Dnp-leadership for advanced nursing practice

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DNP-840A Leadership for Advanced Nursing Practice

MODULE 1

DQ 1

Assessment Description

With attention to Figure 7-1, “Basic Components of a Healthcare Delivery Service,” in Advanced Practice Nursing: Essential Knowledge for the Profession, consider the following discussion question. There are four basic functional components of a health care delivery system. Discuss two components which will impact the implementation of your project site. (210 words)

RESOURCES

Advanced Practice Nursing: Essential Knowledge for the Profession

Read Chapters 7, 12, and 14 in Advanced Practice Nursing: Essential Knowledge for the Profession.

Korenstein, D., Duan, K., Diaz, M. J., Ahn, R., & Keyhani, S. (2016). Do health care delivery system reforms improve value? The jury is still out. Medical Care, 54(1), 55–66. https//doi.org/10.1097/MLR.0000000000000445
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4869989/

Stimpfel, A. W., Djukic, M., Brewer, C. S., & Kovner, C. T. (2019). Common predictors of nurse-reported quality of care and patient safety. Health Care Management Review, 44(1), 57–66. https//doi.org/10.1097/HMR.0000000000000155
https://oce-ovid-com.lopes.idm.oclc.org/article/00004010-201901000-00007/HTML

McCaughey, D., McGhan, G. E., Rathert, C., Williams, J. H., & Hearld, K. R. (2020). Magnetic work environments: Patient experience outcomes in magnet versus non-magnet hospitals. Health Care Management Review, 45(1), 21-31.
https://oce-ovid-com.lopes.idm.oclc.org/article/00004010-202001000-00004/HTML

View: TEDx Talks. (2020, August 4). Five numbers that could reform healthcare – Randy Oostra – TEDxTraverseCity [Video]. YouTube
https://www.youtube.com/watch?v=JybvaX9kN0M

IHI Open School. (2014, October 14). Escape fire clip [Video]. YouTube.
https://www.youtube.com/watch?v=rtNfzWAgz84&t=1s

DQ 2

Assessment Description

An organizational chart is a diagram that visually conveys the internal structure of the health care organization. The chart details roles, responsibilities, and relationships between individuals. Describe how you will work across and between levels of the organization at your project to achieve the measurable patient outcome for your project. Describe any impact of bureaucracy that you anticipate. Explain how organizational influence and bureaucracy both impact patient quality and safety outcomes. What are two challenges or rewards to be gained? (210 words)

MODULE 2

Assessment Description

Describe three factors that impact cost or revenue within your organization. How might these variables impact your DPI Project deliverables? (210 words)

DQ-2

Assessment Description

Post your PICOT and expand in detail on your selected patient population. Include any characteristics that impact the socioeconomic/sociopolitical factors. How will these factors influence patient outcomes and the financial viability of the organization in the community? How does this align or differ from norms of the U.S. health care system? (210 words)

Resources

Advanced Practice Nursing: Essential Knowledge for the Profession

Read Chapters 10 and 23 in Advanced Practice Nursing: Essential Knowledge for the Profession.

Sommers, B. D., & Gruber, J. (2017). Federal funding insulated state budgets from increased spending related to Medicaid expansion. Health Affairs, 36(5), 938-944. https//doi.org/10.1377/hlthaff.2016.1666
https://www.proquest.com/healthcomplete/docview/1905634017/FE0AA7E7EEB34AA6PQ/3?accountid=7374&parentSessionId=YhvDBJA5av3Y0yX3GtrlZRi5%2BKPf%2BBFxUxEa3M6gRJc%3D

Balcazar, H., M. S., & George, S. (2018). Community health workers: Bringing a new era of systems change to stimulate investments in health care for vulnerable US populations. American Journal of Public Health, 108(6), 720-721. https//doi.org/10.2105/AJPH.2018.304427
https://www.proquest.com/healthcomplete/docview/2089757682/2B0AB6CAF4CA451EPQ/10?accountid=7374&parentSessionId=J2ItNaTaUh%2BTPwHMbaybX0wQoyiJWmNNVMsWgAkzw4g%3D

Beauvais, B., Richter, J. P., & Kim, F. S. (2019). Doing well by doing good: Evaluating the influence of patient safety performance on hospital financial outcomes. Health Care Management Review, 44(1), 2-9.  https//doi.org/10.1097/HMR.0000000000000163
https://journals.lww.com/hcmrjournal/Abstract/2019/01000/Doing_well_by_doing_good__Evaluating_the_influence.2.aspx

Petrou, P., Samoutis, G., & Lionis, C. (2018). Single-payer or a multipayer health system: A systematic literature review. Public Health, 163, 141-152. https//doi.org/10.1016/j.puhe.2018.07.006

Institute for Healthcare Improvement. (2018, April 11). Providing better care for less [Video]. YouTube.
https://www.youtube.com/watch?v=dxOJIZJtpQ0&feature=youtu.be

Kaiser, B. (Host). (2021, November 4). What mission-driven valued-based care looks like (No. 78) [Audio podcast episode]. In The business of healthcare podcast. YouTube. Kaiser, B. (Host). (2021, November 4). What mission-driven valued-based care looks like (No. 78) [Audio podcast episode]. In The business of healthcare podcast. YouTube.
https://www.youtube.com/watch?v=59VvmWTqE4s

MODULE 3

Assessment Description

The health care landscape is rapidly changing. This environment creates opportunities for innovative care delivery models and processes. Provide an example of a change in a health delivery model or process that has occurred in the past 3 years at the micro, meso, and macro system levels. (210 words)

DQ-2

Assessment Description

Discuss two regulatory organizations that provide oversight within the health care delivery system. Contrast this with a country that does not have regulatory oversight of health care. What influence does the selected regulatory organization have on your DPI Project and patient outcomes? (210 words)

RESOURCES

Read Chapters 8, 9 and 11 in Advanced Practice Nursing: Essential Knowledge for the Profession.

Robbins, K. C. (2020). The year of the nurse: Nurse-led initiatives. Nephrology Nursing Journal, 47(2), 167-171. https//doi.org/10.37526/1526-744X.2020.47.2.167
https://www.proquest.com/healthcomplete/docview/2395878843/57FD5A11B0F4151PQ/2?accountid=7374&parentSessionId=%2F1BJw8PRVf7Mu%2BOa2XLr%2B0Hl5JpnZOrrRekynkLUmuM%3D

Barasa, E. W., Molyneux, S., English, M., & Cleary, S. (2015). Setting healthcare priorities at the macro and meso levels: A framework for evaluation. International Journal of Health Policy and Management, 4(11), 719-732. https//doi.org/10.15171/ijhpm.2015.167
https://www-ncbi-nlm-nih-gov.lopes.idm.oclc.org/pmc/articles/PMC4629697/

Mitchell, J. D., Haag, J. D., Klavetter, E., Beldo, R., Shah, N. D., Baumbach, L. J., Sobolik, G. J., Rutten, L. J., & Stroebel, R. J. (2019). Development and implementation of a team-based, primary care delivery model: Challenges and opportunities. Mayo Clinic Proceedings, 94(7), 1298-1303). https//doi.org/10.1016/j.mayocp.2019.01.038
https://www-sciencedirect-com.lopes.idm.oclc.org/science/article/abs/pii/S0025619619301740

Casselman, J., Onopa, N., & Khansa, L. (2017). Wearable healthcare: Lessons from the past and a peek into the future. Telematics and Informatics, 34(7), 1011-1023. https//doi.org/10.1016/j.tele.2017.04.011

Center for Community Health and Development/University of Kansas. (n.d.). Chapter 3 – Section 14. SWOT analysis: Strengths, weaknesses, opportunities, and threats. Community Tool Box.
https://ctb.ku.edu/en/table-of-contents/assessment/assessing-community-needs-and-resources/swot-analysis/main

Lim, R. (2021, June 22). Drive Better Decision Making with SWOT Analysis. Project Management.
https://project-management.com/swot-analysis/

Aloqail, A., & Dahanayake, A. (2015). A framework for quality improvement in healthcare information systems. International Journal of Computer Science and Electronics Engineering 3(2), 166-172.
http://www.isaet.org/images/extraimages/P515059.pdf

View: Institute for Healthcare Improvement. (2016, October 7). IHI quality improvement games: The red bead experiment [Video]. YouTube.
https://www.youtube.com/watch?v=oMb_UKYHvto

Institute for Healthcare Improvement. (2017, August 24). Seven challenges facing today’s health care leaders [Video]. YouTube.
https://www.youtube.com/watch?v=FR8iMC8z74Q&feature=youtu.be

MODULE 4

DQ 1

Assessment Description

Discuss two bills or laws that influence nursing practice, one at the federal level and one at the state level. Provide context for how these bills or laws influence nursing practice within your organization or DPI Project. (210 words)

DQ 2

Assessment Description

Select one bill from DQ 1 and discuss how it aligns with quality, safety, experience, or financial metrics in your organization. Analyze how the alignment of the bill affects quality of care delivery in your organization. As a doctorally prepared nurse, describe how you can influence change in the bills or laws shared in DQ1 to improve nursing practice. (210 words)

MODULE 5

DQ 1

Assessment Description

Discuss a barrier to health care delivery resulting from state or federal policy or law. What changes might you recommend to the policy/law and what positive or negative impact might you anticipate on patient care? (210 words)

DQ 2

Assessment Description

Identify a nurse who serves on a state, regional, or national board, within or outside of health care. Describe the membership and mission/vision of the board. Provide background on the nurse’s preparation and qualifications for sitting on the board. How does this particular nurse holding a seat benefit the board? (210 words)

RESOURCES

Read Chapters 4 and 5 in Advanced Practice Nursing: Essential Knowledge for the Profession.

Finkelstein, A. (2020). A strategy for improving U.S. health care delivery – Conducting more randomized, controlled trials. The New England Journal of Medicine, 382(16), 1485-1488. https//doi.org/10.1056/NEJMp1915762
https://www.proquest.com/healthcomplete/docview/2390195091/574819AB29924B1EPQ/9?accountid=7374&parentSessionId=n3%2B2ZL5FeQpOGTfrmu83kiUoW%2FlvOvbm5jlth3yKTNc%3D

Walton, A. L., & Mullinix, C. (2016). Increasing the number of oncology nurses serving on boards. Clinical Journal of Oncology Nursing, 20(4), 440–442. https//doi.org/10.1188/16.CJON.440-44

American Organization for Nursing Leadership. (Host). (2021, May). Street nurse program delivering care to meet patient [Audio podcast episode]. In Today in Nursing leadership. SoundCloud.
https://www.aonl.org/nursing-leadership-podcast/Street-Nurse-Program-Delivering-Care-to-Meet-Patient

Harvard University. (2017, October 6). It depends what state you’re in: Policies and politics of the US health care system – Part 1 [Video]. YouTube.
https://www.youtube.com/watch?v=jke2nAYXfsc

Harvard University. (2017, October 10). It depends what state you’re in: Policies and politics of the US health care system – Part 2 [Video]. YouTube.
https://www.youtube.com/watch?v=i43qMJeELqQ

CONHCP: Doctor Of Nursing Practice Final PICOT-D Approval

The department has conducted a review of your PICOT-D question in an effort to support the development of your project. Please note that this review is a FINALAPPROVAL of the PICOT-D and will require permission by the DNP Program Lead for any changes to this statement beyond the date of this approved review. We highly discourage changes as they may prevent you from progressing.

PICOT: To investigate how socioeconomic and political issues affect patient outcomes and the financial viability of healthcare companies in low-income rural communities.

PICOT-D Question:

Are you an APRN? (mandatory question) I am an APRN having earned a graduate-level degree All projects must have a minimum of
3 original research studies to support the intervention. (One of the three original research articles to support your intervention need to come from the US or Canada). The other research studies can come from the UK, Denmark, India, New Zealand, or Australia (preferred) or from any of the 131 countries listed in the International Compilation of Human Research Standards 2020.

*** In DNP-955A You will be required to have a total of 15 research articles to support the intervention (3 from PICOT, plus other original research)

Original Research Articles (Use permalinks and attach a pdf copy of each of the quantitative original research articles):

1.

2.

3.

IMPORTANT PLEASE STOP AND READ:

This is your Final Approved PICOT-D statement. Please maintain this copy and please include it in each course ISP going forward, in addition, this is the FINAL approved statement to be shared with all DNP course instructors going forward.

If you need to make a change to this PICOT-D statement, you must work with your current course instructor to review and approve any possible changes and your instructor must notify the DNP Program Lead. Making a change to your PICOT-D statement past this date may lead to your delay and success in this program, there must be a valid significant reason to change this PICOT-D statement going forward. It will require you to stop and re-gain permission prior to progressing. This final approval is tracked in CRM.

You

may not begin your intervention or collect any data
related to your project until you have GCU IRB approval, which typically occurs in 960A. Prior to your project courses, you will be working on designing a project in preparation for the submission of your proposal in 955A. Ensure you are accessing the resources in the DC network and in the classroom. You do not need to resubmit your PICOT to the department.

Congratulations on your work so far! We are so glad you have chosen Grand Canyon University.

THIS FINAL PICOT-D STATEMENT IS APPROVED.

_______________________________________________________Date: _____________________________

DNP PICOT-D REVIEWER Name/Credentials

“For it is God who works in you to will and to act in order to fulfill his good purpose.” (Philippians 2:13)

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