As an advanced practice nurse, one can engage in activism in order to achieve desired policy changes at various levels including their own organization.

Answer the following questions;

1. Should nurses be unionized and

2.  How does being unionized impact a workforce culture of safety?

3.  Include one MSN Essential in your discussion that relates to this topic.As an advanced practice nurse, one can engage in activism in order to achieve desired policy changes at various levels including their own organization.

Answer the following questions;

1. Should nurses be unionized and

2.  How does being unionized impact a workforce culture of safety?

3.  Include one MSN Essential in your discussion that relates to this topic.

250-300 words. APA style. 

Reply to my peers

Peer 1

Telenursing and Telemedicine

Telenursing and telemedicine will only be successful if patients engage in the program. You have been asked by your manager to pilot a program aimed at improving transitions of care using the new telemedicine system recently implemented at your hospital. 

• What are some of the ways that you can encourage both patient and provider engagement to ensure the pilot program success?

One of the ways that could help to ensure the success of the pilot program would be to offer mandatory skills fairs that include hands on participation and requires all team members to be checked off in particular areas of the telemedicine system education. There should be continued training throughout the process as well as resources available at all times to include super users of the telemedicine to assist with any technical issues that may cause frustration. Another important way to ensure success to be to allow any feedback from everybody participating, whether it be from a group discussion or personal surveys it allows everybody to participate and feel that they can include their own input and ideas. 

• What barriers or challenges would you anticipate?

A major barrier or challenge that I would anticipate would be that everybody has their own opinions and that may arise during the program. Of course with any technology IT issues arise whether it be from technical difficulties due to poor internet connection or glitches in the system it happens but can cause some resistance when people are busy and don’t have time to deal with those type of difficulties. Some may just resist the use of telemedicine because they just simply don’t feel comfortable with the technology. Especially those who are older and set in their ways computer literacy is a challenge and that could pose a barrier to the program. Many believe there are some privacy concerns with telemedicine and some may be challenged to use the technology based on hipaa violations under their care.

Peer 2

Telenursing is defined as “the use of tele commuincations and information technology to provide nursing services in healthcare and enhance care whenever a physical distance exists between a patient and a nurse (McGonigle,2017), and telemedicine is defined as ” health service delivered by telecommunication ready tools, supervised or directed by a physician” (McGonigle,2017). Knowing the definition of both I would first start with education to both the patient and the physician. I would explain their roles in telehealth. I would then move on to discuss some of the beneits of telehealth to include; the ability to provide better healthcare access, proven and timely responce to patient need, and reduction of hospital visits. I would allow time for questions and concerns. I would provide a live demonstration . I would then initiate incentives for patient and physician groups for compliance and feedback. 

       As with anything new their will be barriers and challenges. The biggest anticipated barrier would be access to internet or smartphone to conduct the virtual program. The next barrier would be cost to facility to start program up. The third barrier would be getting patients to trust how well virtual care would benefit them. The greatest challenge would be physician not physically next to patient so misdiagnosis and treatment pose a ris

 Purpose 

The purpose of this assignment is to provide the student an opportunity to reflect on selected RN-BSN competencies acquired through the NUR3165 course.  

Course Outcomes

  This assignment provides documentation of student ability to meet the following course outcomes: 

– The student will be able to produce a complete research paper.

– The student will identify the research methods, sources and application in nursing practice.

Points

This assignment is worth a total of 100 points (10%).

Due Date

Submit your completed assignment under the Assignment tab by Sunday 11:59 p.m. EST of Week 15 as directed.

Requirements

1. The Course Reflection is worth 100 points (10%) and will be graded on quality of self-assessment, use of citations, use of Standard English grammar, sentence structure, and overall organization based on the required components as summarized in the directions and grading criteria/rubric.

2. Follow the directions and grading criteria closely. Any questions about your essay may be posted under the Q & A forum under the Discussions tab. 

3. The length of the reflection is to be within three to six pages excluding title page and reference pages. 

4. APA format is required with both a title page and reference page. Use the required components of the review as Level 1 headers (upper and lower case, centered): 

Note: Introduction – Write an introduction but do not use “Introduction” as a heading in accordance with the rules put forth in the Publication manual of the American Psychological Association (2010, p. 63).

a. Course Reflection 

b. Conclusion

Preparing the Reflection

The BSN Essentials (AACN, 2008) outline a number of healthcare policy and advocacy competencies for the BSN-prepared nurse. Reflect on the NUR3165 course readings, discussion threads, and applications you have completed across this course and write a reflective essay regarding the extent to which you feel you are now prepared to:

1. “Explain the interrelationships among theory, practice, and research.

2. Demonstrate an understanding of the basic elements of the research process and models for applying evidence to clinical practice. 

3. Advocate for the protection of human subjects in the conduct of research.

4. Evaluate the credibility of sources of information, including but not limited to databases and Internet resources. 

5. Participate in the process of retrieval, appraisal, and synthesis of evidence in collaboration with other members of the healthcare team to improve patient outcomes.

6. Integrate evidence, clinical judgment, interprofessional perspectives, and patient preferences in planning, implementing, and evaluating outcomes of care.

7. Collaborate in the collection, documentation, and dissemination of evidence.

8. Acquire an understanding of the process for how nursing and related healthcare quality and safety measures are developed, validated, and endorsed.

9. Describe mechanisms to resolve identified practice discrepancies between identified standards and practice that may adversely impact patient outcomes.” (p. 16).

Reference:

American Association of Colleges of Nursing [AACN]. (2008). The essentials of baccalaureate education for professional nursing practice. Washington, DC: Author.

 Select a client whom you observed or counseled that suffers from a disorder related to trauma. Then, address the following in your Practicum Journal:

• Describe the client (without violating HIPAA regulations) and identify any pertinent history or medical information, including prescribed medications.
• Using the DSM-5, explain and justify your diagnosis for this client.
• Explain whether any of the therapeutic approaches in this week’s Learning Resources would be effective with this client. Include expected outcomes based on these therapeutic approaches. Support your approach with evidence-based literature.
• Explain any legal and/or ethical implications related to counseling this client
• Using proper citation in APA Format, at least three references no more than five years old 

Purpose

The purpose of this PowerPoint presentation is to present the best plan of action, as a leader, assigned to make a change to a problem or issue in your place of work. If you are not presently working, use information from your prelicensure experience or previous healthcare experience. You will be using the Joint Commission National Patient Safety Goals to align with the problem or issue that you see in your workplace or most recent place of employment. You will prepare a PowerPoint presentation and share how you will meet one of the goals in your place of work that will solve the problem or issue you have selected.

Course Outcomes

Completion of this assignment enables the student to meet the following course outcomes.

CO1: Apply leadership concepts, skills, and decision making in the provision of high-quality nursing care, healthcare team management, and the oversight and accountability for care delivery in a variety of settings. (PO2)

CO2: Implement patient safety and quality improvement initiatives within the context of the interprofessional team through communication and relationship building. (PO3)

CO3: Participate in the development and implementation of imaginative and creative strategies to enable systems to change. (PO7)

CO7: Apply leadership concepts in the development and initiation of effective plans for the microsystems and system-wide practice improvements that will improve the quality of healthcare delivery. (POs 2 and 3)

CO8: Apply concepts of quality and safety using structure, process and outcome measures to identify clinical questions as the beginning process of changing current practice. (PO8)

Due Dates

This assignment is to be submitted by Sunday, 11:59 p.m. MT, end of Week 6.

Points

This assignment is worth 200 points.

Directions

1. Develop a PowerPoint slideshow consisting of 8-15 slides. Include the following. Title slide, written speaker notes, and Reference slide. Do not use Voice Over recordings. All information needs to be written in slides and speaker notes. No information in comment section will be graded.
2. You are required to complete the assignment using the productivity tools required by Chamberlain University, which is Microsoft Office Word 2013 (or later version), or Windows and Office 2011 (or later version) for MAC. You must save the file in the “.pptx” format. A later version of the productivity tool includes Office 365, which is available to Chamberlain students for FREE by downloading from the student portal at http://my.chamberlain.edu (Links to an external site.). Click on the envelope at the top of the page.
3. As the leader, you have identified a problem or issue related to one of the National Patient Safety Goals 2019 created by the Joint Commission that will lead to quality improvement. You will find the National Patient Safety Goals using this link: https://www.jointcommission.org/assets/1/6/2019_HAP_NPSGs_final2.pdf.  (Links to an external site.)Assess the problem or issue. State the problem/issue and identify three rationales (reasons) that the problem exists. References are used. Scholarly articles must be published within the last 5 years, peer-reviewed, from the Chamberlain library only and must provide the permalink
4. Review the information provided in our library on how to search for journal articles (Links to an external site.).
5. Review the information provided in the library on how to locate and copy a journal permalink (Links to an external site.). (Links to an external site.)
6. Assess the problem or issue. State the problem/issue and identify three rationales (reasons) that the problem exists. References are used.
7. Determine the people who are involved in the issue and explain three reasons as to how their role will contribute to the problem or issue solution.
8. Identify three solutions and discuss the purpose, cost and desired outcome.
9. Pick one solution to share with the director and discuss why this solution was chosen over the others. Use a scholarly reference.
10. Make an action plan to share the solution with the director and staff.
11. Summarize issue, plan and desired outcome and purpose for quality improvement on slide.
12. Reflect on your learning and value of doing the assignment.
13. Include written speaker notes for all slides except title slide and reference slide.
14. Submit your PowerPoint slideshow by 11:59 p.m. MT, Sunday, end of Week 6.

Best Practices in Preparing PowerPoint Presentations

The following are best practices in preparing this presentation.

• Watch tutorial below.
• Be creative.
• Incorporate graphics, clip art, or photographs to increase interest.
• Make easy to read with short bullet points and large font.
• Review directions thoroughly.
• Proofread prior to final submission.
• Spell check for spelling and grammar errors prior to final submission.
• Abide by the Chamberlain academic integrity policy.