Assignment:

• What is it important for a nurse leader to understand variance reporting? How does this reporting become a valuable tool?
• Because staffing is usually the most expensive resource in the provision of care, what reports would provide you with valuable information for this expense?
• Contract labor is usually the most expensive man-hours. Why?
• What is a cost-to-charge ratio? Why should a nurse manager understand this ratio, and how would he or she use it?
• Finance departments regard nursing units as not being revenue generators. Why do you believe they are inaccurate in their assessment?
• In the new value-based reimbursement environment, what other measures can a nurse manager take to enhance reimbursement and prevent revenue loss?

This APA essay will have 1200-1500 words with 4 supporting references. Make certain to include an introduction and conclusion paragraph, along a title and reference page.

Please reply to this discussion with one reference.  

-In my opinion, the middle range theory of Madeleine Leininger cultural care theory can be applied to nursing practice. In nursing practice, we come across patients who have different cultural backgrounds. It’s important as a nurse to respect those cultures and provide appropriate care. “Furthermore, cultural competency is operationalized as health care providers possessing the knowledge, attitudes, and skills that are necessary to work with diverse patient populations” (Donaldson, W. V., & Vacha-Haase, T., 2016, p. 391). The article I came across discussed long term care among LGBT community. The cultural care theory came about in the 1950’s. Leininger discovered that care is important in helping patients recover from illnesses. Leininger noticed that children of different cultures required different care. She realized that care and culture came hand in hand and came up with the cultural care theory. “The need for the new field of transcultural nursing to prepare nurses to function in a multicultural world become clear” (Madeleine M., L., 1988, p.153). Madeleine realized there is a lot to learn about many different cultures.  Due to the different cultures you can see within some nurses, cultural conflicts and those should be addressed. Assumptions underpinning this theory is that caring is essential for curing and healing. Also that there are cultural care differences between the patient and the nurse as well as similarities. 

References:

Donaldson, W. V., & Vacha-Haase, T. (2016). Exploring Staff Clinical Knowledge and Practice with LGBT Residents in Long-Term Care: A Grounded Theory of Cultural Competency and Training Needs. Clinical Gerontologist, 39(5), 389–409. https://doi-org.su.idm.oclc.org/10.1080/07317115.2016.1182956

Jennings K. M. (2017). The Roy Adaptation Model: A Theoretical Framework for Nurses Providing Care to Individuals With Anorexia Nervosa. ANS. Advances in nursing science, 40(4), 370–383. doi:10.1097/ANS.0000000000000175

Madeleine M., L. (1988). Leiningerʼs Theory of Nursing: Cultural Care Diversity and Universality. Nursing Science Quarterly, (4), 152. Retrieved from https://search-ebscohost-com.su.idm.oclc.org/login.aspx?direct=true&db=edsovi&AN=edsovi.00006236.198811000.00007&site=eds-live

Select an adolescent or young adult client on whom to perform a health screening and history. Students who do not work in an acute setting may “practice” these skills with a patient, community member, neighbor, friend, colleague, or loved one.

Complete the “Health History and Screening of an Adolescent or Young Adult Client” worksheet.

Complete the assignment as outlined on the worksheet, including:

1. Biographical data
2. Past health history
3. Family history: Obstetrics history (if applicable) and well young adult behavioral health history screening
4. Review of systems
5. All components of the health history
6. Three nursing diagnoses for this client based on the health history and screening (one actual nursing diagnosis, one wellness nursing diagnosis, and one “risk for” nursing diagnosis)
7. Rationale for the choice of each nursing diagnosis.
8. A wellness plan for the adolescent/young adult client, using the three nursing diagnoses you have identified.

Format the write-up in a manner that is easily read, computer-generated, neat, and without spelling errors. Use correct acronyms or abbreviations when indicated.

While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, This assignment uses a rubric. 

The RN to BSN program at Grand Canyon University meets the requirements for clinical competencies as defined by the Commission on Collegiate Nursing Education (CCNE) and the American Association of Colleges of Nursing (AACN), using nontraditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, specific care discipline, and local communities.

Note: This is an individual assignment. In 1,500-2,000 words, describe the teaching experience and discuss your observations. The written portion of this assignment should include:

1. Summary of teaching plan
2. Epidemiological rationale for topic
3. Evaluation of teaching experience
4. Community response to teaching
5. Areas of strengths and areas of improvement

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.