Before beginning work on this discussion forum, please review the link “Doing Discussion Questions Right,” the expanded grading rubric for the forum, and any specific instructions for this topic.

Before the end of the week, begin commenting on at least two of your classmates’ responses. You can ask technical questions or respond generally to the overall experience. Be objective, clear, and concise. Always use constructive language, even in criticism, to work toward the goal of positive progress. Submit your responses in the Discussion Area.

 At one time or another we will have a need to access healthcare, whether it is for something major, minor, for ourselves or for others. Healthcare is a commodity that we all utilize. In this section we will discuss healthcare demand and all that it can entail.

• What makes demand in healthcare a complicated issue, and what are some of the components that may contribute to the level of demand?

To support your work, use your course and textbook readings and also use the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.

 Your initial posting should be addressed at 150-300 words. Submit your document to this Discussion Area by the due date assigned. Be sure to cite your sources using APA format.

 Respond to your peers throughout the week. Justify your answers with examples, research, and reasoning. Follow up posts need to be submitted by the end of week.

Requirements:

1. This paper will be graded on quality of information, use of citations, use of Standard English grammar, sentence structure, and organization based on the required components.
2. Create this assignment using Microsoft (MS) Word, which is the required format for all Chamberlain documents. You can tell that the document is saved as a MS Word document because it will end in “.docx.”
3. Submit to the appropriate assignment area by 11:59 p.m. MT on Sunday of the week due. Any questions about this paper may be discussed in the weekly Q & A Discussion topic.
4. The length of the paper is to be no greater than three pages, excluding title page and reference page.
5. NOTE: You have the option of verbally presenting the content of your paper and uploading/sending the video to your instructor and posting it in the designated Week 8 threaded discussion. For the video option, you must still include a written introduction and conclusion, title page and reference list, per APA.
6. APA format (6th edition) is required in this assignment, including a title page and reference page. Use APA level 1 headings for the organizational structure of this assignment. Remember that the introduction does not carry a heading that labels it as a level heading in APA format. The first part of your paper is assumed to be the introduction. See APA manual for details. See resource under the course Library Guide, “Guidelines for Writing Professional Papers.” Use the suggested format and headings to organize your assignment.
   1. Include introduction (do not label as a heading in APA format)
   2. New Nursing Care Delivery Model and Patient Safety Goals
   3. Key Concepts
   4. Supporting Evidence
   5. Conclusion

Preparing the paper

As the nurse executive of your organization, you must reexamine your current nursing care delivery model (your current model is total-patient-care) and propose a new model to reduce costs and improve the quality of healthcare for your organization. Your staffing budget will remain fixed next year, and you had a recent visit by The Joint Commission which revealed some patient safety goal issues, which you must address. You are considering switching from a total-patient-care delivery model to a new patient care delivery model.

1. Clearly introduce your quality of healthcare assignment in the introduction paragraph. Include a sentence that states the purpose of your assignment.
2. Clearly identify and articulate a new nursing care delivery model to increase the economic (reduce costs) and quality outcomes for your organization. Discuss at least two patient safety goals to focus on, that you feel are needed, for your organization.
3. Clearly articulate how the key concepts of your new nursing care delivery model will reduce costs and improve the quality of healthcare in the organization you have chosen. Discuss how these key concepts relate to the contextual domain of the person-centred nursing leadership framework by McCormack and McCance (2017).
4. Include a minimum of three sources of scholarly, empirical evidence to support the nursing care delivery model to be implemented.
5. Provide concluding statements that should summarize your overall assignment content.
6. The paper will be three pages maximum, excluding title and reference page(s).

Benchmark – Nursing Process: Approach to Care 

The nursing process is a tool that puts knowledge into practice. By utilizing this systematic problem-solving method, nurses can determine the health care needs of an individual and provide personalized care.

Write a paper (1,750-2,000 words) on cancer and approach to care based on the utilization of the nursing process. Include the following in your paper:

1. Describe the diagnosis and staging of cancer.
2. Describe at least three complications of cancer, the side effects of treatment, and methods to lessen physical and psychological effects.
3. Discuss what factors contribute to the yearly incidence and mortality rates of various cancers in Americans.
4. Explain how the American Cancer Society (ACS) might provide education and support. What ACS services would you recommend and why?
5. Explain how the nursing process is utilized to provide safe and effective care for cancer patients across the life span. Your explanation should include each of the five phases and demonstrate the delivery of holistic and patient-focused care.
6. Discuss how undergraduate education in liberal arts and science studies contributes to the foundation of nursing knowledge and prepares nurses to work with patients utilizing the nursing process. Consider mathematics, social and physical sciences, and science studies as an interdisciplinary research area.

You are required to cite to a minimum of four sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. 

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

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. 

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

RN-BSN

2.1: Incorporate liberal arts and science studies into nursing knowledge.

3.1 Utilize the nursing process to provide safe and effective care for patients across the life span.

PART ONE

Newman pointed out that, “nurse client relationships often begin during periods of disruption, uncertainty, and unpredictability in patient’s lives” (Smith & Parker, 2015, p. 288).

Explore what she means by this statement. Then, reflect on a patient that you cared for that you could apply her theory to. Provide details of the interaction and outcomes.

Your initial posting should be at least 400 words in length and utilize at least one scholarly source other than the textbook

the theorist referred to here is Betty Newman

PART TWO

Your assignment this week will be an APA paper to include title page, level headings, and a reference page.

Case study #1 

Mrs. Franklin-Jones was admitted from the Emergency Room to Cardiac Intensive Care one week ago with a diagnosis of acute myocardial infarction. She has recovered as expected and is moving to the cardiac step down unit today. She is talking with Nurse Julie Hernandez, as she gets settled in her new room, “I was really surprised when I got that bad pain in my chest! I knew I had high pressure but I just didn’t think it was that bad. I try to take my medicine like they told me to in the clinic but sometimes I forget. I guess that I need to study those papers they gave me about what foods I should eat and not eat. I better take care of myself! Momma had bad pressure and it killed her! Who knows—I may even have to learn to cook different than I was taught in Jamaica! I may have to let Tomas do the cooking. He’s got more time at home now than I do since he lost his job. There isn’t too much time between my shifts at the school cafeteria and my new housecleaning job. You know my sister is coming up from Jamaica to see me. I think she is bringing me some bush tea. That’ll set me right!”

• Using Leininger’s Culture Care Model, what factors in the story shared by Mrs. Franklin-Jones should be considered by Nurse Hernandez when planning for the patient’s discharge?
• Why is the theory of Culture Care Diversity important in the delivery of nursing care for all patients?
• Using Leininger’s Theory of Culture Care Diversity and Universality, develop a plan of care for Mrs. Franklin-Jones.
• Discuss the strengths and limits to Leininger’s Theory.

Case Study #2

Claude Jean-Baptiste is recovering from post-hip replacement surgery and has been transferred to the Rehabilitation Institute adjacent to the hospital. When he enters the unit, he sees welcoming signs written in several languages including his own, Creole. Since there are no nurses on that shift that speak Creole, they use a language line to ask for translation services. During this initial nursing assessment, the translator informs Mr. Jean-Baptiste that the nurses invite him to have a relative at his side so that they can be sure to understand and meet his needs. He is asked about Haitian customs and beliefs that they might honor. Mr. Jean-Baptiste is encouraged to bring food and spiritual care items, and to share the warmth of his culture with the nursing staff.

• Discuss assumptions of the Transpersonal Caring relationship. What is the nurse’s role?
• How is love, as defined by Watson, evident in this caring moment?
• How can the nurse creatively use self to create a healing environment?
• Discuss the strengths and limits to Watson’s Theory.

This paper should include 2 outside references and your book. The essay should be between 1500 and 1750 words in length.

Coumminity Assessment

Submit your final project. It should be a complete, polished artifact containing all of the critical elements of the final product. It should reflect the incorporation of feedback gained throughout the course for Milestone 1,2 & 3. 

This includes milestone 1, milestone 2 and milestone 3 to be added to the final project which has been done already and attached below. However milestone 2 and 3 needs revision from feedback of what was missing and needs to be included.

For additional details, please refer to the Final Project Guidelines and Rubric attached below.