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• Write a 4-6 page paper in which you discuss the value of ratio analysis in decision making for health care organizations. Complete the following in your paper: 
• Discuss the meaning of ratio analysis in healthcare.
• Pick only one (1) ratio from EACH major group from the financial statements. (e.g. Current ratio, ROE, Debt to equity, ALOS)
• Major Groups:
  • Liquidity ratios (Current ratio, Days Cash-on-Hand, Quick Ratio)
  • Profitability ratios (ROE, ROA, Total Margin, Operating Margin)
  • Leverage/Capital Structure Ratios (Debt ratio, Equity ratio, Debt to Equity Ratio)
  • Nonfinancial Ratios (Occupancy rate, payer mix, ALOS, Expense per discharge, FTE per bed, HMO penetration)
• Discuss one (1) ratio (from EACH major group) using the following criteria:
  • What is the meaning of each ratio?
  • Evaluate the meaning of the ratio related to the financial health of the health care organization. Show the calculations.
  • Explain the factors that affect the results related to the financial health of the organization. 
• Format your paper consistent with APA guidelines.
• Provide a minimum of two (2) cited sources in your paper. Properly cite in APA format.

Financial Aspect

Support from the stakeholders is critical in the implementation of evidence-based change proposals. One financial aspect that needs consideration for improving the transition of care (TOC) is reducing the cost of healthcare services. Providing safe, effective, and high-quality care to all patients is a priority in nursing practice. Safe and effective transfer of responsibility for a patient’s medical care relies on effective provider communication with patient comprehension of discharge instructions (Gallahue, et al., 2015). My preceptor and I believe that when patient understand their plan of care and know how to manage their health in a different setting, this help to prevent unplanned readmissions, thus reduce medical costs.

Quality Aspect

Effective transition of care promotes positive outcomes, reduce mortality rate, promote health and wellness, increase patient satisfaction, and help to prevent unplanned readmissions, adverse events, save medical costs and possible penalties from increase readmission rates.

Clinical Aspect

The plan is to add a case manager who has relevant knowledge and expertise to facilitate the implementation effective transition of care. Ensuring that patient understand their plan of care, medication, side effects, how to manage their medical conditions and ensure that patient will have a safe and effective care transition. Through effective nursing communication and collaboration, transition of care will be improved, thereby promoting a positive patient prognosis.

In this assignment, students will pull together the capstone project change proposal components they have been working on throughout the course to create a proposal inclusive of sections for each content focus area in the course. For this project, the student will apply evidence-based research steps and processes required as the foundation to address a clinically oriented problem or issue in future practice.

Develop a 1,250-1,500 written project that includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the capstone change proposal:

1. Background
2. Clinical problem statement.
3. Purpose of the change proposal in relation to providing patient care in the changing health care system.
4. PICOT question.
5. Literature search strategy employed.
6. Evaluation of the literature.
7. Applicable change or nursing theory utilized.
8. Proposed implementation plan with outcome measures.
9. Discussion of how evidence-based practice was used in creating the intervention plan.
10. Plan for evaluating the proposed nursing intervention.
11. Identification of potential barriers to plan implementation, and a discussion of how these could be overcome.
12. Appendix section, if tables, graphs, surveys, educational materials, etc. are created.

Review the feedback from your instructor on the Topic 3 assignment, PICOT Question Paper, and Topic 6 assignment, Literature Review. Use this feedback to make appropriate revisions to these before submitting.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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 required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

RN to BSN

1.1:     Exemplify professionalism in diverse health care settings.

2.2:     Comprehend nursing concepts and health theories.

3.2:     Implement patient care decisions based on evidence-based practice.

In this course project, you are going to develop a plan of care for a chronic illness group of your choice using the Healthy People 2020 topics. While executing the tasks of this project, remember that while you need to give a general overview of the biomedical considerations of the case, the focus should always be on the psychosocial elements. Your perspective in this care plan should be the patient’s goals rather than those of the medical team. 

Identifying a Group

Identify a chronic illness of specific interest to you that is also identified as a Healthy People 2020 topic (healthypeople.gov). In a Microsoft Word document of 4-5 pages formatted in APA 7 style, address the following criteria:

• Identify a chronic illness and rationale for choice.
• Develop a questionnaire by utilizing your knowledge of health and illness, with the aim of acquiring all information you need from patients to prepare a plan of care for the specific illness group.
• Discuss morbidity and comorbidity of the disease.
• Discuss the impact of the chronic illness and patient morbidity on overall health of the nation.
• Incorporate Healthy People 2020 goals and objectives for the specific illness group.

Support your responses with examples and information from library resources, textbook and lectures.

On a separate references page, cite all sources using APA 7 format. 

Please note that the title and reference pages should not be included in the total page count of your paper.

Video Transcript:

KARI (on phone): This is Kari the nurse from the Emergency Department. I’m calling to give you a transfer report on Ms. Janet Lieberman. Janet is a 36-year-old woman who came because she felt weak and dizzy. She has a history of Crohn’s disease with intermittent gastritis and six months ago she had surgery and an ileostomy. Traces of serosanguineous effluent were present in her ostomy bag upon arrival. Her Blood type is A-. She is typed and cross-matched for two units of packed RBCs, so please administer as soon as they are available. She started on Infliximab IV six months ago and the last dose was given seven weeks ago. Her vital signs were temperature 98.8, pulse 114, respiration 22, blood pressure 100/60, and oxygen saturation 95%. Her hemoglobin is seven milligrams per deciliter and her hematocrit is 21%. She has an IV of 0.9% sodium chloride 1000- milliliters infusing at 150-milliliters per hour, and has 700-milliliters remaining in the bag. We started an IV while she was in ED. Her skin has been pale, warm, and dry to the touch. She voided 500-milliliters at 1500 in the ED. A hemoccult of her stool was sent to the lab. Esther: Were the coagulation tests within normal range? KARI: Yes, her pro time is 12.2, her PT is 21 seconds, and her INR is 0.7. Esther: Okay, thanks for the report. KARI: You’re welcome. I’ll bring her up to your unit in a few minutes. Esther: Thanks. KARI: Hi Esther, this is Janet Lieberman. Esther: Hi Ms. Lieberman, my name’s Esther. I’ll be taking care of you this evening. KARI: I gave you a transfer report a couple minutes ago. Ms. Lieberman needs the two units of packed RBCs as soon as possible. Esther: Okay. Ms. Lieberman, I need to take a quick look at your ostomy bag. MS. LIEBERMAN: Sure, okay. Esther: Thank you. Do you have any family here? MS. LIEBERMAN: No, I came alone to the emergency room today, but I have a sister who’s on her way to the hospital. KARI: Do you have any questions before I leave? Esther: No, thanks for the report. I can take it from here. KARI: I am going back to the Emergency Department now. Esther’s going to be taking care of you. I hope you feel better soon. MS. LIEBERMAN: Thanks so much for taking such good care of me. Esther: Ms. Lieberman, I need to ask you some questions. MS. LIEBERMAN: Okay, what else do you need to know? Esther: I need to review your abdominal status. Are you having abdominal pain? MS. LIEBERMAN: Oh yes, it’s very sore and crampy. Esther: On a scale of 0 to 10, with 0 being no pain, and 10 being unbearable, how do you rate your pain now? MS. LIEBERMAN: I would say a 6. Esther: When did the pain begin? MS. LIEBERMAN: Uh, after I got up this morning. Esther: Can I ask you where the pain is? MS. LIEBERMAN: Yes, it’s here in the top of my stomach. Esther: Okay, Have you noticed anything that brings on the pain or makes it worse? MS. LIEBERMAN: I’m pretty sure stress makes it worse. Esther: Okay. MS. LIEBERMAN: When I get stressed I don’t eat healthy foods and then I get headaches and take Ibuprofen. Esther: Okay, when you’re feeling a little bit better I’d like to review some ways to manage your stress. For now, I need to take a listen to your bowel sounds. MS. LIEBERMAN: Sure, Okay

Submit a 10 page paper identifying the problem as a nursing leadership issue. Is it a local, regional, or national issue. What has the literature told you. State the purpose of your paper. Establish the importance of this topic and any appropriate functional information. Identify opportunities for improvement in healthcare organization, the effective use of interdisciplinary teams, change in management strategies, and implementation of evidence based practices. Submit article critiques used to write the paper.

 What electronic communication strategies are used at your organization to communicate with patients? Based on your organization’s HIPAA policy, how is patient privacy and confidentiality protected?

Submission Instructions:

• Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources

Learning Theories and Their Usefulness to Advanced Practice Nurse (APN)

Learning is an integral part of an Advanced Practice Nurse (APN). It is the foundation for understanding patients and improving patient-care skills and competencies (Çeliköz et al., 2016). An advanced practice nurse should comprehend patients’ mental, behavioral, and emotional patterns. To cater to these healthcare demands, APN should be apprised of the relevant learning theories that allow them to understand patient care dynamics (Bastable, 2017). Understanding learning theories is significant to influencing behavior, and creating and emotional connection with patients.  Cognitive, behaviorist and social learning theories are the principal psychological and motor learning theories useful to APNs’ delivery of patient care.

The cognitive theory looks at what happens in the learner’s mental functions and does not ignore the external environment’s influence. APN benefits from this theory since it helps them understand the internal operations of their thought process. The theory asserts that internal thought processes and external factors are essential for cognitive functions (McSparron et al., 2019). Therefore, this learning theory’s applicability is a bidirectional mechanism where an APN develops self-thoughts and patients’ skills. The understanding of one’s thought process is significant in the reconstruction of learning paradigms. The theory is broken into sub-theories that addresses specific learning and understanding elements. APN uses this theory to understand patients’ patterns and construct appropriate care procedure that matches high-quality care-delivery.

Behaviorist theory focuses on observable events and connects them to learning principles. According to behaviorists, leaning is an association between stimulus conditions and the environment. Hence the view depends on a stimulus-response model of understanding. It connects individuals’ behaviors to the environment’s influences and detaches the internal factors that stimulate learning (Çeliköz et al., 2016; Illeris, 2018). APN use this theory to learn how to change their attitudes and responses to different patient situations, thus improving care. To achieve the desired patient outcomes, APN uses behaviorist learning theory to observe a patient’s response to the environment and manipulate the external stimuli to achieve the desired learning outcomes.

The social theory maintains that learning is an observable event, and people acquire new behaviors by imitating observable actions from others. It is a continuous learning paradigm that capitalizes on cognitive, behavioral, and environmental influences from others. Before imitating observed behaviors, people evaluate and perform a reinforcement analysis to assess the new behaviors’ consequences. If other people are positively rewarded, they mimic the learning process and learn from others’ successes (Akers & Jennings, 2016). APN learn from experienced practitioners on the best approaches to improving patient care. If particular care yields the best results, then APN realizes the rewards of the process and integrates them into patient care.

In conclusion, learning is a fundamental aspect of patient care, and Advanced Practice Nurse (APN) should prepare to implement it in delivering high-quality patient care. There are many learning theories implemented by APNs in improving quality, and each has a significant function in the construction of learning behaviors. However, the most used theories applied by APNs include Cognitive, behaviorist, and social learning theories. These theories generally look at internal thought processes, the external environment’s influences, and personal changes.

References

Akers, R. L., & Jennings, W. G. (2016). Social learning theory. Wiley Handbooks in Criminology and Criminal Justice, 230-240.

Bastable, S. B. (2017). Nurse as educator: Principles of teaching and learning for nursing practice. Jones & Bartlett Learning.

Çeliköz, N., Erişen, Y., & Şahin, M. (2016). Cognitive learning theories. Learning and teaching: Theories, approaches, and models, 31-45.

Illeris, K. (2018). Contemporary theories of learning: learning theorists… in their own words. Routledge.

McSparron, J. I., Vanka, A., & Smith, C. C. (2019). Cognitive learning theory for clinical teaching. The Clinical Teacher, 16(2), 96-100.

 Pick out a recipe.  It can be one that you or your family has made before or one you find online.  Write out the calories, fat, protein, and carbohydrates of the meal.  Then, figure out some substitutions that you could use to make the recipe healthier.  Post healthier calories, fat, protein, and carbohydrates. 

Attention Wizard Kim. 

Week 6 Discussion: Practicum professional Development Objectives/ Progress Appraisal  3 pages. 

Rubrics