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NR447
Week 1 Discussion Latest 2017 March

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

NR447
Week 2 Discussion Latest 2017 March
AACN Essentials Self-Assessment and Patient-Centered Care
(graded)
Locate and complete the Self-Assessment of the
AACN Essentials located in Course Resources. Follow the directions on the form.
Note your total score. Next, review the article cited below:
Kramer, M., Schmalenberg, C., Maguire, P.,
Brewer, B., Burke, R., Chmielewski, L., … Meeks-Sjostrom, D. (2009). Walk the
talk: Promoting control of nursing practice and a patient-centered culture. Critical Care Nurse, 29(3),
77–93. The link to the article may be found in the Syllabus, or the Week 2
Assignments page.
Answer the following:
1. If you
are willing, please share your total score on the AACN Essentials
Self-Assessment
2. Candidly
identify and share with your classmates areas where knowledge, skills or
abilities (KSAs) are lacking?
3. Describe
the relationship between the Essentials and your new-found knowledge about
Patient Centered Care. Are there opportunities for your improvement?

NR447
Week 3 Discussion Latest 2017 March
Conflict and Collaboration (graded)
Please watch the video and listen to the
dialogue before posting.
Second Life Video
Transcript
At times the needs of our families conflict
with our work responsibilities. Could this possibly be the underlying issue here?
Explain the conflict resolution skills
displayed by the leader in the scenario. On a scale of 1-10, how would you rate
those of the leader.
How might earlier collaboration have been
beneficial?
Some organizations utilize non Registered
Nurses in the Case Manager role. What additional skills, knowledge and
attributes would the BSN-prepared Registered Nurse bring to case management in
this scenario?

NR447
Week 4 Discussion Latest 2017 March

Transformational Nursing Leaders (graded)
Review Appendix A, Sections I–V in Finkelman
(2016).
1. Select oneof the sections and share
how your chief nurse executive demonstrates expertise in these competencies.
Your comments should be about the “highest nursing leader” in your
organization. Typically this is the leader who represents nurses and nursing to
the governing board.
2. In your
own words, explain the differences between a transactional nursing leader and a
transformational nursing leader. What one is more like your Nurse Executive?
3. Describe
how the Nurse Executive “leads the charge” for transformational leadership in
an organization where you work or have done prelicensure clinical experiences.
4.

NR447
Week 5 Discussion Latest 2017 March
Patient Outcomes (graded)
Review the story at the link below before
posting to the discussion:
Rau, J. (2015). Half of nation’s hospitals
fail again to escape Medicare’s readmission penalties. Kaiser Health News. The
link to the article may be found in the Syllabus, or the Week 5 Assignments
page.
After you have finished, consider how you
would respond to the following situation:
Your local hospital has received notice from
CMS (Centers for Medicare and Medicaid) regarding their readmission rates.
1. As a
BSN prepared nurse, you have been asked to serve as a consultant to suggest a
new Quality (Performance) Improvement process for ONEof the
areas of deficiency. Write some brief steps (suggestions) for improvement as
you contemplate accepting the consulting opportunity.
2. Share
practice improvements utilized from your own clinical nursing experiences that
have led to enhanced patient outcomes.
3.

NR447
Week 6 Discussion Latest 2017 March
Civility in the Workplace (graded)
Complete the Clark Workplace Civility Index
located in Course Resources.
After you are finished, read the assigned article:
Lachman, V. D. (2015). Ethical issues in the
disruptive behaviors of incivility, bullying, and horizontal/lateral violence.
Urologic Nursing, 35(1), 39-42. The link to the article may be found in the
Syllabus, or the Week 6 Assignments page.
Next watch the video by clicking on the link
below.
Video
Transcript
Reflect on what you observed in the video as
you answer the following:
Based on what you observed, what leadership
skills should you, as Masaya’s preceptor, model for your fellow coworkers to promote
his acceptance into the work-group or team.
Does incivility seem to be an issue in the
scenario?
Describe any common themes you discovered
among the article, the video and the Civility Index
Share how you may improve your score on the
index based on what you have read.

NR447
Week 7 Discussion Latest 2017 March
Our Future Leaders (graded)
In Huston’s (2010) brief, but impressive
article (required reading this week), the author outlines several leadership
competencies that EVERY nurse leader will need for 2020. That year is not too
far in the future, is it?
Select oneof the eightleadership competencies
Huston described and relate it to your own leadership of nurses and nursing.
This should promote a robust discussion as we come from different clinical and
nonclinical perspectives.
Discuss how the BSN-prepared nurse can assist
a nurse leader in the budgeting process by contributing data readily available
to the staff nurse.
Huston, C. (2010). What skills will the nurse
leaders of 2020 need? (2010). Kai Tiaki
Nursing New Zealand, 16(6), 14–15. The link to the article may be
found in the Syllabus, or the Week 7 Assignments page.

NR447
Week 8 Discussion Latest 2017 March
Closing the Loop (graded)
Complete the Week 8 AACN Essentials
Self-Assessment located in Course Resources.
1. Compare
your scores from Week 2 to Week 8.
2. Describe
how far have you come and how much further do you wish to go in improving your
competencies during the next two years of practice.
Next, review the Course Outcomes as listed in
the Syllabus. Select one of the course outcomes and share with your classmates
how you feel you have achieved the outcome and how you will utilize the
essentials and course outcomes in your practice setting.
NR447
Week 3 Conflict Resolution Paper Latest 2017 March
Conflict Resolution Paper:
Guidelines and Rubric
Purpose
The purpose of this assignment is to learn how
to identify and effectively manage conflicts that arise in care delivery
settings resulting in better management of patient care, including appropriate
delegation. You will gain insight into conflict management strategies and
develop a plan to collaborate with a potential nurse leader about the conflict
and its impact in a practice setting.
Course
Outcomes
Completion of this assignment enables the
student to meet the following course outcomes.
CO 1: Apply leadership concepts, skills, and
decision making in the provision of high-quality nursing care, healthcare team
management, and the oversight and accountability for care delivery in a variety
of settings. (PO 2)
CO3: Participate in the development and
implementation of imaginative and creative strategies to enablesystems to
change. (PO 7)
CO 6: Develop a personal awareness of complex
organizational systems, and integrate values and beliefs withorganizational
mission. (PO 7)
CO 7: Apply leadership concepts in the
development and initiation of effective plans for the microsystems
andsystem-wide practice improvements that will improve the quality of
healthcare delivery. (POs 2 and 3)
Due
Dates
This assignmentis to be submitted to the
Dropbox by Sunday, 11:59 p.m. MT, end of Week 3.
Points
This assignment is worth 200 points.
Directions
1. Read Finkelman (2016), Chapter 13:
Improving Teamwork: Collaboration, Coordination, and Conflict Resolution,
section on Negotiation and Conflict Resolution, pp. 324–333.
2. Observe nurses in a care delivery setting.
Identify a recurring conflict with the potential tonegatively impact patient care. Decide if delegation was an
issue in the conflict. This should be from your practice setting or
prelicensure experiences.
3. Provide details of what happened, including
who was involved, what was said, where it occurred, and what was the outcome
that led you to decide the conflict was unresolved.
4. Identify the type of conflict. Explain your
rationale for selecting this type.
5. Outline the four stages of conflict, as
described in our text, and how they relate to your example.
6. Propose strategies to resolve the conflict.
Search scholarly sources in the library and the Internet for evidence on what
may be effective.
7. Discuss if delegation was an issue in the
conflict. Be specific.
8. Describe how you would collaborate with a
nurse leader to reach consensus on the best strategy to employ to deal with the
conflict.
9. Describe the rationale for selecting the
best strategy.
10. Provide a summary or conclusion about this
experience or assignment and how you may deal with conflict more effectively in
the future.
11. Write a 5–7 page paper (not including the
title or References pages) using APA format that includes the following.
a. Describe an unresolved (recurring) conflict
that you experienced or observed. Identify the type of conflict.
b. Provide details of what happened, including
who was involved, what was said, where it occurred, and what was the outcome
that led you to decide the conflict was unresolved.
c. Outline the four stages of conflict, as
described in Finkelman, and how the stages relate to your example. Decide if
delegation was an issue in the conflict. Be specific.
d. Describe the strategies for conflict
resolution and how you would collaborate with a nurse leader to resolve the
conflict.Cites the course textbook and two scholarly sources.
e. Provide a conclusion or summary about this
experience and how you may deal with conflict more effectively in the future.
f. Submit to the Dropbox by the end of Week 3.

NR447
Week 5 Nursing Care Models Paper Latest 2017 March
Nursing Care Models Paper:
Guidelines
Purpose
The purpose of this assignment is toidentify
nursing care models utilized in today’s various health care settings and
enhance your knowledge of how models impact the management of care and may
influence delegation. You will assess the effectiveness of models anddetermine
how you would collaborate with a nurse leader to identify opportunities for
improvement to ensure quality, safety and staff satisfaction.
Course
Outcomes
Completion of this assignment enables the
student to meet the following course outcomes.
CO#1: Apply leadership concepts, skills, and
decision making in the provision of high quality nursing care, healthcare team
management, and the oversight and accountability for care delivery in a variety
of settings. (PO #2)
CO#2: Implement patient safety and quality
improvement initiatives within the context of the interprofessional team
through communication and relationship building. (PO #3)
CO#3: Participate in the development and
implementation of imaginative and creative strategies to enablesystems to
change. (PO #7)
CO#6: Develop a personal awareness of complex
organizational systems and integrate values and beliefs withorganizational
mission. (PO #7)
CO#7: Apply leadership concepts in the
development and initiation of effective plans for the microsystems and/or
system-wide practice improvements that will improve the quality of healthcare
delivery. (PO #2, and #3)
CO#8: Apply concepts of quality and safety
using structure, process, and outcome measures to identify clinical questions
as the beginning process of changing current practice. (PO#8)
Due
Dates
This assignmentis to be submitted to the
Dropbox by Sunday, 11:59 p.m. MT, end of Week 5.
Points
This assignment is worth 200 points.
Directions
1. Read your text, Finkelman (2016), pp-
111-116.
2. Observe staff in delivery of nursing care
provided. Practice settings may vary depending on availability.
3. Identify the model of nursing care that you
observed. Be specific about what you observed, who was doing what, when, how
and what led you to identify the particular model.
4. Write a 5-7 page paper that includes the
following:
5. Review and summarize two scholarly
resources (not including your text) related tothe nursing care modelyou
observed in the practice setting.
6. Review and summarize two scholarly
resources (not including your text) related to a nursing care model that is differentfrom the one you observed
in the practice setting.
7. Discuss your observations about how the
current nursing care model is being implemented. Be specific.
8. Recommend a differentnursing
care model that could be implemented to improve quality of nursing care, safety
and staff satisfaction. Be specific.
9. Provide a summary/conclusion about this
experience/assignment and what you learned about nursing care models.
10. Write your paper using APA format. Submit
to the Dropbox.

NR447
Week 6 Performance Measurement PowerPoint Slide Show Latest 2017 March

Performance Measurement PowerPoint
Slideshow:
Guidelines and Grading Rubric
PURPOSE
The purpose of this PowerPoint
presentation is tolocate and compare performance measurement data on common
health conditions for the hospitals in your area. You will investigate the
Centers for Medicare and Medicaid Services websites and locate hospital compare
data for hospitals within a 50-mile radius of the community where you are
working or had your prelicensure clinical experiences.You will prepare a
PowerPoint presentation and share the results of your findings. Opportunities
for improving performance measurement indicators will be shared.
COURSE OUTCOMES
Completion of this assignment
enables the student to meet the following course outcomes.
CO 1: Apply leadership concepts,
skills, and decision making in the provision of high-quality nursing care, healthcare
team management, and the oversight and accountability for care delivery in a
variety of settings. (PO 2)
CO 2: Implement patient safety and
quality improvement initiatives within the context of the interprofessional
team through communicationand relationship building. (PO 3)
CO 3: Participate in the development
and implementation of imaginative and creative strategies to enable systems to
change. (PO 7)
CO 7: Apply leadership concepts in
the development and initiation of effective plans for the microsystems and
system-wide practice improvements that will improve the quality of healthcare
delivery. (POs 2 and 3)
CO 8: Apply concepts of quality and
safety using structure, process and outcome measures to identify clinical
questions as the beginning process of changing current practice. (PO 8)
DUE DATES
This assignmentis to be submitted to
the Dropbox by Sunday, 11:59 p.m. MT, end of Week 6.
POINTS
This assignment is worth 200 points.
DIRECTIONS
1. Review information found on the
following website related to hospital
comparehttp://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/HospitalQualityInits/HospitalCompare.html
2. Read the information carefully
and then locate the following website.http://www.medicare.gov/hospitalcompare
3. Search for hospitals within a
50-mile radius of the community where you are working or had your prelicensure
clinical experiences. Type in your zip code. Select your hospital andtwo
others. Select hospitals/facilities and choose compare. If you live in a remote
area and there are no hospitals listed within a 50-mile radius, select a zip
code for a family member or a close friend who does not live near you. The idea
is to review comparative data.
4. Click on the following topics to
learn more.
a. Survey of patient’s experiences
b. Timely and effective care (focus
your search on two of the conditions that apply to services provided at the
hospitals)
c. Readmissions, complications, and
deaths
5. Carefully read the information
provided.
6. Develop a PowerPoint slideshow
consisting of 8–10 slides. Include the following, keeping in mind what all this
data means.
a. Title slide with information
pertinent to the course.
b. List reasons to recommend
hospital compare to consumers (patients).
c. List reasons torecommend hospital
compare to staff who may seek employment.
For d., e., and f. (below), slides
are clearly labeled as Hospital A, B or C.
d. Summarize patient experiences
data for each hospital.
e. Summarize timely and effective
care data for two conditions.
f. Summarize data for readmissions
andcomplications and deaths.
g. List recommendations for
improving data for one selected facility.
h. Summarize what you learned from
this experience.
7. Tutorial: For those not familiar
with the development of a PowerPoint slideshow, the following link to the
Microsoft website may be helpful.
http://office.microsoft.com/en-us/support/training-FX101782702.aspx The
Chamberlain Student Success Strategies (CCSSS) offers a module on Computer
Literacy that contains a section on PowerPoint. The link to SSP CCSSS may be
found under the Special Courses list in eCollege.
8. Submit your PowerPoint
slideshowto the Dropbox.
BEST PRACTICES IN PREPARING
POWERPOINT PRESENTATIONS
The following are best practices in
preparing this presentation.
• Be creative.
• Incorporate graphics, clip art, or
photographs to increase interest.
• Make easy to read with short
bullet points and large font.
• Review directions thoroughly.
• Cite all sources within the slides
with (author, year) as well as on the Reference slide.
• Proofread prior to final
submission.
• Spell check for spelling and
grammar errors prior to final submission.
• Abide by the Chamberlain academic
integrity policy.

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