A hospital is planning to purchase new telemetry heart monitors for the intensive care unit (ICU), emergency department (ED), and intermediate care unit (IMCU). To make the capital purchase productive, hospital administration forms a committee consisting of the unit managers, nursing representatives from each unit, a bio-med individual, and the financial officer. Each unit is allowed representation based on the number of nurses employed on the units. This results in three ICU nurses, three IMCU nurses, and one ED nurse.

Management is concerned about the costs of replacing the telemetry monitors; therefore, the financial officer pushes for the cheapest product, insisting that budget constraints and decreased revenue require the purchase of a less expensive system. However, the ICU, IMCU, and ED representatives gather after the meeting to discuss their support for the most expensive system. They devise a proposal that outlines the uninterrupted flow of patients with the system, explains how the telemetry units meet each area’s needs, and demonstrates how the system will save money in the long term.

They create a chart that compares the two models, demonstrating how the more expensive system could enhance patient outcomes. They convince the bio-med representative to side with them based on their knowledge that his mother is in the ICU and could benefit from the outcome.  The nurses also gain support from several local cardiologists for their desired system. 

Respond to each of the posed questions.

1. Describe how the nurses used political strategies to influence the decision.
2. How does this case reflect the political power of nurses?
3. How did the nurses demonstrate the political skills described in the text?
4. What were the purposes behind the nurses forming a coalition?

Discussion: Professional Nursing and State-Level Regulations

Boards of Nursing (BONs) exist in all 50 states, the District of Columbia, American Samoa, Guam, the Northern Mariana Islands, and the Virgin Islands. Similar entities may also exist for different regions. The mission of BONs is the protection of the public through the regulation of nursing practice. BONs put into practice state/region regulations for nurses that, among other things, lay out the requirements for licensure and define the scope of nursing practice in that state/region.

It can be a valuable exercise to compare regulations among various state/regional boards of nursing. Doing so can help share insights that could be useful should there be future changes in a state/region. In addition, nurses may find the need to be licensed in multiple states or regions.

To Prepare:

• Review the Resources and reflect on the mission of state/regional boards of nursing as the protection of the public through the regulation of nursing practice.
• Consider how key regulations may impact nursing practice.
• Review key regulations for nursing practice of your state’s/region’s board of nursing and those of at least one other state/region and select at least two APRN regulations to focus on for this Discussion..

Discussion assignment 

Post a comparison of at least two APRN board of nursing regulations in your state of Florida with those of at least one other state/region. Describe how they may differ. Be specific and provide examples. Then, explain how the regulations you selected may apply to Advanced Practice Registered Nurses (APRNs) who have legal authority to practice within the full scope of their education and experience. Provide at least one example of how APRNs may adhere to the two regulations you selected.

Presentation: Purnell Model for Population Sub-Group 

Identify cultural influences on health and decision-making. Create a PowerPoint presentation that addresses the following items:

1. Sub-group name and image with rationale
2. Purnell’s Model constructs and sub-group information (n = 12)
3. Sub-group presence and issues 15 related to local and global community
4. Summary of recommendations for providing culturally competent nursing care to this sub-group

Submission Instructions:

• Presentation is original work and logically organized. Followed current APA format including citation of references.
• Power point presentation with 10-15 slides were clear and easy to read. Speaker notes expanded upon and clarified content on the slides.
• Incorporate a minimum of 5 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. Journal articles and books should be referenced according to current APA style (the library has a copy of the APA Manual).

This week’s discussion

Locate a research article with a literature review on a healthcare topic that has been published within the last five years utilizing the library sources provided by Aspen University. After reading the article, report on its findings. How many articles were reviewed? What was the focus of the review? What were the findings? Be sure to cite your sources.

This week’s assignment

Synthesis Assignment Description: (please make any and all corrections that are needed based on your professor’s comments from the last submission)

Prepare the Literature Review section of your paper. Begin with an introductory paragraph that describes your search parameters and what databases were used. Be sure to avoid the first person (I, we, me, us, etc.). Include at least one paragraph for each of your sources chosen in your Annotated Bibliography. This is not a repeat of the annotations in the annotated bibliography but should be written as an essay that flows easily from one point to the next. Remember, your literature review should be at least seven paragraphs (eight for full credit on the final paper), but not more than twelve paragraphs. Each paragraph should be at least three sentences in length but only contain one or two main points and support. Review your APA resources for how to properly cite references in your text. This is where you will apply in-text citation rules, as each paragraph will indicate the reference from which the information is taken. 

Also, prepare your reference page. Please review your APA resources as mentioned previously. Submit the entire document. However, only the literature review and reference page will be graded in this module.

Assignment Expectations

Length: 7-8 to 12 paragraphs for the Literature Review

Structure: Submit with shell intact, complete the Literature Review and Reference section and review and make corrections to the past sections

References: Minimum of a total of 6 (six) sources (at least 4 journal articles and 2 websites) formatted in APA style in the reference section and citations in the body of the text (6 journals and 3 websites for full credit on the final).

Members of the interdisciplinary team are frustrated because two members are providing patient counsel contrary to the agreed upon plan of care. Consider this scenario and address the following.

In a two-paragraph email to your supervisor, explain how you will lead toward effective management to address the issue. Include the theory or framework underpinning your action, as well as any micro, meso, or macro level interventions. Remember, this is in the format of an email; therefore, it should be concise with a summarized action plan.

Use at least 3 sources no later than 5 years.