For this discussion, you will define the nurse’s scope of practice as described by the ANA. You will also define the nurse’s scope of practice in California. Next, you will explain a clinical scenario that demonstrates how you have applied this scope of practice successfully (from start to finish – a complete example). Finally, you will explain why all nurses should have a functional knowledge of their own nurse practice act. 

 Please organize your discussion board as follows:

Paragraph 1: Introduce your discussion board with a general statement about the  discussion board, then a purpose statement. A purpose statement starts with: The purpose  of this posting is to discuss . . . . then the key elements of what you are going to discuss.  This paragraph should define the nurse’s scope of practice as defined by the American Nurses Association.  This will cover the objective of: Define the nurse’s scope of practice as defined by the  American Nurses Association.

Paragraph 2: You will also define the nurse’s scope of practice in your own state.( My state is California) This will  vary between states.  This will cover the objective of: Define the nurse’s scope of practice as defined by that  nurse’s own state’s nursing law.

Paragraph 3: Next, you will explain a clinical scenario that demonstrates how you have  applied this scope of practice successfully (from start to finish complete example).  Finally, you will explain why all nurses should have a functional knowledge of their own  nurse practice act. End the paragraph with a conclusion sentence or two that summarizes  your thoughts.

must contain minimum of two (2) references, in addition to examples from your personal experiences to augment the topic.  No direct quotes are allowed in the discussion board posts. 

Minimum of two (2) total references: one (1 )from ANA Nursing Scope and Standards of Practice 3rd Edition ISBN 13:878-1-55810-619-2 and one (1) from peer-reviewed references.

 Minimum 200 words excluding references (approximately one 1 page)

Instructions

https://www.youtube.com/watch?v=sPZ2Ukl7EPU

https://www.youtube.com/watch?v=lyrv1rNWg0o

For this assignment, you will design an education and intervention program to reduce bullying in middle and late childhood.

You will present your program in a tri-fold brochure (or pamphlet) that you will submit to complete the assignment.

To create the tri-fold brochure:

1. Open Microsoft Word and scroll down the list of templates and find a tri-fold brochure template – there are a number to choose from.

[All FSW students have access to Office 365 which includes the Microsoft Word. If you use other software, be certain that you submit your assignment in a common format, such as PDF. Please check with me in advance if you are using an alternate format.]

 2. Select your own color scheme and photos. [Free images are available from sites such as Pixabay, Unsplash.]

3. Take a look at this sample brochure. It will give you ideas about how to structure your own brochure.

Sample of Brochure Outline download

4. Think carefully about how to best communicate your evidence-based message. Be sure you are clear about what should be done, and WHY you think it will work. [You will need to provide references to support the elements of your proposal.]

• How will you engage peers, families, schools and the community?
• What key physical, cognitive and socioemotional developmental issues of this age group must be addressed?
• How will you construct interventions that reflect the information we know about peer status, peer group influence, context and social cognition?
• How will your program measure that the incidents of bullying and negative outcomes on the victim are decreasing?

5. Your proposal MUST incorporate at least TWO reliable outside sources (in addition to the textbook), and they must be correctly referenced in your brochure using APA format. Use APA format to cite your sources on the back of the pamphlet. 

Here is a link with APA formatting instructions for electronic resources, as well as useful examples:

APA Electronic Resource References

 

Major Project 3 (MP3)

Nursing Critique Paper

Your critique must address and have the following Topics Headings:

Topic

Description

Meaning

(30 pts.)

1. Describe the main ideas of the theory (should include the assumptions under which the theory operates).

2. What are the main concepts?

3. What are the main relationships between the concepts?

4. How do different concepts affect each other?

Origins of the Theory

(30 pts.)

1. What was going on in the profession of nursing or in American society that may have influenced the theory?

2. What values, theories, evidence, and/or existing knowledge did the theorist cite as support for the theory?

3. What motivated the theorist to write the theory?

4. What approach to theory development did the theorist use?

Usefulness

(20 pts.)

1. How useful is this theory in practice?

2. Is the theory practical and helpful to nursing?

3. Does it contribute to understanding and predicting outcomes?

4. Cite an example/case study where this theory could be used.

Testability

(10 pts.)

1. How testable is this theory?

2. Has this theory generated research? How many and what types of studies?

3. Give one example of a study done using the theory

4. What types of statements are the propositions?

Overall Evaluation

(10 pts.)

1. Is the theory comprehensive and specific?

2. How general is the theory?

3. Summarize the strengths and weaknesses of the theory.

4. Why would you use or not use this theory in your own advanced practice? (Begin to think about your presentation “Synthesis of Nursing Theory”).

NUR3846 | | FOUNDATION OF PROFESSIONAL NURSING

NO MORE THAN 6 PAGES

  

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Assignment:Now you try it!!  Develop your own SWOT for the following:HCA was founded in 1968, in Nashville, Tennessee by Dr. Thomas F. Frist, Sr., Jack C. Masseyand Dr. Thomas F. Frist, Jr.. Frist Sr. is the father of former U.S. Senate majorityleader Bill Frist. Milton Johnson is the CEOof HCA.The first hospital that HCA owned was Park View Hospital, near downtown Nashville.[3]The small group of founders worked out of a small house not far from Park View for the first few years of operation.[4]In 1969, HCA conducted its first Initial Public Offering (IPO) on the New York Stock Exchange(NYSE).[3]As HCA grew, the small house that served as office space for the company no longer provided enough space. In 1972, the company built a new office to house corporate operations behind Centennial Parkin Nashville.[5]Parkview Hospital circa 1968Growth & mergerDuring the 1970s and 1980s the corporation went through a tremendous growth period acquiring hundreds of hospitals across the United States which numbered 255 owned and 208 which HCA managed.In 1988, the hospital operator was acquired for $5.3billion in a management buyoutled by Chairman Thomas F. Frist, Jr.[6]and completed a successful initial public offeringin the 1990s. In 1993 HCA merged with Louisville-based Columbia Hospital Corporation to form Columbia/HCA. In April 1998, Birmingham, Alabama-based HealthSouth Corporationannounced it was acquiring the majority of HCA’s surgical division.Fraud & investigationIn 1997, the company was part of a fraud investigation initiated by a number of governmental departments in the United States. Later that year, Rick Scottresigned as Chairman. He later became the 45th and current Governor of Florida. The case was settled in 2002 at a reported cost of $2 billion to HCA. This made it the largest fraud settlement in US history.

On March 19, 1997, investigators from the FBI, the Internal Revenue Serviceand the Department of Health and Human Services served search warrants at Columbia/HCA facilities in El Paso and on dozens of doctors with suspected ties to the company.[7]Following the raids, the Columbia/HCA board of directors forced Rick Scottto resign as chairman and CEO.[8]He was paid a settlement of $9.88 million and left with 10 million shares of stock worth over $350 million, mostly from his initial investment.[9][10]In 1999, Columbia/HCA changed its name back to HCA, Inc. HCA also admitted fraudulently billing Medicare and other health programs by inflating the seriousness of diagnoses and to giving doctors partnerships in company hospitals as a kickbackfor the doctors referring patients to HCA. They filed false cost reports, fraudulently billing Medicare for home health care workers, and paid kickbacks in the sale of home health agencies and to doctors to refer patients. In addition, they gave doctors “loans” never intended to be repaid, free rent, free office furniture, and free drugs from hospital pharmacies.[11][12]After Scott stepped down, Frist Jr. returned as chairman and CEO. He called on longtime friend and colleague Jack O. Bovender, Jr.to help him turn the company around. Frist and Bovender, who became CEO in 2001, pulled off what Fortunemagazine called a remarkable corporate rescue.[13]In settlements reached in 2000 and 2002, Columbia/HCA pleaded guilty to 14 felonies. They admitted systematically overcharging the government by claiming marketing costs as reimbursable, striking illegal deals with home care agencies, and filing false data about use of hospital space.Corporate office in 1972In late 2002, HCA agreed to pay the U.S. government $631 million, plus interest, and pay $17.5 million to state Medicaid agencies, in addition to $250 million paid up tothat point to resolve outstanding Medicare expense claims.[14]In all, civil lawsuits cost HCA more than $2 billion to settle, by far the largest fraud settlement in US history.[15]The name subsequently reverted to “Hospital Corporation of America.” HCA abandoned the use of its name in its home market and instead promotes its Nashville hospitals under the TriStar brand.On July 1, 2005, Senator Frist sold all of his HCA shares two weeks before disappointing earnings sent the stock on a 9-point plunge. Frist claimed that he sold his shares to avoid the appearance of a conflict of interest if he ran for president. Other executives sold their stock at the same time. Shareholders sued HCA, alleging that the company made false claims about its profits to drive up the price, which then fell when the company reported disappointing financial results. Eleven of HCA’s senior officers were sued for accounting fraud and insider trading. [16]HCA settled the lawsuit in August 2007, agreeing to pay $20million to the shareholders.[17]

Recent historyIn 2006, Kohlberg Kravis Robertsand Bain Capital, together with Merrill Lynchand the Frist family (which had founded the company) completed a $31.6billion acquisition of the hospital company, making the company privately held again 17 years after it had first been taken private in a management buyout. At the time of its announcement, the HCA buyout was the first of several to set new records for the largest, eclipsing the 1989 buyout of RJR Nabisco. It would later be surpassed by the buyouts of Equity Office Propertiesand TXU.[18]On Friday May 7, 2010, HCA announced that the corporation would once again go public with an expected $4.6-billion IPO.As of 2012, HCA operated 162 hospitals and 113 freestanding surgery centers located in 20 U.S. states and London.[2]The London sites include The Harley Street Clinic, The Lister Hospital, London Bridge Hospital, The Portland Hospital for Women and Children, The Princess Grace Hospitaland The Wellington Hospital. In July 2007, HCA sold its hospitals in Switzerland.[19]The Princess Grace Hospitalspecializes in breast cancer and surgery, aided by Professor Kefah Mokbeland Dr. Nick Perry who, in 2005, founded The London Breast Institute.HCA Holdings Inc. (HCA:US), the biggest for-profit U.S. hospital chain by patient volume, raised its 2014 earnings forecast and said it would announce second-quarter earnings that are higher than analyst estimates. HCA expects 2014 earnings excluding certain items of $4 to $4.25 per share, compared with a previous forecast of $3.45 to $3.75 per share, the Nashville, Tennessee-based company said in a statement today. Second-quarter profit excluding some items will be $1.07 per share, compared with 92 cents average estimate of 21 analysts surveyed by Bloomberg. The results “exceeded our internal expectations, both in terms of our core operations and healthcare reform,” said Milton Johnson, HCA’s chief executive officer, in a statement. HCA is scheduled to release its full second-quarter results on July 29. HCA expects second-quarter net income of $904 million, 12 percent above a year earlier, according to its statement. HCA shares (HCA:US)rose 10 percent to $60.99 at 4 p.m. New York time, the most since 2012. HCA Corporation SWOT 

analysis:

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