Discuss how chief nurse executives can deliver quality care in rural areas with limited budgets
NR 361 ASSIGNMENTS WEEK 2, 4, 6 NR 361 ASSIGNMENTS WEEK 2, 4, 6 NR 361 ASSIGNMENTS WEEK 2, 4, 6 NR 361 Week 2 Assignment; Patient Guide to the WWW NR 361 Week 4 Assignment; Telenursing ? Is It in My Future? NR 361 Week 4 Assignment; Telenursing ? The Future Is Now NR 361 Week 6 Assignment; Interview with Nursing Information Expert NR 390 FULL COURSE PROJECT MILESTONE NR 390 FULL COURSE PROJECT MILESTONE NR 390 Week 1 Course Project Milestone 1 Latest-DeVry Course Project Milestone 1: Guidelines Purpose To apply lessons in nursing history to living nurses contributing to nursing history through an interview and recording of historical information Course Outcomes The Course Project enables the student to meet the following Course Outcomes: CO 1. Incorporate appropriate historical perspectives into current professional nursing practice. (PO #2) CO 4. Compare current professional nursing practice roles with historical roles of the nurse. (PO #7) Points The entire project is worth 600 points. Milestone 1 is worth 100 points of this total. Due Date Submit your completed NR390 Milestone 1 by Sunday at 11:59 p.m. MT at the end of Week 1. CLICK HERE TO ORDER YOUR NR 361 ASSIGNMENTS WEEK 2, 4, 6 Requirements and Guidelines 1.?Nursing history is being made today by exemplary nurses throughout the world. Select one registered nurse who is creating nursing history to be the subject of this project. This RN must have at least 15 years of RN licensure. The nurse could be a family member, friend, colleague, acquaintance, manager, former instructor, or other nurse who is creating, delivering, or influencing the practice of nursing in your area. Do not select a former or current patient. Remember that a nurse does not have to create a nursing theory, write textbooks, or be the head of a nursing organization to make nursing history. The chief nurse executive who manages to deliver quality care in a small rural hospital with a tiny budget has a story worth telling. The nurse who served in the military has a story that is important to document as nursing history. The staff nurse who consistently provides high-quality care is making history. History is not merely the major accomplishments or events, but includes the activities nurses everywhere do in their nursing lives. Milestone 1 is due at the end of Week 1. 2.?Clearly explain to the selected nurse that statements made in the interview will be recorded (audio, video, and/or written) and submitted to instructor. The interview is not intended for public access. 3.?Obtain permission from the selected nurse to participate in an interview about his or her a. memories of nursing and nursing education; b. contributions to nursing; and c. persons or events that have influenced his or her nursing practice. 4.?Carefully review the Milestone 1 Grading Criteria and Grading Rubric below. Complete only Milestone 1 requirements at this time. 5.?Download the Milestone 1 Template (Links to an external site.)Links to an external site.. Save it to your computer in Microsoft Word 2010 (or later) as a .docx file with the file name Your Last Name Milestone 1.docx. Type directly on your saved Milestone 1 Template. Submit your completed Milestone 1 as instructed by Sunday of Week 1. 6.?NOTE:?Do not complete the interview at this time. **Academic Integrity Reminder** Chamberlain College of Nursing values honesty and integrity. All students should be aware of the Academic Integrity policy and follow it in all discussions and assignments. Course Project Milestone 1 Template Directions: Prior to completing this template, carefully review Course Project Milestone 1 Guidelines, paying particular attention to how to name the document and all rubric requirements. After saving the document to your computer, type your answers directly on this template and save again. This assignment is due by the end of Week 1 by 11:59 p.m.MT. Your Name:__________________________ Assignment Criteria Answers Note: see Milestone 1 Rubric for details required in each area. Name of Selected Nurse 15 points Years Selected Nurse Has Been an RN 15 points Your Relationship With Selected Nurse 25 points Why You Selected This Nurse 45 points NR 390 Week 3 Course Project Milestone 2 Latest-DeVry Course Project Milestone 2: Guidelines Purpose To apply lessons in nursing history to living nurses contributing to nursing history through an interview and recording of historical information Course Outcomes The Course Project enables the student to meet the following Course Outcomes. CO 1. Incorporate appropriate historical perspectives into current professional nursing practice. (PO #2) CO 4. Compare current professional nursing practice roles with historical roles of the nurse. (PO #7) Points The entire project is worth 600 points. Milestone 2 is worth 200 points of this total. Due Date Submit your completed NR390 Milestone 2 by the end of Week 3 at 11:59 p.m. MT. Requirements and Guidelines 1.?Download the Milestone 2 Template (Links to an external site.)Links to an external site.. Save it to your computer in Microsoft Word 2010 (or later) as a .docx file with the file name Your Last Name Milestone 2.docx. 2.?Carefully review the grading rubric criteria for Milestone 2 below. 3.?Type directly on your saved Milestone 2 Template. Note that some of the questions have been provided for you on the template. 4.?Submit your completed Milestone 2 by Sunday of Week 3. 5.?After return of the graded Milestone 2, use faculty feedback to revise areas and questions for a superior interview. Revisions do not need to be submitted to faculty for approval. NOTE:?The date of the interview must be after Friday of Week 4 to allow your instructor time to grade your Milestone 2 and provide you with feedback (unless you have received prior permission from your instructor). If the interviewees schedule requires that you do the interview before that date, consult your instructor regarding early submission of Milestone 2 to ensure that you receive comments in time to incorporate revisions before the interview. IMPORTANT:?Remember that the interview must be a face-to-face or phone interview where you can ask questions of the nurse, the nurse can respond, and you can provide your response. It is not acceptable to use e-mail, text messages, or any other written method to have the nurse write or type the answers. Contact your instructor if you have questions. Course Project Milestone 2 Template Prior to completing this template, carefully review Course Project Milestone 2 Guidelines, paying particular attention to how to name the document and all rubric requirements. After saving the document to your computer, type your answers directly in this template and save again. This assignment is due by the end of Week 3at 11:59 p.m.MT. Your Name:_____ Assignment Criteria Answers Note: See Milestone 2 Rubric for details required in each area. Scheduled Date and Location of Interview 30 points Date for interview (must be after Friday of Week 4): Location: Interview Recording Method 20 points Select one: written notes, or audio, or audio-visual Milestone 3 Submission Method 20 points Select one: typed on Milestone 3 Template, or audio, or audio-visual Questions to Be Asked: Remember that all questions must be open ended and clearly related to this nurse. Follow-up questions must be clearly related to the associated primary question. Primary Questions 30 points (type Question #3 below) Follow-Up Questions for Each Primary Question 80 points (type questions below; see guidelines and announcements for details) 1: What are some of your favorite memories of nursing school? a. b. How did classmates or instructors impact your development as a nurse? 2: How have you improved the quality of nursing practice during your career? a. b. 3: a. b. 4: How have you contributed to the profession of nursing and to nursing history? a. Why has work in that area become your passion? b. 5: Who is your favorite nurse from nursing history? a. b. How has that nurse influenced your own nursing practice? NR 390 Week 6 Course Project Milestone 3 Latest-DeVry Course Project Milestone 3 (graded) Purpose To apply lessons in nursing history to living nurses contributing to nursing history through an interview and recording of historical information. Course Outcomes The Course Project enables the student to meet the following Course Outcomes. CO 1. Incorporate appropriate historical perspectives into current professional nursing practice. (PO #2) CO 4. Compare current professional nursing practice roles with historical roles of the nurse. (PO #7) Points The entire project is worth 600 points. Milestone 3 is worth 300 points of this total. Due Date Submit your completed NR390 Milestone 3 by the end of Week 6 at 11:59 p.m. MT. Requirements and Guidelines If submission method is written (typed in the template), do the following. Download the Milestone 3 Template (Links to an external site.) Links to an external site.. The interview must take place in a face-to-face or phone conversation only. E-mail interview or asking the nurse to complete a written or typed interview is not permitted. Download the Milestone 3 Template. Save it to your computer in Microsoft Word 2010 (or later) as a .docx file with the file name: Your Last Name Milestone 3.docx. Carefully review the assigned areas for Milestone 3and type directly on your saved Milestone 3 Template. Use your instructors feedback from Milestone 2 to revise your questions prior to the interview. Submit your completed Milestone 3 Template by Sunday at the end of Week 6. If submission method is audio or audio-video: The recording should be approximately 8 to12 minutes. The interview must take place in a face-to-face or phone conversation only. E-mail interview or asking the nurse to complete a written or typed interview is not permitted. Edit the recording as needed prior to submission. The audio or AV file must be able to be submitted to the course, and subsequently downloaded by the instructor for scoring. If it cannot be attached or downloaded, you will need to submit your Milestone 3 by typing on the Milestone 3 Template (Links to an external site.)Links to an external site.. Instructors are not able to provide advice or technical support regarding recordings. Submission of a recording is NOT required. Use your instructors feedback from Milestone 2 to revise your questions prior to the interview. Submit your completed Milestone 3 to the Dropbox by Sunday at end of Week 6. NOTE: Only one Milestone 3 file is accepted. If you choose to use audio or AV, all parts of Milestone 3 must be on that recording. Do not submit additional files. CLICK HERE TO ORDER YOUR NR 361 ASSIGNMENTS WEEK 2, 4, 6 Course Project Milestone 3 Template Prior to completing this template, carefully review Course Project Milestone 3 Guidelines paying particular attention to how to name the document and all rubric requirements. After saving the document to your computer, type your answers directly on this template and save again. This assignment is due by Sunday end of Week 6 by 11:59 p.m.MT. StudentName:_____ Assignment Criteria Introduction: Student Introduction and Statement of Purpose (30 points) Nurse Introduction (30 points) Nurse States Verbal Permission for Interview and Submission (30 points) Questions and Answers: Primary Question #1: Follow-up a. Follow-up b. Primary Question #2: Follow-up a. Follow-up b. Primary Question #3: Follow-up a. Follow-up b. Primary Question #4: Follow-up a. Follow-up b. Primary Question #5: Follow-up a. Follow-up b. Conclusion: Gratitude (20 points) Learning (20 points) Total Points Possible=300 ?
ADDITIONAL INFORMATION;
Introduction
In the United States, there are more people living in rural areas than ever before. But despite this growth, many nurse executives and nurse managers have reported that it can be difficult for them to provide quality care for their patients in these communities. The reasons vary from region to region; some areas have limited access to physicians or nurses while others struggle with recruiting and retaining skilled staff members. However, all nurse executives face similar challenges when trying to provide quality healthcare services in rural areas: attracting qualified candidates; managing patient turnover rates; overcoming cultural differences between urban and rural residents; overcoming economic hardships caused by lack of funding resources or competition from larger cities surrounding townships where they live
Achieving quality and cost-effective care in rural areas is viewed problematic by many chief nurse executives.
Quality and cost-effective care in rural areas is viewed problematic by many chief nurse executives. Rural residents are more likely to be poor, less educated and less healthy than their urban counterparts. They also have fewer doctors and nurses available to them than those living in cities. In addition, there is a lack of access to healthcare professionals due to limited funding for education or training programs at medical schools located outside of major metropolitan areas (e.g., New York City).
While it may appear as if rural communities would benefit from having access to quality healthcare services provided by nurses working under the supervision of experienced physicians who specialize in geriatric medicine or palliative care, this is not always true because most rural hospitals do not have enough money available for hiring additional staff members with specialized skills needed during times when patients require more attention than usual—during winter months when flu season approaches; during summer months when heat waves cause people inside buildings without air conditioning systems overheat quickly leading them towards death if left untreated long enough; etcetera…
The population of people living in rural America has been growing over the past decade, but that growth hasn’t been matched with a proportional increase in available healthcare services.
The population of people living in rural America has been growing over the past decade, but that growth hasn’t been matched with a proportional increase in available healthcare services.
Rural areas are experiencing many challenges when it comes to providing quality health care for their citizens. These include limited access to health care providers and lack of adequate funding for facilities and equipment. In addition, patients often face long distances from medical centers that provide tertiary care services, which makes it difficult for them to get prompt treatment if they need emergency treatment on an urgent basis (e.g., heart attack).
The specific challenges faced by nursing leaders in rural areas can vary widely from region to region.
The specific challenges faced by nursing leaders in rural areas can vary widely from region to region. For example, in some cases, the hospital’s board of directors may be reluctant to invest more money into facilities and equipment because they don’t want to move away from their current location or hire additional staff members for it. Additionally, if a hospital is located far outside the city center and has limited access roads (or no access at all), it may be difficult for employees without cars or public transportation options including those who are working remotely to get there safely every day.
In other situations where there are no nearby cities with hospitals offering emergency care services such as intensive care units or obstetrics/gynecology services, rural hospitals have fewer options than their urban counterparts when it comes time for treatment choices like surgery or dialysis treatments that require scheduling ahead of time rather than waiting until after hours’ notice when emergencies arise unexpectedly during business hours when most people would prefer not having anything happen at work anyway!
Rural residents are more likely to be poor, less educated and less healthy than their urban counterparts.
Rural residents are more likely to be poor, less educated and less healthy than their urban counterparts. They also have less access to healthcare services.
The chief nurse executive may find that it is not possible to provide quality care in rural areas with limited budgets.
The chief nurse executive may find that it is not possible to provide quality care in rural areas with limited budgets. Rural health care providers have a harder time recruiting and retaining nurses and other medical personnel than their urban counterparts, which can make it difficult to maintain the level of service that patients expect. There are also fewer opportunities for professional development within rural facilities.
Many rural communities are left without access to physicians and nurses, creating a void for critical healthcare services.
You may be thinking, “Why would I need a nurse? I don’t have any patients.”
The reason is simple: many rural communities are left without access to physicians and nurses, creating a void for critical healthcare services. Rural areas are also among the most economically disadvantaged areas in America, where poverty rates reach as high as 30% of total population. A lack of access to care translates into higher mortality rates and lower health outcomes for residents in these regions compared with more affluent communities across the country.
Recruiting and retaining skilled staff is critical if we hope to provide quality care in rural areas with limited budgets.
Recruiting and retaining skilled staff is critical if we hope to provide quality care in rural areas with limited budgets. Rural areas are more likely to have a shortage of nurses, who are often required for primary care (e.g., family practice or internal medicine) or transitional care (e.g., emergency room). In addition, rural communities often lack access to hospitals and other health facilities that can provide specialty services such as advanced imaging and laboratory testing; this also affects access to medications needed by patients with chronic diseases such as diabetes mellitus or multiple sclerosis that may require ongoing monitoring by hospital staffs during treatment phases
Some of the ideas you may want to discuss include recruiting and retaining skilled staff, regional variations in challenges and ways the nurse executive or nurse manager can improve patient outcomes despite limited resources.
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Recruitment and retention of skilled staff.
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Regional variations in challenges and ways the nurse executive or nurse manager can improve patient outcomes despite limited resources.
The nurse executive or nurse manager should understand the local health care system, including its limitations and strengths. A good understanding of these factors will enable her to make informed decisions about how best to use the resources available. For example, she may decide that it is more important for patients to have access to needed medications than for them to have access to some other facility-based service.
Conclusion
As it stands, we are facing an economic climate and health care system that is not conducive to quality care. The good news is that there are many ways in which nurses and nurse managers can improve patient outcomes despite limited resources. As we’ve seen, some of these strategies involve recruiting and retaining skilled staff who may not be available in rural areas as easily as in urban areas; others involve regional variations in challenges faced by nursing leaders in smaller communities. Rural communities also need more sophisticated approaches to understanding their needs so they can better address them through their local governments and public health departments.
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