Write a one full page summary about Dorothy Johnson and her Behavioral System Model Theory discussing the basic theoretical assertions or propositions.

Also don’t forget one-page paper referencing an article within 5 years about the theory. 

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Week four project.

Health Policy Project

Identify the historical perspective, current issues/ problems (include regulations), and what is currently being done to change or improve

Review the literature and address the following:

o Nurse Executive: Present a disposition “white” paper on Value-Based Care. What is value-based care and how will it impact decisions made at the executive level relative to patient outcomes, reimbursement, nursing care, and AP nursing? Please address and state the group’s position on the regulation.

For the above assignment, use the following guide:

-Describe the current policy/status, which organization regulates and determine if it needs to change; if opposed to change, state why.

-Provide the process required to make the change with key players and parties of interest; identify the groups who are opposed

-Explain how AP roles (which ones) could lead the effort to make or influence the change in policy or keep the policy the same and the impact in healthcare quality.

-Demonstrate group cohesiveness

Submission Details:

· Support your responses with examples.

· Cite any sources in APA format.

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1. This paper will be graded on quality of information, use of citations, use of Standard English grammar, sentence structure, and organization based on the required components.
2. Create this assignment using Microsoft (MS) Word, which is the required format for all Chamberlain documents. You can tell that the document is saved as a MS Word document because it will end in “.docx.”
3. Submit to the appropriate assignment area by 11:59 p.m. MT on Sunday of the week due. Any questions about this paper may be discussed in the weekly Q & A Discussion topic.
4. The length of the paper is to be approximately three pages, excluding the title page and reference list.
5. APA format (6th edition) is required in this assignment, including a title page and reference page. Use APA level 1 headings for the organizational structure of this assignment. Remember that the introduction does not carry a heading that labels it as a level heading in APA format. The first part of your paper is assumed to be the introduction. See APA manual for details. See resource under the course Library Guide, “Guidelines for Writing Professional Papers.” Use the suggested format and headings to organize your assignment.
   1. Include introduction (do not label as a heading in APA format)
   2. Steps Related to Legal/Regulatory Issue
   3. State-Board Recovery Program
   4. Strategies
   5. Supporting Evidence
   6. Conclusion

Preparing the paper

As the nurse executive of a healthcare organization, it was reported to you that one of your nurses may be chemically impaired (legal/regulatory issue) and has allegedly been taking drugs from the unit. This nurse also had two recent medication errors in the past week. Discuss the steps you would take to validate this allegation and how you would proceed after the allegation was confirmed to be true.

1. Clearly introduce your legal/regulatory issue in the introduction paragraph; including a sentence that states the purpose of your paper.
2. Clearly articulate the steps you would take as the nurse leader to investigate the allegation of this legal/regulatory issue as stated above and how to proceed when the allegation is confirmed to be true.
3. Investigate/research and discuss if your state board of nursing offers some type of recovery program for chemically-impaired nurses (a strategy). If they do not offer a program in your state, discuss a proposed recovery program for chemically-impaired nurses that you would like to have implemented for your state.

Contact a state representative who may have an interest in this topic area and share their comments on this issue in an addendum (not included as part of the three page limit). Include your correspondence eg. Emails in your addendum, as well. This will demonstrate you contacted a state representative, in the event you do not receive a response.

4. Clearly articulate your specific strategies to improve costs and improve the quality of healthcare at your organization related to the legal/regulatory issue stated above. How do your strategies relate to the Person-Centred Nursing Leadership Framework by McCormack and McCance (2017); specifically the contextual domain?

5. Include of a minimum of three sources of scholarly, empirical evidence that supports your strategies to improve costs and quality of healthcare.

6. Provide concluding statements that should summarize your overall assignment content.

7. The paper should be no longer than three pages, excluding title and reference page(s).

8. Title and reference page(s) must be in APA format (6th edition).

9. Use 12 Times New Roman font and one-inch margins on all sides of the paper.

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Respond to this 

 PICOT Question  Can overweight and obesity among teenagers be prevented or managed successfully through physical activity programs after six months than no intervention at all?  Specific Research Approach  The main research method that will be used in this study is qualitative approach. Qualitative research can be described as a data gathering approach that entails in-depth inquiry of human perceptions, attitudes, and experiences. This research also seeks to examine associated processes within the contexts that certain phenomena take place (Langford, 2012). The utilization of qualitative research approach results in the development of value-based understanding of motivations and behaviors. There are various ways in which qualitative design will be implemented. This type of research approach is reliant on observations and assessments that subjectively measure the participants’ introspections, interpersonal interactions, as well as those who have relevant communities (Langford, 2012). The process of reporting this research is highly supported by verbal and visual descriptions, quotations, as well as interpretive coding.  The primary reason of which qualitative research has been selected is that it gives room for access to detailed feedback from the subjects and circumstances. In the past, the process of data gathering and analysis highly over depended on subjective evaluations (Langford, 2012). Moreover, qualitative approach provides insights into the attitudes, behaviors, and motivations on issues related to physical activity as a way of educing obesity prevalence among adolescents. This process will give room for in-depth evaluation of issues that are being researched. Moreover, qualitative approach enables the researcher to investigate highly-sensitive information. Further, qualitative design is a useful tool for undertaking comprehensive assessment on the basis of interpersonal interactions over an extended period of time.  Data Collection Method  Interviews will be used as the main data gathering methods for this study. In particular, the participants will be administered with structured interviews, which will have a list of questions read out and the responses noted down (Gratton & Jones, 2014). Structured interviews will ensure that the respondents complete the questionnaires on time and seek clarification over questions that may seem unclear or ambiguous. Structured interviews will enable the participants to express their experiences in their own words on what they feel about the efficacy of physical activities in reducing obesity prevalence. This process will enable them to explain and elaborate on any area of specific interest or significance (Gratton & Jones, 2014). Furthermore, the interview method will be insightful in many ways since it offers the researcher with perceived causal inferences from the respondents, as opposed to the researcher’s point of view. This process allows the respo0ndent to become more of an informant, who provides data from their own lived experiences and perspective. Further, the interview method will be used as a tool to provide avenues through which more important, yet unexpected data will emerge (Gratton & Jones, 2014). This is especially the case when it comes to face-to-face interviews, which enable the researcher to evaluate the respondent’s body language, facial expressions, and voice tonal variations.  Steps to Ensure Data Quality  Data quality is critical in realizing credibility of study. As such, there are various steps that will be taken to ensure quality of the data gathered. First, a data auditing process will be undertaken. The auditing process involves comparing samples of reported data for earlier time period with the source’s data records for the current period. The main assessment methods for data auditing will include triangulating with other data sources, conducting documentation reviews, and verifying and cross-checking (Radhakrishna et al. 2012). In addition, reliability will be ensured by conducting repeated measurements to ensure that they are consistent. Validity refers to the closeness between the values offered and the true values. Validity will be attained through careful designing of the structured interview questions, and conducting field tests.    References  Gratton, C., & Jones, I. (2014). Research methods for sports studies. London: Routledge.  Langford, R. (2012). Qualitative research methods. Boston, MA: Sage  Radhakrishna, R., Tobin, D., Brennan, M., & Thomson, J. (2012). Ensuring data quality in  extension Research and evaluation studies. Journal 

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Respond to this 

Do children with obese parents, that are inactive with unhealthy lifestyles, compared to children with active and healthy parents, have a lower BMI in six months? The (P) would be the children  (I) activity level and diet (C) obese parents versus non-obese parents (O) BMI in 6 months. 

· Explain your specific research approach (qualitative or quantitative) and how it has the potential to answer your research question.

The quantitative approach is tested involving research of a large group sample with less time for collecting evidence or data. It is based on an actual measurement, amount, and extent (length of time) such as 3 months, 6 months, or a year. When researching the The quantitative approach is due to tracking the BMI of children in a six month time frame based on the lifestyles their exposed to and the diet choices they have available. Initially, I would need to obtain the weight of the children from both obese and non-obese parents, and then would need to do a comparison in 3 months and again in 6 months to have statistics to compare.  

· Discuss you data collection method, addressing strengths and identifying one potential weakness.

As mentioned above, obtaining data in a 3 month and 6 month time frame, would be a reliability approach in regards to the test-retest reliability. Obtaining data in 3 months and then comparing the data again in 6 months will be able to show a comparison of the weight. As mentioned by Polit and Beck, structured observation occurs based on the researcher and where, at what time, with which participants, and in what circumstances, and they use standard procedure for specific goals (2017). The strength of this study would be the accuracy of measuring the weight of the participants and comparing in the 3 and 6 month mark. The one potential weakness though in researching this would be the behavioral changes of an individual knowing that their being evaluated. For example, the obese individual may not drink as much soda or be a bit more active than if they know they are being observed. 

· Identify the actions you are proposing that will help ensure that quality data may be produced by your EBP project.

With the data being collected and compared, actions being proposed are healthier eating habits and increasing physical activity in order to decrease weight and reduce the risk of modifiable illnesses in children to prevent chronic issues from occurring at a younger age. By obtaining the weight of the parents and children, it would be beneficial to explain the reasoning behind the research and share that information with the parents in order for the changes to begin. Children are not aware of the effects of unhealthy eating and limited activity. Once the data is collected and compared, parents might be able to realize the changes that need to be made and the information is shared by a table or graph. In order to get past barriers, strategies need to be aimed at instilling an appreciation for EBP, increasing knowledge, developing necessary skills, and changing behaviors (Dang and Dearholt, 2017). 

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