Proposing a New Initiative (Ass#1) 6008 2025

Assessment 1 • Proposing a New Initiative Research an economic opportunity that might be available within your health care setting that will provide ethical and culturally equitable improvements to the quality of care. Then, write a 2–4-page proposal for an initiative to take advantage of that opportunity, supported with economic data and an analysis of the prospective benefits. Note: Each assessment in this course builds upon the work you have completed in previous assessments. Therefore, you must complete the assessments in the order in which they are presented. Master’s-level health care practitioners are charged with the responsibility of constantly scanning the external environment for shifts in the supply of, and demand for, services. Concurrently, leaders must examine their organization’s strategic direction and determine whether adjustments must be made to current service offerings, whether equipment updates are needed, whether staffing models should be changed, and whether other decisions must be made. Each decision that is proposed must be evaluated in terms of the organization as a system, alignment with the organization’s mission and strategy, available internal resources, potential contract and payer source implications, and the short- and long-term economic effects at both the micro and macro levels. Health Care Supply and Demand The following multimedia animation illustrates elastic and inelastic demand curves, with changes in price. Medical Care Demand Elasticities. The following multimedia simulation presents the many concerns of stakeholders about the potential effects on an existing hospital system of a proposed mobile clinic for veterans with PTSD. Vila Health: A New Mobile Clinic. The following multimedia self-check activities will aid you in defining terms commonly used in discussions of health care economics. The Demand for Health. U.S. Health Care System Issues. Understanding supply and demand in health care can be crucial to effective cost management and fiscal responsibility. This author explains the concept well by the use of examples and strategies for success. Indresano, R. (2016). How to rebalance the supply-demand scales in healthcare. Retrieved from https://www.beckershospitalreview.com/patient-engagement/how-to-rebalance-the-supply-demand-scales-in-healthcare.html The following article addresses the how and why behind the concept of spending efficiently in health care organizations. Examining the costs and benefits of economic opportunities is the key to success for leaders that know how to do more with less. Doi, S., Ide, H., & Takeuchi, K., Fujita, S., & Takabayashi, K. (2017). Estimation and evaluation of future demand and supply of healthcare services based on a patient access area model. International Journal of Environmental Research and Public Health, 14(11), 1367–1381. Health Care Costs The following article provides a good example of the impact that the current health care environment has had on the practice of nurse practitioners. Many of these restrictions are similar toother disciplines, while others are unique to health care providers. This is important from the perspective of both the care giver and patients. Chattopadhyay, S., & Zangaro, G. (2019). The economic cost and impacts of scope of practice restrictions on nurse practitioners. Nursing Economics, 37(6), 273–283. The following article addresses the financial impact of health care and why health care executives and leaders play such a fiduciary role between the organization and environment. What is revealed is why the application of research and best practices becomes paramount for successful fiscal management for health care organization’s viability and sustainability. Lyford, S., & Lash, T. A. (2019). America’s healthcare cost crisis: As the costs of U.S. healthcare continue to escalate, three commonsense reforms could reverse this unsustainable trend. Generations, 7–12. Economic Initiatives The following articles address the critical importance of aligning the quality of patient care initiatives with cost-effectiveness. The creation of service lines and the improvement of current practices must be sustainable and realistic to meet the challenges of ongoing performance improvement from the perspective of productivity standards. Bennett, L. E., Jewell, V. D., Scheirton, L., McCarthy, M., & Muir, B. C. (2019). Productivity standards and the impact on quality of care: A national survey of inpatient rehabilitation professionals. Open Journal of Occupational Therapy, 7(4), 1–11. Lin, C., Romley, J. A., & Carlin, C. (2018). The relationship between the patient-centered medical homes, healthcare expenditures, and quality of care among children with special health care needs. Maternal & Child Health Journal, 22(12), 1751–1760. The following article addresses the provision of free health care services and the evaluation of the program’s impacts. Edoka, I., Ensor, T., McPake, B., Amara, R., Tseng, F.-M., & Edem-Hotah, J. (2016). Free health care for under-fives, expectant and recent mothers? Evaluating the impact of Sierra Leone’s free health care initiative. Health Economics Review, 6(19), 1–15. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4877339/ The following interesting article provides the perspective of the cost evaluation process with use of a trial for a new initiative. It can be identified why a trial run can be benefit when exploring the opportunities for management of the costs from before and after the plan is implemented. Panagioti, M., Reeves, D., Meacock, R., Parkinson, B., Lovell, K., Hann, M., . . . Bower, P. (2018). Is telephone health coaching a useful population health strategy for supporting older people with multimorbidity? An evaluation of reach, effectiveness and cost-effectiveness using a ‘trial within a cohort’. BMC Medicine, 16(1), 1–15. The following article addresses the impact of an economic initiative on cost, utilization, and outcomes. Rhodes, K. V., Basseyn, S., Gallop, R., Noll, E., Rothbard, A., & Crits-Christoph, P. (2016). Pennsylvania’s medical home initiative: Reductions in healthcare utilization and cost among Medicaid patients with medical and psychiatric comorbidities. Journal of General Internal Medicine, 31(11), 1373–1381. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5071276/ Ethical and Cultural Issues The systemic review findings in the following article include evidence that interventions to improve cultural competency can improve patient or client health outcomes. Truong, M., Paradies, Y., & Priest, N. (2014). Interventions to improve cultural competency in healthcare: A systematic review of reviews. BMC Health Services Research, 14, 99. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3946184/ Library Research Guides You may choose other resources to prepare for this assessment; however, you will need to ensure that they are appropriate, credible, and valid. The following library guides can help direct your research. MHA Program Library Guide. MSN Program Library Research Guide. Public Health Masters Program Library Guide. Additional Resources for Further Exploration Review the following: Centers for Disease Control and Prevention. (n.d.). National Center for Health Statistics. Retrieved from http://www.cdc.gov/nchs/ Centers for Medicare & Medicaid Services. (n.d.). Retrieved from http://cms.gov/ National Institutes of Health. (n.d.). Retrieved from http://www.nih.gov/ Assessment Instructions Research an economic opportunity that might be available within your health care setting—at both micro (departmental, neighborhood) and macro (organizational, community) levels—that you believe will provide ethical and culturally equitable improvements to the quality of care. Then, propose an initiative to take advantage of that opportunity. Support your proposal with economic data (sector growth, supply versus demand, cost versus reimbursement, et cetera) and an analysis of the prospective benefits for your department and for the organization overall. Such economic opportunities might include offering a new service line, working to improve a service line already offered, retiring an outdated or unprofitable service line, or any other initiative you believe will be of benefit to your organization in the short and long term. One example is a recently launched partnership with a local bicycle sharing company. Your organization partners with them to host healthy community events that offer free screenings for early detection of various health issues. Free screenings help fulfill some of your organization’s preventive and healthy lifestyle initiatives, while also potentially driving referrals to other services provided by your organization. Note: Your proposal will serve as the basis for subsequent assessments in this course. Note: Remember that you can submit all, or a portion of, your draft proposal to Smarthinking for feedback before you submit the final version for this assessment. If you plan on using this free service, be mindful of the turnaround time of 24–48 hours for receiving feedback. Requirements The requirements for your proposal, outlined below, correspond to the scoring guide criteria, so be sure to address each main point. Read the performance-level descriptions for each criterion to see how your work will be assessed. In addition, be sure to note the requirements for document format, length, and supporting evidence. Explain why your proposed initiative presents a viable and beneficial economic opportunity for your organization. Describe your proposed service line or economic initiative. Explain why your proposal presents an economic opportunity at the micro level and macro level. Explain how your proposed initiative will provide ethical and culturally equitable improvements to the quality of care. Analyze the economic factors of supply and demand associated with your proposed initiative, within a context relevant to your organization or care setting. What do economic and demographic data suggest is the supply and demand? What additional information would improve your analysis? Explain how relevant economic and environmental data support your proposed initiative. How does the data illustrate a potential opportunity and the economic viability of your proposal? Write concisely and directly, using active voice. Proofread your proposal before you submit it to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your proposal. Support main points, assertions, arguments, conclusions, or recommendations with relevant and credible evidence. Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like: Assessment 1 Example [PDF]. Additional Requirements Your assessment should also meet the following requirements: Format: Format your proposal using current APA style. Use the APA Style Paper Template [DOCX]. An APA Style Paper Tutorial [DOCX] is also provided to help you in writing and formatting your proposal. Be sure to include: A title page and references page. An abstract is not required. A running head on all pages. Appropriate section headings. Length: Your proposal should be 2–4 pages in length, not including the title page and references page. Supporting evidence: Cite 3–5 authoritative and scholarly resources to support your proposal. Be sure that your sources include specific economic data. Note: Faculty may use the Writing Feedback Tool when grading this assessment. The Writing Feedback Tool is designed to provide you with guidance and resources to develop your writing based on five core skills. You will find writing feedback in the Scoring Guide for the assessment, after your work has been evaluated. Portfolio Prompt: You may choose to save your proposal to your ePortfolio. Competencies Measured By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment scoring guide criteria: Competency 1: Analyze the effects of financial and economic factors (such as cost-benefit, supply and demand, return on investment, and risks) in a health care system on patient care, services offered, and organizational structures and operation. Analyze the economic factors of supply and demand associated with a proposed initiative, within a context relevant to a particular organization or care setting. Competency 2: Develop ethical and culturally equitable solutions to economic problems within a health care organization in an effort to improve the quality of care and services offered. Explain why a proposed initiative presents a viable and beneficial economic opportunity for an organization. Competency 3: Justify the qualitative and quantitative information used to guide economic decision making to stakeholders and colleagues. Explain how relevant economic and environmental data support a proposed initiative. Competency 5: Produce clear, coherent, and professional written work, in accordance with Capella writing standards. Write concisely and directly using active voice. Support main points, assertions, arguments, conclusions, or recommendations with relevant and credible evidence.

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Case Study: Mrs. J. 2025

It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span. Evaluate the Health History and Medical Information for Mrs. J., presented below. Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below. Health History and Medical Information Health History Mrs. J. is a 63-year-old married woman who has a history of hypertension, chronic heart failure, and chronic obstructive pulmonary disease (COPD). Despite requiring 2L of oxygen/nasal cannula at home during activity, she continues to smoke two packs of cigarettes a day and has done so for 40 years. Three days ago, she had sudden onset of flu-like symptoms including fever, productive cough, nausea, and malaise. Over the past 3 days, she has been unable to perform ADLs and has required assistance in walking short distances. She has not taken her antihypertensive medications or medications to control her heart failure for 3 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure and acute exacerbation of COPD. Subjective Data Is very anxious and asks whether she is going to die. Denies pain but says she feels like she cannot get enough air. Says her heart feels like it is “running away.” Reports that she is exhausted and cannot eat or drink by herself. Objective Data Height 175 cm; Weight 95.5kg. Vital signs: T 37.6C, HR 118 and irregular, RR 34, BP 90/58. Cardiovascular: Distant S1, S2, S3 present; PMI at sixth ICS and faint: all peripheral pulses are 1+; bilateral jugular vein distention; initial cardiac monitoring indicates a ventricular rate of 132 and atrial fibrillation. Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%. Gastrointestinal: BS present: hepatomegaly 4cm below costal margin. Intervention The following medications administered through drug therapy control her symptoms: IV furosemide (Lasix) Enalapril (Vasotec) Metoprolol (Lopressor) IV morphine sulphate (Morphine) Inhaled short-acting bronchodilator (ProAir HFA) Inhaled corticosteroid (Flovent HFA) Oxygen delivered at 2L/ NC Critical Thinking Essay In 750-1,000 words, critically evaluate Mrs. J.’s situation. Include the following: Describe the clinical manifestations present in Mrs. J. Discuss whether the nursing interventions at the time of her admissions were appropriate for Mrs. J. and explain the rationale for each of the medications listed. Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition. Taking into consideration the fact that most mature adults take at least six prescription medications, discuss four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients. Provide a rationale for each of the interventions you recommend. Provide a health promotion and restoration teaching plan for Mrs. J., including multidisciplinary resources for rehabilitation and any modifications that may be needed. Explain how the rehabilitation resources and modifications will assist the patients’ transition to independence. Describe a method for providing education for Mrs. J. regarding medications that need to be maintained to prevent future hospital admission. Provide rationale. Outline COPD triggers that can increase exacerbation frequency, resulting in return visits. Considering Mrs. J.’s current and long-term tobacco use, discuss what options for smoking cessation should be offered. You are required to cite to a minimum of two 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. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

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WK8 ASSIGN 2 6630 2025

Assignment 2: Assessing and Treating Patients With Sleep/Wake Disorders Sleep disorders are conditions that result in changes in an individual’s pattern of sleep (Mayo Clinic, 2020). Not surprisingly, a sleep disorder can affect an individual’s overall health, safety, and quality of life. Psychiatric nurse practitioners can treat sleep disorders with psychopharmacologic treatments, however, many of these drugs can have negative effects on other aspects of a patient’s health and well-being. Additionally, while psychopharmacologic treatments may be able to address issues with sleep, they can also exert potential challenges with waking patterns. Thus, it is important for the psychiatric nurse practitioner to carefully evaluate the best psychopharmacologic treatments for patients that present with sleep/wake disorders. Reference: Mayo Clinic. (2020). Sleep disorders . https://www.mayoclinic.org/diseases-conditions/sleep-disorders/symptoms-causes/syc-20354018 To prepare for this Assignment: Review this week’s Learning Resources, including the Medication Resources indicated for this week. Reflect on the psychopharmacologic treatments you might recommend for the assessment and treatment of patients with sleep/wake disorders. The Assignment: 5 pages Examine Case Study: Pharmacologic Approaches to the Treatment of Insomnia in a Younger Adult. You will be asked to make three decisions concerning the medication to prescribe to this patient. Be sure to consider factors that might impact the patient’s pharmacokinetic and pharmacodynamic processes. At each decision point, you should evaluate all options before selecting your decision and moving throughout the exercise. Before you make your decision, make sure that you have researched each option and that you evaluate the decision that you will select. Be sure to research each option using the primary literature. Introduction to the case (1 page) Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient. Decision #1 (1 page) Which decision did you select? Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature. Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature. What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature). Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples. Decision #2 (1 page) Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature. Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature. What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature). Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples. Decision #3 (1 page) Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature. Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature. What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature). Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples. Conclusion (1 page) Summarize your recommendations on the treatment options you selected for this patient. Be sure to justify your recommendations and support your response with clinically relevant and patient-specific resources, including the primary literature. Note: Support your rationale with a minimum of five academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement. You should be utilizing the primary and secondary literature. Reminder : The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at https://academicguides.waldenu.edu/writingcenter/templates/general#s-lg-box-20293632). All papers submitted must use this formatting. Learning Resources Required Readings (click to expand/reduce) American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.) . https://doi.org/10.1176/appi.books.9780890425596 Fernandez-Mendoza, J., & Vgontzas, A. N. (2013). Insomnia and its impact on physical and mental health. Current Psychiatry Reports, 15 (12), 418. https://doi.org/10.1007/s11920-012-0418-8 Levenson, J. C., Kay, D. B., & Buysse, D. J. (2015). The pathophysiology of insomnia. Chest, 147 (4), 1179–1192. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4388122/ Morgenthaler, T. I., Kapur, V. K., Brown, T. M., Swick, T. J., Alessi, C., Aurora, R. N., Boehlecke, B., Chesson, A. L., Friedman, L., Maganti, R., Owens, J., Pancer, J., & Zak, R. (2007). Practice parameters for the treatment of narcolepsy and other hypersomnias of central origin. SLEEP, 30 (12), 1705–1711. https://j2vjt3dnbra3ps7ll1clb4q2-wpengine.netdna-ssl.com/wp-content/uploads/2017/07/PP_Narcolepsy.pdf Morgenthaler, T. I., Owens, J., Alessi, C., Boehlecke, B, Brown, T. M., Coleman, J., Friedman, L., Kapur, V. K., Lee-Chiong, T., Pancer, J., & Swick, T. J. (2006). Practice parameters for behavioral treatment of bedtime problems and night wakings in infants and young children. SLEEP , 29 (1), 1277–1281. https://j2vjt3dnbra3ps7ll1clb4q2-wpengine.netdna-ssl.com/wp-content/uploads/2017/07/PP_NightWakingsChildren.pdf Sateia, M. J., Buysse, D. J., Krystal, A. D., Neubauer, D. N., & Heald, J. L. (2017). Clinical practice guideline for the pharmacologic treatment of chronic insomnia in adults: An American Academy of Sleep Medicine clinical practice guideline. Journal of Clinical Sleep Medicine, 13 (2), 307–349. https://jcsm.aasm.org/doi/pdf/10.5664/jcsm.6470 Winkleman, J. W. (2015). Insomnia disorder. The New England Journal of Medicine, 373 (15), 1437–1444. https://doi.org/10.1056/NEJMcp1412740 Medication Resources (click to expand/reduce) IBM Corporation. (2020). IBM Micromedex . https://www.micromedexsolutions.com/micromedex2/librarian/deeplinkaccess?source=deepLink&institution=SZMC%5ESZMC%5ET43537 Note: To access the following medications, use the IBM Micromedex resource. Type the name of each medication in the keyword search bar. Be sure to read all sections on the left navigation bar related to each medication’s result page, as this information will be helpful for your review in preparation for your Assignments. alprazolam amitriptyline amoxapine amphetamine desipramine diazepam doxepin eszopiclone flunitrazepam flurazepam hydroxyzine imipramine lemborexant lorazepam melatonin methylphenedate modafinil armodafinil carnitine clomipramine clonazepam nortriptyline pitolisant ramelteon sodium oxybate solriamfetol SSRI’s temazepam trazodone triazolam trimipramine wellbutrin zaleplon zolpidem Insomnia 31-year-old Male BACKGROUND This week, we examine a 31-year-old male who presents to the office with a chief complaint of insomnia. SUBJECTIVE Patient is a 31-year-old male. He states that his insomnia has gotten progressively worse over the past 6 months. Per the patient, he has never been a “great sleeper” but is now having difficulty both falling asleep and staying asleep at night. The problem began approximately 6 months ago after the sudden loss of his fiancé. The patient states this is affecting his ability to perform his job, which is a forklift operator at a local chemical company. The patient states he has used diphenhydramine in the past to sleep but does not like the way it makes him feel the morning after. He states he has fallen asleep on the job due to lack of sleep from the night before. The patient’s medical record from his previous physician states that he has a history of opiate abuse, which began after he broke his ankle in a skiing accident and was prescribed hydrocodone/apap (acetaminophen) for acute pain management. The patient has not received a prescription for an opiate analgesic in 4 years. The patient states recently he has been using alcohol to help him fall asleep, approximately four beers prior to bed. MENTAL STATUS EXAM The patient is alert and oriented to person, place, time, event. He makes good eye contact and is dressed appropriately for time of year. He denies auditory/visual hallucinations. Judgement, insight, and reality contact are all intact. Patient denies suicidal/homicidal ideation, and is future oriented. Decision Point One Select what you should do: Zolpidem: 10 mg daily at bedtime Trazodone: 50–100 mg daily at bedtime Hydroxyzine: 50 mg daily at bedtime Insomnia 31-year-old Male Decision Point One Zolpidem: 10 mg daily at bedtime RESULTS OF DECISION POINT ONE Patient returns to clinic in 2 weeks. Patient states the medication “knocked him out” but felt he slept well. His new girlfriend was concerned as he woke up in the middle of the night and cooked breakfast, yet the patient has no recollection of the occurrence. Patient states that the medication helps him sleep especially well when taken with a beer right before bedtime. Patient denies auditory/visual hallucinations and is future oriented. Decision Point Two Decrease zolpidem to 5 mg daily at bedtime RESULTS OF DECISION POINT TWO Patient returns to clinic in 2 weeks. Patient states his episodes of “nighttime activity” has greatly decreased. His girlfriend told him that one time in the 2 weeks he got up and was getting ready to go for a drive. Patient denies auditory/visual hallucinations and is future oriented. Patient states that he likes the way the zolpidem helps him sleep and “is good with continuing to take it if most of the time I sleep through the night undisturbed.” Decision Point Three Select what you should do next: Maintain dose. Patient to return in 4 weeks for follow up appointment Discontinue zolpidem 5 mg tablets. Initiate therapy with Intermezzo 5 mg sublingual tablet nightly at bedtime, as needed. Follow up in 4 weeks Discontinue zolpidem. Initiate therapy with trazodone 50 mg nightly at bedtime. Instruct patient he may take up to 100 mg if 50 mg is ineffective. Follow up in 4 weeks Insomnia 31-year-old Male Decision Point One Zolpidem: 10 mg daily at bedtime RESULTS OF DECISION POINT ONE Patient returns to clinic in 2 weeks. Patient states the medication “knocked him out” but felt he slept well. His new girlfriend was concerned as he woke up in the middle of the night and cooked breakfast, yet the patient has no recollection of the occurrence. Patient states that the medication helps him sleep especially well when taken with a beer right before bedtime. Patient denies auditory/visual hallucinations and is future oriented. Decision Point Two Decrease zolpidem to 5 mg daily at bedtime RESULTS OF DECISION POINT TWO Patient returns to clinic in 2 weeks. Patient states his episodes of “nighttime activity” has greatly decreased. His girlfriend told him that one time in the 2 weeks he got up and was getting ready to go for a drive. Patient denies auditory/visual hallucinations and is future oriented. Patient states that he likes the way the zolpidem helps him sleep and “is good with continuing to take it if most of the time I sleep through the night undisturbed.” Decision Point Three Maintain dose. Patient to return in 4 weeks for follow up appointment Guidance to Student Zolpidem is a medication that has a host of negative side effects. It should not be the first choice of therapy due to these side effects. Caution must be exercised if prescribing this medication to a patient. The patient should be instructed not to mix the medication with alcohol or any other medication unless first speaking with their provider. In this case, the patient is experiencing complex sleep behavior. It is prudent as the patient’s healthcare provider to discontinue this medication and prescribe something different. Trazodone is a selective serotonin reuptake inhibitor that is a much safer choice. In adults you will want to start with 50mg at bedtime and titrate up as needed. USE 6 RESOURCES FROM SCHOOL RESOURCES

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study plan 2025

Reflect on the study plan you created in NRNP . Did you accomplish your SMART goals? What areas of focus still present opportunities for growth? The Assignment Revise your study plan summarizing your current strengths and opportunities for improvement. Develop 3–4 new SMART goals for this quarter and the tasks you need to complete to accomplish each goal. Include a timetable for accomplishing them and a description of how you will measure your progress. Describe resources you would use to accomplish your goals and tasks, such as ways to participate in a study group or review course, mnemonics and other mental strategies, and print or online resources you could use to study.

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Benchmark – Hospital-Associated Infections Data 2025

The purpose of this assignment is to examine health care data on hospital-associated infections and determine the best methods for presenting the data to stakeholders. Use the scenario below and the “Hospital Associated Infections Data” Excel spreadsheet to complete the assignment. Scenario You have been tasked with displaying Centers for Medicare and Medicaid Services (CMS) hospital quality measures data for a 5-year period on four quality measures at your site. After examining the data, identify trends and determine the best way to present the actionable information to stakeholders. Assignment Create a 10-15 slide PowerPoint presenting the data to the stakeholders. Address the following in your PowerPoint: What conclusions can be drawn for each quality measure over the 5-year period? What trends do you see for each quality measure over the 5-year period? When comparing each quality measure, is the quality measure better than, worse than, or no different from the national benchmark over time? Based on your examination of the data, which of the quality measures should you prioritize and why? Develop a quality improvement metric and related measures to improve care processes, outcomes, and the patient experience relating to the identified area of opportunity. Explain how you would monitor the metric and use collected data for improvement. Include a title slide, references slide, and comprehensive speaker notes. Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style. While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center. 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 not required to submit this assignment to LopesWrite. This benchmark assignment assesses the following programmatic competency: MSN Emphasis in Leadership in Health Care Systems 6.6 Develop and monitor continuous quality improvement metrics and measures to improve care processes, outcomes, and the patient experience. Attachments

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