Essay Instructions: The RN to BSN program at Grand Canyon University meets the requirements for clinical competencies as defined by CCNE and AACN using nontraditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, their specific care discipline and their local communities.
As the country focuses on the restructure of the U.S. health care delivery system, nurses will continue to play an important role. It is expected that more and more nursing jobs will become available out in the community, and less will be available in acute care hospitals.
Write an informal presentation (500-700 words) to educate nurses about how the practice of nursing is expected to grow and changes. Include the concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics.
Share your presentation with nurse colleagues on your unit or department and ask them to offer their impressions of the anticipated changes to health care delivery and the new role of nurses in hospital settings, communities, clinics and medical homes.
In 800-1,000 words summarize the responses shared by three nurse colleagues and discuss whether their impressions are consistent with what you have researched about health reform.
A minimum of three scholarly references are required for this assignment.
While APA format 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.
Excerpt From Essay:
Essay Instructions: In at least 150 words or more answer each of the following Topic Questions covering all the questions in their entirety in the form of a paper using APA format. Use the sources provided for each topic and/or outside sources. Answers to each topic must contain at least one APA formatted citation and corresponding reference. Make sure to list all sources in the Reference page using APA format. Resource files provided from source in APA format:
Marquis, B. L., & Huston, C. J. (2011). Leadership roles and management functions in nursing. Theory and application. (7 ed.). Philadelphia, PA. Lippincott Williams & Wilkins.
Topic 1: Conflicting Obligations
Identify at least 2 ethical dilemmas that occur when you are in a position of leadership. What makes the dilemmas ethical? Would you expect each person to react to the dilemma in the same way?
Describe a time when you have had a conflicting obligation at your place of work. Outline the steps you used to reach your final decision. Identify any legal or ethical issues that may have had an impact in making your final decision. Provide rationale for the choice you made.
Topic 2: Change Models and Strategies
Choose a model of change either from your book or library resources. Describe the model and analyze its use in nursing leadership. Would the theory work best in planned, accidental, or unnecessary change? Support your answer with current literature.
Mind Tools?. (2012). Kotter?s 8-step change model. Retrieved from http://www.mindtools.com/pages/article/newPPM_82.htm
Topic 1: Magnet Status versus Accountable Care Organizations
Explain what Magnet Status is and the impact it has on nursing. Compare Magnet Status to the role of the nurse in Accountable Care Organizations (ACOs). Is moving toward the implementation of ACOs a lateral move, a step back, or step forward from the nurse working in a Magnet hospital? Support your answer with at least 2 articles from current literature.
Topic 2: Shared Governance
Shared governance is a system of management in which the leadership roles and responsibilities of the nurse is emphasized. Although this type of organizational structure has been around since the mid-1908s (Marquis & Huston, 2012, p.270), it has not been implemented in many hospital organizations successfully. Using the articles below, your textbook, and information found in your own research on the subject, what is your opinion of shared governance? List short-term and long-term advantages and barriers to this type of model. Compared to other types of organizational structures, is a shared governance model better for nursing? How do Magnet hospitals fit into the shared governance model?
Hess, R. R. (2004). From bedside to boardroom ? nursing shared governance. Online Journal Of Issues In Nursing, 9(1). Retrieved from http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Volume92004/No1Jan04/FromBedsidetoBoardroom.aspx
Anthony, M. (2004). Shared governance models: the theory, practice, and evidence. Online Journal Of Issues In Nursing, 9(1). Retrieved from http://nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Volume92004/No1Jan04/SharedGovernanceModels.html
Topic 1: Strategic Planning
Complete a SWOT Analysis or a Balanced Scorecard to strategically plan for handling a with a nursing shortage, preparing successful managers in the organization, developing a marketing plan for your organization, redesigning workload for your unit, or an issue of your choice. Present your analysis of the issue to the Discussion Board.
DeSilets, L., & Dickerson, P. (2008). SWOT is useful in your tool kit. Journal Of Continuing Education In Nursing, 39(5), 196?197.
Topic 2: Leadership Attributes
Interview a person in a nursing leadership position at your facility. Find out what strategies and decision-making techniques are used by this person.
In your post, please:
? Analyze and compare the answers to a current theory of decision making.
? Identify what have been effective strategies for this leader and what have been ineffective strategies.
? Discuss why the strategies were ineffective.
? Describe the leadership attributes of the person interviewed.
? Analyze these attributes and decide if you have or should attain these attributes to be a good nurse leader.
Topic 1: Principles of Delegation
Visit the ANA website and review the principles of delegation. Review the Bittner article from the unit readings (Bittner, N., & Gravlin, G. (2009). Critical thinking, delegation, and missed care in nursing practice. Journal of Nursing Administration, 39(3):142?146 )
In your current role, what types of tasks are commonly delegated to you and what types of tasks do you commonly delegate? Are you following the standards and principles of delegation? What are the challenges and benefits of delegation in your workplace?
In your Discussion please:
? Discuss the relationship of critical thinking to delegation. How does clinical reasoning and judgment fit in?
? Discuss your opinion of the result from the article: ?...expected unlicensed assistive personnel (UAP) to report significant findings and have higher level knowledge, including assessment and prioritizing skills?? What impact does this have?
? Describe what you would do If you are the nurse manager and you recognize that care omission is a serious problem on your unit.
Topic 2: Staffing Solutions
You are serving on a committee to help resolve a chronic problem with short staffing on your unit, which is a pediatric ICU. Volunteer overtime, cross training with regular non-intensive care pediatric unit, and closed-unit staffing have been suggested as possible solutions. Make a list of pros and cons of each of these solutions to bring back to the committee for review.
Topic 1: Motivate the Nurses
You are the manager of a psychiatric unit at a community hospital. The hospital has faced budget cuts over the last 2 years as a result of decreased reimbursement. Your unit used to be a place where nurses wanted to work, and you rarely had openings. However, recently due to the budget cuts several of your nurses have left to work at the larger city hospital and there is a nursing shortage in your community. Nursing dissatisfaction is at an all-time high. Over the last month, several of your nurses have stopped by your office in tears and very frustrated. They are telling you they do not like their job anymore, the temporary workers do not know what to do, and they do not have what they need to care for patients appropriately and safely. You know there is no funding coming your way. However, perhaps there are things you can do to make the situation better for your staff.
Examine strategies for creating a motivating environment. Decide what you can do as a unit manager to support your staff. Avoid using what is list in the chapter but write a detailed plan that can be quickly implemented and is feasible.
Topic 2: Managing Conflict
Continuing the discussion from Topic 1, one of your nurses on day shift approaches you angry that she is assigned different patients each day with float nurses caring for her patients of the previous days. She states that permanent nurses on the floor should be allowed to pick their own patients for day and the floats get who is left over. Upon talking to the head nurse making assignment, you find that he believes the nurses are uncooperative because it is his responsibility to see that all patients receive adequate care. Although continuity of care is important, the head nurse feels that not all the float nurses can care for particular types of patients. Now everyone is irritated.
Devise a workable plan that will accomplish the goals of each party. How will this plan be implemented?
Excerpt From Essay:
Total Pages: 2 Words: 580 Sources: 3 Citation Style: APA Document Type: Essay
Essay Instructions: ) As the country focuses on the restructure of the U.S. health care delivery system, nurses will continue to play an important role. It is expected that more and more nursing jobs will become available out in the community, and less will be available in acute care hospitals.
2) Write a speech of 500-700 words to educate nurses about how the practice of nursing is expected to grow and shift. Include the concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics.
Excerpt From Essay:
Essay Instructions: ?Table of contents
?Executive summary, with a 2-page maximum that must explain your recommended strategy in the very first paragraph of the summary.
?Company background, organizational mission, vision, and value statements - spend less time describing them and more time explaining how these concepts contributed to your recommended strategy.
?Environmental scan that at the minimum uses the Value Chain or Five Forces Analysis.
?A recommendation for the best strategy for your organization and an evaluation of why other strategic options were not selected.
?Implementation plan including contingency plans for identified risks
?A conclusion that restates the strategic recommendation and why it is important.
Baxter. (N.d.). Corporate Overview. Retrieved from Baxter: http://www.baxter.com/about_baxter/company_profile/corporate_overview.html
Clin, J. (2012). Comparing mandated health care reforms: the Affordable Care Act, accountable care organizations, and the Medicare ESRD program. Dialysis Advisory Group of the American Society of Nephrology., 1535-1543.
CMS. (2013). Conditions for Coverage (CfCs) & Conditions of Participations (CoPs). Retrieved from CMS: http://www.cms.gov/Regulations-and-Guidance/Legislation/CFCsAndCoPs/index.html?redirect=/CFCsAndCoPs/
Nxstage. (2013). http://www.nxstage.com. Retrieved from http://www.nxstage.com
Pearce, J. A. & Robinson, R. B. (2013). Strategic Management: Planning for Domestic and Global Competition (13th ed). New York, NY: McGraw Hill
PR Newswire. (2013, October 07). Introducing NxStage Kidney Care: Expanding Access To Therapy Option And Empowering Patients To Feel More In Control Of Their Lives. Retrieved from The Street: http://www.thestreet.com
PR Newswire. (2013, August 04). NxStage Kidney Urges to CMS to Fix HHD Training Reimbursement. Retrieved from The Street: http://www.thestreet.com
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