Leadership Nursing

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Competency

Collaborate in healthcare delivery systems settings for improved patient outcomes.

Transferable Skill

Diversity, Equity, & Inclusion.

Scenario

You have a final interview for your first registered nurse position.

All candidates must come prepared to discuss a time when they collaborated with others to solve a problem in a healthcare delivery setting. The collaborative solution must have improved patient outcomes and incorporate diversity, equity, and inclusion.

To prepare for the interview, you will create notes.

Directions

Select an example that demonstrates collaboration with others to solve a problem in a healthcare delivery setting to improve patient outcomes. The collaborative solution must incorporate diversity, equity, and inclusion.

  • Describe the problem, including the healthcare delivery setting and impact on patient outcomes.
  • Explain the collaborative solution, including the people involved and the improvement in patient outcomes.
  • Describe how diversity, equity, and inclusion were incorporated into the collaborative solution.

Late and Later Documentation

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Case Study: Late and Later Documentation

According to what you learned from chapter 3 critique the documentation presented by the healthcare provider and provide examples of whether the nurse follows or did not follow documentation requisites.

Write a paper between the 300-word minimum and 500-word maximum.

Use APA format

Three references. Each reference must be published within the last three years. The textbook can be one of your references.

  • attachment

    Chapter3ClearlyCommunicatingPatientDataandClinical.pptx

Powerpoint Presentation

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For this week’s assignment respond to one of the following options, and include Option 1, 2, or 3 as part of your heading.

Option 1: The first option is to name and describe in detail a key specific and recent healthcare technology. What are at least two key moral problems this technology creates? What are the proper moral guidelines for dealing with it in your view? Compare your approach to what a utilitarian and ethical egoist would say (each independently). Consider whether differing ethical beliefs globally might or not agree with what you say.

Option 2: In the second option, name and describe in detail a key specific and recent social technology. What are at least two key moral problems this technology creates? What are the proper moral guidelines for dealing with it in your view? Compare your moral approach to what a utilitarian and social contract ethicist would say (each independently). Consider whether differing ethical beliefs globally might or not agree with what you say.

Option 3: John Doe, Patient One, is in late stage of kidney disease. If he does not receive a new kidney, then he is predicted to die within a week. Doe is 45, single, and has no children. Doctors theorize that Doe damaged his kidney by not following a low-salt diet. Doe inherited one million dollars and is known for giving money to charity. Without a transplant, he will probably be forced to spend all his money searching for a kidney outside of the usual legal channels. Patient Two is Jane Doe (no relation to John). Patient Two is a mother of two children (ages 21 and 24). She is divorced and 55 years old. She developed kidney problems due to eating a high-fat and high-sugar diet. If she does not receive a kidney within one month, doctors believe she will die. Patient Three is an orphan. This orphan lives in a state facility. She was born with a genetic condition that constantly damages her kidney. The only known approach to her condition is to provide her with a kidney transplant every so often. She is 11 and has already undergone two kidney transplants. She will perish in two months if she does not receive another transplant.

All three patients are at the same hospital. The hospital only has one kidney to give out. The orphan’s birth parents were known to be of a religion that is opposed to organ donation. The other patients come from religions that do not oppose organ donation. Who should get the kidney? Why should that candidate receive it over the others? Devise a course of social action and a solution for this case by using the ethics of egoism and then utilitarianism to a key moral conflict involving health care in this case. Appraise the interests of diverse populations (in terms of ethnicity, race, religion, sexual orientation, etc.) and how they relate to the case. Consider whether differing ethical beliefs globally might or not agree with what you say.

For all the options:

Cite the textbook and incorporate outside sources, including citations.

You should not be using any text you used in a discussion board or assignment for this class or any previous class.

Consider whether differing ethical beliefs globally might or not agree with what you say.

You will submit the following:

  • An audiovisual presentation that presents one of the options above. Be sure to give equal time to each element. Doing a PowerPoint presentation with audio recorded on the slides is preferred. Please refer to the Narrated PowerPoint Tutorial located in the Required Resources in this assignment.
  • Please provide a transcript of anything said in the recording aloud that does not appear as text on a slide. This transcript can be provided as a Word document or placed in the Notes section on the PowerPoint slides.
  • The link or a scan of the article mentioning any health technology, social technology, or case you are reporting on. If you made up the case, please indicate that in your report. If you choose to do option #3 (the case about a shortage of transplant kidneys), your article would likely be an article about the shortage of transplant organs, or a shortage of people signing up to be transplant donors, or the status of educating people about being donors, etc.

Requirements

  • Length: 4-6 minutes narrated presentation
  • Slide length: 4-6 slides (not including title slide, conclusion slide, or references slide)
  • Title slide
  • Conclusion slide
  • References slide (minimum of 2 scholarly sources cited in APA format; not narrated)
  • attachment

    ETHC445Week4AssignmentRubric.docx

Externship Site Presentation

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Powerpoint Presentation

Your presentation should include: 

  • 5 slides
  • One slide must cover a description of the potential place of employment
  • One slide must include a description of why you would like to work at this site
  • One slide must describe the work environment of the potential employment site
  • One slide is up to the student to fill with the information they find interesting and important
  • The last slide will be a list of sources of this information
  • Contain at least 3 pictures
  • At least one URL link

https://www.vacareers.va.gov/

https://www.usajobs.gov/job/700695300

https://www.va.gov/bay-pines-health-care/

 

Some Rubric

Some Rubric

CriteriaRatingsPts

This criterion is linked to a Learning OutcomeSlide #1

3 ptsFull Marks
Student has covered a description of the potential place of employment in a thoughtful and clear manner.

1.8 ptsHalf marks
Student has started a description of the potential place of employment in some degree.

0 ptsNo Marks
Student has NOT covered a description of the potential place of employment.

3 pts

This criterion is linked to a Learning OutcomeSlide #2

3 ptsFull Marks
Student has covered a description of why you would like to work at this site

1.8 ptsHalf marks
Student has started description of why you would like to work at this site in some degree.

0 ptsNo Marks
Student has NOT covered description of why you would like to work at this site.

3 pts

This criterion is linked to a Learning OutcomeSlide #3

3 ptsFull Marks
Student has described the work environment of the potential employment site.

1.8 ptsHalf marks
Student has started describing the work environment of the potential employment site to some degree.

0 ptsNo Marks
Student has NOT covered description of why you would like to work at this site.

3 pts

This criterion is linked to a Learning OutcomeSlide #4

3 ptsFull Marks
Student has filled slide 4 with information they find interesting and important.

1.8 ptsHalf marks
Student has started filling slide 4 with information they find interesting and important.

0 ptsNo Marks
Student does NOT have a slide 4 with information they find interesting and important.

3 pts

This criterion is linked to a Learning OutcomeSlide #5

3 ptsFull Marks
Student’s last slide will be a list of sources on this information

0 ptsNo Marks
Student does not have a last slide with a list of sources on this information

3 pts

This criterion is linked to a Learning OutcomePhotos

3 ptsFull Marks
PowerPoint has 3 or more images.

1.8 ptsHalf marks
PowerPoint has some images but less than 3.

0 ptsNo Marks
PowerPoint has no images.

3 pts

This criterion is linked to a Learning OutcomeLink

2 ptsFull Marks
Powerpoint has a least one link

0 ptsNo Marks
Powerpoint does not have any links.

2 pts

Total Points: 20

Chapter 4 & Chapter 5

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I am uploading Chapter 4 and 5 templates

 

Chapter 4 of the DPI Project is titled “Data Analysis and Results.” It incorporates descriptive data on the patient population and sample, the data analysis procedures, and results, as well as an introduction and summary of the contents as they relate to each learner’s specific project.

Chapter 5 of the DPI Project is titled “Summary, Conclusions, and Recommendations” and incorporates a summary of the DPI Project overall. An introduction to the overall project and a summary of the DPI Project findings and formal conclusions are created. The chapter includes the DPI Project’s implications (practical, theoretical, and future) and recommendations for both future projects and nursing practice are presented.

General Requirements:

Use the following information to ensure successful completion of the assignment:

  • Remember to use the “DPI Project Manuscript Template” for completing this assignment. These are available on the PI Workspace of the DC Network.
  • Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
  • This assignment uses a rubric. Please review the rubric in grading prior to beginning the assignment to become familiar with the expectations for successful completion.
  • You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

Directions:

Submission of the DPI Completed Project is the required deliverable to progress through the DPI Project implementation and completion phases.

  1. Locate the “DPI Project Manuscript Template” in the PI Workspace area of the DC Network and utilize it to develop and submit initial and ongoing working versions of Chapter 4 of your DPI Project.
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    DPIProjectManuscriptTemplate9.22.2020.docx

Develop a 10-slide business PowerPoint for the economic issue

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Develop a 10-slide business PowerPoint for the economic issue you have been working with as your topic in the previous assessment. You will then present this PowerPoint using Kaltura and submit the video.

TOPIC- RISING COST IN HEALTH CARE LEADING  DIFFICULTY TO RECRUIT AND RETAIN QUALIFIED MEDICAL STAFF

Introduction

Note: Each assessment in this course builds upon the work you have completed in previous assessments. Therefore, you must complete the assessments in the order in which they are presented.

As a master’s-level health care practitioner, you are expected to consider a number of factors when supporting change by analyzing the feasibility of a new initiative or identifying an issue within your organization. For example, you must take into consideration the various types of risk (such as patient safety, physical plant, financial, or reputation), as well as the present and future value of the service line or economic opportunity you are invested in. Additionally, you must also balance your ethical and moral responsibility to provide quality care to patients and populations while protecting your organization’s assets and economic viability in the near and long terms.

Background and Context

As a master’s-level health care practitioner, you are expected to consider a number of factors when supporting change by analyzing the feasibility of a new initiative or identifying an issue within your organization. For example, you must take into consideration the various types of risk (such as patient safety, physical plant, financial, or reputation), as well as the present and future value of the service line or economic opportunity you are invested in. Additionally, you must also balance your ethical and moral responsibility to provide quality care to patients and populations while protecting your organization’s assets and economic viability in the near and long terms.

Instructions

For this assessment, you will develop a 10-slide business PowerPoint for the economic issue you have been working with as your topic in the previous assessment. You will then present this PowerPoint using Kaltura and submit the video.

This presentation asks you to examine the feasibility and cost-benefit considerations of implementing a proposed solution for your chosen issue, as well as analyze ways to mitigate risks.

Be sure to address each main point. Review the assessment instructions and scoring guide, including performance-level descriptions for each criterion, to ensure you understand the work you will be asked to complete and how it will be assessed. In addition, note the requirements for document format and length and for supporting evidence.

You may also wish to consult the Guidelines for Effective PowerPoint Presentations [PPTX] if you need additional guidance as you are assembling your presentation.

Overall, your assessment submission will be assessed on the following criteria:

  • Summarize the problem and the potential impact the health care economic issue has on you, your colleagues, your organization, and the community at large.
    • This is an opportunity to tell your story and what the initiative means to you as a health care practitioner. Remember, this is a presentation. So, you want to be engaging and persuasive in order to build support for what you will be proposing to do later in the presentation.
  • Explain the feasibility and cost-benefit considerations of your health care economic issue, as well as three ways to mitigate risks to the financial security of your organization or health care setting.
    • Make sure to present at least an overview of the data and numbers you are basing your cost-benefit analysis on.
    • Touch upon the ways in which potential risks could pose a threat to the financial security of your organization or care setting while you are addressing the ways to mitigate risk.
    • Support your explanation with evidence-based research or scholarly sources.
  • Describe the changes or solution that you propose be implemented in order to address the economic issue.
    • Include the potential benefits of implementation to your organization, your colleagues, or the community at large.
    • Support your initiative with evidence-based research or scholarly sources.
  • Explain how your proposed solution is culturally sensitive, ethical, and equitable within the context of the community and health care setting it will be implemented.
    • Make sure that your changes or solution are not unfairly burdening or disadvantaging any specific groups.
    • Double check that your changes or solution do not pose any ethical issues and are not culturally insensitive.
    • Ensure that both access and cost are equitable across all groups in the community that the proposed solution will be affecting.
  • Convey purpose, in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and scholarly communication standards.

If you need more guidance on recording a video with Kaltura, refer to the audio and video information in Using Kaltura.

Additional Requirements

  • Length of Presentation: The PowerPoint presentation should be 10 slides in length and presented orally using Kaltura to record and share the video. The video itself should not exceed 10 minutes.
  • Number of Resources: Include at least five scholarly sources to support your work and meet scholarly expectations for supporting evidence. Apply APA formatting to in-text citations and references in the PowerPoint.
  • Technology Used: Record yourself presenting your PowerPoint using Kaltura, and submit it for review. You must also submit the PowerPoint file for review.

Note: As you revise your writing, check out the resources listed on the Writing Center’s Writing Support page.

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

  • Competency 1: Analyze the effects of financial and economic factors (such as cost-benefit, supply and demand, return on investment, and risks) in a health care system on patient care, services offered, and organizational structures and operation.
    • Summarize the problem and the potential impact the health care economic issue has on you, your colleagues, your organization, and the community at large.
  • Competency 2: Develop ethical and culturally equitable solutions to economic problems within a health care organization in an effort to improve the quality of care and services offered.
    • Explain how your proposed solution is culturally sensitive, ethical, and equitable within the context of the community and health care setting it will be implemented.
  • Competency 4: Develop ethical and culturally equitable economic strategies to address dynamic environmental forces and ensure the future security of an organization’s resources and its ability to provide quality care.
    • Explain the feasibility and cost-benefit considerations of your health care economic issue, as well as three ways to mitigate risks to the financial security of your organization or health care setting.
    • Describe the changes or solution that you propose be implemented in order to address the economic issue.
  • Competency 5: Produce clear, coherent, and professional written work, in accordance with Capella writing standards.
    • Convey purpose, in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and scholarly communication standards.

Summarize The Proposed Change And Your Comparative Analysis

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  • Propose a change to one aspect of your local or regional health care system or program that would improve outcomes. Then, conduct a comparative analysis of other, non-U.S. health care systems, focusing on the proposed change. Summarize the proposed change and your comparative analysis in a 4-5 page report.
    RUBRIC
  • Competency 1: Identify the challenges and opportunities facing health care.
    • Identify an aspect of a local or regional health care system or program that should be a focus for change.
  • Competency 2: Compare the effects of different health care finance models and policy frameworks on resources and patient outcomes.
    • Define desirable outcomes, including who will pay for care and factors limiting achievement of those outcomes.
    • Analyze two non-U.S. health care systems or programs that offer insight into a proposed change for a health care system or program in the United States.
  • Competency 3: Evaluate the positive and negative influences of leaders on health care processes and outcomes.
    • Determine the financial and health implications of making—and not making—proposed changes to a health care system or program.
  • Competency 4: Develop proactive strategies to change the culture of the organization by incorporating evidence-based practices.
    • Explain why specific changes will lead to improved outcomes.
  • Competency 5: Communicate effectively with diverse audiences, in an appropriate form and style consistent with applicable organizational, professional, and scholarly standards.
    • Write clearly and concisely in a logically coherent and appropriate form and style.
    • Support assertions, arguments, propositions, and conclusions with relevant and credible evidence.
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    NURS_FPX6218_ErgleKathy_Assessment1_Attempt1.docx.pdf
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    cf_summary_report_template.docx
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    INSTRUCTION.6218docx.docx

Unpleasant symptoms theory

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Unpleasant symptoms theory

The role of the nurse provider is to analyze the symptoms of the patients. The theory of unpleasant symptoms posits that symptoms include four dimensions: time, intensity, quality, and distress. Each of these dimensions can be measured. Influencing factors, including physiological, psychological, and situational, can affect the experience of symptoms. Furthermore, the symptoms themselves can affect performance outcomes, such as attention-seeking behaviors or quality of life. (Lenz, E. R., & Pugh, L. C., 2018)

The theory of unpleasant symptoms divides the patient’s symptoms into those that are unpleasant and those that are not. It proposes that the emotional reaction of individuals to a physical injury or illness is influenced by the way in which they interpret the environment (Blakeman, 2019). Therefore, the unpleasant symptoms model should be used during patient assessment because it provides the patient’s symptoms in a holistic way. Therefore, the condition of the patient can be easily identified.

Unpleasant symptoms mainly include mental anguish or physical discomfort. Symptoms always range from mild to severe and should always be documented in detail. The theory focuses primarily on the patient’s symptoms and defines them based on how the patient reports. The symptoms experienced by the patient are always perceived as indicators of change in her state of health, and may differ according to intensity, quality of time and suffering (Gomes et al., 2019).

It is also necessary to evaluate and document the various contributing factors, such as pre-existing medical conditions or lifestyle choices, as well as other elements that could affect symptoms, including; culture, age and gender. The consequences of the symptoms must also be identified.

Other symptoms that may not be uncomfortable should also be addressed. Some examples include; changes in sleep patterns, appetite, and energy levels. It is also vital to take note of any other abnormal behavior that may indicate lifestyle habits and other underlying issues contributing to the patient’s condition (Blakeman, 2019). The symptom can cause changes in functional and cognitive responses.

There is a need to identify any signs of improvement over time. It can play a role in determining the effectiveness of the treatment plan. Through this, healthcare providers can understand the need to change the treatment plan if it is not effective.

References

Lenz, E. R., & Pugh, L. C. (2018). The theory of unpleasant symptoms. In M. J. Smith & P. R. Liehr (Eds.), Middle range theory for nursing (4th ed.). New York, NY: Springer.

Blakeman, J. R. (2019). An integrative review of the theory of unpleasant symptoms. Journal of Advanced Nursing, 75(5), 946–961. https://doi.org/10.1111/jan.13906

Gomes, G. L. L., Oliveira, F. M. R. L. de, Barbosa, K. T. F., Medeiros, A. C. T. de, Fernandes, M. das G. M., & Nóbrega, M. M. L. da. (2019). THEORY OF UNPLEASANT SYMPTOMS: CRITICAL ANALYSIS. Texto & Contexto – Enfermagem, 28. https://doi.org/10.1590/1980-265x-tce-2017-0222

“Generation” And “Alphabetical Africa”

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Some potential questions to explore in this week’s discussion board:

The “generation” in question in Kwock-Kim’s poem doesn’t seem to be a matter of a historical or biological time-frame–what might the author be referring to here? Why might this piece be broken into numbered sections? What kind of symbolism might numbers like “0” and “1” represent? What other metaphors of birthing does the poet use here?

Walter Abish’s “Alphabetical Africa” gives a brief and obscure account of some of that continent’s colonial history in an odd prose style emphasizing the first letters of its words—the list of questions that accompanies this reading asks us to consider such letters in a more in-depth fashion than we are generally accustomed.

A 39-year-old homeless man presents to the emergency department

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A 39-year-old homeless man presents to the emergency department for cough and fever. He says that his illness has been worsening over the past 2 weeks. He originally had dyspnea on exertion and now is short of breath at rest. On questioning, he tells you that he lives in a homeless shelter when he can, but he frequently sleeps on the streets. He has used IV drugs (primarily heroin) “on and off” for many years. He denies medical history but the only time he gets medical attention is when he comes to the emergency department for an illness or injury. On review of systems, he complains of fatigue, weight loss, and diarrhea. On examination, he is a thin, disheveled man appearing much older than his stated age. His temperature is 100.5°F (38.0°C), his blood pressure is 100/50 mm Hg, his pulse is 105 beats/min, and his respiratory rate is 24 breaths/min. His initial oxygen saturation is 89% on room air, which comes up to 94% on 4 L of oxygen by nasal cannula. Significant findings on examination include dry mucous membranes, a tachycardic but regular cardiac rhythm, a benign abdomen, and generally wastedappearing extremities. His pulmonary examination is significant for tachypnea and fine crackles bilaterally, but no visible signs of cyanosis. His chest x-ray is read by the radiologist as having diffuse, bilateral,

interstitial infiltrates that look like “ground glass.”

Answer the following questions

What is the most likely cause of this patient’s current pulmonary

complaints?

➤ What underlying illness does this patient most likely have?

➤ What testing and treatment should be started now?