Complete the Project Scope document, including signatures of approval.

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Week 2: Project Scope and Charter

R631 W2 Project Scope and Charter Guidelines and Rubric

NR631 W2 Project Charter Appendix

NR631 W2 Scope Statement Appendix

Purpose

This assignment is designed to help students lay the groundwork for their project plans with the help of mentors and professors. The mentor becomes a team member for the project that the student will manage. The student will identify the stakeholders, the project priority, how the measurable goals will be met for a successful project, and who will receive the report of the results of the project. The scope document describes the parameters of the project, including what can and cannot be accomplished and the measurable objectives and outcome measures. The project charter describes and defines the project. When the sponsor signs off on the project, it becomes the document that authorizes the project.

Week 2, you will complete the project scope and charter. Based on the information from the mentor and professor, each student finalizes and completes the project charter and scope documents or statements. The project scope must be approved by your practicum organization. Your mentor should help you obtain approval. Project approval must be received prior to submitting these documents. Appendices are provided for both of these documents above.

Course Outcomes

This assignment enables the student to meet the following Course Outcomes (COs):

CO 1: Apply leadership skills concepts of project management as a nurse executive in an organizational setting to develop, implement and evaluate successful project plans. (PO 4,5)

CO 2: Using current knowledge, standards of practice, and research from evidence-based literature, synthesize a foundation for the nurse executive role. (PO 3,4)

Due Date: Sunday at 11:59 p.m. MT at the end of Week 2

Students are given the opportunity to request an extension on assignments for emergent situations. Supporting documentation must be submitted to the assigned faculty. If the student’s request is not approved, the assignment is graded and a late penalty is applied as follows:

If the student’s request is approved, the student will be informed of the revised due date. Should the student fail to meet the revised due date, the assignment is graded and a late penalty is applied as follows:

Total Points Possible: 100

Requirements

  1. Complete the Project Scope document, including signatures of approval.
  2. Complete the Project Charter document.
  3. Documents are attached as appendices to a professional, scholarly paper following the guidelines for writing professional papers found in the Resources tab.
  4. Grammar, spelling, punctuation, references, and citations must be consistent with formal academic writing and APA format as expressed in the sixth edition of the APA manual.

Preparing the paper

  1. All aspects of the Project Scope document must be completed, including signatures.
  2. All aspects of the Project Chart document must be completed.
  3. Ideas, references, and information from professional sources must be cited correctly using the sixth edition of the APA manual.
  4. Grammar, spelling, punctuation, references, and citations must be consistent with formal academic writing.C:\Users\D01030541\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\7T7OKQBI\Pre-licensure Header_Seal Only (3).jpg

     

    NR631 Executive Concluding Graduate Experience I – Charter

     

    Appendix B: Practicum Project Charter

     

    Project Title:

    Project Start Date: Project End Date:

     

    Project Manager:

     

     

    Budget Information:

     

    Measureable Project Objectives – (Use 5 W’s and H. Sipes, 2016):

     

    Approach:

     

    Roles and Responsibilities:

     

    Comments (from each of the stakeholders listed in the Roles and Responsibilities):

GERD Case Study

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PATIENT CASE Patient’s Chief Complaints “My acid reflux is getting worse and my histamine blocker isn’t working anymore. About an hour after a meal, I get a burning pain in the middle of my chest. Sometimes, I have trouble getting food down. It seems to get stuck behind my breastbone. I’ve never had that problem before. My heartburn is affecting my quality of life again and I want it to stop.” HPI W.R. is a 75 yo male with a significant history of GERD. He presents to the family practice clinic today for a routine follow-up visit. The patient reports that during the past three weeks he has experienced increasing episodes of post-prandial heartburn with some regurgitation and dysphagia. He has also begun using antacids daily in addition to histamine-2-receptor blockers for symptom relief. Despite sleeping with three pillows, the patient has also begun to experience frequent nocturnal awakenings from heartburn and regurgitation. PMH HTN × 15 years GERD × 7 years Alcoholic cirrhosis × 2 years Hiatal hernia

FH Non-contributory

SH Patient is widowed and lives alone; daughter daughter lives in same town, checks on him regularly, and takes him grocery shopping every Saturday Patient is a retired college basketball coach Enjoys cooking, traveling, gourmet dining, and playing poker (+) caffeine; 5 cups coffee/day (+) EtOH; history of heavy alcohol use; current EtOH consumption reported is 6 beers with shots/week (+) smoking; 55 pack-year history; currently smokes ¾ ppd

Meds Verapamil SR 120 mg po QD Hydrochlorothiazide 25 mg po QD Famotidine 20 mg po Q HS Allergy

Citrus fruits and juices (upset stomach) Dogs (itchy eyes, runny nose, sneezing) Erythromycin (unknown symptoms)

ROS (−) H/A, dizziness, recent visual changes, tinnitus, vertigo (−) SOB, wheezing, cough, PND (+) frequent episodes of burning, non-radiating substernal CP (+) dysphagia (−) sore throat or hoarseness (−) N/V, diarrhea, BRBPR or dark/tarry stools (−) recent weight change PE and Lab Tests Gen The patient is a pleasant, talkative Native American man who is wearing a sports jacket, jeans, and tennis shoes. He looks his stated age and does not appear to be in distress.

VS See Patient Case Table 25.1

Skin No rashes or lesions noted

HEENT

-PERRLA EOMI (−) arteriolar narrowing and A-V nicking Pink, moist mucous membranes (−) tonsils Oropharynx clear

Lungs CTA Heart

Regular rhythm (−) additional heart sounds

Abd Normoactive BS

Soft, NT/ND (−) HSM (−) bruits

Genit/Rec (−) hemorrhoids (−) rectal masses Brown stool without occult blood Prostate WNL

Ext (−) CCE

Neuro A & O for person, time, place CNs II–XII intact Strength 5/5 upper/lower extremities bilaterally

Patient Case Question 1. Which clinical information suggests worsening symptoms of GERD in this patient? Patient Case Question 2. Which symptom(s) indicates the possible severity of the patient’s GERD? Patient Case Question 3. Are the patient’s symptoms classic or atypical? Patient Case Question 4. Identify all those factors that may be contributing to the patient’s symptoms. Patient Case Question 5. Why is the drug verapamil a potential contributing factor to the patient’s symptoms? Patient Case Question 6. What non-pharmacologic therapies or lifestyle modifications might be beneficial in the management of this patient’s acid reflux disease? Patient Case Question 7. What pharmacotherapeutic alternatives are available for the treatment of this patient’s GERD?

Clinical Course The patient underwent upper endoscopy, which revealed multiple, circular, confluent erosions of the distal esophagus. There was no evidence of bleeding, ulcerations, stricture, or esophageal metaplasia. The patient was treated with an 8-week course of 30 mg/day lansoprazole and both heartburn and dysphagia resolved. Approximately 10 weeks after PPI therapy was discontinued, the patient reported that his reflux symptoms had returned and that he was again suffering from frequent post-prandial and nocturnal episodes of reflux. Patient Case Question 8. What therapeutic options are now available for this patient? Patient Case Question 9. Based on upper endoscopy test results, what grade of esophagitis can be assigned to this patient’s condition?

Bruyere, Harold J.. 100 Case Studies in Pathophysiology (Kindle Locations 2538-2542). Wolters Kluwer Health. Kindle Edition.

Nursing Research DQ 3 Student Reply Martha Gomez

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Please make a reply to this student post adding something extra of what the student already did. APA references and less than 20 % similarity . Minimum 3 paragraph wit at least 3 sentences.

 

Discussion question

The purpose of literature review provides an overview of a chosen topic to allow for critical evaluation, classification, and comparison of already published knowledge. Literature review involves putting a chosen topic in context of a broad field of research so as to identify current knowledge on a chosen field. Literature review helps in synthesizing and placing a topic into context and map different approaches to reveal patterns of understanding a topic (Polit & Beck, 2017). Another purpose of literature review is to justify the significance of investigating a topic. Through literature review, gaps in a field are identified that provides the need for the further research. The major situation where a nurse requires literature review is during research. Literature review also helps arrange thoughts and ideas in cases when a nurse is practicing based on evidence based research.

There are a number of challenges that nursing researchers face when conducting literature research. The process of literature review involves first the validation of different studies to ensure that they meet the criteria of quality required (Chen et al., 2016). This is a tedious and challenging work for nurses especially if they are trying to find literature on relatively unstudied work. There are also errors such as accidental inclusions and exclusion of studies that do not meet criteria and duplication of references.

Another challenge of developing literature review is the inability to concentrate on the details of the text. In literature review, one has to look for relevant results which are not always easy to find. Moreover, one will have to continue to sort information to avoid redundancies and opposite conclusions from research. Having a review of literature that supports the needs and gaps of research often becomes hard.

References

Chen, D. T. V., Wang, Y. M., & Lee, W. C. (2016). Challenges confronting beginning researchers in conducting literature reviews. Studies in Continuing Education, 38(1), 47-60.

Polit, D. & Beck, C. (2017). Nursing research: Generating and assessing evidence for nursing practice. Philadelphia: Wolters Kluwer Health.

Leadership In Organizations

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Answer these essay questions:

Essay #1: Case Study: Restview Hospital

Mary Carter was the accounting manager at Restview Hospital, a large residential health care facility. The facility administrator, Jack Morelli, explained that he wanted to modernize Restview’s system of accounts billing. He asked Mary to investigate available software packages that would be compatible with their computer system. Jack explained that he and the Restview board of directors would like to make a decision about this matter at the board meeting next month.

A week later, Jack asked Mary about her progress, and she reported that she had identified two vendors with appropriate software packages. Jack asked why her list of potential vendors did not include Standard Software Systems, the vendor from which they purchased the software currently used to process Restview’s payroll. Standard had just recently developed a software package for accounts billing as a new addition to their product line, but few hospitals were using it. The preliminary information gathered by Mary suggested that Standard’s software package was less appropriate for Restview than the packages offered by the other vendors. However, Mary knew that the president of Standard Software was a personal-friend of Jack, and she agreed to include Standard among the vendors selected for further consideration.

During the next two weeks, sales representatives from each vendor were invited to make a presentation at Restview to demonstrate and explain their product. Mary had planned to invite the board members to these presentations, but Jack said they were too busy to attend. When the presentations were held, Mary and her office staff asked many questions, but Jack looked bored and said very little. Mary also visited some other hospitals that were already using each type of software package to get firsthand opinions about how well they worked and the difficulties experienced in installing them. During the course of her investigation, she learned that Standard’s new software package was less flexible and less user-friendly than the others. All three software packages were about the same price, but the software package from Reliable Computer was clearly the best one for Restview’s needs. She prepared a short report to Jack detailing the advantages and disadvantages of each product and making her recommendation.

The next day Mary met with Jack to give him the written report and summarize her findings in person. She explained the reasons for her recommendation to purchase the software package from Reliable Computers, and she reviewed the evidence supporting it. Mary also offered to present her findings to the board of directors at their next meeting, but Jack said he could handle it himself. The board meeting was held the following week, and afterward Jack informed Mary that they decided to go with the software package from Standard. He explained that the board wanted to reward Standard for excellent customer service last year when installing their payroll software at Restview. Two years later, after thousands of dollars of unnecessary expense, the accounts billing software was still not operating smoothly for Restview.

Questions

  1. How would you explain the board’s decision to purchase the software package from Standard?
  2. How much power relative to this decision did Mary, Jack, and the president of Standard Software possess, and what type of power was it?
  3. What could Mary have done to gain more influence over the decision?

Essay #2: Case Study: Sporting Goods Store

Bill Thompson is the new manager of a retail sporting goods store in Vermont that is part of a national chain. Bill, who is 25 years old, has been working for the company for four years. Before his promotion, he was the assistant manager for two years at a company store in Delaware. Last week his boss, the regional manager, briefly introduced him to the employees.

The profit performance of this store is below average for its location, and Bill is looking forward to the challenge of improving profits. When he was an assistant manager, he was given mostly minor administrative duties and paperwork, so this assignment will be his first opportunity to show he can be an effective manager. The company sets the base salaries of the 20 employees who work in Bill’s store, but appraisal ratings by the store manager influence the size of an employee’s annual merit raise. These recommendations must be justified to the regional manager, especially if they are not consistent with individual and department sales. Bill can suspend or fire employees with the approval of his boss, but in practice it is difficult to do so unless the recommendation is supported by a strong case.

The headquarters office sets the store layout and most prices. However, the store manager can affect store performance to a limited extent. One way is to keep the cost of employees low is by making sure they are working efficiently and not taking excessive sick days. Another way is to ensure that employees are providing a high level of customer service so that customers will return to make other purchases rather than going to a different store next time. Customer service depends on knowing the products well, being polite, providing prompt service, and making sure that inventories of popular goods are maintained so that customers can find what they want. Pay is low for this type of retail selling job, turnover is high, and it takes a few months for a new employee to learn the merchandise well enough to be helpful to customers. Thus, it is also desirable to keep competent employees satisfied enough to stay with the company.

Although it is only his first week on the job, Bill believes that he has already discovered some of the problems at this store. Among the various departments in the store, the ski department has the highest potential profits during the winter, because skiing and snowboarding are popular winter sports in Vermont. At the current time the department’s sales are about average for company stores in the Northeast region, with potential for considerable improvement. On several occasions Bill noticed a line of customers waited to be served in the ski department, and he overheard some of them grumbling about how long it takes to get served. One customer said he was leaving to go to another store that didn’t make him “wait all day to have the privilege of spending hundreds of dollars on ski equipment.” Bill observed that Sally Jorgenson, the department manager, spends a lot of time socializing with her salespeople and with customers, including friends who drop in to visit and talk about ski conditions, resorts, fashions, equipment, racing, and so forth. Bill, who doesn’t ski, cannot understand what they find so interesting to talk about. He wonders why anybody in their right mind would want to spend a small fortune and risk permanent injury to hurtle down a mountain in blizzard conditions, and then stand in long lines and ride up a freezing chairlift just to do it all over again!

Questions

  1. How much of each type of power does Bill have at this time?
  2. What influence tactics could be used in this situation to influence Sally? Explain what you would actually say to Sally in the process of using each tactic.
  3. What should Bill do to improve store performance?

Essay #3: Briefly define the four proactive core tactics. Which proactive tactics are most likely to result in target commitment?  How can others use the proactive tactics to resist or modify influence attempts?  From the Internet identify a case study where proactive tactics have been used.

Essay #4: Briefly compare the following early contingency theories:

  1. Fiedler’s LPC contingency model
  2. Fiedler’s cognitive resource theory
  3. Hersey and Blanchard’s situational leadership theory