For this assignment you will continue to review current research from South’s Online Library and provide a critical evaluation on that research through an annotated bibliography. An annotated bibliography is a brief summary and analysis of the journal article reviewed. For more information on annotated bibliographies please visit Purdue’s OWL: Purdue Online Writing Lab

A total of two annotated bibliographies are to be submitted (not to exceed one page each). The articles must come from nursing scholarly literature and may not be older than 5 years since publication. Please note that the articles must be research based and reflect a qualitative methodology (review our reading assignments). Web pages, magazines, textbooks, and other books are not acceptable.

Each annotation must address the following critical elements:

• Explanation of the main purpose and scope of the cited work
• Brief description of the research conducted
• Value and significance of the work (e.g., study’s findings, scope of the research project) as a contribution to the subject under consideration
• Possible shortcomings or bias in the work
• Conclusions or observations reached by the author
• Summary as to why this research lends evidence to support the potential problem identified specific to your role specialization ( Family Nurse Practitioner )

Leading is not an official position or role, it is a skill that all nurses require. 

You have learned about different roles within nursing, and hopefully you have reinforced in yourself, that Nursing in itself is a profession, a vocation.  You are a professional and a part of a profession. You have learned about the 5 Core Competencies of all Health Professionals as they work and practice.

As you reflect on all you have learned this week, why is leadership needed in nursing?

Please follow the RUBRIC attached, including using the two references. One from the book I will provide with below and one with another reliable online source. i.e. .edu, .org

BOOK REFERENCE:  

Finkelman, A. (2019). Professional Nursing Concepts: Competencies for Quality Leadership (4th ed.). Burlington, MA: Jones & Bartlett Learning. 

Learning Objective:

Explain the ethical, cultural, economic, and social issues impacting the care women receive before, during, and after pregnancy. Understand how these issues can affect the health of women of childbearing age and their fetus in the United States.

Overview of Assignment:

Write a paper exploring the ethical, economic, cultural, and social issues that women of childbearing age face today in the United States. You can pick a topic that affects women in the childbearing stage of their lives and how it impacts the care received, their lives, their health, or the health of their fetus. Or you can explain each topic individually based on different topics. Overall, research how the ethical, economic, cultural, and social issues can impact women living in the United States. 

You may use your text and the Herzing library, however, you MUST USE at least 4 scholarly sources to support your ideas, at least one for each consideration you are discussing.

Paper Requirements:

Length and Elements: The length of this essay should only be 3-4 written pages and should include:

1) Introduction with specific thesis statement (i.e. The purpose of this paper is to…Make sure to introduce the four issues you will be discussing in your paper)

2) Body of Paper: discuss each of the following considerations in separate sections with the following headings:

a. Ethical Issues—explore the ethical issues that surround and confront the childbearing women in the United States (DO NOT discuss informed consent as this is not the type of ethical issue I am looking for, look for issues related to abortion, IVF, genetic testing, ect.)

b. Economic Issues—consider the economic (money related) barriers women face, including such topics as: insurance coverage or lack thereof, WIC, money for food, Medicaid, rural access to childbearing services, etc.

c. Cultural Issues—discuss the various cultural norms that can be found among the different cultures of people in Minnesota and how these different cultural norms can impact the care received during pregnancy 

d. Social Issues—consider health disparities a person experiences due to their social environment such as women of poverty, women of color, Amish women, being an immigrant (legal or illegal), being rich, teenagers experiencing pregnancy, ect  in the United States. Relate these specific social considerations to childbearing women and how it affects maternal morbidity and mortality.

3) Conclusion: Summarize your findings; re-emphasize the thesis of the paper without simply repeating it; and do not introduce new ideas here

4) Use proper grammar, spelling, and APA 6th edition formatting including a title and reference page (the title and reference pages do not count toward the page total).

1. Explain the ladder of abstraction. Compare and contrast between philosophies, conceptual models, grand theories, nursing theories, and middle-range theories.
2. Select one theory from each of the categories listed in question 1. Summarize each theory and provide an example how this theory can be used in research, education, and practice.
3. Which of the theories selected in question 2 most resonates with you? Explain why.

You have recently been hired as a lead consultant for the University Medical Center. You have been working with the quality team and the Chief Quality Officer (CQO) on a long-term plan to improve patient satisfaction. The most recent survey results showed a 5% decline in overall patient satisfaction. Based on a review of the survey data, slow response time to call buttons ranked highest in terms of the source of dissatisfaction among patients. The team has decided to prioritize the management of call button response time to improve the patient satisfaction rates. In addition to improving patient satisfaction, decreasing the call button response time can support operational efficiency goals and can ultimately have a positive impact on the bottom line of the medical center. The long-term plan will be reflected in best practices, which will be implemented. Your project has almost come to completion and now it is time to summarize your improvement plan to the CEO.

Instructions

Write an executive summary to the CQO regarding best practices to improve patient satisfaction survey results. Your summary should include:

• One model of quality improvement as it relates to decreasing call button response time.
• An explanation of how the model will lead to an increase in patient survey response rates.
• Several strategies to engage both patients and healthcare staff in the quality improvement initiative as this new model is implemented. The strategies should include ways to increase patient satisfaction.