Ethical considerations

The key ethical considerations in strategic planning include stakeholder participation, organizational values, individual values and managing change. When undertaking the process of strategy development it is very important to consider the most effective way of developing the plan. This often results in the process consisting of a strategic planning committee normally led by the CEO of the organization, which is given the mandate of developing a plan and submitting it to the Board for review and approval.

Evidence suggests that any significant change in strategy has a corresponding change in the structure of the organization in order too effective and deliver upon that strategy (George, 2019). As such, it is crucial for an organization to choose the right strategy for that particular point in time. Stakeholder involvement is one of the key strategies that is normally utilized in my organization. This allows differing perspectives and enhances support. Involving stakeholders improve the chance that the organization’s strategy is developed with the information necessary to make decisions. 


200 words

Discussion

 Describe how you achieved each course competency including at least one example of new knowledge gained related to that competency.

 Describe how this new knowledge will impact your nursing practice.


Course Competencies


 Apply strategies for safe, effective multidimensional nursing practice when providing basic care and comfort for clients.

 Select appropriate nursing interventions when providing multidimensional care to clients experiencing alterations in mobility.

 Explain components of multidimensional nursing care for clients with musculoskeletal disorders.

 Prioritize strategies for safe, effective multidimensional nursing practice when providing care for clients experiencing sensory and perception disorders.

 Apply knowledge of integumentary disorders when providing safe, effective nursing care.

 Describe strategies for safe, effective multidimensional nursing practice when providing care for clients experiencing limnologic, infectious, and inflammatory disorders. 

 please do it in a APA front mat and four references

Advance nursing discussion

please answer the following and use apa style for references 

Apply information from the Aquifer Case Study to answer the following discussion questions:

                       

 Discuss the Mr. Rodriquez’s history that would be pertinent to his gastrointestinal problem. Include chief complaint, HPI, Social, Family and Past medical history that would be important to know.

 Describe the physical exam and diagnostic tools to be used for Mr. Rodriguez. Are there any additional you would have liked to be included that were not? 

 Please list 3 differential diagnoses for Mr. Rodriguez and explain why you chose them. What was your final diagnosis and how did you make the determination?

 What plan of care will Mr. Rodriquez be given at this visit, include drug therapy and treatments; what is the patient education and follow-up?

Discussion

As health care consumers, we all expect quality care and positive outcomes. It is important as professionals that we meet these demands of health care consumers. Consider the work of the major theorists you examined in this week’s Resources and think about how these theories apply to your own experience as a health care customer and/or practitioner.By Day 3Post your definition of quality, and apply it to the work of one major quality theorist (e.g., Donabedian, Juran, Deming, Triple Aim (IHI) – Berwick). Identify a practice problem that you have had some experience with as a customer or as a practitioner and explain how eliminating wasteful practices could have improved the experience. Include how your definition of quality applies to that experience.

Legal and Ethical Considerations for Group and Family Therapy

Considering the Health Insurance Portability and Accountability Act (HIPPA), the idea of discussing confidential information with a patient in front of an audience is probably quite foreign to you. However, in group and family therapy, this is precisely what the psychiatric mental health nurse practitioner does. In your role, learning how to provide this type of therapy within the limits of confidentiality is essential. For this Discussion, consider how limited confidentiality and other legal and ethical considerations might impact therapeutic approaches for clients in group and family therapy.

Learning Objectives

Students will:


 Compare legal and ethical considerations for group and family therapy to legal and ethical considerations for individual therapy

 Analyze the impact of legal and ethical considerations on therapeutic approaches for clients in group and family therapy

 Recommend strategies to address legal and ethical considerations for group and family therapy


To prepare:


 Review this week’s Learning Resources and consider the insights they provide on group and family therapy.

 View the media, Legal and Ethical Issues for Mental Health Professions, Volume I, and reflect on legal and ethical considerations for group and family therapy and individual therapy.


Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the Post to Discussion Question link and then select Create Thread to complete your initial post. Remember, once you click submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking Submit!

By Day 3

Post an explanation of how legal and ethical considerations for group and family therapy differ from those for individual therapy. Then, explain how these differences might impact your therapeutic approaches for clients in group and family therapy. Support your rationale with evidence-based literature.

Presidential Agendas

Regardless of political affiliation, every citizen has a stake in healthcare policy decisions. Hence, it is little wonder why healthcare items become such high-profile components of presidential agendas. It is also little wonder why they become such hotly debated agenda items.

Consider a topic that rises to the presidential level. How did each of the presidents (Trump, Obama, and Bush) handle the problem? What would you do differently?

To Prepare:                                                                               


 Review the Resources and reflect on the importance of agenda-setting.

 Consider how federal agendas promote healthcare issues and how these healthcare issues become agenda priorities.

Annotated Bibliography on Technology in Nursing

Write a 4-6 page annotated bibliography where you identify peer-reviewed publications that promote the use of a selected technology to enhance quality and safety standards in nursing.

Before you begin to develop the assessment you are encouraged to complete the Annotated Bibliography Formative Assessment. Completing this activity will help you succeed with the assessment and counts towards course engagement.

Rapid changes in information technology go hand-in-hand with progress in quality health care delivery, nursing practice, and interdisciplinary team collaboration. The following are only a few examples of how the health care field uses technology to provide care to patients across multiple settings:

                                                                                    


 Patient monitoring devices.

 Robotics.

 Electronic medical records.

 Data management resources.

 Ready access to current science.

 Technology is essential to the advancement of the nursing profession, maintaining quality care outcomes, patient safety, and research.

This assessment will give you the opportunity to deepen your knowledge of how technology can enhance quality and safety standards in nursing. You will prepare an annotated bibliography on technology in nursing. A well-prepared annotated bibliography is a comprehensive commentary on the content of scholarly publications and other sources of evidence about a selected nursing-related technology. A bibliography of this type provides a vehicle for workplace discussion to address gaps in nursing practice and to improve patient care outcomes. As nurses become more accountable in their practice, they are being called upon to expand their role of caregiver and advocate to include fostering research and scholarship to advance nursing practice. An annotated bibliography stimulates innovative thinking to find solutions and approaches to effectively and efficiently address these issues.

Demonstration of Proficiency

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


 Competency 3: Evaluate the impact of patient care technologies on desired outcomes.

   

     Analyze current evidence on the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team.

     Integrate current evidence about the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team into a recommendation.

   

 

 Competency 4: Recommend the use of a technology to enhance quality and safety standards for patients.

   

     Describe organizational factors influencing the selection of a technology in the health care setting.

     Justify the implementation and use of a selected technology in a health care setting.

   

 

 Competency 5: Apply professional, scholarly communication to facilitate use of health information and patient care technologies.

   

     Create a clear, well-organized, and professional annotated bibliography that is generally free from errors in grammar, punctuation, and spelling.

     Follow APA style and formatting guidelines for all bibliographic entries.

   

 

 Preparation

To successfully complete this assessment, perform the following preparatory activities:


 Select a single direct or indirect patient care technology that is relevant to your current practice or that is of interest to you. Direct patient care technologies require an interaction, or direct contact, between the nurse and patient. Nurses use direct patient care technologies every day when delivering care to patients. Electronic thermometers or pulse oximeters are examples of direct patient care technologies. Indirect patient care technologies, on the other hand, are those employed on behalf of the patient. They do not require interaction, or direct contact, between the nurse and patient. A handheld device for patient documentation is an example of an indirect patient care technology. Examples of topics to consider for your annotated bibliography include:

   

     Delivery robots.

     Electronic medication administration with barcoding.

     Electronic clinical documentation with clinical decision support.

     Patient sensor devices/wireless communication solutions.

     Real-time location systems.

     Telehealth.

     Workflow management systems.

   

 

 Conduct a library search using the various electronic databases available through the Capella University Library.

   

     Consult the BSN Program Library Research Guide for help in identifying scholarly and/or authoritative sources.

     Access the NHS Learner Success Lab, linked in the courseroom navigation menu, for additional resources.

   

 

 Scan the search results related to your chosen technology.

 Select four peer-reviewed publications focused on your selected topic that are the most interesting to you.

 Evaluate the impact of patient care technologies on desired outcomes.

   

     Analyze current evidence on the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team.

     Integrate current evidence about the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team into a recommendation.

   

 

 Notes


 Publications may be research studies or review articles from a professional source. Newspapers, magazines, and blogs are not considered professional sources.

 Your selections need to be current—within the last five years.

 Annotated Bibliography

Prepare a 4–6 page annotated bibliography in which you identify and describe peer-reviewed publications that promote the use of your selected technology to enhance quality and safety standards in nursing. Be sure that your annotated bibliography includes all of the following elements:


 Introduction to the Selected Technology Topic

   

     What is your rationale for selecting this particular technology topic? Why are you interested in this?

     What research process did you employ?

       

         What databases did you use?

         What search terms did you use?

         Note: In this section of your bibliography, you may use first person since you are asked to describe your rationale for selecting the topic and the research strategies you employed. Use third person in the rest of the bibliography, however.

       

     

   

 

 Annotation Elements

   

     For each resource, include the full reference followed by the annotation.

     Explain the focus of the research or review article you chose.

     Provide a summary overview of the publication.

       

         According to this source, what is the impact of this technology on patient safety and quality of care?

         According to this source, what is the relevance of this technology to nursing practice and the work of the interdisciplinary health care team?

         Why did you select this publication to write about out of the many possible options? In other words, make the case as to why this resource is important for health care practitioners to read.

       

     

   

 

 Conclusion/Recommendation

   

     How would you tie together the key learnings from each of the four publications you examined?

     What organizational factors influence the selection of a technology in a health care setting? Consider such factors as organizational policies, resources, culture/social norms, commitment, training programs, and/or employee empowerment.

     How would you justify the implementation and use of the technology in a health care setting? Consider the impact of the technology on the health care organization, patient care/satisfaction, and interdisciplinary team productivity, satisfaction, and retention.

   

 

 Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:


 Assessment 3 Example [PDF].

 Additional Requirements


 Written communication: Ensure written communication is free of errors that detract from the overall message.

 Length: 4–6-typed, double-spaced pages.

 Number of resources: Cite a minimum of 4 peer-reviewed resources.

 Font and font size: Use Times New Roman, 12 point.

 APA: Follow APA style and formatting guidelines for all bibliographic entries.

 Portfolio Prompt: Save your presentation to your ePortfolio. Submissions to the ePortfolio will be part of your final capstone course.

 SCORING GUIDE

Use the scoring guide to understand how your assessment will be evaluated.

Concept Analysis

Please read this article to better understand concept analysis

Baldwin, A. M. (2008). Concept analysis is a method of inquiry. Nurse Researcher, 15(2), 49-58.

Understanding Concept AnalysisFile

Please use this published article as a guide to conducting and writing your Concept Analysis assignment/paper.

Attitude: A Concept AnalysisFile

APA format 

Must be 6 pages

References included

Evidence-Based Practice and the Quadruple Aim

Healthcare organizations continually seek to optimize healthcare performance. For years, this approach was a three-pronged one known as the Triple Aim, with efforts focused on improved population health, enhanced patient experience, and lower healthcare costs.

More recently, this approach has evolved to a Quadruple Aim by including a focus on improving the work life of healthcare providers. Each of these measures are impacted by decisions made at the organizational level, and organizations have increasingly turned to EBP to inform and justify these decisions.

To Prepare:


 Read the articles by Sikka, Morath, & Leape (2015); Crabtree, Brennan, Davis, & Coyle (2016); and Kim et al. (2016) provided in the Resources.

 Reflect on how EBP might impact (or not impact) the Quadruple Aim in healthcare.

 Consider the impact that EBP may have on factors impacting these quadruple aim elements, such as preventable medical errors or healthcare delivery.


To Complete:

Write a brief analysis (no longer than 2 pages) of the connection between EBP and the Quadruple Aim.

Your analysis should address how EBP might (or might not) help reach the Quadruple Aim, including each of the four measures of:


 Patient experience

 Population health

 Costs

 Work life of healthcare providers


Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.

Chapter 1, “Making the Case for Evidence-Based Practice and Cultivating a Spirit of Inquiry” (pp. 7–32)

Boller, J. (2017). Nurse educators: Leading health care to the quadruple aim sweet spot. Journal of Nursing Education, 56(12), 707–708. doi:10.3928/01484834-20171120-01

Note: You will access this article from the Walden Library databases.

Crabtree, E., Brennan, E., Davis, A., & Coyle, A. (2016). Improving patient care through nursing engagement in evidence-based practice. Worldviews on Evidence-Based Nursing, 13(2), 172–175. doi:10.1111/wvn.12126

Note: You will access this article from the Walden Library databases.

Kim, S. C., Stichler, J. F., Ecoff, L., Brown, C. E., Gallo, A.-M., & Davidson, J. E. (2016). Predictors of evidence-based practice implementation, job satisfaction, and group cohesion among regional fellowship program participants. Worldviews on Evidence-Based Nursing, 13(5), 340–348. doi:10.1111/wvn.12171

Note: You will access this article from the Walden Library databases.

Melnyk, B. M., Fineout-Overholt, E., Stillwell, S. B., & Williamson, K. M. (2010). Evidence-based practice: Step by step. The seven steps of evidence-based practice. American Journal of Nursing, 110(1), 51–53. doi:10.1097/01.NAJ.0000366056.06605.d2

Note: You will access this article from the Walden Library databases.

Melnyk, B. M., Gallagher-Ford, L., Long, L. E., & Fineout-Overholt, E. (2014). The establishment of evidence-based practice competencies for practicing registered nurses and advanced practice nurses in real-world clinical settings: Proficiencies to improve healthcare quality, reliability, patient outcomes, and costs. Worldviews on Evidence-Based Nursing, 11(1), 5–15. doi:10.1111/wvn.12021

Note: You will access this article from the Walden Library databases.

Sikka, R., Morath, J. M., & Leape, L. (2015). The Quadruple Aim: Care, health, cost and meaning in work. BMJ Quality & Safety, 24, 608–610. doi:10.1136/bmjqs-2015-004160

Note: You will access this article from the Walden Library databases.

Walden University Library. (n.d.-a). Databases A-Z: Nursing. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/az.php?s=19981

Review of Current Healthcare Issues

If you were to ask 10 people what they believe to be the most significant issue facing healthcare today, you might get 10 different answers. Escalating costs? Regulation? Technology disruption?

These and many other topics are worthy of discussion. Not surprisingly, much has been said in the research, within the profession, and in the news about these topics. Whether they are issues of finance, quality, workload, or outcomes, there is no shortage of changes to be addressed.

In this Discussion, you examine a national healthcare issue and consider how that issue may impact your work setting. You also analyze how your organization has responded to this issue.

To Prepare:                                                                                                                                   


 Review the Resources and select one current national healthcare issue/stressor to focus on.

 Reflect on the current national healthcare issue/stressor you selected and think about how this issue/stressor may be addressed in your work setting.



Post a description of the national healthcare issue/stressor you selected for analysis, and explain how the healthcare issue/stressor may impact your work setting. Then, describe how your health system work setting has responded to the healthcare issue/stressor, including a description of what changes may have been implemented. Be specific and provide examples.