Clearly, diagnosis is a critical aspect of healthcare. However, the ultimate purpose of a diagnosis is the development and application of a series of treatments or protocols. Isolated recognition of a health issue does little to resolve it.

In this module’s Discussion, you applied the Clark Healthy Workplace Inventory to diagnose potential problems with the civility of your organization. In this Portfolio Assignment, you will continue to analyze the results and apply published research to the development of a proposed treatment for any issues uncovered by the assessment.

To Prepare:

• 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)

 Scenario

You are assigned to create a strategic plan that facilitates change to improve outcomes in your organization. Knowing that change is based on data, relative position within the dynamics of an organization, and a theoretical foundation, you agree to complete a SWOT analysis supported by a change theory.

Instructions

Generate a SWOT analysis that reflects an understanding of a problem within the context of the organization’s needs and potential for change. As a nurse leader or manager, develop your analysis based on a change theory to improve outcomes by addressing one of the following processes:

• Healing spaces
• Retention of new nurses
• Increase number of BSN RNs
• Nurse leader succession planning
• Clinical ladder

This SWOT analysis will include a description of the strengths of the proposed change, weaknesses within the context of the organization, opportunities for improving outcomes if the proposed change is implemented, and threats to the success of this proposal. A thorough analysis must include the following:

• Identify and integrate a change theory as the foundation of your SWOT analysis justifying the selection of the theory used.
• Description of the problem to be analyzed to promote a change and improve an outcome.
• SWOT analysis to include the following elements:
• Strengths of the proposal for change
• Weakness of the proposal within the context of the organization
• Opportunities for improved outcomes if the proposed change is implemented
• Threats to this proposal, both internal and external to the organization.
• Provides stated ideas with professional language and attribution for credible sources with correct APA citation, spelling, and grammar.

You are required to answer all the DISCUSSION QUESTIONS listed below in each domain.

DOMAIN: HISTORY
1a) Identify two (2) additional questions that were not asked in the case stud and should have been?
1b) Explain your rationale for asking these two additional questions.
1c) Describe what the two (2) additional questions might reveal about the patient’s health.

DOMAIN: PHYSICAL EXAMM
For each system examin in this case;
2a) Explain the reason the provider examin each system.
2b) Describe how the examM findings would be abnormal based on the information in this case. If it is a wellness visit, based on the patient’s age, describe what examM findings could be abnormal.
2c) Describe the normal findings for each system.
2d) Identify the various diagnostic instruments you would need to use to examin this patient.

DOMAIN: ASSESSMENT (Medical Diagnosis)
Discuss the pathophysiology of the:
3a) Diagnosis and,
3b) Each Differential Diagnosis
3c) If it is a Wellness, type ‘Not Applicable’

DOMAIN: LABORATORY & DIAGNOSTIC TESTS
Discuss the following:
4a) What labs should be ordered in the case?
4b) Discuss what lab results would be abnormal.
4c) Discuss what the abnormal lab values indicate.
4d) Discuss what diagnostic procedures you might want to order based on the medical diagnosis.
4e) If this is a wellness visit, discuss what the U.S. Preventive Taskforce recommends for patients in this age group.

PLEASE USE APA REFERENCES NO LONGER THEN 5 YEARS OLD. CASE STUDY IS ATTACHED PLEASE READ THROUGH ALL OF IT BEFORE ANSWERING THE QUESTIONS ABOVE. 

· You must respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts and supporting your opinion with a reference. Response posts must be at least 150 words. Your response (reply) posts are worth 2 points (1 point per response). Your post will include a salutation, response (150 words), and a reference.

· Quotes “…” cannot be used at a higher learning level for your assignments, so sentences need to be paraphrased and referenced.

· Acceptable references include scholarly journal articles or primary legal sources (statutes, court opinions), journal articles, and books published in the last five years—no websites or videos to be referenced without prior approval.

Discussion and responses must be posted in APA format for Canvas to receive full grades. Automatic deduction of 10% if not completed

To Prepare:

• Reflect on the four peer-reviewed articles you critically appraised in Module 4, related to your clinical topic of interest and PICOT.
• Reflect on your current healthcare organization and think about potential opportunities for evidence-based change, using your topic of interest and PICOT as the basis for your reflection.
• Consider the best method of disseminating the results of your presentation to an audience. 

The Assignment: Recommending an Evidence-Based Practice Change

Create an 8- to 9-slide narrated PowerPoint presentation in which you do the following:

• Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.)
• Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general.
• Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered.
• Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.
• Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.
• Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change.
• Be sure to provide APA citations of the supporting evidence-based peer reviewed articles you selected to support your thinking.
• Add a lessons learned section that includes the following:
  • A summary of the critical appraisal of the peer-reviewed articles you previously submitted
  • An explanation about what you learned from completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template (1-3 slides)

USE APPRAISAL Assignment as a resource