Watch the “Diary of Medical Mission Trip” videos dealing with the catastrophic earthquake in Haiti in 2010. Reflect on this natural disaster by answering the following questions:

1. Propose one example of a nursing intervention related to the disaster from each of the following levels: primary prevention, secondary prevention, and tertiary prevention. Provide innovative examples that have not been discussed by previous students.
2. Under which phase of the disaster do the three proposed interventions fall? Explain why you chose that phase.
3. With what people or agencies would you work in facilitating the proposed interventions and why?

  

Assignment: Developing Organizational Policies and Practices

Competing needs arise within any organization as employees seek to meet their targets and leaders seek to meet company goals. As a leader, successful management of these goals requires establishing priorities and allocating resources accordingly.

Within a healthcare setting, the needs of the workforce, resources, and patients are often in conflict. Mandatory overtime, implementation of staffing ratios, use of unlicensed assisting personnel, and employer reductions of education benefits are examples of practices that might lead to conflicting needs in practice.

Leaders can contribute to both the problem and the solution through policies, action, and inaction. In this Assignment, you will further develop the white paper you began work on in Module 1 by addressing competing needs within your organization.

To Prepare:

· Review the national healthcare issue/stressor you examined in your Assignment for Module 1, and review the analysis of the healthcare issue/stressor you selected.

· Identify and review two evidence-based scholarly resources that focus on proposed policies/practices to apply to your selected healthcare issue/stressor.

· Reflect on the feedback you received from your colleagues on your Discussion post regarding competing needs.

The Assignment (4-5 pages):

Developing Organizational Policies and Practices

Add a section to the paper you submitted in Module 1. The new section should address the following:

· Identify and describe at least two competing needs impacting your selected healthcare issue/stressor.

· Describe a relevant policy or practice in your organization that may influence your selected healthcare issue/stressor.

· Critique the policy for ethical considerations, and explain the policy’s strengths and challenges in promoting ethics.

· Recommend one or more policy or practice changes designed to balance the competing needs of resources, workers, and patients, while addressing any ethical shortcomings of the existing policies. Be specific and provide examples.

· Cite evidence that informs the healthcare issue/stressor and/or the policies, and provide two scholarly resources in support of your policy or practice recommendations.

RUBRIC 

Name: NURS_6053_Module02_Week03_Assignment_Rubric

· Grid View

· List View

   

Excellent

Good

Fair

Poor

 

Add a section to the paper you submitted in Module 1. In 4–5   pages, address the following:
 

·   Identify and describe at least two competing   needs impacting your selected healthcare issue/stressor.

23 (23%) – 25 (25%)

The response   accurately and clearly identifies at least two competing needs impacting the   healthcare issue/stressor selected.

20 (20%) – 22 (22%)

The response   identifies at least two competing needs impacting the healthcare   issue/stressor selected.

18 (18%) – 19 (19%)

The response   identifies at least two competing needs impacting the healthcare   issue/stressor selected that is vague or inaccurate.

0 (0%) – 17 (17%)

The response   describes at least two competing needs impacting the healthcare   issue/stressor selected that is vague and inaccurate, or is missing.

 

·   Describe a relevant policy or practice in your   organization that may influence your selected healthcare issue/stressor.
 

·   Critique the policy for ethical considerations   and explain the policy’s strengths and challenges in promoting ethics.

27 (27%) – 30 (30%)

The response   accurately and thoroughly describes in detail a relevant policy or practice   in an organization that may influence the healthcare issue/stressor selected.
 

  The response accurately and thoroughly critiques in detail the policy for   ethical considerations and explains in detail the policy’s strengths and   challenges in promoting ethics.

24 (24%) – 26 (26%)

The response   accurately describes a relevant policy or practice in an organization that   may influence the healthcare issue/stressor selected.
 

  The response accurately critiques the policy for ethical considerations and   explains the policy’s strengths and challenges in promoting ethics.

21 (21%) – 23 (23%)

The response   describes a relevant policy or practice in an organization that may influence   the healthcare issue/stressor selected that is vague or inaccurate.
 

  The response critiques the policy for ethical considerations and explains the   policy’s strengths and challenges in promoting ethics that is vague or   inaccurate.

0 (0%) – 20 (20%)

The response   describes a relevant policy or practice in an organization that may influence   the healthcare issue/stressor selected that is vague and inaccurate, or is   missing.
 

  The response critiques the policy for ethical considerations and explains the   policy’s strengths and challenges in promoting ethics that is vague and   inaccurate, or is missing.

 

·   Recommend one or more policy or practice changes   designed to balance the competing needs of resources, workers, and patients   while addressing any ethical shortcomings of the existing policies. Be   specific and provide examples.
 

·   Cite evidence that informs the healthcare   issue/stressor and/or the policies and provide two scholarly resources in   support of your policy or practice recommendations.

27 (27%) – 30 (30%)

The response provide   one or more accurate, clear, and thorough recommendations for policy or   practice changes designed to balance the competing needs of resources,   workers, and patients while addressing any ethical shortcomings of the   existing policies.
 

  Specific and accurate examples are provided.
 

  Accurate and detailed evidence is cited that informs the healthcare   issue/stressor selected and a specific synthesis of at least two outside   scholarly resources in full support of the policy or practice recommendations   is provided. The response integrates at least 2 outside resources and 2 or 3   course-specific resources that fully support the healthcare issue/stressor   selected.

24 (24%) – 26 (26%)

The response   provides one or more recommendations for policy or practice changes designed   to balance the competing needs of resources, workers, and patients while   addressing any ethical shortcomings of the existing policies.
 

  Specific examples may be provided.
 

  Evidence is cited that informs the healthcare issue/stressor selected and a   synthesis of at least one outside scholarly resource that may support the   policy or practice recommendations is provided. The response integrates at   least 1 outside resource and 2 or 3 course-specific resources that may   support the healthcare issue/stressor selected.

21 (21%) – 23 (23%)

The response   provides one or more recommendations for policy or practice changes designed   to balance the competing needs of resources, workers, and patients while   addressing any ethical shortcomings of the existing policies that is vague or   inaccurate.
 

  Examples may be provided.
 

  Vague or inaccurate evidence is cited from 2 or 3 resources that informs the   healthcare issue/stressor selected and may support the policy or practice   recommendations provided.

0 (0%) – 20 (20%)

The response   provides one or more recommendations for policy or practice changes designed   to balance the competing needs of resources, workers, and patients while   addressing any ethical shortcomings of the existing policies that is vague   and inaccurate, or is missing.
 

  Examples are missing.
 

  Vague and inaccurate evidence is cited that informs the healthcare   issue/stressor and may include at least 1 scholarly resource that vaguely and   inaccurately supports the policy practice recommendations is provided, or is   missing.

 

Written Expression and Formatting – Paragraph Development and   Organization:
 

Paragraphs make clear points that support well-developed   ideas, flow logically, and demonstrate continuity of ideas. Sentences are   carefully focused—neither long and rambling nor short and lacking substance.   A clear and comprehensive purpose statement and introduction is provided   which delineates all required criteria.

5 (5%) – 5 (5%)

Paragraphs and   sentences follow writing standards for flow, continuity, and clarity.
 

  A clear and comprehensive purpose statement, introduction, and conclusion is   provided which delineates all required criteria.

4 (4%) – 4 (4%)

Paragraphs and   sentences follow writing standards for flow, continuity, and clarity 80% of   the time.
 

  Purpose, introduction, and conclusion of the assignment is stated, yet is   brief and not descriptive.

3.5 (3.5%) – 3.5 (3.5%)

Paragraphs and   sentences follow writing standards for flow, continuity, and clarity 60%–79%   of the time.
 

  Purpose, introduction, and conclusion of the assignment is vague or off   topic.

0 (0%) – 3 (3%)

Paragraphs and   sentences follow writing standards for flow, continuity, and clarity < 60%   of the time.
 

  No purpose statement, introduction, or conclusion was provided.

 

Written Expression and Formatting – English writing standards:
 

Correct grammar, mechanics, and proper punctuation

5 (5%) – 5 (5%)

Uses correct grammar,   spelling, and punctuation with no errors.

4 (4%) – 4 (4%)

Contains a few (1 or   2) grammar, spelling, and punctuation errors.

3.5 (3.5%) – 3.5 (3.5%)

Contains several (3   or 4) grammar, spelling, and punctuation errors.

0 (0%) – 3 (3%)

Contains many (≥ 5) grammar,   spelling, and punctuation errors that interfere with the reader’s   understanding.

 

Written Expression and Formatting – The paper follows correct   APA format for title page, headings, font, spacing, margins,   indentations, page numbers, parenthetical/in-text citations, and reference   list.

1.Post a statement describing at least one gap and/or opportunity for enhanced services or approaches within your healthcare organization. For each gap or opportunity, identify one possible solution, applying systems thinking to your approach. Be sure to address financial (including budgetary) impacts of your solutions, consulting as needed with your finance counselor.

2. Using the Healthcare Budget Request Guide for guidance, complete the worksheet tab titled “W1A1 HealthWays Budget”.

 Architect Daniel Libeskind is credited with saying “To provide meaningful architecture is not to parody history, but to articulate it.” The suggestion is that his work does not copy the efforts of others but relies on it.

Understanding the work of others is critically important to new work. Contributions to the nursing body of knowledge can happen when you are able to analyze and articulate the efforts of previous research. Research analysis skills are therefore critical tools for your toolbox.

In this Assignment, you will locate relevant existing research. You also will analyze this research using a tool helpful for analysis.

To Prepare:

• Reflect on the strategies presented in the Resources      this Module’s Learning Resources in support of locating and analyzing      research.
• Use the Walden Library to identify and read one      peer-reviewed research article focused on a topic in your specialty field      that interests you.
• Review the article you selected and reflect on the      professional practice use of theories/concepts described by the article.

The Assignment:

Using the “Module 4 | Part 4” section of your Academic Success and Professional Development Plan Template presented in the Resources, conduct an analysis of the elements of the research article you identified. Be sure to include the following:

• Your topic of interest.
• A correctly formatted APA citation of the article you selected, along with link or search details.
• Identify a professional practice use of the theories/concepts presented in the article.
• Analysis of the article using the “Research Analysis      Matrix” section of the template
• Write a 2-paragraph justification stating whether you would recommend this article to inform professional practice.
• Write a 3- to the 4-paragraph summary that you will add to      your Academic Success and Professional Development Plan that includes the      following:
  • Describe your approach to identifying and analyzing peer-reviewed research.
  • Identify at least two strategies that you would use that you found to be effective in finding peer-reviewed research.
  • Identify at least one resource you intend to use in the future to find peer-reviewed research.

Note: Add your work for this Assignment to the original document you began in the Module 1 Assignment, which was built from the Academic Success and Professional Development Plan Template 

Submit your analysis, including your completed section of the Academic Success and Professional Development Plan Template sections and your matrix and summary.

 

Video Transcript:

KARI (on phone): This is Kari the nurse from the Emergency Department. I’m calling to give you a transfer report on Ms. Janet Lieberman. Janet is a 36-year-old woman who came because she felt weak and dizzy. She has a history of Crohn’s disease with intermittent gastritis and six months ago she had surgery and an ileostomy. Traces of serosanguineous effluent were present in her ostomy bag upon arrival. Her Blood type is A-. She is typed and cross-matched for two units of packed RBCs, so please administer as soon as they are available. She started on Infliximab IV six months ago and the last dose was given seven weeks ago. Her vital signs were temperature 98.8, pulse 114, respiration 22, blood pressure 100/60, and oxygen saturation 95%. Her hemoglobin is seven milligrams per deciliter and her hematocrit is 21%. She has an IV of 0.9% sodium chloride 1000- milliliters infusing at 150-milliliters per hour, and has 700-milliliters remaining in the bag. We started an IV while she was in ED. Her skin has been pale, warm, and dry to the touch. She voided 500-milliliters at 1500 in the ED. A hemoccult of her stool was sent to the lab. Esther: Were the coagulation tests within normal range? KARI: Yes, her pro time is 12.2, her PT is 21 seconds, and her INR is 0.7. Esther: Okay, thanks for the report. KARI: You’re welcome. I’ll bring her up to your unit in a few minutes. Esther: Thanks. KARI: Hi Esther, this is Janet Lieberman. Esther: Hi Ms. Lieberman, my name’s Esther. I’ll be taking care of you this evening. KARI: I gave you a transfer report a couple minutes ago. Ms. Lieberman needs the two units of packed RBCs as soon as possible. Esther: Okay. Ms. Lieberman, I need to take a quick look at your ostomy bag. MS. LIEBERMAN: Sure, okay. Esther: Thank you. Do you have any family here? MS. LIEBERMAN: No, I came alone to the emergency room today, but I have a sister who’s on her way to the hospital. KARI: Do you have any questions before I leave? Esther: No, thanks for the report. I can take it from here. KARI: I am going back to the Emergency Department now. Esther’s going to be taking care of you. I hope you feel better soon. MS. LIEBERMAN: Thanks so much for taking such good care of me. Esther: Ms. Lieberman, I need to ask you some questions. MS. LIEBERMAN: Okay, what else do you need to know? Esther: I need to review your abdominal status. Are you having abdominal pain? MS. LIEBERMAN: Oh yes, it’s very sore and crampy. Esther: On a scale of 0 to 10, with 0 being no pain, and 10 being unbearable, how do you rate your pain now? MS. LIEBERMAN: I would say a 6. Esther: When did the pain begin? MS. LIEBERMAN: Uh, after I got up this morning. Esther: Can I ask you where the pain is? MS. LIEBERMAN: Yes, it’s here in the top of my stomach. Esther: Okay, Have you noticed anything that brings on the pain or makes it worse? MS. LIEBERMAN: I’m pretty sure stress makes it worse. Esther: Okay. MS. LIEBERMAN: When I get stressed I don’t eat healthy foods and then I get headaches and take Ibuprofen. Esther: Okay, when you’re feeling a little bit better I’d like to review some ways to manage your stress. For now, I need to take a listen to your bowel sounds. MS. LIEBERMAN: Sure, Okay