IMPACT ON KNOWLEDGE AND ATTITUDES

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IMPACT ON KNOWLEDGE AND ATTITUDES.RELATIONSHIP TO PROFESSIONAL CERTIFICATION.RELATIONSHIP TO ANA SCOPE AND STANDARDS OF PRACTICE.

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Details:This is a Collaborative Learning Community (CLC) assignment.In your CLC group, create a PowerPoint presentation of 10-15 slides in which you compare the pros and cons of continuing nursing education related to the following:Impact on competency.Impact on knowledge and attitudes.Relationship to professional certification.Relationship to ANA Scope and Standards of Practice.Relationship to ANA Code of Ethics.Take a position with your CLC group: Should continuing nursing education be mandatory for all nurses? Support your position with rationale.A minimum of three scholarly sources are required for this assignment.While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.You are not required to submit this assignment to Turnitin.

Developing a Balanced Scorecard

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DEVELOPING A BALANCED SCORE CARD HOW DOES A GROUP GAUGE WHETHER THE STRATEGIC CHANGES THEY IMPLEMENT ARE CREATING SOUND BUSINESS RESULTS?

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Discussion: Developing a Balanced Scorecard.How does a group gauge whether the strategic changes they implement are creating sound business results?The effective use of a balanced scorecard can facilitate alignment between strategic initiatives and day-to-day operations. The balanced scorecard may serve as a valuable tool for monitoring progress and assessing the outcomes of a strategic plan and provide a practical means of communication.In this Discussion you examine the use of a balanced scorecard to measure performance related to finances customer/client satisfaction internal processes and learning and growth.To prepare:Review the information in the Learning Resources including this weeks media presentation focusing on the development of performance metrics for a strategic plan. See Figure 8-6: Design your Balanced Scorecard in the Sare and Ogilvie course text.With your Course Project in mind think about how you would develop a balanced scorecard to measure performance including the processes you would use to gather appropriate data.Consider how the use of a balanced scorecard reflects the importance of being able to evaluate progress assess the impact of planned change on performance and determine if the costs are justified in terms of the outcomes.Post an explanation of your plan for creating a balanced scorecard as part of your Course Project including the processes you would use to gather data to measure performance. Explain how the use of this balanced scorecard would enable you to evaluate progress assess the impact of your proposed change and determine if the costs are justified in terms of the outcomes.Read a selection of your colleagues responses. (I will send the peer responses on the handshake private message)Respond to at least two of your colleagues on two different days by offering suggestions for further developing their balanced scorecards. Ask questions to peer responses at the end of every response. Cite your responses.Required ReadingsSare M. V. & Ogilvie L. (2010). Strategic planning for nurses: Change management in health care. Sudbury MA: Jones and Bartlett.Chapter 8 Overview of Strategic Planning Theories: Strategic Planning Architecture (pp. 147166)Fields S. A. & Cohen D. (2011). Performance enhancement using a balanced scorecard in a patient-centered medical home. Family Medicine 43(10) 735739.Copyright 2011 by Society of Teachers of Family Medicine. Reprinted by permission of Society of Teachers of Family Medicine via the Copyright Clearance Center.The authors discuss using a balanced scorecard for quality improvement in patient-centered medical homes.Groene O. Brandt E. Schmidt W. & Moeller J. (Aug 2009). The balanced scorecard of acute settings: Development process definition of 20 strategic objectives and implementation.International Journal for Quality in Health Care 21(4) 259271.Copyright 2009 by Oxford University Press – Journals. Reprinted by permission of Oxford University Press – Journals via the Copyright Clearance Center.In this article the authors discuss the use of a balanced scorecard as a tool for strategic planning in hospitals. The article includes an example of a strategy map timeline and balanced scorecard.Jeffs L. Merkley J. Richardson S. Eli J. & McAllister M. (2011). Using a nursing balanced scorecard approach to measure and optimize nursing performance. Nursing Leadership 24(1) 4758.Copyright 2011 by Longwoods drafting Corporation. Reprinted by permission of Longwoods drafting Corporation via the Copyright Clearance Center.Kollberg B. & Elg M. (2011). The practice of the balanced scorecard in health care services.International Journal of Productivity and Performance Management 60(5) 427445.Retrieved from the Walden Library databases.The authors look at the use of a balanced scorecard for health care performance management in Sweden.Lupi S. Verzola A. Carandina G. Salani M. Antonioli P. & Gregorio P. (2011). Multidimensional evaluation of performance with experimental application of balanced scorecard: A two year experience. Cost Effectiveness and Resource Allocation 9(1) 7.Retrieved from the Walden Library databases.This article examines the application of a balanced scorecard within a unit in a hospital to compare performance results and goal achievement.Balanced Scorecard Institute. (2013). Balanced scorecard basics. Retrieved fromhttp://www.balancedscorecard.org/BSCResources/AbouttheBalancedScorecard/tabid/55/Default.aspxView the information on this website to learn about balanced scorecards.Mountain State Group. (n.d.) Balanced scorecards for small rural hospitals: Concept overview and implementation guidance. Retrieved March 13 2013 fromhttp://www.ruralcenter.org/sites/default/files/Final%20BSC%20Manual%2010.18F.pdfThe Scarborough Hospital. (2013). Balanced scorecard. Retrieved fromhttp://tsh.to/pages/Balanced-Score-CardThis website provides an example of a balanced scorecard.Sunnybrook Health Sciences Centre. (2013). Balanced scorecard. Retrieved fromhttp://sunnybrook.ca/scorecard/index.asp#srThis website provides an example of a balanced scorecard.Required MediaLaureate Education (Producer). (2013a). The balanced scorecard approach [Video file]. Retrieved from the https://class.waldenu.eduNote: The approximate length of this media piece is 3 minutes.Dr. Carol Huston discusses the elements and use of a balanced scorecard as a strategic planning evaluation tool.

COMPETENT CARE TO YOUR PATIENTS WILL PUT YOU AT RISK FOR MALPRACTICE

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COMPETENT CARE TO YOUR PATIENTS WILL PUT YOU AT RISK FOR MALPRACTICE.

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When providing health care there are standards of care which a reasonably prudent provider (NURSE Practitioner) should follow. Providers at all levels are held to these standards of care. Failure to provide competent care to your patients will put you at risk for malpractice. Remaining current with the evidenced-based guidelines and providing optimal care will minimize the risk of liability.For this Assignment you will create a PowerPoint presentation that explains any legal implications that exist for failure to adhere to a standard of care the key elements of malpractice and compare the differences in malpractice policy options. Consider the importance of using professional resources such as the National Guideline Clearinghouse to guide care deliveredCreatea PowerPoint presentation no more than 15 slides in length that addresses the following: Identify and explain any legal implications that exist for failure to adhere to a standard of care for nurse practitioners Identify and explain the key elements of malpractice for nurse practitioners Compare the differences in malpractice policy optionsAgency for Healthcare Research and Quality (2016). National Guideline Clearinghouse. Retrieved from http://www.guidelines.govBuppert C. (2015). Risk Management. In Nurse Practitioners Business Practice and Legal Guide (5th ed.) (285 302). Burlington MA: Jones & Bartlett.Buppert C. (2015). Negligence and Malpractice. In Nurse Practitioners Business Practice and Legal Guide (5th ed.) (285 302). Burlington MA: Jones & Bartlett.Jordan L. M. Quraishi J. A. & Liao J. (2013). The National Practitioner Data Bank and CRNA Anesthesia-Related Malpractice Payments. American Association of Nurse Anesthetists Journal 81(3) 178-182.Miller K. P. (2013). The National Practitioner Data Bank: An Annual Update. The Journal for Nurse Practitioners (9)9 576-580.Stelmach E. I. (2015). Dismissal of the Noncompliant Patient: Is this What We Have Come to? The Journal for Nurse Practitioners 11(7) 723-725.Watson E. (2014). Nursing Malpractice: Costs Trends and Issues. Journal of Legal Nurse Consulting 25(1) 26-31.Westrick Susan J. & Jacob N. (2016). Disclosure of Errors and Apology: Law and Ethics. The Journal for Nurse Practitioners 12(2) 120-126.Institute of Medicine. (2015 December 7). Assessing Progress on the Implementation of the Recommendations of The Future of Nursing [Video file]. Retrieved from https://www.youtube.com/watch?v=sMOjACA2atsNote: The approximate length of this media piece is 1 hour.Buppert C. (2016). Carolyn Buppert-Specialist in Legal and Reimbursement Issues for Nurse Practitioners and Physicians.Goodwin B. (2016). Youve Been Sued for Malpractice: What Happens Next? Urology Times.Kreimer S. (2015). Avoiding an EHR-Related Malpractice Suit. Contemporary OB/GYN December 39-42.

THE HEALTHCARE PROFESSION IT IS VERY IMPORTANT THAT DECISION MAKING IS EVIDENCE BASED

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THE HEALTHCARE PROFESSION IT IS VERY IMPORTANT THAT DECISION MAKING IS EVIDENCE BASED.

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Need a response to this discussion 3 pages long APA format 3 references1 from Walden University Library. Willing to pay 15 dollarsIntroductionIn the healthcare profession it is very important that decision making is evidence based. For a decision to be evidence based the question must be clearly articulated you must search for relevant evidence and you much choose the evidence of highest quality (Robeson Dobbins DeCorby Tirilis 2010. Pg.1). A crucial first step in EBP involves converting information needs into well-worded clinical questions that can be answered with research evidence (Polit & Beck 2017. Pg. 31).The PICOT guidelines are questions that help clinicians discover the answers to their research (Walden Student Center for Success 2012).With these guidelines in mind I formulated the question Is the daily use of CHG for all pediatric inpatients who have no allergy to CHG associated with a lower incidence of bacterial infection in these same patients? The P in the acronym stands for population or patients in the case the characteristics of the population would be all patients who are staying in the hospital especially for an extended period or those who have risk factors such as central lines. The I stands for the intervention which would be the daily chlorahexadine baths. This intervention would help reduce the risk of hospital acquired infections such as MRSA or c diff. Comparison is the next step and is what the C stands for. In this case the comparison of the effectiveness of daily CHG baths would be compared to not doing CHG baths. The O stands for outcomes that we would hope to see which would be a decrease in hospital acquired infections. The T is the last and final letter and stands for time. In my hospital the study was conducted over a three-month period to see if we saw a decrease in our hospital acquired infections. Using evidence based research I will find the conclusion to this question.Evidence Based ResearchWhen conducting research it is very important to have filtered information and unfiltered information. Filtered information is information that has been appraised for quality and clinical relevance (Hierarchy of Evidence Pyramid). Filtered information includes systematic review critically appraised topics and critically appraised individual articles (Hierarchy of Evidence Pyramid). Unfiltered information is evidence that has not necessarily been appraised for quality. This information tends to come from primary sources (Hierarchy of Evidence Pyramid). Unfiltered information includes randomized controlled trials cohort studies case-controlled studies and expert opinion (Hierarchy of Evidence Pyramid).When searching the Walden Database for articles on my PICOT question I used the search terms CHG Bath CHG Bath in Pediatric Patients and Reducing infection using CHG Bath. The first article I found multiple studies done on multiple patients with bone marrow transplants. The purpose of the study was to see if bathing them daily with CHG would decrease the acquired infections which it did. This article would be considered a systemic review because it had multiple resources and multiple studies. When searching for critically appraised topics it was very difficult to find one that had a cohort study that had to do with CHG baths there were some articles about other ways to reduce infection but none that involved CHG.The next article I found falls under the topic of expert opinion in the case the expert opinion came from the nurses. In this study done in 2017 they interviewed nurses nurses aides and nurse managers. They found that all interviewed did find a decrease in infection when CHG baths were used however many times the nurses did not have time to administer the baths.Research AdviceI think that when conducting a search for evidence base practice it is important to stay open minded and patient. Staying open minded will help you think of different search terms that may yield different search results. It is also important to be patient while searching so that you can stay focused and weed out the unwanted results.ReferencesLaureate Education (Producer). 2012g).Hierarchy of evidence pyramid. Baltimore MD:AuthorMusuuza J. S. Roberts T. J. Carayon P. & Safdar N. (2017). Assessing the sustainability of daily chlorhexidine bathing in the intensive care unit of a Veterans Hospital by examining nurses perspectives and experiences.BMC Infectious Diseases 17(1)Polit D.F. & Beck C.T. (2017).Nursing research: Generating and assessing evidence fornursing practice(10Thed.). Philadelphia PA: Wolters KluwerRobeson P. Dobbins M. DeCorby K. &Tirillis D. (2010). Facilitating access to pre-processed research evidence in public health.BMC Public Health 10 95.Rosselet R. Termuhlen A. Skeens M. Garee A. Laudick M. & Ryan-Wenger N. (2009). CH