EVIDENCE- BASED CARE SHEET Authors Hillary Mennella, DNP, ANCC-BC Cinahl Information Systems, Glendale, CA Monica Key, ANP-C, APRN, AOCNP, CCRN Cinahl Information Systems, Glendale, CA Reviewers Debra Balderrama, RN, MSCIS Clinical Informatics Services, Tujunga, CA Alysia Gilreath-Osoff, RN, MSN Cinahl Information Systems, Glendale, CA Nursing Executive Practice Council Glendale Adventist Medical Center, Glendale, CA Editor Diane Pravikoff, RN, PhD, FAAN Cinahl Information Systems, Glendale, CA May 20, 2022 Published by Cinahl Information Systems, a division of EBSCO Information Services. Copyright©2022, Cinahl Information Systems. All rights reserved. No part of this may be reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, or by any information storage and retrieval system, without permission in writing from the publisher. Cinahl Information Systems accepts no liability for advice or information given herein or errors/omissions in the text. It is merely intended as a general informational overview of the subject for the healthcare professional. Cinahl Information Systems, 1509 Wilson Terrace, Glendale, CA 91206 Case Management: Readmissions What We Know › Readmission is defined as a patient admission to the same or a different hospital within a period of 30 days of discharge(3,4) • In the United States, the estimated 30-day, all-cause, hospital readmission rate was 13.9% in 2016, down from 14.2% in 2010(2) –Readmission rates in 2016 varied by patient insurance status, as follows: - Medicare: 17.1% - Medicaid: 13.4% - Uninsured: 11.8% - Private insurance: 8.6% • Common reasons for readmission include premature discharge, inappropriate treatment, and inadequate patient education, discharge planning, and post-discharge monitoring and management(6) –Hospitals serving a higher population of patients from a lower socioeconomic status often have readmission higher rates than the national average. Patients from a lower socioeconomic status can have difficulty procuring follow-upappointments, food, and medications after discharge › In 2010 the Affordable Care Act (ACA) established the Hospital Readmissions Reduction Program, which provides financial incentives to hospitals to reduce readmissions(3,4) • The program requires a reduction in Medicare and Medicaid reimbursement to applicable hospitals for excess readmissions for acute myocardial infarction (AMI), heart failure (HF), pneumonia, chronic obstructive pulmonary disease (COPD), elective hip and/or total knee replacement, and coronary artery bypass graft (CABG) surgery(3,4) –Readmission reimbursement calculations for individual hospitals are based on national readmission rates for these specific diagnoses and are intended to improve health care for beneficiaries and control unnecessary spending of healthcare dollars. Hospitals with high readmission rates will receive lower payments or may be denied payment(3,11 ...

1. EVIDENCE-
BASED CARE
SHEET
Authors
Hillary Mennella, DNP, ANCC-BC
Cinahl Information Systems, Glendale, CA
Monica Key, ANP-C, APRN, AOCNP,
CCRN
Cinahl Information Systems, Glendale, CA
Reviewers
Debra Balderrama, RN, MSCIS
Clinical Informatics Services, Tujunga, CA
Alysia Gilreath-Osoff, RN, MSN
Cinahl Information Systems, Glendale, CA
Nursing Executive Practice Council
Glendale Adventist Medical Center,
Glendale, CA
Editor
Diane Pravikoff, RN, PhD, FAAN
Cinahl Information Systems, Glendale, CA

2. May 20, 2022
Published by Cinahl Information Systems, a division of EBSCO
Information Services. Copyright©2022, Cinahl Information
Systems. All rights
reserved. No part of this may be reproduced or utilized in any
form or by any means, electronic or mechanical, including
photocopying, recording, or by
any information storage and retrieval system, without
permission in writing from the publisher. Cinahl Information
Systems accepts no liability for advice
or information given herein or errors/omissions in the text. It is
merely intended as a general informational overview of the
subject for the healthcare
professional. Cinahl Information Systems, 1509 Wilson Terrace,
Glendale, CA 91206
Case Management: Readmissions
What We Know
› Readmission is defined as a patient admission to the same or a
different hospital within a
period of 30 days of discharge(3,4)
• In the United States, the estimated 30-day, all-cause, hospital
readmission rate was
13.9% in 2016, down from 14.2% in 2010(2)
–Readmission rates in 2016 varied by patient insurance status,
as follows:
- Medicare: 17.1%
- Medicaid: 13.4%
- Uninsured: 11.8%
- Private insurance: 8.6%

3. • Common reasons for readmission include premature discharge,
inappropriate treatment,
and inadequate patient education, discharge planning, and post-
discharge monitoring and
management(6)
–Hospitals serving a higher population of patients from a lower
socioeconomic status
often have readmission higher rates than the national average.
Patients from a lower
socioeconomic status can have difficulty procuring follow-
upappointments, food, and
medications after discharge
› In 2010 the Affordable Care Act (ACA) established the
Hospital Readmissions Reduction
Program, which provides financial incentives to hospitals to
reduce readmissions(3,4)
• The program requires a reduction in Medicare and Medicaid
reimbursement to
applicable hospitals for excess readmissions for acute
myocardial infarction (AMI),
heart failure (HF), pneumonia, chronic obstructive pulmonary
disease (COPD), elective
hip and/or total knee replacement, and coronary artery bypass
graft (CABG) surgery(3,4)
–Readmission reimbursement calculations for individual
hospitals are based on national
readmission rates for these specific diagnoses and are intended
to improve health care
for beneficiaries and control unnecessary spending of healthcare
dollars. Hospitals with
high readmission rates will receive lower payments or may be
denied payment(3,11)

4. - In a study on 276 hospital year observations in Washington
state, researchers
observed that decreased readmission rates for AMI were
associated with increased
hospital operating revenues(11)
• Successful strategies to avoid readmissions include
coordination/collaboration between
care providers, post-dischargetelephone follow-up calls and
home visits by a healthcare
provider (e.g., nurse, pharmacist, physician), and formalized
discharge planning that
addresses social determinants of health (e.g., housing
conditions, access to healthy food
and transportation)(9,12)
› Case managers play a vital role in the patient discharge
process and in the prevention of
unnecessary readmissions. Discharge is a shared responsibility
between staff members,
the patient, caregivers, and the case manager. Responsibilities
of the case manager include
identifying high-risk patients, assessing/ensuring self-
management skills needed for safe
hospital discharge, and ensuringpatient access to supplies
required for self-management
and adequate outpatient follow-up(5,10)
• A growing body of evidence supports the role of case
management in decreasing
readmission rates
–Authors of a systematic review published in 2017 noted that

5. most studies reported a reduction in hospital readmission
rates after case management implementation(8)
–Researchers assessed the impact of an integrated case
management intervention on hospital readmission rates among
high-risk patients with HF and diabetes mellitus. They reported
an 18.4% readmission rate for patients who received the
intervention compared with 52.6% for those who received usual
care(10)
–In a 600-bed tertiary care hospital, implementation of program
that expanded the role of diabetes educators to include
case management resulted in a decrease in readmission rates.
Researchers analyzed 34,472 discharged patient records
from an 18-month preintervention period and 32,046 from an
18-month postintervention period and found that the 30-day
readmission rate declined from 20.1% to 17.6%(5)
–In a study of 1,564 patients with COPD who received care at
five large hospitals in Vancouver, BC, Canada, researchers
found that implementation of a comprehensive case management
was associated with a 45% reduction in risk of
readmission at 1 year and a 49% reduction in readmission at 2
years(1)
–Cochrane reviewers pooled data from four studies involving
773 children with chronic lung diseases such as asthma and
bronchiectasis. They concluded that discharge planning by a
case manager was associated with a 71% reduction in risk of
readmission for an acute exacerbation(7)
–In Tampa, Florida the Veterans Administration Health Center
used telehealth and phone care initiatives to reduce HF
hospital readmission rates by 5%, while also providing a
decrease in costs, and improved veteran satisfaction with
overall

6. care experience
- Similarly, in 2013, case management leadership in Flagstaff,
Arizona used the Better Outcomes for Older Adults
through Safe Transitions (BOOST; a tool used for evidence-
based quality improvement in the hospital setting) program
to implement telehealth and follow-up phone calls,effectively
reducing all-cause 30-day readmissions from 23% to 12%.
In 2014. The program was implemented in another Flagstaff
system hospital to include pneumonia, COPD, total joint
replacements, and AMI, demonstrating an all-cause Medicare
30-dayreadmission rate of 10.8% compared to the national
average of over 18%
What We Can Do
› Become knowledgeable about case management as an
approach to reduce patient readmissions so you can accurately
assess
your patients’ personal characteristics and health education
needs; share this information with your colleagues
› Collaborate with others in your healthcare facility to initiate a
case management program to meet the needs of every patient
and to maintain compliance with healthcare reform quality
outcome readmission measures
› Track and trend readmission rates and analyze core reasons for
rehospitalization
› Involve patients and their caregivers in the discharge planning
process, provide education, and use the teach-back method to
confirm patient/caregiver ability to perform patient care after
discharge to home
› Collaborate with others in your healthcare facility to identify
and implement validated and reliable screening tools for

7. increased risk for readmission among your patient population
› Participate in continuing education for implementation of
readmission screening surveys
Coding Matrix
References are rated using the following codes, listed in order
of strength:
M Published meta-analysis
SR Published systematic or integrative literature review
RCT Published research (randomized controlled trial)
R Published research (not randomized controlled trial)
C Case histories, case studies
G Published guidelines
RV Published review of the literature
RU Published research utilization report
QI Published quality improvement report
L Legislation
PGR Published government report
PFR Published funded report
PP Policies, procedures, protocols

8. X Practice exemplars, stories, opinions
GI General or background information/texts/reports
U Unpublished research, reviews, poster presentations or
other such materials
CP Conference proceedings, abstracts, presentation
References
1. Alshabanat, A., Otterstatter, M. C., Sin, D. D., Road, J.,
Rempel, C., Burns, J., ... FitzGerald, J. M. (2017). Impact of a
COPD comprehensive case management program on
hospital length of stay and readmission rates. International
Journal of Chronic Obstructive Pulmonary Disease, 12, 961–
971. doi:10.2147/COPD.S124385 (R)
2. Bailey, M. K., Weiss, A. J., Barrett, M. L., & Jiang, J.
(2019). Characteristics of 30-Day All-Cause Hospital
Readmissions, 2010–2016: Statistical Brief #248. Healthcare
Cost
and Utilization Project (HCUP) Statistical Briefs. Retrieved
from (R)
3. Centers for Medicare & Medicaid Services. (2020, August
11). The Hospital Readmissions Reduction Program (HRRP).
Retrieved from
https://www.cms.gov/Medicare/Quality-Initiatives-Patient-
Assessment-Instruments/Value-Based-
Programs/HRRP/Hospital-Readmission-Reduction-Program.html
(GI)
4. Department of Health and Human Services. (2012). 42 CRF
Parts 412, 413, 424, et al. Medicare Program; Hospital inpatient
prospective payment systems

9. for acute care hospitals and the long-term are hospital
prospective payment system and fiscal year 2013 rates;
hospitals' resident caps for graduate medical
education payment purposes; quality reporting requirements for
specific providers and for ambulatory surgical centers, 77(170),
53258-53750. Retrieved from
http://www.gpo.gov/fdsys/pkg/FR-2012-08-31/pdf/2012-
19079.pdf (L)
5. Drincic, A., Pfeffer, E., Luo, J., & Goldner, W. S. (2017).
The effect of diabetes case management and Diabetes Resource
Nurse program on readmissions of patients with
diabetes mellitus. Journal of Clinical & Translational
Endocrinology, 8, 29–34. doi:10.1016/j.jcte.2017.03.003 (R)
6. Graham, K. L., Auerbach, A. D., Schnipper, J. L., Flanders,
S. A., Kim, C. S., Robinson, E. J., ... Herzig, S. J. (2018).
Preventability of early versus late hospital readmissions in
a national cohort of general medicine patients. Annals of
Internal Medicine, 168(11), 766–774. doi:10.7326/M17-1724
(R)
7. Hall, K. K., Petsky, H. L., Chang, A. B., & O'Grady, K. F.
(2018). Caseworker-assigned discharge plans to prevent hospital
readmission for acute exacerbations in children w ith
chronic respiratory illness. Cochrane Database of Systematic
Reviews, 11. Art. No.: CD012315.
doi:10.1002/14651858.CD012315.pub2 (M)
8. Joo, J. Y., & Liu, M. F. (2017). Case management
effectiveness in reducing hospital use: A systematic review.
International Nursing Review, 64(2), 296–308. doi:10.1111/
inr.12335 (SR)
9. Kash, B. A., Baek, J., Cheon, O., Coleman, N. E., & Jones, S.
L. (2018). Successful hospital readmission reduction initiatives:

10. Top five strategies to consider implementing
today. Journal of Hospital Administration, 7(6), 16-23.
doi:10.5430/jha.v7n6p16 (RV)
10. McCants, K. M., Reid, K. B., Williams, I., Williams, I.,
Miller, D. E., Rubin, R., & Dutton, S. (2019). The impact of
case management on reducing readmission for patients
diagnosed with heart failure and diabetes. Professional Case
Management, 24(4), 177-193.
doi:10.1097/NCM.0000000000000359 (R)
11. Upadhyay, S., Stephenson, A. L., & Smith, D. G. (2019).
Readmission rates and their impact on hospital financial
performance: A study of Washington hospitals. Inquiry, 56,
46958019860386. doi:10.1177/0046958019860386 (R)
12. Warchol, S. J., Monestime, J. P., Mayer, R. W., & Chien,
W. W. (2019). Strategies to reduce hospital readmission rates in
a non-Medicaid-expansion state. Perspectives in
Health Information Management, 16(Summer), 1a. (R)
2
Module 2 Assignment:
Marketing Strategy for Good
Prepared by:

11. Date:
Part 1: Laying the Foundation for Persuasive Marketing
Tactics
To this day, Nike remains my favorite corporation. Over the last
several years, Nike has been more well-known and profitable
than ever before, solidifying its position as the dominant
sportswear brand and corporation worldwide (Gausselin, 2019).
Athletes are Nike's primary demographic, and the company sells
apparel, accessories, and gear designed specifically for them. It
also creates exclusive merchandise for the Jordan and Converse
brands. The company's goal is to improve the lives of athletes
worldwide through motivation and new ideas. This fits in with
the company's marketing strategy, which aims to keep Nike
competitive in the face of a rapidly evolving market and
competitive landscape. This company has established itself as
the market leader in producing and distributing sportswear. This
strategy will aid management in determining the extent to which
the firm's strengths and shortcomings impact day-to-day
operations. In this approach, we may better use the strengths to
counteract the flaws. In large part, Nike's success may be
attributed to the company's proactive, innovative, and

12. strategically focused marketing approach, which has capitalized
on industry shifts and the brand's unique place in the market
(Gausselin, 2019).
Nike's positive Social Change Campaign
Nike's corporate governance initiatives focus on creating a safe
and welcoming workplace for all its workers, with the ultimate
goal of making a good social impact. In order to achieve this
goal, the organization actively works to foster a culture that
values and promotes diversity and inclusion in the workplace.
To further educate the public on racial equality and social
progress issues, Nike launched two new CSR projects in 2020:
the Juneteenth learning initiative and the Unconscious Bias
Awareness training program (Korpi, 2018). By 2025, Nike aims
to have achieved its five-year plan to increase diversity in the
workplace, which includes achieving gender parity in the
workforce (by having women make up 50% of the company's
employees) and racial and ethnic diversity (by having mi norities
make up 35% of the company's employees) (Gausselin, 2019).
Nike has pledged $125 million over the next five years to help
organizations working on "leveling the playing field" as part of
this program (Gausselin, 2019).
Marketing campaign desired outcomes.
Ads, especially those visually appealing ones, may influence
consumers' opinions of a company by appealing to their
favorable associations with the stories they tell and the feelings
they evoke. Nike, which sees itself as a forward-thinking,
technical business, heavily emphasizes social media as part of
its integrated marketing communications (IMC) strategy (Korpi,
2018). When promoting a new product to a specific audience,
direct marketing is used alongside other promotional strategies
such as commercials and social media marketing. A positive
reputation score and reviews give you an edge over rivals like
Adidas. To maximize their effectiveness, advertisements for
specific items are directed toward the kinds of people most
likely to purchase those goods.
Nike's persuasive marketing tactics

13. Famous people are used as mascots for Nike products to appeal
to the target audience. Former product endorsers for Nike often
included famous people who like sports. Audience members are
paying attention as their favorite celebrities endorse the brand.
Thus, consumers are influenced to act in a manner consistent
with their favorite stars' norms. In order to promote the
company's goods to consumers, Nike uses the well-known
marketing communication mix of ad figures of well-known
celebrities to inspire consumers to make purchases (Korpi,
2018).
Swot Analysis of Nike's Persuasive Marketing Strategy
Strengths: Nike's global recognition and strong brand
recognition might help the company maintain its current market
share.
Weakness: When famous people make blunders, it may cost
Nike a lot of money and upset consumers.
Opportunities: Famous people have the power to spark the
aspirations of their fans. Nike, for instance, may find
commercial success by targeting women and millennials.
Threats: Sometimes famous people are more talked about than
the products themselves. They could buy into the celebrity
instead of the goods. Competition in the market is fierce for
Nike since its rivals provide superior products and can reach
more consumers.

14. References
Gausselin, B. (2019). Impact of Nike Inc.'s Utilization of Social
Issues in Their Marketing Strategy on Brand Equity, Brand
Image, and Brand Loyalty (Doctoral dissertation).
Korpi, A. E. (2018). The effectiveness of corporate social
responsibility initiatives to promote labour and human rights in
the global supply chains. A case study of effectiveness of Nike's
CSR initiatives and actions.
Module 2 Assignment:
Marketing Strategy for Good
Prepared by: Replace this text with your name.
Date: Replace this text with the submission date.
Walden University
WMBA 6060: Marketing for Competitiveness
Part 1: Laying the Foundation for Persuasive Marketing Tactics
Replace this text with introductory information. Add or remove
headings as necessary.
[Heading]
Replace or remove this text. Add or remove headings as
necessary.

15. [Sub-Heading]
Replace or remove this text. Add or remove headings as
necessary.
Part 2: Marketing With the Customer in Mind
Replace this text with introductory information. Add or remove
headings as necessary.
[Heading]
Replace or remove this text. Add or remove headings as
necessary.
[Sub-Heading]
Replace or remove this text. Add or remove headings as
necessary.
Part 3: Marketing Strategy Execution for Change
Replace this text with introductory information. Add or remove
headings as necessary.
[Heading]
Replace or remove this text. Add or remove headings as
necessary.
[Sub-Heading]
Replace or remove this text. Add or remove headings as
necessary.
References

16. [Please delete this note before submitting your Assignment. For
more information about formatting your reference list, please
visit the following site:
https://academicguides.waldenu.edu/writingcenter/apa/reference
s.]
Include appropriately formatted references to support your
Assignment. Refer to the Assignment guidelines for further
information on the requirements.
Page 5 of 15
2
Module 3 Assignment:
Marketing Strategy for Good
Prepared by:
Date:
WMBA 6060: Marketing for Competitiveness
Part 2: Marketing with the Customer in Mind

17. Nike's external stakeholders' influence on designing the
marketing campaign
Consumers, stockholders, members of government and business,
and activists are just some of the stakeholders that Nike
regularly communicates with. These stakeholders will provide
input on the marketing campaign's direction, assisting with
identifying critical problems and formulating strategies for
implementing corporate social responsibility (Hale, 2021). The
corporation should see stakeholder participation as a vital
facilitator of risk management and new product development.
As a result, Nike's reputation for social responsibility is
strongly impacted by the communities it serves as stakeholders
(Hale, 2021). When a product is seen to have a net positive
social effect, consumers are more likely to purchase it. The
objectives of these stakeholders encompass encouraging
community growth.
Nike company customer base that reflects diversity and
inclusion
Consumers of Nike fall within a broad age range, often between
the ages of 15 and 45. To assure future development and create
lifelong brand lovers, Nike targets middle-aged customers with
discretionary money while also developing its engagement with
younger audiences (Dupree, 2020). The company's customers
include both men and women, but the majority of the company's
resources go into developing its women's collection, which
includes such products as leggings, sports bras, and
"athleisure." Nike is also popular among U.S. teenagers in terms
of footwear and clothing this year (Dupree, 2020). Nike's
premium brand image and price structure reflect that most of its
customers come from more affluent socioeconomic
backgrounds. The typical Nike shopper is an avid athlete who
values a healthy and active lifestyle. Consumers in the Nike
target demographic are not only highly competitive athletes but
also trendsetters and technophiles who want to have the best
and most cutting-edge gear in the fitness industry (Dupree,
2020). Nike often targets emerging psychographic groups as

18. part of an effort to expand its customer base. Some examples of
this demographic include "weekend runners," people who like to
exercise on the weekends and may even be preparing for a half
marathon, and "style shoppers," women in their twenties who
are interested in sporting the newest in sportswear trends
before, during, and after their exercises.
Marketing and Customer Needs of Nike
Marketing's foundational idea is based on meeting fundamental
human needs. Nike must rely heavily on the endorsement of
well-known celebrities in order to boost the reach of its social
media campaign. As a company, Nike is committed to exploring
novel approaches to product development and market
satisfaction. The needs of the customers may be broken down
into three classes: The footwear must meet three criteria: (a) it
must be easy to walk in; (b) it must be lightweight; and (c) it
must be reasonably priced. Nike can better meet its client's
needs by engaging them in two-way communication; the
company clearly doesn't simply listen to its customers; it takes
the feedback it receives and uses it to improve its products
(Eyada, 2020).
Nike customer buy-in
Retailers have seen an uptick in athletic footwear sales due to
consumers' growing interest in health and fitness. They
understand that regular physical activity is just as crucial as a
nutritious diet. Nike has successfully capitalized on this trend
by making their goods widely accessible and pushing these
ideals in their advertising. At the moment, the firm relies on
endorsements from famous people to boost sales and awareness.
The firm is aware of the fact that certain clients would prefer to
do business with well-known people. It demonstrates why
Michael Jordan, Tiger Woods, and Michael Johnson are some of
Nike's sponsored athletes. The firm convinces buyers that they
are in on the action with these famous faces (Tuleja, 2021). The
brand's success in the U.S. and European markets may be
attributed largely to the celebrities who have endorsed it.
The worldwide competition in the sportswear business poses the

19. greatest risk to Nike's ability to win over its current and
prospective new consumer bases. There are also other brands
out there, including Adidas and Puma. The firm is losing a lot
of money due to the present spending on advertising and
promotional sales. So, it's natural that there would be
competition in yet another area.
Market development is a typical recommendation that will help
Nike Company beat the competition and win over customers.
This might be anything from the kind of message to the manner
of delivery. Targeting untapped markets or niches paves the way
for the company's expansion.
References
Dupree, A. R. (2020). The Impact of Nike Inc.'s Utilization of
Sustainable Business Practices in Their Marketing Strategy on
Brand Equity, Brand Image, and Brand Loyalty (Doctoral
dissertation).
Eyada, B. (2020). Brand activism, the relation and impact on
consumer perception: A case study on Nike
advertising. International Journal of Marketing Studies, 12(4),
30-42.
Hale, K. (2021, September 9). Nike shareholders race towards
Diversity Data. Forbes. Retrieved August 21, 2022, from
https://www.forbes.com/sites/korihale/2021/09/08/nike-
shareholders-race-towards-diversity-data/?sh=79817403c01e
Tuleja, E. A. (2021). Nike, Inc. Intercultural Communication

20. for Global Business, 216–222.
https://doi.org/10.4324/9780367423827-15
Assignment: Marketing Strategy for Good—Part 3
For this Assignment, you will continue to take on the role of a
marketing professional to develop a persuasive marketing
strategy for good. Your goal is to help society while being
cognizant of the organization’s mission and goals. Your task is
to continue designing a social media/social marketing campaign
for your organization that would promote diversity and
inclusion and could help benefit the company. Your decisions
must align with the company’s mission and goals. You will
continue using the same company you selected in Week 6 for
this week’s Assignment.
With those thoughts in mind, continue constructing your
marketing campaign design document with the following
sections, being sure to incorporate appropriate examples, where
applicable, as well as citations for relevant academic sources
from the classroom, the Walden Library, and/or other
appropriate scholarly sources to support your work.
Note: In Weeks 6 and 7, you submitted Parts 1 and 2. This
week, you will incorporate any revisions to those two parts and
will develop and submit your final document that includes Part
3.
To prepare for this Assignment: (Nike)
· Return to the Module 3 Assignment Template you utilized in
Weeks 6 and 7. With the research and readings from Weeks 6–8
in mind, incorporate any feedback, as needed, into your repor t
as you complete Part 3.
Submit your completed design document, including the addition
of Part 3, as follows:

21. Part 3: Marketing Strategy Execution for Change
(approximately 4 pages)
· Based on the identified needs of the target market, sub-groups,
and any additional stakeholders, brainstorm a minimum of four
ideas for the marketing campaign. Remember that the point of
brainstorming is to generate new and creative ideas. Do not
spend your time evaluating the ideas or determining their
feasibility in terms of costs, resources, time constraints, etc.
You will do that next. Simply record the results of your
brainstorming session as a section of your design document.
· After generating your list of ideas, identify the one you feel is
most appropriate for the organization given its positive social
change goal. Then do the following:
· Briefly summarize the main messaging and steps for execution
of your proposed social-change-focused marketing campaign.
· Summarize what steps the organization can take to increase
the chances of smooth execution of the proposed marketing
campaign, including strategic considerations related to the
following:
· Resources (time, money, personnel, acquisition of materials,
technologies, etc.)
· Implications for the different stakeholders (i.e., consider
multiple perspectives)
· Possible risks requiring mitigation (i.e., might there be any
potentially negative impact of the organization engaging in this
marketing strategy for good?)
· Finally, to conclude your campaign design document,
synthesize how this marketing campaign will promote diversity
and inclusion while influencing positive social change, and
provide specific details to support your thoughts.
· As part of your synthesis, provide a compelling and persuasive
summary of why this campaign is important for the company’s

22. brand/reputation and how the company will benefit from it.
EVIDENCE-
BASED CARE
SHEET
Authors
Hillary Mennella, DNP, ANCC-BC
Cinahl Information Systems, Glendale, CA
Monica Key, ANP-C, APRN, AOCNP,
CCRN
Cinahl Information Systems, Glendale, CA
Reviewers
Debra Balderrama, RN, MSCIS
Clinical Informatics Services, Tujunga, CA
Alysia Gilreath-Osoff, RN, MSN
Cinahl Information Systems, Glendale, CA
Nursing Executive Practice Council
Glendale Adventist Medical Center,
Glendale, CA
Editor
Diane Pravikoff, RN, PhD, FAAN
Cinahl Information Systems, Glendale, CA

23. May 20, 2022
Published by Cinahl Information Systems, a division of EBSCO
Information Services. Copyright©2022, Cinahl Information
Systems. All rights
reserved. No part of this may be reproduced or utilized in any
form or by any means, electronic or mechanical, including
photocopying, recording, or by
any information storage and retrieval system, without
permission in writing from the publisher. Cinahl Information
Systems accepts no liability for advice
or information given herein or errors/omissions in the text. It is
merely intended as a general informational overview of the
subject for the healthcare
professional. Cinahl Information Systems, 1509 Wilson Terrace,
Glendale, CA 91206
Case Management: Readmissions
What We Know
› Readmission is defined as a patient admission to the same or a
different hospital within a
period of 30 days of discharge(3,4)
• In the United States, the estimated 30-day, all-cause, hospital
readmission rate was
13.9% in 2016, down from 14.2% in 2010(2)
– Readmission rates in 2016 varied by patient insurance status,
as follows:
- Medicare: 17.1%
- Medicaid: 13.4%
- Uninsured: 11.8%
- Private insurance: 8.6%

24. • Common reasons for readmission include premature discharge,
inappropriate treatment,
and inadequate patient education, discharge planning, and post-
discharge monitoring and
management(6)
– Hospitals serving a higher population of patients from a lower
socioeconomic status
often have readmission higher rates than the national average.
Patients from a lower
socioeconomic status can have difficulty procuring follow -
upappointments, food, and
medications after discharge
› In 2010 the Affordable Care Act (ACA) established the
Hospital Readmissions Reduction
Program, which provides financial incentives to hospitals to
reduce readmissions(3,4)
• The program requires a reduction in Medicare and Medicaid
reimbursement to
applicable hospitals for excess readmissions for acute
myocardial infarction (AMI),
heart failure (HF), pneumonia, chronic obstructive pulmonary
disease (COPD), elective
hip and/or total knee replacement, and coronary artery bypass
graft (CABG) surgery(3,4)
– Readmission reimbursement calculations for individual
hospitals are based on national
readmission rates for these specific diagnoses and are intended
to improve health care
for beneficiaries and control unnecessary spending of healthcare
dollars. Hospitals with
high readmission rates will receive lower payments or may be

25. denied payment(3,11)
- In a study on 276 hospital year observations in Washington
state, researchers
observed that decreased readmission rates for AMI were
associated with increased
hospital operating revenues(11)
• Successful strategies to avoid readmissions include
coordination/collaboration between
care providers, post-dischargetelephone follow-up calls and
home visits by a healthcare
provider (e.g., nurse, pharmacist, physician), and formalized
discharge planning that
addresses social determinants of health (e.g., housing
conditions, access to healthy food
and transportation)(9,12)
› Case managers play a vital role in the patient discharge
process and in the prevention of
unnecessary readmissions. Discharge is a shared responsibility
between staff members,
the patient, caregivers, and the case manager. Responsibilities
of the case manager include
identifying high-risk patients, assessing/ensuring self-
management skills needed for safe
hospital discharge, and ensuringpatient access to supplies
required for self-management
and adequate outpatient follow-up(5,10)
• A growing body of evidence supports the role of case
management in decreasing
readmission rates

26. – Authors of a systematic review published in 2017 noted that
most studies reported a reduction in hospital readmission
rates after case management implementation(8)
– Researchers assessed the impact of an integrated case
management intervention on hospital readmission rates among
high-risk patients with HF and diabetes mellitus. They reported
an 18.4% readmission rate for patients who received the
intervention compared with 52.6% for those who received usual
care(10)
– In a 600-bed tertiary care hospital, implementation of program
that expanded the role of diabetes educators to include
case management resulted in a decrease in readmission rates.
Researchers analyzed 34,472 discharged patient records
from an 18-month preintervention period and 32,046 from an
18-month postintervention period and found that the 30-day
readmission rate declined from 20.1% to 17.6%(5)
– In a study of 1,564 patients with COPD who received care at
five large hospitals in Vancouver, BC, Canada, researchers
found that implementation of a comprehensive case management
was associated with a 45% reduction in risk of
readmission at 1 year and a 49% reduction in readmission at 2
years(1)
– Cochrane reviewers pooled data from four studies involving
773 children with chronic lung diseases such as asthma and
bronchiectasis. They concluded that discharge planning by a
case manager was associated with a 71% reduction in risk of
readmission for an acute exacerbation(7)
– In Tampa, Florida the Veterans Administration Health Center
used telehealth and phone care initiatives to reduce HF
hospital readmission rates by 5%, while also providing a
decrease in costs, and improved veteran satisfaction with

27. overall
care experience
- Similarly, in 2013, case management leadership in Flagstaff,
Arizona used the Better Outcomes for Older Adults
through Safe Transitions (BOOST; a tool used for evidence-
based quality improvement in the hospital setting) program
to implement telehealth and follow-up phone calls,effectively
reducing all-cause 30-day readmissions from 23% to 12%.
In 2014. The program was implemented in another Flagstaff
system hospital to include pneumonia, COPD, total joint
replacements, and AMI, demonstrating an all-cause Medicare
30-dayreadmission rate of 10.8% compared to the national
average of over 18%
What We Can Do
› Become knowledgeable about case management as an
approach to reduce patient readmissions so you can accurately
assess
your patients’ personal characteristics and health education
needs; share this information with your colleagues
› Collaborate with others in your healthcare facility to initiate a
case management program to meet the needs of every patient
and to maintain compliance with healthcare reform quality
outcome readmission measures
› Track and trend readmission rates and analyze core reasons for
rehospitalization
› Involve patients and their caregivers in the discharge planning
process, provide education, and use the teach-back method to
confirm patient/caregiver ability to perform patient care after
discharge to home
› Collaborate with others in your healthcare facility to identify
and implement validated and reliable screening tools for

28. increased risk for readmission among your patient population
› Participate in continuing education for implementation of
readmission screening surveys
Coding Matrix
References are rated using the following codes, listed in order
of strength:
M Published meta-analysis
SR Published systematic or integrative literature review
RCT Published research (randomized controlled trial)
R Published research (not randomized controlled trial)
C Case histories, case studies
G Published guidelines
RV Published review of the literature
RU Published research utilization report
QI Published quality improvement report
L Legislation
PGR Published government report
PFR Published funded report
PP Policies, procedures, protocols

29. X Practice exemplars, stories, opinions
GI General or background information/texts/reports
U Unpublished research, reviews, poster presentations or
other such materials
CP Conference proceedings, abstracts, presentation
References
1. Alshabanat, A., Otterstatter, M. C., Sin, D. D., Road, J.,
Rempel, C., Burns, J., ... FitzGerald, J. M. (2017). Impact of a
COPD comprehensive case management program on
hospital length of stay and readmission rates. International
Journal of Chronic Obstructive Pulmonary Disease, 12, 961–
971. doi:10.2147/COPD.S124385 (R)
2. Bailey, M. K., Weiss, A. J., Barrett, M. L., & Jiang, J.
(2019). Characteristics of 30-Day All-Cause Hospital
Readmissions, 2010–2016: Statistical Brief #248. Healthcare
Cost
and Utilization Project (HCUP) Statistical Briefs. Retrieved
from (R)
3. Centers for Medicare & Medicaid Services. (2020, August
11). The Hospital Readmissions Reduction Program (HRRP).
Retrieved from
https://www.cms.gov/Medicare/Quality-Initiatives-Patient-
Assessment-Instruments/Value-Based-
Programs/HRRP/Hospital-Readmission-Reduction-Program.html
(GI)
4. Department of Health and Human Services. (2012). 42 CRF
Parts 412, 413, 424, et al. Medicare Program; Hospital inpatient

30. prospective payment systems
for acute care hospitals and the long-term are hospital
prospective payment system and fiscal year 2013 rates;
hospitals' resident caps for graduate medical
education payment purposes; quality reporting requirements for
specific providers and for ambulatory surgical centers, 77(170),
53258-53750. Retrieved from
http://www.gpo.gov/fdsys/pkg/FR-2012-08-31/pdf/2012-
19079.pdf (L)
5. Drincic, A., Pfeffer, E., Luo, J., & Goldner, W. S. (2017).
The effect of diabetes case management and Diabetes Resource
Nurse program on readmissions of patients with
diabetes mellitus. Journal of Clinical & Translational
Endocrinology, 8, 29–34. doi:10.1016/j.jcte.2017.03.003 (R)
6. Graham, K. L., Auerbach, A. D., Schnipper, J. L., Flanders,
S. A., Kim, C. S., Robinson, E. J., ... Herzig, S. J. (2018).
Preventability of early versus late hospital readmissions in
a national cohort of general medicine patients. Annals of
Internal Medicine, 168(11), 766–774. doi:10.7326/M17-1724
(R)
7. Hall, K. K., Petsky, H. L., Chang, A. B., & O'Grady, K. F.
(2018). Caseworker-assigned discharge plans to prevent hospital
readmission for acute exacerbations in children with
chronic respiratory illness. Cochrane Database of Systematic
Reviews, 11. Art. No.: CD012315.
doi:10.1002/14651858.CD012315.pub2 (M)
8. Joo, J. Y., & Liu, M. F. (2017). Case management
effectiveness in reducing hospital use: A systematic review.
International Nursing Review, 64(2), 296–308. doi:10.1111/
inr.12335 (SR)
9. Kash, B. A., Baek, J., Cheon, O., Coleman, N. E., & Jones, S.

31. L. (2018). Successful hospital readmission reduction initiatives:
Top five strategies to consider implementing
today. Journal of Hospital Administration, 7(6), 16-23.
doi:10.5430/jha.v7n6p16 (RV)
10. McCants, K. M., Reid, K. B., Williams, I., Williams, I.,
Miller, D. E., Rubin, R., & Dutton, S. (2019). The impact of
case management on reducing readmission for patients
diagnosed with heart failure and diabetes. Professional Case
Management, 24(4), 177-193.
doi:10.1097/NCM.0000000000000359 (R)
11. Upadhyay, S., Stephenson, A. L., & Smith, D. G. (2019).
Readmission rates and their impact on hospital financial
performance: A study of Washington hospitals. Inquiry, 56,
46958019860386. doi:10.1177/0046958019860386 (R)
12. Warchol, S. J., Monestime, J. P., Mayer, R. W., & Chien,
W. W. (2019). Strategies to reduce hospital readmission rates in
a non-Medicaid-expansion state. Perspectives in
Health Information Management, 16(Summer), 1a. (R)
Research Week 2
PICOT is an acronym used to help develop clinical research
questions and guide you in your search for evidence. Finding
the right answers requires the right questions. The PICOT
format will help you construct questions that will likely lead to
effective searches, the best available evidence of interventions,
and the meaningfulness of patient experiences.
PICOT Topic List
Falls, Accidental: Resulting in Injury
Medication Errors: Distractions and Interruptions
Alarm Fatigue and Patient Safety
Pressure Injury: Prevention

32. Handoff: Patient Safety
Hospital Readmissions
Nursing Staffing and Patient Safety: Shiftwork
Breastfeeding
Addiction
Diabetes
P = Patient population
I = Intervention or issue of interest
C = Comparison of interventions or comparison of interests
O = Outcome
T = Time frame (this element is not always included)*
For example, you may wish to research the effects of
interrupted sleep on cognition of ICU patients 65 or older.
Using this PICOT model,
In __________(P), how does __________ (I) compared to
_________ (C) influence _________ (O) over ________ (T)?
In ICU patients who are 65 or older, how does interrupted sleep
(awakened one time or more in four hours) as compared to
uninterrupted sleep influence the patient’s cognitive ability over
5 days?
Questions of meaningfulness and effectiveness relate to how
people experience an intervention or phenomenon.
What is the effectiveness of using a turn schedule (I) versus an
audible public address reminder (C) on the incidence of
pressure ulcers (O) in elderly patients in LTAC who require
turning (P)?
*Not all studies will have a time frame. This is optional to
include as part of your PICOT.
Assignment Directions
Begin by selecting a topic in nursing that is of interest to you.
Next, use PICOT to format a possible research question about
that topic. Provide 1 possible PICOT research question. Find 1
quantitative or qualitative peer-reviewed research article related
to your nursing topic that was published within the last 5 years.

33. Reminder: All peer-reviewed research articles have methods,
discussion, and results sections. Upload the article with your
paper in PDF or Word format. This source can be used again in
the Week 4 article assignment if it meets the criteria.
See PICOT Formatting Guide Download PICOT Formatting
Guideor pages 249-257 in your book for additional help with
formatting your PICOT.
Include the following:
· Title page
· Provide a brief description of the topic and background
information (see page 37 of your textbook). You can use your
text, your peer-reviewed journal source, or the EBP care
sheets in CINAHL or Nursing Reference Center Database.
· Explain the significance of the topic to nursing practice (see
chart on page 37 of your textbook). Background information can
be found in journal articles in the introduction section. Results
and conclusions will speak to significance of the topic. The EBP
care sheets may have sources for you to choose from.
· Provide 1 clearly-stated PICOT question.
· Include 1 peer-reviewed journal source related to your topic.
· The chosen topic and PICOT will be used for your Week 9
poster assignment. It will also guide your article searches in
Week 4 on which you will complete appraisals in Week 6.
Your paper should:
· Be 2–3 pages (not including the title page and reference page)
· Use current APA format to style your paper and to cite your
source.
There will be a 5 point deduction if peer-reviewed research
journal article is not used and a 5 point deduction if the article
is not included with your submission.
Review the rubric for further information on how your
assignment will be graded.
Rubric
Week 2: Clinical Issue and Research Questions Developed
Using PICOT Rubric
Week 2: Clinical Issue and Research Questions Developed

34. Using PICOT Rubric
Criteria
Ratings
Pts
This criterion is linked to a Learning OutcomeTopic
Topic/ Relevance to Nursing
50 to >43.0 pts
Meets or Exceeds Expectations
A clear and succinct description of the topic is presented.
Background information is relevant and specific to the topic.
The significance of the topic to nursing practice is explained
clearly and is supported with examples.
43 to >35.0 pts
Mostly Meets Expectations
A description of the topic is presented but may be ambiguous or
confusing. Some background information is provided, but more
is needed for a full explanation. The significance of the topic to
nursing practice is somewhat explained and may not be
supported with examples.
35 to >27.0 pts
Below Expectations
A description of the topic is presented but is ambiguous or
confusing. Some background information is provided, but more
is needed for a full explanation. The significance of the topic to
nursing practice is somewhat explained but is not supported
with examples.
27 to >0 pts
Does Not Meet Expectations
An unclear description of the topic is presented or is missing.
No background information is provided. The significance of the
topic to nursing practice is not explained.
50 pts
This criterion is linked to a Learning OutcomePICOT Research
Questions
This criterion is linked to a Learning Outcome PICOT Research

35. Questions
85 to >73.1 pts
Meets or Exceeds Expectations
All research questions are accurately framed as complete PICOT
questions. PICOT questions provide a clear and specific focus
for research within the topic. One peer-reviewed journal source
related to the topic is included with assignment submission.
73.1 to >59.5 pts
Mostly Meets Expectations
Only some research questions are framed as PICOT questions,
or some PICOT questions are incomplete. PICOT questions
provide a vague or unclear focus for research that may not be
within the topic. One peer-reviewed journal source is included
but not related to the topic.
59.5 to >45.9 pts
Below Expectations
Few questions are framed as PICOT questions, or are
incomplete. PICOT questions provide a vague or unclear focus
for research that is not within the topic. One journal source is
included but it is not peer-reviewed.
45.9 to >0 pts
Does Not Meet Expectations
Research questions are missing or are not framed as PICOT
questions. Peer-reviewed journal source is not included.
85 pts
This criterion is linked to a Learning OutcomeAPA and
Mechanics
15 to >12.9 pts
Meets or Exceeds Expectations
Follows all the requirements related to format, length, source
citations, and layout. Written in a clear, concise, formal, and
organized manner. Responses are mostly error free. Information
from sources is paraphrased appropriately and accurately cited.
12.9 to >10.5 pts
Mostly Meets Expectations

36. Follows length requirement and most of the requirements
related to format, source citations, and layout. Writing is
generally clear and organized but is not concise or formal in
language. Multiple errors exist in spelling and grammar with
minor interference with readability or comprehension. Most
information from sources is paraphrased and cited correctly.
10.5 to >8.1 pts
Below Expectations
Follows few requirements related to format, source citations,
and layout. Writing may be unclear or informal in language.
Multiple errors exist in spelling and grammar, interfering with
readability or comprehension. Some information from sources is
paraphrased and cited correctly.
8.1 to >0 pts
Does Not Meet Expectations
Follows few requirements related to format, source citations,
and layout. Writing may be unclear or informal in language.
Multiple errors exist in spelling and grammar , interfering with
readability or comprehension. Some information from sources is
paraphrased and cited correctly.
Trends 440
Week 3 Discussion
No unread replies.No replies.
The United States and other countries are experiencing nursing
shortages. To help ease the shortage, many resources are spent
on recruiting foreign nurses.
· What are the reasons for these shortages? If the United States
and other industrial nations put their resources into increasing
nurse retention, would the need to recruit foreign nurses
decrease? Why or why not?
· Choose one of the Sustainable Development Goals (SDG) and

37. discuss how a community nurse can work toward achieving that
goal.
In order to receive full credit, you will need to clearly respond
to both parts of the question using subtitles or bullets AND cite
at least one scholarly reference in your response.
Trends 4
As healthcare organizations become more complex and our
focus on the patient experience expands, nurses are leading and
participating in evidence-based practice (EBP) projects and
quality improvement (QI) initiatives with the goal of improving
patient outcomes.
· In what ways is EBP applied where you work or where you do
clinicals?
· Discuss the findings of a QI initiative or study from either
your clinical location/hospital website or another online source.
In order to receive full credit, you will need to clearly respond
to both parts of the question using subtitles or bullets AND cite
at least one scholarly reference in your response.
Research Week 3 350
Week 3 Discussion
Select one of the articles and respond to the following:
1. Identify the clinical question and describe each portion of the
question.
· Population - (introduction section)
· Intervention - (in methods section)
· Comparison (Methods section)
· Outcome - (results discussion and conclusion section)
· Time - Not all research studies will have a time component; if
time is part of the study include a description. Example: study

38. in place over 6 months.
2. In your own words, describe the following:
· Why was the study done?
· How was the study done?
· What was found?
· How will you apply this information in your practice setting?
3. Describe your experience after reading the article. How did
the use of quantitative research methods meet the needs of the
study, study design, and participants?
*The last page of chapter 3 in your book has a chart on where to
look for the Why? How? What? – this is helpful for this
discussion exercise.
Choose one of the following articles:
· Deakin, J., Gillespie, B. M., Chaboyer, W., Nieuwenhoven, P.,
& Latimer, S. (2020). An education intervention care bundle to
improve hospitalised patients’ pressure injury prevention
knowledge: A before and after study. Wound Practice &
Research, 28(4), 154–162.
· De Campos, A. P., & Walsh, S. (2021). Nurses' degree of
comfort in caring for palliative and hospice patients: A national
survey. Medsurg Nursing, 30(6), 365-372.
· Cruz, A. de O., Santana, S. M. M., Costa, C. M., Gomes da
Costa, L. V., & Ferraz, D. D. (2020). Prevalence of falls in frail
elderly users of ambulatory assistive devices: A comparative
study. Disability & Rehabilitation: Assistive Technology, 15(5),
510–514.
Choose one of the prompts below:
1. What causes nursing to be a stressful occupation? What are
some examples you have observed in the clinical areas? How do
you see other staff nurses reacting to stress? How do nurses
support each other?
2. Identify the qualities that you feel are most important in an
authentic leader. Think about your experience when you were a

39. leader and identify which of the qualities you were able to
display.
This is shared only with your instructor. Minimum 250 words.
· No title page needed
· One full page typed and double spaced is equivalent to 250
words (your minimum required)
· References and citations should be scholarly, peer-reviewed
(no blogs, WIKI, or other school of nursing website) written in
Current APA Style
Rubric
Journal Assignment Rubric (1)
Journal Assignment Rubric (1)
Criteria
Ratings
Pts
This criterion is linked to a Learning OutcomeCritical Analysis
12 to >10.2 pts
Meets or Exceeds Expectations
Presents an exemplary articulation and insightful analysis.
Offers detailed and specific examples for all questions. Makes
keen observations, making note of essential information. Ideas
are professionally sound and creative; they are supported by
scientific evidence that is credible and timely. Draws insightful
and comprehensive conclusions and solutions.
10.2 to >9.0 pts
Mostly Meets Expectations
Presents an accurate analysis of significant concepts and/or
theories. Offers some detail and some examples for most
questions. Makes occasional note of essential information. Ideas
are mostly supported by scientific evidence that is credible and
timely. Makes some attempt to draw conclusions and solutions.
9 to >7.08 pts
Below Expectations
Provides insufficient explanations of significant concepts.
Offers little or insignificant detail and no examples for most
questions. Fails to address essential information. Ideas ar e

40. generally unsupported by scientific evidence, but some attempt
has been made. Fails to draw conclusion.
7.08 to >0 pts
Does Not Meet Expectations
Does not, or incorrectly, answers with insufficient explanations.
Information is not scientifically sound.
12 pts
This criterion is linked to a Learning OutcomeContent
12 to >10.2 pts
Meets or Exceeds Expectations
Makes insightful, clear and accurate connections to key
concepts and relevant theories. Response indicates a
comprehensive, high-level understanding of the concepts.
10.2 to >9.0 pts
Mostly Meets Expectations
Makes mostly accurate connections to key concepts and relevant
theories. Response indicates a general understanding of the
concepts.
9 to >7.08 pts
Below Expectations
Provides several insufficient or inaccurate explanations,
although attempts are made to address some key concepts.
Response indicates an introductory understanding of the
concepts.
7.08 to >0 pts
Does Not Meet Expectations
Information is inaccurate or inadequate. Response indicates
little or no understanding of the concepts.
12 pts
This criterion is linked to a Learning OutcomeMechanics
9 to >7.66 pts
Meets or Exceeds Expectations
Answers are well written throughout. Information is well
organized and clearly communicated. Assignment is free of

41. spelling and grammatical errors.
7.66 to >6.76 pts
Mostly Meets Expectations
Answers are well written throughout and the information is
reasonably organized and communicated. Assignment is mostly
free of spelling and grammatical errors.
6.76 to >5.32 pts
Below Expectations
Answers are somewhat organized and lack some clarity.
Contains some spelling and grammatical errors.
5.32 to >0 pts
Does Not Meet Expectations
Answers are not well written and lack clarity. Information is
poorly organized. Assignment contains many spelling and
grammatical errors.
9 pts
This criterion is linked to a Learning OutcomeAPA Format
7 to >5.96 pts
Meets or Exceeds Expectations
Follows all the requirements related to format, length, source
citations, and layout.
5.96 to >5.26 pts
Mostly Meets Expectations
Follows length requirement and most of the requirements
related to format, source citations, and layout.
5.26 to >4.14 pts
Below Expectations
Follows most of the requirements related to format, length,
source citations, and layout.
4.14 to >0 pts
Does Not Meet Expectations
Does not follow format, length, source citations, and layout
requirements.

42. Discussion 3
Discuss the benefits and disadvantages of a facility using
supplemental and floating staff. Would this vary depending on
specific units? Why? (Respond to all three parts)
Be sure to apply concepts from the readings and research. You
must cite (with reference) at least one source: your textbook,
scholarly resources, or ATI textbook (no blogs, Wiki, or other
school of nursing website) in current APA Style.
Select one of the below-listed topics to use for your final
project. Submit topic choice and a minimum of three references
related to your topic to your instructor for approval. References
should be five years or less since publication and be listed in
the current APA Style. No Blog sites, WIKI, or another school
of nursing references, please. The Final Project may be
presented in your choice from the following: PowerPoint
Presentation (PPT), Infographic, or Pamphlet.
1. Nurse managers must work with staff to foster respect of
different lifestyles. As a future manager, how can you provide
culture-centered leadership to influence your team members and
care for a culturally diverse patient population? Please
incorporate concepts of cultural humility, sensitivity, or
competence and one cultural theory into your response.
2. Use Kouzes and Posner model to show how the nurse
manager on a 30-bed rehabilitation unit would decide the best
approach to finding out the cause of increasing urinary tract
infections (UTIs) on her unit over the past 6 months.
3. Quadruple Aim of Healthcare
1. What are the guidelines for the quadruple aim?
2. What is the importance of achieving the quadruple aim?
3. What outcomes may be seen from promoting the leader-
follower relationship?

43. 4. The Chief Nursing Officer (CNO) of an acute care hospital is
interested in becoming a Magnet-designated hospital. The CNO
would like to create a strategic plan for nursing excellence. If
you were the CNO, what would the mission statement for
nursing say? What would the vision statement for nursing say?
What would be the core values of the nursing department?
Create an Incivility Statement/Policy.
5. You are assigned some risk management activities in the
nursing facility where you work. In investigating incident
reports filed by staff, you discover that this is the third incident
this week in which a patient has fallen while attempting to get
out of bed and sit in a chair. How would you begin to address
this issue? Decide how you would start a more complete
investigation of this issue. For example, is it a facility-wide
issue or one that is confined to one unit? Does it affect all shifts
or only one? What safety issues are you going to discuss with
your staff, and how are you going to discuss these issues? Do
these falls involve the same staff member?
6. Analyze differences among research, evidence-based
practice, practice-based evidence, comparative effectiveness
research, outcomes research, and quality improvement. How do
these practices affect nursing and patient outcomes?
7. Review the educational program TeamSTEPPS. Identify two
strategies you can incorporate into your practice. Present your
rationale for selecting those and create an action plan to
incorporate those strategies into your practice.
Questions about APA? Visit the WCU Library's APA Help
guide.
Rubric
Topic and References Rubric
Topic and References Rubric
Criteria
Ratings
Pts
This criterion is linked to a Learning OutcomeTopic Choice
5 pts

44. Meets or Exceeds Expectations
Submitted topic choice from one of the options listed.
0 pts
Does Not Meet Expectations
No topic submission
5 pts
This criterion is linked to a Learning OutcomeAPA formatting
10 pts
Mostly Meets Expectations
All three articles listed are in the correct APA format, no errors
noted
8 pts
Mostly Meets Expectations
1-2 APA errors noted in formatting OR 2 references listed
4 pts
Below Expectations
3-4 APA errors noted in formatting OR 1 reference listed
0 pts
Does Not Meet Expectations
> 5 APA errors noted OR no references listed
10 pts
This criterion is linked to a Learning OutcomeReference time
frame
5 pts
Meets or Exceeds Expectations
All three articles published within the past 5 years
3 pts
Mostly Meets Expectations
1-2 of the articles published within the past 5 years
0 pts
Does Not Meet Expectations
Articles listed are all greater than 5 years old
5 pts

45. Total Points: 20
Create a pamphlet using any type of publisher software you
choose to educate clients on a current patient safety issue.
For example:
· How aging adults can care for themselves at home
· Medication–polypharmacy and how a patient cannot make a
self-medication error,
· Or other appropriate safety issues.
If you have a question about a specific topic, check with your
instructor. It is recommended that you save your pamphlet as a
PDF for submission.
Your pamphlet must include the following items:
1. At least five tips for preventive care for the patient.
2. Information that should be shared with family or caregiver s.
3. Local resources in the community that might be available for
this type of safety concern.
4. At least three APA-formatted references published within the
last five years.
Need help? Here's a YouTube video on creating a trifold
brochure that you can use as a guide:https://youtu.be/2-
wuhi2W-Yc (Links to an external site.)
Rubric
NURS_440_OL - NURS 440 Week 3 Rubric - Patient Safety
Culture Pamphlet
NURS_440_OL - NURS 440 Week 3 Rubric - Patient Safety
Culture Pamphlet
Criteria
Ratings
Pts
This criterion is linked to a Learning OutcomeCritical Analysis
40 to >35.6 pts
Meets or Exceeds Expectations
Communicates purpose of project with superior understanding
of material, shows insight and engages patients or reader. Style

46. is appropriate for intended audience. Presents an exemplary
articulation and insightful analysis of significant concepts
and/or theories presented for the chosen topic. Ideas are
professionally sound and creative; they are supported by
scientific evidence that is credible and timely.
35.6 to >30.0 pts
Mostly Meets Expectations
Presents an accurate understanding of the chosen topic, but
might be missing a detail or two or miss the intended audience.
Ideas are mostly supported by scientific evidence that is
credible and timely.
30 to >23.6 pts
Below Expectations
Provides insufficient explanations of significant concepts for
the chosen topic. Ideas are generally unsupported by scientific
evidence, but some attempt has been made.
23.6 to >0 pts
Does Not Meet Expectations
Does not, or incorrectly, portrays insufficient explanations for
the chosen topic. Information is not scientifically sound.
40 pts
This criterion is linked to a Learning OutcomeContent
40 to >35.6 pts
Meets or Exceeds Expectations
Offers detailed and specific examples to educate on the chosen
topic. Includes a minimum of five tips for preventive care for
the patient. Includes information that should be shared with
family or caregivers. Includes local resources in the community
that might be available. Includes at least three references.
35.6 to >30.0 pts
Mostly Meets Expectations
Offers specific examples to educate on the chosen topic, but
might be missing one or two details. Response indicates a more
general understanding of the concepts to educate on the chosen
topic. Either missing the full five preventative tips, information

47. for family or caregivers, or an important local resource.
30 to >23.6 pts
Below Expectations
Provides several insufficient or inaccurate examples, although
attempts are made to address some key points on the topic
chosen. Response indicates an introductory understanding of the
concepts to educate on the chosen topic.
23.6 to >0 pts
Does Not Meet Expectations
Information is inaccurate or inadequate. Response indicates
little or no understanding of the concepts for the chosen topic.
40 pts
This criterion is linked to a Learning OutcomeMechanics
15 to >13.35 pts
Meets or Exceeds Expectations
Information is well organized and clearly communicated.
Assignment is free of spelling and grammatical errors.
13.35 to >11.25 pts
Mostly Meets Expectations
Answers are well written or orally presented throughout, and
the information is reasonably organized and communicated.
Assignment is mostly free of spelling and grammatical errors.
11.25 to >8.85 pts
Below Expectations
Answers are somewhat organized and lacks some clarity.
Contains some spelling and grammatical errors.
8.85 to >0 pts
Does Not Meet Expectations
Answers are not well written or orally presented and lack
clarity. Information is poorly organized. Assignment contains
many spelling and grammatical errors.
15 pts
This criterion is linked to a Learning OutcomeAPA Format
5 to >4.45 pts

48. Meets or Exceeds Expectations
Follows all the requirements related to format, length, source
citations, and layout.
4.45 to >3.75 pts
Mostly Meets Expectations
Follows length requirement and most of the requirements
related to format, source citations, and layout.
3.75 to >2.95 pts
Below Expectations
Follows most of the requirements related to format, length,
source citations, and layout.
2.95 to >0 pts
Does Not Meet Expectations
Does not follow format, length, source citations, and layout
requirements.