Reflective question answers. mreen

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Read the following case study and answer the reflective questions.  Please provide evidence-based rationales for your answers.  APA, 7th ed. must be followed. 

LEADERSHIP !!!!

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As a Doctor of Nursing Practice graduate, 

1. Describe servant leadership.

2. What are the Characteristics of a servant leader.

3. Describe your Personal transformation plan for how to attain servant leadership skills.

4. Discuss 4 strategies for effective community building and growth of others through integration of servant leadership skills in your workplace.

Document this assignment in 6 pages word document. Include a minimum of 8 articles published in the last 5 years. 

Nursing Reflection Assignment

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I have attached the guidelines for this assignment

SEARCHING DATABASES

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To Prepare:

  • Review the Resources below and identify a psychiatric clinical issue of interest that can form the basis of a clinical inquiry.
  • Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least two different databases in the Walden university Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest. You should not be using systematic reviews for this assignment, select original research articles.
  • Review the Resources for guidance and develop a PICO(T) question of interest to you for further study. It is suggested that an Intervention-type PICOT question be developed as these seem to work best for this course. 

the assignment: Post a brief description of your clinical issue of interest. This clinical issue will remain the same for the entire course and will be the basis for the development of your PICOT question. Describe your search results in terms of the number of articles returned on original research and how this changed as you added search terms using your Boolean operators. Finally, explain strategies you might make to increase the rigor and effectiveness of a database search on your PICO(T) question. Be specific and provide examples and at least 3 references.

Resources:

Workbook Assessment

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4 exercises in the attached word file

Nursing ASSIGNMENT

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To Prepare:

· Review the concepts of technology application as presented in the Resources.

· Reflect on how emerging technologies such as artificial intelligence may help fortify nursing informatics as a specialty by leading to increased impact on patient outcomes or patient care efficiencies.

The Assignment: (4-5 pages not including the title and reference page)

In a 4- to 5-page project proposal written to the leadership of your healthcare organization, propose a nursing informatics project for your organization that you advocate to improve patient outcomes or patient-care efficiency. Your project proposal should include the following:

· Describe the project you propose.

· Identify the stakeholders impacted by this project.

· Explain the patient outcome(s) or patient-care efficiencies this project is aimed at improving and explain how this improvement would occur. Be specific and provide examples.

· Identify the technologies required to implement this project and explain why.

· Identify the project team (by roles) and explain how you would incorporate the nurse informaticist in the project team.

· Use APA format and include a title page and reference page.

· Use the Safe Assign Drafts to check your match percentage before submitting your work.

LEARNING RESOURCES

Required Readings

· McGonigle, D., & Mastrian, K. G. (2022).
Nursing informatics and the foundation of knowledge (5th ed.). Jones & Bartlett Learning.

· Chapter 25, “The Art of Caring in Technology-Laden Environments” (pp. 595–607)

· Chapter 26, “Our Expanding Realities” (pp. 611–624)

· Mosier, S., Roberts, W. D., & Englebright, J. (2019). A Systems-Level Method for Developing Nursing Informatics Solutions:
The Role of Executive LeadershipLinks to an external site..
JONA: The Journal of Nursing Administration,
49(11), 543-548.

· Ng, Y. C., Alexander, S., & Frith, K. H. (2018).
Integration of Mobile Health Applications in Health Information Technology InitiativesLinks to an external site.: Expanding Opportunities for Nurse Participation in Population Health.
CIN: Computers, Informatics, Nursing,
36(5), 209-213.

· Sipes, C. (2016). Project management:
Essential skill of nurse informaticistsLinks to an external site..
Studies in Health Technology and Informatics, 225, 252-256.

NURS_5051_Module02_Week04_Assignment_Rubric

NURS_5051_Module02_Week04_Assignment_Rubric

Criteria

Ratings

Pts

This criterion is linked to a Learning OutcomeIn a 4- to 5-page project proposal written to the leadership of your healthcare organization, propose a nursing informatics project for your organization that you advocate to improve patient outcomes or patient care efficiency. Your project proposal should include the following:· Describe the project you propose.· Identify the stakeholders impacted by this project.

25 to >22.0 pts

Excellent

The response accurately and thoroughly describes in detail the project proposed….The response accurately and clearly identifies the stakeholders impacted by the project proposed.
22 to >19.0 pts

Good

The response describes the project proposed….The response identifies the stakeholders impacted by the project proposed.
19 to >17.0 pts

Fair

The response topics are superficially addressed.
17 to >0 pts

Poor

The response is very vague or missing.

25 pts

This criterion is linked to a Learning Outcome· Explain the patient outcome(s) or patient-care efficiencies this project is aimed at improving.· Explain how this improvement would occur. Be specific and provide examples. Use sufficient supporting evidence in your response.

25 to >22.0 pts

Excellent

The response accurately and thoroughly explains in detail the patient outcome(s) or patient-care efficiencies that the project proposed is aimed at improving, including an accurate and detailed explanation, with sufficient supporting evidence of how this improvement would occur.
22 to >19.0 pts

Good

The response explains the patient outcome(s) or patient-care efficiencies that the project proposed is aimed at improving, including an explanation, with some supporting evidence of how this improvement would occur.
19 to >17.0 pts

Fair

The response is missing one or two of the required elements, contains little supporting evidence or elements are superficially addressed.
17 to >0 pts

Poor

The response is very vague, lacking examples or supporting evidence, or missing.

25 pts

This criterion is linked to a Learning Outcome· Identify the technologies required to implement this project and explain why.· Identify the project team (by roles) and explain how you would incorporate the nurse informaticist in the project team.

25 to >22.0 pts

Excellent

The response accurately and clearly identifies the technologies required to implement the project proposed with a detailed explanation why….The response accurately and clearly identifies the project team (by roles) and thoroughly explains in detail how to incorporate the nurse informaticist in the project team.
22 to >19.0 pts

Good

The response identifies the technologies required to implement the project proposed with an explanation why….The response identifies the project team (by roles) and explains how to incorporate the nurse informaticist in the project team.
19 to >17.0 pts

Fair

The response is missing one or two of the required elements, or elements are superficially addressed.
17 to >0 pts

Poor

The response is very vague or missing.

25 pts

This criterion is linked to a Learning OutcomeResources

10 to >8.0 pts

Excellent

Assignment includes: 3 or more peer-reviewed research articles and 2 or more course resources.
8 to >7.0 pts

Good

Assignment includes: 2 peer-reviewed research articles and 2 course resources.
7 to >6.0 pts

Fair

Assignment includes: 1 peer-reviewed research article and 1 course resource.
6 to >0 pts

Poor

Assignment includes: 1 or no resources.

10 pts

This criterion is linked to a Learning OutcomeWritten Expression and Formatting – Paragraph Development and Organization:Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance.

5 to >4.0 pts

Excellent

Paragraphs and sentences follow writing standards for flow, continuity, and clarity.
4 to >3.0 pts

Good

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.
3 to >2.0 pts

Fair

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%- 79% of the time.
2 to >0 pts

Poor

Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time.

5 pts

This criterion is linked to a Learning OutcomeWritten Expression and Formatting – English writing standards:Correct grammar, mechanics, and proper punctuation

5 to >4.0 pts

Excellent

Uses correct grammar, spelling, and punctuation with no errors.
4 to >3.0 pts

Good

Contains a few (1-2) grammar, spelling, and punctuation errors.
3 to >2.0 pts

Fair

Contains several (3-4) grammar, spelling, and punctuation errors.
2 to >0 pts

Poor

Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.

5 pts

This criterion is linked to a Learning OutcomeWritten Expression and Formatting – APA:The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list.

5 to >4.0 pts

Excellent

Uses correct APA format with no errors.
4 to >3.0 pts

Good

Contains a few (1-2) APA format errors.
3 to >2.0 pts

Fair

Contains several (3-4) APA format errors.
2 to >0 pts

Poor

Contains many (≥ 5) APA format errors.

5 pts

Total Points: 100

WEEK 7 CASE STUDY MSN5600L

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 Students much review the case study and answer all questions with a scholarly response using APA and include 2 scholarly references. Answer both case studies on the same document .

Attached you can find both case study.

FNP Contract Critique

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Please see the attachment for instructions

R1 see attachment

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Make a follow-up of a student's weekly discussion and respond with your opinion regarding to her post

——You don't have to post this in APA format necessarily, it's just giving feedback to the student .



Claire Steininger

Identify and describe practice barriers for all four APNs' roles in your state and discuss these barriers on a state and national level. The four roles include the nurse midwife, nurse anesthetist, nurse practitioner, and clinical nurse specialist.

Nurse midwives often struggle with scope of practice limitations and the necessity for collaborative agreements, which can sometimes disrupt their ability to provide comprehensive care. Nurse anesthetists may face restrictions, such as supervision requirements and inconsistent reimbursement policies, limiting their autonomy in anesthesia care. Nurse practitioners and clinical nurse specialists confront barriers like collaborative agreements and scope of practice restrictions, which can affect their capacity to deliver primary and specialized care independently. These state-level obstacles are further complicated by variations in laws and regulations across the country. At the national level, lack of consistency and autonomy make it challenging for APNs to provide consistent, high-quality healthcare (Peterson, 2018).

Identify forms of competition on the state and national level that interfere with APNs' ability to practice independently.

At the state level, one form of competition arises from established healthcare hierarchies and interests. Physicians' groups and medical associations often lobby for laws and regulations that restrict APN autonomy to protect their traditional roles in healthcare. With a limited scope of practice, APNs are sometimes forced to adhere to physician regulations. On the national level, Medicare reimbursement rates and federal funding allocations can be influenced by powerful stakeholders, including pharmaceutical companies, insurance providers, and large healthcare systems. These sources may advocate for regulations that favor their interests instead of that of others (Galvani et al., 2020).

Identify the specific lawmakers by name at the state level (i.e., key members of the state's legislative branch and executive branch of government)

In Florida, the governor Ron DeSantis, is the head of the executive branch. Jeanette Nunez is the lieutenant governor, Ashley Moody is the attorney general, Jimmy Patronis is the chief financial officer, and Wilton Simpson is the agricultural commissioner. On the legislative side, the senate president is Kathleen Passidomo, the house speaker is Paul Renner, the majority leader for the senate is Ben Albritton and for the house is Michael Grant. Lastly, the minority leader for the senate is Lauren Book and for the house is Fentrice Driskell (BallotPedia, 2022).

Discuss interest groups that exist at the state and national levels that influence APN policy.

At the state level, physician groups often advocate for policies that maintain their traditional roles and may oppose measures that grant APNs greater autonomy. Oppositely, nursing associations like the American Association of Nurse Practitioners (AANP) and American Association of Nurse Anesthetists (AANA) work to advance APN practice, pushing for full scope of practice and reimbursement policy changes to enhance access to care. On the national level, there are also national nursing organizations like the National Council of State Boards of Nursing (NCSBN) and the National Council of Nurse Practitioners (NCNP) that actively advocate for APN policy changes that can promote independent practice (Brom et al., 2018).

Discuss methods used to influence change in policy in forms of competition, state legislative and executive branches of government, and interest groups.

Some methods used to influence change in policy include political campaigns and quality and safety initiatives. Supporting candidates who are sympathetic to APN issues and policy changes through campaign contributions and grassroots mobilization can influence election outcomes, ultimately affecting the composition of legislative and executive branches. APNs can also participate in quality and safety initiatives to demonstrate a commitment to high-quality care and patient well-being can enhance their credibility and influence (Cullerton et al., 2018).

 

 

BallotPedia. (2022). 
Florida's State Legislature. ballotpedia. 

https://ballotpedia.org/Links to an external site.

Brom, H. M., Salsberry, P. J., & Graham, M. C. (2018). Leveraging health care reform to accelerate nurse practitioner full practice authority. 
Journal of the American Association of Nurse Practitioners, 
30(3), 120–130. 

https://doi.org/10.1097/JXX.0000000000000023Links to an external site.

Cullerton, K., Donnet, T., Lee, A., & Gallegos, D. (2018). Effective advocacy strategies for influencing government nutrition policy: a conceptual model. 
The international journal of behavioral nutrition and physical activity, 
15(1), 83. https://doi.org/10.1186/s12966-018-0716-y


Links to an external site.

Galvani, A. P., Parpia, A. S., Foster, E. M., Singer, B. H., & Fitzpatrick, M. C. (2020). Improving the prognosis of health care in the USA. 
Lancet (London, England), 
395(10223), 524–533. https://doi.org/10.1016/S0140-6736(19)33019-3

Peterson M. E. (2018). Barriers to Practice and the Impact on Health Care: A Nurse Practitioner Focus. 
Journal of the advanced practitioner in oncology, 
8(1), 74–81.

 Reply

Theoretical and Scientific Foundations of Nursing

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EXPLORING EBP QUALITY IMPROVEMENT