To prepare:
Review the Meyer article, “Nursing Services Delivery Theory: An Open System Approach,” in this week’s Learning Resources. Focus especially on the information presented in Table 1 (p. 2831) and Figure 2 (p. 2833).
Reflect on your organization or one with which you are familiar. Within a particular department or unit in this organization, identify a problem the staff is encountering.
Using Table 1 in the Meyer article as a guide, analyze the department or unit, identifying inputs, throughput, output, cycles of events, and negative feedback. Consider whether the problem you have selected relates to input, throughput, output, cycles of events, and/or negative feedback.
Think about how you could address the problem: Consider what a desired outcome would be, then formulate related goals and objectives, and translate those goals into policies and procedures.
Research professional standards that are pertinent to your identified problem.
Reflect on the organization’s mission statement and values. In addition, consider how addressing this problem would uphold the mission and values, while improving the organizational culture and climate. (Depending on the organization you have selected, you may have explored these in the Week 1 Discussion.)
To complete:
By Day 7
Write a 3- to 5-page paper (page count does not include title and reference page) that addresses the following:
Describe a department or unit within a health care organization using systems theory terminology. Include a description of inputs, throughput, output, cycles of events, and negative feedback.
Describe the problem you identified within the department or unit using an open- systems approach, and state where the problem exists using the systems theory model (input, throughput, output, cycles of events, or negative feedback).
Based on this information, explain how you would address the problem as follows:
Formulate a desired outcome.
Identify goals and objectives that would facilitate that outcome.
Translate those goals and objectives into policies and procedures for the department or unit.
Describe relevant professional standards.
Explain how your proposed resolution to the problem would uphold the organization’s mission and values and improve the culture and climate.
Paper should be set up as the sample paper attached.

1. You are an instructor in an undergraduate nursing program. One of your students is confused about the differences between disease prevention and health promotion. How would you describe either to him or her? Defend your rationale with references (APA format).
2. One of the leading health indicators from the Healthy People website is obesity. How could you as a health educator include the topic of obesity to a group of nurses on a pediatric unit? Defend your rationale with references (APA format).
3. You are attaining a health history on a patient who does not look you in the eye and gives short choppy responses. What can you do to achieve a complete, comprehensive history on this patient? Defend your rationale with references (APA format).
4. You are working with a nursing student who is introducing herself to a Native American patient. The nurse student is trying to make eye contact and puts her hand on the shoulder of the patient to get his attention. How would you handle this situation? Defend your rationale with references (APA format).
5. You are completing a complete health assessment on a patient and you notice that there are indications that the patient may have been cutting herself. You inquire about the marks and she states that she fell and scratched her wrist when she tried to break her fall. How do you handle this information? Defend your rationale with references (APA format).
6. You are working with a nursing student from an undergraduate nursing program. She does not perform an exam of the cranial nerves correctly. You discuss this with her outside the exam room and she denies that she did the examination incorrectly and that she got checked off on physical assessment. What do you say to her? Defend your rationale with references (APA format).
7. You are elected to be on the electronic medical records committee at your hospital. The hospital currently has charts using a preprinted form. What method of charting would you recommend the hospital implement and why? Defend your rationale with references (APA format).
8. You are working with a nursing student and she states that the nurse she is working with today told her that she does not have to chart everything because no one will ever read it anyway. What do you say to her? Defend your rationale with references (APA format).
9. Discuss how a nurse approaches a focused assessment versus a complete assessment. Are there differences regarding charting? Defend your rationale with references (APA format).
10. What are the differences in the assessment portion of a focused versus a complete assessment? Defend your rationale with references (APA format).