Nursing Science

Write a 4–6-page report for a senior leader that communicates your evaluation of current organizational or interprofessional team performance, with respect to prescribed benchmarks set forth by government laws and policies at the local, state, and federal levels. In addition, advocate for ethical action to address benchmark underperformance and explain the potential for improving the overall quality of care and performance, as reflected on a performance dashboard.In the era of health care reform, many of the laws and policies set forth by government at the local, state, and federal levels have specific performance benchmarks related to care delivery outcomes that organizations must achieve. It is critical for organizational success that the interprofessional care team is able to understand reports and dashboards that display the metrics related to performance and compliance benchmarks.Maintaining standards and promoting quality in modern health care are crucial, not only for the care of patients, but also for the continuing success and financial viability of health care organizations. In the era of health care reform, health care leaders must understand what quality care entails and how quality in health care connects to the standards set forth by relevant federal, state, and local laws and policies. An understanding of relevant benchmarks that result from these laws and policies, and how they relate to quality care and regulatory standards, is also vitally important.Health care is a dynamic, complex, and heavily regulated industry. For this reason, you will be expected to constantly scan the external environment for emerging laws, new regulations, and changing industry standards. You may discover that as new policies are enacted into law, ambiguity in interpretation of various facets of the law may occur. Sometimes, new laws conflict with preexisting laws and regulations, or unexpected implementation issues arise, which may warrant further clarification from lawmakers. Adding partisan politics and social media to the mix can further complicate understanding of the process and buy-in from stakeholders.Assessment InstructionsNote: Your evaluation of dashboard metrics for this assessment is the foundation on which all subsequent assessments are based. Therefore, you must complete this assessment first.Write a report for a senior leader that communicates your evaluation of current organizational or interprofessional team performance with respect to prescribed benchmarks set forth by government laws and policies at the local, state, and federal levels. In addition, advocate for ethical action to address benchmark underperformance and explain the potential for improving the overall quality of care and performance, as reflected on a performance dashboard.Review the performance dashboard metrics, as well as relevant local, state, and federal laws and policies. Consider the metrics that are falling short of the prescribed benchmarks. Structure your report so that it will be easy for a colleague or supervisor to locate the information they need, and be sure to cite the relevant health care policies or laws when evaluating metric performance against established benchmarks.Note: Remember that you can submit all, or a portion of, your draft report to Smarthinking for feedback, before you submit the final version for this assessment. If you plan on using this free service, be mindful of the turnaround time of 24–48 hours for receiving feedback.PreparationChoose one of the following three options for a performance dashboard to use as the basis for your evaluation:Option 1: Dashboard Metrics Evaluation SimulationUse the data presented in the Dashboard and Health Care Benchmark Evaluation multimedia activity as the basis for your evaluation.Note: The writing that you do as part of the simulation could serve as a starting point to build upon for this assessment.Option 2: Actual DashboardUse an actual dashboard from a professional practice setting for your evaluation. If you decide to use actual dashboard metrics, be sure to add a brief description of the organization and setting that includes:The size of the facility that the dashboard is reporting on.The specific type of care delivery.The population diversity and ethnicity demographics.The socioeconomic level of the population served by the organization.Note: Ensure your data are Health Insurance Portability and Accountability Act (HIPAA) compliant. Do not use any easily identifiable organization or patient information.Option 3: Hypothetical DashboardIf you have a sophisticated understanding of dashboards relevant to your own practice, you may also construct a hypothetical dashboard for your evaluation. Your hypothetical dashboard must present at least four different metrics, at least two of which must be underperforming the prescribed benchmark set forth by federal, state, or local laws or policies. In addition, be sure to add a brief description of the organization and set that includes: The size of the facility that the dashboard is reporting on. The specific type of care delivery.The population diversity and ethnicity demographics. The socioeconomic level of the population served by the organization.Note: Ensure your data are HIPAA compliant. Do not use any easily identifiable organization or patient information.RequirementsThe report requirements outlined below correspond to the scoring guide criteria, so be sure to address each main point. Read the performance-level descriptions for each criterion to see how your work will be assessed. In addition, be sure to note the requirements for document format and length and for supporting evidence. Evaluate dashboard metrics associated with benchmarks set forth by local, state, or federal health care laws or policies. Which metrics are not meeting the benchmark for the organization? What are the local, state, or federal health care policies or laws that establish these benchmarks?What conclusions can you draw from your evaluation? Are there any unknowns, missing information, unanswered questions, or areas of uncertainty where additional information could improve your evaluation? Analyze one challenge that meeting prescribed benchmarks can pose for a health care organization or interprofessional team.Consider the following examples: Strategic direction. Organizational mission.Resources.Staffing.Financial: Operational and capital finding logistical considerations: Physical space.Support services (any ancillary department that gives support to a specific care unit in the organization, such as pharmacy, cleaning services, dietary, et cetera).Cultural diversity in the organization and community.Procedures and processes. Address the following: Why do the challenges you identified contribute, potentially, to benchmark underperformance? What assumptions underlie your conclusions? Evaluate a benchmark underperformance in a health care organization or interprofessional team that has the potential for greatly improving overall quality or performance. Focus on the benchmark you chose to target for improvement. Which metric is underperforming its benchmark by the greatest degree? Which benchmark underperformance is the most widespread throughout the organization or interprofessional team? Which benchmark affects the greatest number of patients? Which benchmark affects the greatest number of staff? How does this underperformance affect the community that the organization serves? Where is the greatest opportunity to improve the overall quality of care or performance of the organization or interpersonal team and, ultimately, to improve patient outcomes, as you think about the issue and the current poor benchmark outcomes? Advocate for ethical action, directed toward an appropriate group of stakeholders, to address a benchmark underperformance. Who would be an appropriate group of stakeholders to act on improving your identified benchmark metric? Why should the stakeholder group take action? What are some ethical actions the stakeholder group could take that support improved benchmark performance? Organize content so ideas flow logically with smooth transitions. Proofread your report, before you submit it, to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your evaluation and analysis.Support main points, assertions, arguments, conclusions, or recommendations with relevant and credible evidence. Be sure to apply correct APA formatting to source citations and references.Example Assessment: You may use the Assessment 1 Example [PDF] to give you an idea of what a Proficient or higher rating on the scoring guide would look like.Report Format and LengthFormat your report using APA style. Use the APA Style Paper Template [DOCX]. The APA Style Paper Tutorial [DOCX] will help you in writing and formatting your report. Be sure to include: A title page and references page. An abstract is not required. A running head on all pages. Appropriate section headings. Be sure your report should be 4–6 pages in length, not including the title page and references page. Supporting EvidenceCite 4–6 credible sources from peer-reviewed journals or professional industry publications to support your analysis of challenges, evaluation of the potential for improvement, and your advocacy for ethical action.Note: Faculty may use the Writing Feedback Tool when grading this assessment. The Writing Feedback Tool is designed to provide you with guidance and resources to develop your writing based on five core skills. You will find writing feedback in the Scoring Guide for the assessment, once your work has been evaluated. Portfolio Prompt: You may choose to save your report to your ePortfolio.Competencies MeasuredBy successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria: Competency 1: Analyze relevant health care laws, policies, and regulations; their application; and their effects on organizations, interprofessional teams, and professional practice. Analyze challenges that meeting prescribed benchmarks can pose for a health care organization or interprofessional team. Competency 2: Lead the development and implementation of ethical and culturally sensitive policies that improve health outcomes for individuals, organizations, and populations.Advocate for ethical action, directed toward an appropriate group of stakeholders, to address a benchmark underperformance.Competency 3: Evaluate relevant indicators of performance, such as benchmarks, research, and best practices, to inform health care laws and policies for patients, organizations, and populations. Evaluate dashboard metrics associated with benchmarks set forth by local, state, or federal health care laws or policies. Evaluate a benchmark underperformance in a health care organization or interprofessional team that has the potential for greatly improving overall quality or performance. Competency 5: Produce clear, coherent, and professional written work, in accordance with Capella’s writing standards. Organize content so ideas flow logically with smooth transitions. Support main points, assertions, arguments, conclusions, or recommendations with relevant and credible evidence.

Patient Anne H, 28 years old female. She is a first-generation Arab-American, whose mother and grandmother are breast cancer survivors. Anne works in Finance in NYC, a fast-paced and high-stress environment. Her diet is high in saturated fats and low in fiber, she exercises regularly and engages in yoga and meditation as alternative ways of reducing stress. Based on patient assessment she is at high risk for developing Breast cancer. See attached photos. Develop a health plan to help them prevent the disease and improve their quality of life. Your plan should include health care recommendations, educational materials, and support systems for making lifestyle changes, and tools and resources for managing and monitoring symptoms. As part of your plan, include the following: · Provide a brief summary of the impact of that disease on his functional health status. · Provide a health plan for risk prevention addressing diet, exercise, health monitoring recommendations, pharmacological aids, diagnostic testing recommendations, and additional lifestyle changes. – Clearly explain the interrelationships between pathophysiology, pharmacology, diagnostic testing, and management on the individual’s health and the disease. · Identify and summarize at least one current pharmacological advancement or a key piece of substantiated research in the treatment or prevention of the disease. Cite your source(s). · Identify two or more websites to aid in the physical and mental well-being of the individual. – Include the weblinks and a summary of the features and benefits of each site in a brief paragraph. – Explain how specific components/features of the site can benefit your individual’s health care.

Where do you see your self in the future as a nurse? My goal is to work in a hospital preferably in emergency. continue my education my bachelor’s degree and masters degree

How do you think your professional accountability will change as a BSN-prepared nurse?

·        How has your understanding of the national health-promotion and disease-prevention issue and your selected problem and target population developed over the past several weeks? How has your perception changed, if at all? ·        Critically evaluate the pros and cons of the program you have designed. Based on what you have learned in this course, as well as your professional experiences, do you think your program would address the problem for the target population? Would the benefits outweigh the costs? ·        Examine the ethical implications of the program you have designed. What questions, concerns, and/or insights do you have? ·        As a nurse engaged in advance practice, which venues would be viable for disseminating the results of your program design and evaluation? What audience would be most interested in these findings? Identify at least one professional journal to which you could publish the results of your program design and evaluation, as well as at least one other venue for disseminating results.

The graduate analyzes financial implications related to healthcare delivery, reimbursement, access, and national initiatives. INTRODUCTION It is essential that nurses understand the issues related to healthcare financing, including local, state, and national healthcare policies and initiatives that affect healthcare delivery. As a patient advocate, the professional nurse is in a position to work with patients and families to access available resources to meet their healthcare needs. REQUIREMENTS Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. An originality report is provided when you submit your task that can be used as a guide. You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course. A. Compare the U.S. healthcare system with the healthcare system of Great Britain, Japan, Germany, or Switzerland, by doing the following: 1. Identify one country from the following list whose healthcare system you will compare to the U.S. healthcare system: Great Britain, Japan, Germany, or Switzerland. 2. Compare access between the two healthcare systems for children, people who are unemployed, and people who are retired. a. Discuss coverage for medications in the two healthcare systems. b. Determine the requirements to get a referral to see a specialist in the two healthcare systems. c. Discuss coverage for preexisting conditions in the two healthcare systems. 3. Explain two financial implications for patients with regard to the healthcare delivery differences between the two countries (i.e.; how are the patients financially impacted). B. Acknowledge sources, using in-text citations and references, for content that is quoted, paraphrased, or summarized. C. Demonstrate professional communication in the content and presentation of your submission.

Please summarize in 2-3 sentences each point below:  Use the middle column of the attached syllabus to write each competency out individually with a focus on nursing care. What would I do as a nurse?  Week 1 1.1 Discuss preventative care and community-based nursing practice for men, women, and families.  1.2 Compare educational roles and scopes of practice for Nurse Practioner Certified Registered  Nurse Clinical Nurse Specialist Certified Nurse Midwife Nurse Researcher 1.3 Discuss legal and ethical issues that influence the maternal/child nurse. Abortion  Substance abuse Fetal Surgery 1.4 Summarize the role of the nurse in providing comprehensive community-centered care. Include: Prenatal care Labor and delivery Birthing Center Homebirth Postpartum and newborn care Home visits Women’s Health 1.5 Explore cultural beliefs and behaviors that are common during the childbearing period. 1.6 Explain the relationship between evidence-based practice and research. 1.7 Summarize the role of complementary and alternative medicine (CAM) in healthcare.   1.8 Discuss types of families and elements of a family assessment. 1.9 Review female and male anatomy 1.10 Review fetal development and circulation 1.11 Summarize the physiologic and psychological changes ( by trimester) that occur during pregnancy; Include:  Reproductive GI Cardiovascular  Hematological changes Respiratory, Renal Musculoskeletal, Integumentary Endocrine Immune  Familial Response 1.11 Summarize and prioritized information obtained during the initial prenatal care visit. 1.12 Describe variations from normal and potentially high-risk indicators of pregnancy. 1.13 Analyze the purpose and expected outcomes of prenatal care.  1.14 Discuss the use of screening tools and diagnostic tests used to promote health outcomes.  Pap smear Screening for STI’s GTT GBS 1.15 Identify alterations in wellness, possible cause, and nursing interventions related to maintaining wellness. 1.16 Describe nursing education related to:         Fetal movement, Breast care         Bathing, Clothing, Employment         Travel, Activity/Rest,              Exercise/Kegels, Dental care         Immunizations, Urinary frequency 1.17  Utilize anticipatory nursing guidance related to common discomforts of pregnancy.  Rest Vena cava Syndrome 1.18 Review of the drug classification system for medications during pregnancy.

     Computer technology has enabled the transition of paper health records to an electronic format. It has led to the specialty area of nursing informatics. The field of nursing informatics brings nurses into the planning, implementation and integration of the information system advancements (Ozbolt, & Saba, 2008). Historically, documentation by nurses relates to data that shows compliance with medical orders or other mandated reporting requirements (Thede, 2008). This is data that does not include independent decisions about nursing problems or about the thinking process nurses go through to make their daily decisions (Lundberg, et al.[TA1] ). Putting all nursing information into a computerized form enables nurses to reveal the significant contributions of nursing practice to healthcare outcomes and patient safety. This paper will discuss the electronic health record (EHR) as it relates to nursing, explore the value of nursing documentation, and project how the field of nursing informatics can positively impact nursing education and practice.[TA2]  Outline The Value of Nursing Documentation Brief historical information regarding nursing documentation Explore how nursing documentation is currently valued and the role it plays Nursing and the Electronic Health Record Define the EHR within the scope of nursing Examine the EHR’s limitations and current struggles Explore the EHR’s abilities as related to capturing nursing care Impact of Nursing Informatics on Education and Practice ·       Explore how nursing documentation will evolve electronically ·       Examine how nursing documentation can change the visibility of nursing care and how nursing care can be tracked ·       Describe how nursing documentation in a standard language will be easier to show nurses impact on outcomes ·       Explain use of EHR and other information sources to support nursing decision-making ·       Describe the education and competencies necessary for effective use of EHR and other informatics sources in the profession     References Bakken, S. (2006). Informatics for patient safety: A nursing research perspective. Annual Review of Nursing Research, 24, 219-254. [TA3]  Beaty, B. (2007). The electronic medical record: Shifting the paradigm: A conversation with Jane Robles and Joan Karnas. Creative Nursing, 13(2), 7-9. Courtney, K., Alexander, G., & Demiris, G. (2008). Information technology from novice to expert: Implementation implications. Journal of Nursing Management, 16(6), 692-699. Retrieved July 15, 2009, from CINAHL Plus with Full Text database. Hyun, S., Gakken, S., Douglas, K., & Stone, P. (2008). Evidence-based staffing: Potential roles for informatics. Nursing Economics, 26(3), 151. Lundberg, C., Brokel, J., Bulechek, G., Butcher, H., Martin, K., Moorhead, S., . . .  Giarrizzo-Wilson, S. (2008). Selecting a standardized terminology for the electronic health record that reveals the impact of nursing on patient care. Online Journal of Nursing Informatics, 12(2). Retrieved from http://ojni.org/12_2/lundberg.pdf Ozbolt, J., & Saba, V. (2008). A brief history of nursing informatics in the United States of America. Nursing Outlook, 56(5), 199-205. Thede, L. (2008). Informatics: The electronic health record: Will nursing be on board when the ship leaves? Online Journal of Issues in Nursing, 13(3).  [TA1]Need to insert the date of publication.  [TA2]Good – this highlights the core objective of the assignment.  [TA3]With no doi number or “retrieved from,” this implies that you viewed the journal in hard copy.  Is that what happened?   If the article was retrieved from an online database, you need to indicate “Retrieved from {insert URL for the homepage of the journal]” Refer to APA manual section 6.32 for more information

The field of nursing has changed over time. In a 750?1,000 word paper, discuss nursing practice today by addressing the following: Explain how the nursing practice has changed over time and how this evolution has changed the scope of practice and the approach to treating the individual. Compare and contrast the differentiated practice competencies between an associate and baccalaureate education in nursing. Explain how the scope of practice changes between an associate and baccalaureate nurse. Identify a patient care situation and describe how nursing care, or approaches to decision?making, differ between the BSN?prepared nurse and the ADN nurse. Discuss the significance of applying evidence?based practice to nursing care and explain how the academic preparation of the RN?BSN nurse supports its application. Discuss how nurses today communicate and collaborate with interdisciplinary teams and how this supports safer and more effective patient outcomes. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.  You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Discuss why you have decided to complete your BSN at this time, and the concerns you have about completing your baccalaureate degree. Based on the readings in the course materials, what strategies can you implement to be a successful student?