Tag: Clinical-Nursing

Healthcare Balanced Card example

Balanced Card for Eisenhower Medical Center

Mission Statement and Goals

Eisenhower Health, a not-for-profit organization, exists to serve the changing healthcare needs of our region by providing excellence in patient care with supportive education and research. We ensure that measured outcomes meet/exceed agreed upon expectations. Evidence based clinical practice policies, procedures, and other standards are practiced 100% of the time. Tests, treatments and procedures are thoroughly explained to patients and are understood. Patients, visitors and donors are always safe from harm and prefer Eisenhower because of its high quality. We strive that our staff always practice good manners, are friendly, polite, and emotionally sensitive to each individual whether patient, family, visitor or fellow employee and we assure you our services are provided efficiently and effectively with a minimum of waste. Healthcare Balanced Card example

BUY A CUSTOM-WRITTEN, PLAGIARISM-FREE PAPER HERE

Table 1

Analysis of Environment

Social

Technological

Economical

Environmental

Political

We count with live interpreters 24/7 to assist in our Emergency department and ICU

Cancer, Neuroscience, Cardiovascular, Orthopedics — these Centers of Excellence at Eisenhower Medical Center provide award-winning, comprehensive care for our patients requiring these specialized services

Our m
ain source comes as donations from our long standing benefactors. 

Improve our outsource of pollutants in our community by encouraging our employees and patients to recycle and dispose trash in adequate bins and containers.

Understand and support our local governors and entities in compliance with the state of CA and city of Rancho Mirage.

Our aging population has an average of 60-70% in ratio

New therapies for Non-invasive Procedures such as Vapotherm and E-Zpap

Understand and support our local needs.

Parking structure is large and ample for all our staff and patients

Healthcare Balanced Card example

Support and understand our schooling programs for our local academies and colleges

Provide safe and potable water

A new pulmonary Laboratory for inpatient services

Creation of a program where Non-insurance patients can opt for financial services in-house

Count with our own Cleaning and housekeeping team

Support our employees for adequate time for jury duty special Vote days.

Ensure a security team is always in and around perimeters.

First Robotic bronchoscopies were launched in May 2019

Cafe and restaurant 24/7 open for staff and patients

Continuing recycling education for patients, family members and employees.

Remain non political neutral parties

 

Table 2

S.W.O.T.

Strength

S

 

Weakness

 

W

 

 

Opportunities

 

O

 

Threat

 

T

 

Personalized care

New Ventilators/ RT equipment

Employ full time interpreters

 

2 more acute care hospitals

Happy and low turnout of employees

Healthcare Balanced Card example

 

Old medical equipment

In-House financial Services

Reject discrimination

Great management team effort

Unstable permanent positions

 

 

Housekeeping services

Zero tolerate to sexual harassment

 

In the table 2 above, the focus between customer and internal perspectives are combined. These highlights what the customer is looking for and how at Eisenhower is responding. There are three areas focused: The customer relationship, market leadership and operational excellence. Eisenhower also splits their “Learning and Growth” into perspective. Healthcare Balanced Card example

Table 3

Balanced Card

Financial

Objectives       Current     Target

Efficient Billing      7 days            5 days Reduc Op. Cost     $50,000         $45,000 Neg Price C           $80,000         $60,000

 

Learning and Growth

Objectives                  Current                Target

Organized Operations  Moderate            Mild Unresolved Issues       12,000                 5,000

 

Customer/Patient Satisfaction

Objectives                Current          Target

Dissatisfaction           25%              18% Law Suits                  5                   0

 

Internal Process

 

Objectives                  Current                Target

Innovations                 12                        20 Inventory Control        90%                    95% Employee Retention    30%                    50% Patients w/o Insurance  10%                   5% Healthcare Balanced Card example

 

 

These balanced card was created and based on information from previous data from Eisenhower Health internal database and some numbers may or may not reflect of current accuracy until this day.

References

How to improve our productivity and cost of care. (2017). Retrieved from https://eisenhowerhealth.org/employeeinternaldatabase Healthcare Balanced Card example

Leadership and management nursing Essay

Identify one specific contemporary issue or trend that you are interested in learning more about. Choose from the categories below. For example you might want to learn more about why it is more difficult for some groups to receive care than others, which would fall under Client Access to Care. Or, you might want to compare nursing practice in the U.S. with how nurses practice in Japan, which would fall under the category of Global Healthcare and Nursing.

Global Healthcare and NursingHealthcare ReformU.S. Healthcare FinancingNursing’s Role in the U.S. Healthcare SystemIntegrative HealthcareNursing Leadership and ManagementNursing EducationNursing PracticeNursing ProfessionalismAdvancing Nursing as a ProfessionClient Access to CareDelivering Client CareInterdisciplinary Teamwork and CollaborationEthical Practices in HealthcareQuality and Safety in Healthcare DeliveryHealth/Nursing Informatics

ORDER A PLAGIARISM-FREE PAPER HERE

Once the issue or trend is identified, find five important/significant facts about it, substantiated by an evidence-based article. Include the article in your submission. Leadership and management nursing Essay.

Create an 8-10 slide PowerPoint presentation with speaker notes, in-text citations and a reference page slide.

 

uLEADERSHIP AND MANAGEMENT: HEALTH CARE REFORM – ACA

unAme:

uInstitution:

u
INTRODUCTION

uACA remains highly debated in USA.

uOperational for close to a decade.

uRemains contentious with divisive opinions over costs and benefits.

uReducing the number of uninsured individuals. Leadership and management nursing Essay

uIncreasing quality of care.

uReducing costs

uExpand insurance coverage

uImproved health care delivery systems

Affordable Care Act (ACA) is perhaps one of the most debated health care reform topics in the USA. Close to a decade since was enacted, ACA remains at the forefront of public policy debates. Although representing a significant achievement in health care reforms, it remains persistently contentious with divisive opinions over the associated costs and benefits, and whether it should be repealed or replaced. It is undeniable that the legislation has had a profound effect on health care delivery in the country, through substantially reducing the number of uninsured individuals, increasing quality of care, and reducing costs. These benefits have been realized through efforts targeted at expanding insurance coverage and improving health care delivery systems. Despite the significant benefits, ACAs continued presence appears uncertain owing to the public policy debates on the legislation (McIntyre & Song, 2019) Leadership and management nursing Essay.

u
FACT #1: EXPANDED INSURANCE COVERAGE

uCreated marketplaces for health insurance.

uEncouraged choice and competition.

uSubsidized insurance plans.

uExpanded Medicaid program eligibility.

uTargeted persons living below poverty line.

ACA has expanded insurance coverage in two ways. Firstly, it has created marketplaces for health insurance through encouraging choice and competition. This allows the market to compare between many insurers and choose a plan that best fits the existing needs. Additionally, it has provided subsidized insurance plans for persons living below the poverty line. Secondly, it has expanded Medicaid program eligibility so that persons living below the poverty line can access insurance. Since it was enacted, insurance coverage has increased by approximately 20 million people (McIntyre & Song, 2019) Leadership and management nursing Essay.

u
FACT #2: RESHAPED PRIVATE INSURANCE

uEstablished new consumer protections.

uProtections against discriminations.

uProtected persons with pre-existing conditions.

uAbolished lifetime and annual limits.

uIntroduced dependent coverage provision.

ACA has improved private health insurance in three ways. It has established new consumer protections that have created a fairer market place. Under the legislation, private insurers are prohibited from discriminating against individuals on the basis of health status. Prior to the legislation, persons with preexisting conditions were required to pay higher premiums, and it was not uncommon for them to be denied insurance. In addition, the legislation abolished lifetime and annual limits on covered benefits Leadership and management nursing Essay. Besides that, the legislation introduced a dependent coverage provision that increased the age of children dependents up to 26 years of age thus allowing more young people to enjoy insurance coverage (McIntyre & Song, 2019).

u
FACT #3: LEGISLATIVE CHALLENGES

u50 million attempts to repel the legislation.

uContinued survival a testament to ACA’s durability.

uPolitical debate challenging owing to vote implications.

The Senate and Congress have presented numerous legislative challenges targeted at ACA. For one, they have advanced more than 50 billion attempts to repeal the legislation either in part of whole. Its continued survival, although with slim legislative advantages, is a testament to the legislation’s legislative durability Leadership and management nursing Essay. Besides that, the political challenge of withdrawing health benefits for a significant proportion of the population has made the possibility of removing the bill insurmountable despite being on tenuous grounds divided along partisan lines (McIntyre & Song, 2019).

u
FACT #4: CHALLENGES FROM TRUMP ADMINISTRATION

uUsed presidential veto power to terminate funding for cost reductions.

uReduced resource allocations towards public education and outreach activities.

uEliminated some consumer protections.

The Trump administration has repeatedly undertaken regulatory actions to undermine ACA, arguing that these actions promote state innovation and consumer choice. Firstly, the administration has used presidential veto power to unilaterally terminate funding for cost-reductions. This has negatively affected insurance enrollment through reducing supplemental subsidies so that some low income households are no longer able to afford health insurance. This action has also destabilized the insurance market Leadership and management nursing Essay. Secondly, it has reduced resources allocated to public education and outreach activities, resulting in low insurance enrolment. Thirdly, it has eliminated some of the consumer protections, such as allowing states modify Medicaid by requiring that nondisabled beneficiaries join the workforce before qualifying for insurance benefits (McIntyre & Song, 2019).

u
FACT #5: JUDICIAL CHALLENGES

uThreat to legislative sustainability.

uTurned Medicaid expansion into a state option.

uJudicial rollback of subsidies on ACA marketplaces.

uTexas ruling of 2018 zeroed-out mandate as unconstitutional.

Judicial actions have been a threat to the legislation, particularly its sustainability. In 2012, the Supreme Court determined that Medicaid expansion was not a nationwide mandate but a state option. This has enabled some states to refuse to expand Medicaid program to include more persons living below the poverty line. Yet another challenge is judicial rollback of subsidies on ACA marketplaces. Another challenge in the Texas ruling of 2018 that made a ruling against the zeroed-out mandate as being unconstitutional. Since the mandate is an integral part of the legislation, then the implication is that the rest of ACA could also be scrapped Leadership and management nursing Essay. The case is currently before an appeals court, and there is a possibility of the judicial processes proceeding to the Supreme Court (McIntyre & Song, 2019).

u
LOOKING FORWARD

uPossibility of repeal is dim.

uPossibility of stabilizing ACA also slim.

uVoter influence could have significant effects.

uDebate is an opportunity to rethink the role of government as represented by judiciary, legislature and executive.

Although the possibility of repealing ACA appears dim since the democrats control Congress, the possibility of stabilizing the legislation similarly appear slim. This is especially so in the face of Trump administration opposing the bill. Besides that, health care remains an important issue among voters, and politicians must consider the political repercussions of taking a stance. Leadership and management nursing Essay. Perhaps, the debate on ACA is an opportunity for the roles of the different arms of the government (judiciary, legislature and executive) in health care policy to be evolved.

u
RECAP

u
Reference

uMcIntyre, A. & Song, Z. (2019). The US Affordable Care Act: reflections and directions at the close of a decade.
PLoS
Med
, 16(2), e1002752. DOI: 10.1371/journal.pmed.1002752. Retrieved from https://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1002752 Leadership and management nursing Essay

u

Medical Organization Strategic Plan

Eisenhower Medical Centre | Strategic Plan for 2020-2022

Purpose

The main purpose of this strategic plan is to serve as a guide for the achievement of the organization’s goals that it envisions to accomplish in the next three years. Eisenhower Medical Centre recognizes the important role that all its stakeholders play to enable it achieve its aims and objectives over the years. This strategic plan takes into consideration the importance of this collaborative effort in the realisation of the goals set here in it.

Mission Statement

Eisenhower Medical Centre (EMC) is there to provide, without seeking profits, the best possible quality healthcare services in the state of California and beyond. It seeks to be the best in this respect and also provide the highest rated healthcare research and supportive patient education.

BUY A CUSTOM-WRITTEN, PLAGIARISM-FREE PAPER HERE

Vision

To provide the most ideal patient care sought by our clientele.

To provide the most conducive working environment for all Eisenhower Medical Centre employees and volunteers. Medical Organization Strategic Plan

To partner with donors in generating resources towards the provision of affordable healthcare services.

To be the most attractive healthcare facility for physicians, nurses, nurse practitioners and other medical staff to work in.

To be the strongest and indispensable community resource in the entire state of California and beyond.

Integral Values

Excellence:
We practice only evidence-based interventions all the time to enable us achieve patient outcomes that are beyond set expectations. Our clinician-patient relationships are always the best and we place the highest premium on patient safety.

Courtesy:
Our employees are the most courteous and understanding to our patients, their relatives, and other visitors to the facility.

Efficiency:
We offer the most efficient and effective quality healthcare within the shortest time possible for our patients. Medical Organization Strategic Plan

Strategic Priorities

EMC must acquire new ventilators/ RT equipment and upgrade old medical equipment.

EMC has to do away with unstable permanent positions.

EMC must begin a policy of zero tolerance to discrimination of any sort and sexual harassment at the workplace.

EMC must recruit interpreters on a full-time basis. These have to work in the facility’s emergency department and the intensive care unit where quick intervention may be hampered by language barrier.

EMC to venture into housekeeping services for itself without outsourcing, and provide its own in-house financial services.

EMC to provide all-round security around the perimeter of its health facility to protect patient privacy and ensure their safety from outside intrusion.

EMC to make sure that all patients and their loved ones can at all times access clean, safe, and pure portable drinking water from multiple points within the facility.

The centers for Cancer, Orthopedics, Neuroscience, and Cardiovascular research and treatment at EMC to continue being equipped and supported to provide the latest state-of-the-art treatments. Medical Organization Strategic Plan

EMC to continue innovation concerning novel treatments with non-invasive procedures, for instance E-Zpap.

EMC to equip and staff a new lung laboratory that will cater for the facility’s inpatients.

EMC to continue its close relationship with its benefactors for continued provision of cheap not-for-profit healthcare services.

EMC to come up with a program that assists patients without healthcare insurance coverage to opt for in-house financial services.

EMC to drastically reduce its carbon footprint and encourage its employees and patients to dispose trash within the facility in designated recycling bins and containers.

EMC to remain apolitical and neutral in all political discourse. However, to continue compliance with the state of California and city of Rancho Mirage statutes, regulations, and by-laws. Medical Organization Strategic Plan

Strategic Objectives

Financial

Objective: Achieve better efficiency in the billing process

Lower the period of billing from seven to five days.

Objective: Reduce the cost of operations of the healthcare institution that is EMC

Target a reduction in operating costs from USD 50,000 to 45,000.

Patient Expectations

Objective: Reduce the rate of patient dissatisfaction with the healthcare services

Lower the rate from 25% percent to a target of 18%.

Objective: Do away with lawsuits related to malpractice and other claims

Cut down the number of cases from the current five to none at all.

Learning and Professional Development

Objective: Tackle any matters that still require resolution in the organization

Reduce unresolved issues from the current 12,000 to a target of just 5,000. Medical Organization Strategic Plan

Processes Internal to the Organization

Objective: Increase innovations within the organization’s employee ranks

Promote the emergence of more innovations within the organization from the current twelve to twenty.

Objective: Improve the control of inventory within the organization as a whole

Tighten the process of inventory control from the current 90% to a target of 95%.

Objective: Do better in preventing staff turnover that is preventable

Improve employee retention in their jobs from the current figure of thirty percent to a target figure of fifty percent.

Objective: Reduce the percentage of patient insurance

Lower the w/o insurance for patients from the current figure of 10% to five percent.

References

Eisenhower Health (2020).
Mission statement
. Retrieved 10 march 2020 from
https://eisenhowerhealth.org/about-us/mission-statement/

Healthgrades (2020).
Eisenhower Medical Center
. Retrieved 10 March 2020 from
https://www.healthgrades.com/hospital-directory/california-ca-southern/eisenhower-medical-center-hgste6618d46050573

ResearchGate (n.d.).
Eisenhower Medical Center
. Retrieved 10 March 2020 from
https://www.researchgate.net/institution/Eisenhower_Medical_Center 
 Medical Organization Strategic Plan

CASE STUDY ON MORAL STATUS

The sets of belief patterns, morals, ethics and behavior patterns expressed by people are different and develop over the years as shaped by personal experiences, relations with other people and worldviews.  The aforementioned aspects shape and guide personal decisions about right and wrong in everyday life.

Theories To Determine the Fetus Moral Status and How Each Theory Influences Recommendations for Actions

Maria’s Theory Based on Relationship and Sentient Properties

Maria’s moral decision is to save the life of the unborn child. Based on her actions, she appears to have a sentinel character and is emotionally dramatic. She inspires Maria to have…

ORDER A PLAGIARISM-FREE PAPER HERE

Based on ”Case Study: Fetal Abnormality” and other required topic study materials, write a 750-1,000-word reflection that answers the following questions:

What is the Christian view of the nature of human persons, and which theory of moral status is it compatible with? How is this related to the intrinsic human value and dignity? Case study on moral status

Which theory or theories are being used by Jessica, Marco, Maria, and Dr. Wilson to determine the moral status of the fetus? What from the case study specifically leads you to believe that they hold the theory you selected?

How does the theory determine or influence each of their recommendations for action?

What theory do you agree with? Why? How would that theory determine or influence the recommendation for action?

Remember to support your responses with the topic study materials. NOTE: I AGREE WITH AUNT MARIAS DECISION AND IDEA

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center Case study on moral status.

This Case study on moral status assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

 

The sets of belief patterns, morals, ethics and behavior patterns expressed by people are different and develop over the years as shaped by personal experiences, relations with other people and worldviews.  The aforementioned aspects shape and guide personal decisions about right and wrong in everyday life.

Theories To Determine the Fetus Moral Status and How Each Theory Influences Recommendations for Actions

Maria’s Theory Based on Relationship and Sentient Properties

Maria’s moral decision is to save the life of the unborn child. Based on her actions, she appears to have a sentinel character and is emotionally dramatic. She inspires Maria to have faith by carrying the pregnancy to term and allowing Gods intention (Grand Canyon University, 2015). According to Beauchamp & Childress (2013), moral theory based on sentience involves a person’s ability to feel another person’s pleasure and pain as differentiated by perception and thughts. Maria also incorporates relationship properties in an attempt to influence Jessica’s moral decision by asking her to think about her motherly role. Case study on moral status.

The theory grounded on relationships emphasizes that the relationship between humans with those he/she values accounts for moral status (Beauchamp & Childress, 2013). More particularly, in this case, Jessica has a parent-child relationship with well-established roles and responsibilities to her unborn fetus. Applying the moral theory based on sentience and relationships, the best action is that Maria should carry the pregnancy to term and deliver.

Dr. Wilson’s Moral Theory As Supported by Cognitive Properties

Dr. Wilson is of the decision that Jessica should procure a medical abortion. His suggestion is scientism and ethical principles of western medicine. The theory grounded on cognitive properties holds that, for a competent human adult to have moral status, he/she should have cognition failure to which he/she is not valuable or have moral status (Beauchamp & Childress, 2013). He backs his suggestion using scientific facts by explaining how the fetus condition was rare and had an estimated 25% risk of Down’s syndrome (Grand Canyon University, 2015).  From an ethical perspective, he has the obligation to educate Jessica and recommend her the best action from a medical perspective. It is for this reason that the most recommended course of action as suggested by Dr. Wilson and backed by a medical and scientific background is to procure an abortion. Case study on moral status

Marco’s Moral Theory Based on Relationships

Marco is pro-choice on unwanted pregnancies. He requests that Jessica is not informed about the fetus devastating condition. However, after Jessica is informed, he is ready to support her on the water decision she makes. He strongly believes that in this case, there is no wrong or right path. However, Macro has racing thoughts about their financial freedom, which reveals his materialistic mindset (Grand Canyon University, 2015). Marco values material possessions more than spiritual values. Applying this theory, Jessica should procure an abortion. However, Marco is ready to support Jessica’s decision because of the relationship he has with her.

Jessica- theory Based on Moral Agency

Jessica is yet to determine her decision in this case. Her relationship with her physician, Maria, and Marco will have a great impact on her decision regarding the fetus moral status.  Jessica partially agrees with Marco that the fetus might be a hindrance to their independence and socio-economic progress. Case study on moral status. This materialistic perspective devalues spirituality, religion, and faith. On the other hand, Jessica also aligns herself to faith, God and religion and embraces life as sacred. These two views bring conflict, also known as dualism, within her. Dualism is a state where two entities that conflict each other (good vs. evil) separate. Aspects such as scientific values, truth-false, success-failure influence dualism. Moral agency defines Jessica’s moral status. According to this theory, a human is considered a moral agent if they can judge how right or wrong an action is (Beauchamp & Childress, 2013). This evidently illustrates that she is the only decision-maker of her course of action.

The theory I Agree With

The author agrees with Aunt Maria’s decision as influenced by the theory based on sentience and relationships. The latter holds that, the relations that exist between humans also determine moral status. More specifically, a person has moral status if he/she relates with other people who value him/her with well-established roles and responsibilities. A perfect example is a relationship between a parent and a child. Using this theory, it is evident that Jessica has a parent-child relationship with the fetus Case study on moral status. Therefore, as a mother, she has a role to fulfill to the unborn fetus. On the other hand, sentience retains that, a person’s moral status is determined by her conscious such as being able to feel pain and pleasure and differentiate the feelings from thoughts and perceptions (Beauchamp & Childress, 2013). It is for this reason that Maria understands Jessica’s pain and inspires her to have faith. Applying both theories, the recommended course of action is for Jessica to keep the pregnancy to term and deliver.

 

References

Beauchamp, T. & Childress, J. (2013). 
Principles of biomedical ethics.
(7
th
ed.) New York, NY:

Oxford University Press.

Grand Canyon University (2015).
HLT 310V Case Study: Fetal Abnormality.
Phoenix, AZ.

Kim, H., Callan, M. J., Gheorghiu, A. I., & Matthews, W. J. (2017). Social comparison, personal relative deprivation, and materialism. 
British Journal of Social Psychology
, 
56
(2), 373-392. Case study on moral status

Discussion: Organizational Policies and Practices to Support Healthcare Issues – Hospital Acquired Pneumonia Essay

Hospital acquired pneumonia

Competition has typically been encouraged within the health care industry as a strategy for increasing value for all stakeholders. To be more precise, competition ensures the provision of better services and products that satisfy the needs of all stakeholders through improving processes and quality while reducing costs. For instance, capital limitations can restrict hospital control approaches such as having overcrowded wards. In the present case (addressing hospital acquired pneumonia), every resource is considered as scarce and subject to competing needs from other health care agendas. Discussion: Organizational Policies and Practices to Support Healthcare Issues – Hospital Acquired Pneumonia Essay. This makes efforts to prevent hospital acquired pneumonia in the midst of providing affordable and high-quality health care services an increasing challenge (Ruggiero, 2015). There is a conflict over whether to advocate for individual patients or equitable distribution of resources to larger populations. This conflict rests entirely on the role of social justice as it applies to the conflicting roles of non-maleficence (do no harm) and beneficence (do good) (Northouse, 2016). In addition, there are three resources of concern to the specific case owing to their scarcity. Firstly, the medical personnel who include nurses are limited in their capacities, skills, geography and time. Implementing strategies for preventing hospital acquired pneumonia are dependent on personnel awareness and their familiarity with the strategies. Having knowledgeable personnel is preferable since they are primed to understand and apply the prevention strategies. Secondly, facilities for delivering medical services are finite. It is not uncommon to have crowded facilities in the hospital. This situation is unlikely to change unless the facilities are expanded, a truly cost intensive endeavor. The facilities limitation can be addressed through making efficient use of the available resources so that high risk patients are isolated from the general populations. Thirdly, money for making changes to the facility is not unlimited. There are competing needs for money and there is a need to conduct a cost-benefit analysis to identify the agendas that have the least costs and most benefits (Joel, 2018). Discussion: Organizational Policies and Practices to Support Healthcare Issues – Hospital Acquired Pneumonia Essay

BUY A CUSTOM-WRITTEN, PLAGIARISM-FREE PAPER HERE

References

Joel, L. (2018).
Advanced practice nursing: essentials for role development
(4
th
ed.). Philadelphia, PA: F. A. Davis Company.

Northouse, P. (2016).
Leadership: theory and practice
(7
th
ed.). Thousand Oaks, CA: Sage Publications.

Ruggiero, V. (2015).
Thinking critically about ethical issues
(9
th
ed.). New York, NY: McGraw-Hill Education.

 

Discussion: Organizational Policies and Practices to Support Healthcare Issues

Quite often, nurse leaders are faced with ethical dilemmas, such as those associated with choices between competing needs and limited resources. Resources are finite, and competition for those resources occurs daily in all organizations.

For example, the use of 12-hour shifts has been a strategy to retain nurses. However, evidence suggests that as nurses work more hours in a shift, they commit more errors. How do effective leaders find a balance between the needs of the organization and the needs of ensuring quality, effective, and safe patient care?

In this Discussion, you will reflect on a national healthcare issue and examine how competing needs may impact the development of polices to address that issue. Discussion: Organizational Policies and Practices to Support Healthcare Issues – Hospital Acquired Pneumonia Essay

To Prepare:

• Review the Resources and think about the national healthcare issue/stressor you previously selected for study in Module 1. NOTE: The national healthcare issue/stressor I addressed in module 1 is “HOSPITAL ACQUIRED PNEUMONIA. So, you are going to use this topic to answer questions related to this discussion.

• Reflect on the competing needs in healthcare delivery as they pertain to the national healthcare issue/stressor you previously examined.

Post an explanation of how competing needs, such as the needs of the workforce, resources, and patients, may impact the development of policy. Then, describe any specific competing needs that may impact the national healthcare issue/stressor you selected. What are the impacts, and how might policy address these competing needs? Be specific and provide examples.

Required Readings

American Nurses Association. (2015). Code of ethics for nurses with interpretive statements. Silver Spring, MD: Author. Retrieved from https://www.nursingworld.org/coe-view-only

Note: Review all, with special attention to “Provision 6” (pp. 23–26). Discussion: Organizational Policies and Practices to Support Healthcare Issues – Hospital Acquired Pneumonia Essay

Kelly, P., & Porr, C. (2018). Ethical nursing care versus cost containment: Considerations to enhance RN practice. OJIN: Online Journal of Issues in Nursing, 23(1), Manuscript 6. doi:10.3912/OJIN.Vol23No01Man06. Retrieved from http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-23-2018/No1-Jan-2018/Ethical-Nursing-Cost-Containment.html

Milliken, A. (2018). Ethical awareness: What it is and why it matters. OJIN: Online Journal of Issues in Nursing, 23(1), Manuscript 1. doi:10.3912/OJIN.Vol23No01Man01. Retrieved from http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-23-2018/No1-Jan-2018/Ethical-Awareness.html

 

Hospital-Acquired Pneumonia

Description of the National Healthcare Issue/Stressor

Hospital-acquired pneumonia (HAP) refers to pneumonia that a patient develops within a hospital setting after at least 48–72 hours after being admitted (Pássaro et al.; 2016). HAP is the second leading hospital-acquired infection and cause of death among critically sick patients. HAP is allied to an elevated rate of mortality and morbidity, as well as increased healthcare costs (Torres-García et al., 2019). According to Min et al. (2018), the incidence of HAP worldwide is 5–20 cases per 1000 admissions. The high prevalence of HAP indicates the need to address the issue.

In my healthcare organization, HAP is common among patients in the ICU, and notably patients who are mechanically ventilated. Similarly, the rate of HAP is also relatively high in patients within the medical-surgical ward and the general ward. In the organization, HAP in all units leads to an increased rate of morbidity and mortality, longer period of hospital stays, as well as increased costs for both the patient and the organization. This is consistent with other organizations where hospital-acquired infections like HAP are associated with a high mortality rate, a prolonged period of hospitalization, as well as higher healthcare costs (Pássaro et al., 2016). Discussion: Organizational Policies and Practices to Support Healthcare Issues – Hospital Acquired Pneumonia Essay

In the organization, the rate of HAP is particularly high among older adults, patients in the ICU, as well as patients with prolonged use of antibiotics and glucocorticoids. The high incidence of HAP among patients with lengthy use of glucocorticoids is allied to the reduced immunity that makes individuals susceptible to infections. Similarly, long-term use of antibiotics is a major risk factor for hospital-acquired pneumonia due to resistance to antibiotics. In my healthcare organization, HAP is associated with an increased rate of mortality, admission to the ICU, and an increased period of hospital stay. Besides, the organization, being a government agency, spends a lot of money on financing the treatment and care of HAP.

Summary of the Two Articles

According to Brett et al., (2019), HAP is allied to elevated morbidity and mortality rate and also increased medical costs. HAP is also a leading factor for transfer to the ICU and results in a prolonged hospital stay. Risk factors associated with HAP include advanced age, a longer period of hospital stay, being a male, dysphagia, numerous comorbidities, as well as chronic obstructive pulmonary disease (Brett et al., 2019). Brett et al. (2019) further indicate that poor oral hygiene causes a buildup of dental disease, which is a significant risk factor in HAP. Accordingly, Brett et al. (2019) explain that improved oral hygiene is effective in decreasing the rate of HAP. Other strategies that can reduce the rate of HAP include early mobilization, effective hand hygiene, proper management of dysphagia, and prevention of viral infections (Brett et al., 2019) Discussion: Organizational Policies and Practices to Support Healthcare Issues – Hospital Acquired Pneumonia Essay.

Again, Deng et al. (2019) explain that HAP is a very common hospital-acquired infection and a leading cause of death among hospitalized patients. Multi-drug-resistant organisms (MDROs) are attributed to the numerous cases of HAPs, and particularly within the ICU and emergency departments (Deng et al., 2019). Wide usage of broad-spectrum antibiotics is attributable to bacterial resistance, one of the risk factors for HAP.

Strategies used to Address HAP

The study by Brett et al. (2019) demonstrates that interventions such as improved oral care, increased movement, and mobility, as well as dysphagia management, are effective in preventing HAP. The study indicates that improved oral care is an important modifiable risk factor for HAP. Comprehensive oral care facilitated by nurses is effective in preventing HAP as it prevents the buildup of dental plaque, which is a significant risk factor in HAP.

Increased mobilization is also an intervention that can be used in preventing HAP, especially among patients with acute ischemic stroke. The intervention involves turning the patient from “supine position to right and left lateral resting position” after every two hours and passively mobilizing the four limbs. This intervention is effective in reducing the rate of HAP. The mobilization intervention also integrates pre-operative patient education, breathing exercises, as well as pre-operative physiotherapy (Brett et al.; 2019). Brett et al. (2019) further explain that proper management of dysphagia and particularly among post-stroke patients, is essential in reducing the rate of HAP. This intervention includes nurses screening patients for dysphagia and implementing the appropriate interventions. The reason is that dysphagia is the leading cause of aspiration pneumonia. After all, food or liquids can enter the airway when patients have difficulties in swallowing and hence introduce bacteria to the lungs. Therefore, effective management of dysphagia can prevent aspiration pneumonia. Discussion: Organizational Policies and Practices to Support Healthcare Issues – Hospital Acquired Pneumonia Essay.

Preventing and treating infections caused by multi-drug-resistant organisms can go a long way in preventing HAP (Deng et al., 2019). Long-term use of antibiotics is a significant risk factor for HAP as a result of organisms’ resistance to antibiotic therapy. Interventions used to address the issue of multi-drug resistance include relieving the inflammatory reactions among patients, improving organisms’ clearance, reducing the period of mechanical ventilation, treating patients’ immunity, and increasing the success rate of ventilator weaning (Deng et al., 2019).

References

Brett M, Russo P, Cheng A, Andrew S, Rosebrock H, Curtis S, Robinsion S & Kiernan M. (2019). Strategies to reduce non-ventilator-associated hospital-acquired pneumonia: A systematic review.
Infection, Disease & Health
, 24(4), 229 – 239.

Deng, D., Chen, Z., Jia, L, Bu J, Ye M, Sun L, Gen Y, Wen Z, Chen G & Fang B. (2019)
.
Treatment of hospital-acquired pneumonia with multi-drug resistant organism by
Buzhong Yiqi
decoction based on
Fuzheng Quxie
classical prescription: study protocol for a randomized controlled trial.
Trials,
20(817).

Min, J. Y., Kim, H. J., Yoon, C., Lee, K., Yeo, M., & Min, K. B. (2018). Hospital-Acquired Pneumonia among Inpatients via the Emergency Department: A Propensity-Score Matched Analysis.
International journal of environmental research and public health
,
15
(6), 1178.
https://doi.org/10.3390/ijerph15061178
.

Pássaro, L., Harbarth, S. & Landelle, C. (2016). Prevention of hospital-acquired pneumonia in non-ventilated adult patients: a narrative review.
Antimicrob Resist Infect Control
, 5(43 (20). Discussion: Organizational Policies and Practices to Support Healthcare Issues – Hospital Acquired Pneumonia Essay

Torres-García, M., Pérez Méndez, B. B., Sánchez Huerta, J. L., Villa Guillén, M., Rementería Vazquez, V., Castro Diaz, A. D., López Martinez, B., Laris González, A., Jiménez-Juárez, R. N., & de la Rosa-Zamboni, D. (2019). Healthcare-Associated Pneumonia: Don’t Forget About Respiratory Viruses.
Frontiers in pediatrics
, 7(168).

Planning for Evaluation

PHN-652 Planning for Evaluation

The purpose of this assignment is to develop an evaluation plan for your evidence-based intervention in order to reflect on its effectiveness.

You may choose to include key slides from your Population-Based Intervention Implementation Plan from Topic 5 in order to ensure that stakeholders have an understanding of the data collection and intervention planning processes.

ORDER A CUSTOM-WRITTEN, PLAGIARISM-FREE PAPER HERE

Create a 5-8 slide PowerPoint presentation, not including title or reference slides, with the following information:

Describe the population and health disparity targeted in the intervention.

Identify features and strategies for evaluation.

Identify performance measures. PHN-652 Planning for Evaluation

Write short-term and long-term outcomes with plans for measurement and benchmarking.

Plan for the next steps in the intervention. What will you do with this evaluation data?

Include speaker notes for each slide, detailing how you would present this information to stakeholders.

Include one or two resources in your presentation.

Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this PHN-652 Planning for Evaluation assignment to LopesWrite. Refer to the
LopesWrite Technical Support articles
 for assistance.

Population-Based Intervention Implementation Plan

Population-Based Intervention Implementation Plan

The purpose of this assignment is to plan for the successful implementation of your population-based intervention. Using your identified health need from Topic 5, write a 1,000-1,200 word paper that includes the following information.

Identify and explain potential barriers to implementation of the evidence-based intervention.

Discuss strategies to overcome the barriers to implementation of the evidence-based intervention.

Describe how you will account for the ethical, legal, and regulatory aspects of community health in your intervention. Population-Based Intervention Implementation Plan

ORDER A CUSTOM-WRITTEN, PLAGIARISM-FREE PAPER HERE

Include three to five resources in your paper.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this Population-Based Intervention Implementation Plan assignment to LopesWrite. Refer to the
LopesWrite Technical Support articles
 for assistance.

Benchmark – Population Needs Intervention Development

Benchmark – Population Needs Intervention Development

The purpose of this assignment is to develop an intervention to target a community health need.

There are 17 types of interventions that can be used by public health nurses. To address the health issue or disparity of health identified during your Community Health Needs Assessment Report in Topic 4, develop an intervention plan to target that need.

To report your intervention plan, create a 10-12 slide PowerPoint presentation, not including the title and reference slides, that addresses the following information:

ORDER A CUSTOM-WRITTEN, PLAGIARISM-FREE PAPER HERE

Description of the population chosen.

Data used in determining health need.

Summary of which interventions are already in place for this community health need.

Detailed description of the intervention targeted to the population.

Rationale for developing this intervention.

Evidence-based resources to support intervention.

Identification of all stakeholders, including the community.

Description of the steps that will be taken to ensure the intervention is culturally sensitive to the community and population.

Include three to five resources in your Benchmark – Population Needs Intervention Development presentation.

Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this Benchmark – Population Needs Intervention Development assignment to LopesWrite. Refer to the
LopesWrite Technical Support articles
 for assistance.

PHN-652 Public Health Nursing Assessments

Topic 4: Public Health Nursing Assessments

Objectives:

Apply the public health nursing practice model in the creation of a population needs assessment report.

Differentiate among micro, meso, and macro levels of assessment.

Discuss techniques for conducting a community health needs assessment.

PHN-652 Public Health Nursing Assessments

Utilize data sources to write a community health needs assessment report.

ORDER A CUSTOM-WRITTEN, PLAGIARISM-FREE PAPER HERE

Community Health Needs Assessment Report

 

The purpose of this assignment is to apply the public health nursing practice model in order to write a community needs assessment report. Utilizing the data collected from your Topic 3 chosen population, write a 1,000-1,200 word community needs assessment report with the following information:

A description of the community or population researched.

Explanation of current data available PHN-652 Public Health Nursing Assessments.

Summary of health needs identified through analysis of data.

Description of the data collection method planned for collecting secondary data.

Description of at least one key health issue/need from a nursing diagnosis, including the micro, meso, and macro level.

Summary of at least one social determinant of the health issue identified.

Brief outline of a plan for addressing the chosen health need. PHN-652 Public Health Nursing Assessments

Include three to five resources in your PHN-652 Public Health Nursing Assessments paper.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the 
LopesWrite Technical Support articles
 for assistance.

Community Health Needs Assessment Report

No of Criteria: 
12
 
Achievement Levels: 
5

Criteria

Achievement Levels

Description

Percentage

1: Unsatisfactory 0-75%

0.00 %

2: Less Than Satisfactory 76-80%

80.00 %

3: Satisfactory 81-88%

88.00 %

4: Good 89-92%

92.00 %

5: Excellent 93-100%

100.00 %

Content

70.0

Community or Population Researched

10.0

A description of the community or population researched is not present.

A description of the community or population researched is incomplete or incorrect.

A description of the community or population researched is included but lacks supporting details.

A description of the community or population researched is complete and includes supporting details.

A description of the community or population researched is extremely thorough and includes substantial supporting details.

Current Data Available

10.0

An explanation of current data available is not present.

An explanation of current data available is incomplete or incorrect.

An explanation of current data available is included but lacks supporting details.

An explanation of current data available is complete and includes supporting details.

An explanation of current data available is extremely thorough and includes substantial supporting details.

Health Needs Identified PHN-652 Public Health Nursing Assessments

10.0

A summary of health needs identified through analysis of data is not present.

A summary of health needs identified through analysis of data is incomplete or incorrect.

A summary of health needs identified through analysis of data is included but lacks supporting details.

A summary of health needs identified through analysis of data is complete and includes supporting details.

A summary of health needs identified through analysis of data is extremely thorough and includes substantial supporting details.

Data Collection Method

10.0

A description of the data collection method planned for collecting secondary data is not present.

A description of the data collection method planned for collecting secondary data is incomplete or incorrect.

A description of the data collection method planned for collecting secondary data is included but lacks supporting details.

A description of the data collection method planned for collecting secondary data is complete and includes supporting details.

A description of the data collection method planned for collecting secondary data is extremely thorough and includes substantial supporting details.

Micro, Meso, and Macro Level of Health Issue or Need

10.0

A description of at least one key health issue or need from a nursing diagnosis, including the micro, meso, and macro level, is not present.

A description of at least one key health issue or need from a nursing diagnosis, including the micro, meso, and macro level, is incomplete or incorrect.

A description of at least one key health issue or need from a nursing diagnosis, including the micro, meso, and macro level, is included but lacks supporting details.

A description of at least one key health issue or need from a nursing diagnosis, including the micro, meso, and macro level, is complete and includes supporting details. PHN-652 Public Health Nursing Assessments

A description of at least one key health issue or need from a nursing diagnosis, including the micro, meso, and macro level, is extremely thorough and includes substantial supporting details.

Social Determinant

10.0

A summary of at least one social determinant of the health issue identified is not present.

A summary of at least one social determinant of the health issue identified is incomplete or incorrect.

A summary of at least one social determinant of the health issue identified is included but lacks supporting details.

A summary of at least one social determinant of the health issue identified is complete and includes supporting details.

A discussion of the A summary of at least one social determinant of the health issue identified is extremely thorough and includes substantial supporting details.

Outline of Plan to Address Health Need

10.0

A brief outline of a plan for addressing the chosen health need is not present.

A brief outline of a plan for addressing the chosen health need is incomplete or incorrect.

A brief outline of a plan for addressing the chosen health need is included but lacks supporting details.

A brief outline of a plan for addressing the chosen health need is complete and includes supporting details.

A brief outline of a plan for addressing the chosen health need is extremely thorough and includes substantial supporting details.

Organization and Effectiveness

20.0

Thesis Development and Purpose

7.0

Paper lacks any discernible overall purpose or organizing claim.

Thesis is insufficiently developed or vague. Purpose is not clear.

Thesis is apparent and appropriate to purpose.

Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.

Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear. PHN-652 Public Health Nursing Assessments.

Argument Logic and Construction

8.0

Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.

Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.

Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.

Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.

Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

Mechanics of Writing (includes spelling, punctuation, grammar, language use)

5.0

Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.

Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied.

Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed.

Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech PHN-652 Public Health Nursing Assessments.

Writer is clearly in command of standard, written, academic English.

Format

10.0

Paper Format (Use of appropriate style for the major and assignment)

5.0

Template is not used appropriately or documentation format is rarely followed correctly.

Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.

Template is used, and formatting is correct, although some minor errors may be present.

Template is fully used; There are virtually no errors in formatting style.

All format elements are correct. PHN-652 Public Health Nursing Assessments.

Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)

5.0

Sources are not documented.

Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.

Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.

Sources are documented, as appropriate to assignment and style, and format is mostly correct.

Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

Total Percentage  
100

Topic 4 DQ 1

 

What techniques can be used in conducting a community health needs assessment? PHN-652 Public Health Nursing Assessments Which technique do you feel is the most effective?

Topic 4 DQ 2

 

When writing a community health needs assessment report, the public health nurse will need to include micro, meso, and macro levels of assessment. What is the difference between these levels of assessment? Why is it necessary to use all levels of assessment when writing a community health needs assessment report? What would be the impact of not including all three levels of assessment in a community health needs assessment report? PHN-652 Public Health Nursing Assessments.

Community Health Needs Assessment Report

Community Health Needs Assessment Report

The purpose of this Community Health Needs Assessment Report assignment is to apply the public health nursing practice model in order to write a community needs assessment report. Utilizing the data collected from your Topic 3 chosen population, write a 1,000-1,200 word community needs assessment report with the following information:

A description of the community or population researched.

Explanation of current data available.

Summary of health needs identified through analysis of data.

Description of the data collection method planned for collecting secondary data.

Description of at least one key health issue/need from a nursing diagnosis, including the micro, meso, and macro level.

Summary of at least one social determinant of the health issue identified.

Brief outline of a plan for addressing the chosen health need.

Include three to five resources in your Community Health Needs Assessment Report paper.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

ORDER A CUSTOM-WRITTEN, PLAGIARISM-FREE PAPER HERE

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this Community Health Needs Assessment Report assignment to LopesWrite. Refer to the
LopesWrite Technical Support articles
 for assistance.

Community Health Needs Assessment Report

No of Criteria: 
12
 
Achievement Levels: 
5

Criteria

Achievement Levels

Description

Percentage

1: Unsatisfactory 0-75%

0.00 %

2: Less Than Satisfactory 76-80%

80.00 %

3: Satisfactory 81-88%

88.00 %

4: Good 89-92%

92.00 %

5: Excellent 93-100%

100.00 %

Content

70.0

Community or Population Researched

10.0

A description of the community or population researched is not present.

A description of the community or population researched is incomplete or incorrect.

A description of the community or population researched is included but lacks supporting details.

A description of the community or population researched is complete and includes supporting details.

A description of the community or population researched is extremely thorough and includes substantial supporting details Community Health Needs Assessment Report.

Current Data Available

10.0

An explanation of current data available is not present.

An explanation of current data available is incomplete or incorrect.

An explanation of current data available is included but lacks supporting details.

An explanation of current data available is complete and includes supporting details.

An explanation of current data available is extremely thorough and includes substantial supporting details.

Health Needs Identified

10.0

A summary of health needs identified through analysis of data is not present.

A summary of health needs identified through analysis of data is incomplete or incorrect.

A summary of health needs identified through analysis of data is included but lacks supporting details.

A summary of health needs identified through analysis of data is complete and includes supporting details.

A summary of health needs identified through analysis of data is extremely thorough and includes substantial supporting details.

Data Collection Method

10.0

A description of the data collection method planned for collecting secondary data is not present.

A description of the data collection method planned for collecting secondary data is incomplete or incorrect.

A description of the data collection method planned for collecting secondary data is included but lacks supporting details.

A description of the data collection method planned for collecting secondary data is complete and includes supporting details.

A description of the data collection method planned for collecting secondary data is extremely thorough and includes substantial supporting details.

Micro, Meso, and Macro Level of Health Issue or Need

10.0

A description of at least one key health issue or need from a nursing diagnosis, including the micro, meso, and macro level, is not present.

A description of at least one key health issue or need from a nursing diagnosis, including the micro, meso, and macro level, is incomplete or incorrect.

A description of at least one key health issue or need from a nursing diagnosis, including the micro, meso, and macro level, is included but lacks supporting details.

A description of at least one key health issue or need from a nursing diagnosis, including the micro, meso, and macro level, is complete and includes supporting details.

A description of at least one key health issue or need from a nursing diagnosis, including the micro, meso, and macro level, is extremely thorough and includes substantial supporting details.

Social Determinant

10.0

A summary of at least one social determinant of the health issue identified is not present.

A summary of at least one social determinant of the health issue identified is incomplete or incorrect.

A summary of at least one social determinant of the health issue identified is included but lacks supporting details.

A summary of at least one social determinant of the health issue identified is complete and includes supporting details.

A discussion of the A summary of at least one social determinant of the health issue identified is extremely thorough and includes substantial supporting details.

Outline of Plan to Address Health Need

10.0

A brief outline of a plan for addressing the chosen health need is not present.

A brief outline of a plan for addressing the chosen health need is incomplete or incorrect.

A brief outline of a plan for addressing the chosen health need is included but lacks supporting details.

A brief outline of a plan for addressing the chosen health need is complete and includes supporting details.

A brief outline of a plan for addressing the chosen health need is extremely thorough and includes substantial supporting details.

Organization and Effectiveness

20.0

Thesis Development and Purpose

7.0

Paper lacks any discernible overall purpose or organizing claim.

Thesis is insufficiently developed or vague. Purpose is not clear.

Thesis is apparent and appropriate to purpose.

Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.

Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.

Argument Logic and Construction

8.0

Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.

Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.

Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.

Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.

Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

Mechanics of Writing (includes spelling, punctuation, grammar, language use)

5.0

Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.

Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied.

Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed.

Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech. Community Health Needs Assessment Report

Writer is clearly in command of standard, written, academic English.

Format

10.0

Paper Format (Use of appropriate style for the major and assignment)

5.0

Template is not used appropriately or documentation format is rarely followed correctly.

Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.

Template is used, and formatting is correct, although some minor errors may be present.

Template is fully used; There are virtually no errors in formatting style.

All format elements are correct.

Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)

5.0

Sources are not documented.

Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.

Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.

Sources are documented, as appropriate to assignment and style, and format is mostly correct.

Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

Total Percentage  
100 Community Health Needs Assessment Report