Determine how to attain and evaluate those missing attributes.

Compare and contrast the roles of the NP, nurse educator, nurse informaticist, and nurse administrator in advanced practice nursing pertaining to clinical practice, primary care, education, administration, and research.
Examine regulatory and legal requirements for the state in which you plan to practice.
Describe the professional organizations available for membership based on your selected role.
Identify required competencies, including certification requirements for your selected role.
Predict the organization and setting, population, and colleagues with whom you plan to work.
Identify leadership attributes you currently possess, and attributes you may need to develop.
Determine how to attain and evaluate those missing attributes.
Describe the current policy and what needs to change; justify your conclusions with citations from the literature.
Provide the process required to make the change with key players and parties of interest.
Explain how you could lead the effort to make or influence the change in policy.
Predict the effect on healthcare quality if the change in policy is implemented


 


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• Describe which of the data elements might be dependent upon various types of technologies, such as monitoring devices, telecommunications, or data archives.

For this discussion, you will:
• Select a particular patient care issue in your practice area that you would like to research at some point in your career. (TOPIC- Pediatric home health care. In the home setting there is only one nurse available, so apart from calling 911, the nurse is essentially on her own.)
• Use that particular patient care issue as a point of reference for this discussion.
• Identify 4–6 data elements that you have access to as a clinician or as an employee of the organization.
• Identify the scales of measurement for each of the data elements that you have mentioned (for example, blood pressure data from the patient record would be ratio measurement; gender of the patient would be nominal measurement). If you are uncertain, use the definitions in the Understanding Nursing Research text, Chapter 10, as your guide.
• Describe which of the data elements might be dependent upon various types of technologies, such as monitoring devices, telecommunications, or data archives.


 


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• Explain at least three factors that might inhibit the implementation of your decreased wait time program.

Assignment 1: LASA 2: Implementing Six Sigma at Wishmewell Hospital
Emergency departments (ED) at many hospitals have been overwhelmed in the past year, as more patients without health insurance use the ED as a primary care solution. Wait times in the ED are increasing as more and more Americans are using the Emergency Department for their general health concerns. Across the country, the average ED wait time is now 222 minutes (approximately 3 hours, 42 minutes).
Wishmewell Hospital’s average wait time in the ED is more than five hours, and the board of directors is concerned about this long wait time. The danger is that a patient’s condition may escalate during his/her waiting time in Wishmewell’s ED.
The board has tasked you to take on a new quality improvement initiative to decrease wait time in the ED using the Six Sigma approach.
Develop a quality improvement program using the Six Sigma approach to decrease waiting time in Wishmewell’s emergency department.
The quality improvement program must include the following elements in an approximately 10-page MS Word document:
• Describe the goals and objectives of your plan to decrease ER wait times at Wishmewell.
• Describe each step of the Six Sigma (DMAIC) process:
o Define the problem
o Measure the process; what Six Sigma tools will you use?
o Analyze the data; what tools will you use to analyze the data?
o Improve the process; explain your improvement plan
o Control; how will you continue to monitor the results and adjust as necessary?
• Describe the key players (stakeholders) who should be members of your implementation team and explain why teamwork is an important factor in implementing a quality improvement program.
• Explain at least three factors that might inhibit the implementation of your decreased wait time program.


 


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Differences in Care Write a 2-3 page paper which incorporates examples of primary, secondary, and tertiary care

Paper , Order, or Assignment Requirements Assignment 2: Differences in Care Write a 2-3 page paper which incorporates examples of primary, secondary, and tertiary care. Include in the paper an example of a patient who would receive services at the different types of institutions. Include a brief synopsis of which types of insurance might be accepted at the different types of institutions. Justify your response and conclusions by utilizing at least 2 outside sources.


 


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