. Write a 350- to 525-word article that discusses key stakeholders in the health care sector in which you work. Include the following in your article:

• A brief introduction to the health care sector in which you work.
• Identify key internal stakeholders.
• Identify key external stakeholders.
• Evaluate strategies used to develop relationships with internal and external stakeholders.

  

As the school nurse working in a college health clinic, you see many opportunities to promote health. Maria is a 40-year-old Hispanic who is in her second year of nursing school. She complains of a 14-pound weight gain since starting school and is afraid of what this will do to both her appearance and health if the trend continues. After conducting her history, you learn that she is an excellent cook and she and her family love to eat foods that reflect their Hispanic heritage. She is married with two school-age children. She attends class a total of 15 hours per week, plus she must be present for 12 hours of labs and clinical. She maintains the household essentially by herself and does all the shopping, cooking, cleaning, and chauffeuring of the children. She states that she is lucky to get 6 hours of sleep per night, but that is okay with her. She lives 1 hour from campus and commutes each day. Using Healthy People 2020

(Links to an external site.)

Links to an external site.

and your text as a guide, answer the following questions.

What additional information would you like to gather from Maria?

What are Maria’s real and potential health risks?

Why is Maria’s culture important when obtaining the health assessment?

Pick one of Maria’s health risks. What would be one reasonable short-term goal for this risk?

What nursing interventions would you incorporate into Maria’s plan of care to assist her with meeting your chosen goal? Please provide rationale for your selections.

Jarvis, C. (2016). Physical examination & health assessment (7 th ed.) Philadelphia, PA: Saunders.

Using Improvement Science Models to Promote Quality and Safety   …while all changes do not lead to improvement, all improvement requires change.  —United States Agency for International Development  Improvement science models bring together research and evidence-based practice to identify the most effective ways to promote quality and safety in health care. As a central tenet of quality improvement, attention must be paid to the processes that contribute to outcomes.  In this Discussion, you examine quality improvement models and evaluate how they could be applied to address specific issues within health care organizations.  

To prepare: •Review the improvement models presented in the Learning Resources. 

•Evaluate each of the models and select two on which to focus for this Discussion. 

•Consider how each of the two models could be utilized in a health care organization to promote quality and safety. Think about the following: •How does the model bring together research and evidence-based practice to facilitate quality improvement? 

•How does the model contribute to a culture of quality and safety? 

•How does it address changes in process?  

•Reflect on the quality improvement issue and the health care setting that you are addressing for your Course Project. Of the two models that you have selected, determine which one you, as a nurse leader-manager, would use to address this issue. Also consider how this would relate to one or more of the IOM’s six aims for quality and safety.  

By Day 3  Post your analysis of how the two improvement models that you selected could foster a culture of quality and patient safety and facilitate changes in process that promote positive outcomes. Explain how you would use one of these models to address the quality improvement issue in the organization that you have selected for your Course Project, and how doing so would relate to one or more of the IOM’s six aims for improving quality and safety.

Required Readings  Hickey, J. V., & Brosnan, C. A. (2012). Evaluation of health care quality in advanced practice nursing. New York, NY: Springer Publishing Company.  

•Review Chapter 6, “Evaluating Health Care Information Systems and Patient Care Technology” (pp. 113–133) (assigned in Week 6)  This chapter examines federally mandated use of health information technology to improve health care and care delivery. In addition, technology competencies are discussed along with strategies for evaluating health information technologies in coordination with nurse informaticists.     

•Chapter 7, “Evaluation of Patient Care Standards, Guidelines, and Protocols” (pp. 135–158) (assigned in Week 4)  How can you know if an organization is delivering the best possible care? This chapter explores evaluation methods for patient care and discusses methods used to evaluate innovations that can lead to practice changes.   Sadeghi, S., Barzi, A., Mikhail, O., & Shabot, M. M. (2013). Integrating quality and strategy in health care organizations. Burlington, MA: Jones & Bartlett Learning.  

•Chapter 7, “Understanding Quality and Performance” (pp. 133–160) 

•Chapter 9, “Closing the Gaps” (pp. 179–194)  Altmann, T. K. (2007). An evaluation of the seminal work of Patricia Benner: Theory or philosophy? Contemporary Nurse: A Journal for the Australian Nursing Profession, 25(1/2), 114–123.  Retrieved from the Walden Library databases.     Altmann summarizes the foundational work of Benner’s novice to expert theory, reviews critiques, and outlines how Benner’s concepts are important in nursing.

  

Course Project: Part 3—Translating Evidence Into Practice

In Part 3 of the Course Project, you consider how the evidence you gathered during Part 2 can be translated into nursing practice.

Now that you have located available research on your PICOT question, you will examine what the research indicates about nursing practices. Connecting research evidence and findings to actual decisions and tasks that nurses complete in their daily practice is essentially what evidence-based practice is all about. This final component of the Course Project asks you to translate the evidence and data from your literature review into authentic practices that can be adopted to improve health care outcomes. In addition, you will also consider possible methods and strategies for disseminating evidence-based practices to your colleagues and to the broader health care field.

To prepare:

· Consider Parts 1 and 2 of your Course Project. How does the research address your PICOT question?

· With your PICOT question in mind, identify at least one nursing practice that is supported by the evidence in two or more of the articles from your literature review. Consider what the evidence indicates about how this practice contributes to better outcomes.

· Explore possible consequences of failing to adopt the evidence-based practice that you identified.

· Consider how you would disseminate information about this evidence-based practice throughout your organization or practice setting. How would you communicate the importance of the practice?

To complete:

In a 3- to 4-page paper:

· Restate your PICOT question and its significance to nursing practice.

· Summarize the findings from the articles you selected for your literature review. Describe at least one nursing practice that is supported by the evidence in the articles. Justify your response with specific references to at least 2 of the articles.

· Explain how the evidence-based practice that you identified contributes to better outcomes. In addition, identify potential negative outcomes that could result from failing to use the evidence-based practice.

· Outline the strategy for disseminating the evidence-based practice that you identified throughout your practice setting. Explain how you would communicate the importance of the practice to your colleagues. Describe how you would move from disseminating the information to implementing the evidence-based practice within your organization. How would you address concerns and opposition to the change in practice?