Core Measure Nursing Essay

Core Measure Nursing Essay

Heart disease, diabetes, and cancer are three very difficult and challenging diseases. Nurses, through their knowledge and support, can play an important role in how the individual patient responds both physically and emotionally to the challenges of the disease.

Select one core measure and reflect on how that measure is implemented in nursing practice. Then, address the following:

•Identify your selected core measure and describe its essential components.

•Discuss the implications for the BSN nurse’s role when implementing this core measure.

 
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Nursing Education, Practice, and Scholarship Learning Outcomes

Nursing Education, Practice, and Scholarship Learning Outcomes

1. Describe the impact of nursing education on leadership in nursing.
2. Evaluate the difference between didactic and clinical applications.
3. Analyze the roles of scholarship and research as they relate to professional nursing practice.

Introduction
Nursing education is the foundation of professional nursing, as it encompasses the need for growth and development. This week you will be discussing the impact of nursing education on nursing leadership. You will also analyze didactic versus clinical learning. Finally, you will assess how scholarship, evidence-based practice, and research impact professional nursing practice.

1. Professional Role Development Practice Experience: Reflection on Nursing Education.

As many healthcare facilities seek to demonstrate competency through practice; some are opting to reach magnet status. Professional nursing practice is the cornerstone of magnetism, although many hospital committees are forced to change from clinician-centered to patient-centered care. Magnetism requires that nurse leaders obtain at least a bachelor of science in nursing. This is forcing associates- and diploma-prepared registered nurses to seek bachelors and/or master’s degrees in nursing to remain relevant.
For this discussion,
• Reflect on the interview you conducted in Week Two and highlight some of the advantages and/or disadvantages of obtaining a bachelor’s degree in nursing.
• You should also include the following key areas of your Week Two interview: the interviewee’s year(s) of experience as a registered nurse, the trajectory of his or her current position, the impact of BSN education on her or his current practice, and the most important aspect(s) of the job he/ or he highlighted.
• Summarize your thoughts on the information you gathered regarding the impact of education on nursing advancement(s).

2. Didactic Course Versus Clinical Practicum.  

Nursing requires a sound balance between education and practice, which provides an antecedent for evidence-based practice. Nursing philosophies lie in didactic instruction prior to practicing. As the guiding principle(s) of professional nursing practice, clinical practicum demonstrates how much information and knowledge the student translates into practice.
For this discussion,
• Address the questions of whether and how what you have learned in school is relevant to what you do on a daily basis.
• Highlight the key components of didactic coursework as covered in this week’s required readings.

Scholarship & Research in Professional Nursing Practice.  

The professional nursing student has the opportunity to seek out resources available to obtain scholarships (payment for education in exchange for service) and conduct research that adds to the nursing knowledgebase. For this assignment, find a nursing scholarship that applies to your area of interest. Then, evaluate the resource, addressing the following points:
• Describe your area of interest (Week One problem).
• Identify and describe the scholarship, highlighting the qualifications, and demonstrate your qualification for the scholarship.
• Explain how the scholarship and your area of interest align.
• Discuss what the scholarship offers in terms of usable knowledge and skills.
• Describe how such knowledge can be applied in the job market, workplace, and in a clinical practice.
• Provide a conclusion or series of concluding propositions derived from the main points of the paper, addressing the impact the scholarship would have on your overall educational objective as a professional nurse.

Your Nursing Education, Practice, and Scholarship paper
• Must be two to four double-spaced pages in length (not including title and references pages) and formatted according to APA style.
• Must include a separate title page with the following:
o Title of paper
o Student’s name
o Course name and number
o Instructor’s name
o Date submitted
• Must use at least three scholarly sources in addition to the course text
• Must document all sources in APA style.
• Must include a separate references page that is formatted according to APA style

 
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Associate Degree Nursing (ADN) vs Baccalaureate Degree Nursing (BSN) on patient Care Outcomes

Associate Degree Nursing (ADN) vs Baccalaureate Degree Nursing (BSN) on patient Care Outcomes

Current statistics show that at present, there are 1,048 Associate Degree Nursing (ADN) colleges and 696 Baccalaureate Degree Nursing (BSN) institutions in the United States (Cherry & Jacob, 2017). Recent studies show that a correlation exists between patient safety outcomes and whether a nurse has an ADN or BSN. Linda Aiken, PhD, RN, who is associated with the Robert Wood Johnson Foundation (RWFJ), believes that hospitals who employ more BSN-prepared nurses have better patient outcomes and lower mortality rates (RWJF, 2014).

In 2003, Aikens reported on studies done in Pennsylvania hospitals showing a 5% decrease in patient deaths at hospitals that staffed a 10% increase in BSN-prepared nurses (RWJF, 2014). Challengers of Aikens note that these studies raise further questions (Sentinel Watch, 2014). For example, what were the actual causes of death of these patients, and were they related to the action of an ADN nurse? Could there be other factors or causal relationships that affected patient care in these circumstances?

In defense of Aikens, the Sentinel (2014) states that no one is calling ADN nurses “bad nurses”. In fact, errors, infections, and adverse events are often due to process and system problems. Aikens maintains that by promoting evidence-based practice and leadership, the BSN curriculum will better prepare nurses to correct problems and implement solutions.

I agree that it is advantageous for nurses to expand their knowledge by obtaining a BSN degree, but I do not feel that deaths and adverse outcomes are the result if ADNs care, or lack of. Many other factors need to be considered. For example, poor staffing, long shifts, poor communication, fatigue, documentation errors, etc. affect everyone no matter what type of degree they hold. I have been at the hospital where I am currently employed for almost 20 years and have seen no evidence that the care given by ADNs is substandard to the care given by BSN-prepared nurses.

References

Cherry, B. & Jacob, S. (2017).Contemporary nursing, issues, trends, & management. St. Louis: Elsevier

Robert Wood Johnson Foundation. (2014).  Building the case for more highly

educated nurses. Retrieved from http://www.rwjf.org/en/library/articles

The Sentinel Watch. (2014). How does your nursing degree affect patient

mortality rates? Retrieved from http://www.american sentinel.edu

 
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Leadership and Nursing Practice: Role Development Essay Assignment

Leadership and Nursing Practice: Role Development Essay Assignment

Purpose The purposes of this assignment are to: a) identify and articulate key concepts of your leadership vision that supports quality nursing practice in education and healthcare systems (CO #2); b) provide scholarly, empirical evidence to support your position (CO #4), and c) present ideas in a clear, succinct, and scholarly manner (CO #4). Course Outcomes Through this assignment, the student will demonstrate the ability to: · (CO 2) Develop a vision that supports quality nursing practice in education and health care systems. (PO #2, 3, 5, 7, 10) · (CO 4) Incorporate best evidence and nursing knowledge to influence the diffusion of innovation and change to strengthen education and healthcare organizations. (PO #1, 2, 7, 9, 10) Due DateSubmit to the CCN Dropbox by Sunday 11:59 p.m. MT end of Week 7. Total Points Possible: 275 Points Requirements Description of the Assignment This assignment builds upon Assignment One by applying leadership vision to an actual nursing problem or concern occurring within nursing education, healthcare policy, informatics, or advanced clinical practice. Criteria for Content Introduction The section requires the following information: · Explain the role of leadership vision resolving nursing professional problems or concerns · Identify the selected nursing professional area that is the focus · Briefly identify the actual problem or concern that is the focus Description of an actual problem or concern The section requires the following information: · Provide a description of the selected actual problem or concern within either education, healthcare policy, informatics, or advanced clinical practice. · Information about the actual problem or concern: o How common is the problem/concern within the selected nursing professional practice area? o How does the problem/concern adversely impact the selected nursing professional practice area? · Provide a description of your leadership vision in addressing the identified problem or concern · Provide a description of the potential impact of nursing leadership upon the actual problem or concern occurring within education, healthcare policy, informatics, or advanced clinical practice. · Nursing scholarly references will be used to present and support the provided information Application of leadership strategies to resolve the problem or concern The section requires the following information: · Apply a minimum of 2 (two) leadership strategies that would be useful in resolving the identified problem or concern · Provide a description of how the selected leadership strategies are consistent with your vision statement · Determine effectiveness of strategies in addressing the problem or concern · Evaluate selected strategies for consistency with your leadership vision · Nursing scholarly references will be used to present and support the provided information Conclusion The section requires the following information: · Restatement of created vision statement · Summarization of the key points or information from the assignment · Self-reflection on the new knowledge gained about applying nursing leadership vision and skills to a · problem or concern Preparing the Assignment Criteria for Format and Special Instructions 1. The electronic presentation should contain 15 slides, excluding title slide and reference slides. Please review the document in Doc Sharing entitled, “Creating a Professional Presentation”, for additional information on developing an electronic presentation. 2. The electronic presentation should include: · Use of proper font size and spacing on the slides. · Background and graphics consistent with content · Detailed speaker’s notes that identifies what would be spoken to an actual audience · Content references are included on slide or speaker’s notes · Rules of grammar, spelling, word usage, and punctuation that are consistent with formal written work. 3. A minimum of 5 (five) scholarly nursing references must be used. A dictionary, required textbooks for this course, and Chamberlain College of Nursing lesson information may NOT be used as scholarly references for this assignment. References are current – within a 5-year time frame unless a valid rationale is provided and the instructor has approved them. 4. Ideas and information that come from scholarly sources must be cited and referenced correctly. Directions and Assignment Criteria Assignment Criteria Points % Description Introduction 20 7% The section requires the following information. Explain the role of leadership vision resolving nursing professional problems or concerns Identify the selected nursing professional area that is the focus Briefly identify the actual problem or concern that is the focus Description of an actual problem or concern 75 27% The section requires the following information. Provide a description of the selected actual problem or concern within either education, healthcare policy, informatics, or advanced clinical practice. Information about the actual problem or concern: · How common is the problem/concern within the selected nursing professional practice area? · How does the problem/concern adversely impact the selected nursing professional practice area? Provide a description of your leadership vision in addressing the identified problem or concern Provide a description of the potential impact of nursing leadership upon the actual problem or concern occurring within education, healthcare policy, informatics, or advanced clinical practice. Nursing scholarly references will be used to present and support the provided information Application of leadership strategies to resolve the problem or concern 75 27% The section requires the following information. Apply a minimum of 2 (two) leadership strategies that would be useful in resolving the identified problem or concern Provide a description of how the selected leadership strategies are consistent with your vision statement Determine effectiveness of strategies in addressing the problem or concern Evaluate selected strategies for consistency with your leadership vision Nursing scholarly references will be used to present and support the provided information Conclusion 20 7% The section requires the following information. Restatement of created vision statement Summarization of the key points or information from the assignment Self-reflection on the new knowledge gained about applying nursing leadership vision and skills to a problem or concern Assignment Requirements 10 4% Presentation has 15 slides, not including title and reference slides A minimum of five (5) scholarly sources are used A dictionary, required textbooks for this course, and Chamberlain College of Nursing lesson information may NOT be used as scholarly references for this assignment. References are current – within a 5-year time frame unless a valid rationale is provided and the instructor has approved them. Slide Requirements 30 11% Professional in appearance and tone Balance between space and text is present Use of color is effective Graphics contribute to the quality of the presentation and are not a distraction Speaker’s notes contain details that expands the information presented on slides APA Requirements 20 7% APA guidelines, as per the 6th edition of the manual, are demonstrated for the · slides, · speaker notes, and · reference page One deduction for each type of APA format error Citations in Text 10 4% Ideas and information that come from readings must be cited and referenced correctly. Writing Mechanics 15 5% Rules of grammar, spelling, word usage, and punctuation are followed and consistent with formal written work as found in the 6th edition of the APA manual. Total 275 100% A quality assignment will meet or exceed all of the above requirements. Grading rubric for NR504 Assignment Three Electronic Leadership Presentation Assignment Criteria Exceptional (100%) Outstanding or highest level of performance Exceeds (88%) Very good or high level of performance Meets (80%) Competent or satisfactory level of performance Needs Improvement (38%) Poor or failing level of performance Developing (0) Unsatisfactory level of performance Content Possible Points = 230 Points Introduction 20 Points 18 Points 16 Points 8 Points 0 Points Introduction included all of the following: Explain the role of leadership vision resolving nursing professional problems or concerns Identify the selected nursing professional area that is the focus Briefly identify the actual problem or concern that is the focus Introduction included all of the following but is presented superficially: Explain the role of leadership vision resolving nursing professional problems or concerns Identify the selected nursing professional area that is the focus Briefly identify the actual problem or concern that is the focus Introduction included only two of the following: Explain the role of leadership vision resolving nursing professional problems or concerns Identify the selected nursing professional area that is the focus Briefly identify the actual problem or concern that is the focus Introduction included only oneof the following: Explain the role of leadership vision resolving nursing professional problems or concerns Identify the selected nursing professional area that is the focus Briefly identify the actual problem or concern that is the focus Introduction include noneof the following: Explain the role of leadership vision resolving nursing professional problems or concerns Identify the selected nursing professional area that is the focus Briefly identify the actual problem or concern that is the focus OR Introduction is missing Description of an actual problem or concern 75 Points 66 Points 60 Points 29 Points 0 Points This section included all of the following: Provide a description of the selected actual problem or concern within either education, healthcare policy, informatics, or advanced clinical practice. Information about the actual problem or concern: · How common is the problem/concern within the selected nursing professional practice area? · How does the problem/concern adversely impact the selected nursing professional practice area? Provide a description of your leadership vision in addressing the identified problem or concern Provide a description of the potential impact of nursing leadership upon the actual problem or concern occurring within education, healthcare policy, informatics, or advanced clinical practice. Nursing scholarly references will be used to present and support the provided information This section included all of the following but is presented superficially: Provide a description of the selected actual problem or concern within either education, healthcare policy, informatics, or advanced clinical practice. Information about the actual problem or concern: · How common is the problem/concern within the selected nursing professional practice area? · How does the problem/concern adversely impact the selected nursing professional practice area? Provide a description of your leadership vision in addressing the identified problem or concern Provide a description of the potential impact of nursing leadership upon the actual problem or concern occurring within education, healthcare policy, informatics, or advanced clinical practice. Nursing scholarly references will be used to present and support the provided information This section included only two of the following: Provide a description of the selected actual problem or concern within either education, healthcare policy, informatics, or advanced clinical practice. Information about the actual problem or concern: · How common is the problem/concern within the selected nursing professional practice area? · How does the problem/concern adversely impact the selected nursing professional practice area? Provide a description of your leadership vision in addressing the identified problem or concern Provide a description of the potential impact of nursing leadership upon the actual problem or concern occurring within education, healthcare policy, informatics, or advanced clinical practice. Nursing scholarly references will be used to present and support the provided information This section included only oneof the following: Provide a description of the selected actual problem or concern within either education, healthcare policy, informatics, or advanced clinical practice. Information about the actual problem or concern: · How common is the problem/concern within the selected nursing professional practice area? · How does the problem/concern adversely impact the selected nursing professional practice area? Provide a description of your leadership vision in addressing the identified problem or concern Provide a description of the potential impact of nursing leadership upon the actual problem or concern occurring within education, healthcare policy, informatics, or advanced clinical practice. OR Nursing scholarly references provided limited support for the information This section included noneof the following: Provide a description of the selected actual problem or concern within either education, healthcare policy, informatics, or advanced clinical practice. Information about the actual problem or concern: · How common is the problem/concern within the selected nursing professional practice area? · How does the problem/concern adversely impact the selected nursing professional practice area? Provide a description of your leadership vision in addressing the identified problem or concern Provide a description of the potential impact of nursing leadership upon the actual problem or concern occurring within education, healthcare policy, informatics, or advanced clinical practice. AND No nursing scholarly references will be used to present and support the provided information Application of leadership strategies to resolve the problem or concern 75 Points 66 Points 60 Points 29 Points 0 Points This section included all of the following: Apply a minimum of 2 (two) leadership strategies that would be useful in resolving the identified problem or concern Provide a description of how the selected leadership strategies are consistent with your vision statement Determine effectiveness of strategies in addressing the problem or concern Evaluate selected strategies for consistency with your leadership vision Nursing scholarly references will be used to present and support the provided information This section included all of the following but is presented superficially: Apply a minimum of 2 (two) leadership strategies that would be useful in resolving the identified problem or concern Provide a description of how the selected leadership strategies are consistent with your vision statement Determine effectiveness of strategies in addressing the problem or concern Evaluate selected strategies for consistency with your leadership vision Nursing scholarly references will be used to present and support the provided information This section included only two of the following: Apply a minimum of 2 (two) leadership strategies that would be useful in resolving the identified problem or concern Provide a description of how the selected leadership strategies are consistent with your vision statement Determine effectiveness of strategies in addressing the problem or concern Evaluate selected strategies for consistency with your leadership vision Nursing scholarly references will be used to present and support the provided information This section included only oneof the following: Apply a minimum of 2 (two) leadership strategies that would be useful in resolving the identified problem or concern Provide a description of how the selected leadership strategies are consistent with your vision statement Determine effectiveness of strategies in addressing the problem or concern Evaluate selected strategies for consistency with your leadership vision OR Nursing scholarly references provided limited support for the information This section included noneof the following: Apply a minimum of 2 (two) leadership strategies that would be useful in resolving the identified problem or concern Provide a description of how the selected leadership strategies are consistent with your vision statement Determine effectiveness of strategies in addressing the problem or concern Evaluate selected strategies for consistency with your leadership vision AND Noscholarly references were used. Conclusion 20 Points 18 Points 16 Points 8 Points 0 Points This section included all of the following: Restatement of created vision statement Summarization of the key points or information from the assignment Self-reflection on the new knowledge gained about applying nursing leadership vision and skills to a problem or concern This section included all of the following but is presented superficially: Restatement of created vision statement Summarization of the key points or information from the assignment Self-reflection on the new knowledge gained about applying nursing leadership vision and skills to a problem or concern This section included only two of the following: Restatement of created vision statement Summarization of the key points or information from the assignment Self-reflection on the new knowledge gained about applying nursing leadership vision and skills to a problem or concern This section included only oneof the following: Restatement of created vision statement Summarization of the key points or information from the assignment Self-reflection on the new knowledge gained about applying nursing leadership vision and skills to a problem or concern This section included noneof the following: Restatement of created vision statement Summarization of the key points or information from the assignment Self-reflection on the new knowledge gained about applying nursing leadership vision and skills to a problem or concern OR No conclusion was present. Assignment Requirements 10 Points 9 Points 8 Points 4 Points 0 Points This section included all of the following: Presentation has 15 slides, not including title and reference slides A minimum of five (5) scholarly sources are used A dictionary, required textbooks for this course, and Chamberlain College of Nursing lesson information may NOT be used as scholarly references for this assignment References are current – within a 5-year time frame unless a valid rationale is provided and the instructor has approved them This section included threeof the following: Presentation has 15 slides, not including title and reference slides A minimum of five (5) scholarly sources are used A dictionary, required textbooks for this course, and Chamberlain College of Nursing lesson information may NOT be used as scholarly references for this assignment References are current – within a 5-year time frame unless a valid rationale is provided and the instructor has approved them This section included only two of the following: Presentation has 15 slides, not including title and reference slides A minimum of five (5) scholarly sources are used A dictionary, required textbooks for this course, and Chamberlain College of Nursing lesson information may NOT be used as scholarly references for this assignment References are current – within a 5-year time frame unless a valid rationale is provided and the instructor has approved them This section included only oneof the following: Presentation has 15 slides, not including title and reference slides A minimum of five (5) scholarly sources are used A dictionary, required textbooks for this course, and Chamberlain College of Nursing lesson information may NOT be used as scholarly references for this assignment References are current – within a 5-year time frame unless a valid rationale is provided and the instructor has approved them This section included noneof the following: Presentation has 15 slides, not including title and reference slides A minimum of five (5) scholarly sources are used A dictionary, required textbooks for this course, and Chamberlain College of Nursing lesson information may NOT be used as scholarly references for this assignment References are current – within a 5-year time frame unless a valid rationale is provided and the instructor has approved them Slide Requirements 30 Points 26 Points 24 Points 11 Points 0 Points This section included all of the following: Professional in appearance and tone Balance between space and text is present Use of color is effective Graphics contribute to the quality of the presentation and are not a distraction Speaker’s notes contain details that expands the information presented on slides This section included fourof the following: Professional in appearance and tone Balance between space and text is present Use of color is effective Graphics contribute to the quality of the presentation and are not a distraction Speaker’s notes contain details that expands the information presented on slides This section included only three of the following: Professional in appearance and tone Balance between space and text is present Use of color is effective Graphics contribute to the quality of the presentation and are not a distraction Speaker’s notes contain details that expands the information presented on slides This section included only twoof the following: Professional in appearance and tone Balance between space and text is present Use of color is effective Graphics contribute to the quality of the presentation and are not a distraction Speaker’s notes contain details that expands the information presented on slides This section included one or noneof the following: Professional in appearance and tone Balance between space and text is present Use of color is effective Graphics contribute to the quality of the presentation and are not a distraction Speaker’s notes contain details that expands the information presented on slides Content Subtotal _____/230 points Format Possible Points = 45 Points APA Style 20 Points 18 Points 16 Points 8 Points 0 Points APA guidelines, as per the 6th edition of the manual, are demonstrated for the · slides, · speaker notes, and · reference page One deduction for each type of APA format error 0APA error is present APA guidelines, as per the 6th edition of the manual, are demonstrated for the · slides, · speaker notes, and · reference page One deduction for each type of APA format error 1 – 2APA errors are present APA guidelines, as per the 6th edition of the manual, are demonstrated for the · slides, · speaker notes, and · reference page One deduction for each type of APA format error 3- 4APA errors are present APA guidelines, as per the 6th edition of the manual, are demonstrated for the · slides, · speaker notes, and · reference page One deduction for each type of APA format error 5- 6 APA errors are present APA guidelines, as per the 6th edition of the manual, are demonstrated for the · slides, · speaker notes, and · reference page One deduction for each type of APA format error 7 or greater APA errors are present Citations 10 Points 9 Points 8 Points 4 Points 0 Points There are 0 errors in the crediting of ideas, and information that contributed to knowledge AND Permission to use references older than 5 years was obtained from faculty. There are 1-2 errors in the crediting of ideas, and information that contributed to knowledge OR Permission to use references older than 5 years was NOT obtained from faculty. There are 3 – 4 errors in the crediting of ideas, and information that contributed to knowledge There are 5-6 errors in the crediting of ideas, and information that contributed to knowledge There are 7 or greater errors in the crediting of ideas, and information that contributed to knowledge Writing Quality 15 Points 13 Points 12 Points 6 Points 0 Points 1–2 errors or exceptions to the rules of grammar, spelling, word usage, punctuation and other aspects of formal written work as found in the 6th edition of the APA manual 3 – 4 errors or exceptions to the rules of grammar, spelling, word usage, punctuation and other aspects of formal written work as found in the 6th edition of the APA manual 5 – 6errors or exceptions to the rules of grammar, spelling, word usage, punctuation and other aspects of formal written work as found in the 6th edition of the APA manual 7 – 8errors or exceptions to the rules of grammar, spelling, word usage, punctuation and other aspects of formal written work as found in the 6th edition of the APA manual 9 or greatererrors or exceptions to the rules of grammar, spelling, word usage, punctuation and other aspects of formal written work as found in the 6th edition of the APA manual Format Subtotal Total Points _____/45 points _____/ 275 points

 
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Historical Nursing Figure Essay

Historical Nursing Figure Essay

1. Select an historical nursing figure that interests you. Your interest might be related to the period of time in history that they lived, their particular field of interest, or their special accomplishments. 2. To learn more about this person you must complete a literature search. To accomplish this you may use the library data base: e.g. CINAHL Type in keyword and find 3-5 articles scholarly sources (books, articles, or professional website) published within the past 6 years. Websites must be from sponsoring professional organizations in nursing. Reference list and citations must be in APA format 3. Write an outline to follow. Here are the general categories to help you organize your thoughts: a. General introduction of the individual and the area of interest or particular accomplishment that you plan to discuss b. The purpose of the paper, clearly state what you intent to accomplish through this paper c. The body of the paper (middle) includes: i. Major points you want to make about the individual, the specific accomplishment/s of the individual, their contribution to changes in health care, healthcare systems, and/or social justice. Be sure that each point is supported by the literature and referenced using APA format. ii. Your reflection of the impact of this person on your perception of nursing particularly new ideas related to your role as a nurse. iii. Examine your values and beliefs in relation to those of the historical leader or theorist, any similarities in nursing metaparadigm, and implications for nursing practice How are the similar? Why did you choose him/her? d. The conclusion: A summary of your main points 4. You must use APA format 5. Make sure that you include a. A title page b. A running head c. Page numbers d. Citations in the body of your paper to avoid plagiarism e. A reference list.

 
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Examples of ethical dilemmas in nursing essays

Examples of ethical dilemmas in nursing essays

Scenario 1: Medical coding in a physician’s practice

Imagine you work in a high-pressure cardiology physician’s office and you are one of two medical coders. Your supervisor is very focused on the greatest reimbursement to satisfy revenue projections for the practice. As a result, you are asked to “up-code” billing. How can the pressure of acquiring the maximum repayment for services lead to manipulating or falsifying documentation?

Scenario 2: Administration of patient medications in the hospital setting

Imagine you are a new graduate nurse working nights on a busy medical unit. You just received a new patient who needs to be admitted to your unit and you just finished medicating a patient with a narcotic injection with a dose greater than ordered. Clearly understanding medication errors may lead to patient injury and even death, explain why a clinician may choose not to report the incident.

Scenario 3: Not hiring a qualified individual because of discrimination

Imagine you are a new human resources director in a nonprofit organization and have been pressured not to hire Middle Eastern candidates by the organization’s CEO. In the United States, discrimination against people based on their ethnicity, race, or cultural orientation is strictly forbidden under federal and state laws. Ethical discrimination may result in the breeding of ill feelings at work, as well as reduced productivity. To eliminate these ramifications, organizations need to put forth increased effort in curbing ethical discrimination in the employment sector. What are some interventions organizations can put in place to prevent discrimination?

Write a 150- to 350-word response for each ethical scenario. Include a title page with your name and your responses.

Format your assignment according to APA guidelines. Include a title page, an introduction, headings, in text citations, a conclusion and a separate reference page.

 
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Nursing Practice Act/Policy and Procedure Essay

Nursing Practice Act/Policy and Procedure Essay

Purpose/Objective:

Students will demonstrate critical thinking, communication, assessment, and technical skills in a written analysis.

Requirements: Students will review the California Nurse Practice Act (NPA) and a literature review on hospital policies and procedures and write a brief essay describing the major functions of each. The majority of the essay should be a reflection on the impact that the Act (or a specific part of the NPA) and hospital policies will have on your professional status as a registered nurse. 

3 pages in length

3-4 references

To access the Nursing Practice Act follow this link: www.rn.ca.gov or search “California BRN”. Select the “Regulations” tab and click on the link for Nursing Practice Act– it is located in the Business and Professions Code starting with section 2700.

 
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Cultural influences and personal values in the delivery of culturally competent nursing care

Cultural influences and personal values in the delivery of culturally competent nursing care

Learning Outcomes
1. Examine personal tendencies for cultural bias, generalization, and assumptions as they influence the delivery of quality health care.
2. Discuss the relationship of health care insurance coverage related to disparities of various culture groups.
3. Compare and contrast the nurse’s role in the delivery of culturally competent care.
4. Apply the concepts that assist in fostering diverse relationships in providing health care on a global level.

Introduction

The course begins with an exploration of cultural influences and personal values in the delivery of culturally competent nursing care to diverse population groups. What we think, feel, and experience throughout our lives both personally and professionally can affect the manner in which we deliver health care. It is imperative for the nurse to practice with the patient’s health and cultural needs as a primary focus. Health care organizations provide guidelines and policies to assist in delivering culturally competent care, but it remains the nurse’s role to ensure they are followed. An evaluation of a case study requires the development of assessment techniques that enhance the student’s ability to apply the learned concepts.

 

Required Resources
Text
Dayer-Berenson, L. (2014). Cultural competencies for nurses: Impact on health and illness (2nd ed.). Burlington, MA, Jones & Bartlett Learning.
• Chapter 3: Global Diversity
• Chapter 4: Organization of Health care Delivery in the 21st Century

Articles
Chou, C., PhD., Tulolo, A., PharmD., Raver, E. W., B.S., Hsu, C., PhD., & Young, Gary,J.D., PhD. (2013). Effect of race and health insurance on health disparities: Results from the national health interview survey 2010. Journal of Health Care for the Poor and Underserved, 24(3), 1353-63. doi: 10.1353/hpu.2013.0131
• This article investigates how insurance coverage via the PPACA has influenced health disparities based on race/ethnicity.
Dovidio, J. F., & Fiske, S. T. (2012). Under the radar: How unexamined biases in decision-making processes in clinical interactions can contribute to health care disparities. American Journal of Public Health, 102(5), 945-952. doi:10.2105/AJPH.2011.300601
• The full text of this article is available in the EBSCOhost database in the Ashford University Library. This article addresses how racial and ethnic biases contribute to health disparities among African/Black, Hispanic, and Native American people.
Rosenbaum, S. (2011). The Patient Protection and Affordable Care Act: Implications for public health policy and practice. Public Health Reports, 126(1), 130–135. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3001814/
• This reviews PPACA as it relates to its effect on care for diverse populations.

Multimedia
Nevco Healthcare Education. (1991). Understanding our biases and assumptions [Video file]. In Films on Demand. Retrieved from http://digital.films.com.proxy-library.ashford.edu/PortalPlaylists.aspx?aid=18596&xtid=2574
• This video allows you to understand how your own experiences in life influence your perceptions about others. It also shares information from members of minority populations to show how bias affects their lives.

Practice Activity. (2015). Transcultural Nursing. Burlington, MA: Jones & Bartlett Learning Navigate.
• The practice activities provide an opportunity to reinforce the concepts presented in the textbook readings.
• Complete the following practice activities: 3.1, 3.2, 3.3, 3.4, 4.1, 4.2, 4.3, 4.4

Website
Teaching Tolerance: A Project of the Southern Poverty Law Center. (2011). Test yourself for hidden bias. Retrieved from: http://www.tolerance.org/activity/test-yourself-hidden-bias
• This website allows you to test your own biases through a series of questions and sorting exercises. The sorting exercises are fast-paced and an outcome is provided when you complete each test. YOU DO NOT NEED TO SHARE THE TEST NAMES YOU TOOK OR YOUR OUTCOMES WITH THE CLASS OR INSTRUCTOR. This activity is for your confidential use only and gives you an idea of any possible biases you have.
• DIRECTIONS: When you reach the website, choose the CLICK HERE link in the second paragraph. A new tab/window will open, called PROJECT IMPLICIT. REGISTER with your either email address or CONTINUE AS A GUEST. Click GO. The page will change. Read the material and click I WISH TO PROCEED at the bottom of the page. The page will change, showing a list of tests you can take. If this list does not show, choose TAKE A TEST from the tabs at the top of the page. Take three or more of the bias tests from the list, of your topic choice. Topic choices are: Native American, Asian American, Sexuality, Arab-Muslim, Religion, Presidents, Weight, Age, Disability, Gender [in] Science, Skin-tone, Race, Weapons, and Gender [in] Career.

Recommended Resources
Text
Dayer-Berenson, L. (2014). Cultural competencies for nurses: Impact on health and illness (2nd ed.). Burlington, MA, Jones & Bartlett Learning.
• Chapter 6: Hispanics/Latinos
Articles
Cogan, J.A. (2011). The affordable care act’s preventive services mandate: Breaking down the barriers to nationwide access to preventive services. Journal of Law, Medicine & Ethics, 39(3), 355-365. doi: 10.1111/j.1748-720X.2011.00605.x
• The full-text version of this article can be accessed through the EBSCOhost database in the  University Library.
Worthen, M. S. (2014). The PPACA’s potential impact on hospitals. The RMA Journal, 96(7), 37-37, 11. Retrieved from http://www.rmahq.org/thermajournal/
• The full-text version of this article can be accessed through the ProQuest database in the University Library.

Supplemental Material
College of Health, Human Services, and Science: Department of Health Promotion (Producer). The Affordable Care Act and you: History, implications, and the future of health care [Webinar]. .
• This webinar discusses the impact of PPACA on the future of health care.

Websites
H.R. 3590–111th Congress: Patient Protection and Affordable Care Act [PDF]. (2010). In www.gpo.gov. Retrieved from http://www.gpo.gov/fdsys/pkg/BILLS-111hr3590enr/pdf/BILLS-111hr3590enr.pdf
• This website describes the updates to PPACA.
Kaiser Family Foundation. (2013). Summary of the affordable care act. Retrieved from: http://kff.org/health-reform/fact-sheet/summary-of-the-affordable-care-act/
• This website provides a summary of PPACA.
Williams, E., & Redhead, C.S. (2010). Public health, workforce, quality and related provisions in the Patient Protection and Affordable Care Act (PPACA). Congressional Research Service. Retrieved from: https://www.aamc.org/download/130996/data/ph.pdf.pdf
• This document gives a brief synopsis of PPACA as it relates to the workforce, public health, and quality care.

 
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Leadership in Nursing and Healthcare Strategic Planning for Change

Leadership in Nursing and Healthcare Strategic Planning for Change

Leadership in Nursing and Healthcare Strategic Planning for Change—Overview For this Assignment, you explore one challenge that you would like to see addressed in your organization or one with which you are familiar. You will continue to work on this Assignment over the next several weeks. You will prepare an outline for this assignment due day 7 of week 5. This outline will help organize your work toward this assignment. This Assignment also serves as your Portfolio Assignment. To prepare: • Identify a problem that you would like to investigate for this Assignment. Consider the resources and discussion about strategic planning and models that guide change such as SWOT, Balanced Scorecard, or Six Sigma and lean principles. Review evidence-based literature for data related to your selected problem. You will need to use at least five current (not more than five years old), peer-reviewed articles. If you cannot find adequate evidence, you may need to refine your topic. Your Instructor may provide some guidance for your literature search. By Day 7 of Week 2, enter your selected problem in the Strategic Planning for Change Forum of the Discussion Board. Your Instructor will approve your selected problem or provide feedback to help you refine your focus for this Assignment. While this portion of the Assignment is not graded, it is required. Once you have received feedback/approval of your selected problem: • Reflect on the topics you are examining in this course and consider how they relate to your selected problem. Plan to analyze the problem using principles, theories, and concepts related to leadership and management, as well as other pertinent course themes. • Review evidence-based literature for data related to your selected problem. You will need to use at least five current (not more than five years old), peer-reviewed articles. Your Instructor may provide some guidance for your literature search. • Synthesize findings from the research literature and/or drawn from other sources of evidence. • Develop evidence-based recommendations for addressing the problem.  © Laureate Education, Inc. 2 Write a 5- to 6-page paper (not including title page, references, or any appendix) that addresses the following: • Introduction/Statement of the problem (1/2 page) • Review of the literature for potential solutions to the identified problem • Synthesis of the evidence as applied to the stated problem. • Strategic plan for suggested courses of action based on your evidence and including application of a change theory. • Conclusion/Summary Reminder: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at http://writingcenter.waldenu.edu/57.htm). All papers submitted must use this formatting

 
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