A retired 69-year-old man “Mr. Casey” with a 5-year history of type 2 diabetes. Although he was diagnosed 5 years ago he had symptoms indicating hyperglycemia for 2 years before diagnosis. His fasting blood glucose values of 118–127 mg/dl, which was explained to him as “borderline diabetes.” He also states he has had past episodes of nocturia with large pasta meals and Italian pastries. At the time of diagnosis, he was advised to lose 10 lbs

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Case Study for Care Plan  Assignment:

A retired 69-year-old man “Mr. Casey” with a 5-year history of type 2 diabetes. Although he was diagnosed 5 years ago he had symptoms indicating hyperglycemia for 2 years before diagnosis. His fasting blood glucose values of 118–127 mg/dl, which was explained to him as “borderline diabetes.” He also states he has had past episodes of nocturia with large pasta meals and Italian pastries. At the time of diagnosis, he was advised to lose 10 lbs.

Referred by his family physician to the diabetes clinic, Mr. Casey presented with recent weight gain, suboptimal diabetes control, and foot pain. He has been trying to lose weight and increase his exercise for the past 6 months without success. He had been started on glyburide (Diabeta), 2.5 mg every morning, but had stopped taking it because of dizziness, often accompanied by sweating and a feeling of mild agitation, in the late afternoon.

Mr. Casey also takes atorvastatin (Lipitor), 10 mg daily, for hypercholesterolemia. He has tolerated this medication and adheres to the daily schedule. During the past 6 months, he has also taken OTC medications to try to control his diabetes. He stopped these supplements when he did not see any positive results.

He does not test his blood glucose levels at home and expresses doubt that this procedure would help him improve his diabetes control.

Mr. Casey states that he has “never been sick a day in his life.” He is retired and volunteers locally. He lives with his wife of 48 years and has two married children. Although both his mother and father had type 2 diabetes, Mr. Casey has limited knowledge regarding diabetes self-care management and states that he does not understand why he has diabetes since he never eats sugar. In the past, his wife has encouraged him to treat his diabetes with herbal remedies and weight-loss supplements, and she frequently scans the Internet for the latest diabetes remedies.

During the past year, Mr. Casey has gained 22 lb. Since retiring, he has been more physically active, playing golf once a week and gardening, but he has been unable to lose more than 2–3 lb. He has never seen a dietitian and has not been instructed in self-monitoring of blood glucose.

Mr. Casey’s diet history reveals excessive carbohydrate intake in the form of bread and pasta. His normal dinners consist of 2 cups of cooked pasta with homemade sauce and three to four slices of Italian bread. During the day, he often has “a slice or two” of bread with butter or olive oil. He also eats eight to ten pieces of fresh fruit per day at meals and as snacks. He prefers chicken and fish, but it is usually served with a tomato or cream sauce accompanied by pasta. His wife has offered to make him plain grilled meats, but he finds them “tasteless.” He drinks 8 oz. of red wine with dinner each evening. He stopped smoking more than 10 years ago.

The medical documents that Mr. Casey brings to his appointment indicate that his hemoglobin A1c(A1C) has never been <8%. His blood pressure has been measured at 150/70, 148/92, and 166/88 mmHg on separate occasions during the past year at the local senior center screening clinic. Although he was told that his blood pressure was “up a little,” he was not aware of the need to keep his blood pressure ≤130/80 mmHg for both cardiovascular and renal health.

Mr. Casey has never had a foot exam as part of his primary care exams, nor has he been instructed in preventive foot care. However, his medical records also indicate that he has had no surgeries or hospitalizations, his immunizations are up to date, and, in general, he has been remarkably healthy for many years.

Physical Exam

A physical examination reveals the following:

  • Weight: 178 lb; height: 5′2″; body mass index (BMI): 32.6 kg/m2
  • Fasting capillary glucose: 166 mg/dl
  • Blood pressure: lying, right arm 154/96 mmHg; sitting, right arm 140/90 mmHg
  • Pulse: 88 bpm; respirations 20 per minute
  • Eyes: corrective lenses, pupils equal and reactive to light and accommodation, Fundi-clear, no arteriolovenous nicking, no retinopathy
  • Thyroid: nonpalpable
  • Lungs: clear to auscultation
  • Heart: Rate and rhythm regular, no murmurs or gallops
  • Vascular assessment: no carotid bruits; femoral, popliteal, and dorsalis pedis pulses 2+ bilaterally
  • Neurological assessment: diminished vibratory sense to the forefoot, absent ankle reflexes, monofilament (5.07 Semmes-Weinstein) felt only above the ankle

Lab Results

Results of laboratory tests (drawn 5 days before the office visit) are as follows:

  • Glucose (fasting): 178 mg/dl (normal range: 65–109 mg/dl)
  • Creatinine: 1.0 mg/dl (normal range: 0.5–1.4 mg/dl)
  • Blood urea nitrogen: 18 mg/dl (normal range: 7–30 mg/dl)
  • Sodium: 141 mg/dl (normal range: 135–146 mg/dl)
  • Potassium: 4.3 mg/dl (normal range: 3.5–5.3 mg/dl)
  • Lipid panel
    • Total cholesterol: 162 mg/dl (normal: <200 mg/dl)
    • HDL cholesterol: 43 mg/dl (normal: ≥40 mg/dl)
    • LDL cholesterol (calculated): 84 mg/dl (normal: <100 mg/dl)
    • Triglycerides: 177 mg/dl (normal: <150 mg/dl)
    • Cholesterol-to-HDL ratio: 3.8 (normal: <5.0)
  • AST: 14 IU/l (normal: 0–40 IU/l)
  • ALT: 19 IU/l (normal: 5–40 IU/l)
  • Alkaline phosphotase: 56 IU/l (normal: 35–125 IU/l)
  • A1C: 8.1% (normal: 4–6%)
  • Urine microalbumin: 45 mg (normal: <30 mg)

Please use the attached Care Plan outline for this assignment and post in the “Drop Box” under “Instructional”.

Credit of care study to: Geralyn Spollett, MSN, C-ANP, CDE

Reference:

American Diabetes Association. (2003, January 1). Case Study: A Patient With Uncontrolled Type 2 Diabetes and Complex Comorbidities Whose Diabetes Care Is Managed by an Advanced Practice Nurse. Retrieved from http://spectrum.diabetesjournals.org/content/16/1/32

  Explain how social determinants of health contribute to the development of disease.  Describe the fundamental idea that the communicable disease chain model is designed to represent. Give an example of the steps a nurse can take to break the link within the communicable disease chain. 2 references

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.What are social determinants of health?  Explain how social determinants of health contribute to the development of disease.  Describe the fundamental idea that the communicable disease chain model is designed to represent. Give an example of the steps a nurse can take to break the link within the communicable disease chain. 2 references

Resources within your text covering international/global health, and the websites in the topic materials, will assist you in answering this discussion question.

2. Select a global health issue affecting the international health community. Briefly describe the global health issue and its impact on the larger public health care systems (i.e., continents, regions, countries, states, and health departments). Discuss how health care delivery systems work collaboratively to address global health concerns and some of the stakeholders that work on these issues. 2 references

Resources within your text covering international/global health, and the websites in the topic materials, will assist you in answering this discussion question.

discussing the Purnell model its framework, assumptions which the model is based and how this model helps us to provide cultural competence health care.

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Please present an essay discussing the Purnell model its framework, assumptions which the model is based and how this model helps us to provide cultural competence health care.

You must present a minimum of two evidence-based references no older than 5 years to sustained your essay. A minimum of 500 words excluding the first and reference page.

Thank you in advance. Please let me know if you have any questions.

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Hello, 

I have two assignments due by tomorrow July 29, 2019 at 6 pm (CST).  One is a short reflection assignment and the other is a power point.  You can choose the interview OR the volunteer of the power point.  I chose the Mentor Network in Oxford, Mississippi as my volunteer/interview establishment.  My contact person for that place is Tanya Croy.  Thank you in advance.  Please let me know if you have any questions.

The case study should be written up as a word document and be no more than 4 pages double-spaced not including references (MLA or APA) and include in-text citations.

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The case study should be written up as a word document and be no more than 4 pages double-spaced not including references (MLA or APA) and include in-text citations. This is not an opinion-based paper. Every fact you state needs a citation to let the reader know where you found that information. It should include an introduction to the envirornmental issue and its location. The next portion should be about the opposing views (i.e., at least 3 cons and 3 pros; if you can only find cons, then replace the pros with examples of solutions to the cons). The pros and cons need to be focused on the environmental impact of the problem, not just how it’s affecting humans. Think about what it is doing to the ecosystems. Tie it to what you are learning in class.

On the Word document, you should have:

  • your name
  • title
  • the case study
  • works cited (APA or MLA)

Use the proposal for the case study that I will upload

Predator–Prey Interaction Results in Population Cycles

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The graphical analysis of the combined dynamics of the predator (Npred) and prey (Nprey) populations using the zero-growth isoclines presented in Figure 14.2c reveal a cyclical pattern that represents the changes in the two populations through time (Figure 14.3a). If we plot the changes in the predator and prey populations as a function of time, we see that the two populations rise and fall in oscillations (Figure 14.3b) with the predator population lagging behind the prey population. The oscillation occurs because as the predator population increases, it consumes more and more prey until the prey population begins to decline. The declining prey population no longer supports the large predator population. The predators now face a food shortage, and many of them starve or fail to reproduce. The predator population declines sharply to a point where the reproduction of prey more than balances its losses through predation. The prey population increases, eventually followed by an increase in the population of predators. The cycle may continue indefinitely. The prey is never quite destroyed; the predator never completely dies out.

How realistic are the predictions of the Lotka–Volterra model of predator–prey interactions? Do predator–prey cycles actually occur, or are they just a mathematical artifact of this simple model? The Russian biologist G. F. Gause was the first to empirically test the predictions of the predator–prey models in a set of laboratory experiments conducted in the mid-1930s. Gause raised protozoans Paramecium caudatum (prey) and Didinium nasutum (predator) together in a growth medium of oats. In these initial experiments, Didinium always exterminated the Paramecium population and then went extinct as a result of starvation (Figure 14.4a). To add more complexity to the experimental design, Gause added sediment to the oat medium. The sediment functioned as a refuge for the prey, allowing the Paramecium to avoid predation. In this experiment the predator population went extinct, after which the prey hiding in the sediment emerged and increased in population (Figure  14.4b). Finally, in a third set of experiments in which Gause introduced immigration into the experimental design (every third day he introduced one new predator and prey individual to the populations), the populations produced the oscillations predicted by the model (Figure  14.4c). Gause concluded that the oscillations in predator–prey populations are not a property of the predator–prey interactions suggested by the model but result from the ability of populations to be “supplemented” through immigration.

In the mid-1950s, the entomologist Carl Huffaker (University of California–Berkley) completed a set of experiments focused on the biological control of insect populations (controlling insect populations through the introduction of predators). Huffaker questioned the conclusions drawn by Gause in his experiments. He thought that the problem was the simplicity of the experiment design used by Gause. Huffaker sought to develop a large and complex enough laboratory experiment in which the predator–prey system would not be self-exterminating. He chose as the prey the six-spotted mite, Eotetranychus sexmaculatus, which feeds on oranges and another mite, Typhlodromus occidentalis, as predator. When the predator was introduced to a single orange infested by the prey, it completely eliminated the prey population and then died of starvation, just as Gause had observed in his experiments. However, by introducing increased complexity into his experimental design (rectangular tray of oranges, addition of barriers, partially covered oranges that functioned as refuges for prey, etc.) he was finally able to produce oscillations in predator–prey populations (Figure 14.5).

These early experiments show that predator–prey cycles can result from the direct link between predator and prey populations as suggested by the Lotka–Volterra equations (Section 14.2), but only by introducing environmental heterogeneity—which is a factor not explicitly considered in the model. As we shall see as our discussion progresses, environmental heterogeneity is a key feature of the natural environment that influences species interactions and community structure. However, these laboratory experiments do confirm that predators can have a significant effect on prey populations, and likewise, prey populations can function to control the dynamics of predators.

Post your own definition of social science research, based on this week’s readings. Explain why research is important and useful to you as a current or future human and social services professional.

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Discussion 1: Defining Social Science Research

When you think of scientific research, you might think of labs filled with microscopes or computer screens running mathematical formulas. Social science research is different in some ways, but some things are the same. For example, the major aspects of the overall scientific enterprise remain the same: research, theory, data collection, and data analysis. The difference is that social scientists apply these aspects to social research, like aiming to find aggregate patterns in social life. It is important, however, not to think of social science as “less scientific” than other forms of scientific research. For example, social science is based on evidence-based theory, and social scientists conduct complex experimental studies. While this sounds definitive, scholars are divided on what social science research should contain and what it should not. Some scholars believe social science research should be more conservative, adhering to traditional scientific principles used in chemical or biological studies. Others believe social science should be more liberal, utilizing new, nontraditional, and innovative forms of research to advance research findings and aid human and social services practices.

In this Discussion, you consider your own definition of social science research, supported by this week’s readings, scholarly literature, and your own research. Then, you explain how social science research is used in human and social services.

To Prepare

Consider how you might define social science research and what it means to you as a human and social services professional.

Post your own definition of social science research, based on this week’s readings. Explain why research is important and useful to you as a current or future human and social services professional.

What is the purpose of the source, review article, original research? What topics are covered? This section is generally 3-5 sentences that summarize the author’s main point. For more help, see this link on paraphrasing sources.

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Project Overview: For this project, you’ll choose a food or drink item, a cuisine, an invention or an idea,, and then research how four geographic concepts are related to and affect your choice. Instead of presenting your research as a traditional paper, you’ll use PowerPoint or similar presentation software to create a narrated presentation. Your presentation will be structured like a paper, including a title, introduction to the topic, main body, summary and conclusions, and references. Creative use of properly cited graphics and photos from the Internet relevant to your topic is required.

First, choose a food item, cuisine, invention or idea that interests you. Some will have more information available about them than others, so it’s worth doing some investigation before you settle on one. If you’re not sure if your desired topic is appropriate, please feel free to ask!

Once you have selected your topic, you will then do research to see how each of the following geographic concepts affects or is related to your topic: 1. Regions 2. Cultural Landscape 3. Diffusion 4. Distance decay The first three concepts are well covered in your textbook. Distance decay refers to the fact that influence and interaction between locations decreases as the distance between them increases. As such, it has a significant influence on how things change as they diffuse away from their point of origin. Be sure to address these specific geographic terms and concepts. You don’t need to address them in this order, but you do need to address all of them. You may use “subsets” of these definitions (e.g. contagious diffusion) if such subsets exist. Be sure to refer to your text and other reliable resources to ensure you completely understand these concepts. You should be detailed in your treatment of these concepts – for instance, you should explain both how and why your choice varies by region, and how and why it has been affected by distance decay. Remember that geography, as an academic discipline, seeks to explain why things vary from place to place, not just describe how they do.

You will complete this project in 3 separate assignments: an annotated bibliography, an outline, and your final presentation.

PART 1: An annotated bibliography

Assignment Objective: Assess sources for your research for your final presentation (for credibility, reliability, and relevance) and list references in proper APA format through the creation of an annotated bibliography.

Assignment Instructions: An annotation is a summary and evaluation, and your annotated bibliography will include a summary and evaluation of some of the sources (or references) you will use for your presentation.

To prepare for this assignment, I recommend that you do the following:

Read these directions carefully.

Review the sample annotated bibliography provided to you below.

Read the grading criteria below.The grading criteria is a detailed evaluation that I will use to assess your performance. It also will help you understand what is expected you as you prepare your assignment.

Message me with any questions!

The reason the annotated bibliography is included as part of the research project is that writing an annotated bibliography provides excellent preparation for the final presentation. One of the issues regarding any type of research is the credibility of the sources used, particularly those obtained from various websites. By forcing you to evaluate your potential sources carefully, the annotated bibliography helps you determine if the sources you chose are credible and relevant to your topic. It will also help you understand the topic better, which will help you develop your presentation.

For this project, you will assess three sources to include:

1) a complete citation for each source,

2) a summary of each source, and

3) an evaluation of each source.

Three sources are required for this assignment (i.e., you are to write an annotation for each source). However, you must use five or more sources in your final presentation.

Use the TEMPLATE below to summarize and evaluate each of your three sources.

Citation:

Written in APA reference list format. For more help with formatting, see APA handout.

Summary:

What is the purpose of the source, review article, original research? What topics are covered? This section is generally 3-5 sentences that summarize the author’s main point. For more help, see this link on paraphrasing sources.

Evaluation:

After summarizing the article (or research paper or book), it is necessary to evaluate it and state where you found it – its source (e.g.,journal, website, etc.). Briefly answer the following questions in 3-5 sentences:

What is the format or type of source (e.g., peer-reviewed journal paper, website, book)? How reliable is the information in the article, and how credible is the source (e.g., website’s sponsoring organization, journal or book publisher) and the author(s)?

You must submit your Annotated Bibliography as a “Microsoft Word” document using the template provided (rather than a Word Pad, Works, etc. document).

PART 2: Outline

Assignment Objective: Organize your thoughts and the main points of your research for your final presentation in outline format.

Assignment Instructions:  To help you complete Assignment 3: The Presentation, you will first submit an outline to organize your thoughts and main points. Your outline should be formatted a specific way and must contain the following elements as described below.

To prepare for this assignment, I recommend that you do the following:

Read these directions carefully.

Read the grading criteria below. The grading criteria is a detailed evaluation that I will use to assess your performance. It also will help you understand what is expected of you as you prepare your assignment.

Message me with any questions!

Be sure to add your name to your outline.

The outline format: Your outline must be formatted as described. Please note that this format will be assessed in your grade:

Use an alphanumeric sequence

Sections should be indented and aligned

Follow the suggested order of the required elements

Use brief but detailed and descriptive phrases.

The required elements: Your outline should contain the following elements in this order:

I. The Introduction: This section previews your topic and the details you will cover in the body of your presentation. It should be very brief, but include:

A. The food, cuisine, invention or idea that you are going to discuss.

B. Why you chose this topic.

C. A preview of the regions where your topic has developed and then diffused to.

II. The Body (Content Sections): In the body, you must address how the four geographic concepts mentioned in the presentation instructions (regions, cultural landscapes, diffusion, and distance decay) relate to your topic.

A. Regions: Discuss the origin region or regions of your topic, with specific attention to the geographic qualities of the region that influenced the development of your topic.

B. Cultural Landscape: Discuss how the landscape in the region(s) described above have been shaped by the culture that gave rise to your topic, and how your topic might be reflected in that landscape.

C. Diffusion: Discuss how your topic has diffused from its origin. Where has it diffused to? What factors led to its diffusion there? What kind of diffusion has it experienced?

D. Distance Decay: Discuss how your topic has changed as it has diffused away from the region(s) of its origin. Explain these changes with reference to the geographic qualities of the regions it has diffused to.

III. The Conclusion Section: this section should contain four to six points that sum up the main points from the body of the outline.

Start your conclusion with one sentence summarizing some basic information about your topic.

Continue with a brief summary (1-2 sentences) about the important characteristics of its origin region(s).

Include a brief note about relevant cultural landscapes.

Include a brief summary (1-2 sentences) about the diffusion of your topic and the distance decay it experienced.

Wrap up the conclusion section with a closing note that provides brief information about why this topic was of interest to you, and a fact about your topic you found interesting.

IV. Reference section: This is not just the reference page; rather, referencing should occur throughout the outline as it will in your presentation. Therefore, your outline should include both a separate reference page containing a minimum of five sources listed in proper APA reference list format AND internal citations throughout the outline where appropriate. Please be sure to see the resources below for assistance regarding in-text citations and reference list formatting, and/or ask me if you have any additional questions.

Please make note of the following tips and tricks:

I understand that this is a rough draft and, as your research and writing continue over the next few weeks, details may be added or changed. Although you do not have to resubmit it to me, I recommend that you update this outline to help you best complete the Final Presentation.

Write your outline so that it has detailed bullets that you can easily then flesh out into sentences for the narration of your Final Presentation.

After your outline is complete, I recommend that you next draft your introductory and conclusion sections for your presentation. This will ensure that all the main points of the outline are incorporated in these two framing sections of your final presentation.

Please note that less than 10% of your outline or presentation should be direct quotes.

All internal citation references should be listed on the reference page, and vice versa.

You must submit your Outline as a “Microsoft Word” document (rather than a Word Pad, Works, etc. document)

PART 3: PRESENTATION

Assignment Objective: Develop an audio-narrated PowerPoint presentation based on the research you have conducted about your chosen topic.

Assignment Instructions: Using the course project steps completed to date, you will develop your presentation based on assignment 1 and 2.

To prepare for this assignment, I recommend that you do the following:

Read these directions carefully.

Review the grading rubric below. The grading rubric is a detailed evaluation that I will use to assess your performance. It also will help you understand what is expected of you as you prepare your assignment.

Presentation requirements:

Your presentation will be submitted as an audio-narrated PowerPoint. For instructions on how to create audio narration in PowerPoint, see the following link: Record a Slide Show With Narration. Audio narration is a requirement!

There must be a visual element (e.g., photos, videos, graphs, figures).

Your presentation must contain approximately 10-15 slides (excluding references) and run approximately 5-10 minutes.

Please note that less than 10% of your presentation should be direct quotes.

Proper use and pronunciation of geographic terminology are required.

Be sure to properly cite your work, both internal to the presentation as well as within the reference slide (this includes photos, graphs, figures, videos, etc.).

All references listed on the reference slide should be cited internally within the presentation, and vice versa.

The required elements: Your presentation should contain the following elements in the order listed below. Specific content for each section is detailed in Assignment 2: The Outline.

In addition, I expect that any feedback provided to you from Assignment 1: Annotated Bibliography and Assignment 2: The Outline be incorporated into this assignment. Please go back and review those comments.

Introduction – this section must contain your topic, why you chose your topic, and preview where your topic developed and diffused to.

Body (Content) – this section must contain examine how your topic relates to four geographic concepts: regions, cultural landscapes, diffusion and distance decay

Conclusion Slide – this section must contain four to six points that sum up the main topics of the presentation.

Reference Slide (and Internal Citations) – this section must contain the following:

Internal citations – This is not just a separate section; rather, referencing should occur throughout the presentation via parenthetical citations anytime you paraphrase, make direct quotes, or use visual components from other sources. Please be sure to cite any language, images, videos, etc. in the presentation that should be cited.

Reference Slide – Your paper should also have a final reference slide listing at least 5 credible sources researched for your presentation.

Do not include your summary/evaluation from Assignment 1: Annotated Bibliography; simply list the references utilized in your presentation in APA format on the reference slide.

You must submit your Presentation as a “PowerPoint” document

Investigate your organization’s compliance rate with one specific core measure of your choice and write a 2-3-page (maximum) executive summary analyzing the financial and regulatory impact of organizational compliance with your chosen measure

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Investigate your organization’s compliance rate with one specific  core measure of your choice and write a 2-3-page (maximum) executive  summary analyzing the financial and regulatory impact of organizational  compliance with your chosen measure. Include recommendations for  improving performance on the measure. 

In order to promote safe, caring, patient-centered environments,  nurse leaders must both conceptually understand and be proficient at  performing a wide variety of leadership skills. Effective nursing  leaders develop and maintain awareness of issues that emerge at many  levels within and outside of their organizations. In addition to  developing self-assessing competencies necessary for their roles, nurse  leaders must also acquire organizational and systems leadership skill  sets.

In this program, you have examined the role, concepts, and principles of  health care policy and how legal and regulatory agencies interact with  professional nursing practice. You have also looked closely at the  factors that impact disparities in health care access. This  understanding of health care policy, as well as the multicultural,  socioeconomic, political, legal, and regulatory elements that affect  individuals, communities, and vulnerable populations, positions nurses  to bring about change through effective communication with colleagues,  consumers, and officials. Added to this is your demonstrated knowledge  of financial management and cost containment, as well as how they affect  quality of care.

To help you prepare for this assessment, review the resources you used  and the assessments you completed in BSN-FP4006, BSN-FP4008, and  BSN-FP4012.

For this assessment, write an executive summary analyzing the  financial and regulatory impact of organizational compliance with a  specific core measure of your choice. The summary must include  recommendations for improving performance on the measure.

You must be able to explain the financial implications associated  with the measure, as well as its importance in terms of policy,  regulation, and finance. This is another good opportunity to consult  with a key stakeholder within the organization. Talking to someone who  works closely with the organization’s finances can help you develop a  deeper understanding of the financial aspects of compliance. You also  need to suggest ways your organization can improve compliance and how  you would implement changes and overcome obstacles.

This may seem like an enormous undertaking, but you should approach  it as if you were to present this information to your supervisor or  manager. Keeping in mind that people in these positions do not have time  to read a 10–12-page report, you would typically give them only an  executive summary of your analyses and recommendations. That means that  you will need to be very clear and very concise with the information you  choose to include in the executive summary. Say as much as possible  with as few words as possible.

Directions

Select a core measure and investigate your organization’s  compliance rate with the measure. In your executive summary, address the  following:

  1. Compare the compliance rates of your organization with those of other organizations.
  2. Explain why the measure is important in terms of policy, regulation, and finance.
  3. Describe changes that could be made that would improve compliance with the measure.
  4. Identify the stakeholders who would be affected by the changes.
  5. Identify obstacles you would expect to encounter and explain strategies to overcome these obstacles.

Additional Requirements

  • Format: Include a title page and references page. As this is an executive summary, do not  use APA style and formatting. To determine the appropriate format, it  may be helpful for you to review the documents used in your  organization. How do they look? What kind of language is used in memos?  These can help guide your development of this executive summary.  Certainly, feel free to use bullet points as appropriate.
  • Length: Write a 2–3-page (maximum) summary of your information, not including the title page and references page.
  • References: You must still reference scholarly  resources to support your work. Use at least three current scholarly or  professional resources.
  • Font: Use 12-point, Times New Roman font.

Choose a clinical focus, develop a project within a practice setting that allows you to develop these leadership skills

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Choose a clinical focus, develop a project within a practice setting that allows you to develop these leadership skills. Identify a problem area in a practice setting that you specifically want to address (e.g., practice, policy, population, education) that aligns with organizational priorities. Example sources for the problem area may include the following:

•  Practice: joint commission standards, core measures as quality indicators, other data

•  Policy: legislation, staffing ratio, regulations from state boards

•  Population: children with diabetes, adult obesity

•  Education: future of nursing, Benner’s recommendations about nursing education

Focus on a real-life solution for the problem. Choose a topic that is timely, manageable, and realistic to the current healthcare environment. An external

resource person (i.e., manager, clinical leader, clinical educator, policy expert, or population expert) must confirm the relevance of the selected project and your engagement in the setting as part of project completion. As with all projects, you should think how you, as a nurse, function in the following roles: detective, scientist, and manager of the healing environment.