Discussion 2 diversity

After studying Module 2: Lecture Materials & Resources, discuss the following:

The importance of effective communication that promotes cultural competence.

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.  Your initial post is worth 8 points.
  • You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.) 
  • All replies must be constructive and use literature where possible.
  • Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday.
  • You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date. 

Discussion Post-Chronic Renal Failure

Mr. Rojas is a 49-year-old patient with End Stage Renal Disease. He has a history of hypertension and uncontrolled type 1 diabetes (since he was 12 years old). His last Hemoglobin A1c was 12.8%. He is currently receiving hemodialysis three times per week for three hours. He is in the hospital because he went into DKA a few days ago when he had a stomach virus. He is asking you about renal transplantation.

  • What are the criteria to be placed in the transplant list?
  • What options for transplantation does Mr. Rojas have?
  • What recommendations can you give Mr. Rojas on treatment compliance?
  • What other renal replacement therapies could Mr. Rojas be educated about?
  • What are their advantages and disadvantages?

Must be at least 250 words. 

Trans to Baccalaurate

Trans to Baccalaureate

In this course wrap-up discussion, please review the following Course Student Learning Outcomes (CSLOs), and choose 

one outcome:

1. Examine the role of the baccalaureate-prepared nurse within the healthcare delivery system. (PSLO 1, 3).

2. Analyze characteristics, skills, and ethical principles which shape professional-level nursing practice. (PSLO 3)

3. Demonstrate the use of technology and scholarly resources to develop professional communication skills. (PSLO 6)

4. Apply select models and theories to guide professional-level nursing practice. (PSLO 3)

5. Outline a plan towards lifelong learning and professional development. (PSLO 3)

· Reflect on how you feel you have achieved the selected outcome based on the work completed in this course.

· Discuss how you will apply what you learned in this course to your current or future nursing practice.

Supportive evidence is 
not required.

ch

Berwick, D., Snair, M., & Nishtar, S. (2018). Crossing the global health care quality chasm: A key component of universal health coverage. 
Journal of American Medical Association, 320(13), 1317-1318. 

Read the Berwick article and reflect on the concepts and practices you have learned in NR506 on healthcare systems, politics, and health policy. Reflections should include the following: 

1. How to make informed decisions on nursing practice and patient outcomes on a global basis.  In addition, state how you will apply what you have learned in this course to your upcoming practicum experience.   

2. Describe how one will apply content from this class to the upcoming clinical courses

Cost benefit Analysis Reply

Expand on this explanation and provide an example that supports this explanation or respectfully challenging this explanation and providing an example. 

Cost Benefit Analysis and its Impact on Efforts to Repeal ACA

The Patient Protection and Affordable Care Act of 2010 was one of the policies in the Obama administration that caused diverse political reactions among the legislators and the public. This policy attempted to address the social injustices in America by prioritizing healthcare delivery, especially to low-income individuals (McIntyre & Song, 2019). Legislators had divided opinions on implementing these policies, as most of them conducted a cost-benefit analysis on its suitability in resolving healthcare issues. The first attempt to replace ACA was in 2017 with the passing of the American Health Care Act (AHCA). Implementing the latter policy would mean that approximately half of the beneficiaries of the ACA would lose access to affordable healthcare services (Issar & Dilling, 2021). The AHCA also proposed a tax credit based on age, an aspect that would increase the cost of healthcare services. Reelection affected the success and implementation of the AHCA to replace ACA. Most citizens supported the ACA, and legislators had no option but to keep it for their reelection, as legislators who opposed it risked losing their seats.

The voters’ views affect the legislators’ positions on the policy as the voters have the power to reelect them. Milstead and Short (2019) ascertain that voters influence important political aspects and determine their implementation or rejection. The best example of the influence of voters on policy issues was the replacement of ACA with AHCA. The voters supported ACA because it increased accessibility and availability of quality healthcare but repelled the AHCA due to the associated taxes and increased healthcare service costs (Wilensky, 2018; Issar & Dilling, 2021). The legislators in the House of Representatives and Senate need the votes to secure their positions, and disagreeing with the voters’ opinions would disadvantage their political careers (Congress.gov, n.d.; United States Senate, n.d.). Therefore, supporting the policy that the citizens support at higher levels increases the chances of legislators retaining their seats, even when they disagree with the policy’s mandates.

Resources to use:

AACN

review the AACN DNP Essentials document and reflect on the competencies presented. Think of  your personal and academic goals and consider how those goals align with both Walden University’s mission and vision and with the AACN DNP Essentials. Reflect on the social determinants of health framework and consider how your academic and professional goals might align with addressing these elements as a DNP-prepared nurse

  • Explain how your academic and professional goals align with Walden’s vision, mission, social change message, social determinants of health, and university outcomes as well asand the AACN DNP Essentials. Be specific.
  • Explain how you plan to incorporate social change throughout your program of study and in professional practice. Be sure to include how social change may contribute to your practicum/field experience and your role in professional practice.

    2 page minimum Resources 

Nursing

Exercise Content

1.

Principio del formulario

According to you, what are the challenges associated with nursing? Include a summary of your research and how it correlates to the subject you are studying. Identify these challenges and explain their importance in healthcare.

 Guidelines: 

· APA Format 

· MUST utilize credible data sources such as CINAHL, MEDLINE, Embase, ClinicalKey, The Cochrane Library. Library resources can be accessed from the Library page at the FNU.edu website. FNU Librarians are available to assist each student with retrieving the required scholarly content.

· Research paper must be 500 – 650 words. 

· 3 or more scholarly sources must be utilized

· Sources must be within the last 5 years 

· Must have a minimum of 3 Sources 

· All article sources must be cited by including them in reference sheet (separate).

Final del formulario


Strategic Visioning With Stakeholders

Introduction

The implementation and success of a strategic plan depends on the support of key stakeholders. This in turn depends on your ability to communicate clearly and persuasively with decision makers and to sell your vision of the future. You must also be able to lead the initiative and sustain strategic direction. This assessment provides you with an opportunity to showcase your strategic thinking and exercise the communication skills necessary to move your strategic plan forward toward implementation.

Note: In this assessment, you will develop a presentation to stakeholders for the strategic plan you developed in Assessment 2.

Preparation

Your strategic plan has been reviewed, and you have been asked to present your plan—including operational recommendations and strategic control mechanisms—at a strategic visioning session with key stakeholders (senior leaders if your plan is organization-wide, community leaders if your plan is for a community health project, or the nurse manager of a specific department or team). This session is the next step in moving your plan toward implementation.

Your deliverable for this assessment is a slide deck of 10-20 slides to supplement your presentation and facilitate discussion of your plan. You may use Microsoft PowerPoint or any other suitable presentation software. Please use the notes section of each slide to develop your talking points and reference your sources, as appropriate.

As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.

Reflect on the current cultural climate in your care setting.

  • What aspects of the current cultural climate would aid in achieving one or more specific goals contained in your strategic plan?
  • What aspects of the current cultural climate would present a challenge in achieving one or more specific goals contained in your strategic plan?
  • What leadership theories, models, or strategies could help you turn this challenge into an opportunity?

Effectively communicating with internal and external stakeholders and constituencies can help in achieving strategic initiatives.

  • How would you communicate the essential aspects of the strategic plan you developed in Assessment 2 to stakeholders or groups, both internal and external to your care setting?

 

Presentation

  • Summarize your plan for achieving 2-3 main goals. Include corresponding metrics, targets, and initiatives to help achieve the desired quality or safety improvements in the care setting.

Note: It may be useful to think about what you hoped to achieve in addressing your care setting’s positive core or specific area of concern in Assessment 1. For example:

  • Progress toward achieving the Triple Aim.
  • Better patient safety outcomes.
  • Lower readmission rates.
  • Higher volume of patients and care.
  • Increased financial gain.
  • Minimizing staff burnout.
  • Improved relationship and trust with the community or a specific population.

In addition, remember to consult the literature, research studies, and resources from professional and governmental organizations when developing metrics, targets, and initiatives.

  • Explain how you will communicate your plan to those stakeholders and constituencies who are essential to implementing your plan and sustaining strategic direction.
    • Identify the key individuals or groups with whom you must communicate.
    • Identify the cultural or ethical factors, if any, that are relevant to the design of your communication plan, including how key individuals or groups typically prefer to be contacted.
  • Describe the actions you will take to align your care setting’s structure, systems, shared values, management style, staff, and skills with your strategic goals.
    • Describe the changes that are needed to achieve your goals.
    • Describe the goals and processes for on-boarding relevant individuals or groups.
  • Explain how you will evaluate the success of your strategic plan.
    • Define successful implementation.
    • Describe the successful outcomes for this project.
    • Explain how you will compare outcomes to current performance benchmarks.
    • Explain how you will collect data to evaluate whether you have achieved specific goals and outcomes.
    • Identify your priorities, assuming you cannot accomplish everything.
  • Explain how relevant cultural, ethical, and regulatory considerations influenced the design of your strategic plan and strategies for its implementation.
  • Explain your role, as a nurse leader, in successfully implementing your proposed plan and sustaining strategic direction.
    • Explain how leadership and health care theories support your role.
  • Explain why your leadership qualities and skills will enable you to successfully implement your plan and sustain strategic direction.
    • Explain why you should be the one to lead this initiative.
    • Explain how you have demonstrated some or all of these qualities in past work.

see below

see below