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NURS421-760-202020 Nurs Lead Manage RN-BSN

Week 7 Discussion Topic: Quality and Safety Education for Nurses (QSEN)

Read the “Overview” of the Quality and Safety Education for Nurses (QSEN) project at the following website: http://www.qsen.org/overview.php. Then view the video titled “Introduction to the QSEN Competencies” at the following website: https://www.youtube.com/watch?v=jT7UbeTOo1w If any of the links are broken, do a search for the information on your own.

As you end your participation in this course focused on nursing leadership and management, define one “pearl of wisdom” or “light bulb moment” you had when reading this information and/or viewing the video. You are only required to do an initial post, but may also respond to a classmate if you choose to do so.

Review this grading rubric for the QSEN discussion forum.

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Write a 175- to 265-word response to the following questions:

• Why is it important for health care managers to understand the types of insurance available to consumers? Provide examples.
• Which types are you most and least familiar with?

 

Financial Aspects of Health Care Resources

• The following resources have been provided to help you learn more about important concepts covered this week. Look for ways to apply these resources to this week’s activities and assignments. Ensure you:
  
  • Read National Health Expenditures 2017 Highlights from the U.S. Centers for Medicare & Medicaid Services.
  • Explore the Health Care page from Congressional Budget Office (CBO).
  • Read the Health Insurance Plan & Network Types page from HealthCare.gov.
  • Read the selected resources from the University Library.

 

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  Variations in Approaches to Care

Choose a specific culture or ethnicity of an immigrant or refugee population.  

• Analyze their cultural and social norms.  
• Discuss how they experience the healthcare system in America.  
• Include an evaluation of how both the community and market-oriented approaches to health care, as highlighted in Chapter 10 of your text, can assist your chosen culture in getting the care they need.  Provide an analysis of a multidisciplinary approach that can be used to deliver the best care to your population.
• Discuss a program in your community, or the nearest large community, that serves immigrants and refugees.  Are the services truly accessible to a wide population of immigrants and refugees?  Identify one approach which could improve accessibility, cost, or the quality of care for the population.

Your initial contribution should be 250 to 300 words in length. Your research and claims must be supported by your course text and at least one other scholarly source. Use proper APA formatting for in-text citations and references as outlined in the Ashford Writing Center.

Disc 2

Making a Difference

Imagine you are a policymaker for your city or town. Based on what you know and what you have learned in this course, what would you modify or improve to make a positive change in the life of a vulnerable group we have not covered in class? Justify whether or not you would consult the vulnerable group when developing programs or policies?  Propose a policy you would create to improve health care services accessibility, cost, and quality related to your selected group?

Your initial contribution should be 250 to 300 words in length. Your research and claims must be supported by your course text and at least one other scholarly source. Use proper APA formatting for in-text citations and references as outlined in the Ashford Writing Center.

 

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Select a community organization or group that you feel would be interested in learning about ethical and policy issues that affect the coordination of care. Then, develop and record a 10-12-slide, Create a detailed narrative script for your presentation, 4-5 pages in length.

As coordinators of care, nurses must be aware of the code of ethics for nurses and health policy issues that affect the coordination of care within the context of the community. To help patients navigate the continuum of care, nurses must be proficient at interpreting and applying the code of ethics for nurses and health policy, specifically, the Affordable Care Act (ACA). Being knowledgeable about ethical and policy issues helps ensure that care coordinators are upholding ethical standards and navigating policy issues that affect patient care.

This assessment provides an opportunity for you to develop a presentation for a local community organization of your choice, which provides an overview of ethical standards and relevant policy issues that affect the coordination of care. Completing this assessment will strengthen your understanding of ethical issues and policies related to the coordination and continuum of care, and will empower you to be a stronger advocate and nursing professional.

It would be an excellent choice to complete the Vila Health: Ethical Decision Making activity prior to developing the presentation. The activity provides a helpful update on the ethical principles that will help with success in this assessment.

Demonstration of Proficiency

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

• Competency 4: Defend decisions based on the code of ethics for nursing. 
  • Assess the impact of the code of ethics for nurses on the coordination and continuum of care.
• Competency 5: Explain how health care policies affect patient-centered care. 
  • Explain how governmental policies related to the health and/or safety of a community affect the coordination of care.
  • Identify national, state, and local policy provisions that raise ethical questions or dilemmas for care coordination.
• Competency 6: Apply professional, scholarly communication strategies to lead patient-centered care. 
  • Communicate key ethical and policy issues in a presentation affecting the coordination and continuum of care for a selected community organization or support group. Either speaker notes or audio voice-over are included.

Preparation

Your nurse manager at the community care center is well connected and frequently speaks to a variety of community organizations and groups. She has noticed the good work you are doing in your new care coordination role and respects your speaking and presentation skills. Consequently, she thought that an opportunity to speak publicly about contemporary issues in care coordination would be beneficial for your career and has suggested reaching out to a community organization or support group to gauge their interest in hearing from you, as a care center representative, on a topic of interest to both you and your prospective audience.

You have agreed that this is a good idea and have decided to research a community organization or support group that might be interested in learning about ethical and policy issues related to the coordination of care. Your manager has suggested the following community organizations and support groups, but acknowledges that the choice is yours.

• Homeless shelters.
• Local religious groups.
• Nursing homes.
• Local community organizations (Rotary Club or Kiwanis Club).

To prepare for this assessment, you may wish to:

• Research your selected community organization or support group.
• Review the Code of Ethics for Nurses With Interpretive Statements and associated health policy issues, specifically, the ACA.
• Review the assessment instructions and scoring guide to ensure you understand the work you will be asked to complete.
• Allocate sufficient time to rehearse your presentation before recording the final version for submission.

Note: Remember that you can submit all, or a portion of, your draft presentation to Smarthinking Tutoring for feedback, before you submit the final version for this assessment. If you plan on using this free service, be mindful of the turnaround time of 24–48 hours for receiving feedback.

Instructions

For this assessment:

• Choose the community organization or support group that you plan to address.
• Develop and record a presentation, with typed speaker notes (the script for your voice recording) and audio voice-over recording, intended for that audience. Video is not required.

Note: PowerPoint has a feature to type the speaker notes directly into the presentation. You are encouraged to use that feature or you may choose to submit a separate document. See Microsoft Office Software for technical support about the use of PowerPoint, including voice recording and speaker notes.

Note: For this assessment, develop your presentation slides and speaker notes, then record your presentation. You are not required to deliver your presentation to an actual audience but you certainly could if you chose to.

Presentation Format and Length

You may use PowerPoint (recommended) or other suitable presentation software to create your slides and add your voiceover. If you elect to use an application other than PowerPoint, check with your faculty to avoid potential file compatibility issues. You can also record your presentation using Kaltura or similar software.

Be sure that your slide deck includes the following slides:

• Title slide. 
  • Presentation title.
  • Your name.
  • Date.
  • Course number and title.
• References (at the end of your presentation).

Your slide deck should consist of 10–12 slides, not including a title and references slide with typed speaker notes and audio voice over. Your presentation should not exceed 20 minutes.

Create a detailed narrative script for your presentation, approximately 4–5 pages in length.

Supporting Evidence

Cite 3–5 credible sources from peer-reviewed journals or professional industry publications to support your presentation. Include your source citations on a references page appended to your narrative script.

Grading Requirements

The requirements outlined below correspond to the grading criteria in the Ethical and Policy Factors in Care Coordination Scoring Guide, so be sure to address each point. Read the performance-level descriptions for each criterion to see how your work will be assessed.

• Explain how governmental policies related to the health and/or safety of the community affect the coordination of care. 
  • Provide examples of a specific policy affecting the organization or group.
  • Refer to the assessment resources for help in locating relevant policies.
  • Be sure influential policies include the Health Insurance Portability and Accountability Act (HIPPA).
• Identify national, state, and local policy provisions that raise ethical questions or dilemmas for care coordination. 
  • What are the implications and consequences of specific policy provisions?
  • What evidence do you have to support your conclusions?
• Assess the impact of the code of ethics for nurses on the coordination and continuum of care. 
  • Consider the factors that contribute to health, health disparities, and access to services.
  • Consider the social determinants of health identified in Healthy People 2020 as a framework for your assessment.
  • Provide evidence to support your conclusions.
• Communicate key ethical and policy issues in a presentation affecting the coordination and continuum of care for a selected community organization or support group. Either speaker notes or audio voice-over are included. 
  • Present a concise overview.
  • Support your main points and conclusions with relevant and credible evidence.

 

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A nurse is a patient’s voice when they don’t have one. I think it’s one of the single most important aspects of the position. We work hard to build a safe trust with our patients, and they look to us to help them understand what’s happening and to be the liaison between physicians and other healthcare personnel. They turn to us for comfort and support and depend on our knowledge to practice safe care. (Gerber, 2018) lists their concept of a nurses roll in advocacy as “consistently insisting on quality of care, including a safe and clean environment, and basic human rights for all. The American Nurses Association lists patient advocacy as “a professional nursing responsibility to protect the rights of patients.” (Gerber, 2018). The article goes on to say “Advocates ensure that patients’ autonomy and self-determination are respected. Serving as the link between patients and the healthcare system, they also contribute to the patient/family decision-making process and speak up when problems go unnoticed or when the patient or family can’t or won’t address them.” (Gerber, 2018).

The most recent situation where I advocated for a patient was with a new admission to my unit from surgery. I was completing the admission assessment and when I got to the suicide assessment section the patient started answering YES to all the questions regarding the potential of committing suicide. I reported the screening to the charge nurse and my preceptor at the time and both were perplexed as to if we should place the patient on suicide precaution. Both colleagues felt as if the patient was safe and wouldn’t be a risk of committing suicide and placing him with a constant observer would place the next shift who was already short staffed even shorter staffed. I couldn’t leave the patient unprotected from self-harm, the screening tool is there for a reason and came from research and evidence-based practices and is hospital policy. I obtained an order from a VERY annoyed surgeon and placed the patient on suicide precautions. I definitely wasn’t the most liked person on the unit that night or next morning, but I did have a couple fellow colleagues come to me as say “even though we will be short, I respect you for doing the right thing.”

 

References

Gerber, L. M. (2018). Understanding the nurse’s role as a patient advocate. Nursing2019, 55-58. Retrieved November 2019, 2019, from https://journals.lww.com/nursing/Fulltext/2018/04000/Understanding_the_nurse_s_role_as_a_patient.15.aspx

 

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2 nursing papers

1 paper 5 pages apa style not including cover and reference pages

1 paper 4 pages apa style not including cover and reference pages

must follow instructions that will be provided!

 

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