Prepare this assignment as a 1,100-1375 word paper using the instructor feedback from the previous course assignments and the guidelines below.

PICOT Question

Revise the PICOT question you wrote in the Topic 1 assignment using the feedback you received from your instructor. (I will send you the instructor feedback in private).

The final PICOT question will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study).

Research Critiques

In the Topic 2 and Topic 3 assignments, you completed a qualitative and quantitative research critique on two articles for each type of study (4 articles total). Use the feedback you received from your instructor on these assignments to finalize the critical analysis of each study by making appropriate revisions.

The completed analysis should connect to your identified practice problem of interest that is the basis for your PICOT question.

Refer to “Research Critiques and PICOT Guidelines – Final Draft.” Questions under each heading should be addressed as a narrative in the structure of a formal paper.

Proposed Evidence-Based Practice Change

Discuss the link between the PICOT question, the research articles, and the nursing practice problem you identified. Include relevant details and supporting explanations and use that information to propose evidence-based practice changes.

General Requirements

Prepare this assignment according to the APA 7th edition. 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 Lopes-Write.

PLEASE READ THE RUBRIC AND THE rESEARCH CRITIQUE FINAL DRAFT.

In the article Managing to Improve Quality (attached): The Relationship Between Accreditation Standards, Safety Practices, and Patient Outcomes, the authors discuss the growing trend by medical insurance companies to eliminate reimbursement for Never Events. As these types of mistakes should be easily preventable, hospitals have developed protocols to lessen or extinguish the occurrence of these events. In addition, The Joint Commission (TJC) and the Centers for Medicare & Medicaid Services (CMS) have developed core measures to guide health care providers efforts in improving patient safety and the quality of care delivered.
Health care organizations have developed strategic agendas to help meet these standards and reduce the incidence of Never Events. Nurses significantly influence the overall quality of health care provided and play a pivotal role in improving patient outcomes.
For this Discussion, you will consider the standards that are in place for nurses and how they can be used to improve quality of care.

To prepare for this Discussion:
    Review the information at the Joint Commission and Centers for Medicare & Medicaid Services websites on the core measures and standards presented in this weeks Resources.
    Consider the nurses role in supporting the organizations strategic agenda as it relates to improving clinical outcomes.
    Conduct an Internet search for either a Never Event or a core measure, and select one to address in your post.
By Day 3
Respond to the following:
    How has the emphasis on quality of care, patient safety, and clinical care outcomes been impacted by specific standards emanating from TJC and/or CMS? Cite your selected core measure or Never Event in your response.
    What is the impact of the nurses role in clinical outcomes for the organization?
    Discuss nurse-specific challenges in influencing change in quality improvement.
    How does this influence the ability of the organization to achieve its strategic agenda?
   
Support your response with references from the professional nursing literature.
Note Initial Post: A 3-paragraph (at least 350 words) response. Be sure to use evidence from the readings and include in-text citations. Utilize essay-level writing practice and skills, including the use of transitional material and organizational frames. Avoid quotes; paraphrase to incorporate evidence into your own writing. A reference list is required. Use the most current evidence (usually 5 years old).

    Grid View
    List View
    Excellent    Proficient    Basic    Needs Improvement
“Analyze how specific standards emanating from CMS and/or TJC have impacted quality of care, patient safety, and clinical care outcomes for a selected core measure or Never Event. ”    Points Range:9 (12.00%) – 10 (13.33333%)
Initial post contains well developed and insightful analysis that brings new insight into the discussion .    Points Range:8 (10.66666%) – 8 (10.66666%)
Initial post contains reasonable analysis that brings insight into the discussion.    Points Range:7 (9.33333%) – 7 (9.33333%)
Initial post contains minimal analysis that brings limited insight into the discussion.    Points Range:0 (0.00%) – 6 (8.00%)
Initial post lacks analysis and brings little or no insight into the discussion.
“Determined the impact of the nurse’s role in clinical outcomes for the organization. ”    Points Range:14 (18.66666%) – 15 (20.00%)
Initial post contains well developed and insightful analysis that brings new insight into the discussion .    Points Range:12 (16.00%) – 13 (17.33333%)
Initial post contains reasonable analysis that brings insight into the discussion.    Points Range:11 (14.66666%) – 11 (14.66666%)
Initial post contains minimal analysis that brings limited insight into the discussion.    Points Range:0 (0.00%) – 10 (13.33333%)
Initial post lacks analysis and brings little or no insight into the discussion.
“Differentiated selected nurse specific challenges in influencing change in quality improvement. ”    Points Range:14 (18.66666%) – 15 (20.00%)
Initial post contains well developed and insightful analysis that brings new insight into the discussion .    Points Range:12 (16.00%) – 13 (17.33333%)
Initial post contains reasonable analysis that brings insight into the discussion.    Points Range:11 (14.66666%) – 11 (14.66666%)
Initial post contains minimal analysis that brings limited insight into the discussion.    Points Range:0 (0.00%) – 10 (13.33333%)
Initial post lacks analysis and brings little or no insight into the discussion.
Considered how these challenges influence the ability of the organization to achieve its strategic agenda.    Points Range:9 (12.00%) – 10 (13.33333%)
Initial post contains well developed and insightful analysis that brings new insight into the discussion .    Points Range:8 (10.66666%) – 8 (10.66666%)
Initial post contains reasonable analysis that brings insight into the discussion.    Points Range:7 (9.33333%) – 7 (9.33333%)
Initial post contains minimal analysis that brings limited insight into the discussion.    Points Range:0 (0.00%) – 6 (8.00%)
Initial post lacks analysis and brings little or no insight into the discussion.
“Entered the discussion thread on 3 separate days. Wrote at least two posts to two separate peers. Responses are appropriate to the topic, substantive, and promoted discussion by one or more of the following: contributing insight to move the discussion forward. offering substantial and/or different points of view and asks questions to add to discussion including extra references or websites for peers to consider relating discussion to different areas of practice and applying concepts to practice **Additional points may be deducted for late posting per the University late policy.”    Points Range:14 (18.66666%) – 15 (20.00%)
Response posts add substantive ideas and perspectives that invite further analysis and discussion. Participated 3 or more days in the classroom and responded to more than 2 classmates.    Points Range:12 (16.00%) – 13 (17.33333%)
Response posts are proficient and provide adequate analysis and discussion. Participated 3 days in the classroom and responds to at least two classmates.    Points Range:11 (14.66666%) – 11 (14.66666%)
Response posts are limited and provide minimal analysis and discussion. Participated less than 3 days in the classroom and/or responds to less than two classmates.    Points Range:0 (0.00%) – 10 (13.33333%)
Response posts are inadequate and provide no analysis of discussion and/ or there is no participation in the classroom.
Uses evidence to support a claim and give credit to the source. Uses course learning resources and seeks additional scholarly resources to support ideas. Displays sentence, paragraph, and essay skills. Writes in a scholarly, well-organized manner using own words by synthesizing evidence/resources. Paraphrases to avoid plagiarism of the source. APA: No more than one short, unique quote with correct APA format. Appropriate use and format of in-text citations and reference list.    Points Range:9 (12.00%) – 10 (13.33333%)
Writer demonstratesexcellence in all sentence and paragraph level skills within discussion board posts to meet the 4000 Academic Writing Expectations for this level.    Points Range:8 (10.66666%) – 8 (10.66666%)
Writer demonstrates proficiency of most sentence and paragraph level skills within discussion board posts to meet the 4000 Academic Writing Expectations for this level with only one format or writing issue needing to be addressed.    Points Range:7 (9.33333%) – 7 (9.33333%)
Writer demonstrates minimal skill in meeting sentence level and/or paragraph level skills within discussion board posts to meet the 4000 Academic Writing Expectations for this level with less than or equal to three format or writing issues needing to be addressed.    Points Range:0 (0.00%) – 6 (8.00%)
Writer demonstrates inadequate skill within discussion board posts to meet the sentence and/or and paragraph level skills in meeting the 4000 Academic Writing Expectations for this level with four or more format or writing issues needing to be addressed.
Name:NURS_4005_Week6_Discussion_Rubric
Description:NURS 4006 Discussion Week 6 Rubric

Response Posts: Reply to three of your peers who addressed scenarios different to your own initial post. Responses should be substantial and further scholarly discussion; “Good response!” is not an acceptable reply. Reference one scholarly article

RESPOND TO:
Western approach to healthcare relies on several core competencies to care, of which, Cultural Competency is one. In Yoder-Wise (2019, p. 69), Campinha- Bacote defined it as the process in which the healthcare provider continuously strives to achieve the ability to effectively work with the cultural context of a client. It is the expectation that a provider should ensure that all healthcare treatment and care are accessible to all patients, that patients receive respectful, quality care compatible with their cultural health beliefs, and that healthcare members be sensitive to all cultural backgrounds. Without practicing culturally competent care, it can lead to unsafe care and poor patient outcomes (Yoder-Wise, 2019, p. 68).

Culture is an important component to healthcare, and it is vital to understand a patients beliefs about how they view health and the body. There are a few components I would incorporate into my own provider culture. First, Culturally Competent care begins with respect. If I dont hold regard for the inherent value of human life, then I can never be a successful, culturally competent caregiver. The healthcare provider should be willing to reflect on their own personal beliefs and values and be able to look at ourselves critically. Secondly, cultural humility should be employed into a nurses care to put other needs above their own (Yoder-Wise, 2019, p. 64). If I, as a nurse, am not able to set aside on my own preferences and employ cultural humility then satisfactory patient outcomes is not achievable. A few examples of cultural differences are that in a Muslim culture, obtaining a female interpreter for a female patient is vital (Lee, 2010, p. 11). It would be important for the nurse to understand this belief and incorporate it into the patients plan of care. In Chinese culture, they believe in the balance of yin and yang in the body. Lastly, in the Jewish community is important to call the Rabbi to get permission for such things as a C-section or hysterectomy (Lee, 2010, p. 8). Although I may not agree with the aforementioned beliefs, it is my duty to understand and value these cultural components and integrate them into the patients care. In addition, through all these examples, we must remember that the patient is the expert in their own personal history and the nurses are collaborators with their patient. Furthermore, it is important to remember that people of certain ethnic groups might not ascribe to all aspects of their culture due to acculturation or other factors. Therefore, we must not assume and stigmatize people of a certain ethnic group, always assess a patient fully, and make clear that their views and beliefs are a valued component of their care. In conclusion, there are a few ways to combat this in the healthcare setting. A practical method mentioned in Yoder-Wise (2019, p 72) is staff should verbalize their feelings about particular cultures in relationship to personal beliefs.” It would be significant to meet with other healthcare providers who are more familiar with certain cultures or obtain evidence based research on a certain ethnic culture to enhance the care being given. This way, we are enhancing our abilities to provide Culturally Competent care and respecting all patients preferences, values and beliefs. This leads to true patient success.

In a local home healthcare agency, nurses are using their personal cell phones to email and text physicians, the agency, and local hospitals. The agency is considering providing the nurse’s company cell phones with a secure login. There are advantages and disadvantages of each option.

What are the advantages of using company devices for professional communication?

What are the disadvantages of using company devices for professional communication?

If you were the agency, would you choose personal or company devices? Explain your choice.
Please cite references

My topic is access to healthcare for minorities.

Executive Summary
This section should be a high-level overview of your policy issue and solution. It is recommended (and easier) that you wait until you have finished your research paper before you start writing the executive summary.
Introduction and Background of the Issue
Provide an introduction which explains the issue being discussed. Why is it important to review the problem at this time?  Provide background information on the topic so that a reader unfamiliar with the topic can understand the current issue at hand.
Statement of the Problem
Re-state the issue or problem in a clear and concise manner.
Current Policies
What are the current policies addressing the issue? Discuss the advantages and disadvantages with these policies. Are the current policies working or not working? Why is it necessary to find alternative policies at this time to address the issue?
Alternative Policy Recommendations
Discuss alternative policy options and their implications
Provide your recommendation and how it can be implemented
Conclusion
Summarize your policy analysis and recommendations
Reference Page
References need to be in APA format.
Remember to include in-text citations throughout the body of your paper

While the implementation plan prepares students to apply their research to the problem or issue they have identified for their capstone change proposal project, the literature review enables students to map out and move into the active planning and development stages of the project.
A literature review analyzes how current research supports the PICOT, as well as identifies what is known and what is not known in the evidence. Students will use the information from the earlier PICOT Statement Paper and Literature Evaluation Table assignments to develop an 1100 word review that includes the following sections:
1.    Title page
2.    Introduction section
3.    A comparison of research questions
4.    A comparison of sample populations
5.    A comparison of the limitations of the study
6.    A conclusion section, incorporating recommendations for further research