Application 3: Becoming a Leader in the Translation of Evidence to Practice
Reflect on your growth, professionally and personally, since you embarked on your DNP journey. The AACN believes that one of the benefits of a practice doctorate is that it enhances your leadership skills to “strengthen practice and health care delivery” (2006, p. 5). As you continue to engage in your practicum experience, be cognizant of your growth in these areas.
In Week 6, you were asked to reflect on your leadership skills for this Assignment. This week, you continue your reflection on leadership and how you can lead the translation of evidence to practice through contribution to policy development.
Prepare for this week’s section of Application 3 as follows:
- Building on the work you began in Week 6 for this Application, review this week’s Discussion posting, and consider how you can lead policy development to address your EBP Project issue.
To complete:
Due tomorrow 10/11/18 before midnight
Write a 2- to 3-page paper in APA format with a minimum of 5 scholarly references less than 5 years old that synthesizes (DO NOT GO OVER THREE PAGES):
- Your vision of yourself as a leader—specifically:
1) How you would continue to increase your knowledge and awareness of financial, economic, and other concerns related to new practice approaches (see week 6 discussion attached you did for me, except focus on the critics the professor added for me [see bold and underlined professor critique below] which you failed to include in this discussion
2) How translating evidence would enable you to affect or strengthen health care delivery and nursing practice
3) How you would advocate for the use of new evidence-based practice approaches through the policy arena (see week 7 discussion attached you did for me)
Professor Critics in week 6 on the cost and financial impact of the implementation of the project
Dear student: Thank you for your contribution to this week’s discussion. You brought forward potential costs associated with increased mobilization of ICU patients….namely the need for more nurse time. Do you have some hard numbers you can provide on the potential cost of this? Do you have any local or national information on the cost of not mobilizing the patients (longer stays, increased infection, readmission)? Calculating approximate cost associated with the practice change versus the cost of not changing is important. This will help stakeholders see the value in the investment.
Required Readings
White, K. M., Dudley-Brown, S., & Terharr, M. F. (2016). Translation of evidence into nursing and health care practice (2nd ed.). New York, NY: Springer.
- Chapter 6, “Translation of Evidence for Leadership”
Balakas, K., Sparks, L., Steurer, L., & Bryant, T. (2013). An outcome of evidence-based practiced education: Sustained clinical decision-making among bedside nurses. Journal of Pediatric Nursing, 28, 479-485.
Brown, D.S. (2012). Interview with quality leaders: Dr. Donna E. Shalala and Dr. Linda Burnes Bolton on the committee on the Robert Wood Johnson Foundation initiative on the future of nursing at the Institute of Medicine. Journal for Healthcare Quality, 24(4), 40-44.
Brandt, B., Lutfiyya, M.N., King, J.A., & Chioresco, C. ( 2014). A scoping review of interprofessional collaborative practice and education using the lens of the Triple Aim. Journal of Interprofessional Care, 28(5), 393-399.
Grindel, C.G. (2016). Clinical leadership: A call to action. Med-Surg Nursing, 25(1), 9-16.
Mannix, J., Wilkes, L, & Daly, J. (2015). Grace under fire: Aesthetic leadership in clinical nursing, Journal of Clinical Nursing, 24, 2649-2658.
Stetler, C.B., Ritchie, J.A., Rycroft-Malone, J., & Charns, M.P. (2014). Leadership for evidence-based practice: Strategic and functional behaviors for institutionalizing EBP. Worldviews on Evidence-Based Nursing, 11(4), 219-226.
White, K. M., Dudley-Brown, S., & Terharr, M. F. (2016). Translation of evidence into nursing and health care practice (2nd ed.). New York, NY: Springer.
- Chapter 4, “Translation of Evidence to Improve Clinical Outcomes”
- Chapter 5, “Translation of Evidence for Improving Safety and Quality”
- Chapter 7, “Translation of Evidence for Health Policy” (See attached file)
Andermann, A., Pang, T., Newton, J.T., Davis, A., & Panisset, U. (2016). Evidence for health II: Overcoming barriers to using evidence in policy and practice. Health Research Policy and Systems, 14 (17) doi 10.1186/s12961-016-0086-3
Catallo, C. & Sidani, S. The self-assessment for organizational capacity instrument for evidence-informed health policy: Preliminary reliability and validity of an instrument (2014). Worldviews on Evidence-Based Nursing, 11(1), 35–45.
Malterud, K., Bjelland, K., & Elvbakken, K.T. (Evidence-based medicine – an appropriate tool for evidence-based health policy? A case study from Norway. Health Research Policy and Systems, 14 (15) doi 10.1186/s12961-016-0088-1
Rehfuess, E.A., Durao, S., Kyamanywa, P., Meerpohl, J. J., Young, T., & Rohwer, A. (2016). An approach for setting evidence-based and stakeholder-informed research priorities in low- and middle-income countries, Policy & Practice, 94, 297–305 doi: http://dx.doi.org/10.2471/BLT.15.162966
Schaffer, M.A., Sandau, K.E., & Diedrick, L. (2013). Evidence-based practice models for organizational change: overview and practical applications. Journal of Advanced Nursing, 69(5), 1197-1209 (see attached file).
PIICOT Question
In patients in extended intensive care within an urban acute care facility in Eastern United States, how does early mobilization as recommended by National Institute of Health and Care Excellence clinical guidelines on rehabilitation of patients after critical illness impact early transfers from intensive care as measured 6 months post-implementation when compared to the current standard of care including minimal mobilization of patients?
P: Adult patients
I: in extended intensive care within an urban acute care facility
I: increased mobilization of the patients
C: minimal mobilization of the patients
O: early transfers of the patients from intensive care
T: 6 months
FOLLOW THE INSTRUCTIONS EXACTLY AS IN THE GRADING RUBRIC ATTACHED IN THE FILE AREA (see attached file) APA format and minimum of 5 scholarly references less than 5 years old.
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Based On What You Observed What Leadership Skills Should You As Masayas Preceptor Model For Your Fellow Coworkers To Promote His Acceptance Into The Work Group Or Team
/in Uncategorized /by developerThere’s two parts to this! If you can do it today in 12 hrs that willl be appreciated. ive attached the video
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Based On Your Assessment Of Your Personal Needs Submitted On Your Request For Practicum Experience Prior To Registering For This Course Write Your Overall Practicum Goals Apa Format Is Not Required But Solid Academic
/in Uncategorized /by developerBased on your assessment of your personal needs, submitted on your “Request for Practicum Experience” prior to registering for this course, write your overall practicum goals.
APA format is not required, but solid academic writing is expected.
You are not required to submit this assignment to Turnitin.
After your overall practicum goals have been approved, begin to write the learning goals that will guide your learning in meeting your overall practicum goals. This will be completed in your Nursing Education Practicum Documentation. Refer to materials from previous courses in the nursing education track to be sure that your goals are written appropriately.
This is what I wrote but the instructor wants it rewritten. She included her instructions
Practicum Goals
At the completion of this practicum I plan on doing the following goals:will be able to:
1. One of my first goals is to demonstrate a creative environment that will enable toassist help the students in their learning process along with the course curricular manuals. The students I will be teaching are currently enrolled in the R.N. associates’ program. It is important that I have a good relationship and interaction with the students as well as having discussion groups, demonstrating and creating an environment in which the students will actively participate[LE1] .
2. The second goal will be that I will develop an interactive relationship with the instructor (mentor) that I will be assisting by developing my own communication skills. Having a good relationship with the instructor that will continue throughout the course will benefit both myself and the students involved. Networking and professional personal relationships can be a vital part of a new nursing educators’ success.
3. A third goal that I have for this practicum course is that I will develop the ability to adapt to different learning styles that the students may bring to the classroom and thus be[LE2] able toto present a lesson plan that is understandable by all students. It is my intent to have an open-door policy as well as an open mind to enable me to adapt to different learning styles.
1.The fourth goal is that I would be able to be demonstrate effective instruction in the classroom by availing myself of the resources that are available both online and at the school. Understanding the resources, the students have available will help me succeed as an educator.
1. Accomplishing goals is one measure of success, helping others reach their goals is another! Making new goals and actively trying to achieve these goals are transferable traits that help improve oneself as well as the betterment of each other!
The goals that are presented will be accomplished and then there will be new goals made. New goals are often made as different stages in life are accomplished, once one has been met then a new goal is being set up already often several at a time. Goals often motivate an individual to better themselves and further educate oneself.
Diane, basically what you have to do here is clean up the narrative. Your goals or outcomes should be measurable and broadly stated. None of the explanations you provided are part of this. So you can see that much of what you have written I have red-lined. There are some revisions still needed with the goals, and I have inserted suggestions, so please revise them and resubmit. Then I can approve them and you should be ready to go.
[LE1]This is not part of the goal/outcome.
[LE2]If you write this you are adding a second verb and behavior to the outcome. You can only have one.
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Basic Computer 19295917
/in Uncategorized /by developerI need tutor for basic computer
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Basic Financial Calculations
/in Uncategorized /by developerAssignment: Application: Basic Financial Calculations
Before you learned algebra, you first had to learn basic addition, subtraction, multiplication, and division. Similarly, before you can fully understand the finances of a health care organization, you first need to be able to apply basic financial calculations used in almost all domains of accounting. A firm grasp of these accounting concepts will better enable you to confidently make budgetary and resource decisions. In this Assignment, you complete calculations that will familiarize you with some of the necessary basic accounting concepts. Based on the information and financial statements below, calculate the following financial ratios in an Excel Spreadsheet: •Current Ratio = Total Current Assets / Total Current Liabilities •Days of Cash on Hand = Cash / (Total Operating Expense / 365 days) •Age of Accounts Receivable = Accounts Receivable / (Net Patient Service Revenue / 365) •Age of Physical Plant = Accumulated Depreciation / Depreciation Expense •Debt to Equity Ratio = [Long Term] Debt / Net Assets •Debt to Assets Ratio = [Long Term] Debt / Total Assets •Collection Rate = Net Patient Service Revenue / Gross Patient Service Revenue •Operating Margin Ratio = Gain or (Loss) from Operations / Net Patient Service Revenue Note: For those Assignments in this course that require you to perform calculations you must: •Use the ‘Week 3 Application Assignment Template’ from your Learning Resources •Show all your calculations and formulas in the spreadsheet A title and reference page are NOT needed in this assignment. Put your name and assignment at the top of the Excel spreadsheet. For those not comfortable with the use of Microsoft Excel, this week’s Optional Resources suggest several tutorials. To prepare: •Review the information in this week’s Learning Resources dealing with ratios and how they are calculated. •View the Week 3 Application Assignment Tutorial: Ratio Calculations, (video) provided in this week’s Learning Resources. •Use the Week 3 Application (Scenario) Assignment Template, provided in this week’s Learning Resources, to complete this assignment. •Review the Statement of Revenues and Expenses in the Week 3 application (scenario) assignment template. With the information, calculate the financial ratios.
Required Readings Baker, J. J., Baker, R. W., & Dworkin, N. R. (2018). Health care finance: Basic tools for nonfinancial managers (5th ed.). Burlington, MA: Jones and Bartlett Learning. •Chapter 4, “Assets, Liabilities, and Net Worth” (pp. 33-36) In this chapter, you are introduced to the meaning of assets, liabilities, and net worth. You explore the relationship between the three and how they must be balanced if an organization is to be successful. •Chapter 6, “Expenses (Outflows)” (pp. 47-54) The focus of this chapter is expenses and how they differ from costs. It highlights how costs should be reported and how expenses can be grouped for more effective planning and control. •Chapter 9, “Understanding Inventory and Depreciation Concepts” (pp. 81-93) This chapter examines the relationship between inventory and the cost of goods. It demonstrates how to calculate inventory turnover and product depreciation. •Chapter 11, “Reporting as a Tool” (pp. 119-125) This chapter describes the basic financial reports and how they are used in financial decision making. The four key financial statements are the balance sheet, the statement of revenue, and expense, the statement of fund balance or net worth, and the statement of cash flows. Zelman, W., McCue, M., & Glick, N. (2009). Financial management of health care organizations: An introduction to fundamental tools, concepts, and applications (3rd ed.). Hoboken, NJ: Jossey-Bass. Retrieved from the Walden Library databases. •Chapter 2, “Health Care Financial Statements” (pp. 25–86) This chapter describes the shared four basic financial statements of all organizations. The authors relate the basics to business-oriented and non-for-profit health organizations. •Chapter 3, “Principles and Practices of Health Care Accounting” (pp. 87–120) This chapter explores the accounting practices and principles of health care. The authors detail the rules for recording transactions and the process of recording and developing financial statements. •Chapter 4, “Financial Statement Analysis” (pp. 121–186) This chapter goes into detail about the three types of analysis used in financial statements of health care organizations: horizontal analysis, vertical (common-size) analysis, and ratio analysis. This chapter also explains the categories of ratios and how to apply them.
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/in Uncategorized /by developerHello i need the powerpoint can have less GB? When I try to upload it to turnitin it tells me the file is too big.
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Be Prepared
/in Uncategorized /by developerBeing prepared as a Nurse Practitioner when entering the clinic setting is a win-win for the student, the preceptor and most of all the patient. Safe, effective delivery of patient care requires that the nurse practitioner student understand the complexity of healthcare systems, the limits of human factors, safety design principles, characteristics of high reliability organizations, and patient safety resources. These components are critical to the preparation of safe clinicians and essential for 21st Century healthcare delivery. Discuss how you met the Unit Two Objectives as well as barriers to safe practice that can occur if you come to the clinic setting unprepared. Support your discussion with evidence based practice and recommendations for improvement of safe patient care in the primary care setting.
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Beck Depression Inventroy 2nd Revision
/in Uncategorized /by developerPost an explanation of the psychometric properties of the assessment tool you were assigned. Explain when it is appropriate to use this assessment tool with clients, including whether the tool can be used to evaluate the efficacy of psychopharmacologic medications. Support your approach with evidence-based literature. references 2015-2019
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Become Involved
/in Uncategorized /by developerExamine newspapers for articles dealing with local, state, or national health policy issues; present the pros and cons of a specific issue.
(The City/ State Chosen is: Fort-Lauderdale Florida). This topic must be health nursing related. APA style, please include references and papers will be checked for plagiarism.
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Becoming A Leader In The Translation Of Evidence To Practice
/in Uncategorized /by developerApplication 3: Becoming a Leader in the Translation of Evidence to Practice
Reflect on your growth, professionally and personally, since you embarked on your DNP journey. The AACN believes that one of the benefits of a practice doctorate is that it enhances your leadership skills to “strengthen practice and health care delivery” (2006, p. 5). As you continue to engage in your practicum experience, be cognizant of your growth in these areas.
In Week 6, you were asked to reflect on your leadership skills for this Assignment. This week, you continue your reflection on leadership and how you can lead the translation of evidence to practice through contribution to policy development.
Prepare for this week’s section of Application 3 as follows:
To complete:
Due tomorrow 10/11/18 before midnight
Write a 2- to 3-page paper in APA format with a minimum of 5 scholarly references less than 5 years old that synthesizes (DO NOT GO OVER THREE PAGES):
1) How you would continue to increase your knowledge and awareness of financial, economic, and other concerns related to new practice approaches (see week 6 discussion attached you did for me, except focus on the critics the professor added for me [see bold and underlined professor critique below] which you failed to include in this discussion
2) How translating evidence would enable you to affect or strengthen health care delivery and nursing practice
3) How you would advocate for the use of new evidence-based practice approaches through the policy arena (see week 7 discussion attached you did for me)
Professor Critics in week 6 on the cost and financial impact of the implementation of the project
Dear student: Thank you for your contribution to this week’s discussion. You brought forward potential costs associated with increased mobilization of ICU patients….namely the need for more nurse time. Do you have some hard numbers you can provide on the potential cost of this? Do you have any local or national information on the cost of not mobilizing the patients (longer stays, increased infection, readmission)? Calculating approximate cost associated with the practice change versus the cost of not changing is important. This will help stakeholders see the value in the investment.
Required Readings
White, K. M., Dudley-Brown, S., & Terharr, M. F. (2016). Translation of evidence into nursing and health care practice (2nd ed.). New York, NY: Springer.
Balakas, K., Sparks, L., Steurer, L., & Bryant, T. (2013). An outcome of evidence-based practiced education: Sustained clinical decision-making among bedside nurses. Journal of Pediatric Nursing, 28, 479-485.
Brown, D.S. (2012). Interview with quality leaders: Dr. Donna E. Shalala and Dr. Linda Burnes Bolton on the committee on the Robert Wood Johnson Foundation initiative on the future of nursing at the Institute of Medicine. Journal for Healthcare Quality, 24(4), 40-44.
Brandt, B., Lutfiyya, M.N., King, J.A., & Chioresco, C. ( 2014). A scoping review of interprofessional collaborative practice and education using the lens of the Triple Aim. Journal of Interprofessional Care, 28(5), 393-399.
Grindel, C.G. (2016). Clinical leadership: A call to action. Med-Surg Nursing, 25(1), 9-16.
Mannix, J., Wilkes, L, & Daly, J. (2015). Grace under fire: Aesthetic leadership in clinical nursing, Journal of Clinical Nursing, 24, 2649-2658.
Stetler, C.B., Ritchie, J.A., Rycroft-Malone, J., & Charns, M.P. (2014). Leadership for evidence-based practice: Strategic and functional behaviors for institutionalizing EBP. Worldviews on Evidence-Based Nursing, 11(4), 219-226.
White, K. M., Dudley-Brown, S., & Terharr, M. F. (2016). Translation of evidence into nursing and health care practice (2nd ed.). New York, NY: Springer.
Andermann, A., Pang, T., Newton, J.T., Davis, A., & Panisset, U. (2016). Evidence for health II: Overcoming barriers to using evidence in policy and practice. Health Research Policy and Systems, 14 (17) doi 10.1186/s12961-016-0086-3
Catallo, C. & Sidani, S. The self-assessment for organizational capacity instrument for evidence-informed health policy: Preliminary reliability and validity of an instrument (2014). Worldviews on Evidence-Based Nursing, 11(1), 35–45.
Malterud, K., Bjelland, K., & Elvbakken, K.T. (Evidence-based medicine – an appropriate tool for evidence-based health policy? A case study from Norway. Health Research Policy and Systems, 14 (15) doi 10.1186/s12961-016-0088-1
Rehfuess, E.A., Durao, S., Kyamanywa, P., Meerpohl, J. J., Young, T., & Rohwer, A. (2016). An approach for setting evidence-based and stakeholder-informed research priorities in low- and middle-income countries, Policy & Practice, 94, 297–305 doi: http://dx.doi.org/10.2471/BLT.15.162966
Schaffer, M.A., Sandau, K.E., & Diedrick, L. (2013). Evidence-based practice models for organizational change: overview and practical applications. Journal of Advanced Nursing, 69(5), 1197-1209 (see attached file).
PIICOT Question
In patients in extended intensive care within an urban acute care facility in Eastern United States, how does early mobilization as recommended by National Institute of Health and Care Excellence clinical guidelines on rehabilitation of patients after critical illness impact early transfers from intensive care as measured 6 months post-implementation when compared to the current standard of care including minimal mobilization of patients?
P: Adult patients
I: in extended intensive care within an urban acute care facility
I: increased mobilization of the patients
C: minimal mobilization of the patients
O: early transfers of the patients from intensive care
T: 6 months
FOLLOW THE INSTRUCTIONS EXACTLY AS IN THE GRADING RUBRIC ATTACHED IN THE FILE AREA (see attached file) APA format and minimum of 5 scholarly references less than 5 years old.
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Becoming A Manager
/in Uncategorized /by developerHi, need 2-3 paragraph, please address all questions carefully:
Elaine has worked in the IMCU of a community hospital for 11 years. She is one of the best nurses, and serves as a preceptor and a resource for other nurses on the unit. Elaine has made numerous contributions to the unit. She has presented training classes, in-services, and booklets. Elaine has been the day shift charge nurse for 5 years.
In January, the unit manager decided to retire. The IMCU manager position was posted. A very unpopular nurse from another unit bid on the position, as well as a nurse from another hospital. The staff has approached Elaine, imploring her to bid for the job. They tell her she will be a terrific manager, and they all love her. Elaine is very happy with her job, but she knows that things will change with a new manager.
After serious deliberation, Elaine bids on the position. Her qualifications are undisputable, and she is offered the position. She is warned, however, that her relationship with her co-workers will not be the same. She has long been a leader, but she must now see herself as a manager. Try to imagine that you are Elaine:
1-What steps will you take to initiate this change?
2-How will you establish your new position with the staff?
3-What type of management/leadership style would you employ?
4-How do the “Cores of Credibility” apply to your new role?
Your response should consist of complete sentences and should be at least one complete paragraph, but it should be no more than three paragraphs in length.
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