A. Windshield Survey 

The Windshield Survey is comprised of general qualitative observations that give you a snapshot of the community that you can capture as you drive/walk through the community. The demographic data can be obtained online, through the public library, county or township administration buildings. Please address the following in a narrative format following APA guidelines: 

1. Geographical description

 Boundaries, geographical, political, or economic, how is it seen. 

 Housing an zoning 

 Sign of decay 

2. Health Resources 

a. Type of services available: health department, private MD, dentist, hospital clinic, 

b. pharmacy, health promotion, mental health 

c. School and occupational health services 

d. Official and voluntary services 

e. Self help and support groups 

f. Service organizations, faith-based programs 

g. Stores (grocery, retail, drug, dry cleaning, etc. 

h. Transportation 

3. Citizen safety and protective services 

a. Police and fire 

b. Shelters for victims of abuse 

c. Others: neighborhood watch etc. 

4. Services provided by senior citizens senior centers, meals on wheels, transportation, day care, long term care. 

 a. Parks and recreational areas 

5. Community welfare services beyond city/state aid as provisions for emergency food, shelter and clothing. 

Below please see the rubric that will be used to grade your survey and due date instructions.

Assignment must be presented in an essay style using APA format in the required Arial 12 font with minimum of 1000 words. Due date is Saturday May 12 @ 11:59PM in the discussion tab of the black board for grading. 

If you are unable to comply with the due date, please contact me via e-mail at least 3 days before the due date. Extra time will not be granted after the due date has passed. This assignment will be grade based on the assignment rubric.

Imagine that, for about a year, your nursing unit has been involved in an intensive campaign to improve patient satisfaction scores with pain management. You are getting good data from your patients, as the length of stay on this inpatient geriatric medical nursing unit is only about 6 days. Your hospital does 100% survey to inpatients, and the response rate is about 25%, which is higher than it has been. This notwithstanding, the percent of “patient very satisfied” (top box), with a score of 5, has been in the low 70s. The national benchmark for medical surgical units like yours is about 85% very satisfied. Of all the units in your hospital, your unit is the lowest scoring on this HCAPHS survey. But as your unit is the only geriatric medical nursing unit in the hospital, you’d always thought it was the nature of the patient population.

You have been the day shift representative to the QI team, and the scores on your unit are posted monthly. Here are the numerous strategies that have been tried on your unit and the timeframes.I

Examine the strategies and interventions tried in your unit and consider the following questions: a) Were the strategies effective in creating a sustainable change on your nursing unit, and 

b) To what extent can your nurse manager and CNO count on your unit exceeding the national benchmark in the next quarter, the next year? 

That is, does this run chart have some predictive ability?

Does the run chart support the nursing unit’s decision to celebrate? 

To what extent can the leadership be confident that the trend will continue?

Based on the scenario, explain what was done successfully and where improvement was needed in the quality improvement process. Identify the performance improvement tools, and explain how they contributed to the outcome.

Respond in 4-5 paragraphs 450-550 words 

Support your response with references from the Resources and professional nursing literature. Your posts need to be written at the capstone level 

Spath, P. (2018). Introduction to healthcare quality management (3rd ed.). Chicago, IL: Health Administration Press.

• Chapter 4, “Evaluating      Performance” (pp. 79-118)
• Chapter 5, “Continuous      Improvement” (pp. 119-142)
• Chapter 6, “Performance Improvement Tools”      (pp. 143-174)

Note: Although Chapter 4 is previously assigned reading, please review it in preparation for this week’s material.

Yoder-Wise, P. S. (2019). Leading and managing in nursing (7th ed.). St. Louis, MO: Mosby.

• Chapter 19, “Building Effective Teams” (pp.      335-356)

Microsoft. (2016). Use charts and graphs in your presentation. Retrieved from https://support.office.com/en-gb/article/Use-charts-and-graphs-in-your-presentation-c74616f1-a5b2-4a37-8695-fbcc043bf526

Perla, R. J., Provost, L. P., & Murray, S. K. (2011). The run chart: A simple analytical tool for learning from variation in healthcare processes. BMJ Quality and Safety, 20(1), 46–51

Download the Week 2 Self-Assessment of the AACN Essentials  (Links to an external site.) Follow the directions on the form. Note your total score. Next, review this article:

Kramer, M., Schmalenberg, C., Maguire, P., Brewer, B., Burke, R., Chmielewski, L., … Meeks-Sjostrom, D. (2009). Walk the talk: Promoting control of nursing practice and a patient-centered culture. Critical Care Nurse, 29(3), 77–93. https://chamberlainuniversity.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=edswsc&AN=000266533800011&site=eds-live&scope=site   (Links to an external site.)

After you have completed your self-assessment, answer the following questions:

1. Describe the relationship between the AACN Essentials and your new-found knowledge about Patient Centered Care. Are there opportunities for you to improve?
2. Essential VIII: Professionalism and Professional Values discusses professional standards of moral, ethical, and legal conduct. Review the Professional Integrity Module-Academics and Practice at the beginning of the course (the first module). Then reflect on your own beliefs and values as they relate to professional nursing practice.
3. Discuss implications of professional nursing integrity and academic integrity.

At least 2 references with in text citation.

 This is the answer to part B number 2. Long pieces of information that will be used many times can be stored once, and referenced only by an ID field that takes less space to store. 

Create a title page and reference page using the APA Paper Template as a guide.

Complete the Database Records and Relational Data worksheet.

Add the title page and reference page to the worksheet.

Cite a minimum of one outside reference such as a textbook or required reading article

Where in the World Is Evidence-Based Practice?

At least 3 citations.

Where in the world is evidence based practice?

March 21, 2010, was not EBP’s date of birth, but it may be the date the approach “grew up” and left home to take on the world.

When the Affordable Care Act was passed, it came with a requirement of empirical evidence. Research on EBP increased significantly. Application of EBP spread to allied health professions, education, healthcare technology, and more. Health organizations began to adopt and promote EBP.

In this Discussion, you will consider this adoption. You will examine healthcare organization websites and analyze to what extent these organizations use EBP.

To Prepare:

1. Review the Resources and reflect on the definition and goal of EBP.
2. Choose a professional healthcare organization’s website (e.g., a reimbursing body, an accredited body, or a national initiative).
3. Explore the website to determine where and to what extent EBP is evident.

Post a description of the healthcare organization website you reviewed. Describe where, if at all, EBP appears (e.g., the mission, vision, philosophy, and/or goals of the healthcare organization, or in other locations on the website). Then, explain whether this healthcare organization’s work is grounded in EBP and why or why not. Finally, explain whether the information you discovered on the healthcare organization’s website has changed your perception of the healthcare organization. Be specific and provide examples.

Module 1: Evidence-Based Practice and the Quadruple Aim (Week 1)

Accessible player –Downloads–Download Video w/CCDownload AudioDownload Transcript

Laureate Education (Producer). (2018). Evidence-based Practice and the Quadruple Aim [Video file]. Baltimore, MD: Author.

Due ByAssignmentWeek 1, Days 1-2Read the Learning Resources.
Compose your initial Discussion post.Week 1, Day 3Post your initial Discussion post.
Begin to compose your Assignment.Week 1, Days 4-5Review peer Discussion posts.
Compose your peer Discussion responses.
Continue to compose your Assignment.Week 1, Day 6Post two peer Discussion responses.Week 1, Day 7Wrap up Discussion.
Deadline to submit your Assignment.

Learning Objectives

Students will:

• Evaluate healthcare organizations for evidence-based practices
• Analyze the relationship between evidence-based practice and the Quadruple Aim in healthcare organizations

Photo Credit: BuyOutFootage.com

Learning Resources

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.
Chapter 1, “Making the Case for Evidence-Based Practice and Cultivating a Spirit of Inquiry” (pp. 7–32)

Boller, J. (2017). Nurse educators: Leading health care to the quadruple aim sweet spot. Journal of Nursing Education, 56(12), 707–708. doi:10.3928/01484834-20171120-01
Note: You will access this article from the Walden Library databases.

Crabtree, E., Brennan, E., Davis, A., & Coyle, A. (2016). Improving patient care through nursing engagement in evidence-based practice. Worldviews on Evidence-Based Nursing, 13(2), 172–175. doi:10.1111/wvn.12126
Note: You will access this article from the Walden Library databases.

Kim, S. C., Stichler, J. F., Ecoff, L., Brown, C. E., Gallo, A.-M., & Davidson, J. E. (2016). Predictors of evidence-based practice implementation, job satisfaction, and group cohesion among regional fellowship program participants. Worldviews on Evidence-Based Nursing, 13(5), 340–348. doi:10.1111/wvn.12171
Note: You will access this article from the Walden Library databases.

Melnyk, B. M., Fineout-Overholt, E., Stillwell, S. B., & Williamson, K. M. (2010). Evidence-based practice: Step by step. The seven steps of evidence-based practice. American Journal of Nursing, 110(1), 51–53. doi:10.1097/01.NAJ.0000366056.06605.d2
Note: You will access this article from the Walden Library databases.

Melnyk, B. M., Gallagher-Ford, L., Long, L. E., & Fineout-Overholt, E. (2014). The establishment of evidence-based practice competencies for practicing registered nurses and advanced practice nurses in real-world clinical settings: Proficiencies to improve healthcare quality, reliability, patient outcomes, and costs. Worldviews on Evidence-Based Nursing, 11(1), 5–15. doi:10.1111/wvn.12021
Note: You will access this article from the Walden Library databases.

Sikka, R., Morath, J. M., & Leape, L. (2015). The Quadruple Aim: Care, health, cost and meaning in work. BMJ Quality & Safety, 24, 608–610. doi:10.1136/bmjqs-2015-004160
Note: You will access this article from the Walden Library databases.

Walden University Library. (n.d.-a). Databases A-Z: Nursing. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/az.php?s=19981