Describe how you would approach decisions regarding clinic expansion and annual plan approval

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A small primary care clinic has 69 employees, representing 9 different clinical professions and 12 other skills. It operates two (2) sites, one (1) of which is bigger and has the departments for medical specialists, diagnostic labs, and patient services. The clinic also contracts for a variety of services, such as repair and maintenance, referral specialists, and advanced diagnostic services.
You are the manager. You report to the owners who are four (4) of the family practitioners and their wives. Two of the wives still work at the clinic as registered nurses.
Write a five to seven (5-7) page paper in which you:
1. Discuss the key political, economic, and social forces that may have influenced the development of the clinic.
2. Create a comprehensive mission statement and explain what makes it a comprehensive mission statement.
3. Identify three (3) performance measures you would use to measure the clinic’s effectiveness and provide the rationale for each performance measure.
4. Describe how you would approach decisions regarding clinic expansion and annual plan approval.
5. Describe the role of the clinic as a component of the healthcare delivery system in your community.
6. Examine how public healthcare policy has influenced the formation of outpatient clinics in the healthcare system.
7. Use at least three (3) quality resources in this assignment. Note: Wikipedia and similar Websites do not qualify as quality resources.

What health care driver was the policy designed to address: cost, quality, access, or a combination?

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In this week’s Discussion, you will examine how current policies impact how you as a nurse provide health care. You will then select an issue of interest and determine how you could advocate for policy in that area.
To prepare:
Select one public policy that currently is impacting you and your practice. Consider the following:
What health care driver was the policy designed to address: cost, quality, access, or a combination?
Does the policy appear to be achieving its intended results? On what data are you basing your assumption?
What have been the effects (adverse or positive) of this policy on health care cost, quality, and access?
How is this policy affecting your nursing practice?
Next, select a health care issue—something you see or experience on a daily basis—about which you would like to influence a practice change through the policy process.
Review the Learning Resources, focusing on Kingdon’s Model. How would you utilize this model to guide your policy development?
Post a brief description of a public policy that is having an impact on your practice; summarize your analysis of the policy using the bulleted list above as a guide. Then, summarize the issue you would like to influence though a change in public policy, and outline how you would utilize Kingdon’s Model to guide your policy development.
Links:
http://depts.washington.edu/bioethx/topics/manag.html

Home

. Discuss these factors in the context of the national transformation program.

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1. Consider Vision 2030 and the themes of a vibrant society, thriving economy, and an ambitious nation.
2. Discuss these factors in the context of the national transformation program.
3. Are their additional goals that you would suggest as an initiative in the Kingdom?
In text citation of 4 recent studies
APA format
1 – 2 pages
Kingdom of Saudi Arabia vision 2030. (2016a). National Transformation Program
2020.Retrieved from: http://vision2030.gov.sa/sites/default/files/NTP_En.pdf
Kingdom of Saudi Arabia vision 2030. (2016b). Saudi vision 2030. Retrieved from:
vision2030.gov.sa/download/file/fid/417

CARDIAC NURSING

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CARDIAC NURSING
Your literature review needs to demonstrate your capacity to identify the most important literature relevant to your research question or topic of interest, and to critique the work of other researchers. In relation to your topic of interest, conduct a thorough literature review and present it in a length and format suitable for publication. You need to nominate, and provide a justification for, the peer reviewed journal most suitable for your literature review.
Abstract (4 marks) 200
Provide a structured abstract of your review e.g. Background, Methods, Results,
Discussion and Implications/Conclusion.
Introduction (6 marks) 350 words
In this section you will need to:
• provide a background and context to the topic, include relevant theory
• define terms, if appropriate
• justify the importance or relevance of conducting the review:
. why is this review important and to whom?
. ‘set the scene’ for your reader
• include the purpose and/or aims of the review that explains what the review
intends to accomplish, for example ‘The purpose of this review is to:
. analyse the relationship between … ’
. explore the impact of … ’
. critique the evidence for … ’
The statement about the purpose of the review needs to be included in the last
paragraph of the Introduction.
Methods (5 marks) 300 words
A rigorous, reproducible and systematic approach to retrieving relevant literature is critical for the success of this task. Your approach to this section will ‘make or break’ the literature review. You essentially need to provide sufficient information for someone else to replicate this process. In this section you will need to:
• identify the databases and the search terms and key words used for the search.
Ensure that they are MeSH compatible, or indexed to the database/s thesaurus
• identify the period during which the literature was searched, e.g. ‘literature
between January 1990 and January 2013 was searched for relevant articles’
• define the inclusion and exclusion criteria i.e. you need to provide an explanation for why you have included some studies, and rejected others
• identify the databases and key words used for the search strategy (see Table 1, Guidelines for Writing a Literature Review
Results (6 marks) 350 words
Present a summary of the study designs and findings for the articles that meet the inclusion criteria (see Table 2, Guidelines for Writing a Literature Review. For a literature review that includes quantitative studies, Table 2 should include information such as the sample size, age range of participants, the method of data collection, the findings, and any other relevant study variable. You will need to prepare a separate table for qualitative studies because the study design features will be different to that of quantitative studies. Table 2 essentially provides the reader with an overview of the results and key study features
or variables of the studies included in your literature review.
Present an overview of the PRISMA process in relation to the selection and inclusion of studies that met the inclusion criteria in the review; refer to this as Graphic 1, see Guidelines for Writing a Literature Review
You need to summarise the key issues or themes to emerge from the analysis of the literature. Present this information in about 2–3 paragraphs.
Discussion (20 marks) 1,000
In this section you will need to:
• discuss the extent of current knowledge related to the topic
• provide a critical analysis of the literature
• identify current issues, concerns, viewpoints and arguments
• comment on the strengths and weaknesses of study designs and literature findings.
Refer to the information presented in Table 2
• discuss the limitations, shortcomings and/or inconsistencies in the literature. Refer to the information presented in Table 2
• briefly discuss implications for future research.
Ensure all tables and Graphic 1 are numbered and given a title that tells the reader what information is presented in these tables/graphic. It is expected that you obtain ideally no fewer than 15 relevant primary sources of literature for inclusion in this review. Secondary sources of literature (e.g. other reviews or scholarly articles) can be used to support material in the Introduction and Discussion sections only.
The marking criteria are designed to assess your ability to evaluate the breath
and significance of the literature relevant to your topic, identify the strengths and weaknesses in study designs and findings, and to meet the standard for submission of manuscript for publication.
 
You need to present a research proposal designed to address the shortcomings or inconsistencies in the literature
The research proposal needs to be sufficiently detailed to allow your project to be replicated. In other words you must provide must provide a reproducible, step-by-step approach to the implementation of your proposed project.
In writing this research proposal, focus on the following points.
 
From your critique of the literature develop the background and rationale of your intended project. Justify the significance of this research based on the literature.
 
Clearly define your research question or hypothesis, and explain how this has been informed by undertaking the critique of study designs included in the literature review (Refer to Table 2). You need to explain how this research
project will address a gap in our knowledge or understanding of a topic,. Briefly define the aspects you would expect to focus on. Provide aims and objectives for your project.
Explain how this method will address your research question or why it is appropriate to your topic. Again, refer to Table 2 in order to locate this project
in the context of existing study designs. Describe the data collection method(s) to be used, what data will be collected and why, how will it be recorded, and examples of questions that will be asked. Report validity indices for validated instruments i.e. provide information on the sensitivity and specificity of the instrument/s. Describe how you will ensure rigour and reliability of your study design and findings.
 

Describe where the research will take place and why this setting is appropriate.
Provide details of how you will access your participants. Describe how you will
select participants and how this sampling strategy fits with your methodology and/ or research question. Describe the inclusion and exclusion criteria for selecting participants.