Resistance from nursing leaders and other barriers prevent nurses from implementing EBP that improve patient outcomes. Please consider an institution where you are currently employed or one that you have worked with in the past. What obstacles are present?

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Numerous studies have suggested evidence-based care of patients can reduce patient complications and decrease healthcare costs by as much as 30%. Obstacles to incorporating changes such as those consistent with EBP are present within every organization. Resistance from nursing leaders and other barriers prevent nurses from implementing EBP that improve patient outcomes. Please consider an institution where you are currently employed or one that you have worked with in the past. What obstacles are present? What can you do to confront and overcome these obstacles? Please provide an article about evidence-based practice to support your perspectives.1 Reference within 5 years-nursing journals only. 1/2 page discussion board on EBP.IN-TEXT citations required

Happy Valley Hospital is a community-based facility with 288 acute care beds, a twelve suite family-oriented birthing center, a forty four bed long-term care inpatient facility, and a fourteen bed inpatient rehabilitation unit.

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Program Development
Case Study
Happy Valley Hospital is a community-based facility with 288 acute care beds, a twelve suite family-oriented birthing center, a forty four bed long-term care inpatient facility, and a fourteen bed inpatient rehabilitation unit. Happy Valley has a major competitor, GH, which has two hundred beds, a small cancer center, and a kidney dialysis unit.Happy Valley’s director of internal medicine, along with the director of nursing for that department, are considering establishing a new hemodialysis service. GH has a small hemodialysis unit, but they do not have enough beds to properly accommodate the needs of this community.The Happy Valley medical director has surveyed the six nephrologists with staff privileges at the hospital and has determined that all six agree that there is a need for more hemodialysis beds in the community. Moreover, these nephrologists all have staff privileges at both Happy Valley and GH and would prefer that the new beds be added to the GH unit. GH, however, has no plans to expand their unit for at least the next five years, and presently, new patients are being referred to a dialysis unit in another community thirty minutes south of Happy Valley Hospital. Those patients as well as their families find this alternative site and location to be unacceptable.Based on your understanding of the above case, express your views on the following:How should the medical director at Happy Valley try to convince patients now being referred to the dialysis unit thirty minutes to the south to switch their care to Happy Valley Hospital?What steps should the Happy Valley medical director take to ensure that patients will get the proper care and facilities at the Happy Valley Hospital hemodialysis unit, when it is established?Is the approach of GH for not having any expansion plans for the next five years for their unit justified, keeping in mind the interest of the community? Why or why not?APA format

Describe a nursing error that may occur in a clinical practice

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The purpose of this task is to develop a working knowledge of nursing theory, nursing ethics, and professional accountability and apply these concepts to your professional clinical practice. You will be required to think about real-life scenarios and how they relate to nursing codes in your professional practice.
Requirements:
Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. Use the Turnitin Originality Report available in Taskstream as a guide for this measure of originality.
You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.
A.  Identify a nursing theory that has influenced your values and goals.
1.  Explain how nurses apply the identified theory from part A to implement excellent nursing practices.
2.  Discuss how the identified theory from part A fits your professional practice.
B.  Identify the contributions of two historical nursing figures in the nineteenth or twentieth century.
1.  Compare the differences in contributions of the two historical figures identified in part B.
2.  Describe how the contributions of the two historical figures influence your professional nursing practice.
C.  Explain the functional differences between the State Board of Nursing and the American Nurses Association (ANA).
1.  Define the roles of these two organizations.
2.  Explain how these two organizations influence your nursing practice.
3.  Explain the requirements for professional license renewal in your state.
a.  Discuss the consequences of failure to maintain license requirements in your state.
4.  Compare the differences between registered nursing license requirements in a compact state versus a non-compact state.
D.  Discuss the functional differences between the Food and Drug Administration and the Center for Medicare and Medicaid Services (see the web links below).
1.  Discuss how the two regulatory agencies influence your professional nursing practice.
a.  Describe your role as a patient advocate in promoting safety when a patient has requested to use an alternative therapy.
E.  Discuss the purposes of the Nurse Practice Act in your state and its impact on your professional practice.
1.  Discuss the scope of practice for a RN in your state.
2.  Discuss how your state defines delegation for the RN.
F.  Apply each of the following roles to your professional practice:
•   a scientist
•   a detective
•   a manager of the healing environment
G.  Identify two provisions from the American Nurses Association (ANA) Code of Ethics (see web link below).
1.  Analyze how the two provisions identified in part G influence your professional nursing practice.
2.  Describe a nursing error that may occur in a clinical practice (e.g., clinical setting, skills lab, or simulation).
a.  Explain how the ANA provisions identified in part G can be applied to the error discussed in part G2.
H.  Identify four leadership qualities or traits that represent excellence in nursing.
1.  Discuss the significance of the four leadership qualities identified in part H in the nurse’s role as each of the following:
•   a leader at the bedside
•   within a nursing team or interdisciplinary team
2.  Identify how your work environment impacts the following:
•   nursing leadership
•   decision making
•   professional development

Develop a brief plan to recruit for 20 nursing positions for your organization, using both internal and external recruiting sources.

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4a. “Recruitment Methods”  Please respond to the following:
· Develop a brief plan to recruit for 20 nursing positions for your organization, using both internal and external recruiting sources. Justify the different resources you will use for this plan. Provide specific examples to support your rationale.
· Analyze two ethical and legal considerations in using standardized interviews or employment tests that assess aptitude, attitude, honesty, and personality during the selection process. Provide specific examples to support your rationale.
4a. “Characteristics of Good Interviewers and Disparate Treatment”  Please respond to the following:
· Compile two examples of the worst interviews you ever had. Determine key factors that made these interviews stand out negatively compared to other interviews you have had. Next, recommend three best practices for interviewers to avoid interviewing mistakes.
· A health care organization wants to hire 100 medical technicians, and of the 250 applicants that apply, 125 are male and 125 are female—all equally qualified. The organization hires 80 of the male applicants and 20 of the female applicants. Using Table 4.8, analyze whether or not disparate treatment exists in this hypothetical organization. Provide examples to support your rationale.
4b. “Health Care Professionals and Allied Health Professionals”  Please respond to the following:
· Analyze two career options in the health care industry, in terms of the educational requirements, job responsibilities, and average salaries.
· From the e-Activity, discuss two differences between health care professionals and allied health care professionals. Provide specific examples to support your rationale.
4b. “Nursing Shortages”  Please respond to the following:
· Suggest two factors that are contributing to the current state of the nursing industry in the U.S. Focus on both internal and external influences. Provide specific examples to support your rationale.
· Analyze two issues that contribute to the current nursing shortage in the U.S., and propose a strategy to rectify this employment issue.