Leadership And Governance
Leadership And Governance
Write a 700- to 1,050-word paper that evaluates the difference between leadership [i.e. directors, C-suite – Chief Executive Officer, Chief Operating Officer, etc.) and board governance [the Board of Directors] in establishing strategic planning for a health care organization.
Cite 3 reputable references to support your assignment (e.g., trade or industry publications, government or agency websites, scholarly works, or other sources of similar quality).
Format your assignment according to APA guidelines.
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Transitioning From Closed To Open Systems
Transitioning From Closed To Open Systems
Transitioning From Closed to Open Systems
How do effective nurse leaders and others approach problem solving and decision making in organizations? As suggested in this week’s Learning Resources, systems theory provides a valuable way to assess situations and prepare to address problems.
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For this week’s Discussion, you identify an issue or process that could be improved and apply knowledge and strategies related to systems theory.
Note: You may find it helpful to view the Assignment instructions and use the same problem for this Discussion.
To prepare:
Review the information presented in this week’s Learning Resources on systems theory and the difference between open and closed systems.
Reflect on the practices and processes with which you are familiar in your organization. Identify one problematic issue or process that could be improved.
Consider the problem from a closed-system perspective. Then think about how the issue or process you selected could be addressed by viewing it from an open-system perspective. How would the transition from a closed- to an open-system view help you and others to address the problem and improve outcomes?
Post (1) a description of the problem that you identified in your selected organization. (2) Explain the problem from a closed-system perspective. Then, (3) describe how the problem could be addressed by viewing it from an open-system perspective, and (4) explain how this modification would help you and others improve health care outcomes.
Required Resources
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Readings
Marquis, B. L., & Huston, C. J. (2015). Leadership roles and management functions in nursing: Theory and application (8th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.
Review Chapter 7, “Strategic and Operational Planning”
See especially Figure 7.1 on page 147.
Chapter 8, “Planned Change”
Organizational Change Associated With Nonlinear Dynamics (pp. 172–176)
Read this section of Chapter 8 on planned change. Consider the role of leaders in effectively managing planned change.
Chapter 12, “Organizational Structure”
“Organizational Culture” (pp. 274–276)
There are many structures organizations take, and these structures influence how the organization functions. This chapter discusses many different organizational structures and provides insights into how these structures influence the change process, as well as leadership and management.
Johnson, J. K., Miller, S. H., & Horowitz, S. D. (2008). Systems-based practice: Improving the safety and quality of patient care by recognizing and improving the systems in which we work. Retrieved from http://www.ahrq.gov/downloads/pub/advances2/vol2/Advances-Johnson_90.pdf
This article addresses the importance of systems-based practice (SBP) in health care workplaces. The authors state that SBP knowledge is one of six core competencies that physicians have to know in order to provide safe and proper care for their patients.
Manley, K., O’Keefe, H., Jackson, C., Pearce, J., & Smith, S. (2014). A shared purpose framework to deliver person-centred, safe and effective care: Organisational transformation using practice development methodology. FoNS 2014 International Practice Development Journal 4 (1) [2].
Except from Abstract: A shared purpose is an essential part of developing effective workplace cultures and one of the founding principles of practice development in establishing person-centred, safe and effective practices that enables everyone to flourish. When units within health care organizations recognize their interdependence, they can create an interdisciplinary practice through systems integration.
Meyer, R. M., & O’Brien-Pallas, L. L. (2010). Nursing services delivery theory: An open system approach. Journal of Advanced Nursing, 66(12), 2828–2838.
Retrieved from the Walden Library databases.
In this article, the authors examine the effects of nursing services delivery theory in large-scale organizations. Among other benefits, this theory supports multilevel phenomena and cross-level studies, and it can guide future research and the management of nursing services.
Optional Resources
Glennister, D. (2011, July). Towards a general systems theory of nursing: A literature review. Paper presented at the 55th Annual Meeting of the International Society for the System Sciences, Hull, United Kingdom. Retrieved from http://journals.isss.org/index.php/proceedings55th/article/viewFile/1717/569
Hayajneh, Y. (2007). Management for health care professionals series: Systems & systems theory. Retrieved from http://www.hayajneh.org/a/readings/Systems-Theory.pdf
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The Systems Development Life Cycle And The Nurse Informaticist
The Systems Development Life Cycle And The Nurse Informaticist
Discussion: The Systems Development Life Cycle and the Nurse Informaticist
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The systems development life cycle (SDLC) is a model for planning and implementing change within an organization. It is important for many individuals to be represented in the process, especially the end users of the system or the employees who must live with the change. As informatics become more and more widespread throughout the health care field, collaboration between information technology (IT) professionals and health care practitioners is becoming increasingly important. The nurse informaticist is able to combine the perspective of the information technology side with the clinical nursing perspective.
While the titles and specific responsibilities of nurse informaticists vary across organizations and practice settings, the fundamental purpose of the role remains the same. Nurse informaticists synthesize their knowledge of how technology can improve health care with an understanding of clinical practice and workflow. This is why nurse informaticists can be instrumental in facilitating the SDLC for informatics in health care. For this Discussion, you examine the relationship between the nurse informaticist and the use of the SDLC.
To prepare:
Review the information in this week’s Learning Resources on the SDLC and the role of the nurse informaticist. Reflect on Chapter 1 of the Dennis, Wixom, and Roth course text and consider how the information about the systems analyst role translates into nursing and health care.
Consider a recent change in your organization related to the implementation of a new technology or system. How was this change handled? What was the general SDLC process? Who was involved, and what were the outcomes?
Identify whether your organization (or one with which you are familiar) has a formal title or position for the nurse informaticist. This position may be called by a different name, such as nurse informatics specialist or informatics analyst, so be sure to review the position description.
If your organization has a position for the nurse informaticist, what are the responsibilities of that position? If your organization does not have such a position, conduct research in the Walden Library and at credible online sources on the role of the nurse informaticist.
Reflect on the role of the nurse informaticist in the overall health care field. How is this position connected to the SDLC? Assess the benefits of having this specialized position within health care organizations and involving the nurse informaticist in the SDLC.
Post by tomorrow 8/30/16 550 words in APA format with a minimum of 3 references from the list provided under Required Readings. Apply the level 1 headings as numbered below:
1) A description of how the systems development life cycle is utilized in your organization (Hospital), or in one with which you are familiar, and assess its effectiveness.
2) Assess the role of the nurse informaticist in your organization. If the nurse informaticist is not a current position within your organization, provide a description of the generally accepted role of the nurse informaticist based on this week’s Learning Resources and your own research.
3) Explain why it is important for the nurse informaticist to be involved in the SDLC process and the overall organizational benefits of having such involvement.
Required Readings
Dennis, A., Wixom, B. H., & Roth, R. M. (2015). Systems analysis and design (6th ed.). Hoboken, NJ: Wiley.
Chapter 1, “The Systems Analyst and Information Systems Development” (pp. 1–34)
In this chapter, the authors clarify the relationship between systems analysts and information systems development. The chapter also covers the basic business applications of information systems.
McGonigle, D., & Mastrian, K. G. (2015). Nursing informatics and the foundation of knowledge (3rd ed.). Burlington, MA: Jones and Bartlett Learning.
Chapter 10, “Systems Development Life Cycle: Nursing Informatics and Organizational Decision Making”
Chapter 11, “Administrative Information Systems”
Quality, organizational decision making is a requisite to successful advancements in technology. This chapter explores how workplaces respond to the necessity for improved information systems.
Anderson, C., & Sensmeier, J. (2011). Nursing informatics scope of practice expands, salaries increase. Computers, Informatics, Nursing, 29(5), 319–320.
Retrieved from the Walden Library databases.
This article assesses the growing need for informaticists in the health care industry. The combination of clinical and information technology experience that informaticists possess makes them invaluable in assisting in the health care industry’s transition into a heavier use of information systems.
Houston, S. M. (2012). Nursing’s role in IT projects. Nursing Management, 43(1), 18–19.
Retrieved from the Walden Library databases.
The societal advancements of information technology (IT) are major factors in the governance of health care organizations. This article gives an overview of how nurse informaticists blend their clinical know-how with IT to improve workflow and patient care.
McLane, S., & Turley, J. P. (2011). Informaticians: How they may benefit your healthcare organization. The Journal of Nursing Administration, 41(1), 29–35.
Retrieved from the Walden Library databases.
Nursing informaticists help guide the implementation of information systems into health care organizations. The authors of this article evaluate how informaticists effect change in management and improve meaningful use in nursing practice.
Prestigiacomo, J. (2012). The rise of the senior nurse informaticist. Healthcare Informatics, 29(2), 38–43.
Retrieved from the Walden Library databases.
The author of this article highlights the conditions of the health care industry and its growing reliance on data-driven decision making. Nurse informaticists are important in this transition, playing a major role in the development and utilization of electronic health records (EHRs).
Warm, D., & Thomas, B. (2011). A review of the effectiveness of the clinical informaticist role. Nursing Standard, 25(44), 35–38.
Retrieved from the Walden Library databases.
Health care organizations rely heavily on information management and technology for organizational maintenance and patient care. This article examines the clinical informaticist’s role in facilitating the implementation of health information technology and spearheading clinical risk management.
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Assignment: Compensation Systems
Assignment: Compensation Systems
Assignment: Compensation Systems
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Health care delivery. Numerous trends influence all areas of health care, including care by nursing. The rising cost of health care has generated numerous outcomes that have had a broad impact on health care delivery. The potential compensation system for hospital Medicare patients, introduced in 1983, and current managed care competition need cost containment measures and a redefinition of least standards of care for hospitalized patients.The patient care plan should reflect a strategy that best congregates the patient’s needs within time limitations and limited resources.
Assignment: Compensation Systems
Assignment: Compensation Systems
The goal of efficiency inflicts shorter hospital stays for patients, reformation of hospitals for economic survival, and efforts to enumerate nursing care costs (Sinclair Vaughn 1988). Patients in hospitals are sicker, are being treated more appropriately, and are being expulsioned before they are completely recovered from their illnesses.
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Home health care and ambulatory services are growing in retort to the need and the economic inducement ( Freeman et al., 1987, Slemenda Mary Beth, 1983).A subsequent trend in health care relates to the greatly technical hospital environment . Quickly changing technology imposes both knowledge requirements and a rising concern about the impersonality of the critical care environment. Nursing has reacted to these issues by attempts at association and communication in education and perform, innovative attempts at care planning all the way through computerization, organized training and education plans for staff, and new roles and constitutions in nursing practice ( Simpson and Brown, 1985). Main Discussion Nursing as a discipline is becoming inextricably bounced to technology ( DeVisser, 1981: 127). Specialization in medical practice as the sixties has imposed a national standard of medical and nursing care ( Garlo, 1984). Proceeding to that time, a physician might determine proper care for a heart attack patient. This care might be prejudiced by the region, the personal philosophy of the physician, as well as the resources of the community and hospital. The universal practitioner in a small town might have a diverse standard than would the teaching hospital in a big city. This is less the case now than ever before.
National medical board qualifications now determines obstetric or cardiac care in both urban and rural areas, and these standards are upheld officially for physicians, nurses, and hospitals. Hospitals in small towns might have equipment and offer services once simply seen in a medical center. Regional trauma and neonatal ICU networks exemplify this phenomenon. Third-party payers, including Medicare, inflict a further standard for hospital care. Official approval standards set by the Joint Commission on Accreditation of Healthcare Organizations also encourage similarities somewhat than differences among hospitals. Critical care units have emerged as a general feature of hospitals in the 1990s (Elpern Ellen H., Suzanne B. Yellen, and Laural A. Burton 1998). The consequences of technology for nursing practice comprise demands for education and training, the materialization of specialized clinical roles, artistic and often expensive staffing patterns, salary incentive programs, distresses about abrasion of expert staff, stress and job tension, and the stresses of ethical predicaments arising in critical care settings. Critical care nursing, at present an anticipated part of hospital care in the 1990s, seems rooted in two discrete features (Campbell Margaret L. and Richard W. Carlson 2002). First, the enormity of patient needs calls for twenty-four-hour nursing surveillance. The temperament of this nurse-patient relationship has social, structural, institutional, and economic roots in the development of nursing in the United States.
You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.
Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.
Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.
The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.
ADDITIONAL INSTRUCTIONS FOR THE CLASS
Discussion Questions (DQ)
Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.
Weekly Participation
Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
APA Format and Writing Quality
Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes
I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.
LopesWrite Policy
For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.
Late Policy
The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
Communication
Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.
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NRS-490 Week 9 Assignment Benchmark – Capstone Project Change Proposal Portfolio
NRS-490 Week 9 Assignment Benchmark – Capstone Project Change Proposal Portfolio
In this assignment, students will pull together the change proposal project components they have been working on throughout the course to create a coursework portfolio inclusive of sections for each content focus area in the course. At the conclusion of this project, the student will be able to apply evidence-based research steps and processes required as the foundation to address a clinically oriented problem or issue in future practice.
Students will develop a 1,250-1,500-word paper which includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the Change Proposal:
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Background
Problem statement
Purpose of the Change Proposal
PICO(T)
Literature search strategy employed
Evaluation of the literature
Applicable change or nursing theory utilized
Proposed implementation plan with outcome measures
Identification of potential barriers to plan implementation, and a discussion of how these could be overcome.
Appendix section, inclusive of all required documentation regarding the practice immersion clinical component to the course.
Review the feedback from your instructor on the Topic 3 assignment, PICOT Statement Paper and Topic 6 assignment, Literature Review. Use the feedback to make appropriate revisions to the portfolio components 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 Turnitin. Please refer to the directions in the Student Success Center.
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Photography Assignment
Photography Assignment
For this Assignment, you will apply the concepts of photography you learned in this unit to compare and contrast two photographs from the chapter to two photographs in your life. For example, the photographs could be of your ancestors, smartphone photos of pets or food, travel landscapes, or family portraits. The Assignment will consist of two different analyses, as explained below.
Photograph Analysis 1:
First, select a photograph from the text and a photograph from your life. Try to select a set for the analysis that you think are interesting as a pair, either in their similarities or their differences. Be creative in your selections, but be sure you can explain both works based on the readings and can communicate to a reader why you put these together.
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Your analysis should include appropriate terminology from this unit, the textbook, and the following criteria:
· Explain the photograph as though the reader has never seen it. What do you see?
· Describe the image and the style. Then, do the same with your modern selection.
· Assess the two photographs in comparison with each other and share your perspective. Why did you choose to analyze them together? What can one indicate about the other? Why did these photographs stand out to you?
Photograph Analysis 2:
Follow the same process you used in the first part of the Assignment to analyze a second set of photographs. Select another photograph from the text and another photograph from your life. Try to assess different styles from the first analysis to the second. For example, if you have pair of landscapes for Analysis 1, opt for portraits for Analysis 2 — or if you have chosen two photographs that are similar for Analysis 1, opt for two contrasting photographs for Analysis 2 and build that assessment.
The Assignment should be at least 600 words, and must use and cite the text as a source. Cite the work internally and in full reference at the end, following APA style guidelines. Citation is important to build the definitions, demonstrate your research, and to make it clear which ideas are yours and which are from the source.
USE ONLY ACADEMIC SOURCES:
Use Google Scholar, JSTOR, textbooks, and/or .gov websites to keep the true academic sources in your papers. TURNITIN MUST BE UNDER 20%
In order to receive the maximum amount of points. This assigment must:
Assignment demonstrates the ability to identify the purpose of photography, and communicates an understanding the role of photography as an art form.
Assignment offers a detailed explanation and analysis of all four photographs and offers a substantive comparison and evaluation. Each photograph is evaluated with equivalent length, content, and specificity.
Assignment uses vocabulary terms from the unit and incorporates APA formatting for source citation.
The assignment offers interpretations of the sources, and draws connections between the sources and the main idea of the essay.
The assignment is written with clarity, organization, and attention to detail in spelling, grammar, and capitalization.
Assignment meets posted length requirements
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