To Prepare:

• Reflect on the four peer-reviewed articles you critically appraised in Module 4, related to your clinical topic of interest and PICOT.
• Reflect on your current healthcare organization and think about potential opportunities for evidence-based change, using your topic of interest and PICOT as the basis for your reflection.
• Consider the best method of disseminating the results of your presentation to an audience. 

The Assignment: (Evidence-Based Project)

Part 4: Recommending an Evidence-Based Practice Change

Create an 8- to 9-slide narrated PowerPoint presentation in which you do the following:

• Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.)
• Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general.
• Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered.
• Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.
• Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.
• Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change.
• Be sure to provide APA citations of the supporting evidence-based peer reviewed articles you selected to support your thinking.
• Add a lessons learned section that includes the following:
  • A summary of the critical appraisal of the peer-reviewed articles you previously submitted
  • An explanation about what you learned from completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template (1-3 slides)

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.