Analyze organizational vision, mission, culture, and strategy relative to the external environment.

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Conduct a five part organizational analysis of a health care organization of your choosing. There is no page limit for this assessment; provide as much detail and information as possible in a direct and concise way.

Note: The assessments in this course build upon each other. Therefore, you are strongly encouraged to complete them in the order in which they are presented.

This assessment challenges you to articulate how an organization can best implement the Affordable Care Act to optimize outcomes.

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

Competency 1: Analyze organizational vision, mission, culture, and strategy relative to the external environment.
Analyze the environmental factors, including the Affordable Care Act, that affect the success of a health care organization.
Analyze outcomes relative to the organizational directional strategy.
Identify gaps in desired versus actual organizational performance.
Propose evidence-based recommendations to close gaps identified in the organizational assessment.
Competency 2: Assess personal leadership competencies relative to the organizational need.
Describe the critical success leadership competencies needed to achieve organizational outcomes.
Competency 5: Communicate in a manner that is scholarly, professional, and consistent with expectations for professionals in health care administration.
Writes coherently, concisely, logically, and with strong support from relevant professional resources, in an appropriate format, with correct grammar, usage, and mechanics as expected of a health care administration professional.

Evaluate the foundational concepts of Holism and Holistic Nursing knowledge and skills in professional nursing practice.

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Assessment

Comprehensive Self-Assessment and Self-Reflection

This Competency Assessment assesses the following outcome(s):

NU419-4: Evaluate the foundational concepts of Holism and Holistic Nursing knowledge and skills in professional nursing practice.

The self-reflection/self-assessment Assignment in this course will provide you with the opportunity to meet the recommendation set forth in the Holistic Nursing Certification Examinations Handbook for Candidates and Application.

Directions

In this Assignment, you will use self-reflection and self-assessment methods to describe how you have integrated holistic nursing principles into your professional practice.

View page 23 of the Holistic Nursing Certification Examinations Handbook for Candidates and Application. Develop your self-assessment/self-reflection statement according to the following guidelines.

AHNCC. (n.d.). Holistic Nursing Certification Examinations Handbook for Candidates and Application. Retrieved from http://www.ptcny.com/pdf/AHNCC.pdf

  1. Reflect on a situation that occurred in your professional practice within the last year in which you applied concepts of holistic nursing and related research and assess the impact it had on you as a professional.

 

How can you improve health outcomes?

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The focus of this assignment is upon how the four pillars facilitated a successful implementation and change of improving sleep within the Intensive Care Unit .
Demonstrate critical awareness by reflecting on the role transition towards advanced practice through personal, professional and academic development.Draw on drivers for advanced practice, multi-professional Framework, any policy documents that support advanced practice development and rationalisation, this will be your Introduction/background, 500-750 words,using up to date references.
Critically evaluate the issues underpinning health and social policy to a specified client group I(Critical Care Patients).
Introduce your change idea & rationalization for it – keep it small, (SMART) perhaps have a read through guidelines that your interested in & identify a recommendation that is not implemented particularly well. This can be a change directed at patients or staff – ultimately the end goal will be the same.
The research pillar – should be largely covered in your rationalisation for change as this embeds evidence based practice. But you will weave it within other pillars also.
Have a conceptual understanding to allow for a critical evaluation of how their advanced nursing practice role can improve health outcomes, applying research to argue for alternative approaches.
This is ultimately building from your leadership pillar, remember to be critical. How can you improve health outcomes? What barriers exist? What levers can you use– be aware the UK literature is likely to be a little light, look for advanced clinical practice as well as nursing. If you are going to other countries for research articles are they comparable to the health systems of your workplace. Are they comparable? Is the context similar? Look for different models of care perhaps.
500 – 1000 words
Harvard referencing
Use arial 11 or 12 point font 1.5 line spacing
Add page numbers

Is Afro Caribbean diet a contributing factor for the development of type 2 diabetes in Grenada West Indies?

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Question:Is Afro Caribbean diet a contributing factor for the development of type 2 diabetes in Grenada West Indies?
Aim:1.To investigate the dietary intake of Afro Caribbean men and women in Grenada that increases their risk of developing type 2 diabetes.
2.To critically review relevant literature on how dietary intake of Afro Caribbean men and women in Grenada can predispose them to type 2 diabetes.
3.To provide recommendation regarding diet modification to help reduce the incidence of men and women in Grenada developing type 2 diabetes.
Objectives
1.search databases for inclusion and exclusion criteria to meet the aim of the study.
2.Search the database for relevance on diabetes type 2 specific to Afro Caribbean men and women in Grenada
3.Use appraisal tools relevant to the study.
Rapid evidence assessment
Critical appraise the topic.
Describe briefly whether CASP or other appraisal tools will be used.
PICO MODEL
Population
Intervention
Comparison
Outcome
Table of the following
Inclusion and Exclusion criteria
Criteria. Inclusion. Exclusion
Criteria. Criteria
Date
Origin and Language
Type of Publication
Topics
Use of particular data bases for literature review such as: EBSCO
CINAHL
Medline
Mesh medical
Pubmed
Mention all search strategies and limitation use of PRISMA diagram must be included.
Mention use of Boolean operators
Academic databases only
Reference:Harvard
State methodology
The main rapid evidence assessment must include
Introduction
Methods
Result s
Discussion
Conclusion
References
Appendices

Describe the population/sample that was studied. Were there any restrictions/stipulations on who could participated in the study?

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Select a research article that entails ORIGINAL research on utilization of evidence-based practices using informatics for quality improvement in mental health clients.
Analyze the components of a research article and describe the impact it has on the nursing profession.
Instructions:

Please copy and paste the article to the assignment document or provide a direct link to the article. The article must entail documentation that shows that original research was conducted. For example, the authors set up the research and conducted a study; then reported their findings. The article should not merely include a summary about research that was conducted by others. It must detail information about research that was conducted by the authors of the article that was selected.

Assignment

Select a research article that entails ORIGINAL research on utilization of evidence-based practices using informatics for quality improvement in mental health clients.
What is the main question/problem presented in the research study related to informatics and quality improvement of mental health? In other words, what are the researchers hoping to find out while conducting this study?
Describe the population/sample that was studied. Were there any restrictions/stipulations on who could participated in the study? Describe what those restrictions/stipulations were:
Describe any measures that were put in place to ensure the research study participants remained safe during conducted research. Discuss why these are important:
Answer if the article included a quantitative or qualitative design. How did you determine this?
What were the results/findings of the study?
How do you feel these results could impact nursing practice and the patient population in the future?
Do you feel it is important research findings are incorporated into healthcare? Explain why or why not. How will you stay informed of research findings as a future RN?
Example of Format:

Student Name:

Research Study and Purpose

The research study that I chose……. The problem or question that was addressed in this study was….

Participants, Restrictions, Safety and Design

The population used in this study were selected from ……. There were the following restrictions put in place during this study…. One safety measure that was implemented was…. The design was (quantitative or qualitative) indicated by…….

Results of the Study and Impact on Practice

The results of the study showed….. However, these factors need for further investigation to make sure the results are reliable.

Personal Implementation of Research

In my career I plan on implementing evidence based research into my practice by …..

Describe a time spirituality was important in your life or that of someone you love or cared for (e.g., family member, friend, patient).

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Ticket to class:
• Place in dropbox prior to the start of class
• No single word responses (at least 100+ words in each response)
• Give examples
• Cite resources
• Give the questions some thought and answer honestly
• Number your answers to correspond with the question
• Worth 12 points / 5%
Questions:
1. Describe a time spirituality was important in your life or that of someone you love or cared for (e.g., family member, friend, patient). Why was it meaningful in that situation?
2. What would you do if a patient asked you to pray with them or read the Bible or another holy book, he/she might have at the bedside? How would this request make you feel? Would you experience any conflict if you were a different faith than the patient? Explain your answer.
3.There is something called scripting which is having something written and memorized for difficult situations. Write a prayer or spiritual message you could use in the above situation. Explain why you chose those words

Identify and describe the age-related changes that impact on pharmacokinetics (Absorption, Distribution, Metabolism & Excretion)

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2000 words +/- 10% (excluding references) Markers will stop reading at the maximum allowable word count
Referencing: At least 5 high quality, current resources (published within the last 5 years), integrated in CDU APA 7th style
Relevance: High quality aged care is dependent on a holistic and integrative approach to patient assessment and care planning. Assessment three is designed to meet the learning outcomes: 1,2,3,4,5,6

Instructions
For assessment three read the following case study and supplementary documentation and respond to the following questions:
You are working in a general practice (GP) clinic as a registered nurse. Your next patient is Mr Alexander Kumar and his Wife Sarah. Alexander is 85 years of age and is the main carer for his wife who has dementia. Alex has not attended the clinic for himself in over 3 years, but normally attends with his wife for regular check-ups.
When Alex and Sarah arrive, you notice that Alex is limping and both Alex and Sarah look underweight. You also notice that both their clothes look a little dirty, which is unusual for them. When you read their medical file, you note that they have no services in place and their children all live interstate. When you ask Alex, what has brought him in, he tells you he has a wound on his leg which he has been dressing at home for three months, but it is not getting better. Alex tells you he hasn’t seen a doctor about his leg earlier as he can no longer drive and finds it difficult to catch public transport with his wife, who sometimes becomes agitated and upset.

1. Aged care services and interdisciplinary care
Identify and discuss aged care services and interdisciplinary referrals that you would make as a registered nurse to promote Alex and Sarah independence. Provide a rationale for the services you have selected and link this to the case study.
2. Age related changes and Patient assessments
Identify five body systems you would like to assess with specific linkage to the case study. Provide a description of the assessment and possible age-related changes (specific to the body system) that the patient may be experiencing and how this is impacting on the patient’s quality of life.
Identify five different assessments (not body systems) you would perform on Alex and link these assessment to the case study. With each assessment provide a rationale as to why you would perform this assessment.
3. Medication management
Examining the patient’s medication history answer the following questions:
Identify and describe the age-related changes that impact on pharmacokinetics (Absorption, Distribution, Metabolism & Excretion)
The older person is vulnerable to adverse drug events. Identify and describe what factors in the case study increase the risk of an adverse drug event.
For each medication describe what the medication is used for and any potential complications that Alex may experience while taking this medication.
4. Reflection
Reflecting on the case study evaluate the impact of your own personal experiences and beliefs on how you would feel in this situation.

Explain how systems thinking would inform your improvement plan for the specific transition of care you selected.

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Assignment (5–6 pages, not including title and reference page):
Write a paper in which you address the following:
Identity your selected example of a transition of care.
WRITERS CURRENT APPROVED TRANSITION OF CARE IS – Focusing on transition from hospital to nursing home/rehab
Area of focus is improving family involvement and communication in the transition of care from hospital to skilled nursing facility rather than only communicating with and notifying the patient.
Describe the key stakeholders that might be involved in this transition of care and the leadership strategies you would use to engage and influence them.
Explain how you, as a nurse leader along with your healthcare team, would apply systems thinking when providing a transition of care aligned with the IHI Quadruple Aim framework in order to improve it. Explain the fourth aim and strategy you would use and why.
Explain how systems thinking would inform your improvement plan for the specific transition of care you selected.
Five references to use include –
Allen, J., Hutchinson, A., Brown, R., & Livingston, P. (2018). User Experience and Care for Older People Transitioning from Hospital to Home: Patients’ and Carers’ Perspectives. Health Expectations, 21(2), 518–527. https://doi.org/10.1111/hex.12646
Gitlin, L. N., & Wolff, J. (2012). Family involvement in care transitions of older adults: What do we know and where do we go from here? Annual Review of Gerontology and Geriatrics, 31(1), 31-64. https://doi.org/10.1891/0198-8794.31.31
Jeffs, L., Law, M., Straus, S., Cardoso, R., Lyons, R., & Bell, C. (2013). Defining Quality Outcomes for Complex-Care Patients Transitioning Across the Continuum Using a Structured Panel Process. BMJ Quality & Safety, 22(12), 1014–.
Samal, L., Dykes, P., Greenberg, J., Hasan, O., Venkatesh, A., Volk, L., & Bates, D. (2016). Care Coordination Gaps Due to Lack of Interoperability in The United States: A Qualitative Study and Literature Review. BMC Health Services Research, 16(1). https://doi.org/10.1186/s12913-016-1373-y
Setter, S., Corbett, C., Neumiller, J., Gates, B., Sclar, D., & Sonnett, T. (2009). Effectiveness of A Pharmacist–Nurse Intervention On Resolving Medication Discrepancies for Patients Transitioning from Hospital to Home Health Care. American Journal of Health-System Pharmacy, 66(22), 2027–2031. https://doi.org/10.2146/ajhp080582
Witt, S., Hoyt, J., Witt, S., & Hoyt, J. (2020). Nursing Homes Vs Home Care | What’s the Difference & How to Choose. SeniorLiving.org. Retrieved 24 September 2020, from https://www.seniorliving.org/compare/nursing-home-vs-home-care/

Discuss the different types of intelligence and why this stage in development falls into Erik Eriksons period of generativity vs stagnation

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1. Discuss the different types of intelligence and why this stage in development falls into Erik Eriksons period of generativity vs stagnation
2. Compare and contrast generativity and stagnation in middle transitions
3. Discuss the importance of health and lifestyle during the middle adulthood years
4. Explain how relationships with both parents and children transition during middle adulthood
*include 3-5 reference to support research

Describe the knowledge, skills and attitudes of the nursing profession.

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Annotated Bibliography #1uidelines for Annotated BibliographyCourse Outcome #3 Describe the knowledge, skills and attitudes of the nursing profession.Course Outcome #4 Recognize how self-awareness of personal values, knowledge and competencerelate to the practice of nursing.From the CINAHL Literature Search assignment previously completed, choose two articles, each ofwhich you must relate to one of the various nursing concepts you are studying in this course. Note: Ajournal article does not include editorials or regular features/columns.ANNOTATED BIBLIOGRAPHY #1: From the literature search assignment, choose one of the articlesand write an annotated bibliography of that article. An annotated bibliography is a condensed review ofthe information provided in the body of the article. The instructions below will help you to write anappropriate annotated bibliography. An example will be provided. The faculty will then provide youwith feedback of your assignment.ANNOTATED BIBLIOGRAPHY #2: . From the literature search assignment, choose a different articleand write an annotated bibliography of that article. The difference in this assignment is that you mustinclude a third paragraph addressing the feedback and how you made corrections.Instructions for writing the annotated bibliography:1. Include a header with the student’s name and indicate which annotated bibliography (#1 or #2).2. Write a brief summary of the article (two or three paragraphs).3. Discuss how the information n the article might inform your practice of nursing.4. Limit the length to one double-spaced page. Any part of the annotated bibliography on a secondpage will not be read and will likely result in a loss of points. On the second page is where youwill address any feedback faculty provided and how you made changes on the secondannotated bibliography (this applies to annotated bibliography #2 only).5. Cite the journal article as a reference in APA format.6. Assignment needs to be submitted online in Canvas.