I need 120 words for each assignment and each question with its individual references separate to each question

Unit 1

Topic 1: Health Care Systems, Organizational Relationships, and Interprofessional Health Care Environments

Q1

Discuss the shift to value-based health care and its impact on the roles and responsibilities of advanced registered nurses. What major evolving trends in the health care delivery system will affect your practice in the next 3-5 years, and how do you think advanced registered nurses will continue to influence the direction of health care?

Q2

From your experience, how can developing strong interprofessional relationships increase collaboration and benefit patient outcomes or organizational initiatives? What are some ways you can form an interprofessional team and collaborate with other advanced registered nurse roles? Make sure to incorporate the Interprofessional Education Collaborative (IPEC) competencies in your response.

STUDY MATERIALS

Read Chapters 5 and 6 in Advanced Practice Nursing: Essential Knowledge for the Profession. URL: https://www.gcumedia.com/digital-resources/jones-and-bartlett/2016/advanced-practice-nursing_essential-knowledge-for-the-profession_3e.php

Read Chapter 9 in Leadership in Nursing Practice: Changing the Landscape of Health Care. URL:https://www.gcumedia.com/digital-resources/jones-and-bartlett/2018/leadership-in-nursing-practice_changing-the-landscape-of-healthcare_3e.php

Read “Interprofessional Collaboration: Three Best Practice Models of Interprofessional Education,” by Bridges, Davidson, Odegard, Maki, and Tomkowiak, from Medical Education Online (2011). URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3081249/ 

Read “Core Competencies for Interprofessional Collaborative Practice: 2016 Update,” by Interprofessional Education Collaborative (2016). URL:https://nebula.wsimg.com/2f68a39520b03336b41038c370497473?AccessKeyId=DC06780E69ED19E2B3A5&disposition=0&alloworigin=1

Unit 2

Q1

From your experience in the health care industry, what is the difference between leadership and management? How can an advanced registered nurse both lead well and provide management? Think about interactions with patients, team members, daily tasks, and responsibilities as you formulate your response.

Q2

The underlying principle of servant leadership is that leaders address the needs of the team before their own and serve others before serving the self. After reviewing the topic materials and conducting your own research on servant leadership, describe how the vocation of the nurse is similar to the goals of a servant leader. Identify any examples you have seen in your practice, and the best way you can demonstrate servant leadership in nursing practice.

STUDY MATERIALS

Review Chapter 6 in Advanced Practice Nursing: Essential Knowledge for the Profession. URL: https://www.gcumedia.com/digital-resources/jones-and-bartlett/2016/advanced-practice-nursing_essential-knowledge-for-the-profession_3e.php  Read Chapters 2-4, 7, and 14 in Leadership in Nursing Practice: Changing the Landscape of Health Care. URL: https://www.gcumedia.com/digital-resources/jones-and-bartlett/2018/leadership-in-nursing-practice_changing-the-landscape-of-healthcare_3e.php Read “Great Leaders Inspire Great Followership,” by Cruz, from Leadership Excellence Essentials (2014). URL:https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=bth&AN=97399121&site=eds-live&scope=site   Read “Advancing the Nursing Profession Begins With Leadership,” by O’Neill, from Journal of Nursing Administration (2013). URL:https://lopes.idm.oclc.org/login?url=http://gateway.ovid.com.lopes.idm.oclc.org/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=ovft&AN=00005110-201304000-00001&PDF=y      Read “From Trait to Transformation: The Evolution of Leadership Theories,” by Johns and Moser, from Education (1989). URL:https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=4717838&site=ehost-live&scope=site   

Read “Nursing Leadership From Bedside to Boardroom: Opinion Leaders’ Perceptions,” by Blizzard, Khoury, and McMurray (2015), located on the Campaign for Action website. URL: http://campaignforaction.org/resource/nursing-leadership-bedside-boardroom-opinion-leaders-perceptions/

Read “Leadership Styles: Choosing the Right Approach for the Situation,” located on the Mind Tools website. URL: http://www.mindtools.com/pages/article/newLDR_84.htm  Read “Transformational Leadership: Becoming an Inspirational Leader,” located on the Mind Tools website.URL: http://www.mindtools.com/pages/article/transformational-leadership.htm Read “Servant Leadership: Putting Your Team First, and Yourself Second,” located on the Mind Tools website. URL: https://www.mindtools.com/pages/article/servant-leadership.htm  Read “What Is the Difference Between Management and Leadership?” by Murray (2014), located on The Wall Street Journal website.    URL: http://guides.wsj.com/management/developing-a-leadership-style/what-is-the-difference-between-management-and-leadership/

Complete the “Nurse Manager Skills Inventory,” by the Nurse Manager Leadership Partnership (NMLP), located on the American Association of Critical-Care Nurses website. The resource is located under the “Authentic Leadership” heading. URL: https://www.aacn.org/nursing-excellence/healthy-work-environments/hwe-resources  

These resources will be used to complete the Leadership Style Reflective Essay assignment, due in this topic. Please refer to the assignment details for additional instructions.

1. Emotional Intelligence Assessment: “Emotional Intelligence Test”: http://testyourself.psychtests.com/testid/3038
2. Personality Assessment: “Personality Traits Test”: http://testyourself.psychtests.com/bin/transfer?req=MnwyMjk2fDE5NTM1MTV8MXwxfDE=&refempt
3. Learning Styles Assessment: “The VARK Questionnaire: How Do I Learn Best?”: http://vark-learn.com/the-vark-questionnaire/
4. Values Assessment: “Values Profile”: http://testyourself.psychtests.com/bin/transfer?req=MnwzMzE5fDE5NTM1MTV8MXwxfDE=&refempt
5. Values Assessment: “Rokeach Values Survey”: http://faculty.wwu.edu/tyrank/Rokeach%20Value%20Survey.pdf
6. Diversity Assessment: “Cultural Competence Self-Test”:  https://www.oregon.gov/DHS/SENIORS-DISABILITIES/DD/PROVIDERS-PARTNERS/SCPAconference/Cultural%20Competence%20Self-Test.pdf

Explore the “Nurse Manager Leadership Partnership” section on the American Organization of Nurse Executives website.

URL:http://www.aone.org/resources/nurse-manager-leadership-partnership

Explore the “What Is Servant Leadership?” page of the Greenleaf Center for Servant Leadership website. URL: https://www.greenleaf.org/what-is-servant-leadership/

Unit 3

Q1

How have you seen or experienced organizational change within an organization? Did it go well or not? Was there any correlation in how the organizations used stakeholders or change models?

Q2

You have been selected to serve on a community outreach committee within your state’s nursing organization. The committee includes registered nurses of different specialties. At your first meeting, it becomes evident that not everyone is in agreement with a recent position statement about the role of spiritual care, with some members arguing they will no longer support the committee if the position statement is not revised or reversed. As a nurse leader, how could you draw from change theory to address these concerns and encourage collaboration on the committee?

STUDY MATERIALS

Review Chapter 5 in Advanced Practice Nursing: Essential Knowledge for the Profession. URL: https://www.gcumedia.com/digital-resources/jones-and-bartlett/2016/advanced-practice-nursing_essential-knowledge-for-the-profession_3e.php    Read Chapter 1 in Leadership in Nursing Practice: Changing the Landscape of Health Care. URL: https://www.gcumedia.com/digital-resources/jones-and-bartlett/2018/leadership-in-nursing-practice_changing-the-landscape-of-healthcare_3e.php

Unit 4

Q1

Are there professional barriers to being involved with the legislative process, such as retaliation from institutions or individuals who do not share your same viewpoints? What steps would you take to ensure you can represent the advanced registered nurse as a leader and patient advocate under these types of circumstances?

Q2

Chapter 14 in the textbook, Leadership in Nursing Practice: Changing the Landscape of Health Care, discusses the nursing profession’s lack of representation in health care policymaking, even though nurses currently represent the largest profession within the health care industry. The text suggests that this may be related to gender inequality, with women making up a large percentage of the nursing profession. Do you see any correlation to this argument?

STUDY MATERIALS

Read Chapters 11 and 13-15 in Leadership in Nursing Practice: Changing the Landscape of Health Care. URL: https://www.gcumedia.com/digital-resources/jones-and-bartlett/2018/leadership-in-nursing-practice_changing-the-landscape-of-healthcare_3e.php Read “Preparing Nurses for Leadership in Public Policy” (2014), located on the Robert Wood Johnson Foundation website. URL: http://www.rwjf.org/en/library/articles-and-news/2014/02/preparing-nurses-for-leadership-in-public-policy.html  Explore your state legislature website and access legislation information. The link to the Arizona State Legislature website is provided, but students living in other states should access their state departments. This resource will be used for the Topic 5 assignment. URL: http://www.azleg.gov/

Unit 5

Q1

Research an organization that uses an innovative model of care. How does this innovative model affect interprofessional collaboration? How might this model contribute to the delivery of cost of effective health care? Make sure to identify the organization and model in your response.

Q2

Define ACOs and discuss their impact on the contemporary health care system. How do ACOs drive cost-effectiveness, innovation, and collaboration in the delivery of health care?

STUDY MATERIALS

Read Chapters 8 and 9 in Advanced Practice Nursing: Essential Knowledge for the Profession. URL: https://www.gcumedia.com/digital-resources/jones-and-bartlett/2016/advanced-practice-nursing_essential-knowledge-for-the-profession_3e.php  Read Chapter 5 in Leadership in Nursing Practice: Changing the Landscape of Health Care. Review Chapter 1. URL: https://www.gcumedia.com/digital-resources/jones-and-bartlett/2018/leadership-in-nursing-practice_changing-the-landscape-of-healthcare_3e.php Read “Accountable Care Organizations (ACOs): General Information,” located on the Centers for Medicare and Medicaid Services website (2015).    URL: https://innovation.cms.gov/initiatives/ACO   Read “Accountable Care Organizations (ACO),” located on the Centers for Medicare and Medicaid Services website (2015). URL: https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/ACO/index.html?redirect=/aco/  Read “Productivity and Quality of Hospitals that Joined the Medicare Shared Savings Accountable Care Organization Program,” by Highfill and Ozcan, from International Journal of Healthcare Management (2016). URL:https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=bth&AN=118862971&site=eds-live&scope=site    Read “Accountable Care Organizations (ACOs),” by Dewey, from Salem Press Encyclopedia of Health (2016). URL:https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ers&AN=113931243&site=eds-live&scope=site

Unit 6

Q1

In what ways can informatics help health care providers overcome current or emerging barriers to care and increase access to safe, quality health care? Include a discussion of the value and challenges of clinical provider order entry (CPOE) and clinical decision support systems (CDSS) in providing safe patient care in your response.

Q2

Differentiate between EMRs and EHRs. Discuss the importance of interoperability in relationship to both types of records and to how the EMR and EHR improve quality and access to care.

STUDY MATERIALS

Read Chapters 12 and 15 in Advanced Practice Nursing: Essential Knowledge for the Profession. URL: https://www.gcumedia.com/digital-resources/jones-and-bartlett/2016/advanced-practice-nursing_essential-knowledge-for-the-profession_3e.php Read Chapters 2, 9, 10, 11, and 13 in Nursing Informatics and the Foundation of Knowledge. URL: https://www.gcumedia.com/digital-resources/jones-and-bartlett/2017/nursing-informatics-and-the-foundation-of-knowledge_4e.php   Read “EMR vs EHR – What Is the Difference?” by Garrett and Seidman (2011), located on the Health IT Buzz website. URL: https://www.healthit.gov/buzz-blog/electronic-health-and-medical-records/emr-vs-ehr-difference/   Read “What Is the Difference Between Health Informatics and Health Information Management?” by Kirshner, located on the Oregon Institute of Technology website. URL: http://www.oit.edu/docs/default-source/programs-information-technology-documents/health-informatics/what-is-the-difference-between-hi-him.pdf?sfvrsn=2   Read “Quality Measures,” located on the Centers for Medicare and Medicaid Services website (2016). URL: https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/QualityMeasures/index.html   Explore the American Health Information Management Association (AHIMA) website. URL: http://www.ahima.org/   Explore the Agency for Healthcare Research and Quality (AHRQ) website. URL: http://www.ahrq.gov/   Read “Writing an Issue Brief,” located on the American Association of Colleges of Pharmacy website (2016). This resource will help you complete your Topic 6 assignment. URL: https://www.aacp.org/article/writing-issue-brief  Read “The Mechanics of Writing a Policy Brief,” by DeMarco and Tufts, from Nursing Outlook (2014). This resource will help you complete your Topic 6 assignment.   URL: http://www.nursingoutlook.org/article/S0029-6554%2814%2900057-8/abstract Explore the issue briefs available on the Expert Policy Analysis page of the American Nurses Association (ANA) website. This resource will help you complete your Topic 6 assignment. URL: http://www.nursingworld.org/MainMenuCategories/Policy-Advocacy/Positions-and-Resolutions/Issue-Briefs   Explore the issue briefs available on the ACNM Library page of the American College of Nurse-Midwives (ACNM) website. This resource will help you complete your Topic 6 assignment. URL: https://www.midwife.org/default.aspx?bid=59&cat=7&button=Search

Unit 7

Q1

What quality standards or performance measures guide your role or specialty as an advanced registered nurse? Using these standards, discuss how informatics can be used to improve quality of care. Make sure to discuss meaningful use and incorporate the topic materials, such as the American Health Information Management Association (AHIMA) and Information Governance websites in your response.

Q2

Review HIPAA, protected health information (PHI), and requirements for privacy and confidentiality in EHRs. Discuss one ethical and one legal issue related to the use of EHRs that directly impact advanced registered nursing practice. Discuss possible consequences for compromising patient data and measures you can implement in your own practice to protect patient privacy and confidentiality.

STUDY MATERIALS

Read Chapters 16 and 17 in Advanced Practice Nursing: Essential Knowledge for the Profession. URL: https://www.gcumedia.com/digital-resources/jones-and-bartlett/2016/advanced-practice-nursing_essential-knowledge-for-the-profession_3e.php Read Chapters 8, 14, 16, and 18 in Nursing Informatics and the Foundation of Knowledge. URL: https://www.gcumedia.com/digital-resources/jones-and-bartlett/2017/nursing-informatics-and-the-foundation-of-knowledge_4e.php   Review “What Is the Difference Between Health Informatics and Health Information Management?” by Kirshner, located on the Oregon Institute of Technology website. URL: http://www.oit.edu/docs/default-source/programs-information-technology-documents/health-informatics/what-is-the-difference-between-hi-him.pdf?sfvrsn=2 Review “Quality Measures,” located on the Centers for Medicare and Medicaid Services website (2016). URL: https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/QualityMeasures/index.html   Explore the Meaningful Use section of the Centers for Disease Control and Prevention (CDC) website. URL: http://www.cdc.gov/ehrmeaningfuluse/resources.html

Unit 8

Q1

Open and clear communication is critical for the effective functioning of the interprofessional team and the delivery of safe patient care. Discuss the way communication technologies can enhance coordination of care by interprofessional teams. Be sure to discuss a specific communication technology in your responseQ2

Virtual care and telehealth technologies have the capability to greatly expand access to quality health care. Discuss some benefits and drawbacks of virtual care/telehealth particularly related to the collaboration and coordination of care and the role of the advanced registered nurse.

STUDY MATERIALS

Read Chapters 15 and 23 in Nursing Informatics and the Foundation of Knowledge. URL: https://www.gcumedia.com/digital-resources/jones-and-bartlett/2017/nursing-informatics-and-the-foundation-of-knowledge_4e.php

Explore the HealthIT.gov website.URL: https://www.healthit.gov/

 

Heritage Assessment 

Complete the Heritage Assessment on a non-family member over the age of 45.  Create a genogram for your interviewee, including identification of health issues (and age of death and cause of death as appropriate) for each family member to identify patterns and trends.  Include a brief summary of the interviewee health risks based upon the genogram.  Propose health promotion teaching opportunities based upon findings.

The genogram can be completed using a free template or you may draw by hand and scanned.

Interview a non-family member over the age of 45 and complete the Heritage Assessment from Chapter 2.

Additional Instructions:

1. All submissions should have a title page and reference page.
2. Utilize a minimum of two scholarly resources.
3. Adhere to grammar, spelling and punctuation criteria.
4. Adhere to APA compliance guidelines.
5. Adhere to the chosen Submission Option for Delivery of Activity guidelines.

Submission Options:

Choose One:

Instructions:

Paper

• 2 to 3-page paper. Include title and reference pages.

Reply1Hi Maria,

I didn’t think about it while pondering my own values but I have to admit that autonomy is one of the things I value above others.  I can see that you also have similar values as my own.  I think that nurses in general will have similar values since we are in the business of caring for others, don’t you agree?  I see your answers are in regards to nursing and your work mostly.  I myself was thinking more about my personal life when contemplating my values.  Was it easy for you to think up what your values and beliefs are?  I had a difficult time to be honest.  I agree with your statement about your choices being limited by the policies in place, I suppose this is also true for me at my current job.  

Reply2

What are values? 

Q. What are your personal values? 

My personal values are my family, time and career. 

Q. Why do you value them? 

Family is everything, I chose nursing career to provide and stability for my son.  Time with family is priceless, once you lose the time you can’t get it back.  

Q. What are the values in your society? 

Social values accountability, honesty, knowledge, and independence 

Q. How do you make choices? 

I make choices by evaluating the outcome, what are the pros and cons, and if it is beneficial for me and my family 

Q. Are your choices based on your values? 

Yes, my choices are based on safety and wellness of my family  

Q. What values are useful in society? 

Useful in society knowledge, learning from different culture and beliefs. 

What are the limits to personal choice? 

Q. Who limits your choices? 

Myself and my son, my limit is what the outcome would be 

Q. Are limits to choices good? 

Yes, it is good depending on your choices, but for education and wealth sky is the limit you can be what you want to be, have faith.  

Q. Do you limit other people’s choices? 

My son, bad choices I will give the mom and son talk, but other people that is their choice, it is their right.  

Q. Should the health care organization or the government limit people’s choices? If so, how, and under what circumstances? 

Limiting choices takes away freedom, and independence of people.  Healthcare is good example, is it people’s right to get free healthcare or is it luxury?  Meaning if people choose medical, HMO, or PPO. Medical from the government where it is limited of where you can go for healthcare, whereas PPO you can choose where you want to go.  

A common idea in health care is that if you are drawn to health care as a profession, you are inherently guided by an inner compass that is composed of a strong moral framework. Why is this a dangerous assumption? 

Nurses’ being the influential member of the health care field, their choices along with commitment plays an essential role for the welfare and safety of humanity. Their decision-making efficiency molded from the framework of their personal, cultural and spiritual values often lead them to ethical dilemma. In situations with conflicting moral values, the nurses are expected to be professional and ethical, and point to the Code of Ethics to obtain guidance on the ethical dilemma of allowing nurses to deliver quality care.   

Evaluate the Health History and Medical Information for Mr. M., 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. M., a 70-year-old male, has been living at the assisted living facility where you work. He has no know allergies. He is a nonsmoker and does not use alcohol. Limited physical activity related to difficulty ambulating and unsteady gait. Medical history includes hypertension controlled with ACE inhibitors, hypercholesterolemia, status post appendectomy, and tibial fracture status postsurgical repair with no obvious signs of complications. Current medications include Lisinopril 20mg daily, Lipitor 40mg daily, Ambien 10mg PRN, Xanax 0.5 mg PRN, and ibuprofen 400mg PRN.

Case Scenario

Over the past 2 months, Mr. M. seems to be deteriorating quickly. He is having trouble recalling the names of his family members, remembering his room number, and even repeating what he has just read. He is becoming agitated and aggressive quickly. He appears to be afraid and fearful when he gets aggressive. He has been found wandering at night and will frequently become lost, needing help to get back to his room. Mr. M has become dependent with many ADLs, whereas a few months ago he was fully able to dress, bathe, and feed himself. The assisted living facility is concerned with his rapid decline and has decided to order testing.

Objective Data

1. Temperature: 37.1 degrees C
2. BP 123/78 HR 93 RR 22 Pox 99%
3. Denies pain
4. Height: 69.5 inches; Weight 87 kg

Laboratory Results

1. WBC: 19.2 (1,000/uL)
2. Lymphocytes 6700 (cells/uL)
3. CT Head shows no changes since previous scan
4. Urinalysis positive for moderate amount of leukocytes and cloudy
5. Protein: 7.1 g/dL; AST: 32 U/L; ALT 29 U/L

Critical Thinking Essay

In 750 words, critically evaluate Mr. M.’s situation. Include the following:

1. Describe the clinical manifestations present in Mr. M.
2. Based on the information presented in the case scenario, discuss what primary and secondary medical diagnoses should be considered for Mr. M. Explain why these should be considered and what data is provided for support.
3. When performing your nursing assessment, discuss what abnormalities would you expect to find and why.
4. Describe the physical, psychological, and emotional effects Mr. M.’s current health status may have on him. Discuss the impact it can have on his family.
5. Discuss what interventions can be put into place to support Mr. M. and his family.
6. Given Mr. M.’s current condition, discuss at least four actual or potential problems he faces. Provide rationale for each.

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. 

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