The purpose of this assignment is for you to identify an issue of concern for your role as an advanced practice nurse and to formulate a potential policy change to address that issue. There are many potential issues which can influence your practice setting or other issues which may negatively affect the patients with whom you work. All of the course reading will help you to identify a topic for this assignment. You can think about the issue as related to your health promotion project. The policy you consider may be in reaction to the health promotion issue or something larger that is still related to that issue. There are hundreds of possible issues, but here is a list of a few to consider:
Child and elder care
Civil rights
Domestic violence
Drug abuse/addiction
HIV/AIDS
Homelessness
Native American and migrant workers’ health
Long-term care
Immigration/illegal aliens
Legislative issues affecting advanced practice nursing
Barriers to practice
Access to care
As you begin to work on the possible policy change, the following ideas and steps should be considered:
Definition and description of the issue
Exploration of the background of the issue
Stakeholders
Issue statement or statement of clarity
Possible methods of addressing the issue
Goals and options for changes
Risks and benefits of the changes
Evaluation methodology
Recommendation or solution
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Disablement Model Assignment drop box
After you read the Introduction to the Guide to Physical Therapist Practice, focus on the section related to the International Classification of Functioning, Disability, and Health (ICF). The ICF allows one to use standard language and framework to classify a patient and describe how people function in their daily lives. As your written assignment, please apply the ICF model to one of your patients as follows:
Please include a BRIEF summary of the basic facts about the patient case, i.e., overview of patient’s history, review of systems, etc.
Briefly describe the ICF Model.
Apply the model to your patient, i.e., the first part of the ICF model describes function and disability utilizing body functions and body structures and the changes that happen within them. You would therefore need to understand what that means before you can apply it to your patient. (See the ICF-Towards a Common Language guide that we’ve provided in the Module 1 readings for more help).
Make sure to include all components of the ICF model. Additionally, you may use information from both the patient’s perspective as well as the physical therapist’s perspective. Please include ALL relevant information concerning your patient’s presentation.
You may choose to use a diagram, table or figure to assist in demonstrating your understanding of the model, but it is not required.
Once you have applied the ICF model to the case, choose a diagnostic label (a medical diagnosis or a ‘physical therapy diagnosis’) and provide your rationale for choosing that label. For example, list the ICD-10 codes that apply to your patient and explain what the codes stand for and why you selected them.
Since some of you may choose to use the Guide to Physical Therapist Practice-3.0, you can add the preferred practice pattern that you feel best exemplifies your patient. Although the preferred practice patterns are no longer noted in the latest version of the Guide, they are available for educational use and noted in the Module I recommended readings list for your benefit.
Please use Microsoft Word; no more than 5 pages of text double-spaced in narrative not bulleted format. Please submit your assignment in the drop box as an attachment with your last name and paper title (ex. leslie disablement.doc). Reference as appropriate, citing sources using APA format, and please include a separate title and reference page.
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Patient-centered care is a great way to improve the quality of care being received. Not every patient responds the same way to the same techniques. Taking that into consideration, being more aware of each patients feelings of the conditions they are in, can really help to guide the practice put into place thereafter. Experience can help with this as well, as it gives the nurse more ideas of different ways to handle one situation.
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Quality Improvement is looked at by leadership for the purpose of making processes in health care more efficient and therefore, save money (McEwen, M., & Willis, 2019). It takes data and statistical measures to investigate where performance can be improved. Essentially, if something isn’t working, more than likely it’s taking resources that can be spent elsewhere or used in a better way.
In the emergency department when I think of quality improvement, what comes to mind is re-admittance rates or “frequent flyers”. There is an alert on the patient’s chart during triage that notifies nurses if the patient has been to or in the hospital in the last 30 days and for what purpose. We don’t want people to keep coming to the ED for the same reason over and over. That is an overuse of the ED and abuse of resources. To prevent overuse and abuse, many MD’s collaborate with case managers and social workers on behave of the patient to provide follow-up resources and even assistance with a Primary care Physician. Although these things are set in motion, many people miss their follow-appointments and come back to the ED.
Leaders must look at the numbers and see where there can be improvements made. Most often, these improvements need to be taught to the staff so they can implement changes. Leaders should be forthcoming with the goals and able to encourage change by the staff members.
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By performing a situational analysis, planners can help anticipate and manage change. For the external environment, planners look at opportunities and threats. For the internal environment, planners look at strengths and weaknesses. Reflect on the population you selected. Think about (or research) what trends are impacting your population. In a 2-3 page paper, list each of the environmental sectors (internal and external) described in the lecture this week. Briefly describe key opportunities, threats, strengths and weaknesses for each of those sectors. Be sure to format your paper per APA standards and be sure to use at least two sources and cite those in the paper. Also, be sure to include a reference page. For more information about APA, visit the Online Library, which is available through the Resources tab.
Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates
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Complete your Supervised Practice Site Application by using the appropriate link below. The Supervised Practice Site Application is an electronic form.
Submit proof that you have submitted the Supervised Practice Site Application to the Unit 10 Assignment Dropbox.
Proof of submission can be either a copy of the email that you receive upon completion of the Supervised Practice Site Application or a screenshot of the completed submission. Submit proof in Microsoft Word format. Submissions not in Word format and loaded to the Unit 10 Dropbox will result in a score of zero.
To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Resources.
Assignment Requirements:
Before finalizing your work, you should:
be sure to read the Assignment description carefully (as displayed above);
consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; and
utilize spelling and grammar check to minimize errors.
Your writing Assignment should:
follow the conventions of Standard American English (correct grammar, punctuation, etc.);
be well ordered, logical, and unified, as well as original and insightful; and
display superior content, organization, style, and mechanics.
APA 6TA EDT
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Write a 1,200-1,500 word analysis of “Case Study: Healing and Autonomy.” In light of the readings, be sure to address the following questions:
Under the Christian narrative and Christian vision, what sorts of issues are most pressing in this case study?
Should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James?
According to the Christian narrative and the discussion of the issues of treatment refusal, patient autonomy, and organ donation in the topic readings, how might one analyze this case?
According to the topic readings and lecture, how ought the Christian think about sickness and health? What should Mike as a Christian do? How should he reason about trusting God and treating James?
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 Turnitin
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Discussion: Identifying and Engaging Stakeholders for Strategic Planning
Stakeholders can facilitate the success, or failure, of a strategic plan.
Identifying internal and external stakeholders and building productive relationships should be an intentional and well-conceived part of the strategic planning process. As a nurse leader-manager involved in strategic planning, it is important that you consider who could be impacted by a proposed change and how the change may affect individuals’ roles, responsibilities, and relationships. It is also essential to think about which stakeholders may be able to offer expertise, capital, and/or sway to help exercise the strategic plan and generate buy-in.
In this Discussion, you identify stakeholders who can assist with carrying forward a strategic plan.
Your Instructor has assigned you to a small group for this Discussion. Craft your stakeholder description independently; through the collegial exchange that follows, you will offer each other suggestions for refinement. As in Weeks 2 and 3, use this small group Discussion to delve deeply into the concepts being presented as they are foundational to this course.
To prepare:
Reflect on a planned change effort you have experienced.
Consider the following questions:
How do you think stakeholder involvement may have impacted the outcome of this planned change?
Were the right stakeholders involved? Did the stakeholders help to carry out the plan as needed?
Should other stakeholders have been engaged? If so, how could relationships with additional stakeholders have been cultivated to better support the plan?
How does reflecting on this instance of planned change inform your perspective on what is needed to engage stakeholders to successfully promote other strategic changes?
Review the Mountain View Health Center case study, and reflect on the focus of your postings in the Week 2 Discussion 2 and the Week 3 Discussion.
Conduct additional research as necessary to strengthen your understanding of the process of involving stakeholders in strategic planning and to deepen your thinking about the organization. For instance, you may research organizations with similarities to Mountain View, and examine information related to stakeholder involvement.
Consider the following questions:
Which internal and external stakeholders should be involved in strategic planning related to this case study?
What assets and/or perspectives would each of these stakeholders offer to the process?
What role would each potential stakeholder play in helping to move forward a strategic plan?
When and how should the stakeholders become involved?
How would you cultivate relationships with these stakeholders to produce the best possible results?
How would the appropriate selection of stakeholders and their involvement promote the likelihood of successful adoption and implementation of a strategic plan?
Post a description of internal and external stakeholders who should be involved in strategic planning at Mountain View Health Center. Propose strategies for cultivating relationships with these stakeholders. Explain how their involvement would promote the likelihood of success for the strategic plan.
Read a selection of your colleagues’ responses.
Respond to at least two of your colleagues on two different days by analyzing the selection of stakeholders and the strategies outlined for engagement.
Required Readings
Sare, M. V., & Ogilvie, L. (2010). Strategic planning for nurses: Change management in health care. Sudbury, MA: Jones and Bartlett.
Chapter 6, “Strategic Planning: Why It’s Not Just for the Boardroom Anymore” (pp. 105–115)
Chapter 11, “Eight Cautionary Tales of Strategic Planning” (pp. 215–226)
Note: You are only required to read the “Hail, Hail, the Gang Is Not All Here” section of the chapter this week.
These chapters address stakeholder involvement in strategic planning.
Galunic, C., & Hermreck, I. (2012). How to help employees ‘get’ strategy. Harvard Business Review, 90(12), 24.
Retrieved from the Walden Library databases.
This article addresses the influence of senior management/leadership on employees’ understanding of and commitment to organizational strategy.
Harmon, R. B., Fontaine, D., Plews-Ogan, M., & Williams, A. (2012). Achieving transformational change: Using appreciative inquiry for strategic planning in a school of nursing. Journal of Professional Nursing, 28(2), 119–124.
Retrieved from the Walden Library databases.
The authors discuss stakeholder involvement and other aspects of the strategic planning process engaged in by the University of Virginia School of Nursing.
Murphy-Hoefer, R., Andrade, M. S., Maines, D. E., & Martin, M. (2011). Stakeholder input in establishing an evaluation plan for tobacco counter-marketing campaigns. American Journal of Health Education, 42(2), 66–73.
Retrieved from the Walden Library databases.
As you read this article, consider how stakeholder involvement may contribute to successful strategic planning.
Required Media
Laureate Education (Producer). (2013b). Case study: Mountain View Health Center [Interactive media]. Retrieved from CDN database. (NURS 6241)
This interactive multimedia piece presents a case study of an organization, with information about the types of activities performed there, organizational structure, strategic priorities, and financial allocations. You will use this as a resource for this week’s Discussion
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1) Cultural competence and diversity are often considered to have the same meaning in healthcare facilities. What is the difference between these two terms and their applicability in terms of healthcare professionals in various healthcare settings?
2) Explain the unique circumstances under which the ancestors of most Black/African American people arrived in the Americas. Why is it important for health service professionals to understand this history?
3) Is Hispanic a racial or ethnic category? Explain. How might this impact the status of the African/Black group, for example, in terms of whether it is the largest or second largest minority group?
4) List the racial categories based on the OMB classification in the United States. Explain the geographic origins of the people designated for each of the categories. Why is it important for health professionals to understand cultural differences among and between groups?
5) A physical therapy office in “Little Haiti” in Miami, Florida is closed due to lack of funds. All patients’ appointments are routed to a nearby hospital’s physical therapy department in which the predominant population served is Cuban. List and describe a minimum some steps you believe the department has to take to meet the needs of the patients from a culturally competent prospective.
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design a 1-2 page health newsletter that would be appropriate for their workplace. Newsletters should contain content appropriate for health promotion concerning the workplace that they have chosen for their project. Also, links for additional facts and information and graphics should be included.
Please click the Newsletter Guideline and Rubric
to learn more about the assignment and to access the grading rubric.
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The purpose of this assignment is to thoroughly evaluate one drug used to treat cancer.
This assignment should cover all aspects of the drug which may include: drug discovery, mechanism of action, molecular interactions, scientific/medical studies, medical diagnosis of disease, disease background/prevalence, drug administration, dosing, side effects, nursing considerations, and effectiveness/efficacy of drug.
Format: 4 PAGES (not including references or title page). Font size 12.
Calibri Font .
APA format.
AT LEAST three references must be from primary literature (PubMed (www.ncbi.nlm.nih.gov) is a great place to look.
PubMed Central will give full length articles.).
Proper grammar and clear/concise sentence structure will be crucial.
Proper grammar and clear/concise sentence structure will be crucial.
Proper grammar and clear/concise sentence structure will be crucial.
Proper grammar and clear/concise sentence structure will be crucial.
EVERY THING MUST BE IN OWN WORDS!
DO NOT USE QUOTES AND EVERN WITH PROPER CITATIONS!
MUST BE IN OWN WORDS!!
Due February 23th.
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