NKU- DNP Peers’ Posts Needing Responses
I need help responding to the attached peers’ posts in 220 words each, kindly provide references with each post.
Instructions:
1. Make your initial post by 23:59 EST Thursday.
2. Respond to two other classmates' posts by 23:59 EST Sunday.
3. Address 2 of the following discussion questions in your post:
1. Describe the evolution of the doctor of nursing practice curriculum and its potential impact on the future of nursing. (CO1)
2. Analyze factors in our current healthcare delivery system that is driving the need for nurses prepared as at the doctoral level (CO1)
3. How do you determine the impact of the DNP degree? What methods should be used to determine the impact of DNP graduates? See pg 52 of Pritham & White article. (CO1)
4. What are your thoughts on having a universal standard for APRN entry?
Analyze factors in our current healthcare delivery system that is driving the need for nurses prepared as at the doctoral level
It is common for an individual to hear about the national nursing shortage on the news, or radio. This has become a growing topic since the development of COVID-19. One may also be familiar with the factor of nurse burnout. Schmidt (2020) informs that nearly 62% of nurses working in the United States are affected by some form of burnout. These two factors, including the use of advancing technologies in healthcare drive the need for nurses prepared at the doctoral level.
The doctoral prepared nurse is able to bridge the gap between theory and practice (Rivaz et al., 2021). Throughout this current doctor of nursing practice (DNP) program, students have been taught the ability to conduct research, review its validity and initiate it into practice. The DNP is the terminal degree which thoroughly prepares nurses to make change in the clinical setting. By utilizing the education provided by a DNP program, the nurse is able to understand how to provide effective change or adaptations for nurses affected by staffing shortages, or burnout. They may also be prepared to properly research advancing technologies (charting systems, tools, etc) and prepare nurses for their operation. The DNP prepared nurse displays top leadership, or management qualities based on their education. In times of stress or an ever changing environment, one may seek the expertise of the DNP prepared nurse for their guidance or leadership. Rivas et al. (2021) provide that challenging healthcare systems require nurse leaders that are able to manage unstable environments. This leader is the doctoral prepare nurse.
What are your thoughts on having a universal standard for APRN entry?
According to McCauley et al. (2020), in 2004Â the American Association of Colleges of Nursing (AACN) informed universities to transition to doctoral prepared advanced practice registered nurses (APRNs) programs by the year 2015. It is evident now that the AACN's wish did not come true. This poses the question if there should be a un.
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Developing Organizational Policies and Practices
Jadiam Lopez
MSN, Walden University
NURS-6053
Dr Leigh Ann Farmer
12/16/2021
Nursing is among the fastest-growing occupations in the United States through the nation still faces a significant shortfall of qualified nurses. The shortage may
continue to be highly essential due to the aging population. The U.S. is speculated to go through a shortage of Registered Nurses which is expected to maximize as
baby boomers age and the need for health care maximizes. The Registered Nursing workforce is speculated to grow from 2 million in 2019 to 3 million in 2029, a rise
of 220,000 and 7%. Impact of Nursing Shortages in an Organization In 2014, a study was conducted in American hospitals regarding the nursing shortage. They found
that a rise in nurses; workload by one patient maximized the possibility of dying in 30 days of admission by 7%. The researchers as well found out that each 10% rise
in bachelor’s degree nurses was related to a drop in patient death by 7% (Haddad, Annamaraju, & Toney-Butler, 2020). Insufficient nurse staffing is as well associated
with high patient mortality rates. In facilities with a limited number of nurses, the mortality risk for patients tends to be about 6% more on units that were under-
staffed in comparison to the well-staffed units. When a nurse’s workload is high due to high patient turnover, mortality risk as well tends to rise. Based on a study con-
ducted by the American Association of Colleges of Nursing (2020), there tends to be 4.9 fewer death in 10000 patients on intensive care units that are staffed with a
high percentage of nurses with bachelor’s degrees. Summary of the articles
The article by Mark et al. (2019) aims to deal with the identified causes of the nursing shortage in health care facilities and other nations. According to the findings of
this study, the nursing shortage causes tend to be multifaceted without worldwide or local evaluation of its nature, inefficient planning and use of accessible nursing
1
2
...
12/20/21, 3:09 PM Originality Report
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Submission UUID: 6720a9f6-c141-9b3b-84ab-a4e26a4d7490
Total Number of Reports
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Highest Match
89 %
WK3Assgn-LopezJ.docx
Average Match
89 %
Submitted on
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02:18 PM EST
Average Word Count
2,214
Highest: WK3Assgn-LopezJ.docx
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Developing Organizational Policies and Practices
Jadiam Lopez
MSN, Walden University
NURS-6053
Dr Leigh Ann Farmer
12/16/2021
Nursing is among the fastest-growing occupations in the United States through the nation still faces a significant shortfall of qualified nurses. The shortage may
continue to be highly essential due to the aging population. The U.S. is speculated to go through a shortage of Registered Nurses which is expected to maximize as
baby boomers age and the need for health care maximizes. The Registered Nursing workforce is speculated to grow from 2 million in 2019 to 3 million in 2029, a rise
of 220,000 and 7%. Impact of Nursing Shortages in an Organization In 2014, a study was conducted in American hospitals regarding the nursing shortage. They found
that a rise in nurses; workload by one patient maximized the possibility of dying in 30 days of admission by 7%. The researchers as well found out that each 10% rise
in bachelor’s degree nurses was related to a drop in patient death by 7% (Haddad, Annamaraju, & Toney-Butler, 2020). Insufficient nurse staffing is as well associated
with high patient mortality rates. In facilities with a limited number of nurses, the mortality risk for patients tends to be about 6% more on units that were under-
staffed in comparison to the well-staffed units. When a nurse’s workload is high due to high patient turnover, mortality risk as well tends to rise. Based on a study con-
ducted by the American Association of Colleges of Nursing (2020), there tends to be 4.9 fewer death in 10000 patients on intensive care units that are staffed with a
high percentage of nurses with bachelor’s degrees. Summary of the articles
The article by Mark et al. (2019) aims to deal with the identified causes of the nursing shortage in health care facilities and other nations. According to the findings of
this study, the nursing shortage causes tend to be multifaceted without worldwide or local evaluation of its nature, inefficient planning and use of accessible nursing
1
2
...
Respond to at least two of your colleagues in one or more of t.docxwilfredoa1
Respond
to at least
two
of your colleagues in one or more of the following ways:
Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
Validate an idea with your own experience and additional research.
Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.
Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.
POST 1
According to Cleary and Hunt, (2011), recent studies have shown the majority of nursing doctoral candidates are female, clinically experienced, and in their 40s or 50s at the time of starting their PhD. Based on that criteria, this writer fits exactly into that criteria. It is noted that other disciplines tend to start doctoral training much earlier (Cleary & Hunt, 2011). As a practicing nurse of 30 years, most of it as an Associate Degree nurse the recognition of the PhD nurse was seen as a profession in a nursing league of their own. According to Michael and Clochesy, (2016), the PhD in nursing was predominant throughout the 20th century with members of the academic nursing community recognizing the need for the development of knowledge to inform practice and to promote the credibility of the profession. Nursing theorists such as Jean Watson and Patricia Benner were game changers in the industry of theoretical nursing. The ability in achieving higher levels of education and in conducting research are hallmarks of professionalism (Houser, 2018).
This writer has a passion for teaching students and wants to be the best instructor she can be. She chose to go down the path of the PhD in Nursing education to increase skills and knowledge to improve what is delivered to students every day. The PhD is being pursued to separate myself from the growing amount of DNP faculty that she works with daily. Being an alumni with Walden University for the MSN, it was an easy choice to pick Walden University for the terminal degree. Michael and Clochesy, (2016), states the PhD and DNP represent complementary and alternative approaches to the highest level of educational preparation in nursing. PhD programs prepare nurse scientists to conduct original research and to generate knowledge that may be broadly applicable or generalizable using advanced research designs and statistical evaluative methods. Conversely, DNP programs prepare students for advanced specialty practice at a high level of complexity with a concurrent focus on the development of knowledge and skills required for translation of evidence to improve health outcomes and health care delivery (Michael & Clochesy, 2016).
Michael and Clochesy, (2016), also states two of the main reasons for not completing a doctoral program are financial and family stresses. Strategic plans must include financial considerations (e.g., research costs), support systems and a systemic approach to the d.
12/20/21, 3:09 PM Originality Report
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Submission UUID: 6720a9f6-c141-9b3b-84ab-a4e26a4d7490
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WK3Assgn-LopezJ.docx
Average Match
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Submitted on
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Average Word Count
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Highest: WK3Assgn-LopezJ.docx
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WK3Assgn-LopezJ.docx
2 5 6
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4 8 7
9 3
2 My paper 5 Student paper 4 topgradeprofessors
5
Developing Organizational Policies and Practices
Jadiam Lopez
MSN, Walden University
NURS-6053
Dr Leigh Ann Farmer
12/16/2021
Nursing is among the fastest-growing occupations in the United States through the nation still faces a significant shortfall of qualified nurses. The shortage may
continue to be highly essential due to the aging population. The U.S. is speculated to go through a shortage of Registered Nurses which is expected to maximize as
baby boomers age and the need for health care maximizes. The Registered Nursing workforce is speculated to grow from 2 million in 2019 to 3 million in 2029, a rise
of 220,000 and 7%. Impact of Nursing Shortages in an Organization In 2014, a study was conducted in American hospitals regarding the nursing shortage. They found
that a rise in nurses; workload by one patient maximized the possibility of dying in 30 days of admission by 7%. The researchers as well found out that each 10% rise
in bachelor’s degree nurses was related to a drop in patient death by 7% (Haddad, Annamaraju, & Toney-Butler, 2020). Insufficient nurse staffing is as well associated
with high patient mortality rates. In facilities with a limited number of nurses, the mortality risk for patients tends to be about 6% more on units that were under-
staffed in comparison to the well-staffed units. When a nurse’s workload is high due to high patient turnover, mortality risk as well tends to rise. Based on a study con-
ducted by the American Association of Colleges of Nursing (2020), there tends to be 4.9 fewer death in 10000 patients on intensive care units that are staffed with a
high percentage of nurses with bachelor’s degrees. Summary of the articles
The article by Mark et al. (2019) aims to deal with the identified causes of the nursing shortage in health care facilities and other nations. According to the findings of
this study, the nursing shortage causes tend to be multifaceted without worldwide or local evaluation of its nature, inefficient planning and use of accessible nursing
1
2
...
12/20/21, 3:09 PM Originality Report
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%83
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SafeAssign Originality Report
NURS-6053C-18/NURS-6053N-18-2021-Winter-QTR-Term-wks-1-thru-… • SafeAssign Drafts
%89Total Score: High riskJadiam Lopez
Submission UUID: 6720a9f6-c141-9b3b-84ab-a4e26a4d7490
Total Number of Reports
1
Highest Match
89 %
WK3Assgn-LopezJ.docx
Average Match
89 %
Submitted on
12/16/21
02:18 PM EST
Average Word Count
2,214
Highest: WK3Assgn-LopezJ.docx
%89Attachment 1
Institutional database (4)
My paper Student paper User paper
Student paper
Internet (5)
topgradeprofessors paperdue wikipedia
science studycorgi
Top sources (3)
Excluded sources (0)
View Originality Report - Old Design
Word Count: 2,214
WK3Assgn-LopezJ.docx
2 5 6
1
4 8 7
9 3
2 My paper 5 Student paper 4 topgradeprofessors
5
Developing Organizational Policies and Practices
Jadiam Lopez
MSN, Walden University
NURS-6053
Dr Leigh Ann Farmer
12/16/2021
Nursing is among the fastest-growing occupations in the United States through the nation still faces a significant shortfall of qualified nurses. The shortage may
continue to be highly essential due to the aging population. The U.S. is speculated to go through a shortage of Registered Nurses which is expected to maximize as
baby boomers age and the need for health care maximizes. The Registered Nursing workforce is speculated to grow from 2 million in 2019 to 3 million in 2029, a rise
of 220,000 and 7%. Impact of Nursing Shortages in an Organization In 2014, a study was conducted in American hospitals regarding the nursing shortage. They found
that a rise in nurses; workload by one patient maximized the possibility of dying in 30 days of admission by 7%. The researchers as well found out that each 10% rise
in bachelor’s degree nurses was related to a drop in patient death by 7% (Haddad, Annamaraju, & Toney-Butler, 2020). Insufficient nurse staffing is as well associated
with high patient mortality rates. In facilities with a limited number of nurses, the mortality risk for patients tends to be about 6% more on units that were under-
staffed in comparison to the well-staffed units. When a nurse’s workload is high due to high patient turnover, mortality risk as well tends to rise. Based on a study con-
ducted by the American Association of Colleges of Nursing (2020), there tends to be 4.9 fewer death in 10000 patients on intensive care units that are staffed with a
high percentage of nurses with bachelor’s degrees. Summary of the articles
The article by Mark et al. (2019) aims to deal with the identified causes of the nursing shortage in health care facilities and other nations. According to the findings of
this study, the nursing shortage causes tend to be multifaceted without worldwide or local evaluation of its nature, inefficient planning and use of accessible nursing
1
2
...
Respond to at least two of your colleagues in one or more of t.docxwilfredoa1
Respond
to at least
two
of your colleagues in one or more of the following ways:
Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
Validate an idea with your own experience and additional research.
Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.
Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.
POST 1
According to Cleary and Hunt, (2011), recent studies have shown the majority of nursing doctoral candidates are female, clinically experienced, and in their 40s or 50s at the time of starting their PhD. Based on that criteria, this writer fits exactly into that criteria. It is noted that other disciplines tend to start doctoral training much earlier (Cleary & Hunt, 2011). As a practicing nurse of 30 years, most of it as an Associate Degree nurse the recognition of the PhD nurse was seen as a profession in a nursing league of their own. According to Michael and Clochesy, (2016), the PhD in nursing was predominant throughout the 20th century with members of the academic nursing community recognizing the need for the development of knowledge to inform practice and to promote the credibility of the profession. Nursing theorists such as Jean Watson and Patricia Benner were game changers in the industry of theoretical nursing. The ability in achieving higher levels of education and in conducting research are hallmarks of professionalism (Houser, 2018).
This writer has a passion for teaching students and wants to be the best instructor she can be. She chose to go down the path of the PhD in Nursing education to increase skills and knowledge to improve what is delivered to students every day. The PhD is being pursued to separate myself from the growing amount of DNP faculty that she works with daily. Being an alumni with Walden University for the MSN, it was an easy choice to pick Walden University for the terminal degree. Michael and Clochesy, (2016), states the PhD and DNP represent complementary and alternative approaches to the highest level of educational preparation in nursing. PhD programs prepare nurse scientists to conduct original research and to generate knowledge that may be broadly applicable or generalizable using advanced research designs and statistical evaluative methods. Conversely, DNP programs prepare students for advanced specialty practice at a high level of complexity with a concurrent focus on the development of knowledge and skills required for translation of evidence to improve health outcomes and health care delivery (Michael & Clochesy, 2016).
Michael and Clochesy, (2016), also states two of the main reasons for not completing a doctoral program are financial and family stresses. Strategic plans must include financial considerations (e.g., research costs), support systems and a systemic approach to the d.
FEEDBACK FOR M7 Draft PPT SlidesHello Dear Student,The maiChereCheek752
FEEDBACK FOR M7 Draft PPT Slides
Hello Dear Student,
The main feedback is that you might review the structure - so that the slides in your main body section align with the main points described on slide 7.
The main body section has many different headings so I'm not seeing those four definitive sections. Maybe, having figured out what you really are covering, you can work backwards and reword the main points on that the slide 7, using new main points based on what you actually covered and making sure the order you've put them in make logical sense.
After those corrections, you are ready for the Final Project Submission.
Capstone Project Topic Selection2
Capstone Project Topic Selection4
Staffing, What Does It Cost?
Jane Doe
Grand Canyon University
Professional Capstone and Practicum
NRS-490
Professor Barbara Pridgen
August 25, 2017
Running head: Capstone Project Topic Selection1
Staffing, What Does It Cost?
Nurses have a responsibility to their patients to deliver quality healthcare and to keep patients safe. According to a report conducted by the American Nurses Association (2015) there is a new emphasis placed on cost containment and the first group being affected by cost-cutting measures is staffing (p. 4). This is not a very good idea since the majority of patient care falls on nurses and “appropriate nurse staffing levels are essential to optimizing quality of care and patient outcomes in the era of value-based healthcare (American Nurses Association [ANA], 2015, p. 4). This writer would like to explore how staffing affects patient care in regards to quality, outcomes and level of satisfaction. In addition, this writer would also like to explore the affect short-staffing has on the nurse and how the organization benefits financially from cutting staff. In the end, this writer would like to seek creative, cost-effective solutions that would benefit the nurse, the patient and the organization.
Impact of Staffing
Organizations believe that by cutting staff they are saving money to help their bottom-line, which is not unreasonable because everyone has a responsibility to be cost-conscious in today’s world. However, the reality may differ from what the organization believes that they are gaining. Lower staffing can have detrimental effects on patient care and outcomes and increase the risk of patient harm. When staffing is not adequate to care for patients it increases the risk for hospital acquired infections, medication errors, falls, missed treatment, and even death.
When staff levels are low and nurses are expected to perform too many tasks with too little time in a twelve-hour shift, staff burnout is sure to happen which will lead to high staff turnover. With the push to have more registered nurses with their Bachelor’s degree on the belief that they can deliver better more efficient care, will more likely open the door for the nurse to seek employment elsewhere. In the end, the nurse does not like to put pa ...
A Prática Avançada em Enfermagem nos Estados Unidos (EUA) foi tema do encontro virtual, realizado no dia 22 de outubro, transmitido no canal Somos Enfermagem TV e no Portal da Inovação na Gestão do SUS. “Podemos perceber que a iniciativa melhorou o acesso ao cuidado em saúde em contextos com oferta limitada de médicos, a qualidade do cuidado aos indivíduos portadores de condições crônicas e a redução dos gastos em saúde após a adoção da APN (Advanced Practice Nursing)”, segundo a painelista Joyce Pulcini. O ciclo de debates é promovido pela Organização Pan-Americana da Saúde no Brasil, pelo Conselho Federal de Enfermagem (Cofen) e pelo Centro Colaborador da OPAS/OMS para o Desenvolvimento da Pesquisa em Enfermagem da Universidade de São Paulo/Ribeirão e visa o intercâmbio de experiências entre o Brasil e outros países.
2Nursing Staff Shortage in HealthcareRuta Arefaine.docxrobert345678
2
Nursing Staff Shortage in Healthcare
Ruta Arefaine
Oak Point University
NUR 4642: Professional Role Transition
Professor Josette Cabatingan-Oribello
Nursing Shortage
The shortage in the nursing profession has been an issue for over several years. Especially following COVID-19 suddenly gotten worse. St. Mary Elizabeth Hospital is no exception to this growing issue. Nurses make up the majority of medical practitioners and are essential to the industry. There remains a demand for more skilled educators in the perioperative environment and less even workforce distribution. Many serious factors cause the lack of nurses. As the age increases, there is a greater necessity for medical coverage. The authenticity is that, instead of taking just one illness, senior adults typically have illnesses and founders that necessitate professional care. Overall, individuals exist lengthier, a growing ultimatum for well-being care. Many chronic illnesses that were previously fatal are now treatable (Mar et al., 2019). The baby boom generation is still at a stage where they might need more medical attention as society ages. Today, more incredible Americans than ever previously time in history are above the age of 65.
According to Haddad et al. (2022, disclosed Nursing employment is anticipated to increase by 6% during the following ten years, according to the Bureau of Labor Statistics Number Of simulations 2021–2031. The number of Nurses working in the profession is expected to rise by 195,400 from 3.1 million in 2021 to 3.3 million in 2031. When nurses retire, they get pension benefits and labor strength leave benefits which are prudently essential in the United States. More than 203,200 positions for Nursing professionals have become vacant in consecutive years. In addition, the nursing staff is shrinking. There are about one million nurse practitioners who are above 50. Thus, it shows that in ten to fifteen years, one in the workforce may be quitting. This figure includes medical faculties, which poses a unique problem since it necessitates training many more nurses with scarce assets. Constraints on admittance and a decline in the nursing practice's number of nurses can generate both results of a nursing faculty shortage.
Fewer students may register, and the curriculum's and the scholar's general superiority of education may worsen due to a condensed and forced facility. Some newly hired nurses find that the profession differs from what they had imagined after starting their jobs. Others might become employed for a while before giving up after getting overworked. The incidence of nurse burnout is tapering off after years of progressively increasing levels. Furthermore, the spectrum of the average income employee turnover, which spans between 8.8% to 37.0%, is determined by nursing discipline and locale (Rosseter, 2014). Enhancing nurses' labor conditions is insufficient. It is also essential to consider the caliber of nursing knowledge prov.
Bioinformatics practice questions Protein fragment PNLPDCDMES WLNAChantellPantoja184
Bioinformatics practice questions: Protein fragment: PNLPDCDMES WLNAPTVPSP INWERKTFSS CNFNMSSLLN RVQASSFTCN NIDASKFYGMCFGSITIDKF AIPLSRKVDL QLGSSGYLQN FNYRIDQSAT SCQMYYGIPQ NNVTVTKINP
1. Identify the source of your sequence and the location of the fragment represented by this sequence in the protein.
2. If the source protein is not annotated, find a similar annotated protein to infer the biological significance of your fragment.
3. Check if the three-dimensional structure of your fragment is known.
4. Predict secondary structure for the selected sequence.
5. Predict three-dimensional structure for the selected sequence using homology modeling.
6. Analyze the quality of your model using one of the structure assessment tools.
7. Provide structural classification for your model.
8. Create a visualization of your model highlighting and annotating one of the important molecular or biological features.
9. Compare predicted secondary structure with the secondary structure in 3D model and interpret the results.
202 UNIT III STRATEGIZING AND CREATING CHANGE
The Little “p”
A nurse’s individual expertise is vital to shaping policy change at every level, but nurses
must be diligent to share this expertise. From the unit level to the hospital system level, the
observation of one nurse could improve quality of care, save the healthcare system hun-
dreds of thousands of dollars, improve the efficiency of care delivery, or develop a national
policy standard. Yet, an exceptional idea never comes to fruition if it is not heard.
Empowered nurses can use their expertise to enact change in their organization
(Bradbury-Jones, Sambrook, & Irvine, 2008). On the contrary, if nurses do not feel
empowered, feelings of frustration and failure emerge (Laschinger & Havens, 1996;
The Alliance: Nursing Organization Alliance Nurse in Washington Internship
(NIWI)
Open to any RN or nursing student (all levels of education) who is interested
in learning about current issues in nursing and the legislative process. Each
participant spends time meeting with his or her members of Congress while
participating in the NIWI Annual Advocacy Days (see Figure 7.2).
www.nursing-alliance.org/Events/NIWI-Nurse-in-Washington-Internship
For Advanced Practice Registered Nurses
American Association of Nurse Practitioners (AANP) Health Policy Fellowship
The AANP Health Policy Fellowship program provides AANP members with
a comprehensive fellowship experience at the center of health policy and
politics in Washington, DC. It is an outstanding opportunity for members with
an interest in healthcare policy to promote the health of the nation and the
advancement of NPs’ ability to work within their full scope of practice.
www.aanp.org/legislation-regulation/federal-legislation/
health-policy-fellowship
For Nursing Students
American Association of Colleges of Nursing (AACN) Student Policy Summit
(SPS)
The SPS is a 3-day conference held in Washington, DC, and is open ...
Reflection Journal 10Assessment DescriptionStudents are requir.docxcargillfilberto
Reflection Journal 10
Assessment Description
Students are required to maintain weekly reflective narratives throughout the course to combine into one course-long reflective journal that integrates leadership and inquiry into current practice as it applies to the Professional Capstone and Practicum course.
In your journal, you will reflect on the personal knowledge and skills gained throughout this course. The journal should address a variable combination of the following, depending on your specific practice immersion clinical experiences:
Please focus on the topic: Fall Prevention in Outpatient Radiology Clinic
New practice approaches
Intra-professional collaboration
Healthcare delivery and clinical systems
Ethical considerations in health care
Population health concerns
The role of technology in improving health care outcomes
Health policy
Leadership and economic models
Health disparities
Students will outline what they have discovered about their professional practice, personal strengths and weaknesses that surfaced, additional resources and abilities that could be introduced to a given situation to influence optimal outcomes, and finally, how the student met the competencies aligned to this course.
While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
Benchmark Information
This benchmark assignment assesses the following programmatic competencies:
RN to BSN
1.3: Understand and value the processes of critical thinking, ethical reasoning, and decision making.
2.6: Promote interprofessional collaborative communication with health care teams to provide safe and effective care.
3.2: Utilize patient care technology and information management systems.
4.2: Preserve the integrity and human dignity in the care of all patients.
5.5: Provide culturally sensitive care.
20XXKRONA HOSPITAL OPERATING BUDGET FOR 20XXRevenuesInpatient $ 25,000,000Outpatient15,000,000Emergency Room10,000,000Laboratory5,000,000Pharmacy1,500,000Home Health and Hospice1,500,000Ambulance Services950,000Substance Abuse250,000Other850,000Subtotal$ 60,050,000Less Chartiy Care18,000,000Net Revenues$ 42,050,000ExpensesPayroll (including nursing salaries)$ 12,500,000Benefits3,000,000Contract Labor100,000Insurance300,000General Services (laundary, security, etc)3,000,000Depreciation 1,500,000Interest Expense300,000Professional Services10,000,000Total Operating Expenses$ 30,700,000Net Income$ 11,350,000
Sheet2
Sheet3
Benchmark - Capstone Project Change Proposal
Mananita Gerochi-Caparas
Grand Canyon University
NRS-493-O503 Professional Capstone and Practicum
Davida Murphy Smith
October 23, 2022
Benchmark - Capstone Project Change Proposal
Background
Falling incidences are prevalent among older patients. In so.
Submission Id ab299d7c-b547-4cf3-958a-07922ca71f2765 SIM.docxdeanmtaylor1545
Submission Id: ab299d7c-b547-4cf3-958a-07922ca71f27
65% SIMILARITY SCORE 12 CITATION ITEMS 20 GRAMMAR ISSUES 0 FEEDBACK COMMENT
Internet Source 0%
Inst itut ion 65%
Patience Nehikhare
healthcaredeliverysystemchanges.docx
Summary
1175 Words
Running Head: HEALTHCARE DELIVERY SYSTEM
THE U.S. HEALTHCARE DELIVERY SYSTEM 2
Healthcare Delivery System
Patience Nehikhare
Grand Canyon University
December 22, 2019
The U.S. Healthcare Delivery System
There is a rapid change within the healthcare system in the United States. The
changes that have occurred were made for the purpose of improving quality,
rewarding value and not volume, as well as integrating and coordinating the care
(Seshamani & Sen, 2018). As such, this paper will seek to put into consideration
current healthcare laws within the U.S. and the nurse’s role within this continuously
changing environment; the manner in which quality measures and pay for performance
affect patient outcomes. Furthermore, the emerging trends in the healthcare system,
professional nursing leadership, and management roles will be discussed.
The Emerging Health Care Laws and their Effects on Nursing Practice
One of the most crucial healthcare legislat ions that has been enacted in the United
States since the inception of Medicare and Medicaid in 1965 is the Affordable Care
Act (Obama, 2016). The ACA was enacted in 2010. Issues relat ing to affordability,
ease of access, and the care quality within the United States healthcare system were
some of the driving factors that formed the list of many t ime spanning challenges
that compiled the init iat ion of this legislat ion. Between 2010 to 2015 there was a
decrease in the number of uninsured cit izens in the U.S. by forty three percent as an
effect of the Affordable Care Act.
The payment systems in healthcare are undergoing some changes and the access to
care has also improved (Obama, 2016). The ACA promotes preventive healthcare
models that put emphasis on quality care, primary care, and the funding of community
health init iat ives (Lathrop and Hodnicki, 2014). Millions of previously uninsured cit izens
are also provided insurance coverage and also some healthcare areas that need
reforms so as to meet the needs of patients’ improved healthcare outcomes are
highly focused by the act. The act has an effect on nursing practice in several ways.
The first effect is that the act creates a high demand for healthcare professionals
that are sufficiently trained to provide healthcare services that are up to the acts’
standards. The second effect is that Advanced Practice Registered Nurses (APRNs)
who hold the Doctor of Nursing Practice (DNP) are required to be prepared so that
they can meet the increased needs through the provision of leadership skills in
community health centers. These professionals are also held accountable for direct ing
and advocating for future init iates as well as ser.
Module 1 Level 5 LeadershipThe student will post one thread of at lea.docxhye345678
Module 1 Level 5 Leadership
The student will post one thread of at
least 400 words. For each thread, students must support their assertions with at least 3 scholarly
citations in APA format.
ny sources cited must have
been published within the last five years. Acceptable sources include the textbook, the Bible,
peer-reviewed articles from the Jerry Falwell Library, etc.
In his 2001 article, “Good to Greatâ€, Jim Collins found 11 companies that went from good to great and metaphorically discussed how each of them did this. Of particular note was how Collins described the transformation of Wells Fargo.
Using the Hedgehog Concept, Collins argued that leaders are hedgehogs, not foxes. Foxes are good at many things. Hedgehogs are good at 1 big thing and are able to distill everything down to 1 simple workable idea. Accordingly, to be a great company, the CEO would have to ask: 1) what is the company best at; 2) what economic denominator drives the company; and, 3) what are the employees passionate about? Using this formula, Collins notably claims that Wells Fargo discovered that their economic driver was not profit per loan but profit per employee. Consequently, they pioneered electronic banking with the idea that they would “run a business like they owned it†and ended up turning that employee profit into superior results.
Although Collins does not empirically define these results, Wells Fargo’s profit summaries since 2001 reflect as much. In 2016, a former employee revealed that Wells Fargo had been involved in elaborate schemes to defraud customers by using their information to create phony accounts without their knowledge. Still trying to recover from the $1.2 billion housing settlement in February of 2016, this disclosure resulted in yet another $185 million in fines by the Securities and Exchange Commission (SEC). Consequently, the CEO resigned and the Department of Justice (DOJ) is now investigating the company. Wells Fargo shares have lost nearly 16% of their value.
For your discussion, you must first determine if Collins was incorrect to begin with. Did Collins simply misinterpret how Wells Fargo reported their successes after 2001? Or was it something internal at Wells Fargo that caused the Hedgehog Concept to go awry? If so, how could profit per employee go so wrong? Most importantly, where was the failure in leadership and why?
.
Module 05 ContentBarbara schedules a meeting with a core group of clin.docxhye345678
Module 05 Content
Barbara schedules a meeting with a core group of clinic managers. The purpose of the meeting is to review the strategic plan and to gather additional feedback from the managers. Barbara is aware of the importance of diversity within the organization. Diversity and inclusion is particularly important because of the population served by UCCO facilities. However, she realizes during the meeting that there may be some issues with diversity and culture. Furthermore, how diversity and culture impact team performance. Several managers made comments regarding distribution of work and employee perspectives based on stereotypes. She also found out that there are many personality conflicts and issues with subordination. Barbara encountered the conflict and degradation comments, first-hand during the meeting.
Visit the Rasmussen online Library and search for a minimum of 3 articles covering diversity and culture and teamwork.
For this project assignment on UCCO complete a minimum of a 3 page report to address management of change with strategic planning and with the following concepts:
What is the role of executives in the process of change management and strategic planning? How do issues with diversity and culture relate to change management?
Why is diversity inclusion important? What are the benefits? Specifically address UCCO purpose for diversity.
Discuss how working with others can help with respect for diversity and respect for diverse perspectives.
What are the challenges and benefits of employing a diverse workforce?
What should Barbara's plan be for encouraging teamwork among a diverse workforce and ensuring that employees make meaningful and valuable contributions to team projects and tasks. Incorporate Barbara's personal experience with the team of clinic managers.
Remember to integrate citations accurately and appropriately for all resource types; use attribution (credit) as a method to avoid plagiarism. Use NoodleBib to document your sources and to complete your APA formatted reference page and in-text citations.
Transferable Skills for this Project Stage:
Diversity & Teamwork
Communication
.
Mobile manfacturing-Project quality management plan to include an upda.docxhye345678
Mobile manfacturing
-Â Project quality management plan to include an updated scope, cost, schedule, communication, risk, resources, procurement, and quality)
- Project requirements – updated
- Stakeholder register – updated
-Â How project RAID (Risk, Assumption, Issues, and Dependencies)will be managed
-Â Project sponsor approval of the key project deliverables
.
More Related Content
Similar to NKU- DNP Peers Posts Needing ResponsesI need help responding to the at.docx
FEEDBACK FOR M7 Draft PPT SlidesHello Dear Student,The maiChereCheek752
FEEDBACK FOR M7 Draft PPT Slides
Hello Dear Student,
The main feedback is that you might review the structure - so that the slides in your main body section align with the main points described on slide 7.
The main body section has many different headings so I'm not seeing those four definitive sections. Maybe, having figured out what you really are covering, you can work backwards and reword the main points on that the slide 7, using new main points based on what you actually covered and making sure the order you've put them in make logical sense.
After those corrections, you are ready for the Final Project Submission.
Capstone Project Topic Selection2
Capstone Project Topic Selection4
Staffing, What Does It Cost?
Jane Doe
Grand Canyon University
Professional Capstone and Practicum
NRS-490
Professor Barbara Pridgen
August 25, 2017
Running head: Capstone Project Topic Selection1
Staffing, What Does It Cost?
Nurses have a responsibility to their patients to deliver quality healthcare and to keep patients safe. According to a report conducted by the American Nurses Association (2015) there is a new emphasis placed on cost containment and the first group being affected by cost-cutting measures is staffing (p. 4). This is not a very good idea since the majority of patient care falls on nurses and “appropriate nurse staffing levels are essential to optimizing quality of care and patient outcomes in the era of value-based healthcare (American Nurses Association [ANA], 2015, p. 4). This writer would like to explore how staffing affects patient care in regards to quality, outcomes and level of satisfaction. In addition, this writer would also like to explore the affect short-staffing has on the nurse and how the organization benefits financially from cutting staff. In the end, this writer would like to seek creative, cost-effective solutions that would benefit the nurse, the patient and the organization.
Impact of Staffing
Organizations believe that by cutting staff they are saving money to help their bottom-line, which is not unreasonable because everyone has a responsibility to be cost-conscious in today’s world. However, the reality may differ from what the organization believes that they are gaining. Lower staffing can have detrimental effects on patient care and outcomes and increase the risk of patient harm. When staffing is not adequate to care for patients it increases the risk for hospital acquired infections, medication errors, falls, missed treatment, and even death.
When staff levels are low and nurses are expected to perform too many tasks with too little time in a twelve-hour shift, staff burnout is sure to happen which will lead to high staff turnover. With the push to have more registered nurses with their Bachelor’s degree on the belief that they can deliver better more efficient care, will more likely open the door for the nurse to seek employment elsewhere. In the end, the nurse does not like to put pa ...
A Prática Avançada em Enfermagem nos Estados Unidos (EUA) foi tema do encontro virtual, realizado no dia 22 de outubro, transmitido no canal Somos Enfermagem TV e no Portal da Inovação na Gestão do SUS. “Podemos perceber que a iniciativa melhorou o acesso ao cuidado em saúde em contextos com oferta limitada de médicos, a qualidade do cuidado aos indivíduos portadores de condições crônicas e a redução dos gastos em saúde após a adoção da APN (Advanced Practice Nursing)”, segundo a painelista Joyce Pulcini. O ciclo de debates é promovido pela Organização Pan-Americana da Saúde no Brasil, pelo Conselho Federal de Enfermagem (Cofen) e pelo Centro Colaborador da OPAS/OMS para o Desenvolvimento da Pesquisa em Enfermagem da Universidade de São Paulo/Ribeirão e visa o intercâmbio de experiências entre o Brasil e outros países.
2Nursing Staff Shortage in HealthcareRuta Arefaine.docxrobert345678
2
Nursing Staff Shortage in Healthcare
Ruta Arefaine
Oak Point University
NUR 4642: Professional Role Transition
Professor Josette Cabatingan-Oribello
Nursing Shortage
The shortage in the nursing profession has been an issue for over several years. Especially following COVID-19 suddenly gotten worse. St. Mary Elizabeth Hospital is no exception to this growing issue. Nurses make up the majority of medical practitioners and are essential to the industry. There remains a demand for more skilled educators in the perioperative environment and less even workforce distribution. Many serious factors cause the lack of nurses. As the age increases, there is a greater necessity for medical coverage. The authenticity is that, instead of taking just one illness, senior adults typically have illnesses and founders that necessitate professional care. Overall, individuals exist lengthier, a growing ultimatum for well-being care. Many chronic illnesses that were previously fatal are now treatable (Mar et al., 2019). The baby boom generation is still at a stage where they might need more medical attention as society ages. Today, more incredible Americans than ever previously time in history are above the age of 65.
According to Haddad et al. (2022, disclosed Nursing employment is anticipated to increase by 6% during the following ten years, according to the Bureau of Labor Statistics Number Of simulations 2021–2031. The number of Nurses working in the profession is expected to rise by 195,400 from 3.1 million in 2021 to 3.3 million in 2031. When nurses retire, they get pension benefits and labor strength leave benefits which are prudently essential in the United States. More than 203,200 positions for Nursing professionals have become vacant in consecutive years. In addition, the nursing staff is shrinking. There are about one million nurse practitioners who are above 50. Thus, it shows that in ten to fifteen years, one in the workforce may be quitting. This figure includes medical faculties, which poses a unique problem since it necessitates training many more nurses with scarce assets. Constraints on admittance and a decline in the nursing practice's number of nurses can generate both results of a nursing faculty shortage.
Fewer students may register, and the curriculum's and the scholar's general superiority of education may worsen due to a condensed and forced facility. Some newly hired nurses find that the profession differs from what they had imagined after starting their jobs. Others might become employed for a while before giving up after getting overworked. The incidence of nurse burnout is tapering off after years of progressively increasing levels. Furthermore, the spectrum of the average income employee turnover, which spans between 8.8% to 37.0%, is determined by nursing discipline and locale (Rosseter, 2014). Enhancing nurses' labor conditions is insufficient. It is also essential to consider the caliber of nursing knowledge prov.
Bioinformatics practice questions Protein fragment PNLPDCDMES WLNAChantellPantoja184
Bioinformatics practice questions: Protein fragment: PNLPDCDMES WLNAPTVPSP INWERKTFSS CNFNMSSLLN RVQASSFTCN NIDASKFYGMCFGSITIDKF AIPLSRKVDL QLGSSGYLQN FNYRIDQSAT SCQMYYGIPQ NNVTVTKINP
1. Identify the source of your sequence and the location of the fragment represented by this sequence in the protein.
2. If the source protein is not annotated, find a similar annotated protein to infer the biological significance of your fragment.
3. Check if the three-dimensional structure of your fragment is known.
4. Predict secondary structure for the selected sequence.
5. Predict three-dimensional structure for the selected sequence using homology modeling.
6. Analyze the quality of your model using one of the structure assessment tools.
7. Provide structural classification for your model.
8. Create a visualization of your model highlighting and annotating one of the important molecular or biological features.
9. Compare predicted secondary structure with the secondary structure in 3D model and interpret the results.
202 UNIT III STRATEGIZING AND CREATING CHANGE
The Little “p”
A nurse’s individual expertise is vital to shaping policy change at every level, but nurses
must be diligent to share this expertise. From the unit level to the hospital system level, the
observation of one nurse could improve quality of care, save the healthcare system hun-
dreds of thousands of dollars, improve the efficiency of care delivery, or develop a national
policy standard. Yet, an exceptional idea never comes to fruition if it is not heard.
Empowered nurses can use their expertise to enact change in their organization
(Bradbury-Jones, Sambrook, & Irvine, 2008). On the contrary, if nurses do not feel
empowered, feelings of frustration and failure emerge (Laschinger & Havens, 1996;
The Alliance: Nursing Organization Alliance Nurse in Washington Internship
(NIWI)
Open to any RN or nursing student (all levels of education) who is interested
in learning about current issues in nursing and the legislative process. Each
participant spends time meeting with his or her members of Congress while
participating in the NIWI Annual Advocacy Days (see Figure 7.2).
www.nursing-alliance.org/Events/NIWI-Nurse-in-Washington-Internship
For Advanced Practice Registered Nurses
American Association of Nurse Practitioners (AANP) Health Policy Fellowship
The AANP Health Policy Fellowship program provides AANP members with
a comprehensive fellowship experience at the center of health policy and
politics in Washington, DC. It is an outstanding opportunity for members with
an interest in healthcare policy to promote the health of the nation and the
advancement of NPs’ ability to work within their full scope of practice.
www.aanp.org/legislation-regulation/federal-legislation/
health-policy-fellowship
For Nursing Students
American Association of Colleges of Nursing (AACN) Student Policy Summit
(SPS)
The SPS is a 3-day conference held in Washington, DC, and is open ...
Reflection Journal 10Assessment DescriptionStudents are requir.docxcargillfilberto
Reflection Journal 10
Assessment Description
Students are required to maintain weekly reflective narratives throughout the course to combine into one course-long reflective journal that integrates leadership and inquiry into current practice as it applies to the Professional Capstone and Practicum course.
In your journal, you will reflect on the personal knowledge and skills gained throughout this course. The journal should address a variable combination of the following, depending on your specific practice immersion clinical experiences:
Please focus on the topic: Fall Prevention in Outpatient Radiology Clinic
New practice approaches
Intra-professional collaboration
Healthcare delivery and clinical systems
Ethical considerations in health care
Population health concerns
The role of technology in improving health care outcomes
Health policy
Leadership and economic models
Health disparities
Students will outline what they have discovered about their professional practice, personal strengths and weaknesses that surfaced, additional resources and abilities that could be introduced to a given situation to influence optimal outcomes, and finally, how the student met the competencies aligned to this course.
While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
Benchmark Information
This benchmark assignment assesses the following programmatic competencies:
RN to BSN
1.3: Understand and value the processes of critical thinking, ethical reasoning, and decision making.
2.6: Promote interprofessional collaborative communication with health care teams to provide safe and effective care.
3.2: Utilize patient care technology and information management systems.
4.2: Preserve the integrity and human dignity in the care of all patients.
5.5: Provide culturally sensitive care.
20XXKRONA HOSPITAL OPERATING BUDGET FOR 20XXRevenuesInpatient $ 25,000,000Outpatient15,000,000Emergency Room10,000,000Laboratory5,000,000Pharmacy1,500,000Home Health and Hospice1,500,000Ambulance Services950,000Substance Abuse250,000Other850,000Subtotal$ 60,050,000Less Chartiy Care18,000,000Net Revenues$ 42,050,000ExpensesPayroll (including nursing salaries)$ 12,500,000Benefits3,000,000Contract Labor100,000Insurance300,000General Services (laundary, security, etc)3,000,000Depreciation 1,500,000Interest Expense300,000Professional Services10,000,000Total Operating Expenses$ 30,700,000Net Income$ 11,350,000
Sheet2
Sheet3
Benchmark - Capstone Project Change Proposal
Mananita Gerochi-Caparas
Grand Canyon University
NRS-493-O503 Professional Capstone and Practicum
Davida Murphy Smith
October 23, 2022
Benchmark - Capstone Project Change Proposal
Background
Falling incidences are prevalent among older patients. In so.
Submission Id ab299d7c-b547-4cf3-958a-07922ca71f2765 SIM.docxdeanmtaylor1545
Submission Id: ab299d7c-b547-4cf3-958a-07922ca71f27
65% SIMILARITY SCORE 12 CITATION ITEMS 20 GRAMMAR ISSUES 0 FEEDBACK COMMENT
Internet Source 0%
Inst itut ion 65%
Patience Nehikhare
healthcaredeliverysystemchanges.docx
Summary
1175 Words
Running Head: HEALTHCARE DELIVERY SYSTEM
THE U.S. HEALTHCARE DELIVERY SYSTEM 2
Healthcare Delivery System
Patience Nehikhare
Grand Canyon University
December 22, 2019
The U.S. Healthcare Delivery System
There is a rapid change within the healthcare system in the United States. The
changes that have occurred were made for the purpose of improving quality,
rewarding value and not volume, as well as integrating and coordinating the care
(Seshamani & Sen, 2018). As such, this paper will seek to put into consideration
current healthcare laws within the U.S. and the nurse’s role within this continuously
changing environment; the manner in which quality measures and pay for performance
affect patient outcomes. Furthermore, the emerging trends in the healthcare system,
professional nursing leadership, and management roles will be discussed.
The Emerging Health Care Laws and their Effects on Nursing Practice
One of the most crucial healthcare legislat ions that has been enacted in the United
States since the inception of Medicare and Medicaid in 1965 is the Affordable Care
Act (Obama, 2016). The ACA was enacted in 2010. Issues relat ing to affordability,
ease of access, and the care quality within the United States healthcare system were
some of the driving factors that formed the list of many t ime spanning challenges
that compiled the init iat ion of this legislat ion. Between 2010 to 2015 there was a
decrease in the number of uninsured cit izens in the U.S. by forty three percent as an
effect of the Affordable Care Act.
The payment systems in healthcare are undergoing some changes and the access to
care has also improved (Obama, 2016). The ACA promotes preventive healthcare
models that put emphasis on quality care, primary care, and the funding of community
health init iat ives (Lathrop and Hodnicki, 2014). Millions of previously uninsured cit izens
are also provided insurance coverage and also some healthcare areas that need
reforms so as to meet the needs of patients’ improved healthcare outcomes are
highly focused by the act. The act has an effect on nursing practice in several ways.
The first effect is that the act creates a high demand for healthcare professionals
that are sufficiently trained to provide healthcare services that are up to the acts’
standards. The second effect is that Advanced Practice Registered Nurses (APRNs)
who hold the Doctor of Nursing Practice (DNP) are required to be prepared so that
they can meet the increased needs through the provision of leadership skills in
community health centers. These professionals are also held accountable for direct ing
and advocating for future init iates as well as ser.
Module 1 Level 5 LeadershipThe student will post one thread of at lea.docxhye345678
Module 1 Level 5 Leadership
The student will post one thread of at
least 400 words. For each thread, students must support their assertions with at least 3 scholarly
citations in APA format.
ny sources cited must have
been published within the last five years. Acceptable sources include the textbook, the Bible,
peer-reviewed articles from the Jerry Falwell Library, etc.
In his 2001 article, “Good to Greatâ€, Jim Collins found 11 companies that went from good to great and metaphorically discussed how each of them did this. Of particular note was how Collins described the transformation of Wells Fargo.
Using the Hedgehog Concept, Collins argued that leaders are hedgehogs, not foxes. Foxes are good at many things. Hedgehogs are good at 1 big thing and are able to distill everything down to 1 simple workable idea. Accordingly, to be a great company, the CEO would have to ask: 1) what is the company best at; 2) what economic denominator drives the company; and, 3) what are the employees passionate about? Using this formula, Collins notably claims that Wells Fargo discovered that their economic driver was not profit per loan but profit per employee. Consequently, they pioneered electronic banking with the idea that they would “run a business like they owned it†and ended up turning that employee profit into superior results.
Although Collins does not empirically define these results, Wells Fargo’s profit summaries since 2001 reflect as much. In 2016, a former employee revealed that Wells Fargo had been involved in elaborate schemes to defraud customers by using their information to create phony accounts without their knowledge. Still trying to recover from the $1.2 billion housing settlement in February of 2016, this disclosure resulted in yet another $185 million in fines by the Securities and Exchange Commission (SEC). Consequently, the CEO resigned and the Department of Justice (DOJ) is now investigating the company. Wells Fargo shares have lost nearly 16% of their value.
For your discussion, you must first determine if Collins was incorrect to begin with. Did Collins simply misinterpret how Wells Fargo reported their successes after 2001? Or was it something internal at Wells Fargo that caused the Hedgehog Concept to go awry? If so, how could profit per employee go so wrong? Most importantly, where was the failure in leadership and why?
.
Module 05 ContentBarbara schedules a meeting with a core group of clin.docxhye345678
Module 05 Content
Barbara schedules a meeting with a core group of clinic managers. The purpose of the meeting is to review the strategic plan and to gather additional feedback from the managers. Barbara is aware of the importance of diversity within the organization. Diversity and inclusion is particularly important because of the population served by UCCO facilities. However, she realizes during the meeting that there may be some issues with diversity and culture. Furthermore, how diversity and culture impact team performance. Several managers made comments regarding distribution of work and employee perspectives based on stereotypes. She also found out that there are many personality conflicts and issues with subordination. Barbara encountered the conflict and degradation comments, first-hand during the meeting.
Visit the Rasmussen online Library and search for a minimum of 3 articles covering diversity and culture and teamwork.
For this project assignment on UCCO complete a minimum of a 3 page report to address management of change with strategic planning and with the following concepts:
What is the role of executives in the process of change management and strategic planning? How do issues with diversity and culture relate to change management?
Why is diversity inclusion important? What are the benefits? Specifically address UCCO purpose for diversity.
Discuss how working with others can help with respect for diversity and respect for diverse perspectives.
What are the challenges and benefits of employing a diverse workforce?
What should Barbara's plan be for encouraging teamwork among a diverse workforce and ensuring that employees make meaningful and valuable contributions to team projects and tasks. Incorporate Barbara's personal experience with the team of clinic managers.
Remember to integrate citations accurately and appropriately for all resource types; use attribution (credit) as a method to avoid plagiarism. Use NoodleBib to document your sources and to complete your APA formatted reference page and in-text citations.
Transferable Skills for this Project Stage:
Diversity & Teamwork
Communication
.
Mobile manfacturing-Project quality management plan to include an upda.docxhye345678
Mobile manfacturing
-Â Project quality management plan to include an updated scope, cost, schedule, communication, risk, resources, procurement, and quality)
- Project requirements – updated
- Stakeholder register – updated
-Â How project RAID (Risk, Assumption, Issues, and Dependencies)will be managed
-Â Project sponsor approval of the key project deliverables
.
MBA 699- Merger Integration ReportDeyanira DiazSouthern New Hampshire.docxhye345678
MBA 699: Merger Integration Report
Deyanira Diaz
Southern New Hampshire University
MBA 699: Strategic Opportunity Management
Professor Steven Farina
January 15, 2023
Contents Guiding Coalition 2 Employee attrition analysis 5 Current Employee Demographics 5 Attrition Analysis 6 Retention 8 Actionable Steps 9 Alternative Buyer Research Report 9 Current Market 9 Financial Situation 10 Recent Developments 11 Buyer Rationale 12 Acquisition Road Map 13 Acquisition-related tasks 13 Gantt Chart 13 Exit strategy recommendations and plan 14 Change management strategy 14 Summary 16 Risk 16
Guiding Coalition
As you are aware, I was chosen to join the team responsible for strategic planning to help them access the exit strategy the company is laying out. I'm excited to share information about potential collaborators and their sway over the company and the intended audience. We are all aware that change is a constant in organizations, and the success of the change will depend on how well employers and employees can adjust. Businesses must also carefully choose the people who will spearhead the change. All other interventions will have access to the market if the right leaders are chosen to influence the community (Breuer et al., 2018). Introducing the drug to the market will require supportive influence from both the internal and external markets for our business. We'll begin by choosing a team of leaders who lead the other team and give their subordinates feedback. These leaders need traits and abilities that improve the organization's reputation. Their organizational expertise, which can be gauged by the years they have worked there, will be crucial in this process. Additionally, it will be necessary for them to be enthusiastic because it will affect how well they perform. The last factor is their role, which largely affects the process because they will use their expertise to encourage participation.
The first person selected is Omar, who is the Manufacturing Director. Omar manages three departments; Supply Chain Strategies, Middle Eastern Operations and North America Operations. He is also managing 12 manufacturing plants that have 580 hourly workers. He has served the organization for three years, but his job satisfaction is rated at the highest level. Omar influences three areas in this organization; manufacturing, supply chain and operations.
I chose Omar because his influence in manufacturing is enough to provide the organization with information about the capacity and the size of the market it can serve. He is also in a position to advise the business on regulatory standards and market demand. This leader manages supply chain individuals who are in a position to understand cost-saving products. The department will be at the forefront in selecting the best partners to work with and how to satisfy their customers. Operations will also be able to take the lead in quality and regulatory adherence.
The other person to be included in this coalition is J.
Marketing for the Digital AgeTask 2-2- Communication PlanAssessment ty.docxhye345678
Marketing for the Digital Age
Task 2.2:
Communication Plan
Assessment type: PowerPoint Presentation
Description: Develop a PowerPoint Presentation with notes at the bottom of each slide to explain each slide in more detail suggesting an IMC(Integrated
marketing
communication) plan for any brand.
Other details:
10-12 Slides
All refencing and citations require
Harvard referencing style
.
.
Meier and Miethe go into detail in the second section about the Life-E.docxhye345678
Meier and Miethe go into detail in the second section about the  Life-Exposure Theories of Victimization and the Routine Activities  Theory.
Choose the theory with which you most agree. In one (1) page, briefly  summarize this theory and explain why you picked this theory over the  other.
I Chose Life-Exposure Theories
.
Mary's one year old daughter is due to be given the Measles- Mumps- an.docxhye345678
Mary's one year old daughter is due to be given the Measles, Mumps, and Rubella (MMR) vaccine during her next visit to the doctor. Mary is upset and concerned because one of her friend's sons became ill after a similar vaccination. She has also heard rumors that MMR vaccine causes rubella. Mary was also told that her daughter will need to be vaccinated before Mary returns to work. Mary is not alone. Many parents face this issue. Therefore, it is important for Mary and all such parents to make decisions that are best for their children, based on facts and not emotions. Place yourself in the role of a health care worker, submit to the discussion area your plan to validate the importance of vaccination by addressing the following questions:
Why are vaccinations necessary components of the healthcare programs?
Are there reasons for people not being vaccinated despite of such elaborate healthcare programs? Explain.
What are the consequences of people not being vaccinated?
What is the impact of religious, cultural, legal, and ethical issues that parents need to consider before vaccination?
What type of information will help the parents make an informed decision about vaccinating their children?
.
Make a quality initiative proposal (7-10 PowerPoint slides) through a.docxhye345678
Make a quality initiative proposal (7-10 PowerPoint slides) through a presentation, interpreting and communicating dashboard data to support the proposalof PREVENTING READMISSIONS in healthcare with DETAILED SPEAKER NOTE
Introduction
Health care providers are perpetually striving to improve care quality and patient safety. To accomplish enhanced care, outcomes need to be measured. Next, data measures must be validated. Measurement and validation of information support performance improvement. Health care providers must focus attention on evidence-based best practices to improve patient outcomes.
Health informatics, along with new and improved technologies and procedures, are at the core of
all
quality improvement initiatives. Data analysis begins with provider documentation, researched process improvement models, and recognized quality benchmarks. All of these items work together to improve patient outcomes. Professional nurses must be able to interpret and communicate dashboard information that displays critical care metrics and outcomes along with data collected from the care delivery process.
INSTRUCTIONS
In this assessment, you will make a QI initiative proposal based on a health issue of professional interest to you. This proposal will be based on an analysis of dashboard metrics from a health care facility. You have one of two options:
If you
have
access to dashboard metrics related to a QI initiative proposal of interest to you:
Analyze data from the health care facility to identify a health care issue or an area of concern. You will need access to reports and data related to care quality and patient safety. If you work in a hospital setting, contact the quality management department to obtain the data you need.
You will need to identify basic information about the health care setting, size, and specific type of care delivery related to the topic that you identify. You are expected to abide by standards for compliance with the Health Insurance Portability and Accountability Act (HIPAA).
Complete the following steps for your proposal:
Analyze data to identify a health care issue or an area of concern as it relates to a state, national, or accreditation benchmark requirement relevant to your professional setting.
Evaluate the quality of the data.
Outline a QI initiative proposal based on the selected health issue or area of concern and supporting data analysis to improve identified dashboard metric. The interactive activity Designing a Quality Improvement Initiative can get you going on the first steps of a QI process and your assessment.
Identify the target areas of improvement and outcome measures.
Include the QI model that will be utilized.
Specify evidence-based strategies that will be utilized.
Integrate interprofessional perspectives and actions to lead quality improvements in patient safety, cost-effectiveness, and work-life quality.
Specify roles and responsibilities.
Apply effe.
Looking at the events that have occurred domestically and globally- ho.docxhye345678
Looking at the events that have occurred domestically and globally, how has your feelings changed on how we profile certain ethnic people. During the events following 9-11, there was a relaxed profiling attitude on people of the Moslem and Middle East heritage. Using that as an example and not referring to “Racial Profiling†by police.
Has your attitude or opinion changed or remained the same? Explain.
If there were an attack by an Asian terrorist group, do you think people would look differently towards all Asians? Explain.
.
Locate a sample FNP employment contract and will review and analyze th.docxhye345678
Locate a sample FNP employment contract and will review and analyze the contract according to the outline criteria:
Scope of services to be performed and population (pediatrics, geriatrics, family, etc.)
Compensation
Travel compensation
Gas/mileage
Cancellations
On call time
Bonuses
Duration of employment
How the agreement can be altered or updated
Responsibility for maintaining and paying for credentials
Benefits
Time off and expenses for continuing education
Vacation time
Paid conferences or CME
Restriction on competition
Reasons for termination
Extent of support service to be offered to the NP
Expectations regarding the number of patients seen per day
Expectations regarding non-clinical work to be done by NP
Release to the NP of the NPs quality performance as measured by health plan auditors
.
levothyroxinerosuvastatinThis is a partnered assignment started and di.docxhye345678
levothyroxine
rosuvastatin
This is a partnered assignment started and discussed in class. Using
Davis's Drug Guide
, add any additional resources to finalize one card for each of the two researched drugs. Put your names on the two cards and include the following:
Name of the Drug
Classification of Drug
Mechanism of Action
Recommended Dose
Routes of Administration
Potential Side Effects
Possible Adverse Effects
Special Nursing Care Considerations and Implications for this Drug
.
Learning Activity- Expatriates and RepatriationEmployment insecurity i.docxhye345678
Learning Activity: Expatriates and Repatriation
Employment insecurity in the United States caused by layoffs and downsizing is experienced by other countries as well. As an HR leader in a multinational corporation, you could be responsible for both expatriate and repatriate employees in many different countries who are concerned about their careers. You realize that most of your expatriates normally have a greater degree of flexibility, autonomy, and independent decision-making while working abroad than their counterparts in the U.S.
Explain, in one or two paragraphs, how you would address the repatriation of expatriate employees when they may not have a job opportunity, experience difficulty readjusting to the culture, or struggle to learn a new job, after returning to their home country.
Provide an example and the rationale for your proposed approach to repatriation.
.
Justice- equity- diversity- and inclusion (JEDI) concepts are fundamen.docxhye345678
Justice, equity, diversity, and inclusion (JEDI) concepts are fundamental to directing resources to inequities and disparities in access across a broad range of civic and private resources. Assessing the hazards and related threats to public health in concert with identification and prioritization of places and communities that benefit most from nursing interventions can begin to address social determinants of health and core public health goals. Understanding the role of JEDI concepts in healthcare is a critical step to identifying populations that are most affected by health care delivery. What is the role JEDI plays in your local community? Consider the characteristics for assessing vulnerability and adaptation in your community. The list provided below may serve to help you frame your response and while not comprehensive, the list serves as a brainstorming tool to help you consider which groups and individuals in your community are likely to benefit most from interventions.
People with existing health conditions, especially mental illness and asthma
People with limited mobility
People with disabilities
People with low or no wealth
Older adults, especially those living alone
Pregnant people
Infants and children
People who are linguistically or socially isolated
People of color, especially African Americans, Hispanics and American Indians/Alaska Natives
In addition to your original post, be sure to provide a meaningful response to at least two of your peer's posts by Friday night at 11:59pm Mountain Time. Cite any sources in APA format.
.
It is important for the PMHNP to have a comprehensive understanding of (1).docxhye345678
It is important for the PMHNP to have a comprehensive understanding of mood disorders in order to assess and accurately formulate a diagnosis and treatment plan for patients presenting with these disorders. Mood disorders may be diagnosed when a patient’s emotional state meets the diagnostic criteria for severity, functional impact, and length of time. Those with a mood disorder may find that their emotions interfere with work, relationships, or other parts of their lives that impact daily functioning. Mood disorders may also lead to substance abuse or suicidal thoughts or behaviors, and although they are not likely to go away on their own, they can be managed with an effective treatment plan and an understanding of how to manage symptoms.
.
Language and emotion are 2 primary means of communication- Disorders o.docxhye345678
Language and emotion are 2 primary means of communication. Disorders of language and of emotional expression and recognition can present significant difficulties for individuals in expressing themselves and in understanding others. Discuss the following:
Discuss various language disorders and disorders of emotional expression.
Include an explanation of specific symptoms and underlying neuropathology.
Refer to the scientific literature as appropriate.
How might individuals overcome these problems to communicate more effectively?
.
Is epidemiology a common issue in nursing- How often does it occur- Wh.docxhye345678
Is epidemiology a common issue in nursing. How often does it occur? What are worst case scenarios if it is not resolved or prevented?
Give examples of these scenarios that have occurred at your workplace or reference a news story. What is a proposed resolution to prevent or undo this problem? Has this solution been used before? Where and by whom?
.
It is important for the PMHNP to have a comprehensive understanding of.docxhye345678
It is important for the PMHNP to have a comprehensive understanding of mood disorders in order to assess and accurately formulate a diagnosis and treatment plan for patients presenting with these disorders. Mood disorders may be diagnosed when a patient’s emotional state meets the diagnostic criteria for severity, functional impact, and length of time. Those with a mood disorder may find that their emotions interfere with work, relationships, or other parts of their lives that impact daily functioning. Mood disorders may also lead to substance abuse or suicidal thoughts or behaviors, and although they are not likely to go away on their own, they can be managed with an effective treatment plan and an understanding of how to manage symptoms.
.
Lab Bad Blood- A Case Study of the Tuskegee Syphilis ProjectPART I- Di.docxhye345678
Lab
Bad Blood: A Case Study of the Tuskegee Syphilis Project
PART I: Directions
Read Fourtner, Fourtner, and Herried (2000) “Bad Blood: A case study of the Tuskegee Syphilis Projectâ€. While reading, create a timeline of events of the project and then answer the following questions.
Questions
Compare your timeline of the Syphilis Project to the timeline of ethical protocols from the NIH training (see below).
Which ethical protocols did the researchers violate and how? (use outside sources if needed, but cite them)
Evaluate the study using our current ethical principles. Which principles were violated and how?
What was the original researchers’ purpose and hypothesis? Did it change over time?
Who were the target population of the Syphilis Study? Who did they sample?
How did they recruit subjects?
What would have been a more ethical way to recruit subjects?
Was there any pre-existing experimenter bias?
What could have been done to avoid this conflict of interest?
image1.png
.
Issue-Cyber bullying and why the teachers chose not to address the iss.docxhye345678
Issue-Cyber bullying and why the teachers chose not to address the issue of  bullying unless something bad happens.
Understanding the amount of anxiety and harm they put on their victims
The goal is to be able to  provide parents with options resources that can assist them with  handling bullies the legal way and not have to rely on the school to do  something about it before its to late.
4 scholar sources
this is not just a opinionated answer
.
How to Split Bills in the Odoo 17 POS ModuleCeline George
Bills have a main role in point of sale procedure. It will help to track sales, handling payments and giving receipts to customers. Bill splitting also has an important role in POS. For example, If some friends come together for dinner and if they want to divide the bill then it is possible by POS bill splitting. This slide will show how to split bills in odoo 17 POS.
Model Attribute Check Company Auto PropertyCeline George
In Odoo, the multi-company feature allows you to manage multiple companies within a single Odoo database instance. Each company can have its own configurations while still sharing common resources such as products, customers, and suppliers.
Synthetic Fiber Construction in lab .pptxPavel ( NSTU)
Synthetic fiber production is a fascinating and complex field that blends chemistry, engineering, and environmental science. By understanding these aspects, students can gain a comprehensive view of synthetic fiber production, its impact on society and the environment, and the potential for future innovations. Synthetic fibers play a crucial role in modern society, impacting various aspects of daily life, industry, and the environment. ynthetic fibers are integral to modern life, offering a range of benefits from cost-effectiveness and versatility to innovative applications and performance characteristics. While they pose environmental challenges, ongoing research and development aim to create more sustainable and eco-friendly alternatives. Understanding the importance of synthetic fibers helps in appreciating their role in the economy, industry, and daily life, while also emphasizing the need for sustainable practices and innovation.
How to Create Map Views in the Odoo 17 ERPCeline George
The map views are useful for providing a geographical representation of data. They allow users to visualize and analyze the data in a more intuitive manner.
How to Make a Field invisible in Odoo 17Celine George
It is possible to hide or invisible some fields in odoo. Commonly using “invisible” attribute in the field definition to invisible the fields. This slide will show how to make a field invisible in odoo 17.
Ethnobotany and Ethnopharmacology:
Ethnobotany in herbal drug evaluation,
Impact of Ethnobotany in traditional medicine,
New development in herbals,
Bio-prospecting tools for drug discovery,
Role of Ethnopharmacology in drug evaluation,
Reverse Pharmacology.
This is a presentation by Dada Robert in a Your Skill Boost masterclass organised by the Excellence Foundation for South Sudan (EFSS) on Saturday, the 25th and Sunday, the 26th of May 2024.
He discussed the concept of quality improvement, emphasizing its applicability to various aspects of life, including personal, project, and program improvements. He defined quality as doing the right thing at the right time in the right way to achieve the best possible results and discussed the concept of the "gap" between what we know and what we do, and how this gap represents the areas we need to improve. He explained the scientific approach to quality improvement, which involves systematic performance analysis, testing and learning, and implementing change ideas. He also highlighted the importance of client focus and a team approach to quality improvement.
Unit 8 - Information and Communication Technology (Paper I).pdfThiyagu K
This slides describes the basic concepts of ICT, basics of Email, Emerging Technology and Digital Initiatives in Education. This presentations aligns with the UGC Paper I syllabus.
Home assignment II on Spectroscopy 2024 Answers.pdf
NKU- DNP Peers Posts Needing ResponsesI need help responding to the at.docx
1. NKU- DNP Peers’ Posts Needing Responses
I need help responding to the attached peers’ posts in 220 words each, kindly provide
references with each post.
Instructions:
1. Make your initial post by 23:59 EST Thursday.
2. Respond to two other classmates' posts by 23:59 EST Sunday.
3. Address 2 of the following discussion questions in your post:
1. Describe the evolution of the doctor of nursing practice curriculum and its potential
impact on the future of nursing. (CO1)
2. Analyze factors in our current healthcare delivery system that is driving the need for
nurses prepared as at the doctoral level (CO1)
3. How do you determine the impact of the DNP degree? What methods should be used
to determine the impact of DNPÂ graduates? See pg 52 of Pritham & White article.Â
(CO1)
4. What are your thoughts on having a universal standard for APRN entry?
Jace Sama
Analyze factors in our current healthcare delivery system that is driving the need for
nurses prepared as at the doctoral level
It is common for an individual to hear about the national nursing shortage on the news, or radio.
This has become a growing topic since the development of COVID-19. One may also be familiar
with the factor of nurse burnout. Schmidt (2020) informs that nearly 62% of nurses working in
the United States are affected by some form of burnout. These two factors, including the use of
advancing technologies in healthcare drive the need for nurses prepared at the doctoral level.
The doctoral prepared nurse is able to bridge the gap between theory and practice (Rivaz et al.,
2021). Throughout this current doctor of nursing practice (DNP) program, students have been
taught the ability to conduct research, review its validity and initiate it into practice. The DNP is
the terminal degree which thoroughly prepares nurses to make change in the clinical setting. By
utilizing the education provided by a DNP program, the nurse is able to understand how to
provide effective change or adaptations for nurses affected by staffing shortages, or burnout.
They may also be prepared to properly research advancing technologies (charting systems, tools,
etc) and prepare nurses for their operation. The DNP prepared nurse displays top leadership, or
management qualities based on their education. In times of stress or an ever changing
environment, one may seek the expertise of the DNP prepared nurse for their guidance or
2. leadership. Rivas et al. (2021) provide that challenging healthcare systems require nurse leaders
that are able to manage unstable environments. This leader is the doctoral prepare nurse.
What are your thoughts on having a universal standard for APRN entry?
According to McCauley et al. (2020), in 2004Â the American Association of Colleges of
Nursing (AACN) informed universities to transition to doctoral prepared advanced practice
registered nurses (APRNs) programs by the year 2015. It is evident now that the AACN's wish
did not come true. This poses the question if there should be a universal standard for entry into
APRN practice. A universal standard would allow equal clinical preparedness for practitioners. If
the standard was changed to doctoral prepared nurses only, the education of the practitioner,
excluding speciality education, would be similar to that of another APRN. However, one may
question if it is wise to require an APRN to spend additional time and money on a degree with
the current state of our healthcare system.
McCauley et al. (2020) inform that due to the increase in chronic health conditions and decline in
resources, there has been a spike in the need for APRNs. The need for APRNs is crucial as
illness and hospital admissions are increasing. This proposes that the APRN standard for entry
into practice should remain as timely as possible. One may also argue that APRN candidates may
not wish to pursue a doctoral degree or universal standard for entry. Within the last 10 years,
doctoral nursing programs for the APRN have increased, however, there has been minimal
decrease in the occurrence of master degree prepared APRN entry programs. If a universal
standard is set, especially to the AACN's standards, this may decrease the rate of APRNs into
practice, thus minimizing the care provided to the public. This will provide additional strain to
the already overwhelmed healthcare population. Although a universal standard for APRN entry
seems ideal, the entry of a master degree or doctoral degree prepared APRN will suffice.
References
McCauley, L., Broome, M., Fraizer, L., Hayes, R., Kurth, A., Musil, C., Norman, L., Rideout,
K., & Villarruel, A. (2020). Doctor of nursing practice (DNP) degree in the United States:
Reflecting, readjusting, and getting back on track. Nursing Outlook, 68 (4). doi:
10.1016/j.outlook.2020.03.008
Rivaz, M., Shkorollahi, P., Setoodegan, E., & Sharif, F. (2021). Exploring the necessity of
establishing a doctor of nursing practice program from experts’ views: A qualitative study.
BMC Medical Education, 21 (328). doi: 10.1186/s12909-021-02758-w
Schmidt, A. (2020). We need to talk about burnout the same way we talk about benefits .
American Hospital Association. https://www.aha.org/news/blog/2020-10-20-we-need-talk-about-
burnout-same-way-we-talk-about-benefits
Nadege Nnamani
The Doctor of Nursing Practice Degree: A Look at the Evolution and Potential Impact on
Nursing
3. The Doctor of Nursing Practice (DNP) is a terminal degree in nursing that prepares nurses for
advanced practice roles, such as primary care providers, consultants, and nursing leaders. The
DNP curriculum typically includes advanced nursing practice, healthcare policy, leadership, and
population health coursework. The DNP degree was developed in response to the growing
demand for highly qualified nurses in advanced practice roles. The American Association of
Colleges of Nursing (AACN) recognized the need for a practice-focused doctoral degree in
nursing. It established the DNP as the terminal degree for advanced practice nursing in 2004
(The American Association of Colleges of Nursing (AACN), 2022). Prior to this, the highest
degree in nursing was the Master of Science in Nursing (MSN), which was primarily focused on
preparing nurses for research and academia (The American Association of Colleges of Nursing
(AACN), 2022). The DNP curriculum has evolved to reflect the healthcare industry's changing
needs and the healthcare system's increasing complexity (McCauley et al., 2020). The AACN
has published guidelines for DNP programs, including coursework in healthcare policy,
leadership, and population health, in addition to advanced nursing practice (McCauley et al.,
2020). The potential impact of the DNP on the future of nursing is significant. As more nurses
earn their DNP, they will be able to take on more advanced roles within the healthcare system
and significantly impact patient care (American Association of Nurse Practitioners, 2022. The
DNP degree also prepares nurses to be leaders in their field, which can help to shape the future
direction of nursing and healthcare.
Factors Driving the Need for Nurses Prepared at the Doctoral Level
Several factors in the current healthcare delivery system drive the need for nurses prepared at the
doctoral level. One factor is the increased complexity of healthcare. The healthcare system has
become increasingly complex, with advanced technologies, specialized treatments, and complex
patient cases (Hajizadeh et al., 2021). This has led to the need for highly trained nurses who can
provide advanced levels of care and handle complex situations. Another factor is the shortage of
primary care providers. There is a shortage of primary care providers in the United States, which
has led to an increased demand for advanced practice nurses who can provide primary care
services. The aging population also contributes to the need for nurses prepared at the doctoral
level (Hajizadeh et al., 2021). As the population ages, there is an increased demand for
healthcare services. Nurses prepared at the doctoral level can provide advanced care to older
patients with complex health needs. The prevalence of chronic diseases, such as diabetes and
hypertension, is also increasing. Nurses prepared at the doctoral level can provide advanced care
and management for patients with chronic conditions. Finally, healthcare reform initiatives, such
as the Affordable Care Act, have increased the focus on preventive and primary care services
(Rivaz et al., 2021). Nurses prepared at the doctoral level can provide these types of care, which
can help to reduce healthcare costs and improve patient outcomes.
Determining the Impact of the Doctor of Nursing Practice Degree
Several methods can be used to determine the impact of DNP graduates. One method is the use
of outcome measures. This involves assessing the outcomes of DNP graduates' practice, such as
patient satisfaction, clinical outcomes, and cost savings. Surveys of DNP graduates and their
employers can also provide valuable insights into the impact of the DNP degree (Pritham &
White, 2016). These surveys can ask about the roles DNP graduates are taking on, their level of
4. responsibility, and their impact on patient care and the healthcare system. Case studies of DNP
graduates and their practices can provide a more in-depth understanding of the impact of the
DNP degree. These case studies can look at specific projects or initiatives DNP graduates have
undertaken and their impact on patient care and the healthcare system (Pritham & White, 2016).
Data analysis can also be used to examine trends and patterns in the practice of DNP graduates
over time. This could include analysis of administrative data, such as billing records, to assess
the types of services DNP graduates are providing and their impact on healthcare utilization and
costs. Finally, DNP graduates can contribute to the evidence base through peer-reviewed
publications, which can help demonstrate the DNP degree's impact on nursing practice and
healthcare.
The Potential Benefits and Challenges of a Universal Standard for APRN Entry
Having a universal standard for APRN entry could have several benefits. One benefit is that it
could increase the consistency and quality of care provided by APRNs (McCauley et al., 2020).
A universal standard would ensure that all APRNs have met specific minimum requirements for
education, training, and competency, which could improve patient safety and outcomes. Another
benefit of a universal standard is that it could help to remove barriers to practice for APRNs.
Currently, APRN practice is regulated by each state, and there can be significant variability in
the requirements for APRN licensure and certification from one state to another (McCauley et
al., 2020). A universal standard would provide a consistent set of requirements for APRN
practice across the country, making it easier for APRNs to practice in multiple states and reduce
patient care barriers. However, it is essential to consider that a universal standard would also
require significant coordination and resources to implement. There would need to be agreement
on the specific requirements for APRN practice and a mechanism for enforcing the standard.
There could also be challenges in addressing the unique needs and circumstances of different
states and regions.
References
The American Association of Colleges of Nursing (AACN). (2022). DNP position statement
. https://www.aacnnursing.org/DNP/Position-Statement
The American Association of Colleges of Nursing (AACN). (2022). AACN fact sheet - DNP
. https://www.aacnnursing.org/News-Information/Fact-Sheets/DNP-Fact-Sheet
American Association of Nurse Practitioners. (2022). Discussion paper: Doctor of nursing
practice . https://www.aanp.org/advocacy/advocacy-resource/position-statements/discussion-
paper-doctor-of-nursing-practice
Hajizadeh, A., Zamanzadeh, V., Kakemam, E., Bahreini, R., & Khodayari-Zarnaq, R.
(2021). Factors influencing nurses participation in the health policy-making process: A
systematic review. BMC Nursing , 20 (1). https://doi.org/10.1186/s12912-021-00648-6
McCauley, L. A., Broome, M. E., Frazier, L., Hayes, R., Kurth, A.,
Musil, C. M., Norman, L. D., Rideout, K. H., & Villarruel, A. M. (2020). Doctor
5. of nursing practice (DNP) degree in the United States: Reflecting, readjusting, and getting back
on track. Nursing Outlook , 68 (4), 494–503. https://doi.org/10.1016/j.outlook.2020.03.008
Pritham, U. A., & White, P. (2016). Assessing DNP impact using program evaluations to
capture healthcare system change. The Nurse Practitioner , 41 (4), 44–53.
https://doi.org/10.1097/01.npr.0000481509.24736.c8
Rivaz, M., Shokrollahi, P., Setoodegan, E., & Sharif, F. (2021). Exploring the necessity
of establishing a doctor of nursing practice program from experts’ views: A qualitative study.
BMC Medical Education , 21 (1). https://doi.org/10.1186/s12909-021-02758-w
Brandi Ritchie
2. Analyze factors in our current healthcare delivery system that is driving the need for nurses
prepared at the doctoral level
We live in complicated times. Healthcare is at a precipice where change must occur if we are to
survive. Healthcare will never “die out― or fade away, but healthcare as we currently know
it isn’t sustainable. I believe most of us at least toyed with this idea before the pandemic, but
COVID has highlighted many of the cracks within the healthcare system and nursing
specifically. Nurses are being asked to do more than ever, and not just at the bedside. Over the
course of my career I have seen nursing leadership evolve to a place where an entry level bedside
nursing degree is no longer sufficient.
The American Association of Colleges of Nursing (AACN) (2006) reports one of the benefits of
doctoral preparation in nursing as being enhanced leadership that fosters strengthened practice
and healthcare delivery. Historically nurses have risen to power primarily based on tenure and
tenacity. There is no academic preparation at the bachelor (BSN) level or below for a nursing
leadership position. It has been my experience that my bachelors degree prepared me to be a
clinically competent bedside nurse who could evaluate evidence as it relates to practice at a very
basic level. My masters (MSN) degree in nursing executive leadership scratched the surface of
the knowledge necessary to lead nursing in today’s healthcare systems and greatly enhanced
my ability to translate knowledge into practice. However, I am pursuing my Doctorate of
Nursing Practice (DNP) because I know that there is more to be learned before I am truly
prepared to tackle an executive leadership role. Through experience and observation it has never
been more clear to me that our nursing leaders must be better prepared to fully expand into their
roles. The pandemic has acted as a highlighter to the issues of inadequate nursing leadership. An
excellent clinical bedside nurse does not always make a great leader and a well educated nurse
does not always have what it takes either. My hope for the future of nursing is that the DNP can
provide a foundation on which nurse leaders can build more sustainable nursing environments
that, undoubtedly, will lead to better patient and nurse outcomes.
4. What are your thoughts on having a universal standard for APRN entry?
I very distinctly remember hearing about the push to DNP prepared advanced practice registered
nurses (APRN) early in my career. My initial thought was something along the lines of “that
6. is ludicrous.― Now, 18 years into my nursing career and 2 years living in a pandemic my
thoughts are far more complex. Early in the pandemic I transitioned into a clinical education role
and left the bedside. I moved from a large teaching institution that held Magnet nursing status to
a much smaller hospital where a majority of the bedside nurses were educated at the associate's
degree (ADN) level. It was a jarring shift in organizational priorities for me to observe. My ADN
nurses provide excellent clinical care and I couldn’t differentiate between those with a BSN
or ADN on any given day. It was simply very different from the push for BSN and higher
education at my previous organization. As the pandemic worsened and nursing saw mass exits
into travel assignments or out of the profession altogether, the already invisible line between
ADN, BSN, even MSN prepared nurses completely vanished. I saw a resurgence in the hiring of
licensed practical nurses. Numerous nurse researchers and nursing organizations have long said
that there is a need to better define the clinical proficiencies between nursing degrees (McCauley
et al., 2020; Boswell et al., 2021). My experience has made that need very apparent to me.
Nursing has fought for autonomy and gained it in many rights, but without role clarification
based on education I fear we have come as far as we can.
One glaring example of the need for clarification lies within my field of interest, perinatal
services. Fullerton et al. (2019) pinpointed some key issues to consider regarding the DNP as the
preferred degree for entry to practice amongst midwives. Currently, there are certified nurse
midwives who are educated in both nursing and midwifery and certified midwives who lack the
nursing education component that are able to obtain the same midwife certification and practice
at the same level (Fullerton et al., 2019). The American College of Nurse Midwives (ACNM) is
of the opinion that DNP is an option for the practice of midwifery, but should not be required for
entry into the field due to a lack of data that suggests that practice quality is improved by the
DNP degree (Fullerton et al., 2019). While I wholeheartedly believe that there is a need and a
place for the DNP prepared nurse, I’m not entirely convinced that it is necessary for entry
into advanced clinical practice. Boswell et al. (2021) looked at the impact of the DNP degree in
their geographical area and found both benefits and challenges. DNP prepared nurses displayed
improved communication, leadership and influence (Boswell et al., 2021). Unfortunately, they
also noted a lack of understanding regarding the role and a lack of recognition for the rigor of
their education (Boswell et al., 2021). What can we do to help normalize DNP recognition
amongst our peers and colleagues? What is the best and most efficient way to inform others
about the benefits of a DNP prepared nurse? If the APRN remains at the clinical level, treating
patients, is it imperative that they obtain a DNP?
References
American Association of Colleges of Nursing. (2006). The Essentials of Doctoral Education for
Advanced Nursing Practice. Author.
Boswell, C., Mintz-Binder, R., Batcheller, J., Allen, P., & Baker, K. A. (2021). Capturing the
impact of the doctor of nursing practice degree on west texas health care. The Journal of
Continuing Education in Nursing , 52 (4), 192–197. https://doi.org/10.3928/00220124-
20210315-08
7. Fullerton, J. T., Schuiling, K. D., & Sipe, T. A. (2019). The Doctorate of Nursing Practice and
entry into midwifery practice: Issues for consideration and debate. Nurse Education in Practice ,
36 , 97–100. https://doi.org/10.1016/j.nepr.2019.02.001
McCauley, L. A., Broome, M. E., Frazier, L., Hayes, R., Kurth, A., Musil, C. M., Norman, L. D.,
Rideout, K. H., & Villarruel, A. M. (2020). Doctor of nursing practice (DNP) degree in the
United States: Reflecting, readjusting, and getting back on track. Nursing Outlook , 68 (4),
494–503. https://doi.org/10.1016/j.outlook.2020.03.008
Cassidy Fox ( He/Him )
The push to require a Doctor of Nursing Practice (DNP) degree as the entry-level to practice as a
nurse practitioner has been the subject in the medical community for many years. Similar to the
drive for registered nurse programs to become a BSN entry-level and to phase out the two-year
associate program, there has also been a push to suspend the Master of Science in Nursing
(MSN) nurse practitioner program and make the DNP the entry-level for nurse practitioners. The
American Association of Colleges of Nursing first pushed for the phase-out of Advanced
Practice Registered Nurses (APRN) MSN programs in 2004 and wanted all MSN programs to be
transitioned to DNP programs by 2015 (McCauley et al., 2020). Although the 2015 deadline was
not met, many organizations are still pushing for the transition to the DNP as the entry-level.
Furthermore, the National Organization for Nurse Practitioner Faculties pledged to transition to a
DNP entry-level education for all nurse practitioners by 2025 (Idzik et al., 2021). The
organizations proposing the shift to the entry-level degree often detail the everchanging role and
requirement of the nurse practitioner and suggest that obtaining a DNP would help better prepare
the nurse practitioners for these roles. The aging population is often referenced as one of the
driving forces behind the proposal for changing the degree requirements. The idea is that the
DNP program will help prepare students for the complex needs of patients and the evolving
healthcare environment (Idzik et al., 2021).
The push for higher education in healthcare is always a great goal in theory, but I fear that this is
in direct conflict with the national shortage in nursing concerning registered nurses.
Approximately, 275,000 additional nurses will be needed by 2030 to meet the needs of the aging
population according to the Bureau of Labor Statistics (Haddad et al., 2022). Registered nurses
can complete a program in two years and begin working after the two-year program. The
transition to a four-year program would increase the time spent in school and place a strain on
the already critical nursing shortage in the United States. The barriers in rural healthcare areas
are often a challenge for registered nurses to obtain advanced degrees including distance to
programs and lack of financial support from employers (Odahowski et al., 2021).  Although I
do not fully agree with the push for the BSN degree as the entry-level for registered nurses, I
could more easily adopt the idea of the DNP being the entry-level degree requirement for
APRNs.
In my practice region, the market is inundated with nurse practitioners and nurse practitioner
students. Students often have to pay for their clinical rotations so they can secure a site and new
nurse practitioners find it difficult to secure a job. I do not feel as though the requirement for the
entry-level DNP for APRN practice will have the same impact that the BSN requirement for
8. registered nurses will have on the field of nursing in this area. I do believe that this DNP
requirement may make the APRN role less desirable. There are not any current studies, that
could be found, regarding the view potential students have regarding the switch from MSN
entry-level to a DNP entry-level APRN. The research should focus on the perceptions of
potential nurse practitioner students and how this may affect the enrollment of new students into
APRN programs.
Although some areas are inundated with nurse practitioners, some areas have a great need for
advanced practice providers. An example of an area with great need is the rural healthcare
market. Rural healthcare facilities and primary care practices in rural America continue to have
shortages of providers and the academic transition could place greater strain on these regions
(Ortiz et al., 2018). One example of an area flooded with students is the Philadelphia,
Pennsylvania region. In the Philadelphia area, there are 6 medical schools and 10 nurse
practitioner schools that create a strain on the pool of preceptors which makes it difficult for
student placement (Todd et al., 2019). Extensive research would need to be completed to fully
understand the future healthcare needs and the impact of switching to the DNP as the entry-level
for APRNs. First, it is important to understand the future growth of the healthcare field in the
next 10 to 20 years and how many nurse practitioner roles will be needed. Additionally, the
impact on the future nursing interest in the APRN role should be evaluated regarding the impact
of requiring a DNP.
I would also propose the importance of clear research associating improved patient outcomes
with DNP-prepared nurse practitioners. The Institute of Medicine proposed that 80% of working
nurses should obtain a BSN by 2020 due to reports of improved patient outcomes in hospitals
with a higher proportion of BSN-prepared nurses (Harrison et al., 2019). One study found that
hospitals with higher percentages of BSN-prepared nurses along with lower nurse-to-patient
ratios were associated with improved patient outcomes after cardiac arrest (Harrison et al., 2019).
The push for BSN-prepared nurses is supported by studies that have shown a correlation with
improved patient outcomes. The research is quite limited when searching for patient outcomes
comparing MSN-prepared nurse practitioners and DNP-prepared nurse practitioners. It is
important to understand the impact of the DNP degree and how to measure those impacts. The
change is more likely to be accepted when it is supported by improved patient outcomes. One
critical area to study is patient outcomes and if the DNP degree has a positive impact, a negative
impact, or an overall neutral impact on the outcomes of patients.
The impact of the DNP degree is an important area of focus when considering the push to require
this degree. It is important to consider how to evaluate the outcomes of the DNP degree and how
it affects the delivery of healthcare, the health of individuals, and the overall care of patients
(Pritham & White, 2016). We should consider if the requirement of the DNP entry-level for an
APRN would negatively or positively impact the care of patients and the delivery of healthcare.
It is critical to gauge all the potential outcomes from a transition to the DNP degree as the entry-
level for the APRN. Could the requirement negatively impact the access to healthcare for the
public? Would this reduce interest in the APRN field as a whole? The overall costs of the
programs should also be taken into consideration. The overall benefits of the transition should
outweigh the potential detractors. One potential evaluation technique would be to complete
outcome studies to better gauge patient-based outcomes (Pritham & White, 2016). If there is a
9. correlation regarding improved patient outcomes when comparing MSN to DNP graduates then
this could be the push needed for the transition an entry-level DNP for the APRN role.
Another consideration is the delivery of healthcare and how it is affected by the proposal. The
nurse practitioner role has been able to assist in reducing the healthcare strain in primary care
that has been caused by an aging population and high prevalence of chronic health conditions in
the United States (Poghosyan et al, 2021). A thorough evaluation would need to be completed
regarding the impact this may have on the long-term impact on the APRN field. In the extended
outlook, could this reduce the enrollment and graduation of APRNs? The overall strain on
healthcare could be detrimental if this reduced the number of registered nurses who return to
school for their APRN. Many colleges detail the growing need for advanced practice providers
as well as financial constraints as reasons they have not yet transitioned to solely DNP-level
programs for APRNs (Martsolf et al., 2015). The current interests and discussions regarding a
universal standard will help to drive the necessary research to better understand and gauge the
impact this will have on the healthcare field.
References
Haddad, L. M., Annamaraju, P., & Toney-Butler, T. J. (2022). Nursing shortage. In StatPearls .
StatPearls Publishing.
Harrison, J. M., Aiken, L. H., Sloane, D. M., Brooks Carthon, J. M., Merchant, R. M., Berg, R.
A., McHugh, M. D., & American Heart Association’s Get With the
Guidelines–Resuscitation Investigators (2019). In hospitals with more nurses who have
baccalaureate degrees, better outcomes for patients after cardiac arrest. Health affairs (Project
Hope) , 38 (7), 1087–1094. https://doi.org/10.1377/hlthaff.2018.05064
Idzik, S., Buchholz, S. W., Kelly-Weeder, S., Finnegan, L., & Bigley, M. B. (2021). Strategies to
move entry-level nurse practitioner education to the doctor of nursing practice degree by 2025.
Nurse educator , 46 (6), 336–341. https://doi.org/10.1097/NNE.0000000000001129
Martsolf, G. R., Auerbach, D. I., Spetz, J., Pearson, M. L., & Muchow, A. N. (2015). Doctor of
nursing practice by 2015: An examination of nursing schools' decisions to offer a doctor of
nursing practice degree. Nursing outlook , 63 (2), 219–226.
https://doi.org/10.1016/j.outlook.2015.01.002
McCauley, L. A., Broome, M. E., Frazier, L., Hayes, R., Kurth, A., Musil, C. M., Norman, L. D.,
Rideout, K. H., & Villarruel, A. M. (2020). Doctor of nursing practice (DNP) degree in the
United States: Reflecting, readjusting, and getting back on track. Nursing outlook , 68 (4),
494–503. https://doi.org/10.1016/j.outlook.2020.03.008
Odahowski, C. L., Crouch, E. L., Zahnd, W. E., Probst, J. C., McKinney, S. H., & Abshire, D. A.
(2021). Rural-urban differences in educational attainment among registered nurses: Implications
for achieving an 80% BSN workforce. Journal of professional nursing, 37 (2), 404–410.
https://doi.org/10.1016/j.profnurs.2020.04.008
10. Ortiz, J., Hofler, R., Bushy, A., Lin, Y. L., Khanijahani, A., & Bitney, A. (2018). Impact of nurse
practitioner practice regulations on rural population health outcomes. Healthcare , 6 (2), 65.
https://doi.org/10.3390/healthcare6020065
Poghosyan, L., Norful, A. A., & Martsolf, G. R. (2017). Primary care nurse practitioner practice
characteristics: Barriers and opportunities for interprofessional teamwork. The Journal of
ambulatory care management , 40 (1), 77–86.
https://doi.org/10.1097/JAC.0000000000000156
Pritham, U. A., & White, P. (2016). Assessing DNP impact using program evaluations to capture
healthcare system change. The Nurse practitioner , 41 (4), 44–53.
https://doi.org/10.1097/01.NPR.0000481509.24736.c8
Todd, B. A., Brom, H., Blunt, E., Dillon, P., Doherty, C., Drayton-Brooks, S., Hung, I.,
Montgomery, K., Peoples, L., Powell, M., Vanacore, D., Whalen, D., & Aiken, L. (2019).
Precepting nurse practitioner students in the graduate nurse education demonstration: A cross-
sectional analysis of the preceptor experience. Journal of the American Association of Nurse
Practitioners , 31 (11), 648–656. https://doi.org/10.1097/JXX.0000000000000301
PSY 570 Discussion Guidelines and Rubric Overview: You will write an initial post (2–3-
paragraph response) to the discussion and reply to at least two posts during the week outside of
your initial post thread. These discussions offer you the opportunity to express your own
thoughts, ask questions for clarification, and gain insight from your classmates’ responses
and instructor’s guidance. A response needs to be respectful and substantive, indicating a
response with depth beyond “I agree†or “I disagree.†Your participation posts must
also demonstrate greater critical thinking beyond reframing another post.
Recommended best practices:
Initial post (1): ï‚· Composed of two to three paragraphs unless otherwise noted ï‚· In Module
One, complete the initial post by Thursday at 11:59 p.m.
Eastern Time. ï‚· In Modules Two through Ten, complete the initial post by
Thursday at 11:59 p.m. of your local time zone. ï‚· Considers material (course content, other
discussions, etc.) from
the current module and previous modules
Response posts (2): ï‚· Reply to at least two other classmates outside of your own initial
post thread ï‚· In Module One, complete the two response posts by Sunday at
11:59 p.m. Eastern Time. ï‚· In Modules Two through Ten, complete the two response posts by
11. Sunday at 11:59 p.m. of your local time zone. ï‚· Must have more depth and critical thinking than
simply “I agree― or
“you are wrong―
For more information, see the Course Etiquette section of the COCE Guide to Student Success.
Critical Elements Exemplary (100%) Proficient (90%) Needs Improvement (70%) Not Evident
(0%) Value Application The discussion post was
written in a manner indicating that the student clearly understood the ethical concepts presented
in class; demonstrates appropriate application of concepts (100%)
The discussion post was written in a manner indicating that the student understood the ethical
concepts presented in class; demonstrates application of concepts (90%)
The discussion post was written in a manner indicating that the student struggled with the ethical
concepts presented in class (70%)
Student did not provide an initial response to the discussion question (0%)
35
Timeliness Submits initial post on time (100%)
Submits initial post one day late (70%)
Submits initial post two or more days late (0%)
10
Critical Thinking Student demonstrates critical thinking with the initial and response posts.
Critical elements are addressed in a comprehensive manner, tying the response back to the
literature presented in the week (100%)
Student provides a well- thought-out initial post that demonstrates a working knowledge of the
literature presented from the week; response posts demonstrate critical analysis (90%)
Student provides a well- thought-out initial post, but does not make connections to the material
presented in the course work from the week; response posts indicate challenges with critical
thinking (70%)
Student did not provide an initial response to the discussion question (0%)
25
12. Writing (Mechanics/
Citations)
No errors related to organization, grammar and style, or citations (100%)
Minor errors related to organization, grammar and style, and citations (90%)
Some errors related to organization, grammar and style, and citations (70%)
Major errors related to organization, grammar and style, and citations (0%)
20
Participation Student provides the required quantity of participation posts which are substantive,
respectful, and add something new to the discussion (100%)
Student provides the required quantity of participation posts. A majority of the posts are
substantive and respectful to fellow learners (90%)
Student does not submit the required quantity or quality of participation posts (70%)
Student does not submit any participation posts to fellow learners for the discussion question
(0%)
10
Earned Total 100%
PSY 570 Discussion Guidelines and Rubric