Dq 5 19359215

Meet with the human resources director or the hiring person at your site. (If there is no one with that title, speak with whoever does some of the interviews of prospective new employees.) Ask that person at least five questions to find out his/her best and worst interview experiences. Describe the five questions that you asked and the answers that you received when you met with the human resources director or hiring person at your site.

 
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Dq And Assignment 19078251

DQ:

Select a topic for your Topic 3 Executive Summary assignment. Post  your idea and basic thoughts about the topic using the Topic 3  Executive Summary assignment details. You should provide thoughts to  your peers about their topics and ideas that may assist them in  completing their projects.

Assignment:(topic 3 executive summary )

In this assignment, you will select a program, quality improvement  initiative, or other project from your place of employment. Assume you  are presenting this program to the board for approval of funding.  Write an executive summary (850-1,000 words) to present to the board,  from which they will make their decision to fund your program or  project. The summary should include:

  1. The purpose of the program or project.
  2. The target    population or audience.
  3. The benefits of the program or  project
  4. The cost or budget justification.
  5. The basis    upon which the program or project will be evaluated.

Share your written proposal with your manager, supervisor or other  colleague in a formal leadership position within a health care  organization. Request their feedback using the following questions as prompts:

  1. Do you believe the proposal would be approved if formally  proposed?
  2. What are some strengths and weaknesses of the  proposal?

Submit the written proposal along with the “Executive Summary  Feedback Form.”

Prepare this assignment according to the APA guidelines found in the  APA Style Guide, located in the Student Success Center. An abstract is  not required.

This assignment uses a rubric. Please review the rubric prior to  beginning the assignment to become familiar with the expectations for  successful completion.

You are required to submit this assignment to LopesWrite. Please refer  to the directions in the Student Success Center.

NRS451V. ExecutiveSummaryFeedbackForm_2-24-24.doc 

 
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Dq And Assignment

    

Change Leadership: Risk Management, Safety, and Environment

Youngberg (2011) conveys the transformation needed for effective  health care quality, risk management, and regulatory compliance on  behalf of health care leaders following the release of IOM reports (p.  293). The author stresses the importance of learning from other  industries, constructing high reliability organizations (p. 294),  developing trust and transparency (p. 296), promoting justice and  accountability (p.298), and committing to a culture of safety (p. 300);  additionally, Youngberg emphasizes the new principles for high  reliability-high performing health care organizations (p. 302).

In your initial post to this discussion:

  • Describe how transformational leaders can initiate change that  involves one or more of the concepts discussed in this unit’s readings.
  • Provide additional insights relating to leadership within the changing environment of the health care industry.
  • Include a minimum of two peer-reviewed, current journal articles in your discussion of insights.

In your initial post, include APA-formatted in-text citations and accompanying, congruent APA-formatted references.

Response Guidelines

Respond to the posts of other learners according to the Faculty  Expectations Response Guidelines. If possible, respond to one learner  who has a perspective, background, or goals that are similar to yours,  and to one learner whose perspective, background, or goals are  different. Peer responses should be substantive, and need to include one  peer-reviewed source that aligns with the discussion thread. You may  feel free to add an additional source that is new or provides a  completely different perspective. “I agree” and “Thanks for sharing your  insights” are examples of responses that do not contribute content for  enhanced learning, and are not acceptable. The goal is quality,  substantive feedback that demonstrates higher-order critical thinking  and evaluation of peers’ initial posts.

Reference

Youngberg, B. J. (2011). Principles of risk management and patient safety. Sudbury, MA: Jones and Bartlett.

Resources

  • Discussion Participation Scoring Guide.
  • APA Style and Format.
  • Capella Library.
  • How Do I Find Peer-Reviewed Articles?.

    

Scorecard Analysis: Process Improvement Report

To prepare to complete this assignment, review the following  materials from the study activity in Unit 8, which are also linked in  the Resources:

  • Kaplan and Norton’s 1992 article, “The Balanced Scorecard: Measures that Drive Performance,” from Harvard Business Review. This Kaplan and Norton framework is a valuable resource for this assignment.
  • Gunduz and Simsek’s 2007 article, “A Strategic Safety Management  Framework Through Balanced Scorecard and Quality Function Deployment,”  from Canadian Journal of Civil Engineering. Note that Kaplan and Norton’s 1992 balanced scorecard framework is depicted in Figure 2 of this article.
  • Koumpouros’ 2013 article, “Balanced Scorecard: Application in the General Panarcadian Hospital of Tripolis, Greece,” from International Journal of Health Care Quality Assurance.
  • Behrouzi, Shaharoun, and Ma’aram’s 2014 article, “Applications of  the Balanced Scorecard for Strategic Management and Performance  Measurement in the Health Sector,” from Australian Health Review.
  • The updates addressed in Kaplan and Norton’s 1996 article, “Linking the Balanced Scorecard to Strategy,” from California Management Review.
  • Norton’s 2011 article, “Strategy Execution Needs a System,” which provides a brief retrospective on updates and lessons learned.

The goal of this assignment is to generate recommendations for  process improvement and organizational fitness. You will make your  recommendations for the organization you selected in Unit 7 for the  balanced scorecard PowerPoint presentation and which you presented in  the Unit 8 assignment. Apply the concepts of balanced scorecards to  create your recommendations.

To complete the assignment, write a paper in which you:

  1. Describe the selected organization, including its vision and mission.
  2. Analyze the company using any adaptation of the Kaplan and Norton  balanced scorecard framework that fits your selected organization. Use  the materials listed at the beginning of this assignment.
  3. Communicate vision, strategy, objectives, measures, targets, and  initiatives for each of the following four elements through a  macro-level discussion:      
    • Financial performance measures.
    • Internal business processes.
    • Learning and growth.
    • Customer satisfaction.
  4. Convey the organization’s values through an ethical, organizational, and directional strategy.
  5. Synthesize evidence-based and best practices into recommendations for monitoring and improving discussions.
  6. Generate one recommendation for each of the following:      
    • Process improvements.
    • Quality improvements.
    • Organizational efficiency.
    • Learning.        
      • In y our  recommendations, use specific language and include  evidence-based concepts from peer-reviewed literature, including a  minimum of four outside peer-reviewed sources.
  7. Communicate information and ideas clearly, accurately, and concisely, including reference citations and using correct grammar.

Assignment Requirements

  • Written communication: Written communication is free from errors that detract from the overall message.
  • APA formatting: Resources and citations are formatted according to APA style and formatting guidelines. Use APA format for:      
    • Cover page.
    • Abstract.
    • Table of contents, including list of figures and tables.
    • Headings and subheadings.
    • Reference list.
  • Number of resources: A minimum of six resources.  The Norton and Kaplan articles, “The Balanced Scorecard: Measures that  Drive Performance” and “Linking the Balanced Scorecard to Strategy,”  will serve as two resources.
  • Length of paper: 10–12 typed double-spaced pages.
  • Font and font size: Arial, 10 point.

Note: Your instructor may also use the Writing  Feedback Tool to provide feedback on your writing. In the tool, click  the linked resources for helpful writing information.

Portfolio Prompt: You are required to save this learning activity to your ePortfolio.

Resources

  • Scorecard Analysis: Process Improvement Report Scoring Guide.
  • A Strategic Safety Management Framework Through Balanced Scorecard and Quality Function Deployment.
  • APA Style and Format.
  • Applications of the Balanced Scorecard for Strategic Management and Performance Measurement in the Health Sector.
  • Balanced Scorecard: Application in the General Panarcadian Hospital of Tripolis, Greece.
  • Capella Library.
  • Capella Writing Center.
  • How Do I Find Peer-Reviewed Articles?.
  • ePortfolio.
  • Linking the Balanced Scorecard to Strategy.
  • Strategy Execution Needs a System.
  • The Balanced Scorecard: Measures that Drive Performance.
  • Writing Feedback Tool.
 
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Dq Auestion

After discussion with your mentor, name one financial aspect, one   quality aspect, and one clinical aspect that need to be taken into   account for developing the evidence-based practice project. Explain   how your proposal will directly and indirectly impact each of the aspects.

the capstone topic is handwashing in health care system

 
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Dq Reponse

Life and the health care system are dominated by technology, and most of the impact that technology has on health care is positive. However, according to Taylor (2013) there are also risks involved with the extensive use of technology in healthcare. For example, communication errors and breach in confidentiality can quickly happen through the widespread use of technology (Taylor, 2013).

Technology is an integral supportive and integrative part of my project implementation process. The project focus is development and implementation of a formal unit-based preceptor program. Following are some ways that computer technology will be used for my change project initiative:

  • For education purposes during the mandatory class that all potential preceptor’s need to attend before being qualified to precept another colleague.
  • To develop a structured unit-based plan that all preceptors and preceptees will follow during the orientation phase.
  • To measure preceptor expectations and performance during the orientation of a preceptee.
  • It will be used as an evaluation tool to document and measure preceptee goals, performance, and satisfaction.
  • It will be used as a tool to track and measure patient outcomes, nurse retention rates, nurse competency and skills, and job satisfaction which are evidence-based research outcomes that are expected to increase with a structured formal unit-based preceptor program.

Since computer technology is already an integral part of the work process on the unit that this project initiative will be implemented, I see no barriers that would prevent the use of it for the focused project change. Many computer technology advances in health care will continue to be used to provide safe environments for patients and their families (Taylor, 2013).

Reference

Taylor, K. (2013). Technology in general practice—is it risky business? Practice Nurse, 

43(5), 10-11. Retrieved from https://search-ebscohost-

com.lopes.idm.oclc.org/login.aspx?direct=true&db=a9h&AN=87833894&site=eds-

live&scope=site

 
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Dq Response 19326399

Lewin’s Change Theory has three concepts that includes “driving forces,” “restraining forces,” and “equilibrium.” As the driving force implies, there are forces that push or cause things to change, shifting the equilibrium. Restraining forces fight against the driving forces which also causes shifts in equilibrium. Equilibrium can be described when no changes occur due to equal amount of force applied. There are three stages in his theory and that is “unfreezing,” “change,” and “refreezing.” Unfreezing is getting out of the rut of behaviors that are not healthy or productive. This requires fortitude to break out of the individual mindset and group conformity. This can be accomplished by either increasing the driving forces that direct behaviors away from the current norm or by decreasing the restraining forces that negatively affect movement away from equilibrium. A third alternative would be a combination of both. The change stage is producing growth and moving to a new level. It is evidenced by new thought, feeling and/or behavior changes. The refreezing stage is making the new patterns set as the new normal. Once they are “frozen,” it helps to prevent falling back into old unhealthy patterns (Change Theory, 2011).

Imogene King: Goal Attainment Theory has an emphasis on interaction theory vs systems theory. The concepts are based on an open system framework that honors nursing as a major system within the health care system, and places high emphasis on interpersonal processes. In the conceptual framework are three systems; the Personal (individual), Interpersonal (individuals interacting with each other) and the Social where groups of people in a community or society share common goals, interests, and values and is studied as a whole vs isolated parts. The practice of nursing is differentiated from other healthcare professions in that interpersonal systems are in place and this is reflected in the nurse-client relationship. The individual is viewed as a spiritual being, rational thinker, and records own history through own language, and expresses individual needs, wants, and goals. Humans have three fundamental needs: access to health information, illness prevention, care in times of illness. Health is dependent on continuous adjustment to stressors in the internal and external environments with use of ones resources to achieve maximum potential (Gragera, 2013).

Theory for EBP Project

The Goal Attainment Theory seems to be the best fit for the Capstone project. Results of screening and referrals develop into IHPs and IEPs that are tailored to the individual’s needs. This would seem to fit best with engaging the entire intraprofessional team in working with the student and the family in implementing interventions.

Theory Used by Mentor 

“I suppose I engage some level of nursing theory with each response in the work setting, protocol development, policy revision, and the like. When looking at the two theories you shared, I would probably most closely align myself with Imogene King’s Goal Attainment Theory. Nursing is a major system within the health care system, with vast and significant impact on individuals, families/groups, and communities (local, regional, national, and world)” (P. Anderson, personal communication, August 19, 2019).

“I’ve consistently landed on the historical (and I think still relevant) dimensions of health: physical, social, emotional, intellectual, spiritual. The individual, embracing, reflecting, and continuously balancing these five dimensions, can engage in self-responsibility and decision-making relative to the three fundamental needs identified in King’ theory:  health information, illness prevention, and care in times of illness ~ expressing needs, wants, and goals” (P. Anderson, personal communication, August 19, 2019).

Change Theory. (2011). Retrieved from http://currentnursing.com/nursing_theory/change_theory.html

Gragera, Jen. Imogene King: Goal Attainment Theory. (2013). Retrieved from https://www.slideshare.net/jen316/imogene-king-23548267

 
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Dq Response 19328281

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?

anne kolsy replied 

Internal Stakeholders: In my facility, the internal stakeholders include all the staff. This includes everyone from the custodian to the superintendent. All are affected by students who need services. For instance, students who are EBD (or similar) often destroy property and obviously need one-on-one attention from paras and teachers (Difference, 2017).

External Stakeholders: This includes clinics/hospitals, parents/guardians, local and state government, police, vendors, neighbors to the schools, churches and organizations, park and rec and more. The entire community is connected to the schools in some capacity (Difference, 2017).

How to Secure Support from All Stakeholders and Why It is Necessary

The number one skill to learn is to win support from all interested stakeholders. Starting with a “Stakeholder Analysis” is one methodology to use to help identify key people who will support the project. Listening to opinions and ideas helps to engage and give ownership to the changes. Gaining support from most powerful stakeholders can help gain more support in terms of money and time. It is important to keep them abreast of progress and plans. It is good to know your stakeholders and how they will react to certain news and ideas (Securing, 2017). For example, the custodians would be thrilled without a doubt about helping students to make better choices in the school setting. The custodians have expressed concerns and feelings of no support from administration when the students throw food on the floor, defecate on the floors, and break things (and so much more). It is quite certain that if better discipline and guidance were in place, the custodians would do just about anything to make things work better for everyone.

Difference Between Internal and External Stakeholders. (2017). Retrieved from

Securing stakeholder commitment. (2017). Retrieved from https://www.workpositive.ie/prepare/stakeholders

 
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Dq Response 19328289

Re: Topic 5 DQ 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?

ANSWER BY ANNE
 

Technology Support/Integration That Can Improve EBP Project

In the Nelson presentation (2015), one of the research questions put forth was, “Can a centralized, telephone-based model of early childhood developmental screening and care coordination improve quality of care for young children and their families” (Nelson, 2015). There are 211 Call centers that cover over 90% of the US population. In a LA based 211 developmental screening, over 11,000 early childhood screenings and coordinated care have been coordinated with appropriate services. The 211 potential advantages include time availability, standardized and validated online screening tools, extensive resource directory that includes care coordination, data collection and dissemination, continuity of care, and coordination with clinical settings. Of the children screened over 90% received some kind of referral. As the presenter reported, the American Academy of Pediatrics recommends universal screening and surveillance at every well visit, screening at 9, 18, and 24-30 months, autism-specific screening tool at 18 and 24-30 months, and prompt referral to evaluation and intervention services. The impact of early screening and intervention has evidence pointing to the improvement in developmental, social, educational, and health outcomes. Society benefits with a pronounced ROI in every dollar invested (Nelson, 2015).

Plans for Use and Barriers to Implement

The idea of starting a similar resource would be fantastic. It is an idea that could potentially be integrated into the school district and county for which I work. The same barriers I see from making it happen are the same barriers that the article mentioned, and that is the 211 has limited documentation. The same concerns that plague us now are the same for 211 regarding lag time between referral and service implantation. Eligibility and participation in services are always the big hinderances to making this work, and of course the age-old question of who will pay for this service (Nelson, 2015).

Nelson, B. (2015). Clinical-community partnerships and 2-1-1 technology to improve early childhood

developmental screening and care. [PowerPoint slides]. Retrieved from 

http://www.publichealthsystems.org/sites/default/files/PHS4/PresBioProjInfo_Nov%2019_Nelson%20UC

LA.pdf

 
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Dq Response 19330239

Smithson Carrie reply

Stakeholder support is necessary for a successful change proposal project implementation. There are internal and external stakeholders to consider. Their support is necessary in the success of my project of tobacco dependency and cessation. Examples of internal stakeholders are management, facility, employees, and the unit that is affected. To find intermediate stakeholders, you first look within the immediate team in the department or unit and then in other groups that may connect you to the project. The support that comes from internal stakeholders is important because they are the people being directly affected. “Employees want to earn money and stay employed. Owners are interested in maximizing the profit the business makes. Investors are concerned about earning income from their investment” (Boundless, 2018, para. 3). Since internal stakeholders are going to be affected by the change, they need to be onboard and up-to-date on the change process and upcoming policies. Having their satisfaction and participation is important to prevent staff turnover and patient safety. External stakeholders are the suppliers, society, government, shareholders, and customers. These stakeholders are not within the facility, but are directly affected by what we do in the facility. The patients (customers) want the facility to provide safe and remarkable care at a reasonable cost. “Suppliers want the business to continue to purchase from them. Creditors want to be repaid on time and in full. The community wants the business to contribute positively to its local environment and population” (Boundless, 2018, para. 4). It is important to have support from these stakeholders because you need them to work alongside you to succeed. They provide the resources outside of the workplace. External stakeholders will help spread the word about the project change and will help reach the people in the community through primary prevention. It is always good to receive opinions from both stakeholders to take into consideration with you project going forward. Without internal and external stakeholders, the change process would be much more difficult to implement and be successful.

Resource

Boundless. (2018). Boundless Accounting. 

https://courses.lumenlearning.com/boundless-

accounting/chapter/overview-of-key-elements-of-the-business/

 
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Dq Response 19330273

Questions

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?

Anne response

Technology is an important part of ensuring success in implementing change projects. This is especially true in the case of implementing a postpartum hemorrhage bundle. Postpartum hemorrhage is considered a high-risk low-volume event which means it does not occur often, but when it does there is much at stake (Lutgendorf et al., 2017). Technology will be utilized to successfully implement the postpartum hemorrhage bundle. The main way we will use technology is during simulation training. Simulation trainings using the Noelle mannequin offer life-like scenarios in the department where patient care occurs. Using simulation allows staff to work as they would in real life but does not put patient safety at risk. It also allows for debriefing afterward and identifies gaps in the workflow (Lutgendorf et al., 2017). We can also use technology to help us track postpartum hemorrhage data. We are developing a spreadsheet that tracks the number of patients who experienced hemorrhage and need for transfusion. This allows us to validate the effectiveness of our postpartum hemorrhage bundle.

Reference

Lutgendorf, M. A., Spalding, C., Drake, E., Spence, D., Heaton, J. O., & Morocco, K. V. 

(2017). Multidisciplinary in situ simulation-based training as a postpartum 

hemorrhage quality improvement project. Military Medicine, 182(3/4)

e1762–e1766. doi:10.7205/MILMED-D-16-00030

 
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