COMMUNITY NURSING Course Reflection 

PURPOSE

The purpose of this assignment is to provide the student an opportunity to reflect on selected RN-BSN competencies acquired through the NUR4636 course COMMUNITY NURSING.

COURSE OUTCOMES

This assignment provides documentation of student ability to meet the following course outcomes: 

-The students will be able to recognize the different level of prevention and apply them in the community (ACCN Essential I, II, IV, V, VII; QSEN: safety, evidence-based practice, teamwork and collaboration, quality improvement, informatics, and patient-centered care).

-This course will enable the student to place in practice methods of health prevention, promotion and restoration in the communities (ACCN Essential I, II, IV, V, VII; QSEN: safety, evidence-based practice, and teamwork and collaboration, quality improvement, informatics, and patient.

-The students will be able to educate the communities about the different ways to prevent illness and promote health (ACCN Essential I, II, IV, V, VII; QSEN: safety, evidence-based practice, teamwork, and collaboration, quality improvement, informatics, and patient-centered care).

-The student will understand the different tools available to put in place and in the hands of the communities in order to keep them healthy (ACCN Essential I, II, IV, V, VII; QSEN: safety, evidence-based practice, teamwork and collaboration, quality improvement, informatics, and patient-centered care).

REQUIREMENTS

1. Original papers, “NO plagiarism”. The Course Reflection will be graded on quality of self-assessment, use of citations, use of Standard English grammar, sentence structure, and overall organization based on the required components as summarized in the directions and grading criteria/rubric.

2. Follow the directions and grading criteria closely (See Attachment). Any questions about your essay may be posted under the Q & A forum under the Discussions tab. 

3. The length of the reflection is to be within three to four pages excluding title page and reference pages. 

4. APA format is required with both a title page and reference page. Use the required components of the review as Level 1 headers (upper and lower case, centered): 

Note: Introduction – Write an introduction but do not use “Introduction” as a heading in accordance with the rules put forth in the Publication manual of the American Psychological Association (2010, p. 63).

a. Course Reflection 

b. Conclusion

PREPARING YOUR REFLECTION

The BSN Essentials (AACN, 2008) outline a number of healthcare policy and advocacy competencies for the BSN-prepared nurse. Reflect on the NUR4636 course readings, discussion threads, and applications you have completed across this course and write a reflective essay regarding the extent to which you feel you are now prepared to:

1. Demonstrate basic knowledge of healthcare policy, finance, and regulatory environments, including local, state, national, and global healthcare trends.

2. Describe how health care is organized and financed, including the implications of business principles, such as patient and system cost factors.

3. Compare the benefits and limitations of the major forms of reimbursement on the delivery of healthcare services.

4. Examine legislative and regulatory processes relevant to the provision of health care.

5. Describe state and national statutes, rules, and regulations that authorize and define professional nursing practice.

6. Explore the impact of socio-cultural, economic, legal, and political factors influencing healthcare delivery and practice.

7. Examine the roles and responsibilities of the regulatory agencies and their effect on patient care quality, workplace safety, and the scope of nursing and other health professionals’ practice.

8. Discuss the implications of healthcare policy on issues of access, equity, affordability, and social justice in healthcare delivery.

9. Use an ethical framework to evaluate the impact of social policies on health care, especially for vulnerable populations.

10. Articulate, through a nursing perspective, issues concerning healthcare delivery to decision makers within healthcare organizations and other policy arenas.

11. Participate as a nursing professional in political processes and grassroots legislative efforts to influence healthcare policy.

12. Advocate for consumers and the nursing profession.

13. Assess protective and predictive factors, including genetics, which influence the health of individuals, families, groups, communities, and populations.

14. Conduct a health history, including environmental exposure and a family history that recognizes genetic risks, to identify current and future health problems.

15. Assess health/illness beliefs, values, attitudes, and practices of individuals, families, groups, communities, and populations.

16. Use behavioral change techniques to promote health and manage illness.

17. Use evidence¬ based practices to guide health teaching, health counseling, screening, outreach, disease and outbreak investigation, referral, and follow-up throughout the lifespan.

18. Use information and communication technologies in preventive care.

19. Collaborate with other healthcare professionals and patients to provide spiritually and culturally appropriate health promotion and disease and injury prevention interventions.

20. Assess the health, healthcare, and emergency preparedness needs of a defined population.

21. Use clinical judgment and decision-making skills in appropriate, timely nursing care during disaster, mass casualty, and other emergency situations.

22. Collaborate with others to develop an intervention plan that takes into account determinants of health, available resources, and the range of activities that contribute to health and the prevention of illness, injury, disability, and premature death.

23. Participate in clinical prevention and population ¬focused interventions with attention to effectiveness, efficiency, cost-effectiveness, and equity.

24. Advocate for social justice, including a commitment to the health of vulnerable populations and the elimination of health disparities.

25. Use evaluation results to influence the delivery of care, deployment of resources, and to provide input into the development of policies to promote health and prevent disease.” (pp. 20-21, 24-25 SEE ATTACHMENT) 

Reference:

American Association of Colleges of Nursing [AACN]. (2008). The essentials of baccalaureate education for professional nursing practice. Washington, DC: Author.

 

Humanities Test-Out 02 – Visual Art

Competency
Develop a vocabulary for criticizing, evaluating, and describing works of art.

For this assessment task, you are asked to act as an art critic and analyze a series of works. When art critics discuss art, they describe art works in terms of style and medium. Art critics interpret meanings of art and make judgements of a work’s validity to the importance of a piece in the larger context of art history and culture. Art critics also evaluate art in the context of aesthetics.

Please watch the presentation below as a refresher on this deliverable’s content. The presentation will not tell you everything you need to know to pass this test-out, but it should serve as a refresher.

Assessment 2 PPT

 

Competency

Develop a vocabulary for criticizing, evaluating, and describing works of art.

Instructions

For this competency, you will assume the role of a critic. View each piece of work listed below and analyze it as a piece of art, identifying key elements of the work and using terminology common to the discipline. Using a few concise paragraphs for each piece, your analysis should discuss each work as a critic would and include, using the proper vocabulary, what you think the work is about.

Grading Rubric (for each response)

0

1

2

3

4

Category

Not Submitted

No pass

Competence

Proficiency

Mastery

Elements

Not Submitted

Does not identify key elements of the piece of art

Identifies the key elements of that piece of art.

Identifies the key elements of that piece of art and explains them.

Identifies the key elements of that piece of art and explains them, referencing other works of art.

Vocabulary

Not Submitted

Does not use the vocabulary common to that field of art.

Uses the common vocabulary of that field of art.

Uses the common vocabulary of that field of art with explanation.

Uses the common vocabulary of that field of art with a detailed explanation.

Subject/Movement

Not Submitted

Does not offer an explanation as to what the piece is about or the movement the piece represents.

Explains what the piece is about or the movement the piece represents.

Explains what the piece is about or the movement the piece represents in detail.

Explains what the piece is about or the movement the piece represents in detail, referencing other works of art.

Coverage

No pieces discussed.

Pieces discussed, but not enough detail provided.

Pieces discussed, and details provided.

Pieces thoroughly discussed, and insightful details provided.

Pieces thoroughly discussed, and insightful details provided, making reference to additional works.

 

Develop a training plan for one of the role groups in the organization that will be responsible for implementing practice guidelines under the new organizational policy you presented in Assessment 3. Prepare an agenda for a two-hour workshop, and summarize your strategies for working with this group, the expected outcomes of the training, and why you chose this group to pilot the change.

Introduction

Note: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, you must complete the assessments in this course in the order in which they are presented.

Training and educating those within an organization who will be responsible for implementing and working with changes in organizational policy is a critical step in ensuring that prescribed changes have their intended benefit. A leader in a health care profession needs to be able to apply effective leadership, management, and educational strategies to ensure that colleagues and subordinates will be prepared to do the work that is asked of them.

As a master’s-level health care practitioner, you may be asked to design training sessions to help ensure the smooth implementation of any number of initiatives in your health care setting. The ability to create an agenda that will ensure your training goals will be met, and will fit into the time you are allotted, is a valuable skill for preparing colleagues to be successful in their practice. This assessment offers you an opportunity to develop and implement such strategies.

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

• Competency 2: Analyze relevant health care laws and regulations and their applications and effects on processes within a health care team or organization.
  • Explain an institutional policy or practice guidelines that will be implemented.
• Competency 3: Lead the development and implementation of ethical and culturally sensitive policies that improve health outcomes for individuals, organizations, and populations.
  • Justify the importance of an institutional policy or practice guidelines to improve the quality of care or outcomes related to a specific group.
  • Develop materials that support learning and skill development to enable a group to be successful in applying a policy or practice guidelines to its work.
• Competency 5: Develop strategies to work collaboratively with policy makers, stakeholders, and colleagues to address environmental (governmental and regulatory) forces.
  • Develop strategies for engaging with a specific group to ensure buy in, support, and preparedness to implement changes in policy and practice guidelines.
  • Advocate for the importance of the role a specific group will play in implementing changes in policy and practice guidelines.
• Competency 6: Apply various methods of communicating with policy makers, stakeholders, colleagues, and patients to ensure that communication in a given situation is professional, clear, efficient, and effective.
  • Interpret complex policy considerations or practice guidelines for a specific group with respect and clarity.
  • Write clearly and logically, with correct use of grammar, punctuation, and spelling.
  • Integrate relevant sources to support arguments, correctly formatting citations and references using current APA style.

Preparation

Your policy proposal presentation secured buy in and support from the stakeholder group you addressed. They are enthusiastic about implementing your proposed policy and practice guidelines. In an effort to help ensure a smooth rollout and implementation of your proposal, senior leaders have asked you to create and lead a training session for one of the role groups in the organization that will be responsible for enacting the new policy and practices.

In addition, senior leaders have asked you to develop and submit a training plan for review and approval before conducting the requested training session. They have also requested that you cite 2–4 credible sources that support your proposed training strategies, your intended approach to generating buy in and support from the group, and your plans for working with the group to facilitate implementation of the policy and practice changes.

As outcomes of this training session, participants are expected to:

• Understand the organizational policy and practice guidelines to be implemented.
• Understand the importance of the policy to improving health care quality or outcomes.
• Understand that, as a group, they are key to successful implementation.
• Possess the necessary knowledge and skills for successful implementation.

It may also be useful to have worked through the Organizational Ethics Decision-Making Process in Health Care | Transcript activity. It may give you some ideas about strategies for ensuring your policy and implementation ideas are incorporating ethical considerations.

You may also find it useful to have checked your knowledge in the Training Session Best Practices activity before completing your assessment.

Instructions

Before conducting your training session, you have been asked to submit two items:

• The first is a brief summary that lays out your strategies for working with your chosen trainee group, how this training session will help prepare that group to succeed in implementing your proposed institutional policy and practice guidelines, and why you chose this group to pilot your proposal.
• The second is an annotated agenda and training plan for a two-hour workshop for your chosen group.

Part 1: Brief of Strategies

For this part, create an approximately 1 page brief that lays out the strategies you will employ throughout the training session to ensure your audience’s buy in and preparedness.

Your brief should address the following:

• Develop strategies for engaging with the selected role group to ensure the group’s buy in, support, and preparedness to implement the changes in policy and practice guidelines. In a brief summary:
  • Describe your evidence-based strategies for engaging with the group during the training session.
  • Explain how you will ensure the group’s buy in, support, and preparedness.
  • Explain why you chose this group to pilot your proposal.

Part 2: Training Agenda

For this part you develop an annotated training agenda for your chosen target group. This agenda should layout the activities and information that will be delivered over a two-hour session. It should also include notes regarding best practices, literature support, or other important justifications for specific training strategies and the likelihood of achieving desired outcomes.

Your training agenda should address:

• Identify the training activities and materials needed support learning and skill development and to prepare the group to successfully apply the new policy or practice guidelines to their work.
  • Create an annotated agenda and outline for a two-hour training workshop.
  • Explain how each proposed activity and individual item of training material in your workshop will support learning and skill development.
• Describe the policy and practice guidelines changes to be implemented.
  • How will these changes affect the group’s daily work routines and responsibilities?
  • What examples, activities, or materials could you provide to help illustrate or clarify the nature and scope of the changes in policy and practice guidelines?
• Justify the importance of the changes in policy or practice guidelines to improving the quality of care or outcomes that are related to this role group.
  • Why are these changes important?
  • How will these changes help improve the quality of care or outcomes?
  • How could you help to illustrate the importance of improved quality of care or outcomes for the role group you will be training?
• Advocate for the importance of the role the group will play in implementing the changes in policy and practice guidelines.
  • Why is the group’s buy in and support important in implementing the changes?
  • Why is this group’s work important in implementing the changes?
  • How could you help the group feel empowered by their involvement in implementing the changes?
• Interpret complex policy considerations or practice guidelines for the role group with respect and clarity.
  • Does your training plan clearly lay out the expected outcomes of training for this role group?

Address Throughout Assessment

Please be sure to address the following scoring guide criteria related to the quality and format of you communication throughout your assessment:

• Communicate your strategies for engaging and training the role group in a professional and persuasive manner.
  • Write clearly and logically, using correct grammar, punctuation, and mechanics.
• Integrate relevant sources to support your arguments, correctly formatting source citations and references using current APA style.
  • Did you cite an additional 2–4 credible sources to support your strategies for engaging and training the role group?

Additional Requirements

• Length of submission: 2–5 double-spaced, typed pages. Your brief and agenda should be succinct yet substantive.
  • Please include a title page and a reference list in addition to your 2–5 page submission.
  • Please ensure that your submission clearly identifies your Brief of Strategies and your Training Agenda.
• Number of references: Cite a minimum of 2–4 sources of scholarly, professional, or policy evidence to support your plans and strategies.
• APA formatting: Resources and citations are formatted according to current APA style.
  • You may wish to refer to the following APA resources to help with your structure, formatting, and style:
    • APA Style and Format.
    • APA Paper Tutorial.
    • APA Paper Templa

Grading Rubric

1.  Develop strategies for working with a specific group to ensure buy in and preparedness to implement a policy and apply practice guidelines. 

Passing Grade:  Develops strategies for working with a specific group to ensure buy in and preparedness to implement a policy and apply practice guidelines; suggests early indicators to measure success of strategies. 

2.  Explain an institutional policy or practice guidelines that will be implemented. 

Passing Grade:  Explains an institutional policy or practice guidelines that will be implemented; anticipates and addresses possible objections that might be raised by the specific group. 

3.  Justify the importance of an institutional policy or practice guidelines to improve the quality of care or outcomes that are related to a specific group 

Passing Grade:  Justifies the importance an institutional policy or practice guidelines to improve the quality of care or outcomes that are related to a specific group, and includes details that will appeal to the specific group. 

4.   Advocate for the importance of the role a group will play in implementing an institutional policy or practice guidelines. 

Passing Grade:  Advocates for the importance of the role a group will play in implementing an institutional policy or practice guidelines, and suggests a future vision highlighting the positive contribution of the group. 

5.  Develop materials that support learning and skill development to enable a group to be successful in applying a policy or practice guidelines to its work. 

Passing Grade:  Develops materials that support learning and skill development to enable a group to be successful in applying a policy or practice guidelines to its work, showing insight to the work of the role group and the needed changes. 

6.  Interpret complex policy considerations or practice guidelines for a specific audience with respect and clarity. 

Passing Grade:  Interprets complex policy considerations or practice guidelines for a specific audience with respect and clarity; identifies assumptions on which the proposed changes are based. 

7.  Write content clearly and logically, with correct use of grammar, punctuation, and spelling.

Passing Grade:  Writes content clearly, logically, and persuasively; grammar, punctuation, and spelling are without errors. 

8.  Integrate relevant sources to support arguments, correctly formatting citations and references using current APA style. 

Passing Grade:  Integrates relevant sources to support arguments, correctly formatting citations and references using current APA style. Citations are free from all errors. 

 

The purpose of this assignment is to create an educational program that supports the implementation of risk management strategies in a health care organization.

In this assignment, you will develop an outline for an “in‐service”‐style educational risk management program for employees of a particular health care organization that will then form the basis for a PowerPoint presentation in Topic 5. 

Select your topic for this educational session from one of the proposed recommendations or changes you suggested in the Risk Management Program Analysis – Part One assignment to enhance, improve, or secure compliance standards in your chosen risk management plan example.

Create a 500‐word comprehensive outline that communicates the following about your chosen topic:

1. Introduction: Identify the risk management topic you have chosen to address and why it is important within your health care sector.
2. Rationale: Illustrate how this risk management strategy is lacking within your selected organization’s current risk management plan and explain how its implementation will better meet local, state, and federal compliance standards.
3. Support: Provide data that indicate the need for this proposed risk management initiative and demonstrate how it falls under the organization’s legal responsibility to provide a safe health care facility and work environment.
4. Implementation: Describe the steps to implement the proposed strategy in your selected health care organization.
5. Challenges: Predict obstacles the health care organization may face in executing this risk management strategy and propose solutions to navigate or preempt these potentially difficult outcomes.
6. Evaluation: Outline your plan to evaluate the success of the proposed risk management program and how well it meets the organization’s short-term, long-term, and end goals.
7. Opportunities: Recommend additional risk management improvements in adjacent areas of influence that the organization could or should address moving forward.

You are required to incorporate all instructor feedback from this assignment into Educational Program on Risk Management Part Two ‐ Slide Presentation assignment in Topic 5. To save time later in the course, consider addressing any feedback soon after this assignment has been graded and returned to you. It may be helpful to preview the requirements for the Topic 5 assignment to ensure that your outline addresses all required elements for submission of the final presentation.

You are required to support your statements with a minimum of six citations from appropriate credible sources.

Prepare this assignment according to the guidelines found in the APA Style Guide, 

This assignment uses a rubric. 

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

RUBRIC

 1. An introduction is comprehensive. The submission incorporates analysis of supporting evidence as to why increased attention to the proposed risk 

management strategy is needed and provides specific examples of why it is important within the specified health care sector. Level of detail is appropriate. 

2.  A rationale is comprehensive. The submission provides specific examples of where the proposed risk management strategy is lacking in the selected plan and

 provides insightful supporting evidence as to how its implementation will better meet compliance standards. Level of detail is appropriate. 

3.  Support data are comprehensive. The submission incorporates an analysis of how the data indicate a need for the proposed risk management initiative. Level of 

detail is appropriate. 

4.  Implementation strategies are comprehensive. The submission provides 

specific actionable steps by which the selected health care organization can implement the proposed risk management initiative. Level of detail is appropriate. 

5.  Possible challenges to the risk management implementation are comprehensive. The submission provides specific relevant examples of solutions 

for navigating or preempting predicted obstacles. Level of detail is appropriate. 

6.  Evaluation strategies are comprehensive. The submission provides specific examples of how the evaluation plan will assess alignment with the short-term, long-term, and end goals of the risk management program. Level of detail is appropriate. 

7.  Additional risk management opportunities are described comprehensively, with detailed support for the recommended changes. Level of detail is appropriate. 

8.  Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear. 

9.  Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative. 

10.  The writer is clearly in command of standard, written, academic English. 

11.  All format elements are correct. 

12.  Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error. Research and citations are supportive of the rationale presented. Sources are distinctive. Addresses all of the issues stated in the assignment criteria. 

Part two: POWERPOINT

Topic:  

Educational Program on Risk Management Part Two – Slide Presentation 

 

The purpose of this assignment is to create an educational risk management presentation.

Building upon the outline for an educational session you created in the Educational Program on Risk Management Part One: Outline of Topic 2 assignment, develop a 12-15 slide PowerPoint presentation that expands in greater detail on how and why your organization should implement your proposed risk management strategy. Incorporate any instructor feedback from the Topic 2 assignment into this presentation and include talking points in the speaker notes section of each slide.

Keep in mind that the PowerPoint is meant to serve as a visual aide to bolster your presentation and is intended to highlight main ideas and key points. 

Do not use dense blocks of text or more than 7 bullet points of text per slide.  However, you may include supplementary images, graphs, and data where relevant.

To successfully complete this assignment, include the following sections as per your outline from Topic 2 from 500 words paper, though you may include any additional sections as needed:

1. Introduction
2. Rationale
3. Support
4. Implementation
5. Challenges
6. Evaluation
7. Opportunities

You are required to support your statements with a minimum of six citations from appropriate credible sources.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines.

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

RUBRIC

1.  Introduction slides are informative and thorough in explaining why increased attention to the proposed risk management strategy is needed. Specific examples are provided where appropriate. 

2.  Rationale slides are informative and thorough in explaining why the proposed risk management strategy is lacking in the selected plan. Specific examples are provided as to how its implementation will better meet compliance standards. 

3.  Support data slides are informative and thorough in showing how the data indicate a need for the proposed risk management initiative. Specific examples are provided where appropriate. 

4.  Implementation slides are informative and thorough in explaining the specific actionable steps by which the selected health care organization can implement the proposed risk management initiative. 

5.  Challenges slides are informative and thorough in explaining potential obstacles to the risk management implementation. Slides also provide specific examples of solutions for navigating or preempting predicted obstacles. 

6.  Evaluation strategy slides are informative and thorough in providing specific examples of how the evaluation plan will assess alignment with the short-term, long-term, and end goals of the risk management program. 

7.  Opportunities slides are informative and thorough in providing additional risk management improvements along with detailed support for the recommended changes. 

8.  Incorporation of instructor feedback from previous assignment is comprehensive. 

9.  The content is written clearly and concisely. Ideas universally progress and relate to each other. The project includes motivating questions and advanced organizers. The project gives the audience a clear sense of the main idea. 

10.  The layout is visually pleasing and contributes to the overall message with appropriate use of headings, subheadings, and white space. Text is appropriate in length for the target audience and to the point. The background and colors enhance the readability of the text. 

11.  The writer uses a variety of sentence constructions, figures of speech, and word choice in distinctive and creative ways that are appropriate to purpose, discipline, and scope. 

12.  Writer is clearly in control of standard, written, academic English. 

13.  Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error. Research and citations are supportive of the rationale presented. Sources are distinctive and addresses all of the issues stated in the assignment criteria. 

300 WORDS PAPER

TOPIC : 

Reflective Analysis: Risk Management and the Role of Managed Care

 

The purpose of this assignment is to analyze the role of managed care organizations within health care and risk management programs.

Reflect on and evaluate the role that the managed care organization (MCO) plays in today’s health care environment by developing a 300word response that addresses the following:

1. What is a health care organization’s administrative role in executing risk management policies and ensuring compliance with managed care organization (MCO) standards?
2. What value do the regulatory statutes of a typical MCO provide to a health care organization? Consider how strategies pertaining to policies such as conflict resolution and risk management affect patients as well as employees and employers.
3. What MCO responsibilities relevant to the Patient Protection and Affordable Care Act (ACA) and Center for Medicare and Medicaid Services (CMS) focus on fraud, waste, and abuse laws?

In addition to your textbook, you are required to support your analysis with a minimum of two peer‐reviewed references.

Prepare this assignment according to the guidelines found in the APA Style Guide. 

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

 

RUBRIC

1.   An assessment of the administrative role of a health care organization in ensuring compliance with MCO risk management standards is comprehensive. The submission further incorporates analysis of supporting evidence insightfully and provides specific examples with relevance. Level of detail is appropriate. 

2.  An explanation of the value MCO regulatory statutes provide to a health care organization is present and comprehensive. The submission further incorporates analysis of supporting evidence insightfully and provides specific examples with relevance. Level of detail is appropriate. 

3.  A description of the MCO responsibilities relative to the ACA and CMS focus on fraud, waste, and abuse laws are comprehensive. The submission further incorporates the analysis of supporting evidence insightfully and provides specific examples with relevance. The level of detail is appropriate. 

4.  The thesis is comprehensive and contains the essence of the paper. The thesis statement makes the purpose of the paper clear. 

5.  A clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative. 

6.  The writer is clearly in command of standard, written, academic English. 

7.  All format elements are correct. 

8.  Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.