The purpose of this assignment is to prepare students to make staffing decisions based on sound financial management principles and compliance guidelines.

Scenario: You are the nurse leader of a 30-bed medical surgical unit and have to account for all staffing, including any discrepancies. Using sound financial management principles, complete the “NUR-621 Topic 8: Staffing Matrix” in the provided excel template.

After completing the matrix, compose an 1,000-1,250-word reflection answering the following questions:

1. Why is it important to use a staffing matrix in your health care setting?
2. Briefly describe your staffing matrix. How many FTEs (full-time equivalent) on the staffing roster are required to cover daily needs? What units of services or work measurement did you use and why? What financial management principles did you use to determine your staffing matrix?
3. Explain how you adjusted your staffing based on changes in the patient census.
4. You receive your financial report for the month. You have used more FTEs than what was budgeted for your census. How will you make up the variance? How would you reallocate resources to make up for the variance and still comply with guidelines?

Include two to four peer-reviewed references in your essay, including the textbook.

Prepare this assignment according to the 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.

Benchmark Information

This benchmark assignment assesses the following programmatic competencies: 

MSN Leadership in Health Care Systems

6.4: Apply sound financial management principles to allocate resources within health care organizations.

 This assessment requires application of a nursing theory based on General Systems Theory and it’s relevance to rural health.  

Rural populations face many challenges to receiving the health care they need. Social determinants of health such as living environment, education, access to resources, etc., all influence individual and population health. Often times, when resources are available, other determinants, such as a lack of education or self-care, financial limitations, etc., continue to inhibit care. Numerous nursing theories have developed from General Systems Theory and the idea that the “system” is made up of “subsystems” that must work collaboratively and in harmony in order to work effectively. Neuman’s Systems Model and Roy’s Adaptation Model are two of these nursing models that support the principles of General Systems Theory. For the purpose of this assignment, we will explore Roy’s Adaptation Model and answer the following:

• Identify 2 major issues faced by rural populations in meeting their health care needs.
• What specific social determinants of health significantly influence these issues?
• Identify and describe 3 (out of 10) explicit assumptions of Roy’s Adaptation Model.
• How do these assumptions apply to rural health?
• What subsystems facilitate or hinder the overall system’s ability to meet the needs of the rural population?
• Describe a plan or legislative process (may be one currently under review or recently passed) for improving the “healthcare system” and the potential impact on the rural population.

Make sure you also include a clear, separate introduction and conclusion as a part of this assignment, as these are worth separate points on the grading rubric.

Points:  40 Due Date: Sat, May 1 by 8:00 a.m. Eastern Standard Time (EST) of the US. (Please note: No late assignments will be accepted for Module 5 assessments.)

References Minimum of four (4) total references: two (2) references from required course materials and two (2) peer-reviewed references. All references must be no older than five years (unless making a specific point using a seminal piece of information)Peer-reviewed references include references from professional data bases such as PubMed or CINHAL applicable to population and practice area, along with evidence based clinical practice guidelines. Examples of unacceptable references are Wikipedia, UpToDate, Epocrates, Medscape, WebMD, hospital organizations, insurance recommendations, & secondary clinical databases.

StyleUnless otherwise specified, all the written assignment must follow APA 7th edition formatting, citations and references.

Number of Pages/WordsUnless otherwise specified all papers should have a minimum of 600 words (approximately 2.5 pages) excluding the title and reference pages. 

 

Using the data on the “National Cancer Institute Data” Excel spreadsheet, calculate the descriptive statistics indicated below for each of the Race/Ethnicity groups. Refer to your textbook and the Topic Materials, as needed, for assistance with creating Excel formulas.

Provide the following descriptive statistics:

1. Measures of Central Tendency: Mean, Median, and Mode
2. Measures of Variation: Variance, Standard Deviation, and Range (a formula is not needed for Range).
3. Once the data is calculated, provide a 160 word analysis of the descriptive statistics on the spreadsheet. This should include differences and health outcomes between groups.

APA style is not required, but solid academic writing is expected.

 

Professional Leadership Communication and the Practice Scholar Guidelines

Purpose

The purpose of this paper is to provide the student with the opportunity to explore and explain verbal, non-verbal, and written communication at the highest professional level. This assignment allows for the assimilation of professional leadership competencies as a doctorally prepared practice scholar. Assignment content supports professional formation, communication, and dissemination of skills relevant to the DNP practice scholar.

Course Outcomes

This assignment enables the student to meet the following course outcomes:

CO3: Differentiate attributes of effective leaders and followers in influencing healthcare. (PO 6)

CO4: Assimilate attributes for intra-/inter-professional collaboration across healthcare settings (PO 8)

CO5: Formulate selected strategies for leadership and influence across healthcare systems. (PO 8)

Total points possible: 350 points.

* Preparing the Assignment

Follow these guidelines when completing each component of this assignment. 

1. The assignment will include the following components within 5-7 pages (not including title page or reference page):
   1. Title Page (Title matches the first-page title)
   2. Use the following required Level 1 headings:
      1. Verbal Communication Competencies and the Practice Scholar
      2. Non-verbal Communication Competencies and the Practice Scholar
      3. Written Communication Competencies and the Practice Scholar
      4. Conclusion
   3. Introduction (Note: Do not use “Introduction” as a heading). Place the paper’s title on the first line.
      1. In a brief paragraph, introduce your paper’s topic and establish its importance.
      2. Present a clear purpose statement and a mini-outline, in sentence format, of the paper. The best introductions outline the paper according to the major sections in the assignment guidelines (which are the required level 1 headings for the body of the paper).
   4. Verbal Communication Competencies and the Practice Scholar
      1. This section describes the leadership competency of verbal communication for the DNP practice scholar.
      2. Present your understanding of the components, comportment, and collaborative nature of effective and ineffective verbal communication as a leader.
   5. Non-Verbal Communication Competencies and the Practice Scholar
      1. This section describes the leadership competency of non-verbal communication for the DNP practice scholar.
      2. Present your understanding of the positive and negative behaviors of non-verbal communication as a leader and examples of each.
   6. Written Communication Competencies and the Practice Scholar
      1. This section describes the leadership competency of written communication for the DNP practice scholar.
      2. Include your understanding of (a) professional tone & style, (b) use of standard English, and (c) strategies for effective writing as a DNP leader in documents such as emails, memos, curricula vitarum, grant proposals, white papers, poster presentations, project dissemination manuscripts, and other formal written forms of professional leadership communication.
   7. Conclusion
      1. Recap the paper’s purpose statement and mini-outline criteria.
      2. Draw major conclusions from the body of your paper.
      3. Summarize the importance of effective communication competencies for the DNP leader.
   8. Clarity of writing
      1. Use consistent standard English grammar and sentence structure is evident throughout the paper. The sentences and wording should be clear and concise, without slang, colloquialisms, street language, or conversational style.
      2. Paper should be generally free of grammar, punctuation, spelling, and typographical errors.
      3. The paper should be organized and use the required Level I Headings headers and others as needed to organize the content.
   9. APA Style and Organization
      1. Format as required in APA or “Chamberlain Guidelines for Writing Professional Papers” (e.g., font, margins, title page, matching title on the 1st page, running head, level headings, reference pages, etc.).
      2. Citations in the text must match the APA table on p. 266 or “Chamberlain Guidelines for Writing Professional Papers,” and there are no quotations used in the paper. (Minimum 6 scholarly sources that match the reference)
      3. References must match APA examples starting on p. 313 or “Chamberlain Guidelines for Writing Professional Papers.” (Minimum 6 scholarly sources)
   10. All Chamberlain University policies related to plagiarism must be observed.  This written assignment will be screened for originality by TurnItIn

Rubric

NR703 Week 5 Professional Leadership Communication and the Practice Scholar Rubric

IntroductionRequirements:
1. First page title matches title on Title page.
2. Introduces paper’s topic and establish its importance.
3. Present a clear purpose statement and a mini-outline of the paper.

Verbal Communication Competencies and the Practice ScholarRequirements: This section describes the following criteria of effective and ineffective verbal communication as a DNP leader:
1. components (what)
2. comportment (how)
3. collaborative nature

Non-Verbal Communication Competencies and the Practice ScholarRequirements: This section describes the following criteria of non-verbal communication for the DNP leader.
1. Positive non-verbal behaviors
2. Negative non-verbal behaviors
3. Examples of each

Written Communication Competencies and the Practice ScholarRequirements: This section describes the following leadership criteria of written communication for the DNP practice scholar.
1. Professional tone & style.
2. Use of standard English.
3. Strategies for effective writing as a DNP leader in professional documents (providing examples).

ConclusionRequirements:
1. Recaps the paper’s purpose statement and mini-outline criteria.
2. Draws major conclusions from the body of your paper.
3. Summarize the importance of effective communication competencies for the DNP leader.

Clarity of WritingRequirements:
1. Consistent use of standard English grammar and sentence structure is evident throughout the paper. The sentences and wording are clear and concise, without slang, colloquialisms, street language, or conversational style.
2. Paper is generally free of grammar, punctuation, spelling, and typographical errors.
3. The paper is organized and uses the required Level I Headings headers and others as needed to organize the content.

APA Style and OrganizationRequirements:
1. The document is formatted as required in APA.
2. Citations in the text are APA formatted, match the references, and there are no quotations in the paper
3. A minimum of 6 scholarly references match the citations and are APA formatted  

 Please review the attached document and let me know if you have any questions as this paper is worth 350 points.

Note that you are required to have 6 scholarly resources – please review what a scholarly resource includes.

You are to have NO quotes in the paper at all.

You have specific level one headings that are required. You also have recommended level two headings which would be good to use.

Again, you may find it helpful to open up the attached document and print it off when writing or reviewing your paper prior to submission. 

It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.

Evaluate the Health History and Medical Information for Mr. C., presented below.

Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.

Health History and Medical Information

Health History

Mr. C., a 32-year-old single male, is seeking information at the outpatient center regarding possible bariatric surgery for his obesity. He currently works at a catalog telephone center. He reports that he has always been heavy, even as a small child, gaining approximately 100 pounds in the last 2-3 years. Previous medical evaluations have not indicated any metabolic diseases, but he says he has sleep apnea and high blood pressure, which he tries to control by restricting dietary sodium. Mr. C. reports increasing shortness of breath with activity, swollen ankles, and pruritus over the last 6 months.

Objective Data:

1. Height: 68 inches; weight 134.5 kg
2. BP: 172/98, HR 88, RR 26
3. 3+ pitting edema bilateral feet and ankles
4. Fasting blood glucose: 146 mg/dL
5. Total cholesterol: 250 mg/dL
6. Triglycerides: 312 mg/dL
7. HDL: 30 mg/dL
8. Serum creatinine 1.8 mg/dL
9. BUN 32 mg/dl

Critical Thinking Essay 

In 750-1,000 words, critically evaluate Mr. C.’s potential diagnosis and intervention(s). Include the following:

1. Describe the clinical manifestations present in Mr. C.
2. Describe the potential health risks for obesity that are of concern for Mr. C. Discuss whether bariatric surgery is an appropriate intervention.
3. Assess each of Mr. C.’s functional health patterns using the information given. Discuss at least five actual or potential problems can you identify from the functional health patterns and provide the rationale for each. (Functional health patterns include health-perception, health-management, nutritional, metabolic, elimination, activity-exercise, sleep-rest, cognitive-perceptual, self-perception/self-concept, role-relationship, sexuality/reproductive, coping-stress tolerance.)
4. Explain the staging of end-stage renal disease (ESRD) and contributing factors to consider.
5. Consider ESRD prevention and health promotion opportunities. Describe what type of patient education should be provided to Mr. C. for prevention of future events, health restoration, and avoidance of deterioration of renal status.
6. Explain the type of resources available for ESRD patients for nonacute care and the type of multidisciplinary approach that would be beneficial for these patients. Consider aspects such as devices, transportation, living conditions, return-to-employment issues.

You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

Prepare this assignment according to the 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.