Reflect on the output of your Discussion post regarding your evaluation of workplace civility and the feedback received from colleagues.

Clearly, diagnosis is a critical aspect of healthcare. However, the ultimate purpose of a diagnosis is the development and application of a series of treatments or protocols. Isolated recognition of a health issue does little to resolve it.

In this module’s Discussion, you applied the Clark Healthy Workplace Inventory to diagnose potential problems with the civility of your organization. In this Portfolio Assignment, you will continue to analyze the results and apply published research to the development of a proposed treatment for any issues uncovered by the assessment.

To Prepare:

Review the Resources and examine the Clark Healthy Workplace Inventory, found on page 20 of Clark (2015).

Review the Work Environment Assessment Template.

Reflect on the output of your Discussion post regarding your evaluation of workplace civility and the feedback received from colleagues.

Select and review one or more of the following articles found in the Resources:

Clark, Olender, Cardoni, and Kenski (2011)

Clark (2018)

Clark (2015)

Griffin and Clark (2014)

Qualities of Efficient, Revered, and Preferred Chief

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Mention and discuss three factors that contribute to homelessness and how affects your community

Homeless Population

Disaster in the Community

Read chapter 22 and 28 of the class textbook and review the attached PowerPoint presentations. Once done, answer the following questions.

Identify and discuss the major health problems among the various homeless aggregates in your community.

Mention and discuss three factors that contribute to homelessness and how affects your community

Mention and discuss the stages of disaster management.

Discuss the impact of disasters on a community.

As stated in the syllabus present your assignment in an APA format word document, Arial 12 font attached to the forum in the discussion tab of the blackboard titled “Week 7 discussion questions” and the SafeAssign exercise in the assignment tab of the blackboard which is a mandatory requirement. A minimum of 2 evidence-based references (besides the class textbook) no older than 5 years must be used. You must post two replies to any of your peers sustained with the proper references no older than 5 years as well and make sure the references are properly quoted in your assignment. The replies can’t be posted on the same day, I must see different dates in the replies. A minimum of 700 words is required (excluding the first and reference page). Please make sure to follow the instructions as given and use either spell-check or Grammarly before you post your assignment.

Review the Resources and consider the importance of critically appraising research evidence.

Need help with a 2 part assignment. The course is Essentials of Evidence-Based Practice. Need someone who can deliver a great grade and understands this topic in Nursing!

Assignment: Evidence-Based Project, Part 4: Critical Appraisal of Research

Realtors rely on detailed property appraisals—conducted using appraisal tools—to assign market values to houses and other properties. These values are then presented to buyers and sellers to set prices and initiate offers.

Research appraisal is not that different. The critical appraisal process utilizes formal appraisal tools to assess the results of research to determine value to the context at hand. Evidence-based practitioners often present these findings to make the case for specific courses of action.

In this Assignment, you will use appraisal tools to conduct a critical appraisal of published research. You will then present the results of your efforts.

To Prepare:

Review the Resources and consider the importance of critically appraising research evidence.

Reflect on the four peer-reviewed articles you selected in Module 2 and analyzed in Module 3.

Review and download the Critical Appraisal Tools document provided in the Resources.

The Assignment (Evidence-Based Project)

Part 4A: Critical Appraisal of Research

Conduct a critical appraisal of the four peer-reviewed articles you selected and analyzed by completing the Critical Appraisal Tools document. Be sure to include:

An evaluation table

A levels of evidence table

An outcomes synthesis table

Part 4B: Critical Appraisal of Research

Based on your appraisal, in a 1-2-page critical appraisal, suggest a best practice that emerges from the research you reviewed. Briefly explain the best practice, justifying your proposal with APA citations of the research.

Describe management and accountability tools and procedures used to manage health delivery services and patient outcomes.

Write a 3 page evidence-based resourcing plan for one component of the Heart Failure Clinic.

It is important for the nurse leader to have not only a basic understanding of the budget process, but to understand how to work with variances in staffing, patient loads, and supply costs in order to meet the needs of the patients, without compromising the funding process of the clinic.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

Competency 3: Apply management strategies and best practices for health care finance, human resources, and materials allocation decisions to improve health care delivery and patient outcomes.

Apply evidence-based management strategies and best practices for resourcing health care services.

Describe management and accountability tools and procedures used to manage health delivery services and patient outcomes.

Competency 4: Apply professional standards of moral, ethical, and legal conduct in professional practice.

Apply legal and professional standards for resourcing outpatient services.

Competency 5: Communicate in manner that is consistent with the expectations of a nursing professional.

Write content clearly and logically, with correct use of grammar, punctuation, mechanics, and current APA style.

To deepen your understanding, you are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community.

For the following questions, you may wish to review the Brown, Bornstein, and Wilcox article “Partnership and Empowerment Program: A Model for Patient-Centered, Comprehensive, and Cost-Effective Care,” listed in the Unit Resources.

Who makes you accountable for the delegation that you use in your organization, as well as on a state and national level?

Are there ways you could initiate greater collaboration with the health care team by using delegation?

What is the purpose of the National Council of State Boards of Nursing delegation decision-making tree?

What is the long-term implication related to health care cost if the patient or patient population continues to have poor outcomes related to cost containment?

How can you address cost within your organization, as a nursing leader, and how is this related to patient outcomes?

Instructions

Deliverable: Develop one component of an evidence-based resourcing plan.

Scenario:

The hospital leadership team has already allocated the major capital expenditures for the heart failure clinic, such as the facility, legal services, IT, and security services. However, as a member of the nurse team, you have been asked to develop one component of a resourcing plan for the next leadership meeting.

You may use any combination of documents (for example, a spreadsheet or a table) in addition to explanatory information to convey information clearly and succinctly.

Choose one of the following:

Budget:

Apply evidence-based management strategies and best practices for resourcing health care services.

Identify the business plan budget categories and subcategories (not necessarily the actual cost) to establish a new clinic.

Start-up expenses.

Examine fixed and variable costs.

Capital budget items.

Examples: salary and benefits, staffing mix, specialized equipment or materials, et cetera.

Contingency fund and parameters.

Apply legal and professional standards for resourcing outpatient services.

Explain the alignment to best practices and professional standards for cost effective outpatient services.

How will uninsured or underinsured patients be managed?

Describe management and accountability tools and procedures used to manage health delivery services and patient outcomes.

What data resources and tools analyze costs, health insurance, and hospitalization services?

How will billing be handled?

How will you determine if outpatient management is cost-effective?

How does transparency impact the consumer?

Staffing Plan:

Apply evidence-based management strategies and best practices for resourcing health care services.

Identify the disciplines and skill mix needed for appropriate staffing.

Estimate staffing requirements by discipline and staffing ratios (evidence-based).

Develop a sample staffing schedule.

How will you staff to meet corporate diversity goals or the needs of diverse patients?

Explain how delegation, collaboration, negotiation will affect staffing plan.

How does a union contract affect the staffing plan or schedule?

Examine the Nurse Practice Act for your state.

How does the Nurse Practice Act affect your staffing plan?

Apply legal and professional standards for resourcing outpatient services.

Align your staffing plan to best practices, the Nurse Practice Act for your state, scope of practice, and the Joint Commission standards for outpatients.

Describe management and accountability tools and procedures used to manage health delivery services and patient outcomes.

How will you know if staffing is cost-effective?

How will you know if staffing mix or schedule impacts patient outcomes?

Additional Requirements

Written communication: Written communication should be free of errors that detract from the overall message.

APA formatting: Resources and in-text citations should be formatted according to current APA style and formatting.

Length: The plan should be 3 pages in content length, double-spaced.

Font and font size: Times New Roman, 12 point.

Number of resources: Support your plan with a minimum of three peer-reviewed resources, in addition to professional standards.

As Mike’s manager, what will you do to address the issue with him and ensure other staff members do not repeat the same mistakes?

View the scenario called “Critical Decision Making for Providers” found in the Allied Health Community media (https://lc.gcumedia.com/hlt307v/allied-health-community/home.html).

In a 750‐1,200 word paper, describe the scenario involving Mike, the lab technician, and answer the following questions:

What were the consequences of a failure to report?

What impact did his decision have on patient safety, on the risk for litigation, on the organization’s quality metrics, and on the workload of other hospital departments?

As Mike’s manager, what will you do to address the issue with him and ensure other staff members do not repeat the same mistakes?

A minimum of three academic references from credible sources are required for this assignment.

Describe how the experience was related to mental health diagnoses?

NUR2488 Mental Health Nursing – Summer 2019

Clinical Community Psychiatric Mental Health Observation

Each student is expected to select a Community Mental Health Observation by discussing the options with their clinical instructor. Three days after attending the observation, submit the Community Mental Health Observation form following your experience by e-mail to your clinical instructor. The observation forms will be evaluated for a pass/fail grade based on including all of the following guidelines below and will be considered into the overall grade the student receives for the clinical experience. Plan: to discuss in your final post-conference your clinical community mental health experience with your other classmates.

The content of each clinical observation should include the following items:

Describe the community mental health support group, event or experience and goals:

Title ______________________________Date_____ Time_____ Location__________

Goals:

Be specific about the title of the event, where you went, what happened during the experience, what clients you saw, and staff relationship/interaction with client.

Evaluate the overall community mental health clinical experience.

What was good about the experience?

What was problematic about the experience?

Consider alternative strategies for the situation.

What do you think would have made the experience better for you and/or for the group?

What other therapeutic approaches or communication could have been used?

Describe how the experience was related to mental health diagnoses? How did it affect the client or family?

How did the clinical mental health experience relate to classroom content/theory?

Any other thoughts or comments about the clinical mental health experience.

Do you think that there is one ethical theory that better answers most ethical issues than others? If so which one and why? If not could there ever be one and how?

Please pick 2 of the follow questions and answer in essay format. Each response must be a minimum of one page each. Thus you should be turning in a minimum of 2 full pages double spaced.

1. Compare/contrast the theories of utilitarianism and categorical imperative. 2. 2. Compare/contrast the theories of divine natural law theory and social contract theory.

3. When looking at the question of abortion there are a number of different views presented. If we are to put all questions of abortion (rape, incest, unwanted pregnancy, extremely young girl pregnant, etc.) through the theory of utilitarianism what is the outcome for each scenario and how do they differ?

4.Please pick 2 of the follow questions and answer in essay format. Each response must be a minimum of one page each. Thus you should be turning in a minimum of 2 full pages double spaced.

1. Compare/contrast the theories of utilitarianism and categorical imperative. 2. 2. Compare/contrast the theories of divine natural law theory and social contract theory.

3. When looking at the question of abortion there are a number of different views presented. If we are to put all questions of abortion (rape, incest, unwanted pregnancy, extremely young girl pregnant, etc.) through the theory of utilitarianism what is the outcome for each scenario and how do they differ?

4. Do you think that there is one ethical theory that better answers most ethical issues than others? If so which one and why? If not could there ever be one and how?

5. What theory that we have discussed would be best applied in the issue of PGD (preimplantation genetic diagnosis)? Why? What makes it best?

5. What theory that we have discussed would be best applied in the issue of PGD (preimplantation genetic diagnosis)? Why? What makes it best?

Consider what history would be necessary to collect from the patient in the case study you were assigned.

Discussion: Assessing Musculoskeletal Pain

The body is constantly sending signals about its health. One of the most easily recognized signals is pain. Musculoskeletal conditions comprise one of the leading causes of severe long-term pain in patients. The musculoskeletal system is an elaborate system of interconnected levers that provides the body with support and mobility. Because of the interconnectedness of the musculoskeletal system, identifying the causes of pain can be challenging. Accurately interpreting the cause of musculoskeletal pain requires an assessment process informed by patient history and physical exams.

In this Discussion, you will consider case studies that describe abnormal findings in patients seen in a clinical setting.

To prepare:

· By Day 1 of this week, you will be assigned to one of the following specific case studies for this Discussion. Please see the “Course Announcements” section of the classroom for your assignment from your Instructor.

· Your Discussion post should be in the Episodic/Focused SOAP Note format rather than the traditional narrative style Discussion posting format. Refer to Chapter 2 of the Sullivan text and the Episodic/Focused SOAP Template in the Week 5 Learning Resources for guidance. Remember that all Episodic/Focused SOAP notes have specific data included in every patient case.

Case : Ankle Pain

A 46-year-old female reports pain in both of her ankles, but she is more concerned about her right ankle. She was playing soccer over the weekend and heard a “pop.” She is able to bear weight, but it is uncomfortable. In determining the cause of the ankle pain, based on your knowledge of anatomy,

· what foot structures are likely involved?

· What other symptoms need to be explored? What are your differential diagnoses for ankle pain?

· What physical examination will you perform? What special maneuvers will you perform? Should you apply the Ottawa ankle rules to determine if you need additional testing?

With regard to the case study you were assigned:

· Review this week’s Learning Resources, and consider the insights they provide about the case study.

· Consider what history would be necessary to collect from the patient in the case study you were assigned.

· Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis?

· Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.

Post an episodic/focused note about the patient in the case study to which you were assigned using the episodic/focused note template provided in the Week 5 resources.

Provide evidence from the literature to support diagnostic tests that would be appropriate for each case.

List five different possible conditions for the patient’s differential diagnosis, and justify why you selected each.