he purpose of this assignment is to provide a brief explanation of three important components of the psychiatric interview and why I would consider these elements important. Additionally, I will provide an explanation of the psychometric properties of the rating scale NICHQ Vanderbilt Assessment Scale. Moreover, I will explain when it is appropriate to use the NICHQ Vanderbilt Assessment Scale with clients during the psychiatric interview and how the scale is helpful to a nurse practitioner’s psychiatric assessment. 

The Psychiatric Evaluation 

There are several components of the psychiatric interview that are vital to ensure optimal patient outcomes. For example, it is imperative to establish the reason for the visit (i.e., chief complaint), history and present illness, and the mental status examination in my opinion are key elements of the psychiatric interview. Because without this information it would be difficult to diagnosis and treat the patient adequately (Opler, D. J. (2017). The identifying data gives you the basic information about a patient such as race, sex, marital status, and other social information. The chief complaint (CC) is important to recognize as it conveys to the provider the reason the patient is present, seeking treatment. Of course, knowing this is imperative as it can help guide the interview. 

 

Explain the topics in the worksheet by age. Identify one milestone and one expected norm for each category by age group.

After you fill out the milestones and expected norms for each category by age group, observe a child of any age for 30 minutes to an hour, and apply the knowledge that you learned to the child you are observing and record this information in the purple Observation Data column.

In this assignment, students will pull together the capstone project change proposal components they have been working on throughout the course to create a proposal inclusive of sections for each content focus area in the course. For this project, the student will apply evidence-based research steps and processes required as the foundation to address a clinically oriented problem or issue in future practice.

Develop a 1,250-1,500 written project that includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the capstone change proposal:

1. Background
2. Clinical problem statement.
3. Purpose of the change proposal in relation to providing patient care in the changing health care system.
4. PICOT question.
5. Literature search strategy employed.
6. Evaluation of the literature.
7. Applicable change or nursing theory utilized.
8. Proposed implementation plan with outcome measures.
9. Discussion of how evidence-based practice was used in creating the intervention plan.
10. Plan for evaluating the proposed nursing intervention.
11. Identification of potential barriers to plan implementation, and a discussion of how these could be overcome.
12. Appendix section, if tables, graphs, surveys, educational materials, etc. are created.

 

Week 3 will focus on managerial accounting, which is the development and use of information designed to help health services managers perform management and control functions in their organizations. It will cover cost behavior and profit analysis—topics that many consider to be the cornerstones of managerial accounting. The unit’s lectures will discuss cost allocation, pricing, planning, budgeting, and the mechanics of managerial accounting and its value to health services managers.

Your Learning Objectives for the Week:

• Develop, analyze, and draw conclusions from a healthcare organization’s (HCOs) budget.
• Analyze and recommend pricing and negotiation strategies under various models of reimbursement.

 

Interview a leader of your choice who has experience with creating and managing budgets, and write a 3-5 page analysis of your findings from the interview.

Introduction

Note: Complete the assessments in this course in the order in which they are presented.

Business acumen, including financial management skills, is a key competency for nurse leaders, and a primary responsibility for many is the development and management of operating and capital budgets.

For this assessment, you will speak with a leader of your choice who has experience with creating and managing budgets, learn about that person’s approach to budget management, and consider techniques or strategies you may emulate when you create and manage budgets.

Nurse leaders must be well-versed in the fundamentals of health care economics. A firm understanding of these concepts is essential in order to examine national trends and diverse health care organizations. At the organizational level, health care economics operate in a manner very similar to other competitive industries and businesses.

Within any organization, regardless of size, nurse leaders must understand the purpose and complexity of building a solid budget. Nurse leaders must be able to recognize the organizational or unit goals and then be adept and competent in the planning, designing, and defending a budget to meet those needs.

Note: Complete the assessments in this course in the order in which they are presented.

Preparation

You are the nurse manager of a new urgent care clinic, and one of your first tasks is to prepare next year’s operating budget. Like many nurses, you have had little or no direct experience with the budgeting process and realize that financial management is not one of your strengths as a leader. Consequently, you have decided that you need to reach out for help from someone in the facility with budgeting experience and financial management expertise who can offer you help and insight.

Note: Remember that you can submit all of, or a portion of, your draft analysis to Smarthinking for feedback, before you submit the final version for this assessment. However, be mindful of the turnaround time of 24–48 hours for receiving feedback, if you plan on using this free service.

As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.

Capital and operating budgets each play a major role in the financial expenditures of nursing units.

• What is the purpose of each type of budget?
• How does managing these two types of budgets differ?
• What financial management techniques are common to both types?

Reflect on your experience with either type of budget.

• How have one or the other of these two budgets affected the provision of care in your organization or unit?

 

Requirements

Interview

Conduct an interview with your site supervisor, or other nurse leader whom you consider to be a mentor in the area of health care finance. Discuss their experience with operations and capital budgets in their current or previous role. Explore the following topics in your interview:

• Their experience managing an operating budget.
• Their approach to managing productivity within the parameters of the budget.
• Their approach to oversight of the appropriate use and availability of equipment and supplies.
• The experience of managing a capital budget.
• How managing a capital budget differs from managing an operating budget.
• Their application of finance principles to fulfill the organization’s mission and goals.

Analysis

Note: The requirements outlined below correspond to the grading criteria in the assessment scoring guide. Be sure that your written analysis addresses each point, at a minimum. You may also want to read the Guiding Questions: Mentor Interview [DOCX] to better understand how each criterion will be assessed.

Prepare a written analysis of your findings from the interview, supplemented by your own research and evaluation of budget management techniques.

• Compare the process of managing an operating budget to that of managing a capital budget.
• Describe the process of allocating resources for labor, equipment, and services.
• Describe an effective approach that contributes to planning for profitability and fiscal success.
• Evaluate the nurse leader’s approach to budget management.
• Write clearly and concisely, using correct grammar and mechanics.
• Integrate relevant and credible sources of evidence to support your assertions, correctly formatting citations and references using current APA style.

Additional Requirements

Format your analysis using APA style.

• Use the APA Style Paper Tutorial [DOCX] linked above. Be sure to include:
  • A title page and reference page. An abstract is not required.
  • A running head on all pages.
  • Appropriate section headings.
  • A minimum of five properly formatted citations and references.
• Your analysis should be 3–5 pages in length, not including the title page and reference page.

GRADING RUBRIC:

1-  Compare the process of managing an operations budget to that of managing a capital budget. 

Passing Grade:  Compares the process of managing an operating budget to that of managing a capital budget, and identifies knowledge gaps, unknowns, missing information, unanswered questions, or areas of uncertainty. 

2-  Describe the process of allocating resources for labor, equipment, and services. 

Passing Grade:  Describes the process of allocating resources for labor, equipment, and services, and identifies assumptions underlying the process. 

3-  Describe an effective approach that contributes to planning for profitability and fiscal success. 

Passing Grade:  Describes an effective approach that contributes to planning for profitability and fiscal success, and impartially considers potential merits of an alternative approach. 

4-  Evaluate a nurse leader’s approach to budget management. 

Passing Grade:  Evaluates a nurse leader’s approach to budget management, citing one or more relevant resources that provide criteria for budget evaluation. 

5-  Write clearly and concisely, using correct grammar and mechanics. 

Passing Grade:  Writes clearly and concisely. Grammar and mechanics are error-free. 

6-  Integrate relevant and credible sources of evidence to support your assertions, correctly formatting citations and references using current APA style. 

Passing Grade:  Integrates relevant, credible, and convincing sources of evidence to support assertions. Sources are current, and citations and references are error-free.