This is a CLC assignment (Solved)

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This is a CLC assignment (Solved)

(This is a CLC assignment (Solved)) As a group, observe the simulated “Home Visit With Sallie Mae Fisher” video (http://lc.gcumedia.com/zwebassets/courseMaterialPages/nrs410v_vp01Alt.php).

Refer to “Sallie Mae Fisher’s Health History and Discharge Orders” for specifics related to the case study used to inform the assignment.

Using “Home Visit With Sallie Mae Fisher” and “Sallie Mae Fisher’s Health History and Discharge Orders,” complete the following components of this assignment:

Essay Portion

After viewing the home visit, write an essay of 500-750-words in which you do the following:

  1. Identify, prioritize, and describe at least four problems.
  2. Provide substantiating evidence (assessment data) for each problem identified.
  3. Identify and describe at least four medical and/or nursing interventions.
  4. Discuss your rationale for the interventions identified.

Prepare this step of the assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

Scripted Dialogue Portion

Utilizing the information learned from the home visit, health histories, and discharge orders, write a scripted dialogue in which you provide Sallie Mae with education that describes her problems and the interventions identified to improve her condition. Consider Sallie Mae’s physiological, psychosocial, educational, and spiritual needs when developing your dialogue.

Your dialogue should resemble a script. The following is an example of a few sentences from a scripted dialogue:

Nurse: “Good morning, Salle Mae, my name is ______ and I will be your nurse today. I understand you are experiencing problems with ________.”

APA format is not required for this part of the assignment, but solid academic writing is expected.

Refer to “Home Visit With Sallie Mae Fisher Grading Criteria.”

Entire Assignment

You are required to submit this assignment to LopesWrite. Refer to the directions in the Student Success Center. Only Word documents can be submitted to LopesWrite (This is a CLC assignment (Solved)).

 
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Analyzing CVS’s Annual Report

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Analyzing CVS’s Annual Report

(Analyzing CVS’s Annual Report)

Question description

SEC Paper CVS

Project Descriptions

SEC 10-K Paper

You will be asked to select a company that is publically traded. You must research and secure the SEC 10-K Annual Report for the most recent year. This is often available at the company web site. Look for “Investor Information” or “Company Information”. Save the file to your computer for access. There is no need to print as the report is usually 100 pages or more.

1.Post the name of your company in the SEC 10-K company for my approval in the week 1 Discussion.

2.Each student must select a different company so read the company names selected by classmates.

3.You will use this company for discussion in the discussions during the semester.

4.You will write a 2 – 3 page paper, single spaced, one inch margins, 12 pt font, with double space between paragraphs. Your paper should comment on the financial statements for your company as they relate to the information presented through week 5 material for our class, including the notes to the financial statements. ** Use headings in your paper such as Accounts Receivable and Inventory (topics from our textbook; other examples would be Balance Sheet and Income Statement). Please keep your paper to no more than 3 pages The report will be submitted after week 5 material on Property, Plant and Equipment (PPE). Do not consider material from weeks 7 and 8 in your paper.

5.Take care to avoid academic dishonesty. Write your paper, read it, and edit. Use your own words.

6.Please include a brief introduction of your company as well as a conclusion/summary at the end.

7.You will also be required to include the Income Statement and Balance Sheet as an attachment to your report (you can cut and paste directly from the 10-K report).

8.APA style is required for citations and a reference list. Use your own words. The reference list is most important!

9.Ask questions if any of the requirements are unclear.

10.Additional guidance for your paper and resources:

11.Page count does not include title page, tables and exhibits, table of contents, and reference list

12.Please include a title page (include your name on the title page)

13.Include a reference list (business classes use APA format)

14.Include in text citations (business classes use APA format)

15.Your paper should use one-inch margins on the left, right, top, and bottom of each page, and font set at 12 point.

16.Take care to comply with the UMUC policy for academic honesty

17.Write your paper, in your own words, using accounting words from our textbook and explaining how these relate to the financial statements of your company

18.Our discussion postings during the semester should assist you in completing this paper

19.Visit the Accounting Toolbox in the Course Content of our LEO classroom

20.The Accounting Toolbox is a constant resource in our UMUC undergraduate accounting courses

21.Links and explanations to assist you with this paper may appear in this resource

22.Additional information will be posted in the Week 1 Discussion area of Leo Classroom. Please make sure you review carefully and ask questions if you have any.

23.SEC 10-K Power Point Presentation

24.You will also be required to prepare a brief power point file of no more than 10 slides. Post the power point presentation in the discussion area for comments by other students.

25.After you read the comments you may wish to make changes to your power point file before submitting it in the assignment folder along.

26.Include a reference list in APA format.

27.Ask questions if any of the requirements are unclear.

28.You are required to post comments on the work of at least one other student who does not yet have comments so everyone has at least one set of comments. Do not wait until the last day to post your power point file so everyone has a chance to visit the files.

 
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Find The Ergonomic Problems

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Assignment: Find The Ergonomic Problems

(Find The Ergonomic Problems)

Ergonomics

Employee safety extends to their workspaces. For HIM Professionals, this often involves an office, cubicle, or other space that contains a desk, computer, monitor, filing cabinets, and so on. You may be seated at that desk for extended periods, and this can lead to discomfort. In extreme cases it can lead to injuries in your back, neck, eyes, or wrists (carpel tunnel).

“Ergonomics” is the engineering and organization of objects and spaces to minimize physical discomfort and potential for accident or injury. It is very important. As an HIM professional, you will be called on to educate new employees. This should always include ergonomic training as well. You may also be called upon to improve workspaces with ergonomics in mind.

Read the Whistle While you Work with Good Ergonomics (Links to an external site.)Links to an external site. article on best practices for organizing an HIM workspace.

Assignment:

Look around the area where you are taking this course. Identify three areas that you feel are ergonomically correct and three things that could be improved. ( note:3 thing correct: computer high its right and easy to adjusting, maintain good position, chair can be adjust in the right level of the eyes. 3 thing need to change is the keyboard not in the right place, the ac in the room was way to high, can get sick because outside way to hot, chair cannot adjust the lower back in the right place,). Think about your seat, you desk, the room in which you are seated, the tools you use, and so on. Use the infographic below to help identify things. Did you know that these incorrect items were putting stress on your whole body?

Put your findings in a Word document named “Ergonomics

 
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Project Management Key Concepts

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Project Management Key Concepts
marketing homework help

(Project Management Key Concepts)

Question description

Answers will require (100-150) word full sentence response

    1. What are five characteristics that help differentiate projects from other functions carried out in the daily operations of the organization?
    2. What is meant by an integrative approach to project management? Why is this approach important in today’s environment?
    3. How are projects linked to the strategic plan?
    4. Why does the priority system described in this chapter require that it be open and published?
    5. What are the relative advantages and disadvantages of the functional, matrix, and dedicated team approaches to managing projects?
    6. What do you believe is more important for successfully completing a project- the formal project management structure or the culture of the parent organization?
    7. What are the six elements of a typical scope statement?
    8. What does it mean if the priorities of a project include: Time-constrain, Scope accept, and Cost-enhance?
    9. What are the differences between bottom-up and top-down estimating approaches? Under what conditions would you prefer one over the other?
    10. What are the major types of costs? Which costs are controllable by the project manager?
    11. How does the WBS differ from the Project Network?
    12. Why is slack important to the project manager?
    13. Project risks can/cannot be eliminated if the project is carefully planned.
    14. What are the likely outcomes if a change control process is not used? Why?
    15. How does resource scheduling reduce flexibility in managing projects?
    16. Explain the risks associated with leveling resources, compressing or crashing projects and imposed durations or “catch-up” as the project is being implemented.
    17. What are the advantages and disadvantages of reducing project scope to accelerate a project?
    18. Why is scheduling overtime a popular choice for getting projects back on schedule?
    19. What is the difference between leading and managing a project?
    20. Why is it critical to keep the project sponsor informed?
    21. Why should a project manager emphasize group rewards over individual rewards?
    22. When should it be appropriate to hold a formal team-building session on a project?
    23. What are the best practices used by forms to outsource project work?
    24. How can a project manager influence customer expectations and perceptions?
    25. How does a Tracking Gantt chart help communicate3 project progress?
    26. Why is it important for project managers to resist changes to the project baseline?
    27. How does the project closure review differ from the performance measurement control system?
    28. Why is it difficult to perform a truly independent, objective review?
    29. How do environmental factors affect project implementation?
    30. How should you go about preparing yourself for an international project?
    31. What are the major economic forces that serve as an impetus for using oversight/governance tools and processes?
    32. What are the advantages and disadvantages of Agile Project Management?
    33. Why are project management knowledge and skills transferable across industries? And Professionals?

What are the problems with relying on this option?

 
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Effects Stress On Young Mother

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Effects Stress Has On Young Mother And Ways To Cope With Stresses

(Effects Stress On Young Mother)

COU 2360 Paper Guidelines — 100 points

Each student will choose a topic and write a paper summarizing the key points of that topic using at least two peer-reviewed sources. Newspaper articles, blogs, websites publications, Wikipedia articles, and/or any other non-published material will not be acceptable.  Students should access the Faulkner University library website to find sources.

1. Length: three to five pages

2. Format: APA (https://owl.english.purdue.edu/owl/resource/560/01/

3. Grammar: Paper must be written in grammatically correct, complete sentences. Information should not be copied from sources but summarized in the students’ own words.

4. Main content:

a. Introduction: Preview of summary, reason you chose topic

b. Research-based definition of topic

c. History/background of topic (statistics, facts, etc.)

d. Description of major research on topic

e. Conclusion: Student reactions, future directions for research, further questions, practical applications of findings

Article Summary Topic Ideas

Psychology of happiness

Links to depression

Determinants of happiness

Personality (differences among siblings, differences among cultures…

Personality and mental health

Effects of stress

Positive coping skills

Effects of positive and/or unhealthy coping skills

Any other topic covered in the textbook……we will discuss other ideas in class.

 
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urinary catheter removal protocol

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urinary catheter removal protocol

(urinary catheter removal protocol)

nurse-driven urinary catheter removal protocol, health and medicine homework help

Question description

Please do a paragraph about this post with this instruction .

post most have 4 or more sentences .

you also have to have a high quality post from a content perspective. This means it also needs to do more than agree with or praise a class mate. If you agree with a classmate, explain why, give an example, share what you learned in the readings

My capstone EBP project is to develop a nurse-driven urinary catheter removal protocol within the surgical ICU. There is currently no protocol for this and thus there is no standardized orders. Every patient is treated differently depending on which Attending or Resident is giving orders. One financial aspect that must considered is the cost of more straight catheter sets. Inevitably, since the protocol will call for urinary catheters to be removed at 24 hours post-op, there may be more urinary retention that what we are used to seeing, which will have to be treated with straight caths. Most of our catheters stay in well over 48 hours at this point, which allows more time for bothersome effects of anesthetic to pass (Tsambarlis et al., 2016).

One quality aspect that must considered with this EBP protocol is whether it will actually lower CAUTI rates and decrease urinary catheter days. The research on this is mixed but all point to better outcomes overall. It will still be interesting to see and could affect the sustainability of the protocol within the Surgical ICU in particular, due to the prolonged effects of some of the anesthetic. Many of the studies show a reduction in CAUTI but mixed outcomes on reduction of catheter days (Meddings et al., 2013; Yatim et al., 2016).

One clinical aspect that must considered with this EBP protocol is the proper use of the bladder scanner. Multiple studies have shown that bladder scan results can vary widely depending on the technique used. Education must be done with all nurses and healthcare techs to ensure proper technique is being used. Improper technique could result in needless straight cath procedures and an increase in CAUTI rates, reflecting negatively on the new protocol (Meddings et al., 2015).

 
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Action Research Final Presentation

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Action Research Final Presentation

(Action Research Final Presentation)

EDU 675 W6 Change Leadership Differentiate Education Environment FA

Question description

Action Research Formal Presentation of Findings

This Final Project is designed to report what you have learned and to apply the information obtained from your action research in its entirety including the proposal, observations, data collection, analysis, sharing, and feedback acquired through collaboration with your peers. As a scholarly practitioner, you have had the opportunity to continue your exploration of action research principles and implement your intervention/innovation in the setting of your choice.

To clarify, the planned action research intervention or innovation will occur in the approved setting while you are enrolled in EDU675. You will again submit the Informed Consent form during Week One of EDU675, verifying approval to conduct their AR intervention/innovation. The available settings for your research are limited depending on your personal situation:

  • Employed in a classroom setting:
  • Employed in a non-classroom setting:
  • Not employed:

As you have learned, the rationale of this type of research is to discover evidence that examines perceived problems in a given setting. Recall, the purpose of action research is to improve practice or to implement change for the purpose of professional development. Mills (2014) states “. . . educational change that enhances the lives of children is a main goal of action research. But action research can also enhance the lives of professionals” (p.13). Furthermore, action research is the process of telling the story of your research journey. This final project is your opportunity to tell the story of your research experience in the Masters of Arts in Education (MAED) Program.

Writing the Final Project
Construct your final project to meet the content and written communication expectations below.

Content Expectations

  • Introduction (1 point): Create a one-to-two paragraph introduction that provides a succinct overview of the scope and organization of the assignment.
  • Context (2 points): In one-to-two paragraphs, explain what the reader must know about the organization/school setting to enrich their understanding of the intervention/innovation. (e.g., details about the organization/school, staff, number and type of learners/employees, programs, ages, locale, and any other pertinent details regarding the specific content of the project).
  • Literature Review (3 points): In two-to-three pages, summarize the literature related to the problem using 4-5 scholarly resources including a brief historical overview and that expands the introduction and presents the current research published about the problem.
  • Area of Focus Statement (1 point): In one-to-two sentences, discuss the issues that were addressed, how they emerged, and the goal of your research.
  • Research Questions (1 point): State one-to-three questions addressed by the research in list format.
  • Intervention/Innovation Description (3 points): In one page, describe the intervention applied for your action research study including comments on the type of adjustments you may have had to make to the intervention.
  • Data Collection Strategies (2 points): In one-to-two pages, describe the data obtained through the observations using charts, diagrams, or other visual depictions of your data to supplement the description.
  • Outcome Analysis (2 points): In one-to-two pages, explain the conclusions of the data analysis addressing the specific strategies that were successful, which strategies did not work as well as was anticipated, and how the strategies support the research questions.
  • Learning Themes (2 points): In one-to-two pages, reflect on the research themes, including the unintended/unexpected outcomes, what worked well, what worked less well, and any process you would conduct differently.
  • Action Plan (3 points): In one-to-two pages, explain the anticipated steps that are necessary to continue with this change initiative and the leadership strategies needed to implement them action plan.
  • Conclusion (2 points): In two-to-three paragraphs, summarize the major outcome and analysis of the project including the gaps that were uncovered providing insight into the relationship between the topic of the literature review and your overall findings.

Written Communication Expectations

  • Page Requirement (.5 points): 18-to-20 pages, not including title and references pages.
  • APA Formatting (.5 points): Use APA formatting consistently throughout the assignment.
  • Syntax and Mechanics (.5 points): Display meticulous comprehension and organization of syntax and mechanics, such as spelling and grammar.
  • Source Requirement (.5 points): References five scholarly sources in addition to the course textbook, providing compelling evidence to support ideas. All sources on the references page need to be used and cited correctly within the body of the assignment.

Next Steps: Review and Submit the Assignment 
Review your assignment with the Grading Rubric to be sure you have achieved the distinguished levels of performance for each criterion. Next, submit the assignment to the course room for evaluation no later than Day 7.

Carefully review the Grading Rubric for the criteria that will be used to evaluate your assignment.

 
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Draft of Literature Findings

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Review Paper—Draft of Literature Findings

(Draft of Literature Findings)

Evaluate the evidence. Create a draft of the findings of the articles you have selected and how they contribute to our knowledge of this problem. Be sure to address each of the following items in your draft:

1.  Discuss the strengths and weaknesses of each piece.
2.  If the articles talk to each other (that is, if they support or contrast with one another), explain how and why.
3.  What does the evidence tell us?
4.  Is there another possible explanation you can think of?  Based on what you have read, what is your hypothesis?  In other words, what is your explanation for the findings?
5.  How can you refine your question or topic even further, now that you have described the findings?

Your draft should be double-spaced and in 12 point, Times New Roman font with normal one-inch margins, written in APA style, and free of typographical and grammatical errors.  It should include a title page with a running head and a reference page. The body of the paper should be at least 5-6 pages in length. Submit your paper to the Submissions Area by the due date assigned.

Copy of the first assignment

The Psychological Impact of Cyberbullying on Adolescents

In today’s Internet age where an online presence is as important to the individual as their offline activities and life, the threat or dangers posed by activities such as cyberbullying are increasingly becoming an international public health concern, especially as this vice affects the development of adolescents. The victimization arising from cyberbullying can be so intense as to result in depressive symptoms in adolescents and even suicide attempts.

Indeed, those adolescents prone to cyberbullying are also susceptible to school bullying, and these victims will often have lower school performance and school attachment. There is need, therefore, to examine in detail the psychological impact that cyberbullying has on adolescents and their mental health, as well as various suggestions for therapy for affected victims.

References

Asam, A.E., & Samara, M. (2016). Cyberbullying and the law: A review of psychological and legal challenges. Computers in Human Behavior, 65, 127-141. https://doi.org/10.1016/j.chb.2016.08.012

Barlińska, J., Szuster, A., & Winiewski, M. (2013). Cyberbullying among adolescent bystanders: role of the communication medium, form of violence, and empathy. Journal of Community & Applied Social Psychology, 23(1), 37-51. Doi: 10.1002/casp.2137

Foody, M., Samara, M. Carlbring, P. (2015). A review of cyberbullying and suggestions for online psychological therapy. Internet Intervention, 2(3), 235-242. http://doi.org/10.1016/j.invent.2015.05.002

Hinduja, S., & Patchin, J.W. (2008). Cyberbullying: An exploratory analysis of factors related to offending and victimization. Deviant Behavior, 29, 129-156. Doi: 10.1080/01639620701457816 

Hinduja, S., & Patchin, J. W. (2010). Bullying, cyberbullying, and suicide. Archives of Suicide Research, 14(3), 206-221. doi:10.1080/13811118.2010.494133

Kowalski, R.M., & Limber, S.P. (2013). Psychological, physical, and academic correlates of cyberbullying and traditional bullying. Journal of Adolescent Health, 53(1), s13-s20. https://doi.org/10.1016/j.jadohealth.2012.09.018

 
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Leadership Implications

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Assignment # 1.Leadership Implications

Leadership Implications

W10- Discussion:

“The greatest leader is not necessarily the one who does the greatest things. He is the one that gets the people to do the greatest things.”

— Ronald Reagan
U.S. President (1981-1989)

Leadership is a critical role for advanced practice nurses. In order to be an effective leader, one must examine his or her role as an advanced practice nurse, and use his or her knowledge, and leadership skills to address issues related to his or her specialty area. There is a saying that one must know when to follow and when to lead. In order to be a good leader, you must also learn how to follow. As you transition from student to practicing NP, seek opportunities for mentorship to develop your leadership skills. Recognizing when to lead and when to follow is an interchangeable process that requires experience and preparation. The future for Americans in health care is unpredictable. This week it is important to focus on the complex and advanced leadership role that is needed to make effective change in a dynamic and demanding health care system.

This week you will focus on the importance of leadership in advanced practice nursing. You will have an opportunity to examine how you can execute positive social change in your state for salient advanced practice nursing issues.

State Practice Agreements

Write 1 page

This week you will have an opportunity to evaluate state practice agreements in your state ( of TEXAS ) and examine issues related to NP practice.

To prepare:

1. Review and Post a brief description of the REVIEW of practice agreements for NPs in your state of TEXAS.

2. dentify /name at least two physician collaboration issues in your state of Texas.

3. Explain what you think are the barriers to NPs practicing independently in your state mof TEXAS.

4. Finally, outline a plan for how you might address NP practice issues in your state.

5. Suggest additional actions you will  take.

6. Validate an idea with your own clinical experiences with the support of an additional literature search from a reputable source.

REFERENCES: Leadership Implications
Required Readings

Buppert, C. (2015). The Employed Nurse Practitioner. In Nurse Practitioner’s Business Practice and Legal Guide (5th ed.). (323-336). Burlington, MA: Jones & Bartlett.

This chapter covers the rights of employed NPs, contract negotiation, interviewing, responsibilities of an NP employee, employer’s evaluation of the NP’s performance, malpractice insurance, and collaborative practice agreements.

Hatt, K. (2015). 5 Interview Pitfalls. Recruiters reveal how to respond to the most complicated questions. Advance Healthcare Network for NPs & PAs. Retrieved from http://nurse-practitioners-and-physician-assistants.advanceweb.com/student-and-new-grad-center/student-top-story/5-interview-pitfalls.aspx

Thomas, A. C., Crabtree, M. K., Delaney, K. R., Dumas, M. A., Kleinpell, R., Logsdon, C.,…Nativio, D. G. (2012). Nurse Practitioner Core Competencies. Retrieved from http://c.ymcdn.com/sites/www.nonpf.org/resource/resmgr/competencies/npcorecompetenciesfinal2012.pd

Assignment #2W11 – Discussion: Write 1 page.State Practice AgreementsSocial Change AgentsAssignment #2

W 11 Discussion

STATE PRACTICE AGREEMENT

Social change Agents

“We’ve been called disruptive innovators,” Ford said. “And I think ‘disruptive innovators’ is great – we just need more of them.”

— Heidesch, T. (2008)

As NPs, we are obligated to promote our profession. A component of promoting the profession is proactively being engaged with our communities and identifying areas where change is needed. An example of this would be identifying a community issue, such as an increase in the rate of obesity in a middle-school population and discovering that soda machines are present in the schools. Identifying a problem and being a positive change agent is an essential component of the NP role. Understanding the lawmaking process and how to initiate a local or state change empowers the NP to impart Social Change.

This week you will focus on the importance of leadership in advanced practice nursing. You will have an opportunity to examine how you can execute positive social change in your state for salient advanced practice nursing issues.

Consider the following:

During NP clinical practicum experiences, we identify, as nurses, many health care issues that need to be addressed at the local, state, or national level. Addressing the need for change in health care policy is now an intricate part of your role as a social change agent.

For this Discussion, you will identify a change needed in your community and what your nursing legacy for positive social change will be.

To prepare:

· 1. Consider the health care issues and deficits you have recognized in your professional practice.

· 2. Identify a change needed in your community in health care policy and discuss how you could impart change during your career as an NP.) (A change needed in my community is Obesity ).

· 3. Consider your future as a NP and what your nursing legacy will be. How will you impart Social Change?

1. Post a change needed in your community and an explanation for how you will begin to implement that change.

2. Then, share with your colleagues a brief explanation of what your nursing legacy will be:(My nursing legacy  will be (Being an advocate for health promotion through disease screenings and illness prevention)

3.  How will you impart Social Change. 

4.  Provide  at least one suggestion for a colleague in your class on how they could implement this change and for their nursing legacy.

REFERENCES: Required Readings -Leadership Implications

Buppert, C. (2018). Nurse practitioner’s business practice and legal guide (6th ed.). Sudbury, MA: Bartlett & Jones Learning.

· Chapter 12, “Lawmaking and Health Policy” (pp. 421-433)

This chapter covers the legal process, the judicial system and health policy. Additionally, law and rules that affect NPs, how to initiate a change in law and the process involved from beginning until law or rule is finalized.

Christensen, C. M., Bohmer, R. M. J., & Kenagy, J. (2000). Will disruptive innovations cure health care? Harvard Business Review, 78(5), 102-112, 199.

Note: Retrieved from the Walden Library databases.

Heidesch, T. (2008). Disruptive innovation NPs are true Health Care Reformers. Advance Healthcare Network for NPs & PAs, 16(12), 94. Retrieved from http://nurse-practitioners-and-physician-assistants.advanceweb.com/Article/Disruptive-Innovator.aspx

National Conference of State Legislatures (n.d.). Glossary of Legislative Terms. Retrieved from http://www.ncsl.org/research/about-state-legislatures/glossary-of-legislative-terms.aspx

No plagiarism. Due Jan.30.18 by 12noon

Write 1 page only on each discussion (2 pages $20)

Use references provides ONLY

Check your grammar and sentences on gramerler.com. its free.

 
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Overcoming Barriers: Nurse Empowerment

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Overcoming Barriers: Nurse Empowerment

(Overcoming Barriers: Nurse Empowerment)

I NEED A POSITIVE COMMENT BASED IN THIS ARGUMENT..BETWEEN 100-120 WORDS

The health care sector is experiencing major changes due to extensive research and development activities. As nurses play a crucial role in the delivery of health care, they need to embrace new and innovative techniques to provide effective and best possible treatment to their patients. Several institutional and personal barriers can hinder nurses from adopting EBP (Wood, 2013).

The two potential barriers that can prevent continuation of my evidence based practice change proposal in the future is poor coordination among the clinical team and staff turnover. My project focuses on Coronary Artery Bypass Graft patients and working with these high-risk patients need the best coordination and team work from the whole clinical team including devising appropriate discharge planning. Poor communication between the clinical team members can affect the outcome. My strategy is to recommend three interventions: staff appreciation events, monthly review of the continued adherence to the changes made, and monitoring the staff compliance by the administration. These interventions can motivate the clinical team to continue to pursue the change proposal. The second barrier I assume is staff turnover. There is lot of staff turnover in our hospital. Floating nurses and agency nurses on contract can affect the continuation of my change project. My strategy is to promote ongoing training which is absolutely necessary. These training needs to be scheduled and to be listed in the calendar every week.

Hospital management can help to overcome these barriers. The nurses preferred to consult their supervisors and colleagues to obtain needed information. Hospital management can create a conducive environment and provide socializing opportunities for nurses to promote peer-to-peer information and knowledge sharing (Melnyk & Overholt, 2011).

References,

Melnyk, B., & Overholt, E., (2011). Evidence-based practice in nursing & healthcare: A guide to best practice. Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins.

Wood., R., (2013). Progress and Barriers Toward Innovation in Clinical Nursing Education. https://www.rwjf.org/en/library/articles-and-news/2014/10/progress-and-barriers-toward-innovation-in-clinical-nursing-educ.html

 
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