Category: Nursing

of the role of an advanced practice nurse is to share knowledge gained with other professionals. All students in this course are required to submit their manuscript for publication to a peer-reviewed journal during their graduate studies. This means you will prepare a quality manuscript and query letter (if required according to authorship guidelines) and submit it by the end of the course. Students are responsible for searching potential journals for their manuscript to be published. This will guide the development of the manuscript with special attention to the required writing style (APA

chapter examines the circulatory system, heart, systemic circulation, and lymphatic system to establish a foundation for normal cardiovascular function. It focuses on the structure and function of various parts of the circulatory system to illustrate normal blood flow.
Chapter 23, “Alterations of Cardiovascular Function”

This chapter presents the pathophysiology, clinical manifestations, evaluation, and treatment of various cardiovascular disorders. It focuses on diseases of the veins and arteries, disorders of the heart wall, heart disease, and shock.
Chapter 24, “Alterations of Cardiovascular Function in Children”

This chapter examines cardiovascular disorders that affect children. It distinguishes congenital heart diseases from acquired cardiovascular disorders.
Pathophysiology of disease: An introduction to clinical medicine

This chapter begins by exploring the normal structure and function of the heart. It then examines the etiology, pathophysiology, and clinical manifestations of five heart disorders: arrhythmias, congestive heart failure, valvular heart disease, coronary artery diseas

This article provides information relating to the diagnosis and management of anaphylactic shock. It also explores difficulties encountered when diagnosing uncommon clinical presentations of anaphylactic shock.
Consider the following scenario:
A 16-year-old male presents for a sports participation examination. He has no significant medical history and no family history suggestive of risk for premature cardiac death. The patient is examined while sitting slightly recumbent on the exam table and the advanced practice nurse appreciates a grade II/VI systolic murmur heard loudest at the apex of the heart. Other physical findings are within normal limits, the patient denies any cardiovascular symptoms, and a neuromuscular examination is within normal limits. He is cleared with no activity restriction. Later in the season he collapses on the field and dies.
To prepare:
Consider how you would diagnose and prescribe treatment for the patient.
Select one of the following patient factors: genetics, ethnicity, or behavior. Reflect on how the factor you selected might impact diagnosis and prescription of treatment for the patient in the scenario.
Post a description of how you would diagnose and prescribe treatment for the patient in the scenario. Then explain how the factor you selected might impact the diagnosis and prescription of treatment for that patient.

Task:
The principles of social justice include access, equity, rights and participation. Discuss how nurses and/or midwives incorporate these principles into the health care of migrant and/or refugee women in Australia.

Preparation:

Read the question carefully and identify the key areas you need to address. Revise lectures and readings; post any questions on the discussion board under the relevant thread. When writing your essay ensure that you follow the three documents listed below as this is what your markers will be using:

The assessment task
The marking criteria/rubric
The  APA referencing guide
This is an academic essay of 1500 words (+/-10% i.e. 1350-1650 words). The word limit does NOT include the end-of-text reference list. Format your assessment with 1.5 line spacing, size 12 point Arial font and use page numbering. Complete the footer i.e. last name, first name, student number, unit code, assessment number. A minimum of ten evidence based references not more than 5 years old are to be used, use a combination of journal articles, textbook references and authoritative websites.

 

 

TOPIC

2. CHOOSE TRIPLE AIM

3. IDENTIFY BUSINESS PLAN FRAMEWORK

4. OVERVIEW OF TRIPLE AIM AND BUSINESS PLAN FRAMEWORK

5. HOW THESE TWO APPLY TO MY PROJECT

6. UTILIZE THREE (3) RESEARCH ARTICLES RELATED TO BUSINESS FRAMEWORK TO EXPLAIN HOW IT PERTAIN TO THE DEVELOPMENT OF MY PROJECT PROPOSAL BY INTEGRATING AN EXAMPLE TO SUPPORT IT

7. DEVELOP A BUSINESS PLAN/ANALYSIS FOR MY PROJECT:

A. INTRODUCTION WITH PROJECT DESCRIPTION
B. OVERVIEW OF FRAMEWORK
C. RATIONALE
D. EVIDENCE BASED RESEARCH
E. FINANCIAL ANALYSIS PERTINENT TO FRAMEWORK

8. EXECUTIVE SUMMARY: DISCUSS HOW THIS PARTICULAR PROJECT FITS INTO THE CURRENT HEALTH CARE ENVIRONMENT IN TERMS OF TRIPLE AIM (I.E. ACCESS, QUALITY AND/OR COST).
TOPIC:

The impact of nurse to patient ratios on patient safety and adverse outcomes

My goal is to improve or optimize the current process based upon data analysis using a different approach with continuous monitor of the process. The nurse to patient ratio have a tremendous impact on patient safety, satisfaction and outcomes. I truly believe that if the RN has more time to focus on clinical recovery of each one of his/her patients; he/she will have enough time to stay vigilant and prevent unexpected outcomes.
I truly believe that due to the nurse to patient ratio and not enough assistants (CNAs), nurses do not have the time to do their job placing patient’s safety and lives at risk.
THE TRIPLE AIM

Improving the patient experience of care and outcomes (including quality and satisfaction)

BUSINESS FRAMEWORK

Six sigma using the DMAIC methodology

SIX SIGMA DMAIC METHODOLOGY:

D= Define the system, the voice of the customer and their requirements, and the project goals
M= Measure key aspects of the current process and collect relevant data
A= Analyze the data to investigate and verify cause-and-effect relationships. Determine what the relationships are, and attempt to ensure that all factors have been considered. Seek out root cause of the defect under investigation.
I= Improve or optimize the current process based upon data analysis using techniques such as mistake proofing, and the creation of a new process.
C= Control the future state process to ensure that any deviations from the target are corrected before they result in defects with continuous monitor of the process.

INSTRUCTIONS

1. Select one of the three pillars of the IHI Triple Aim and identify a business case, cost analysis, or business plan framework applicable to their DNP actual/potential capstone project. Provide an overview of the element of the triple aim and framework with rationale (why and how it applies to the specific project). Utilizing a minimum of three research articles related to this particular framework, explain how this framework pertains to the development of your project proposal by integrating or using an example with your discussion.

• Select one of the pillars of the IHI Triple Aim
• Select a business framework
• Provide an overview of the triple aim pillar and framework
• 6-8 pages, double spaced, strict APA style

2. Utilizing the triple aim pillar and business plan framework identified before develop a business plan/analysis for your identified project. This proposal should include: introduction with project description; overview of framework; rationale; evidence-based research; financial analysis pertinent to the framework. Integrate into the executive summary a discussion of how this particular project ‘fits’ in the current health care environment in terms of triple aim (i.e. access, quality, and/or cost).

• Incorporate elements of part one into final paper
• Develop a business plan, or analysis for your identified project
• Incorporate evidence that supports use of this framework
• Develop an executive summary
• 10-12 pages, double spaced, strict APA style

GRADING RUBRIC

1. Assignment Triple Aim and Framework Paper (20%)
Participant will identify a business case/ cost analysis or business plan framework applicable to their DNP actual/ potential capstone project. Provide an overview of the framework with rationale (why and how it applies to the specific project). Utilizing a minimum of three research articles related to this particular framework, explain how this framework pertains to the development of your project proposal by integrating or using an example with your discussion. (6-8 pages, double spaced, APA style).
CRITERIA SCORE COMMENTS
• Business case/ cost analysis/ plan framework identified
o Clearly stated
o Concise
o Thorough
• Framework applicable to capstone
o Overview of capstone
o Rationale
o Why it applies
o How it applies
• Incorporated evidence-based research
o Minimum two articles
o Relate in discussion to framework & capstone
o Logical reasoning used to support using facts & evidence
• Utilized example to support
• Concluded with summary of discussion
o Thorough
o Concise/ clear
o Synthesis of evidence and discussion
• Focused
• Continuity/ flow in presentation of ideas
• Clarity…clear, logical
• Organization of Information
• Overall Style/ writing
• Compliance with APA format
• Met criteria (3-5 pages, double spaced, APA)
FINAL OVERALL SCORE/GRADE
(0-75 possible)
Score Guide: 0 = Does not meet criteria; 1 = Weak/ Slightly meets criteria 2 = Meets criteria; 3 = Exceeds criteria
2. Assignment Triple Aim and Framework Paper (30%)
Utilizing the triple aim pillar and business case/cost analysis or business plan framework identified before, develop a business plan/analysis for your identified project. This proposal should include: introduction with project description; overview of framework; rationale; evidence-based research; financial analysis pertinent to the framework. Integrate into the executive summary a discussion of how this particular project ‘fits’ in the current health care environment in terms of triple aim (access, quality, and/or cost) The final paper must be 10-12 pages, double spaced, APA style.

CRITERIA SCORE COMMENTS
CONTENT
Introduction/ Overview
• Project Description
• Framework Identified
• Clearly stated
• Concise
• Thorough
Rationale
Evidence-based Research
• Relate in discussion to project
• Logical reasoning used to support incorporating facts & evidence
• Summarized/ synthesized EBR
Financial Analysis pertinent to Framework
• Applies framework to capstone
• Incorporates critical framework components
• Develops business analysis/ plan based on framework
o Thorough
o Clear
o Concise
o Incorporates evaluation/ measurement
Executive Summary
• ‘Fit’/ Health Care Reform
• Clearly stated
• Concise
• Thorough
Overall
• Focused
• Continuity/ flow in presentation of ideas
• Clarity…clear, logical
• Organization of Information
• Overall Style/ writing
• APA format
• Met criteria (7 – 10 pages, double spaced, APA)

1. Annotated bibliography: (400 words)
– find 2 articles that will be used as resources in the essay. must be academic articles. write a summary with critical evaluation of each article.
– Include this information for each article: * full APA referencing style
* article summary (what topic is written about in the article, what is the aim of the article, what is the author’s position, what conclusions does the article make)
* critical evaluation (how/why this article useful the essay, what are the strengths and weaknesses of the article, what is your opinion of the article)
– 200 words per each article.
– summary of main ideas. paraphrasing. academic language, grammar.
– good explanation of the usefulness of the article. Both strengths and weaknesses are addressed well.
2. Discussion essay (1000 words)
– Ideas and content: accurate information, responds appropriately and precisely to the task, good analysis of the topic. development ideas, critical thinking.
– Structure/organisation: logical thesis statement and main points are clear. accurate format.
– Grammar, Research and Referencing need to be accurate, paraphrase and in-text citations.

please read the annotated bibliography (essay plan) which I will upload. please follow the plan and use that 2 references, the first reference not much cause and effect so not good. the second reference is good so please use more of that. please add at least 3-4 more references on top of that.

References requirement: 6
time: within 7 days
APA style
Word requirement: 1000 words

please use high standard academic writing skills.
provide accurate information.
please focus on causes and effects of post-natal depression.

The structure could be like some causes and then some effects, or one cause lead to one effect. or all causes lead to few effects.
prefer: some causes lead to some effects. ( for example, introduction, some causes and end up with some effects, conclusion) causes could be a little bit more words than effects or could be equal.

introduction, conclusion all needed.
each paragraph must have a topic sentence.

Responds appropriately and precisely to the task, with excellent analysis of the topic.
excellent development of ideas( highly developed ideas) which are well supported and relevant to the topic.
Essay is clear, perceptive and original and demonstrates understanding and critical thinking.

the purpose of this essay is to discuss causes and effects of post-natal depression so please follow the main idea of it.

3

Study Background information: The Sydney Community Hospital (SCH), , has provided general acute medical, surgical, obstetric and emergency services to the local community. Over the last 15 years the population of the area has increased significantly to include a much larger proportion of young families and a significant number of retirement villages with nursing homes attached. The hospital is no longer able to provide the range of services and care required to meet the needs of the community and the resources allocated.
To deal with these changes the Government has allocated resources to redevelop the hospital facilities and restructure the organisation to provide a focus on the health needs of the growing population and to provide a number of specialty services including cancer, paediatric, cardiovascular, renal services, trauma services, aged care and community services. The bed numbers will increase to 200, with an increase in the capacity for community clinics in the specialties.
� The Vision statement of the hospital is to �Provide positive health experiences for the community�
� The stated mission of the new, larger hospital is �to provide highest quality, specialist health care in partnership with patients, carers, the community at large and other health care providers�.
� The overall strategic goals of the new organisation are �to develop high performing, multidisciplinary teams within the specialist services in order to provide high quality, patient
centred care that is effective, efficient and able to respond to the changing health needs of the population�.
The existing hospital has a traditional, functional organisational structure but the management team is currently reviewing alternative organisational structures which might be better suited to the changing internal and external environments of the organisation and which have the potential to improve communication and collaboration across teams as well as accountability for resource utilisation, quality of care and patient outcomes.
Essay instructions:
After reading the case study above and using the course materials and essential readings, develop a short, critical essay style discussion paper. Within the essay, ensure that the following four (4) key points below are part of the discussion. � The advantages and limitations of the existing hospital organisational structure for the current health care environment and changing health needs of the population. � Suggest an alternative organisational structure that might be suitable for the new health service; describe the features of such a structure and identify how that structure might better facilitate the achievement of the new mission and strategic goals of the organisation. � Identify the key lines of authority and responsibility for achieving the overall organisational goals within the suggested structure (you may wish to compare this with the key lines of authority and responsibility in the previous functional structure). � Critically analyse the advantages and limitations of the suggested type of structure in relation to the changing health care environment and what the organisation wishes to achieve for patients, carers and the community.
This assignment requires you to read and critically analyse the material from Module 1 of the Unit Learning Modules and the Study Guide in order to understand organisations from the point of view of their purpose and what they aim to achieve (the vision, mission and strategic goals); how organisational structures provide lines of authority and responsibility for achieving the mission and goals and the advantages and limitations of the various organisational structures commonly used in health care. The analysis should critically examine the type of organisational structure that would be suitable for an organisation undergoing the described change and redevelopment and comment on the usefulness of that type of structure in helping the organisation to achieve the stated mission, strategy and goals.
In writing this critical discussion paper, it is important to: � read and interpret the information provided in the course materials; to question and evaluate that information; relate the theory to what happens in practice; � identify problems and possible solutions, develop an argument (or series of arguments) and support your suggestions and arguments with evidence from the literature and examples from the field.
The two primary aims of this type of critical reading, thinking and writing are to � analyse and evaluate the work of other people and � develop your own arguments (supported by evidence, specifically appropriate references).
Developing a critical approach to thinking allows you to assess information and to develop an informed opinion which can be supported by reliable evidence. It also enables you to interpret others opinions and have the ability to discuss issues in an informed and open manner.
Critical thinking means thinking carefully, questioning and testing what you hear and read, and being prepared to examine and, if necessary, change your beliefs and ideas.
Ensure that you cover all points on the marking sheet and that your critical discussion paper is structured to include an introduction, a number of paragraphs covering the key points of the assignment and a conclusion.
Please remember to: � write in clear, concise English, � avoid long lists or dot points and lengthy quotes and � use examples from the case study to demonstrate your understanding of the ideas and concepts from the literature.
You may wish to use headings to structure your assignment. Remember, all ideas and concepts drawn from textbooks, the literature or websites must be correctly acknowledged and referenced. For this first assignment it is not necessary to go beyond the Unit Learning Modules and the essential readings which have been supplied.

Respond to the assigned Discussion ( Acute Myocardial Infarction & Inflammatory Heart Disease) and give a complete and thorough answer
.Review the Discussion Question Rubric. Remember to cite one reference from the
A peer reviewed journal article ,Database Collection. Respond to at least two of your
colleagues’ answers and reference your responses. The grade on this discussion will be based on
your initial response to the discussion and two responses to your colleagues’ post. For each
response, cite a reference.
Discussion responses will generally be at least 200 words. All entries should use appropriate
grammar and follow general APA guidelines.

Write a scholarly paper comparing two nursing informatics pioneers. Synthesize your thoughts using the bullets below as your level one headings:

1-What are the professional accomplishments of each individual?

2 How have their contributions influenced nursing practice?

3.How have their contributions shaped the field of nursing informatics?
4.What lessons can you take away from their experiences?
5.What skills or ideas demonstrated by these leaders might you apply to your professional practic

The Nurse Leader/Manager and Impact on Clinical and System Outcomes Paper
• This assignment provides the student the opportunity to identify a specific leadership theory, briefly describe the theory, link the role of the nurse leader/manager to the theory and discuss the impact of the nurse leader/manager on patient and organizational outcomes.

Write, using APA style, a 3-4 page written narrative (will not be accepted if more than 5 pages, excluding title page, reference page, and any appendices):
Title: The Nurse Leader/Manager and Impact on Clinical and System Outcomes
Role functions
• Describe a general overview of the role functions of a nurse leader/manager
• Explain briefly, how these roles are incorporated into the identified leadership theory
Leader/Manager Impact
• Discuss how a nurse leader/manager can impact outcomes, not only for the patient and family, but for the organization as well.
• Describe a leader in your organization that you would consider to be a transformational leader. Briefly describe the characteristics of this leader that sets the person apart. (I work at the Veterans Affairs hospital if that helps in any way)
Scholarly writing is expected (see below).
Be attentive for grammar, spelling, typographical, and APA formatting errors.
You are not required to use resources outside the ones listed in this module. However, the use of additional library resources will add to your understanding.