#1:

 

Stakeholder support is necessary for a successful change proposal project implementation. Consider your internal stakeholders, such as the facility, unit or health care setting where the change process is situated, and your external stakeholders, like an individual or group outside the health care setting. Why is their support necessary to the success of your project, and how you will go about securing that support?

#2:

 

Technology is integral to successful implementation in many projects, through either support or integration or both. Name at least one technology that could improve the implementation process and the outcomes of your EBP project. Do you plan to use this technology? If not, what are the barriers that prevent its use?

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

 

To some people, the link     between nursing and politics might seem tenuous to some people, but     to those who have put aside their stethoscopes for an office in     their state capitals, the relationship is a natural one. Nurses are     in the unique position of representing the interests of their fellow     nurses and the health care needs of the general public (Larson, J.,     2016). 

        Black was elected to     the House of Representatives in 2010 and represents     Tennessee’s 6th district, comprised of 19 counties across     middle Tennessee. She has been a nurse for more than 40 years and her  real-world experiences as a nurse have uniquely       positioned her as a credible and effective leader on health care       policy in Congress. She is focused on fully repealing the       president’s disastrous health care law and advancing true       market-based, patient-centered reforms that will bring down the       rising cost of care by increasing private sector competition and       consumer choice . Black serves as Chairman of the powerful House Budget     Committee and a member of the Ways and Means Committee.     (Blackhouse.gov). She is an advocate of Telehealth and has this to     say about its usefulness. “Telehealth focuses on     harnessing innovative technology to increase convenience for     patients and caregivers, enhance the quality of care and save both     patients and the Medicare program money. In Tennessee’s rural     communities, the wider offering of telehealth services means more     access to care,”. “For patients in suburban and     urban communities throughout the state, telehealth offers the     benefit of reducing the number of in-person visits to healthcare     providers. As a nurse, I am proud to advance this bill so that     Medicare Advantage plans can offer vital telehealth services as a     basic benefit, rather than a supplemental service for our     seniors.” (Press Release, 2017).

It was stated that, under current law, traditional Medical plans     may only cover telehealth services in an extremely limited set of     circumstances, such as when the beneficiary resides in a qualified     rural area and is physically present in a hospital or     physician’s office. The Increasing Telehealth Access to     Medicare Act starts reform with Medicare Advantage, where plans have     an incentive to ensure cost savings.  Estimates have calculated     that a telehealth consultation can save the Medicare program $45     versus an in-person visit (Press Release, 2017).

        She authored the bill on     “Increasing Telehealth Access to Medicare Act (H.R. 3727),     which was unanimously passed in the U.S. House Ways and Means     Committee.  This bill will increase access to     telehealth services for Medicare Advantage enrollees and allows     plans to build as a core part of their care model. This congressman     must be very influential for this bill which she presented to have     passed the house. It is very interesting to know that those with     medicare can now have access to telehealth all because of the     influence of this powerful nurse. With this development, more nurses     should be encouraged to join politics as they are better advocate     for the people.  

I NEED YOU TO COMMENT FROM THIS POST, 150 WORDS NEEDED AND A REFERENCE PLEASE

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

 

   Throughout my nursing career I have had multiple coworkers go back to school to complete the BSN.  I’ve witnessed them move on to advance to higher positions in our organization, teaching, and just having the option to move unilaterally if they so wished.  I secretly wanted to go back to school but never verbalized it to anyone.  Honestly, I believe my fears have prevented me from taking the necessary steps to complete the BSN.  I recently got up the courage to talk to my husband and daughter about wanting to go back to school.  I admitted to them, and most importantly, to myself, that the fear of learning the technology, writing papers, and doing something that is going to take hard work, was preventing me from fulfulling a dream.  I have received nothing but support and encouragement.  So here I am. Taking the first steps to accomplish my goal of graduating with a Bachelors Degree in Nursing.

     I have several concerns as I embark on this journey.  Mainly, it is wondering if I am going to be able to balance working full time night shift with school.  I’ve not written papers in years.  The thought of reintegrating myself into the writing mode and learning the technology facets that are now used is a daunting thought.  As I start to read the posts by all of you I am realizing I am not alone.  I am willing and frankly determined to accomplish this goal.

     After reading the course materials, I am definately realizing I will have to manage my time.  I will organize my day to specifically set aside time to study and be realistic about it.  The one strategy in particular that has hit a chord with me and that I will have to work on most, is asking for help.  I have to acknowledge to myself that if I need help it is okay to ask for it.  It doesn’t mean I am a failure.  Also, I will work on enjoying this journey.  

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

I NEED A POSITIVE COMMENT BASED IN THIS ARGUMENT..BETWEEN 100-120 WORDS

Current statistics show that at present, there are 1,048 Associate Degree Nursing (ADN) colleges and 696 Baccalaureate Degree Nursing (BSN) institutions in the United States (Cherry & Jacob, 2017). Recent studies show that a correlation exists between patient safety outcomes and whether a nurse has an ADN or BSN. Linda Aiken, PhD, RN, who is associated with the Robert Wood Johnson Foundation (RWFJ), believes that hospitals who employ more BSN-prepared nurses have better patient outcomes and lower mortality rates (RWJF, 2014).

          In 2003, Aikens reported on studies done in Pennsylvania hospitals showing a 5% decrease in patient deaths at hospitals that staffed a 10% increase in BSN-prepared nurses (RWJF, 2014). Challengers of Aikens note that these studies raise further questions (Sentinel Watch, 2014). For example, what were the actual causes of death of these patients, and were they related to the action of an ADN nurse? Could there be other factors or causal relationships that affected patient care in these circumstances?

          In defense of Aikens, the Sentinel (2014) states that no one is calling ADN nurses “bad nurses”. In fact, errors, infections, and adverse events are often due to process and system problems. Aikens maintains that by promoting evidence-based practice and leadership, the BSN curriculum will better prepare nurses to correct problems and implement solutions.

          I agree that it is advantageous for nurses to expand their knowledge by obtaining a BSN degree, but I do not feel that deaths and adverse outcomes are the result if ADNs care, or lack of. Many other factors need to be considered. For example, poor staffing, long shifts, poor communication, fatigue, documentation errors, etc. affect everyone no matter what type of degree they hold. I have been at the hospital where I am currently employed for almost 20 years and have seen no evidence that the care given by ADNs is substandard to the care given by BSN-prepared nurses.

References

Cherry, B. & Jacob, S. (2017).Contemporary nursing, issues, trends, & management. St. Louis: Elsevier

Robert Wood Johnson Foundation. (2014).  Building the case for more highly

          educated nurses. Retrieved from http://www.rwjf.org/en/library/articles

The Sentinel Watch. (2014). How does your nursing degree affect patient

          mortality rates? Retrieved from http://www.american sentinel.edu 

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"