2025 The IOM published report Future of Nursing Leading Change Advancing Health makes recommendations

Reflection Paper 2025

The IOM published report, “Future of Nursing: Leading Change, Advancing Health,” makes recommendations for lifelong learning and achieving higher levels of education. In 1,000-words, examine the importance of nursing education and discuss your overall educational goals. Include the following: 1. Discuss your options in the job market based on your educational level. 2. Review the IOM Future of Nursing Recommendations for achieving higher levels of education. Describe what professional certification and advanced degrees (MSN, DNP, etc.) you want to pursue and explain your reasons for wanting to attain the education. Discuss your timeline for accomplishing these goals. 3. Discuss how increasing your level of education would affect how your competitiveness in the current job market and your role in the future of nursing. 4. Discuss the relationship of continuing nursing education to competency, attitudes, knowledge, and the ANA Scope and Standards for Practice and Code of Ethics. 5. Discuss whether continuing nursing education should be mandatory. Provide support for your response. You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice. Abstract and wrap up conclusion are necessary.

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2025 Review the Resources and examine the Clark Healthy Workplace Inventory found on page 20 of

Workplace Environment Assessment 2025

Review the Resources and examine the Clark Healthy Workplace Inventory, found on page 20 of Clark (2015). Review the Work Environment Assessment Template. Reflect on the output of your Discussion post regarding your evaluation of workplace civility and the feedback received from colleagues. Select and review one or more of the following articles found in the Resources: Clark, Olender, Cardoni, and Kenski (2011) Clark (2018) Clark (2015) Griffin and Clark (2014) The Assignment (3-6 pages total): Part 1: Work Environment Assessment (1-2 pages) Review the Work Environment Assessment Template you completed for this Module’s Discussion. Describe the results of the Work Environment Assessment you completed on your workplace. Identify two things that surprised you about the results and one idea you believed prior to conducting the Assessment that was confirmed. Explain what the results of the Assessment suggest about the health and civility of your workplace. Part 2: Reviewing the Literature (1-2 pages) Briefly describe the theory or concept presented in the article(s) you selected. Explain how the theory or concept presented in the article(s) relates to the results of your Work Environment Assessment. Explain how your organization could apply the theory highlighted in your selected article(s) to improve organizational health and/or create stronger work teams. Be specific and provide examples. Part 3: Evidence-Based Strategies to Create High-Performance Interprofessional Teams (1–2 pages) Recommend at least two strategies, supported in the literature, that can be implemented to address any shortcomings revealed in your Work Environment Assessment. Recommend at least two strategies that can be implemented to bolster successful practices revealed in your Work Environment Assessment. Incivility at the workplace is common in nursing education and clinical practice (Clark, Olender, Cardoni, & Kenski, 2011). Workplace incivility can be defined as repeated offensive, disrespectful, or discouraging behavior, misuse of power, or unfair punishments that make the receiver distressed and feel shamed; creating strain; and decreasing the employee’s self-confidence (Warner, Sommers, Zappa, & Thornlow, 2016). Uncivil behaviors can appear in different forms and may cause profound effects on their recipients. The work environment assessment of my workplace resulted in a score 35. According to Clark (2015), a score below 50 in the Clark Healthy Workplace Inventory indicates a very unhealthy work environment. It is surprising that two statements where the organization scored the highest were those that stated individuals and collective achievements are celebrated and publicized ; and that use of effective conflicts resolution skills, (Clark, 2015). The publicity and celebration of individual and collective achievements is a new thing that has just been initiated and we are going strong with it. The staffs are vastly knowledgeable on conflicts resolutions. The organization is neutral on communication, living by shared vision and employee are treated in fair and respectful manner. Somewhat untrue about communication. The organization scored low in all other aspect of the assessment. Going by this score form Workplace assessment, I will say the organization is a very unhealthy place. We discuss this almost every day with other staff in my department. Unhealthy place is not safe for both staff and even patients Communication is very poor. Nobody has the idea of when decisions are made which means staffs are excluded from decision making. The staff feels that Patient’s acuity is not put into consideration before staffing is made which made the workload voluminous and makes the environment unsafe. Staff from other departments with no basic knowledge of crisis prevention intervention are been thrown to the psychiatry units. The staff doesn’t feel supported by the management. The organization is not able to retain staff because the salary is not competitive enough and are not true to their words in terms of benefits, so there is very high turnover of staff. Only few staff has stayed for more than 2 years. Most new staff leaves between 2 weeks and 6 months. One occasion of incivility that I have experienced was when the supervisor spoke to me in a disrespectful manner because one unidentified person called from ER and asked if we had an extra mental health worker and I responded no. She said I was being unfair and there is a reason while they called for a help. I requested to speak to her in the staff room with one other staff that was with me when the call came in . She apologized after I had expressed myself because we were never staff with an extra staff. I couldn’t have sent any staff to ER because I have an agency staff working with me who does know these patients. I could have created an unsafe place for patient and the staffs when we were already short staff and an agency staff?. To create a high-performance team, implementation of strategies to improve work environment safety is necessary . To create an even stronger work team, it is vital that establishing excellent communication between employees be present in the organization. Respect and professional communication in a healthcare organization produces improved outcomes for patients and more civil employees (Griffin & Clark, 2014). References Clark, C. M. (2015). Conversations to inspire and promote a more civil workplace. American Nurse Today , 10 (11), 18-23. Retrieved from https://www.americannursetoday.com/wp-content/uploads/2015/11/ant11-CE-Civility-1023.pdf Clark, C. M., Olender, L., Cardoni, C., & Kenski, D. (2011). Fostering civility in nursing education and practice: Nurse leaders perspective. The Journal of Nursing Administration , 41 (7/8), 324-330. doi:10.1097/NNA.0b013e31822509c4 Griffin, M., & Clark, C. M. (2014). Revisiting cognitive rehearsal as an intervention against incivility and lateral violence in nursing: 10 years later. Journal of Continuing Education in Nursing , 45 (12), 535-542. doi:10.3928/00220124-20141122-02 Warrner, J., Sommers, K., Zappa, M., & Thornlow, D. (2016). Decreasing workplace incivility. Nursing Management , 47 (1), 22-30. doi: 10.1097/01.NUMA.0000475622.91398.c3

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2025 Answer the following questions and reply to at least two colleagues For the instructor assigned article this week what research

quantitative correlational study’s research 2025

Answer the following questions and reply to at least two colleagues: For the instructor assigned article this week, what research approach (basic vs. applied) is used in the study? What is the specific type of the research method, qualitative or quantitative? Why do you think the author(s) choose this method? What is the specific research design for this study? Give a rationale for why you think the author(s) chose this design. What other type of research design could be used for a study about this topic? Why would you choose to study the topic this way? Post your initial response by 2359 Wednesday of Module 2 Posts must be substantive and reflect thought and effort in the discussion. Always remember to cite and reference your resources appropriately using APA format. You should be using in-text citations in your initial response. Use in-text citations as needed in your replies.

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2025 Please use articles that are no more that 5 years old and have to be written by scholar authors

How has the emphasis on quality of care, patient safety, and clinical care outcomes been impacted by specific standards emanating from TJC and/or CMS? 2025

Please use articles that are no more that 5 years old and have to be written by scholar authors Promoting Safety and Quality In the article “Managing to Improve Quality: The Relationship Between Accreditation Standards, Safety Practices, and Patient Outcomes,” the authors discuss the growing trend by medical insurance companies to eliminate reimbursement for Never Events . As these types of mistakes should be easily preventable, hospitals have developed protocols to lessen or extinguish the occurrence of these events. In addition, The Joint Commission (TJC) and the Centers for Medicare & Medicaid Services (CMS) have developed core measures to guide health care providers’ efforts in improving patient safety and the quality of care delivered. Health care organizations have developed strategic agendas to help meet these standards and reduce the incidence of Never Events . Nurses significantly influence the overall quality of health care provided and play a pivotal role in improving patient outcomes. For this Discussion, you will consider the standards that are in place for nurses and how they can be used to improve quality of care. To prepare for this Discussion: Review the information at the Joint Commission and Centers for Medicare & Medicaid Services websites on the core measures and standards presented in this week’s Resources. Consider the nurse’s role in supporting the organization’s strategic agenda as it relates to improving clinical outcomes. Conduct an Internet search for either a Never Event or a core measure, and select one to address in your post. By Day 3 Respond to the following: How has the emphasis on quality of care, patient safety, and clinical care outcomes been impacted by specific standards emanating from TJC and/or CMS? Cite your selected core measure or Never Event in your response. What is the impact of the nurse’s role in clinical outcomes for the organization? Discuss nurse-specific challenges in influencing change in quality improvement. How does this influence the ability of the organization to achieve its strategic agenda? Support your response with references from the professional nursing literature. Note Initial Post: A 3-paragraph (at least 350 words) response. Be sure to use evidence from the readings and include in-text citations . Utilize essay-level writing practice and skills, including the use of transitional material and organizational frames . Avoid quotes; paraphrase to incorporate evidence into your own writing. A reference list is required. Use the most current evidence (usually ≤ 5 years old). By Day 7 Read two or more of your colleagues’ postings from the Discussion question (support with evidence if indicated).

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2025 The number of malpractice claims involving patient safety issues at your facility has doubled

week 4 nr 532 2025

The number of malpractice claims involving patient safety issues at your facility has doubled in the last quarter. Discuss a strategic plan to reduce the number of these claims. Be specific with your example and explanation. Based upon the person-centred nursing framework by McCormack and McCance (2017), how would presencing assist in this process?

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2025 Case Study Severely underweight 12 year old Hispanic girl with underweight parents who has been bullied in

Case Study Assignment: Assessment Tools and Diagnostic Tests in Adults and Children 2025

Case Study: Severely underweight 12-year-old Hispanic girl with underweight parents who has been bullied in school just recently Photo Credit: Getty Images/Hero Images For this Assignment, you will consider the validity and reliability of different assessment tools and diagnostic tests. You will explore issues such as sensitivity, specificity, and positive and negative predictive values. You will also consider examples of children with various weight issues. You will explore how you could effectively gather information and encourage parents and caregivers to be proactive about their children’s health and weight. To Prepare Review this week’s Learning Resources and consider factors that impact the validity and reliability of various assessment tools and diagnostic tests. You also will review examples of pediatric patients and their families as it relates to BMI. By Day 1 of this week, you will be assigned to one of the following Assignment options by your Instructor: Adult Assessment Tools or Diagnostic Tests (option 1), or Child Health Case (Option 2). Note: Please see the “Course Announcements” section of the classroom for your assignments from your Instructor. Search the Walden Library and credible sources for resources explaining the tool or test you were assigned. What is its purpose, how is it conducted, and what information does it gather? Also, as you search the Walden library and credible sources, consider what the literature discusses regarding the validity, reliability, sensitivity, specificity, predictive values, ethical dilemmas, and controversies related to the test or tool. If you are assigned Assignment Option 2 (Child), consider what health issues and risks may be relevant to the child in the health example. Based on the risks you identified, consider what further information you would need to gain a full understanding of the child’s health. Think about how you could gather this information in a sensitive fashion. Consider how you could encourage parents or caregivers to be proactive toward the child’s health. The Assignment Assignment (3–4 pages, not including title and reference pages) : Assignment Option 2: Child Health Case: Include the following: An explanation of the health issues and risks that are relevant to the child you were assigned. Describe additional information you would need in order to further assess his or her weight-related health. Identify and describe any risks and consider what further information you would need to gain a full understanding of the child’s health. Think about how you could gather this information in a sensitive fashion. Taking into account the parents’ and caregivers’ potential sensitivities, list at least three specific questions you would ask about the child to gather more information. Provide at least two strategies you could employ to encourage the parents or caregivers to be proactive about their child’s health and weight. Please pay attention to the case study 5 references not less than 5years zero plagiarism

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2025 Create a power point with the intended audience to be a community health department Focus on a

Natural disaster and the role of public health nurse 2025

· Create a power point with the intended audience to be a community health department. · Focus on a real or fictional disaster that has or could affect your area. For example, if you live on the Florida coast you might choose potential hurricane. Topic for the assignment is hurricane · Discuss the role of the Community Health Nurse in each stage of disaster. You should include a few slides on each stage of disaster: preparedness, response, recovery with specific activities and resources that the public health nurse would use in each stage.(Please refer to Chapter 25 for the stages Page 722) · Identify other agencies that might be involved. (Such as the, Police and emergency response team, organizations such the  American Red Cross, Department of Health and Human Services (HHS) ,The HHS National Disaster Medical System (NDMS), HHS Office of Emergency Preparedness (OEP) Other organization involved may be: salvation army, Community Emergency Response Team (CERT), The Humane Society of the United States, The World Vision) The assignment should be submitted in Power Point format, with at least 15 content slides (in addition to a title slide and reference slide) and include at least two scholarly sources(less than 5 years old) other than provided materials. Clark, M. J. (2015). Population and community health nursing (6th ed.). Boston, MA: Pearson Chapter 25 http://www.redcross.org/get-help/prepare-for-emergencies/be-red-cross-ready

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2025 Synthesis Identify 3 aha s as you have progressed through the program What are your thoughts

discussion question capstone 2025

Synthesis Identify 3 “aha’s” as you have progressed through the program. What are your thoughts now regarding the role of the professional nurse? How will your integrate related cultural and/or spiritual aspects into your role as a professional nurse? (Modules 2-7 Discussions must have citations and references) DO NOT FORGET TO ADD A CITATION AND REFERENCE FOR INITIAL POST

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2025 Sample Selection and Application You will enter Sentinel City via the link to begin your virtual experience by

Sample Selection and Application 2025

Sample Selection and Application You will enter Sentinel City® via the link to begin your virtual experience by taking a bus tour of Sentinel City®. Sentinel City® is a city just like your neighborhood. People live there from culturally diverse backgrounds. They vary in age, gender, and income level. Nurse researchers are unable to study the entire world so they choose “groups” or populations to study that actually mirror the population of interest. Your role is to experience the city and identify the “neighborhood” or sample that would provide the best place to study: Geriatrics South East Asians Poverty Pediatrics Once you have identified the neighborhoods, complete an analysis of any evidence-based practice intervention that applies to one population of your choice and describe how you would implement this in the Sentinel City® neighborhood. Remember, use resources that are interprofessional, evidence-based and focus on improving health outcomes. Helpful tips: Don’t forget to view the Sentinel City navigation tips. After choosing an avatar you may be able to teleport to the various areas by utilizing the interactive map. How do I find out about the people who live in each neighborhood? How do I find out who lives here? How do I find the city population? As you ride through the city you will be able to access the population statistics for each neighborhood. It will open on the left. You may pause the bus to view. You may also teleport to an area and choose the information icon. Where can I find information on seniors? You may pause the bus and select the rotating icon for specifics about seniors in the city What information is available about healthcare use in Sentinel City®? The Sentinel City® Healthcare System data is accessible by selecting the rotating icon. This selection will take you to a menu that has information on dentistry, vision, emergency, ambulatory care, integrated services, inpatient, pharmacy, and elderly. How do I know whom to sample for a research study? The researcher will often choose a population that contains the most number of subjects who have the study topic. For instance, to study children choose the area with the most children Where does a nurse find evidence-based practice recommendations? Visit the American Nurses Association Question: What type of health promoting activity is interprofessional? Think broadly consider nutrition (diet), Activity (exercise), Dental health, etc. Review these core competencies: Evidence-Based Practice – Core Competencies: Demonstrate an understanding of the basic elements of the research process and models for applying evidence to clinical practice. Sample Selection: Participate in the process of retrieval, appraisal, and synthesis of evidence in collaboration with other members of the healthcare team to improve patient outcomes. Interprofessional EBP Guidelines: Integrate evidence, clinical judgment, interprofessional perspectives, and patient preferences in planning, implementing, and evaluating outcomes of care. Interprofessional EBP Guidelines: Collaborate in the collection, documentation, and dissemination of evidence. Explore Research Literature for EBP Guidelines: Acquire an understanding of the process for how nursing and related healthcare quality and safety measures are developed, validated, and endorsed. Application of the PICO Model to Nursing Care: Describe mechanisms to resolve identified practice discrepancies between identified standards and practice that may adversely impact patient outcomes. Suggested Reading Read: Houser, J. (2018). Nursing research: Readings, using & creating evidence (4th ed.). Burlington, MA: Jones & Bartlett Learning. Chapter 7, p. 157-185 Chapter 8, p. 189-226 Chapter 9, 229-252 Valerio, M. A., Rodriguez, N., Winkler, P., Lopez, J., Dennison, M., & Yuanyuan Liangrbara, J. T. (2016). Comparing two sampling methods to engage hard-to-reach communities in research priority setting. BMC Medical Research Methodology, 16 doi: http://dx.doi.org.americansentinel.idm.oclc.org/10.1186/s12874-016-0242-z Additional Instructions: All submissions should have a title page and reference page. Utilize a minimum of two scholarly resources. Adhere to grammar, spelling and punctuation criteria. Adhere to APA compliance guidelines. Adhere to the chosen Submission Option for Delivery of Activity guidelines. Submission Options: Choose One: Instructions: Paper 4 to 6-page paper. Include title and reference pages.

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2025 Analyze and Apply Dashboard Data Create a presentation maximum of 20 slides with detailed speaker notes for senior leadership

4004-4 2025

Analyze and Apply Dashboard Data Create a presentation (maximum of 20 slides with detailed speaker notes) for senior leadership in which four organizational leaders analyze the impact of a health care organization’s new safety and quality dashboard. Include an analysis of what the new metrics mean and how they will inform departmental activities for the next quarter. “Being in a position of leadership is the most important job of any health professional anywhere along the continuum of care” (Ledlow & Coppola, 2013, p. 3). Leaders and ultimately the boards of directors of health care organizations are accountable for the safety of those they serve.” National quality organizations and regulatory bodies … are growing in their emphasis on leadership accountabilities for safe, reliable care as well as excellence in the experience of care” (Youngberg, 2013, p. 39). With this emphasis on leadership accountability for the delivery of safe, high-quality health care services, health care leaders need to be able to drill down on what exactly safety and quality mean in the health care environment. Likewise, they also need to be able to design measures that help to ensure their organizations are able to deliver those kinds of outcomes. Read Measurement Perspectives attached to question [PDF] to examine key elements related to this issue. In this final course assessment, you will have a unique opportunity to examine a health care organization’s safety and quality dashboard from the perspective of four organizational leaders. You will explore each leader’s specific interests regarding patient safety and quality. In particular, you will have the opportunity to perform a more in-depth analysis of the dashboard, the type of analysis a quality director might perform to further the organization’s safety and quality objectives. References Ledlow, G. R., & Coppola, M. N. (2013). Leadership for health professionals (2nd ed.). Burlington, MA: Jones & Bartlett Learning. Youngberg, B. J. (2013). Patient safety handbook (2nd ed.). Burlington, MA: Jones & Bartlett Learning. Demonstration of Proficiency By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria: Competency 1: Analyze the quality and performance improvement activities within the health care organization. Recommend evidence-based actions to improve a selected measure on a health care organization’s safety and quality dashboard. Competency 2: Explain the risk management function in the health care organization. Analyze areas of a safety and quality dashboard of concern to a risk manager. Competency 3: Analyze the importance of patient safety in health care. Describe how a health care organization chooses the metrics to include in its safety and quality dashboard. Analyze areas of a safety and quality dashboard of concern to a patient safety officer. Competency 4: Apply leadership strategies to quality improvement in a health care organization. Assess senior leadership’s role in setting a health care organization’s strategic safety and quality objectives. Competency 5: Communicate in a manner that is scholarly, professional, and respectful of the diversity, dignity, and integrity of others and is consistent with health care professionals. Create a clear, organized, persuasive, and generally error-free presentation on a leadership team’s assessment of an organization’s safety and quality dashboard that is reflective of professional communication in the health care field. Provide citations and title and reference pages that conform to APA style and format. Preparation To help prepare for successfully completing this assessment: Download the Sample Presentation Guide [PPTX] . Use this as a starting point or guide as you develop your presentation. Instructions Your organization has just updated its safety and quality dashboard. Please review the Vila Health Mercy Hospital Safety and Quality Dashboard Attached to this question [PDF] . Note: You do not need to create a dashboard for this assessment. You are simply being asked to work with the one provided. The CEO has asked each of the organizational leaders below to prepare a joint PowerPoint presentation. In it, they are to prepare a set of slides outlining their analysis of how the new numbers will inform their particular activities for the next quarter. The organizational leaders include: The quality director. The patient safety officer. The risk manager. Senior leadership. Because of the quality director’s critical role in implementing the organization’s safety and quality strategic objectives, this individual will open the presentation and provide additional background about how the new dashboard was developed. This individual will also close the presentation. Use the following outline to organize your presentation. Be sure to include the introduction and conclusion and address all the questions listed under these headings. Also be sure to address each role and the corresponding questions. Introduction (3–4 slides) What is a safety and quality dashboard? What role do safety and quality dashboards play in helping health care organizations drive their strategic safety and quality objectives? How do health care organization determine what they want to measure? Be sure to consider: Pressures from regulators, payors, and the industry. Self-identified improvement areas. For example, one organization’s safety and quality dashboard may highlight patient falls because its rate of falls is higher than the national average. This may also have resulted in increased costs to the organization. What CQI tools did the organization use to obtain, measure, and report data? What was the quality improvement team’s role in addressing the reported measures? Quality Director (2–3 slides) Which metric on the dashboard would draw the quality director’s attention the most? What does this dashboard metric mean and why is it important? What three recommendations to leadership would help to address this metric? What (if any) quality models could be used to increase the quality of patient care and outcomes for this metric? Consider PDCA, Six Sigma, Lean, Hoshin Kanri planning, et cetera. Patient Safety Officer (2–3 slides) Which metric on the dashboard would draw the patient safety officer’s attention the most? What does this dashboard metric mean and why is it important? What role does the patient safety officer play in improving this metric? Risk Manager (2–3 slides) Which metric on the dashboard would draw the risk manager’s attention the most? What does this dashboard metric mean and why is it important? What role does the risk manager play in improving this metric? Senior Leader (1 slide) What is the role of senior leadership (for example, CEO, COO, president, senior VP) in driving safety and quality improvement initiatives? What next steps might senior leadership take given the dashboard findings and the quality director’s three improvement recommendations? Conclusion (2–3 slides) Which regulatory agency(ies) may be concerned about the findings in this dashboard? Why would regulators be concerned about these findings? Why are safety and quality dashboards important for monitoring key metrics in health care organizations? Your slides need to be concise and offer main ideas in bulleted format. Use the speaker notes to expand upon your findings as if they were the transcript of your presentation for the leadership team. In the health care environment, it is unlikely for a presentation and speaker notes to be in APA style. Do make sure they are concise, organized, clear, and free of errors in grammar, punctuation, and spelling. Do make sure they address all the required headings and all of the questions under each heading. Your senior leaders will want to know the sources of your information. Be sure to cite your sources in APA style in your speaker notes. Additional Requirements Presentation length: Your presentation should be a maximum of 20 slides, including title and reference slides. Format your title and reference slides according to APA format. Speaker notes: Be sure to include these with your slides. They provide an opportunity for you to expand on the information you are highlighting in your slides. Number of references: Cite a minimum of two references. Scoring Guide: Please read the scoring guide for this assessment so you understand how your faculty member is going to evaluate your work.

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