2023 Question 1 Monumental Architecture and Sculpture The cultures we studied this week produced architecture earthworks and monumental sculpture in addition

Nursing 2023 art

Question 1 Monumental Architecture and Sculpture The cultures we studied this week produced architecture earthworks and monumental sculpture in addition 2023 Assignment

 

Question 1: Monumental Architecture and Sculpture

The cultures we studied this week produced architecture, earthworks, and monumental sculpture, in addition to smaller works of art. Using your course textbook locate three examples of architecture, earthworks or monumental sculpture from three different cultures listed here: Islamic, Chinese, Japanese, or the Americas.

First, completely identify each structure or sculpture you would like to discuss by listing its name, date, and location.

In a minimum of 3 well-developed paragraphs address the following questions:

  1. Who created each work of architecture or sculpture? Who commissioned its creation?
  2. What historical events or social or cultural influences affected the creation of each work?
  3. How do the visual characteristics of each work contribute to or enhance its message or meaning?

Be sure to explain your ideas clearly and support them by discussing specific details about each work of architecture or monumental sculpture.

Question 2: The Function of Art Objects

Some of the art objects created by the cultures surveyed this week served functional roles in their society. Using your course textbook locate three such objects, one each from the following: Islamic, Asian (Chinese or Japanese), and African.

First, completely identify each object you would like to discuss by listing its name, date, and location.

In a minimum of 2 well-developed paragraphs discuss:

  1. What was the function of each object at the time of its creation?
  2. What historical events or social or cultural influences affected the creation of each work?
  3. How do the visual characteristics of each object contribute to or enhance our understanding of its meaning?

Be sure to explain your ideas clearly and support them by discussing specific details about each work.

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2023 A Write a brief summary suggested length of 2 3 pages of the significance and background of a healthcare problem by

Nursing 2023 Evidence based practice

A Write a brief summary suggested length of 2 3 pages of the significance and background of a healthcare problem by 2023 Assignment

A.  Write a brief summary (suggested length of 2–3 pages) of the significance and background of a healthcare problem by doing the following:

1.  Describe a healthcare problem

Note: A healthcare problem can be broad in nature or focused. 

2.  Explain the significance of the problem.

3.  Describe the current practice related to the problem.

4.  Discuss how the problem impacts the organization and/or patient’s cultural background (i.e., values, health behavior, and preferences).

 

B.  Complete the attached “PICO Table Template” by identifying all the elements of the PICO.

1.  Develop the PICO question.

C.  Describe the search strategy (suggested length of 1–2 pages) you used to conduct the literature review by doing the following:

1.  Identify the keywords used for the search.

2.  Describe the number and types of articles that were available for consideration.

a.  Discuss two research evidence and two non-research evidence sources that were considered (levels I–V).

Note: Be sure to upload a copy of the full text of the aritcles with your submission

D.  Complete the attached “Evidence Matrix” to list five research evidence sources (levels I–III) from scholarly journal sources you locate in major medical databases.

Note: Four different authors should be used for research evidence. Research evidence must not be more than five years old.

E.  Explain a recommended practice change (suggested length of 1–3 pages) that addresses the PICO question within the framework of the evidence collected and used in the attached “Evidence Matrix.”

F.  Describe a process for implementing the recommendation from part E (suggested length of 2–3 pages) in which you do the following:

1.  Explain how you would involve three key stakeholders in the decision to implement the recommendation.

2.  Describe the specific barriers you may encounter in applying evidence to practice changes in the nursing practice setting.

3.  Identify two strategies that could be used to overcome the barriers discussed in F2.

4.  Identify one indicator to measure the outcome related to the recommendation.

G.  Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized.

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2023 Countries around the world take different approaches to addressing health and health care for their

Nursing 2023 5 Domains

Countries around the world take different approaches to addressing health and health care for their 2023 Assignment

Countries around the world take different approaches to addressing health and health care for their citizens. While developing countries have much different needs than industrialized countries, comparing nations that fall into like categories can provide valuable insight into how to improve health care for a populace. Policy analysts at the Commonwealth Fund found that the United States did not perform well compared to similar countries as reported in their study, Mirror, Mirror 2017: International Comparison Reflects Flaws and Opportunities for Better U.S. Health Care. 

Five domains were examined in their study: care process, access, administrative efficiency, equity, and health care outcomes.

Case Assignment

After reviewing the background materials and conducting your own research, examine each of these domains. Discuss what they are and how the United States performed. Provide an analysis of what can be learned from other countries to improve the United States’ performance. Be sure that you are citing more than just the Commonwealth Fund report in supporting your analysis.

Assignment Expectations

  1. Conduct additional research to gather sufficient information to justify/support your analysis.
  2. Limit your response to a maximum of 5 pages.
  3. Support your paper with a minimum of 3 reliable sources.

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2023 Respond to at least two of your colleagues on 2 different days who were assigned different case

Nursing 2023 Week 8 Discussion Ankle Pain

Respond to at least two of your colleagues on 2 different days who were assigned different case 2023 Assignment

Respond to at least two of your colleagues on 2 different days who were assigned different case studies than you. Analyze the possible conditions from your colleagues’ differential diagnoses. Determine which of the conditions you would reject and why. Identify the most likely condition, and justify your reasoning.

SW, 46, F, Caucasian

S.

CC: Bilateral ankle pain

HPI: SW, 46-year-old Caucasian female presents with bilateral ankle pain that started three days ago. Pt states that her right ankle is more of a concern than her left. States she was playing soccer over the weekend when she heard a “pop.” Claims she was running to kick the soccer ball when she slipped on the grass and fell on top of her right foot. She thinks she “rolled” her foot inward. States she is able to bear weight on both ankles, but the right is uncomfortable. Rates pain 7/10 in intensity for her right ankle, and 3/10 in intensity for her left ankle. She has been taking OTC 600mg ibuprofen every 8 hours for two days and has minor relief. States her right ankle pain is a 4/10 pain with ibuprofen, but only lasts a few hours. Confirms icing both ankles three times a day for the past three days. States walking, and standing is uncomfortable, and most movement makes the pain worse.

Current Medications: OTC 600mg Ibuprofen q 8 hours PRN pain

Allergies: NKA

PMHx: No chronic conditions; UTD on immunizations, last TdAp 2011, last influenza vaccine 10/2020.

Soc Hx: Lives at home with her husband, 11-year-old daughter, 13-year-old son, and 16-year-old son; works as stay at home for the past 16 years; lives in a multi-family home neighborhood with several friends in the neighborhood; negative tobacco use; consumes moderate alcohol, estimates 2-3 glasses of wine per week; exercises 4 days a week and plays soccer over the weekends with her 16-year-old to help him practice; denies cell phone use while driving; not currently on birth control and LMP was 2 /12 weeks ago; practices safe sex

Fam Hx: both parents still living; mother, 68-years-old, has history of hyperlipidemia; father, 70-years-old, has a history of HTN, hyperlipidemia, and CHF; paternal grandfather died at age 80 of pancreatic cancer; paternal grandmother died at age 83 of pneumonia; maternal grandfather, 89-years-old, has a history of COPD, HTN, and CHF; maternal grandmother, 86-years-old, has a history of kidney disease; 11-year-old daughter has a history of asthma; 13-year-old son has a history of anxiety, 16-year-old son is healthy; husband, 49-years-old suffers from HTN.

ROS:

GENERAL:  Right ankle pain, 7/10 pain; no weight loss, fever, chills, weakness or fatigue.

HEENT:  

  • HEAD: denies headaches, dizziness, head injuries, or past head injuries
  • EYES: wears corrective lenses for about 20 years; denies any vision changes
  • EARS: denies any changes in hearing; no history of injuries; denies hearing aid use
  • NOSE: denies any changes in sense of smell; denies nasal discharge or swelling
  • THROAT: denies mouth sores or lesions; denies sore throat, dysphagia, or any injuries or surgeries to throat

SKIN: denies contact dermatitis or any other skin conditions; confirms bruising of right ankle

CARDIOVASCULAR:  denies chest pain, chest pressure or chest discomfort; denies palpitations or edema

RESPIRATORY:  denies shortness of breath, cough, or wheeze

GASTROINTESTINAL:  denies anorexia, nausea, vomiting or diarrhea; denies abdominal pain

NEUROLOGICAL: denies headaches, head injuries, dizziness, seizures, tremors, difficulty swallowing or speaking; denies gait disturbances

MUSCULOSKELETAL:  confirms right ankle pain near the right lateral malleolus; tenderness and swelling noted on right ankle; denies joint pain, stiffness, swelling, redness, or heat in upper extremities and left lower extremity; denies arthritis, hip dysplasia or scoliosis

O.

VITALS: BP 126/72 SpO2 99% T 98.7F HR 86 RR 18 W 148 Ht 5’7”

GENERAL:  No acute distress; AAO x3; patient sitting comfortably in patient chair

HEENT:  

  • HEAD: normocephalic; no visible abnormal findings
  • EYES: no visual loss, double vision, or yellow sclera; conjunctiva moist and pink; PERRLA
  • EARS: no muffled hearing; no discharge
  • NOSE: nasal mucosa pink; nares patent
  • THROAT: oral mucosa moist and pink

SKIN: no freckles, birthmarks, or other discoloration of upper extremities; dark purple bruising of right ankle noted; no discoloration of lower left extremities; CRT <3 s of all extremities; no tenting of skin

CARDIOVASCULAR:  S1 and S2 audible heart sounds; no gallops, murmurs, or thrills; no edema

RESPIRATORY:  no adventitious breath sounds in all lung quadrants

GASTROINTESTINAL:  abdomen symmetric, rounded, no visible abnormal findings; no abdominal tenderness; no masses; normoactive bowel sounds in all quadrants

NEUROLOGICAL: steady, narrow-based gait; Romberg negative; 2+ reflexes in upper extremities and lower extremities; CN II-XII grossly intact; no focal neurological deficits

MUSCULOSKELETAL:  + right ankle pain near the right lateral malleolus; + tenderness and swelling noted on right ankle; denies joint pain, stiffness, swelling, redness, or heat in upper extremities and left lower extremity; denies arthritis, hip dysplasia or scoliosis; 5/5 muscle strength in upper and lower left extremities; 2/5 muscle strength in lower right extremity; decreased ROM of right ankle, 5 degrees eversion of right foot, 10 degrees inversion of right foot, 5 degrees dorsiflexion of right foot, 20 degrees plantar flexion of right foot; decreased Rom of left foot, 20 degrees inversion, 10 degrees eversion, 20 degrees dorsiflexion, 45 degrees plantar flexion; Full ROM of upper extremities; + Ottawa ankle rules (OAR): bone tenderness at posterior edge of lateral and medial malleolus; decreased ability to bear weight on right extremity

Diagnostic results:

  • X-Ray of the bilateral ankles and bilateral lower leg: The X-Ray will help us determine if SW fractured her right lateral malleolus. X-Rays give us a good view of bone structure and can help rule out fracture, break, or strain. OAR is always to be performed before ordering imaging. Curr & Zyrichis (2015) state that providers are to perform an ankle X-ray if the patient is unable to bear weight, 4 steps immediately after injury and in ED, and has bone tenderness at the posterior edge or tip of malleolus. If a patient does not present with both characteristics, they are OAR -. Without bone pain, which is determined using OAR, an X-ray is not indicated. SW had + OAR: bone tenderness at posterior edge of lateral and medial malleolus and decreased ability to bear weight on her right ankle. She had swelling, tenderness, and bruising near the right lateral malleolus.
  • MRI: An MRI is used to get a more detailed look at tissues, ligaments, and organs in the body. Unlike an X-Ray, which can only look at bones, the MRI will help us determine any ligament strain or tears that SW may have had. SW states that she heard a “pop” while she was playing soccer. Most of the time, the popping of the ankle is the sound of the ligament tearing. A crack sound may indicate a fracture or break, and a popping sound usually indicates an ankle sprain. “You hear the popping sound of your ligaments tearing completely, and you can’t put weight on your ankle” (“Common Injuries, 2019). Those characteristics signify an ankle sprain. Knowing that SW heard a “pop” sound when she injured her ankle, leads us to believe a ligament was involved. Therefore, an MRI is an appropriate diagnostic in this scenario.
  • Stress-View Radiography: When an X-Ray doesn’t give a clear enough view of a fracture or break, a stress-view radiography can be used to help determine between an ankle sprain or an injury that may require casting. “because a deltoid injury is not seen on plain radiographs, an unstable injury can appear to be a stable one on a standard mortise view. The quick and easy way to differentiate these two are via stress view of the ankle” (Guiney, 2016).

A.

Differential Diagnoses:

  • Right Ankle Sprain/Soft-Tissue Injury: An ankle sprain is typically caused by an inversion or eversion of the ankle during strenuous activity, a fall, exercise, or sports activities. SW was playing soccer when she slipped on the grass and rolled on her ankle, which she the heard a “popping sound.” The popping sound indicates a ligament tear or strain, which results in an ankle sprain. “In soccer players, playing on natural grass as opposed to artificial turf increases risk for lateral ankle sprain” (Chen, McInnis, & Borg-Stein, 2019). She had positive right ankle pain near the lateral malleolus, as well as tenderness, swelling, and bruising. Her muscle strength of her right ankle was 2/5 compared to 5/5 for her left ankle. She had decreased ROM of her right ankle and positive OAR. All findings point to an ankle sprain. With proper radiography and an MRI, we will be able to diagnose a soft-tissue injury.
  • Peroneal Tendon Tear: “Pain with resisted eversion and tenderness to palpation are common with peroneal tendon tears. Passive inversion of the hindfoot may provoke pain as well. Subluxation of the peroneal tendons over the posterior border of the fibular may be demonstrated on physical examination” (Danna & Brodsky, 2020). SW had positive findings of swelling/subluxation near the right lateral malleolus, located at the peroneal tendons. ROM was decreased with 10 degrees inversion and 5 degrees eversion of the right foot. SW also heard a “popping sound” at the time of injury, indicating a possible tendon tear, rupture, or sprain of her ankle. An MRI would help determine this diagnosis.
  • Ankle Tendonitis: Tendonitis occurs when a tendon is inflamed and typically presents with a patient unable to bear weight, swelling, pain, and pain with palpation. ROM is usually decreased as well.  It occurs when the ankle is manipulated, usually continuously for a period of time, but can also occur with an injury. SW had + OAR (bone tenderness), swelling, tenderness, unable to bear weight, and decreased ROM. Considering SW plays soccer very regularly with her older son, it is possible that with repetitive overuse of her ankles and feet could have caused tendinitis. It is also important to wear appropriate shoes during exercise. Without appropriate support of her shoes, tendinitis can occur. It is possible SW is suffering from tendonitis considering her symptoms. An MRI would help determine this diagnosis.
  • Right Ankle Fracture: With ankle fractures, individuals can hear a “crack” sound. Seeing as SW heard a “pop,” it is not likely she suffered a fracture. With fractures, pain is usually relieved with rest and an individual is not able to put any weight on the injury. SW is able to bear weight, but has discomfort doing so. Therefore, again, she most likely did not suffer a fracture. This can be confirmed with an X-Ray.
  • Syndesmotic Injury:  These injuries are also known as high ankle sprains and they require a lot of force to injure this specific ligament. SW fell and rolled on her ankle, which would not cause a lot of force on her ankle. The syndesmotic ligaments hold the distal tibia and fibula together. They occur when an ankle is externally rotated during injury affecting the interosseous membrane. These injuries typically occur in sports such as hockey and skiing, where injuries cause a lot more force. Her injury was low ankle sprain which occurs when an ankle is everted. Low ankle sprains occur in sports such as soccer and basketball, which SW was playing soccer. Therefore, she most likely did not suffer a syndesmotic injury.  

References

Chen, E., McInnis, K., & Borg-Stein, J. (2019). Ankle sprains: evaluation, rehabilitation, and prevention. Current Sports Medicine Reports: June 2019. 18(6), 217-233. https:/doi.org/10.1249/JSR.0000000000000603

Common Injuries. (2019). Backpacker, 47(2), 47. https://link.gale.com/apps/doc/A575011128/EAIM?u=minn4020&sid=EAIM&xid=13250273

Curr, S., & Xyrichis, A. (2015). Does nurse-led initiation of Ottawa ankle rules reduce ED length of stay? International Emergency Nursing. 23(4), 3147-322. https://doi.org/10.1016/j.ienj.2015.01.006

Danna, N., & Brodsky, J. (2020). Diagnosis and Operative Treatment of Peroneal Tendon Tears. Sage Journals. https://doi.org/10.1177/2473011420910407

Guiney, A. (2016). Ankle Stress Views: Why, When + What. CoreEm. Retrieved from https://coreem.net/core/ankle-stress-views/#references

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2023 Research the different nursing care facilities in your community Discuss the pros and cons

Nursing 2023 Community nursing week 3 Assignment

Research the different nursing care facilities in your community Discuss the pros and cons 2023 Assignment

 

Research the different nursing care facilities in your community. Discuss the pros and cons of the facility in terms of what they offer. Provide a brief report with the following questions:

• What is the basic rate for room, board, and services (it’s a good idea to get this information in writing)?
• What services are covered by this rate?
• Are there other services available and how much do they cost?
• What are the payment policies?
• What is the refund policy if someone leaves before the end of a month?
• What is the policy for rate increases?
• How long has the current administration been in place?
• Is there enough staff available to meet my needs?
• Is there frequent staff turnover?
• Is some level of nursing care provided (RN, LPN, Nursing
• Assistant)? How often is it available?
• Who will help me with medications if I need it (e.g. reminding me to take them, opening the bottle)?
• Can someone administer medications to me if I can’t take them myself (e.g. applying medication to my skin, putting a pill in my mouth)?
• Can someone help me if I need special care (e.g. caring for a wound)?
• What happens if I have an emergency? Can I get help right away?
• Are staffs suitably dressed, personable, and outgoing?
• Do the staff members treat residents with respect and dignity?
• Do staff members treat each other in a professional manner?
• What language does most of the staff speak?
• What type of help with personal care is available (e.g. bathing, dressing)?
• How flexible is the schedule for receiving help with personal care?
• What, if any, transportation services are available? (e.g. medical appointments, shopping, religious services).
• Will staff arrange for activities (e.g. hair appointment, concert)?
• How does the home support and accommodate personal hobbies?
• Are there regularly planned activities that I will enjoy?
• Will I be able to attend religious services of my choice?
• Can I bring my pet with me when I move?
• When can I have visitors?
• Are there shops, a library, a park, or other amenities within walking distance?
• Is the home close to activities I enjoy?
• Is the home on a bus line?
• Is there an outside area to sit, walk, or garden?
• Are there shops, a library, a park, or other amenities within walking distance?
• Is the home close to activities I enjoy?
• Is the home on a bus line?
• Is there an outside area to sit, walk, or garden?
• Is the floor plan easy to follow?
• Are doorways, hallways, and rooms accommodating to wheelchairs and walkers?
• Are there hand rails to help with walking and in the bathroom?
• Are cupboards and shelves easy to reach?
• Are there nonskid floors and firm carpets to assist walking?
• Does the home have good natural and artificial lighting?
• Is the home clean, free of odors, and well heated and cooled?
• Does the home meet my standards of cleanliness?
• Is the home free from obvious environmental hazards?
• Are the home’s rooms clean, safe, and adequate for my needs?
• Will I have free use of common areas, such as the kitchen, activity rooms, toilet facilities, dining room, or grounds?
• Can I smoke in my room or in common areas?
• What furniture is provided?
• Can I bring along some of my furniture or other personal items?
• Can I adjust the temperature of my room?
• Is there a sit-down shower?
• Can I have my own personal phone line or internet connection?
• Are emergency procedures clearly posted?
• Am I able to lock my room and/or are there locked areas in each room for personal valuables?
• Is the food pleasing, nutritious, adequate, and attractively served?
• What if I don’t like what is being served?
• Can I cook in my room?
• Are snacks available?
• Are there specific meal times or are they flexible?
• Is there a refrigerator available to store my personal food?
• Will the home meet my dietary or cultural food preferences?
• Can I request special foods?
• Do other residents socialize with each other and appear happy and comfortable?
• Do residents speak favorably of the facility?
• Do the residents look like people I want to live with?
• How are room changes and roommate concerns addressed?
• Is there a resident group that meets?
• Do any of the other residents have a history of violent or other problem behaviors? How are these situations handled by staff?

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2023 Write your personal philosophy of nursing The paper should be three typewritten double spaced pages following APA style guidelines The paper should

Nursing 2023 Philosophy of Nursing assignment

Write your personal philosophy of nursing The paper should be three typewritten double spaced pages following APA style guidelines The paper should 2023 Assignment

Write your personal philosophy of nursing. The paper should be three typewritten double spaced pages following APA style guidelines. The paper should address the following:

1. Introduction that includes who you are and where you practice nursing

2. Definition of Nursing

3. Assumptions or underlying beliefs

4. Definitions and examples of the major domains (person, health, and environment) of nursing

5. Summary that includes:

a. How are the domains connected?

b. What is your vision of nursing for the future?

c. What are the challenges that you will face as a nurse?

d. What are your goals for professional development?

Your paper must be written in APA style. 

The paper will be checked for plagiarism.

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2023 Draft a written proposal and implementation guidelines for an organizational policy that you believe would help lead

Nursing 2023 Policy Proposal

Draft a written proposal and implementation guidelines for an organizational policy that you believe would help lead 2023 Assignment

 

Draft a written proposal and implementation guidelines for an organizational policy that you believe would help lead to an improvement in quality and performance associated with the benchmark metric for which you advocated action in Assessment 1.

Introduction

Note: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, you must complete the assessments in this course in the order in which they are presented.

In advocating for institutional policy changes related to local, state, or federal health care laws or policies, health leaders must be able to develop and present clear and well-written policy and practice guidelines change proposals that will enable a team, unit, or the organization as a whole to resolve relevant performance issues and bring about improvements in the quality and safety of health care.

As a master’s-level health care practitioner you have a valuable viewpoint and voice to bring to discussions about policy development, both inside and outside your care setting. Developing policy for internal purposes can be a valuable process toward quality and safety improvement, as well as ensuring compliance with various health care regulatory pressures. This assessment offers you an opportunity to take the lead in proposing such changes.

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

  • Competency 2: Analyze relevant health care laws and regulations and their applications and effects on processes within a health care team or organization.
    • Propose a succinct policy and guidelines to enable a team, unit, or the organization as a whole to implement recommended strategies to resolve the performance issue related to the relevant local, state, or federal health care policy or law.
  • Competency 3: Lead the development and implementation of ethical and culturally sensitive policies that improve health outcomes for individuals, organizations, and populations.
    • Recommend ethical, evidence-based strategies to resolve a performance issue related to health care policy or law.
  • Competency 4: Evaluate relevant indicators of performance, such as benchmarks, research, and best practices, for health care policies and law for patients, organizations, and populations.
    • Explain the need for creating an organizational policy or practice to address a shortfall in meeting a prescribed metric benchmark. 
  • Competency 5: Develop strategies to work collaboratively with policy makers, stakeholders, and colleagues to address environmental (governmental and regulatory) forces.
    • Analyze the potential effects of environmental factors on recommended strategies.
    • Propose stakeholders and groups that would need to be involved in further development and implementation of the recommended strategies, policy, and guidelines.
  • Competency 6: Apply various methods of communicating with policy makers, stakeholders, colleagues, and patients to ensure that communication in a given situation is professional, clear, efficient, and effective.
    • Communicate a proposed policy and guidelines and recommended strategies in a professional and persuasive manner, writing content clearly and logically, with correct use of grammar, punctuation, and spelling.
    • Effectively support arguments with relevant sources, correctly formatting citations and references using current APA style.

Preparation

After reviewing your benchmark evaluation, senior leaders in the organization have asked you to draft a policy change proposal and practice guidelines addressing the benchmark metric for which you advocated action.

In their request, senior leaders have asked for a proposal of not more than 2–4 pages that includes a concise policy description (about one paragraph), practice guidelines, and 3–5 credible references to relevant research, case studies, or best practices that support your analysis and recommendations. You are also expected to be precise, professional, and persuasive in justifying the merit of your proposed actions.

When creating your policy and guidelines it may be helpful to utilize the template that your current care setting or organization uses. Your setting’s risk management or quality department could be a good resource for finding an appropriate template or format. If you are not currently in practice, or your care setting does not have these resources, there are numerous appropriate templates freely available on the Web.

You may also find it useful to have worked through the Problem Identification and Policy Development | Transcript media piece. This activity could be useful in refining your understanding about aligning policy development to address specific problems.

Instructions

The senior leadership has stressed that they hope you are precise and professional in your proposal, as well as persuasive in demonstrating the merit of your proposed actions. They have stressed that the following must be addressed in your proposal.

Note: The tasks outlined below correspond to grading criteria in the scoring guide.

In your proposal, senior leaders have asked that you:

  • Explain why a change in organizational policy or practice guidelines is needed to address a shortfall in meeting a performance benchmark prescribed by applicable local, state, or federal health care laws or policies.
    • What is the current benchmark for the organization? What is the numeric score for the underperformance?
    • How might the benchmark underperformance be affecting the quality of care being provided or the operations of the organization?
    • What are the potential repercussions of not making any changes?
  • Recommend ethical, evidence-based strategies to resolve the performance issue.
    • What does the evidence-based literature suggest are potential strategies to improve performance for your targeted benchmark?
    • How would these strategies ensure improved performance or compliance with applicable local, state, or federal health care laws or policies?
    • How would you propose to apply these strategies in the context of your chosen professional practice setting?
    • How would you ensure that the application of these strategies is ethical and culturally inclusive?
    • Does your policy encompass the key components of your recommendations?
  • Analyze the potential effects of environmental factors on your recommended strategies.
    • What regulatory considerations could affect your recommended strategies?
    • What organizational resources could affect your recommended strategies (for example, staffing, finances, logistics, and support services)?
    • Are your policy and guidelines realistic in light of existing environmental factors?
  • Propose a succinct policy and guidelines to enable a team, unit, or the organization as a whole to implement recommended strategies to resolve the performance issue related to the relevant local, state, or federal health care policy or law.
  • Identify colleagues, individual stakeholders, or stakeholder groups who should be involved in further development and implementation of your proposed policy, guidelines, and recommended strategies.
    • Why is it important to engage these colleagues, individual stakeholders, or stakeholder groups?
    • Do your proposed guidelines help colleagues, individual stakeholders, or stakeholder groups understand how to implement your proposed policy?
    • How might engaging these colleagues, individual stakeholders, or stakeholder groups result in a better organizational policy and smoother implementation?
    • Are your proposal and recommended strategies realistic, given the care team, unit, or organization you are considering?
  • Communicate your proposed policy, guidelines, and recommended strategies in a professional and persuasive manner.
    • Write clearly and logically, using correct grammar, punctuation, and mechanics.
  • Integrate relevant sources to support your arguments, correctly formatting source citations and references using current APA style.
    • Did you cite an additional 3–5 credible sources to support your analysis and recommendations?

Additional Requirements

  • Structure: Include a title page and reference page.
  • Length: 2–4 pages should be sufficient for presenting a thorough and concise evaluation, not including your  titles and reference pages.
  • References: Cite 3–5 current scholarly or professional resources.
  • Format: Use APA style for references and citations.
  • Font: Times New Roman font, 12 point, double-spaced for narrative portions only.

Grading Rubric:

1.  Explain the need for creating an organizational policy or practice to address a shortfall in meeting a prescribed metric benchmark. 

Passing Grade:  Explains the need for creating an organizational policy or practice to address a shortfall in meeting a prescribed metric benchmark, acknowledging costs and benefits both of changing and of not changing the policy or practice. 

2.  Recommend ethical, evidence-based strategies to resolve a performance issue related to health care policy or law. 

Passing Grade:  Recommends ethical, evidence-based strategies to resolve a performance issue related to health care policy or law, and identifies areas of uncertainty or knowledge gaps. 

3.  Analyze the potential effects of environmental factors on recommended strategies. 

Passing Grade:  Analyzes the potential effects of environmental factors on recommended strategies, and proposes mitigation or potential responses to those factors. 

4.  Propose a succinct policy and guidelines to enable a team, unit, or the organization as a whole to implement recommended strategies to resolve the performance issue related to the relevant local, state, or federal health care policy or law. 

Passing Grade:  Proposes a succinct policy and guidelines to enable a team, unit, or the organization as a whole to implement recommended strategies to resolve the performance issue related to the relevant local, state, or federal health care policy or law; makes explicit links to evidence that supports the soundness of the proposal. 

5.  Propose stakeholders and groups that would need to be involved in further development and implementation of the recommended strategies, policy, and guidelines. 

Passing Grade:  Proposes stakeholders and groups that would need to be involved in further development and implementation of the recommended strategies, policy, and guidelines, and suggests collaboration strategies. 

6.  Communicate proposal in a professional and persuasive manner, writing content clearly and logically, with correct use of grammar, punctuation, and spelling. 

Passing Grade:   Proposal is professional, effective, and insightful; content is clear, logical, and persuasive; grammar, punctuation, and spelling are without errors. 

7.   Effectively support arguments with relevant sources, correctly formatting citations and references using current APA style. 

Passing Grade:  Effectively supports arguments with relevant sources, correctly formatting citations and references using current APA style. Citations are free from errors. 

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2023 Describe and provide rationale for which design you plan to use in your

Nursing 2023 Rationale For DPI Project Design 1 DQ 1

Describe and provide rationale for which design you plan to use in your 2023 Assignment

 

Describe and provide rationale for which design you plan to use in   your DPI project. Be sure to describe how your methodology is in line   with your project questions. 1 page, APA

 This project will use the quantitative methodology with a descriptive research design.

Topic:  Use of Advanced Practice Providers in triage in improving waiting times in Emergency departments? 

Holloway, I., & Galvin, K. (2016). Qualitative research in nursing and healthcare. John Wiley & Sons.

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2023 Research Project Case Study Choose a real health care organization to study Interview 1 key leader who is involved

Nursing 2023 Research Project: Case Study!!NO PLAGIARISM PROFESSOR USES SAFEASSIGN!

Research Project Case Study Choose a real health care organization to study Interview 1 key leader who is involved 2023 Assignment

 

Research Project: Case Study

Choose a real health care organization to study. Interview 1 key leader who is involved in the organization’s health care delivery. Based on questions asked and answers given, the report will summarize the questions and answers and then present detailed information evaluating the following:

  • Interdepartmental interaction, communications, team building activities and conflict resolution techniques, ethics and workplace diversity programming, proposed operational changes, and how these changes may impact operations and budgets

Click here for relevant resource articles for this unit.

For a resource guide on using the online library to search for references, please click here.

Please submit your assignment.

For assistance with your assignment, please use your text, Web resources, and all course materials.

Your assignment will be graded in accordance with the following criteria. Click here to view the grading rubric.

This assignment will also be assessed using additional criteria provided here.

 10 pages + at least 7 scholarly or peer-reviewed references.

 

ssignment Objectives

Assess communications channels vertically and horizontally in organizations and the implications.

Compose a plan to deal with issues in ethics and workplace diversity.

Differentiate between existing operations and proposed operational changes, including influences to operations and budgets.

Explain the differences between internal and external departmental interaction and how each can be controlled and monitored to achieve desired outcomes.

Plan team building activities and conflict resolution to overcome barriers to performance.

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2023 Identify an older adult age 65 use a 1st and last initial Execute

Nursing 2023 Assignment 1

Identify an older adult age 65 use a 1st and last initial Execute 2023 Assignment

Identify an older adult age 65 +, use a 1st and last initial. Execute a therapeutic assessment interview with them for at least two interview sessions assessing their self-identified:

·  Demographics, life time education and career/employment

·  Two most significant (positive) times in their lives

·  What past hardship or loss has the client successfully negotiated in the past?

·  Two personal strengths

·  Engage them in identifying what is healthy versus non-healthy coping skills

·  Inquire of 2 healthy coping skills they have used in the past and/or now

·  Three (3) pieces of advice they would give to their younger self if they could?

·  Support the client in taking the Geriatric Depression Scale.pdf

·  Support the client in taking the Fulmer SPICES Assessment.pdf

·  Perform a Mini Mental State Exam.pdf and Patient_Stress_Questionnaire.pdf (attach here)

·  Perform a Hall, Hall, and Chapman Article.pdf

·  Report the findings from the Geriatric Depression Scale, Fulmer Spices, Patient stress questionnaire and the mini mental status exam

·  Discuss your older adult’s level of ego integrity vs. despair as described by psychoanalyst Erik Erikson. If you had to rate them on a scale of 1-10, with 1 representing a full state of despair and 10 representing full ego integrity, what rating would you give your older adult?

·  Describe at least two nursing diagnoses for this client.  

·  Create a plan of care for the client to include at least three nursing goals with two nursing interventions each.

The assignment should be written in an APA-formatted essay. The essay should be at least 1500 words in length and include at least two scholarly sources other than provided materials.

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