Discussion Board 19465343

Examine how nurses in Florida and other nursing organizations might improve policies that impact diversity in nursing?  Review the American Association of Colleges of Nursing’s Position Statement on Diversity and Inclusion (March 2017) and compare it to the August 13, 2019 White Paper by the American Academy of Nursing. 

Please state, what you see is missing from each report and what discussion points do you support. Please provide a rationale for each.

Follow APA guidelines

 
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Discussion Board Apa 6 Less 5 Of Similarities 3 References Book Chapters 235

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Base on last week’s reading, you now have an idea of the role of the APRN, and legal/professional issues in prescribing. As a future nurse practitioner, you have the authority, based on your state nurse practice act, to prescribe medications for the patients for whom you will provide care, and the responsibility of prescriptive authority is more than just simply writing a prescription correctly.

Important Links:

https://www.flsenate.gov/Committees/BillSummaries/2016/html/1424

http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-19-2014/No2-May-2014/Barriers-to-NP-Practice.html

https://floridasnursing.gov/new-legislation-impacting-your-profession/

https://www.aanp.org/advocacy/advocacy-resource/position-statements/nurse-practitioner-prescriptive-privilege

Discuss the role of advanced practice nursing in safe prescribing and 3  prescribing barriers for APRNs.

A minimum of 3 paragraphs is required 

Support post with at least 3 references within 5 years of publication (references cannot be older than 5 years).

posts are to be written in APA 6th edition format as required by the university.

 
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Discussion Board And Replies

  ITS TWO PARTS TO THIS ASSIGNMENT!!

PART 1

A strategic goal of any healthcare organization is the quality performance of the employees. The Institute of Medicine (1998) created the most accepted definition of quality in the healthcare industry: patient services current with scientific knowledge that result in a desired health outcome. Research information on high-performance organizations and provide 5 strategic methods that could be used to improve employee productivity in the healthcare organization, impacting quality.

Thread must be at least 650 words and demonstrate course-related knowledge.  Each thread must include a biblical integration and at least 2 peer-reviewed source citations in current APA format in addition to the text 

PART 2

Write a Post of 350–400-word reply to each Discussion, include a biblical integration and at least 2 peer-reviewed source citations in current APA format in addition to the text.

Discussion #1

Employee productivity and engagement should be at the helm for a healthcare organization to ensure continued quality is the bottom line throughout their institution. As the interaction and time spent building the employee productivity area of the organization spills over to quality and the end user.

Employee productivity can be ensured by having the correct managers in place and utilizing knowledge level systems. Employee productivity and employee performance should be monitored so that the intended organizational goal is met. “Continuously it should be emphasized that employee performance evaluation is directly linked with the strategy of the organization” (Grigoroudis & Zopounidis, 2012)

Maintaining knowledge-level systems directly “support the knowledge and data workers in an organization” which in turns allows information flow and best efficient practices to be completed by the entire staff where the end user the patient and patients families receive continued quality. (Pynes & Lombardi, 2011, p. 382)

Additionally applying expert-based knowledge and information from outside of the health care organization inserts a layered perspective to the healthcare discipline from expertise personnel which in turn is a tool for healthcare providers and executives. (Pynes & Lombardi, 2011)

The knowledge learned can be applied to clinical and administrative decision making ensuring competency and latest techniques and procedures knowledge base is located right inside their organization which trickles to the employees. (Pynes & Lombardi, 2011)

In essence the expert-based knowledge works like a pump from knowledge flow. Flowing from the top of hierarchy and ending with the patients. The recognized knowledge begins from the health care providers and executives leading to the capable managers in place following to the staff that produce and complete the recognized effort. With the patient benefiting in quality from the knowledge obtained from all.

Aligning employee productivity and performance with the goal and strategies of what the organization stands for is important for quality advancement and organizational longevity. Championing forward improvement and dedication to employee productivity and efficiency is achieved by middle managers “Who influence and attract intellectual capital and knowledge management which increases employee motivation, performance and organizational commitment” (Valentina, 2014, p.190)

Follow on management-level systems can be instated to help develop and maintain middle managers competency and decision-making skills in areas “Beyond the scope typical reporting information and incorporating rules to in-depth understanding of the knowledge, skills, abilities and other characteristics” of potential and current employees (Pynes & Lombardi, 2011, p. 383)

Biblical Integration can be applied to the framework of individuals working towards improvement and doing something productive with what one has been giving and not letting it go to waste.

Matthew 25: 16-18 writes about talents and three men who did something different with the talents entrusted into them “He who had received the five talents went at once and traded with them, and he made five talents more. So also he who had the two talents made two talents more. But he who had received the one talent went and dug in the ground and hid his master’s money” (The Holy Bible, English Standard Version, 2016)

References

Grigoroudis, E., & Zopounidis, C. (2012). Developing an employee evaluation management system: The case of a healthcare organization. Operational Research, 12(1), 83-106. doi:http://dx.doi.org.ezproxy.liberty.edu/10.1007/s12351-011-0103-9

Pynes, J. E., & Lombardi, D. N. (2011). Human resources management for health care organizations: A strategic approach. San Francisco, CA: Jossey-Bass. ISBN: 9780470873557.

Valentina, N. (2014), The impact of HR managers’ roles on implementing best HR practices and attracting and retaining best employees. Management & Marketing, 12 (2) 190-204. Retrieved from https://doaj.org/article/b8faef9686524183abc8181674d1cec0

Discussion #2

Improving the performance of an organization by finding strategic methods to enhance this is the ultimate goal of any health care facility. Over years, methods have been improved by human resource management through the use of technology. As technology has increased, information technology has been beneficial for the organization of systems. “Information technology is being used not only to automate routine tasks, but also increasingly to restructure and integrate procedures and programs for delivery systems,” (Pynes and Lombardi, 2011, p.378).  These information systems will help with productivity and flow of health care data information within a health care system. It is up to human resources staff to make decisions and implement services that will provide effective measures for the organization. In order for employees and technology to combine well, factors need to be considered. Integrating these two variables to ensure high-performance quality can be complex. For information systems to work, human resources management can consider “conducting job and work flow analyses, recruiting and selecting qualified people, and providing training and retraining so that employees are knowledgeable about and comfortable with technology,” (Pynes et al., 2011, p.387-388).

Linking high performance quality and work environments to customer satisfaction is a means to enhancing the performance entity of the organization. Research suggests three observations to that are linked high performance quality work. First, employees believe they can provide better quality work when there is access to the use of high performance work systems (HPWS). Second, if patients perceive happiness with the services they rendered, employees feel as if they provided high-quality services. Third, overall satisfaction of a health care organization come from the quality of all services, (Scotti, Harmon, & Behson, 2007). Specific management practices aid and contribute to the high-performance work systems. Relational coordination and the implementation of team building practices are a couple of ways that management can contribute to these systems. Management practices “function as engines that propel the evolution of a work environment in which the perceptions of employees are aligned with the service experiences they provide to patients and translate into enhanced patient satisfaction, (Scotti et al., 2007, p.119).  

Implementing strategies in health care organizations, new or reconstructed strategies, are considered to be effective measures. They require human resources appraisal of these methods, training of staff and employees, and the practice of teamwork. These three principles will provide a solid foundation for high performance work practices that prove offer high quality services. Some methods to ensure this effectiveness are: “management support; financial resource availability; implementation of policies and practices; innovation-values fit; presence of a champion,” (McAlearney, Robbins, Garman, Song, & McVey, 2013, p.454). Management support comes from the dedication and leadership of management teams to transform the organization for better. Financial resource availability, both monetary and human resources, are needed to support major changes within an organization. Management can implement policies and practices by standardizing systematic best practices. Innovation-values fit is used to provide strategies that are consistent with the values of the organization, while focusing on the culture, and making changes as necessary. Presence of a champion suggests which individuals are present within an organization that are willing to go above and beyond to make the changes. All of the strategies will help improve the performance of an organization. The ultimate value to remember when implementing strategies is: the satisfaction of patients will lead to greater economic returns on investment for an organization. “In the same way, let your light shine before others, so that they may see your good works and give glory to your Father who is in heaven,” (Matthew 5:6, NIV).

References

McAlearney, A. S., ScD., Robbins, J., PhD., Garman, A. N., PsyD., Song, P. H., PhD., & McVey, L. A. (2013). Implementing high-performance work practices in healthcare organizations: Qualitative and conceptual Evidence/PRACTITIONER APPLICATION. Journal of Healthcare Management, 58(6), 446-62; discussion 463-4. Retrieved from http://ezproxy.liberty.edu/login?url=https://search-proquest-com.ezproxy.liberty.edu/docview/1467941243?accountid=12085

Pynes, J. E., & Lombardi, D. N. (2011). Human resources management for health care organizations: A strategic approach. San Francisco, CA: Jossey-Bass. ISBN: 9780470873557.

Scotti, D. J., Harmon, J., & Behson, S. J. (2007). Links among high-performance work environment, service quality, and customer satisfaction: An extension to the healthcare sector. Journal of Healthcare Management / American College of Healthcare Executives, 52(2), 109.

 
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Discussion Board 402

one paper.

look to file then visiting the resource links provided discuss the challenges and benefits of WHP in small businesses. 

 
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Discussion Board 4 1 19212929

Grading Rubric, Sample Table, Link for this Discussion Question

You are admitting a 19-year old female college student to the hospital for fevers. Using the patient information provided, choose a culture unfamiliar to you and describe what would be important to remember while you interview this patient. Discuss the health care support systems available in your community for someone of this culture. If no support systems are available in your community, identify a national resource.

Remember the cultural related characteristics would be related to communication in the culture, since we are conducting an interview, spacial distance, eye contact, level of openness, taboo subjects, who you should address etc. should be considered. Research cultural communication considerations prior to answering.The AHRQ tool kit is a great source for learning more about culture and providing culturally competent care. Here is the link,

Any sources used should be scholarly and current ( within the last five years ideally , expand your search only if there is no current information).

Grading Rubric 

States chosen culture +0.5

Describes nursing considerations for the interview related to culture +3.5

Discusses health support systems for the culture in your community +3.5

Writing +0.5

Table you may use:

Culture

Considerations

Resources

Use “4: Adult Health Assessment” in the attachment below or use scholarly articles for references.

 
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Discussion Board 3 19495737

1- Select the state where you plan to practice as a nurse practitioner and/or nurse leader( Florida).

2-  investigate the state’s policies on access to contraception and abortion for women with insurance and those without.

3- What are the state’s infant and maternal mortality rates? Discuss the possible relationship between these factors.  

Important Note:

APA format, Minimum 250 words, references must be cited in APA format, and must include minimum of 2 scholarly resources published within the past 5-7 years. 

 
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Discussion Board 3 19249873

An area of concern in healthcare today is the ability of individuals to access care.  The Centers for Medicare and Medicaid Services has developed many initiatives that tie reimbursement for Medicare and Medicaid beneficiaries to better quality of care and access to it. 

For your discussion board post, include the following:

  • Discuss the barriers that patients experience when accessing health care resources.
  • Why do barriers continue to exist when it comes to access and equal health care?
  • Give an example of something a hospital could do to improve access to care for its community?

Include 2 reference sources, besides the textbook, and be sure to document your references using APA format.

 
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Discussion Board 19487233

 

Please answer the following Discussion Question.  Please be certain to answer the four questions on this week DQ and to provide a well-developed and complete answer to receive credit.  Also, please ensure to have read the assigned chapters for the current week. 

Case Study, Chapter 5, Evidence-Based Practice

Two professional registered nurses are interested in evidence-based practice and have developed research questions to study.  The nurses discuss what evidence-based practice is all about and are trying to determine if the organizational culture supports nurses who seek out and use research to change long-standing practices that are rooted in tradition rather than science.

1. What is the best explanation of the difference between evidence-based practice and best practices?

2. The two registered nurses review a variety of research studies to answer their proposed research questions. What is the difference in the efficacy of randomized controlled trials, integrative reviews, or meta-analysis with practice-based evidence for continuous process improvement?

3. The registered professional nurses must consider alternative support mechanisms when searching for the best evidence to support their clinical practice. What are possible mechanisms of support for evidence-based practice?

4.  Describe the challenges that exist today for nurses in implementing evidence-based practice?

 
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Discussion Board 19479123

Name five continous, five discrete, and five categorical variables, and identify which, if any are dischotomous and why? 

APA format(no abstract need it)

at least 3 paragraphs with 3 sentences

at least 2 citations, 2 references

NO PLAGIARISM PLEASE!!! Going through turn it in( less than 20%)

 
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Discussion Board 19477661

Greetings to All

For our discussion board this week, I would like each one of you to introduce yourself to me and to your classmates. Please tell us about your nursing journey, your place of employment, your job, your short- and long-term goals, and what specifically you plan to do with your FNP degree. I’m looking forward to knowing you better. Thank you.

Please help me to develop a good introduction to my teacher and classmates. 

I was born in Colombia where I got a title as Physician 2004 then I went to Spin where I worked as Family Physician until 2012.

I got my degree on BSN in 2018, then I pass NCLEX April 2019 and started MSN April of 2019 

Currently I work in a Med Spa located in West palm Beach, FL doing Aesthetics procedures.

with FNP degree I want to increase the scope of practice and start working in an office with MD and others NP.

Goals short time is reach good grading on this of course and learn about farmacology and Role of the Nurse Practitioner and the use of most frequently precribed medications

Goals long time is continue with my education improving skills  and  get a stable job and get FNU degree

 
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