NR 447 Week 1 Discussion: The Affordable Care Act 

NR 447 Week 1 Discussion: The Affordable Care Act

NR 447 Week 1 Discussion: The Affordable Care Act

The Affordable Care Act

Healthcare reform is a term that is ever present in our practice settings and will not disappear any time soon.
Share with the class implementation of the Affordable Care Act in your organization. (If you are not working as a nurse, think about what was happening when you were a prelicensure student)
How did your fellow healthcare workers react to implementation of the ACA?
How were citizens in your community impacted? NR 447 Week 1 Discussion: The Affordable Care Act. NR 447 Week 1 Discussion: The Affordable Care Act

NR 447 Week 2 Discussion: AACN Essentials Self Assessment and Patient Centered Care

AACN Essentials Self-Assessment and Patient-Centered Care

Locate and complete the Self-Assessment of the AACN Essentials located in Doc Sharing (Week 2). Follow the directions on the form. Note your total score. Next, review the article cited below:

Kramer, M., Schmalenberg, C., Maguire, P., Brewer, B., Burke, R., Chmielewski, L., … Meeks-Sjostrom, D. (2009). Walk the talk: Promoting control of nursing practice and a patient-centered culture. Critical Care Nurse, 29(3), 77–93. Click to link.

Answer the following:

If you are willing, please share your total score on the AACN Essentials Self-Assessment
Candidly identify and share with your classmates areas where knowledge, skills or abilities (KSAs) are lacking?
Describe the relationship between the Essentials and your new-found knowledge about Patient Centered Care. Are there opportunities for your improvement?

NR 447 Week 3 Assignment: Conflict Resolution Paper

Conflict Resolution Paper:

Guidelines

Purpose

The purpose of this Assignment is to learn how to identify and effectively manage conflicts that arise in care delivery settings resulting in better management of patient care, including appropriate delegation. You will gain insight into conflict management strategies and develop a plan to collaborate with a potential nurse leader about the conflict and its impact in a practice setting.

Course Outcomes

Copletion of this Assignment enables the student to meet the following course outcomes.

CO 1: Apply leadership concepts, skills, and decision making in the provision of high-quality nursing care, healthcare team management, and the oversight and accountability for care delivery in a variety of settings. (PO 2)

CO3: Participate in the development and implementation of imaginative and creative strategies to enablesystems to change. (PO 7)

CO 6: Develop a personal awareness of complex organizational systems, and integrate values and beliefs withorganizational mission. (PO 7)

CO 7: Apply leadership concepts in the development and initiation of effective plans for the microsystems and system-wide practice improvements that will improve the quality of healthcare delivery. (POs 2 and 3)

Due Dates

This Assignment is to be submitted to the Dropboxby Sunday, 11:59 p.m. MT, end of Week 3.
Points

This Assignment is worth 200 points. Directions 1. Read Finkelman (2012), pp. 361–376. 2. Observe nurses in a care delivery setting. Identify a recurring conflict with the potential to negatively impact patient care. NR 447 Week 1 Discussion: The Affordable Care Act

Decide if delegation was an issue in the conflict. This should be from your practice setting or prelicensure experiences.

Provide details of what happened, including who was involved, what was said, where it occurred, and what was the outcome that led you to decide the conflict was unresolved.

Identify the type of conflict. Explain your rationale for selecting this type.

Outline the four stages of conflict, as described in our text, and how they relate to your example.
Propose strategies to resolve the conflict. Search scholarly sources in the library and the Internet for evidence on what may be effective.

Discuss if delegation was an issue in the conflict. Be specific.
Describe how you would collaborate with a nurse leader to reach consensus on the best strategy to employ to deal with the conflict.

Describe the rationale for selecting the best strategy.
Provide a summary or conclusion about this experience or Assignment and how you may deal with conflict more effectively in the future.
Write a 5–7 page paper (not including the title or References pages) using APA format that includes the following.

Describe an unresolved (recurring) conflict that you experienced or observed. Identify the type of conflict.
Provide details of what happened, including who was involved, what was said, where it occurred, and what was the outcome that led you to decide the conflict was unresolved.
Outline the four stages of conflict, as described in Finkelman, and how the stages relate to your example. Decide if delegation was an issue in the conflict. Be specific.
Describe the strategies for conflict resolution and how you would collaborate with a nurse leader to resolve the conflict. Cites resources.
Provide a conclusion or summary about this experience and how you may deal with conflict more effectively in the future.

Submit to the Dropbox by the end of Week 3.

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NR 447 Week 3 Discussion: Conflict and Collaboration

Conflict and Collaboration

Please watch the video and listen to the dialogue before posting. Second Life Video Transcript At times the needs of our families conflict with our work responsibilities. Could this possibly be the underlying issue here? NR 447 Week 1 Discussion: The Affordable Care Act

Explain the conflict resolution skills displayed by the leader in the scenario. On a scale of 1-10, how would you rate those of the leader.
How might earlier collaboration have been beneficial?
Some organizations utilize non Registered Nurses in the Case Manager role. What additional skills, knowledge and attributes would the BSN-prepared Registered Nurse bring to case management in this scenario?

NR 447 Week 4 Assignment: Nursing Care Models Paper

Nursing Care Models Paper:

Guidelines Purpose

The purpose of this Assignment is to identify nursing care models utilized in today’s various health care settings and enhance your knowledge of how models impact the management of care and may influence delegation. You will assess the effectiveness of models and determine how you would collaborate with a nurse leader to identify opportunities for improvement to ensure quality, safety and staff satisfaction.

Course Outcomes

Completion of this Assignment enables the student to meet the following course outcomes. CO#1: Apply leadership concepts, skills, and decision making in the provision of high quality nursing care, healthcare team management, and the oversight and accountability for care delivery in a variety of settings. (PO #2)
CO#2: Implement patient safety and quality improvement initiatives within the context of the interprofessional team through communication and relationship building. (PO #3)

CO#3: Participate in the development and implementation of imaginative and creative strategies to enablesystems to change. (PO #7)
CO#6: Develop a personal awareness of complex organizational systems and integrate values and beliefs withorganizational mission. (PO #7)

CO#7: Apply leadership concepts in the development and initiation of effective plans for the microsystems and/or system-wide practice improvements that will improve the quality of healthcare delivery. (PO #2, and #3)

CO#8: Apply concepts of quality and safety using structure, process, and outcome measures to identify clinical questions as the beginning process of changing current practice. (PO#8) Due Dates This Assignmentis to be submitted to the Dropbox by Sunday, 11:59 p.m. MT, end of Week 4. Points This Assignment is worth 200 points.

Directions

Read your text, Finkelman (2012), pp- 118- 127.
Observe staff in delivery of nursing care provided. Practice settings may vary depending on availability.
Identify the model of nursing care that you observed. Be specific about what you observed, who was doing what, when, how and what led you to identify the particular model. NR 447 Week 1 Discussion: The Affordable Care Act

Write a 5-7 page paper that includes the following:

Review and summarize two scholarly resources (not including your text) related tothe nursing care model you observed in the practice setting.
Review and summarize two scholarly resources (not including your text) related to a nursing care model that is different from the one you observed in the practice setting.
Discuss your observations about how the current nursing care model is being implemented. Be specific.
Recommend a different nursing care model that could be implemented to improve quality of nursing care, safety and staff satisfaction. Be specific.
Provide a summary/conclusion about this experience/Assignment and what you learned about nursing care models.
Write your paper using APA format. Submit to the Dropbox.

NR 447 Week 4 Discussion: Transformational Nursing Leaders

Transformational Nursing Leaders

Review Appendix A, Sections I–V in Finkelman (2012, pp. 510–515)

Select one of the sections and share how your chief nurse executive demonstrates expertise in these competencies. Your comments should be about the “highest nursing leader” in your organization. Typically this is the leader who represents nurses and nursing to the governing board.
In your own words, explain the differences between a transactional nursing leader and a transformational nursing leader. What one is more like your Nurse Executive?
Describe how the Nurse Executive “leads the charge” for transformational leadership in an organization where you work or have done prelicensure clinical experiences.

NR 447 Week 5 Discussion: Patient Outcomes

Patient Outcomes

Review the story at the link below before posting to the Discussion:
Rau, J. (2015). Half of nation’s hospitals fail again to escape Medicare’s readmission penalties. Kaiser Health News. Retrieved from After you have finished, consider how you would respond to the following situation:

Your local hospital has received notice from CMS (Centers for Medicare and Medicaid) regarding their readmission rates.
As a BSN prepared nurse, you have been asked to serve as a consultant to suggest a new Quality (Performance) Improvement process for ONEof the areas of deficiency. Write some brief steps (suggestions) for improvement as you contemplate accepting the consulting opportunity.
Share practice improvements utilized from your own clinical nursing experiences that have led to enhanced patient outcomes.

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NR 447 Week 6 Assignment: Performance Measurement PowerPoint

Performance Measurement PowerPoint Slideshow:

Guidelines Purpose

The purpose of this Assignment is to locate and compare performance measurement data on common health conditions for the hospitals in your area. You will investigate the Centers for Medicare and Medicaid Services websites and locate hospital compare data for hospitals within a 50 ile radius of the community where you are working or had your prelicensure clinical experiences. You will prepare a PowerPoint presentation and share the results of your findings. Opportunities for improving performance measurement indicators will be shared.

Course Outcomes

Completion of this Assignment enables the student to meet the following course outcomes.

CO 1: Apply leadership concepts, skills, and decision making in the provision of high-quality nursing care, healthcare team management, and the oversight and accountability for care delivery in a variety of settings. (PO 2)
CO 2: Implement patient safety and quality improvement initiatives within the context of the interprofessional team through communication and relationship building. (PO 3)
CO 3: Participate in the development and implementation of imaginative and creative strategies to enable systems to change. (PO 7) NR 447 Week 1 Discussion: The Affordable Care Act

CO 7: Apply leadership concepts in the development and initiation of effective plans for the microsystems and system-wide practice improvements that will improve the quality of healthcare delivery. (POs 2 and 3)
CO 8: Apply concepts of quality and safety using structure, process and outcome measures to identify clinical questions as the beginning process of changing current practice.
(PO 8) Due Dates This Assignmentis to be submitted to the Dropboxby Sunday, 11:59 p.m. MT, end of Week 6. Points This Assignment is worth 200 points.

Directions

Review information found on the following website related to hospital compare Read the information carefully and then locate the following website. Search for hospitals within a 50 mile radius of the community where you are working or had your prelicensure clinical experiences. Type in your zip code. Select your hospital andtwo others. Select hospitals/facilities and choose compare. If you live in a remote area and there are no hospitals listed within a 50 mile radius, select a zip code for a family member or a close friend who does not live near you. The idea is to review comparative data.
Click on the following topics to learn more. a. Survey of patient’s experiences b. Timely and effective care (focus your search on two of the conditions that apply to services provided at the hospitals) c. Readmissions, complications, and deaths

Carefully read the information provided.
Develop a PowerPoint slideshow consisting of 8–10 slides. Include the following, keeping in mind what all this data means.
Title slide with information pertinent to the course. NR 447 Week 1 Discussion: The Affordable Care Act
List reasons to recommend hospital care to consumers (patients).
List reasons to recommend hospital compare to staff who may seek employment.
Summarize patient experiences data for each hospital.
Summarize timely and effective care data for two conditions.
Summarize data for readmissions or complications and deaths.
List recommendations for improving data for one selected facility.
Summarize what you learned from this experience. Develop PowerPoint slides to include criteria listed above. For those not familiar with the development of a PowerPoint slideshow, the following link may be helpful.

NR 447 Week 6 Discussion: Civility in the Workplace

Civility in the Workplace

Complete the Clark Workplace Civility Index located in Doc Sharing.
After you are finished, read the assigned article: Lachman, V. D. (2015).
Ethical issues in the disruptive behaviors of incivility, bullying, and horizontal/lateral violence. Urologic Nursing, 35(1), 39-42. Click HERE to link.
Next watch the video by clicking on the link below.

Video Transcript Reflect on what you observed in the video as you answer the following:
Based on what you observed, what leadership skills should you, as Masaya’s preceptor, model for your fellow coworkers to promote his acceptance into the work-group or team.
Does incivility seem to be an issue in the scenario?
Describe any common themes you discovered among the article, the video and the Civility Index Share how you may improve your score on the index based on what you have read. NR 447 Week 1 Discussion: The Affordable Care Act

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NR 447 Week 7 Discussion: Our Future Leaders

Our Future Leaders

In Huston’s (2010) brief, but impressive article (required reading this Week), the author outlines several leadership competencies that EVERY nurse leader will need for 2020. That year is not too far in the future, is it?

Select one of the eight leadership competencies Huston described and relate it to your own leadership of nurses and nursing. This should promote a robust Discussion as we come from different clinical and nonclinical perspectives.

Discuss how the BSN-prepared nurse can assist a nurse leader in the budgeting process by contributing data readily available to the staff nurse.

Huston, C. (2010). What skills will the nurse leaders of 2020 need? (2010). Kai Tiaki Nursing New Zealand, 16(6), 14–15. NR 447 Week 1 Discussion: The Affordable Care Act

NR 447 Week 8 Discussion: Closing the Loop

Closing the Loop

Complete the Week 8 AACN Essentials Self-Assessment located in Doc Sharing.
Compare your scores from Week 2 to Week 8.

Describe how far have you come and how much further do you wish to go in improving your competencies during the next two years of practice.

Next, review the Course Outcomes as listed in the Syllabus. Select one of the course outcomes and share with your classmates how you feel you have achieved the outcome and how you will utilize the essentials and course outcomes in your practice setting.

Outline:

NR 447 Week 1 Graded Discussion Topic, The Affordable Care Act

NR 447 Week 2 Assignment, AACN Essentials Self-Assessment
NR 447 Week 2 Graded Discussion Topic: AACN Essentials Self-Assessment & Patient-Centered Care (2 Versions)

NR 447 Week 3 Assignment, Conflict Resolution – Observed Conflict Between Two Co-workers (Version 1)
NR 447 Week 3 Assignment, Conflict Resolution – The Struggles that are not Always Seen (Version 2)
NR 447 Week 3 Conflict Resolution Research Paper Definitions
NR 447 Week 3 Discussion Topic, Conflict and Collaboration

NR 447 Week 4 Discussion Topic, Transformational Nursing Leaders

NR 447 Week 5 Assignment, Nursing Care Models Paper (2 Versions)
NR 447 Week 5 Assignment, Nursing Care Models Paper Guidelines
NR 447 Week 5 Discussion Topic, Patient Outcomes

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NR 447 Week 6 Assignment, Performance Measurement PowerPoint – Greater Tampa Bay Area
NR 447 Week 6 Assignment, Performance Measurement PowerPoint – Hospital Compare
NR 447 Week 6 Assignment, Performance Measurement PowerPoint Slideshow Guidelines
NR 447 Week 6 Assignment, Workplace Civility Index Assessment
NR 447 Week 6 Discussion Topic, Civility in the Workplace

NR 447 Week 7 Assignment, Reading and Lesson
NR 447 Week 7 Discussion Topic, Our Future Leaders (2 Versions)

NR 447 Week 8 Assignment, AACN Essentials Self Assessment
NR 447 Week 8 Discussion Topic: Closing the Loop

NR447 Nursing Care Models Paper Rubric

Criteria Ratings Pts
Nursing Care Model in Practice(Identifies Nursing Care Model for delivery of nursing care.  Provides specifics.)
After an introduction paragraph, thoroughly identifies Nursing Care Model in practice including all the specifics about who, what when, where, etc.60.0 pts After an introduction paragraph, generally identifies Nursing Care Model in practice including most of the specifics about who, what when, where, etc.53.0 pts After an introduction paragraph, briefly identifies Nursing Care Model in practice including minimum specifics about who, what when, where, etc.48.0 pts After an introduction paragraph, briefly identifies Nursing Care Model in practice, but describes only one or two specifics.23.0 pts Does not provide an introduction paragraph. Fails to identify a Nursing Care Model. Does not include any specifics.0.0 pts
60.0 pts
Scholarly Sources Related to Nursing Care Model(In addition to Finkelman, locates four scholarly resources related to Nursing Care Models. Summarizes all resources in body of paper.)
Thoroughly reviews and summarizes two scholarly resources (not including the course textbook) related to the nursing care model you observed in the practice setting. Also, thoroughly reviews and summarizes two scholarly resources (not including your text) related to a nursing care model that is different from the one you observed.40.0 pts Generally reviews and summarizes two scholarly resources (not including the course textbook) related to the nursing care model you observed in the practice setting. Also, generally reviews and summarizes two scholarly resources (not including your text) related to a nursing care model that is different from the one you observed.35.0 pts Briefly reviews only one resource (besides the course textbook) related to nursing care model observed in practice setting. Also, briefly reviews only one resource (besides text) related to a nursing care model that is different from the one you observed.32.0 pts

 

Reviews only one resource (besides the course textbook) related to the nursing care model observed in practice, and fails to review a resource (besides the course textbook) related to a nursing care model that is different from the one you observed.15.0 pts Fails to provide any resources related to the nursing care model that was observed and that was different.0.0 pts
40.0 pts
Implementation and Recommendations(Describe implementation of current Nursing Care Model and recommend a different model that could be utilized to improve quality of nursing care, safety and staff satisfaction.)
Thoroughly describes implementation of current Nursing Care Model and recommends a different model that could be utilized to improve quality of nursing care, safety and staff satisfaction60.0 pts

 

Generally describes implementation of current Nursing Care Model and recommends a different model that could be utilized but omits quality or safety or staff satisfaction.53.0 pts Briefly describes implementation of current Nursing Care Model and recommends a different model that could be utilized but omits two of the following (quality/safety/staff satisfaction).48.0 pts Minimally describes implementation of current Nursing Care Model but does NOT recommend a different model that could be utilized. Various elements are missing related to improving quality of nursing care, safety and staff satisfaction.23.0 pts Does NOT describe a Nursing Care Model or a different model that could be utilized. Elements are missing related to improving quality of nursing care, safety and staff satisfaction.0.0 pts
60.0 pts
Conclusion and summary(Summarize what you learned about this experience including new knowledge about nursing care models.)
Includes conclusion paragraph and thoroughly summarizes what you learned about this experience including new knowledge about nursing care models.20.0 pts Includes conclusion paragraph and clearly summarizes what you learned about this experience including new knowledge about nursing care models.18.0 pts Includes conclusion paragraph but briefly summarizes what you learned about this experience or includes new knowledge about nursing care models but not both.16.0 pts Conclusion/ summary is present but difficult to find in closing paragraphs of paper.8.0 pts Does not Include a conclusion paragraph.0.0 pts
20.0 pts
Clarity of writing(Content is organized, logical, and with correct grammar, punctuation, spelling, and sentence structure are correct.  APA formatting is apparent and CCN template is utilized. References are properly cited within the paper; reference page includes all citations; proper title page and introduction are present and evidence of spell and grammar check is obvious.)

 

Content is organized, logical, and grammar, punctuation, spelling, and sentence structure are correct. APA formatting is apparent, utilizing CCN template. References are properly cited within the paper. Reference page includes all citations; proper title page and introduction are present and evidence of spell and grammar check is obvious. Less than three errors are noted.20.0 pts Content is mostly organized, logical, and grammar, punctuation, spelling, and sentence structure are correct. APA formatting is apparent, utilizing CCN template. References are properly cited within the paper. Reference page includes all citations; proper title page and introduction are present and evidence of spell check and grammar check is obvious. Four to six errors are noted.18.0 pts Content is somewhat organized, logical and grammar, punctuation, spelling, and sentence structure are correct. Minor APA formatting errors exist. References are properly cited within the paper. Reference page includes all citations; proper title page and introduction are present and evidence of spell check and grammar check are not obvious. Seven to 10 errors are noted.16.0 pts Content is somewhat organized, but may lack logic. Several errors occur in grammar, punctuation, spelling, and sentence structure. Major APA formatting errors exist. Reference page does not match up with in-text citations, i.e., references may be missing for in-text citations, or references appear with no comparable in-text citation. Eleven to 15 errors are noted.8.0 pts Nursing Care Models Paper – Content is disorganized and writing has numerous grammar, spelling, or syntax errors. APA formatting was not used. Spell check and grammar check are not obvious. More than 15 errors are noted.0.0 pts
20.0 pts
Total Points: 200.0.