Nursing care plan

The purpose of this task is to develop a working knowledge of nursing theory, nursing ethics, and professional accountability and apply these concepts to your professional clinical practice. You will be required to think about real-life scenarios and how they relate to nursing codes in your professional practice.

Requirements:

Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. Use the Turnitin Originality Report available in Taskstream as a guide for this measure of originality.

You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.

A.  Identify a nursing theory that has influenced your values and goals.

1.  Explain how nurses apply the identified theory from part A to implement excellent nursing practices.

2.  Discuss how the identified theory from part A fits your professional practice.

B.  Identify the contributions of two historical nursing figures in the nineteenth or twentieth century.

1.  Compare the differences in contributions of the two historical figures identified in part B.

2.  Describe how the contributions of the two historical figures influence your professional nursing practice.

C.  Explain the functional differences between the State Board of Nursing and the American Nurses Association (ANA).

1.  Define the roles of these two organizations.

2.  Explain how these two organizations influence your nursing practice.

3.  Explain the requirements for professional license renewal in your state.

a.  Discuss the consequences of failure to maintain license requirements in your state.

4.  Compare the differences between registered nursing license requirements in a compact state versus a non-compact state.

D.  Discuss the functional differences between the Food and Drug Administration and the Center for Medicare and Medicaid Services (see the web links below).

1.  Discuss how the two regulatory agencies influence your professional nursing practice.

a.  Describe your role as a patient advocate in promoting safety when a patient has requested to use an alternative therapy.

E.  Discuss the purposes of the Nurse Practice Act in your state and its impact on your professional practice.

1.  Discuss the scope of practice for a RN in your state.

2.  Discuss how your state defines delegation for the RN.

F.  Apply each of the following roles to your professional practice:

•   a scientist

•   a detective

•   a manager of the healing environment

G.  Identify two provisions from the American Nurses Association (ANA) Code of Ethics (see web link below).

1.  Analyze how the two provisions identified in part G influence your professional nursing practice.

2.  Describe a nursing error that may occur in a clinical practice (e.g., clinical setting, skills lab, or simulation).

a.  Explain how the ANA provisions identified in part G can be applied to the error discussed in part G2.

H.  Identify four leadership qualities or traits that represent excellence in nursing.

1.  Discuss the significance of the four leadership qualities identified in part H in the nurse’s role as each of the following:

•   a leader at the bedside

•   within a nursing team or interdisciplinary team

2.  Identify how your work environment impacts the following:

•   nursing leadership

•   decision making

•   professional development

I.  Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized.

J.  Demonstrate professional communication in the content and presentation of your submission.

The actual implementation of a project occurs within the execution phase. During this phase, it is not uncommon for project managers to determine that projects have deviated from the original scope, time, or cost (the “triple constraint”), often due to unforeseen issues. When one element of this “triple constraint” changes, project managers must adjust the remaining two elements in order to satisfy project requirements. Maintaining this balance is one of the greatest challenges a project manager faces.

In this Discussion, you examine scenarios featuring issues that arise during the execution phase of a project. You analyze how you would modify the project in terms of scope, time, and cost in order to resolve the issues and fulfill project requirements. You also explain how you would communicate these modifications to key stakeholders.

Consider the following scenario

1. You are the lead project manager tasked with implementing a hospital’s new patient identification and tracking system. The currently planned system is designed to function using only barcodes, but many key stakeholders have called for the system to also include the use of radio-frequency identification (RFID) features. In order to meet the demands of the stakeholders, your project scope expands to include RFID technology. How will you modify your budget and schedule to accommodate this increased scope?

1. You are managing the development of a computerized physician order entry (CPOE) system in a hospital that caters to the suburban population of a major city. A much larger hospital that accommodates most of the city’s downtown residents has recently been severely damaged in a storm. As a result, the inner-city hospital is operating at a low level of capacity and diverts much of its patient flow to other hospitals. In order to help alleviate the strain caused by this new influx of patients, your hospital’s executives are requiring you to implement the CPOE system 2 weeks early. Your project team is currently composed of just enough individuals to complete the project on time using the original timeline. The planned CPOE system has many non-essential features that usually take two phases to implement. However, these features are currently planned to be incorporated during your single-phase CPOE implementation. How do you adjust the project’s scope and cost to meet the new schedule demands?

1. You are managing the implementation of an electronic medical record system in a small physician’s office. Due to much lower-than-expected profits in the fourth quarter, you have had a substantial cut in the amount of funding available for your project. The scope of the medical record system is more extensive than the bare minimum required for a practice of this size. In addition, the implementation schedule is as condensed as possible to reduce downtime in the office. This condensed schedule requires the use of expensive, high-quality resources. How can you adjust your plan to compensate for the project’s reduced budget?

To prepare:

• By Day 1 of this week, your Instructor will assign you to a specific scenario (scenario 1). Review this week’s Learning Resources on controlling the elements of the “triple constraint,” and consider how they apply to the scenario to which you were assigned.
• Determine how you could modify the project in your assigned scenario in terms of scope, time, or cost in order to fulfill the project requirements.
• Consider how you would communicate the modifications you identified to key stakeholders.

Post by tomorrow 10/18/2016 a minimum of 550 words in APA format with 3 references from the list below. Apply the level one headings as numbered below:

1) Post the number of your assigned scenario and a description of where and how you would adjust the plan in terms of budget, scope, and timeline.

2) Explain how you would communicate modifications to key stakeholders. Provide rationale for your response.

Required Readings

Coplan, S., & Masuda, D. (2011). Project management for healthcare information technology. New York, NY: McGraw-Hill.

• Chapter 3, “Project Management”
  • “Scope Control” (pp. 58)
  • “Control Schedule” (pp. 64–67)
  • “Control Costs” (pp. 71–75)

These three areas of Chapter 3 focus on controlling scope, time, and cost, also referred to as the triple constraints.

Project Management Institute. (2013). A guide to the project management body of knowledge (PMBOK guide) (5th ed.). Newtown Square, PA: Author.

• Chapter 3, “Project Management Processes for a Project”
  • 3.5, “Executing Process Group” (pp. 56)
  • 3.6, “Monitoring and Controlling Process Group” (pp. 57)

These sections of Chapter 3 explore how to coordinate people and resources in accordance with the project management plan. These sections also cover the processes used to track, review, and regulate a project’s performance.

• Chapter 5, “Project Scope Management”
  • 5.6, “Control Scope” (pp. 136–140)

This section of Chapter 5 explains the process of monitoring a project’s status and scope. The text also describes how to manage changes to the scope baseline.

• Chapter 6, “Project Time Management”
  • 6.7, “Control Schedule” (pp. 185–192)

In these pages of Chapter 6, the authors explain the process of monitoring a project’s status to update project progress and manage changes in a schedule baseline.

• Chapter 7, “Project Cost Management”
  • 7.4, “Control Costs” (pp. 215–223)

This section of Chapter 7 reviews the processes used to update a project budget and manage changes to the cost baseline.

Cortelyou-Ward, K., & Yniguez, R. (2011). Using monitoring and controlling in an electronic health record module upgrade: A case study. The Health Care Manager, 30(3), 236–241.

Retrieved from the Walden Library databases.

This article examines the application of monitoring and controlling to an electronic health record module upgrade. The article makes recommendations related to flexibility, tracking changes, teams, milestones, and testing.

Noblin, A. M., Cortelyou-Ward, K., & Ton, S. (2011). Electronic health record implementations: Applying the principles of monitoring and controlling to achieve success. The Health Care Manager, 30(1), 45–50. 

Retrieved from the Walden Library databases.

This article explores the principles of monitoring and controlling in the context of an electronic health record implementation. The article also examines issues such as project costs, project progress, schedule controls, quality management, and controlling risks.

Yin G.-L. (2010). Project time and budget monitor and control. Management Science and Engineering, 4(1), 56–61. 

Retrieved from the Walden Library databases.

The author of this article describes how time and budget can be successfully controlled during a project’s implementation. The author presents techniques for accomplishing this, as well as describing potential pitfalls.

Document: Project Management Tools Available for Apple/Mac Computers (PDF)

This document contains a list of project management tools that are compatible with Apple/Mac computers.

Required Media

Laureate Education (Producer). (2013b). Executing, monitoring, and controlling [Video file]. Retrieved from https://class.waldenu.edu

Note: The approximate length of this media piece is 8 minutes.

In this presentation, roundtable participants Dr. Mimi Hassett, Dr. Judy Murphy, and Dr. Susan Newbold discuss the science of executing a project and the art that is involved in the continued monitoring and controlling of it. They talk about the triple constraint of cost, scope, and time and suggest some automated tools and skills that can help in tracking shifting components of a project.