Tag: Nursing

  • [Solved] MOD 5 REPLIES

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  • [Solved] Nursing assignment 11

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    Please check all the attached documents. – ## GNRS557_FaithIntegrationRubric-1.pdf – ## GuidelinesFaithIntegrationPaper-11.pdf – ## Shareapersonalexperience1.docx **## GNRS557_FaithIntegrationRubric-1.pdf** Faith Integration Paper Rubric Category Meets Standards Nearly Meets Standard Doesn’t Meet …

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    Please check all the attached documents.

    – ## GNRS557_FaithIntegrationRubric-1.pdf

    – ## GuidelinesFaithIntegrationPaper-11.pdf

    – ## Shareapersonalexperience1.docx

    **## GNRS557_FaithIntegrationRubric-1.pdf**

    Faith Integration Paper Rubric

    Category Meets Standards Nearly Meets Standard Doesn’t Meet Standard No credit Score
    Thesis/Main
    Idea Statement
    (10 points)

    Clearly and concisely states the
    paper’s purpose in a single
    sentence, which is engaging, and
    thought provoking.

    States the paper’s purpose in a
    single sentence, but either isn’t
    engaging or isn’t specific enough.

    Incomplete and/or unfocused Absent, no evidence

    Introduction
    and Literature
    Review
    (10 points)

    These sections are engaging, state
    the main topic and provide a
    fitting summation of the ideas
    presented in the paper

    These sections state the main topic,
    but either aren’t engaging or do not
    adequately preview or sum -up the
    structure of the paper.

    Either or both sections are unclear
    or badly written.

    Either section is missing
    or incomplete.

    Body of Paper
    – Revised &
    Finalized
    (35 points)

    Each paragraph has thoughtful
    supporting detail sentences that
    develop how they reach a position
    in which to impact the world in a
    crucial way. Successfully
    integrated faith/worldview/belief
    to body of work.

    Some paragraphs lack supporting
    detail sentences and examples
    and/or weak transitions. Somewhat
    integrated faith/worldview/belief to
    body of work.

    Some paragraphs fail to develop
    the main idea. Lacking in
    transitions. Failed to integrate
    faith/worldview/belief to body of
    work.

    Incomplete or missing
    entirely.

    Outline
    (10 points)

    Writer explains the major
    accomplishment(s) and their
    importance with thoughtful
    supporting detail sentences that
    are well-organized.

    Some paragraphs lack supporting
    detail sentences and examples
    and/or weak transitions.

    Some paragraphs fail to develop
    the main idea. Lacking in
    transitions.

    Incomplete or missing
    entirely.

    Title and
    Supportive
    Resources
    (10 points)

    Writer explains the subject’s
    impact with thoughtful supporting
    detail sentences that are well-
    organized. Accurately used two or
    more academic/Biblical resources
    to support thesis.

    Some paragraphs lack supporting
    detail sentences and examples
    and/or weak transitions. Somewhat
    used one or more academic/Biblical
    resources to support thesis.

    Some paragraphs fail to develop
    the main idea. Lacking in
    transitions. Did not properly use
    one or more academic/Biblical
    resources to support thesis.

    Incomplete or missing
    entirely.

    Mechanics/
    Usage/
    Citations/
    Works Cited
    Page/Title
    Page/Reference
    Page
    (14 points)

    Three or fewer errors in
    punctuation, capitalization, and
    spelling. No errors sentence
    structure and word usage. All
    cited works, both text and visual,
    are done in the correct format
    with no errors. Accurate APA
    formatting.

    Many errors in punctuation,
    capitalization and spelling. Three or
    fewer errors in sentence structure
    and word usage. Some cited works,
    both text and visual, are done in the
    correct format. Inconsistencies
    evident, but avoids plagiarism.
    Lacked APA format.

    Numerous and distracting
    errors in punctuation, capitalization
    and spelling. Numerous and
    distracting errors in sentence
    structure and word usage. Few
    cited works, both text and visual,
    are done in the correct format.
    Serious problems, but avoids
    plagiarism. Not in APA format.

    Not applicable

    Total Points: ___/89

    GRADE:

    **## GuidelinesFaithIntegrationPaper-11.pdf**

    One of the Cornerstones of Azusa Pacific University is Service. Your Faith Integration
    paper (written in English) will focus on how you will incorporate your faith or worldview
    into your diverse community of service as a nurse practitioner. In this formal research
    paper, I want you to substantiate your thoughts with viable academic resources
    (minimum of two academic resources which one of the resources can be the Bible).

    Challenge yourself to look at your career as a nurse practitioner looking through the lens
    of a cultural advocate and holistic health provider. Look at ways on how you can impact
    your patients or your colleagues on a cultural level and on a faith/worldview level.

    For example, each week you have been challenged to reflect on faith and cultural views.
    Utilize what you already know and what you have learned to expand upon your outlook
    on how to treat patients that are from a different cultural than your own. Take one
    aspect of faith (what motivates you to make an impact in your world) and integrate it
    into your culturally diverse medical practice.

    Guidelines:

    • Create a thesis based on your interest in nursing. Focus on the “why” you want to
    write about this area of medicine and how your personal
    faith/worldview/perspective will help motivate you to make a difference.

    • Make this paper personal. You are permitted to use the 3rd person when writing
    this paper.

    • Two or more resources are required to substantiate and support your thesis
    statement. One viable resource you can use is the Bible.

    • The Faith Integration paper should include:
    o An APA formatted title page
    o Two or more pages of content

    § Font size: 12
    § Double spaced
    § Margins: 1”
    § Formal and professional language

    o One APA formatted resource page
    § Two or more academic resources
    § Include personal faith/worldview/perspective to support your

    personal connection

    Examples of thesis statements:

    • Focus on the increase of cases of Latino patients with latter stages of cancer.
    Come up with strategies on how to demonstrate the importance of
    preventative care. Include methods of approach that would include holistic
    care: language services, sensitivity to traditions, cultural norms, and personal
    beliefs. How would your personal culture, belief and traditions help you to
    convey this vital information?

    • Share a personal experience (write in the first person) on your own personal
    growth since becoming a nurse/nurse practitioner and working with culturally
    diverse patients. Give an example on how you have grown as a person and
    how your personal faith/belief/worldview has changed. What challenges are
    you facing in becoming a culturally competent nurse? What ways assist you in
    becoming more culturally aware or sensitive? Does your
    faith/belief/worldview influence the way you treat your patients?

    • Research the various methods/approaches/training modules that are available
    to healthcare providers to increase their cultural awareness and/or cultural
    sensitivity. Share your thoughts on the pros and cons of these
    methods/approaches/training modules. Based on your personal
    faith/belief/worldview, how can increasing your cultural knowledge help you
    understand your patients better? You can include methods on how to raise
    patient compliancy rates and patient satisfaction scores.

    Each week you will submit a section of your paper for review.

    • Week 7 – Submit one or two sentences stating your thesis or main idea for
    your Faith Integration paper. (10 points)

    • Week 8 – Submit the title of your paper and two or more academic
    resources (that you will use for your paper) in APA format (10 points)

    • Week 9 – Submit an outline (10 points)
    • Week 10 – Submit introduction and literature review (10 points)
    • Week 11- Finalized and revised paper (35 points)

    o You must also include a Title page (4 points), correct APA formatting (5
    points), correct APA reference page (5 points)

    This assignment is worth 9% of your total grade.

    **## Shareapersonalexperience1.docx**

    Share a personal experience (write in the first person) on your own personal
    growth since becoming a nurse/nurse practitioner and working with culturally
    diverse patients.

    Give an example on how you have grown as a person and
    how your personal faith/belief/worldview has changed. What challenges are
    you facing in becoming a culturally competent nurse? What ways assist you in
    becoming more culturally aware or sensitive? Does your
    faith/belief/worldview influence the way you treat your patients?

    **Thesis / Main Idea**

    Guided by the biblical call to serve the vulnerable, I will integrate my faith with culturally sensitive nursing practice to address health disparities in immigrant and minority populations through preventive screenings, patient education, and respectful family-centered care.

    Faith-Driven Service: Integrating Christian Values to Reduce Health Disparities Among Immigrant Communities

    Since becoming a nurse and now advancing as a Family Nurse Practitioner student, I have experienced tremendous personal and spiritual growth. As an immigrant from Iran, I came to the United States alone, learning to navigate a new culture, language, and healthcare system without the support of my family at first. Those early years taught me empathy in a way no textbook could. Now, as my parents have recently joined me here, I see them face the same challenges I once did—struggling with appointments, insurance, and understanding medical instructions. Witnessing their experience has deepened my awareness of the barriers immigrant and minority populations face every day in accessing care.

    Being born and raised in a Muslim family instilled in me strong values of compassion, humility, and respect for others. Over time, my Christian faith has built upon those same principles, shaping my worldview into one that emphasizes service, love, and the dignity of every person. Working at Cedars-Sinai, I care for many culturally diverse patients, and I often see reflections of my own story in them. Early in my career, I focused mostly on providing correct treatments and following clinical guidelines. With experience and faith, I learned that true nursing care is holistic—it includes understanding each patient’s beliefs, traditions, and family dynamics.

    One moment that shaped my growth was caring for a Spanish-speaking patient who relied heavily on her faith and family for strength during recovery. By taking time to listen through an interpreter, involving her loved ones in care, and showing genuine respect for her beliefs, I saw how trust and healing grew hand in hand. That experience reminded me that cultural sensitivity is not about knowing every custom—it’s about approaching every person with humility and openness.

    The greatest challenge I face in becoming a culturally competent nurse is balancing the fast pace of hospital life with the need to truly connect and understand each patient’s cultural background. What helps me grow is continuous self-reflection, prayer, and learning from my diverse coworkers and patients. My faith calls me to serve the vulnerable with love and integrity, while my immigrant experience allows me to see each patient not as “different,” but as someone deserving of understanding and belonging.

    Example references: (you can add or change)

    Liu, T. T., Chen, M. Y., Chang, Y. M., & Lin, M. H. (2022). A Preliminary Study on the Cultural Competence of Nurse Practitioners and Its Affecting Factors.
    _Healthcare (Basel, Switzerland)_,
    _10_(4), 678.
    [https://doi.org/10.3390/healthcare10040678](https://doi.org/10.3390/healthcare10040678)

    Giwa, O., Salami, B. O., & O’Rourke, T. (2020). A scoping review of nurse practitioner roles in immigrant health.
    _Journal for Nurse Practitioners, 16_(6), 428-432.
    [https://doi.org/10.1016/j.nurpra.2020.03.012](https://doi.org/10.1016/j.nurpra.2020.03.012)

    Schlak, A. E., Liu, J., Dixon, J., Poghosyan, L., Lelutiu-Weinberger, C., & Cato, K. (2024). The association between nurse practitioner race and ethnicity and intent to leave in primary care practices.
    _Nursing Outlook, 72_(6), Article 102289.
    [https://doi.org/10.1016/j.outlook.2024.102289](https://doi.org/10.1016/j.outlook.2024.102289)

    Wessel, L., & Galo Valasquez, L. (2024). The role of nurse practitioners in helping refugees and immigrants.
    _The Journal for Nurse Practitioners, 20_, Article 104824.
    [https://doi.org/10.1016/j.nurpra.2023.104824](https://doi.org/10.1016/j.nurpra.2023.104824)

    **## Shareapersonalexperience1.docx**

    Share a personal experience (write in the first person) on your own personal
    growth since becoming a nurse/nurse practitioner and working with culturally
    diverse patients.

    Give an example on how you have grown as a person and
    how your personal faith/belief/worldview has changed. What challenges are
    you facing in becoming a culturally competent nurse? What ways assist you in
    becoming more culturally aware or sensitive? Does your
    faith/belief/worldview influence the way you treat your patients?

    **Thesis / Main Idea**

    Guided by the biblical call to serve the vulnerable, I will integrate my faith with culturally sensitive nursing practice to address health disparities in immigrant and minority populations through preventive screenings, patient education, and respectful family-centered care.

    Faith-Driven Service: Integrating Christian Values to Reduce Health Disparities Among Immigrant Communities

    Since becoming a nurse and now advancing as a Family Nurse Practitioner student, I have experienced tremendous personal and spiritual growth. As an immigrant from Iran, I came to the United States alone, learning to navigate a new culture, language, and healthcare system without the support of my family at first. Those early years taught me empathy in a way no textbook could. Now, as my parents have recently joined me here, I see them face the same challenges I once did—struggling with appointments, insurance, and understanding medical instructions. Witnessing their experience has deepened my awareness of the barriers immigrant and minority populations face every day in accessing care.

    Being born and raised in a Muslim family instilled in me strong values of compassion, humility, and respect for others. Over time, my Christian faith has built upon those same principles, shaping my worldview into one that emphasizes service, love, and the dignity of every person. Working at Cedars-Sinai, I care for many culturally diverse patients, and I often see reflections of my own story in them. Early in my career, I focused mostly on providing correct treatments and following clinical guidelines. With experience and faith, I learned that true nursing care is holistic—it includes understanding each patient’s beliefs, traditions, and family dynamics.

    One moment that shaped my growth was caring for a Spanish-speaking patient who relied heavily on her faith and family for strength during recovery. By taking time to listen through an interpreter, involving her loved ones in care, and showing genuine respect for her beliefs, I saw how trust and healing grew hand in hand. That experience reminded me that cultural sensitivity is not about knowing every custom—it’s about approaching every person with humility and openness.

    The greatest challenge I face in becoming a culturally competent nurse is balancing the fast pace of hospital life with the need to truly connect and understand each patient’s cultural background. What helps me grow is continuous self-reflection, prayer, and learning from my diverse coworkers and patients. My faith calls me to serve the vulnerable with love and integrity, while my immigrant experience allows me to see each patient not as “different,” but as someone deserving of understanding and belonging.

    Example references: (you can add or change)

    Liu, T. T., Chen, M. Y., Chang, Y. M., & Lin, M. H. (2022). A Preliminary Study on the Cultural Competence of Nurse Practitioners and Its Affecting Factors.
    _Healthcare (Basel, Switzerland)_,
    _10_(4), 678.
    [https://doi.org/10.3390/healthcare10040678](https://doi.org/10.3390/healthcare10040678)

    Giwa, O., Salami, B. O., & O’Rourke, T. (2020). A scoping review of nurse practitioner roles in immigrant health.
    _Journal for Nurse Practitioners, 16_(6), 428-432.
    [https://doi.org/10.1016/j.nurpra.2020.03.012](https://doi.org/10.1016/j.nurpra.2020.03.012)

    Schlak, A. E., Liu, J., Dixon, J., Poghosyan, L., Lelutiu-Weinberger, C., & Cato, K. (2024). The association between nurse practitioner race and ethnicity and intent to leave in primary care practices.
    _Nursing Outlook, 72_(6), Article 102289.
    [https://doi.org/10.1016/j.outlook.2024.102289](https://doi.org/10.1016/j.outlook.2024.102289)

    Wessel, L., & Galo Valasquez, L. (2024). The role of nurse practitioners in helping refugees and immigrants.
    _The Journal for Nurse Practitioners, 20_, Article 104824.
    [https://doi.org/10.1016/j.nurpra.2023.104824](https://doi.org/10.1016/j.nurpra.2023.104824)

    **## GNRS557_FaithIntegrationRubric-1.pdf**

    Faith Integration Paper Rubric

    Category Meets Standards Nearly Meets Standard Doesn’t Meet Standard No credit Score
    Thesis/Main
    Idea Statement
    (10 points)

    Clearly and concisely states the
    paper’s purpose in a single
    sentence, which is engaging, and
    thought provoking.

    States the paper’s purpose in a
    single sentence, but either isn’t
    engaging or isn’t specific enough.

    Incomplete and/or unfocused Absent, no evidence

    Introduction
    and Literature
    Review
    (10 points)

    These sections are engaging, state
    the main topic and provide a
    fitting summation of the ideas
    presented in the paper

    These sections state the main topic,
    but either aren’t engaging or do not
    adequately preview or sum -up the
    structure of the paper.

    Either or both sections are unclear
    or badly written.

    Either section is missing
    or incomplete.

    Body of Paper
    – Revised &
    Finalized
    (35 points)

    Each paragraph has thoughtful
    supporting detail sentences that
    develop how they reach a position
    in which to impact the world in a
    crucial way. Successfully
    integrated faith/worldview/belief
    to body of work.

    Some paragraphs lack supporting
    detail sentences and examples
    and/or weak transitions. Somewhat
    integrated faith/worldview/belief to
    body of work.

    Some paragraphs fail to develop
    the main idea. Lacking in
    transitions. Failed to integrate
    faith/worldview/belief to body of
    work.

    Incomplete or missing
    entirely.

    Outline
    (10 points)

    Writer explains the major
    accomplishment(s) and their
    importance with thoughtful
    supporting detail sentences that
    are well-organized.

    Some paragraphs lack supporting
    detail sentences and examples
    and/or weak transitions.

    Some paragraphs fail to develop
    the main idea. Lacking in
    transitions.

    Incomplete or missing
    entirely.

    Title and
    Supportive
    Resources
    (10 points)

    Writer explains the subject’s
    impact with thoughtful supporting
    detail sentences that are well-
    organized. Accurately used two or
    more academic/Biblical resources
    to support thesis.

    Some paragraphs lack supporting
    detail sentences and examples
    and/or weak transitions. Somewhat
    used one or more academic/Biblical
    resources to support thesis.

    Some paragraphs fail to develop
    the main idea. Lacking in
    transitions. Did not properly use
    one or more academic/Biblical
    resources to support thesis.

    Incomplete or missing
    entirely.

    Mechanics/
    Usage/
    Citations/
    Works Cited
    Page/Title
    Page/Reference
    Page
    (14 points)

    Three or fewer errors in
    punctuation, capitalization, and
    spelling. No errors sentence
    structure and word usage. All
    cited works, both text and visual,
    are done in the correct format
    with no errors. Accurate APA
    formatting.

    Many errors in punctuation,
    capitalization and spelling. Three or
    fewer errors in sentence structure
    and word usage. Some cited works,
    both text and visual, are done in the
    correct format. Inconsistencies
    evident, but avoids plagiarism.
    Lacked APA format.

    Numerous and distracting
    errors in punctuation, capitalization
    and spelling. Numerous and
    distracting errors in sentence
    structure and word usage. Few
    cited works, both text and visual,
    are done in the correct format.
    Serious problems, but avoids
    plagiarism. Not in APA format.

    Not applicable

    Total Points: ___/89

    GRADE:

    **## GuidelinesFaithIntegrationPaper-11.pdf**

    One of the Cornerstones of Azusa Pacific University is Service. Your Faith Integration
    paper (written in English) will focus on how you will incorporate your faith or worldview
    into your diverse community of service as a nurse practitioner. In this formal research
    paper, I want you to substantiate your thoughts with viable academic resources
    (minimum of two academic resources which one of the resources can be the Bible).

    Challenge yourself to look at your career as a nurse practitioner looking through the lens
    of a cultural advocate and holistic health provider. Look at ways on how you can impact
    your patients or your colleagues on a cultural level and on a faith/worldview level.

    For example, each week you have been challenged to reflect on faith and cultural views.
    Utilize what you already know and what you have learned to expand upon your outlook
    on how to treat patients that are from a different cultural than your own. Take one
    aspect of faith (what motivates you to make an impact in your world) and integrate it
    into your culturally diverse medical practice.

    Guidelines:

    • Create a thesis based on your interest in nursing. Focus on the “why” you want to
    write about this area of medicine and how your personal
    faith/worldview/perspective will help motivate you to make a difference.

    • Make this paper personal. You are permitted to use the 3rd person when writing
    this paper.

    • Two or more resources are required to substantiate and support your thesis
    statement. One viable resource you can use is the Bible.

    • The Faith Integration paper should include:
    o An APA formatted title page
    o Two or more pages of content

    § Font size: 12
    § Double spaced
    § Margins: 1”
    § Formal and professional language

    o One APA formatted resource page
    § Two or more academic resources
    § Include personal faith/worldview/perspective to support your

    personal connection

    Examples of thesis statements:

    • Focus on the increase of cases of Latino patients with latter stages of cancer.
    Come up with strategies on how to demonstrate the importance of
    preventative care. Include methods of approach that would include holistic
    care: language services, sensitivity to traditions, cultural norms, and personal
    beliefs. How would your personal culture, belief and traditions help you to
    convey this vital information?

    • Share a personal experience (write in the first person) on your own personal
    growth since becoming a nurse/nurse practitioner and working with culturally
    diverse patients. Give an example on how you have grown as a person and
    how your personal faith/belief/worldview has changed. What challenges are
    you facing in becoming a culturally competent nurse? What ways assist you in
    becoming more culturally aware or sensitive? Does your
    faith/belief/worldview influence the way you treat your patients?

    • Research the various methods/approaches/training modules that are available
    to healthcare providers to increase their cultural awareness and/or cultural
    sensitivity. Share your thoughts on the pros and cons of these
    methods/approaches/training modules. Based on your personal
    faith/belief/worldview, how can increasing your cultural knowledge help you
    understand your patients better? You can include methods on how to raise
    patient compliancy rates and patient satisfaction scores.

    Each week you will submit a section of your paper for review.

    • Week 7 – Submit one or two sentences stating your thesis or main idea for
    your Faith Integration paper. (10 points)

    • Week 8 – Submit the title of your paper and two or more academic
    resources (that you will use for your paper) in APA format (10 points)

    • Week 9 – Submit an outline (10 points)
    • Week 10 – Submit introduction and literature review (10 points)
    • Week 11- Finalized and revised paper (35 points)

    o You must also include a Title page (4 points), correct APA formatting (5
    points), correct APA reference page (5 points)

    This assignment is worth 9% of your total grade.

    **## Shareapersonalexperience1.docx**

    Share a personal experience (write in the first person) on your own personal
    growth since becoming a nurse/nurse practitioner and working with culturally
    diverse patients.

    Give an example on how you have grown as a person and
    how your personal faith/belief/worldview has changed. What challenges are
    you facing in becoming a culturally competent nurse? What ways assist you in
    becoming more culturally aware or sensitive? Does your
    faith/belief/worldview influence the way you treat your patients?

    **Thesis / Main Idea**

    Guided by the biblical call to serve the vulnerable, I will integrate my faith with culturally sensitive nursing practice to address health disparities in immigrant and minority populations through preventive screenings, patient education, and respectful family-centered care.

    Faith-Driven Service: Integrating Christian Values to Reduce Health Disparities Among Immigrant Communities

    Since becoming a nurse and now advancing as a Family Nurse Practitioner student, I have experienced tremendous personal and spiritual growth. As an immigrant from Iran, I came to the United States alone, learning to navigate a new culture, language, and healthcare system without the support of my family at first. Those early years taught me empathy in a way no textbook could. Now, as my parents have recently joined me here, I see them face the same challenges I once did—struggling with appointments, insurance, and understanding medical instructions. Witnessing their experience has deepened my awareness of the barriers immigrant and minority populations face every day in accessing care.

    Being born and raised in a Muslim family instilled in me strong values of compassion, humility, and respect for others. Over time, my Christian faith has built upon those same principles, shaping my worldview into one that emphasizes service, love, and the dignity of every person. Working at Cedars-Sinai, I care for many culturally diverse patients, and I often see reflections of my own story in them. Early in my career, I focused mostly on providing correct treatments and following clinical guidelines. With experience and faith, I learned that true nursing care is holistic—it includes understanding each patient’s beliefs, traditions, and family dynamics.

    One moment that shaped my growth was caring for a Spanish-speaking patient who relied heavily on her faith and family for strength during recovery. By taking time to listen through an interpreter, involving her loved ones in care, and showing genuine respect for her beliefs, I saw how trust and healing grew hand in hand. That experience reminded me that cultural sensitivity is not about knowing every custom—it’s about approaching every person with humility and openness.

    The greatest challenge I face in becoming a culturally competent nurse is balancing the fast pace of hospital life with the need to truly connect and understand each patient’s cultural background. What helps me grow is continuous self-reflection, prayer, and learning from my diverse coworkers and patients. My faith calls me to serve the vulnerable with love and integrity, while my immigrant experience allows me to see each patient not as “different,” but as someone deserving of understanding and belonging.

    Example references: (you can add or change)

    Liu, T. T., Chen, M. Y., Chang, Y. M., & Lin, M. H. (2022). A Preliminary Study on the Cultural Competence of Nurse Practitioners and Its Affecting Factors.
    _Healthcare (Basel, Switzerland)_,
    _10_(4), 678.
    [https://doi.org/10.3390/healthcare10040678](https://doi.org/10.3390/healthcare10040678)

    Giwa, O., Salami, B. O., & O’Rourke, T. (2020). A scoping review of nurse practitioner roles in immigrant health.
    _Journal for Nurse Practitioners, 16_(6), 428-432.
    [https://doi.org/10.1016/j.nurpra.2020.03.012](https://doi.org/10.1016/j.nurpra.2020.03.012)

    Schlak, A. E., Liu, J., Dixon, J., Poghosyan, L., Lelutiu-Weinberger, C., & Cato, K. (2024). The association between nurse practitioner race and ethnicity and intent to leave in primary care practices.
    _Nursing Outlook, 72_(6), Article 102289.
    [https://doi.org/10.1016/j.outlook.2024.102289](https://doi.org/10.1016/j.outlook.2024.102289)

    Wessel, L., & Galo Valasquez, L. (2024). The role of nurse practitioners in helping refugees and immigrants.
    _The Journal for Nurse Practitioners, 20_, Article 104824.
    [https://doi.org/10.1016/j.nurpra.2023.104824](https://doi.org/10.1016/j.nurpra.2023.104824)

    **## GNRS557_FaithIntegrationRubric-1.pdf**

    Faith Integration Paper Rubric

    Category Meets Standards Nearly Meets Standard Doesn’t Meet Standard No credit Score
    Thesis/Main
    Idea Statement
    (10 points)

    Clearly and concisely states the
    paper’s purpose in a single
    sentence, which is engaging, and
    thought provoking.

    States the paper’s purpose in a
    single sentence, but either isn’t
    engaging or isn’t specific enough.

    Incomplete and/or unfocused Absent, no evidence

    Introduction
    and Literature
    Review
    (10 points)

    These sections are engaging, state
    the main topic and provide a
    fitting summation of the ideas
    presented in the paper

    These sections state the main topic,
    but either aren’t engaging or do not
    adequately preview or sum -up the
    structure of the paper.

    Either or both sections are unclear
    or badly written.

    Either section is missing
    or incomplete.

    Body of Paper
    – Revised &
    Finalized
    (35 points)

    Each paragraph has thoughtful
    supporting detail sentences that
    develop how they reach a position
    in which to impact the world in a
    crucial way. Successfully
    integrated faith/worldview/belief
    to body of work.

    Some paragraphs lack supporting
    detail sentences and examples
    and/or weak transitions. Somewhat
    integrated faith/worldview/belief to
    body of work.

    Some paragraphs fail to develop
    the main idea. Lacking in
    transitions. Failed to integrate
    faith/worldview/belief to body of
    work.

    Incomplete or missing
    entirely.

    Outline
    (10 points)

    Writer explains the major
    accomplishment(s) and their
    importance with thoughtful
    supporting detail sentences that
    are well-organized.

    Some paragraphs lack supporting
    detail sentences and examples
    and/or weak transitions.

    Some paragraphs fail to develop
    the main idea. Lacking in
    transitions.

    Incomplete or missing
    entirely.

    Title and
    Supportive
    Resources
    (10 points)

    Writer explains the subject’s
    impact with thoughtful supporting
    detail sentences that are well-
    organized. Accurately used two or
    more academic/Biblical resources
    to support thesis.

    Some paragraphs lack supporting
    detail sentences and examples
    and/or weak transitions. Somewhat
    used one or more academic/Biblical
    resources to support thesis.

    Some paragraphs fail to develop
    the main idea. Lacking in
    transitions. Did not properly use
    one or more academic/Biblical
    resources to support thesis.

    Incomplete or missing
    entirely.

    Mechanics/
    Usage/
    Citations/
    Works Cited
    Page/Title
    Page/Reference
    Page
    (14 points)

    Three or fewer errors in
    punctuation, capitalization, and
    spelling. No errors sentence
    structure and word usage. All
    cited works, both text and visual,
    are done in the correct format
    with no errors. Accurate APA
    formatting.

    Many errors in punctuation,
    capitalization and spelling. Three or
    fewer errors in sentence structure
    and word usage. Some cited works,
    both text and visual, are done in the
    correct format. Inconsistencies
    evident, but avoids plagiarism.
    Lacked APA format.

    Numerous and distracting
    errors in punctuation, capitalization
    and spelling. Numerous and
    distracting errors in sentence
    structure and word usage. Few
    cited works, both text and visual,
    are done in the correct format.
    Serious problems, but avoids
    plagiarism. Not in APA format.

    Not applicable

    Total Points: ___/89

    GRADE:

    **## GuidelinesFaithIntegrationPaper-11.pdf**

    One of the Cornerstones of Azusa Pacific University is Service. Your Faith Integration
    paper (written in English) will focus on how you will incorporate your faith or worldview
    into your diverse community of service as a nurse practitioner. In this formal research
    paper, I want you to substantiate your thoughts with viable academic resources
    (minimum of two academic resources which one of the resources can be the Bible).

    Challenge yourself to look at your career as a nurse practitioner looking through the lens
    of a cultural advocate and holistic health provider. Look at ways on how you can impact
    your patients or your colleagues on a cultural level and on a faith/worldview level.

    For example, each week you have been challenged to reflect on faith and cultural views.
    Utilize what you already know and what you have learned to expand upon your outlook
    on how to treat patients that are from a different cultural than your own. Take one
    aspect of faith (what motivates you to make an impact in your world) and integrate it
    into your culturally diverse medical practice.

    Guidelines:

    • Create a thesis based on your interest in nursing. Focus on the “why” you want to
    write about this area of medicine and how your personal
    faith/worldview/perspective will help motivate you to make a difference.

    • Make this paper personal. You are permitted to use the 3rd person when writing
    this paper.

    • Two or more resources are required to substantiate and support your thesis
    statement. One viable resource you can use is the Bible.

    • The Faith Integration paper should include:
    o An APA formatted title page
    o Two or more pages of content

    § Font size: 12
    § Double spaced
    § Margins: 1”
    § Formal and professional language

    o One APA formatted resource page
    § Two or more academic resources
    § Include personal faith/worldview/perspective to support your

    personal connection

    Examples of thesis statements:

    • Focus on the increase of cases of Latino patients with latter stages of cancer.
    Come up with strategies on how to demonstrate the importance of
    preventative care. Include methods of approach that would include holistic
    care: language services, sensitivity to traditions, cultural norms, and personal
    beliefs. How would your personal culture, belief and traditions help you to
    convey this vital information?

    • Share a personal experience (write in the first person) on your own personal
    growth since becoming a nurse/nurse practitioner and working with culturally
    diverse patients. Give an example on how you have grown as a person and
    how your personal faith/belief/worldview has changed. What challenges are
    you facing in becoming a culturally competent nurse? What ways assist you in
    becoming more culturally aware or sensitive? Does your
    faith/belief/worldview influence the way you treat your patients?

    • Research the various methods/approaches/training modules that are available
    to healthcare providers to increase their cultural awareness and/or cultural
    sensitivity. Share your thoughts on the pros and cons of these
    methods/approaches/training modules. Based on your personal
    faith/belief/worldview, how can increasing your cultural knowledge help you
    understand your patients better? You can include methods on how to raise
    patient compliancy rates and patient satisfaction scores.

    Each week you will submit a section of your paper for review.

    • Week 7 – Submit one or two sentences stating your thesis or main idea for
    your Faith Integration paper. (10 points)

    • Week 8 – Submit the title of your paper and two or more academic
    resources (that you will use for your paper) in APA format (10 points)

    • Week 9 – Submit an outline (10 points)
    • Week 10 – Submit introduction and literature review (10 points)
    • Week 11- Finalized and revised paper (35 points)

    o You must also include a Title page (4 points), correct APA formatting (5
    points), correct APA reference page (5 points)

    This assignment is worth 9% of your total grade.

    **## Shareapersonalexperience1.docx**

    Share a personal experience (write in the first person) on your own personal
    growth since becoming a nurse/nurse practitioner and working with culturally
    diverse patients.

    Give an example on how you have grown as a person and
    how your personal faith/belief/worldview has changed. What challenges are
    you facing in becoming a culturally competent nurse? What ways assist you in
    becoming more culturally aware or sensitive? Does your
    faith/belief/worldview influence the way you treat your patients?

    **Thesis / Main Idea**

    Guided by the biblical call to serve the vulnerable, I will integrate my faith with culturally sensitive nursing practice to address health disparities in immigrant and minority populations through preventive screenings, patient education, and respectful family-centered care.

    Faith-Driven Service: Integrating Christian Values to Reduce Health Disparities Among Immigrant Communities

    Since becoming a nurse and now advancing as a Family Nurse Practitioner student, I have experienced tremendous personal and spiritual growth. As an immigrant from Iran, I came to the United States alone, learning to navigate a new culture, language, and healthcare system without the support of my family at first. Those early years taught me empathy in a way no textbook could. Now, as my parents have recently joined me here, I see them face the same challenges I once did—struggling with appointments, insurance, and understanding medical instructions. Witnessing their experience has deepened my awareness of the barriers immigrant and minority populations face every day in accessing care.

    Being born and raised in a Muslim family instilled in me strong values of compassion, humility, and respect for others. Over time, my Christian faith has built upon those same principles, shaping my worldview into one that emphasizes service, love, and the dignity of every person. Working at Cedars-Sinai, I care for many culturally diverse patients, and I often see reflections of my own story in them. Early in my career, I focused mostly on providing correct treatments and following clinical guidelines. With experience and faith, I learned that true nursing care is holistic—it includes understanding each patient’s beliefs, traditions, and family dynamics.

    One moment that shaped my growth was caring for a Spanish-speaking patient who relied heavily on her faith and family for strength during recovery. By taking time to listen through an interpreter, involving her loved ones in care, and showing genuine respect for her beliefs, I saw how trust and healing grew hand in hand. That experience reminded me that cultural sensitivity is not about knowing every custom—it’s about approaching every person with humility and openness.

    The greatest challenge I face in becoming a culturally competent nurse is balancing the fast pace of hospital life with the need to truly connect and understand each patient’s cultural background. What helps me grow is continuous self-reflection, prayer, and learning from my diverse coworkers and patients. My faith calls me to serve the vulnerable with love and integrity, while my immigrant experience allows me to see each patient not as “different,” but as someone deserving of understanding and belonging.

    Example references: (you can add or change)

    Liu, T. T., Chen, M. Y., Chang, Y. M., & Lin, M. H. (2022). A Preliminary Study on the Cultural Competence of Nurse Practitioners and Its Affecting Factors.
    _Healthcare (Basel, Switzerland)_,
    _10_(4), 678.
    [https://doi.org/10.3390/healthcare10040678](https://doi.org/10.3390/healthcare10040678)

    Giwa, O., Salami, B. O., & O’Rourke, T. (2020). A scoping review of nurse practitioner roles in immigrant health.
    _Journal for Nurse Practitioners, 16_(6), 428-432.
    [https://doi.org/10.1016/j.nurpra.2020.03.012](https://doi.org/10.1016/j.nurpra.2020.03.012)

    Schlak, A. E., Liu, J., Dixon, J., Poghosyan, L., Lelutiu-Weinberger, C., & Cato, K. (2024). The association between nurse practitioner race and ethnicity and intent to leave in primary care practices.
    _Nursing Outlook, 72_(6), Article 102289.
    [https://doi.org/10.1016/j.outlook.2024.102289](https://doi.org/10.1016/j.outlook.2024.102289)

    Wessel, L., & Galo Valasquez, L. (2024). The role of nurse practitioners in helping refugees and immigrants.
    _The Journal for Nurse Practitioners, 20_, Article 104824.
    [https://doi.org/10.1016/j.nurpra.2023.104824](https://doi.org/10.1016/j.nurpra.2023.104824)

    – 1
    – 2
    – 3

  • [Solved] video

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    See attachment – ## video1.docx **## video1.docx** https://www.youtube.com/watch?v=RjEY99zcslg&embeds_referring_euri=https%3A%2F%2Fcanvas.apu.edu%2Fcourses%2F63770%2Fassignments%2F1122311&source_ve_path=MjM4NTE After viewing the video you will be writing a _1/2 to a 1 page formal essay_ ( **Engl…

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    Assignment Prompt & Instructions

    See attachment

    – ## video1.docx

    **## video1.docx**

    https://www.youtube.com/watch?v=RjEY99zcslg&embeds_referring_euri=https%3A%2F%2Fcanvas.apu.edu%2Fcourses%2F63770%2Fassignments%2F1122311&source_ve_path=MjM4NTE

    After viewing the video you will be writing a
    _1/2 to a 1 page formal essay_ (
    **English**) answering the following questions in detail. Make sure to write it in an essay format. Do not list the questions and answer them. Write a cohesive essay.:

    ·
    **Briefly describe in your own words what you viewed.**

    ·
    **What was your initial reaction toward the subject matter? What feelings arose from watching the video?**

    ·
    **Were the healthcare providers culturally competent in addressing the patient’s needs?**

    ·
    **If you were in the role of the doctor, what cues would trigger you in response to the patient’s reaction?**

    ·
    **What cross-cultural and linguistic knowledge would have been beneficial in this case scenario?**

    ·
    **From what you have read and seen, what cultural competency reflection concept could be applied to this situation?**

    ·
    **As a culturally competent nurse practitioner, what would you have done if placed in a similar situation?**

    **## video1.docx**

    https://www.youtube.com/watch?v=RjEY99zcslg&embeds_referring_euri=https%3A%2F%2Fcanvas.apu.edu%2Fcourses%2F63770%2Fassignments%2F1122311&source_ve_path=MjM4NTE

    After viewing the video you will be writing a
    _1/2 to a 1 page formal essay_ (
    **English**) answering the following questions in detail. Make sure to write it in an essay format. Do not list the questions and answer them. Write a cohesive essay.:

    ·
    **Briefly describe in your own words what you viewed.**

    ·
    **What was your initial reaction toward the subject matter? What feelings arose from watching the video?**

    ·
    **Were the healthcare providers culturally competent in addressing the patient’s needs?**

    ·
    **If you were in the role of the doctor, what cues would trigger you in response to the patient’s reaction?**

    ·
    **What cross-cultural and linguistic knowledge would have been beneficial in this case scenario?**

    ·
    **From what you have read and seen, what cultural competency reflection concept could be applied to this situation?**

    ·
    **As a culturally competent nurse practitioner, what would you have done if placed in a similar situation?**

  • [Solved] Question4

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    Executive Solution Overview

    Please see attached for instructions – ## nurs-fpx4040-assessment-04-supplement-informatics-and-nursing-sensitive-quality-indicators-A.pdf – ## 4.docx – ## theInformaticsandNursing-SensitiveQualityIndicatorsVideoExemplar.docx **## nurs-fpx4040-assessment-04-supplement-informatics-and-nursing-sensiti…

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    Assignment Prompt & Instructions

    Please see attached for instructions

    – ## nurs-fpx4040-assessment-04-supplement-informatics-and-nursing-sensitive-quality-indicators-A.pdf

    – ## 4.docx

    – ## theInformaticsandNursing-SensitiveQualityIndicatorsVideoExemplar.docx

    **## nurs-fpx4040-assessment-04-supplement-informatics-and-nursing-sensitive-quality-indicators-A.pdf**

    1

    Assessment 04 –

    Informatics and Nursing-Sensitive Quality Indicators

    For this assessment, you will prepare an 8–10 minute audio training tutorial (video is optional)
    for new nurses on the importance of nursing-sensitive quality indicators.

    Before you complete the detailed instructions in the courseroom, first review the Nursing-
    Sensitive Quality Indicators below and select the one you’re most interested in. Nursing-
    Sensitive Quality Indicators reflect the structure, process, and patient outcomes of nursing care.
    Nursing-Sensitive Quality Indicators are developed by identifying potential indicators that reflect
    nursing care and are not represented by current indicators, performing a literature review, and
    determining the validity of the potential indicator in nursing practice.

    After you select one of the Nursing-Sensitive Quality Indicators below, return to the courseroom
    to review the detailed instructions and complete your assessment.

    • Patient Falls With Injury – Process and Outcome.
    • Pressure Ulcer Rate – Process and Outcome.
    • Pediatric Pain Assessment, Intervention, and Reassessment – Process and

    Outcome.
    • Restraint Prevalence – Process and Outcome.
    • RN Education/Specialty Certification – Structure.

    **## 4.docx**

    The focus of Assessment 4 is on how informatics support monitoring of nursing-sensitive quality indicator data. You will develop
    **an 8–10 minute audio (Need a just the transcript to do the video**) training module to orient new nurses in a workplace to a single nursing-sensitive quality indicator critical to the organization. Your recording will address how data are collected and disseminated across the organization along with the nurses' role in supporting accurate reporting and high quality results.

    This assessment requires you to prepare an 8–10 minute audio training tutorial (with optional video) for new nurses on the importance of nursing-sensitive quality indicators. To successfully prepare for your assessment, you will need to complete the following preparatory activities:

    Review the nursing-sensitive quality indicators presented in the Assessment 04 Supplement: Informatics and Nursing Sensitive quality Indicators [PDF] Download Assessment 04 Supplement: Informatics and Nursing Sensitive quality Indicators [PDF]
    **(SEE ATTACHED)** resource and select one nursing-sensitive quality indicator to use as the focus for this assessment. Will be selecting
    **: Patient Falls With Injury – Process and Outcome**

    Conduct independent research on the most current information about the selected nursing-sensitive quality indicator.

    Interview a professional colleague or contact who is familiar with quality monitoring and how technology can help to collect and report quality indicator data. You do not need to submit the transcript of your conversation, but do integrate what you learned from the interview into the audio tutorial. Consider these questions for your interview:

    What is your experience with collecting data and entering it into a database?

    What challenges have you experienced?

    How does your organization share with the nursing staff and other members of the health care system the quality improvement monitoring results?

    What role do bedside nurses and other frontline staff have in entering the data? For example, do staff members enter the information into an electronic medical record for extraction? Or do they enter it into another system? How effective is this process?

    Watch the Informatics and Nursing-Sensitive Quality Indicators Video Exemplar. (SEE ATTACHED)

    For this assessment, first review the nursing-sensitive quality indicators presented in the Assessment 04 Supplement: Informatics and Nursing Sensitive quality Indicators [PDF] Download Assessment 04 Supplement: Informatics and Nursing Sensitive quality Indicators [PDF]resource and select one nursing-sensitive quality indicator to use as the focus for this assessment.

    Next, imagine you are a member of a Quality Improvement Council at any type of health care system, whether acute, ambulatory, home health, managed care, et cetera. Your Council has identified that newly hired nurses would benefit from comprehensive training on the importance of nursing-sensitive quality indicators. The Council would like the training to address how this information is collected and disseminated across the organization. It would also like the training to describe the role nurses have in accurate reporting and high-quality results.

    The Council indicates a recording is preferable to a written fact sheet due to the popularity of audio blogs. In this way, new hires can listen to the tutorial on their own time using their phone or other device.

    As a result of this need, you offer to create an audio tutorial orienting new hires to these topics. You know that you will need a script to guide your audio recording. You also plan to incorporate into your script the insights you learned from conducting an interview with an authority on quality monitoring and the use of technology to collect and report quality indicator data.

    You determine that you will cover the following topics in your audio tutorial script:

    Introduction: Nursing-Sensitive Quality Indicator

    What is the National Database of Nursing-Sensitive Quality Indicators?

    What are nursing-sensitive quality indicators?

    Which particular quality indicator did you select to address in your tutorial?

    Why is this quality indicator important to monitor?

    Be sure to address the impact of this indicator on the quality of care and patient safety.

    Why do new nurses need to be familiar with this particular quality indicator when providing patient care?

    Collection and Distribution of Quality Indicator Data

    According to your interview and other resources, how does your organization collect data on this quality indicator?

    How does the organization disseminate aggregate data?

    What role do nurses play in supporting accurate reporting and high-quality results?

    As an example, consider the importance of accurately entering data regarding nursing interventions.

    **Additional Requirements**

    Script: A separate document with the script or speaker's notes is required. Important: Submissions that do not include the script or speaker's notes will be returned as a non-performance.

    References: Cite a minimum of three scholarly and/or authoritative sources.

    APA: Submit, along with the recording, a separate reference page that follows APA style and formatting guidelines. For an APA refresher, consult the Evidence and APA page on Campus.

    By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

    Competency 1: Describe nurses' and the interdisciplinary team's role in informatics with a focus on electronic health information and patient care technology to support decision making.

    Describe the interdisciplinary team's role in collecting and reporting quality indicator data to enhance patient safety, patient care outcomes, and organizational performance reports.

    Competency 3: Evaluate the impact of patient care technologies on desired outcomes.

    Explain how a health care organization uses nursing-sensitive quality indicators to enhance patient safety, patient care outcomes, and organizational performance reports.

    Competency 4: Recommend the use of a technology to enhance quality and safety standards for patients.

    Justify how a nursing-sensitive quality indicator establishes evidence-based practice guidelines for nurses to follow when using patient care technologies to enhance patient safety, satisfaction, and outcomes.

    Competency 5: Apply professional, scholarly communication to facilitate use of health information and patient care technologies.

    Deliver a professional, effective audio tutorial on a selected quality indicator that engages new nurses and motivates them to accurately report quality data in a timely fashion.

    Follow APA style and formatting guidelines for citations and references.

    **## theInformaticsandNursing-SensitiveQualityIndicatorsVideoExemplar.docx**

    Video Transcript:

    Hello and welcome to the University Hospital Health Care System. My name is Diane Tate. We are so excited to have you on our nursing team. I am here today to help you better understand how our healthcare system uses Nursing Sensitive Quality Indicators – also known as the NDNQI – to enhance quality care outcomes, improve training procedures, establish best practices, and improve patient satisfaction. These indicators also help in workflow and the recruitment and retention of quality staff. You play an important part of this. You are our eyes and ears when it comes to safe evidence-based practice and reporting data to help evaluate our Nursing Sensitive Quality Indicators.

    We are very fortunate to be one of the 1100 facilities in the United States providing the data to NDNQI to fulfill nursing's commitment to advancing our knowledge base to evaluate and improve patient care. The NDNQI is a national nursing database evaluating nursing care that provides annual and quarterly reporting of three major indicators which evaluate nursing care. In 2018, the authors Griggs, Wiechula & Cusack described those indicators as structure (staff/skill competency), process (patient assessment, nursing intervention, and job satisfaction) and outcome of patient care related to the quantity or quality nursing care. NDNQI is managed by a company named Press Ganey. Press Ganey sends us surveys for the data needed and then provides participating facility research driven reports with statistics and data themes. Multiple authors including Smith (writing in 2018) and Griggs, Wiechula & Cusack point out that this data allows us to understand what we are doing well in our facility and what we need to improve on, in comparison to national data, to enhance patient safety, patient care outcomes, and organizational performance reports.

    Now I’d like to share an example, Our Chief Nursing Officer used the NDNQI ratios and acuity data on staffing to validate the need various levels of nurse staffing. Authors Mangold and Pearson, writing 2017, identify how this type of data can contribute to significant changes to our staffing matrix and ratios because of the data produced by nurses like you. Our nurses are better able to provide quality care as a result of this information and our patient satisfaction scores have almost doubled over that past 6 months.

    Imagine a small snowball made of 5 pieces of snow, then imagine one made of 100 pieces of snow, and one made of 1100 pieces of snow…the greater the number the bigger the impact. If you were in the snowball fight, do you want the snowball made with five snowflakes or the one made with 1100 snowflakes? The same is true of the data in the NDNQI, when one facility implements a change the data from the change is shared with everyone through NDNQI so the dissemination of information is relatively quick and provides real time evaluation data.

    For another example, over the past few months, we have experienced a dramatic rise in catheter-acquired urinary tract infections also known as CAUTIs and Hospital Acquired Conditions throughout the facility. This has dramatically affected the quality of patient care and ultimately our Press Ganey patient satisfaction surveys. Our rate of CAUTIs and Hospital Acquired Conditions have also impacted our rate of Medicare reimbursement. We have experienced a 1 percent reduction in reimbursement related to this CAUTI and associated HAC increase. Porter (2018) estimates CAUTI costs to be over $10,000. To give this number a little more impact, the Robert Wood Johnson Foundation Interdisciplinary Nursing Quality Research Initiative reported in 2015 that there was a total of $330 million dollars lost in Hospital Acquired Conditions penalties across 721 facilities.

    Our nurses have identified CAUTI in their patients with indwelling catheters as a concern as well as other Hospital Acquired Conditions. Recognizing that they are the first line of defense for patient safety, our nurses are participating in a hospital wide Acquired Condition Reduction Program modeled after the Centers for Medicare and Medicaid services (n.d). Our initiative looks at all infections acquired during treatment in this facility. I encourage you to look at this website. As a nurse you are the leader of healthcare quality, we depend upon you as the expert in patient care. YOU are extremely powerful in contributing to patient care in not only preventing CAUTIs but in providing a timely reporting of needed data in the Press Ganey surveys so that our data is contributed to NDNQI.

    You May Ask… How Can I Help?

    Nurses have an essential role within the interdisciplinary healthcare team. They are responsible for collecting and reporting data for the NDNQI. The data collected will contribute to improved outcomes, improved patient safety, and an overall improved patient experience. In our facility we provide the data using online surveys received from Press Ganey, all members of the interdisciplinary healthcare team receive the surveys. In a personal communication, our Chief Nursing Officer, Dr. Smith, underscored that the current facility best practice is to check your hospital email every day you work and complete any surveys sent to you. The data is very easy to enter into the survey. Dr. Smith stated that in the beginning there was a lot of lag time between data entry by the interdisciplinary team and the time the survey was sent out but that has improved. We have a quality team at the hospital responsible for supplying the general data related to CAUTIs. Other data provided to Press Ganey includes incident reports, patient admission dates, length or stay, readmission data, number of patients with catheters vs patients with CAUTIs diagnosed in facility vs after discharge. To learn more about Press Ganey please go to their website.

    Your job as a nurse is to provide care according to the current practice policies, complete all required documentation which includes all popups on CAUTIs and then to enter data when emailed a survey from Press Ganey. Your role is incredibly powerful in this initiative because as you know we have a huge amount of responsibility in placing, caring for and assessing indwelling catheters and straight caths. Imagine if your work in completing all required documentation and some quick online surveys prevents future CAUTIs, the impact would be huge!

    I would now like to discuss what we do WITH THE DATA

    The data you provide, and which is found in the patient records provides insights into how the nursing care and interventions we provide influence patient outcomes. The data found within the NDNQI gives healthcare leaders an understand of what actions influence quality and patient safety. Within the NDNQI the data is trended and the themes and or statistical information is pulled out to help guide safety and quality initiatives.

    Within this organization we have quality improvement teams on each unit where data from NDNQI and plans for improving quality are shared. We use the data for guiding us in creating quality improvement plans and ensuring patient safety. Quality improvement teams on your unit will share updates with the NDNQI data and how we plan to use the data.

    As we wrap up I’d like to share some ideas about how your actions IMPACT HEALTH CARE IN GENERAL

    Your involvement in accurate charting and completing surveys provides data used for the greater science of nursing. This information helps the nursing profession to identify nurse-sensitive indicators of quality to use for improvement in our patient care. Our nursing leaders use the NDNQI data to determine the best practices for their unit and facility to improve both quality care outcomes and workplace safety, including nurse patient staffing ratios.

    Our facility models itself after the 2015 Robert Wood Johnson Foundation Interdisciplinary Nursing Quality Research Initiative Policy Brief for not only quality and safety improvement, but to achieve higher outcome-based hospital payments. Our Value Based Purchasing program provides acute care facilities incentive money when the facility has good performance on quality measurements and makes improvements in the facilities quality and safety of care. There is also an overlap of the Value Based Purchasing program and the Medicare reimbursement program so facilities are able to potentially have double the financial benefit because the nurse sensitive outcomes influence the requirements for full reimbursement from Medicare. John Hopkin’s hospital has been a leader in using the NDNQI data to make improvements in safety and quality with a 41% reduction in CAUTIs with the use of national data on nursing interventions from NDNQI. Nursing leaders need to work to ensure they use the data from the nursing sensitive outcomes to make improvements in care within individual facilities and units.

    In CONCLUSION

    Our involvement in NDNQI is a wonderful and positive influence on the profession of nursing and patient care. Your responsibility is to ensure you have accurate and complete documentation and to complete any Press Ganey surveys you receive. Our role as a facility is to provide all additional data to NDNQI and to support you in your work while focusing on quality improvement and sharing data with you from NDNQI and our quality improvement work. The success of NDNQI is relying on our commitment to provide data in a timely manner and then to use the national data to make improvements at the facility. Nurses are at the front line of quality improvement and evidence-based practice. We can all make a huge improvement in patient care. You are a valuable asset to our team!

    Thank you!

    **## theInformaticsandNursing-SensitiveQualityIndicatorsVideoExemplar.docx**

    Video Transcript:

    Hello and welcome to the University Hospital Health Care System. My name is Diane Tate. We are so excited to have you on our nursing team. I am here today to help you better understand how our healthcare system uses Nursing Sensitive Quality Indicators – also known as the NDNQI – to enhance quality care outcomes, improve training procedures, establish best practices, and improve patient satisfaction. These indicators also help in workflow and the recruitment and retention of quality staff. You play an important part of this. You are our eyes and ears when it comes to safe evidence-based practice and reporting data to help evaluate our Nursing Sensitive Quality Indicators.

    We are very fortunate to be one of the 1100 facilities in the United States providing the data to NDNQI to fulfill nursing's commitment to advancing our knowledge base to evaluate and improve patient care. The NDNQI is a national nursing database evaluating nursing care that provides annual and quarterly reporting of three major indicators which evaluate nursing care. In 2018, the authors Griggs, Wiechula & Cusack described those indicators as structure (staff/skill competency), process (patient assessment, nursing intervention, and job satisfaction) and outcome of patient care related to the quantity or quality nursing care. NDNQI is managed by a company named Press Ganey. Press Ganey sends us surveys for the data needed and then provides participating facility research driven reports with statistics and data themes. Multiple authors including Smith (writing in 2018) and Griggs, Wiechula & Cusack point out that this data allows us to understand what we are doing well in our facility and what we need to improve on, in comparison to national data, to enhance patient safety, patient care outcomes, and organizational performance reports.

    Now I’d like to share an example, Our Chief Nursing Officer used the NDNQI ratios and acuity data on staffing to validate the need various levels of nurse staffing. Authors Mangold and Pearson, writing 2017, identify how this type of data can contribute to significant changes to our staffing matrix and ratios because of the data produced by nurses like you. Our nurses are better able to provide quality care as a result of this information and our patient satisfaction scores have almost doubled over that past 6 months.

    Imagine a small snowball made of 5 pieces of snow, then imagine one made of 100 pieces of snow, and one made of 1100 pieces of snow…the greater the number the bigger the impact. If you were in the snowball fight, do you want the snowball made with five snowflakes or the one made with 1100 snowflakes? The same is true of the data in the NDNQI, when one facility implements a change the data from the change is shared with everyone through NDNQI so the dissemination of information is relatively quick and provides real time evaluation data.

    For another example, over the past few months, we have experienced a dramatic rise in catheter-acquired urinary tract infections also known as CAUTIs and Hospital Acquired Conditions throughout the facility. This has dramatically affected the quality of patient care and ultimately our Press Ganey patient satisfaction surveys. Our rate of CAUTIs and Hospital Acquired Conditions have also impacted our rate of Medicare reimbursement. We have experienced a 1 percent reduction in reimbursement related to this CAUTI and associated HAC increase. Porter (2018) estimates CAUTI costs to be over $10,000. To give this number a little more impact, the Robert Wood Johnson Foundation Interdisciplinary Nursing Quality Research Initiative reported in 2015 that there was a total of $330 million dollars lost in Hospital Acquired Conditions penalties across 721 facilities.

    Our nurses have identified CAUTI in their patients with indwelling catheters as a concern as well as other Hospital Acquired Conditions. Recognizing that they are the first line of defense for patient safety, our nurses are participating in a hospital wide Acquired Condition Reduction Program modeled after the Centers for Medicare and Medicaid services (n.d). Our initiative looks at all infections acquired during treatment in this facility. I encourage you to look at this website. As a nurse you are the leader of healthcare quality, we depend upon you as the expert in patient care. YOU are extremely powerful in contributing to patient care in not only preventing CAUTIs but in providing a timely reporting of needed data in the Press Ganey surveys so that our data is contributed to NDNQI.

    You May Ask… How Can I Help?

    Nurses have an essential role within the interdisciplinary healthcare team. They are responsible for collecting and reporting data for the NDNQI. The data collected will contribute to improved outcomes, improved patient safety, and an overall improved patient experience. In our facility we provide the data using online surveys received from Press Ganey, all members of the interdisciplinary healthcare team receive the surveys. In a personal communication, our Chief Nursing Officer, Dr. Smith, underscored that the current facility best practice is to check your hospital email every day you work and complete any surveys sent to you. The data is very easy to enter into the survey. Dr. Smith stated that in the beginning there was a lot of lag time between data entry by the interdisciplinary team and the time the survey was sent out but that has improved. We have a quality team at the hospital responsible for supplying the general data related to CAUTIs. Other data provided to Press Ganey includes incident reports, patient admission dates, length or stay, readmission data, number of patients with catheters vs patients with CAUTIs diagnosed in facility vs after discharge. To learn more about Press Ganey please go to their website.

    Your job as a nurse is to provide care according to the current practice policies, complete all required documentation which includes all popups on CAUTIs and then to enter data when emailed a survey from Press Ganey. Your role is incredibly powerful in this initiative because as you know we have a huge amount of responsibility in placing, caring for and assessing indwelling catheters and straight caths. Imagine if your work in completing all required documentation and some quick online surveys prevents future CAUTIs, the impact would be huge!

    I would now like to discuss what we do WITH THE DATA

    The data you provide, and which is found in the patient records provides insights into how the nursing care and interventions we provide influence patient outcomes. The data found within the NDNQI gives healthcare leaders an understand of what actions influence quality and patient safety. Within the NDNQI the data is trended and the themes and or statistical information is pulled out to help guide safety and quality initiatives.

    Within this organization we have quality improvement teams on each unit where data from NDNQI and plans for improving quality are shared. We use the data for guiding us in creating quality improvement plans and ensuring patient safety. Quality improvement teams on your unit will share updates with the NDNQI data and how we plan to use the data.

    As we wrap up I’d like to share some ideas about how your actions IMPACT HEALTH CARE IN GENERAL

    Your involvement in accurate charting and completing surveys provides data used for the greater science of nursing. This information helps the nursing profession to identify nurse-sensitive indicators of quality to use for improvement in our patient care. Our nursing leaders use the NDNQI data to determine the best practices for their unit and facility to improve both quality care outcomes and workplace safety, including nurse patient staffing ratios.

    Our facility models itself after the 2015 Robert Wood Johnson Foundation Interdisciplinary Nursing Quality Research Initiative Policy Brief for not only quality and safety improvement, but to achieve higher outcome-based hospital payments. Our Value Based Purchasing program provides acute care facilities incentive money when the facility has good performance on quality measurements and makes improvements in the facilities quality and safety of care. There is also an overlap of the Value Based Purchasing program and the Medicare reimbursement program so facilities are able to potentially have double the financial benefit because the nurse sensitive outcomes influence the requirements for full reimbursement from Medicare. John Hopkin’s hospital has been a leader in using the NDNQI data to make improvements in safety and quality with a 41% reduction in CAUTIs with the use of national data on nursing interventions from NDNQI. Nursing leaders need to work to ensure they use the data from the nursing sensitive outcomes to make improvements in care within individual facilities and units.

    In CONCLUSION

    Our involvement in NDNQI is a wonderful and positive influence on the profession of nursing and patient care. Your responsibility is to ensure you have accurate and complete documentation and to complete any Press Ganey surveys you receive. Our role as a facility is to provide all additional data to NDNQI and to support you in your work while focusing on quality improvement and sharing data with you from NDNQI and our quality improvement work. The success of NDNQI is relying on our commitment to provide data in a timely manner and then to use the national data to make improvements at the facility. Nurses are at the front line of quality improvement and evidence-based practice. We can all make a huge improvement in patient care. You are a valuable asset to our team!

    Thank you!

    **## nurs-fpx4040-assessment-04-supplement-informatics-and-nursing-sensitive-quality-indicators-A.pdf**

    1

    Assessment 04 –

    Informatics and Nursing-Sensitive Quality Indicators

    For this assessment, you will prepare an 8–10 minute audio training tutorial (video is optional)
    for new nurses on the importance of nursing-sensitive quality indicators.

    Before you complete the detailed instructions in the courseroom, first review the Nursing-
    Sensitive Quality Indicators below and select the one you’re most interested in. Nursing-
    Sensitive Quality Indicators reflect the structure, process, and patient outcomes of nursing care.
    Nursing-Sensitive Quality Indicators are developed by identifying potential indicators that reflect
    nursing care and are not represented by current indicators, performing a literature review, and
    determining the validity of the potential indicator in nursing practice.

    After you select one of the Nursing-Sensitive Quality Indicators below, return to the courseroom
    to review the detailed instructions and complete your assessment.

    • Patient Falls With Injury – Process and Outcome.
    • Pressure Ulcer Rate – Process and Outcome.
    • Pediatric Pain Assessment, Intervention, and Reassessment – Process and

    Outcome.
    • Restraint Prevalence – Process and Outcome.
    • RN Education/Specialty Certification – Structure.

    **## 4.docx**

    The focus of Assessment 4 is on how informatics support monitoring of nursing-sensitive quality indicator data. You will develop
    **an 8–10 minute audio (Need a just the transcript to do the video**) training module to orient new nurses in a workplace to a single nursing-sensitive quality indicator critical to the organization. Your recording will address how data are collected and disseminated across the organization along with the nurses' role in supporting accurate reporting and high quality results.

    This assessment requires you to prepare an 8–10 minute audio training tutorial (with optional video) for new nurses on the importance of nursing-sensitive quality indicators. To successfully prepare for your assessment, you will need to complete the following preparatory activities:

    Review the nursing-sensitive quality indicators presented in the Assessment 04 Supplement: Informatics and Nursing Sensitive quality Indicators [PDF] Download Assessment 04 Supplement: Informatics and Nursing Sensitive quality Indicators [PDF]
    **(SEE ATTACHED)** resource and select one nursing-sensitive quality indicator to use as the focus for this assessment. Will be selecting
    **: Patient Falls With Injury – Process and Outcome**

    Conduct independent research on the most current information about the selected nursing-sensitive quality indicator.

    Interview a professional colleague or contact who is familiar with quality monitoring and how technology can help to collect and report quality indicator data. You do not need to submit the transcript of your conversation, but do integrate what you learned from the interview into the audio tutorial. Consider these questions for your interview:

    What is your experience with collecting data and entering it into a database?

    What challenges have you experienced?

    How does your organization share with the nursing staff and other members of the health care system the quality improvement monitoring results?

    What role do bedside nurses and other frontline staff have in entering the data? For example, do staff members enter the information into an electronic medical record for extraction? Or do they enter it into another system? How effective is this process?

    Watch the Informatics and Nursing-Sensitive Quality Indicators Video Exemplar. (SEE ATTACHED)

    For this assessment, first review the nursing-sensitive quality indicators presented in the Assessment 04 Supplement: Informatics and Nursing Sensitive quality Indicators [PDF] Download Assessment 04 Supplement: Informatics and Nursing Sensitive quality Indicators [PDF]resource and select one nursing-sensitive quality indicator to use as the focus for this assessment.

    Next, imagine you are a member of a Quality Improvement Council at any type of health care system, whether acute, ambulatory, home health, managed care, et cetera. Your Council has identified that newly hired nurses would benefit from comprehensive training on the importance of nursing-sensitive quality indicators. The Council would like the training to address how this information is collected and disseminated across the organization. It would also like the training to describe the role nurses have in accurate reporting and high-quality results.

    The Council indicates a recording is preferable to a written fact sheet due to the popularity of audio blogs. In this way, new hires can listen to the tutorial on their own time using their phone or other device.

    As a result of this need, you offer to create an audio tutorial orienting new hires to these topics. You know that you will need a script to guide your audio recording. You also plan to incorporate into your script the insights you learned from conducting an interview with an authority on quality monitoring and the use of technology to collect and report quality indicator data.

    You determine that you will cover the following topics in your audio tutorial script:

    Introduction: Nursing-Sensitive Quality Indicator

    What is the National Database of Nursing-Sensitive Quality Indicators?

    What are nursing-sensitive quality indicators?

    Which particular quality indicator did you select to address in your tutorial?

    Why is this quality indicator important to monitor?

    Be sure to address the impact of this indicator on the quality of care and patient safety.

    Why do new nurses need to be familiar with this particular quality indicator when providing patient care?

    Collection and Distribution of Quality Indicator Data

    According to your interview and other resources, how does your organization collect data on this quality indicator?

    How does the organization disseminate aggregate data?

    What role do nurses play in supporting accurate reporting and high-quality results?

    As an example, consider the importance of accurately entering data regarding nursing interventions.

    **Additional Requirements**

    Script: A separate document with the script or speaker's notes is required. Important: Submissions that do not include the script or speaker's notes will be returned as a non-performance.

    References: Cite a minimum of three scholarly and/or authoritative sources.

    APA: Submit, along with the recording, a separate reference page that follows APA style and formatting guidelines. For an APA refresher, consult the Evidence and APA page on Campus.

    By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

    Competency 1: Describe nurses' and the interdisciplinary team's role in informatics with a focus on electronic health information and patient care technology to support decision making.

    Describe the interdisciplinary team's role in collecting and reporting quality indicator data to enhance patient safety, patient care outcomes, and organizational performance reports.

    Competency 3: Evaluate the impact of patient care technologies on desired outcomes.

    Explain how a health care organization uses nursing-sensitive quality indicators to enhance patient safety, patient care outcomes, and organizational performance reports.

    Competency 4: Recommend the use of a technology to enhance quality and safety standards for patients.

    Justify how a nursing-sensitive quality indicator establishes evidence-based practice guidelines for nurses to follow when using patient care technologies to enhance patient safety, satisfaction, and outcomes.

    Competency 5: Apply professional, scholarly communication to facilitate use of health information and patient care technologies.

    Deliver a professional, effective audio tutorial on a selected quality indicator that engages new nurses and motivates them to accurately report quality data in a timely fashion.

    Follow APA style and formatting guidelines for citations and references.

    **## theInformaticsandNursing-SensitiveQualityIndicatorsVideoExemplar.docx**

    Video Transcript:

    Hello and welcome to the University Hospital Health Care System. My name is Diane Tate. We are so excited to have you on our nursing team. I am here today to help you better understand how our healthcare system uses Nursing Sensitive Quality Indicators – also known as the NDNQI – to enhance quality care outcomes, improve training procedures, establish best practices, and improve patient satisfaction. These indicators also help in workflow and the recruitment and retention of quality staff. You play an important part of this. You are our eyes and ears when it comes to safe evidence-based practice and reporting data to help evaluate our Nursing Sensitive Quality Indicators.

    We are very fortunate to be one of the 1100 facilities in the United States providing the data to NDNQI to fulfill nursing's commitment to advancing our knowledge base to evaluate and improve patient care. The NDNQI is a national nursing database evaluating nursing care that provides annual and quarterly reporting of three major indicators which evaluate nursing care. In 2018, the authors Griggs, Wiechula & Cusack described those indicators as structure (staff/skill competency), process (patient assessment, nursing intervention, and job satisfaction) and outcome of patient care related to the quantity or quality nursing care. NDNQI is managed by a company named Press Ganey. Press Ganey sends us surveys for the data needed and then provides participating facility research driven reports with statistics and data themes. Multiple authors including Smith (writing in 2018) and Griggs, Wiechula & Cusack point out that this data allows us to understand what we are doing well in our facility and what we need to improve on, in comparison to national data, to enhance patient safety, patient care outcomes, and organizational performance reports.

    Now I’d like to share an example, Our Chief Nursing Officer used the NDNQI ratios and acuity data on staffing to validate the need various levels of nurse staffing. Authors Mangold and Pearson, writing 2017, identify how this type of data can contribute to significant changes to our staffing matrix and ratios because of the data produced by nurses like you. Our nurses are better able to provide quality care as a result of this information and our patient satisfaction scores have almost doubled over that past 6 months.

    Imagine a small snowball made of 5 pieces of snow, then imagine one made of 100 pieces of snow, and one made of 1100 pieces of snow…the greater the number the bigger the impact. If you were in the snowball fight, do you want the snowball made with five snowflakes or the one made with 1100 snowflakes? The same is true of the data in the NDNQI, when one facility implements a change the data from the change is shared with everyone through NDNQI so the dissemination of information is relatively quick and provides real time evaluation data.

    For another example, over the past few months, we have experienced a dramatic rise in catheter-acquired urinary tract infections also known as CAUTIs and Hospital Acquired Conditions throughout the facility. This has dramatically affected the quality of patient care and ultimately our Press Ganey patient satisfaction surveys. Our rate of CAUTIs and Hospital Acquired Conditions have also impacted our rate of Medicare reimbursement. We have experienced a 1 percent reduction in reimbursement related to this CAUTI and associated HAC increase. Porter (2018) estimates CAUTI costs to be over $10,000. To give this number a little more impact, the Robert Wood Johnson Foundation Interdisciplinary Nursing Quality Research Initiative reported in 2015 that there was a total of $330 million dollars lost in Hospital Acquired Conditions penalties across 721 facilities.

    Our nurses have identified CAUTI in their patients with indwelling catheters as a concern as well as other Hospital Acquired Conditions. Recognizing that they are the first line of defense for patient safety, our nurses are participating in a hospital wide Acquired Condition Reduction Program modeled after the Centers for Medicare and Medicaid services (n.d). Our initiative looks at all infections acquired during treatment in this facility. I encourage you to look at this website. As a nurse you are the leader of healthcare quality, we depend upon you as the expert in patient care. YOU are extremely powerful in contributing to patient care in not only preventing CAUTIs but in providing a timely reporting of needed data in the Press Ganey surveys so that our data is contributed to NDNQI.

    You May Ask… How Can I Help?

    Nurses have an essential role within the interdisciplinary healthcare team. They are responsible for collecting and reporting data for the NDNQI. The data collected will contribute to improved outcomes, improved patient safety, and an overall improved patient experience. In our facility we provide the data using online surveys received from Press Ganey, all members of the interdisciplinary healthcare team receive the surveys. In a personal communication, our Chief Nursing Officer, Dr. Smith, underscored that the current facility best practice is to check your hospital email every day you work and complete any surveys sent to you. The data is very easy to enter into the survey. Dr. Smith stated that in the beginning there was a lot of lag time between data entry by the interdisciplinary team and the time the survey was sent out but that has improved. We have a quality team at the hospital responsible for supplying the general data related to CAUTIs. Other data provided to Press Ganey includes incident reports, patient admission dates, length or stay, readmission data, number of patients with catheters vs patients with CAUTIs diagnosed in facility vs after discharge. To learn more about Press Ganey please go to their website.

    Your job as a nurse is to provide care according to the current practice policies, complete all required documentation which includes all popups on CAUTIs and then to enter data when emailed a survey from Press Ganey. Your role is incredibly powerful in this initiative because as you know we have a huge amount of responsibility in placing, caring for and assessing indwelling catheters and straight caths. Imagine if your work in completing all required documentation and some quick online surveys prevents future CAUTIs, the impact would be huge!

    I would now like to discuss what we do WITH THE DATA

    The data you provide, and which is found in the patient records provides insights into how the nursing care and interventions we provide influence patient outcomes. The data found within the NDNQI gives healthcare leaders an understand of what actions influence quality and patient safety. Within the NDNQI the data is trended and the themes and or statistical information is pulled out to help guide safety and quality initiatives.

    Within this organization we have quality improvement teams on each unit where data from NDNQI and plans for improving quality are shared. We use the data for guiding us in creating quality improvement plans and ensuring patient safety. Quality improvement teams on your unit will share updates with the NDNQI data and how we plan to use the data.

    As we wrap up I’d like to share some ideas about how your actions IMPACT HEALTH CARE IN GENERAL

    Your involvement in accurate charting and completing surveys provides data used for the greater science of nursing. This information helps the nursing profession to identify nurse-sensitive indicators of quality to use for improvement in our patient care. Our nursing leaders use the NDNQI data to determine the best practices for their unit and facility to improve both quality care outcomes and workplace safety, including nurse patient staffing ratios.

    Our facility models itself after the 2015 Robert Wood Johnson Foundation Interdisciplinary Nursing Quality Research Initiative Policy Brief for not only quality and safety improvement, but to achieve higher outcome-based hospital payments. Our Value Based Purchasing program provides acute care facilities incentive money when the facility has good performance on quality measurements and makes improvements in the facilities quality and safety of care. There is also an overlap of the Value Based Purchasing program and the Medicare reimbursement program so facilities are able to potentially have double the financial benefit because the nurse sensitive outcomes influence the requirements for full reimbursement from Medicare. John Hopkin’s hospital has been a leader in using the NDNQI data to make improvements in safety and quality with a 41% reduction in CAUTIs with the use of national data on nursing interventions from NDNQI. Nursing leaders need to work to ensure they use the data from the nursing sensitive outcomes to make improvements in care within individual facilities and units.

    In CONCLUSION

    Our involvement in NDNQI is a wonderful and positive influence on the profession of nursing and patient care. Your responsibility is to ensure you have accurate and complete documentation and to complete any Press Ganey surveys you receive. Our role as a facility is to provide all additional data to NDNQI and to support you in your work while focusing on quality improvement and sharing data with you from NDNQI and our quality improvement work. The success of NDNQI is relying on our commitment to provide data in a timely manner and then to use the national data to make improvements at the facility. Nurses are at the front line of quality improvement and evidence-based practice. We can all make a huge improvement in patient care. You are a valuable asset to our team!

    Thank you!

    **## nurs-fpx4040-assessment-04-supplement-informatics-and-nursing-sensitive-quality-indicators-A.pdf**

    1

    Assessment 04 –

    Informatics and Nursing-Sensitive Quality Indicators

    For this assessment, you will prepare an 8–10 minute audio training tutorial (video is optional)
    for new nurses on the importance of nursing-sensitive quality indicators.

    Before you complete the detailed instructions in the courseroom, first review the Nursing-
    Sensitive Quality Indicators below and select the one you’re most interested in. Nursing-
    Sensitive Quality Indicators reflect the structure, process, and patient outcomes of nursing care.
    Nursing-Sensitive Quality Indicators are developed by identifying potential indicators that reflect
    nursing care and are not represented by current indicators, performing a literature review, and
    determining the validity of the potential indicator in nursing practice.

    After you select one of the Nursing-Sensitive Quality Indicators below, return to the courseroom
    to review the detailed instructions and complete your assessment.

    • Patient Falls With Injury – Process and Outcome.
    • Pressure Ulcer Rate – Process and Outcome.
    • Pediatric Pain Assessment, Intervention, and Reassessment – Process and

    Outcome.
    • Restraint Prevalence – Process and Outcome.
    • RN Education/Specialty Certification – Structure.

    **## 4.docx**

    The focus of Assessment 4 is on how informatics support monitoring of nursing-sensitive quality indicator data. You will develop
    **an 8–10 minute audio (Need a just the transcript to do the video**) training module to orient new nurses in a workplace to a single nursing-sensitive quality indicator critical to the organization. Your recording will address how data are collected and disseminated across the organization along with the nurses' role in supporting accurate reporting and high quality results.

    This assessment requires you to prepare an 8–10 minute audio training tutorial (with optional video) for new nurses on the importance of nursing-sensitive quality indicators. To successfully prepare for your assessment, you will need to complete the following preparatory activities:

    Review the nursing-sensitive quality indicators presented in the Assessment 04 Supplement: Informatics and Nursing Sensitive quality Indicators [PDF] Download Assessment 04 Supplement: Informatics and Nursing Sensitive quality Indicators [PDF]
    **(SEE ATTACHED)** resource and select one nursing-sensitive quality indicator to use as the focus for this assessment. Will be selecting
    **: Patient Falls With Injury – Process and Outcome**

    Conduct independent research on the most current information about the selected nursing-sensitive quality indicator.

    Interview a professional colleague or contact who is familiar with quality monitoring and how technology can help to collect and report quality indicator data. You do not need to submit the transcript of your conversation, but do integrate what you learned from the interview into the audio tutorial. Consider these questions for your interview:

    What is your experience with collecting data and entering it into a database?

    What challenges have you experienced?

    How does your organization share with the nursing staff and other members of the health care system the quality improvement monitoring results?

    What role do bedside nurses and other frontline staff have in entering the data? For example, do staff members enter the information into an electronic medical record for extraction? Or do they enter it into another system? How effective is this process?

    Watch the Informatics and Nursing-Sensitive Quality Indicators Video Exemplar. (SEE ATTACHED)

    For this assessment, first review the nursing-sensitive quality indicators presented in the Assessment 04 Supplement: Informatics and Nursing Sensitive quality Indicators [PDF] Download Assessment 04 Supplement: Informatics and Nursing Sensitive quality Indicators [PDF]resource and select one nursing-sensitive quality indicator to use as the focus for this assessment.

    Next, imagine you are a member of a Quality Improvement Council at any type of health care system, whether acute, ambulatory, home health, managed care, et cetera. Your Council has identified that newly hired nurses would benefit from comprehensive training on the importance of nursing-sensitive quality indicators. The Council would like the training to address how this information is collected and disseminated across the organization. It would also like the training to describe the role nurses have in accurate reporting and high-quality results.

    The Council indicates a recording is preferable to a written fact sheet due to the popularity of audio blogs. In this way, new hires can listen to the tutorial on their own time using their phone or other device.

    As a result of this need, you offer to create an audio tutorial orienting new hires to these topics. You know that you will need a script to guide your audio recording. You also plan to incorporate into your script the insights you learned from conducting an interview with an authority on quality monitoring and the use of technology to collect and report quality indicator data.

    You determine that you will cover the following topics in your audio tutorial script:

    Introduction: Nursing-Sensitive Quality Indicator

    What is the National Database of Nursing-Sensitive Quality Indicators?

    What are nursing-sensitive quality indicators?

    Which particular quality indicator did you select to address in your tutorial?

    Why is this quality indicator important to monitor?

    Be sure to address the impact of this indicator on the quality of care and patient safety.

    Why do new nurses need to be familiar with this particular quality indicator when providing patient care?

    Collection and Distribution of Quality Indicator Data

    According to your interview and other resources, how does your organization collect data on this quality indicator?

    How does the organization disseminate aggregate data?

    What role do nurses play in supporting accurate reporting and high-quality results?

    As an example, consider the importance of accurately entering data regarding nursing interventions.

    **Additional Requirements**

    Script: A separate document with the script or speaker's notes is required. Important: Submissions that do not include the script or speaker's notes will be returned as a non-performance.

    References: Cite a minimum of three scholarly and/or authoritative sources.

    APA: Submit, along with the recording, a separate reference page that follows APA style and formatting guidelines. For an APA refresher, consult the Evidence and APA page on Campus.

    By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

    Competency 1: Describe nurses' and the interdisciplinary team's role in informatics with a focus on electronic health information and patient care technology to support decision making.

    Describe the interdisciplinary team's role in collecting and reporting quality indicator data to enhance patient safety, patient care outcomes, and organizational performance reports.

    Competency 3: Evaluate the impact of patient care technologies on desired outcomes.

    Explain how a health care organization uses nursing-sensitive quality indicators to enhance patient safety, patient care outcomes, and organizational performance reports.

    Competency 4: Recommend the use of a technology to enhance quality and safety standards for patients.

    Justify how a nursing-sensitive quality indicator establishes evidence-based practice guidelines for nurses to follow when using patient care technologies to enhance patient safety, satisfaction, and outcomes.

    Competency 5: Apply professional, scholarly communication to facilitate use of health information and patient care technologies.

    Deliver a professional, effective audio tutorial on a selected quality indicator that engages new nurses and motivates them to accurately report quality data in a timely fashion.

    Follow APA style and formatting guidelines for citations and references.

    **## theInformaticsandNursing-SensitiveQualityIndicatorsVideoExemplar.docx**

    Video Transcript:

    Hello and welcome to the University Hospital Health Care System. My name is Diane Tate. We are so excited to have you on our nursing team. I am here today to help you better understand how our healthcare system uses Nursing Sensitive Quality Indicators – also known as the NDNQI – to enhance quality care outcomes, improve training procedures, establish best practices, and improve patient satisfaction. These indicators also help in workflow and the recruitment and retention of quality staff. You play an important part of this. You are our eyes and ears when it comes to safe evidence-based practice and reporting data to help evaluate our Nursing Sensitive Quality Indicators.

    We are very fortunate to be one of the 1100 facilities in the United States providing the data to NDNQI to fulfill nursing's commitment to advancing our knowledge base to evaluate and improve patient care. The NDNQI is a national nursing database evaluating nursing care that provides annual and quarterly reporting of three major indicators which evaluate nursing care. In 2018, the authors Griggs, Wiechula & Cusack described those indicators as structure (staff/skill competency), process (patient assessment, nursing intervention, and job satisfaction) and outcome of patient care related to the quantity or quality nursing care. NDNQI is managed by a company named Press Ganey. Press Ganey sends us surveys for the data needed and then provides participating facility research driven reports with statistics and data themes. Multiple authors including Smith (writing in 2018) and Griggs, Wiechula & Cusack point out that this data allows us to understand what we are doing well in our facility and what we need to improve on, in comparison to national data, to enhance patient safety, patient care outcomes, and organizational performance reports.

    Now I’d like to share an example, Our Chief Nursing Officer used the NDNQI ratios and acuity data on staffing to validate the need various levels of nurse staffing. Authors Mangold and Pearson, writing 2017, identify how this type of data can contribute to significant changes to our staffing matrix and ratios because of the data produced by nurses like you. Our nurses are better able to provide quality care as a result of this information and our patient satisfaction scores have almost doubled over that past 6 months.

    Imagine a small snowball made of 5 pieces of snow, then imagine one made of 100 pieces of snow, and one made of 1100 pieces of snow…the greater the number the bigger the impact. If you were in the snowball fight, do you want the snowball made with five snowflakes or the one made with 1100 snowflakes? The same is true of the data in the NDNQI, when one facility implements a change the data from the change is shared with everyone through NDNQI so the dissemination of information is relatively quick and provides real time evaluation data.

    For another example, over the past few months, we have experienced a dramatic rise in catheter-acquired urinary tract infections also known as CAUTIs and Hospital Acquired Conditions throughout the facility. This has dramatically affected the quality of patient care and ultimately our Press Ganey patient satisfaction surveys. Our rate of CAUTIs and Hospital Acquired Conditions have also impacted our rate of Medicare reimbursement. We have experienced a 1 percent reduction in reimbursement related to this CAUTI and associated HAC increase. Porter (2018) estimates CAUTI costs to be over $10,000. To give this number a little more impact, the Robert Wood Johnson Foundation Interdisciplinary Nursing Quality Research Initiative reported in 2015 that there was a total of $330 million dollars lost in Hospital Acquired Conditions penalties across 721 facilities.

    Our nurses have identified CAUTI in their patients with indwelling catheters as a concern as well as other Hospital Acquired Conditions. Recognizing that they are the first line of defense for patient safety, our nurses are participating in a hospital wide Acquired Condition Reduction Program modeled after the Centers for Medicare and Medicaid services (n.d). Our initiative looks at all infections acquired during treatment in this facility. I encourage you to look at this website. As a nurse you are the leader of healthcare quality, we depend upon you as the expert in patient care. YOU are extremely powerful in contributing to patient care in not only preventing CAUTIs but in providing a timely reporting of needed data in the Press Ganey surveys so that our data is contributed to NDNQI.

    You May Ask… How Can I Help?

    Nurses have an essential role within the interdisciplinary healthcare team. They are responsible for collecting and reporting data for the NDNQI. The data collected will contribute to improved outcomes, improved patient safety, and an overall improved patient experience. In our facility we provide the data using online surveys received from Press Ganey, all members of the interdisciplinary healthcare team receive the surveys. In a personal communication, our Chief Nursing Officer, Dr. Smith, underscored that the current facility best practice is to check your hospital email every day you work and complete any surveys sent to you. The data is very easy to enter into the survey. Dr. Smith stated that in the beginning there was a lot of lag time between data entry by the interdisciplinary team and the time the survey was sent out but that has improved. We have a quality team at the hospital responsible for supplying the general data related to CAUTIs. Other data provided to Press Ganey includes incident reports, patient admission dates, length or stay, readmission data, number of patients with catheters vs patients with CAUTIs diagnosed in facility vs after discharge. To learn more about Press Ganey please go to their website.

    Your job as a nurse is to provide care according to the current practice policies, complete all required documentation which includes all popups on CAUTIs and then to enter data when emailed a survey from Press Ganey. Your role is incredibly powerful in this initiative because as you know we have a huge amount of responsibility in placing, caring for and assessing indwelling catheters and straight caths. Imagine if your work in completing all required documentation and some quick online surveys prevents future CAUTIs, the impact would be huge!

    I would now like to discuss what we do WITH THE DATA

    The data you provide, and which is found in the patient records provides insights into how the nursing care and interventions we provide influence patient outcomes. The data found within the NDNQI gives healthcare leaders an understand of what actions influence quality and patient safety. Within the NDNQI the data is trended and the themes and or statistical information is pulled out to help guide safety and quality initiatives.

    Within this organization we have quality improvement teams on each unit where data from NDNQI and plans for improving quality are shared. We use the data for guiding us in creating quality improvement plans and ensuring patient safety. Quality improvement teams on your unit will share updates with the NDNQI data and how we plan to use the data.

    As we wrap up I’d like to share some ideas about how your actions IMPACT HEALTH CARE IN GENERAL

    Your involvement in accurate charting and completing surveys provides data used for the greater science of nursing. This information helps the nursing profession to identify nurse-sensitive indicators of quality to use for improvement in our patient care. Our nursing leaders use the NDNQI data to determine the best practices for their unit and facility to improve both quality care outcomes and workplace safety, including nurse patient staffing ratios.

    Our facility models itself after the 2015 Robert Wood Johnson Foundation Interdisciplinary Nursing Quality Research Initiative Policy Brief for not only quality and safety improvement, but to achieve higher outcome-based hospital payments. Our Value Based Purchasing program provides acute care facilities incentive money when the facility has good performance on quality measurements and makes improvements in the facilities quality and safety of care. There is also an overlap of the Value Based Purchasing program and the Medicare reimbursement program so facilities are able to potentially have double the financial benefit because the nurse sensitive outcomes influence the requirements for full reimbursement from Medicare. John Hopkin’s hospital has been a leader in using the NDNQI data to make improvements in safety and quality with a 41% reduction in CAUTIs with the use of national data on nursing interventions from NDNQI. Nursing leaders need to work to ensure they use the data from the nursing sensitive outcomes to make improvements in care within individual facilities and units.

    In CONCLUSION

    Our involvement in NDNQI is a wonderful and positive influence on the profession of nursing and patient care. Your responsibility is to ensure you have accurate and complete documentation and to complete any Press Ganey surveys you receive. Our role as a facility is to provide all additional data to NDNQI and to support you in your work while focusing on quality improvement and sharing data with you from NDNQI and our quality improvement work. The success of NDNQI is relying on our commitment to provide data in a timely manner and then to use the national data to make improvements at the facility. Nurses are at the front line of quality improvement and evidence-based practice. We can all make a huge improvement in patient care. You are a valuable asset to our team!

    Thank you!

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  • [Solved] Patient care

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    **Question (70 Marks):** Critically analyze the role of a professional nurse in promoting holistic patient care within a multidisciplinary healthcare environment. In your discussion, examine how ethical principles, effective communication, evidence-based practice, and leadership contribute to qualit…

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    **Question (70 Marks):**
    Critically analyze the role of a professional nurse in promoting holistic patient care within a multidisciplinary healthcare environment. In your discussion, examine how ethical principles, effective communication, evidence-based practice, and leadership contribute to quality healthcare delivery and patient outcomes. Support your answer with relevant examples and scholarly references.

  • [Solved] disc 2 514

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  • [Solved] Assigment .Apa seven . All instructions attached.

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    – ## AssignmentWeek2IdentifyingIndependentandDependentVariablesinNursingResearch.docx **## AssignmentWeek2IdentifyingIndependentandDependentVariablesinNursingResearch.docx** _Assignment Week 2 Identifying Independent and Dependent Variables in Nursing Research_ Include submission instructions for th…

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    – ## AssignmentWeek2IdentifyingIndependentandDependentVariablesinNursingResearch.docx

    **## AssignmentWeek2IdentifyingIndependentandDependentVariablesinNursingResearch.docx**

    _Assignment Week 2 Identifying Independent and Dependent Variables in Nursing Research_

    Include submission instructions for the assignment. The instructions should be clear and precise and cover all the information needed in order for the student to be successful in accomplishing objectives. Include related material, links, or attachments. Make sure there is a topic as well as directions for the formatting of the submission.

    **Instructions:**

    **Part 1 – Concept Review**

    1. Define in your own words:

    ·
    **Independent Variable**

    ·
    **Dependent Variable**

    2. Provide
    **two examples** from clinical or community health practice illustrating both variables.

    _(Example: Impact of patient education (independent) on medication adherence (dependent))._

    **Part 2 – Article Analysis**

    1. Select one recent (2019–2025)
    **quantitative research article** from a peer-reviewed nursing or healthcare journal.

    2. Summarize:

    · Study purpose and population.

    · The
    **independent** and
    **dependent** variables investigated.

    · How the researchers measured each variable (data type and scale).

    · The statistical test(s) used and whether they fit the variables’ measurement level.

    3. Attach a PDF of your article or include the full APA citation.

    _(1–2 pages, APA 7th edition formatting.)_

    **Part 3 – Application to Your DNP Project**

    In one paragraph, explain how you plan to identify and measure the independent and dependent variables within your DNP project or future quality-improvement initiative.
    Include your
    **measurement tools** (e.g., PHQ-9, BP readings, compliance rate) and
    **expected relationship** between variables.

    _(Approx. 150–200 words.)_

    **Submission Requirements**

    · Length: 2–3 pages (excluding title & references).

    · Format: Microsoft Word (.docx), APA 7th edition.

    · Minimum of
    **two scholarly sources (2019–2025)**.

    Fill in this sentence:
    Contribute a minimum of (number) pages. It should include at least (number) academic sources, formatted and cited in APA.

    **## AssignmentWeek2IdentifyingIndependentandDependentVariablesinNursingResearch.docx**

    _Assignment Week 2 Identifying Independent and Dependent Variables in Nursing Research_

    Include submission instructions for the assignment. The instructions should be clear and precise and cover all the information needed in order for the student to be successful in accomplishing objectives. Include related material, links, or attachments. Make sure there is a topic as well as directions for the formatting of the submission.

    **Instructions:**

    **Part 1 – Concept Review**

    1. Define in your own words:

    ·
    **Independent Variable**

    ·
    **Dependent Variable**

    2. Provide
    **two examples** from clinical or community health practice illustrating both variables.

    _(Example: Impact of patient education (independent) on medication adherence (dependent))._

    **Part 2 – Article Analysis**

    1. Select one recent (2019–2025)
    **quantitative research article** from a peer-reviewed nursing or healthcare journal.

    2. Summarize:

    · Study purpose and population.

    · The
    **independent** and
    **dependent** variables investigated.

    · How the researchers measured each variable (data type and scale).

    · The statistical test(s) used and whether they fit the variables’ measurement level.

    3. Attach a PDF of your article or include the full APA citation.

    _(1–2 pages, APA 7th edition formatting.)_

    **Part 3 – Application to Your DNP Project**

    In one paragraph, explain how you plan to identify and measure the independent and dependent variables within your DNP project or future quality-improvement initiative.
    Include your
    **measurement tools** (e.g., PHQ-9, BP readings, compliance rate) and
    **expected relationship** between variables.

    _(Approx. 150–200 words.)_

    **Submission Requirements**

    · Length: 2–3 pages (excluding title & references).

    · Format: Microsoft Word (.docx), APA 7th edition.

    · Minimum of
    **two scholarly sources (2019–2025)**.

    Fill in this sentence:
    Contribute a minimum of (number) pages. It should include at least (number) academic sources, formatted and cited in APA.

  • [Solved] NEED ASSISGNMENT 10/29/2025. THIS IS 2 ASSISGNMENTS..NO PLAGARISM.

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    THIS IS 2 ASSIGNMENT. NEED ASSISIGNMENT FOR EACH OPTION BELOW read or listen to the presentation and write 2-3 paragraphs about 2 take home points from this presentation. Upload this to the extra credit drop box. Each topic is worth 2 points. You may earn a maximum of 10 extra credit points. The dro…

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    THIS IS 2 ASSIGNMENT. NEED ASSISIGNMENT FOR EACH OPTION BELOW
    read or listen to the presentation and write 2-3 paragraphs about 2 take home points from this presentation. Upload this to the extra credit drop box.
    Each topic is worth 2 points. You may earn a maximum of 10 extra credit points. The drop box allows you to upload more than one item.
    **Module 4 Unit B**
    1. EBB podcast on membrane sweeping
    2. EBB podcast on mechanical cervical ripening

  • [Solved] mind map

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