Purpose

To apply lessons in quality improvement in nursing to a real-world nursing issue. This Course Project will use the Six Sigma DMAIC process.

Course Outcomes

The Course Project enables the student to meet the following Course Outcomes (COs):

  • CO1: Identify the role of the BSN nurse in the quality improvement process as a member of the collaborative interprofessional team. (POs 2 and 7)
  • CO2: Discuss effective processes and strategies to improve quality in nursing. (POs 2 and 8)

Points

The entire Course Project is worth 600 points. Milestone 1 is worth 150 points of this total.

Due Date

Submit your completed NR392 Milestone 1 by Sunday, 11:59 p.m. MT, end of Week 1.

Requirements and Guidelines

  • Quality improvement is an important issue in professional nursing today. In Milestone 1, the student will define a nursing care issue (not a workforce issue such as staffing) from a current or former workplace or clinical setting that could be impacted by improved quality, and state the desired outcome of the improvement in quality. The student will then provide details about this issue, as well as explain the reason this issue was selected. Milestone 1 is due at the end of Week 1.
    • Save it to your computer in Microsoft Word 2013 (or later) as a .docx file with the file name: Your Last Name NR392 Milestone 1.docx.
    • After you have developed your responses, type your responses directly in your saved Milestone 1 Template.
Interview the manager of a shopping center. Write a report  summarizing which retailers the shopping center manager thinks are his or hers best tenants and why they are valued. How does the manager rate the retailers? Why does he/she feel this way? What criteria is used? Now go to the retailers you discussed w the shopping center manager. Do the tenants in the shopping center tend to compliment one another? If you were the manager what changes make in the tenant mix to increase the overall performance of the center?
Please turn  in your Interview questions and answers and then also write a 2-3 page synopsis answering the questions listed above in detail in a word doc. to Blackboard.
Yes, I would like to see what you asked and what the answers were.
Do we make our own interview questions, YES because you should have them pertain to whomever you are interviewing and also use the ones provided.
or do we use the questions that are provided and then just explain more in detail in the synopsis?
Go I to detail in the synopsis.

Scenario:

An RN walks into a patient’s room and encounters the patient with his arms crossed. The patient states in a loud voice, “How come I’m not being taken care of in this hospital?” The patient points to the covered tray on the table across the room and states,” My lunch tray is sitting over there, and I can’t reach it. My call light has been on for the last 30 minutes, and nobody has responded. My wife was right when she said the care here is deplorable!“

Initial Discussion Post:

Address the following:

  • Describe which communication style the RN should use to benefit the patient in this scenario.
  • Provide two conflict resolution strategies for the RN to use when responding to the patient.

Base your initial post on your readings and research of this topic. Your initial post must contain a minimum of 250 words. References, citations, and repeating the question do not count towards the 250 word minimum.

Choose two issues or challenges that the leaders of today’s health care organizations face. Select from among the following topics:

Staff Shortage (Physicians, Nurses, Allied Health Providers, Ancillary Services)
Reorganization in Response to Merger or Consolidation of Services
Layoffs as a Result of Declining Revenues
Influx of Registry, Part-Time, and Temporary Contract Staff
Poor Performance Outcomes Leading to a Reduction in Medicare Reimbursement Dollars
Poor Job Satisfaction Rates Resulting in Turnover

You are the manager of an ancillary service department at a large, 500+ bed hospital. Develop a proposal (750-1,200 words) that is directed toward your staff, in which you address the following:

Inform the staff of the two issues (from the topics provided) your organization is facing.
Describe the impact of these issues on your department.
Describe how improved communication, collaboration, and teamwork can improve conditions in your department.
Identify at least two examples from the required or recommended readings of techniques found to foster inclusion and improve communication and collaboration.
A minimum of three academic references from credible sources are required for this assignment.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.
You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center. Only Word documents can be submitted to Turnitin.

Learning Objective: State Mandated Outcomes numbered 3,5,7,8 and 10.

  1. Compute descriptive statistics, construct graphs for data analysis, and interpret outcomes.
  2. Calculate expected values to evaluate multiple outcomes of a decision.
  3. Construct and interpret confidence intervals for means and proportions.
  1. Formulate, perform, and interpret hypotheses tests (one and two population parameters).
  1. Use statistical software to graph, compute, and analyze statistical data

 
Choose a local company in the industry of your liking from the following list:

  • Restaurant/ hotel,
  • hospital,
  • internet/cable,
  • construction,
  • grocery store,
  • insurance,
  • automobile
  • banking/fianace/loan

You should be done with the following four First in Part A:
Step by Step Instructions:

  1. Make sure, you do have a data access from the chosen company in the above industry for two different time periods or two different locations in the same time period.
  2. Suppose you work on quality control in that company. Your job is to do monthly checks on the quality of service by collecting data on key areas. Your company is watching sales by collecting data on location, and three variables.
  3. Select the three variables of your choice (based on data availability).
  4. You are to prepare a Managerial Report answering the following (show the work for each of the following at the end of managerial report)
  5. Use appropriate descriptive statistics to summarize each of the three variables. (Covered in Chapter-2)
  6. Use appropriate descriptive statistics to summarize each of the three variables for the comparison year/quarter/location (dependent on what you chose in #1 – location or time). (Covered in Chapter-2)
  7. Compare your summary results. Discuss any specific statistical results in visuals that would help the reader to understand your point. (Covered in Chapter-2)

 
 

Example

Make sure, you do have a data access from that company. Suppose you work on quality control in that company. Your job is to do monthly checks on the quality of service by collecting data on key areas.  Your company is watching sales by collecting data on location, and three variables – list price, sale price, and number of days it takes to sell each residential single-family housing unit. Each single-family housing unit is classified as “Collin” if it is located within Collin county or “Non-Collin” if it is located near (within 50 miles), but not in Collin county.
Part-A:
You are to prepare a Managerial Report answering the following (show the work for each of the following at the end of managerial report)

  1. Use appropriate descriptive statistics to summarize each of the three variables for the Collin housing units. (Covered in Chapter-2)
  2. Use appropriate descriptive statistics to summarize each of the three variables for the Non-Collin housing units. (Covered in Chapter-2)
  3. Compare your summary results. Discuss any specific statistical results that would help a real estate agent understand the DFW housing market. (Covered in Chapter-2)

Part-B :

  1. Develop a 95% confidence interval estimate of the population mean sales price and population mean number of days to sell for Collin housing units. Interpret your results.
  2. Develop a 95% confidence interval estimate of the population mean sales price and population mean number of days to sell for Non-Collin housing units. Interpret your results.

Assume the branch manager requested estimates of the mean selling price of Collin housing units with a margin of error of $40,000 and the mean selling price of Non-Collin housing units with a margin of error of $15,000. Using 95% confidence, how large should the sample sizes be?

  1. Your company just signed contracts for two new listings: a Collin housing unit with a list price of $589,000 and a Non-Collin housing unit with a list price of $285,000. What is your estimate of the final selling price and number of days required to sell each of these units?

 
Part-B
Excel Exercise

  1. Develop a 95% confidence interval estimate of the population mean sales price and population mean number of days to sell for Collin housing units using excel. Attach the excel file to your report. Also enlist the steps explaining how you used excel.
  2. Develop a 95% confidence interval estimate of the population mean sales price and population mean number of days to sell for Non-Collin housing units using excel. Attach the excel file to your report. Also enlist the steps explaining how you used excel.

(Hint: Review the guidelines for Interval Estimation Using Excel)
 
 

 

 

week 1 discussion In this week’s media presentation, Dr. Louise Fitzpatrick shared how health and disease are global issues. She pointed out that with the mobility of today’s population, those health issues experienced in one area of the world are easily brought to other areas of the world. Consider the spread of infectious diseases such as HIV/AIDS, avian flu, H1N1, or SARS. These diseases have quickly crossed oceans and spread to a variety of countries. They are a public health concern in the U.S. as well as other countries. To prepare for this Discussion, reflect on the readings and on Dr. Mancuso’s comments in this week’s media presentation; specifically on the role of the BSN nurse in public and global health. With these thoughts in mind, respond to the following:   Why should BSN nurses be concerned with global health issues?   How do global health issues influence nursing practice at your local level or in your work setting? Include specific examples. Support your response with references from the professional nursing literature. Post your response by Day 3 of this week. Respond by Day 7 to at least two of your colleagues’ postings in one or more of the following ways: • Ask a probing question. • Expand on the colleague’s posting. • Offer polite disagreement or critique, supported with evidence. In addition to, but not in place of, the above you may: • Offer and support an opinion. • Validate an idea with your own experience. • Make a suggestion or comment which guides or facilitates the Discussion. Review and reflect on your colleagues’ replies to your initial posting. Note what you have learned and/or any insights you have gained as a result of the comments made by your colleagues. (No posting is required for this reflection.)

NURSING questions

Case Presentation:L.N. is a 49-year-old white woman with a history of type 2 diabetes, obesity, hypertension, and migraine headaches. The patient was diagnosed with type 2 diabetes 9 years ago when she presented with mild polyuria and polydipsia. L.N. is 5’4″ and has always been on the large side, with her weight fluctuating between 165 and 185 lb. Initial treatment for her diabetes consisted of an oral sulfonylurea with the rapid addition of metformin. Her diabetes has been under fair control with a most recent hemoglobin A1c of 7.4%.Hypertension was diagnosed 5 years ago when blood pressure (BP) measured in the office was noted to be consistently elevated in the range of 160/90 mmHg on three occasions. L.N. was initially treated with Lisinopril, starting at 10 mg daily and increasing to 20 mg daily, yet her BP control has fluctuated. One year ago, microalbuminuria was detected on an annual urine screen, with 1,943 mg/dl of micro-albumin identified on a spot urine sample. L.N. comes into the office today for her usual follow-up visit for diabetes and HTN.Subjective data reveals that she is experiencing increased exertional SOB. She expresses concern because when this happens it takes her awhile to get her breath back to normal. Denies any pain or dizziness with these episodes.Physical examination reveals an obese woman with a BP of 154/86 mmHg and a pulse of 78 bpm. Otherwise exam is unremarkable.CC: “I am more short of breath when walking up stairs than I used to be”.

Questions NEED TO BE ABOUT 3-4 SENTENCES BUT THOROUGH ANSWERS

1. What are the effects of controlling BP in people with diabetes?

2. What is the target BP for patients with diabetes and hypertension?

3. Which antihypertensive agents are recommended for patients with diabetes?

4 What testing does this woman need ordered due to her change in status both SHORTNESS OF BREATH and BLOOD PRESSURE? (USE CASE STUDY ABOVE FOR THIS QUESTION)

5. What is the significance of microalbuminuria in this woman? How does this affect her cardiovascular risk?

Write this case study up as a clinical note including all elements of plan of care regarding issues presented in the case.

 
Write a critical appraisal that demonstrates comprehension of two qualitative research studies. Use the “Research Critique Guidelines – Part 1” document to organize your essay. Successful completion of this assignment requires that you provide rationale, include examples, and reference content from the studies in your responses.
Use the practice problem and two qualitative, peer-reviewed research article you identified in the Topic 1 assignment to complete this assignment.
In a 1,000–1,250 word essay, summarize two qualitative studies, explain the ways in which the findings might be used in nursing practice, and address ethical considerations associated with the conduct of the study.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
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    NRS-433V-RS2-ResearchCritiqueGuidelinesPartI.docx