DEVELOPING ORGANIZATIONAL POLICIES AND PRACTICES

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Due Sunday by 10:59pm Points 100 Submitting a text entry box or a file upload
Attempts 0 Allowed Attempts 2

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(https://waldenu.instructure.com/courses/80551/modules/items/2436554)

Competing needs arise within any organization as employees seek to meet their targets and leaders
seek to meet company goals. As a leader, successful management of these goals requires establishing
priorities and allocating resources accordingly.

Within a healthcare setting, the needs of the workforce, resources, and patients are often in conflict.
Mandatory overtime, implementation of staffing ratios, use of unlicensed assisting personnel, and
employer reductions of education benefits are examples of practices that might lead to conflicting needs
in practice.

Leaders can contribute to both the problem and the solution through policies, action, and inaction. In this
Assignment, you will further develop the white paper you began work on in Module 1 by addressing
competing needs within your organization.

To Prepare:

DEVELOPING ORGANIZATIONAL POLICIES
AND PRACTICES

RESOURCES

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.

WEEKLY RESOURCES (https://waldenu.instructure.com/courses/80551/modules/items/2436568)

Review the national healthcare issue/stressor you examined in your Assignment for Module 1, and
review the analysis of the healthcare issue/stressor you selected.
Identify and review two evidence-based scholarly resources that focus on proposed policies/practices
to apply to your selected healthcare issue/stressor.
Reflect on the feedback you received from your colleagues on your Discussion post regarding
competing needs.

The Assignment (1-2 pages):

Developing Organizational Policies and Practices

Add a section to the 2-3 page paper you submitted in Module 1. The new section should address the
following in 1-2 pages:

Identify and describe at least two competing needs impacting your selected healthcare
issue/stressor.
Describe a relevant policy or practice in your organization that may influence your selected
healthcare issue/stressor.
Critique the policy for ethical considerations, and explain the policy’s strengths and challenges in
promoting ethics.
Recommend one or more policy or practice changes designed to balance the competing needs of
resources, workers, and patients, while addressing any ethical shortcomings of the existing policies.
Be specific and provide examples.
Cite evidence that informs the healthcare issue/stressor and/or the policies, and provide two
scholarly resources in support of your policy or practice recommendations.
Due to the nature of this assignment, your instructor may require more than 7 days to provide you
with quality feedback.

Submit your revised paper.

Before submitting your final assignment, you can check your draft for authenticity. To check
your draft, access the Turnitin Drafts from the Start Here area.

1. To submit your completed assignment, save your Assignment as
WK3Assgn_LastName_Firstinitial

2. Then, click on Start Assignment near the top of the page.

BY DAY 7 OF WEEK 3

SUBMISSION INFORMATION

dis

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Evidenced-based practice in healthcare utilizes the current best and most relevant research, clinical experience, and patient/family valued preferences to deliver healthcare that not only improves patient experiences, but also provides better quality care for the patient and empowers clinicians, which leads to increased job satisfaction (Melnyk & Fineout-Overholt, 2023). While research clearly shows the benefits of evidence-based practice, there are a multitude of barriers that stand in the way of it becoming the standard of care such as: the lack of knowledge pertaining to evidence-based practice, lack of belief that this will result in more positive outcomes, overwhelming patient loads, and resistance to change just to name a few. Overcoming these barriers is necessary to move from practices based on outdated research in order to be able to provide better and safer healthcare.

Utilizing evidenced-based practice within the scope of my nursing license promotes lifelong learning and continuously improved nursing practice. My hospital has recently implemented bedside shift report for nurses, which has been shown to improve patient satisfaction and safety. Bedside shift report allows me to visualize both the patient and the surroundings in addition to communicating the plan of care to the patient. Initially, there was much resistance to changing the process of our shift report. Some nurses reported overwhelming patient loads (e.g. “I have to give report to 4 different nurses”) as a reason for which they struggled to do bedside report. After much encouragement from peers and leaders, the transition to bedside shift report has improved nursing accountability and teamwork. Visualizing all of my patients first thing in the morning allows me to ensure accuracy of the report and prioritize care.

References

Melnyk, B. M., & Fineout-Overhold, E. (2023). 
Evidence-Based Practice in

Nursing & Healthcare (5th ed). Lippincott Williams & Wilkins.

Nursing NUR 435 Week 4 Assignment: Organizational Structures in Nursing

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You have been promoted to nurse manager of your unit. You realize that to function effectively, you must have a better understanding of your organization’s structure and, specifically, the chain of command.

Find and analyze the organizational chart of the healthcare organization you are currently working for or for one that you have encountered in your nursing experience.

  • Give a brief description of the organization of the healthcare structure used in your facility.
  • Describe the chain of command used in your organization and identify the people you report to and those who report to you.
  • Consider the following and discuss how the chain of command is used to implement change.
    • Based on the organization chart, what leadership structure is used in the organization—hierarchical or flat?  How does this affect implementing change?
    • Does this organization use a shared governance model for nursing?
    • When nurses have an idea for changing a process and they make a decision as a group, where do they go with their suggestions? (the director? the unit manager?)
  • Explain why understanding this information is important to your success.

APA format.

Step 3 Save and submit your assignment.

Chapter 3: Healthcare Reform and in the United States

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Using what you learned in Modules 1-3 up to this point, discuss 3 key elements you think should be a part of US Healthcare reform.  Since we do not know at this point whether the ACA will remain or will be repealed and replaced, what are 3 key elements that should remain or be introduced into US healthcare reform legislation? 

For example, children up to the age of 26 being able to remain on their parent’s health insurance or mandates that everyone have healthcare.  These are only examples, feel free to discuss any key elements from the readings or your own research.  This assignment should be a maximum of 2 paragraphs in length and should be your own original thought.  Please cite any sources you used in a standard format (e.g. APA or MLA).  Purdue’s Online Writing Lab (OWL) can help with cited and writing.  You can find OWL at https://owl.english.purdue.edu/owl/section/2/ . The rest of your submission should be 2 paragraphs (no more then 5 sentences in a paragraph!) on the 3 key elements you chose that should remain or be introduced as discussed above.   Remember do not simply state your opinion; explain your rationale for your opinion. Be sure to write properly for an academic audience (review syllabus guidelines).

Grading Rubric:
Submission reflects college level writing. Clear effort is made with sentence structure, word choice, grammar and punctuation. (4pts)

Post discusses 3 key elements of reform and clearly indicates the students perspective supporting it with rationale. (4pts)

Student cites references (2pts)

body language

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Analyzing Body Language

Assignment

Required Resources

Read/review the following resources for this activity:

· Textbook: Chapter 7, 8

· Lesson 3

· APA style manual

· Citation and Writing Assistance: Writing Papers At CU

· Library Overview

· How to Search for Articles – the Everything Tab

Instructions

Social Movements are only as important as the person leading them. The person(s) leading a social movement must have charisma and be able to captivate an audience. Political scientists and historians are taught to analyze body language, especially during debates and speeches.

For this assignment, you will watch Dr Martin Luther King's

I Have a Dream
speech and a

speech by Alicia Garza of the Black Lives Matter movement
and answer questions listed below. Pay special attention to the following aspects in the two speeches.

· Importance of body language while delivering the speech.

· Gestures, cadence and delivery style.

Answer the following: 

1. Provide a summary of the two speeches.

2. Compare Dr. King's leadership, charisma, power and passion to capture his audience to Alicia Garza's speech. What are the similarities, if any? What are the differences, if any?

3. How does the location of the speeches support their messaging? Dr. King's speech was held in a church and at the Lincoln Memorial, whereas today we have social networking and more avenues to relay messages. Does messaging make a difference?

4. Describe how the audience in Dr. King's speeches relate to the Alicia Garza's audience. Do you see a similarity or differences in the speeches and in the audience?

Requirements

· Length: 2-3 pages of substantive content

· 12 pt font

· Parenthetical in-text citations included and formatted in APA style  

· References page (a minimum of 2 outside scholarly sources plus the textbook and/or the weekly lesson for each course outcome) . 

· Title and introduction pages are present.

Theoretical and Scientific Foundations of Nursing

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EXPLORING EBP QUALITY IMPROVEMENT

thorectical clinical Advanced Pathophysiology

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Sample Outline for Concept Analysis Paper

See chapter 3 in McEwen and Wills. Use the method by Walker and Avant Box 3-1 ( p 60

I. Title Page: Select one of the following topics

a.
Advanced Practice Competency: A Concept Analysis

b.
Diversity in Nursing: A Concept Analysis

c.
Social Determinants of Health: A Concept Analysis

Format Outline(s)

II. Introduction (
Using Walker and Avant)

a. What is the concept selected-state and define the terms

b. Aims or purposes of this analysis-why are you doing the analysis?

c. Discuss all possible uses of the concept briefly-how is the concept used in different contexts, examples and then how are you using it for this paper

d. Determine the defining attributes-regardless of where it exists, what are the common identifiers that the person has this characteristic

e. Identify a model case-Use the attributes you’ve identified and highlight them in a case. A case that is hypothetical, from a text, or that you have experienced in practice.

f. Identify a borderline case and contrary case-what is a case that is something like the model case, but misses some attributes

g. Identify antecedents and consequences-what happens before the concept instance is identified; what happens as a result of acquiring it?

h. Define empirical referents- how do you know that what you are seeing is really it? How would you measure it? Or know that you are reserving it?

Math

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Basic Statistics Data Used in Everyday Life

Discussion

Required Resources

Read/review the following resources for this activity:

· OpenStax Textbook: Chapter 1

· Lesson 1 Reading

· Minimum of 1 scholarly source AND one appropriate resource such as the textbook, math video and/or math website

In your reference for this assignment, be sure to include both your text/class materials AND your outside reading(s).

Initial Post Instructions

1. Present two different types of data, or variables, used in the health field. Examples could be blood pressure, temperature, pH, pain rating scales, pulse oximetry, % hematocrit, minute respiration, gender, age, ethnicity, etc.

2. Classify each of your variables as qualitative or quantitative and explain why they fall into the category that you chose.

3. Also, classify each of the variables as to their level of measurement–nominal, ordinal, interval or ratio–and justify your classifications.

4. Which type of sampling could you use to gather your data? (stratified, cluster, systematic, and convenience sampling)

Follow-Up Post Instructions

Respond to at least one peer. Further the dialogue by providing more information and clarification.

Your responses to other students can explain additional analyses that could be done with the variables they selected. Consider confounding variables, discrete or continuous data, the effects of outliers, etc.

Course Outcomes

CO 1: Given scenarios supported by population data, apply sampling techniques and explain potential pitfalls and bias in data collection.

CO 2: Given datasets with qualitative and quantitative data, differentiate between the types of data and how they can be applied in statistical studies for everyday life.

**Remember to use the Chamberlain Library (

https://library.chamberlain.edu/home
) to research scholarly resources to provide evidence in your discussions and cite your references at the end of each post. Your initial post is encouraged by 11:59 pm MT Wednesday, and your one follow-up post is due by 11:59 pm MT Sunday.**  

pn 2 concept map

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T.J., a 30-year-old African American client, is in his last year of law school and is clerking for a prestigious law firm. He and his fiancé plan to marry as soon as he graduates. During the last week he has had four dizzy spells and a headache at the base of his skull upon awakening for the last 2 days. His father has a history of hypertension, so T.J. is aware that his symptoms may indicate high blood pressure. On his way home from work, T.J. stops by the clinic and asks the nurse to check his blood pressure. The nursing assessment yields the following data.

Subjective data: States he has had four dizzy spells and has awakened with a headache in the occipital lobe the last two mornings. T.J. has 1 glass of wine at lunch and 2-3 beers in the evening to relax from the tension of school and work. Most of his meals are at fast-food establishments and have a high fat content. T.J. does not smoke. He used to jog 4 mornings a week but quit when he started clerking. He has had nocturia for the last 3 weeks. He is not taking any medication. T.J. states he is concerned about having hypertension because he does not want to take medication.