It is one of the most cliché of clichés, but it nevertheless rings true: The only constant is change. As a nursing professional, you are no doubt aware that success in the healthcare field requires the ability to adapt to change, as the pace of change in healthcare may be without rival.

As a professional, you will be called upon to share expertise, inform, educate, and advocate. Your efforts in these areas can help lead others through change. In this Assignment, you will propose a change within your organization and present a comprehensive plan to implement the change you propose.

To Prepare:

• Review the Resources and identify one change that you believe is called for in your organization/workplace.
  • This may be a change necessary to effectively address one or more of the issues you addressed in the Workplace Environment Assessment you submitted in Module 4. It may also be a change in response to something not addressed in your previous efforts. It may be beneficial to discuss your ideas with your organizational leadership and/or colleagues to help identify and vet these ideas.
• Reflect on how you might implement this change and how you might communicate this change to organizational leadership.

The Assignment (5-6-minute PowerPoint presentation):

Change Implementation and Management Plan

Create a narrated PowerPoint presentation of 5 or 6 slides with video that presents a comprehensive plan to implement the change you propose.

Your presentation should be 5–6 minutes in length and should include a video with you as presenter.

Your Change Implementation and Management Plan should include the following:

• An executive summary of the issues that are currently affecting your organization/workplace (This can include the work you completed in your Workplace Environment Assessment previously submitted, if relevant.)
• A description of the change being proposed
• Justifications for the change, including why addressing it will have a positive impact on your organization/workplace
• Details about the type and scope of the proposed change
• Identification of the stakeholders impacted by the change
• Identification of a change management team (by title/role)
• A plan for communicating the change you propose
• A description of risk mitigation plans you would recommend to address the risks anticipated by the change you propose.
• 5 references

 

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You will develop a syllabus for an 8-week undergraduate nursing course in your area of interest that conveys the essential components of that course to the learner. 

Assignment GuidelinesWhen preparing your syllabus, pay attention to the organization and layout to ensure it is easy to read. Your syllabus should set the tone for your course and convey enthusiasm for the course topic; show how your course fits into a broader picture; communicate what, when, and how students will learn; clarify what students need to do to be successful; and communicate your expectations of student performance to satisfactorily complete your 8-week course.Your course syllabus should include:General information about the course: The instructor’s name (you), course title, course number, course credit hours, class days and time period (start and end times), class location (room number), and any prerequisites. You may also wish to include your office hours and contact information.A course description: A description of the course and how students will benefit; this is similar to a catalog description of a course.Course outcome objectives expected: A list of outcome statements describing the knowledge and skills that you expect students to have learned after completing your 8-week course. Your objectives should be: Appropriate to course and educational levelRealistic and clearStated in measurable termsRequired materials and learning resources: Textbook(s), supplies, and anything you may require students to bring to class each dayInstructional methods and activities: List the teaching strategies and approaches you plan to use for students to achieve the learning objectives (e.g., lecture, games, inquiry, discussions). If appropriate, you may want to include any special events or activities (e.g., field trips, experiments, guest speakers, projects). Note: This section is a list of your instructional methods and activities and not an explanation or description of how they will be implemented.Classroom policies or rules: This section should include any policies or rules that are specific to your course (e.g., classroom behavior, absenteeism, tardiness, late assignments, makeup work, and tests).Evaluation methods: This section should include all graded course requirements with the percent value (of the total course grade) for each requirement. This is where you list each of the course requirements or means of evaluating student learning (e.g., tests, quizzes, assignments, presentations, group work). You do not need to provide a rubric for grading each of the course requirements, guidelines, and grading criteria.You do need to provide the total percent value or the grade weight of each requirement.If using tests or quizzes, state the number of tests or quizzes and the grade weight for each.Note: As part of your teaching plan and presentation during weeks 6 and 7, you will provide guidelines and grading criteria (a rubric) for one of your required assignments.An outline and general time line of the course content: This section should be a table or flowchart depicting a schedule of the content to be covered over the 8-week period. In addition to the content, your table or flowchart should include: Estimated dates for when you plan to cover the content. Specific dates are not necessary, but some time line estimate should be provided (e.g., week 1 or class 1)Any activities, assignments, and tests, etc., with corresponding due datesRequired readings for each date and any supplemental or suggested readings you may want to list

 

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 For your Assignment, your Instructor will assign you one of the decision tree interactive media pieces provided in the Resources. As you examine the patient case studies in this module’s Resources, consider how you might assess and treat patients presenting symptoms of neurological and musculoskeletal disorders 

 

To Prepare

• Review the interactive media piece assigned by your Instructor. 
• Reflect on the patient’s symptoms and aspects of the disorder presented in the interactive media piece.
• Consider how you might assess and treat patients presenting with the symptoms of the patient case study you were assigned.
• You will be asked to make three decisions concerning the diagnosis and treatment for this patient. Reflect on potential co-morbid physical as well as patient factors that might impact the patient’s diagnosis and treatment.

 Interactive media piece:  Alzheimer’s Disease 

Mr. Akkad is a 76 year old Iranian male who is brought to your office by his eldest son for “strange behavior.” Mr. Akkad was seen by his family physician who ruled out any organic basis for Mr. Akkad’s behavior. All laboratory and diagnostic imaging tests (including CT-scan of the head) were normal.

According to his son, he has been demonstrating some strange thoughts and behaviors for the past two years, but things seem to be getting worse. Per the client’s son, the family noticed that Mr. Akkad’s personality began to change a few years ago. He began to lose interest in religious activities with the family and became more “critical” of everyone. They also noticed that things he used to take seriously had become a source of “amusement” and “ridicule.”

Over the course of the past two years, the family has noticed that Mr. Akkad has been forgetting things. His son also reports that sometimes he has difficult “finding the right words” in a conversation and then will shift to an entirely different line of conversation.

SUBJECTIVE

During the clinical interview, Mr. Akkad is pleasant, cooperative and seems to enjoy speaking with you. You notice some confabulation during various aspects of memory testing, so you perform a Mini-Mental State Exam. Mr. Akkad scores 18 out of 30 with primary deficits in orientation, registration, attention & calculation, and recall. The score suggests moderate dementia.

MENTAL STATUS EXAM

Mr. Akkad is 76 year old Iranian male who is cooperative with today’s clinical interview. His eye contact is poor. Speech is clear, coherent, but tangential at times. He makes no unusual motor movements and demonstrates no tic. Self-reported mood is euthymic. Affect however is restricted. He denies visual or auditory hallucinations. No delusional or paranoid thought processes noted. He is alert and oriented to person, partially oriented to place, but is disoriented to time and event [he reports that he thought he was coming to lunch but “wound up here”- referring to your office, at which point he begins to laugh]. Insight and judgment are impaired. Impulse control is also impaired as evidenced by Mr. Akkad’s standing up during the clinical interview and walking towards the door. When you asked where he was going, he stated that he did not know. Mr. Akkad denies suicidal or homicidal ideation.

Diagnosis: Major neurocognitive disorder due to Alzheimer’s disease (presumptive)

RESOURCES

§ Folstein, M. F., Folstein, S. E., & McHugh, P. R. (2002). Mini-Mental State Examination (MMSE). Lutz, FL: Psychological Assessment Resources.

Assignment:  

Write a 1- to 2-page summary paper that addresses the following:

• Briefly summarize the patient case study you were assigned, including each of the three decisions you took for the patient presented.
• Based on the decisions you recommended for the patient case study, explain whether you believe the decisions provided were supported by the evidence-based literature. Be specific and provide examples. Be sure to support your response with evidence and references from outside resources.
• What were you hoping to achieve with the decisions you recommended for the patient case study you were assigned? Support your response with evidence and references from outside resources.
• Explain any difference between what you expected to achieve with each of the decisions and the results of the decision in the exercise. Describe whether they were different. Be specific and provide examples.

 

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Write a 1- to 2-page summary paper that addresses the following:

• Briefly summarize the patient case study you were assigned, including each of the three decisions you took for the patient presented.
• Based on the decisions you recommended for the patient case study, explain whether you believe the decisions provided were supported by the evidence-based literature. Be specific and provide examples. Be sure to support your response with evidence and references from outside resources.
• What were you hoping to achieve with the decisions you recommended for the patient case study you were assigned? Support your response with evidence and references from outside resources.
• Explain any difference between what you expected to achieve with each of the decisions and the results of the decision in the exercise. Describe whether they were different. Be specific and provide examples.

 

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Competing needs arise within any organization as employees seek to meet their targets and leaders seek to meet company goals. As a leader, successful management of these goals requires establishing priorities and allocating resources accordingly.

Within a healthcare setting, the needs of the workforce, resources, and patients are often in conflict. Mandatory overtime, implementation of staffing ratios, use of unlicensed assisting personnel, and employer reductions of education benefits are examples of practices that might lead to conflicting needs in practice.

Leaders can contribute to both the problem and the solution through policies, action, and inaction. In this Assignment, you will further develop the white paper you began work on in Module 1 by addressing competing needs within your organization.

To Prepare:

• Review the national healthcare issue/stressor you examined in your Assignment for Module 1, and review the analysis of the healthcare issue/stressor you selected.
• Identify and review two evidence-based scholarly resources that focus on proposed policies/practices to apply to your selected healthcare issue/stressor.
• Reflect on the feedback you received from your colleagues on your Discussion post regarding competing needs. 

The Assignment (4-5 pages):

Developing Organizational Policies and Practices

Add a section to the paper you submitted in Module 1. The new section should address the following:

• Identify and describe at least two competing needs impacting your selected healthcare issue/stressor. 
• Describe a relevant policy or practice in your organization that may influence your selected healthcare issue/stressor.
• Critique the policy for ethical considerations, and explain the policy’s strengths and challenges in promoting ethics.
• Recommend one or more policy or practice changes designed to balance the competing needs of resources, workers, and patients, while addressing any ethical shortcomings of the existing policies. Be specific and provide examples.
• Cite evidence that informs the healthcare issue/stressor and/or the policies, and provide two scholarly resources in support of your policy or practice recommendations.

from module 1 paper

  

National Healthcare Issue – Technology Disruption

Silifat Jones-Ibrahim

Walden University

National healthcare issue/stressor you selected and its impact on the organization. 

The healthcare environment is complex, which means that there is a need to integrate critical processes that can help define a strong level of engagement. Making better decisions in healthcare focus on the ability to incorporate quality and high level of patient satisfaction. Different approaches are integrated within the healthcare context, which provides a diverse system to improve the level of commitment between healthcare service providers and patients. The current healthcare environment is defined based on the level of engagement among healthcare providers. A key issue in healthcare has been the integration of technology. Technology has been implemented in healthcare, which focuses on creating a reliable system that emphasis on a strong level of management.

My organization has been engaged in transforming the quality of healthcare through the integration of technology across different settings. The organization has adequately focused on protecting patient information, which emphasizes on a strong level of engagement within healthcare. Patient information is sensitive and thus, highly targeted by criminals. The use of technology has ensured that there is easy retrieval of patient information while also minimizing errors, which could lead to loss of patient information (Finck, 2018). Every healthcare provider within the organization has undertaken a training program in electric health records management to improve their knowledge and skills when using the latest technology.

The organization has also embraced technology in monitoring the quality of care across the facility. Different departments have been linked within the system, thus making it is possible to access information and the level of patient care from a central point. The integration of a highly diversified system means that better decision making requires a systematic process which provides a unique emphasis on essential processes that define change. It is easier to detect a lapse in care provision, which plays a central role in improving the quality of care because it is easy to monitor (Gao, Li, & Luo, 2015).

Management of critical care has also been improved due to the use of advanced machines within the intensive care unit. The sensitivity and the need to develop a reliable system provide a highly effective emphasis on essential processes that help implement better outcomes. Computerizing the whole unit has ensured that there is a reduced chance of medical error, which can have a detrimental influence on the healthcare outcome of a patient. The organization has one of the best success rates in recoveries from the Intensive care Unit. This highlights the importance of using technology in managing patient healthcare.

Summary of articles 

Different researches have been conducted to create an understanding of the existing focus on technology in healthcare. The emphasis on these researches helps in understanding the existing gaps in healthcare as well as how technology can help in transforming the current healthcare environment. Schwamm (2014) conducted a study aimed at assessing how telehealth can be implemented to transform healthcare based on seven strategies. Telehealth involves the use of electronic services to provide quality healthcare across different settings. Telehealth is a disruptive technology in healthcare that aims at cutting costs while emphasizing on quality healthcare delivery. The article highlights that the increasing cost of care can only be managed through the implementation of quality technology. Using telehealth in helping chronic patients in remote places is an important consideration to improve the quality of care.

In another article by Engelhardt (2017) which focussed on linking healthcare to blockchain technology. The article highlights that healthcare must be able to balance patient care with information management. This takes into consideration the existing diverse nature of technology embraced in creating a highly effective healthcare environment. The integration of blockchain technology ensures that there is a high level of privacy when sharing information. Management of information across different platforms requires a strong emphasis on essential changes which help define a strong level of organizational development. Solving the existing healthcare information establish a highly integrated system where it is easier to implement crucial measures that can help attain better outcomes. Improving the quality of healthcare includes different strategies which can be adequately evaluated through the management of the available technologies. 

The strategies used to address the organizational impact of national healthcare issues

The articles selected have provided focus on essential technologies that can be included in healthcare to develop a profoundly transformed system. Management of healthcare outcomes is defined through successful consideration of crucial elements that can be considered in ensuring that there is a strong level of organizational development. Telehealth and blockchain technology discussed have provided a unique understanding of crucial factors that can help define a well-organized system that improves healthcare outcomes. The processes that have been implemented are essential in creating a profoundly transformed healthcare context. Health integrates different processes which help define a reliable system where it would be possible to manage the needs of employees. 

The impact of technology within the organization can either be positive or negative. Technology is diverse, which means that new concepts are being developed daily. Different approaches that are embraced in this case helps define a highly successful environment where it would be possible to create a system that encompasses an improved level of care. The number of cybercriminals targeting sensitive patient information is many using sophisticated technology systems which remain mostly undetected.

Data management in the current technology environment has been a significant challenge in improving the quality of service delivery. Data loss preventions are aimed at ensuring that the organization has total control of its data and its safe from cyber-attacks and internet thieves. The sensitivity of the company data makes it a key target for cybercriminals. Thus, data loss prevention is aimed at creating a favorable setting where the organization can implement better systems to improve the level of data protection. Data loss prevention is a process that incorporates different techniques based on the needs of the company. 

Connecting devices for normal operations is a significant aspect which maintains a unique level of consideration. This makes it possible to implement better concepts that help manage organizational performance. Connections are different and employ a significant emphasis on a strategic level of focus on the underlying technologies. The links occur through wired or wireless networks. A higher level of engagement provides a strong necessary environment where it would be easier to manage the existing health needs.

References

Engelhardt, M. A. (2017). Hitching healthcare to the chain: An introduction to blockchain technology in the healthcare sector. Technology Innovation Management Review, 7(10).

Finck, M. (2018). Blockchain Technology. In Blockchain Regulation and Governance in Europe. https://doi.org/10.1017/9781108609708.001

Gao, Y., Li, H., & Luo, Y. (2015). An empirical study of wearable technology acceptance in healthcare. Industrial Management and Data Systems. https://doi.org/10.1108/IMDS-03-2015-0087

Schwamm, L. H. (2014). Telehealth: seven strategies to successfully implement disruptive technology and transform health care. Health Affairs, 33(2), 200-206.

Rubric:

          

Add a section to the paper you submitted in Module 1. In 4–5 pages, address the following:

·   Identify and describe at least two competing needs impacting your selected healthcare issue/stressor.–Levels of Achievement:Excellent 23 (23%) – 25 (25%·   Describe a relevant policy or practice in your organization that may influence your selected healthcare issue/stressor.

Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list.–Levels of Achievement:Excellent 5 (5%) – 5 (5%)

 

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