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Resources: Strategic Plan Presentation Grading Criteria

Now that you have completed your review of the Stevens District Hospital Strategic Planning Scenario, you have been asked to provide a presentation to the governing board of the hospital. This board is comprised of the president of the hospital, four business leaders from the community, and three leaders of the medical staff.

Create a 10- to 12-slide Microsoft® PowerPoint® presentation that summarizes your analysis and goals created. Your presentation should:

• Provide an overview of the market.
• State the mission and vision for Stevens District Hospital.
• Provide the SWOT analysis.
• Summarize the goals created for Stevens District Hospital.
• Explain the rationale for goals created.
• Describe itemized resources that may be needed.
• Explain how the strategic plan provides focus and direction for Stevens District Hospital.

Format your assignment according to APA guidelines. Include a title page, detailed speaker notes, and a references page.

If you use resources outside of the information provided in the assignment, be sure to cite your references using correct APA formatting.

Submit your assignment.

Compare and contrast the symptoms of anorexia nervosa and bulimia nervosa.

  Anorexia and bulimia are types of eating disorders. They may have similar symptoms for instance body image but normally have different food related characteristics. For instance, individuals having anorexia tend to minimize their food consumption to lose weight. On the other hand, individuals having bulimia tend to increase their food consumption to gain weight. Unlike bulimia, physical symptoms of Anorexia may be severe and life threatening to the victims.

  What role does media/or society plays in the development of these disorders?  

The media has been negatively impacting eating disorders with how the media platforms uses their adverts, shows, programs, etc. To put many people at a higher disordered eating risk making anyone to feel dissatisfied about their body appearances, hence lowering their self-esteem. Conducted research shows that many girls who see photographs in the fashion magazines have a higher probability of finding means to lose weight because of the influence of an article (Feldman, Runfola & Lock, 2018). Concerns about losing weight matters and dieting and the desires to look like other prominent people may be used to indicate the rise in eating disorders risks. Although it is hard to avoid the influence of media with the current technology, media education can offer the necessary tools of evaluating and questioning the information received and in mitigating the negative effects (Marshall, G. W., Moncrief, Rudd & Lee, 2012).

          What are some important nursing considerations regarding the treatment of a client with eating disorders during inpatient hospitalization? 

  Treating eating disorders patients’ needs proper medical evaluation and care. Treatment options should include inpatient hospitalization, day program and outpatient medical care. Nurses should consider educating the patients of eating disorders to avoid the stigma they may experience due to their appearances. They should educate the patients also on knowledge of the disorders, thinness idealization, body dissatisfaction, dieting, BMI, etc.

Organizational Policies and Practices to Support Healthcare Issues

     Being a leader in the healthcare industry is very taxing, as many difficult decisions must be made, and numerous competing needs must be met. Healthcare is a business, and the bottom line must be met so the business can continue to run. However, healthcare is so much more than just a business; it is where people turn when they need healing. More often than not, the bottom line and the healing of patients do not run the same course. This means that leaders are left with a choice to make, knowing that at least one need will not be met. These differing needs often affect policy, and when needs are unmet, it can lead to problems such as nurse burnout.

The Effect of Competing Needs on Policy

     The effect of competing needs on policy can be seen clearly in many standardized clinical pathways, where patient care is often jeopardized with a standardized approach to care (Kelly & Porr, 2018). These standardized clinical pathways are often inflexible and do not allow for personalized care that will best meet the patient’s needs (Kelly & Porr, 2018). Administrator’s priorities when constructing new policies are often different than those implementing the policies and coming into direct contact with patients. As there are so many needs in healthcare that must be met, it is next to impossible for leaders to make decisions and construct policies that will meet all needs. With that being said, leaders must clearly communicate and explain the reasoning behind decision-making to help those whose needs have not been met understand the choices made (Laureate Education, 2009). If these choices are not clearly communicated, then the repercussions of not meeting all needs can be much more consequential.

The Effect of Competing Needs on Nurse Burnout

     Unmet needs in the healthcare industry can have many negative consequences. One of these consequences is nurse burnout. Leaders in healthcare typically prioritize the needs of the organization’s budget and patient outcomes. These priorities often overshadow the needs of the workforce. When nurses’ needs are not being prioritized and addressed, it can contribute to nurse burnout. Inadequate staffing is often a result of financial restrictions that have been prioritized over maintaining adequate staffing ratios. This leads to nurses being overworked, which is a component of nurse burnout (Brown et al., 2018). There are currently fourteen states that have laws and regulations in place that address nurse staffing (American Nurses Association [ANA], 2019). Healthcare organizations should have specific nurse staffing policies in place and ensure that they are strictly followed. This is not just important to prevent nurse burnout, but adequate staffing helps improve patient outcomes. Safe staffing ratios should be prioritized as it will help meet more than one of the competing needs that are seen in the healthcare industry.  

References

American Nurses Association. (2019). Nurse staffing advocacy. https://www.nursingworld.org/practice-policy/nurse-staffing/nurse-staffing-advocacy/

Brown, S., Whichello, R., & Price, S. (2018). The impact of resiliency on nurse burnout: An integrative literature review. Medsurg Nursing, 27(6). https://web-b-ebscohost-com.ezp.waldenulibrary.org/ehost/pdfviewer/pdfviewer?vid=11&sid=ef9c2b5f-a5cc-4dfe-8116-de60692fca86%40pdc-v-sessmgr01

Kelly, P., & Porr, C. (2018). Ethical nursing care versus cost containment: Considerations to enhance rn practice. The Online Journal of Issues in Nursing, 23(1). https://doi.org/10.3912/OJIN.Vol23No01Man06

Laureate Education. (2009). Working with individuals [Video]. Baltimore, MD: Author.

What motivates you?  Explain in 250 words what motivates you, how does it motivate you, why does it motivate you?  Do you have multiple motivators? 

You have until 10/23/2020 at 11:59 pm to respond.

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 1- Discussion question: A predominant theme in research today is obesity, which is increasing at an alarming rate worldwide, and is most prevalent in the pediatric population.

a. In your viewpoint as a nurse, why should this be of concern in the region where you live?

b. What concepts of obesity need to be taken into consideration?

2- 3 paragraphs of 3 sentences each

3- APA style

4- 2 references not older than 2015

DQ1

It is significantly erroneous to believe that project implementation is simply a matter of organization and theory—that is, working the right processes and tasks, writing a perfect change document, having good leadership mechanisms in place, as well as having a perfect understanding of all the relevant change theories, including Lewin’s three stage theory, Lippit’s seven-step theory, B. F. Skinner’s and Pavlov’s operant and classical conditioning. Successful project implementation goes beyond these activities, and must include stakeholder support and involvement.

It is therefore pertinent to consider internal stakeholders, such as the nursing staff, supervisors, nurse managers, and other entities within the health care setting and the external stakeholders, which include health care regulators, competitors, health care consumers, and other entities outside the setting. According to Panorama Consulting Group (2020), doing a stakeholder analysis is very key for change implementation efforts for four reasons: to understand stakeholder needs and perspectives; to detect change resistance and increase commitment; to determine the best approach for stakeholder engagement; and to determine the appropriate messaging tactics that generate positive influence.

In view of the above, ensuring stakeholder support is important for the success of my change proposal because it ensure commitment and support for the change project. In a situation where most stakeholders in the setting where the change project will be implemented are in support and are fully involved, the chances are high that implementation will be successful. One important way to secure the support of both my internal and external stakeholders will include the organization of interactive forums in which the change project and its benefits will be discussed.

                                                                                     Reference

Panorama Consulting Group (2020). The role of a stakeholder analysis in change management. Available from: https://www.panorama-consulting.com/stakeholder-analysis-in-change-management/

Joseph, M. (2019). Importance of stakeholder support in implementation of evidence-based practice project in nursing. The Nursing Ace. Available from: https://thenursingace.com/importance-of-stakeholder-support-in-implementation-of-evidence-based-practice-project-in-nursing/#:~:text=Their%20support%20is%20necessary%20because,project%20in%20in%20interactive%20forums.

DQ2

Stakeholders are important in performance of an organization way of operating, by investing interest in medical decisions, and evidence-based practice. This can in include nurse, doctors, patients, payers, and policy-makers. Policy-makers create population-level metrics that inform their economic policies. Important questions they ask are eligibility to receive care, services provided, how services will be paid for, accessibility, other health care concerns to plan for. They set context in how the health care system will operate. Policies created are made to maximize patient health within the country’s financial and resources available. Patients receive care, and are the beneficiary customers of payers, who want to access health information from their smart phone or computer. Providers deliver care within policy framework. They are independent businesses that manage their own operations and finances. Payers are the financial element, who enroll patients as beneficiaries. They report to policy-makers about financial sustainability of the care program they have. 

For my change project, it is important to have the support of my fellow nurses, director, and possibly doctors. Evidence-based practice on why medication intervention for dementia related behavior are not effective, but instead adversely affects the patient is important to provide. I personally have noticed doctors like to prescribe many anti psychotics to patients with behavioral symptoms, which tend to sedate them and leads to decreased quality of life. I remember talking to the doctor about holding the patients second dose of quetiapine for the evening because I noticed he gets more confused and gets out of bed without calling for help. That evening I was able to communicate with the patient more effectively, and he seemed more relaxed with less confusion. It is important to have my fellow nurses to be on board with trying non-pharmacological interventions, instead of quickly asking for medications or restraining individuals.

Pressbooks. (n.d.). 3. Introducing the key stakeholders: Patients, providers, payors, and plicymakers (the four p’s). Retrieved from https://jln1.pressbooks.com/chapter/3-introducing-the-key-stakeholders-patients-providers-payors-and-policymakers-the-four-ps/

Each reply must incorporate at least 3 scholarly citation(s) in APA format. Any sources cited must have been published within the last five years. 

400 words 

Instructions

SOAP Note

Each week you are required to enter your patient encounters into CORE. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. Beginning in Week 5, you will need to include one complete SOAP note each week through Week 9 for a total of 5 complete SOAP notes for this course using this SOAP note template. The SOAP note should be related to the content covered in this week, and the completed SOAP note should be submitted to the Submission Area. When submitting your note, be sure to include the reference number from CORE where you entered this specific patient’s case entry.

Submission Details:

Topic: Patient with a Peripheral Vascular system problem 

By the due date assigned, enter your patient encounters into CORE and complete at least one SOAP note in the template provided.

Name your SOAP note document SU_NSG6020_W6_A4_LastName_FirstInitial.doc.

Include the reference number from CORE in your document.

Submit your document to the Submissions Area by the due date assigned.

make a brief explanation of three important components of the psychiatric interview and why you consider these elements important. Explain the psychometric properties of the rating scale you were assigned. Explain when it is appropriate to use this rating scale with clients during the psychiatric interview and how the scale is helpful to a nurse practitioner’s psychiatric assessment. Support your approach with evidence-based literature.
 

Essay: Answer each prompt using at least 500 words.

1. Now that you have read about the primary dimensions of diversity, what have you learned about yourself? Of the six dimensions covered in this text (race, ethnicity, age, gender, sexual orientation, and physical and mental challenges), which so far have affected your life the most? What examples can you provide to substantiate your answer? Do you think these may change in importance during your lifetime? Why or why not?
2. What are the generational issues Julia faces with each employee? What cultural, historic, or societal issues may influence these generational issues? How would these issues affect Julia’s management of the department? (Read “Managing Diverse Generations in a Retail Setting” (pg 115)).
3. In Norway, since 2008, a public law requires at least 40% of each sex on corporate boards. Make a case for and a case against passing U.S. legislation requiring a quota for women on corporate boards.

Assignment Expectations:

• Length:
  • 1500-1750 words (5-7 pages); answers must thoroughly address the questions in a clear, concise manner
• Structure:
  • Include a title page and reference page in APA style
• References:
  • Include at least two scholarly resources in your work. Include the appropriate APA style in-text citations and references for all resources utilized to answer the questions