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Develop a 4–6-page proposal for executive leadership that addresses  changes you would like to see within your organization that would  advance the field of nursing.

Nursing is in the midst of many changes. In this assessment you  will consider how you can be a driving force to bring about needed  change within the field of nursing.

Collaborative interprofessional groups are at the heart of resolving  contemporary nursing issues. The work of groups and teams is based on  strong decision-making and problem-solving skills, led by effective and  engaged leaders. Nurses leading collaborative teams are critical for  resolving a number of issues such as errors in medications, accidents  involving patients, and unsafe shortcuts.

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Nurses truly are expert problem-solvers. Tucker and Edmondson  (2002) found that nurses utilized problem-solving skills so often that  it had become a routine aspect of a nurse’s day. However, nurses must be  able to maximize their problem-solving skills in order to lead health  care teams in addressing challenges, identifying evidence-based  solutions, and implementing those solutions.

Reference

Tucker, A. L., & Edmondson, A. C. (2002). Managing routine exceptions: A model of nurse problem solving behavior. Advances in Health Care Management3, 87–113.

Preparation

To prepare for this assessment, you will need to think about  changes you feel are needed to address a problem either within nursing  as a professional field or within the organization where you work.  Narrow down your options by considering which change would best be  undertaken by an interprofessional team. Some examples for you to  consider might include:

  • The use of mobile and portable technology to support patients.
  • Using evidence-based practice (EBP) to improve patient care.
  • Increasing patient safety and quality of care.
  • The use of medical technology such as genes and stem cells, or robots in the OR.
  • Addressing the nursing shortage now and into the future.
  • Improving the work environment (providing calm, supportive spaces  for nurses; improved dialog between health care professionals).
  • Better safety for nurses at work (violence, spreading diseases, physical injury).
  • Substance abuse by health care professionals.

Or you can narrow the scope to an issue within your own organization:

  • Developing a mobility program for an inpatient unit.
  • Implementing “smart” technology to assist in patient monitoring.
  • Creating a mentoring program to attract and retain nurses.
  • Implementing protocols for infection control and/or treatment of an epidemic.
  • Developing a plan to eliminate physical violence and verbal abuse in the workplace.
  • Other.

Once you have selected an issue to address, look for scholarly and  professional articles that focus on the problem, the needed change, and  how interprofessional teams can work together to drive change.

Requirements

Lately you have noticed the need for changes within your  organization that would advance the field of nursing. You have decided  to develop a proposal and submit it to executive leadership. Format this  assessment as a professional proposal. You may want to look at how  proposals are drafted within your organization and follow that format.  You will still need a references page; follow APA guidelines for in-text  citations and references.

Address the following in your proposal:

  • Briefly describe the problem and how it impacts the organization, patients, and/or the nursing profession.
  • Describe possible evidence-based interventions for the problem.
  • Analyze potential barriers and resistance to change that might come from the organization, patients, and/or colleagues.
  • Describe strategies to overcome barriers and resistance to change.
  • Develop a plan to implement evidence-based interventions. What steps would you take? What resources might you need?
  • Identify other health care professionals to enlist as team members to help drive change in the organization.

Your completed assessment should be 4–6 pages in length, not  including title page and references page. Support your statements and  intervention plan with references to and citations for at least four  scholarly or professional resources.

Additional Requirements

  • Include a title page and references page.
  • Reference at least four current scholarly or professional resources.
  • Use APA format for citations and references.
  • Use Times New Roman font, 12 point.
  • Double space.
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ITS IMPORTANT TO MEET THE COMPETENCES !!!

Develop a 4–6-page proposal for executive leadership that addresses changes you would like to see within your organization that would advance the field of nursing.

Nursing is in the midst of many changes. In this assessment you will consider how you can be a driving force to bring about needed change within the field of nursing.

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

  • Competency 1: Explain strategies for effective interprofessional teamwork and collaboration in health care delivery.
    • (IMPORTANT) -Analyze barriers and resistance to change, and describe strategies to overcome these barriers and resistance to change from an organization, patients, or colleagues.
    • (IMPORTANT) -Identify other health care professionals to enlist as members of an interprofessional team to drive change in an organization.
  • Competency 2: Analyze the implications of working with interprofessional teams in multifaceted health care settings.
    • (IMPORTANT) -Analyze how a problem impacts an organization, patients, or the nursing profession.
  • Competency 3: Develop evidence-based nursing interventions to address specific problems and enable systemic change.
    • (IMPORTANT) -Describe evidence-based solutions to a problem and develop a plan to implement these solutions.
  • Competency 4: Communicate in a manner that is scholarly, professional, and consistent with expectations of a nursing professional.
    • (IMPORTANT) -Write content clearly and logically, with correct use of grammar, punctuation, and mechanics. Use correct APA format.

Assessment Instructions 

Preparation

To prepare for this assessment, you will need to think about changes you feel are needed to address a problem either within nursing as a professional field or within the organization where you work. Narrow down your options by considering which change would best be undertaken by an interprofessional team. Some examples for you to consider might include:

  • The use of mobile and portable technology to support patients.
  • Using evidence-based practice (EBP) to improve patient care.
  • Increasing patient safety and quality of care.
  • The use of medical technology such as genes and stem cells, or robots in the OR.
  • Addressing the nursing shortage now and into the future.
  • Improving the work environment (providing calm, supportive spaces for nurses; improved dialog between health care professionals).
  • Better safety for nurses at work (violence, spreading diseases, physical injury).
  • Substance abuse by health care professionals.

Or you can narrow the scope to an issue within your own organization:

  • Developing a mobility program for an inpatient unit.
  • Implementing “smart” technology to assist in patient monitoring.
  • Creating a mentoring program to attract and retain nurses.
  • Implementing protocols for infection control and/or treatment of an epidemic.
  • Developing a plan to eliminate physical violence and verbal abuse in the workplace.
  • Other.

Once you have selected an issue to address, look for scholarly and professional articles that focus on the problem, the needed change, and how interprofessional teams can work together to drive change.

Requirements

Lately you have noticed the need for changes within your organization that would advance the field of nursing. You have decided to develop a proposal and submit it to executive leadership. Format this assessment as a professional proposal. You may want to look at how proposals are drafted within your organization and follow that format. You will still need a references page; follow APA guidelines for in-text citations and references.

Address the following in your proposal:

  • Briefly describe the problem and how it impacts the organization, patients, and/or the nursing profession.
  • Describe possible evidence-based interventions for the problem.
  • Analyze potential barriers and resistance to change that might come from the organization, patients, and/or colleagues.
  • Describe strategies to overcome barriers and resistance to change.
  • Develop a plan to implement evidence-based interventions. What steps would you take? What resources might you need?
  • Identify other health care professionals to enlist as team members to help drive change in the organization.

Your completed assessment should be 4–6 pages in length, not including title page and references page. Support your statements and intervention plan with references to and citations for at least four scholarly or professional resources.

Additional Requirements

  • Include a title page and references page.
  • Reference at least four current scholarly or professional resources.
  • Use APA format for citations and references.
  • Use Times New Roman font, 12 point.
  • Double space.

Week 3 peers response

Class 6050

Response #1

3 days ago

Marie Joseph 

RE: Discussion – Week 3

COLLAPSE

Initial Post

In an effort to reform the American Healthcare system, President Barack Obama signed The Affordable Care Act into law in 2010. This bill is supposed to guarantee health insurance to millions of uninsured Americans and lower the cost associated with healthcare. Its constitutionality has been challenged in court in 2012 and 2015, but the Supreme Court ruled in its favor (Auerbach, 2019)

Many families in the United States are debating how it will affect them if they “repeal and replace the Affordable Care Act (ACA)”. They are wondering if they will be able to keep or afford their health coverage or their prescribed medications. Deductibles and out-of-pocket costs are so high causing most of the working adults to be underinsured despite being enrolled in the ACA. Repeal the Affordable Care Act (ACA) will have a devastating effect on the families and the elected officials as well as they are no clear alternative to replace it. It is costly but needed. It is estimated that 13 million Americans will lose their healthcare coverage over a decade as a result and States will lose in federal funding and subsidies paid to the marketplace (Thompson et al 2018).

Among the successes of the ACA, one can name: people can’t be denied coverage due to pre-existing conditions, Medicaid is expanded and individuals can get preventative services at no charge.

In her article Pros and Cons of the Affordable Care Act, Champagne (2014) found many issues with marketplace processing and lot of inconsistencies with what people are being told. She gave an example where families have to get different coverage for different members. A mother was told that her newborn was covered by Medicaid and her other two children have a state insurance plan. It turned out that the baby was not and the other two were dropped by the system because it shows that they have a third party coverage which doesn’t exist.

All this reveal the importance of an established plan to strengthen the health care system. The plan must be highlighted from the start to make the system works for every American Citizen. And the civil society will benefit the most from its best practices.

References

Auerbach, M. P. (2019). Patient Protection and Affordable Care Act. Salem Press Encyclopedia, 2019. Retrieved on September 13, 2020 from https://eds-b-ebscohost-com.ezp.waldenulibrary.org/eds/detail/detail?vid=3&sid=

Champagne, D. M. (2014). Pros and Cons of Affordable Care Act. Daily Record. Retrieved on September 13, 2020 from https://eds-a-ebscohost-com.ezp.waldenulibrary.org/eds/detail/detail?

Thompson, F. J; Gusmano, M. K; Shinohara; S. Publius: The Journal of Federalism: Summer 2018, Vol.48 Issue 3 p.396-424. Access from https://eds-b-ebscohost-com.ezp.waldenulibrary.org/eds/results?vid=13&sid=

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Donald Freeman 

RE: Discussion – Week 3

COLLAPSE

Week 3 Discussion

Main Post

The cost-benefit for legislators can be a complicated subject. In the case of The Affordable Care act, there are many different sub-categories to consider since the act covers a wide range of issues from financial to medical. It has been said that the “number one job of a legislator is to be re-elected” (Walden University, n.d.). This is not a valid statement and appears to be used to sway the beliefs of the reader to a particular viewpoint that is the same as the author. The responsibilities of a legislator according to Article 1 of the Constitution (Whitehouse.gov, n.d.) is that:

The Legislative Branch consists of the House of Representatives and the Senate, which together form the United States Congress. The Constitution grants Congress the sole authority to enact legislation and declare war, the right to confirm or reject many Presidential appointments, and substantial investigative powers.

Legislators have taken up a role that does not necessarily conform to the restraints and confines of the Constitution of the United States. Although it is not a popular view when lobbying a legislator, one must uphold strict adherence to the rule of law and not consider that the legislator needs to be re-elected, and therefore might not listen to the particular petition or agree with it. A nation cannot survive if it goes down the slippery slope that has more than taken over popular views in the legislative process and academics.

As it relates to The Affordable Care Act, many republican legislators ran their campaigns based on “repeal and replace.” In 2017, 43 republicans voted to repeal and replace the bill, while nine Republicans voted no. The procedural vote failed with a 57 to 43 vote in the senate (The New York Times, 2017). The line between politics and healthcare is thin. In 2019, those who lobbied against the unconstitutional provisions in the bill won. Because the legislators that crafted the bill included unconstitutional mandates, the Department of Justice backed the court that ruled the ACA bill as being unconstitutional (Straub, 2019). Although the republican legislators are focused on their voters that might vote for another candidate if they do not carry out legislation that is important to the voters, they can still accomplish constitutional legislation. Nurses, such as the author of this article, expect the legislators to follow the rule of law and would lobby them in that manner requiring legislators to stand against unconstitutional legislation. Some lobbyists demand unconstitutional laws and the legislators feel obligated to put those requests into law for fear of losing their job. For instance, abortion.  Many nurses lobby for the killing of infants in the mother’s womb and other legislation that is associated with that practice even though Americans have a right to life. The fourteenth amendment of the Constitution Section 1 states that (Congress.gov, n.d.):

No State shall make or enforce any law which shall abridge the privileges or immunities of citizens of the United States; nor shall any State deprive any person of life, liberty, or property, without due process of law; nor deny to any person within its jurisdiction the equal protection of the laws.

Legislators make laws as if there is a mandate to kill unborn infants. They know that they will lose their seat if they don’t vote for this injustice. That line of reasoning is a gross breach of the Constitution and the law. Many voters expect that the democrat party will continue to defend the killing of infants. Some would say, “What would be the use of lobbying a democrat legislator about the basic human right to life?” This nurse would explain, “Stand up for the law, human rights and dignity.” As a nurse, we have to pursue ethical standards. These standards would include the protection of life, even the life of infants. Our lobbying will reflect our values. The Affordable Care Act included funding for abortion (Abortion in Obamacare, n.d.). This, among some other unconstitutional provisions are included in the healthcare plan due to the lobbying the health care industry.

References

Abortion in Obamacare. (n.d.). Family Research Council. http://www.obamacareabortion.com/

Clowes, B. (2018, June 28). Isn’t Abortion Protected by the Constitutionhttps://www.hli.org/resources/abortion-no-constitutional-human-right/

Congress.gov. (n.d.). Constitution of the United States. https://constitution.congress.gov/constitution/amendment-14/

Straub, S. (2019, March 25). DOJ Determines Obamacare is Unconstitutional and Illegal. https://thefederalistpapers.org/us/doj-determines-obamacare-unconstitutional-illegal

Taylor, D., Olshansky, E. F., Woods, N. F., Johnson-Mallard, V., Safriet, B. J., & Hagan, T. (2017). Corrigendum to position statement: Political interference in sexual and reproductive health research and health professional education [Nursing Outlook 65/2 (2017) 242–245]. Nursing Outlook65(3), 346–350.

The Legislative Branch. (n.d.). Whitehouse.gov. https://www.whitehouse.gov/about-the-white-house/the-legislative-branch/

The New York Times. (2017, July 28). How each senator voted on Obamacare repeal proposals. https://www.nytimes.com/interactive/2017/07/25/us/politics/senate-votes-repeal-obamacare.html

Walden University. (n.d.). Discussion: Politics and the Patient Protection and Affordable Care Act. https://class.content.laureate.net/2c51bef1aefbf63b0e5c7e8b705335ad.html

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CLASS 6051

RESPONSE #1

Patrinia Sanders 

RE: Discussion – Week 3

COLLAPSE

NURS 6051

DISCUSSIONN BOARD : Week3

Nurse Informaticist interaction with other professionals within the organization

Nurse informatics requires nurse leaders to have competencies in computer information. The nurse informaticist should have project management skills, which needs to be integrated with nursing science with information and analytical science to identify, define manage and communicate data and information (Sipes, 2016).

The goal of the Nurse informaticist is to improve the organization nursing agenda and provide guidance into decision as they relate to the improvement of patient care.  The nurse informaticist will have communication with other team members, other nurse managers, social workers/case managers, medical doctor, psychiatric doctor, all communication need to be clear and concise and related in a manner so that others involved in patient care will do so with the best treatment plan which is patient centered. The Nurse informaticist interaction with other professionals also known as the content team is important as findings or fallouts can be corrected (Mosier, et al., 2019)

The nurse leader the serves as an informaticist when there is a meeting he communicates with the team via cell phone where we have Zoom Meeting simply providing us with a  host number which to call and an access Identification to join meetings. The dynamics of informatics in communication is realized when staff members from other hospitals join the meeting. Issues as it relates to patient care can be addressed and input from staff, which include other team members not only nurses, but the social workers and mental health technician (Ng, et al., 2018).

Another example of the nursing informaticist using information to relate to other professional is in assessment process of the patient. The facility provides suicide assessment scale, use on  the behavioral health unit which is known as the  Columbia Suicide Scale that is used of assessing the severity of suicide ideation on all patients that are on the unit.

The Columbia suicide scale is used to access all patients that are admitted on the unit. The range of the scale ranges from high risk, moderate risk, low risk, and no risk. This assessment is done on admission and on once every shift. The Columbia Scale is completed by the nurses. The nurse leader runs report on these results. If the patient is high risk or moderate risk after assessment then the doctor should be notified, so that an order can be given for High Risk Patient for a 1:1

Monitoring. If the patient is moderate risk for suicide he or she may be put on a line of sight where the patient remains within view of a staff member. The nurse Informaticist can access this information. If a patient is not on the appropriate precaution the nurse leader as an informaticist can reach out to the nurse /doctor / the social worker to discuss then need for the suicide precaution and  the social worker can decide if it is safe for the patient to be discharged from the facility based on feedback from the nurse or doctor.

Another example is when the nurse Informaticist can access cameras at work from his home, also access information within the facility. Active communication is present at the facility as the director can look at cameras and correspond with staff, any safety breech on the unit can be addressed in real time. Staff without goggles or masks are encouraged to put on goggles for the safety of the patient especially during the COVID pandemic.

Patients that have a fall there is a protocol, which needs to be followed. Then informaticist can access records to ensure that all information that needs to be completed by all the interdisciplinary team is completed.

I believe the continued evolution of nursing informatics and the emergence of technological advancement will have positive impact on interaction and communication between interdisciplinary team member, with the best outcome for patient centered care. The nurse informaticist in assessing and sharing information need to value patient rights and privacy and be autonomous even with beneficial technological growth.

Reference

Mosier, S., Roberts, W.D., & Englebright, J. (2019). A System -Level Method of Developing

Nursing Informatics Solutions: The role of Executive Leadership. JONA: The Journal

of Nursing Administration, 49(11), 543-548.

Ng, Y.C., Alexander, S., & Frith, K.H. (2018). Integration of Mobile Health Applications in

Health Information Technology Initiatives: Expanding Opportunities for Nurse

Participation in Population Health. CIN: Computer, Informatics, Nursing, 36(5),

209-213.

Sipes, C., (2016). Project management: Essential skill of nurse informaticists. Studies in

Health Technology and Informatics. 225., 252-256.

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RESPONSE #2

Folakemi orekoya 

RE: Discussion – Week 3

COLLAPSE

Interaction between Nurse Informaticists and Other Specialists

Informatics has continued to change the face of healthcare. With technology advancement, health care providers can collect, analyze, and leverage data more effectively. The informatics influence how care is delivered, how resources are managed, the way teams operate in their daily activities. Nurse informaticists facilitate the integration of data and knowledge to offer support to the nurses, patients, and other providers in decision making within the health care environment (McGonigle & Mastrian, 2017). They help improve accuracy and provide critical data analysis to help health care providers enhance the quality of patient care. In my experience, the nurse informaticists in our organization work with the IT team to find ways to streamline and improve documentation using information technologies. They also help in improving the accuracy, timeliness, and speed of patient charting. Nurse informaticists’ continued support can enhance these interactions in the coordination and exchange of crucial clinical and technical information (Hoy & Frith, 2017). The objective can be attained by supporting and bringing together safe, effective patient care and efficient workflow.

The continued evolution of nursing informatics has a significant impact on communication in the health care organization. Communication between health professionals is simplified by informatics, and they can communicate more effectively through email, instant messages, or texts (Nagle et al., 2017). This, in turn, improves communication for health specialists to spend less time tracking each other down to communicate about their patients, hence improving the quality of care the patients receive.

References

Hoy, H., & Frith, K. H. (Eds.). (2017). Applied clinical informatics for nurses. Jones & Bartlett Learning.

Nagle, L. M., Sermeus, W., Junger, A., & Bloomberg, L. S. (2017). Evolving Role of the Nursing Informatics Specialist. Forecasting Informatics Competencies for Nurses in the Future of Connected Health, 212.

McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.

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I HAVE THIS EXTRA QUESTION FROM THE TEACHER

Question for Iraisy

COLLAPSE

Excellent post Iraisy  Let’s talk informatics savvy :-)..

How can I help my colleagues and patients understand and use the current technology that is available?

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The Health Care Scene: Contemporary Trends

 

 

 

As health care leaders, it is important to understand that health care is quite a dynamic field. Its constant changes are a result of continuing trends in regulation, policy, patient and provider advocacy efforts, as well as increasingly sophisticated technology and industry benchmarking guidelines.

For your assignment you review the possible topics for your Senior Project located in Week Five of your online course or in the “Components of Course Evaluation” section of this guide, and select the topic your training program will address. If you choose not to select a topic from the approved topic list, you must have your original topic approved by your instructor prior to submitting this assignment.

For this assignment, focus on a specific contemporary trend in health care and be sure to include all of the following influences:

 

  • Changes in client characteristics
  • Regulation of the health care industry
  • Reimbursement patterns and mandates
  • Restructuring of health care organizations
  • Impact of technology
  • Ongoing social and ethical factors

 

Address the information above as it pertains to your selected topic, in an eight to ten slide (excluding title and reference slides) PowerPoint presentation.

Your presentation should conclude with a summary describing the following concerns:

 

  • Overall, why should health care managers be aware of this change and trend?
  • What impact does this trend have on the stakeholder groups involved (e.g., patients, providers, administrators, third-party payers, legislators, etc.) for a specific organization specified (e.g., for profit, nonprofit, hospital, outpatient clinic, nursing home, etc.).

 

The information in this presentation will later be used as part of your Senior Project to set the context for the audience you select for a training program on the contemporary trend identified here.

Your presentation must include detailed speaker’s notes (i.e., at least 150 words) for each slide as well as a minimum of one to two scholarly sources from the Ashford University Library and one to two current, scholarly web sources.

Your presentation, and any citations used, must be in APA style as outlined in the Ashford Writing Center. Examples of scholarly web sources are available in this week’s recommended websites. These sources will also count toward the required sources for your Senior Project. Your presentation must be engaging and relevant to your audience. Lines of text on a slide will not be sufficient for this assignment. It should contain images, graphics, and/or multimedia that communicate your training program clearly to your audience. For tips on creating an excellent presentation, read this overview.

 

The Health Care Scene: Contemporary Trends

 

As health care leaders, it is important to understand that health care is quite a dynamic field. Its constant changes are a result of continuing trends in regulation, policy, patient and provider advocacy efforts, as well as increasingly sophisticated technology and industry benchmarking guidelines.

For your assignment you review the possible topics for your Senior Project located in Week Five of your online course or in the “Components of Course Evaluation” section of this guide, and select the topic your training program will address. If you choose not to select a topic from the approved topic list, you must have your original topic approved by your instructor prior to submitting this assignment.

For this assignment, focus on a specific contemporary trend in health care and be sure to include all of the following influences:

  • Changes in client characteristics
  • Regulation of the health care industry
  • Reimbursement patterns and mandates
  • Restructuring of health care organizations
  • Impact of technology
  • Ongoing social and ethical factors

Address the information above as it pertains to your selected topic, in an eight to ten slide (excluding title and reference slides) PowerPoint presentation.

Your presentation should conclude with a summary describing the following concerns:

  • Overall, why should health care managers be aware of this change and trend?
  • What impact does this trend have on the stakeholder groups involved (e.g., patients, providers, administrators, third-party payers, legislators, etc.) for a specific organization specified (e.g., for profit, nonprofit, hospital, outpatient clinic, nursing home, etc.).

The information in this presentation will later be used as part of your Senior Project to set the context for the audience you select for a training program on the contemporary trend identified here.

Your presentation must include detailed speaker’s notes (i.e., at least 150 words) for each slide as well as a minimum of one to two scholarly sources from the Ashford University Library and one to two current, scholarly web sources.

Your presentation, and any citations used, must be in APA style as outlined in the Ashford Writing Center. Examples of scholarly web sources are available in this week’s recommended websites. These sources will also count toward the required sources for your Senior Project. Your presentation must be engaging and relevant to your audience. Lines of text on a slide will not be sufficient for this assignment. It should contain images, graphics, and/or multimedia that communicate your training program clearly to your audience. For tips on creating an excellent presentation, read this overview.