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2025 Assess the culture of the organization for potential challenges in incorporating the nursing practice intervention Use this assessment
by adminnursing capstone 2025
Assess the culture of the organization for potential challenges in incorporating the nursing practice intervention. Use this assessment when creating the strategic plan. Write a 150-250 word strategic plan defining how the nursing practice intervention will be implemented in the capstone project change proposal. APA style is not required, but solid academic writing is expected. You are not required to submit this assignment to LopesWrite.
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2025 You should respond to at least two of your peers by extending refuting correcting
by adminReply 1 Dis 4 415 2025
You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. All replies must be constructive and use literature where possible. Your assignment will be graded according to the grading rubric. As decisions are made to address changes in reimbursement in your workplace, how are these changes shared with the nursing staff? What suggestions do you have that could increase nurses’ awareness of health care financing issues? According to Harrington (2019), after an in-depth analysis of the current and the past state of activities in the healthcare sector, changes in healthcare reimbursement are still expected in the future. Several variables influence healthcare reimbursement, and some of them include the insurance payer, the hospital, and the state. To meet the requirements of universal healthcare and the demands in healthcare, some necessary changes are being made in the healthcare reimbursement. Some of these changes include the introduction and implementation of new policies such as ACO (Accountable Care Organizations) and ACA (Affordable Care Act). Accountable Care Organizations policy was adopted to lower the healthcare costs while at the same time, improving the quality of care. The Affordable Care Act was established to promote value-based reimbursement and initiative-based performance. This paper will, therefore, concentrate on how these changes are being shared with the nursing staff and provide suggestions on how to increase the nurses’ awareness of health care financing issues. Organizations are highly concerned about the changes in reimbursement, and therefore several decisions are being made in their actions. In the healthcare setting, making effective decisions emphasizes sharing the reimbursements challenges to the core stakeholders in the organization who include the nursing staff. In my workplace, shared governance is one of the instrumental approaches being used to share the changes with the nursing staff. This approach entails involving the nursing staff, which, in the process, promotes nurses’ engagement and accountability in the implementation of new reimbursement changes. The technique of shared governance is also helping to keep the nurses informed about the financial goals of the organization. Another technique that my workplace is using to share the new reimbursement changes with the nursing staff includes the buy-ins. The nursing staff buy-in help in supporting change through innovation, creating more opportunities, and responding to the external and internal threats (French-Bravo & Crow, 2015). My workplace is using this technique through creating awareness on the expected changes and therefore developing a sense of urgency. After this step of raising awareness, the nursing leaders are now used to communicate the nursing staff. In this case, the nursing leaders are selected based on the level of influence that they have on the nursing staff. The nurses are then expected to give their feedback, whereby their opinions are considered in the implementation of changes. There are several suggestions on some of the ways that can be instrumental in increasing nurses’ awareness of health care financing issues. One of the suggestions is putting more emphasis on the effectiveness of healthcare budgeting. The efficiency of the healthcare budgeting can be enhanced through empowering the nurses in the health care budgeting decision making. This will significantly help in motivating the nursing staff to put more effort into the effectiveness of healthcare budgeting, which helps to prevent financial losses. Another suggestion includes the healthcare organization offering training and development to the nursing staff. This will help in providing the nurses with more skills and information associated with financial management and healthcare financing. In conclusion, to effectively address the reimbursement changes, it calls for a requirement to share these changes with the nursing staff. They can be shared through the use of techniques like share governance and buy-ins. While these changes are being addressed, nurses are supposed to be engaged in the decision-making process. This kind of empowerment also significantly helps in addressing the financial issues in the healthcare organization. Also, to increase nurses’ awareness of health care financing issues, it is recommendable to offer training and development services to the nursing staff for them to gain instrumental skills in healthcare financing and financial management. Reply 2 Increase Nurses’ Awareness of Health Care Financing Issues Notable alterations in healthcare recompense are being felt to cushion the elevating healthcare challenges and attain universal healthcare. At the national position, several policies address reimbursement matters have been entrenched. One such strategy is the Affordable Care Act that prompts most healthcare agencies to adopt initiative-based achievement and value based on reimbursement policies. The incorporation of the latest changes in healthcare reimbursement is a switch from the fee-for-service set-up of compensation to the achievement-based refund. A related change in the reimbursement entails the initiation of Accountable Care Organizations (ACO) that aim at fostering care quality while decreasing the cost of care. Based on ACO, reimbursement of care occurs through fixed remission, varied upfront payment, or even varying monthly payments (Mechanic, 2016). To address the reimbursement changes, decisions are being made in my organization. In my opinion, effective decision making necessitates sharing the changes to the vital organizational stakeholders who include the nursing staff. One of the approaches being used by the organization to share these changes is through shared governance. The shared governance offers a set of guidelines regarding nurses` involvement in making organizational decisions. The nursing staff’s engagement in shared governance has promoted accountability and nurses` participation in the implementation of the new changes about reimbursement. Notably, shared governance has increased the level of nurses` awareness concerning organizational financial goals. This increase is well communicated through having clear financial goals that tend to guide all stakeholders in the organization. Equally, changes regarding reimbursement are being shared with the nursing staff through the development of team-based care. Perse, team-based care puts the nursing staff at the center of healthcare reimbursement to ensure that nurses offer comprehensive and cost-effective care. Subsequently, the establishment of buy-ins is another tactic used to share changes to the nursing staff regarding healthcare reimbursement decisions. The establishment of nursing staff buy-in begins by raising awareness regarding the anticipated change and involves creating a sense of urgency. Adjustments are then communicated to the nursing staff mainly through the nursing leaders who have a high level of influence on the nursing staff. Nurses` opinions are then sought to ensure that implemented changes are based on shared decisions. Nursing leaders need to assess both emotional buy-in and intellectual buy-in among the nursing staff (Kowalski, Cherry, & Yoder-Wise, 2013). Nurses` awareness regarding healthcare financing issues can be improved through varied approaches. First, nursing staff training and development should occur at the organizational level. Through the training, nurses would become knowledgeable regarding healthcare financing and develop essential skills in financial management. Similarly, there is a need to encourage nurses to promote quality improvement that targets offering quality and cost-effective care to their patients. Issues of innovative thinking that reward nurses for showcasing exemplary roles in ineffective financial management to cut down healthcare costs are vital. Besides, there is a need to emphasize on effective healthcare budgeting whereby nurses are empowered to make financial decisions through healthcare budgeting. This emphasis would ensure that nurses put efforts to meet the budgets to prevent financial losses.
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2025 Assessment 2 Instructions Ethical and Policy Factors in Care Coordination Select a community organization or
by adminEthical and Policy Factors in Care Coordination 2025
Assessment 2 Instructions: Ethical and Policy Factors in Care Coordination Select a community organization or group that you feel would be interested in learning about ethical and policy issues that affect the coordination of care. Then, develop and record a 10-12-slide, 20-minute presentation, with audio, intended for that audience. Create a detailed narrative script for your presentation, 4-5 pages in length. As coordinators of care, nurses must be aware of the code of ethics for nurses and health policy issues that affect the coordination of care within the context of the community. To help patients navigate the continuum of care, nurses must be proficient at interpreting and applying the code of ethics for nurses and health policy, specifically, the Affordable Care Act (ACA). Being knowledgeable about ethical and policy issues helps ensure that care coordinators are upholding ethical standards and navigating policy issues that affect patient care. This assessment provides an opportunity for you to develop a presentation for a local community organization of your choice, which provides an overview of ethical standards and relevant policy issues that affect the coordination of care. Completing this assessment will strengthen your understanding of ethical issues and policies related to the coordination and continuum of care, and will empower you to be a stronger advocate and nursing professional. It would be an excellent choice to complete the Vila Health: Ethical Decision Making activity prior to developing the presentation. The activity provides a helpful update on the ethical principles that will help with success in this assessment. 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 4: Defend decisions based on the code of ethics for nursing. Assess the impact of the code of ethics for nurses on the coordination and continuum of care. Competency 5: Explain how health care policies affect patient-centered care. Explain how governmental policies related to the health and/or safety of a community affect the coordination of care. Identify national, state, and local policy provisions that raise ethical questions or dilemmas for care coordination. Competency 6: Apply professional, scholarly communication strategies to lead patient-centered care. Communicate key ethical and policy issues in a presentation affecting the coordination and continuum of care for a selected community organization or support group. Either speaker notes or audio voice-over are included. Preparation Your nurse manager at the community care center is well connected and frequently speaks to a variety of community organizations and groups. She has noticed the good work you are doing in your new care coordination role and respects your speaking and presentation skills. Consequently, she thought that an opportunity to speak publicly about contemporary issues in care coordination would be beneficial for your career and has suggested reaching out to a community organization or support group to gauge their interest in hearing from you, as a care center representative, on a topic of interest to both you and your prospective audience. You have agreed that this is a good idea and have decided to research a community organization or support group that might be interested in learning about ethical and policy issues related to the coordination of care. Your manager has suggested the following community organizations and support groups, but acknowledges that the choice is yours. Homeless shelters. Local religious groups. Nursing homes. Local community organizations (Rotary Club or Kiwanis Club). To prepare for this assessment, you may wish to: Research your selected community organization or support group. Review the Code of Ethics for Nurses With Interpretive Statements and associated health policy issues, specifically, the ACA. Review the assessment instructions and scoring guide to ensure you understand the work you will be asked to complete. Allocate sufficient time to rehearse your presentation before recording the final version for submission. Note : Remember that you can submit all, or a portion of, your draft presentation to Smarthinking Tutoring 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. Recording Equipment Setup and Testing Check that your audio speaker and PowerPoint software are working properly. You can record audio directly to your slides, using PowerPoint or other presentation software. Note: Technical support about the use of PowerPoint, including voice recording and speaker notes, can be found on Campus’s Microsoft Office Software page. If using Kaltura, refer to the Using Kaltura tutorial for directions on recording and uploading your presentation in the courseroom. Note : If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact [email protected] to request accommodations. Instructions For this assessment: Choose the community organization or support group that you plan to address. Develop and record a presentation, with typed speaker notes (the script for your voice recording) and audio voice-over recording, intended for that audience. Video is not required. Note : PowerPoint has a feature to type the speaker notes directly into the presentation. You are encouraged to use that feature or you may choose to submit a separate document. See Microsoft Office Software for technical support about the use of PowerPoint, including voice recording and speaker notes. Note: For this assessment, develop your presentation slides and speaker notes, then record your presentation. You are not required to deliver your presentation to an actual audience but you certainly could if you chose to. Presentation Format and Length You may use PowerPoint (recommended) or other suitable presentation software to create your slides and add your voiceover. If you elect to use an application other than PowerPoint, check with your faculty to avoid potential file compatibility issues. You can also record your presentation using Kaltura or similar software. Be sure that your slide deck includes the following slides: Title slide. Presentation title. Your name. Date. Course number and title. References (at the end of your presentation). Your slide deck should consist of 10–12 slides, not including a title and references slide with typed speaker notes and audio voice over. Your presentation should not exceed 20 minutes. Create a detailed narrative script for your presentation, approximately 4–5 pages in length. Supporting Evidence Cite 3–5 credible sources from peer-reviewed journals or professional industry publications to support your presentation. Include your source citations on a references page appended to your narrative script. Grading Requirements The requirements outlined below correspond to the grading criteria in the Ethical and Policy Factors in Care Coordination Scoring Guide, so be sure to address each point. Read the performance-level descriptions for each criterion to see how your work will be assessed. Explain how governmental policies related to the health and/or safety of the community affect the coordination of care. Provide examples of a specific policy affecting the organization or group. Refer to the assessment resources for help in locating relevant policies. Be sure influential policies include the Health Insurance Portability and Accountability Act (HIPPA). Identify national, state, and local policy provisions that raise ethical questions or dilemmas for care coordination. What are the implications and consequences of specific policy provisions? What evidence do you have to support your conclusions? Assess the impact of the code of ethics for nurses on the coordination and continuum of care. Consider the factors that contribute to health, health disparities, and access to services. Consider the social determinants of health identified in Healthy People 2020 as a framework for your assessment. Provide evidence to support your conclusions. Communicate key ethical and policy issues in a presentation affecting the coordination and continuum of care for a selected community organization or support group. Either speaker notes or audio voice-over are included. Present a concise overview. Support your main points and conclusions with relevant and credible evidence. Additional Requirements Before submitting your assessment, proofread your presentation slides and speaker notes to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your presentation. Portfolio Prompt : Save your presentation to your ePortfolio . Submissions to the ePortfolio will be part of your final Capstone course. Scoring Guide Use the scoring guide to understand how your assessment will be evaluated.
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2025 A 65 year old obese African American male patient presents to his HCP with crampy left lower quadrant pain constipation
by admincase study two 2025
A 65-year-old obese African American male patient presents to his HCP with crampy left lower quadrant pain, constipation, and fevers to 101˚ F. He has had multiple episodes like this one over the past 15 years and they always responded to bowel rest and oral antibiotics. He has refused to have the recommended colonoscopy even with his history of chronic inflammatory bowel disease (diverticulitis), sedentary lifestyle, and diet lacking in fiber. His paternal grandfather died of colon cancer back in the 1950s as well. He finally underwent colonoscopy after his acute diverticulitis resolved. Colonoscopy revealed multiple polyps that were retrieved, and the pathology was positive for adenocarcinoma of the colon. Develop a 1- to 2-page case study analysis in which you: Explain why you think the patient presented the symptoms described. Identify the genes that may be associated with the development of the disease. Explain the process of immunosuppression and the effect it has on body systems.
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