Nursing Capstone Paper

1. In this assignment, you will be writing a 1,000-1,250-word essay describing the differing approaches of nursing leaders and managers to issues in practice. To complete this assignment, do the following:

   Select an issue from the following list: nursing shortage and nurse turn-over, nurse staffing ratios, unit closures and restructuring, use of contract employees (i.e., registry and travel nurses), continuous quality improvement and patient satisfaction, and magnet designation.

   Compare and contrast how you would expect nursing leaders and managers to approach your selected issue. Support your rationale by using the theories, principles, skills, and roles of the leader versus manager described in your readings.

   Identify the approach that best fits your personal and professional philosophy of nursing and explain why the approach is suited to your personal leadership style.

   Identify a possible funding source that addresses your issue. Consider looking at federal, state, and local organizations. For example: There are many grants available through the CDC, HRSA, etc.

   Use at least two references other than your text and those provided in the course.

   Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. 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 Turnitin. Please refer to the directions in the Student Success Center

2. .Dr. Hansen, an orthopedist, is seeing Andrew, a 72 year old established male patient today who has complaints of severe knee pain in both knees and repeated falls over the past 2 months. Dr. Hansen completes a detailed history and exam with medical decision making of moderate complexity, including X-rays of each knee which show worsening osteoarthritis. Because the patient has been experiencing repeated falls, Dr. Hansen provides the patient with an adjustable tripod cane with instructions for safe use. Dr. Hansen recommends the patient begin taking OTC glucosamine chondroitin sulfate, anti-inflammatories for pain as needed, and schedules the patient for a follow up appointment in one month.  E&M code:______________________________

    

    

   ICD-10-CM code: ________________________

    

    

   ICD-10-CM code: ________________________

    

    

   CPT code: ______________________________

    

    

   HCPCS code: ___________________________

3. Andrew returned for his follow up visit last week with increased pain and edema in his right knee and was scheduled for an arthroscopy. He presents to the surgical center today for a right knee diagnostic arthroscopy with synovial biopsy. Anesthesia is being performed on this 72-year-old male patient by a CRNA with medical supervision by a physician. Other than osteoarthritis, Andrew has essential hypertension, which is well-controlled. Postoperatively the patient was placed in a prefabricated canvas longitudinal knee immobilizer.  CPT:___________________________________

    

    

   Anesthesia: _____________________________

    

    

   Concurrent Care Modifier: __________________

    

    

   Physical Status Modifier: ___________________  HCPCS:_____________________________

4. As highlighted in Chapter 9 of your course text, three research methods are available (descriptive, analytic, and evaluative). Discuss these methods and give one example of how each would be used when conducting research using homeless individuals as subjects. Analyze regulatory, accreditation, ethical, and legal issues and challenges related to each research method.

   Your initial contribution should be 250 to 300 words in length. Your research and claims must be supported by your course text and at least one other scholarly source. Use proper APA formatting for in-text citations and references as outlined in the Ashford Writing Center.

   Guided Response: Review several of your classmates’ posts.  Provide a substantive response (minimum of 100 words) to at least two of your peers. Do you agree or disagree with your classmates’ explanation of the appropriateness of the methods used for this group? What other regulatory, ethical, and/or legal issues might be present in your classmates’ examples?

5. HIV Help-Inc., a non-profit organization focusing on the prevention of HIV/AIDS just received a $10 million grant to fund several projects.  The organization is currently located in an older building that needs extensive repairs. The organization is using outdated office equipment In addition, one additional staff member is needed in order to keep up with incoming phone calls and requests for presentations and community outreach activities. A portion of the grant – $2 million – is allotted for business improvements which can address one of these three areas: repairs to building, outdated office equipment, and more staff. The remaining $8 million is to be used to further enhance the continuum of care level to provide access to preventive health services.

   Section A: Create a cost benefit analysis for an update that will improve the business: structural, office equipment, or staff. You can be creative in determining what the business needs.  The cost will use the full amount of funds allotted to this improvement ($2 Million), so you can only improve one of these three needs

   Note: Your work must include Steps 1-4, as outlined in section 7.2 of your course text.

   Section B: Create a cost effective analysis to determine how to best spend the $8 million portion of the grant funding on education and other preventive services.

   The organization currently serves the community and clientele with community education classes at schools and community centers, as well as the distribution of condoms and educational materials. They wish to expand their current services to reach the neighboring community (4,000 residents), add social media advertising and messaging to reach the younger population, distribute educational material and condoms to homeless shelters in the area, and add HIV testing to at-risk individuals. Select two of the potential services and determine how the money can be best spent to have the greatest outcome for the HIV+ population in the community.

   Note: Your work must address the costs as well as the anticipated benefits, as outlined in section 7.2 of your course text

   Section C: Based on the  CDC website (Links to an external site.)Links to an external site., analyze how cultural norms impact the risk of getting HIV.  Explain one method or action on how to address this challenge.

   Your initial contribution should be 250 to 300 words in length. Use proper APA formatting for in-text citations and references as outlined in the Ashford Writing Cente

6. Research a health care organization or a network that spans several states within the U.S. (Example: United Healthcare, Vanguard, Banner Healthcare, etc.).

   Harvard Business Review Online and Hoover’s Company Records, found in the GCU Library, are useful sources. You may also find pertinent information on your organization’s webpage.

   Review “Singapore Airlines Case Study.”

   Prepare a 1,000-1250-word paper that focuses on the organization or network you have selected.

   Your essay should assess the readiness of the health care organization or network in addressing the health care needs of citizens in the next decade, and include a strategic plan that addresses issues pertaining to network growth, nurse staffing, resource management, and patient satisfaction. Provide a comparison to the health care organization or network and the Singapore Airlines. Include any cultural issues that may influence the practices listed above.

   Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. 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.