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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: 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. 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: Identify the AP you interviewed and summarize the interview, which should/may include (if not in the interview, please address): Examine regulatory and legal requirements for the state in which you plan to practice/work. Describe the professional organizations available for membership based on your selected role. Identify required competencies (domains), including certification requirements for your selected role. Describe the organization and setting, population, and colleagues with whom you plan to work. Leadership Attributes of the Advanced Practice Role: Determine your leadership style Define Transformational Leadership and as it relates to your identified leadership attributes that you possess or need to develop 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.

After reading about the Sentencing Reform Act of 1984 and the subsequent adjustments ordered by the Supreme Court, consider how these changes impact an individual judge’s view of a “reasonable sentence.” Then, in a post to the discussion topic, answer these questions: Describe how you would tell a “reasonable” sentence from an unreasonable one—what are the hallmarks of a reasonable sentence? How does a forensic psychologist’s sentencing evaluation affect what would be considered a “reasonable sentence”? After reading about the changes to the Sentencing Reform Act, do you agree with the Supreme Court decisions to grant more discretion to federal judges? Why or why not?

Select a Fortune 500 company or another company you are familiar with. Consider pharmaceuticals, computer hardware, retail, or automotive industries for your selection. If you choose a company that is not in the Fortune 500, ensure that enough financial information and key performance indicator results are available to complete the assignment.

Imagine your manager has asked you to help with a presentation on the company’s financial performance at the company’s annual meeting.

Research financial information and key performance indicators for the company.

Create a 10- to 16-slide presentation for investors to assess the company’s financial growth and sustainability.

Identify key performance indicators for the company you selected, including the following:

• The company and its ticker symbol
• Cash flow from operations
• Price-to-earnings ratio
• Stock dividends and the yield, if any
• Earnings per share ratio
• Revenue estimates for the next 12 months
• Revenue from the previous 3 years
• Statement of cash flows and identify net cash from operating, investing, and financing activities over the past 3 years
• Average trade volume.
• Current stock price, 52-week high, and 1-year estimated stock price
• Analysts’ recommendations for the stock (buy,sell, hold)
• Market cap for the company
• Relate the stock price to price-to-earnings ratio.

After an illustrious twenty-year career as a senior assistant district attorney in Kent County, State of Tudor, Perry Mason is ready to give it up. He prosecuted some of the highest-profile cases in Kent over the years, and put dozens of criminals behind bars. Now he’s had enough of criminal prosecution, and thinks that his life would be less stressful if he moved over into corporate law. Because of his famous name and career, he is offered and accepts a position as senior litigator at Dewey, Cheatem & Howe, LLP. One of his first assignments is to represent the Kent County Employees’ Union Local 451 in its efforts to merge with the New Tudor Employees United Workers Local 37. He soon realizes, after delving into the client’s files, that the president of Local 451 is none other than Jimmy Tuffit, who spent 10 years in state prison after Perry successfully prosecuted him for taking bribes in connection with a different union. Please discuss what the ethical issue is and what Model Rule governs this situation. Be sure to include in your discussion: Whether Perry Mason is even permitted to work at Dewey, Cheatem & Howe; If so, whether Perry may continue to represent Local 451 in this matter; and What steps DC&H must take if Perry is to continue working for the firm. Your essay should be at least five paragraphs in length. A complete explanation of your reasoning is required to earn full credit.

Health Policy Group Project Work with your assigned group and assigned question. Identify the historical perspective, current issues/ problems (include regulations), and what is currently being done to change or improve. Students will be graded as a group. Please demonstrate engagement within group work. Review the literature and address one of the following: FNP/AGNP:Your group has been asked to present a poster on Practice Authority. Develop a power point poster template ofall statesauthority to practice for APRNS.Three categories must be address, unrestricted, limited or strict restrictions. Develop a comprehensive list and specificsof each state regulation. Please address questions below and conclude with the group’s position on thediversity in regulation and what should be done to change it. 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. Nurse Executive: Your group has been asked to present a disposition “white” paper on Value Based Care. What is value based care and how will it impact decisions made at the executive level relative to patient outcomes, reimbursement, nursing care and AP nursing? Please address and state the group’s position on the regulation. Nurse Informaticists:Your group has been assigned to determine the impact the role of the NI has on patient outcomes. Select a topic from Ch 24 ( Hamric). What law(s) was enacted to regulate health information? Please address questions below and the position on this regulation in a narrative format. Nurse Educator:Your group has been assigned to explore the competencies of a nurse educator. Your group will debate the preparation of DNPs versus PhD as nurse educators, stating the pros and cons of each preparation and include what agencies regulate nurse education. You will develop a comparison and contrast table and a narrative to explain. For the above assignment, use the following guide: Describe the current policy/status, which organization regulates 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; identify the groups who are opposed Explain how AP roles (which ones) could lead the effort to make or influence the change in policy or keep the policy the same and the impact in healthcare quality. Demonstrate group cohesiveness

5.1 Provide a brief definition of network access control.

5.2 What is an EAP?

5.3 List and briefly define four EAP authentication methods.

5.4 What is EAPOL?

5.5 What is the function of IEEE 802.1X?

5.6 Define cloud computing.

5.7 List and briefly define three cloud service models.

5.8 What is the cloud computing reference architecture?

5.9 Describe some of the main cloud-specific security threats.

6.2 What protocols comprise TLS?

6.3 What is the difference between a TLS connection and a TLS session?

6.4 List and briefly define the parameters that define a TLS session state.

6.5 List and briefly define the parameters that define a TLS session connection.

6.6 What services are provided by the TLS Record Protocol?

6.7 What steps are involved in the TLS Record Protocol transmission?

6.8 What is the purpose of HTTPS?

6.9 For what applications is SSH useful?

6.10 List and briefly define the SSH protocols.

7.1 What is the basic building block of an 802.11 WLAN?

7.2 Define an extended service set.

7.3 List and briefly define IEEE 802.11 services.

7.4 Is a distribution system a wireless network?

7.5 How is the concept of an association related to that of mobility?

7.6 What security areas are addressed by IEEE 802.11i?

7.7 Briefly describe the five IEEE 802.11i phases of operation.

7.8 What is the difference between TKIP and CCMP?

8.1 What is the difference between RFC 5321 and RFC 5322?

8.2 What are the SMTP and MIME standards?

8.3 What is the difference between a MIME content type and a MIME transfer encoding?

8.4 Briefly explain base64 encoding.

8.5 Why is base64 conversion useful for an e-mail application?

8.6 What is S/MIME?

8.7 What are the four principal services provided by S/MIME?

8.8 What is the utility of a detached signature?

8.9 What is DKIM?

9.1 Give examples of applications of IPsec.

9.2 What services are provided by IPsec?

9.3 What parameters identify an SA and what parameters characterize the nature of a particular SA?

9.4 What is the difference between transport mode and tunnel mode?

9.5 What is a replay attack?

9.6 Why does ESP include a padding field?

9.7 What are the basic approaches to bundling SAs?

9.8 What are the roles of the Oakley key determination protocol and ISAKMP in IPsec?

End-of-life care becomes an issue at some point for elderly clients. Even with the emergence of palliative care programs and hospice programs, most elderly people do not die in their own home as is their preference. What are the reasons for this trend? Discuss what you can do as a nurse to support your clients regarding end-of-life care in accordance with their wishes. Support your response with evidence-based literature.

– Discuss the PICOT question, in detail, and explain why this research is important to the nursing profession.

– Analyze the literature review, and determine how the current research supports the PICOT question, discussing all of the articles from the literature review.

– Analyze possible evaluation and measurement strategies and potential outcomes.

– Provide insight on how personal experience affects evidence-based practice.

– Discuss change strategies and how to implement them in the work environment to help promote change.

– Determine potential barriers in the workplace to consider when implementing change.

Supporting information:

– Part I: The PICOT question and explanation of the selected population (from Unit 2 Discussion Board). PICOT question is: In ambulatory infusion clinics, does adequate nurse staffing ratios improve patient care in three months

– Part II: The intervention—what is the intervention, and why it is selected? see below

– Part III: The comparison—what is currently being done or what are other possible interventions to consider? Currently being done are nurses working overtime, supervisors providing staff coverage, supervisor tasks not being completed when supervisor is working as a staff nurse, reschedule patient appointments when staffing is inappropriate, and nurse burnout.

– Part IV: The outcome(s) and time frame—what is the anticipated outcome from the change in intervention? And, over what period of time? see below

My recent discussion:

I work in a military health facility which is the only level 1 trauma center in the Department of Defense and one of two level 1 trauma centers in San Antonio, Texas. The issues surrounding nursing shortages and appropriate nurse-patient ratios have been a concern in numerous healthcare facilities of both military and civilian organizations. It is highly understood that nursing shortages and inappropriate nurse-patient ratios contribute to high rates of staff turnover and job dissatisfaction (Helfrich et al., 2017, p. 764). There are many nursing and support positions within my organization that were victims to a hiring freeze. The hiring freeze has been lifted, and the news brought a lot of joy, excitement, and relief to the staff who, for over a year, have been doing the job they were hired for along with additional tasks to cover the hole left by open positions. Unfortunately, the joy of receiving this news was short lived. Although the hiring freeze has been lifted, the hiring process that was created during the hiring freeze is still in place. Supervisors cannot post vacant job positions and hire qualified candidates. Instead, supervisors must write an exception to policy stating why this vacant position needs to be filled. The exception to policy must be sent to higher decision makers who will determine which positions will be filled throughout the organization.

This requires supervisors to be creative when developing interventions to decrease the heavy workload felt by staff since nothing has changed with the nursing shortage in our organization (Chan, Wong, Cheung, & Lam, 2018, p. 6). Patient and staff safety are always the priority when implementing interventions. As a nursing manager of an infusion clinic, our patients are referred to us from other services to receive treatment. Most patients are referred from gastroenterology, rheumatology, or neurology services. One intervention is to transfer some infusions to other clinics who have trained staff to administer certain medications. Instead of having a centralized infusion clinic for the facility, this will allow us to utilize the resources of other clinics since the Infusion Clinic’s patient census is increasing. The second intervention is to revise our scheduling practices by scheduling more time for patient appointments to allow time for administrative tasks and infusion chair turnover between patients. The third intervention is to cross-train a nurse from another area to be an Infusion Clinic float nurse in the event of staff illness or call out.

The outcomes to be measured are the number of missed administrative tasks, staff receiving uninterrupted lunches, the number of documentation errors, difference between patients’ appointment and check-in times, and the difference between patients’ appointment times and infusion start times. These outcomes will be measured by doing daily rounding and daily chart audits. The outcomes will be measured monthly over a period of six months to determine success or areas still needing improvement. If the outcomes are successful, this will be tremendous benefit to the outpatient clinics involved. Inpatient wards may have more staff overall, but they also have float nurses and similar systems in place to meet patient demands and staff call outs.

References:

Ball, J. E., Griffiths, P., Rafferty, A. M., Lindqvist, R., Murrells, T., & Tishelman, C. (2016). A cross-sectional study of ‘care left undone’ on nursing shifts in hospitals. Journal of Advanced Nursing, 72(9), 2086-2097. doi:10_1111/jan.12976

 

Chan, E. A., Wong, F., Cheung, M. Y., & Lam, W. (2018). Patients’ perceptions of their experiences with nurse-patient communication in oncology settings: a focused ethnographic study. PLOS ONE, 13(6). doi:10.1371/journal.pone.0199183

 

Frith, K. H., Anderson, E. F., Tsdng, F., & Fong, E. A. (2012). Nurse staffing is an important strategy to prevent medication errors in community hospitals. Nursing   Economics, 30(5), 288-294.

 

Griffiths, P., Ball, J., Drennan, J., Dall’Ora, C., Jones, J., Maruottis, A., …Simon, M. (2016). Nurse staffing and patient outcomes: Strengths and limitation of the evidence to inform policy and practice. A review and discussion paper based on evidence reviewed for the National Institute for Health and Care Excellence Safe Staffing guideline development. International Journal of Nursing Studies, 63, 213-225. Retrieved from http://dx.doi.org/10/1016/j.ijnurstu.2016.03.012

 

Griffiths, P., Recio-Saucedo, A., Dall’Ora, C., Briggs, J., Maruotti, A., Meredith, P., …Ball, J. (2018). The association between nurse staffing and omission in nursing care: A systematic review. Journal of Advanced Nursing, 74, 1474-2487. doi:10.1111/jan.13564

 

Helfrich, C. D.,   Simonetti, J. A., Clinton, W. L., Wood, G. B., Taylor, L., Schectman, G., …Nelson, K. M. (2017). The association of team-specific workload and staffing with odds of burnout among VA primary care team members. Journal of General Internal Medicine, 32(7), 760-766. doi:10.1007/s11606-017-4011-4

 

Kouatly, I. A., Nassar, N., Nizam, M., & Badr, L. K., (2018). Evidence on nurse   staffing ratios and patient outcomes in a low-income country: Implications for   future research and practice. Worldviews on Evidence-Based Nursing, 15(5),   353-360. doi:10.1111/wvn.12316

 

Nelson, B. A., (2011). Healthcare team members’ perception of staffing adequacy in a comprehensive cancer center. Oncology Nursing Forum, 38(1), 52-59

Read the Gail Industries Case Study.

Imagine you are the IT manager for Gail Industries. You will meet with a new business analyst team at the Smallville customer site. The project sponsor has asked you to spend time with the business analyst team to emphasize the importance of IT governance.

Create a 10- to 12-slide media-rich overview and brief analysis presentation with speaker notes in which you:

• Examine the role of IT governance and why it is important in the IT industry.
• Analyze key aspects of IT governance, including enterprise resource planning and transaction processing systems.
• Please note that all assignments are required to have a minimum of 3 references with in-text citations. If you are unsure of what is required, please ask well in advance.

  Media-rich: means that there are visuals and possibly audio files that enhance the slides. Examples might be charts, diagrams, graphics, photos, videos, voice overs, etc.

  Slide presentations are meant to engage an audience! They should present concise information in readable type, with media that enhances the information. Speaker notes are where more information can be placed. (Keep in mind all of the boring powerpoint presentations you have attended and avoid making your presentation the same way.)

Identify a clear, actionable, and measurable technology goal for the organization that clearly supports the mission and vision.

Analyze how this goal supports the mission and vision of the hospital.

Explain how you would measure progress toward the goal.

• Discuss milestones necessary for progress.
• Discuss the criteria you would use to measure that the goal was completed.