Category: Nursing

Create a clinical log-in in XL format with the descriiption and log in the hours with the descriiption on the attached sheet.

Over the years, healthcare providers have strived to improve the way they provide care for patients who identify as LGBTQIAP+. In some cases, a provider makes the decision to seek out both social and clinical education to provide the best level of care to this patient demographic. Other times, a provider may be instructed to comply with institutional guidelines which they may agree or disagree with. For this discussion, you will debate the topic of a hospital publicly announcing a position on healthcare for the LGBTQIAP+ community. Review the scenario below for details:

Write a 3- to 5-page paper about how your state’s practice act encourages or discourages quality and effective patient care for a patient with comorbid conditions.
Consider this case:
A 35-year-old African-American male reports trouble with sleep for over 3 months. He has trouble both falling and staying asleep. He has increased his drinking habits at night to try and increase his sleepiness before bed. He states he is drinking 1–2 beers every night before bed. He also states he has a history of depression that was successfully treated with Prozac for 4 years. He has not been on medication for the last 24 months and states that his depression has been somewhere from a 1–2 on a 0–10 scale with 10 being the worst. He denies SI/HI, and A/VH. However, he does state an increase in anxiety when he does not sleep. He states he feels fidgety and out of it during the day. His vitals for today’s visit are:
9
HR72
1BP47/82
R20
Wt192
Ht5’9”
BMI: 28
Your paper should include:
Title page (APA)
Introduction to your state’s NP practice (Alabama)
Discussion of how the NP practice laws in your state affect patient care
Specific case and how it is affected by your state’s practice act
Conclusion
Include at least three scholarly articles, in addition to your textbooks.
1. Psychiatric-Mental Health Nursing: Scope and Standards of Practice
Edition: 3rd (2022)
2. American Nurses Association, Nursing Knowledge Center
Book ISBN: 978-1935213796
3. Diagnostic and Statistical Manual of Mental Disorders: DSM-5
Edition: 5th (2013)
Paper must be in APA format including, reference page, cover page, in-text citations, and overall paper format.

Assess the New York-Presbyterian health system’s readiness for change using Bolman & Deal four frame model (with more focus on Human Recourses frame), and develop an initial plan to enhance the system’s openness to change.

I need a Nurse Practitioner experienced or Medicine? to Answer this Question. Use APA style, with year 2015 and above references year published.
References links below, or you can find in American Heart Association, or in American College of Cardiology. I also attached some Lecture files if may help.
https://doi.org/10.1161/CIR.0000000000001029
chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/https://www.acc.org/~/media/Non-Clinical/Files-PDFs-Excel-MS-Word-etc/Guidelines/2018/Guidelines-Made-Simple-Tool-2018-Cholesterol.pdf

Assignment Instructions
Review the American Nurses Association (2021) definitions and concepts related to competence:
“A competency is an expected level of performance that integrates knowledge, skills, abilities, and judgment. Knowledge encompasses thinking, understanding of science and humanities, professional standards of practice, and insights gained from context, practical experiences, personal capabilities, and leadership performance. Skills include psychomotor, communication, interpersonal, and diagnostic skills. Ability is the capacity to act effectively. It requires listening, integrity, knowledge of one’s strengths and weaknesses, positive self-regard, emotional intelligence, and openness to feedback.” (American Nurses Association, 2021, p. 146).
In this paper, you will need to provide an explanation for how you have achieved the following key nursing competencies: patient-centered care, professional identity, spirit of inquiry, and nursing judgment. Additionally, you will address how you achieved the following competencies in your work in the program as you move into the final course of the program: NUR250 M7.5 Nurse Competencies Paper Writing Template.docDownload NUR250 M7.5 Nurse Competencies Paper Writing Template.doc
Here are the competencies to address:
Competencies:
Use of a caring holistic approach to provide and advocate for safe quality care for patients and families in an environment that values the uniqueness, dignity, and diversity of patients. (Patient-centered care)
Apply the nursing process to make nursing judgments, substantiated with evidence to provide safe, quality patient care across the lifespan. (Nursing Judgment)
Use of principles of management and delegation to implement plans of care with members of the interprofessional team to achieve safe, quality patient outcomes. (Professional Identity)
Apply principles of leadership and interprofessional collaboration to improve patient outcomes. (Professional Identity)
Integrated evidence-based findings and technology into the provision of patient-centered nursing care for patients. (Spirit of Inquiry)
Use specific detailed examples to explain and support how you achieved the competencies of patient-centered care and nursing judgment. (Spirit of Inquiry)
References
Provide a separate reference page with all sources cited within the text.
Use APA format (7th Edition) to cite any external sources used in the paper.
The paper must be in APA format and include at least 3 professional peer-reviewed resources dated within the last 5 years.
Writing
Use clear, concise writing that communicates meaning to the reader.
Consider using Grammarly by signing up for a free account at www.grammarly.comLinks to an external site.
Here is an outline to help you draft your paper along with a template. Click the link to download the template:
(Remove all instructions within the template before submitting your paper, otherwise, you will receive a high Turnitin score.)
Submit to the Canvas assignment dropbox via Turnitin (see Submission Guidance below).
Evaluation
Please review the Nurse Competencies Paper Rubric Download Nurse Competencies Paper Rubric prior to submitting your work.
This activity is used to assess an end-of-program student learning outcome (EPSLO) for the associate degree in nursing. You will see additional row(s) at the bottom of your rubric from your instructor along with assessment levels of Proficient/Competent/Advanced Beginner/Novice for each EPSLO. These rows do not factor into your grade.
Formatting Considerations
The paper must:
Follow APA format.
Be double-spaced.
Be approximately two to three pages in length (not counting the title page and reference section).
Have a title page that includes the paper title, your name, and the course number.
Include at least 3 professional peer-reviewed resources dated within the last 5 years.
Helpful Resources – click the links to navigate to these helpful pages in the Excelsior University Online Writing Lab (OWL)
Excelsior University OWL – Grammar EssentialsLinks to an external site.
Excelsior University OWL – Avoiding PlagiarismLinks to an external site.
Excelsior University OWL – Citation & DocumentationLinks to an external site.
Submission Guidance
This course has Turnitin® fully integrated into the course dropbox. Compose your work in a .doc or .docx file type using a word processor (such as Microsoft Word, etc.) and save it frequently to your computer.
Check your work and correct any spelling or grammatical errors. When you are ready to submit your work, click “Upload Submission.” Enter the submission title and then click on “Select a file to upload.” Browse your computer, and select your file. Click “Open” and verify the correct file name has appeared next to Submission File. Click on “Continue.” Confirm submission is correct and then click on “Accept Submission & Save.” 
Turnitin®
As part of your learning experience, you are provided access to a plagiarism prevention service called Turnitin. Using Turnitin serves as a learning experience and an opportunity to correct any areas in your papers involving plagiarism or improper citation. 
Once submitted, your assignment will be evaluated by Turnitin® automatically. You will be able to view an Originality Report within minutes of your first submission that will show how much of your work has been identified as similar to other sources such as websites, textbooks, or other student papers.
Use your Originality Report as a learning tool to identify areas of your assignment that you may not have cited appropriately. 
The overall match can be no higher than 15%, with any match no higher than 2%.
You may resubmit your assignment through dropbox as many times as you need to check to see if you have made improvements, until the due date of the assignment. However, once you have made your first submission, you will need to wait 24 hours after each subsequent submission to receive a new Originality Report. Plan accordingly as you draft your assignment. Once the due date has passed, your assignment submission will be considered final.
You should only submit your assignments to dropbox within the assignment area. Please do not submit your assignment directly to Turnitin.com.

Part I: Analyze Organizational Financial Data
For this part of the Final Assessment, you will conduct a 5-year analysis of Jiranna Healthcare’s outpatient operational and financial data in order to determine whether or not the capital project is an attractive project. Refer to “Jiranna Finances” for financial statements to analyze.
Prepare a 2- to 3-page financial analysis including a supporting Excel spreadsheet to show your work. The focus must be on the content and the depth of your analysis. Unless otherwise indicated, a 5-year trend analysis is expected.
Complete your analysis as follows:
Calculate the 5-year net sales, operating expenses, operating income, and net income of Jiranna Healthcare. Once the calculations are complete, interpret the resulting data and explain the significance of the trend results.
Calculate the 5-year total profit margin, asset turnover, return on assets, and return on net worth. Once the calculations are complete, interpret the resulting data and determine the company’s profitability.
Calculate the 5-year current ratio, day’s cash on hand, and working capital. Once the calculations are complete, interpret the resulting data and assess the company’s liquidity.
Calculate the 5-year debt ratio and times interest earned ratio. Once the calculations are complete, interpret the resulting data and explain the company’s long-term solvency.
Complete a DuPont analysis for each of the five most recent years. Once calculations are complete, interpret the resulting data and determine the company’s individual DuPont characteristics (e.g., total margin, total asset turnover & equity multiplier) and trends across the analysis period.
Ultimately a decision has to be made. Would you recommend the capital project to Jiranna Healthcare? Explain the rationale for your decision.
Part II: Conduct an Operating Indicator Evaluation
For the next part of the Final Assessment, you are expected to complete a number of calculations, and then interpret the numbers to provide recommendations based on these analyses. It is essential both to show your work and calculation using current technology like Excel Workbook, and to demonstrate how these calculations support your conclusions. Be sure to explain your reasoning. You will be assessed on the accuracy of your quantitative analyses and the quality of the evidence you use to support your conclusions.
Imagine that you are an administrator at Jiranna Healthcare who has been asked to analyze cash-flow data to determine the costs and benefits of implementing a new capital project. For background, read “Capital Project Case Study.” Then, complete the “Capital Project Case Study Spreadsheet”, which provides cash-flow data (costs and benefits) for the proposal. Download and save the Excel spreadsheet in your working Excel Workbook, and use the information provided to complete the following:
Calculate the cash inflows and outflows for each year.
Evaluate the capital project by calculating the following metrics:
Net present value (NPV)
Internal rate of return (IRR)
Modified internal rate of return (MIRR)
Payback period
Discounted payback period
In a 1- to 2-page report including a supporting Excel spreadsheet to show your work, provide your recommendation with rationale, as to whether the project is acceptable, assuming Jiranna Healthcare has a corporate policy of not accepting projects that take more than 3.5 years to pay for themselves, and assuming an 11% cost of capital.
Part III: Conducting a Budgeting Evaluation
You are an administrator at Jiranna Healthcare. You have been asked to conduct a budget variance analysis: analyzing performance by comparing budgeted workload, revenue, and expenses for a range of different service lines, with actual workload, revenue, and expenses for those service lines.
Open the document “Variance Analysis Case Study,” where you will find data on the expenses, revenue, and outpatient product lines at Jiranna Healthcare.
Analyze the data and prepare a 3- to 4-page report including a supporting Excel spreadsheet to show your work. In your report, address each of the five following questions. In each case, show the calculations that you conducted to answer the question. Then, explain your conclusion and how your calculations support your reasoning.
What was Jiranna’s original profit forecast (assume away any issues with depreciation, taxes, etc.)? Halfway through the fiscal year, what is the hospital’s revised projection for FY21 profits?
Which outpatient service lines are over budget? Which outpatient service lines are over budget after accounting for workload increases?
What two actions would you recommend be taken at the mid-year point if you oversaw a fee-for-service healthcare organization? In other words, where are the problem areas on which you would focus your attention, and who might provide ideas for “best practices” based on their performance?
What two actions would you recommend be taken at the mid-year point if you oversaw a capitated healthcare organization? In this case, the revenue spreadsheet would be replaced with an overall budget of $50 million with which to operate (rather than being able to bill for each episode of patient care). Federal, state, county, and city healthcare organization normally operate under a capped budget. Additionally, many HMOs also operate under a fixed per member, per month (PMPM) capitated process.

Identifying Potential Community Partners Discussion
Now that you have identified what community you will work with and what problem you want to address in that community, begin to do some research on what organizations exist to address the problem(s) you are considering in your identified community. As this project requires you to partner with a community organization, knowing what is available could help you decide what problem to address if you are still deciding.
Use this discussion board to share with your classmates the potential community partners available for the problem(s) you are considering. Your post should be a conversational, informal sharing of thoughts and organizations.
In your post make sure you share the name of the community partner and a website link for them.
You can also share:
basic information about their focus
your thinking behind identifying them as a potential partner for this project
what you are looking for in a community partner for this project/your criterion for evaluating the potential community partners
pros and cons of partnering with the organization
next steps toward partnering with that organization
You are not required to include all the information listed above for each potential community partner.
This discussion is intended to give you the opportunity to think through the potential community partners available and what you need from your community partner for this project. Sharing with your peers gives you the chance to see what your classmates are thinking for their project and share insights you might have that would help.
For this discussion, you are required to post a reply to one of your peer’s post. Any thoughts about their plans? Any suggestions that you can provide to assist them? Hearing someone else’s thoughts can help make your own thinking evolve. This is an informal sharing of ideas, you are welcome to cite sources, but it is not required.
– This Salvation Army is my first partner that I want to work with for these neighborhoods
I went to the Salvation Army shelter located at 45 Ashlyn Dr. SE., Concord, NC 28025
I interviewed Katelyn Ford, the case manager for the individuals who come to the shelter.
– This shelter is roughly 20 minutes from the neighborhoods I have assessed
– This is no longer an emergency shelter like it used to be.
–
– It opens at 6 PM every night, and then they leave at 8 AM every morning.
– I realize that once they leave the shelter at 8 AM every morning, they need a place to stay during the day.
– later on, I discovered that some of them stay at the library or some go and find any place where they can stay before they return at 6 PM
– the community free clinic is my second partner that I have chosen to work with.
– I went to the community free clinic located at 528 Lake Concord Road NE A
Concord, NC 28025
– I was able to interview a nurse manager, Karen Choni, RN BSM
– this clinic started 30 years ago, and they have a couple of doctors who work with them
– this clinic is only open four days a week, Monday through Thursday
– For qualified patients, don’t pay anything to receive care at this clinic.
– The patients who are not qualified use a low-income calculation, and they are still treated.
Links for more information about what these Community partners do for the neighborhoods
https://communityfreeclinic.org/
https://southernusa.salvationarmy.org/cabarrus-stanly

Step 2
Step 2: Answer the discussion prompts below with explanation and detail.
Paragraph one: Discuss one quality and safety issue you observed while watching the video and explain the impact of this issue.
Paragraph two: Discuss how the role of technology helped or hindered the quality and safety issue you identified.
Paragraph three: Discuss one information and communication technology policy that should be enacted to prevent the selected quality and safety issue.
References: Provide complete references for all citations.

Write up your Part 2 review of the literature with your 5 articles. Cite any sources in APA format.
Click on the link for assignment details and to complete the Week 2 Assignment.
Please organize your literature matrix using the following format NUR 640 Literature Review Matrix.docx
I have put a copy of my week 1 assignment in the box below and the week 2 assignment requires information. please follow the directions
thanks for taking my paper.