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Describe the advance nursing practice role you aspire and briefly share the experiences and/or qualities you have that have influenced your decision. Include your personal philosophy.

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Overview/Description of Final Paper: The final written assignment will synthesize what you have discovered about the different advanced practice roles and scope of practice found in the master of nursing curriculum: APRNs, nurse educator, nurse informaticist, and nurse administrator/executive. You will review all roles and then examine the specialty for which you were admitted, focusing on the scope of practice, core competencies, certification requirements, and legal aspects of practice for that specific role. You will also identify the practice environment and population you will be working with, as well as peers and colleagues. In addition, you will discuss your future leadership role and participation in professional organizations.
Your paper is to be based on current literature, standards of practice, core competencies, and certification bodies for your chosen role. The paper should be 8-10 pages excluding the title and reference pages, and APA format is required.
Criteria:
• Advanced Practice Roles in Nursing:
o Briefly define advance nursing practice and the roles in advanced practice nursing pertaining to clinical practice, primary care, education, administration, and health information. Distinguish between ANP and the APN.
o Describe the advance nursing practice role you aspire and briefly share the experiences and/or qualities you have that have influenced your decision. Include your personal philosophy.
• Selected Advanced Practice Role:
o Identify the AP you interviewed and summarize the interview, which should/may include (if not in the interview, please address):
o Examine regulatory and legal requirements for the state in which you plan to practice/work.
o Describe the professional organizations available for membership based on your selected role.
o Identify required competencies (domains), including certification requirements for your selected role.
o Describe the organization and setting, population, and colleagues with whom you plan to work.
• Leadership Attributes of the Advanced Practice Role:
o Determine your leadership style
o Define Transformational Leadership and as it relates to your identified leadership attributes that you possess or need to develop
o Apply the leadership style you will embrace in AP to one of the domains
• Health Policy and the Advanced Practice Role
Based on your program of study, review the literature and address the following:
• FNP/AGNP:Medicare reimbursement for NPs is 85%for the same health care that MDs receive at 100% reimbursement? Please address questions below and state your position on this mandate.
• FNP/AGNP:What states have NP Full Practice Authority and which states have limitations or restrictions? How does this apply to your state? Please address questions below and state your position on this regulation.
• Nurse Executive: What is value based care and how will it impact decisions made at the executive level relative to nursing and AP nursing? Please address and state your position on the regulation.
• Nurse Informaticists:What law(s) was enacted to regulate health information? Please address questions below and state your position on this regulation.
• Nurse Educator:What agency regulates nursing education? Explain in detail.
For the above category chosen, address the following:
• Describe the current policy or trends and determine if it needs to change; if opposed to change state why
• Provide the process required to make the change with key players and parties of interest; support opposition
• Explain how you could lead the effort to make or influence the change in policy or keep the policy the same and the impact in healthcare quality.
• Conclusion-Summarize your role paper by highlighting key points made in your paper.

 

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. Formulate a communication system that will have the greatest impact on improving the situation, and specify the major reasons why your system will influence the employee behaviors for the better. Justify your response.

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Imagine that you have been appointed the Director of Health at the Kaluyu Memorial Hospital in Nairobi, Kenya – a for-profit hospital. The facility is also a referral hospital and receives severe cases of accidents, chronicle / communicable diseases and houses an HIV / AIDS ward. As you settle into your position, you realize that the employees always act scared as they approach their superiors. Some of the employees even deliver files and leave your office in a hurry.

As you make your routine departmental visits, you realize that there are tensions between nurses and doctors, and there is a sentiment that the nurses tend to do the majority of the work within patient care but the doctors get all the credit. You realize that the employees are always looking forward to the end of their shifts to go home. Some employees even come back to work wearing the same unwashed clothes as the previous day. Too many employees are calling in sick, and many of them give weak reasons for their tardiness.

There is also a sense that employees and nurses dominate other employees in similar positions. In meetings and conference calls some employees are always quiet and never participate. You notice that people with families tend to gather and talk quietly on breaks. The new mothers working for the hospital have to use bathrooms to pump breast milk for their infants and the refrigerators do not work well. Looking at the financial statements of the hospital, you realize that the hospital expenses are higher than the industry standard, and it makes losses year after year.

Write a four to six (4-6) page paper in which you:
1. Investigate the major demotivational factors at Kaluyu Memorial Hospital. Assess the level of impact that the identified factors could have on specific areas of service and business if the administration does not address the situation. Support your response with at least two (2) examples of the potential negative impact of the identified demotivational factors on the hospital.
2. Choose Maslow’s, Herzberg’s, or McClelland’s model of motivation, and argue the primary reasons why it is applicable to the Kaluyu Memorial Hospital scenario.
3. Formulate a communication system that will have the greatest impact on improving the situation, and specify the major reasons why your system will influence the employee behaviors for the better. Justify your response.

 

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How can such strategies align with other incentive systems such as public reporting and payment? Elaborate on and support your assertions with credible sources.

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Paper , Order, or Assignment Requirements You will write and submit a 2-3-page essay in APA format (with a proper cover page, well-organized with source citations, and an APA reference list—which do not count towards the page count requirement) that addresses the following: How can a health care leader best mobilize the power of professionalism as a force for quality? How can such strategies align with other incentive systems such as public reporting and payment? Elaborate on and support your assertions with credible sources. Your responses must be supplemented with research from the text, CDC, NIH, and other quality sources to determine answers and solutions

 

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What is the interaction between macrophages and T lymphocytes during the presentation of antigen?

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Melissa is a 15-year-old high school student. Over the last week, she had been feeling tired and found it difficult to stay awake in class. By the time the weekend had arrived, she developed a sore throat that made it difficult to eat and even drink. Melissa was too tired to get out of bed, and she said her head ached. On Monday morning, her mother took her to her doctor. Upon completing the physical exam, he told Melissa the lymph nodes were enlarged in her neck and she had a fever. He ordered blood tests and told Melissa he thought she had mononucleosis, a viral infection requiring much bed rest.

Innate and adaptive immune defenses work collectively in destroying invasive microorganisms. What is the interaction between macrophages and T lymphocytes during the presentation of antigen?
Melissa’s illness is caused by a virus. Where are type I interferons produced, and why are they important in combating viral infections?
Humoral immunity involves the activation of B lymphocytes and production of antibodies. What are the general mechanisms of action that make antibodies a key component of an immune response?

 

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