Describe department and system-wide implications, impact, and conflict Strategies for addressing morale and motivation of remaining workforce.

Create an evidence-based plan for system-wide change guided by a selected organizational change model
Engage in high-level decision-making processes common in the nurse executive role
Use reflective practice knowledge and skills in making high level decision making and change management
IV. Preparing the Assignment
Address all components of the Advanced Communication in Systems Leadership paper as outlined under “Assignment Directions and Criteria”.
The paper is graded on quality and completeness of information, depth of thought, organization following outline provided, substantive narrative, use of citations, use of Standard English, and writing conventions.
Format:
APA format, using most current edition, is required for citations and references in this assignment
Required elements
Title page, reference page
Use Microsoft Word
Page numbers, doubles-spaced, times new roman, 12pt font, 1″ margins, level 1 headings
Paper length: 7 maximum, excluding reference page and title page
Scholarly sources
Minimum of four (4) scholarly resources no older than 5 years (See: What is a Scholarly Source under APA resources)
Proof-reading
Use spell check and grammar check and correct all errors
Compare final draft to detailed outline directions to ensure all required elements included
Submitting the paper
Submit to Week 6 Assignment portal by Sunday, 11:59 p.m. MT
Must achieve TII score < 24% to be graded
Final submission only will be graded
DIRECTIONS AND ASSIGNMENT CRITERIA

You will use the following headings for your paper:

Approach to the organizational mandate
Purpose of the paper
Overview of the tasks, potential challenges, and implications of a reduction in workforce
Part II: Reduction in Workforce-Deciding
Using Human Resources (HR) metrics Table 1
Approach, choices, rationale
Challenges presented (including role of ethics)
Using HR metrics with Relative Information Table 2
Approach, choices, rational
Challenges presented
Conflicts raised
Negotiation used
Part III: Reduction in Workforce-Planning the Change
Overview of reorganization plan including timeline
Plan for change and application of Kotter’s or Rogers’ change model
Anticipated conflict (three areas) and the benefits of using a change model
Healthy work environment
Describe department and system-wide implications, impact, and conflict
Strategies for addressing morale and motivation of remaining workforce
Summary/Conclusions
Restatement of purpose
Overview of tasks

Describe the decision-making framework or model you will choose and the rationale for choosing it.

You are the CNO of your current healthcare organization and have been told that the current organizational structure of the nursing department is “top heavy,” resulting in financial loss for the institution in the last fiscal year. You’ve been instructed to restructure the department to flatten the line to reduce expenses. You must decide how you will do it and how you will implement the change.

Describe the decision-making framework or model you will choose and the rationale for choosing it.

Of the three change models—PDSA, Kotter, or Rogers—which would you choose to use and why? What makes the other two less useful? What influence did your leadership profile have on your choices?

Explain the circumstances under which children should be prescribed drugs for off-label use. Be specific and provide examples.

Children even respond differently during stages from infancy to adolescence. This poses potential safety concerns when prescribing drugs to pediatric patients. As an advanced practice nurse, you have to be aware of safety implications of the off-label use of drugs with this patient group.
To Prepare
Review the interactive media piece in this week’s Resources and reflect on the types of drugs used to treat pediatric patients with mood disorders.
Reflect on situations in which children should be prescribed drugs for off-label use.
Think about strategies to make the off-label use and dosage of drugs safer for children from infancy to adolescence. Consider specific off-label drugs that you think require extra care and attention when used in pediatrics.
By Day 5 of Week 11
Write a 1-page narrative in APA format that addresses the following:
Explain the circumstances under which children should be prescribed drugs for off-label use. Be specific and provide examples.
Describe strategies to make the off-label use and dosage of drugs safer for children from infancy to adolescence. Include descriptions and names of off-label drugs that require extra care and attention when used in pediatrics.

Discuss the advantages and potential bias of the data collection methods used in the research reports.

Summarize five (5) new key data collection terms (starts on p.167) that you found in the research reports that you are using in your proposal.
Discuss the advantages and potential bias of the data collection methods used in the research reports.
Read a research report for critique. In your own words, list one strength and one weakness of the data collection method if any.

Explain the importance of a “spirit of inquiry” in an evidence-based culture and what you can do as an advanced registered nurse to encourage this within your practice or organization.

DQ1-Based on the PICOT you developed for NUR-550, summarize the intervention you are proposing. How does this support the population of focus, your setting, and role? Justify how the problem you selected to investigate is amenable to a research-based intervention using the PICOT format. Include your PICOT statement with your response.

1DQ2-Explain the importance of a “spirit of inquiry” in an evidence-based culture and what you can do as an advanced registered nurse to encourage this within your practice or organization. In response to your peers, compare the role and implementation of EBP in your specialty area with another advanced registered nurse specialty.

Explain the importance of a “spirit of inquiry” in an evidence-based culture and what you can do as an advanced registered nurse to encourage this within your practice or organization. In response to your peers, compare the role and implementation of EBP in your specialty area with another advanced registered nurse specialty.

Examine this statement: “The inherent risk is that society’s faith in doctors as healers would become subverted if doctors participate in physician-assisted suicide.”

Describe an example of how you as a professional nurse have used ethical theories or ethical principles in a clinical practice setting.
OR
In your clinical setting, consider the many times and various ways in which you acted as a patient or family advocate. Which model did you follow in advocating for the patient: rights protection model, values-based model, or respect for persons model? Would having used a different model have changed the outcome? Were there also instances when you chose not to be an advocate for a particular patient? What circumstances or events prevented you from serving in this role?

Discussion #2
Discussion Question:
Please respond to ONE of the following prompts.
Do you agree that individual states should be able to place reasonable restrictions or waiting periods for abortions? Who should determine what is reasonable?
OR
Examine this statement: “The inherent risk is that society’s faith in doctors as healers would become subverted if doctors participate in physician-assisted suicide.”