Requirements: 

1. In order to prepare for this assignment, read the lessons as well as the assigned readings BEFORE attempting the self-assessment. 
2. Please use the following hyperlink to access and complete the survey: Week 2 Pre-TANIC Self-Assessment Survey    (Links to an external site.)
3. FAILURE TO COMPLETE THE SURVEY WILL RESULT IN A GRADE OF ZERO (0) FOR THE ASSIGNMENT. 
4. After completing the survey, navigate to the Week 2 Module in Canvas and respond to EACH of the q uestion s for your Reflection Post.    
5. The Reflection Posts DOES NOT require cross-posting to a peer or faculty .  
6. Scholarly sources: Only scholarly sources are acceptable for citation and reference in this course. These include peer reviewed publications, government reports, or sources written by a professional or scholar in the field. Your textbook and lesson are not considered to be an outside scholarly source. For the discussions and reflection posts, reputable internet sources such as websites by government agencies (URL ends in .gov) and respected organizations (often ends in .org) can be counted as scholarly sources. The best outside scholarly source to use is a peer-reviewed nursing journal.  You are encouraged to use the Chamberlain library and search one of the available data bases for a peer-reviewed journal article.  The following sources should not be used: Wikipedia, Wikis, or blogs.  These web  sites are not considered scholarly as anyone can add to these. Please be aware that .com websites can vary in scholarship and quality.  For example, the American Heart Association is a .com site with scholarship and quality.  It is the responsibility of the student to determine the scholarship and quality of any .com site.  Ask your instructor before using any site if you are unsure. Points will be deducted from the rubric if the site does not demonstrate scholarship or quality. Current outside scholarly sources must be published with the last 5 years.  Instructor permission must be obtained BEFORE the assignment is due if using a source that is older than 5 years.  

ATTENTION: Students will not receive results following completion of this survey. For the reflection questions, please recall how you rated your proficiency/competency with the skills on the survey.

*IMPORTANT* Upon completing the TANIC self-assessment survey, please TAKE A SCREENSHOT of the last page of the survey using a program such as Snipping Tool and save as a PDF or JPG and for your records. If you are unable to take a screenshot, please inform your faculty.

Reflection Questions: 

Reflect upon your current or most recent clinical practice and answer the following:  

1. How is informatics used? 
2. Regarding the Pre-TANIC Self-Assessment for this week, how did your perceived competency level prior to the self-assessment compared to after the self-assessment? Explain in detail.  
3. What TWO competencies do you use in your current clinical role? Provide examples.  
4. Identify TWO resources to develop a strategic plan to enhance your competency skills.   
5. Which resources are suited to your needs and why?  
6. How do you intend to enact this improvement plan? 

 

Healthcare provider shortage is a real problem faced by the nation which was exacerbated by implementation of the Affordable Care Act. So, having more providers will definitely impact the quality of patient care highly positively. The quality of patient care will improve when more skilled primary care providers, nurse practitioners (NP’s), focused on disease prevention will have the full scope of practice. Also, since NP’s have a different angle and approach to patient care, patients will enjoy a different experience with them. The difference lies within how the patient is treated. NP’s are educated in holistic care, focusing on wellness and disease prevention but not all physicians treat patients in that manner (Tracy & O’Grady, 2019). NPs are touted by the nursing profession as less expensive, same quality providers that are able to increase access to the uninsured by charging lower fees (Tracy & O’Grady, 2019). Also, there are a few studies that have shown that patient readmission rates and hospital usage are lower with medical doctors (Nickitas, Middaugh, & Aries, 2016). On the contrary, studies demonstrate that NP’s improve patient outcomes on the units they serve (Nickitas et al., 2016). 

References

Tracy, M. F., & O’Grady, E. T. (2019). Hamric and Hanson’s advanced practice nursing: An integrative approach (6th ed.). St. Louis, MO: Elsevier.

Nickitas, D., Middaugh, D., & Aries, N. (2016). Policy and Politics for Nurses and other Health Professionals: Advocacy and Action. Burlington, MA: Jones & Bartlett Learning.

Prepare a 10-15 slide PowerPoint presentation, with speaker notes, that examines the significance of an organization’s culture and values. For the presentation of your PowerPoint, use Loom to create a voice-over or a video. Refer to the Topic Materials for additional guidance on recording your presentation with Loom. Include an additional slide for the Loom link at the beginning, and an additional slide for References at the end.

1. Outline the purpose of an organization’s mission, vision, and values.
2. Explain why an organization’s mission, vision, and values are significant to nurse engagement and patient outcomes.
3. Explain what factors lead to conflict in a professional practice. Describe how organizational values and culture can influence the way conflict is addressed.
4. Discuss effective strategies for resolving workplace conflict and encouraging interprofessional collaboration.
5. Discuss how organizational needs and the culture of health care influence organizational outcomes. Describe how these relate to health promotion and disease prevention from a community health perspective.

While APA style format is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

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

 Quite often, nurse leaders are faced with ethical dilemmas, such as those associated with choices between competing needs and limited resources. Resources are finite, and competition for those resources occurs daily in all organizations.

For example, the use of 12-hour shifts has been a strategy to retain nurses. However, evidence suggests that as nurses work more hours in a shift, they commit more errors. How do effective leaders find a balance between the needs of the organization and the needs of ensuring quality, effective, and safe patient care?

In this Discussion, you will reflect on the issue RISING HEALTH CARE COSTs and examine how competing needs may impact the development of polices to address that issue.

To Prepare:

·  Review the Resources and think about the issue of rising healthcare costs

·  Reflect on the competing needs in healthcare delivery as they pertain to the issue of rising healthcare cost

Post an explanation of how competing needs, such as the needs of the workforce, resources, and patients, may impact the development of policy. Then, describe any specific competing needs that may impact the issue of rising healthcare costs.What are the impacts, and how might policy address these competing needs? Be specific and provide examples.USE APA FORMAT AND CITE 3 SOURCES

Resources

Required Readings

American Nurses Association. (2015). Code of ethics for nurses with interpretive statements. Silver Spring, MD: Author. Retrieved from
https://www.nursingworld.org/coe-view-only
Note: Review all, with special attention to “Provision 6” (pp. 23–26).

Kelly, P., & Porr, C. (2018). Ethical nursing care versus cost containment: Considerations to enhance RN practice. OJIN: Online Journal of Issues in Nursing, 23(1), Manuscript 6. doi:10.3912/OJIN.Vol23No01Man06. Retrieved from
http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-23-2018/No1-Jan-2018/Ethical-Nursing-Cost-Containment.html  

Milliken, A. (2018). Ethical awareness: What it is and why it matters. OJIN: Online Journal of Issues in Nursing, 23(1), Manuscript 1. doi:10.3912/OJIN.Vol23No01Man01. Retrieved from
http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-23-2018/No1-Jan-2018/Ethical-Awareness.html

Herbal Supplements:

The practice of using herbal supplements dates back thousands of years. Today, there is a renewal in the use of herbal supplements among American consumers. However, herbal supplements are not for everyone. In fact, some herbal products may cause problems for people treatments for chronic ailments. Because they are not subject to scrutiny by the FDA or other governing agencies, the use of herbal supplements is controversial.

Herbal supplements are products made from plants for use in the treatment and management of certain diseases and medical conditions. Many prescription drugs and over-the-counter medicines are also made from plant derivatives. These products contain only purified ingredients and, unlike herbal supplements, are closely regulated by the FDA. Herbal supplements may contain entire plants or plant parts. Herbal supplements come in all forms: dried, chopped, powdered, capsule, or liquid, and can be used in various ways. Please address the followings:

1.     Discuss advantages and disadvantages of dietary supplements, including adverse reactions, drug-drug interactions, drug-food interactions, and specific laboratory issues that may arise from using these products.

2.     Discuss the position of the FDA and other governmental agencies on over the counter herbal supplements. Support your post with at least 2 evidenced-based guidelines published within the last 5 years.