Karen, is a 33 year-old G2P2, with a medical history of migraines, for which she takes Imitrex when needed. She has a history of heavy and painful menses each month, lasting approximately 7-8 days. Karen smokes ½ pack of cigarettes per day. Her father has a history of DVT and cardiac disease. Her mother has a history of cervical cancer. Her blood pressure today is 138/76 and her pelvic exam is normal. She is divorced and is sexually active with her new boyfriend. She is currently using condoms for birth control and wants something more reliable. Karen does not desire pregnancy in the near future.

• Discuss the contraceptive methods using the latest evidence-based guidelines that Karen would be medically eligible for. 
• Identify one method that you feel would be most beneficial to Karen and discuss why you selected it.
• Are there any methods that you would not recommend for Karen? Why?
• Do 2 pages
• Provide references

Assignment: Evidence-Based Project, Part 4: Critical Appraisal of Research

Realtors rely on detailed property appraisals—conducted using appraisal tools—to assign market values to houses and other properties. These values are then presented to buyers and sellers to set prices and initiate offers.

Research appraisal is not that different. The critical appraisal process utilizes formal appraisal tools to assess the results of research to determine value to the context at hand. Evidence-based practitioners often present these findings to make the case for specific courses of action.

In this Assignment, you will use an appraisal tool to conduct a critical appraisal of published research. You will then present the results of your efforts.

To Prepare:

• Reflect on the four peer-reviewed articles you selected in Module 2 and the four systematic reviews (or other filtered high- level evidence) you selected in Module 3.
• Reflect on the four peer-reviewed articles you selected in Module 2 and analyzed in Module 3.
• Review and download the Critical Appraisal Tool Worksheet Template provided in the Resources.

The Assignment (Evidence-Based Project)

Part 4A: Critical Appraisal of Research

Conduct a critical appraisal of the four peer-reviewed articles you selected by completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template. Choose a total of four peer- reviewed articles that you selected related to your clinical topic of interest in Module 2 and Module 3.

Note: You can choose any combination of articles from Modules 2 and 3 for your Critical Appraisal. For example, you may choose two unfiltered research articles from Module 2 and two filtered research articles (systematic reviews) from Module 3 or one article from Module 2 and three articles from Module 3. You can choose any combination of articles from the prior Module Assignments as long as both modules and types of studies are represented.

Part 4B: Critical Appraisal of Research

Based on your appraisal, in a 1-2-page critical appraisal, suggest a best practice that emerges from the research you reviewed. Briefly explain the best practice, justifying your proposal with APA citations of the research.

The purpose of this assignment is to analyze a health care risk management program.

Conduct research on approaches to risk management processes, policies, and concerns in your current or anticipated professional arena to find an example of a risk management plan. Look for a plan with sufficient content to be able to complete this assignment successfully. In a 1,000 word paper, provide an analysis of the risk management plan that includes the following:

1. Summary of the type of risk management plan you selected (new employee, specific audience, community‐focused, etc.) and your rationale for selecting that example. Describe the health care organization to which the plan applies and the role risk management plays in that setting.
2. Description of the standard administrative steps and processes in a typical health care organization’s risk management program compared to the administrative steps and processes you identify in your selected example plan. (Note: For standard risk management policies and procedures, look up the MIPPA-approved accrediting body that regulates the risk management standards in your chosen health care sector, and consider federal, state, and local statutes as well.)
3. Analysis of the key agencies and organizations that regulate the administration of safe health care in your area of concentration and an evaluation of the roles each one plays in the risk management oversight process.
4. Evaluation of your selected risk management plan’s compliance with the standards of its corresponding MIPPA-approved accrediting body relevant to privacy, health care worker safety, and patient safety.
5. Proposed recommendations or changes you would implement in your risk management program example to enhance, improve, or secure the aforementioned compliance standards.

In addition to your textbook, you are required to support your analysis with a minimum of three 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.  A summary description of the type of risk management plan selected with rationale is comprehensive. The submission incorporates specific examples with relevance and provides appropriate details. 

2.   A comparison of standard risk management program administrative steps and processes with the administrative steps and processes in the example is comprehensive. The submission incorporates analysis of supporting evidence and provides specific examples with relevance. Level of detail is appropriate. 

3.   An analysis of key regulatory agencies and organizations inclusive of their roles in the risk management oversight process is present and comprehensive. The submission incorporates analysis of supporting evidence and provides specific examples with relevance. Level of detail is appropriate. 

4.   An evaluation of the example risk management plan compliance with the MIPPA-approved accrediting body standards is present and comprehensive. The submission incorporates analysis of supporting evidence and provides specific examples with relevance. Level of detail is appropriate. 

5.   Proposed recommendations to the risk management program example to enhance, improve, or secure compliance standards are present and comprehensive. The submission incorporates analysis of supporting evidence and provides specific examples with relevance. Level of detail is appropriate. 

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

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

8.   Writer is clearly in command of standard, written, academic English. 

9.   All format elements are correct.

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

THIS PAPER WILL BE GRADED ACCORDING TO THE RUBRIC.

PLEASE FOLLOW THE RUBRIC THOROUGHLY. 

Prepare a 10–20-slide presentation of the strategic plan you developed in Assessment 2, to be delivered to key stakeholders at a strategic visioning session.

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.

SHOW LESS

The implementation and success of a strategic plan depends on the support of key stakeholders. This in turn depends on your ability to communicate clearly and persuasively with decision makers and to sell your vision of the future. You must also be able to lead the initiative and sustain strategic direction. This assessment provides you with an opportunity to showcase your strategic thinking and exercise the communication skills necessary to move your strategic plan forward toward implementation.

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

• Competency 1: Evaluate qualities and skills that promote effective leadership within health care organizations.
  • Explain why one’s leadership qualities and skills are well suited to successfully implementing a strategic plan and sustaining strategic direction.
• Competency 2: Apply strategies to lead high-performing health care teams to meet organizational quality and safety goals.
  • Summarize a strategic plan aimed at achieving desired quality or safety improvements within a care setting.
  • Describe the necessary actions for aligning the structure, systems, shared values, management style, staff, and skills of a care setting with strategic goals.
  • Explain how the implementation and outcomes of a strategic plan will be evaluated against current performance benchmarks.
• Competency 3: Apply cultural, ethical, and regulatory considerations to leadership decision making.
  • Explain how relevant cultural, ethical, and regulatory considerations influence the design of a strategic plan and strategies for its implementation.
• Competency 4: Integrate leadership and health care theories into the role of the nurse leader.
  • Explain one’s role, as a nurse leader, in successfully implementing a strategic plan and sustaining strategic direction.
• Competency 5: Communicate with stakeholders and constituencies to build collaborative partnerships and create inclusive work environments.
  • Explain a strategy for communicating with stakeholders and constituencies who are essential to implementing a strategic plan and sustaining strategic direction.
  • Communicate analyses clearly and in a way that demonstrates professionalism and respect for stakeholders and colleagues.
  • Integrate relevant and credible sources of evidence to support assertions, correctly formatting citations and references using APA style.

Suggested Resources

The resources provided here are optional. You may use other resources of your choice to prepare for this assessment; however, you will need to ensure that they are appropriate, credible, and valid. The MSN-FP6210: Leadership and Management for Nurse Executives Library Guide can help direct your research, and the Supplemental Resources and Research Resources, both linked from the left navigation menu in your courseroom, provide additional resources to help support you.

Change Leadership

• Kash, B. A., Spaulding, A., Johnson, C. E., Gamm, L., & Hulefeld, M. F. (2014). Success factors for strategic change initiatives: A qualitative study of healthcare administrators’ perspectives. Journal of Healthcare Management, 59(1), 65–81.
• Mitchell, G. (2013). Selecting the best theory to implement planned change. Nursing Management (through 2013), 20(1), 32–37.
• Toussaint, J. S., & Berry, L. L. (2013). The promise of lean in health care. Mayo Clinic Proceedings, 88(1), 74–82.
  • This article provides useful information for health care leaders who are considering a lean approach to quality improvement.
• Trajkovski, S., Schmied, V., Vickers, M., & Jackson, D. (2013). Using appreciative inquiry to transform health care. Contemporary Nurse: A Journal for the Australian Nursing Profession, 45(1), 95–100.
• Tropello, P. D., & DeFazio, J. (2014). Servant leadership in nursing administration and academia shaping future generations of nurses and interdisciplinary team providers to transform healthcare delivery. Nurse Leader, 12(6), 59–61.
  • This article discusses how servant leadership and AI can be employed to effect transformational change in heath care.
• Tying Strategic Planning to Vision and Mission | Transcript.
• Nursing Leadership: Present and Future Needs | Transcript.

Assessment Instructions

Note: In this assessment, you will develop a presentation to stakeholders for the strategic plan you developed in Assessment 2.

Preparation

Your strategic plan has been reviewed, and you have been asked to present your plan—including operational recommendations and strategic control mechanisms—at a strategic visioning session with key stakeholders (senior leaders if your plan is organization-wide, community leaders if your plan is for a community health project, or the nurse manager of a specific department or team). This session is the next step in moving your plan toward implementation.

Your deliverable for this assessment is a slide deck of 10–20 slides to supplement your presentation and facilitate discussion of your plan. You may use Microsoft PowerPoint or any other suitable presentation software. Please use the notes section of each slide to develop your talking points and reference your sources, as appropriate.

If you choose to use PowerPoint and need help designing your presentation, a link to Microsoft tutorials is provided in the Supplemental Resources in the left-hand navigation pane of your FlexPath courseroom. An additional PowerPoint guide is linked in the Resources.

Presentation Design Tips

Being able to effectively address any audience is a necessary leadership skill. Remember that you are the speaker, not a projectionist. Your purpose is not to present a slide show. Your audience is there to listen to what you have to say, not read your slides—or worse, listen to you read them. Design your presentation slides to compliment and reinforce your message and engage your listeners.

The following tips will help you create presentation slides that work to your advantage:

• Focus on the content of your presentation and the development of your main points. Remember that your purpose is to garner support for your plan and build partnerships for implementation.
• Consider your intended audience and how best to communicate effectively with them.
• Create slides that support your presentation. They should not be your presentation.
  • Use a professional presentation template, or one used in your organization.
  • Ensure that your slide background provides sufficient visual contrast for your text and graphics.
  • Avoid filling your slides with text. Use speaker notes to record the details you want to communicate to your audience.
  • Be judicious in your use of bulleted lists. You might even consider a separate slide for each main point.
  • Use images and graphics, when appropriate, to illustrate information and make your points. Presentation slides are a visual medium. Images are more effective than text at engaging your audience.
  • Avoid using images that are simply decorative. They can be a visual distraction and do not contribute to your message.
  • Avoid using flashy slide transitions and animations. They can be both distracting and annoying. Keep your slide transitions consistent throughout the presentation.
  • Add a slide to the end of your presentation to prompt questions from the audience.

Requirements

Note: The requirements outlined below correspond to the grading criteria in the scoring guide, so, at a minimum be sure to address each point. In addition, you are encouraged to review the performance level descriptions for each criterion to see how your work will be assessed.

Communication, Supporting Evidence, and APA Style

• Present your plan in a professional and respectful way, with the goal of garnering support for your plan and building partnerships for implementation.
  • Address stakeholders’ needs and concerns.
  • Communicate the need to work collaboratively on implementation.
• Integrate relevant and credible sources of evidence to support your assertions.
  • Cite at least 3–5 sources of scholarly or professional evidence.
• Apply correct APA formatting to all in-text citations and references.
• Add a references slide to your slide deck.
• Proofread your slides to minimize errors that could distract the audience and make it more difficult to focus on the substance of your presentation.

Presentation

• Summarize your plan for achieving 2–3 main goals. Include corresponding metrics, targets, and initiatives to help achieve the desired quality or safety improvements in the care setting.

Note: It may be useful to think about what you hoped to achieve in addressing your care setting’s positive core or specific area of concern in Assessment 1. For example:

• Progress toward achieving the Triple Aim.
• Better patient safety outcomes.
• Lower readmission rates.
• Higher volume of patients and care.
• Increased financial gain.
• Minimizing staff burnout.
• Improved relationship and trust with the community or a specific population.

In addition, remember to consult the literature, research studies, and resources from professional and governmental organizations when developing metrics, targets, and initiatives.

• Explain how you will communicate your plan to those stakeholders and constituencies who are essential to implementing your plan and sustaining strategic direction.
  • Identify the key individuals or groups with whom you must communicate.
  • Identify the cultural or ethical factors, if any, that are relevant to the design of your communication plan, including how key individuals or groups typically prefer to be contacted.
• Describe the actions you will take to align your care setting’s structure, systems, shared values, management style, staff, and skills with your strategic goals.
  • Describe the changes that are needed to achieve your goals.
  • Describe the goals and processes for on-boarding relevant individuals or groups.
• Explain how you will evaluate the success of your strategic plan.
  • Define successful implementation.
  • Describe the successful outcomes for this project.
  • Explain how will you compare outcomes to current performance benchmarks.
  • Explain how will you collect data to evaluate whether you have achieved specific goals and outcomes.
  • Identify your priorities, assuming you cannot accomplish everything.
• Explain how relevant cultural, ethical, and regulatory considerations influenced the design of your strategic plan and strategies for its implementation.
• Explain your role, as a nurse leader, in successfully implementing your proposed plan and sustaining strategic direction.
  • Explain how leadership and health care theories support your role.
• Explain why your leadership qualities and skills will enable you to successfully implement your plan and sustain strategic direction.
  • Explain why should you be the one to lead this initiative.
  • Explain how have you demonstrated some or all of these qualities in past work.

Additional Requirements

In addition to your slide deck, submit any other relevant documentation or links for this assessment (if you used presentation software or technology other than PowerPoint).

Portfolio Prompt: You may choose to save this learning activity to your ePortfolio.

Instructions

Although controversial art is not a topic exclusive to the 20th and 21st centuries, the distribution of information regarding controversial art has increased with the proliferation of media. 

Choose an example of a controversial work of art from the 20th or 21st centuries from any discipline of the humanities (music, literature, sculpture, film, television, etc.). Then, address the following:

• Identify the work and the medium.
• Based on your example, to what extent does this work of controversial art make a social contribution?
• What aesthetic value does the work have? How does it reflect the human condition? How does it relate to your life?
• Has this work ever been censored? If so, explain the circumstances.
• Are governments ever justified in censoring art? Why or why not?
• Examine some of the influences of this work of art.
• Argue whether or not this work should be considered art. Explain why using terms learned in this course.
• Include an accompanying statement from the artist(s) and a statement from a critic to support your points.

Writing Requirements (APA format)

• Length: Minimum of 2 pages (not including title page or references page)
• 1-inch margins
• Double spaced
• 12-point Times New Roman font
• Title page
• References page (minimum of 1 scholarly source and 1 primary source)