For this week, you will be completing a research appraisal about a women’s health topic in which you may be interested. The purpose is to complete only a synthesis of the topic. To start, only look at studies that are specific to your women’s health topic. Your appraisal will assist in finding the most current evidence. Remember, this is only for the purpose of synthesis. Simplicity is key to a successful evaluation. Below is a way to assist you in compiling your significant articles. Your table should only contain 5 articles. Finalize your findings in 1–2 pages and submit with your evaluation table.

In the headings for the columns, include the following:

1. Citation: Author, year, title
2. Conceptual Framework: Theoretical basis for study
3. Design/Method: Indicate design and describe what was done in the study
4. Sample/setting: Number, characteristics, attrition rate, and why
5. Major variables studied and their definitions: Independent/dependent variable
6. Measurement: What scales were used to measure the outcome variables (e.g., name of scale, author, reliability info)
7. Data analysis: What stats were used to answer the clinical question
8. Findings: Statistical findings or qualitative findings (one for every statistical test mentioned in data anlysis)
9. Appraisal/Worth to Practice: Strengths and limitations of the study, risk or harm if study intervention or findings implemented, and feasibility

Assignment 3 Grading Criteria

Maximum Points

Clearly discussed the women’s health issue.

25

Accurately summarized research in evaluation table.

25

Ensured that paper concisely describes findings.

25

Ensured that the paper is well organized and well written and demonstrates significant development in your ability to think and write from initial submission. Properly followed APA format.

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 LEADERSHIP CONSULTANT ANALYSIS

Due Date

Week 9

Note: All scenarios in this assignment are fictional.
Real Business

It can be difficult for a business to improve how it operates from inside the organization. Sometimes, an outside perspective is needed. The large discount retail store you work for wants to improve its in-store restaurant management team.
Your Role

Companies like Target and Walmart often work with outside consultants—people who are not employees of the company but who are hired on a contract basis to help with a specific project. As a Leadership Consultant, you’ve been hired by a large discount retail company to help the company improve its leadership structure and approach to management.
WHAT IS A LEADERSHIP CONSULTANT

A leadership consultant is a person called in to a company, be it a large corporation or a small business, to evaluate how it operates and make recommendations for improvement. Leadership consultants are typically hired when a business is struggling and needs to make changes in order to remain profitable. Such consultants are often highly educated in the field of business and have experience in managerial roles.
INSTRUCTIONS
Step1 Organizationl Structure

Take a look at the Organization Chart provided by the company.
Step 2: Human Resources

The company would like to improve the culture of its team and the quality of its work. Its leadership has provided you with a Process Chart detailing how it currently applies Human Resources best practices.

Note: You should complete Step 3 after reading the material in Week 9.
STEP 3: Leadership Style

You have been asked to help improve the leadership style of the team leader in order to meet the team’s performance goals. The team leader has given you a description of what is most comfortable in terms of leading others.

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PART#1

In a formal paper of 1,000-1,250 words you will discuss the work of the Robert Wood Johnson Foundation Committee Initiative on the Future of Nursing and the Institute of Medicine research that led to the IOM report, “Future of Nursing: Leading Change, Advancing Health.” Identify the importance of the IOM “Future of Nursing” report related to Nursing Practice, Nursing Education and Nursing Workforce Development. What is the Role of State-Based Action Coalitions and How do they advance goals of the Future of Nursing: Campaign for Action?

Explore the Campaign for Action webpage (you may need to research your state’s website independently if it is not active on this site): http://campaignforaction.org/states

Review your state’s progress report by locating your state and clicking on one of the six progress icons for: Education, Leadership, Practice, Interpersonal Collaboration, Diversity, and Data. You can also download a Full Progress Report for your state by clicking on the box located at the bottom of the webpage.

PART#2

In a paper of 1,000-1,250 words:

1.     Discuss the work of the Robert Wood Johnson Foundation Committee Initiative on the Future of Nursing and the Institute of Medicine research that led to the IOM report, “Future of Nursing: Leading Change, Advancing Health.”

2.     Identify the importance of the IOM “Future of Nursing” report related to nursing practice, nursing education and nursing workforce development.

3.     What is the role of state-based action coalitions and how do they advance goals of the Future of Nursing: Campaign for Action?

Summarize two initiatives spearheaded by your state’s action coalition .In what ways do these initiatives advance the nursing profession? What barriers to advancement currently exist in your state(FLORIDA).? How can nursing advocates in your state overcome these barriers?

A minimum of three scholarly references are required for this assignment.

Prepare this assignment according to the 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.

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 Non-Profit Engagement

Assume you are in a start-up stage of your non-profit with a mission for youth development and caring for the elderly (senior citizens). Your organization is working with youth and the elderly in the Park-hill Avenue, Staten Island, New York. The community is mainly immigrant refugees from West Africa that are in desperate need of assistance. You see the need and want to advance your ideas for this community by operating a Pre-K school in the community that might host about 200 kids.

Requirement:

· Prepare a cover letter of your intent

· A proposal (no more than ten pages) that includes:

1. Agency background (Mission, major activities, and credentials for carrying out project)

2. Project description: Brief statement of problem to be addressed

3. Goals and objectives

4. Who is served

5. Project activities

6. Expected outcome

7. Plan for measuring project results

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Leadership Qualities

Question Details

Focus Paper

Write a three to five (5-7) page paper, not including the title and reference pages, assessing your personal leadership readiness that includes the following:

Introduction.

Research on leadership traits, behaviors, and attitudes as the foundational content.

Analysis of your personal leadership traits, behaviors, and attitudes as well as your overall readiness for leadership. Identify gaps that must be closed in order for you to progress to the next level of leadership. Be sure to connect research to your analysis. Note: The text has many assessments and skill building exercises that you may find helpful in this process.

Recommendations for your personal development to assist you in closing the gaps identified in your personal analysis. Connecting research to your recommendations will make them stronger.

Conclusion should summarize the primary points of the paper and bring forward a call to action.

The Assignment will be evaluated using the Focus Paper Rubric located in the course Grading Rubrics. Therefore, please ensure it is written with proper grammar, in APA format (including clear section headings), and includes at least three cited and referenced resources – at least one of which must be a peer reviewed (scholarly) journal article.

The overall point distribution for the Assignment will be as follows:

50% (50 points): Content, focus, use of research, and organization

30% (30 points): Analysis and critical thinking

20% (20 points): Writing style, grammar, APA format

References:

In addition to your credible references, the following materials are strongly recommended:

DuBrin, A. J., (2015). Leadership: Research Findings, Practice and Skills. 8th Edition

Derue, D., Nahrgang, J. D., Wellman, N., & Humphrey, S. E. (2011). Trait and behavioral theories of leadership: An integration and meta-analytic test of their relative validity. Personnel Psychology, 64 (1), 7-52.

Halpin, S. M. (2011). Historical influences on the changing nature of leadership within the military environment. Military Psychology, 23(5), 479-488.

Vaid, J. (2015). Successful Leadership: Traits Revisited. Global Journal of Enterprise Information System, 7(2), 117-118.

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Information Architecture

How do you use health information technology in your daily work activities? Does the CNO (Chief Nursing Officer) in your organization use the same Health Information Technology (HIT) as the nurses at the bedside? What about those individuals who work in admissions? In order to develop an information system that can facilitate the ability to track, share, and analyze patient data, an organization has to take into account the differing needs or views of various departments.

In this Discussion, you consider the differing viewpoints of the professionals within your organization. Imagine what your colleagues’ needs might be and how they might use a HIT system to access and share information to promote evidence-based care. What are the similarities and differences in how this technology would be used by physicians, lab techs, administrators, nurses, informaticians, and others?

To prepare:

• Review this week’s media presentation, focusing on how the VA’s VistA system demonstrates data flow across an organization.
• Reflect on your organization’s information architecture and the various information needs of different groups within your work setting. What constraints has your organization faced with implementing health information technology systems that meet everyone’s needs? Consider speaking with your colleagues from different areas about this topic.
• Ask yourself: How does the flow of data across my organization support, or inhibit, evidence-based practice?

By Tomorrow 09/06/17, write a minimum of 550 words in APA format with a minimum of 3 references from the list below which include the level one headings as numbered below:

post a cohesive response that addresses the following:

1)     Differentiate the information needs within your organization. For example, how might the needs of an administrator differ from the needs of a physician or lab tech?

2)     Explain the impact of these different needs on the implementation of HIT in your present organization.

3)     Evaluate how the flow of information across HIT systems within your organization supports or inhibits evidence-based practice.

Required Readings

Course Text: Ball, M. J., Douglas, J. V., Hinton Walker, P., DuLong, D., Gugerty, B., Hannah, K. J., . . . Troseth, M. R. (Eds.) (2011). Nursing informatics: Where technology and caring meet (4th ed.). London, England: Springer-Verlag.

Chapter 15, “Evidence-Based Clinical Decision Support”

In this chapter, the authors discuss the challenges that arise as HIT systems are employed to support evidence-based practices. The authors also provide examples of tools, features, and systems that promote evidence-based practices.

Course Text: American Nurses Association. (2008). Nursing informatics: Scope and standards of practice. Silver Spring, MD: Author.

• Metastructures, Concepts, and Tools of Nursing Informatics” (pp. 2-18
• Functional Areas for Nursing Informatics” (pp. 19-36)

These excerpts differentiate the metastructures (overarching concepts used in theory and science) of data, information, knowledge, and wisdom and examine how they are utilized in nursing informatics.

Alexander, G. L. (2008). A descriptive analysis of a nursing home clinical information system with decision support. Perspectives in Health Information Management, 5(12), 1–22.

This research study examines how data flows through a nursing home’s information system and includes a diagram to illustrate that flow.

Required Media

United States Department of Veterans Affairs. (Producer). (2011). Innovation in VA, The Story of VistA [Video]. Washington, DC: Author.

Note:  The approximate length of this media piece is 4 minutes.

This video, created by the Department of Veterans Affairs (VA), demonstrates how VA innovations have dramatically changed the way in which the VA operates and provides patient care. Enlisting a diverse range of medical staff and IT professionals has helped the VA stay on the cutting edge of the technological tools that ensure patient safety.

Optional Resources

Chunhau, W., Levine, B. A., & Mun, S. K. (2009). Software architecture and engineering for patient records: Current and future. Military Medicine, 174(5) (May Suppl.), 27–34.

Reddy, M., McDonald, D. W., Pratt, W., & Shabot, M. M. (2005). Technology, work, and information flows: Lessons from the implementation of a wireless alert pager system. Journal of Biomedical Informatics, 38(3), 229–238.

Schleyer, R., & Beaudry, S. (2009). Data to wisdom: Informatics in telephone triage nursing practice. AAACN Viewpoint 31(5), 1, 10–13.

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An advertising campaign that used violent imagery or sexual content

Write a paper (5–7 pages) in APA format (including at least 2 scholarly references) on the following:

Discuss an advertising campaign that used violent imagery or sexual content. You may use the campaign you selected to analyze, or choose a new campaign.
Are there violent images or sexual content associated with the product? If so, what are they?
Is it overt or subtle in its tone? What is the anticipated reaction to the use of such content and images in advertising?
What does the academic literature on violent and sexual content in mass media suggest are the impacts of such content on individuals?
Provide at least 2 scholarly resources to support your answer.

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The nurse plays a very significant role in any healthcare organization by provisions of their better services to the patients and ensuring the organizations achieves the best competitive advantages in the market. Shortage of nurse can significantly affect the healthcare organization, nurse professions and the quality of services that the patient receives (Rosseter, 2010). These shortages are recorded due to the reason that few nurses are entering the market and here are some impacts that they cause to the nurse’s professionals.

The shortage leads to the current nurse being responsible for a large base of patients leading to an overwhelming situation that affects the quality of service provided to the patient. This overwhelming condition is very dangerous for your personal health and that of the patient. Also, another impact of the shortages of the nurse to the nurse professional is the reduced ability to admit patients from the emergency room (Fox & Abrahamson, 2009).. This is the reason that when the health care reaches the full census they are unable to admit more patients as they will be challenges attending to them. This leads to patients finding help from another facility hence limiting the provision of services to the people who might need it urgently. Furthermore, the management ensures that more patients are admitted to fill all the beds a strategy from the revenue point of view but the current nurses are unable to handle that pressure. According to the health resources and services administration, there will be more than one million nurses reaching their retirement age in ten years to come hence creating a huge threat to the nurse shortage strategies (Rosseter, 2010).

One of the strategies that organization is implementing is recruiting more graduates students in the market in order to replace and reinforce the current shortages.  Also, more people are encouraged to study nursing in order to increase the graduate student in the future dates that will cover up the expected shortage of nurses. Many states are working to increase the number of nursing programs in order to keep up with the current and expected nursing shortages (Fox & Abrahamson, 2009).

organization by provisions of their better services to the patients and ensuring the organizations achieves the best competitive advantages in the market. Shortage of nurse can significantly affect the healthcare organization, nurse professions and the quality of services that the patient receives (Rosseter, 2010). These shortages are recorded due to the reason that few nurses are entering the market and here are some impacts that they cause to the nurse’s professionals.

The shortage leads to the current nurse being responsible for a large base of patients leading to an overwhelming situation that affects the quality of service provided to the patient. This overwhelming condition is very dangerous for your personal health and that of the patient. Also, another impact of the shortages of the nurse to the nurse professional is the reduced ability to admit patients from the emergency room (Fox & Abrahamson, 2009).. This is the reason that when the health care reaches the full census they are unable to admit more patients as they will be challenges attending to them. This leads to patients finding help from another facility hence limiting the provision of services to the people who might need it urgently. Furthermore, the management ensures that more patients are admitted to fill all the beds a strategy from the revenue point of view but the current nurses are unable to handle that pressure. According to the health resources and services administration, there will be more than one million nurses reaching their retirement age in ten years to come hence creating a huge threat to the nurse shortage strategies (Rosseter, 2010).

One of the strategies that organization is implementing is recruiting more graduates students in the market in order to replace and reinforce the current shortages.  Also, more people are encouraged to study nursing in order to increase the graduate student in the future dates that will cover up the expected shortage of nurses. Many states are working to increase the number of nursing programs in order to keep up with the current and expected nursing shortages (Fox & Abrahamson, 2009).

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increase in nurse turnover

A nursing shortage has been shown to decrease patients access to care, decrease job satisfaction, and increase nurse turnover (Huber, 2010).  “The current nursing shortage is anticipated to become twice as large as any nursing shortage experienced since the 1960s” (O’Neil, 2009, p. 180, para 7).  Nurse shortage has been a significant focus of study and debate because of the enormous effect it has on all of us at every possible level of healthcare. Numerous research studies have been conducted to determine the main factors driving the nursing shortage.  “This shortage is not solely nursing’s issue and requires a collaborative effort among nursing leaders in practice and education, health care executives, government, and the media” (Nevidjon & Erickson, 2001).  Factors contributing to the nursing shortage include the following:  Nursing school enrollment is not growing fast enough to meet the projected demand for RN and APRN services, nursing school faculty shortage is restricting nursing program enrollments, a significant percentage of the current nursing workforce is nearing retirement age, there is an increased need for nursing care because of our aging population, and  insufficient staffing is intensifying nurses’ stress level which impacts job satisfaction and drives many nurses to leave the profession.

Although there has been a 3.6% increase in baccalaureate nursing program enrollment in 2016 according to the AACN (2017), this increase is not even close to sufficient enough to meet the projected demand for nursing faculty, researchers and primary care providers.  The AACN also reports that nursing schools in the U.S. turned away 64,067 qualified applicants in 2016 due to an insufficient number of faculty, clinical sites, clinical preceptors and budget limitations. Nevidjon & Erickson discuss multiple collaborative recruitment efforts happening currently:

In San Diego, six hospital systems have committed $1.3 million to support a program called, “Nurses Now”, which will add faculty and additional student slots to San Diego University.  The American Hospital Association News reports that in Laredo, Texas, a hospital CEO worked with Texas A&M University to develop a four-year bachelor’s program and is providing $425,000 in scholarships to local students over the next five years.  In Morris County, New Jersey, the Board of Freeholders offered scholarships to students who agreed to work in a long term care facility.  The Dallas-Fort Worth Hospital Council raised $600,000 to expand student enrollment at local schools.  These are examples of various successful collaborative efforts among healthcare organizations, government, nursing associations and nursing schools. Many more are happening at the local level (2011).

Ineffective leadership and management continue to foster suboptimal work environments minimizing the rate of improvement in the nurse shortage and turnover rates.  According to Kleinman (2004), results from a study conducted by Volk and Lucas in 1991 revealed that “management style was the only predictor of anticipated turnover” (p. 129, para 4). This correlation further substantiates the amount of influence that nurse leaders have on healthcare organizations in a variety of ways including: decreased quality of care, loss of patients, increased nurse turnover, increased turnover of medical support staff, increased staffing costs, and increased accident and absenteeism rates (Hunt, 2009).  Work environment has also been cited as a significant predictor of nurse turnover.  Nurse autonomy, interactions with managers, compensation and workload are all factors that have been reported to facilitate job satisfaction or lack-there-of, ultimately determining staff retention and turnover (Huber, 2010).  Leaders need to be aware of and understand the current healthcare challenges and develop expertise in the skills and approaches requisite for effective leadership (O’Neill, 2013).  “People’s time and effort, as well as organizations’ money, facilities, and supplies, need to be directed in a coordinated effort to achieve best results and meet objectives” (Huber, 2010).

Over time, study results have been consistently indicative of the direct impact managers and leaders have on the quality of healthcare at every level.  The importance of highly qualified and effective nurse leaders is evident now more than ever and by improving the methods used to manage nurses, positive changes will be put into motion (Hunt, 2009). While the direct benefit would be decreasing the nurse shortage, this change would also significantly benefit the availability and quality of healthcare for everyone. Implementing enhanced methods of managing nurses would successfully result in improved staffing.  In fact, effective leadership and management may be the key to overcoming the nurse shortage and finally optimizing the quality of healthcare for all.

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