What is something new you learned while listening to the webinar that may change your practice as an advanced practice nurse? What is something new you learned when completing the learning activity that may change your practice as an advanced practice nurse?

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Cognitive Assessment

Part 2 – Reflective Questions

Reflect upon learning achieved and insights gained through this activity; respond to the following questions:

 

  1. What is something new you learned while listening to the webinar that may change your practice as an advanced practice nurse?

 

 

  1. What is something new you learned when completing the learning activity that may change your practice as an advanced practice nurse?

 

 

  1. Reflect on how you will apply what you have learned in your current or future setting.

 

Introduce your issue. Identify both sides of the issue. Provide an issue definition. Discuss the significance of the issue for nursing. Briefly summarize your findings and give directions for future research, or recommendations for further study.

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Issue paper in Nursing

An issue paper differs from a position paper or a discussion paper in that an issue paper consists of a balanced view of a situation or dilemma in which both sides of the situation are clearly articulated. Because authors will often disagree about the kinds of solutions that should be implemented in remedying the situation or dilemma, you are expected to provide an overview of the various points of view found in the literature regarding how this issue should be resolved. Based on your literature review, you will be expected to discuss how you believe this issue should be resolved and provide your own rationale.

Writing an Issue Paper

Searching The Literature

In writing an issue paper you will be expected to search for a variety of literature resources. you may also use the online Library from another University if you have access), and you may also use the Internet to search through any of the online scholarly databases. In addition, there are many links to articles and online databases in this resources site which you may use.

Defining the Issue

Once you have a sound understanding of your topic, you will need to clearly define the issue. Recall that an issue has two sides so your definition of the issue should include a balanced view.

For example: The electronic patient record has many advantages such as a time saver, clarity, and accessibility, but it also comes with the challenges associated with security, increased financial costs, and implementation problems. Your issue statement might be: Even though there are significant benefits to an electronic record, not every health region has the financial resources to implement the proper security protocols necessary to ensure patient privacy.

Framework of Your Issue Paper

Introduction

Introduce your issue.

Identify both sides of the issue.

Provide an issue definition.

Discuss the significance of the issue for nursing.

Body of Paper

Describe your own opinions and beliefs about this issue.

Analysis of the issue is completed through discussion of appropriate frameworks.

Barriers to resolution are identified.

Possible resolution strategies are explored.

Conclusion

Briefly summarize your findings and give directions for future research, or recommendations for further study.

[Reference: Pryor, J. (2004). Guidelines on writing a philosphy paper. Princeton University.]

Analyse the assessment data of the community using the chosen community assessment model. Provide a concise analysis of the assessment data. From your analysis you have the opportunity to formulate several community diagnoses. Write one clearly written community diagnoses.

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Community Assessment and Diagnosis |

The purpose of this assignment is to provide students with an opportunity to conduct a partial community assessment and diagnose one area of need for health promotion related to an identified population.

Assignment Guidelines

The paper will begin with an overview of your selected population, providing the reader with a rational for the importance of the health assessment and will include demographic details to provide context for this work. Students will then conduct an assessment using either the Population Health Promotion Model or the Canadian Community as Partner Model. The student will provide rational outlining why the selected model was chosen before discussing either 3 determinants of health or 3 segments from the community assessment wheel. An analysis of the assessment data will be included. Assessment data will form the basis of a community diagnosis. This diagnosis will shape the basis for your health promotion program in Assignment 4. In Assignment 3 students will:

Describe and provide the rationale for the selected population/group you have chosen.

Include relevant demographic and epidemiological data.

Outline the assessment methods used:

Population Health Promotion Model, provide the rationale for your choice, select 3 determinants of health, and complete an assessment in relation to the group.

OR

Canadian Community-as-Partner Model, provide the rationale for your choice, select 3 segments from the community assessment wheel, and complete an assessment in relation to the group.

Analyse the assessment data of the community using the chosen community assessment model. Provide a concise analysis of the assessment data.

From your analysis you have the opportunity to formulate several community diagnoses. Write one clearly written community diagnoses. Outline if it is a wellness or deficit diagnosis. The community diagnosis will frame your work in Assignment 4).

Provide rationale for the community diagnosis supported by the analysis of the assessment data for the community.

Briefly discuss the first-line treatment recommendations from JNC8, and the AHA/ACC for a patient with no other major comorbidities. What are the recommended medications to start this specific patient on? Provide the drug class, generic & trade name, and initial starting dose.

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Week 3

Mrs. Lyons is a 57-year-old African American female who recently developed headaches and had an elevated blood pressure reading at her work health fair. When she had her blood pressure taken at the health fair the reading was 168/99. She has gone back to the drug store 3 other times to take her blood pressure. The readings have been: 145/90, 150/89, 140/88. At the health fair she was told her BMI is elevated. Her cholesterol levels were also done at the health fair. The results were: total cholesterol level of 250, LDL 138, HDL 48, and Triglycerides 170.

She has not been to see a primary care provider in over 5 years. At her last office visit, which was 5 years ago, her blood pressure was (135/95). Her LDL and triglycerides were also elevated at that time. The patient was supposed to monitor her blood pressure at home and trial diet and lifestyle changes. She was supposed to return for a follow-up with her blood pressure log and for a recheck of her labs. She, unfortunately, did not do this.

Today in the clinic her vital signs are:
BP 146/92, HR 90, Temp 98.4, RR 12, O2 98%, Height 5’5, Weight 220 lbs, BMI 36.6

She is not currently taking any medications. She has NKDA. Family history: her brother and sister both have been diagnosed with hypertension and DM. Diagnoses for the patient are HTN, Obesity, and Hyperlipidemia.

Q1. Briefly discuss the first-line treatment recommendations from JNC8, and the AHA/ACC for a patient with no other major comorbidities.

Q2. What are the recommended medications to start this specific patient on? Provide the drug class, generic & trade name, and initial starting dose.

Q3. Discuss the mechanism of action of each of the drugs you listed.

Q4. Discuss the side effect profile of each medication you listed.

Q5. Are there any interactions between any of the medications you prescribed?

Q6. What other non-pharmacological interventions would be suggested?

What do you want to find out? Why did you choose that topic? Why is the topic important and up to date? How does the topic relate to working life and usability in working life? How does the topic promote and support your own professional skills?

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Communicative difficulties in adolescents with autism spectrum disorders and their effects on their integration within the mainstream

Summary:
Choose a nursing research topic / theme that interest you, which could also be a suitable topic for your thesis. Search for previous research information related to the topic / theme and use it as a basis for writing a theme analysis. The theme analysis is written according to the writing instructions of the thesis report. The length of the analysis is 4 pages (+ cover page).

Head over the topic analysis according to the headings below and reflect on your chosen topic and implementation using the questions provided. Don’t just answer the questions; write fluent text under the headings. The questions will only help you in your reflection.

1. Justification for the choice of topic

What do you want to find out?

Why did you choose that topic?

Why is the topic important and up to date?

How does the topic relate to working life and usability in working life?

How does the topic promote and support your own professional skills?

2. Background and previous literature

What are the key concepts related to the topic / theme?

How do the concepts relate to each other, ie what are the relationships between the concepts? -> Draw a concept map of the concepts as an appendix to the topic analysis.

What previous research has been done on the subject?

Find at least three to five related studies and describe how the studies relate to the topic.

3. Research

How could your chosen topic / theme be approached from a research perspective?

What research method could be suitable for researching the topic?

4. Ethical and reliability considerations

What ethical issues and aspects are related to your chosen topic / theme?

What kind of reliability issues and aspects are related to the topic / theme?

References

Carefully mark all the references you use and make the citations in the text according to the reporting guidelines. In addition to research data, use research method literature as sources.

Explain how each competency and essential that you selected aligns with critical thinking and clinical decision-making. Provide examples of how improvements in these areas will impact patient outcomes. Explain how developing the competencies and essentials will impact/improve your work.

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Summative assessment: Competencies and Essentials of a Baccalaureate prepared-Nurse

Nurses use critical thinking skills to analyze data to make important decisions. Think about the competencies you selected to develop in Week 1. How would improving these professional competencies impact critical thinking and clinical decision-making?

Using the 2 competencies and the 2 essentials from the Week 1 worksheet, develop a 12- to 15-slide presentation with detailed speaker notes.

Note: If you are not familiar with creating Microsoft PowerPoint® presentations, review How to Make a Presentation under this week’s Learning Activities.

Include an overview of the QSEN Competencies and the AACN Baccalaureate Essentials. Do the following:

Explain how each competency and essential that you selected aligns with critical thinking and clinical decision-making.
Provide examples of how improvements in these areas will impact patient outcomes.
Explain how developing the competencies and essentials will impact/improve your work.

Include at least 2 scholarly resources from the University of Phoenix Library.

 

Describe the health care organization or network. Describe the organization’s overall readiness based on your findings. Prepare a strategic plan to address issues pertaining to network growth, nurse staffing, resource management, and patient satisfaction.

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Health Organization Evaluation

Research a health care organization or network that spans several states with in the United States (United Healthcare, Vanguard, Banner Health, etc.). Assess the readiness of the health care organization or network you chose in regard to meeting the health care needs of citizens in the next decade.

Prepare a 1,000-1,250 word paper that presents your assessment and proposes a strategic plan to ensure readiness. Include the following:

-Describe the health care organization or network.
-Describe the organization’s overall readiness based on your findings.
-Prepare a strategic plan to address issues pertaining to network growth, nurse staffing, resource management, and patient satisfaction.
-Identify any current or potential issues within the organizational culture and discuss how these issues may affect aspects of the strategic plan.
-Propose a theory or model that could be used to support implementation of the strategic plan for this organization. Explain why this theory or model is best.

You are required to cite a minimum of three sources to complete this assignment. Sources must be appropriate for the assignment and relevant to nursing practice.

Discuss how you, as an advanced professional nurse leader, would implement the four steps from the “IHI Framework for Improving Joy in Work” in the workplace, including one strategy for each of the four steps.

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Social Emotional intelligence

C. Write a reflection paper (suggested length of 4-6 pages) discussing how to use social and emotional intelligence power skills to handle difficult workplace situations and implement joy in the workplace by doing the following:

1. Describe, using scholarly sources, how advanced professional nurses can manage difficult workplace situations by using each of the following social and emotional intelligence power skills:

• self-awareness

• self-management

• interpersonal communication

• executive function

• social awareness

2. Describe how you, as an advanced professional nurse, would use two of the social and emotional intelligence power skills in the workplace to achieve each of the following results:

• a professional presence

• enhanced mindfulness in healthcare

• a positive social presence to promote a sense of caring and belonging

• a culture of joy to solve the problem of incivility in the workplace and initiate organizational change

3. Discuss how you, as an advanced professional nurse leader, would implement the four steps from the “IHI Framework for Improving Joy in Work” (see Supporting Documents) in the workplace, including one strategy for each of the four steps.

What accountability issues arose from the gap? How was group communication and/or collaboration affected by this gap? What strategies would you propose leaders could use to navigate power-differential gaps and blurred lines of authority?

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Week 4 Hayden

Week 4: Organizational Structure: Power and Lines of Authority – Translational Leaders
From NR534-11152No unread replies.No replies.

Part 1: Individual

Describe the organizational structure and the lines of authority within the healthcare system where you work. Identify the relationship between the type of power observed and the authority line.

Part 2: With Your Group

Share an example of a power differential gap or unclear authority lines you have observed or have been involved in. What accountability issues arose from the gap? How was group communication and/or collaboration affected by this gap? What strategies would you propose leaders could use to navigate power-differential gaps and blurred lines of authority?

Explain how value-based care differs from a fee-for-service or a capitated approach. Describe why adopting a value-based purchasing arrangement would be financially advantageous for the physician groups and to the health plan.

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Value-Based Purchasing Presentation

Scenario: You work for the contracting department for a national payer that is working to convert its provider contracts to value-based arrangements. Your team is approaching large physician groups for recontracting. Develop a 12-15-slide presentation with speaker notes to show the value of converting to a value-based arrangement:

Explain value-based care.
Explain how value-based care differs from a fee-for-service or a capitated approach.
Describe why adopting a value-based purchasing arrangement would be financially advantageous for the physician groups and to the health plan.

Include at least three references, including my text book Economics and Financial Management for Nurses and Nurse Leaders