Practice Experience: Stakeholder Analysis

The next step in the process is to begin identifying the challenges and impediments to implementing a quality improvement plan. In the analysis consider the individuals affected by the change as well as the cost of implementing the quality improvement plan.

Post a description of some of the proposed action steps for implementing improved practice, and explain where potential challenges might compromise your proposed improvement project. Describe what resources are needed for your solution, and explain whether or not those resources are cost-effective. Continue to collaborate with the selected individuals in your practice environment as needed in the development of the Practice Experience Project, and share this information with your group.

Read and respond to two or more of your colleagues’ postings from the Discussion question. Provide feedback on potential challenges you see might compromise the improvement project and what other resources might be more cost effective. As a member of a community of practice, help each other refine and clarify the patient-centered Practice Experience Project.

 

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The purpose of this assignment is to examine the practice authority and scope of practice differences among APRNs in the United States. You are asked to review the Nurse Practice Act from state of California and compare that to another state that has restrictive or different practice authority. Review the websites below (AANP, NCSBN) to identify the scope of practice of APRNs in the United States. Also, you may review state California board of nursing website to identify specific practice authority guidelines for APRNs. The expected length of the paper is approximately 2-3 pages, which does not include the cover page and reference pages. 

American Association of Nurse Practitioners (AANP)

National Council of State Boards of Nursing (NCSBN)

Submission Parameters:

1. Introduction (including purpose      statement)
2. Compare and contrast between your      two selected states (one of them needs to be your state of residence) and      address the following items: 
   • Nurse Practitioner definition
   • Practice authority (collaborative       agreement, independent, restrictive)
   • Scope of practice (functions       APRNs may perform)
   • Licensure requirements
   • Prescriptive authority and       requirements to attain DEA number
   • Education requirements
   • Certification requirements
3. Future of APRN practice 
   • Please discuss current bills or       legislation that support full practice authority in the state that has       restrictive practice
4. Full Practice Authority 
   • Identify at least one research       study (primary source) that supports the following statement: “APRNs with       full practice authority benefit society and health care system”
5. Conclusion

 

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In this scenario, your organization has struggled during the past year with hiring qualified radiologic technologists (a.k.a. x-ray techs, radiographers, or rad techs) in your state of CA and two neighboring states. After reading an Office of Inspector General (OIG) scope of practice case, your supervisor has become concerned about whether or not your radiologic technologists can legally administer contrast media or dye under the supervision of a physician. If the state allows radiologic technologists to administer contrast media, the organization wants to invest in training radiologic technologists to administer the contrast media rather than hiring additional personnel.

Locate and evaluate the scope of practice information for radiologic technologists for your state and two neighboring states.

Create a 7- to 9-slide presentation with speaker notes using Microsoft® PowerPoint® that examines the following:

• The information each state includes in regard to scope of practice for radiologic technologists.
• How the scope of practice for radiologic technologists varies for each state (e.g. administration, certification, regulation, etc).
• Determine if radiologic technologists in the three states can administer contrast media or dye under the supervision of a physician.
  • In the absence of clarity from the state, discuss options where you might be able to turn to in order to justify practice guidelines for your organization. (What are other similar orgs doing? How do they justify it?)
  • Recommend action items to your supervisor.
    • Training in contrast administration
    • Hire additional personnel
    • Cost

Cite 3 reputable references to support your assignment (e.g., trade or industry publications, government or agency websites, scholarly works, or other sources of similar quality).

Format your assignment according to APA guidelines.

 

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Practicum Assignment 

As your practicum proceeds, consider the topics addressed this week. By tomorrow 5/11/19 6 pm, write a 550-word essays in APA format with a minimum of four scholarly references (see list below). Include the level one headers as numbered below:

1) Conduct research to further your understanding of how issues related to intra- and interdisciplinary collaboration and the design of outcomes could influence the implementation of your proposed change.

2) To further your understanding of how issues associated with multiple systems or spheres of influence relate to the implementation of your proposed evidence-based change.

Required Readings

White, K. M., & Dudley-Brown, S.(2016). Translation of evidence into nursing and health care practice. (2nd edition)  New York, NY: Springer Publishing Company.

• Review Chapter 14, “Creating a Culture that Promotes      Translation”
• Review Chapter 11  “Information Technology: A      Foundation and Enabler for Translation”
• Review Chapter 15 “Best Practices in Translation:      Challenges and Barriers in Translation”

Kutney-Lee, A., Germack, H., Hatfield, L., Kelly, S., Maguire, P., Dierkes, A., & … Aiken, L. H. (2016). Nurse Engagement in Shared Governance and Patient and Nurse Outcomes. Journal of Nursing Administration, 46(11), 605-612. doi:10.1097/NNA.0000000000000412

Sung-Heui, B. (2016). CNE SERIES. The Centers for Medicare & Medicaid Services Reimbursement Policy and Nursing-Sensitive Adverse Patient Outcomes. Nursing Economic$, 34(4), 161-181. 

Twigg, D. E., Gelder, L., & Myers, H. (2015). The impact of understaffed shifts on nurse-sensitive outcomes. Journal of Advanced Nursing, 71(7), 1564-1572. doi:10.1111/jan.12616

Yankovsky, A., Gajewski, B. J., & Dunton, N. (2016). Trends in Nursing Care Efficiency From 2007 to 2011 on Acute Nursing Units. Nursing Economic$, 34(6), 266-276.

Braithwaite, J., Westbrook, M., Nugus, P., Greenfield, D., Travaglia, J., Runciman, W., & … Westbrook, J. (2013). Continuing differences between health professions’ attitudes: the saga of accomplishing systems-wide interprofessionalism. International Journal for Quality in Health Care, 25(1), 8-15. doi:10.1093/intqhc/mzs071

Hoyle, C., & Johnson, G. (2015). Building skills in organizational and systems change. Nurse Practitioner, 40(4), 15-23. doi:10.1097/01.NPR.0000461948.38539. fc

Jeungok, C., & Zucker, D. M. (2013). Self-assessment of nursing informatics competencies for Doctor of Nursing practice students. Journal of Professional Nursing, 29(6), 381-387. doi:10.1016/j.profnurs.2012.05.014

Toussaint, J. S. (2015). The Framework for a Whole-System Transformation. Journal of Healthcare Management, 60(6), 386-389. 

 

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