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NURS FPX 6111 Assessment 3 Course Evaluation Template

Student Name Capella University NURS-FPX 6111 Assessment and Evaluation in Nursing Education Prof. Name Date Part One – Standardized Course Evaluation Template In the dynamic realm of education, feedback plays a pivotal role in shaping course content and delivery methodologies. At [University Name], we view our students as essential contributors to the teaching-learning process. Your insights assist us in discerning what is effective and where improvements can be made. This evaluation form not only signifies our dedication to continuous improvement but also underscores our commitment to fostering a collaborative educational environment. We assure you of the confidentiality of your responses and sincerely appreciate your time and honesty. Evaluation of the Course “Clinical Healthcare Ethics for Pediatric Nurses” Course Objectives: Your comments regarding course objectives: Learning Outcomes: Your comments on learning outcomes: Teaching Approaches: Your comments on teaching approaches: Program Outcome: Your comments on program outcomes: Evidence to Support Assessment Strategies The development of our template was rooted in multiple evidence-based strategies. Drawing from academic literature, studies have continuously emphasized the necessity of encapsulating all three learning domains—cognitive, psychomotor, and affective—in evaluations, which our template ardently reflects (Agustian, 2022; Lo & Yang, 2022). This theoretical foundation was enriched by the invaluable feedback from educators and students, ensuring the template’s practical relevance. A thorough benchmarking process, where we analyzed templates from esteemed educational institutions, allowed us to recognize and incorporate the most effective assessment strategies. Lastly, our commitment to perfection saw the template being pilot-tested with a select group, ensuring its precision through iterative refinements based on direct feedback. Part Two – Executive Summary A dependable academic program’s foundation hinges on its evaluative methods’ accuracy. Recognizing this, we have crafted a standardized course evaluation template, which meticulously spans the three integral learning domains: cognitive, psychomotor, and affective. The inclusion of these three domains in our template is not arbitrary. Scholarly evidence suggests that these domains are paramount in grasping the complexity of the educational experience (Smith & (Agustian, 2022; Lo & Yang, 2022). For instance, the cognitive domain revolves around the understanding and acquisition of knowledge. The psychomotor domain pertains to the development and execution of skills. Lastly, the affective domain gauges the depth of student engagement, attitudes, and values concerning the course. These domains are a barometer of a student’s holistic educational journey. Integral to our template’s foundation is the underlying assumption that holistic student experiences can be quantified and that a mixed-method approach captures a fuller, more comprehensive view of learning outcomes. Our template’s format that is used to assess learning and program outcomes is a mixed-method strategy, which revolves around research, quantitative, and qualitative assessment. Grounded in research, such a strategy ensures both breadth and depth in feedback collection. Quantitative metrics, in the form of Likert scales, offer standardized, measurable insights into student perceptions (Kondakci et al., 2022). On the other hand, qualitative inquiries, achieved through open-ended questions, unearth detailed narratives of student experiences (Wilson et al., 2023). This blend ensures that while we get a pulse on general sentiments, we are also attuned to the nuances that might not be captured through structured questions alone. Criteria for evaluating this strategy include its capacity for comprehensive feedback, alignment with learning outcomes, and adaptability to diverse educational settings. NURS FPX 6111 Assessment 3 Course Evaluation Template Reliability and validity form the pillars of any evaluation mechanism. Our template shines in this regard. We have undertaken rigorous steps to ensure that our questions maintain a high standard of content validity, aligning closely with course objectives. We underscore the criterion validity by mapping our feedback mechanism to specific learning outcomes. Furthermore, our methods provide a predictive lens, giving educators foresight into potential academic outcomes based on the received feedback. This reliability stems from the template’s standardization, assuring consistent feedback regardless of when or by whom the evaluation is conducted (Varghese & Timmons, 2022). Despite its strengths, our evaluation methodology recognizes its imperfections. The nature of open-ended responses means personal sentiments can sometimes sway them. Moreover, our wide-ranging questions, aiming to capture the more extensive educational experience, might occasionally miss the nuances of specific course modules, as highlighted by Mello (2022). However, here is the silver lining: recognizing these shortcomings is our first step toward excellence. By acknowledging these gaps, we are being transparent and sending a clear message of our unwavering dedication to improvement. Embracing these challenges inspires us to work even harder, ensuring our evaluation tool is continually refined, becoming more accurate and valuable with each iteration. In conclusion, Our evaluation template is not a static entity but a dynamic tool. It is deeply rooted in academic research, pedagogical best practices, and the pragmatic needs of educators and learners. Its design promotes actionable insights, yet its utility is contingent on continuous updates and alignments, ensuring it remains a gold standard in course evaluations. References Agustian, H. Y. (2022). Considering the hexad of learning domains in the laboratory to address the overlooked aspects of chemistry education and fragmentary approach to the assessment of student learning. Chemistry Education Research and Practice, 23(3), 518–530. https://doi.org/10.1039/D1RP00271F Kondakci, Y., Zayim Kurtay, M., Kaya Kasikci, S., & Önen, Ö. (2022). Graduate student perceptions of preparedness for responsible conduct of research: A mixed methods study. Ethics & Behavior, 1–18. https://doi.org/10.1080/10508422.2022.2149524 Lo, K.-W., & Yang, B.-H. (2022). Development and learning efficacy of a simulation rubric in childhood pneumonia for nursing students: A mixed methods study. Nurse Education Today, 119, 105544. https://doi.org/10.1016/j.nedt.2022.105544 NURS FPX 6111 Assessment 3 Course Evaluation Template Mello, R. F., Neto, R., Fiorentino, G., Alves, G., Verenna Arêdes, Galdino, V., Taciana Pontual Falcão, & Dragan Gašević. (2022). Enhancing instructors’ capability to assess open-response using natural language processing and learning analytics. Lecture Notes in Computer Science, 102–115. https://doi.org/10.1007/978-3-031-16290-9_8 Varghese, D., & Timmons, D. (2022). Establishing and reporting content validity evidence of periodic, objective treatment review and nursing evaluation. Nursing Communications, 6(0), e2022022. https://doi.org/10.53388/in2022022 Wilson, S. T., Urban, R. W., & Smith, J. G. (2023). Online prelicensure nursing students’ experiences of academic incivility during COVID ‐19: A qualitative inquiry. Journal of Advanced Nursing. https://doi.org/10.1111/jan.15656

NHS FPX 6008 Assessment 3 Business Case for Change

Student Name Capella University NHS-FPX 6008 Economics and Decision Making in Health Care Professor Name Date Business Case for Change Welcome all, my name is ——. Today, in this presentation, we will dive into the business case for change in healthcare economic issues, highlighting limited access to care. We will further overview how this issue impacted my organization and community. Next, we will examine the feasibility and cost-benefit considerations of implementing a proposed solution for the healthcare economic issue of limited access to care. Moreover, we will analyze various ways to mitigate the risks. Next, we will discuss proposed changes that can improve community care access. Lastly, we will explain how the proposed solution is culturally sensitive, ethical and equitable for community and healthcare organizations.  So, let us delve into this vast but significant topic! Healthcare Economic Issue and Its Impact The healthcare economic issue I will highlight in this presentation is the lack of access to care. Limited or inadequate access to care is a global issue, as WHO states that half of the world has limited access to primary healthcare services (World Health Organization, n.d.). Limited access to care impacts particular groups such as low-income people, remote area natives, people with disabilities, and others. This issue impacts the community as their poor health outcomes cause them to suffer in various ways, including loss in productivity, reduced life span, increased healthcare costs, and enhanced mortality rates. Limited access to care must be adequately addressed to improve community health and economic stability. Impact on Stakeholders  The most affected populations are impoverished people with low socioeconomic status, people with disabilities, and geographically distant or rural dwellers. I witnessed this issue in my healthcare organization, Tampa General Hospital, where limited access to care resulted in people dying from chronic diseases and delayed delivery of care treatments. These situations profoundly impacted my work as watching people die lingered on my nerves and intervened in my work, leading to near-miss events. Furthermore, my colleagues had similar feelings that interrupted their keen attention to the nursing tasks. The organization suffered various consequences of this healthcare economic issue, including higher costs due to increased hospital readmission rates and a negative impact on hospital reputations. Now, I will explain the significant impact this issue had on the community, as they were the primary victims of limited access to healthcare. Due to severe financial constraints, populations with poor socioeconomic backgrounds could not bear medical expenditures, and hospitals did not provide them with essential health and medical services (McMaughan et al., 2020). As a result, they suffered from their ailment, and many patients died. Moreover, disabled people, due to physical barriers, encountered limited access to medical facilities and experienced adverse health outcomes. Lastly, the people from remote areas had geographical barriers in accessing healthcare services and required strategic planning that could help them acquire healthcare services at home or near home. Considering the negative impact on all stakeholders, there is a pressing need to delve further into this matter and foster a change in systems that promise enhanced access to care for all vulnerable groups. Feasibility and Cost-Benefit Considerations    The limited access to care poses health implications and badly impacts financial security. Therefore, healthcare organizations must explore this economic issue’s feasibility and cost-benefit considerations. These considerations will facilitate healthcare organizations in assessing the viability and practicality of initiatives for improving access to care.  Some feasibility considerations explored for limited access to care are as follows: Enhanced Costs Due to Preventable Complications The preventable diseases and manageable health conditions may worsen due to limited access to care. The unmet needs of these health problems due to delayed or inadequate treatments escalate to more severe stages requiring costly interventions. The expensive treatment and interventions exceed early diagnosis and preventive care costs. For instance, diabetes management is less costly if timely diagnosed and treated than delayed treatment or lack of adherence to therapeutic care due to limited care (Singer et al., 2022). By granting adequate patient access, one can prevent the economic burden that incurs on patients and healthcare organizations. Public Health Impact The limited access to care for the vulnerable population with contagious diseases may lead to disease outbreaks. This will further create massive chaos as it creates broader public health implications. The ultimate consequences will be unmanaged diseases, costly treatments, and higher prevalence rates. Therefore, this provides a nuanced feasibility consideration to change healthcare organizations to improve public health by providing timely access to healthcare services. Cost-Benefit Considerations By improving access to care for vulnerable populations, cost-effectiveness can be procured. As the populations receive adequate access to care, their health outcomes will be improved, leading to a productive life. This will enhance the economy of the community and the overall country. To substantiate the cost-benefit considerations, one study supports expanding access to care for all people through telehealth facilities. The study’s results showed that for a 300-patient load per year, the annual cost savings amounted to €19,500 by expanding telehealth services. Moreover, Skype, as a less costly alternative, further decreased the telemedicine costs to €3149 (Buvik et al., 2019). Considering such strategies to enhance access to care, healthcare organizations can improve cost-effectiveness, benefiting them in the long run. Evidence-Based Ways to Mitigate Risks to Financial Security Changes or Solutions to Address Limited Care to Access Benefits of Implementing Proposed Plans These changes will benefit the community and assist the organization and colleagues. The organization can provide consultations to a broader range of people with limited access to care. This will be done by optimizing resource allocation and planning, which will lead to cost-effectiveness. Moreover, the organizations will acquire an increased return on investment leading to cost-benefit (Moroz et al., 2020). The organization’s reputation will be enhanced through expanded patient care access. Furthermore, effective implementation of proposed plans will promote the long-term stability of organizations as it positively contributes towards community well-being. By providing adequate access to care, healthcare professionals will be motivated to serve the community and enhance their productivity.

NHS FPX 6004 Assessment 2 Policy Proposal

Student Name Capella University NHS-FPX 6004 Health Care Law and Policy Prof. Name Date Policy Proposal For proper diabetes care, it is important to monitor HbA1c levels regularly along with adequate foot and eye examinations to avoid long-term complications of foot and eyes as a result of untreated diabetes. Lack of early diagnosis of diabetes cause great trouble to diabetic patients impacting their quality of life and patient safety. It is crucial to implement various strategies that ensure early diagnosis to rule out any to prevent future health consequences. In Mercy Medical Center, the dashboard metrics revealed poor treatment of diabetic patients with late diagnosis and inadequate foot and eye examination that might lead to peripheral neuropathy, chronic kidney damage, foot complications, and leg amputations. However, the target of this policy proposal is HbA1c as HbA1c test promotes early diagnosis and treatment, preventing diabetes-associated diseases like kidney damage, neuropathy, and retinopathy, etc.  Need for Policy and Practice Guidelines At Mercy Medical Center, there is a pressing need for policy development and practice guidelines to ensure the early detection and diagnosis of diabetes in patients. As evident from the dashboard metrics in the last quarter of 2020 presented by MMC, HgbA1c tests, eye exams, and foot exams each fell 11% short of established benchmarks presented by the National Diabetes Benchmark by AHRQ, i.e., HbA1c test 79.5%, eye exams 75.2%, and feet exam 84%. Considering this shortfall from the established benchmarks of diabetes tests, MMC required immediate policy development on regular HbA1c testing and practice guidelines to provide adequate and timely care treatment to diabetic patients. The underperformance of the HbA1c benchmark set by national bodies results in various health implications that affect the quality of care and overall organizational functions, requiring the utmost need for policy development. Lack of regular HbA1c testing results in uncertainty about the glycemic levels in the blood of diabetic patients, and hyperglycemia can reach dangerous levels where the patient may die. Moreover, without adequate HgA1c levels, it becomes difficult for healthcare professionals to develop an effective care treatment for diabetic patients which may include only lifestyle modification or pharmacotherapy along with lifestyle changes. NHS FPX 6004 Assessment 2 Policy Proposal This policy proposal on HbA1c will ensure early diagnosis of diabetes in patients at risk and also manage diabetes through effective planning of care treatment for diabetics based on their HbA1c levels. The potential repercussions of inaction are delayed diagnosis of diabetes, making it difficult for patients to self-manage diabetes. These outcomes directly impact the provision of quality care as delayed interventions may result in delayed recovery, longer hospital stays, and higher hospital readmission rates affecting relevant stakeholders such as physicians, nurses, patients, and hospital authorities (Ali et al., 2022). Healthcare organizations may also incur financial implications due to enhanced complications if this policy is not developed timely, as preventive measures cost less than treating complications (Mao et al., 2019).  Therefore, to avoid these potential repercussions, it is highly demanding for MMC to develop policy and practice guidelines to improve the quality of care provided and stabilize organizations’ operations.  Proposed Organizational Policy and Practice Guidelines Mercy Medical Center needs to develop and implement new organizational policies on diabetes care that promotes regular HbA1c testing to promote quality of care and reduce diabetes-associated complications. Therefore, MMC should encourage regular monitoring of HbA1c levels in diabetic patients or patients who present complaints of diabetes twice a year, as recommended by clinical practice guidelines (Imai et al., 2021). To implement this health policy, several practice guidelines are required to follow to streamline the process and achieve desired goals of achieving benchmarks for diabetes care.  Healthcare professionals must identify the patients who have diabetes and are at risk of diabetes. Furthermore, healthcare professionals should educate patients on the effectiveness of these tests and their potential benefits in diabetes care. Likewise, new staff must be educated on the thorough evaluation of diabetes patients and how early diagnosis can promote timely care, leading to enhanced quality of care. Healthcare professionals must schedule regular follow-ups for diabetes patients to provide consistent care treatment. Nurses should be active diabetes educators to patients unaware of the disease and its adequate management, as self-care in diabetes plays a crucial role in controlling the progression of diabetes.  NHS FPX 6004 Assessment 2 Policy Proposal The recommended policy is impacted by various environmental factors, such as human and financial resources, coordination and collaboration, and the availability of healthcare facilities within the access. With adequate healthcare staffing of physicians and nurses, the HbA1c test can be conducted effortlessly, and the results can be interpreted effectively. Furthermore, sufficient financial resources can enable training and educational programs for healthcare staff and diabetes patients on the significance of HbA1c tests (Ali et al., 2022). If the healthcare organization has a collaborative and coordinated system, implementing the practice guidelines and policy will be productive. Lack of interdisciplinary collaboration results in fragmented care and does not bring any fruitful results as desired. Similarly, a healthcare facility within the patients’ access will promote the implementation of the screening testing policy regularly, and the selected benchmark can be achieved timely. Ethical Evidence-Based Practice Guidelines Implementing ethically correct evidence-based practice guidelines is crucial to improve the targeted benchmark performance on HbA1c tests. The literature supports using healthcare information technologies such as electronic medical records (EMR) to automate reminders for HbA1c tests and disseminate health data among healthcare professionals to facilitate communication and information sharing (Wu et al., 2019). Furthermore, patients’ education through brochures on the significance of HbA1c is another evidence-based strategy that promotes awareness among patients to monitor their HbA1c levels regularly as per the hospital’s policy. This will ultimately lead to controlled and well-managed diabetes with fewer diabetes-associated complications ​​(Thanh & Tien, 2021). Furthermore, healthcare staff training on ethical care treatment for people with diabetes for conducting and evaluating the HbA1c measurements is imperative. This is followed by further care treatment plans based on a patient-centered approach, kindness, and beneficence to help improve targeted

NURS FPX 4020 Assessment 2 Root Cause Analysis and Safety Improvement Plan

Student Name  University Name NURS FPX 4020 Improving Quality of Care and Patient Safety Instructor Name Date  Root-Cause Analysis and Safety Improvement Plan Root-cause analysis (RCA) is a systematic strategy for solving problems and issues that cause significant destruction in any organization. Healthcare organizations use this strategy to resolve various issues, including preventable adverse events such as medication administration errors. The prevailing medication administration errors called for immediate action of RCA to lessen medication administration errors. This paper will highlight the use of RCA in Acadia General Hospital (AGH), where medication administration errors critically impact patient safety. Moreover, the assessment will discuss the root causes of recent medication administration errors in AGH, apply evidence-based practice strategies, and craft a safety improvement plan. Lastly, it will highlight identified existing resources of AGH that could be leveraged to improve safety improvement plans for safe medication administration. Analysis of the Root Cause Several medication administration errors occurred at AGH, but the incident of medication administration error due to the wrong medication by Jenna instigated the RCA. Jenna was a nurse on duty in the medical ward; on her evening round, she found that one of her patients, Graham, who complained of arthritis pain, required a dose of “Celebrex.” The nurse retrieved the wrong medication, “Celexa,” instead of “Celebrex”  due to lack of attention and being mentally absent during dispensing. Additionally, the question arises if the ward environment was chaotic or if there were distractions that could have contributed to Jenna’s mistake. Moreover, she did not double-check the medication before handing it to the patient. Graham took the medication without knowing that it was the wrong medication. It is essential to probe if there was a breakdown in communication between Jenna and Graham or if the patient was adequately informed about the medication he was receiving. The nurse found the mistake when investigating the medication administration chart and immediately reported to the healthcare team to manage Graham’s condition. Fortunately, the patient did not suffer any severe side effects of the anti-depressant agent to stabilize mood. NURS FPX 4020 Assessment 2 Root Cause Analysis and Safety Improvement Plan This error could have been prevented if the nurse exhibited attentive behavior and mindful performance during medication administration. The negligent behavior toward crucial tasks like medication administration was the primary cause of this incident. Moreover, the nurse did not comply with the medication administration protocols and required further education and training on safe medication delivery. The situation calls for evaluating whether communication between the medical staff, particularly in relaying and verifying medication instructions, was effective and transparent. When nurses show inadequate attention and mindfulness attitudes, these errors occur frequently, particularly for sound-alike and look-alikes medications (Schroers et al., 2020). Furthermore, the lack of technology-based medication administration further results in medication errors. The presence of healthcare information technology can alleviate the incidences of these errors.  Application of Evidence-Based Strategies The literature addresses numerous factors that lead to safety issues during medication administration. One study states that out of 185 nurses, 24 engaged in medication administration errors due to a lack of training on safe medication administration (Wondmieneh et al., 2020). Therefore, healthcare organizations must implement evidence-based strategies. One of these strategies includes training nurses on mindfulness during medication administration procedures. The literature substantiates this strategy, as 73.3% of medication errors are reduced by training nurses on mindfulness and attentive behaviors (Ekkens & Gordon, 2021). Another strategy includes integrating barcode medication administration (BCMA) technology to avoid medication administration errors due to wrong medication. The barcode will identify and confirm that the medication administered is correct and matches the one prescribed to the patient. This will result in enhanced patient safety and reduced incidence of medication administration (Mulac et al., 2021). Lastly, developing protocols on medication administration within hospitals can reduce medication administration errors as nurses will be held accountable in case of any violations of those protocols. Nurses will be more focused on implementing the protocols and relevant policies on medication administration due to the vulnerability of losing their jobs, heavy fines, and litigation actions (Vaismoradi et al., 2020). Safety Improvement Plan Nurse leaders and the hospital administration collaborated to develop a safety improvement plan for AGH. The plan aims to address medication administration errors. It is both realistic and grounded in evidence-based strategies. Specific actions, policies, and processes have been outlined for implementation, complete with goals and timelines. Training Nurses on Mindfulness The nurse leader will conduct mindfulness and focused medication administration training sessions for three months after developing this plan. This training will teach them the importance of attentive behaviors and mindfulness during the most crucial medication management tasks. Moreover, nurses will learn to avoid interruptions and be mentally present while administering medication to patients. Through this training, nurses will avoid making mistakes due to a lack of focus and attention. The desired outcomes and goals of this training include delivering correct medications to patients with a clear and focused mind and reducing medication errors due to nurses’ negligent behaviors (Ekkens & Gordon, 2021). Integration and Implementation of BCMA  The hospital will integrate a new technological process to reduce AGH medication errors. The barcode medication administration technology will allow nurses to match the barcode on the medication’s label with that of the patient’s prescribed barcode on the wrist. If the barcodes do not match, nurses will be alerted to the wrong medication, preventing its administration. Moreover, nurses can check which medication is required to administer to a patient related to his health condition, leading to safe medication management. The outcome of this technology will be reduced rates of medication administration errors due to wrong medication. Nurses will deliver the correct and proper medication, enhancing patient safety and reducing harm due to medication administration errors (Mulac et al., 2021). This strategy will require a timeline of six months as it requires financial, material, and human resources.  New Policies on Medication Administration The AGH will develop new policies on medication administration, such as penalties for violating the medication administration