Search the Walden Library and other scholarly databases looking for examples of the development, analysis, or use of middle range theories in clinical practice.

Last week you began exploring literature in support of specific practice problem. One step in the analysis of literature is examining the theoretical framework that guided the study. Middle range theories are frequently used to guide nursing research and it is likely that some of the articles you reviewed used a middle range theory. This week, you will examine how middle range theories bring to light concepts in health care and the DNP-prepared nurse’s role in developing and refining middle range theories for advancing nursing science and improving practice.

To prepare:

• Reflect on the information presented in this week’s Learning Resources, focusing on the development and use of middle range theories in nursing practice and research.
• Search the Walden Library and other scholarly databases looking for examples of the development, analysis, or use of middle range theories in clinical practice.
• Determine current trends in the development and use of middle range theories in nursing practice and research.
• Consider how the development of new middle range theories advances nursing as a science.

1) How does middle range theory illuminate concepts in health and health care delivery?
2) What do you see as your particular role in developing (or evaluating) middle range theories?
3) Why might that be important to advancing nursing science and improving clinical practice?


 

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As you know or may have heard administrative law can have a huge impact on the interpretation of healthcare rules and laws. Examples include on such matters as public health (as seen with ebola), education, welfare and housing.

As you know or may have heard administrative law can have a huge impact on the interpretation of healthcare rules and laws. Examples include on such matters as public health (as seen with ebola), education, welfare and housing.

As you know or may have heard administrative law can have a huge impact on the interpretation of healthcare rules and laws. Examples include on such matters as public health (as seen with ebola), education, welfare and housing.To help you get started on this week’s assignment you may want to start with the new healthcare reform ruling and its applicability in your state. Insight into this ruling will serve as a great source for your written assignment.
As you know or may have heard administrative law can have a huge impact on the interpretation of healthcare rules and laws. Examples include on such matters as public health (as seen with ebola), education, welfare and housing.To help you get started on this week’s assignment you may want to start with the new healthcare reform ruling and its applicability in your state. Insight into this ruling will serve as a great source for your written assignment.Write a memorandum explaining ”Administrative law” and its impact on healthcare decision making.


 

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WHAT IS THE PURPOSE OF ASSESSMENT AND ASSESSMENT TOOL IN NURSING.What is the purpose of assessment and assessment tool in nursing. What is the purpose of assessment and assessment tool in nursing.What is the purpose of assessment and assessment tool in nursing.

WHAT IS THE PURPOSE OF ASSESSMENT AND ASSESSMENT TOOL IN NURSING.What is the purpose of assessment and assessment tool in nursing. What is the purpose of assessment and assessment tool in nursing.What is the purpose of assessment and assessment tool in nursing.

What is the purpose of assessment and assessment tool in nursing. What is the purpose of assessment and assessment tool in nursing.What is the purpose of assessment and assessment tool in nursing.What is the purpose of assessment and assessment tool in nursing.What is the purpose of assessment and assessment tool in nursing.What is the purpose of assessment and assessment tool in nursing.What is the purpose of assessment and assessment tool in nursing.What is the purpose of assessment and assessment tool in nursing.What is the purpose of assessment and assessment tool in nursing.What is the purpose of assessment and assessment tool in nursing.


 

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Discuss ways that a hospital might measure quality. Be sure to explain your reasoning. Memorial Hospital

Discuss ways that a hospital might measure quality. Be sure to explain your reasoning.
Memorial Hospital

Read the “Memorial Hospital” case study in Chapter 4 of your text. In a three- to four-page paper, respond to the guided response below.

Discuss ways that a hospital might measure quality. Be sure to explain your reasoning.
Explain the potential costs and failures of quality for Memorial Hospital and discuss how each can be measured.
Discuss ideas or techniques from TQM that Janice could use to help Memorial focus on providing quality health care.
Analyze the methods Memorial could use to assess the quality of health care it is providing.
Your paper should be in paragraph form (avoid the use of bullet points) and supported with the concepts outlined in your text and additional scholarly sources.

Submit your three page paper (not including the title and reference pages). Your paper must be formatted according to APA style as outlined.

Case study

Memorial Hospital is a privately owned 600-bed facility. The hospital provides abroad range of health care services, including complete laboratory and X-rayfacilities, an emergency room, an intensive care unit, a cardiac care unit, and apsychiatric ward. Most of these services are provided by several other hospitals inthe metropolitan area. Memorial has purposely avoided getting involved in anyspecialized fields of medicine or obtaining very specialized diagnostic equipmentbecause it was felt that such services would not be cost-effective. The GeneralHospital, located only a few miles from Memorial, is affiliated with the local School ofMedicine and offers up-to-date services in those specialized areas. Instead of tryingto compete with General Hospital to provide special services, Memorial Hospital hasconcentrated on offering high-quality general health care at an affordable price.Compared with the much larger General Hospital, Memorial stresses close personalattention to each patient from a nursing staff that cares about its work. In fact, thehospital has begun to place ads in newspapers and on television, stressing itspatient-oriented care.

However, the hospital’s administrator, Janice Fry, is concerned about whether thehospital can really deliver on its promises, and worries that failure to provide thelevel of health care patients expect could drive patients away. Janice met recentlywith the hospital’s managerial personnel to discuss her concerns. The meetingraised some questions about how the hospital’s quality of health care could beassured. Jessica Tu, director of nursing, raised the question, “How do we measurethe quality of health care? Do we give patients a questionnaire when they leave,asking if they were happy here? That does not seem to answer the questionbecause we could make a patient happy, but give them lousy health care.” Severalother questions were asked concerning the hospital’s efforts to keep costs down.Some people were concerned that an emphasis on costs would be detrimental toquality. They argued that when a person’s life is at stake, costs should not be ofconcern.


 

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Determine the extent to which the care that you provided was based on evidence and research findings or supported only by your organization’s standard procedures.

Determine the extent to which the care that you provided was based on evidence and research findings or supported only by your organization’s standard procedures.

Consider a recent clinical experience providing care for patients in ED.
Determine the extent to which the care that you provided was based on evidence and research findings or supported only by your organization’s standard procedures. How do you know if the tasks were based on research?
Review Chapter 2, pages 36—39 on “Asking Well worded Clinical Questions” in Polit & Beck and consult the resource on Clinical Question Anatomy & examples of PICOT questions ( included) Formulate your background questions and PICOT question ( Does staff ED Registered Nurse turnover in major city hospital impact patient satisfaction during the busy season?)
Reflect on the barriers that might inhibit the implementation of evidence-based practice in your clinical environment.
Review the article “Adopting Evidence-Based Practice in Clinical Decision Making” Select one of the barriers described that is evident in your organization and formulate a plan for overcoming this barrier.
Write an evaluation of the use, or lack thereof, of EBP in a recent clinical experience. Identify which aspects of the care delivered, if any, were based on evidence and provide your rationale. List your background questions and PICOT question about this nursing topic. Critique how the policies, procedures, and culture of a hospital organization may hinder or support the adoption of evidence-based practices. Identify the barrier you selected from the article and explain how this barrier could be overcome within your organization.


 

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WHEN STUDYING YOUR CHOSEN DISCOURSE COMMUNITY, TRY TO SEPARATE YOUR OWN PERSONAL FEELINGS AS YOU TAKE DETAILED NOTES REGARDING RHETORICAL MOVES THAT CLEARLY INDICATE COMMUNITY MEMBERSHIP.

WHEN STUDYING YOUR CHOSEN DISCOURSE COMMUNITY, TRY TO SEPARATE YOUR OWN PERSONAL FEELINGS AS YOU TAKE DETAILED NOTES REGARDING RHETORICAL MOVES THAT CLEARLY INDICATE COMMUNITY MEMBERSHIP.

When studying your chosen Discourse community, try to separate your own personal feelings as you take detailed notes regarding rhetorical moves that clearly indicate community membership.
When studying your chosen Discourse community, try to separate your own personal feelings as you take detailed notes regarding rhetorical moves that clearly indicate community membership. Look for patterns in the way they address one another, their individual and group behaviors, dress, linguistic choices, meeting structure, group participation, system of values, reason for meeting, etc., Getting Started on Step 2: If you aren’t sure how to begin writing Step 2, consider what experiences or thoughts you had while interacting with the group: were they easy to observe?Submit Your Final Leadership in Health Care Research PaperIn your final paper on your approved topic for leadership in health care, be sure to:Present your topic, a summary of the larger scholarly discussion, and your thesis statement.Present the evidence to support your thesis, referencing 6 peer-reviewed sources in an organized and focused manner within your paper. You must thoroughly apply at least one leadership theory or approach to your chosen leadership in healthcare topic.Close your paper by summarizing your findings, drawing conclusions, and making connections to the larger scholarly discussion.Provide an APA-formatted title page and reference page.The body and content of your research paper should be 4 pages total. This does not include the title or reference page.


 

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WHAT IS THE DIFFERENCE BETWEEN INFECTIOUS AND NON-INFECTIOUS VACCINES? 2. Why do live attenuated (MLV) vaccines produce more effective immunity than killed vaccines?

WHAT IS THE DIFFERENCE BETWEEN INFECTIOUS AND NON-INFECTIOUS VACCINES?
2. Why do live attenuated (MLV) vaccines produce more effective immunity than killed vaccines?

What is the difference between infectious and non-infectious vaccines?

1. What is the difference between infectious and non-infectious vaccines?

2. Why do live attenuated (MLV) vaccines produce more effective immunity than killed vaccines?

3. What are two examples of Dog or cat vaccines that incorporate mucosal vaccination


 

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Identify one area within your employment that needs to be changed. Examples include improving a process, or reducing wait times, or improving quality.

1. You manage a 30-bed medical-surgical unit in a small community hospital and have a background in managing cardiac care units. The Director of Nursing has asked you to take part in a planning session with other hospital administrators. The Director feels that expanding cardiac care services will benefit the facility and the community:

What is the strategic planning process for this project?
Who would be involved in this strategic plan? Who are the stakeholders in the community and within the hospital?
How could you begin to implement this strategy?
What are some of the major issues associated with a plan like this?

2. Read the Case Study 13-1 on page 178 in your textbook. Then answer the following questions:

Determine what could have been done to prevent Jane’s problems, other than what is outlined in the case study.
Explain what time wasters and interruptions are and strategies to minimize their effects?
Outline at least three alternatives to deal with Jane’s problem.

Apply these time management skills to a problem in your own life.

3. Change in healthcare is inevitable. Identify one area within your employment that needs to be changed. Examples include improving a process, or reducing wait times, or improving quality. After discussion with a nurse leader at your place of employment, decide on an issue that requires change, and answer the following questions:

Analyze any issues related to the problem, and map out any alternative solutions.
Illustrate 3 strategies for change including the positive and negative forces for each.
Discuss and apply a change theory to your issue.
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Identify a state health policy and the tools used to implement the policy.

Identify a state health policy and the tools used to implement the policy.

Discussion Question 1:
Which would be the most appropriate researchable population for use in your research project? What are the challenges of obtaining a sample from this population? How could you address those challenges? (Essential I-IX)
Discussion Question Number 2:
Identify a state health policy and the tools used to implement the policy. How do you think the political climate has affected the choice of policy tools and the behavioral assumptions by policymakers? How have professional nursing organizations been involved in this policy issue? If they have not, what recommendations would you make for them to participate? Develop a few talking points to inform other health care professionals regarding this issue.
Discussion Question Number 3:
Find a study published in a nursing journal in 2010 or earlier that is described a s a pilot study. Do you think the study really is a pilot study, or do you think this label was used inappropriately? Search forward for a larger subsequent study to evaluate your response.


 

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How effective or ineffective was the individual in his/her attempt to meet the goals? Why?Effective leadership negotiation strategies are helpful in building a sphere of influence, especially in times of emergency or a crisis.

How effective or ineffective was the individual in his/her attempt to meet the goals? Why?Effective leadership negotiation strategies are helpful in building a sphere of influence, especially in times of emergency or a crisis.

M5 A1LASA 2: Situational Analysis: Flight 232
Assignment 1: LASA 2: Situational Analysis: Flight 232
Effective leadership negotiation strategies are helpful in building a sphere of influence, especially in times of emergency or a crisis. In this assignment, you will analyze a case study video and perform a situational analysis. The activity will allow you to assess the crisis situation and examine factors that affect the final resolution of the problem.
The purpose of this assignment is to develop your leadership and crisis management skills by using a real-life case study example.
Case Study: On July 19, 1989, United Airways Flight 232 DC 10 was en route from Denver to Philadelphia, Pennsylvania, via Chicago. The plane had to make an emergency crash landing in Sioux City, Iowa, because of an engine failure that occurred 1 hour into the flight. Approximately 296 passengers including business people, vacationers, and children were on board.
Access the video about the air crash investigation for United Airlines, Flight 232 from the Webliography. [6/12/2013]
View at least the first 28 minutes of the clip. You may view the entire clip (44:01 minutes) if you wish.
Part 1: Personal Profile

The case study includes several characters such as the captain, the copilot, a DC-10 flight training instructor, and a senior flight attendant who play a crucial role in the final outcome of the crisis.
Captain Al Haynes
The copilot, Bill Records
DC-10 flight training instructor, Denny Fitch
Senior flight attendant, Jan Brown-Lohr
Select two of the characters involved in this case study and create a personal profile of each including their title, work type, position in job, education, training, and personality type. Include both of the personal profiles as appendices in your research paper.
Use your assigned readings, information from the Argosy library, the Internet and the case study video clip provided to develop a research paper that answers the questions below in Part 2.
Part 2: Choose one of the two characters you profiled and answer these questions in a 5-7 page research paper.
Critically examine the role of the crew on board and explain situations that needed more attention and that could have been addressed within the given constraints.
Describe at least three factors that affected the resolution of the problem.
What is the main goal of the character you are analyzing? Support your response.
How effective or ineffective was the individual in his/her attempt to meet the goals? Why?
What specific personal negotiation and leadership skills did he or she demonstrate throughout the crisis?
How well does the individual know himself or herself, and how effectively or ineffectively did he or she adapt to the circumstances and personalities involved on board Flight 232?
Complete a 5 to 7 page paper in Word format, citing sources of information. Apply current APA standards for writing style to your work. Make sure to include both of your personal profiles as appendices in your paper
Use the following file-naming convention: LastnameFirstInitial_M5_A1.doc. For example, if your name is John Smith, your document will be named SmithJ_M5_A1.doc.
By Saturday, August 3, 2013, deliver your assignment to the M5: Assignment 1 Dropbox.
Assignment 1 Grading Criteria


 

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