Education, 109(2), 125-139. (search under ProQuest)

Optional Resources

Purdue Online Writing Lab. (2018). General format. Retrieved from https://owl.purdue.edu/owl/research_and_citation/apa_style/apa_formatting_and_style_guide/general_format.html

Purdue Online Writing Lab. (2018). In-text citations: The basics. Retrieved from https://owl.purdue.edu/owl/research_and_citation/apa_style/apa_formatting_and_style_guide/in_text_citations_the_basics.html

Purdue Online Writing Lab. (2018). Reference list: Basic rules. Retrieved from https://owl.purdue.edu/owl/research_and_citation/apa_style/apa_formatting_and_style_guide/reference_list_basic_rules.html

Homework Assignment:

For this assignment, you will learn about Lanesha Johnson, whose case story is available at http://support.mchtraining.net/national_ccce/case1/home.html

Listen to the Lecture and review the Learning Activity #1

Write a paper that addresses the following:

• >From a cultural perspective, is it unusual that Grandmother Marietta is the primary caregiver?
• >Discuss the ways in which Lanesha, Grandma Marietta, and Hannah  Healthcare approach this situation from totally different perspectives.
• >How does Lanesha’s temperament affect the situation?
• >What responsibilities do health care providers have in this situation?

Length:  2-3 pages, excluding the cover page and the reference list.

  

Preparing for Change

What steps might be utilized to move a practice issue from development and design through implementation to the realization of positive outcomes? How does theory provide a framework? What barriers might you encounter?

To prepare:

• Review the theories and frameworks (i.e.,      change, organizational, behavioral) presented in Chapter 3 of the course      text, Translation of Evidence into Nursing and Health Care      Practice, and conduct additional research of your own. What insights do      these theories provide regarding how to take your practice issue from      development and design through implementation to the realization of      positive outcomes?
• Think about your practicum setting and evaluate      the readiness for change in this environment. Identify barriers and      facilitators for change.
• Consider strategies to address the barriers and      assess why they might be effective based on theory.

By tomorrow Wednesday 10/17/18 at 12 pm, write a minimum of 550 words essays in APA format with at least 3 references (see attached files) from the list of REQUIRED READINGS below. Include the headers as numbered below:

Post a cohesive scholarly response that addresses the following:

1) Assess the readiness for change in your hospital environment. Discuss those factors: (a) barriers and (b) facilitators that need to be considered (see attached chapter 15 in the file area)

2) Identify a theory or framework that will guide your change efforts. (see attached chapter 3 in the file area)

3) Discuss strategies to address barriers and provide one or more insights regarding why you think they might be effective based on theory.

Required Readings

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

• Review      Chapter 3, “Change Theory and Models: Framework for Translation” (see attached file)
• Chapter      14, “Creating a Culture That Promotes Translation”
• Chapter      15, “Best Practices in Translation: Challenges and Barriers in      Translation” (see attached file)

Darling, F. (2016). Practitioners’ views and barriers to implementation of the Keeping Birth Normal tool: A pilot study. British Journal of Midwifery, 24(7), 508-519. (see attached file)

Sadeghi-Bazargani, H., Tabrizi, J.S., & Azami-Aghdash, S. (2014). Barriers to evidence-based medicine: a systematic review. Journal of Evaluation in Clinical Practice, 20, 793-802. (see attached file)

Smith, E.L., Rice, K.L., & Agrell-Kann, M. (2015). Improving quality outcomes using a champion model for ancillary nursing staff, Journal of Continuing Education in Nursing, 46(12), 539-541. (see attached file)

PIICOT Question

In patients in extended intensive care within an urban acute care facility in Eastern United States, how does early mobilization as recommended by National Institute of Health and Care Excellence clinical guidelines on rehabilitation of patients after critical illness impact early transfers from intensive care as measured 6 months post-implementation when compared to the current standard of care including minimal mobilization of patients?

P: Adult patients 

I: in extended intensive care within an urban acute care facility

I: increased mobilization of the patients 

C: minimal mobilization of the patients

O: early transfers of the patients from intensive care

T: 6 months