Category: Health Care

Research the history of the problem behind the recommendation and what has been done to try to solve the problem. Consider: What do the stakeholders recommend should be done? Are there any groups, nursing and others, currently supporting work to implement policy changes?
Prepare a Policy Brief:
Summarize the problem and why your audience should care about this issue
Examine the current status in the health policy arena
•Analyze the background to this issue
• Appraise the history of the problem behind the recommendation and what has been done to try to solve the problem. What do the stakeholders recommend should be done? Are there any groups, nursing and others, currently supporting work to implement policy changes?
. Recommend a policy change
Analyze the impact of the recommendation from the perspective of consumers, nurses, other health professionals, and additional stakeholders
Elaborate on the potential economic benefits of the recommendation you have selected and how the recommendation may contribute to controlling health
care costs. Final conclusions.
• Detail resources used to create the policy brief
Summarize the problem and why your audience should care about this issue. Examine the current status of the selected problem in the health policy arena.
Analyze the background of this issue. Appraise the history of the problem behind the recommendation and what has been done to try to solve the problem. Detail what the stakeholders recommend should be done.
Recommend a policy change
Analyze the impact of the recommendation from the perspective of consumers, nurses, other health professionals, and additional stakeholders.
Elaborate on the potential economic benefits of the recommendation you have selected and how the recommendation may contribute to controlling health care costs.
Detail resources used to create the policy brief

Preparing the Assignment The National Committee for Quality Assurance (NCQA) was formed to ensure the quality of patient care and measurement of patient outcomes with set standards. Healthcare Effectiveness Data and Information Set (HEDIS) is a performance measurement tool used by millions of health insurance plans. There are 6 domains of care: SELECT ONE Effectiveness of Care Access/Availability of Care Experience of Care Utilization and Risk Adjusted Utilization Health Plan Descriptive Information Measures Collected Using Electronic Clinical Data Systems You may access the 6 domains of care by clicking this link: (NCQA, n.d. https://www.ncqa.org/hedis/Links to an external site.) As an APN, productivity will be an important measurement for the practice to determine reimbursement and salary. Fee-for-service practices will require a set number of patients per day to maintain productivity. A capitated practice will require the APN to have a large panel of patients but also will focus on controlling costs. This can be accomplished through effective primary care that is accessible, convenient for the patients, and has a method of measuring the quality of care. Write a formal paper in APA format with a title page, introduction, the three required elements below, conclusion, and reference page. You are now employed as an NP in primary care. Choose one performance measure from one of the six domains of care, i.e. Adult BMI Assessment, Prenatal, and Postpartum care, etc. Develop three different patient interventions for that one performance measure and how you would specifically implement the intervention and measure the outcomes for that particular performance measure in clinical practice. How would these primary care interventions result in improved patient outcomes and healthcare cost savings? How can these interventions result in improved NP patient ratings? For week three paper, you will write from the perspective as a primary care NP. Choose ONE of the following six (6) domains of care. Effectiveness of Care Access/Availability of Care Experience of Care Utilization and Risk Adjusted Utilization Health Plan Descriptive Information Measures Collected Using Electronic Clinical Data Systems From your selected domain, create, build three (3) different patient interventions. Within each intervention you develop, be sure to address how you will measure outcomes in the primary care practice. As you develop these critical elements of the paper, be sure with each intervention to consider the following two questions: How would these primary care interventions result in improved patient outcomes and healthcare cost savings? How can these interventions result in improved NP patient ratings?

A 50-year-old white female presents to the emergency room with complaints of increased chest congestion with purulent sputum production for the last 3 days. The patient reports she has had some increased dyspnea and is using her albuterol inhaler which isn’t helping her symptoms. The patient reports a history of tobacco use for last 10 years and a history of COPD which was diagnosed last year. The patient reports that her primary care provider ordered another medication for the COPD but she couldn’t afford it. The patient denies fever. The patient’s vital signs: BP 148/90, pulse 108, respirations 22, O2 sat 92%, and temp 98.1F. Chest x-ray reveals hyperinflation with flattened diaphragm but is without effusions or infiltrates Instructions: Develop a 1- to 2-page case study analysis, examining the patient symptoms presented in the case study. Be sure to address the following: Explain pulmonary pathophysiologic processes of why the patient presents these symptoms. Explain how the pulmonary pathophysiologic processes interact to affect the patient. This criterion is linked to a Learning OutcomeExplain any racial/ethnic variables that may impact physiological functioning. Please use APA format and Make sure to use 2 peer-reviewed journal articles (nursing or medical) <5 years for current research and 2 scholarly references. (FOUR references in total)

According to leadership expert and motivational speaker John C. Maxwell, “a leader is one who knows the way, goes the way, and shows the way. Anyone can steer the ship, but it takes a leader to chart the course. Leaders who are good navigators are capable of taking their people just about anywhere.” Leadership behavior has a profound impact on nurse work-related well-being and environment. The increased pressure due to global staff shortage and high turnover rates have severe consequences on the physical and psychological health of staff and on patients’ safety. Effective leadership is paramount in creating healthy and productive workplaces. Poor leadership and lack of autonomy have been shown to contribute to nurse burnout and underproductive behaviors influencing poor patient outcomes (Kohnen et al., 2024). Key insight to note is that, too many times leaders focus on the financial gains and power as opposed to providing security and compassion to subordinates. Someone who possesses excellent communication skills, emotional intelligence, humility, empathy, integrity, direct and exhibits a positive energy is one that can lead by example and be successful. There are various types of leadership styles that have both pros and cons. The transformational leader and the situational leadership are two types that have piqued my interest with my favorite being transformational because I value people and I do not see anyone has expendable. Transformational leadership style is described as creating relationships and motivation among staff. These leaders typically can inspire confidence, show staff respect and they communicate loyalty through a shared vision, resulting in increased productivity, strengthen employee morale, and job satisfaction (Sfantou et al., 2017). Likewise, Iqbal, Fatima & Naveed (2019) reiterate that transformational leadership is a process through which leaders and followers raise one another to higher levels of morality and motivation. It has surfaced as one of the most important leadership styles fostering higher levels of commitment. This leadership style focuses on the value of staff empowerment. It is perceived that empowered employees are motivated to perform at the highest level and exhibit a higher commitment to achieving organizational goals. In healthcare, this leadership style is widely adapted and has proven to be effective in raising the bars on patient care and safety. When I think of real-life examples of transformational leaders, I think of Oprah Winfrey and Jeff Bezos who have demonstrated the ability to inspire and motivate others to achieve exceptional outcomes hence driving their organization to success. Our work environment is constant with unforeseeable changes and outcomes, making situational adaptability very important. Situational leadership means adapting leadership styles to unique situations or tasks to meet the needs of the team. Situational leadership style is essential in managing specific conditions when needed and can prioritize needs. This model offers different leadership styles directing, coaching, supporting /facilitating, and delegating which creates movement, builds relationships, and inspires peak performance. For example, during a cardiac arrest, the situational leader can leverage the individual team members skills to influence a better outcome for the patient (Alshammari et al., 2024). From a nurse manager’s perspective, it is pertinent to consider the point of view of employees, situation factors, and organizational goals. This further emphasizes the importance of situational leadership in nursing to yield healthy work environments and optimal patient outcomes. In real life, the best examples of situational leaders are sporting coaches who will always need to make changes and play strategies according to individual team approaches. In conclusion, the success of any organization is dependent on effective leadership. They play a key role in shaping the culture, strategy, and performance of their teams. Leaders through varying styles who communicate effectively, build strong relationships, manage conflicts, and inspire their teams to achieve their goals will drive their organization to success. References Alshammari W., Alshammari, A. & AlShammari, T et al. (2024). Situational leadership style in nursing management in critical care units. Journal of Population Therapeutics and Clinical Pharmacology, 31(2), 08–26. https://doi.org/10.53555/jptcp.v31i2.4288 Iqbal, K. Fatima, T. & Naveed M. (2019). The impact of transformational leadership on nurses’ organizational commitment: a multiple mediation model. Eur J Investig Health Psychol Educ10(1), 262-275. doi: 10.3390/ejihpe10010021. Kohnen, D., De Witte, H. & Schaufeli, W.B. et al. (2024). Engaging leadership and nurse well-being: the role of the work environment and work motivation – a cross-sectional study. Hum Resour Health 22. https://doi.org/10.1186/s12960-023-00886-6Links to an external site. Maxwell, J. (n.d.) Leadership quotes. https://www.inc.com/peter-economy/44-inspiring-john-c-maxwell-quotes-that-will-take-you-to-leadership-success.html Sfantou, D., Laliotis, A., & Patelarou, A. et al. (2017). Importance of leadership style towards quality of care measures in healthcare settings: a systematic review. Healthcare (Basel) 5(4). doi: 10.3390/healthcare5040073.

Main Post Mastering adapting effective leadership within a nursing organization is key to building a team that rises to the increasingly demanding healthcare environment. Transformational leadership is shown to scientifically be the most successfully recognized leadership style in healthcare (Ystaas et al., 2023). In this approach, leaders collaborate with teams to identify areas where major changes are needed and work with the team to create a vision and achieve goals which make it a powerful way to boost employee satisfaction, engagement, and performance. Transformational leadership shines in fostering a culture of innovation and resilience within nursing teams. A key insight is that nurses, empowered by a supportive leader, are more likely to contribute fresh ideas and advocate for improved patient care (Collins et al., 2020). As a long-standing ER nurse myself, along with my team, would become increasingly frustrated with seeing the same repeat chronic condition patients who would return with the same ailments and we felt we weren’t effectively addressing the root causes. Our manager at the time, Sarah, was a transformational leader and acknowledged our complaints and frustrations. She facilitated brainstorming sessions with us, along with the hospital’s social work team and encouraged open discussions and honest answering. She was able to recognize our individual strengths and assigned us tasks to come up with numerous ways to help address the root causes of these patients’ return visits. Sarah worked with our team to create a triage form that was able to identify these high-risk patients that would tag targeted patient education on managing their chronic conditions and each week a charge nurse would be assigned to make phone calls to the patients’ primary physician to ensure they were aware of the numerous visits and treatment. Sarah was able to use transformational leadership to create nurse driven solutions which allowed the staff to feel valued and heard, the patients were receiving more comprehensive care and the ER itself became more collaborative and innovative in the care given. Transformational leaders excel at creating a psychologically safe space where nurses feel comfortable admitting mistakes and learning from them. According to Raso, (2021) transformational leaders set the tone and role model behaviors, when psychological safety is present, team effectiveness and performance are improved and often predicted. I spent my first few years in nursing under the supervision of Cinda, a transformational leader, but I was new and unaware of any leadership styles, just that we were encouraged to always speak up without any concern of mistrust or retaliation. During report one evening a nurse I was working with revealed administering an incorrect medication dosage but was so scared and nervous as she was new in our department and had worked in an extremely different environment prior. Even though I was new, I was able to explain how Cinda ran the department with such a foundation of trust and understanding of the human connection. I took her to Cinda and was able to watch how understanding she was towards this nurse, how she guided her through the incident reporting process as a mentor without judgement and even connected her with resources for improvement. Seeing this type of leadership at play in my early years was so formative in my career as a nurse leader and I strived to foster a trusting environment where nurses felt empowered to report safety concerns, which prevented so many future errors and built the staff up as a team. In conclusion, the ever-evolving healthcare landscape demands adaptable leadership that empowers and inspires. By fostering collaboration, innovation, and psychological safety, transformational leaders cultivate a thriving and resilient nursing team. As demonstrated by both Sarah’s and Cinda’s approaches, this leadership style empowers nurses to contribute fresh ideas, advocate for improved patient care, and ultimately deliver better outcomes. Investing in the development of transformational leadership within nursing organizations is not just beneficial, it’s essential for building a future-proof healthcare system. References Collins, E., Owen, P., Digan, J., & Dunn, F. (2020). Applying Transformational Leadership in Nursing Practice. Nursing Standard, 35(5), 59–66. https://doi.org/10.7748/ns.2019.e11408 ‌Raso, R. (2021). Psychological safety and leadership. Nursing Management, 52(11), 5–5. https://doi.org/10.1097/01.numa.0000795596.49076.1f ‌Ystaas, L. M. K., Nikitara, M., Ghobrial, S., Latzourakis, E., Polychronis, G., & Constantinou, C. S. (2023). The Impact of Transformational Leadership in the Nursing Work Environment and Patients’ Outcomes: A Systematic Review. Nursing Reports, 13(3), 1271–1290. https://doi.org/10.3390/nursrep13030108

One crucial insight from the resources is the profound effect of transformational leadership in healthcare settings. Transformational leadership is vital for nursing leaders as they inspire their teams to embrace change and innovation, crucial in an ever-evolving healthcare landscape (Collins et al., 2020). By fostering a culture of collaboration and empowerment, transformational leaders encourage nurses to provide high-quality patient care while continuously seeking improvements. Moreover, authentic leadership emerges as a cornerstone for promoting employee job satisfaction in healthcare. Authentic nurse leaders who prioritize honesty, integrity, and genuine concern for their staff create a supportive environment where nurses feel valued and motivated (Maziero et al., 2020). This, in turn, leads to enhanced job satisfaction and better patient outcomes. In my nursing experience, I encountered a nurse manager who embodied transformational leadership qualities. She consistently communicated the hospital’s mission and values, emphasizing the importance of patient-centered care. During staff meetings, she encouraged nurses to share their ideas for improving patient outcomes and workflow efficiency. For instance, when implementing a new electronic health record system, she provided comprehensive training and support to ensure a smooth transition. Her approach instilled confidence in the nursing staff and fostered a culture of continuous learning and improvement. As a result, nurses felt empowered to adapt to changes and deliver excellent care, ultimately enhancing the ward’s organizational health and patient satisfaction. Similarly, I worked under a nurse supervisor who exemplified authentic leadership traits. She made a concerted effort to establish trust and open communication with her team, often holding one-on-one meetings to address individual concerns and career aspirations. Additionally, she actively sought feedback from nurses and implemented their suggestions for improving work conditions, such as adjusting scheduling practices to accommodate work-life balance needs. Transparent and supportive leadership style cultivated a positive work environment where nurses felt valued and respected (Fallatah & Laschinger, 2016). Consequently, the team exhibited higher job satisfaction levels and demonstrated increased engagement in their clinical duties, leading to improved patient care outcomes. In the nursing setting, the application of transformational and authentic leadership behaviors is paramount for creating healthy work environments that prioritize both staff well-being and patient care quality. These leadership approaches empower nurses to thrive in their roles, contributing to a positive organizational culture and ultimately enhancing the overall healthcare experience for patients.

Choose a case from the AMA Journal of Ethics Case IndexLinks to an external site. and take a position. For this assignment you will evaluate the ethical arguments for or against the issue. Identify the potential legal arguments (consider current federal guidelines), indicate any potential professional code conflicts you foresee, and support your position with an explanation of your own ethical/moral foundation. In your 2-3 page paper: • Identify the issue and state your ethical position. • How might this scenario play out or impact you in your role as a nurse practitioner? • Defend your position with legal, ethical, and professional evidence. • As part of your position, propose strategies and solutions for addressing the issues. • What other ethical issues does this case bring to light, if any? Support your position with at least one scholarly source (it may be your text). Be sure to cite the article you choose, use APA format, and include a title page and reference page. See document for rubric

Exam Content
Your business operations skill is important for being able to identify risks associated with various financing options and projects for capital projects that fund growth, purchase equipment and inventory, hire additional staff, and build new facilities.
Scenario
You have been promoted to CFO at your hospital. The hospital’s CEO has requested that you present an evaluation of budgetary options for future purchases based on industry competition to the board of directors. In the presentation, focus on budgetary financing strategies and solutions in the operations of the hospital.
Preparation
If you address nursing shortage, supply-chain disruption, or outsourcing in your assessment deliverable presentation, review and consider using the following articles from the “Summative Assessment: Business Operations Presentation” section in the Week 5 University Library as the primary resources for your presentation.
Nursing shortage topic resource: “As COVID-19 Worsens Nursing Shortage, Madison Hospitals, Schools Step Up”
Supply-chain disruption topic resource: “Inflation Rattles Hospital Supply Chain and Labor Pool With no End in Sight”
Outsourcing topic resource: “Research and Markets Adds Report: Medical Billing Outsourcing Market” and “The Good, the Bad and the Outsourced”
Assessment Deliverable
Create a 12- to 15-slide Microsoft PowerPoint® presentation in which you:
Evaluate effective financial options for outsourcing operations of key departments, such as information systems, medical billing, and human resources (HR).
Evaluate how you would implement just-in-time inventory management (e.g., in the OR, central sterile supply, or pharmacy departments) to optimize inventory management.
Analyze the advantages and disadvantages of using a flexible budget to meet the organization’s staffing needs.
Describe the decision-making factors when determining whether to lease or buy equipment (e.g., Should I buy or lease an MRI or CT scan?).
Describe the effect of financing strategies on the cost of capital.
Identify and describe the benefits and risks of debt financing (e.g., how to manage working capital through accounts payable).
Formatting Requirements
Include the following in your presentation:
Detailed speaker notes for each slide
Appropriate images or other multimedia
A references slide
Cite any sources, images, and multimedia included in your presentation.
Format citations and references according to APA guidelines.
https://go.gale.com/ps/i.do?p=ITBC&u=uphoenix&id=GALE|A699254013&v=2.1&it=r&sid=ebsco&asid=92edec44

Assessment 02 – Applying Research Skills
For this assessment, you will research best practices related to a current health care problem.
Your selected problem or issue will be utilized again in Assessment 4. Before you complete the
instructions detailed in the courseroom, first select one of the following health care problems or
issues:
• Burnout Among Nurses
o Descriiption: Burnout is a common problem among nurses, which affects their
health and the quality of care they provide.
o Interventions: Offering more support, improving working conditions, promoting
self-care.
o Keywords: Nursing burnout, support, self-care.

Identify and contrast the two types of thrombophlebitis with their signs and symtopms. compare analogies and contrast of the clinical manifestations and the tretament of thrombophlebitis with peripheral arterial disease