Develop a 3- to 4-page paper, written to your organization’s leadership team, addressing full practice authority restrictions on Nurse Practitioners and how it is impacting your work setting. Be sure to address the following:
· Describe the full practice authority restrictions, restricted practice, and reduced practice restrictions on Nurse Practitioners and its impact on healthcare organization. Use organizational data to quantify the impact.
· Provide a brief summary of the two articles you reviewed from outside resources on this national healthcare issue. Explain how this healthcare issue is being addressed in other organizations.
· Summarize the strategies used to address the organizational impact of full practice authority restrictions on nurse practitioners presented in the scholarly resources you selected. Explain how they may impact your organization both positively and negatively. Be specific and provide examples.
Statistics should be based on Texas Nurse Practitioner Restrictions
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Identify a quality improvement opportunity in your organization or practice. In a 1,250-1,500 word paper, describe the problem or issue and propose a quality improvement initiative based on evidence-based practice. Apply “The Road to Evidence-Based Practice” process, illustrated in Chapter 4 of your textbook, to create your proposal.
Include the following:
Provide an overview of the problem and the setting in which the problem or issue occurs.
Explain why a quality improvement initiative is needed in this area and the expected outcome.
Discuss how the results of previous research demonstrate support for the quality improvement initiative and its projected outcomes. Include a minimum of three peer-reviewed sources published within the last 5 years, not included in the course materials or textbook, that establish evidence in support of the quality improvement proposed.
Discuss steps necessary to implement the quality improvement initiative. Provide evidence and rationale to support your answer.
Explain how the quality improvement initiative will be evaluated to determine whether there was improvement.
Support your explanation by identifying the variables, hypothesis test, and statistical test that you would need to prove that the quality improvement initiative succeeded.
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
No of Criteria: 11 Achievement Levels: 5CriteriaAchievement LevelsDescriptionPercentage1: Unsatisfactory0.00 %2: Less Than Satisfactory65.00 %3: Satisfactory75.00 %4: Good85.00 %5: Excellent100.00 %Content70.0 Problem or Issue in Practice or Organization5.0Overview of the problem and the setting in which the problem or issue occurs is not described.Overview of the problem and the setting in which the problem or issue occurs is partially described. More information is needed to fully understand the problem and the scope of the organization or practice.Overview of the problem and the setting in which the problem or issue occurs is summarized. Some information is needed to fully understand the problem or the scope of the organization or practice.Overview of the problem and the setting in which the problem or issue occurs is described. Some detail is need for clarity.Overview of the problem and the setting in which the problem or issue occurs is described in detail.Significance of Quality Improvement in Practice or Organization10.0Explanation of why the quality improvement initiative is needed is omitted.Explanation of why the quality improvement initiative is needed is partially presented. More information is needed to understand why the quality improvement is relevant to the problem or setting. The expected outcome is unclear.Explanation of why the quality improvement initiative is needed is summarized. Some information is needed to understand why the quality improvement is relevant to the problem or setting. The expected outcome is generally presented.Explanation of why the quality improvement initiative is needed is discussed. It appears that the quality improvement initiative would help address the problem within the described setting. The expected outcome is described. Some information or rationale is needed for support or clarity.Explanation of why the quality improvement initiative is need is clearly discussed. The quality improvement initiative would help address the problem within the described setting presented. The expected outcome is thoroughly described. Overall, the explanation is clear and well supported.Demonstration of Support From Previous Research15.0The use of research to demonstrate support for the quality improvement initiative and its projected outcomes is omitted. Three peer-reviewed sources published within the last 5 years are omitted.The use of research to demonstrate support for the quality improvement initiative and its projected outcomes is incomplete. Overall, the research results do not demonstrate support for the initiative or projected outcomes. Fewer than three peer-reviewed sources published within the last 5 years were used.The use of research to demonstrate support for the quality improvement initiative and its projected outcomes is generally presented. The research results generally demonstrate support for the initiative and projected outcomes. Three peer-reviewed sources published within the last 5 years were used.The use of research to demonstrate support for the quality improvement initiative and its projected outcomes is presented. The research results demonstrate support for the initiative and projected outcomes. The three peer-reviewed sources meet all assignment criteria.The use of research to demonstrate support for the quality improvement initiative and its projected outcomes is clearly presented. The research results strongly demonstrate support for the initiative and projected outcomes. The three peer-reviewed sources meet all assignment criteria and provide critical support for the initiative.Steps Necessary to Implement Quality Improvement Initiative15.0The steps necessary to implement the quality improvement initiative are omitted.The steps necessary to implement the quality improvement initiative are incomplete. It is unclear how the steps presented will lead to implementation. More information is needed.The steps necessary to implement the quality improvement initiative are summarized. Some steps are vague. More evidence or rationale is needed for support.The steps necessary to implement the quality improvement initiative are discussed. Some evidence or rationale is needed for support or clarity.The steps necessary to implement the quality improvement initiative are thoroughly discussed. The implantation steps are well supported with evidence and rationale.Evaluation of Quality Improvement15.0An explanation for how the quality improvement initiative will be measured is omitted.An explanation for how the quality improvement initiative will be measured is partially presented. It is unclear how the evaluation will measure improvement; or it is unclear how the evaluation relates to the quality improvement initiative.A general explanation for how the quality improvement initiative will be measured is summarized. The evaluation is generally appropriate to the quality improvement initiative.An explanation for how the quality improvement initiative will be measured is presented. The evaluation is appropriate to the quality improvement initiative.An explanation for how the quality improvement initiative will be measured is presented in detail. The evaluation is appropriate to the quality improvement initiative. Evaluation proposed is well supported.Identification of Variables, Hypothesis Test, and Statistical Test10.0The variables, hypothesis, and statistical tests needed to prove the quality improvement succeeded are omitted.The variables, hypothesis, and statistical tests needed to prove the quality improvement succeeded are partially presented; one is omitted. The proposed elements are not relevant to proving the quality improvement succeeded.The variables, hypothesis, and statistical tests needed to prove the quality improvement succeeded are summarized. There are inaccuracies.The variables, hypothesis, and statistical tests needed to prove the quality improvement succeeded are presented. Overall, the proposed elements are relevant to proving the quality improvement succeeded.The variables, hypothesis, and statistical tests needed to prove the quality improvement succeeded are presented and accurate. The proposed elements will prove whether the quality improvement succeeded.Organization and Effectiveness20.0 Thesis Development and Purpose7.0Paper lacks any discernible overall purpose or organizing claim.Thesis is insufficiently developed or vague. Purpose is not clear.Thesis is apparent and appropriate to purpose.Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.Argument Logic and Construction8.0Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.Argument shows logical progression. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.Mechanics of Writing (includes spelling, punctuation, grammar, language use)5.0Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied.Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed.Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech.Writer is clearly in command of standard, written, academic English.Format10.0 Paper Format (use of appropriate style for the major and assignment)5.0Template is not used appropriately, or documentation format is rarely followed correctly.Appropriate template is used, but some elements are missing or mistaken. A lack of control with formatting is apparent.Appropriate template is used. Formatting is correct, although some minor errors may be present.Appropriate template is fully used. There are virtually no errors in formatting style.All format elements are correct.Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)5.0Sources are not documented.Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.Sources are documented, as appropriate to assignment and style, and format is mostly correct.Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.Total Percentage 100
Applied Statistics for Health Care
Grand Canyon University. (Ed.). (2018). Applied statistics for health care.
The ability to provide primary palliative care is a skill set that nurse practitioners should acquire, develop, and refine. Primary palliative care skills include thorough and effective symptom assessment and management, initiating and guiding conversations around advance care planning, and completing medical directives that guide care with life-limiting/life-threatening illness (Wheeler, 2016). Although sometimes confused with hospice, it’s important to remember hospice is a specific type of palliative care designed to address the needs of those who have 6 months or less to live. In other words, hospice care is always palliative, but not all palliative care is hospice care. (IPC, 2018).
As frontline clinicians, APRNs, along with their RN colleagues, spend the most time with patients at their bedside. All APRNs must have fundamental palliative care skills. This includes understanding illness trajectories from diagnosis to death, appropriate assessment and management of pain, particularly in the current opioid misuse epidemic b (Dahlin & Coyne, 2019).
The most recognized area of leadership for APRNs is Clinical Care. To be successful, APRNs must understand the diagnosis and the natural course of illnesses and diseases along with the critical decision-making points to manage and treat these conditions from diagnosis to end-of-life care, based on best available evidence. APRNs are in a key position to deliver collaborative interdisciplinary palliative care for patients with serious illness and move palliative care upstream to caring for populations across the lifespan and across the health care continuum (Dahlin & Coyne, 2019).
In palliative care, when presenting with a symptom complaint, disease progression must always be considered. Disease progression needs to be identified to help with the ongoing goals-of-care discussions. Often-cited symptoms include pain, breathlessness, fatigue, anorexia, nausea/vomiting, constipation, depression, dry mouth, and sleep disturbance (Wheeler, 2016)
In a perfect palliative care world, advance directives for care at end of life would be documented, medical powers of attorney would be named, and these documents would be shared with all health care providers. The reality is that this does not happen, and many hospitalizations are for a crisis when decisions need to be made and there has not been an open and honest discussion of the illness trajectory. NPs enter into these discussions without an agenda for what are the “correct” decisions. The desired outcome is to have the patient understand the issues and make informed choices based on their goals and their definition of quality of life. NPs need to be prepared to discuss disease trajectory, realistic interventions, and prognosis. Palliative care advocates that advance care planning be documented and revisited with subsequent changes in health status (Wheeler, 2016).
References:
Dahlin, C., & Coyne, P. (2019). The palliative APRN leader. Annals of Palliative Medicine, 8(1), S30-S38. doi:10.21037/apm.2018.06.03
IPC. (2018). Palliative Care: The Next Frontier for APRNs? Retrieved from CSU Institute of Palliative Care: https://csupalliativecare.org/palliative-care-aprns/
Wheeler, M. (2016). Primary Palliative Care for Every Nurse Practitioner. The Journal for Nurse Practitioners, 12(10), 647-653. Retrieved from https://www.npjournal.org/article/S1555-4155(16)30503-7/pdf
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In this assignment, you will propose a quality improvement initiative from your place of employment that could easily be implemented if approved. Assume you are presenting this program to the board for approval of funding. Write an executive summary (900 words) to present to the board, from which the board will make its decision to fund your program or project. Include the following:
1. The purpose of the quality improvement initiative.
2. The target population or audience.
3. The benefits of the quality improvement initiative.
4. The interprofessional collaboration that would be required to implement the quality improvement initiative.
5. The cost or budget justification.
6. The basis upon which the quality improvement initiative will be evaluated.
Prepare this assignment according to the guidelines found in the APA Style, and abstract is required
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The discussion assignment provides a forum for discussing relevant topics for this week on the basis of the course competencies covered.
For this assignment, make sure you post your initial response to the Discussion Area bythe due date assigned.
To support your work, use your course and text readings and also use theSouth University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.
Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite sources in your responses to other classmates. Complete your participation for this assignment by the end of the week.
Read the section titled “Reflective Practice: Pants on Fire” from chapter “Health Policy, Politics, and Professional Ethics” and address the questions below:
How do you judge Palin’s quote? [“And who will suffer the most when they ration care? The sick, the elderly, and the disabled, of course. The America I know and love is not one in which my parents or my baby with Down Syndrome will have to stand in front of Obama’s death panel so his bureaucrats can decide, based on a subjective judgment of their level of productivity in society, whether they are worthy of health care. Such a system is downright evil.] Effective strategy to oppose Democrats’ plans for health care reform or unethical scaremongering?
Reflect on what informs your judgment: commitment to advance care planning, analysis of facts, and/or political party loyalties?
Is it right for nurses to endorse health reform legislation even if the legislation is not perfect? Does this apply to the recently failed American Health Care Act?
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American Academy of Pediatrics, healthychildren.org website. Responding to your baby’s cries. www.healthychildren.org/English/ages-stages/baby/crying-colic/Pages/Responding-to-Your-Babys-Cries.aspx. Updated November 21, 2015. Accessed November 20, 2018.
Illingworth RS. Common Symptoms of Disease in Children. Blackwell Scientific Publications: Oxford. 1988:296.
Jonathan Juett, and Benjamin Kuipers, “Learning to reach by building a representation of peri-personal space,” 2016 IEEE-RAS 16th International Conference on Humanoid Robots (Humanoids), pp. 1141–1148, .
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This week, you will develop a PowerPoint presentation reviewing the theories from each module. Please select one theory from each module (1-8) and answer the following questions. You should have two slides per theory:
Describe the theory
Provide 3 examples of how the theory applies to current practice
Provide 3 positive patient outcomes resulting from utilizing the theory
Explain 3 benefits to nursing satisfaction when utilizing the theory
Describe two barriers to using the theory in practice and at least one method for overcoming each barrier (support methods with sources)
Support from literature clearly noted throughout
The PowerPoint presentation should include at least two outside references and the textbook. The presentation should contain 2 to 4 slides per theory, for a total of 16 to 32 slides
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Strategic Management Fundamentals in Health Care – A Strategic Planning Approach
Paper type
Research Paper
Language style
English (U.S.)
Deadline
11th Jun 2019 @ 03:10:25 P.M. (London Time)
Paper format
APA
Course level
Undergraduate
Subject Area
Nursing
# pages
6 ( or 1650 words Minimum)
Spacing
Double Spacing
Cost
$ 30.00
# sources
6
Paper Details
You hired as the Director of Operations Director for a real publicly-held hospital chain. You have been asked to evaluate the organization’s strategic planning approach because of changes in recent legislation (Affordable Care Act, Health Information Technology for Economic and Clinical Health (HITECH), Health Insurance Portability and Accountability Act (HIPAA), the Joint Commission, etc.). To gather data for your assignment, identify a publicly-held health care organization of your choice. You may use the Library to search for market information. Prepare a report of 6–7 pages with at least 6 academic or professional references published in the past five years that indicates the following: 1) Identify all of the stakeholders that are involved and impacted by the organization. 2) Differentiate internal from external stakeholders, and evaluate the relationship between the organizational mission and vision for each stakeholder group based on strategic planning components. 3) Evaluate at least 3 business units or stakeholder groups that should be subjected to further evaluation to support the strategic initiatives of the organization, and provide your rationale and justification. 4) Analyze the mission and vision statements of the organization from the perspective of each of the identified stakeholders. 5) Assess the organization’s approach to addressing recent health care legislation, and provide an evaluation of the strategic response that is commonly employed. *** Please make sure that the organization that you select is publicly-held and therefore has information that is readily available to the public.*** Make sure each question is answered in detail and that no part of the question is left unanswered and all references are within the last 5 years.
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