National initiatives driven by the American Nurses Association have determined nursing-quality outcome indicators that are intended to focus plans and programs to increase quality and safety in patient care. The following outcomes are commonly used nursing-quality indicators:

•  complications such as urinary tract infections, pressure ulcers, hospital-acquired pneumonia, and DVT

•  patient falls

•  surgical patient complications, including infection, pulmonary failure, and metabolic derangement

•  length of patient hospital stay

•  restraint prevalence

•  incidence of failure to rescue, which could potentially result in increased morbidity or mortality

•  patient satisfaction

•  nurse satisfaction and staffing 

Scenario:

Mr. J is a 72-year-old retired rabbi with a diagnosis of mild dementia. He was admitted for treatment of a fractured right hip after falling in his home. He has received pain medication and is drowsy, but he answers simple questions appropriately.

A week after Mr. J was admitted to the hospital, his daughter, who lives eight hours away, came to visit. She found him restrained in bed. While Mr. J was slightly sleepy, he recognized his daughter and was able to ask her to remove the restraints so he could be helped to the bathroom. His daughter went to get a certified nursing assistant (CNA) to remove the restraints and help her father to the bathroom. When the CNA was in the process of helping Mr. J sit up in bed, his daughter noticed a red, depressed area over Mr. J’s lower spine, similar to a severe sunburn. She reported the incident to the CNA who replied, “Oh, that is not anything to worry about. It will go away as soon as he gets up.” The CNA helped Mr. J to the bathroom and then returned him to bed where she had him lie on his back so she could reapply the restraints.

The diet order for Mr. J was “regular, kosher, chopped meat.” The day after his daughter arrived, Mr. J was alone in his room when his meal tray was delivered. The nurse entered the room 30 minutes later and observed that Mr. J had eaten approximately 75% of the meal. The meal served was labeled, “regular, chopped meat.” The tray contained the remains of a chopped pork cutlet.

The nurse notified the supervisor, who said, “Just keep it quiet. It will be okay.” The nursing supervisor then notified the kitchen supervisor of the error. The kitchen supervisor told the staff on duty what had happened.

When the patient’s daughter visited later that night, she was not told of the incident.

The next night, the daughter was present at suppertime when the tray was delivered by a dietary worker. The worker said to the patient’s daughter, “I’m so sorry about the pork cutlet last night.” The daughter asked what had happened and was told that there had been “a mix up in the order.” The daughter then asked the nurse about the incident. The nurse, while confirming the incident, told the daughter, “Half a pork cutlet never killed anyone.”

The daughter then called the physician, who called the hospital administrator. The physician, who is also Jewish, told the administrator that he has had several complaints over the past six months from his hospitalized Jewish patients who felt that their dietary requests were not taken seriously by the hospital employees.

The hospital is a 65-bed rural hospital in a town of few Jewish residents. The town’s few Jewish members usually receive care from a Jewish hospital 20 miles away in a larger city.

Requirements:

Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. Use the Turnitin Originality Report available in Taskstream as a guide for this measure of originality.

You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.

Analyze the scenario (suggested length of 2–3 pages) by doing the following:

A.  Discuss how the application of nursing-quality indicators could assist the nurses in this case in identifying issues that may interfere with patient care. 

B.  Analyze how hospital data of specific nursing-quality indicators (such as incidence of pressure ulcers and prevalence of restraints) could advance quality patient care throughout the hospital. 

C.  Analyze the specific system resources, referrals, or colleagues that you, as the nursing shift supervisor, could use to resolve an ethical issue in this scenario. 

D.  Acknowledge sources, using in-text citations and references, for content that is quoted, paraphrased, or summarized. 

E.  Demonstrate professional communication in the content and presentation of your submission

Future Trends Presentation 

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Select a future trend of crisis intervention and mental health services within the law enforcement system.

Trend Topic: Funding History and the Drive Toward Community-Based Care

Select a future trend of crisis intervention and mental health services within the law enforcement system.

Create a 7- to 12-slide Microsoft® PowerPoint® presentation about your selected trend with detailed speaker notes.

Include the following in your presentation:

• Overview of the trend
• How the trend will affect the practice of crisis intervention within law enforcement
• How the trend will affect the practice of mental health within law enforcement
• Potential law enforcement challenges associated with the trend
• Recommendations on how law enforcement can proactively address the trend to include:
  • Training, policy, practice, potential issues

Use complete sentences, with correct grammar and punctuation, to fully explain each slide. Be prepared!

Format your presentation consistent with APA guidelines, with in-text citations

ITS IMPORTANT TO MEET COMPETENCES .

REQUIRED RESOURCES TO DO THIS JOB ATTACHED AT THE END !!!

Create 1–2 page outlines of your response plan for three intervention scenarios.

Nurse leaders need to quickly identify a strategy for evaluating a nursing leadership problem and the dynamics related to the problem, in order to orchestrate intervention efforts and put together a plan of action that leads to stakeholder cooperation.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

• Competency 1: Integrate key nursing leadership, management, and communication concepts into collaborative practice situations.       
  • (IMPORTAT) -Explain concepts of change theory and how it can be used as a tool to manage situations.
  • (IMPORTANT) -Describe an effective leadership style to address a problem.
• Competency 2: Explain the accountability of the nurse leader for decisions that affect health care delivery and patient outcomes.       
  • (IMPORTANT) -Describe how outcomes or success of the style selected for each situation could be measured.
• Competency 4: Apply professional standards of moral, ethical, and legal conduct in professional practice.       
  • (IMPORTANT) -Explain how professional and legal standards guide the effective nurse leader when making decisions.
• Competency 5: Communicate in manner that is consistent with the expectations of a nursing professional.       
  • (IMPORTANT) -Write content clearly and logically, with correct use of grammar, punctuation, mechanics, and current APA style.

Preparation

Use the Capella library and the Internet to research change theory, leadership, and communication strategies. Use the Suggested Resources to research leadership and communication concepts and change theory.

• The challenge in this assessment is to create a response plan for several intervention scenarios.      
  • There are three deliverables required for this assessment.

Rationale for this assessment:

Nurse leaders solve problems or resolve conflict on a daily basis. Understanding how change theory can be applied to a situation and examining various types of interventions in advance can relieve pressure on the nurse leader and improve the workplace environment and outcomes. Rehearsing potential interventions provides a mental toolkit on which to rely during stressful times.

Your management training workshop continues:

The second day of HR’s Nursing Leadership Workshop is designed to help you identify and practice effective responses and interventions to common problems and situations. Participants are presented with three scenarios and must create a response plan for each scenario, in the form of a 1–2 page outline.

Deliverables: Submit three Response Plans to complete this assessment.

• Choose 3 of the 5 Intervention Scenarios linked in the Required Resources for this assessment.
• For each scenario you choose, develop a separate Response Plan in the form of a 1–2 page outline. 
  • Label each outline using the example below:        
    • Example: Response Plan for School Nurse.

Instructions

Analyze each Intervention Scenario and describe the leadership, communication, and management strategies you believe would be most effective for each situation.

Use the following subheadings to organize your Response Plan outline for each situation.

• Change Theory: Explain concepts of change theory and how it can be used as a tool to manage situations.      
  • Identify elements of change theory that fit best with the scenario.
  • How can you use change theory to deal with conflict?
• Strategies and Rationale: Describe an effective leadership style you would employ to address a problem.      
  • Explain the rationale for choosing a leadership strategy to solve a problem.
  • Identify interventions to address the problem.
• Expected Outcome: Describe how outcomes or success of the style selected for each situation could be measured.      
  • Describe how you could determine improved outcomes or measure success of the leadership style selected for each situation.        
    • What might go wrong and how would you deal with that?
• Professional Standards: Explain how professional and legal standards guide the effective nurse leader when making decisions.

Additional Requirements

• Written communication: Written communication should be free of errors that detract from the overall message.
• APA formatting: Resources and in-text citations should be formatted according to current APA style and formatting.
• Length: Each outline should be 1–2 pages double-spaced.
• Font and font size: Times New Roman, 12 point.
• Number of resources: Use a minimum of three peer-reviewed resources.

Question Description

This week, you will learn how to plan care for patients while considering their diverse cultural backgrounds. This is an APA paper, which requires a title page, double spacing, and set up as per the example papers in your APA book. Please select a culture different from the one you chose to research in week 2. – Hispanic culture

Should include introduction and

Then, address the following:

1. Describe the key components of conducting a comprehensive cultural assessment (rationales, interventions and evaluations may be found on the internet).
2. Choose two of the components, reflect on your own culture and how it impacts your own attitude toward those aspects of providing culturally diverse care.
3. Imagine that you are working in a physician’s office. A patient of a background different from your own comes in to be seen for a newly diagnosed problem. Create two nursing diagnoses that reflect cultural diversity (look at Appendix A for guidance ie., “Barrier to communication”); then give rationale for each diagnosis and describe how you would intervene and evaluate for success of your plan of care.

Points: 40

Due Date: Sun, Jun 2 by 11:59 p.m. Eastern Standard Time (EST) of the US.

References

Minimum of four (4) total references: two (2) references from required course materials and two (2) peer-reviewed references. All references must be no older than five years (unless making a specific point using a seminal piece of information)

Peer-reviewed references include references from professional data bases such as PubMedor CINHAL applicable to population and practice area, along with evidence based clinical practice guidelines. Examples of unacceptable references are Wikipedia, UpToDate, Epocrates, Medscape, WebMD, hospital organizations, insurance recommendations, & secondary clinical databases.

References not more then five year old

Four peer reviews references 

Style

Unless otherwise specified, all the written assignment must follow APA 6th edition formatting, citations and references. Click hereto download the Microsoft Word APA 6th edition template. Make sure you cross-reference the APA 6th edition book as well before submitting the assignment.

Number of Pages/Words

Unless otherwise specified all papers should have a minimum of 600 words (approximately 2.5 pages) excluding the title and reference pages.