Candidates will write an essay on the topic described below. The essay must be develop according to the candidate’s personal vision and knowledge on the assigned topic. The candidate will write a narrative essay minimum of three paragraphs on the topic provided. The paragraphs must be legible. They must validate the paragraphs by using examples applied to real-life situations and related to the topic that they may know. They can include facts and definitions if they would like. The candidate should ensure strong support to paragraph construction conventions, content, organization, voice, vocabulary, fluency, grammar, and syntax.  Candidates must submit the writing sample to the email below by Tuesday, June 16, 2020 with the demonstration class. They will write an essay as follows: o Monolingual Instruction: Will write one essay in English: The Right to Privacy in the Globalized Era if are going to facilitate classes only in English.

TASK 

Post your initial response to one of the two topics below.

Topic 1 Health Problems

• Which area, rural or urban, has the most health problems? Why?
• Identify four common health problems found in that selected area.

Topic 2 Intervention Wheel

• Choose two of the interventions, from the Intervention Wheel Chapter 9, that you feel are most important. Why did you select these two?
• Discuss how they can be used with an aggregate.

Justify your responses with resources.

 Respond 

One variance within the EMR project that could occur would be if more training hours are needed for employees than originally identified. Perhaps a few employees are slow learners or need some extra attention. The original allotted hours may not be sufficient. As the human aspect of any project is sometimes difficult to predict. Another aspect that can affect the project is cost risk, which is a reason that many projects to not finish (Górecki and Díaz-Madroñero, 2020). In most of my projects I try to account for cost risk in any department. If I had a $1,000 budget, I would try to hit somewhere near $900 conservatively if possible if there are variables which could affect the budget. Effectively this is what I have accounted for in my budget already and feel as though the buffer I have provided would cover extra training.

Another example of possible cost variance is potential change in staffing (Robbins, 2019). For example, if there is a transition in the department or we are unable to provide adequate staffing for training, the project may be prolonged, and costs will incur for IT support and departmental coverage. In order to determine if I need to adjust my budget for hours, I would see how much we have used in training to date, and look at the estimate towards completion. If the allocated amount would not be enough, I would revise and factor in the costs with an updated budget using the buffer amount.

My current budget is as follows:

• $30,000 – implementation of module with current system for assignment and prioritization into current EMR system. A module already exists but should be fine-tuned to the practice.
• $2,800 – Approximately 50 hours of training for the project implementation team
• $6,500 – Approximately 25 hours for each end user in ED
• $50,000 – New equipment to provide access to every provider
• $4,000 – Approximately 100 salaried hours for Manager for hours worked on project
• $1,200 – Potential informatics specialist to assist with EMR system report monitoring to identify issues during implementation
• $4,000 – On-call EMR help for tools for four weeks
• $50,000 – New equipment for laboratory services to provide access for all laboratory staff
• $5000 – Approximately 20 hours for each end user in laboratory
• $50,000 – New equipment for radiology services to provide access for all laboratory staff
• $5000 – Approximately 20 hours for each end user in
• $360,000 – Additional staff (RN, laboratory technician, radiology technician)
• $250,000 – Physical plant construction (new nurses stations with view of patients for charting from computer, removal of a wall, compliance/planning with architect)

Remember to submit your work following the file naming convention FirstInitial.LastName_M01.docx. For example, J.Smith_M01.docx. Remember that it is not necessary to manually type in the file extension; it will automatically append.

Start by reading and following these instructions:

1. Quickly skim the questions or assignment below and the assignment rubric to help you focus.

2. Read the required chapter(s) of the textbook and any additional recommended resources. Some answers may require you to do additional research on the Internet or in other reference sources. Choose your sources carefully.

3. Consider the discussions and any insights gained from it.

4. Create your Assignment submission and be sure to cite your sources, use APA style as required, check your spelling.

Signature Assignment

Practice Change Simulation

Assignment Description:

Create a 7-9 minute video that reflects upon the clinical problem that you have identified in your area of nursing practice (as identified in Module 1). Critically appraise the research and summarize the knowledge available on the clinical problem (minimum requirement of 6 scholarly journal articles reviewed and appraised for application to practice problem). Outline a strategic plan for implementation of a practice change in your clinical practice environment based upon your findings. Describe how you intend to operationalize the practice change in your practice environment. What theoretical model will you use and how will you overcome barriers to implementation? What sources of internal evidence will you use in providing data to demonstrate improvement in outcomes? Describe evaluation methods of implementation clearly. Are there any ethical considerations?

The presentation should be a simulation of what you would present to your unit staff in an effort to gain buy-in as you initiate the practice change in your area of practice. Use a recording platform of your choice and either upload as an mp4 or share the link directly to the video in the dropbox. ***Please do not record as voice-over PowerPoint because this cannot be saved in mp4 format or a link.*** If you submit your assignment as a PowerPoint with voice over recording you will not receive credit for your assignment (or partial credit as you did not meet the full requirements of the assignment.)

If PowerPoint is used for the presentation, include the reference slide; if PowerPoint is not used in the presentation, please submit a list of the references in a Word document utilized to develop the presentation in APA format to the dropbox in a separate submission (be sure to orally cite your sources if no PowerPoint is used to identify the sources)

Assignment Expectations:

Length: 7-9 minute presentation (with or without PowerPoint slides); if no PowerPoint used submit APA Reference list separately
Structure: If PowerPoint is used: Include a title slide, objective slide, content slides, reference slide in APA format. There is no specific slide number required. 
References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of six (6) scholarly journal articles are required for this assignment. 
Rubric: This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level. 
Format: Save your assignment as a mp4 format or as an attached link to the recording.
File name: Name your saved file according to your first initial, last name, and the assignment number (for example, “RHall Assignment 1.docx”)