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Preparation

You have been asked to conduct an analysis of your care setting that will result in two potential pathways toward a strategic plan to improve health care quality and safety in your organization, department, team, community project, or other care setting. To accomplish this, you will take two approaches to the analysis:

1. Complete the discovery and dream phases of an appreciative inquiry (AI) project.
2. Conduct a strengths, weaknesses, opportunities and threats (SWOT) analysis.

To help ensure that your analysis is well-received, the requester has suggested that you:

• Present your analysis results in four parts:
  • Part 1: Appreciative Inquiry Discovery and Dream.
  • Part 2: SWOT Analysis.
  • Part 3: Comparison of Approaches.
  • Part 4: Analysis of Relevant Leadership Characteristics and Skills.
• Your analysis should be 5-8 pages in length.

As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.

One key aspect to being an effective leader, manager, or administrator is an awareness of your leadership strengths, weaknesses, and style.

• How would you assess your general leadership, communication, and relationship-building skills?
• How would describe your leadership style?

Imagine the future for a care setting that is your place of practice or one in which you would like to work.

• What aspirational goals can you envision that would lead to improvements in health care quality and safety?
• How well do these goals align with the mission, vision, and values of your care setting?

Part 1: Appreciative Inquiry Discovery and Dream

• Synthesize stories and evidence about times when a care setting performed at its best with regard to quality and safety goals.
  • Collect stories from your care setting. You may collect stories through interviews or conversations with colleagues or provide your own.
  • Explain how your stories are related to quality and safety goals.
  • Describe the evidence you have that substantiates your stories.
  • Identify the positive themes reflected in your stories.
  • Describe other evidence (for example: data, awards, accreditations) that validates your care setting’s positive core.
• Propose positive, yet attainable, quality and safety improvement goals for your care setting.
  • Explain how accomplishing these goals will lead to ethical and culturally-sensitive improvements in quality and safety.
  • Explain how your proposed goals align with your care setting’s mission, vision, and values.

Part 2: SWOT Analysis

• Conduct a SWOT analysis of your care setting, with respect to quality and safety goals.
  • Provide a narrative description of your analysis.
  • Identify the assessment tool you used as the basis of your analysis.
  • Describe your key findings and their relationships to quality and safety goals.
• Describe one area of concern that you identified in your SWOT analysis—relevant to your care setting’s mission, vision, and values—for which you would propose pursuing improvements.
  • Explain how this area of concern relates to your care setting’s mission, vision, and values.
  • Explain why you believe it will be necessary and valuable to pursue improvements related to this area of concern.

Part 3: Comparison of Approaches

Compare the AI and SWOT approaches to analysis and reflect on the results.

• Describe your mindset when examining your care setting from an AI perspective and from a SWOT perspective.
• Describe the types of data and evidence you searched for when taking an AI approach and a SWOT approach.
• Describe the similarities and differences between the two approaches when communicating and interacting with colleagues.

Part 4: Analysis of Relevant Leadership Characteristics and Skills

Analyze the leadership characteristics and skills most desired in the person leading potential performance improvement projects, taking both an AI and SWOT approach.

• Explain how these characteristics and skills would help a leader facilitate a successful AI-based project and a successful SWOT-based project.
• Comment on any shared characteristics or skills you identified as helpful for both AI and SWOT approaches.

 

• Differentiate between quantitative, qualitative, and mixed-method research methodologies 
• Analyze the relationship between peer-reviewed articles and clinical issues
• Analyze research ethics related to clinical issues and peer-reviewed research
• Analyze the aims of research studies presented in peer-reviewed articles
• Analyze research methodologies described in peer-reviewed articles
• Analyze strengths, reliability, and validity of research methodologies in peer-reviewed research

References: 

 Melnyk, B. M., & Fineout-Overholt, E. (2023). Evidence-based practice in nursing & healthcare: A guide to best practice (5th ed.). Wolters Kluwer.

• Chapter 2, “Asking Compelling Clinical Questions” (pp. 37–60)
• Chapter 22, “Generating Evidence Through Quantitative and Qualitative Research” (pp. 731–776)
• Grant, M. J., & Booth, A. (2009). A typology of reviews: An analysis of 14 review types and associated methodologies. Health Information and Libraries JournalLinks to an external site., 26, 91–108. doi:10.1111/j.1471-1842.2009.00848.x
• Hoare, Z., & Hoe, J. (2013). Understanding quantitative research: Part 2. Nursing StandardLinks to an external site., 27(18), 48–55. doi:10.7748/ns2013.01.27.18.48.c9488

  What study type is considered at the highest rung of the evidence-based pyramid? 

  The highest rung on the evidence-based pyramid is the meta-analysis tier. Meta-analysis is a group of systematic reviews of multiple studies to find and compare the absolute best evidence available for a specific condition, population, or intervention. There is a precise, systematic methodology to research, choose, review, and evaluate the studies to include them in the meta-analysis (Tracy, et al., 2023). It gains the top tier of the evidence-based pyramid because meta-analysis yields the strongest level of evidence after all these systematic reviews (Melnyk & Fineoout-Overholt, 2019). These specific meta-analysis studies then present a summary of the current best evidence available for the area of interest. The meta-analyses can then guide clinicians to make evidence-based decisions for the treatment of their patients.

References: 

Melnyk, B. M., Fineout-Overholt, E. (2019). Evidence-Based Practice in Nursing and Healthcare (4th ed.). Wolters Kluwer

Tracy, M. F., O’Grady, E. T., & Phillips, S. J. (2023). Hamric & Hanson’s Advanced Practice Nursing: An Integrative Approach (7th ed.). Amsterdam: Elsevier.   

TOPIC: HIGH BLOOD PRESSURE

I have already completed PART 1 which is attached , for guide. This is Part 2 and must be as continuation of Part 1 , NOT A SEPARATED DOCUMENT

INCLUDE IN PART 2 FROM SECTION 5-9

5. Propose a health promotion program using an evidence-based intervention found in your literature search to address the problem in the selected population/setting. Include a thorough discussion of the specifics of this intervention which include resources necessary, those involved, and feasibility for a nurse in an advanced role. Be certain to include a timeline. (2  paragraph. You may use bullets if appropriate).

6. Thoroughly describe the intended outcomes. Describe the outcomes in detail concurrent with the SMART goal approach. (1 paragraph).

7. Provide a detailed plan for evaluation for each outcome. (1 paragraph). 

8. Thoroughly describe possible barriers/challenges to implementing the proposed project as well as strategies to address these barriers/challenges. (1 paragraph). 

9. Conclude the paper with a Conclusion paragraph. Don’t type the word “Conclusion”. Here you will share your insights about this strategy and your expectations regarding achieving your goals. (1 paragraph). 

Paper Requirements :

Remember, your Proposal must be a scholarly paper demonstrating graduate school level writing and critical analysis of existing nursing knowledge about health promotion. 

-3 PAGES PART 2 

-REMEMBER THE ASSIGMENT MUST BE A CONTINUATON OF PART 1 NOT A SEPARATED DOCUMENT

-DON’T BE MORE THAN 10 % PLAGIARISM IN PART 2 SECTION

-DUE DATE OCTOBER 12, 2023