Category: Nursing

How have your life and professional experiences prepared you for the WGU B.S. Nursing Prelicensure program? 
-Previous experience : Been a nurse for 10 yeas and currently serves as a licensed practical nurse for Dept of VA
-Educational background: Acquired a Master’s in Healthcare Administration and recently Certified in Remote Patient Monitoring for Home Telehealth
-Community involvement : Volunteer at various community outreach programs for veterans. Providing resources, establishing rapport and developing local partnerships
How can the WGU nursing program prepare you to deliver and/or support healthcare to the community in which you live? 
-I will be able to use new skillset to provide advanced care to high acuity patients and further facilitate policy changes in VA healthcare.
Tell us about the characteristics, abilities, and skills you would bring to the nursing profession. 
-Electronic Health Record Management
-Dedication and Patience
-Critical Thinking
-Collaboration
Reflect on your decision to become a nurse and tell us about any concerns that surfaced and how you overcame those concerns.  
-I became a nurse to fulfill my purpose of helping those in need. A concern I had while pursuing this goal was work/life balance because the commitment would require a lot of researching, studying and clinical time. I overcame my work/life balance concern by establishing a schedule and accepting support from peers, family and friends.

You have been given the opportunity to create a compelling media message about a current issue facing the nursing profession. Describe what it means to create a socially responsible media message.

Changes in culture and technology have resulted in patient populations that are often well informed and educated, even before consulting or considering a healthcare need delivered by a health professional. Fueled by this, health professionals are increasingly involving patients in treatment decisions. However, this often comes with challenges, as illnesses and treatments can become complex.
What has your experience been with patient involvement in treatment or healthcare decisions?
In this Discussion, you will share your experiences and consider the impact of patient involvement (or lack of involvement). You will also consider the use of a patient decision aid to inform best practices for patient care and healthcare decision making.
To Prepare:
Review the Resources and reflect on a time when you experienced a patient being brought into (or not being brought into) a decision regarding their treatment plan.
Review the Ottawa Hospital Research Institute’s Decision Aids Inventory at https://decisionaid.ohri.ca/Links to an external site..
Choose “For Specific Conditions,” then Browse an alphabetical listing of decision aids by health topic.
After you have chosen a topic (or condition) and a decision aid, consider if social determinants of healthLinks to an external site. were considered in the treatment plan Social determinants of health can affect a patient’s decision as these are conditions in the patient’s environment, such as economic stability, education access, health care access and quality, neighborhood, and social and community context.
NOTE: To ensure compliance with HIPAA rules, please DO NOT use the patient’s real name or any information that might identify the patient or organization/practice.
Post a brief description of the situation you experienced and explain how incorporating or not incorporating patient preferences, social determinants of healthLinks to an external site., and values impacted the outcome of their treatment plan. Be specific and provide examples. Then, explain how including patient preferences, social determinants of health, and values might impact the trajectory of the situation and how these were reflected in the treatment plan. Finally, explain the value of the patient decision aid you selected and how it might contribute to effective decision making, both in general and in the experience you described. Describe how you might use this decision aid inventory in your professional practice or personal life.
(Please Note: The underlined “social determinants of health” in the above content is meant to hotlink to the following Walden webpage and content:
Social Determinants of Health – Social Determinants of Health – Academic Guides at Walden Links to an external site.University)

Hi, writer; please see the attachment. Could you proofread, edit and add two more peer-reviewed references? You may go to www.apna.org to get more information on APNA membership and benefits. Please try and keep this discussion post within 3 paragraphs.

Assume you are a nurse manager on a unit where a new nursing documentation system is to be implemented. You want to ensure that the system will be usable and acceptable for the nurses impacted. You realize a nurse leader must be on the implementation team.
To Prepare:
Review the steps of the Systems Development Life Cycle (SDLC) and reflect on the scenario presented.
Consider the benefits and challenges associated with involving a nurse leader on an implementation team for health information technology.
The Assignment: (2-3 pages not including the title and reference page)
In preparation of filling this role, develop a 2- to 3-page role description for a graduate-level nurse to guide his/her participation on the implementation team. The role description should be based on the SDLC stages and tasks and should clearly define how this individual will participate in and impact each of the following steps:
Planning and requirements definition
Analysis
Design of the new system
Implementation
Post-implementation support
Use APA format and include a title page and reference page.
Use the Safe Assign Drafts to check your match percentage before submitting your work.
REQUIRED READING:
Louis, I. (2011, August 17). Software development life cycleLinks to an external site. (SDLC) [Video file]. Retrieved from https://www.youtube.com/watch?v=xtpyjPrpyX8
McGonigle, D., & Mastrian, K. G. (2022). Nursing informatics and the foundation of knowledge (5th ed.). Jones & Bartlett Learning.
Chapter 9, “Systems Development Life Cycle: Nursing Informatics and Organizational Decision Making” (pp. 191–204)
Chapter 12, “Electronic Security” (pp. 251–265)
Chapter 13, “Achieving Excellence by Managing Workflow and Initiating Quality Projects”
Agency for Healthcare Research and Quality. (n.d.a). Health IT evaluation toolkit and evaluation measures quick reference guideLinks to an external site.. Retrieved January 26, 2022, from https://digital.ahrq.gov/health-it-evaluation-toolkit
Agency for Healthcare Research and Quality. (n.d.b). Workflow assessment for health IT toolkitLinks to an external site.. Retrieved January 26, 2022, from https://digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit

(5 slides plus the agenda)
In this two-part deliverable assessment, first, create a 5–7 slide elevator-speech style presentation that you will present to stakeholders that provides an overview of policy implementation, including rationale and data that reflect the need for the new policy. Second, create a detailed, annotated training agenda for the pilot team that will accompany your presentation.
In this assessment, inform the leadership stakeholders of a planned pilot project to test the implementation of your new policy. Describe the policy in an elevator-speech style, explain why the policy is needed, and why the group was chosen for the pilot. Then, develop a detailed training agenda that will describe the training needed, including any resources, number and times of classes (including length) and if there will be any skills training and return demonstrations or written exams. Connect the pilot to the benchmarks you will measure. As a result of this presentation, stakeholders are expected to:
Understand the organizational policy and practice guidelines to be implemented.
Understand the importance of the policy to improving quality or outcomes.
Understand how the designated role group is key to successful implementation.
Have awareness of the necessary knowledge and skills for successful implementation.
Elevator Speech Presentation
Record a 5-minute recorded slide presentation for your elevator speech. Be sure to include:
A brief description of the policy and why it is necessary to improve benchmark metrics or comply with new regulations.
Include a description of the pilot group and why they were chosen to demonstrate the change in workflow and improve quality of care.
Describe the metrics that will be used to determine current practice and compare it after the training has ended.
Summarize the training implementation.
Annotated Training Agenda
You will also develop an agenda for the training sessions, including:
Length and number of class sessions.
Location of classes—simulation lab, classroom, et cetera.
The resources needed for the courses, any teaching staff, equipment, technology, or supplies needed.
What teaching strategies will be employed to measure learner success, including any check-off lists or written exams (you do not have to provide the actual exam)?
How will employees be scheduled and who will maintain records of completion, any grades, or skills verification?
Any credit that will be provided to the staff (that is, continuing education credits).
Plans to train the rest of the staff and new employees following the pilot.
The follow-up plan for assessing sustainability.

Please answer the following PICO question (75-100 words). Cited per APA (7th ed) and comment on the post in general. I attached the rubric. Please use references only from the last 5 years.
PICO question related to mental health:
(P) In adolescents diagnosed with depression (I) does cognitive behavioral therapy (C) compared to pharmacological treatment (O) lead to greater improvement in depressive symptoms?
Type of Question: According to Gallagher Ford and Melnyk (2019), PICO questions aim to identify the terms to search for the best evidence to answer a clinical question. PICO questions are used as a search strategy (Gallagher Ford & Melnyk, 2019). PICO questions allow for unbiased and effective searches for the questions posed (Gallagher Ford & Melnyk, 2019).
Sources for Best Evidence: CINAHL, MEDLINE, and PsychINFO would be the best sources for my PICO question. CINAHL and MEDLINE examine healthcare issues across different disciplines (Melnyk & Fineout-Overholt, 2019). PsychINFO examines psychological, behavioral, and health sciences (Melnyk & Fineout-Overholt, 2019).
Levels of Evidence: According to Melnyk and Fineout-Overholt (2019), levels of evidence rank evidence by the type of design or research methodology that would answer the question with the fewest errors. Level I evidence is generated from systematic reviews or meta-analyses of all RCTs or evidence-based clinical practice guidelines and is the most substantial level of evidence to guide clinical practice (Melnyk & Fineout-Overholt, 2019)
References
Gallagher Ford, L., & Melnyk, B. M. (2019). The underappreciated and misunderstood PICOT question: A critical step in the EBP Process. Worldviews on Evidence-Based Nursing, 16(6), 422–423. https://doi-org.ezproxy.utica.edu/10.1111/wvn.12408
Melnyk, B. M., & Fineout-Overholt, E. (2019). Evidence-based practice in nursing and healthcare: A guide to best practice (4th ed.). Wolters Kluwer.

I just need the outline. Please follow the outline layout, which is provided in the attachment. Each outline should be a page and a half
READ: Obligation Nine – Support the Teaching of Civics
READ: Obligation Ten – Put Country First

lease complete the following questions in your reflective journal: Meets Module SLOs 1, 2, 3, 4 & 5
After completing the Sentinel U: Patient Management and Delegation Level 3-
First while looking at the report sheets- what do you glean to know you have a low, medium, or high acuity patient?
While looking at the report sheets, what tells you an expert nurse needs to do something? The nurse with a medium amount of experience needs to do something.
While looking at the report what tells you if I was taking care of this patient I need to see them right out of the report because of?
What helpful suggestions can you as a charge nurse or nursing manager provide a new staff nurse to improve time management with a patient assignment? (Use your suggested reading for suggestions to improve time management: Leis, Sheila J., and Amanda Anderson. 2020. “Time Management Strategies for New Nurses.” American Journal of Nursing 120 (12): 63. doi:10.1097/01.NAJ.0000724260.01363.a3. ).
Describe the workload tool used where you have practiced to efficiently meet the patient staffing needs. If you are not currently working as a nurse, find a tool online and describe it. (See Chapter 8 in your textbook).
Calculate the nursing care hours per patient-day (NCH/PPD) based upon the same number of patients (10) staying for 24 hours and during the 0700-1500 shift, 3 RNs and 1 nursing assistant (NA); 1500-2300 shift, 3 RNs; 2300-0700 shift, 2 RNs, and 1NA. The formula is NCH/PPD = Nursing hours worked in 24 hours divided by Patient Census. Where nursing care hours per patient day is (NCH)/PPD.
How does the nursing care hours per patient day formula compare to other workload measurement tools you discussed in question 2?
Review the staffing and scheduling policy where you currently work and explain it in a short summary. If you are not currently working as a nurse, find a policy online and use it to answer the question. (See Chapter 8 in your textbook). Explore the American Nurses Association statement regarding nursing staffing advocacy, https://www.nursingworld.org/practice-policy/nurse-staffing/nurse-staffing-advocacy/Links to an external site. and determine if the policy you reviewed meets the state minimum staffing guidelines for the state you currently work- does your state have guidelines? Why or why not?
Short case: The outpatient surgical unit is experiencing various unfinished nursing care, including patient teaching, review of current medications and reconciliation of the medications, and emotional support for the patient and family. There has been an increase in hospital-acquired infections and medication errors. The patient satisfaction scores have declined. Staff state they are feeling stressed and feel they don’t have enough time to complete everything that needs to be done in a timely manner. The facility is at the proper staffing ratios. There are some new nurses hired recently. In nursing management, what is a possible solution to improve the completion of needed nursing care and to improve the satisfaction of the patients? (Use your assigned reading articles to address the question: Bryant, S., & Yoder, L. (2021). Implementing the Lean Management System to Influence Unfinished Nursing Care. MEDSURG Nursing, 30(3), 181–217. and Al-Abri, R. K., & Al-Hashmi, I. S. (2007). The learning organization and health care education. Sultan Qaboos University medical journal, 7(3), 207–214).
Describe the nursing budget model used at the facility where you currently work. What are the budget goals? What plans have been made to carry out the goals for the place you work in the budget? (If you are not currently working use the provided budget to discuss: El Camino Hospital FY 19 Budget- https://www.elcaminohealth.org/sites/default/files/migrated-content/page/3436/body-pdf-Board-FY2019-Budget.pdfLinks to an external site.

***Complete 2 of the 3 tools you selected using information from the QI case***
1. Focus Group (understand the current process)
2. Fishbone diagram/cause & effect (identify root causes)
3. Pareto Analysis (data display)
***Add an interpretation of the findings of the root causes and/or a summary of the data display or analysis depending on which QI tools you select***
Background:
QI Process
The Lean Six Sigma model would be the best QI process to address the increased fall rates in the rehabilitation unit. Quality is a secondary effect since the Lean model primarily focuses on eliminating wasteful processes (Livesay et al., 2020). However, the Six Sigma model in combination with the Lean model identifies and targets various issues contributing to falls and addresses shortcomings within current practice by reducing variations in care techniques to improve quality (Duquette, 2023). The five steps that make up the framework of the Lean Six Sigma model are: define, measure, analyze, improve, and control (DMAIC) (Takao et al., 2017). In the case of the fall rates QI project, the ANP must first define the problem and identify the needs of the staff and patients (Takao et al., 2017). The primary objective is reducing fall rates by streamlining care delivery amongst RNs and CNAs in the rehabilitation unit. Measurement within the Lean Six Sigma model involves collecting baseline data on the priority issues within the rehabilitation unit (Takao et al., 2017). Measurements should be delineated based on the relationship between the unit RNs and CNAs to analyze the data more easily. 
After collecting baseline data, the ANP will analyze the data to identify the direct causes of the problems leading to increased fall rates and prioritize the importance of the problems (Takao et al., 2017). The ANP must assess data that applies to both the RNs and CNAs working in the rehabilitation unit, such as understanding and awareness of functional ability, variability in care, and environmental barriers to adequate care (Loftus et al., 2015). After analyzing the baseline data, the ANP will present, implement, and measure the efficacy of solutions to the problems causing increased falls (Takao et al., 2017). Per Loftus et al. (2015), these improvements, which are intermittently trialed to evaluate the efficacy, should address the initially defined problem and data points analyzed during the analysis step. Based on the efficacy of the trialed improvements, the ANP will implement unit-wide processes and guidelines to ensure long-term fall prevention compliance (Takao et al., 2017).
References
Duquette, C. (2023). Quality improvement models and frameworks for excellence. In M. Joshi, E. Ransom, S. Ransom & D. Nash (Eds.), The healthcare quality book: Vision, strategy, and tools (5th ed.) (pp. 33-43). Health Administration Press
Livesay, S., Zonsius, M., & McNett, M. (2020). Evaluating data to guide care delivery: Quality improvement methods and implementation science. In M. McNett (Ed), Data for nurses (pp. 59-84, focus on pp. 70-77), Elsevier. https://doi.org/10.1016/B978-0-12-816543- 0.00005-4
Loftus, K., Tilley, T., Hoffman, J., Bradburn, E., & Harvey, E. (2015). Use of six sigma strategies to pull the line on central line-associated bloodstream infections in a neurotrauma intensive care unit. Journal of Trauma Nursing, 22(2), 78-86. https://doi.org/10.1097/JTN.0000000000000111
Takao, M. R. V., Woldt, J., & Bento da Silva, I. (2017). Six Sigma methodology advantages for small- and medium-sized enterprises: A case study in the plumbing industry in the United States. Advances in Mechanical Engineering, 9(10), 1–10. https://doi.org/10.1177/1687814017733248