Category: Nursing

Assignment 1: (15 points):
Purpose: Stress can have a negative impact upon one’s health. Students will incorporate knowledge of MI techniques to engage a specific population in an evidence-based activity that reduces stress levels. Through creating a stress management plan, the APRN gains experiential knowledge to utilize in their clinical practice. How do you, as APRN, foresee screening and treating stress or behavioral change in the primary care setting? this should guide the paper.

For this assignment, students will explore a mindfulness technique of interest and apply it to a specific population. Develop a scholarly paper that addresses the following criteria:
Explore pathology of toxic stress levels and scales used to measure.
Incorporate motivational techniques used to develop an effective stress management plan
Identify evidence-based intervention useful for stress management citing effectiveness. (e.g. journal, aerobic exercise, yoga, Pilates, etc.)
Create a Stress Management Plan using two SMART goals for population of interest (Specific, Measurable, Achievable, Relevant and Time Bound).
Provide any cultural considerations that may impact success of the intervention.
Submit a 3-to-5-page paper using APA format (intro, conclusion, references) to Assignments in Canvas by the due date.
The scholarly paper should be in narrative format – 3 to 5 pages excluding the title and reference page.
Include an introductory paragraph, purpose statement, and a conclusion.
Include level 1 and 2 headings to organize the paper.
Write the paper in third person, not first person (meaning do not use ‘we’ or ‘I’) and in a scholarly manner. To clarify: I, we, you, me, our may not be used. In addition, describing yourself as the researcher or the author should not be used.
Include a minimum of 4 professional peer-reviewed scholarly journal references to support the paper (review in Ulrich Periodical Directory) and be less than five (5) years old.
APA format is required (attention to spelling/grammar, a title page, a reference page, and in-text citations).
Submit the assignment to Turnitin prior to the final submission, review the originality report, and make any needed changes.
Submit by the posted due date.

Scenario
You are a staff nurse voted as the nursing delegate to sit on the Emerging Innovations Steering Committee. In preparing for your first committee meeting you have read through the last year of meeting minutes and determined what the past nursing delegate had achieved and what future goals were set for this specific role. The meeting minutes from last month show the steering committee is currently looking at emerging communication technologies and how the hospital can leverage integration of cost effective healthcare technology. In preparation for the first meeting, you have created a list of best practices based on your scholarly research and create a list of action plans for leveraging these into practice. You have been tasked with creating a comparative analysis of two communication technologies and how they can be used to improve communication between healthcare teams and how it can influence patient outcomes. Before the next monthly committee meeting, they want you to send them a comparative analysis using a format of your choice (i.e. table) of two communication technologies that you feel best improve safety and quality healthcare.
Instructions
Write a comparative analysis table including the following:
Discuss the two selected communication technologies you have chosen with support from scholarly research
Describe the function of each technology
Analyze how it is used in the healthcare setting
Examine how the two selected technologies can be used to improve communication among the healthcare team.
Provide a specific practice example from the literature to support how each technology has been shown to improve communication among the healthcare team.
Discuss how each type of communication technology has been shown to improve patient outcomes underneath the table.
Identify evidence from the literature to support how each technology has been shown to impact patient outcomes.

Making the Case for Telehealth
Outcomes
Analyze the use of Telehealth
Analyze the role of the Internet in health care informatics
Explain how the security of patient information can be enhanced
Determine the relationship between informatics and patient outcomes
Assignment Overview
For this project milestone, create a slide presentation addressing the use and benefits of telehealth, its role in communication, how telehealth can be used to enhance the care of selected patient populations, and the technology and staff support needed when implementing new telehealth solutions.
Deliverables
A 16 –to-20 slide presentation (no longer than 20 slides)
Step 1: Review the following scenario:
In this assignment you will focus on telehealth. You are the nurse manager for the stroke unit at Gladwin Community Hospital. Your hospital has recently become Joint Commission certified for stroke care and is in full compliance with the Get with The Guidelines for stroke care https://www.heart.org/en/professional/quality-improvement/get-with-the-guidelines/get-with-the-guidelines-strokeLinks to an external site.. As a result of your excellent work in this area and the need for more advanced stroke care to the community, you have been given the task of setting up a telehealth program for stroke care.
This program will provide support and follow-up care for stroke patients who are not able to travel to the stroke clinic. The program will also provide nursing assistance to local emergency rooms for triage purposes. Additionally, emergency physicians will be able to consult with neurologists and transmit CT scans and video of neurologic examinations.
In order to receive funding for the program, it is beneficial for those in the top level leadership to endorse the project. As the nurse manager, you will prepare and present informational materials to those in leadership positions at Gladwin Community Hospital. You will explain the importance of telehealth and the benefits it will provide for the patients.
Step 2: Create a 16 –to- 20 slide presentation.
Prepare a slide presentation to share with leadership to get their initial support. This should cover the following elements:
The impact of health care informatics on patient outcomes
The role of the Internet in health care informatics
An overview of telehealth
Benefits of telehealth
How telehealth can be used for stroke patients
How the security of patient information can be enhanced
Potential technology needs and the staff training and support that will be needed.
****Make sure that you properly cite any resources used and include a reference slide. (not included in the 20) !!!!!!!!!!!!!!!!
Step 3: Add presenter’s notes.
Include talking points and details in the notes area for each slide. These notes should document what you would say to an audience about each slide as if you were to present in-person.
As you prepare your presentation, you should follow these guidelines:
Use clear, concise, and complete sentences.
Use relevant examples to help explain concepts.
Use language intended for a listener as opposed to a reader.

Analyze financial models of reimbursement and their effects on patients and health care providers
-Nurse Practitioners

CO 3: Identify ethical issues common to research involving human subjects. (PO 6)
CO 5: Recognize the role of research findings in evidence-based practice. (POs 7 & 8)
During the assigned week (Sunday the start of the assigned week through Sunday the end of the assigned week):
Posts in the discussion at least two times, and
Posts in the discussion on two different days
Discussions are designed to promote dialogue between faculty and students, and students and their peers. In discussions students:
Demonstrate understanding of concepts for the week
Integrate outside scholarly sources when required
Engage in meaningful dialogue with classmates and/or instructor
Express opinions clearly and logically, in a professional manner
Use the rubric on this page as you compose your answers.
Best Practices include:
Participation early in the week is encouraged to stimulate meaningful discussion among classmates and instructor.
Enter the discussion often during the week to read and learn from posts.
Select different classmates for your reply each week.
Discussion QuestionsWe begin our journey into discovering the new world of research and evidence-based practice (EBP) by exploring our past. After completing the required readings and lesson, answer the following:
Explain how research has evolved since the Florence Nightingale era.
Discuss how research and EBP are different; include how you believe research supports EBP for nursing.
Describe one past/historical unethical breach of research conduct; then, share how you would ensure care of a study participant using one ethical or legal research consideration (guideline/principle).

Cultural Influences
In this first discussion, you will introduce yourself by sharing a picture, song, or piece of artwork that reflects your personal definition of culture. You and your peers will then discuss how culture impacts an individual’s perceptions, beliefs, habits, and nursing practice.
Create one initial post and respond to at least two of your classmates.
For your initial post, address the following:
1. Briefly introduce yourself to the class by sharing a picture, song, or piece of artwork that reflects your personal definition of culture. Be sure to include a citation if applicable. How does the item you shared reflect your personal definition of culture?
2. What is the difference between culture and ethnicity?
3. What nursing consideration do you feel is important to individuals’ cultural representation and should be incorporated into individual care? Why is it important?
4. Briefly discuss barriers to nurses developing cultural awareness.

Organizational Analysis Rubric
Points
Introduction paragraph (one paragraph). There must be a thesis statement at the end of the paragraph that tells the reader the purpose of paper and what will be discussed.
0.5
Before you begin the analysis of the hospital, establish healthcare organizations in the 21st century as complex adaptive systems. What does a leader need to understand about change in a CAS? Discuss the leadership challenges of transformation of complex systems.
2 Introducing the Organization
Identify an organization you selected for review from the list. Review the organization’s website.
Provide a basic introduction to the organization. Give an overall description the mission, values and community work of the organization. Describe the size of the organization.
3 Is the organization a for-profit or not -for profit-structure? Evaluate the Community Needs assessment for the facility and/or the annual report or if the organization is a for-profit, the annual report for shareholders. What opportunities for the future work of the organization are identified? .
Can’t find the Community Health Needs assessment for a not-for-profit facility? Look at other information available on the site and summarize what you can and note the report is not readily available. Interestingly, the report is required every 3 years and should be available but you may find the facility you are reviewing is out of compliance.
https://www.irs.gov/charities- non-profits/community-health-needs-assessment-for-charitable- hospital-organizations-section-501r3
2 Culture:
1 point: Describe Edgar Schein’s definition of culture including artifacts, espouse values and assumptions.
1 point Examine the organizations human resources information as well as any literature or websites describing the organization. Based on Schein’s definition of culture, seek outward evidence of the culture by reviewing the selected organization’s newsletters, ads, and pictures. 1 point Describe the observable culture of the organization based on Edgar Schein’s model.
3
Price Transparency: From the CMS website: Hospital price transparency helps Americans know the cost of a hospital item or service before receiving it. Starting January 1, 2021, each hospital operating in the United States will be required to provide clear, accessible pricing information online about the items and services they provide in two ways: 1. As a comprehensive machine- readable file with all items and services. 2. In a display of shoppable services in a consumer-friendly format.
Can you find the transparent cost of a hospital item on the hospital’s website? Was it difficult to find? Choose any two items and compare the cost of the items at the facility selected for the organizational analysis (OA) to a facility in the same region. For example, if the facility for the analysis in Wyoming, choose another Wyoming hospital for comparison. Is the OA facility a lower or higher cost provider? You must include the amounts of each item that you compared .
2
What do Others Say About the Organization?
Recognition: Is the organization listed as a Malcolm Baldridge Award recipient? https://www.nist.gov/baldrige/award-recipients
1 point Discuss the reasons an organization might consider applying for the
Malcolm Baldridge Award.
Did the organization list other certifications such as Stroke designation, or Cardiac designations, etc.?
1 point: Is the facility Magnet designated? What value would Magnet designation potentially bring to the facility?
https://www.nursingworld.org/organizational-programs/magnet/find-a- magnet-organization
2
Public Reported information about the facility:
Using the Hospital compare site located at https://www.medicare.gov/care-compare/?providerType=Hospital&redirect=true
How many stars does the facility have?
How does the facility compare to other facilities nationally?
Are there opportunities for improvement?
3
CMS complaints: Have there been investigated complaints regarding failure to comply with the CMS Conditions of Participation ?
See the public information available at: https://www.cms.gov/Medicare/Provider-Enrollment-and- certification/CertificationandComplianc/Hospital Information is located in the file labeled: Full Text Statements of Deficiencies Hospital Surveys – 2021Q4 (ZIP)
Briefly describe the purpose of the CMS Conditions of Participation (CoPs).
What does a finding of Immediate Jeopardy mean to the facility? As an advanced practice nurse, why is it important for leadership to understand the CoPs?
3
Assess the LeapFrog scores for the hospital https://www.hospitalsafetygrade.org/your-hospitals-safety-grade
What is the letter grade for the facility? What does the score mean?
What are the specific concerns contributing to the score. Avoid all discussion of staffing. Although Leapfrog does provide some staffing information, the staffing information is too broad to reach a conclusion related to a quality concern. Seek specific concerns which may contribute to the grade such as high infection rates, long wait times, falls, etc.
1.5
Conclusions: Summarize the essential points of the analysis of the organization. What conclusions were reached based on the assessment?
.5
Scholarship: The assignment will be submitted consistent with the Guidelines for Organizational Analysis Assignment described in this document. See the scoring rubric for page limits and the minimum number of references supporting the work.
Total points
2.5
25
​

For this assignment, develop a scholarly paper that includes the following criteria: 1. Describe the differences between health education and health promotion.
2. Describe a community-based health promotion program.
a. For example: Million Hearts, Healthy People 2030, WHO, United States Preventative Services (USPTF., Special Olympics ,Fit5 program, YMCA, YWCA, Alcoholic Anonymous, A, Silver Sneakers, cardiac rehabilitation, diabetes support groups, Grief Support, Mental Health. 3. Determine and discuss a health promotion model or theory that could be applied to the selected community-based health promotion program.
4. Identify one health disparity and describe how the health promotion model or theory could be implemented in your chosen community-based health promotion program.
5. Identify one social determinant of health and describe how the health promotion model or theory could be implemented in your chosen community-based health promotion program.
6. The scholarly paper should be in narrative format, 3 to 4 pages excluding the title and reference page.
7. Include an introductory paragraph, purpose statement, and a conclusion.
8. Include level 1 headings to organize the paper.
9. Write the paper in third person, not first person (meaning do not use ‘we’ or ‘I’) and in a scholarly manner. To clarify: I, we, you, me, our may not be used. In addition, describing yourself as the researcher or the author should not be used. 10. Include three professional peer-reviewed scholarly journal references to support the paper (review in Ulrich Periodical Directory) and be less than five (5) years old.
11. APA format is required (attention to spelling/grammar, a title page, a reference page, and in-text citations). 12. Submit the assignment to Turnitin prior to the final submission, review the originality report, and make any needed changes
13. Submit by the posted due date.

For Discussion Forum 1, the mentor will assign students to examine one of the 5 QSEN competencies. In Discussion Forum 1, post your response to the following discussion prompts. Please identify the forum in which you are participating in the subject line of your thread (e.g., “Discussion Forum 1/[Your Name]”). Post your response to the selected discussion topic by the date indicated in the Course Calendar. Reply to at least two classmates’ responses by the date indicated in the Course Calendar.
Describe the competency.
Why do you think this is an important element of providing high quality and safe care of clients?
How could you apply this competency to your practice as a nursing student?
Do you feel that you could disagree with a healthcare professional who was doing something wrong in the hospital setting?
For posting and grading guidelines as well as additional help with discussion assignments, please refer to the online discussion rubric located in the evaluation rubrics area of the course website and to the student handbook located within the general information area of the course website. [MO 1.1, MO 1.2]

A 275 word forum post in response to a post that I have added in the requirements about community nursing. Two portions of the response are responding to their post and then the critical thinking question they posed.