1. In the last century, what historical, social, political, and economic trends and issues have influenced today’s health-care system? 

2. What is the purpose and process of evaluating the three aspects of health care: structure, process, and outcome? 

3. How does technology improve patient outcomes and the health-care system?

4. How can you intervene to improve quality of care and safety within the health-care system and at the bedside? 

2. Select one nonprofit organization or one government agencies that influences and advocates for quality improvement in the health-care system. Explore the Web site for your selected organization/agency and answer the following questions: •

What does the organization/agency do that supports the hallmarks of quality? • 

What have been the results of their efforts for patients, facilities, the health-care delivery system, or the nursing profession? •

How has the organization/agency affected facilities where you are practicing and your own professional practice? 

The purpose of this assignment is to synthesize and apply the knowledge you gained in class into a well-written research paper. For this assignment, you will conduct research and write a paper containing the two elements:

Part I: Choose one of the listed topics

• Implementing change on a nursing unit (Student must incorporate an example and a change theory)
• Leadership traits for successfully managing in the clinical arena.
• Quality improvement in the nursing unit or system
• Mentorship in nursing
• Preceptor programs for nursing leaders
• Solving incivility in the work place, How can a nurse manager help? (conflict resolution)
• Legal Issues within the nursing unit
• Promotion of ethical behaviors within the nursing unit (student must create a plan and implementation strategy)
• Nursing Unit Strategic Planning
• Compare and contrast the following new roles for the changing health care arena:
  • Nurse Navigators, Clinical Nurse Leaders, and Leaders in Patient-Centered Care

Part II: Evaluate how the topic applies to 2 of the following course competencies.

• Integrate concepts related to leadership into the professional nursing role.
• Analyze the philosophy, goals, and organizational structure of a healthcare system in relationship to the delivery of quality healthcare.
• Compare selected theories of leadership, management, and organizations in relation to healthcare agencies.
• Identify how collaborative leadership styles might be utilized in various community agencies to enhance the role of the nurse leader.
• Examine change theory, change management, conflict resolution, and strategies to promote innovation.
• Explain principles of continuous quality improvement (CQI) and the process of quality planning, improvement, and control.
• Discuss the management process and its impact on the delivery of optimal healthcare.
• Analyze how accountability, advocacy, and collaboration augment the management of care.
• Describe the meaning of teamwork in respect to the health care team
• Identify the essential components of a business plan
• Analyze various organization structure/management theories as they relate to nursing practice

In addition to the assignment specifics above, your paper should:

• Be 3-4 pages, not including the title and reference pages.
• Source(s) should be integrated into the paragraphs. Use in-text citations pointing to evidence in the literature that supports your ideas.
• Incorporate a minimum of two (2) peer-reviewed sources into your paper.
• Use current APA format to style your paper and to cite your sources.
• Include a title page and a reference page listing the sources you used. Be sure to plan enough time for proofreading and editing.

Review the rubric for further information on how your assignment will be graded.

Points: 150

Topic: Cultural Model Application

Many different definitions exist for culturally related terms. Models such as the Campinha-Bacote model, Giger and Davidhizar model, Papadopoulos, Tilki, and Taylor model, Leininger’s Cultural Care Diversity and Universality theory and model, and the Purnell model identify the importance of understanding the patient’s culture into the nursing process.

What value to the role of the nurse or advanced practice nurse does a cultural model of nursing provide when used in education, practice, and administration?

A 42-year-old male reports pain in his lower back for the past month. The pain sometimes radiates to his left leg. In determining the cause of the back pain, based on your knowledge of anatomy, what nerve roots might be involved? How would you test for each of them? What other symptoms need to be explored? What are your differential diagnoses for acute low back pain? Consider the possible origins using the Agency for Healthcare Research and Quality (AHRQ) guidelines as a framework. What physical examination will you perform? What special maneuvers will you perform?

• Identify at least five possible      conditions that may be considered in a differential diagnosis for the      patient.
•  Also, your Case Study Assignment should be in the Episodic/Focused SOAP Note format rather than the traditional narrative style format 

1. Often in practice, we connect the concept of spirituality with religion, but according to the readings in the text, (chap 15) there are differences.

• How can nurses incorporate these two concepts into your practice? Give at least two examples.

2. Write one of the North American Nursing Diagnosis Association (NANDA) nursing diagnoses related to Sexuality

and Intimacy and develop two patient-specific interventions for the client.

Please use the following 3 x 3 rule: when writing your weekly discussions: – A minimum of three paragraphs per DQ. Each paragraph should have a minimum of three sentences.

All answers or discussions comments submitted must be in APA format according to Publication Manual American Psychological Association (APA) (6th ed.) 2009 ISBN: 978-1-4338-0561-5

Discussions must have a minimum of two references, not older than 2015.