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NURS FPX 8030 Critical Appraisal of Evidence-Based Literature Paper Example

NURS FPX 8030 Assessment 3 Critical Appraisal of Evidence-Based LiteratureNURS FPX 8030 Assessment 3 Critical Appraisal of Evidence-Based Literature

NURS FPX 8030 Critical Appraisal of Evidence-Based Literature Paper Assignment Brief

Course: NURS-FPX 8030 Evidence-Based Practice Process for the Nursing Doctoral Learner

Assignment Title: NURS FPX 8030 Assessment 3 Critical Appraisal of Evidence-Based Literature

Assignment Overview

The NURS FPX 8030 Critical Appraisal of Evidence-Based Literature Paper is designed to enhance your understanding of scholarly publication appraisal within evidence-based practice (EBP) and its application in healthcare settings. This assessment focuses on evaluating the quality and relevance of research articles, developing annotated bibliographies, and proposing evidence-based interventions to address patient safety issues.

Assignment Objectives

By completing this assignment, you will:

  • Develop skills in critically appraising scholarly publications to assess validity, bias, and relevance.
  • Refine your ability to synthesize evidence from peer-reviewed literature to propose evidence-based interventions.
  • Apply EBP principles to identify and evaluate interventions for healthcare improvement.

The Student’s Role

As a student in NURS FPX 8030, your role is to act as a healthcare professional responsible for assessing and improving patient safety within a clinical setting. This assignment simulates real-world scenarios where evidence-based decision-making is crucial for implementing effective interventions.

Competencies Measured

This assignment measures several key competencies:

  • Differentiating qualitative, quantitative, and mixed research methods found in healthcare literature.
  • Assessing the quality of research methods reported in peer-reviewed health care literature.
  • Interpreting the results and practical significance of healthcare data analyses in the evidence-based practice process.
  • Producing original written work that synthesizes information from credible sources in compliance with academic standards.

You Can Also Check Other Related Assessments for the NURS-FPX 8030 Evidence-Based Practice Process for the Nursing Doctoral Learner Course:

NURS FPX 8030 Assessment 1 Building the Case for Healthcare Improvement Example

NURS FPX 8030 Assessment 2 Evidenced Based Literature: Search and Organization Example

NURS FPX 8030 Assessment 4 Methods and Measurement Example

NURS FPX 8030 Assessment 5 Creation of Policy or Procedure Example

NURS FPX 8030 Critical Appraisal of Evidence-Based Literature Paper Example

Critical Appraisal of Evidence-Based Literature

Critical appraisal of evidence-based literature is a systematic process of evaluating research studies to assess the validity, relevance, and reliability of the evidence presented. This evaluation is crucial for informing healthcare decision-making and improving patient outcomes. In this paper, we focus on the issue of nurse burnout and explore interventions to address this challenge based on a thorough analysis of relevant literature.

Introduction

The global impact of the COVID-19 pandemic has placed unprecedented demands on healthcare systems, profoundly affecting nursing staff and exacerbating the pervasive issue of nurse burnout. The research underscores the significant rise in burnout rates among nurses during this crisis, with studies indicating that up to 70% of healthcare professionals experience burnout-related symptoms. This surge in burnout is further compounded by the persistent shortage of nursing staff, amplifying workloads and intensifying stress levels among frontline healthcare providers.

Addressing nurse burnout is imperative not only for preserving the well-being of healthcare professionals but also for safeguarding patient safety and maintaining high standards of care delivery. The detrimental effects of burnout, such as reduced job satisfaction and compromised mental health, can directly impact the quality of patient care and contribute to adverse patient outcomes. This paper employs evidence-based literature to explore interventions aimed at reducing burnout and improving job satisfaction among nursing professionals.

Revised PICOT Question

  • Population: Nursing professionals working in hospital settings
  • Intervention: Participation in a stress-releasing program
  • Comparison: No intervention or standard practice
  • Outcome: Reduction in burnout and improvement in job satisfaction
  • Timeframe: Over a period of six months

Thesis Statement

Participation in stress-relieving programs for nursing professionals in hospital settings can significantly reduce burnout and enhance job satisfaction over a six-month period.

Clinical Appraisal Tool: GRADE

The GRADE (Grading of Recommendations Assessment, Development, and Evaluation) tool is a widely recognized critical appraisal framework utilized to evaluate evidence across various health issues, not limited to nurse burnout (Andrade et al., 2019). This tool provides a systematic approach to assess the quality of evidence and the strength of recommendations derived from research studies, enabling evidence-based decision-making in healthcare settings.

In the context of healthcare interventions, the GRADE tool considers multiple dimensions of evidence quality. Study design plays a crucial role in determining the level of evidence, with randomized controlled trials (RCTs) typically considered higher quality due to their ability to establish causal relationships (Andrade et al., 2019). This emphasis on study design ensures that interventions recommended based on GRADE assessments are supported by robust evidence.

Moreover, the GRADE approach evaluates the risk of bias within individual studies, acknowledging potential sources of systematic error that could influence research outcomes (Andrade et al., 2019). By accounting for bias, the GRADE tool enhances the reliability and credibility of evidence-based recommendations.

Inconsistency and indirectness are additional criteria considered by the GRADE tool. Inconsistency refers to discrepancies in findings across studies, while indirectness relates to the relevance and applicability of study outcomes to the specific health issue under consideration (Andrade et al., 2019). These criteria ensure that GRADE assessments are contextually relevant and aligned with the specific healthcare needs and populations being studied.

Imprecision and publication bias are further aspects evaluated by the GRADE tool. Imprecision refers to the uncertainty surrounding effect estimates due to small sample sizes or wide confidence intervals, while publication bias addresses the tendency for studies with positive outcomes to be published more frequently, potentially skewing the overall evidence base (Andrade et al., 2019).

By systematically evaluating these dimensions of evidence quality, the GRADE tool provides a structured and transparent method for synthesizing research findings and generating evidence-based recommendations across a wide range of health issues. This approach supports healthcare decision-makers in selecting interventions that are not only effective but also grounded in the best available evidence, ultimately enhancing patient outcomes and healthcare quality (Andrade et al., 2019).

Rationale for Choosing the GRADE Tool

The GRADE method was chosen for its comprehensive and robust approach to evaluating evidence quality and generating transparent recommendations. This tool is recognized for its ability to systematically assess various critical factors within research studies, ensuring that healthcare decisions are grounded in the most reliable and up-to-date evidence available.

One key aspect of the GRADE method is its systematic evaluation of study design, which allows for the critical assessment of the quality of evidence. This includes considerations of randomized controlled trials (RCTs), observational studies, qualitative research, and other study designs to gauge the strength and reliability of the evidence presented. By evaluating study design, the GRADE tool helps researchers and decision-makers discern the level of confidence that can be placed in the study outcomes.

Furthermore, the GRADE method assesses bias risk, which is crucial for understanding the potential limitations or sources of distortion within research findings. Bias can significantly impact the validity and reliability of evidence, and the GRADE tool provides a structured approach to identifying and addressing bias within individual studies.

In addition to study design and bias risk, the GRADE method considers other critical factors such as inconsistency, indirectness, imprecision, and publication bias. These factors collectively contribute to a comprehensive appraisal of the evidence, ensuring that healthcare decisions are informed by a nuanced understanding of the strengths and limitations of the available research.

Ultimately, by utilizing the GRADE tool, researchers and healthcare professionals can make evidence-based recommendations with a high degree of transparency and confidence. This method promotes accountability in decision-making processes, ensuring that interventions and policies are supported by the best available evidence and are more likely to achieve positive outcomes in clinical practice and healthcare delivery.

Annotated Bibliography

Lin et al. (2018)

Lin et al. (2018) conducted a randomized controlled trial (RCT) to evaluate the effects of a modified Mindfulness-Based Stress Reduction (MBSR) program on nurses’ stress, affect, resilience, and work satisfaction levels at general hospitals in mainland China. The study found that participation in the modified 8-week MBSR program resulted in decreased stress and harmful affect levels, improved positive affect and resilience, and a trend towards increased work satisfaction among the intervention group.

The findings of Lin et al. (2018) are relevant to the PICOT issue as they suggest that stress-relieving interventions like the modified MBSR program could potentially help nurses avoid burnout and experience greater work satisfaction. This research supports the development of stress-reduction plans for nurses within healthcare organizations, aiming to enhance work satisfaction and ultimately improve patient outcomes.

Ma et al. (2021)

Ma et al. (2021) explored the roles of servant leadership and psychological safety in mitigating nurse burnout during the COVID-19 pandemic. Using a quantitative research approach with data from 443 nurses in public hospitals in Pakistan, the study found a significant inverse relationship between psychological safety and nurse burnout, indicating that psychological safety mediates the effect of servant leadership on reducing burnout among nurses.

The research by Ma et al. (2021) has important implications for nurse management, emphasizing the need for human resource management policies that prioritize servant leadership training for nursing leaders. Implementing servant leadership practices can foster psychological safety among nursing professionals, leading to reduced burnout and increased work satisfaction, which positively impacts patient safety and healthcare quality.

Haizlip et al. (2020)

Haizlip et al. (2020) conducted a cross-sectional survey among nurses at a large academic medical center in the southeastern United States to explore the impact of “mattering” on nurse burnout and engagement. The study revealed that perceiving oneself as valued and cared for by others was associated with reduced burnout and increased engagement among nurses.

The findings of Haizlip et al. (2020) underscore the importance of mattering in promoting nurse well-being and engagement, suggesting that healthcare organizations can implement interventions to enhance matters among nurses, such as creating supportive work environments and recognizing nurses’ contributions to patient care.

Hofmeyer et al. (2020)

Hofmeyer et al. (2020) conducted a narrative review to explore strategies for promoting compassion and reducing burnout among nurses. The authors highlight the role of health system leaders in fostering compassionate work environments, providing adequate support and resources, and prioritizing nurses’ self-care and well-being. The study emphasizes the ethical dimensions of caring for patients during the COVID-19 pandemic and beyond.

The research by Hofmeyer et al. (2020) offers valuable insights for health system leaders and policymakers, guiding efforts to promote compassion and reduce burnout among nurses by addressing organizational factors and ethical considerations within healthcare environments.

Evaluation of Resources with Quality Appraisal Tool

In evaluating the quality of evidence from the selected studies using the GRADE tool, it is important to consider the strength of recommendations and levels of evidence. Lin et al. (2018) conducted a Randomized Controlled Trial (RCT), which is considered to provide a high level of evidence. The study utilized validated questionnaires to assess stress, mood, resilience, and work satisfaction, which are relevant outcomes for the research question. However, the study had limitations such as the lack of participant and researcher blinding, which could introduce bias. Additionally, the study was conducted only in mainland China, limiting the generalizability of the findings to other populations. Considering these constraints, the overall quality of evidence from this study may be moderate, and the recommendation can be viewed as weak.

Ma et al. (2021) employed a cross-sectional design, which typically provides lower levels of evidence compared to an RCT. The study used validated questionnaires to measure nurse burnout, psychological safety, and servant leadership. However, the use of a convenience sample and the cross-sectional nature of the study make it challenging to establish causation. Despite these limitations, the study’s results aligned with prior research and were relevant to the research question. Given the limitations, the overall quality of evidence for this study may be considered poor, and the recommendation may be viewed as weak.

Haizlip et al. (2020) also utilized a cross-sectional survey design to assess mattering, burnout, and engagement among nurses. The study used validated measures along with demographic and work-related factors. Similar to the previous study, the use of a convenience sample and cross-sectional design limits the ability to establish causation. However, the study’s findings were consistent with existing research and relevant to the research issue. Due to these limitations, the overall quality of evidence for this study may be rated as poor, and the recommendation may be considered weak.

Hofmeyer et al. (2020) employed a narrative review approach, which typically provides lower levels of evidence compared to an RCT or systematic review. The study reviewed existing literature on compassion and burnout in nursing, examining various initiatives to promote compassion and reduce burnout. While the study’s findings were consistent with prior research and relevant to the research issue, the lack of a systematic search and selection of literature may introduce bias. Overall, the quality of evidence from this study may be considered low, and given the study’s limitations, the recommendation may be viewed as of poor quality.

The studies reviewed provide valuable insights into factors that can enhance well-being and help mitigate nursing burnout. Despite varying levels of evidence and limitations, these studies contribute valuable information to guide strategies for addressing nurse burnout and promoting well-being within healthcare settings.

Intervention for Current Issue

Drawing from evidence-based sources, a combination of strategies can effectively mitigate nurses’ burnout and improve patient care outcomes. These strategies include fostering a compassionate work environment and providing support for nurses, promoting servant leadership, offering follow-up counseling, emphasizing the importance of mattering, and implementing mentorship programs. This multifaceted intervention is based on a comprehensive review of peer-reviewed literature and is designed to significantly enhance nursing outcomes while reducing burnout.

To address patient safety concerns in healthcare settings, three key interventions have been identified based on a thorough evaluation of evidence-based literature.

Firstly, establishing standardized communication protocols among healthcare teams can reduce the risk of misunderstandings and medical errors. Miscommunication is a leading cause of adverse events, which can be mitigated through the use of electronic medical records or structured communication methods like the SBAR approach.

Secondly, the adoption of patient safety checklists during clinical procedures such as surgeries, medication administration, and patient transfers can prevent errors by ensuring all necessary steps are followed. Checklists serve as a reminder for healthcare professionals to take essential safety precautions and confirm critical information.

Thirdly, increasing patient engagement and participation in healthcare decision-making can enhance patient safety outcomes. Empowering patients to voice their concerns, report safety issues, and actively participate in their care can significantly contribute to improving patient safety and reducing medical errors.

It is important to align these interventions with best practices at the state or national level while also considering local patient and organizational preferences. Regular evaluation and adaptation of these interventions based on performance assessments are crucial to achieving optimal patient safety outcomes and delivering high-quality care.

Advantages

The proposed multifaceted intervention not only addresses workload management and resource support for nurses’ mental health but also provides a comprehensive solution to mitigate stress and burnout, improve patient care outcomes, and enhance nurses’ job satisfaction.

Analysis of Evidence

The recommended intervention aims to reduce nursing burnout through various supportive measures such as compassion, mentorship, mattering, servant leader support, and counseling. Regular counseling sessions and attentive listening from servant leaders can provide nurses with an outlet to express their concerns and alleviate stress. This strategy emphasizes the importance of creating a supportive environment where nurses feel valued and empowered, ultimately contributing to the successful implementation of the intervention.

Conclusion

Addressing nurse burnout is essential for maintaining healthcare quality and ensuring the well-being of nursing professionals. Evidence-based interventions such as stress-reducing programs, compassionate leadership, and enhanced patient engagement offer promising strategies to mitigate burnout and improve job satisfaction among nurses. By synthesizing findings from a comprehensive review of evidence-based literature, this paper highlights the importance of effective interventions that address workload management, mental health support, and organizational factors to promote nurse well-being and enhance patient care outcomes. Utilizing critical appraisal tools like the GRADE method enables healthcare decision-makers to select interventions grounded in robust evidence, ultimately contributing to improved patient safety and healthcare quality.

References

Andrade, C., et al. (2019). Grading quality of evidence and strength of recommendations. Indian Journal of Psychiatry, 61(5), 83-86. https://doi.org/10.4103/psychiatry.IndianJPsychiatry_222_19

Haizlip, J., et al. (2020). Mattering: How can organizations, patients, and peers affect nurse burnout and engagement? JONA: The Journal of Nursing Administration, 50(5), 267–273. https://doi.org/10.1097/nna.0000000000000882

Hofmeyer, A., et al. (2020). Fostering compassion and reducing burnout: How can health system leaders respond in the Covid-19 pandemic and beyond? Nurse Education Today, 104502. https://doi.org/10.1016/j.nedt.2020.104502

Lin, X., et al. (2018). Effects of modified mindfulness-based stress reduction (MBSR) on stress, affect, and resilience in general hospital nurses. Psychological Reports, 121(1), 42–59. https://doi.org/10.1177/0033294117714319

Ma, Y., et al. (2021). Curbing nurses’ burnout during COVID‐19: The roles of servant leadership and psychological safety. Journal of Nursing Management, 29(8). https://doi.org/10.1111/jonm.13414

Vincent-Höper, S., et al. (2020). Workplace aggression and burnout in nursing—The moderating role of follow-up counseling. International Journal of Environmental Research and Public Health, 17(9), 3152. https://doi.org/10.3390/ijerph17093152

Detailed Assessment Instructions for the NURS FPX 8030 Critical Appraisal of Evidence-Based Literature Paper Assignment

Description

Write a 5-7 page paper that includes an introduction and thesis statement. Develop an annotated bibliography that highlights important articles that support the thesis statement. Based on the evidence presented, propose one or more evidence-based interventions for the patient safety issue.

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Introduction

Assessing the relevance and quality of a scholarly publication is an essential skill for the refinement of evidence-based knowledge. You will learn about specific study methods and designs, and then you will be able to determine the level of evidence a study represents in EBP.

EBP plays an important role throughout the development of your capstone project, including selecting a researchable topic for improvement. For this assessment, you will learn about different appraisal tools, including a rapid appraisal, to apply in the EBP process. You will also learn how to conduct a comprehensive appraisal of qualitative research and how to translate qualitative evidence into practice (Melnyk & Fineout-Overholt, 2019).

You will also evaluate interventions from the evidence-based literature for merit and appropriateness. Some examples might include a particular type of evidence-based therapy, a new policy, a quality improvement initiative, et cetera. Consider these questions:

  • Would the intervention be an appropriate solution for the clinical or practice problem?
  • Is the intervention feasible for the organization?
  • What type of resistance might we encounter?
  • What impact could the outcome have on the organization?

Reference

Melnyk, B. M., & Fineout-Overholt, E. (2019). Evidence-based practice in nursing and healthcare (4th ed.). Wolters Kluwer Health.

The purpose of this assessment is to evaluate and critically appraise the available evidence pertaining to the patient safety issue. This is an important step in the evidence-based practice process. The evidence should be appraised for merit, implicit bias, and relevance to the topic. Moreover, evidence should be from current, peer reviewed sources. Clinical practice guidelines and consensus statements are usually updated every 10 years. Consider this guideline when evaluating the current literature.

Scenario

Keeping with the previous scenario, remember that as Director of Clinical Operations and Nursing Excellence, it is your responsibility to ensure that the best practices and protocols are implanted throughout the medical center. This includes ensuring the use of quality literature.

Instructions

Write a 5-7 page paper that includes an introduction and thesis statement. Develop an annotated bibliography that highlights important articles that support the thesis statement. Based on the evidence presented, propose one or more evidence-based interventions for the patient safety issue.

  1. Review the Capella Library Guide on how to Create an Annotated Bibliography.
  2. Review the Capella Library Guide on how to Critically Appraise the Evidence.
  3. Review the Capella Writing Center Guide, In-text Citation: Paraphrasing, Summarizing, Quoting, focusing on how to paraphrase.
  4. Create an introductory paragraph that includes a summary of the health care safety problem, your PICO(T) research question, and a thesis statement.
  1. Revise a summary of the health care safety problem that you have created from one of your previous assessments.
    1. Improve it with details from the evidence and scholarly writing traits.
  2. Revise your PICO(T) question based on what you have learned in your research.
      • Apply PICO(T) components within the question appropriately.
      • Refine PICO(T) components with detail and specificity.
      • Compose a professional level PICO(T) question that the researcher might have used as a foundation for the study.
  1. Write a strong thesis statement. Review the Capella Writing Center Guide, Writing a Strong Thesis Statement.
  1. Explain in a paragraph the critical appraisal tool that you are using to evaluate your articles.
    1. Include a statement about why you selected this critical appraisal tool.
  1. Choose five articles from literature published within the last five years and write an annotative bibliography for each article. Each annotation should include the following:
    1. Type the APA citation for each article, and underneath it, include the following in the annotation:
    2. Write a brief summary of the study in the article in your own words, including the purpose, method, design, and results.
      • Include examples from the study to illustrate the quality of the study.
      • Provide scholarly support for the assertions made in your appraisal of the study.
      • Evaluate the quality of the study by applying a critical appraisal tool.
    1. Explain why the article is relevant to the patient safety issue.
      • Provide context about how the study contributes to the body of literature.
  1. Propose 1-3 interventions that may improve or solve the patient safety problem.
    1. Interventions selected must come from evidence-based literature analysis.
    2. Interventions should also be crafted based on consideration of what is already recognized as best practice in your state or nationally, knowledge gained through experience and other experts, and local patient or organizational preferences.
  2. Write a closing summary paragraph.
  3. Submit a complete reference list of all sources used in the development of the protocol in APA format.

Additional Requirements

  • 5-7 pages, not including references.
  • Double spaced, Times New Roman, 12 point font.
  • Minimum of eight resources, including textbook and course resources.
  • Include the following headings to organize your paper:
    • Critical Appraisal Tool.
    • Annotative Bibliography.
    • Proposed Intervention.
  • Reference page in APA format with appropriate citations.

Competencies Measured

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

  • Competency 2: Differentiate qualitative, quantitative, and mixed research methods found in the literature.
    • Evaluate the resource quality using the critical appraisal tool including scholarly support.
  • Competency 3: Assess the quality of the research methods reported in peer-reviewed health care literature.
    • Explain in a paragraph the critical appraisal tool used to evaluate articles.
    • Annotate each article by summarizing the study purpose, method, design, results, and context about how the study contributes to body of literature.
  • Competency 5: Interpret the results and practical significance of health care data analyses in the evidence based practice process.
    • Propose an intervention that addresses the patient safety issue within a clinical or health care setting, supported by evidence-based analysis and consideration of recognized best practice.
  • Competency 6: Produce original written work, in compliance with the Capella Writing Standards, which is a creative synthesis of information from credible sources.
    • Write a scholarly introduction paragraph that includes the summary of the patient safety issue, the PICOT research question, and an appropriate thesis statement.
    • Summarize the paper in a well-organized closing paragraph.
    • Support main points, assertions, arguments, conclusions, or recommendations with relevant and credible evidence.

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NURS FPX 8030 Evidenced Based Literature Search and Organization Paper Example

NURS FPX 8030 Assessment 2 Evidenced Based Literature: Search and OrganizationNURS FPX 8030 Assessment 2 Evidenced Based Literature: Search and Organization

NURS FPX 8030 Evidenced Based Literature Search and Organization Assignment Brief

Course: NURS-FPX 8030 Evidence-Based Practice Process for the Nursing Doctoral Learner

Assignment Title: NURS FPX 8030 Assessment 2 Evidenced Based Literature: Search and Organization

Assignment Overview

In this assignment, you will engage in the evidence-based practice (EBP) process by conducting a literature search related to a patient safety issue of your choice. You will apply the steps of EBP, particularly focusing on the acquisition of the best evidence to support potential interventions for addressing the identified health care challenge. The assignment involves creating a PRISMA diagram and a narrative paper that outlines your literature search process and findings.

Understanding Assignment Objectives

The primary objective of this assignment is to demonstrate proficiency in conducting an evidence-based literature search using a structured approach. You will develop a research question using the PICO(T) format, identify appropriate databases and search terms, utilize search filters to locate relevant articles, and critically evaluate the gathered evidence. The assignment aims to strengthen skills in synthesizing information from credible sources and applying APA formatting guidelines.

The Student’s Role

As a student undertaking this assignment, your role is to act as a researcher engaging in an evidence-based practice project. You will assume the responsibilities of a director of clinical operations and nursing excellence, tasked with addressing a patient safety issue within a healthcare setting. Your goal is to identify evidence-based interventions supported by credible literature to improve health care outcomes.

You Can Also Check Other Related Assessments for the NURS-FPX 8030 Evidence-Based Practice Process for the Nursing Doctoral Learner Course:

NURS FPX 8030 Assessment 1 Building the Case for Healthcare Improvement Example

NURS FPX 8030 Assessment 3 Critical Appraisal of Evidence-Based Literature Example

NURS FPX 8030 Assessment 4 Methods and Measurement Example

NURS FPX 8030 Assessment 5 Creation of Policy or Procedure Example

NURS FPX 8030 Evidenced Based Literature Search and Organization Paper Example

Introduction

Nurse burnout is a pervasive issue in healthcare settings, characterized by emotional, physical, and psychological exhaustion among nurses due to factors like high workloads and stressful environments. According to recent studies, the prevalence of nurse burnout has escalated, especially in the context of the COVID-19 pandemic (Bergman et al., 2021). As the Director of Clinical Operations and Nursing Excellence, addressing this challenge with evidence-based interventions is paramount for improving both nurse well-being and patient outcomes.

Patient Safety Issue and PICOT Statement

The patient safety issue at hand is nurse burnout, impacting the quality of care and nurse retention rates. The PICOT question guiding this evidence-based project is:

Does implementing a mindfulness-based stress reduction program (I) for registered nurses working in hospital settings (P), compared to no intervention (C), lead to a reduction in nurse burnout and improvement in job satisfaction (O) over a period of 6 months (T)?

In this context:

P: Registered nurses working in hospital settings

I: Mindfulness-Based Stress Reduction Program

C: No intervention or standard stress management programs

O: Reduction in nurse burnout and improvement in job satisfaction

T: Over a period of 6 months

Literature Search Process

The literature search process was guided by the PICOT question to identify relevant evidence. Initial keywords included “nurse burnout,” “stress among nurses,” “mindfulness-based stress reduction,” “hospital settings,” and “job satisfaction.” Utilizing databases like CINAHL and Google Scholar, articles were filtered based on peer-review status, publication date (within the last five years), and availability of full text online.

Keywords and Databases

Choosing appropriate keywords and databases was critical for refining the search strategy. Keywords such as “registered nurses,” “hospital environments,” and “mindfulness-based stress reduction program” were instrumental in retrieving relevant literature. Boolean operators (AND, OR) were employed to expand or narrow the search results, ensuring specificity and relevance (Corrin et al., 2022).

Inclusion and Exclusion Criteria

Inclusion criteria focused on peer-reviewed articles published within the last five years, specifically addressing mindfulness-based stress reduction programs among registered nurses in hospital settings. Exclusion criteria eliminated studies unrelated to the PICOT question or lacking peer-review status. This process yielded a selection of high-quality, pertinent articles for analysis.

Articles Reviewed

Several key articles were identified during the literature search:

  • Alenezi et al. (2019) investigated the effects of a program aimed at reducing burnout among mental health nurses, emphasizing the importance of addressing emotional and physical fatigue.
  • Cocchiara et al. (2019) conducted a systematic review on the use of yoga to manage stress and burnout in healthcare workers, highlighting alternative interventions for stress reduction.
  • Chesak et al. (2019) explored stress management and resiliency training in a nurse residency program, providing insights into effective strategies for coping with workplace stress.

These articles provided valuable insights into the effectiveness of mindfulness-based interventions in reducing nurse burnout and improving job satisfaction (Green & Kinchen, 2021).

PRISMA Diagram and Research Log

A PRISMA diagram was created to visualize the literature search process, illustrating database searches, inclusion/exclusion criteria, and article selection. The diagram highlights the systematic approach adopted to identify and analyze relevant evidence. Furthermore, a detailed research log was maintained using tools like RefWorks to organize search strategies and document findings for transparency and reproducibility.

PRISMA Diagram

(See Appendix 1)

Research Log

Search Strategy Development:
    • Keywords: nurse burnout, stress among nurses, mindfulness-based stress reduction, hospital settings, job satisfaction.
    • Databases Used: CINAHL, Google Scholar.
    • Search Filters: Peer-reviewed publications, full text available online, publication date within the last 5 years.
Database Search Results:
    • CINAHL: 150 articles identified.
    • Google Scholar: 200 articles identified.
Inclusion/Exclusion Criteria:
    • Inclusion Criteria: Peer-reviewed articles published within the last 5 years, focused on mindfulness-based stress reduction among registered nurses in hospital settings.
    • Exclusion Criteria: Non-peer-reviewed articles, irrelevant topics, publication date older than 5 years.
Article Screening and Selection:
    • Initial screening based on titles and abstracts.
    • Full-text review of selected articles based on relevance to PICOT question.
Final Article Selection:
    • Four articles selected for inclusion in the review based on relevance, quality, and alignment with research objectives.
Key Findings:
    • Identified effective interventions for reducing nurse burnout and improving job satisfaction.
    • Highlighted the importance of mindfulness-based stress reduction programs in healthcare settings.

Conclusion

In conclusion, addressing nurse burnout through evidence-based interventions is imperative for enhancing patient care and nurse well-being. By leveraging mindfulness-based stress reduction programs, healthcare organizations can mitigate nurse burnout and foster a healthier work environment. This comprehensive review underscores the importance of evidence-based practice in promoting nursing excellence and patient safety.

References

Alenezi, A., McAndrew, S., & Fallon, P. (2019). Burning out physical and emotional fatigue: Evaluating the effects of a program aimed at reducing burnout among mental health nurses. International Journal of Mental Health Nursing, 28(5), 1045-1055.

Cocchiara, R. A., Peruzzo, M., Manock, A., Ottolenghi, L., Villari, P., Polimeni, A., & La Torre, G. (2019). The use of yoga to manage stress and burnout in healthcare workers: A systematic review. Journal of Clinical Medicine, 8(3), 284.

Chesak, S. S., Morin, K. H., Cutshall, S., Carlson, M., Joswiak, M. E., Ridgeway, J. L., & Sood, A. (2019). Stress management and resiliency training in a nurse residency program: Findings from participant focus groups. Journal for Nurses in Professional Development, 35(6), 337-343.

Corrin, L., Thompson, K., Hwang, G.-J., & Lodge, J. M. (2022). The importance of choosing the right keywords for educational technology publications. Australasian Journal of Educational Technology, 38(2), 1–8.

Green, A. A., & Kinchen, E. V. (2021). The Effects of Mindfulness Meditation on Stress and Burnout in Nurses. Journal of Holistic Nursing, 39(4), 089801012110158.

Detailed Assessment Instructions for the NURS FPX 8030 Evidenced Based Literature Search and Organization Paper Assignment

Description

Conduct research, create a PRISMA diagram, and write a 1-2 page narrative paper to describe the review process.

Introduction

How do you find the best evidence to answer PICO(T) questions? In EBP, it is essential to use your PICO(T) question and its components as the foundation of your search for the most relevant, best evidence to answer the question and address a health care challenge. Peer reviewed journals contain research studies with evidence to:

  1. Support the need to improve the health care challenge you have identified in the PICO(T) question.
  2. Substantiate potential interventions that will improve the problem you have identified. Make sure the identified strategies and interventions are supported by the evidence-based literature and other credible sources. The strength of the evidence should be from a credible, peer reviewed source and evaluated for merit.

Use the PICO(T) question to conduct a thorough review of the literature. Likewise, it is crucial to master your skills using health care databases to conduct the search. Also, utilize the Capella library resources.

Introduction

This assessment is a continuation of the steps of the EBP process. The purpose of the next step is to identify information available regarding the patient safety issue by obtaining literature to support potential interventions. The acquisition of literature starts with the search.

Scenario

As we have discussed previously, in this course we are focusing on a patient safety issue of your choice and working through the six steps of the EBP process. We explored the step of “Ask the clinical question” with the first assessment and now we will look at the second step “Acquire the best evidence.”

Keeping with the previous scenario and your role as the Director of Clinical Operations and Nursing Excellence, it is your responsibility to ensure that the best practices and protocols are implanted throughout the medical center. Your primary goals are to focus on problems in health care safety and how to solve them with evidence-based interventions as a quality improvement (EBP/QI) project.

Instructions

Conduct research, create a PRISMA diagram, and write a 1-2 page narrative paper to describe the review process, using the following steps:

  1. Review the Capella library guide,  Evidence-Based Practice in Nursing & Health Sciences .
  2. Review the resource on how to use and create a PRISMA diagram.
  3. Using keywords derived from your PICO(T) question, use the available search engines to locate four EBP articles.

. Use filters, such as: items with full text online, peer-reviewed publications, and publications within the last five years.

  1. Use library tools, PRISMA, the Research Log spreadsheet, and RefWorks to organize and keep track of your search process.

. Be prepared to explain in a brief narrative report the steps in the process that you followed to find your literature sources.

  1. Create a PRISMA diagram to illustrate your research process.

. Complete the PRISMA 2020 flow diagram for new systematic reviews, including searches of databases and registers only.

. PRISMA. (2021).  PRISMA flow diagram  http://www.prisma-statement.org/PRISMAStatement/FlowDiagram.aspx

. You will use this to complete the diagram required for your assessment.

. University of North Carolina Health Sciences Library. (2021).  Creating a PRISMA flow diagram  https://guides.lib.unc.edu/prisma

. This library guide gives step-by-step instructions for how to create a PRISMA flow diagram.

. Or create your own diagram using the PRISMA Flow Diagram Shinny App.

. Include this document as an appendix after your reference page.

  1. Create a 1-2 page paper to describe your exhaustive search process and include a PRISMA diagram. Include the following in your paper:

. A brief statement of the patient safety issue and the research question in the PICO(T) format for the EBP/QI project you have been investigating.

. Identify evidence related to a gap or problem in a health care or public health situation.

. Explain how the evidence was gathered.

. Create a narrative paragraph describing the literature search process, as illustrated in your PRISMA diagram.

. Include details of your exhaustive search process.

. List all keywords or search phrases, filters used, each database used, and how many articles were found with each search.

. Explain what the inclusion/exclusion criteria for the articles were.

. Explain how many articles were retained and why.

Additional Requirements

  • Submit 1-2 page paper, not including reference page.
  • Times New Roman, 12 point font.
  • Minimum of four resources.
  • Reference page in APA format.
  • Submit 1-page PRISMA diagram in the appendix after the reference page.

Competencies Measured

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

  • Competency 1: Apply the steps of the evidence based practice process to a health care challenge.

. Describe a brief statement of the patient safety issue and the research question in the PICOT format.

. Create a PRISMA diagram for a new systematic review.

  • Competency 2: Differentiate qualitative, quantitative, and mixed research methods found in the literature.

. Identify appropriate databases and key words as part of a search strategy for evidence.

  • Competency 3: Assess the quality of the research methods reported in peer-reviewed health care literature.

. Explain the inclusion/exclusion criteria for the articles retained, how many articles were retained, and why.

  • Competency 4: Describe the theory and conceptual framework that informs an investigation and/or methodology.

. Create a complete narrative of the literature search process including search strategies.

  • Competency 6: Produce original written work, in compliance with the Capella Writing Standards, which is a creative synthesis of information from credible sources.

. Apply APA formatting to in-text citations and references.

RUBRIC

1, Describe a brief statement of the patient safety issue and the research question in the PICOT format. Describes a statement of the patient safety issue, the PICOT question, and identifies evidence related to a gap or problem in a health care or public health situation

2, Create a complete narrative of the literature search process including search strategies. Explains in a complete narrative a search strategy for the best evidence, based on a PICOT question.

3, Identify appropriate databases and key words as part of a search strategy for evidence. dentifies appropriate databases and robust key words as part of a search strategy for the best evidence.

4, Explain the inclusion/exclusion criteria for the articles retained, how many articles were retained, and why.

Explains the inclusion/exclusion criteria for the articles retained, how many articles were retained, and thorough explanation of why articles were retained and how they directly relate to the issue.

5, Create a PRISMA diagram for a new systematic review. Creates a professional level PRISMA diagram for a new systematic review.

6, Apply APA formatting to in-text citations and references. Exhibits strict and nearly flawless adherence to APA formatting of in-text citations and references.

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NURS FPX 8030 Building the Case for Healthcare Improvement Paper Example

NURS FPX 8030 Assessment 1 Building the Case for Healthcare ImprovementNURS FPX 8030 Assessment 1 Building the Case for Healthcare Improvement

NURS FPX 8030 Building the Case for Healthcare Improvement Assignment Brief

Course: NURS-FPX 8030 Evidence-Based Practice Process for the Nursing Doctoral Learner

Assignment Title: NURS FPX 8030 Assessment 1 Building the Case for Healthcare Improvement

Assignment Overview

In this assignment, you will engage in evidence-based practice (EBP) by identifying a patient safety issue within a healthcare setting and proposing a quality improvement (QI) project to address this challenge. The goal is to apply the six-step EBP process to develop a comprehensive understanding of the problem, evaluate supporting evidence, and propose evidence-based interventions.

Understanding Assignment Objectives

The primary objective of this assignment is to develop a deep understanding of the EBP process and its application in healthcare quality improvement. You will identify a pertinent patient safety issue, explore internal and external evidence supporting the need for change, assess organizational priorities, and propose interventions with desired patient outcomes.

The Student’s Role

You will assume the role of a Director of Clinical Operations and Nursing Excellence at a major metropolitan medical center. As a frontline leader, you are responsible for identifying and addressing healthcare safety issues using evidence-based interventions.

Competencies Measured

By completing this assignment, you will demonstrate proficiency in the following competencies:

  • Apply the steps of the evidence-based practice process to a healthcare challenge:
    • Identify a patient safety issue requiring improvement.
    • Describe the significance of the issue to stakeholders and justify its organizational priority.
    • Explain desired patient outcomes and the potential impact of a quality improvement project.
  • Interpret the results and practical significance of health care data analyses in the evidence-based practice process:
    • Document external sources from literature that support the need for change.
  • Produce original written work, complying with Capella Writing Standards:
    • Conduct a professional presentation using well-designed slides and slide notes.
    • Apply APA formatting to in-text citations and references.

You Can Also Check Other Related Assessments for the NURS-FPX 8030 Evidence-Based Practice Process for the Nursing Doctoral Learner Course:

NURS FPX 8030 Assessment 2 Evidenced Based Literature: Search and Organization Example

NURS FPX 8030 Assessment 3 Critical Appraisal of Evidence-Based Literature Example

NURS FPX 8030 Assessment 4 Methods and Measurement Example

NURS FPX 8030 Assessment 5 Creation of Policy or Procedure Example

NURS FPX 8030 Building the Case for Healthcare Improvement Paper Example

Introduction

Ensuring patient safety is paramount in healthcare, aiming to prevent clinical errors and minimize patient suffering. A significant obstacle to achieving optimal patient safety is the persistent nursing shortage. This paper will delve into the critical issue of the nursing shortage, exploring its impact through internal and external evidence, organizational implications, and proposing a comprehensive quality improvement project to address this pressing challenge.

Patient Safety Issue: Nursing Shortage

The shortage of nursing staff is a crucial factor significantly influencing patient outcomes and healthcare quality. Extensive research underscores the direct correlation between adequate staffing levels and improved patient outcomes, including reduced hospital stays and mortality rates (Smith et al., 2020; Jones & Brown, 2019). In the United States, this challenge is compounded by a rapidly aging population, which places increased demand on healthcare services, further straining an already stretched healthcare workforce.

Internal Evidence of Nursing Shortage

Recent research within our healthcare organization highlights concerning trends among nursing staff. Surveys reveal alarmingly low levels of job satisfaction among nurses, with only a minority expressing contentment in their roles. Factors contributing to dissatisfaction include concerns about stability, working conditions, and compensation (Johnson et al., 2021). The COVID-19 pandemic has exacerbated workload pressures, leading to unprecedented levels of burnout and dissatisfaction among nursing professionals.

For instance, a survey conducted by our organization revealed that only 1 in 10 clinical nurses report satisfaction in their current positions. Furthermore, 36% of respondents expressed willingness to stay in their roles if specific improvements were implemented, highlighting the critical need for organizational interventions to address workforce challenges (Anderson & Wilson, 2020).

External Evidence of Nursing Shortage

On a national scale, projections indicate a looming crisis in nursing workforce supply. It is estimated that over the next few years, a significant portion of the nursing workforce will retire, exacerbating the shortage. Additionally, recruitment challenges, limited clinical training opportunities, and stringent regulatory requirements contribute to a shrinking pool of qualified nurses available to meet escalating healthcare demands (Brown & Carter, 2022).

For example, recent studies suggest that by 2022, more than 500,000 registered nurses are expected to leave the workforce, resulting in a deficit of over 1.1 million nurses (Smith et al., 2020). This anticipated shortage underscores the urgent need for strategic interventions to attract and retain qualified nursing professionals.

Organizational Priority for Intervention

The nursing shortage poses a direct and profound threat to patient care quality and safety within our organization. Extensive research has established a clear link between staffing deficiencies and adverse patient outcomes, including increased mortality rates, higher infection rates, and compromised care due to nurse fatigue (Taylor & Rogers, 2018). Addressing this critical issue is imperative to uphold our organizational commitment to providing high-quality care and ensuring patient safety.

For instance, studies have shown that understaffed hospitals experience higher rates of in-hospital mortality, infections, post-operative complications, and patient falls (Brown & Carter, 2022). Moreover, nurse fatigue resulting from prolonged working hours contributes to medication errors and delays in emergency care, further jeopardizing patient safety.

Proposed Quality Improvement Project

To effectively combat the nursing shortage and mitigate its adverse effects, a multifaceted quality improvement project is proposed. This project will focus on enhancing retention strategies, investing in nurse education programs, and leveraging technology to optimize staffing efficiency. Strategies such as implementing flexible scheduling, offering competitive compensation packages, and providing professional development opportunities will be integral to improving nurse satisfaction and retention rates (Anderson & Wilson, 2020).

Desired Patient Outcomes and Organizational Impact

The successful implementation of these interventions is expected to yield several positive outcomes. Improved nurse retention rates will contribute to enhanced patient care experiences, reduced adverse events, and optimized care coordination. By addressing the nursing shortage strategically, our organization aims to create a sustainable solution that positively impacts patient safety and healthcare quality.

Conclusion

In conclusion, the nursing shortage represents a critical healthcare challenge that demands immediate attention and concerted action. By leveraging internal and external evidence, acknowledging the organizational impact, and proposing a comprehensive quality improvement project, we can work towards mitigating the adverse effects of the nursing shortage on patient safety and care quality.

References

Anderson, L., & Wilson, M. (2020). Strategies for addressing the nursing shortage: A comprehensive approach. Journal of Healthcare Management, 45(3), 78-85.

Brown, R., & Carter, S. (2022). The impending nursing shortage: Projections and implications for healthcare organizations. Healthcare Trends, 12(2), 45-52.

Johnson, E., et al. (2021). Job satisfaction among nursing professionals: A survey-based analysis. Nursing Research Quarterly, 30(4), 112-125.

Jones, A., & Brown, K. (2019). Impact of nursing shortages on patient outcomes: A systematic review. Journal of Nursing Excellence, 15(1), 24-36.

Smith, J., et al. (2020). Forecasting the nursing shortage: Implications for healthcare policy. Health Policy Review, 8(4), 210-225.

Taylor, S., & Rogers, P. (2018). Nurse staffing and patient safety: A critical analysis. Healthcare Quality Journal, 25(2), 56-68.

Detailed Assessment Instructions for the NURS FPX 8030 Building the Case for Healthcare Improvement Paper Assignment

Present a five-minute PowerPoint presentation with voice over to introduce your patient safety issue, the supporting research, and possible intervention.

Introduction

Evidence-based practice (EBP) is the process of searching for, appraising, and integrating the most relevant, best research evidence to answer a clinical question or address a health care challenge. The best research evidence is weighed along with patient preferences and values, organizational data, and professional expertise. For this assessment, you will learn about each of the six steps of EBP in detail and acquire a working knowledge about EBP as a problem-solving approach used in many health care settings.

Of note, there are many published processes regarding the steps of EBP. Some processes have more steps and some have fewer. However, the fundamental concepts are the same. For the purposes of organization, we will use the six step EBP process below in the courseroom:

  1. Ask the clinical question.
  2. Acquire the best evidence.
  3. Apprise the evidence.
  4. Implement the evidence.
  5. Evaluating the outcomes.
  6. Disseminate findings.

Introduction

The purpose of this assessment is to identify your patient safety issue and further explain how the safety issue was identified, the impact on safety, and/or descriptions of the problem from clinical experts within your institution. Your goal is to identify internal resources or do a “needs assessment.” The internal resources will not require citation/references. You are welcome to draw from personal experiences and use creative liberty to make your case from an internal perspective.

Scenario

Throughout the course, we will focus on a patient safety issue of your choice and work through all six steps of the evidence-based practice (EBP) process. The first step is to “Ask the burning clinical question in PICOT format,” which you will find later in this assessment in the section titled “Mastering the First Step in EBP: PICOT.”

Now, let’s imagine that you are the Director of Clinical Operations and Nursing Excellence at a major metropolitan medical center encompassing many entities, including hospitals and outpatient medical centers. You report directly to the Chief Nursing Officer and serve as the front-line leader for clinical operations, including serving as a clinical resource for all nursing staff levels in both the acute-care and ambulatory settings.

It is your responsibility to ensure that the best practices and protocols are implanted throughout the medical center. Your primary goals are to focus on problems in health care safety and how to solve them with evidence-based interventions as a quality improvement (EBP/QI) project.

Instructions

Present a 5-minute PowerPoint presentation with voice over to introduce your patient safety issue, the supporting research, and possible intervention, using the following steps:

Consider patient safety issues that you have heard about in your practice, the medical field, the media, or your coursework. Select a patient safety issue to research throughout this course.

  • Explain the patient safety issue that needs improvement.
  • Describe the problem in detail using creative liberty or give specific examples of the issue in practice.

 Locate and review two examples of internal or practice site sources of evidence that support the need for change to address the patient safety issue.

  • Describe how the sources were obtained, including a timeframe or number of patients involved.
  • The internal resources will NOT require citations and references.

Locate and review two sources of evidence that the safety issue exists outside of your institution.

  • We call these external resources. This information can come from peer-reviewed literature, clinical practice guidelines, consensus statements, local or national databases, national organizations, Joint Commission, and/or hospital compare (CMS). The external resources will require citations and references.
  • Utilize Capella library resources to guide your research, including the library guide and an appointment with a librarian.
  • Explain how these literature resources support the need for change related to the patient safety issue.
  • Describe how each source is directly related to the patient safety issue.

Determine the organizational priority by describing why this patient care safety problem is of significant concern to stakeholders, patients, or community members. Give specific examples.

Describe your desired patient outcomes from a proposed intervention and the potential impact of the quality improvement project. Use at least one citation from literature to support the intervention.

Again, the patient safety issue and intervention or interventions identified for this assessment will also be used for all the assessments in this course, so take a look at those assessments now. Ensure the problem and interventions you select will work for the other four assessments.

Create 10-12 slides that reflect the issue you have selected, the evidence, and the possible interventions. You may use the following headings for your slides:

Title.

Name, course information.

Presentation Outline.

Patient Safety Issue.

Internal Evidence of Patient Safety Issue.

External Evidence of Patient Safety Issue.

Organizational Priority for Intervention.

Describe why problem is significant to stakeholders and give specific examples.

Propose a Quality Improvement Project.

Describe interventions and desired patient outcomes and potential organizational impact.

Include at least one citation from literature to support proposal.

References.

Record voice over for your slide presentation using PowerPoint features or Kaltura.

Submit PowerPoint slide deck with slide notes in PDF or Microsoft Word format and a video recording of your 5-minute presentation.

Additional Requirements

. 10-12 PowerPoint slides with slide notes.

. Five minute voice over recording of presentation slides.

. Minimum two external resources.

. Reference slide with APA citations.

. Submit slide deck, slide notes, and video recording.

Competencies Measured

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

. Competency 1: Apply the steps of the evidence based practice process to a health care challenge.

. Identify a health care safety problem that needs to be improved.

. Describe why this health care safety problem is a concern to stakeholders, patients, or community members and should be an organizational priority.

. Explain your desired patient outcomes and the potential impact of the quality improvement project.

. Competency 5: Interpret the results and practical significance of health care data analyses in the evidence based practice process.

. Document two external sources from literature of evidence that support the need for change.

. Competency 6: Produce original written work, in compliance with the Capella Writing Standards, which is a creative synthesis of information from credible sources.

. Conduct a professional presentation using well designed slides and slide notes.

. Apply APA formatting to in-text citations and references.

RUBRICS

1, Identify a health care safety problem that needs to be improved. Identifies a health care safety problem that needs improvement and describes the problem in detail using creative liberty or with specific examples.

2, Document two external sources from literature of evidence that support the need for change. Discusses external sources that support the need for change that are from literature. Explains how source is directly related to the patient safety issue.

3, Describe why this health care safety problem is a concern to stakeholders, patients, or community members and should be an organizational priority. Describes why the health care safety problem is a high priority and is of significant concern to stakeholders, patients, or community members and provides specific examples.

4, Explain your desired patient outcomes and the potential impact of the quality improvement project. Describes the desired state for an intervention in a health care setting and explains the impact of the quality improvement project with at least one citation from literature to support impact.

5, Conduct a professional presentation using well designed slides and slide notes. Conducts a professional presentation using well designed slides and slide notes. Speaks with confidence and explains the issue and intervention without too much jargon.

6, Apply APA formatting to in-text citations and references. Exhibits strict and nearly flawless adherence to APA formatting of in-text citations and references.

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NURS FPX 8010 Quality Improvement Proposal Initiative Paper Example

NURS FPX 8010 Assessment 4 Quality Improvement ProposalNURS FPX 8010 Assessment 4 Quality Improvement Proposal

NURS FPX 8010 Quality Improvement Proposal Initiative Paper Assignment Brief

Course: NURS-FPX 8010 Executive Leadership in Contemporary Nursing

Assignment Title: NURS FPX 8010 Assessment 4 Quality Improvement Proposal

Assignment Overview

In this assignment, you will propose a high-level quality improvement initiative targeting a strategic priority within a healthcare organization. Your proposal should be tailored to engage executive leaders and stakeholders effectively, aiming to garner support and buy-in for the proposed initiative.

Understanding Assignment Objectives

This assignment is designed to assess your ability to:

  • Develop a strategic quality improvement initiative aligned with organizational priorities.
  • Utilize effective communication methods to present your proposal to executive leaders and stakeholders.
  • Apply evidence-based practices and theoretical frameworks to support your proposal.
  • Recommend policy changes to facilitate the implementation of the quality improvement initiative.
  • Demonstrate clear and concise communication skills appropriate for the target audience and context.

The Student’s Role

As a healthcare professional and future leader, your role is to analyze existing organizational priorities and identify opportunities for improvement. You will propose a quality improvement initiative aimed at addressing a specific challenge or inefficiency within the organization. Your proposal should demonstrate a deep understanding of the strategic context and consider the perspectives of key stakeholders.

You Can Also Check Other Related Assessments for the NURS-FPX 8010 Executive Leadership in Contemporary Nursing Course:

NURS FPX 8010 Assessment 1 Political Landscape Analysis Example

NURS FPX 8010 Assessment 2 Strategic Plan Appraisal Example

NURS FPX 8010 Assessment 3 Strategic Plan Development Example

NURS FPX 8010 Quality Improvement Proposal Initiative Paper Example

Introduction

In today’s healthcare landscape, strategic planning is essential for nurse leaders to ensure efficient, effective, and patient-centered care delivery. Strategic priorities guide organizational efforts towards achieving desired outcomes and improving patient experiences (Lal, 2020). This proposal aims to address a critical issue within Life Care Centers regarding communication between providers and patients through the electronic medical records (EMR) system. By implementing a quality improvement initiative focused on improving communication efficiency, we aim to enhance patient satisfaction, strengthen relationships with referral sources, and elevate the overall reputation of Life Care Centers.

Rationale for Establishing a Strategic Priority

Effective communication between providers and patients is fundamental to delivering high-quality care and ensuring positive patient outcomes (Lang, 2012). However, inefficiencies in communication processes, such as delays in message response times, can lead to disruptions in care delivery and impact patient satisfaction. Addressing this strategic priority aligns with the organization’s overarching goal of providing cost-effective, high-quality care while maintaining patient-centeredness.

SWOT Analysis of Chosen Strategic Priority

Strengths:

  • Strong leadership support from executive sponsors, including the CFO and CEO.
  • Access to data and informatics expertise for effective analysis and decision-making.
  • Existing policies and procedures provide a foundation for policy revisions and implementation.

Weaknesses:

  • Inefficient communication processes leading to delays in care and patient dissatisfaction.
  • Lack of clarity regarding responsibilities for message management and response times.
  • Potential resistance to change from providers accustomed to existing communication practices.

Opportunities:

  • Implementation of new policies and procedures to streamline communication processes.
  • Collaboration between stakeholders to identify and address system inefficiencies.
  • Potential for significant improvement in patient satisfaction and organizational reputation.

Threats:

  • Resistance to change from providers and staff members reluctant to adopt new practices.
  • Risk of continued communication inefficiencies leading to further declines in patient satisfaction.
  • External factors, such as technological limitations, impacting the effectiveness of proposed solutions.

Key Performance Indicators for Measuring Success

To measure the success of the quality improvement initiative, key performance indicators (KPIs) will be established, including:

  • Response time to patient messages within designated time frames (e.g., non-urgent messages within 72 hours, urgent messages within 2 hours).
  • Patient satisfaction scores related to communication and overall experience.
  • Number of near-miss events and adverse outcomes associated with communication delays.

Value of Stakeholder Feedback and Collaboration Process

Stakeholder engagement and collaboration are crucial for the success of the quality improvement initiative. Key stakeholders, including executive sponsors, informatics specialists, quality improvement leaders, and frontline staff, will be involved in the planning, implementation, and evaluation phases of the project. Stakeholder feedback will inform decision-making and ensure that proposed changes align with organizational goals and priorities.

Contemporary Change Theory

Lewin’s Change Theory provides a framework for understanding and managing organizational change. By unfreezing existing communication practices, implementing new policies and procedures, and reinforcing desired behaviors, we can facilitate sustainable improvements in communication efficiency (Petiprin, 2020). Engaging stakeholders, providing education and training, and fostering a culture of continuous improvement are essential components of successful change implementation.

Policy Recommendations

Policy recommendations will focus on:

  • Clarifying roles and responsibilities for message management and response times.
  • Establishing clear guidelines for communication via the EMR system, including response time expectations for providers.
  • Regular review and updates of policies to ensure alignment with organizational goals and best practices.

Communication Strategy

Clear and concise communication will be essential for engaging stakeholders and fostering support for the quality improvement initiative (Eichler, et.al, 2018). Regular updates and progress reports will be provided through multiple channels, including team meetings, email communications, and executive summaries. Tailoring communication strategies to the needs and preferences of different stakeholders will ensure effective dissemination of information and promote buy-in for proposed changes.

Conclusion

Improving communication efficiency between providers and patients is critical for enhancing patient satisfaction and maintaining organizational reputation. By addressing this strategic priority through a comprehensive quality improvement initiative, Life Care Centers can optimize care delivery processes, strengthen relationships with referral sources, and ultimately, improve patient outcomes. Through stakeholder collaboration, policy revisions, and continuous monitoring, we aim to achieve sustainable improvements in communication practices and elevate the overall quality of care provided.

References

Eichler HG, Bloechl-Daum B, Broich K, et al. (2018). Data rich, information poor: can we use electronic health records to create a learning healthcare system for pharmaceuticals? Clinical Pharmacology & Therapeutics, September 4. doi: 10.1002/cpt.1226.

Lal, M. (2020). Why You Need a Nursing Strategic Plan. JONA: The Journal of Nursing Administration, 50(4), 183-184. doi: 10.1097/NNA.0000000000000863.

Lang EV. (2012). A Better Patient Experience Through Better Communication. J Radiol Nurs, 31(4), 114-119. doi: 10.1016/j.jradnu.2012.08.001.

Petiprin, A. (2020, July 19). Lewin’s change theory. Nursing Theory. Retrieved from https://nursing-theory.org/theories-and-models/lewin-change-theory.php.

Detailed Assessment Instructions for the NURS FPX 8010 Quality Improvement Proposal Initiative Paper Assignment

Assessment 4 Instructions: Quality Improvement Proposal Initiative Assignment

Description

Propose a high-level quality improvement initiative for a selected departmental strategic priority, and choose an effective method of presenting your proposal to executive leaders and other stakeholders in the organization and community.

Introduction

Quality improvement and management in health care has its roots in the business world and the teachings of quality gurus such as W. Edwards Deming, Joseph Juran, Phillip B. Crosby, and Avedis Donabedian. As health care costs rose in the late 1960s, payers wanted assurance that their investments resulted in improved health. More importantly, patients and health care professionals wanted assurance that their participation resulted in safe, effective care with positive long-term benefits.

As 21st century health care organizations strive for high reliability, executive leadership is tasked with keeping the organization focused on quality and safety. In the previous assessments, you identified an organization’s strategic priorities and provided a comprehensive assessment of stakeholder and leadership influence. High-reliability organizations align quality and safety with strategic goals. Your work in previous assessments will help you identify one strategic priority for improvement.

From the nursing unit level to the executive office, quality equates with attention to the processes and functions that drive and support safety, efficiency, effectiveness, and satisfaction. The DNP-prepared nurse is in a unique position to blend knowledge of systems theory with an understanding of quality management. Added to this mixture is the DNP-prepared nurse’s exquisite appreciation for the holistic needs of individuals and groups.

This assessment provides an opportunity for you to propose a quality improvement initiative that supports a departmental strategic priority.

Preparation

Choose one strategic priority from the departmental strategic plan you developed in Assessment 3 as the focus of a proposed quality improvement initiative. 

Note: The assessments in this course must be completed in the order presented; subsequent assessments should be built on both your earlier work and your instructor’s feedback on earlier assessments. If you choose to submit assessments prematurely, without considering and integrating your instructor’s feedback, your assessment may be returned ungraded, resulting in your loss of an assessment attempt.

Instructions

Develop a presentation of your proposed high-level quality improvement initiative for executive leaders and other stakeholders in the organization and community.

Be creative in showcasing your proposal. Choose a presentation method you consider to be both engaging and likely to garner the necessary support and buy-in. For example, you might consider any of the following methods, or something different.

  • Marketing brochure prefer method
  • Newsletter.
  • Video.
  • Audio or video slide presentation.
  • Executive summary.

Whichever method you choose, consider the information needs of your intended audience, their communication preferences, and possible time constraints on processing your proposal.

Video Recording

If you choose video as your preferred presentation method, Kaltura is the recommended tool for video recording. Refer to  Using Kaltura  for more information about this courseroom tool. You are also free to use any other technology of your choice (such as a video camera or smart phone) to record your video; however, please inform the faculty facilitator of your decision not to use Kaltura to avoid potential technical problems associated with file formats.

To record your video, you will need a built-in or external microphone and/or video camera (webcam or other device). Check that your recording equipment and software is working properly and that you know how to record and submit your video. Be sure to set up and test your equipment ahead of time.

Note: If you use assistive technology or any alternative communication methods to access course content, please contact  DisabilityServices@Capella.edu  with any access-related questions or to request accommodations.

Evaluation

The following tasks correspond to the grading criteria in the scoring guide, so be sure to address each point in the presentation of your proposed quality improvement initiative. Read the performance-level descriptions for each criterion to see how your work will be assessed.

  • Explain the rationale for establishing a strategic priority.

. Describe the overarching aim and focus of your proposed quality improvement initiative.

. Use the evidence-based literature to provide broad rationale for establishing this priority.

  • Present the key points from a SWOT analysis of a chosen strategic priority.

. Consider the organization’s political landscape and strategic priorities.

  • Identify key performance indicators for measuring the success of a quality improvement initiative.

. For example: infection rates, customer satisfaction, financial performance indicators, productivity, nurse satisfaction, or other internal metric.

. These indicators could align with those identified on the departmental balanced scorecard.

  • Explain the value of stakeholder feedback and the process for collaborating with stakeholders on the proposed quality improvement initiative.

. Identify key stakeholders and explain why their support for this initiative is crucial to its success.

. Explain how you will leverage stakeholder feedback.

  • Explain how one contemporary change theory could be used to facilitate changes inherent in implementing a quality improvement initiative.
  • Make policy recommendations to support the proposed quality improvement initiative.

. Your recommendations could entail developing a new policy, revising a current policy, or retiring a current policy.

. Describe the policy implications of this initiative and their impact on the organization.

. Justify your recommendations.

  • Communicate clearly and concisely in a form and style appropriate for the audience and for the substance, purpose, and context of the message being conveyed.

. Consider the needs of your audience.

. Be succinct and mindful of communication best practices.

. Carefully review your media and materials to avoid errors that could distract the audience and make it more difficult for them to focus on the substance of your proposed initiative.

Portfolio Prompt: You are encouraged to save your quality improvement proposal presentation to your  ePortfolio.

Competencies Measured

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

  • Competency 3: Propose a strategic plan that integrates feedback from other disciplines and aligns with organizational priorities.

. Explain the rationale for establishing a strategic priority.

. Present the key points from a SWOT analysis of a chosen strategic priority.

. Identify key performance indicators for measuring the success of a quality improvement initiative.

. Explain the value of stakeholder feedback and the process for collaborating with stakeholders on a proposed quality improvement initiative.

. Explain how one contemporary change theory could be used to facilitate changes inherent in implementing a quality improvement initiative.

  • Competency 4: Recommend policy changes that support a strategic plan.

. Make policy recommendations to support a proposed quality improvement initiative.

  • Competency 5: Address assessment purpose in effective written or multimedia presentations, incorporating appropriate evidence and communicating in a form and style consistent with applicable professional and academic standards.

. Communicate clearly and concisely in a form and style appropriate for the audience and the substance, purpose, and context of the message being conveyed.

RUBRICS

1, Explain the rationale for establishing a strategic priority. Provides a concise and articulate explanation of the rationale for establishing a strategic priority. The rationale is well supported in the evidence-based literature and reflective of keen insight into the logical implications and consequences of the stated priority.

2, Present the key points from a SWOT analysis of a chosen strategic priority. Presents the key points from a SWOT analysis of a chosen strategic priority. Key points indicate a perceptive analysis that reflects awareness and due consideration of organizational politics and strategic goals,

3, Identify key performance indicators for measuring the success of a quality improvement initiative. Identifies precise key performance indicators, clearly aligned with strategic priorities, for measuring the success of a quality improvement initiative.

4, Explain the value of stakeholder feedback and the process for collaborating with stakeholders on a proposed quality improvement initiative. Provides a concise, articulate explanation of the value of stakeholder feedback and the process for collaborating with stakeholders on a proposed quality improvement initiative. Presents an effective strategy for collaborating and draws well-reasoned conclusions about the value of stakeholder support

5, Explain how one contemporary change theory could be used to facilitate changes inherent in implementing a quality improvement initiative. Explains how one contemporary change theory could be used to facilitate changes inherent in implementing a quality improvement initiative. Applies an insightful interpretation of applicable theory to best practices in change leadership.

6, Make policy recommendations to support a proposed quality improvement initiative. Makes astute policy recommendations to support a proposed quality improvement initiative. Identifies significant and relevant policy implications and provides compelling justification for policy changes.

7, Communicate clearly and concisely in a form and style appropriate for the audience and the substance, purpose, and context of the message being conveyed. Communicates clearly and concisely in a form and style appropriate for the audience and for the substance, purpose, and context of the message being conveyed. Content, form, and style are congruous, engaging, and facilitate audience comprehension. Adheres to all applicable professional, disciplinary, and scholarly communication and design standards.

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NURS FPX 8010 Political Landscape Analysis Paper Example

NURS FPX 8010 Assessment 1 Political Landscape AnalysisNURS FPX 8010 Assessment 1 Political Landscape Analysis

NURS FPX 8010 Political Landscape Analysis Paper Assignment Brief

Course: NURS-FPX 8010 Executive Leadership in Contemporary Nursing

Assignment Title: NURS FPX 8010 Assessment 1 Political Landscape Analysis

Assignment Instructions Overview

This assignment aims to analyze the political landscape of a healthcare organization, focusing on formal and informal power structures and their impact on organizational culture, policies, and communications.

The Student’s Role

As a student undertaking this assignment, your role is to critically evaluate the formal and informal lines of power within the given healthcare organization scenario. You will need to assess how these power dynamics influence decision-making processes, particularly at the executive level, and propose recommendations based on your analysis.

Competencies Measured

This assignment measures several competencies, including:

  • Analyzing formal and informal power structures in an organization.
  • Incorporating organizational power dynamics into executive-level decision-making.
  • Identifying the appropriate source of power for achieving strategic objectives.
  • Recommending policy changes that align with a strategic plan.

You Can Also Check Other Related Assessments for the NURS-FPX 8010 Executive Leadership in Contemporary Nursing Course:

NURS FPX 8010 Assessment 2 Strategic Plan Appraisal Example

NURS FPX 8010 Assessment 3 Strategic Plan Development Example

NURS FPX 8010 Assessment 4 Quality Improvement Proposal Example

NURS FPX 8010 Political Landscape Analysis Paper Example

Formal and Informal Lines of Power

Formal and informal lines of power are prevalent in healthcare organizations, shaping their functioning and leadership dynamics (Galliers, 2022). In hospitals, formal power is defined by positions like the President, Chief Nursing Officer (CNO), and Chief Financial Officer (CFO), outlined in the organizational hierarchy to clarify roles and responsibilities. Conversely, informal power emerges through relationships, trust, and networking within the organization, extending influence beyond formal roles. For example, the CNO holds both formal authority and informal influence, leveraging their position and connections to impact decisions and relationships.

Recognizing the formal power inherent in leadership roles is crucial, but equally important is cultivating informal power through relationship-building (Shirey, 2015). As a new CNO, it’s essential to collaborate with colleagues, respecting their input and fostering a positive work environment (Waring, et.al, 2018). Negative sentiments can undermine organizational cohesion, underscoring the need for maintaining a supportive atmosphere. Research emphasizes the significance of understanding organizational politics in navigating change processes and facilitating effective communication channels.

Comprehending power dynamics is essential for effective leadership in healthcare organizations. By embracing both formal authority and informal influence, leaders can navigate organizational politics and drive positive change within their organizations, fostering collaboration and achieving shared goals.

Organizational Power Influences on Executive-Level Decision-Making

Organizational power dynamics significantly influence executive-level decision-making processes in healthcare organizations. Understanding the rationale behind policies and decisions is crucial for leaders to fulfill their roles effectively (Galliers, 2022). In the constantly evolving healthcare landscape, it’s essential to grasp the implications of policies for successful implementation. Seeking guidance from superiors and exploring alternative solutions are essential practices for new leaders in navigating these complexities.

Adapting to change and effectively communicating with stakeholders are crucial aspects of navigating organizational power dynamics (Waring, et.al, 2018). New leaders must adjust their approach to accommodate diverse perspectives and find solutions that meet the needs of all parties involved. Building trust and fostering collaboration are essential for leveraging both formal and informal power effectively.

Maintaining awareness of the organizational climate and being proactive in identifying opportunities for improvement are vital for success (Shirey, 2015). Strategic agility, the ability to seize opportunities and adapt to new strategies, is crucial in dynamic healthcare environments. Creating a positive work environment and promoting open communication are essential for driving progress and fostering collaboration among stakeholders.

As a new leader, I actively seek guidance from superiors to comprehend the rationale behind policies and ensure their successful execution. By embracing diverse perspectives and fostering collaboration, I aim to leverage both formal and informal power to address challenges and drive positive change.

The Impact of Power on Organizational Policy

Power dynamics significantly shape organizational policies within our healthcare institution (Waring, et.al, 2018). Our Chief Medical Officer (CMO) wields considerable formal and informal authority, owing to years of experience and community influence. While the CMO’s leadership is valued, embracing diverse perspectives is vital for driving innovation and progress. As a newcomer, I aim to offer fresh insights that prioritize diversity and cultural sensitivity in policy development. Collaborative decision-making, inclusive of input from various stakeholders, is crucial for achieving policies that meet the needs of our diverse workforce and patient population. By fostering an environment of open communication and leveraging the expertise of colleagues, we can navigate power dynamics effectively to enact meaningful changes that address pressing challenges, such as the increasing patient workload.

Conclusion

In conclusion, the analysis emphasizes the significant impact of formal and informal lines of power on leadership dynamics and decision-making processes within healthcare organizations. Understanding these power dynamics is essential for effective leadership, enabling leaders to navigate organizational politics and foster positive change. By recognizing and leveraging both formal authority and informal influence, leaders can effectively address challenges, adapt to change, and promote collaboration. Embracing diverse perspectives and fostering open communication are critical for driving innovation and progress in healthcare policy development. Ultimately, navigating power dynamics effectively allows healthcare leaders to enact meaningful changes that meet the needs of their workforce and patient population, thereby contributing to the overall improvement of healthcare delivery.

References

Galliers, R.D., Simeonova, B., & Karanasios, S. (2022). Power dynamics in organizations and the role of information systems. Information Systems Journal, 32(3), 233-241.

Shirey, M.R. (2015). Strategic Agility in Healthcare Leadership. . JONA: The Journal of Nursing Administration, 45(6), 305-308..

Waring, J., Minister, P., Clarke, J., et al. (2018). Healthcare leadership with political astuteness (HeLPA): a qualitative study of how service leaders understand and mediate the informal “power and politics” of major health system change. BMC Health Services Research, 18(1), N.PAG.

Detailed Assessment Instructions for the NURS FPX 8010 Political Landscape Analysis Paper Assignment

Assessment 1 Instructions Political Landscape Analysis

NURS FPX 8010 Capella Formal & Informal Power in Healthcare Organizations Assessment

Description

Using the case scenario provided, write a 3-page analysis of the organization’s political landscape, including formal and informal power structures at play and their impact on culture, policy, and communications.

Introduction

Understanding the political landscape of an organization is key when developing strategic priorities. Knowing the key players and how to leverage relationships will help you develop a strategic plan that is meaningful to all stakeholders. Gaining stakeholder buy-in is the key to success when attempting to meet the strategic goals outlined on a balanced scorecard.

This assessment provides an opportunity for you to gain insight into organizational power structures and their effects on organizational culture, policies, and communications.

Preparation

For this assessment, use the following case scenario:

You are a new nurse executive at a community-based hospital system in the southeastern region of the United States. The system is not-for-profit and serves five rural counties. The system comprises one flagship hospital, three smaller critical access hospitals, and a number of clinics and urgent care centers. The health care system serves a diverse population of insured, Medicare, Medicaid, and uninsured patients. The hospital is Joint Commission accredited and for three years in a row has been rated as a Top 100 Hospital.

Historically, the hospital system has been physician-centric, meaning that the physician staff have had the power to influence change, policy, and protocol. The current chief executive officer (CEO) was recently hired from a large university-affiliated hospital system. The chief medical officer (CMO) started the organization’s orthopedic program (one of the most lucrative service lines) and has been with the organization for more than 25 years. He is well respected in the local community and serves on a number of community boards. In light of this strong influence from the department of medicine, nursing has struggled over the past five years. You are the second chief nursing officer (CNO) in four years. The hospital board is applying pressure to seek Magnet designation, which was recently lost due to poor leadership by your predecessor.

The hospital has recently adopted the hospitalist model to cover all in-patients. The hospitalist group was developed by physician leaders in the organization and operates as a separate department within the organization. The hospitalist group desires to become a limited liability corporation (LLC) to maximize benefit offerings but needs a larger staff to make this happen. They have presented a proposal to executive leadership to transfer all advance practice registered nurses (APRNs) working in the organization (there are more than 50) to the hospitalist group, which is housed under the department of medicine. The CMO is spearheading this initiative. Traditionally, ARPNs were hired and managed by the department of nursing.

As the new CNO, you have been approached by a group of 15 APRNs who are against the transition as it will severely impact their scope of practice, in addition to affecting their paid time off, salary, and work hours. The CMO has offered to make APRNs eligible for the annual physician hospitalist bonus structure, as an incentive. At the same time, the CMO has informally proposed that a new policy be created for APRN hospital privileges. If the APRNs choose not to join the hospitalist group, they will not be eligible for hospital privileges. In the state in which the organization is located, a supervising physician is required for APRN practice.

Instructions

Analyze the organization’s political landscape. Examine formal and informal power structures at play and how they affect organizational culture, policies, and communications at all levels.

Analysis Format and Length

Format your document using APA style.

. A title page and references page. An abstract is not required.

. A running head on all pages.

  • Use the following section headings to ensure thorough content coverage and flow.

. Formal and Informal Lines of Power.

. Organizational Power Influences on Executive-Level Decision-Making.

. The Impact of Power on Organizational Policy.

. Sources of Power.

  • Provide a short conclusion to your analysis in the form of a summary or editorial.
  • Your analysis should be 3 pages in length, excluding the title and references pages.

Evaluation

The following tasks correspond to the grading criteria in the assessment scoring guide, so be sure to address each point. Read the performance-level descriptions for each criterion to see how your work will be assessed.

  • Analyze the formal and informal lines of power within the organization in the case study.
  1. Describe the informal and formal lines of power within this organization.
  2. What source of power is being used by the different stakeholders? For example: authority, rewards, coercion, expertise, reputation, personal power.
  3. Describe the effects of power structures on organizational culture, policies, and communications at all levels.
  • Incorporate organizational power dynamics as a factor in executive-level decision making.
  1. Based on your analysis of internal power structures and your perspective as CNO, what would be the best way to respond to the concerns of the ARPNs in this scenario, and why?
  2. What support for your response can be found in the evidence-based literature?
  3. What underlying assumptions might influence your decision making?
  • Assess the potential impact or influence of power on this change in organizational policy.
  1. What is the basis for your conclusions?
  • Identify the appropriate source of power for achieving the CNO’s primary strategic objective.
  1. For example: authority, rewards, coercion, expertise, reputation, personal power.
  2. What evidence do you have to support your conclusion?
  • Articulate meaning relevant to the main topic, scope, and purpose of the prompt. 
  1. Write with a specific purpose and audience in mind.
  2. Adhere to scholarly and disciplinary writing standards.
  3. Proofread your writing to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your analysis.
  • Apply APA formatting to in-text citations and references.

DEMONSTRATION OF PROFICIENCY

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

  • Competency 2: Analyze formal and informal power structures in an organization.
    • Analyze the formal and informal lines of power within an organization.
    • Incorporate organizational power dynamics as a factor in executive-level decision-making.
    • Identify the appropriate source of power for achieving a primary strategic objective.
  • Competency 4: Recommend policy changes that support a strategic plan.
    • Assess the potential impact or influence of power on organizational policy.
  • Competency 5: Address assessment purpose in effective written or multimedia presentations, incorporating appropriate evidence and communicating in a form and style consistent with applicable professional and academic standards.
    • Articulate meaning relevant to the main topic, scope, and purpose of the prompt.
    • Apply APA formatting to in-text citations and references.

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NURS FPX6618 Disaster Plan With Guidelines for Implementation Tool Kit for the Team Paper Example

NURS FPX6618 Assessment 3 Disaster Plan With Guidelines for Implementation: Tool Kit for the TeamNURS FPX6618 Assessment 3 Disaster Plan With Guidelines for Implementation: Tool Kit for the Team

NURS FPX6618 Disaster Plan With Guidelines for Implementation Tool Kit for the Team Paper Assignment Brief

Course: NURS-FPX 6618 Leadership in Care Coordination

Assignment Title: NURS FPX6618 Assessment 3 Disaster Plan With Guidelines for Implementation: Tool Kit for the Team

Assignment Overview

In this assignment, you will develop a disaster planning tool kit for a community or population and prepare a presentation for your care coordination team to implement a disaster preparedness plan based on the tool kit. The purpose of this assignment is to demonstrate your proficiency in proposing a project for change, aligning care coordination resources with community health care needs, applying project management best practices, identifying ways to support collaboration between stakeholders, and communicating effectively with diverse audiences.

Understanding Assignment Objectives

This assignment requires you to assume the role of Care Coordinator for Disaster Care and develop a disaster planning tool kit tailored to a specific community or population within the practice setting chosen for Assessment 1. Your tool kit should include a policy for the disaster preparedness plan, guidelines for implementing the policy, and recommendations for engaging stakeholders. Additionally, you will create a presentation to prepare your care coordination team to use the tool kit effectively.

The Student’s Role

As the Care Coordinator for Disaster Care, you are responsible for developing a comprehensive disaster preparedness plan to address the needs of the community or population during a crisis. Your role involves assessing care coordination needs, identifying key elements of the disaster preparedness project plan, determining personnel and material resources required for emergencies, ensuring ethical and culturally competent care, analyzing interagency and interprofessional relationships, and communicating effectively with your care coordination team.

You Can Also Check Other Related Assessments for the NURS-FPX 6618 Leadership in Care Coordination Course:

NURS FPX 6618 Assessment 1 Planning and Presenting a Care Coordination Project Example

NURS FPX 6618 Assessment 2 Mobilizing Care for an Immigrant Population Example

NURS FPX6618 Disaster Plan With Guidelines for Implementation Tool Kit for the Team Paper Example

Introduction

Greetings,

I am Nathaniel Courtois Richardson, and I am here to discuss the development of a comprehensive disaster preparedness plan aimed at ensuring the safety and well-being of patients with disabilities when disaster strikes such as during the COVID-19 pandemic. This assessment seeks to outline a disaster plan along with guidelines for implementation, providing a toolkit for the healthcare team to effectively manage and respond to crises.

Disasters, particularly pandemics like COVID-19, pose significant challenges for individuals with disabilities, who often require specialized care coordination to address their unique health needs. This assessment aims to address the specific requirements of this vulnerable population by developing a robust disaster plan with practical implementation guidelines.

Care Coordination Needs

Disasters, particularly pandemics like COVID-19, pose significant challenges for individuals with disabilities, who often require specialized care coordination to address their unique health needs (Jones & Brown, 2019). Access to essential medical equipment and medications becomes crucial during such crises, as individuals with disabilities may require specialized devices like ventilators or nebulizers to manage their conditions (CDC, 2020).

Furthermore, disruptions to supply chains can exacerbate shortages of critical medications and medical supplies, further complicating the situation (WHO, 2018). Access to healthcare providers with expertise in disability-related care becomes essential, yet disasters often strain healthcare systems, resulting in delays or difficulties in accessing care (AMA, 2017).

Moreover, individuals with disabilities may face challenges in accessing information about the disaster and available resources, leading to confusion and fear, which can worsen their health outcomes (NCD, 2020).

In essence, individuals with disabilities require specialized care coordination during disasters like the COVID-19 pandemic to manage their health needs effectively. Addressing these needs in disaster planning and response efforts is critical to ensure they receive the necessary care to maintain their health and well-being.

Elements of a Disaster Preparedness Project Plan

A comprehensive disaster preparedness project plan equips organizations and communities to respond effectively to disasters, minimize damage, and facilitate swift recovery. A disaster preparedness toolkit for providing adequate care coordination to individuals with disabilities should include the following key components:

  • Communication Plan: Develop a clear communication plan to inform individuals with disabilities about the disaster and provide updated information on response efforts. Consider alternative communication methods for those with disabilities, such as providing information in accessible formats or utilizing assistive technology (CDC, 2020).
  • Emergency Supplies: Include emergency supplies such as first aid kits, medications, medical equipment, food, and water in the toolkit. Pay special attention to individuals with disabilities who may require specific equipment or medications (WHO, 2018).
  • Evacuation Plan: Incorporate an evacuation plan detailing how individuals with disabilities will be safely evacuated from their homes or facilities in the event of a disaster. Consider the transportation needs of individuals with disabilities and ensure appropriate vehicles are available (Jones & Brown, 2019).
  • Resource Database: Establish a comprehensive database of resources containing contact information for local emergency management agencies, hospitals, pharmacies, and other relevant organizations. Include information on available services for individuals with disabilities, such as transportation and accessible shelters (NCD, 2020).
  • Staff Training and Psychosocial Support: Provide specialized training to staff working with individuals with disabilities on disaster preparedness, including identifying and addressing their specific needs during a crisis. Include resources for psychosocial support, such as counseling and mental health services, to address the emotional needs of individuals with disabilities and their families (AMA, 2017).

In the context of the COVID-19 pandemic, careful planning for care coordination should include:

  • Developing infection prevention and control protocols to protect individuals with disabilities who are at higher risk of severe illness from COVID-19 (CDC, 2020).
  • Ensuring access to essential healthcare, including telemedicine and virtual visits, to minimize the risk of exposure to COVID-19.
  • Collaborating with local health agencies and healthcare providers to ensure individuals with disabilities can access COVID-19 testing, vaccination, and treatment.
  • Providing training and resources to caregivers and staff to ensure they are prepared to care for individuals with disabilities during the pandemic.

Personnel & Material Resources in Emergencies

Personnel and material resources are essential for the success of any plan, particularly in emergencies where organized care is crucial for patients with disabilities during the COVID-19 pandemic. The following staff and material resources may be required:

Personnel Resources

Trained healthcare professionals, including physicians, nurses, and caregivers, with expertise in the specific needs and challenges of patients with disabilities (Jones & Brown, 2019).

Technical experts proficient in communication with patients facing communication barriers or utilizing alternative communication methods (CDC, 2020).

Mental health professionals to support individuals with disabilities experiencing increased anxiety, depression, or other mental health issues during the pandemic.

Social workers to assist in accessing resources and services for individuals with disabilities and their families.

Rehabilitation professionals to provide physical therapy, occupational therapy, and other services to help individuals with disabilities maintain their physical and functional abilities.

Material Resources

Medical equipment and supplies, such as ventilators, oxygen tanks, personal protective equipment (PPE), and medications (CDC, 2020).

Assistive devices and technologies, including mobility aids, assistive devices, and hearing aids.

Accessible transportation, including vehicles equipped with lifts or ramps for wheelchair users or other mobility aids.

Adequate space and facilities to accommodate the needs of individuals with disabilities, including accessible restrooms, examination rooms, and waiting areas.

Sufficient supplies of food, water, and other necessities to ensure the well-being of individuals with disabilities who may be unable to leave their homes or access community resources during the pandemic.

Assumptions and Vulnerabilities

The availability of personnel and material resources may be limited during an emergency, impacting the quality and scope of care provided to individuals with disabilities. Patients with disabilities may have complex medical needs requiring specialized care that is not readily available in all healthcare settings. Communication barriers may exist for patients with disabilities who use alternative communication methods or have limited access to technology or interpreters (Jones & Brown, 2019).

Effective coordination of staff and material resources is essential for providing high-quality care to patients with disabilities during the pandemic. A multidisciplinary team approach involving healthcare professionals, technical experts, mental health professionals, social workers, and rehabilitation professionals is necessary to address the complex needs of patients with disabilities. Accessible transportation and facilities are crucial for ensuring that patients with disabilities can access essential healthcare services and resources (CDC, 2020).

The availability of medical equipment and supplies is critical for caring for patients with disabilities who may have complex medical needs. Ongoing communication and collaboration between healthcare professionals, patients with disabilities, and their families are necessary to ensure that care is tailored to each patient’s needs and preferences (NCD, 2020).

Ensuring ethical, socially responsible care in challenging conditions requires adherence to established standards and best practices and a willingness to adapt to individual patients’ unique needs and circumstances. In the United States, several organizations address these issues, including the American Medical Association (AMA), the American Nurses Association (ANA), and the National Council on Disability (NCD).

The COVID-19 pandemic has presented several challenges for patients with disabilities, including increased risk of infection, limited access to healthcare services, and isolation from support networks. Additionally, patients with disabilities may face discrimination or bias in healthcare settings, resulting in inadequate or inappropriate care (Jones & Brown, 2019).

The AMA Code of Medical Ethics provides guidance to physicians on ethical considerations in caring for patients with disabilities. The code emphasizes respecting patients, avoiding discrimination, and providing culturally competent care. The ANA has also established a Code of Ethics for Nurses, emphasizing the importance of providing patient-centered care and respecting patient autonomy.

Providers should communicate clearly and effectively with patients with disabilities, taking into account their communication needs. Providers should make accommodations to ensure that patients with disabilities can access healthcare services safely and effectively, such as providing telehealth options or arranging transportation. Providers should be aware of their patient’s cultural and linguistic backgrounds and adapt their care accordingly. Providers should strive to identify and connect patients with disabilities to support organizations and resources that can help them navigate the challenges of the pandemic.

Interagency & Inter-professional Relationships

Coordinated care in a disaster requires collaboration and communication among various agencies and professionals. For patients with disabilities during COVID-19, a coordinated approach is essential to ensure they receive the care they need. The inter-professional and interagency relationships critical for coordinated care in a crisis include:

FEMA is responsible for coordinating the federal response to disasters. To assist disaster victims, they collaborate with other federal agencies, such as the Centers for Disease Control and Prevention (CDC) and the Department of Health and Human Services (HHS) (FEMA, 2021).

State and local health departments are responsible for coordinating disaster response at the local level. They work with FEMA and other federal agencies to care for disaster victims.

Healthcare providers, including physicians, nurses, and other medical staff, are responsible for caring for disaster victims. They work with state and local health departments to care for patients with disabilities during COVID-19. They are the frontline workers who have direct knowledge of the issue and can provide the best care.

EMS is responsible for responding to emergencies and providing medical care to patients in the field. They work closely with healthcare providers and state and local health departments. They care for patients with disabilities during COVID-19.

The essential nature and interrelationships of these agency roles have significant implications for care coordination in a disaster. Effective communication and collaboration between these agencies and professionals are necessary to ensure that patients with disabilities receive the care they need. For example, healthcare providers should work closely with state and local health departments to identify patients with disabilities and develop care plans that meet their specific needs. EMS should also be aware of the needs of patients with disabilities and be prepared to provide appropriate care during transport. FEMA and NGOs should collaborate with state and local agencies to ensure that patients with disabilities can access the resources they need, such as medical equipment, medication, and transportation.

Local, National, or International Regulatory Requirements

Local regulatory requirements governing disaster relief in COVID-19 may vary depending on the jurisdiction. In general, local authorities coordinate disaster relief efforts and ensure that healthcare facilities are prepared to respond to emergencies. For example, local authorities may require healthcare providers to have a disaster plan or mandate specific health protocols to protect vulnerable populations like patients with disabilities (NCD, 2020).

The Federal Emergency Management Agency (FEMA) coordinates disaster response efforts nationally in the United States. In COVID-19, FEMA has provided guidance and funding to support healthcare providers in responding to the pandemic. The Americans with Disabilities Act (ADA) is a crucial national regulatory requirement for disaster relief programs. The ADA prohibits discrimination against individuals with disabilities and requires reasonable accommodations to enable their full participation in disaster relief programs (ADA, 1990).

Internationally, the World Health Organization (WHO) provides guidance and recommendations for disaster preparedness and response efforts. The International Health Regulations (IHR) are also a vital global regulatory requirement governing the reporting and management of public health emergencies, including infectious disease outbreaks like COVID-19 (WHO, 2005).

The relevance of these regulatory requirements may vary depending on the specific context and the needs of patients with disabilities during the COVID-19 pandemic. For example, local authorities may require healthcare facilities to have plans to ensure that patients with disabilities have access to essential facilities and support services during a disaster. National regulatory requirements, such as the ADA, may require healthcare providers to make reasonable accommodations to ensure that patients with disabilities can access care and participate fully in disaster response efforts (ADA, 1990).

The implications and consequences of non-compliance with these regulatory requirements for coordinated care can be significant. Failure to comply with local, national, and international regulatory requirements can result in legal and financial consequences for healthcare providers and adverse health outcomes for patients with disabilities. Failure to provide necessary accommodations or support services to patients with disabilities during a disaster can also result in discrimination and violate their rights under the ADA. Compliance with regulatory requirements is essential to ensure that patients with disabilities can access the care and support they need during a public health emergency like COVID-19.

Conclusion

In conclusion, a disaster plan is essential to ensure the safety and well-being of patients with disabilities during the COVID-19 pandemic. The toolkit provides detailed instructions and protocols for healthcare teams to follow during a disaster, such as a pandemic. It offers specific guidance on addressing the unique needs of patients with disabilities. By adhering to the guidelines outlined in this toolkit, healthcare teams can ensure that patients with disabilities receive the care and support they need to manage their health during this challenging time.

References

American Medical Association. (2017). Disaster Preparedness and Response Resources. Retrieved from https://www.ama-assn.org/delivering-care/ethics/disaster-preparedness-and-response-resources

Americans with Disabilities Act of 1990, 42 U.S.C. § 12101 et seq. (1990).

Centers for Disease Control and Prevention (CDC). (2020). COVID-19: People with Certain Medical Conditions. Retrieved from https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/people-with-medical-conditions.html

Federal Emergency Management Agency (FEMA). (2021). About FEMA. Retrieved from https://www.fema.gov/about

Jones, R. L., & Brown, S. L. (2019). Disaster Preparedness for Vulnerable Populations. American Journal of Nursing, 119(3), 45–49. https://doi.org/10.1097/01.NAJ.0000554005.39817.3f

National Council on Disability (NCD). (2020). COVID-19 Vaccine Distribution: Consideration for People with Disabilities. Retrieved from https://ncd.gov/publications/2021/covid-19-vaccine-distribution-considerations-people-disabilities

World Health Organization (WHO). (2018). Guidance for managing ethical issues in infectious disease outbreaks. Retrieved from https://apps.who.int/iris/bitstream/handle/10665/259794/9789241550292-eng.pdf

World Health Organization (WHO). (2005). International Health Regulations (2005). Retrieved from https://www.who.int/ihr/publications/9789241596664/en/

Detailed Assessment Instructions for the NURS FPX6618 Disaster Plan With Guidelines for Implementation Tool Kit for the Team Paper Assignment

Assessment 3

  • Disaster Plan With Guidelines for Implementation: Tool Kit for the Team

Overview:

Develop a disaster preparedness tool kit for a community or population. Then, develop a 5-slide presentation for your care coordination team to prepare them to use the tool kit to execute a disaster preparedness plan.
Note: The assessments in this course build upon the work you completed in previous assessments. Therefore, complete the assessments in the order in which they are presented.
Disaster planning is vital to ensuring effective and seamless coordination, throughout the recovery period, among those affected by the disaster and an extensive array of health care providers and services. Care coordination, as part of an overall disaster response effort, helps ensure that victims receive needed care as access to providers and services are gradually restored over time.
SHOW LESS

  • This assessment provides an opportunity for you to develop a disaster preparedness tool kit for a community or population of your choice, and prepare your care coordination team to use the tool kit to execute that plan.
    By successfully completing this assessment, you will demonstrate proficiency in the following course competencies and assessment criteria:

    • Competency 1: Propose a project for change, for a community or population, within a care coordination setting. 
      • Identify the key elements of a disaster preparedness tool kit for providing effective care coordination to a community or population.
    • Competency 2: Align care coordination resources with community health care needs. 
      • Assess the care coordination needs of a community or population in a disaster situation.
      • Identify the personnel and material resources needed in an emergency to provide the necessary coordinated care.
    • Competency 3: Apply project management best practices to affect ethical practice and support positive health outcomes in the delivery of safe, culturally competent care in compliance with applicable regulatory requirements. 
      • Describe standards and best practice methods for safeguarding the provision of ethical, culturally-competent care in challenging circumstances.
      • Identify applicable local, national, or international regulatory requirements governing disaster relief that influence coordinated care.
    • Competency 4: Identify ways in which the care coordinator leader supports collaboration between key stakeholders in the care coordination process. 
      • Analyze the interagency and interprofessional relationships essential to coordinated care in a disaster.
    • Competency 5: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with applicable organizational, professional, and scholarly standards. 
      • Prepare a care coordination team to use a disaster preparedness tool kit for implementing a disaster preparedness project plan.
      • Support main points, arguments, and conclusions with relevant and credible evidence, correctly formatting citations and references using APA style.
    • Competency Map
      CHECK YOUR PROGRESS
    • Use this online tool to track your performance and progress through your course.

Assessment Instructions

Note: Your work in Assessments 1 and 2 will inform your work in this assessment. Therefore, complete the assessments in the order in which they are presented.
Preparation
For this assessment, you will assume the role of Care Coordinator for Disaster Care in the same practice setting you chose for Assessment 1. Within this context, you will develop a disaster planning tool kit to provide comprehensive community health care disaster relief or to meet the care needs of a specific population within the community. Choose a current event or hypothetical disaster scenario as the basis for your  tool kit. Explore past and recent disasters and lessons learned.
After completing your disaster planning tool kit for your particular situation, you will then develop a short presentation for your care coordination team to prepare your team for using the tool kit.

Note: Remember that you can submit all—or a portion of—your draft documents to Smarthinking for feedback before you submit the final version of this assessment. If you plan on using this free service, be mindful of the turnaround time of 24–48 hours for receiving feedback.

Presentation Tools

You may use Microsoft PowerPoint or any other suitable presentation software to create your slides. If you elect to use an application other than PowerPoint, check with your instructor to avoid potential file compatibility issues.
Use the speaker’s notes section of each slide to develop your talking points and cite your sources, as appropriate. If you need help designing your presentation, you are encouraged to review the various presentation resources provided for this assessment. These resources will help you to design an effective presentation, whether you choose to use PowerPoint or other presentation design software.
You have the option of either recording a voiceover track for your presentation or creating a video. In either case, you may use Kaltura Media or other technology of your choice for your audio or video recording.

    • If using Kaltura Media, refer to Using Kaltura for directions on recording and uploading your video in the courseroom.
    • Note: If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact Disability Services to request accommodations.
      Requirements
      For this assessment:

Develop a disaster planning tool kit that includes:

      • The policy for the disaster preparedness plan.
      • Guidelines on how to employ the policy in practice.
      • Recommendations for identifying and working with stakeholders to achieve buy-in and support to implement and sustain the plan.

Develop a presentation for your care coordination team to prepare them to use the disaster planning tool kit to implement a disaster preparedness plan.

Use the care coordination project plan you developed in Assessment 1 as a model for your tool kit in this assessment. You may choose to develop an overarching plan for the entire community or to address the care needs of a specific population within the community. You may address the same population you chose in Assessment 1 or Assessment 2.

Tool Kit Documents and Presentation Format and Length

Format your tool kit using APA style.

    • Your tool kit should consist of a one page summary explaining what you did and why. Place as appendices the policy, guidelines, and recommendations.
    • Your document should also include: 
      • A title page and references page. An abstract is not required.
      • A running head on all pages.
      • Appropriate section headings.
    • Be sure that the content of your document is clear, well-organized, and does not exceed 3–5 pages.
    • At a minimum, your presentation must include the following slides:
    • Title.
    • Purpose (the reasons for your presentation).
    • References (at the end of your presentation).
    • Use the speaker’s notes section of each slide to develop your talking points and cite your sources, as appropriate.
    • Your slide deck should consist of approximately 5 slides, not including the title, purpose, and references slides.
      Supporting Evidence
      Cite 5–7 sources of scholarly or professional evidence to support your project plan.

Developing Your Disaster Planning Tool Kit and Presentation

Note: The requirements outlined below correspond to the grading criteria in the scoring guide. Be sure that, at a minimum, you address each criterion. You may also want to read the Disaster Plan With Guidelines for Implementation: Tool Kit for the Team scoring guide to better understand how each criterion will be assessed.

    • Assess the care coordination needs of a community or population in a disaster situation. 
      • What key challenges is the community or population likely to face?
      • What lessons learned are offered by similar disasters?
      • What evidence supports your conclusions?
    • Identify the key elements of a disaster preparedness project plan for providing effective care coordination to a community or population.
      • What are the potential effects of the disaster on care coordination?
      • What factors should your plan address? For example, consider training, coordination with outside organizations, or evacuation.
      • What resources might aid your planning process? For example, a facility risk assessment or hazard vulnerability analysis?
    • Identify the personnel and material resources needed in an emergency to provide the necessary coordinated care. For example, consider the following: 
      • First responders.
      • Critical access points for care.
      • Ambulance transport.
      • Types of critical supplies and equipment, such as ventilators with generators.
      • Medicine and other life support needs.
    • Describe standards and best practice methods for safeguarding the provision of ethical, culturally-competent care in challenging circumstances. 
      • What standards and practices are most applicable in this instance? Why?
      • How do they safeguard the provision of ethical, culturally-competent care?
    • Analyze the interagency and interprofessional relationships essential to coordinated care in a disaster. 
      • What role do particular agencies or organizations play in a disaster?
      • Why are these relationships essential?
    • Identify applicable local, national, or international regulatory requirements governing disaster relief that influence coordinated care. 
      • What are the implications and consequences for care coordination?
    • Prepare your care coordination team to implement the project plan. 
      • Clearly communicate the important aspects of plan implementation, including specific actions and their underlying rationale.
      • What questions, objections, or resistance might you expect? How will you respond?
      • Express your main points, arguments, and conclusions coherently.
      • Proofread your slides to minimize errors that could distract the audience and make it more difficult to focus on the substance of your presentation.
    • Support main points, arguments, and conclusions with relevant and credible evidence, correctly formatting citations and references using APA style. 
      • Is your supporting evidence clear and explicit?
      • How or why does particular evidence support a claim?
      • Will your audience see the connection?

Additional Requirements

Be sure that you have used the APA Style Paper Template [DOCX]to format your project tool kit and that your document includes:

    • A title page and references page.
    • A running head on all pages.
    • Appropriate section headings.
    • In addition, be sure that:
    • Your slide deck consists of approximately 5 slides, not including the title, purpose, and references slide.
    • You have cited 5–7 sources of relevant and credible scholarly or professional evidence to support your project plan.
    • Use the speaker’s notes section of each slide to develop your talking points and cite your sources, as appropriate.
    • Portfolio Prompt:You may choose to save your project plan, presentation, and guidelines to your ePortfolio.

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NURS FPX 6618 Mobilizing Care for an Immigrant Population Paper Example

NURS FPX 6618 Assessment 2 Mobilizing Care for an Immigrant PopulationNURS FPX 6618 Assessment 2 Mobilizing Care for an Immigrant Population

NURS FPX 6618 Mobilizing Care for an Immigrant Population Paper Assignment Brief

Course: NURS-FPX 6618 Leadership in Care Coordination

Assignment Title: NURS FPX 6618 Assessment 2 Mobilizing Care for an Immigrant Population

Assignment Overview & Understanding Assignment Objectives

This assignment seeks to evaluate your ability to develop a project plan to mobilize coordinated care for an immigrant or refugee population and draft an organizational policy addressing care for this group. You will assume the role of Director of Care Coordination and use your chosen practice setting from Assessment 1 to guide your project plan and policy development.

The Student’s Role

As the Director of Care Coordination, your role is to identify the healthcare needs of an undocumented immigrant or refugee population and develop strategies to address those needs effectively. You will analyze current organizational policies and assess assumptions and biases associated with caring for immigrant populations. Additionally, you will evaluate existing U.S. healthcare policies to ensure fair and ethical treatment for immigrant and refugee communities.

Competencies Measured

This assignment measures your ability to:

  • Develop a project plan to address the healthcare needs of an immigrant or refugee population.
  • Analyze organizational policies related to immigrant and refugee healthcare.
  • Evaluate assumptions, biases, and cultural influences affecting access to care.
  • Assess the impact of U.S. healthcare policies on immigrant and refugee populations.
  • Communicate ideas clearly and concisely using correct grammar, mechanics, and APA style formatting.

You Can Also Check Other Related Assessments for the NURS-FPX 6618 Leadership in Care Coordination Course:

NURS FPX 6618 Assessment 1 Planning and Presenting a Care Coordination Project Example

NURS FPX6618 Assessment 3 Disaster Plan With Guidelines for Implementation: Tool Kit for the Team Example

NURS FPX 6618 Mobilizing Care for an Immigrant Population Paper Example

Introduction

In the contemporary context of globalization, the United States grapples with the challenge of accommodating and providing adequate healthcare to its diverse immigrant population, among which Mexican immigrants represent a significant demographic (American Immigration Council, 2021). This paper aims to elucidate the healthcare needs of Mexican immigrants in the United States and propose strategies for mobilizing care to address these needs effectively.

Rationale for Addressing Healthcare Needs

Mexican immigrants encounter formidable barriers to accessing healthcare services in the United States, including but not limited to, lack of health insurance, linguistic challenges, and cultural disparities (Bustamante et al., 2018). These barriers engender disparities in healthcare access and outcomes, exacerbating adverse health outcomes among Mexican immigrants. Consequently, addressing the healthcare needs of this population is imperative to advance health equity and improve overall health outcomes.

Selection Criteria

The selection of Mexican immigrants for this project is predicated on several criteria, including their substantial presence within the immigrant population, pressing healthcare needs, and vulnerability to various social, economic, and health-related challenges (The Library of Congress, n.d.). Notably, Mexican immigrants constitute one of the largest immigrant groups in the United States, with significant contributions to the labor force and cultural diversity (American Immigration Council, 2021). Their socioeconomic status, cultural background, and legal status within the country further underscore the importance of addressing their healthcare needs.

Assessing the Healthcare Needs

Utilizing the SWOT analysis framework, a comprehensive assessment of the healthcare needs of Mexican immigrants reveals a myriad of internal and external factors impacting healthcare access and outcomes. Weaknesses such as lack of health insurance coverage, language barriers, and limited awareness of available healthcare resources hinder access to care (National Alliance on Mental Illness, n.d.). Moreover, cultural differences and stigma surrounding immigration status pose additional challenges to healthcare utilization among Mexican immigrants. Opportunities for intervention include collaboration with community organizations, implementation of culturally competent healthcare practices, and advocacy for policy changes to improve healthcare access.

Characteristics That Define the Population

Mexican immigrants manifest diverse demographic and cultural characteristics that underscore the complexity of their healthcare needs. These include age distribution, gender representation, socioeconomic status, cultural background, and legal status within the United States (American Immigration Council, 2021). Notably, Mexican immigrants often belong to economically disadvantaged backgrounds, with limited educational attainment and employment opportunities. Cultural beliefs and practices, such as the importance of family and spirituality, significantly influence healthcare-seeking behaviors among Mexican immigrants (Canún, 2022). Understanding these cultural nuances is crucial for developing effective healthcare interventions tailored to the needs of the population.

Identifying Organizations & Stakeholders

A spectrum of organizations and stakeholders play pivotal roles in providing care for Mexican immigrants, including community health centers, nonprofit organizations, local government agencies, and faith-based organizations (The Office of Minority Health, n.d.). These entities collaborate to facilitate access to healthcare services and address the unique needs of Mexican immigrants. For example, community health centers serve as primary care providers for many Mexican immigrants, offering culturally competent care and support services. Nonprofit organizations focused on immigrant rights and advocacy provide essential resources and assistance to undocumented immigrants, while local government agencies collaborate with healthcare providers to enhance healthcare access.

Interpreting Current Organizational Policies for Healthcare Provision

Current organizational policies, notably the Affordable Care Act (ACA) and the Emergency Medical Treatment and Labor Act (EMTALA), serve as guiding frameworks for healthcare provision to Mexican immigrants in the United States. While the ACA extends healthcare coverage to a broader population, undocumented immigrants remain ineligible (National Immigration Forum, 2022). Consequently, Mexican immigrants without legal residency status face significant barriers to accessing affordable healthcare services. Conversely, EMTALA mandates emergency medical treatment for all individuals, irrespective of immigration status (Centers for Medicare & Medicaid Services, n.d.). This policy ensures that Mexican immigrants receive critical emergency care when needed, although it does not address their broader healthcare needs.

Assumptions & Biases Associated

Assumptions and biases inherent within the healthcare system impede equitable access to care for Mexican immigrants. These encompass cultural barriers, language disparities, and socioeconomic inequities that perpetuate disparities in healthcare access and outcomes (Gast et al., 2017). For instance, healthcare providers may hold implicit biases against Mexican immigrants, leading to substandard care or discriminatory treatment. Moreover, cultural and linguistic differences can create barriers to effective communication and understanding between healthcare providers and Mexican immigrants, resulting in misunderstandings and mistrust.

Evaluating Two U.S. Health Care Policies

The Affordable Care Act (ACA) and the Emergency Medical Treatment and Labor Act (EMTALA) constitute pivotal healthcare policies shaping the landscape of healthcare provision for Mexican immigrants in the United States. While the ACA extends healthcare coverage to a broader population, undocumented immigrants remain ineligible (National Immigration Forum, 2022). Consequently, Mexican immigrants without legal residency status face significant barriers to accessing affordable healthcare services. Conversely, EMTALA mandates emergency medical treatment for all individuals, irrespective of immigration status (Centers for Medicare & Medicaid Services, n.d.). This policy ensures that Mexican immigrants receive critical emergency care when needed, although it does not address their broader healthcare needs.

Conclusion

In summation, the imperative to address the healthcare needs of Mexican immigrants necessitates a multifaceted approach that entails collaboration between healthcare providers, community organizations, policymakers, and other stakeholders. By mobilizing coordinated care, implementing culturally competent practices, and advocating for policy changes, equitable access to healthcare services can be achieved, thereby advancing health equity for Mexican immigrant communities. Efforts to address assumptions and biases within the healthcare system are also essential to ensure fair and ethical treatment for all individuals, regardless of their immigration status.

References

American Immigration Council. (2021). Immigrants in the United States. https://www.americanimmigrationcouncil.org/research/immigrants-in-the-united-states

Bustamante, A. V., McKenna, R. M., Viana, J., Ortega, A. N., & Chen, J. (2018). Access-to-care differences between Mexican heritage and other Latinos in California after the affordable care act. Health Affairs, 37(9), 1400–1408. https://doi.org/10.1377/hlthaff.2018.0416

Canún, N. (2022, January 18). The Powerful Role of Family in Hispanic Culture [Unlike U.S. Culture]. Homeschool Spanish Academy. https://www.spanish.academy/blog/the-powerful-role-of-family-in-hispanic-culture-unlike-u-s-culture/

Centers for Medicare & Medicaid Services. (n.d.). Emergency Medical Treatment & Labor Act (EMTALA) | CMS. https://www.cms.gov/regulations-and-guidance/legislation/emtala

Gast, J., Peak, T., & Hunt, A. (2017). Latino health behavior: An exploratory analysis of health risk and health protective factors in a community sample. American Journal of Lifestyle Medicine, 14(1), 97–106. https://doi.org/10.1177/1559827617716613

National Alliance on Mental Illness. (n.d.). Immigrant and Refugee Health. https://www.nami.org/Find-Support/Diverse-Communities/Immigrant-and-Refugee-Mental-Health

National Immigration Forum. (2022, September 21). Fact Sheet: Undocumented Immigrants and Federal Health Care Benefits. https://immigrationforum.org/article/fact-sheet-undocumented-immigrants-and-federal-health-care-benefits/

The Library of Congress. (n.d.). A Growing Community | Mexican | Immigration, and Relocation in U.S. History | Classroom Materials at the Library of Congress | Library of Congress. https://www.loc.gov/classroom-materials/immigration/mexican/a-growing-community

The Office of Minority Health. (n.d.). National Alliance for Hispanic Health – The Office of Minority Health. https://minorityhealth.hhs.gov/omh/content.aspx?ID=9142

Detailed Assessment Instructions for the NURS FPX 6618 Mobilizing Care for an Immigrant Population Paper Example

Assessment 2 Instructions: Mobilizing Care for an Immigrant Population

Top of Form

Bottom of Form

  • PRINT
  • Develop a project plan to mobilize coordinated care for an immigrant or refugee population. Then, draft a 4–5 page organizational policy addressing care for this group, informed by the project plan, that meets current standards of practice.

Introduction

Note: The assessments in this course build upon the work you have completed in the previous assessments. Therefore, complete the assessments in the order in which they are presented.

The United States’ evolving diversity brings prospects and challenges for health care providers, health care systems, and policymakers to produce and deliver culturally-competent services for immigrant and refugee populations. For example, improving health outcomes for undocumented immigrant populations present unique and often difficult challenges for care coordinators at all levels. New arrivals in a community bring with them different cultural backgrounds, beliefs, perceptions, and biases that may influence their seeking access to care and exacerbate health disparities. In addition, they may struggle to navigate a complex and sometimes bewildering health care system.

This assessment provides an opportunity for you to examine an undocumented immigrant population of your choice, develop a project plan to address their care coordination needs, and craft an organizational policy addressing care that meets current standards of practice.

Note: Your work in Assessment 1 will inform your work in this assessment. Therefore, complete the assessments in the order in which they are presented.

Preparation

For this assessment, you will assume the role of Director of Care Coordination in the same practice setting you chose for Assessment 1. Within this context, you will develop a project plan to provide health care for an undocumented immigrant or refugee population of your choice. The population may be of local, national, or international interest, but must not have obtained permanent U.S. residency status.

After completing your project plan, you will then compose an organizational policy that addresses care for this group.

Note:  As you revise your writing, check out the resources listed on the Writing Center’s Writing Support page.

https://www-sciencedirect-com.library.capella.edu/science/article/pii/S0277953618306208

https://www-ncbi-nlm-nih-gov.library.capella.edu/pmc/articles/PMC5956827/

http://library.capella.edu/login?qurl=https://search.proquest.com/docview/2032826593?accountid=27965

https://capellauniversity.libguides.com/msn

https://campustools.capella.edu/redirect.aspx?linkid=2586

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https://campustools.capella.edu/redirect.aspx?linkid=1662

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https://ebookcentral-proquest-com.library.capella.edu/lib/capella/detail.action?docID=4768806

https://courserooma.capella.edu/webapps/blackboard/content/listContent.jsp?course_id=_283379_1&content_id=_9355736_1&mode=reset%23

Requirements

For this assessment:

  1. Develop a project plan to mobilize coordinated care for an undocumented immigrant or refugee population. Use the care coordination project plan you developed in Assessment 1 as a model for your project plan in this assessment. Include, in your plan, whatever information is appropriate for the specific population you have chosen to address.
  2. Compose an organizational policy addressing care for this group, informed by your project plan, that meets current standards of practice.

Project Plan and Policy Document Format and Length

Format your project plan and policy document using APA style.

. Use the APA Style Paper Tutorial [DOCX] to help you in writing and formatting your documents. There is not page length requirement for your project plan but be sure to include:

. A title page and references page. An abstract is not required.

. A running head on all pages.

. Appropriate section headings.

  • Your policy document should be 4–5 pages in length, not includingthe title page and references page.

Supporting Evidence

Cite a combined total of 6–8 sources of scholarly or professional evidence to support your project plan and policy document.

Developing Your Project Plan and Policy Document

Note: The requirements outlined below correspond to the grading criteria in the scoring guide. Be sure that, at a minimum, you address each criterion. You may also want to read the Mobilizing Care for an Immigrant Population scoring guide to better understand how each criterion will be assessed.

Project Plan

  • Provide a rationale for addressing the health care needs of the chosen undocumented immigrant or refugee population.

. Explain why you chose this particular population for your project plan.

. What criteria did you apply to your selection?

  • Assess the health care needs of the chosen population.

. Apply a project management tool or model (SWOT, AI, Six Sigma) that you are familiar with or use in your organization.

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. What evidence supports your conclusions?

  • Identify the organizations and stakeholders who must participate in caring for the chosen population.

. Consider coordinated care on a local, state, national, or international level, as applicable.

Policy Document

  • Describe the characteristics that define the chosen population.

. Provide demographic information, such as the age, gender(s), location, social, psychological, economic, political, cultural, or other characteristics of the population that you believe are important.

  • Interpret current policies in your organization for providing health care for immigrants and refugees who do not have permanent resident status in the United States.

. What are the key policy elements that guide practice?

. Do the policies and practices keep pace with environmental changes and current legislation?

  • Analyze assumptions and biases associated with a particular immigrant or refugee population, and the influence of culture and linguistic differences on access to care.

. Do any of the assumptions have merit?

. What assumptions or biases might be particularly pernicious or harmful as the basis for decision making?

. How can culture and linguistic differences affect access to care?

  • Evaluate two U.S. health care policies, national initiatives, or pieces of legislation that provide guidance on current standards of care for immigrant or refugee populations.

. Do these policies, initiatives, or laws guarantee fair and ethical treatment?

. Do they provide a sufficient basis for guiding professional practice in the provision of safe, high-quality, and equitable care?

Communications and Information Literacy

  • Write clearly and concisely, using correct grammar and mechanics.

. Express your main points and conclusions coherently.

. Proofread your writing to minimize errors that could distract readers and make it difficult to focus on the substance of your evaluation.

  • Support main points, claims, and conclusions with relevant and credible evidence, correctly formatting citations and references using APA style.

. Is your supporting evidence clear and explicit?

. How or why does particular evidence support a claim?

. Will your audience see the connections?

Additional Requirements

Be sure that you have used the APA Style Paper Tutorial [DOCX] to format your project plan and policy document. Also, be sure that each document includes:

  • A title page and references page.
  • A running head on all pages.
  • Appropriate section headings.

In addition, be sure that:

  • Your policy document is approximately 4–5 pages in length, not including the title page and references page.
  • You have cited a combined total of 6–8 sources of relevant and credible scholarly or professional evidence to support your project plan and policy document.

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Portfolio Prompt: You may choose to save your project plan and policy document to your ePortfolio.

How to use the scoring guide

Mobilizing Care for an Immigrant Population Scoring Guide

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SUBMIT ASSESSMENT

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

Competency 1: Propose a project for change, for a community or population, within a care coordination setting.

Provide the rationale for addressing the health care needs of a particular immigrant or refugee population. Describe the characteristics that define a particular immigrant or refugee population. Interpret current organizational policies for providing health care to immigrants and refugees in the United States.

Competency 2: Align care coordination resources with community health care needs. Assess the health care needs of a particular immigrant or refugee population.

Competency 3: Apply project management best practices to affect ethical practice and support positive health outcomes in the delivery of safe, culturally competent care in compliance with applicable regulatory requirements.

Analyze assumptions and biases associated with a particular immigrant or refugee population and the influence of culture and linguistic differences on access to care. Evaluate two U.S. health care policies, national initiatives, or pieces of legislation that provide guidance on current standards of care for immigrant and refugee populations.

Competency 4: Identify ways in which the care coordinator leader supports collaboration between key stakeholders in the care coordination process.

Details Attempt 1 Evaluated Attempt 2 Available Attempt 3

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Identify the organizations and stakeholders who must participate in caring for a particular immigrant or refugee population.

Competency 5: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with applicable organizational, professional, and scholarly standards.

Write clearly and concisely, using correct grammar and mechanics. Support main points, claims, and conclusions with relevant and credible evidence, correctly formatting citations and references using APA style.

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Competency Map

Use this online tool to track your performance and progress through your course.

CHECK YOUR PROGRESS

Resources

Cultural Competence

Breen, C., Altman, L., Ging, J., Deverell, M., Woolfenden, S., & Zurynski, Y. (2018). Significant reductions in tertiary hospital encounters and less travel for families after implementation of paediatric care coordination in Australia. BMC Health Services Research, 18(1), 1–10. Chen, J., DuGoff, E. H., Novak, P., & Wang, M. Q. (2018). Variation of hospital-based adoption of care coordination services by community-level social determinants of health. Health Care Management Review, 1, 1–10. Fernández-Gutiérrez, M., Bas-Sarmiento, P., & Poza-Méndez, M. (2019). Effect of an mHealth intervention to improve health literacy in immigrant populations: A quasi-experimental study. Computers, Informatics, Nursing, 37(3), 142–150. Francis, L., DePriest, K., Wilson, M., & Gross, D. (2018). Child poverty, toxic stress, and social determinants of health: Screening and care coordination. Online Journal of Issues in Nursing, 23(3), 1–11. Li, T., Zhang, H., Shewade, H. D., Soe, K. T., Wang, L., & Du, X. (2018). Patient and health system delays before registration among migrant patients with tuberculosis who were transferred out in China. BMC Health Services Research, 18(1), 1–11. Prymula, R., Shaw, J., Chlibek, R., Urbancikova, I., & Prymulova, K. (2018). Vaccination in newly arrived immigrants to the European Union. Vaccine, 36(36), 5385–5390. Sritharan, B., & Koola, M. M. (2019). Barriers faced by immigrant families of children with autism: A program to address the challenges. Asian Journal of Psychiatry, 39, 53–57. Wylie, L., Van Meyel, R., Harder, H., Sukhera, J., Luc, C., Ganjavi, H., . . . Wardrop, N. (2018). Assessing trauma in a transcultural context: Challenges in mental health care with immigrants and refugees. Public Health Reviews, 39(1), 1–20.

Law, Policy, and Ethics

DeYoung, S. E. (2019). Time for coalitions to protect immigrant health. American Journal of Public Health, 109(4), 519. Luque, J. S., Soulen, G., Davila, C. B., & Cartmell, K. (2018). Access to health care for uninsured Latina immigrants in South Carolina. BMC Health Services Research, 18(1), 310–312.

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Van Natta, M., Burke, N. J., Yen, I. H., Fleming, M. D., Hanssmann, C. L., Rasidjan, M. P., & Shim, J. K. (2019). Stratified citizenship, stratified health: Examining Latinx legal status in the U.S. healthcare safety net. Social Science & Medicine, 220, 49–55.

Coordinating Care With Immigrant Populations

Markkula, N., Cabieses, B., Lehti, V., Uphoff, E., Astorga, S., & Stutzin, F. (2018). Use of health services among international migrant children: A systematic review. Globalization and Health, 14(1), 1–10. Trost, M., Wanke, E. M., Ohlendorf, D., Klingelhöfer, D., Braun, M., Bauer, J., . . . Brüggmann, D. (2018). Immigration: Analysis, trends and outlook on the global research activity. Journal of Global Health, 8(1), 1–11.

Research Resources

You may use other resources of your choice to prepare for this assessment; however, you will need to ensure that they are appropriate, credible, and valid. The MSN Program Library Research Guide can help direct your research, and the Supplemental Resources and Research Resources, both linked from the left navigation menu in your courseroom, provide additional resources to help support you.

Writing Resources

You are encouraged to explore the following writing resources. You can use them to improve your writing skills and as source materials for seeking answers to specific questions.

APA Module. Academic Honesty & APA Style and Formatting. APA Style Paper Tutorial [DOCX].

Capella Resources

Smarthinking. ePortfolio.

This resource provides information about ePortfolio, including how to use the different features of the product.

Additional Resources

The following resources are books you may have used in your previous Care Coordination courses. You may find them helpful in providing background information for this course as well.

American Academy of Ambulatory Care Nursing. (2016). Scope and standards of practice for registered nurses in care coordination and transition management. Pitman, NJ: Author. American Nurses Association. (2018). Care coordination: A blueprint for action for RNs. Silver Spring, MD: Author.

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NURS FPX 6618 Planning and Presenting a Care Coordination Project Paper Example

NURS FPX 6618 Assessment 1 Planning and Presenting a Care Coordination ProjectNURS FPX 6618 Assessment 1 Planning and Presenting a Care Coordination Project

Assignment Brief: NURS FPX 6618 Planning and Presenting a Care Coordination Project

Course: NURS-FPX 6618 Leadership in Care Coordination

Assignment Title: NURS FPX 6618 Assessment 1 Planning and Presenting a Care Coordination Project

Assignment Overview

In this assignment, you will assume the role of a Care Coordinator Project Manager tasked with developing a care coordination project plan for a selected population. You will then create a presentation to gain support from administrative decision makers within your organization.

Understanding Assignment Objectives

The primary objective of this assignment is to formulate a comprehensive strategy for organizing and coordinating care for a specific population, considering their unique needs and challenges. Additionally, you will demonstrate your ability to communicate effectively and garner support from key stakeholders through a compelling presentation.

The Student’s Role

As the Care Coordinator Project Manager, you are responsible for developing a project plan that addresses the care coordination needs of the selected population. This involves identifying key stakeholders, determining resource requirements, establishing project milestones, and outlining outcome measures. Additionally, you will present your plan to decision makers, articulating its significance and addressing potential concerns.

Competencies Measured

  • Strategic Planning: Develop a coherent and comprehensive plan for coordinating care that aligns with the goals and objectives of the organization.
  • Interprofessional Collaboration: Identify and engage relevant stakeholders, including healthcare providers, community organizations, and administrative decision makers, to support the implementation of the care coordination project.
  • Communication Skills: Clearly articulate the rationale, goals, and anticipated outcomes of the project in a persuasive presentation format, addressing the needs and concerns of the audience.
  • Evidence-Based Practice: Support your project plan with scholarly or professional evidence, demonstrating the rationale behind your approach and the potential impact on patient outcomes.

You Can Also Check Other Related Assessments for the NURS-FPX 6618 Leadership in Care Coordination Course:

NURS FPX 6618 Assessment 2 Mobilizing Care for an Immigrant Population Example

NURS FPX6618 Assessment 3 Disaster Plan With Guidelines for Implementation: Tool Kit for the Team Example

NURS FPX 6618 Planning and Presenting a Care Coordination Project Paper Example

Slide 1: Title Slide

Title: Planning and Presenting a Care Coordination Project

Presenter: Jayne McBurney

Date: [Insert Date]

Slide 2: Introduction

Definition of chronic illness and its impact on individuals and healthcare systems.

  • Chronic illness refers to health conditions that persist for a year or longer, requiring ongoing medical care and impacting daily functioning (Nugent, 2019).
  • Chronic diseases have significant implications for individuals and healthcare systems, contributing to high healthcare costs and affecting quality of life.

Overview of the importance of care coordination in managing chronic diseases.

  • Care coordination involves organizing healthcare services and communicating among care team members to ensure comprehensive and effective care for patients (Tharani et al., 2021).
  • Effective care coordination is essential for managing chronic diseases, as it helps optimize treatment outcomes, improve patient satisfaction, and reduce healthcare costs.

Purpose of the presentation: to outline a plan for coordinating care for chronic care patients and gain support from decision makers.

  • The presentation aims to propose a plan for coordinating care for chronic care patients, emphasizing the need for collaboration among healthcare providers and gaining support from decision makers to implement the plan effectively.

Slide 3: Vision for Coordinated Care

Importance of coordinated care for chronic care patients, their families, and healthcare providers.

  • Coordinated care plays a crucial role in improving health outcomes and enhancing the overall experience of patients with chronic diseases (Allegrante et al., 2019).
  • It also benefits families by providing support and guidance in managing their loved one’s condition, and it helps healthcare providers deliver more effective and efficient care.

Definition of care coordination and its role in improving patient outcomes.

  • Care coordination involves the organization and integration of healthcare services to ensure that patients receive the right care at the right time (Allegrante et al., 2019).
  • By facilitating communication and collaboration among care team members, care coordination helps prevent medical errors, reduce unnecessary healthcare utilization, and improve patient satisfaction.

Discussion on the need for collaboration among care providers to deliver comprehensive care.

  • Collaborative care involves healthcare professionals working together across disciplines to address the complex needs of patients with chronic diseases (Allegrante et al., 2019).
  • By sharing information, coordinating treatment plans, and aligning goals, collaborative care teams can provide more holistic and patient-centered care.

Slide 4: Concepts for Organizing Care

Key concepts in organizing care for chronic care patients.

  • Understanding the significance of care coordination in managing chronic diseases is essential for healthcare providers (Tharani et al., 2021).
  • Establishing precise metrics for evaluating the success of care coordination efforts can help identify areas for improvement and measure progress over time.

Importance of establishing metrics to evaluate the effectiveness of care coordination.

  • Metrics such as patient satisfaction, healthcare utilization, and health outcomes can provide valuable insights into the quality of care coordination efforts (Tharani et al., 2021).
  • By tracking these metrics, healthcare organizations can assess the impact of care coordination on patient care and identify areas for improvement.

Discussion on modifying and evaluating treatment plans to meet patient needs.

  • Modifying treatment plans based on patient preferences, goals, and needs is essential for providing personalized care to patients with chronic diseases (Tharani et al., 2021).
  • Evaluating treatment plans regularly can help ensure that patients receive the most appropriate and effective care for their condition.

Slide 5: Organizations and Groups for Chronic Care Patients

Overview of organizations and groups supporting chronic care patients.

  • Healthcare facilities, pharmacies, and other medical centers play a crucial role in providing care and support to patients with chronic conditions (Nugent, 2019).
  • Additionally, nonprofit organizations such as SHARE, Patient Airlift Services, Gracie’s Gowns, and Good Days offer valuable services and resources to help individuals with chronic illnesses.

Description of services provided by organizations such as SHARE, Patient Airlift Services, Gracie’s Gowns, and Good Days.

  • SHARE offers supportive services and vital information to people with breast cancer, including counseling, education, and public health campaigns (Rabbani, 2021).
  • Patient Airlift Services provides charitable flights for patients in need of quick medical assistance, helping families and military personnel nationwide (Van Dijck et al., 2021).
  • Gracie’s Gowns handcrafts unique regular clothes for children with life-threatening illnesses, providing them with comfort and joy during difficult times (Rabbani, 2021).
  • Good Days offers financial assistance to individuals without insurance who are struggling to afford their necessary medications and healthcare costs (Nugent, 2019).

Importance of community support in managing chronic illnesses.

  • Community organizations and groups play a vital role in supporting individuals with chronic diseases, providing them with resources, services, and emotional support to help them cope with their condition (Nugent, 2019).
  • By collaborating with these organizations, healthcare providers can enhance the quality of care and improve outcomes for patients with chronic illnesses.

Slide 6: Examination of Environmental and Provider Resources

Discussion on tools available for managing chronic care within healthcare institutions.

  • The Care Coordination Quality Measure for Primary Care (CCQM-PC) is a valuable tool for assessing care coordination in primary care settings (Nekhlyudov et al., 2019).
  • By evaluating patients’ experiences and perceptions of care coordination, the CCQM-PC helps identify areas for improvement and guide quality improvement efforts.

Overview of the Care Coordination Quality Measure for Primary Care (CCQM-PC) and its role in assessing care coordination.

  • The CCQM-PC measures patients’ perceptions of care coordination in primary care settings, providing valuable feedback on the quality of care delivery (Nekhlyudov et al., 2019).
  • By implementing the CCQM-PC, healthcare organizations can identify strengths and weaknesses in their care coordination processes and implement targeted interventions to improve care quality.

Importance of integrating care coordination into strategic planning and daily operations.

  • Strategic planning and daily operations play a crucial role in supporting effective care coordination efforts within healthcare institutions (Markle et al., 2018).
  • By incorporating care coordination into organizational strategies and workflows, healthcare organizations can ensure that care coordination is prioritized and integrated into routine practices.

Slide 7: Financial Resources Required

Overview of financial resources available for chronic care patients.

  • Medicare is a federal health insurance program that provides coverage for seniors and other eligible individuals (Nugent, 2019).
  • Work Health and Safety Policy plays a vital role in supporting projects for chronic illness self-management and improving access to healthcare resources.

Description of programs such as Medicare and Work Health and Safety Policy.

  • Medicare covers a range of healthcare services, including hospitalization, physician services, pharmaceutical drugs, and hospice care, among others (Nugent, 2019).
  • Work Health and Safety Policy supports projects aimed at improving chronic illness self-management and promoting health and safety in the workplace.

Discussion on eligibility criteria and application process for financial assistance programs.

  • Medicare eligibility is based on age, disability status, or certain medical conditions, and individuals must meet specific criteria to qualify for coverage (Nugent, 2019).
  • Work Health and Safety Policy may offer funding opportunities for projects that promote chronic illness self-management and workplace health and safety, with eligibility criteria varying depending on the program.

Slide 8: Project Milestones

Outline of key milestones in implementing a chronic care management program.

  • The initial stage involves setting goals and objectives for the program and gathering operational data and materials (Garland & Fraser, 2018).
  • Training staff and appointing care managers are essential steps in preparing the healthcare team to implement the program effectively.

Description of tasks including goal setting, patient enrollment, and care planning.

  • Goal setting involves defining the objectives of the chronic care management program and outlining strategies for achieving them (Garland & Fraser, 2018).
  • Patient enrollment requires identifying eligible patients and obtaining their consent to participate in the program, while care planning involves developing individualized care plans based on patient needs and preferences.

Importance of training staff and establishing patient-centered care plans.

  • Training staff ensures that healthcare providers are equipped with the knowledge and skills needed to deliver high-quality care to patients with chronic diseases (Garland & Fraser, 2018).
  • Patient-centered care plans help ensure that patients receive personalized care that aligns with their goals, preferences, and values, improving patient satisfaction and treatment outcomes.

Slide 9: Anticipated Outcomes

Discussion on anticipated outcomes of a chronic care management program.

  • Improved patient outcomes through coordinated care, including better disease management, reduced hospitalizations, and enhanced quality of life (Knopp et al., 2022).
  • Regular follow-up and communication can help ensure that patients stay on track with their treatment plans and receive the support they need to manage their condition effectively.

Explanation of improved patient outcomes through coordinated care.

  • Coordinated care involves collaborating with patients, families, and healthcare providers to ensure that all aspects of the patient’s treatment are well-coordinated and aligned with their goals and preferences (Knopp et al., 2022).
  • By coordinating care across different settings and specialties, healthcare organizations can improve the continuity of care and enhance patient outcomes.

Importance of regular follow-up and communication in achieving positive results.

  • Regular follow-up visits and communication help ensure that patients receive ongoing support and monitoring to manage their condition effectively (Knopp et al., 2022).
  • By proactively addressing any issues or concerns that arise, healthcare providers can prevent complications and improve treatment outcomes for patients with chronic diseases.

Slide 10: Presentation to Decision Makers

As decision-makers, your support and commitment are paramount to the success of our care coordination initiative. By endorsing and championing our project, you can facilitate its effective implementation and maximize its impact on patient care. Our project promises a multitude of benefits, including improved patient outcomes, reduced healthcare costs, and enhanced organizational efficiency. We look forward to your invaluable support in making this vision a reality.

Importance of Administrative Support for Care Coordination Initiatives:

  • Administrative support is critical for the success of care coordination initiatives within healthcare organizations.
  • Decision makers play a pivotal role in providing resources, establishing policies, and championing initiatives that promote effective care coordination (Anderson & Hewner, 2021).
  • By securing administrative support, care coordination projects can overcome barriers and achieve their objectives more efficiently.

Importance of Communication and Coordination in Healthcare Delivery:

  • Effective communication and coordination are fundamental pillars of high-quality healthcare delivery.
  • Care coordination initiatives facilitate seamless communication and collaboration among healthcare providers, patients, and support staff.
  • Through clear communication channels and coordinated efforts, healthcare organizations can enhance patient outcomes, reduce medical errors, and improve overall efficiency (Anderson & Hewner, 2021).

Overview of Project Benefits and Expected Outcomes:

  • The care coordination project aims to deliver a wide range of benefits and outcomes for both patients and healthcare organizations.
  • These benefits may include improved patient outcomes, such as reduced hospital readmissions, better disease management, and enhanced patient satisfaction.
  • Additionally, the project is expected to yield organizational benefits, such as cost savings, improved resource utilization, and increased operational efficiency.

Slide 11: Call to Action

Invitation for Decision Makers to Support the Care Coordination Project:

  • Decision makers are invited to support and champion the care coordination project within the organization.
  • Their support is vital for securing necessary resources, overcoming institutional barriers, and fostering a culture of collaboration and innovation.
  • By endorsing the project, decision makers demonstrate their commitment to improving patient care and driving positive change within the healthcare system.

Emphasis on Collaborative Efforts and Shared Goals:

  • The success of the care coordination project relies on collaborative efforts and shared goals among stakeholders.
  • Decision makers are encouraged to actively engage in dialogue, provide feedback, and work collaboratively with project leaders and stakeholders.
  • Through collective action and shared vision, decision makers can help realize the full potential of the care coordination project and make a meaningful impact on patient care and healthcare delivery.

Slide 12: Conclusion

Summary of key points discussed in the presentation.

  • Chronic care management plays a crucial role in improving outcomes for patients with chronic diseases, and effective care coordination is essential for achieving success.
  • By collaborating with patients, families, and healthcare providers, healthcare organizations can enhance the quality of care and improve outcomes for patients with chronic illnesses.

Importance of coordinated care in improving outcomes for chronic care patients.

  • Coordinated care helps ensure that patients receive the right care at the right time, leading to better disease management, reduced hospitalizations, and enhanced quality of life.
  • By prioritizing care coordination initiatives and gaining support from decision makers, healthcare organizations can improve patient outcomes and reduce healthcare costs.

Call to action for decision makers to support the implementation of the care coordination project.

  • Decision makers play a critical role in supporting and implementing care coordination initiatives within healthcare organizations.
  • By investing in care coordination programs and prioritizing patient-centered care, decision makers can help improve the quality and efficiency of healthcare delivery for patients with chronic diseases.

Slide 13: References

Allegrante, J. P., Wells, M. T., Peterson, J. C., & Corsino, L. (2019). Chronic Disease Management. In The Oxford Handbook of Behavioral Medicine (pp. 241-258). Oxford University Press.

Anderson, M. A., & Hewner, S. (2021). Communication and Collaboration in Care Coordination. In Care Coordination: Models, Tools, and Strategies for Improving the Continuum of Care (pp. 61-76). Springer.

Garland, R. H., & Fraser, M. W. (2018). Implementing Care Coordination Programs. In Implementation Science and Practice in the Human Services (pp. 155-176). Springer.

Knopp, R. H., Schrott, H., & Stein, E. (2022). Patient Outcomes in Chronic Care Management. The New England Journal of Medicine, 386(1), 71-82. https://doi.org/10.1056/NEJMoa1915928

Markle, E. K., & Young, J. L. (2018). Strategic Planning in Healthcare Organizations. In Strategic Planning for Public and Nonprofit Organizations: A Guide to Strengthening and Sustaining Organizational Achievement (pp. 139-168). Wiley.

Nekhlyudov, L., Walker, R., Zafar, S. Y., Wells, M. T., & Samsa, G. P. (2019). Quality Measures in Care Coordination. Journal of Oncology Practice, 15(5), e454-e463. https://doi.org/10.1200/JOP.19.00061

Nugent, R. (2019). Chronic Diseases in Developing Countries. Preventing Chronic Diseases, 16, E42. https://doi.org/10.5888/pcd16.180629

Rabbani, A. (2021). Patient Support Groups. In The 5-Minute Clinical Consult 2022 (pp. 103-104). Wolters Kluwer.

Tharani, A., Bavadekar, S. B., & Venkat Narayan, K. M. (2021). Chronic Disease Management. In The Chronic Conditions: Policy Challenges in the 21st Century (pp. 97-109). Springer.

Van Dijck, A., & Van De Voorde, C. (2021). The Role of Nonprofit Organizations in Health Care. In Innovations in Financing (pp. 269-283). Routledge.

Detailed Assessment Instructions for the NURS FPX 6618 Planning and Presenting a Care Coordination Project Paper Assignment

Assessment 1 Planning and Presenting a Care Coordination Project

Overview

Develop a care coordination project plan for a population that is in need of care from multiple organizations. Then, develop 10–12 slides for use in presenting your plan to administrative decision makers.

Note: Complete the assessments in the order in which they are presented. The assessments that follow will build upon the work you have completed in this first assessment.

The role of professional nursing continues to expand and incorporate increasingly higher levels of expertise, specialization, autonomy, and accountability. This is particularly true in regard to the scope and challenges of providing coordinated care to members of various populations within a community. In addition, care coordination leaders must be confident in their abilities to navigate and lead change in their work environments.

This assessment provides an opportunity for you to formulate a care coordination project planning strategy, develop a care coordination project plan for a selected population, and garner support for your plan from decision makers.

Assessment Instructions

Note: Your work in subsequent assessments will be based on the project plan you develop in this assessment. Therefore, complete the assessments in the order in which they are presented.

Preparation

For this assessment, you will assume the role of Care Coordinator Project Manager in your present organization or in an organization or setting you aspire to work in, are familiar with, or interested in. Within this context, you will develop a care coordination project plan for a population of your choice that is in need of care from multiple organizations.

In this role, you must consider a comprehensive strategy to organize and coordinate care for the selected population on a local, state, national, or international level, depending upon the population. Your project plan will serve as a model for addressing the care coordination needs of another population, or of an entire community, in Assessments 2 and 3.

After completing your project plan, you will then develop a presentation of your plan to gain the support of administrative decision makers in the organization.

Note: Remember that you can submit all or a portion of your draft documents to Smarthinking for feedback before you submit the final version of this assessment. If you plan on using this free service, be mindful of the turnaround time of 24–48 hours for receiving feedback.

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Presentation Tools

You may use Microsoft PowerPoint or another suitable presentation software to create your slides. If you elect to use an application other than PowerPoint, check with your instructor to avoid potential file compatibility issues.

Use the speaker’s notes section of each slide to develop your talking points and cite your sources, as appropriate. If you need help designing your presentation, you are encouraged to review the presentation resources provided for this assessment. These resources will help you to design an effective presentation, whether you choose to use PowerPoint or other presentation software.

You have the option of either recording a voiceover track for your presentation or creating a video. In either case, you may use Kaltura Media or other technology of your choice for your audio or video recording.

If using Kaltura Media, refer to Using Kaltura for directions on recording and uploading your video in the courseroom, per directions listed in Resources.

Note: If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact Disability Services to request accommodations.

Requirements

For this assessment:

  1. Develop a care coordination project plan for a population of your choice. For example:

Children or the elderly. Chronic care patients. Patients with disabilities. End-of-life care patients. Special needs patients. Inner city or rural area residents.

  1. Develop a presentation of your plan for administrative decision makers in the organization to obtain their support.

Note: Choose any population you are familiar with and interested in addressing. However, you will have an option to address the care coordination needs of an undocumented immigrant or refugee population in the next assessment, so do not choose this population for this assessment.

In addition to the requirements outlined below for developing and presenting your project plan, you are encouraged to include whatever additional information is appropriate for the specific population for whom you have chosen to provide a care plan.

Project Plan and Presentation Format and Length

You may use either Microsoft Word or Excel to format your project plan.

For Word documents, use the APA Style Paper Template [DOCX]. An APA Style Paper Tutorial is also provided (linked in the Resources) to help you write and format your project plan. There is no required page length but be sure to include:

A title page and references page.

An abstract is not required.

A running head on all pages.

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Appropriate section headings. For Excel spreadsheets, be sure to include properly formatted citations and references.

At a minimum, your presentation must include the following slides:

Title. Purpose (the reasons for your presentation). References (at the end of your presentation).

Your slide deck should consist of 10–12 slides, not including the title, purpose, and references slides.

Supporting Evidence

Cite 5–7 sources of scholarly or professional evidence to support your project plan.

Developing and Presenting Your Project Plan

Note: The requirements outlined below correspond to the grading criteria in the scoring guide. Be sure that, at a minimum, you address each criterion. You may also want to read the Planning and Presenting a Care Coordination Project scoring guide to better understand how each criterion will be assessed.

Articulate your vision of interagency coordinated care for this population. Consider how you would organize and consolidate care for this population. What assumptions underlie your vision?

Identify the organizations and groups who must participate in caring for this population. Consider coordinated care on a local, state, national, or international level, as applicable. Identify the team members who will comprise your interprofessional care coordination team.

Determine the resource needs of this population. Operational and capital budgeting needs, including:

General supplies. Staffing. Capital purchases.

Costs: Estimated funds. Assumptions.

Identify project milestones and outcome measures. Determine the key steps in attaining your goals for this project. Determine timeframes for each milestone. Identify outcome measures for your project.

Present your project plan to administrative decision makers. Be clear and focused about the why this care coordination project plan is important to successfully support this population. Address the anticipated needs and concerns of your audience. What questions or alternative points of view might you expect? How will you respond? Express your main points, arguments, and conclusions coherently. Proofread your slides to minimize errors that could distract the audience and make it more difficult to focus on the substance of your presentation.

Support main points, arguments, and conclusions with relevant and credible evidence, correctly formatting citations and references using APA style.

Is your supporting evidence clear and explicit? How or why does particular evidence support a claim?

Will your audience see the connection?

Additional Requirements

Be sure that you have used the APA Style Paper Template [DOCX] to format your project plan and that your document includes:

A title page and references page. A running head on all pages. Appropriate section headings.

In addition, be sure that:

Your slide deck consists of approximately 10–12 slides, not including the title, purpose, and references slide. You have cited 5–7 sources of relevant and credible scholarly or professional evidence to support your project plan.

Portfolio Prompt: You may choose to save your project plan and presentation to your ePortfolio.

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

Competency 1: Propose a project for change, for a community or population, within a care coordination setting.

Articulate a vision of interagency coordinated care for a population.

Competency 2: Align care coordination resources with community health care needs.

Determine the resource needs of a population.

Competency 3: Apply project management best practices to affect ethical practice and support positive health outcomes in the delivery of safe, culturally competent care in compliance with applicable regulatory requirements.

Identify project milestones and outcome measures.

Competency 4: Identify ways in which the care coordinator leader supports collaboration between key stakeholders in the care coordination process.

Identify the organizations and groups who must participate in caring for a population.

Competency 5: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with applicable organizational, professional, and scholarly standards.

Present a project plan to administrative decision makers. Support main points, arguments, and conclusions with relevant and credible evidence, correctly formatting citations and references using APA style.

Competency Map

Use this online tool to track your performance and progress through your course.

CHECK YOUR PROGRESS

Details Attempt 1 Evaluated Attempt 2 Available Attempt 3

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Resources

Assessing Community and Population Needs

Centers for Medicare and Medicaid Services. (2019, March). Care coordination toolkit [PDF]. Available from https://www.cms.gov/ Institute for Healthcare Improvement, IHI White Papers. (n.d.). Care coordination model: Better care at lower cost for people with multiple health and social needs. Retrieved from http://www.ihi.org/resources/Pages/IHIWhitePapers/IHICareCoordinationModelWhitePaper.aspx Resources for Integrated Care. (n.d.). Behavioral Health Integration Capacity Assessment tool. Retrieved from https://www.resourcesforintegratedcare.com/tool/bhica U.S. Department of Health & Human Service, Agency for Healthcare Research and Quality. (n.d.). Care coordination measures database. Retrieved from https://primarycaremeasures.ahrq.gov/care-coordination Williams, M. D., Asiedu, G. B., Finnie, D., Neely, C., Egginton, J., Finney Rutten, L. J., & Jacobson, R. M. (2019). Sustainable care coordination: A qualitative study of primary care provider, administrator, and insurer perspectives. BMC Health Service, 19(92), 1–11.

Recommendations for Care Coordination

Cordeiro, A., Davis, R. K., Antonelli, R., Rosenberg, H., Kim, J., Berhane, Z., & Turchi, R. (2018). Care coordination for children and youth with special health care needs: National survey results. Clinical Pediatrics, 57(12), 1398–1408. Foster, S. D., Hart, K., Lindsell, C. J., Miller, C. N., & Lyons, M. S. (2018). Impact of a low intensity and broadly inclusive ED care coordination intervention on linkage to primary care and ED utilization. American Journal of Emergency Medicine, 36(12), 2219–2224. Robertson, M. M., Waldron, L., Robbins, R. S., Chamberlin, S., Penrose, K., Levin, B., . . . Nash, D. (2018). Using registry data to construct a comparison group for programmatic effectiveness evaluation: The New York City HIV Care Coordination Program. American Journal of Epidemiology, 187(9), 1980– 1989.

Research Resources

You may use other resources of your choice to prepare for this assessment; however, you will need to ensure that they are appropriate, credible, and valid. The MSN Program Library Research Guide can help direct your research, and the Supplemental Resources and Research Resources, both linked from the left navigation menu in your courseroom, provide additional resources to help support you.

Effective Presentations

The following resources will help you create and deliver more effective presentations.

Capella University Library: PowerPoint Presentations.

Links to PowerPoint and other presentation software resources.

Microsoft. (2016). Record a slide show with narration and slide timings. Retrieved from https://support.office.com/en-us/article/Record-a-slide-show-with-narration-and-slide-timings-0b9502c6- 5f6c-40ae-b1e7-e47d8741161c?ui=en-US&rs=en-001&ad=US

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https://campus.capella.edu/web/competency/

https://courserooma.capella.edu/bbcswebdav/institution/MSN-FP/MSN-FP6618/191000/Course_Files/cf_care_coordination_toolkit.pdf

http://www.ihi.org/resources/Pages/IHIWhitePapers/IHICareCoordinationModelWhitePaper.aspx

https://www.resourcesforintegratedcare.com/tool/bhica

https://primarycaremeasures.ahrq.gov/care-coordination

http://library.capella.edu/login?qurl=https://search.proquest.com/docview/2235670989?accountid=27965

https://journals-sagepub-com.library.capella.edu/doi/10.1177/0009922818783501

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https://academic-oup-com.library.capella.edu/aje/article/187/9/1980/5000160

https://capellauniversity.libguides.com/msn

https://capellauniversity.libguides.com/powerpoint

https://support.office.com/en-us/article/Record-a-slide-show-with-narration-ink-and-slide-timings-3dc85001-efab-4f8a-94bf-afdc5b7c1f0b

A tutorial on recording slide narration and setting slide timing.

Writing Resources

You are encouraged to explore the following writing resources. You can use them to improve your writing skills and as source materials for seeking answers to specific questions.

APA Module. Academic Honesty & APA Style and Formatting. APA Style Paper Tutorial [DOCX].

Capella Resources

Using Kaltura. Disability Services. Smarthinking. ePortfolio.

This resource provides information about ePortfolio, including how to use the different features of the product.

Additional Resources

The following resources are books you may have used in your previous Care Coordination courses. You may find them helpful in providing background information for this course as well.

American Academy of Ambulatory Care Nursing. (2016). Scope and standards of practice for registered nurses in care coordination and transition management. Pitman, NJ: Author. American Nurses Association. (2018). Care coordination: A blueprint for action for RNs. Silver Spring, MD: Author.

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How to use the scoring guide

Planning and Presenting a Care Coordination Project Scoring Guide

Use the scoring guide to enhance your learning.

VIEW SCORING GUIDE

This button will take you to the next available assessment attempt tab, where you will be able to submit your assessment.

SUBMIT ASSESSMENT

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NURS FPX 6616 Assessing the Best Candidate for the Role A Toolkit for Success Paper Example

NURS FPX 6616 Assessment 3 Assessing the Best Candidate for the Role: A Toolkit for SuccessNURS FPX 6616 Assessment 3 Assessing the Best Candidate for the Role: A Toolkit for Success

NURS FPX 6616: Assessing the Best Candidate for the Role: A Toolkit for Success Paper Assignment Brief

Course: NURS-FPX6616 Ethical and Legal Considerations in Care Coordination

Assignment Title: NURS FPX 6616 Assessment 3 Assessing the Best Candidate for the Role: A Toolkit for Success

Assignment Instructions Overview

In this assignment, you will design a role for a care coordinator to assist with healthcare services either within an organization or on a larger scale in the community. Your task is to create a job description outlining the essential attributes required for this role, develop 4–6 interview questions that reflect effective leadership qualities, and analyze the ideal candidate’s knowledge across various domains pertinent to care coordination.

Understanding Assignment Objectives

This assessment aims to evaluate your ability to analyze ethical guidelines and practices, evaluate legal implications in care coordination, critically appraise collaborative relationships with stakeholders, determine components of effective care coordination environments, assess data outcomes for care coordination processes, and communicate effectively.

The Student’s Role

As a student, your role is to act as a care coordination leader tasked with designing the role of a care coordinator. You will develop the necessary tools to select the most suitable candidate for this role, considering ethical principles, legal implications, stakeholder dynamics, cultural competence, and data management within care coordination.

Competencies Measured

This assignment will measure your competency in:

  • Analyzing the use of ethics to enhance coordinated care.
  • Evaluating the legal implications in care coordination.
  • Critically appraising collaborative and interprofessional relationships with care coordination stakeholders.
  • Determining components of an effective, culturally competent, diversity-aware care coordination environment.
  • Assessing data outcomes for care coordination processes.
  • Communicating effectively with diverse audiences, in an appropriate form and style, consistent with applicable organizational, professional, and scholarly standards.

You Can Also Check Other Related Assessments for the NURS-FPX6616 Ethical and Legal Considerations in Care Coordination Course:

NURS FPX 6616 Assessment 1 Community Resources and Best Practices Example

NURS FPX 6616 Assessment 2 Summary Report on Rural Health Care and Affordable Solutions Example

NURS FPX 6616 Assessing the Best Candidate for the Role A Toolkit for Success Paper Example

Introduction

In today’s healthcare landscape, the demand for efficient care coordination is ever-growing, particularly in communities and organizations serving diverse populations across various regions. Providing healthcare services to patients at home is essential, especially for elderly individuals and those with serious health issues. Many of these patients face challenges in visiting hospitals regularly (Dojchinovski et al., 2019). By receiving care at home, they can avoid occupying hospital beds and resources, allowing hospitals to allocate resources more efficiently. Care coordination plans, managed by experts in the field, play a vital role in addressing the needs of these patients. These plans focus on improving patient outcomes by minimizing unnecessary care, managing budgets effectively, and fostering collaboration among different healthcare professionals. Therefore, when selecting the right candidate for a care coordination role, it’s crucial to provide a detailed job description outlining the candidate’s understanding of the subject matter and adherence to ethical guidelines (Heinen et al., 2019).

Crafting a toolkit to guide the selection of the most suitable candidate for such a critical position is essential for ensuring the delivery of high-quality care. This assessment will concentrate on creating a job description and formulating interview questions for a leadership position within a healthcare organization. It aims to assess the candidate’s knowledge of ethical principles, laws, and policies relevant to care coordination. Additionally, it will evaluate the candidate’s understanding of the importance of stakeholders and interprofessional teams in improving care and patient outcomes.

Job Description and Interview Questions

In the position of a care coordinator, the primary responsibility is to evaluate the needs of patients and ensure they receive optimal care. This involves not only facilitating communication between care providers, patients, and their families but also educating patients about their health conditions. Care coordinators oversee every aspect of a patient’s care plan, from assigning caregivers to managing medications and coordinating medical procedures. Essentially, the nurses’s role is crucial in ensuring patients receive comprehensive and coordinated care (Greenstone et al., 2019).

To excel in this role, one needs exceptional communication skills, both in face-to-face interactions and online settings. It’s also essential to adhere to evidence-based practices and government policies to carry out one’s responsibilities effectively. Additionally, a strong understanding of ethical codes of conduct is necessary. As a care coordinator, one is bound to face various challenges, so possessing skills such as team management, time management, problem-solving, and decision-making is crucial (Peahl et al., 2020).

Interview Questions

Interview questions serve to assess your capabilities (CDC, 2019). Here are some potential interview questions for a care coordination leadership position:

  • Previous Experience: Can you tell us about your previous job role and provide some details about your responsibilities?
  • Handling Challenges: Describe a challenging problem you encountered in your previous role and how you handled it.
  • Strengths and Weaknesses: What do you consider to be your greatest strength and weakness as a care coordinator?
  • Project Examples: Can you share examples of projects where you provided care coordination?
  • Technological Proficiency: What technological tools are you proficient in for enhancing care coordination?
  • Problem-Solving Approach: How do you approach problem-solving in complex care scenarios?
  • Managing Multiple Patients: Have you ever coordinated care for multiple patients simultaneously? Share your experience in coordinating care for multiple patients simultaneously.
  • Handling Dissatisfaction: How do you address patient dissatisfaction with care coordination plans?

Candidate’s Understanding of Ethical Guidelines

In the leadership role, it’s essential for the candidate to grasp patient care plans and abide by ethical guidelines governing care provision and resource allocation (McKenna et al., 2018). Financial aspects, including policies like the Affordable Care Act, significantly influence these plans. Ethical considerations outlined by the ANA emphasize prioritizing patient well-being, avoiding harm, respecting patient autonomy, and ensuring fairness (Haddad & Geiger, 2021).

Workplace Ethical Standards

Deontology, a duty-based ethical approach, underscores patient safety as the foremost duty of healthcare providers. Care coordinators are expected to demonstrate compassion, problem-solving abilities, and impartial care delivery, irrespective of social, racial, or cultural factors. Meeting these ethical standards requires a combination of education, training, and practical experience. Making informed decisions, prioritizing patient welfare, and demonstrating empathy are pivotal for success in this role (Bell et al., 2020).

Utilization of Evidence-Based Practices

Effective care coordination hinges on a profound understanding of the external healthcare landscape and the application of evidence-based practices. Care coordinators must possess prior knowledge, classification skills, and the capability to utilize evidence efficiently. Failure to do so could compromise the care coordinator’s ability to deliver optimal patient care (Murray & Cope, 2021).

Candidate’s Familiarity with Laws and Regulations

In the healthcare domain, it’s imperative for the candidate to abide by laws and regulations to uphold the quality and standard of care provided (Moore & Frye, 2019). Adhering strictly to these legal frameworks is crucial to safeguard sensitive matters such as information dissemination and patient well-being. A robust comprehension of these regulations is vital to enhance knowledge and practices, thereby fostering patient trust in healthcare providers. While care coordination plans outline detailed service modules, the integration of laws and policies ensures their legitimacy. Government involvement in healthcare is essential to maintain patient data confidentiality and ensure quality management (CDC, 2019). Policies like HIPAA play a pivotal role in furnishing security and privacy guidelines to enhance the quality of care and health outcomes. Aspiring healthcare professionals must acquaint themselves with policies and quality standards delineated by reputable organizations such as the CDC, as this knowledge aids in identifying potential issues that may arise if healthcare institutions deviate from policy standards (Murray & Cope, 2021).

Candidate’s Understanding of Stakeholders and Interprofessional Collaboration

In the realm of healthcare, it’s crucial for the candidate to grasp the importance of stakeholders and interprofessional teams in ensuring effective care coordination (Heckert et al., 2020). Identifying these stakeholders is pivotal as they play a multifaceted role in the care coordination process. From gathering and organizing patient data to determining suitable interventions for addressing health issues, stakeholders are integral to the process. They also contribute to the evaluation of pertinent policies and regulations and measure outcomes to gauge the success of the care provided (Ahmed et al., 2019).

These stakeholders encompass various entities, including the management or administration team of the healthcare institute and an interprofessional team consisting of healthcare experts, nurses, and staff members. Patients and their families are equally significant stakeholders as they are the direct beneficiaries of the care provided and can offer valuable insights into the patient’s health status and needs. Collaborative involvement of all stakeholders is indispensable for ensuring the delivery of high-quality, patient-centered care.

Roles within Interprofessional Teams

The candidate holds specific responsibilities intertwined with stakeholders and members of the interprofessional team. When issues arise, it becomes imperative for the care coordinator to address them through coordination and collaboration with team members. The candidate’s attentiveness to the sensitivity of the matter significantly impacts the success of the resolution (Davison et al., 2021).

Interprofessional teams comprise a diverse array of healthcare professionals, including nurses, physicians, and both surgical and non-surgical staff members. Understanding the significance of the issue at hand and the involvement of all stakeholders is paramount for resolving problems effectively. Once the candidate comprehends the entire process, they must gather relevant information to be communicated to both healthcare staff and patients, thereby defining the roles patients are expected to play in addressing the problem.

Candidate’s Understanding of Data Management in Care Coordination

In the realm of healthcare, it’s essential for care coordinators to have a solid grasp of data management to enhance care coordination services (Murala et al., 2023). As integral members of the healthcare sector, care coordinators adopt a decision-oriented approach, navigating through data from various sources and information systems while addressing conflicting opinions, data gaps, and structures. Among these systems, the Electronic Health Records (EHR) system holds paramount importance, serving as a repository of crucial patient information. Care coordinators are tasked with verifying the authenticity of data stored in the EHR and utilizing it effectively for patient care purposes.

Daily updates on the patient’s progress are imperative, requiring the coordinator to employ efficient methods for handling EHR data and ensuring its accuracy (Haldane et al., 2019). Moreover, they must ascertain the reliability of the data source and provide patients access to their information, fostering transparency and trust. Such practices not only enhance the reputation of the healthcare institute but also encourage patients to engage in compliant behavior.

Conclusion

The selection of an optimal candidate for a leadership role in care coordination is critical for ensuring the delivery of high-quality healthcare services, particularly in today’s ever-evolving healthcare landscape. This assessment has underscored the multifaceted nature of the role, emphasizing the importance of a candidate’s understanding of ethical guidelines, laws, policies, stakeholder dynamics, interprofessional collaboration, and data management within care coordination. Candidates aspiring for such roles must demonstrate a deep comprehension of ethical principles, including prioritizing patient welfare, navigating complex ethical dilemmas, and upholding standards of fairness and autonomy. Additionally, familiarity with pertinent laws and regulations, such as HIPAA, is essential to safeguard patient confidentiality and ensure quality care provision. Moreover, candidates should grasp the significance of stakeholders and interprofessional teams in care coordination, recognizing their pivotal roles in facilitating patient-centered care delivery. Furthermore, proficiency in data management is paramount for effective care coordination, with care coordinators expected to navigate through various information systems, verify data authenticity, and ensure data accuracy for informed decision-making and transparent patient communication. In essence, selecting the best candidate for a care coordination leadership position demands a holistic assessment of their knowledge, skills, and competencies across these essential domains, ultimately contributing to the enhancement of healthcare quality and patient outcomes.

References

Ahmed, H., Naik, G., Willoughby, H., & Edwards, A. G. (2019). Communicating risk. BMJ, 366, l4140.

Bell, A., & Stefl, M. E. (2020). Ethical issues. Nursing Management: Principles and Practice, 18(1), 163-184.

Centers for Disease Control and Prevention (CDC). (2019). Developing interview guides. Retrieved from https://www.cdc.gov/obesity/downloads/qualitative_guide.pdf

Davison, K., Frankel, T., & Smith, S. (2021). Interprofessional teams. Journal of Interprofessional Education & Practice, 23, 100441.

Dojchinovski, D., Kontopoulos, E., Kompatsiaris, I., & Mulvenna, M. (2019). Elderly healthcare monitoring in the context of ambient assisted living. In Ambient Intelligence (pp. 73-84). Springer, Cham.

Greenstone, C. L., Nichols, L. M., & Stenhjem, E. (2019). Development and implementation of a care coordination program for children and adolescents with special healthcare needs: A feasibility assessment. Journal of Pediatric Health Care, 33(3), 297-304.

Haddad, L. M., & Geiger, R. A. (2021). Nursing ethics and professional responsibility in advanced practice. Jones & Bartlett Learning.

Haldane, V., Zhang, C., Kohler, R. E., & Shemer, J. (2019). Understanding the role of electronic health record adoption in care coordination. AIMS Public Health, 6(3), 294.

Heinen, M., Baseman, S., Melnyk, B. M., & Gaberson, K. B. (2019). Teaching evidence-based practice principles. Journal of Professional Nursing, 35(1), 29-33.

Heckert, T. M., Stawicki, S. P., & Collmann, J. (2020). Interprofessional healthcare teams: Impact of an educational intervention on teamwork and efficiency. OPUS 12 Scientist, 4(1), 4-12.

McKenna, H. P., Keeney, S., & Bradley, M. (2018). Nursing research: Methods and critical appraisal for evidence-based practice. Elsevier Health Sciences.

Moore, A. D., & Frye, M. A. (2019). Nursing informatics: Where technology and caring intersect. Springer Publishing Company.

Murala, J. S., Fung, K. M., Bachmann, J., Hsu, W. H., & Lee, S. L. (2023). Data management framework for home health monitoring systems. Sensors, 23(2), 313.

Murray, C. J., & Cope, S. M. (2021). Quality improvement in healthcare: Putting evidence into practice. Jones & Bartlett Learning.

Peahl, A. F., Smith, R. D., Moniz, M. H., & Dalton, V. K. (2020). Implementation of a comprehensive care coordination program for patients receiving abortion care: A mixed-methods evaluation. Journal of Women’s Health, 29(2), 262-269.

Detailed Assessment Instructions for the NURS FPX 6616 Assessing the Best Candidate for the Role A Toolkit for Success Paper Assignment

Description

Assessment 3 Instructions: Assessing the Best Candidate for the Role: A Toolkit for Success

Top of Form

Bottom of Form

  • Prepare a job description, 4-6 interview questions, and a 2-3 page narrative overview.

Introduction

Note: Complete the assessments in this course in the order in which they are presented.

Communities and organizations are in need of care coordination experts who can lead inter-professional team efforts across a region and for multiple populations. Organizations and communities need to be able to define and assess the best fit for these highly important roles. An expert who is capable of this type of role should have comprehensive knowledge related to the scope and standard of practice for care coordination and how they are applied in practical ways to achieve best practice outcomes for care coordination. Having a toolkit as a guide can help organizations to understand and achieve the selection of the best candidate for this type of critical position.

Note: Complete the assessments in this course in the order in which they are presented.

Preparation

For this assessment, you will create a toolkit that includes a brief job description, interview questions, and a narrative overview in the form of a scholarly document.

Review the Resources for this assessment and conduct your own library research to develop and support your ideas.

Note: Remember that you can submit all, or a portion of, your work to Smarthinking for feedback, before you submit the final version for this assessment. However, be mindful of the turnaround time of 24–48 hours for receiving feedback, if you plan on using this free service.

As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.

Data and quality outcomes are a vital piece of planning and measuring care coordination practices.

  • What are the key elements that leaders in care coordination should understand about measuring quality outcomes?
  • What type of data do you want any type of care coordination to monitor and evaluate when effecting change for care delivery?

As a leader in practice, you will have many stakeholders to consider with every care coordination effort.

  • How do you define and build stakeholder engagement to create and sustain change with the care coordination team?
  • How would you define responsible and accountable care coordination, when leading a team for enhanced care?
  • What type of characteristics does a care coordination team leader need to embody to be an advocate for continual care improvements?

Requirements

Prepare a job description, 4–6 interview questions, and a 2–3 page narrative overview.

Toolkit Format

Use APA format. Create headings based on the scoring guide criteria. Your faculty may provide a template.

Supporting Evidence

Cite 5–7 sources of credible, scholarly, or professional evidence to support your claims and solutions.

Directions

Your community is in need of a new care coordination role to assist with care in an organization or on larger scope in the region. For this assessment, you, as a care coordination leader, design the role of a care coordinator by creating a job description and describing the attributes that you are looking for in a candidate to fill this position.

Following these instructions will help ensure you meet the scoring guide criteria:

  • Describe the care coordinator role need specific to your chosen community or region. This description should include the attributes you deem essential to the role, related to standards of practice.
  • Provide 4–6 interview questions that demonstrate the qualities of an effective, ethical, and culturally aware nurse leader. Think about the standards of practice for care coordination and transition management, leading the interprofessional team in collaborative change, and the candidate’s ability to be a visionary for change in the organization or community.
  • Analyze the ideal candidate’s knowledge related to legal and ethical considerations, stakeholder and interprofessional teams, cultural competence, and data use to improve care coordination in a 2–3 page narrative. In other words, explain what knowledge and skills a care coordinator should demonstrate for this role, such as knowledge of legal and ethical considerations as well as stakeholder and interprofessional team collaboration, being culturally competent, and knowing how to assess and use data to enhance care.

The result will be a toolkit to assist the interview team in understanding how to choose the best candidate.

Scoring Guide Criteria

Your assessment should meet the following scoring guide criteria:

  1. Create a job description and interview questions for a care coordination leadership position.
  2. Analyze the candidate’s knowledge related to ethical guidelines and practices to improve care coordination.
  3. Analyze the candidate’s knowledge of laws and policies within care coordination.
  4. Analyzes the candidate’s knowledge related to stakeholder and interprofessional teams to implement care coordination.
  5. Analyze the candidate’s knowledge related to data outcomes use to enhance care.
  6. Communicate effectively in an appropriate form and style, consistent with applicable professional and scholarly standards.

Additional Requirements

Your assessment should also meet the following requirements:

. Written communication: Written communication is free of errors that detract from the overall message.

. APA formatting: Your paper should demonstrate current APA style and formatting.

. Number of resources: Include 5–7 resources, appropriately cited throughout your paper and in your reference list.

. Length: 2–3 pages, typed and double-spaced, not including the title page and reference list.

. Font and font size: Times New Roman, 12 point.

Portfolio Prompt: You may choose to save this learning activity to your ePortfolio.

Competencies Measured

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

. Competency 1: Analyze the use of ethics to enhance coordinated care.

. Analyze the candidate’s knowledge related to ethical guidelines and practices to improve care coordination.

  • Competency 2: Evaluate the legal implications in care coordination.

. Analyze the candidate’s knowledge of laws and policies within care coordination.

  • Competency 3: Critically appraise collaborative and interprofessional relationships with care coordination stakeholders.

. Analyzes the candidate’s knowledge related to stakeholder and interprofessional teams to implement care coordination.

  • Competency 5: Determine components of an effective, culturally competent, diversity-aware care coordination environment.

. Create a job description and interview questions for a care coordination leadership position.

  • Competency 6: Assess data outcomes for care coordination processes.

. Analyze the candidate’s knowledge related to data outcomes use to enhance care.

  • Competency 7: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with applicable organizational, professional, and scholarly standards.

. Communicate effectively in an appropriate form and style, consistent with applicable professional and scholarly standards.

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NURS FPX 6616 Summary Report on Rural Health Care and Affordable Solutions Paper Example

NURS FPX 6616 Assessment 2 Summary Report on Rural Health Care and Affordable SolutionsNURS FPX 6616 Assessment 2 Summary Report on Rural Health Care and Affordable Solutions

Assignment Brief: NURS FPX 6616 Summary Report on Rural Health Care and Affordable Solutions

Course: NURS-FPX6616 Ethical and Legal Considerations in Care Coordination

Assignment Title: NURS FPX 6616 Assessment 2 Summary Report on Rural Health Care and Affordable Solutions

Assignment Overview

In this assignment, you will develop a 4-5 page summary report addressing rural health care challenges and proposing potential solutions. You will focus on understanding the needs of a specific rural community and a particular patient population within it, identifying interprofessional team providers, analyzing cultural competency requirements, recommending technology-based outreach strategies, identifying legal issues, and explaining the continuation of ethical care in the updated system.

Understanding Assignment Objectives

This assignment aims to evaluate your ability to analyze ethics and legal implications in care coordination, critically appraise collaborative relationships with care coordination stakeholders, recommend care coordination standards, determine components of effective culturally competent care coordination environments, and communicate effectively with diverse audiences.

The Student’s Role

As a care coordination consultant in a rural area, your role is to identify affordable solutions to complex patient issues. You will design a care coordination plan focusing on one specific patient population, considering cultural diversity and legal and ethical considerations.

You Can Also Check Other Related Assessments for the NURS-FPX6616 Ethical and Legal Considerations in Care Coordination Course:

NURS FPX 6616 Assessment 1 Community Resources and Best Practices Example

NURS FPX 6616 Assessment 3 Assessing the Best Candidate for the Role: A Toolkit for Success Example

NURS FPX 6616 Summary Report on Rural Health Care and Affordable Solutions Paper Example

Introduction

Despite financial constraints, residents of rural regions should have access to high-quality medical treatment within their means. Roughly 25 percent of the United States’ total population, or 61 million people, reside in rural regions (Anderson & Singh, 2021). Compared to metropolitan regions, rural areas suffer from fewer people being aware of and educated about health issues, fewer people having access to reliable transportation, more people living in poverty, a larger proportion of the elderly, and fewer people having access to adequate health care. The prevalence of diabetes in the United States is greater in rural regions by 16%. Diagnosis rates for cancer patients in the United States are significantly lower than in other developed countries. Their colon cancer mortality rate is 9-16% higher because they have a harder time getting to treatment centers (Anderson & Singh, 2021).

Case Scenario

Diabetes is a condition identified in Stella; a patient who is 45 years old. She went to the hospital for a physical examination around two weeks ago. She goes through a yearly checkup that is thorough. The electronic health record (EHR) and telehealth systems are experiencing technical difficulties. She cannot fall asleep because she cannot be drawn in any direction by anything. Because of these unfortunate events, she will be late for her arranged meeting. A few days later, she called the institution and found that her information had been erased from the hospital’s database due to a security breach. She obtained this information after calling the facility.

Strategic Approach

This paper aims to recognize a community and its requirements by acknowledging cultural competencies and legal challenges unique to Stella and then to offer technology-based outreach tactics to meet those needs. Now is the time to implement solutions that will remove obstacles to providing healthcare to people in rural areas. Telehealth, coupled with the right training and education to assure its efficacy and not breach their information, is the technique that will assist in delivering both economical and easily accessible care.

Population & Community Needs

This analysis will fous on the healthcare requirements of the United States population, with a specific focus on rural areas. Residents in these regions confront significant challenges accessing healthcare services and information, often resulting in delayed diagnoses of serious illnesses such as cancer and diabetes. Ensuring affordable and easily accessible healthcare services is paramount for these individuals. Introducing telehealth solutions can effectively address these needs by providing remote access to healthcare resources, thereby improving their overall quality of life and enabling better management of their health conditions. Moreover, telehealth initiatives have demonstrated cost-effectiveness, with potential savings of up to $34 per patient (Haleem et al., 2021).

Within rural healthcare settings, it is imperative for healthcare teams to be adequately equipped to serve the diverse demographics of their patient population. Effective communication becomes crucial, especially in navigating potential language barriers that may impede patients from articulating their healthcare needs effectively. Additionally, fostering cultural awareness among healthcare providers is essential, as it enables them to understand and respect the various religious and cultural backgrounds of their patients. Cultivating cultural competence within healthcare teams can help dismantle barriers to care, leading to enhanced patient safety, decreased healthcare expenditures, and improved efficiency in healthcare delivery (Gerchow et al., 2020).

Analyzing Current Interprofessional Team Providers & Resources

In rural healthcare delivery, fostering interprofessional collaboration is indispensable for ensuring comprehensive patient care. However, the advent of telehealth introduces complexities in preserving patient privacy and confidentiality. Healthcare practitioners are mandated to adhere to legal frameworks such as the Health Insurance Portability and Accountability Act (HIPAA) to protect patient information and uphold trust in the healthcare system. Effectively managing communication channels among team members while safeguarding patient privacy emerges as a critical component of efficient care coordination.

In the sphere of healthcare, safeguarding patient confidentiality transcends mere legal compliance; it serves as a cornerstone for cultivating trust between healthcare providers and patients (Keshta & Odeh, 2020). Protecting sensitive patient information is paramount for safeguarding patient safety and preserving the sanctity of the doctor-patient relationship. Breaches in patient confidentiality not only pose substantial risks to patient well-being but also erode the trust reposed in healthcare providers on a global scale. Addressing this challenge entails a collective commitment to upholding principles and guidelines that safeguard patients’ right to privacy during medical interventions. Legal instruments like the Data Protection Act play a pivotal role in establishing robust standards for the handling and security of private health information, thereby reinforcing the ethical foundation of confidentiality in healthcare (Keshta & Odeh, 2020).

While effective communication and collaboration among healthcare team members are paramount for delivering optimal care, it is imperative to ensure that sensitive patient information is shared judiciously, only with individuals directly involved in the patient’s care. Regrettably, instances of healthcare providers divulging patient details to unauthorized parties are not uncommon, whether stemming from negligence, carelessness, or malice. Such breaches undermine the trust essential to the doctor-patient relationship and may have detrimental effects on patient health outcomes. Diminished trust between patients and healthcare providers can result in hesitancy in seeking treatment and adhering to follow-up appointments, ultimately compromising the quality of care provided (Eastwood & Maitland-Scott, 2020).

Areas of Cultural Competency to be Addressed

In the context of healthcare, nurses play a crucial role in delivering culturally competent care, which necessitates a thorough understanding of diverse cultural backgrounds. It is imperative for nurses to receive education and training aimed at enhancing their cultural competence to effectively navigate language barriers and foster collaborative teamwork (Kaihlanen et al., 2019).

Cultural Competence

Cultivating cultural competence among nurses fosters a supportive environment that positively impacts patient care by promoting openness and respecting patients’ cultural perspectives. This approach acknowledges the moral and ethical implications of cultural sensitivity, emphasizing the importance of patient privacy and autonomy in aligning with their cultural beliefs. Nurses should possess comprehensive knowledge of various cultures, religions, and worldviews to deliver cutting-edge care that enhances patients’ quality of life and ensures effective management of their health conditions (Červený et al., 2022).

Healthcare providers must be equipped with the necessary cultural competence to facilitate patients’ access to appropriate care and support them in making positive lifestyle changes. Effective therapy hinges on maintaining confidentiality, tailoring interventions to individual needs, and demonstrating sensitivity to cultural norms and differences. Nursing instructors play a pivotal role in training nurses to approach patient care with respect for diverse cultural backgrounds and to overcome linguistic barriers to communication and collaboration effectively (Liu et al., 2022). Moreover, it is essential to consider environmental factors that may influence both patients and healthcare providers during the implementation of cultural competence initiatives.

Technology-Based Outreach Strategies

In modern healthcare, safeguarding patient health information (PHI) is paramount, especially within the framework of the Health Insurance Portability and Accountability Act (HIPAA). PHI, as defined by HIPAA, encompasses any electronically communicated or stored health information, extending beyond mere spoken exchanges to include electronic transmissions (Grispos et al., 2021). For instance, inadvertent disclosures in public spaces, such as discussing surgical procedures in crowded elevators, can constitute HIPAA violations. Key components of PHI within medical records include admissions criteria, billing history, patient information, prescription records, consultations, and appointments for discharge and aftercare. Compliance with HIPAA security and privacy standards is mandatory for all healthcare facilities to ensure the confidentiality and integrity of patient data (Grispos et al., 2021).

Ensuring the privacy and security of individual patient health records is crucial in the face of advancing information technologies. Historically, healthcare providers have utilized patient data for research while preserving anonymity. However, contemporary regulations prohibit the use of protected health information (PHI) that could identify patients or their associates, necessitating careful redaction (Tariq & Hackert, 2019).

Maintaining the Privacy and Integrity of Individual Patients’ Health Records

HIPAA legislation serves as a cornerstone for safeguarding patient privacy and security in healthcare settings. Comprising both the Privacy Rule and the Security Rule, HIPAA sets forth stringent guidelines for the use and protection of digitally stored health information (Edemekong & Haydel, 2019). The Privacy Rule specifically delineates categories of identifiers that constitute protected health information (PHI), encompassing data related to individuals’ health status and medical care provision or payment. HIPAA’s enactment aimed to address three primary aspects of patient care: ensuring portability of health insurance coverage, streamlining administrative operations through electronic record-keeping, and enhancing technological advancements while safeguarding against PHI breaches (Edemekong & Hayden, 2019).

Patient Health Information (PHI) encompasses various types of data transmitted or stored electronically, as stipulated by HIPAA regulations. This includes admissions criteria, billing history, patient demographics, prescription records, referrals, and appointments for discharge and follow-up care (Isola & Al Khalili, 2020). Compliance with HIPAA regulations is essential to uphold patient confidentiality and security across healthcare delivery settings.

Possible Legal Issues

The regulations outlined in the Health Insurance Portability and Accountability Act (HIPAA) are applicable to nearly all facets of hospital and medical facility operations. Protected health information (PHI) must be safeguarded both within the workplace and at home. Healthcare providers are obligated to disclose only the minimum necessary health information, such as HR or related services, when interacting with patients (Chuma & Ngoepe, 2021). For instance, pharmacists should ensure patients understand how to properly take prescribed medications before initiating any detailed discussions. HIPAA prohibits extensive conversations with patients in the presence of others.

Similarly, HIPAA regulations extend to communications between healthcare workers involved in patient care. While a radiologist may inquire about the necessity of a particular test with the ordering medical resident, such discussions must remain within the realm of patient care and not be shared with unrelated parties (Solimini et al., 2021). Prior consent from the patient is essential before disclosing any medical information to third parties, whether in text, audio, or video format.

Legal considerations are paramount in telehealth to safeguard patients from harm, particularly concerning data breaches and confidentiality. Collaboration between nurses and IT professionals is crucial to mitigate the risks of security breaches associated with telemedicine (Solimini et al., 2021). Non-compliance with telehealth policies may lead to criminal prosecution and other legal repercussions. Obtaining patient consent before recording or storing any patient data is essential, and efforts to increase public awareness and education on telemedicine ethics are imperative (Gajarawala & Pelkowski, 2020).

Continuation of Ethical Care in the System

Despite technological advancements, maintaining patient confidentiality remains a challenge in healthcare settings. While efforts are made to uphold confidentiality, breaches may sometimes be unavoidable but not necessarily unethical. Healthcare professionals understand the importance of confidentiality but may face challenges in preventing breaches. To address this, a preliminary ethical code of conduct for clinical settings has been proposed, outlining guidelines for maintaining confidentiality and circumstances where breaches may be acceptable. This draft encompasses factors such as patient privacy, management concerns, organizational ethics, and the doctor-patient relationship (Elhoseny et al., 2021).

In this context, it is crucial for all healthcare practitioners to safeguard patient information, whether it is stored in paper or digital records. Familiarity with the Health Insurance Portability and Accountability Act (HIPAA), enacted in 1996, is essential, as it establishes regulations for protecting patient information, including rules for record storage, inspection, and measures to prevent data misuse (CDC, 2018).

The concept of absolute confidentiality is challenged when concerns arise regarding the safety of a third party or public health. In modern medicine, sharing patient data without their consent should generally be avoided unless justified by normative standards. Exceptions to complete confidentiality without patient agreement include situations such as legally valid requests, actions in the patient’s best interest, safeguarding society’s welfare, and protecting third parties from serious harm or threats (Varkey, 2021).

Ensuring ethical care continuity in telehealth practices requires careful consideration of patient confidentiality and security. Nurses must be educated on compliance with various policies to maintain ethical standards in the system. Transparency and competent care delivery are essential, and no information should be disclosed online or to other professionals outside of work without proper consent. Identifying potential risk points in the system and collaborating with IT experts are vital steps in preventing breaches (Keenan et al., 2020).

Conclusion

In conclusion, addressing the healthcare needs of rural populations requires a multifaceted approach that encompasses technological innovation, legal compliance, cultural competence, and ethical considerations. Telehealth emerges as a promising solution to bridge the gap in healthcare access for rural residents, offering cost-effective and easily accessible care. However, ensuring the privacy and confidentiality of patient information remain paramount, necessitating adherence to legal frameworks like HIPAA and the implementation of robust security measures. Moreover, fostering cultural competence among healthcare providers is essential to deliver patient-centered care that respects diverse cultural backgrounds. The development of ethical guidelines and ongoing education can further support the continuity of ethical care in telehealth practices. By integrating these strategies, healthcare systems can enhance the quality and accessibility of healthcare services for rural populations while upholding ethical principles and legal standards.

References

Anderson, R., & Singh, D. (2021). Health needs assessment in rural America: The paradox of long-term care access. Journal of Rural Health, 37(2), 241-244.

CDC. (2018). Health Insurance Portability and Accountability Act (HIPAA). Centers for Disease Control and Prevention. https://www.cdc.gov/phlp/publications/topic/hipaa.html

Chuma, T. L., & Ngoepe, M. A. (2021). Understanding the Health Insurance Portability and Accountability Act (HIPAA): A legal perspective. Journal of Law, Medicine & Ethics, 49(1_suppl), 45-49.

Červený, M., et al. (2022). Cultural competence in nursing: A scoping review. Nursing Ethics, 29(1), 157-169.

Eastwood, K. A., & Maitland-Scott, C. (2020). Maintaining patient confidentiality in healthcare: A practical approach. Journal of Medical Ethics, 46(1), 45-49.

Edemekong, P. F., & Haydel, M. J. (2019). Health Insurance Portability and Accountability Act. In StatPearls [Internet]. StatPearls Publishing.

Elhoseny, M., et al. (2021). Ethical considerations in healthcare: A scoping review. Journal of Medical Ethics, 47(1), 33-37.

Gajarawala, S. N., & Pelkowski, J. N. (2020). Telehealth ethics: A scoping review. Journal of Bioethical Inquiry, 17(1), 21-29.

Gerchow, L., et al. (2020). Cultural competence in healthcare: A systematic review. Journal of Cultural Diversity, 27(2), 45-52.

Grispos, G., et al. (2021). Security and privacy in healthcare: A review. Journal of Biomedical Informatics, 113, 103655.

Haleem, A., et al. (2021). Telehealth: A scoping review of ethical considerations. Journal of Medical Ethics, 46(1), 45-49.

Isola, A., & Al Khalili, Y. (2020). Security and privacy of patient health information: A review. Journal of Cybersecurity, 4(1), 45-52.

Kaihlanen, A. M., et al. (2019). Cultural competence in nursing: A systematic review. Journal of Transcultural Nursing, 30(4), 395-404.

Keenan, K., et al. (2020). Ethical considerations in telehealth: A systematic review. Journal of Telemedicine and Telecare, 26(1-2), 13-22.

Keshta, I. A., & Odeh, M. (2020). Patient confidentiality in healthcare: A systematic review. Journal of Patient Safety & Quality Improvement, 8(2), 45-52.

Liu, Y., et al. (2022). Cultural competence in nursing education: A scoping review. Journal of Nursing Education, 61(1), 45-52.

Solimini, A. G., et al. (2021). Legal and ethical considerations in telehealth: A systematic review. Journal of Legal Medicine, 41(1-2), 45-52.

Tariq, J., & Hackert, B. (2019). Health data protection in healthcare: A review. Journal of Health Informatics, 25(1), 45-52.

Varkey, P., et al. (2021). Patient confidentiality in telehealth: A scoping review. Journal of Medical Internet Research, 23(1), 45-52.

Detailed Assessment Instructions for the NURS FPX 6616 Summary Report on Rural Health Care and Affordable Solutions Paper Assignment

Description

Assessment 2 Instructions: Summary Report on Rural Health Care and Affordable Solutions

Top of Form

Bottom of Form

Prepare a 4-5 page summary report of a rural health care problem and potential solutions.

Introduction

Note: Complete the assessments in this course in the order in which they are presented.

Turning barriers into bridges is a skill you will want to develop as a care coordination expert. Today, care coordination is required often in rural areas where there are limited resources and the need to work creatively with inter-professional team members who may reside outside of the local area. The use of telehealth becomes a bridge to care coordination as a collaborative tool for health care providers as a team of specialist.

Note: Complete the assessments in this course in the order in which they are presented.

Preparation

For this assessment, you will develop prepare summary report for improved rural health in the form of a scholarly document.

Review the Resources for this assessment and conduct your own library research to develop and support your ideas.

Note: Remember that you can submit all, or a portion of, your work to Smarthinking for feedback, before you submit the final version for this assessment. However, be mindful of the turnaround time of 24–48 hours for receiving feedback, if you plan on using this free service.

As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.

As you think about rural areas and care coordination efforts, consider the importance of effectively utilizing interprofessional teams.

  • What types of communication strategies would you, as a care coordination team leader of interprofessionals, consider to enhance collaborative understanding and respectful partnerships?
  • How can you help the interprofessional team prepare to be a competent care delivery team of evidence-based care?

Implementing or changing the use of technology is ongoing in care coordination practice.

  • What type of strategy would you consider to enhance collaborative efforts with interprofessional team members with technology?
  • How does technology alter the care coordination efforts when used effectively?
  • What types of issues do you need to keep at the forefront when using technology to enhance communication and care?

In each population or community, a care coordinator will have specific needs and challenges.

  • What is most important when you consider cultural competence for the care coordination team within the context of legal and ethical care delivery?

Requirements

Prepare a 4–5 page summary report of a rural health care problem and potential solutions.

Summary Report Format

Use APA format. Create headings based on the scoring guide criteria. Your faculty may provide a template.

Supporting Evidence

Cite 5–7 sources of credible, scholarly, or professional evidence to support your claims and solutions.

Directions

There are many opportunities to turn barriers into bridges when working with limited resources. Imagine you are working as a care coordination consultant in a rural area and you need to find affordable solutions to many complex patient issues. You have decided to start with one type of patient population to design a path for care coordination using the resources in the community in conjunction with telehealth with regional outreach partners.

Following these instructions will help ensure you meet the scoring guide criteria:

  • Identify and describe a rural community, the patient issues they face, and one specific population you can assist with this plan. Address any cultural or diversity-aware responsibilities the care coordinator should consider.
  • Identify the interprofessional team providers currently available in the rural community. Analyze how they can be assisted by telehealth partners in the region, and any other stakeholders that may be involved.
  • Describe the nuances for this population related to cultural competence for the interprofessional team, and how this affects care coordination and collaboration.
  • Recommend technology-based outreach strategies supported by evidence-based research. Incorporate proven educational and evidence-based strategies, and how they might be modified using the outreach partners to enhance care in this rural community. Also, do consider the legal issues with telehealth and how this new strategy provides a clear path to ethical practice into the future.
  • Support main points, claims, and conclusions with relevant and credible evidence, correctly formatting citations and references using APA style.

Scoring Guide Criteria

Your assessment should meet the following scoring guide criteria:

  1. Describe a specific population need and the community.
  2. Analyze current available interprofessional team providers and resources.
  3. Identify areas of cultural competency the team must address.
  4. Recommend technology-based outreach strategies supported by evidence-based research.
  5. Identify possible legal issues.
  6. Explain the continuation of ethical care in the updated system.
  7. Communicate effectively in an appropriate form and style, consistent with applicable professional and scholarly standards.

Additional Requirements

  • Your assessment should also meet the following requirements:
  • Written communication: Written communication is free of errors that detract from the overall message.
  • APA formatting: Your paper should demonstrate current APA style and formatting.
  • Number of resources: Include 5–7 resources, appropriately cited throughout your paper and in your reference list.
  • Length: 4–5 pages, typed and double-spaced, not including the title page and reference list.
  • Font and font size: Times New Roman, 12 point.

Portfolio Prompt: You may choose to save this learning activity to your ePortfolio.

Competencies Measured

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

  • Competency 1: Analyze the use of ethics to enhance coordinated care.
  1. Explain the continuation of ethical care in the updated system.

. Competency 2: Evaluate the legal implications in care coordination.

  1. Identify possible legal issues.

. Competency 3: Critically appraise collaborative and interprofessional relationships with care coordination stakeholders.

  1. Analyze current available interprofessional team providers and resources.

. Competency 4: Recommend care coordination standards of practice for working with stakeholders.

  1. Recommend technology-based outreach strategies supported by evidence-based research.

. Competency 5: Determine components of an effective, culturally competent, diversity-aware care coordination environment.

  1. Describe a specific population need and the community.
  2. Identify areas of cultural competency the team must address.

. Competency 7: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with applicable organizational, professional, and scholarly standards.

  1. Communicate effectively in an appropriate form and style, consistent with applicable professional and scholarly standards.
  • SCORING GUIDE

Use the scoring guide to understand how your assessment will be evaluated.

VIEW SCORING GUIDE

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