Develop a change project and to implement this project in the field.

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Develop a change project and to implement this project in the field. To review the early steps in the research process, we have developed a mini-practice research assignment to prepare you. During this lesson, you will use the PICOT questioning format/formula to develop an answerable research question. All elements are listed below:

  • P: Population/disease (age, gender, ethnicity, disorder)
  • I: Intervention or variable of interest (exposure to a disease, risk behavior, prognostic factor)
  • C: Comparison (a placebo or “business as usual” such as no disease, absence of risk factor, or prognostic factor B)
  • O: Outcome (risk of disease, accuracy of a diagnosis, rate of occurrence of adverse outcome)
  • T: Time (the time it takes to demonstrate an outcome; e.g., the time it takes for the intervention to achieve an outcome or how long participants are observed)

Prepare an evidence-based practice (EBP) PowerPoint presentation on a topic of your choice that is relevant to advanced nursing practice education, leadership, quality improvement, or change.

Your presentation should include:

  1. Identification of an advanced practice nursing issue or practice problem of concern
  2. Design a research question using the PICOT format
  3. A brief literature review and findings related to best practices with at least three scholarly resources cited in APA (6th ed.) format
  4. Plan, Do, Study, Act Process that could be used
  5. Any implications that the investigation might have for nursing practice

Remember is for Nursing related topic.

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Healing and Autonomy

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Details:

In addition to the topic study materials, use the chart you completed and questions you answered in the Topic 3 about “Case Study: Healing and Autonomy” as the basis for your responses in this assignment.

Answer the following questions about a patient’s spiritual needs in light of the Christian worldview.

  1. In 200-250 words, respond to the following: Should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James, or would that mean a disrespect of a patient’s autonomy? Explain your rationale.
  2. In 400-500 words, respond to the following: How ought the Christian think about sickness and health? How should a Christian think about medical intervention? What should Mike as a Christian do? How should he reason about trusting God and treating James in relation to what is truly honoring the principles of beneficence and nonmaleficence in James’s care?
  3. In 200-250 words, respond to the following: How would a spiritual needs assessment help the physician assist Mike determine appropriate interventions for James and for his family or others involved in his care?

Remember to support your responses with the topic study materials.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

This benchmark assignment assesses the following competencies:

BS Nursing (RN to BSN)

5.2: Assess for the spiritual needs and provide appropriate interventions for individuals, families, and groups.

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Consider the challenges of providing health care in underdeveloped countries.

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Many people, most of them in tropical countries of the Third World, die of preventable, curable diseases. . . . Malaria, tuberculosis, acute lower-respiratory infections—in 1998, these claimed 6.1 million lives. People died because the drugs to treat those illnesses are nonexistent or are no longer effective. They died because it doesn’t pay to keep them alive.

–Ken Silverstein, Millions for Viagra. Pennies for Diseases of the Poor, The Nation, July 19, 1999

Unfortunately, since 1998, little has changed. For many individuals living in impoverished underdeveloped countries, even basic medical care is difficult to obtain. Although international agencies sponsor outreach programs and corporations, and although nonprofit organizations donate goods and services, the level of health care remains far below what is necessary to meet the needs of struggling populations. Polluted water supplies, unsanitary conditions, and poor nutrition only exacerbate the poor health prevalent in these environments. Nurses working in developed nations have many opportunities/advantages that typically are not available to those in underdeveloped countries. What can nurses do to support their international colleagues and advocate for the poor and underserved of the world?

In this Discussion, you will consider the challenges of providing health care for the world’s neediest citizens, as well as how nurses can advocate for these citizens.

To prepare:

Consider the challenges of providing health care in underdeveloped countries.

Conduct research in the Walden Library and other reliable resources to determine strategies being used to address these challenges.

Using this week’s Learning Resources, note the factors that impact the ability of individuals in underdeveloped nations to obtain adequate health care.

Consider strategies nurses can use to advocate for health care at the global level. What can one nurse do to make a difference?

CITE AT LEAST 3 REFERENCES

Required Readings

Knickman, J. R., & Kovner, A. R. (Eds.). (2015). Health care delivery in the united states (11th ed.). New York, NY: Springer Publishing.

Chapter 4, “Comparative Health Systems” (pp. 53–72)

The chapter showcases different models of health care systems in order to help policymakers and managers critically assess and improve health care in the United States.

Chapter 10, “The Health Workforce” (pp. 213–225)

Review this section of Chapter 10, which details health workforce issues for nurses and nurse practitioners.

Milstead,  J. A. (2019). Health policy and politics: A nurse’s guide (6th ed.).  Burlington, MA: Jones and Bartlett Publishers.

Chapter 11, “The Impact of Globalization: Nurses Influencing Global Health Policy” (pp. 192-204)

This chapter addresses how the health status of individuals and populations around the world can affect policymaking in a country.

Bloch, G., Rozmovits, L., & Giambrone, B. (2011). Barriers to primary care responsiveness to poverty as a risk factor for health. BMC Family Practice, 12(1), 62–67.

Retrieved from the Walden Library databases.

 

This article details a qualitative study that was conducted to explore the barriers to primary care responsiveness to poverty. The authors explicate a variety of health impacts attributable to poverty.

Harrowing, J. N. (2009). The impact of HIV education on the lives of Ugandan nurses and nurse-midwives. Advances in Nursing Science, 32(2), E94–E108.

Retrieved from the Walden Library databases.

 

This article explores the impact of an HIV/AIDS education program for Ugandan nurses and nurse-midwives. The author details the motivations behind the program and recommendations for the future.

Koplan, J. P., Bond, C., Merson, M. H., Reddy, K. S., Rodriquez, M. H., Sewankambo, N. K., & Wasserheit, J. N. (2009). Towards a common definition of global health. The Lancet, 373(9679), 1993–1995.

Retrieved from the Walden Library databases.

 

This article provides a full description of the components that comprise global health care in detail.

Gapminder. (2011). Retrieved from http://www.gapminder.org

 

This website explains statistical graphs and tables of life expectancy and incomes around the world.

Global Health Council. (2012). Retrieved from http://www.globalhealth.org

 

This website houses the productivity and efforts of the Global Health Council as the world’s largest alliance dedicated to improving health throughout the world.

Henry J. Kaiser Family Foundation: U.S. Global Health Policy. (2010). Retrieved from http://kff.org/globaldata/

 

This website focuses on major health care issues facing the United States, as well as the U.S. role in global health policy.

International Council of Nurses. (2011). Retrieved from http://www.icn.ch/

 

This website documents the efforts of the International Council of Nurses to ensure quality nursing care for all, as well as sound health policies globally through the advancement of nursing knowledge and presence worldwide.

United Nations Statistics Division. (2011). Retrieved from http://unstats.un.org/unsd/default.htm

 

This website examines global statistical information compiled by the United Nations Statistics Division.

University of Pittsburgh Center for Global Health. (2009). Retrieved from http://www.globalhealth.pitt.edu/

 

This website analyzes health issues that affect populations around the globe through research at the University of Pittsburgh.

The World Bank (n.d.) The costs of attaining the millennium development goals. Retrieved from http://www.nationalacademies.org/hmd/Global/News%20Announcements/Crossing-the-Quality-Chasm-The-IOM-Health-Care-Quality-Initiative.aspx.

 

This article states that many countries will have to reform their policies and improve service delivery to make additional spending effective because the additional aid for education and health with not be enough.

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Review the performance dashboard for a health care organization, as well as relevant local, state, and federal laws and policies

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Review the performance dashboard for a health care organization, as well as relevant local, state, and federal laws and policies. Then, write a report for senior leaders in the organization that communicates your analysis and evaluation of the current state of organizational performance, including a recommended metric to target for improvement.

Maintaining standards and promoting quality in modern health care are crucial, not only for the care of patients, but also for the continuing success and financial viability of health care organizations. In the era of health care reform, health care leaders must understand what quality care entails and how quality in health care connects to the standards set by relevant federal, state, and local laws and policies. An understanding of relevant benchmarks that result from these laws and policies, and how they relate to quality care and regulatory standards, is also vitally important.

· Health care is a dynamic, complex, and heavily regulated industry. For this reason, you will be expected to constantly scan the external environment for emerging laws, new regulations, and changing industry standards. You may discover that as new policies are enacted into law, ambiguity in interpretation of various facets of the law may occur. Sometimes, new laws conflict with preexisting laws and regulations, or unexpected implementation issues arise, which may warrant further clarification from lawmakers. Adding partisan politics and social media to the mix can further complicate understanding of the process and buy-in from stakeholders.

How many health care laws can you name that affect your practice in your current or future workplace? How do they impact your daily work? How many regulatory agencies oversee the types of services your health care organization provides? Which regulatory agencies apply to your workplace setting? Are you familiar with the process of complying with those agencies in order to maintain certification? You might be overwhelmed as you consider these broad questions.

· As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend or family member, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.

What local, state, or federal health care policies or laws set benchmarks and standards reflected in performance dashboards common in your professional area of practice?

· What are the potential challenges or opportunities for health care organizations or interprofessional teams in meeting prescribed performance benchmarks and standards? Factors you might consider include the organization’s mission, its size and resources, operational policies and procedures, and the population the organization serves.

· Preparation

For this assessment, you may choose one of the following three options for a performance dashboard to use as the basis for your benchmark evaluation.

Option 1: Dashboard and Health Care Benchmark Evaluation Simulation

If you decide to use one of the simulation dashboards for your evaluation, review both dashboards, as well as the relevant local, state, and federal laws and policies linked in each dashboard. Choose one of the dashboards and consider the metrics within it  that are falling short of the prescribed benchmarks.

Option 2: Actual Dashboard From a Professional Practice Setting

If you choose an actual dashboard from a professional practice setting for your evaluation, be sure to add a brief description of the organization and setting that includes:

· The size of the facility that the dashboard is reporting on.

· The specific type of care delivery.

· The population diversity and ethnicity demographics.

· The socioeconomic level of the population served by the organization.

Note: Ensure that your data is Health Insurance Portability and Accountability Act (HIPAA) compliant. Do not use any easily identifiable organization or patient information.

Option 3: Hypothetical Dashboard Based on a Professional Practice Setting

If you have a sophisticated understanding of dashboards that are relevant to your own practice, you may also construct a hypothetical dashboard for your evaluation, based on that setting. Your hypothetical dashboard must present at least four different metrics, at least two of which must be under-performing the relevant benchmark set forth by a federal, state, or local laws or policies. In addition, be sure to add a brief description of the organization and setting that includes:

· The size of the facility that the dashboard is reporting on.

· The specific type of care delivery.

· The population diversity and ethnicity demographics.

· The socioeconomic level of the population served by the organization.

Note: Ensure that your data is HIPAA compliant. Do not use any easily identifiable organization or patient information.

Report Requirements

Structure your report in such a way that it would be easy for a colleague or supervisor to locate the information they need. Be sure to cite relevant local, state, or federal health care laws or policies when evaluating metric performance against prescribed benchmarks. Cite an additional 2–4 credible sources to support your analysis and evaluation of the challenges in meeting the benchmarks, the potential for performance improvement, and your advocacy for ethical action.

Note: The tasks outlined below correspond to grading criteria in the scoring guide.

In your report, be sure to:

· Evaluate dashboard metrics against the benchmarks set by local, state, or federal health care laws or policies.

9. Which metrics are below the mandated benchmarks in the organization? Evaluate weaknesses within the entire set of benchmarks.

9. What are the local, state, or federal health care laws or policies that set these benchmarks?

. Analyze challenges that meeting prescribed benchmarks can pose for the organization or for an interprofessional team.

10. What are the specific challenges or opportunities that the organization or interprofessional team might have in meeting the benchmarks? For example, consider:

1. The strategic direction of the organization.

1. The organization’s mission.

1. Available resources:

3. Staffing.

3. Operational and capital funding.

3. Physical space.

3. Support services (any ancillary department that supports a specific care unit in the organization, such as a pharmacy, cleaning services, and dietary services).

1. Cultural diversity in the organization.

1. Cultural diversity in the community.

1. Organizational processes and procedures.

10. How might these challenges be contributing to benchmark underperformance?

. Evaluate a benchmark underperformance in the organization or interprofessional team that has the potential for greatly improving overall quality or performance.

11. Which metric is underperforming its benchmark by the greatest degree?

11. Which benchmark underperformance is the most widespread throughout the organization or interprofessional team?

11. Which benchmark affects the greatest number of patients?

11. Which benchmark affects the greatest number of staff?

11. How does this underperformance affect the community the organization serves?

11. Where is the greatest opportunity for improvement in the overall quality or performance of the organization or interpersonal team—and ultimately in patient outcomes?

. Advocate for ethical action in addressing the benchmark underperformance that has the potential for greatly improving overall quality or performance.

12. At which group of stakeholders should your advocacy be directed? Which group could be expected to take the appropriate action to improve the benchmark metric?

12. What are some ethical actions that the stakeholder group could take that support improved benchmark performance?

12. Why should the stakeholder group take action?

. Communicate your findings and recommendations in a professional and effective manner.

13. Ensure that your report is well organized and easy to read.

13. Write clearly and logically, using correct grammar, punctuation, and mechanics.

. Integrate relevant sources to support your arguments, correctly formatting source citations and references using current APA style.

14. Did you cite relevant local, state, or federal health care laws or policies when discussing the mandated benchmarks?

14. Did you cite an additional 2–4 credible sources to support your analysis, evaluation, and advocacy?

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