Because visioning and effective decision making are primary tasks of leaders, discuss mechanisms that nurse managers can use to ensure that they make the best decisions.

  • Because visioning and effective decision making are primary tasks of leaders, discuss mechanisms that nurse managers can use to ensure that they make the best decisions.
  • Describe positive and negative aspects of abandoning traditional healthcare strategic planning processes and adopting a contemporary approach.
  • Discuss the process of external and internal environmental analyses, and then speculate on scenarios that may result if these steps in strategic planning are omitted or are not done well.
  • Reflect on the mission, vision, values, and goals of a healthcare organization and provide examples of how individual employees, departments, and work units support all four of these as a foundation for directional strategies.
  • Select one strategy from question 1 and describe how you would introduce the action or change you propose in the workplace. Then, map out what would need to happen for it to be implemented.
  • How does complexity influence budget strategies and their implementation? Give examples.
  • Write a business plan for a change, piece of equipment, or new process needed at your work.

This APA essay will have 1200-1500 words with 4 supporting references. Make certain to include an introduction and conclusion paragraph, along a title and reference page.

 

Leger, J. M., & Dunham-Taylor, J. (2018). Financial Management for Nurse Managers

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Each year, 1.5 million Americans are diagnosed with diabetes (American Diabetes Association, 2019). If left untreated, diabetic patients are at risk for several alterations, including heart disease, stroke, kidney failure, neuropathy, and blindness.

Each year, 1.5 million Americans are diagnosed with diabetes (American Diabetes Association, 2019). If left untreated, diabetic patients are at risk for several alterations, including heart disease, stroke, kidney failure, neuropathy, and blindness. There are various methods for treating diabetes, many of which include some form of drug therapy. The type of diabetes as well as the patient’s behavior factors will impact treatment recommendations.

For this Discussion, you compare types of diabetes, including drug treatments for type 1, type 2, gestational, and juvenile diabetes.

Reference: American Diabetes Association. (2019). Statistics about diabetes. Retrieved from http://diabetes.org/diabetes-basics/statistics/

To Prepare
  • Review the Resources for this module and reflect on differences between types of diabetes, including type 1, type 2, gestational, and juvenile diabetes.
  • Select one type of diabetes to focus on for this Discussion.
  • Consider one type of drug used to treat the type of diabetes you selected, including proper preparation and administration of this drug. Then, reflect on dietary considerations related to treatment.
  • Think about the short-term and long-term impact of the diabetes you selected on patients, including effects of drug treatments.
By Day 3 of Week 5

Post a brief explanation of the differences between the types of diabetes, including type 1, type 2, gestational, and juvenile diabetes. Describe one type of drug used to treat the type of diabetes you selected, including proper preparation and administration of this drug. Be sure to include dietary considerations related to treatment. Then, explain the short-term and long-term impact of this type of diabetes on patients. including effects of drug treatments. Be specific and provide examples.

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Select an active bill at the state or federal level that impacts the professional practice of nursing. In a 3-4 page paper (excluding the title and reference pages), summarize the provisions of the bill and clearly explain what the bill will accomplish

Select an active bill at the state or federal level that impacts the professional practice of nursing. In a 3-4 page paper (excluding the title and reference pages), summarize the provisions of the bill and clearly explain what the bill will accomplish. The paper should be no more than 4 pages, typed in Times New Roman using 12-point font, and double-spaced with 1″ margins.

Your review of a bill paper should:

  • Discuss the major provisions of the bill.
  • Demonstrate an in-depth understanding of the legislation by explaining the background and all relevant facts.
  • Discuss any relevant history related to the legislation, pertinent votes, and issues that are stalling the legislation, etc.
  • Use primary sources for this information.
  • Identify key supporters and those who do not support the bill. Explain why some of these individuals support the bill and why some do not.
  • Explore the positions of the key stakeholders in the bill, both pros and cons. Do not make assumptions about potential key stakeholders. Examine this area carefully so you are correctly reflecting the stakeholders positions.
  • Discuss how the bill would impact a nurse’s ability to provide safe and quality care or to practice to the highest scope of the nursing license.
  • Explain specific actions that nurses can take to assist with the passage or defeat of the legislation
  • Use APA format, headings and references as appropriate.

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All you have to do is read this post and respond to it in 1-2 paragraphs and use at least 2 sources. 3 is preferred but if you can only find 2 that is no problem.  The goal of the reply is to “provide further suggestions on how their database search might be improved.”

All you have to do is read this post and respond to it in 1-2 paragraphs and use at least 2 sources. 3 is preferred but if you can only find 2 that is no problem.  The goal of the reply is to “provide further suggestions on how their database search might be improved.”

POST:

I work on an acute inpatient psychiatric unit where all of the patients have been detained on involuntary holds. A high number of these patients are readmitted over and over again. There are several agencies in my county that serve the same population, the patients hop from one facility to the next depending on who has an open bed. Having witnessed this firsthand, I can appreciate the need for strong outpatient support services and timely follow up appointments. My clinical area of interest deals with how prompt follow up care is associated with a reduction in rapid (within 30 days of discharge) readmission rates.

My PICOT question is:

In psychiatric patients, how does having outpatient supports and follow up appointments in the first 30 days of discharge compared with having delayed follow up care or no follow-up care affect readmission rates to an inpatient psychiatric facility within 30 days of discharge?

For the search, I used CINAHL Plus with full text, MEDLINE with full text, PubMed, PsychInfo, and Academic Search Complete all accessed through the Walden library (Walden University, 2019). The terms used during this search included “psychiatric readmission”, “psychiatric readmission rates”, “behavioral health,” or “mental health” in the first search box. Additionally, the terms “psychiatric units,” “adults,” “inpatient psychiatry,” “rehospitalization,” “prevention,” “psych hospitals,” and “readmission rates” were used. Using Boolean operators “AND” and “OR” I was able to focus my search further to better answer the PICOT question (Walden University Library). In general, I prefer to narrow my searches by choosing full text, peer-reviewed journals and limiting the date range within the last five years.

In the CINAHL database, I used the search terms “psychiatric readmission rates” AND “factors or causes or influences,” this search yielded 52 articles, they were trimmed down by checking the full-text box (33 articles) and limiting the date range to 2015-present. The use of these additional modifiers reduced the results to 17 articles. There are one or two that may be useful to my PICOT question, but there not enough quality results. I then searched “readmission” AND “psychiatric units” AND “adults,” which resulted in 147 articles. These were further focused by selecting ‘full text”, peer-reviewed”, and “academic journals” with a date range between 2015-present. This resulted in 25 articles, many of which look to be useful for this project.

The formation of a PICOT question is the first step of evidence-based practice (Melnyk & Fineout-Overholt, 2019). According to Melnyk and Fineout-Overholt (2019), it is essential to formulate a focused, well-designed PICOT question in order to generate relevant information. The PICOT question should include the patient population, intervention or issue of interest, comparison intervention, outcome, and a time frame in order to be specific enough to result in relevant results in a timely fashion (Melnyk & Fineout-Overholt, 2019). Before formulating a PICOT question, one must decide on a clinical area that interests them and generate a background question, one that is broad in nature (Stillwell, Fineout-Overholt, Melnyk & Williamson, 2010). Once the broad question has been formed, the next step is to narrow the area of interest into a foreground question which is more specific and relevant to the topic (Stillwell, Fineout-Overholt, Melnyk & Williamson, 2010). Utilizing the terms that comprise the PICOT, one can search databases to find pertinent research for their inquiry (Melnyk & Fineout-Overholt, 2019). More results can be obtained by using synonyms in the search and by separating terms with “OR” within the search boxes themselves (Walden University, 2019).

 

References

Melnyk, B. M., & Fineout-Overholt, E. (2019). Evidence-based practice in nursing & healthcare a guide to best practice (4th ed.). Philadelphia: Wolters Kluwer.

Stillwell, S. B., Fineout-Overholt, E., Melnyk, B. M. & Williamson, K. M. (2010). Evidence-Based Practice, Step by Step: Searching for the Evidence. AJN, American Journal of Nursing, 110(5), 41-47. DOI: 10.1097/01.NAJ.0000372071.24134.7e.

Walden University Library. (n.d.). Evidence-Based Practice Research: CINAHL Search Help. Retrieved December 17, 2019, from https://academicguides.waldenu.edu/library/healthevidence/cinahlsearchhelp.

Walden University. (2019). Databases A-Z. Retrieved December 17, 2019, from https://academicguides.waldenu.edu/az.php?s=19981.

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