As part of your Final Paper, you are asked to research and identify solutions implemented at five other hospitals in the U.S. that were dealing with the same issues in the senarial below. Create an outline illustrating five solutions implemented at five other hospitals, including key details. Use the “Guide to Creating an Outline” for assistance.

Ashford General Hospital Proposal

Ashford General Hospital is a 263-bed regional hospital located in California, serving its community for more than 50 years. The hospital maintains the only 24-hour emergency department in the area and an “extended hours” urgent care clinic. Similar to other hospitals in the United States, Ashford General Hospital is encountering a nursing shortage. Sixty-eight percent of the nursing staff is over the age of 45, facing retirement. The retention rate on nurses is 61%, compared to 65% nationwide. Many of the nursing staff find the work too physically demanding and have a feeling of emotional burn-out as well. In the past two years, the hospital has used both per diem nurses and traveling nurses who sign short-term contracts to fill individual shifts and accommodate short-term staffing needs arising from staff vacations or medical leaves. This has not only driven up personnel costs but also resulted in lower scores on patient satisfaction surveys. Ashford General Hospital faces significant challenges in nurse staffing ahead as it grapples with these issues, and the hospital board is very concerned. They know there must be some changes made in order to prevent a major financial and human resources crisis in the future. As the newly hired CEO, you are asked to present a proposal in the next board meeting.

Your outline must be formatted according to the guidelines as stated in the Ashford Writing Center (Links to an external site.)Links to an external site.. Your paper must be two to three double-spaced pages (excluding title and reference pages) and formatted according to APA style as outlined in the Ashford Writing Center (Links to an external site.)Links to an external site.. Including the textbook, utilize a minimum of five scholarly and/or peer-reviewed sources from the Ashford University Library published within the last five years. Document all references in APA style as outlined in the Ashford Writing Center APA Checklist (Links to an external site.)Links to an external site..

Carefully review the Grading Rubric (Links to an external site.)Links to an external site. for the criteria that will be used to evaluate your assignment.

 

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1250 word paper on nursing shortage and nurse turn-over

1. Compare and contrast how you would expect nursing leaders and managers to approach your selected issue. Support your rationale by using the theories, principles, skills, and roles of the leader versus manager described in your readings.
2. Identify the approach that best fits your personal and professional philosophy of nursing and explain why the approach is suited to your personal leadership style.

Use at least two references 

 

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Assignment 1

Format

No cover page, abstract, or introduction necessary.

The headings Description and Analysis will divide the two sections of your paper.

The descriptive portion of the paper should be 1-2 pages. In the descriptive portion answer the following:

1.Had you ever done community service before?

§If “yes,” provide some details of this service.

§If “no,” then explain why you haven’t done community service before.

2.Briefly describe the organization where you performed service.

§Provide the name and purpose of the organization

§This section should not be the bulk of your paper.

3.Briefly describe the service you performed.

§Provide your title or role and explain what you volunteered to do.

§This section should not be the bulk of your paper.

4.Briefly describe, if any, difficulties you had in completing your service.

§Provide the issues you encountered. These might be related to time, family, school, or other conflicting interests.

The analysis part will also be 1-2 pages. In this section answer the following:

1.How do you interpret intellectually what you did in service?

§Explain the ethical behaviors you performed and what purpose they served.

2.What ethical philosophies best apply to the service you completed?

§Reflecting on the 4 main ethical philosophies covered this semester, were your actions in line with utilitarianism, virtue ethics, deontology (Kantian ethics), or social contract theory/contractarianism.

3.Did you encounter any ethical dilemmas, and how did you resolve them? For example:

§Did you experience a violation of your personal beliefs and how did you work around it?

§Did you witness or engage in unethical behaviors for some end and how did you work around it?

4.Include a reference page. In the analysis section of the paper, the student will need to cite sources when referring to ethical concepts from the readings. A references page is therefore required as well. When citing, use APA formatting. You can learn how to use APA here: https://owl.english.purdue.edu/owl/resource/560/01… (Links to an external site.)Links to an external site. No references or reference page, results in a score of 0.

the work the portion I have completed

Option House

Description

This was not my first-time doing community service. This community service was different for me it felt more personal and relatable. In the past I have taught English nursery rhymes to kids in South Korea. I have spent time playing bingo at a nursing home with the residents, I have also done park clean up and I have made beds at a homeless shelter.

The Option House is a safe place as well as an emergency shelter for kids ages three to seventeen. The Option House helps runaway kids, homeless kids, and disenfranchised kids by giving them a place to call home. When living here a kid is required to do all the things a kid would normally have to do. These Kids have to do chores, have a bed time and they also have to go to school and if they are not in school the have to have a job.

At the Option House I was a volunteer youth care worker. In this position I would schedule a time to come by the house and interact with the kids living there. I helped them with homework, we played sports, video games, board games and we also eat together. Eating together and doing all these activities gave the kids a sense of normalcy. I volunteered at the Option House to be a positive male role model to kids who don’t get the opportunity to see or experience that on a regular basis.

Being able to volunteer at the Option House was harder than getting a government job. I had to pay get my finger prints taken and put on file, fill out a thirty-page application, take a drug test, do an FBI background check, complete interview, and a two-hour orientation. This process took a month and a half to complete. I had to manage my time to have the time to volunteer. Which was difficult trying juggle being a husband, a father of six kids, a full-time student, and completing my community service.

Analysis

When problems arise as a volunteer, I am mostly hands-off but I do take a utilitarian and deontology approach to situations. For instance, one of the kids went on an excursion which is pretty much going out on their own without adult supervision. When he returned, he had scrapes and bruises and complained of pain in his hand. I spoke with him about what had occurred and assessed the situation. I came to the conclusion that he had been in an altercation and I needed to calm him down and help him with his bruises. He did not want me to report the incident but not reporting it would cost me my volunteer position. I wrote up the incident and called the Option House director to inform her about what happened.

Assignment 2

Students will be responsible for completing a course reaction essay by the end of the semester. For this exercise, the student should think critically about the content presented in the course as a whole. Include in your essay the most and least helpful aspects of the course, and at least one example of how you would implement an aspect of the course into other courses that you might take.

Requirements for course reaction essay:

● 2-4 pages in length

● Double-spaced, 12-point font

● First person is acceptable for this assignment

● Must be produced in Microsoft Word (.doc or .docx format) – no other format will be accepted

● No cover page is required. Your name and paper title should be listed at the top of each page in a header. Do no manually type this at the top of each page – use the formatting feature in Microsoft Word:

○ Click the Insert tab

○ Click Header

○ Select the first option

○ Type in your name and topic focus

○ Click Close Header

● Use formatting in Microsoft Word for double-spacing; do not manually double-space your paper

● Paragraph, narrative format; no lists

● If you reference specific material from the course, you must provide in-text citations and a reference list

● Citations and reference must conform to either APA or ASA standards

● No quotations

● Proofread carefully: grammar, spelling, mechanics, and citations, will be part of your grade.

Everything the class entailed

Reading/Assignments

Assignment 1 – Introduction

Assignment 2 – Plagiarism, paraphrasing, and quoting

Writing Journal 1 – Potential topicsAssignment 3 – University resources

Assignment 4 – Evaluating sources; reference list ranking

Writing Journal 2 – Final topicAssignment 5 – Citations and reference lists

Writing Journal 3 – Primary resourcesAssignment 6 – Academic reading strategies

Writing Journal 4 – Progress reportAssignment 7 – Notetaking

Assignment 8 – Basic composition; common writing issues

Writing Journal 5 – OutlineAssignment 9 – Proofreading

Assignment 10 – Career services; Strong Interest Inventory

Writing Journal 5 – Rough draft

Assignment 11 – Critical thinking

Thanksgiving – no class. Eat turkey instead.

Assignment 12 – ETS Assessment

Social Issue Essay due

 

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There are two different postings below. Can you please paraphrase both of the postings below. Being sure not to plagiarize them. APA format. The references are listed below. You can use additional references if you need to. I just need you to change the way they are worded so its not plagerized .

1) I think there is no question that nurses across the board should use a standardized nursing language, and that each specialty area can then expand upon that standardization for their particular needs. Having one set standard of documentation across the world allows a more fluid communication and understanding of practice between nurses everywhere.

In many hospitals now, electronic health records (EHR’s) are the standard form of charting versus paper charting. There needs to be a standardization across these EHR’s for any nurse to be able to come from one facility to another and understand the plan of care, teaching, testing and so on done for their patients. “Standardizing the language of care (developing a taxonomy) with commonly accepted definitions of terms allows a discipline to use an electronic documentation system.” (Marjorie A. Rutherford, 2008)

In nursing we are constantly learning and growing in our practice every day and to be able to access information across different spectrums that all use a standardized language helps us grow and learn from mistakes. “Consistency in accessing and communicating information throughout the continuum is important, and by having a standardized language to do so helps facilitate and improve this process.” (McGonigle & Mastrian, 2012)

Having this standard documentation for patient outcomes and plans allows me to better describe the patients needs for treatment, that’s why i feel it is so important for all RN’s across the board to be able to coherently understand one another in our charting.

References

Rutherford, M. (2008). Standardized nursing language: What does it mean for nursing

practice? The Online Journal of Issues in Nursing, 13(1). Doi: 10.3912/OJIN.Vo113

No01PPT05.

McGonigle, D., & Mastrian, K. G. (2012). Nursing informatics and the foundation of knowledge

(2nd ed.). Burlington, MA: Jones & Bartlett Learning

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2) Applying Standardized Terminologies

The standardized language is an essential part of nursing studies and application. It helps in creating awareness of the nursing language and helps in supporting the learning processes in nursing. Knowing standardized language helps in providing consistency in practicum and developing of critical thinking knowledge. Furthermore, it improves communication skills, which is essential in diagnoses, interventions and outcomes classifications. In this context, we discuss three terminologies that include NANDA, NIC and NOC[BS1] . The term NANDA represents the definitions and classification of nursing diagnoses. NIC represents the classification of nursing interventions, while NOC represents the classification of nursing outcomes. Ineffective breathing patterns are among conditions whose nursing responses apply NANDA, NIC and NOC terminologies[BS2] .

NANDA

The term NANDA is an acronym, which stands for the North American Nursing Diagnosis Association. It refers to the development of diagnoses through peer-reviewed processes based on standardized evidence, definitions and characteristics relating to risk factors, that nurses use during assessments to identify potential diagnoses. The term is based on the idea that nurses need to use standardized language to integrate diagnostic processes and the clinical and research knowledge. NANDA undergoes constant refining to develop health responses for risk conditions, as well as providing diagnostic support to promote the patient health (Johnson, 2006). The NANDA diagnoses lists are applicable for individuals, groups, families and communities.

The NANDA diagnoses system in the context of nursing can be elaborated in four categories, which include actual diagnosis, risk diagnosis, health promotion diagnosis, and syndrome diagnosis. The actual diagnosis refers to the clinical judgment concerning the responses and experience to health status, which exist in an individual, his or her family, or community (Brennan & Mazanec, 2011). Risk diagnosis, refers to the responses to health conditions and life processes, which might develop in a vulnerable individual, family or community. Risk diagnosis is based on risk factors, which contribute to the increased exposure. Health promotion diagnosis is a clinical judgment based on the motivation and desire of an individual, family or community to promote well-being and health conditions. Syndrome diagnosis is the clinical judgment, which describes a specific group of nursing diagnoses that take place simultaneously and exhibit similar interventions.

NIC

The term NIC is an acronym used in the nursing contest, which stands for the Nursing Interventions Classification. It refers to a comprehensive and standardized research based classification of the clinical interventions by nurses. The NIC features are necessary for clinical communication and documentation of care, as well as the data integration across various contexts. These include effectiveness in research study, measurement of productivity, and evaluation of competency among others (Jarvis, 2012). Classification involves the nurses’ interventions on behalf of patients. They do these in collaborative and independent interventions, as well as direct and indirect care. Intervention refers to any kind of treatment a nurse performs to improve health outcomes. Even though a nurse will have expertise in limited interventions reflected in his or her specialty, the entire concept of classification deals with all interventions within the nursing field (Johnson, 2006).

The NIC is useful in all care settings, which include home care intensive care units, primary care and hospitals among others. It also applies to all specialties within the nursing sector. Although the entire classification defines the nursing domain, some care providers other than nurses also provide certain interventions. Other non-physician providers can also use NIC to describe treatments for their patients. The NIC interventions are both physiological and psychological in nature. Many interventions are applied on individuals, while others are applied on families and the entire community. They also include direct care interventions. Each of the interventions has a label name, definition, and specific activities carried out during the intervention. The classification is often updated based on the current changes and ongoing processes for review and feedback. Many health care agencies have adopted the NIC in setting standards, planning care, evaluating competency and information system (Brennan & Mazanec, 2011).

NOC

The term NOC in nursing contexts stands for the Nursing Outcomes Classification. It refers to a comprehensive and standardized classification patient outcomes, which are develop to evaluate the effectiveness of clinical interventions and other healthcare provisions. The standardized outcomes are necessary for the electronic recording of data to be used for clinical information systems, the development of nursing knowledge, and professional nursing education (Jarvis, 2012). An outcome is a measurable behavior, condition or perception of a person, family or community, as well as a continuum. The developed outcomes are application in all care settings for all patients. The clinical settings where NOC is tested include community hospitals, tertiary care hospitals, nursing centers, community care agencies and nursing homes (Johnson, 2006).

Just like NANDA and NIC, NOC is a standardized language that the American Nurses Association (ANA) recognizes. Since it is one of the recognized languages, it meets the ANA’s standard guidelines for nursing information and data evaluation, which is based on nursing knowledge and specialty. It has shown an accurate indicator in terms of its usefulness in the nursing practice, education and research. Various clinical settings continue to adopt NOC in evaluating the nursing practices. In addition, educational settings use it to structure and set curricula, as well as the clinical evaluation of students. Many countries across the world continue to show interest in NOC (Brennan & Mazanec, 2011[BS3] ).

 

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