1
13
DNP Prospectus Comment by Cynthia Fletcher: This is a good beginning Ann Marie. There are many areas that we will discuss at our meeting to improve clarity and congruence with a DNP Project.
Educating Inpatient Nurses to use Standardized Care Plans
Anne Marie Wouapet
Doctor of Nursing Practice – Nursing Informatics
A00505587
Prospectus: Educating Inpatient Nurses to use Standardized Care Plans
Problem Statement
Standardized care plans can be described as the pre-determined menu of interventions which are used for different patient situations (Monsen, Swenson & Kerr, 2016). Evidence-based care is the conscientious use of the most recent evidence to make decisions on the care of individual patients or in the delivery of health care services (Murdaugh, Parsons & Pender, 2018). The current best evidence is the most recent information which has been obtained from valid and relevant research about the effects of different types of healthcare, the accuracy of diagnostic tests, the potential for harm from exposure to different agents, or predictive power of prognostic factor (Schmidt & Brown, 2017). Standardized care plans form the main basis for the implementation of evidence-based care directly in practice and for the improvement of patient outcomes (Nussbaum et al., 2015; Yehuda & Hoge, 2016). A health care facility recently transitioned to the use of a new and better electronic health record system. The facility also purchased standardized care plans to increase efficiency in their operations. However, the compliance with using the standardized care plans was only 40 percent among the inpatient nurses. Comment by Cynthia Fletcher: ?Comment by Cynthia Fletcher: Questionable purpose.Comment by Cynthia Fletcher: Was it different for those who were not inpatient nurses?
Accordingly, the facility recently had a visit from the Joint Commission on Accreditation of Healthcare Organizations and received a negative rating because the nurses were not adding care plans based on the patients' primary problem or diagnosis in the patients' charts upon admission. This presents several specific problems in the healthcare facility. There is poor compliance from the nurses concerning the addition of standardized care plans to the charts of patients based on their diagnosis or primary problem(s). The system which the facility invested in was not being used for the improvement of patient outcomes and quality of care delivered. The focus of this project is the failure of inpatient nurses to make use of standardized care plans. The gap in nursing is the failure of delivery of evidence-based practice using the standardized care plans which result in poor patient outcomes and quality of life. One of the areas of knowledge that has not yet been explored is the cause of low rates of adoption of standardized care plans by nurses. Another gap is the lack of studies on nurses’ perception of the standardized care plans and how they affect their use in .
Patients' satisfaction towards doctors treatmentmustafa farooqi
The mood of the care recipient to see if the impression (expectations) of service are met by the patient may be defined as patient satisfaction. The current perspective on service efficiency tends to be that patient treatment meets public standards and requirements in terms of interpersonal support as well as professional assistance. (Hardy et al. 1996). For various reasons, customer satisfactions in the healthcare industry have been investigated. First it was important to decide on the extent and the degree to which patient care seekers, the meeting of drugs criteria and the continuous use of these services have effect, satisfaction as a quality of service metric, as well as allowing doctors and health services to better appreciate and use the input of the patient. (Ong et al. 2000). Consumer satisfaction with healthcare services is a multi-panel term that refers to the core facets of treatment and suppliers, while PS medical services with the quality enhancement systems from the patient context, full control of quality and the intended outcomes of services are considered to be of primary importance (Janicijevic et al. 2013). The Pakistani health system is being changed somewhat and there are wonderful scope for applying standard of services to health care. Patients in Pakistan now have access to increased quality health care. Obviously, the staff and staff are the most important winners of a successful health care environment of every community sector framework (Bakari et al. 2019). The medical clinic of today's study is the product of a long and complicated war of civilization to quantify produce and study and to give thought to the thoughtful (Fullman et al. 2017).
Patients' satisfaction towards doctors treatmentmustafa farooqi
The mood of the care recipient to see if the impression (expectations) of service are met by the patient may be defined as patient satisfaction. The current perspective on service efficiency tends to be that patient treatment meets public standards and requirements in terms of interpersonal support as well as professional assistance. (Hardy et al. 1996).
For various reasons, customer satisfactions in the healthcare industry have been investigated. First it was important to decide on the extent and the degree to which patient care seekers, the meeting of drugs criteria and the continuous use of these services have effect, satisfaction as a quality of service metric, as well as allowing doctors and health services to better appreciate and use the input of the patient. (Ong et al. 2000).
Consumer satisfaction with healthcare services is a multi-panel term that refers to the core facets of treatment and suppliers, while PS medical services with the quality enhancement systems from the patient context, full control of quality and the intended outcomes of services are considered to be of primary importance (Janicijevic et al. 2013).
The Pakistani health system is being changed somewhat and there are wonderful scope for applying standard of services to health care. Patients in Pakistan now have access to increased quality health care. Obviously, the staff and staff are the most important winners of a successful health care environment of every community sector framework (Bakari et al. 2019).
The medical clinic of today's study is the product of a long and complicated war of civilization to quantify produce and study and to give thought to the thoughtful (Fullman et al. 2017).
Comment 1Development of an evidence-based practice project musJeniceStuckeyoo
Comment 1
Development of an evidence-based practice project must include the direct and indirect impact that will be encountered through implementation. Staff retention of newly hired nurses specific to the night shift is the focus of my project and its impact on the nurses, facility and community that is served. According to published reports, a supportive work environment, especially between managers and employees, creates a strong deterrent to nurses leaving an organization by improving perception of organizational support, employee engagement, team cohesion, and connection to the mission of the health-care setting (Kurnat-Thoma, Ganger, Peterson, & Channell, 2017).
Financial aspect
– staffing cost/turnover cost
Hospital staffing turnover is projected to 5% to 5.8% of total hospital annual operating budget and is largely driven by the loss and necessary replacement of qualified nurses according to Waldman, J., Kelly, F., Arora, S., Smith, H. (2010).
Proposal direct impact
– hospital revenue/staffing costs,
Proposal indirect impact
– patient outcomes, positive healing environment perception by staff/patients
Quality Aspect
– High turnover in any industry can be a concern, especially those that are customer-centric. Industries that deal with people’s health are in an even more precarious position. Institutions with high attrition must consider how a “revolving door” of care providers affects the quality of care an institution is able to provide, and the satisfaction of patients with their overall experience according to Arena (2018).
Proposal direct impact
–
Separation Costs – Continued benefits, temporary labor, overtime to existing employees
• Recruitment Costs – Job description, posting on job boards, screening candidates, interviewing candidates, assessing candidates
• Onboarding Costs – Orientation and training of new hire
Proposal indirect impact
–
Loss of productivity
• Lack of staff while positions are being filled
• Increased pressure on existing staff to cover and pick up the extra work often leading to burnout
• Patients receiving less attention
• Pressure on current staff to train and then gel with the new employees
• Lack and lag of knowledge with new employees concerning institutional practices, workplace norms, team behaviors, and patient knowledge, familiarity, and care experience
Clinical aspect
– unit cohesiveness/patient care
Many nurses leave their positions because of negative experiences with heavy or unrealistic workloads and due to feeling unheard and undervalued. Clinical nurses' sense of disempowerment can be related to lack of leadership interventions. Clinical nurses may feel that managers are insensitive to their staffing needs, don't support employee well-being, and don't invest enough in staff education or clinical advancement according to Linnen and Rowley (February 2014).
Proposal direct impact
– nurses will see themselves as stewards for their unit. “Nurses are leaders by virtue ...
1
Management Of Care
Chamberlain University
NR452: Capstone
Professor Alison Colvin.
Date: November 23, 2022.
Management of Care
Management of care involves organizing, prioritizing, maintaining strict patient confidentiality, providing patient with efficient care, education to patient and families, risk stratification, coordination of care transition and medication management. Patient care management is provided to client by nurses and other health care professionals “Management of the critically injured patient is optimized by a coordinated team effort in an organized trauma system that allow for rapid assessment and initiation of life- preserving therapies. (Cantrell, E., & Doucet, J. 2018). Effective patient care management can impact patient heath more positively, when all healthcare professionals work together to provide quality care in promoting patient centered care. Adequate patient care can prevent readmission or admission, also can reduce distress, total cost of care, improve self-management, disease control and patient overall health.
Patient care is important to patient because its ensure that patient receive the needed possible care they deserve when in the hospital and out of the hospital, patient will feel their demand is understood and listened to if they health needs are met and understood by professionals that know how to manage their health care needs, health care management team member work together to ensure patient safety through effective communication and collaboration, advocating for patient by connecting patient to community and social services resources that will promote their health care needs can be beneficial to patient, environmental and home risk assessment, and effective facilitation of communication between members of the healthcare team.
Nurses play a role in managing a patient health, roles such as: Critical thinking skills, in this case the nurse can recognize any shift in patient health status which plays a significant role in decision making and patient centered care. Time management: delegation, prioritization such as knowing what to do first, what is important, and knowing what task is more important for the patient at a particular time. Patient education is also one of the many role’s nurses do to educate patient on what to expect during a procedure, or during recovery, also teachings on complications or adverse effects of a medication. Clinical reasoning and judgement which will promote quality of health through patient centered care that addresses patient specific health care needs. Holman, H. C., Williams, “et al”. (2019).
References
Cantrell, E., & Doucet, J. (2018). Initial Management of Life-Threatening Trauma.
DeckerMed Critical Care of the Surgical Patient.
https://doi.org/10.2310/7ccsp.2129
Holman, H. C., Williams, D., Johnson, J., Sommer, S., Ball, B. S., Lemon, T.,
& Assessment Technologies Institute. (2019). Nursing leadership
an.
Patients' satisfaction towards doctors treatmentmustafa farooqi
The mood of the care recipient to see if the impression (expectations) of service are met by the patient may be defined as patient satisfaction. The current perspective on service efficiency tends to be that patient treatment meets public standards and requirements in terms of interpersonal support as well as professional assistance. (Hardy et al. 1996). For various reasons, customer satisfactions in the healthcare industry have been investigated. First it was important to decide on the extent and the degree to which patient care seekers, the meeting of drugs criteria and the continuous use of these services have effect, satisfaction as a quality of service metric, as well as allowing doctors and health services to better appreciate and use the input of the patient. (Ong et al. 2000). Consumer satisfaction with healthcare services is a multi-panel term that refers to the core facets of treatment and suppliers, while PS medical services with the quality enhancement systems from the patient context, full control of quality and the intended outcomes of services are considered to be of primary importance (Janicijevic et al. 2013). The Pakistani health system is being changed somewhat and there are wonderful scope for applying standard of services to health care. Patients in Pakistan now have access to increased quality health care. Obviously, the staff and staff are the most important winners of a successful health care environment of every community sector framework (Bakari et al. 2019). The medical clinic of today's study is the product of a long and complicated war of civilization to quantify produce and study and to give thought to the thoughtful (Fullman et al. 2017).
Patients' satisfaction towards doctors treatmentmustafa farooqi
The mood of the care recipient to see if the impression (expectations) of service are met by the patient may be defined as patient satisfaction. The current perspective on service efficiency tends to be that patient treatment meets public standards and requirements in terms of interpersonal support as well as professional assistance. (Hardy et al. 1996).
For various reasons, customer satisfactions in the healthcare industry have been investigated. First it was important to decide on the extent and the degree to which patient care seekers, the meeting of drugs criteria and the continuous use of these services have effect, satisfaction as a quality of service metric, as well as allowing doctors and health services to better appreciate and use the input of the patient. (Ong et al. 2000).
Consumer satisfaction with healthcare services is a multi-panel term that refers to the core facets of treatment and suppliers, while PS medical services with the quality enhancement systems from the patient context, full control of quality and the intended outcomes of services are considered to be of primary importance (Janicijevic et al. 2013).
The Pakistani health system is being changed somewhat and there are wonderful scope for applying standard of services to health care. Patients in Pakistan now have access to increased quality health care. Obviously, the staff and staff are the most important winners of a successful health care environment of every community sector framework (Bakari et al. 2019).
The medical clinic of today's study is the product of a long and complicated war of civilization to quantify produce and study and to give thought to the thoughtful (Fullman et al. 2017).
Comment 1Development of an evidence-based practice project musJeniceStuckeyoo
Comment 1
Development of an evidence-based practice project must include the direct and indirect impact that will be encountered through implementation. Staff retention of newly hired nurses specific to the night shift is the focus of my project and its impact on the nurses, facility and community that is served. According to published reports, a supportive work environment, especially between managers and employees, creates a strong deterrent to nurses leaving an organization by improving perception of organizational support, employee engagement, team cohesion, and connection to the mission of the health-care setting (Kurnat-Thoma, Ganger, Peterson, & Channell, 2017).
Financial aspect
– staffing cost/turnover cost
Hospital staffing turnover is projected to 5% to 5.8% of total hospital annual operating budget and is largely driven by the loss and necessary replacement of qualified nurses according to Waldman, J., Kelly, F., Arora, S., Smith, H. (2010).
Proposal direct impact
– hospital revenue/staffing costs,
Proposal indirect impact
– patient outcomes, positive healing environment perception by staff/patients
Quality Aspect
– High turnover in any industry can be a concern, especially those that are customer-centric. Industries that deal with people’s health are in an even more precarious position. Institutions with high attrition must consider how a “revolving door” of care providers affects the quality of care an institution is able to provide, and the satisfaction of patients with their overall experience according to Arena (2018).
Proposal direct impact
–
Separation Costs – Continued benefits, temporary labor, overtime to existing employees
• Recruitment Costs – Job description, posting on job boards, screening candidates, interviewing candidates, assessing candidates
• Onboarding Costs – Orientation and training of new hire
Proposal indirect impact
–
Loss of productivity
• Lack of staff while positions are being filled
• Increased pressure on existing staff to cover and pick up the extra work often leading to burnout
• Patients receiving less attention
• Pressure on current staff to train and then gel with the new employees
• Lack and lag of knowledge with new employees concerning institutional practices, workplace norms, team behaviors, and patient knowledge, familiarity, and care experience
Clinical aspect
– unit cohesiveness/patient care
Many nurses leave their positions because of negative experiences with heavy or unrealistic workloads and due to feeling unheard and undervalued. Clinical nurses' sense of disempowerment can be related to lack of leadership interventions. Clinical nurses may feel that managers are insensitive to their staffing needs, don't support employee well-being, and don't invest enough in staff education or clinical advancement according to Linnen and Rowley (February 2014).
Proposal direct impact
– nurses will see themselves as stewards for their unit. “Nurses are leaders by virtue ...
1
Management Of Care
Chamberlain University
NR452: Capstone
Professor Alison Colvin.
Date: November 23, 2022.
Management of Care
Management of care involves organizing, prioritizing, maintaining strict patient confidentiality, providing patient with efficient care, education to patient and families, risk stratification, coordination of care transition and medication management. Patient care management is provided to client by nurses and other health care professionals “Management of the critically injured patient is optimized by a coordinated team effort in an organized trauma system that allow for rapid assessment and initiation of life- preserving therapies. (Cantrell, E., & Doucet, J. 2018). Effective patient care management can impact patient heath more positively, when all healthcare professionals work together to provide quality care in promoting patient centered care. Adequate patient care can prevent readmission or admission, also can reduce distress, total cost of care, improve self-management, disease control and patient overall health.
Patient care is important to patient because its ensure that patient receive the needed possible care they deserve when in the hospital and out of the hospital, patient will feel their demand is understood and listened to if they health needs are met and understood by professionals that know how to manage their health care needs, health care management team member work together to ensure patient safety through effective communication and collaboration, advocating for patient by connecting patient to community and social services resources that will promote their health care needs can be beneficial to patient, environmental and home risk assessment, and effective facilitation of communication between members of the healthcare team.
Nurses play a role in managing a patient health, roles such as: Critical thinking skills, in this case the nurse can recognize any shift in patient health status which plays a significant role in decision making and patient centered care. Time management: delegation, prioritization such as knowing what to do first, what is important, and knowing what task is more important for the patient at a particular time. Patient education is also one of the many role’s nurses do to educate patient on what to expect during a procedure, or during recovery, also teachings on complications or adverse effects of a medication. Clinical reasoning and judgement which will promote quality of health through patient centered care that addresses patient specific health care needs. Holman, H. C., Williams, “et al”. (2019).
References
Cantrell, E., & Doucet, J. (2018). Initial Management of Life-Threatening Trauma.
DeckerMed Critical Care of the Surgical Patient.
https://doi.org/10.2310/7ccsp.2129
Holman, H. C., Williams, D., Johnson, J., Sommer, S., Ball, B. S., Lemon, T.,
& Assessment Technologies Institute. (2019). Nursing leadership
an.
Phases of The Nursing Process
Nursing Process
The Nursing Process
The Nursing Process Essay
Nursing Decision-Making Essay
The Nursing Process Paper
The Nursing Process Paper
Care Planning Research Paper
The nursing process Essay
Nursing Process
Essay on The Five Phases of the Nursing Process
Essay on Nursing Care Plan
The Importance Of The Nursing Process
Questions On The Nursing Process Essay
Nursing Process Analysis
Nurse Process
Nursing Process
Nursing Process Analysis
Examples Of Nursing Process Paper
MARKETING PRINCIPLES
MKTG 305
SWOT Assignment – CSUSB
Purpose:
In this assignment you will apply what you have learned from Chapters 2 and 3 by conducting a SWOT analysis of CSUSB.
Instructions
1. Use the layout template provided in the assignment details. Save it as a Word document and submit it to Blackboard.
2. Begin by populating the Strengths section of your chart. Identify what you perceive to be the strengths of CSUSB as compared to other universities. For example, answering the following questions should provide you with a start, but this list is not meant to be exhaustive:
a. What advantages does CSUSB have that others don’t have?
b. What does CSUSB do better than anyone else?
c. What resources can CSUSB access?
d. What do other people see as the strengths of CSUSB?
e. What accomplishments should CSUSB be most proud of?
f. What are the values of CSUSB and are they a strength or a weakness?
g. What is the reputation/brand of CSUSB and is it a strength or a weakness?
3. Continue to fill in the other three sections in your chart by:
a. Identifying the weaknesses of CSUSB compared to other universities.
b. Identifying opportunities that exist or will exist in the future (think environmental scan from Chapter 3) that CSUSB might be well positioned to take advantage of.
c. Identifying threats that exist or will exist in the future (again, think environmental scan from Chapter 3) that CSUSB will need to take steps to address in order to avoid.
4. Follow the layout example below. Use well written, bulleted sentences and make sure that you provide clear support for each of your bullet points. For example, you cannot simply state that the school has a good/bad reputation without providing a sentence or two to support your position.
RECOMMENDING AN EVIDENCE-BASED PRACTICE CHANGE
WALDEN UNIVERSITY
JULY 28, 2019
Recommending an Evidence-Based Practice Change
My Facilityl is focused on providing quality healthcare to all patients regardless of their differences.
The facility is has a culture of embracing change as long as it helps in improving the patients’ health outcomes.
However, since our hospital is a community-based health service facility, there are some of things that need to be changed.
The healthcare facility offers cancer services including screening and management services. Screening is offered to the community occasionally when the facility organizes cancer awareness where they get more cancer professionals from other hospitals to help provide screening services to the people.
Recommending an Evidence-Based Practice Change
The problem facing the healthcare facility currently is the lack of cancer screening awareness among the community members and enough oncologists.
Cancer screening services require advanced technology and machines to ensure detection and diagnosis of cancer.
Cancer is one of the top diseases causing high mortality rates around the world presently.
The federal and national government are the .
12Plan for Evaluating the Impact of the Inte.docxmoggdede
1
2
Plan for Evaluating the Impact of the Intervention
Anne Marie WouapetName
Walden University
NURS 8310 Section 03, Epidemiology and Population HealthClass
April 29, 2018Date
Plan for Evaluating the Impact of the Intervention
Hospital-acquired infections have been determined throughout this project to be a significant problem in the United States health care system. Epidemiologic data show that there is still a considerable number of patients who die as a result of infections that they have acquired while receiving care (Umscheid et al., 2011). The older population was found to be at a higher risk of acquiring these infections because of their deteriorating immune systems (Sievert et al., 2013). Therefore, a proposed intervention to eliminate the dangers of infection was created. The intervention proposes that nurses go through hand washing education for an extended period to enhance their compliance to hand hygiene after the education program. In studying the potential impacts of this intervention, it was determined that hand washing education is usually effective in changing perceptions and behaviors with regards to hand hygiene, but the compliance to what has been learned is often not maintained. Therefore, this intervention suggests that the education is based on the practice environment and that the nurses are monitored for an extended period. The following is an evaluation plan aiming at assessing the potential outcomes of the proposed intervention.
Evaluation Plan
This evaluation plan is designed to assess the expected outcomes from the implementation of the program (Friis & Sellers, 2014). This plan will investigate the extent to which the hand washing intervention plan will help to reduce the rate of hospital-acquired in infections in the healthcare facilities in which the intervention will be implemented. The plan includes an evaluation of the short-term, medium-term, and long-term changes expected to occur after the implementation of the intervention.
Stakeholders Involved in the Intervention
For the expected outcome to be achieved, the following stakeholders will be required to participate in the intervention program. Evaluating the participation of the stakeholders is essential in determining their contribution to the outcome of the program (Centers for Disease Control, 2011). The program will require the participation of the Director of Nursing, who will be responsible for guiding the nurses included in the intervention to ensure that they participate in the program as required. The intervention will also require the participation of the Directors of the respective health care facilities where the intervention will be implemented to ensure that they provide the resources needed for the program to be implemented and approve the use of the hospital data to evaluate the outcomes of the program. The hospitals included will also need to employ super ...
2. Framework Graphic Candidates will create a graphic that re.docxherminaprocter
2. Framework Graphic
Candidates will create a graphic that reflects an understanding of a conceptual/theoretical framework (preferably related to their dissertation topic). In a graphic, candidates’ creations should clearly represent their vision of the framework and include 1 – 2 paragraphs on how the dependent and independent variables are evidenced.
Dissertation topic that I submitted is in the attachment that has a file name as Survey -27
.
2. Research Article Review – Read one (1) research articles on T.docxherminaprocter
2. Research Article Review
–
Read one (1) research articles on Therapeutic Recreation in Long Term Center or a specific treatment
modality/facilitation technique appropriate for older population in a long term care setting (e.g., assisted living, nursing home, etc.) and write a reaction paper based on guide questions. Must be 3 pages minimum. No plagiarism. Must have knowledge in Therapeutic Recreation Major and modalities.
Attached is an
EXAMPLE
of what I am looking for.
.
2) In examining Document 4 and Document 6, how did the.docxherminaprocter
2)
In examining
Document 4
and
Document 6
, how did the onset of the Cold War redefine what it meant to be an American? What role do these documents suggest loyal citizens play in waging war against Communism? In examining the political cartoon (
Document 5
), how does the artist critique the “anti-subversive” efforts that took place during the Second Red Scare? In what ways does the McCarthy era continue to influence American society?
3)
The turbulent 1960s saw numerous attempts to identify the root problems within American society and the role of citizens in resolving them. In examining
Document 7
,
Document 8
, and
Document 9
, what common problems are identified within American society? What are some of the differences? What role did each of these documents suggest Americans should play in achieving social justice? Are their arguments persuasive? Why or why not?
4)
The last several decades of the Twentieth Century saw the emergence of new groups of Americans claiming rights as citizens. To what extent does the failure of the Equal Rights Amendment (
Document 10
) to be ratified, but the signing of Title IX (
Document 11
) into law, signal about the changing role and rights of women in modern America? After reading President George H.W. Bush’s remarks (
Document 12
), why do you believe it took so long for the country to acknowledge and protect the rights of the disabled?
5)
How does Maya Angelou’s inauguration poem (
Document 13
) reflect upon the identity of “hyphenated Americans” by the early 1990s? In reading
Document 14
, how does President-Elect Barack Obama define Americanism? Looking back over documents 1-13, did his election, as the first person of color to become President of the United States, resolve the questions and crises surrounding the definition of an American citizen? In a post-9/11 world, has America progressed in its inclusiveness? Why or why not?
.
2. Sandra is a parent who believes that play is just entertainment f.docxherminaprocter
2. Sandra is a parent who believes that play is just entertainment for children, whereas Petra is a parent who believes that play is developmentally beneficial for children. Which is likely to be true about Sandra and Petra?
Group of answer choices
A. Sandra’s children are more likely to have richer imaginations than Petra’s children.
B. Sandra is less likely than Petra to encourage pretend play.
C. Petra is more likely than Sandra to encourage associative play.
D. Petra is less likely than Sandra to provide props for her children to play with.
3. Three-year-old Aiko is pretending that her teddy bear is going to the beach and places a paper plate on the teddy bear’s head as a “hat.” Aiko is demonstrating...
Group of answer choices
A. dual representation
B. egocentrism
C. centration
D. animistic thinking
5.
Nikki and Anna are both running for class president. When Anna wins the election, Nikki is jealous and spreads rumors about Anna. Nikki is displaying .. (pick below.......) aggression
A. verbal
B."reactive",
C"physical",
D"proactive"]
6. Kris has a preschool-age daughter named Leila. When Kris gives Leila three cookies and asks her to count them, Leila points to each cookie, one-by-one, and says, “One, two, three.” When Kris asks Leila, “How many cookies do you have?” Leila proudly answers, “Three!” Leila is demonstrating an understanding of...
Group of answer choices
A. Cardinality
B.arithmetic
C. quantity comparisons
D. Ordinality
.
2.2 Discussion What Is LeadershipGetting StartedR.docxherminaprocter
2.2 Discussion: What Is Leadership
Getting Started
Recognizing good organizational leader characteristics is important, not only to ensure that your leadership style is benefiting the organization but also to identify these characteristics in others so they can provide the greatest service to the organization.
This assignment is a continuation of material from Chapter 1 and your 1.2 Discussion. This material will help you understand organizational leader characteristics as you consider and defend your perspectives and consider those of your peers.
Upon successful completion of this discussion, you will be able to:
Evaluate leadership styles.
Resources
Textbook:
Leadership: Enhancing the Lessons of Experience
Background Information
In this discussion, you will consider the various definitions of leadership as provided in the textbook from the authors' review of literature in the field of leadership. You will also explore the concept of leadership as both rational and emotional as well as the differences between the roles of a manager versus the roles of a leader.
The concept of followership is also introduced in this assignment's reading from the textbook, as well as the growing role of women in leadership positions and responsibilities.
Instructions
Review the rubric to make sure you understand the criteria for earning your grade.
Review Chapter 1, "What Do We Mean by Leadership?", in our textbook. As you review, reflect upon the definitions of leadership and how these definitions and other aspects of leadership add to your prior understanding of a leader's role in an organization.
Conduct a critical analysis of the postings by two of your classmates from the posts submitted in 1.2 by the end of the workshop and should be written as if you were reviewing their posting in an academic journal. Your discussion response should, therefore, answer the following questions as applicable:
Were three leadership definitions clearly defined with examples and clear, insightful critical thinking? Comment on two of the three definitions of leadership presented in the post of your classmates. Do you agree or disagree with their interpretation of the definition of leadership? Provide rationale from personal examples or subject matter expert opinions.
Did the discussion of leadership as an art or a science include a detailed explanation that demonstrates clear, insightful critical thinking? Review your classmates' posts. Does their explanation support defining leadership as either an “art” or a “science”? Explain.
Was the concept of spiritual gifts effectively discussed, relating the concept to that of leadership styles?
In addition to commenting on the critical thinking displayed in the post, offer your comments on the original post and provide your overall agreement or disagreement with the poster’s concept of leadership. Your response to each question above should be one paragraph in length and cite one academic source.
.
More Related Content
Similar to 113DNP Prospectus Comment by Cynthia Fletcher Th.docx
Phases of The Nursing Process
Nursing Process
The Nursing Process
The Nursing Process Essay
Nursing Decision-Making Essay
The Nursing Process Paper
The Nursing Process Paper
Care Planning Research Paper
The nursing process Essay
Nursing Process
Essay on The Five Phases of the Nursing Process
Essay on Nursing Care Plan
The Importance Of The Nursing Process
Questions On The Nursing Process Essay
Nursing Process Analysis
Nurse Process
Nursing Process
Nursing Process Analysis
Examples Of Nursing Process Paper
MARKETING PRINCIPLES
MKTG 305
SWOT Assignment – CSUSB
Purpose:
In this assignment you will apply what you have learned from Chapters 2 and 3 by conducting a SWOT analysis of CSUSB.
Instructions
1. Use the layout template provided in the assignment details. Save it as a Word document and submit it to Blackboard.
2. Begin by populating the Strengths section of your chart. Identify what you perceive to be the strengths of CSUSB as compared to other universities. For example, answering the following questions should provide you with a start, but this list is not meant to be exhaustive:
a. What advantages does CSUSB have that others don’t have?
b. What does CSUSB do better than anyone else?
c. What resources can CSUSB access?
d. What do other people see as the strengths of CSUSB?
e. What accomplishments should CSUSB be most proud of?
f. What are the values of CSUSB and are they a strength or a weakness?
g. What is the reputation/brand of CSUSB and is it a strength or a weakness?
3. Continue to fill in the other three sections in your chart by:
a. Identifying the weaknesses of CSUSB compared to other universities.
b. Identifying opportunities that exist or will exist in the future (think environmental scan from Chapter 3) that CSUSB might be well positioned to take advantage of.
c. Identifying threats that exist or will exist in the future (again, think environmental scan from Chapter 3) that CSUSB will need to take steps to address in order to avoid.
4. Follow the layout example below. Use well written, bulleted sentences and make sure that you provide clear support for each of your bullet points. For example, you cannot simply state that the school has a good/bad reputation without providing a sentence or two to support your position.
RECOMMENDING AN EVIDENCE-BASED PRACTICE CHANGE
WALDEN UNIVERSITY
JULY 28, 2019
Recommending an Evidence-Based Practice Change
My Facilityl is focused on providing quality healthcare to all patients regardless of their differences.
The facility is has a culture of embracing change as long as it helps in improving the patients’ health outcomes.
However, since our hospital is a community-based health service facility, there are some of things that need to be changed.
The healthcare facility offers cancer services including screening and management services. Screening is offered to the community occasionally when the facility organizes cancer awareness where they get more cancer professionals from other hospitals to help provide screening services to the people.
Recommending an Evidence-Based Practice Change
The problem facing the healthcare facility currently is the lack of cancer screening awareness among the community members and enough oncologists.
Cancer screening services require advanced technology and machines to ensure detection and diagnosis of cancer.
Cancer is one of the top diseases causing high mortality rates around the world presently.
The federal and national government are the .
12Plan for Evaluating the Impact of the Inte.docxmoggdede
1
2
Plan for Evaluating the Impact of the Intervention
Anne Marie WouapetName
Walden University
NURS 8310 Section 03, Epidemiology and Population HealthClass
April 29, 2018Date
Plan for Evaluating the Impact of the Intervention
Hospital-acquired infections have been determined throughout this project to be a significant problem in the United States health care system. Epidemiologic data show that there is still a considerable number of patients who die as a result of infections that they have acquired while receiving care (Umscheid et al., 2011). The older population was found to be at a higher risk of acquiring these infections because of their deteriorating immune systems (Sievert et al., 2013). Therefore, a proposed intervention to eliminate the dangers of infection was created. The intervention proposes that nurses go through hand washing education for an extended period to enhance their compliance to hand hygiene after the education program. In studying the potential impacts of this intervention, it was determined that hand washing education is usually effective in changing perceptions and behaviors with regards to hand hygiene, but the compliance to what has been learned is often not maintained. Therefore, this intervention suggests that the education is based on the practice environment and that the nurses are monitored for an extended period. The following is an evaluation plan aiming at assessing the potential outcomes of the proposed intervention.
Evaluation Plan
This evaluation plan is designed to assess the expected outcomes from the implementation of the program (Friis & Sellers, 2014). This plan will investigate the extent to which the hand washing intervention plan will help to reduce the rate of hospital-acquired in infections in the healthcare facilities in which the intervention will be implemented. The plan includes an evaluation of the short-term, medium-term, and long-term changes expected to occur after the implementation of the intervention.
Stakeholders Involved in the Intervention
For the expected outcome to be achieved, the following stakeholders will be required to participate in the intervention program. Evaluating the participation of the stakeholders is essential in determining their contribution to the outcome of the program (Centers for Disease Control, 2011). The program will require the participation of the Director of Nursing, who will be responsible for guiding the nurses included in the intervention to ensure that they participate in the program as required. The intervention will also require the participation of the Directors of the respective health care facilities where the intervention will be implemented to ensure that they provide the resources needed for the program to be implemented and approve the use of the hospital data to evaluate the outcomes of the program. The hospitals included will also need to employ super ...
2. Framework Graphic Candidates will create a graphic that re.docxherminaprocter
2. Framework Graphic
Candidates will create a graphic that reflects an understanding of a conceptual/theoretical framework (preferably related to their dissertation topic). In a graphic, candidates’ creations should clearly represent their vision of the framework and include 1 – 2 paragraphs on how the dependent and independent variables are evidenced.
Dissertation topic that I submitted is in the attachment that has a file name as Survey -27
.
2. Research Article Review – Read one (1) research articles on T.docxherminaprocter
2. Research Article Review
–
Read one (1) research articles on Therapeutic Recreation in Long Term Center or a specific treatment
modality/facilitation technique appropriate for older population in a long term care setting (e.g., assisted living, nursing home, etc.) and write a reaction paper based on guide questions. Must be 3 pages minimum. No plagiarism. Must have knowledge in Therapeutic Recreation Major and modalities.
Attached is an
EXAMPLE
of what I am looking for.
.
2) In examining Document 4 and Document 6, how did the.docxherminaprocter
2)
In examining
Document 4
and
Document 6
, how did the onset of the Cold War redefine what it meant to be an American? What role do these documents suggest loyal citizens play in waging war against Communism? In examining the political cartoon (
Document 5
), how does the artist critique the “anti-subversive” efforts that took place during the Second Red Scare? In what ways does the McCarthy era continue to influence American society?
3)
The turbulent 1960s saw numerous attempts to identify the root problems within American society and the role of citizens in resolving them. In examining
Document 7
,
Document 8
, and
Document 9
, what common problems are identified within American society? What are some of the differences? What role did each of these documents suggest Americans should play in achieving social justice? Are their arguments persuasive? Why or why not?
4)
The last several decades of the Twentieth Century saw the emergence of new groups of Americans claiming rights as citizens. To what extent does the failure of the Equal Rights Amendment (
Document 10
) to be ratified, but the signing of Title IX (
Document 11
) into law, signal about the changing role and rights of women in modern America? After reading President George H.W. Bush’s remarks (
Document 12
), why do you believe it took so long for the country to acknowledge and protect the rights of the disabled?
5)
How does Maya Angelou’s inauguration poem (
Document 13
) reflect upon the identity of “hyphenated Americans” by the early 1990s? In reading
Document 14
, how does President-Elect Barack Obama define Americanism? Looking back over documents 1-13, did his election, as the first person of color to become President of the United States, resolve the questions and crises surrounding the definition of an American citizen? In a post-9/11 world, has America progressed in its inclusiveness? Why or why not?
.
2. Sandra is a parent who believes that play is just entertainment f.docxherminaprocter
2. Sandra is a parent who believes that play is just entertainment for children, whereas Petra is a parent who believes that play is developmentally beneficial for children. Which is likely to be true about Sandra and Petra?
Group of answer choices
A. Sandra’s children are more likely to have richer imaginations than Petra’s children.
B. Sandra is less likely than Petra to encourage pretend play.
C. Petra is more likely than Sandra to encourage associative play.
D. Petra is less likely than Sandra to provide props for her children to play with.
3. Three-year-old Aiko is pretending that her teddy bear is going to the beach and places a paper plate on the teddy bear’s head as a “hat.” Aiko is demonstrating...
Group of answer choices
A. dual representation
B. egocentrism
C. centration
D. animistic thinking
5.
Nikki and Anna are both running for class president. When Anna wins the election, Nikki is jealous and spreads rumors about Anna. Nikki is displaying .. (pick below.......) aggression
A. verbal
B."reactive",
C"physical",
D"proactive"]
6. Kris has a preschool-age daughter named Leila. When Kris gives Leila three cookies and asks her to count them, Leila points to each cookie, one-by-one, and says, “One, two, three.” When Kris asks Leila, “How many cookies do you have?” Leila proudly answers, “Three!” Leila is demonstrating an understanding of...
Group of answer choices
A. Cardinality
B.arithmetic
C. quantity comparisons
D. Ordinality
.
2.2 Discussion What Is LeadershipGetting StartedR.docxherminaprocter
2.2 Discussion: What Is Leadership
Getting Started
Recognizing good organizational leader characteristics is important, not only to ensure that your leadership style is benefiting the organization but also to identify these characteristics in others so they can provide the greatest service to the organization.
This assignment is a continuation of material from Chapter 1 and your 1.2 Discussion. This material will help you understand organizational leader characteristics as you consider and defend your perspectives and consider those of your peers.
Upon successful completion of this discussion, you will be able to:
Evaluate leadership styles.
Resources
Textbook:
Leadership: Enhancing the Lessons of Experience
Background Information
In this discussion, you will consider the various definitions of leadership as provided in the textbook from the authors' review of literature in the field of leadership. You will also explore the concept of leadership as both rational and emotional as well as the differences between the roles of a manager versus the roles of a leader.
The concept of followership is also introduced in this assignment's reading from the textbook, as well as the growing role of women in leadership positions and responsibilities.
Instructions
Review the rubric to make sure you understand the criteria for earning your grade.
Review Chapter 1, "What Do We Mean by Leadership?", in our textbook. As you review, reflect upon the definitions of leadership and how these definitions and other aspects of leadership add to your prior understanding of a leader's role in an organization.
Conduct a critical analysis of the postings by two of your classmates from the posts submitted in 1.2 by the end of the workshop and should be written as if you were reviewing their posting in an academic journal. Your discussion response should, therefore, answer the following questions as applicable:
Were three leadership definitions clearly defined with examples and clear, insightful critical thinking? Comment on two of the three definitions of leadership presented in the post of your classmates. Do you agree or disagree with their interpretation of the definition of leadership? Provide rationale from personal examples or subject matter expert opinions.
Did the discussion of leadership as an art or a science include a detailed explanation that demonstrates clear, insightful critical thinking? Review your classmates' posts. Does their explanation support defining leadership as either an “art” or a “science”? Explain.
Was the concept of spiritual gifts effectively discussed, relating the concept to that of leadership styles?
In addition to commenting on the critical thinking displayed in the post, offer your comments on the original post and provide your overall agreement or disagreement with the poster’s concept of leadership. Your response to each question above should be one paragraph in length and cite one academic source.
.
2. You are a member of the Human Resource Department of a medium-si.docxherminaprocter
2. You are a member of the Human Resource Department of a medium-sized organization that is implementing a new interorganizational system that will impact employees, customers, and suppliers. Your manager has requested that you work with the system development team to create a communications plan for the project. He would like to meet with you in two hours to review your thoughts on the KEY OBJECTIVES OF THE COMMUNICATIONS PLAN. What should those objectives be?
.
2.1. What is Strategic Human Resource Management Differentiate bet.docxherminaprocter
2.1. What is Strategic Human Resource Management? Differentiate between strategic context and HR as a profit center. What are the Strategic Human Management tools, metrics used in managing human resources, and strategy-base metrics?
2.2. What can managers do to improve employee engagement and how to measure it?
3.1. What is job analysis? Describe at least four methods for collecting data. Also, what are competencies and how to write competencies?
.
2,___Use of no less than six slides and no more than seven .docxherminaprocter
2,___Use of no less than six slides and no more than seven:
a. An introductory slide with the title or research question and your name and student number.
b. The remaining 4-5 pieces of information will be responsible for answering the information question:
What was the impact of ________en the history of _________?
c. An APA-style bibliography slide.
3.__one or more than another image in the power point related to the theme. One of these images may be the image of the neighbor being investigated.
4.__Bibliografía (no less than 4 references: Two from the Internet, one from one book and one from an interview- APA style)
7. ___write in your own words. No copy paste.
8. __ (Correct spelling and punctuation and note that the writing is yours and not a copy paste from the Internet or a book). Check the work before delivering it with this same check list.
V. Depth
9.__Desarrollo of the research question. Answer it through the power point presentation.
10. __ Depth in the study. Copy paste is not accepted. Any plagiarism (may be: copy a concept, even a sentence, whose intellectual author is not you, invalidates this research- see the university's politics regarding plagiarism). Each criterion is worth ten points.
¿Cómo impacta la novela a la historia de Puerto Rico?
Yeralis M. Rivera Arguinzoni
B00569846
Dra. Vilma Pizarro
Historia de Puerto rico
Universidad Interamericana Recinto de Barranquitas
Comienzos de la novela en Puerto Rico
La literatura en Puerto Rico comienza a finales del siglo XIX.
Movimiento del romanticismo( Europa: Alemania, Inglaterra y España)
Géneros literarios: Poesía, teatro, ensayo y narrativa( novela, cuentos, leyendas, etc.).
La novela es el último género en llegar a Puerto Rico y a América.
En estas novelas trataban los temas de: el amor a la patria, el destino, la muerte, Dios y el progreso, entre otros.
La primera novela puertorriqueña
Hay dos teorías sobre la primer novela puertorriqueña:
Luz y Sombra(1893) = Escrita por Ana Roque de Duprey, primera novela escrita en Puerto Rico.
“La Peregrinación de Bayoán”(1863) = Escrita por Eugenio María de Hostos, primera novela escrita por un puertorriqueño pero es escrita en España. Esta es la mas aceptada como la primera novela puertorriqueña. Su tema principal era la lucha por la identidad del puertorriqueño. Ideas políticas y sociales de Hostos luego del grito de Lares y el grito de Yara(Cuba), fueron expresadas en esta novela.
Otros escritores importantes de la época
Manuel Zeno Gandía = Considerado como el más grande novelista de Puerto Rico. Sus obras: “La Charca”, “Garduña” y “El Negocio”, conocidas como “Crónicas de un mundo enfermo”, se escriben ya bajo el naturalismo. Presentan a un Puerto Rico enfermo y la situación crítica de un Puerto Rico abandonado por España.
Enrique A. Laguerre = Sus obras más importantes: “La Resaca” y “La llamarada”. Sus obras presentan la pésima situación de vida del campesinado a finales del siglo XIX.
.
2. Multicultural Interview Paper Students may begin this.docxherminaprocter
2.
Multicultural Interview Paper
Students may begin this assignment by selecting an individual from a culture differing from their own. This may be any culture or subgroup covered in the course content, such as adolescents, elderly adults, and persons with disabilities.
Students are not limited to these groups.
Students will create a series of interview questions focused on issues and concerns pertinent to the culture or subgroup
. Interview questions are to be specific and designed to help the student learn more about the culture or subgroup as it relates to Addictions & course studies. Students may use their text book and other course resources as guidelines for developing questions. Students should develop a minimum of eight-10 interview questions.
Students
must
submit interview questions to the course instructor and receive approval of the questions before proceeding with the assignment.
Students will then use these approved questions during the interview with the consenting individual and write a two page summarization of the questions with the answers received by the individual. The paper must be in question/answer format.
.
2-4A summary of your findings regarding sexual orientation and.docxherminaprocter
2-4
A summary of your findings regarding sexual orientation and its impact on life-span development, including findings from the resources and from the journal article(s) you selected during your research
An explanation of how you might apply your findings to social work practice
.
2- to 4A description of the services in your local communi.docxherminaprocter
2- to 4
A description of the services in your local community that support individuals in later adulthood
An evaluation of the effectiveness of the services you identified
A description of service gaps you identified
An explanation of how to improve existing services
A description of services that should be added, and why
.
2 or more paragraphAs previously noted, the Brocks have some of.docxherminaprocter
2 or more paragraph
As previously noted, the Brocks have some of their investment portfolio in conservative stocks. These equities have had very slow growth while regularly paying a small dividend.
Pam and Josh have received several emails recently with suggestions about various biotechnology, retailing, and environmental companies. The investment advisers believe that these industries would provide an opportunity for strong long-term financial gains.
In recent years, the Brocks have made extensive use of mutual funds in their investment portfolio. However, they are concerned that their selection of the funds may not be coordinated. With over 9,200 different mutual funds available, this financial marketplace is confusing.
The Brocks start the evaluation process by connecting various types of mutual funds to their investments goals. Next, they assess the past performance and management of the funds. Finally, they talk with various financial advisers and other investors to gather additional information.
Life Situation
Pam, 43
Josh, 45
3 Children, ages 16, 14 and 11
Financial Data
Monthly income$4,900 / Living expenses$4,450/ Assets$262,700/ Liabilities$84,600/ Emergency Fund$5,000
Q1. According to Pam, "We both know we should have started our investment program sooner, but we always seemed to have 'emergencies' that took what extra money we had." To what extent should the Brocks invest in stocks as a major portion of their investment portfolio?
.
2-1 IntroductionUber Technologies Inc. (Uber) is a tech startu.docxherminaprocter
2-1 Introduction
Uber Technologies Inc. (Uber) is a tech startup that provides ride-sharing services by
facilitating a connection between independent contractors (drivers) and riders with the use
of an app. Uber has expanded its operations to 425 cities in 72 countries around the world
and is valued at around $70 billion, making it the world’s most valuable startup.
Approximately 30 million users use Uber’s services monthly. Uber has become a key player
in the sharing economy, a new economic model in which independent contractors rent out
their underutilized resources such as vehicles or lodging to other consumers. The sharing
economy is quickly becoming an alternative to owning resources outright. Because its
services cost less than taking a traditional taxi, Uber and similar ride-sharing services have
upended the taxi industry. The company has experienced resounding success and is
looking toward expansion both internationally and within the United States.
However, Uber’s rapid success is creating challenges in the form of legal and regulatory,
social, and technical obstacles. The taxi industry, for instance, is arguing that Uber has an
unfair advantage because it does not face the same licensing requirements as they do.
Others accuse Uber of not vetting their drivers, creating potentially unsafe situations. Some
major cities are banning ride-sharing services like Uber because of these various concerns.
Additionally, Uber has faced various lawsuits, including a lawsuit filed by its independent
contractors. Its presence in the market has influenced lawmakers to draft new regulations to
govern this “app-driven” ride-sharing system. Legislation can often hinder a company’s
expansion opportunities because of the resources it must expend to comply with regulatory
requirements. Uber has been highly praised for giving independent contractors an opportunity to earn money as long as they have a car, while also offering convenient ways for consumers to get around at lower costs. Although its “Surge Pricing” technique has been criticized for charging higher fares during popular times, it is also becoming a model for other companies such as Zappos in how it compensates its call center employees. The biggest issues Uber faces include legal action because drivers are not licensed, rider and driver safety,protection and security of customer and driver information, and a lack of adequate insurance coverage. To be successful, Uber must address these issues in its marketing strategy so it can reduce resistance as it expands into other cities.
2-2 Background
In 2009 Travis Kalanick and Garrett Camp developed a smartphone application to connect
drivers-for-hire with people needing rides to a destination in their city. Earlier in the year the
founders had attended the inaugural address in Washington, D.C. and could not hail a taxi.
They recognized the need for a convenient, low-cost transportation service. This innovative
service was originally founded.
2 postsRe Topic 2 DQ 1Social determinants of health are fac.docxherminaprocter
2 posts
Re: Topic 2 DQ 1
Social determinants of health are factors affecting peoples’ health, functioning and well-being, such as environmental conditions, social, and economic variables. Socioeconomic environmental factors contributing to infectious disease occurrence include crowding, unsanitary, unavailability of uncontaminated foods and water. These conditions provide an environment required for continuous chain of infection; the process required for transmission of disease. There are 6 components in the chain, or a cycle, of infection: organisms, reservoir, portal of exit, transmission, portal of entry, and a suspectable host (Green, 2018). To stop spreading of a communicable disease, the process has to interrupted or the chain of infection has to be broken at any point. Nurses, working in communities can decrease of the infectious diseases spreading. Promoting vaccination to lowering susceptible hosts number; and educating on sign and symptoms for early self-isolation to protect one’s family members from getting sick, breaking the transmission link. Educating on thorough hand hygiene and reducing face touching may protect one from getting sick eliminate portal of entry link. Proper respiratory hygiene, such as using disposable tissues and covering the mouth when sneezing, may stop the transmission on the stage of the pathogen leaving the reservoir via portal of exit (CDC.gov).
Noncommunicable chronic diseases, such as type 2 diabetes, have grown in endemic and epidemic proportions, are developing from a combination of determinants including environmental, physiological, and behavioral factors, additionally to genetic disposition (Green, 2018). Lack of knowledge and motivation, unavailability of healthcare services and financial resources contribute to developing of such diseases.q
.
2 peer responses due in 4 hoursMALEETAS POSTWorld War .docxherminaprocter
2 peer responses due in 4 hours
MALEETA'S POST:
World War II film
Saving Private Ryan (1998), directed by one of my favorites,
Steven Spielberg, is what I the topic my topic of week five’s discussion. This film is like no other World War II film that I have seen because of the realistic combat. I found myself getting overwhelmed, covering my eyes, and getting sick to my stomach from time to time through the movie. From the very beginning of the film on Omaha Beach, the D-Day landing scene gave me a glimpse of how the stress of combat experience could have felt.
Movie-watchers do not think about how the color scheme plays a significant part and sets different tones. The muddy browns, dark greens, and greys are the predominant colors throughout the movie. This movie does not have many vibrant, happy colors, and for a good reason. For instance, in
Saving Private Ryan
, the Normandy landing scene opens slowly to a beach. The setting is solemn, and the continuous color scheme of bland greys is an excellent cinematography piece. I felt like it made the red blood colors and the explosion colors stand out even more. Also, almost every shot was dreary and had vintage-like colors that gave the feeling of war and hopelessness. There was a part in this scene when the soldiers were near water that contrasted the typically dreary colors with a calming blue hue. The change of color gave me some hope that it may be safer under the surface, and then those hopes were instantly shattered when shots were fired, and red clouds pierced through the calming blue colors punishing me for even thinking there was any hope approaching the soldiers. This is an excellent mise-en-scene because it represented my change of emotions.
Another color paly example is in the scene where “Duty” is talking and joking as the crew marches toward their mission. Throughout this scene, the conversation is more cheerful, but the lighting and colors of grey and green continue to give a gloomy narrative, so my mood does not change much.
Saving Private Ryan has the same dull, dreary colors and low-key lighting, which looks dark and intensifies the shadows as the other War films in Week Five’s content. The desaturation of color is often used in war films.
Saving Private Ryan’s narrative, editing, camera movement, and color scheme throughout the movie jumped out of the screen and attacked me as a viewer. Every part of its cinematography placed the watcher in the combat experience, and I loved it in a good but bad way.
COLIN'S POST:
The war film I watched for this week was
1917 (2019)
directed by Sam Mendes. This film takes place during World War I and follows two British soldiers throughout most of the movie. This film is unique because it is shot as a "one shot film" where the director uses lighting and different angles with very few cuts to give a continuous feeling throughout the entire film. It gives audiences a more connected feeling as it seems like the scenes never end.
2 Pages for 4 questions below1) Some say that analytics in gener.docxherminaprocter
2 Pages for 4 questions below
1) Some say that analytics in general dehumanize managerial activities, and other say they do not. Discuss arguments for both point of view.
2) What are some of the major privacy concerns in employing intelligent systems on mobile data?
3) Identify some cases of violations of user privacy from current literature and their impact on data science as a profession.
4) Search the internet to find examples of how intelligent systems can facilitate activities such as empowerment, mass customization, and team work.
Reflection paper 3 Pages
What has been significant about this course that will help you perform data science tasks in the future.
Please refer to at least
2 items
in the course content that really stood out to either positive or negative.
.
2 Ethics Session 1.pptxEthics in Engineering Pra.docxherminaprocter
2 Ethics Session 1.pptx
Ethics in Engineering Practice
MET 2711
1
This Photo by Unknown Author is licensed under CC BY-NC-ND
What is Engineering?
Engineers concern themselves with:
“the art of the practical application of scientific and empirical knowledge to the design and production or accomplishment of various sorts of constructive projects, machines and materials of use or value to man.”
“Value is not necessarily measured by an economic yardstick; the ancient pyramids and not a few structures since are of slight economic worth, while their value in terms of faith and beauty has often been considerable.”
2
Socrates on Ethics
Ethics are the norms by which acceptable and unacceptable behavior are measured.
According to Socrates, one develops ethics through maturity, wisdom and love.
Introduced the concept of teaching ethics and acceptable standards of conduct in 400 B.C.
Believed virtue was found primarily in human relationships, love and friendship, not through material gains.
3
https://classroom.synonym.com/what-were-socrates-beliefs-on-ethics-12084753.html
This Photo by Unknown Author is licensed under CC BY-NC-ND
A Brief Look at Engineering Projects Through the Ages
4
Roman Aquaducts
Contributed to the health and welfare of the society
Provided 200 million gallons of clean running water and plumbing to individual structures daily (200 gallons per person)
Supported economic activity
Allowed city of Rome to grow to approximately 1 million people
312 BCE to 500 AD
5
This Photo by Unknown Author is licensed under CC BY-SA
Santa Maria del Fiori (Florence Basilica)
Earliest and largest free-standing dome
Built as Europe recovered from the Black Plague, which killed approximately 1/3 of the population
An example of a project that reflected optimism for the future (faith and beauty)
Design competition in 1423
Brunelleschi proposes unique design, but contract requires him to share project responsibilities with Ghiberti
Brunelleschi had lost prior design competition to Ghiberti
6
This Photo by Unknown Author is licensed under CC BY-NC-ND
https://www.khanacademy.org/humanities/renaissance-reformation/early-renaissance1/sculpture-architecture-florence/v/brunelleschi-dome-of-the-cathedral-of-florence-1420-36
Santa Maria del Fiori (Florence Basilica)
Designs unique dome requiring no scaffolding. Uses brick in herringbone pattern to distribute weight out and down.
Includes a series of horizontal chains to keep structure from expanding outward
When time to install chains, Brunelleschi claims to be ill, so Ghiberti starts chain installation (without full details from Brunelleschi)
Brunelleschi “recovers” and criticizes the work, saying it will all have to be re-done
Setting up his fellow architect to fail (dishonorable conduct)
7
This Photo by Unknown Author is licensed under CC BY-NC-ND
https://www.khanacademy.org/humanities/renaissance-reformation/early-renaissance1/sculpture-ar.
2 1 5L e a r n I n g o b j e c t I v e sC H A P T E R.docxherminaprocter
2 1 5
L e a r n I n g o b j e c t I v e s
C H A P T E R 8
H U M A N R E S O U R C E S
M A N A G E M E N T
They’re not employees, they’re people.
—Peter Drucker
➤ Describe the range of human resource functions in the medical practice.
➤ Appreciate the range of professionals that are found in medical practices.
➤ Articulate the steps in the hiring function.
➤ Understand regulations that are specific to the employment process.
➤ Illustrate the steps in managing change.
➤ Describe why leading change is important to medical practice management.
In t r o d u c t I o n
Healthcare employment constitutes about 9 percent of the American workforce, with about
3 percent being professionals (KFF 2016). Hiring and sustaining a high-caliber staff are
two of the most important functions of managing a physician practice. Without a prop-
erly trained and motivated staff, providing high-quality services to the practice’s patients
C
o
p
y
r
i
g
h
t
2
0
1
7
.
H
e
a
l
t
h
A
d
m
i
n
i
s
t
r
a
t
i
o
n
P
r
e
s
s
.
A
l
l
r
i
g
h
t
s
r
e
s
e
r
v
e
d
.
M
a
y
n
o
t
b
e
r
e
p
r
o
d
u
c
e
d
i
n
a
n
y
f
o
r
m
w
i
t
h
o
u
t
p
e
r
m
i
s
s
i
o
n
f
r
o
m
t
h
e
p
u
b
l
i
s
h
e
r
,
e
x
c
e
p
t
f
a
i
r
u
s
e
s
p
e
r
m
i
t
t
e
d
u
n
d
e
r
U
.
S
.
o
r
a
p
p
l
i
c
a
b
l
e
c
o
p
y
r
i
g
h
t
l
a
w
.
EBSCO Publishing : eBook Collection (EBSCOhost) - printed on 4/7/2020 7:56 PM via SUNY CANTON
AN: 1839064 ; Wagner, Stephen L..; Fundamentals of Medical Practice Management
Account: s8846236.main.eds
F u n d a m e n t a l s o f M e d i c a l P r a c t i c e M a n a g e m e n t2 1 6
is difficult. An old saying in human resources management, “Hire for attitude, and train
for skill,” is particularly applicable today, when in the highly competitive medical practice
environment, patients have increasingly high expectations of their providers. Simply having
technical skills is not adequate to build and maintain a successful practice. Staff must be
able to engage patients in a positive and constructive way to earn their trust and satisfac-
tion. Although data seem to conflict on this point, many researchers believe engaged and
satisfied patients are more likely to comply with the instructions of their providers than are
disengaged, unsatisfied patients, leading to better outcomes (e.g., Kane, Maciejewski, and
Finch 1997). More recently, a study by Fenton, Jerant, and Bertaski (2012) found little
connection between satisfaction and clinical outcome; in fact, the researchers found that
mortality was higher, as were expenditures and utilization, among more satisfied groups.
Other authors have observed this tenuous connection as well (Kennedy, Tevis, and Kent
2014). The controversy has intensified as more physician payment is tied to patient satis-
faction. Some issues that complicate this concept are the lack of common definitions and
measures of satisfaction and the complexity inherent in defining.
2 Requirements Elicitation A Survey of Techniques, Ap.docxherminaprocter
2 Requirements Elicitation: A Survey of Techniques,
Approaches, and Tools
Didar Zowghi and Chad Coulin
Abstract: Requirements elicitation is the process of seeking, uncovering, acquir-
ing, and elaborating requirements for computer based systems. It is generally un-
derstood that requirements are elicited rather than just captured or collected. This
implies there are discovery, emergence, and development elements to the elicita-
tion process. Requirements elicitation is a complex process involving many ac-
tivities with a variety of available techniques, approaches, and tools for perform-
ing them. The relative strengths and weaknesses of these determine when each is
appropriate depending on the context and situation. The objectives of this chapter
are to present a comprehensive survey of important aspects of the techniques, ap-
proaches, and tools for requirements elicitation, and examine the current issues,
trends, and challenges faced by researchers and practitioners in this field.
Keywords: requirements, elicitation, techniques, approaches, tools, issues, chal-
lenges, trends, survey.
2.1 Introduction
The importance of requirements engineering (RE) within software systems deve l-
opment has long been established and recognized by researchers and practitioners
alike (Chapter 1). The elicitation of requirements represents an early but continu-
ous and critical stage in the development of software systems. The requirements
for a software system may be spread across many sources. These include the prob-
lem owners, the stakeholders, documentation, and other existing systems. Because
of the communication rich nature of requirements elicitation activities, many of
the effective techniques do not originate from the traditional areas of software en-
gineering or computer science research. Techniques for requirements elicitation
are derived mostly from the social sciences, organizational theory, group dynam-
ics, knowledge engineering, and very often from practical experience.
The process of requirements elicitation is generally accepted as one of the criti-
cal activities in the RE process. Getting the right requirements is considered as a
vital but difficult part of software development projects [36]. A recent field study
of fifteen RE teams carried out by Hofmann and Lehner [31] identified key RE
practices that should lead to project success. Effective elicitation of requirements
was arguably among the most important of the resulting recommended good RE
practices.
Requirements elicitation itself is a very complex process involving many activi-
ties, with multiple techniques available to perform these activities. The multi-
disciplinary nature of requirements elicitation only adds to this complexity. Elici-
tation is subject to a large degree of error, influenced by key factors ingrained in
communication problems. Despite the importance of requirements elicitation
within software development, insufficient.
Ethnobotany and Ethnopharmacology:
Ethnobotany in herbal drug evaluation,
Impact of Ethnobotany in traditional medicine,
New development in herbals,
Bio-prospecting tools for drug discovery,
Role of Ethnopharmacology in drug evaluation,
Reverse Pharmacology.
Model Attribute Check Company Auto PropertyCeline George
In Odoo, the multi-company feature allows you to manage multiple companies within a single Odoo database instance. Each company can have its own configurations while still sharing common resources such as products, customers, and suppliers.
The Roman Empire A Historical Colossus.pdfkaushalkr1407
The Roman Empire, a vast and enduring power, stands as one of history's most remarkable civilizations, leaving an indelible imprint on the world. It emerged from the Roman Republic, transitioning into an imperial powerhouse under the leadership of Augustus Caesar in 27 BCE. This transformation marked the beginning of an era defined by unprecedented territorial expansion, architectural marvels, and profound cultural influence.
The empire's roots lie in the city of Rome, founded, according to legend, by Romulus in 753 BCE. Over centuries, Rome evolved from a small settlement to a formidable republic, characterized by a complex political system with elected officials and checks on power. However, internal strife, class conflicts, and military ambitions paved the way for the end of the Republic. Julius Caesar’s dictatorship and subsequent assassination in 44 BCE created a power vacuum, leading to a civil war. Octavian, later Augustus, emerged victorious, heralding the Roman Empire’s birth.
Under Augustus, the empire experienced the Pax Romana, a 200-year period of relative peace and stability. Augustus reformed the military, established efficient administrative systems, and initiated grand construction projects. The empire's borders expanded, encompassing territories from Britain to Egypt and from Spain to the Euphrates. Roman legions, renowned for their discipline and engineering prowess, secured and maintained these vast territories, building roads, fortifications, and cities that facilitated control and integration.
The Roman Empire’s society was hierarchical, with a rigid class system. At the top were the patricians, wealthy elites who held significant political power. Below them were the plebeians, free citizens with limited political influence, and the vast numbers of slaves who formed the backbone of the economy. The family unit was central, governed by the paterfamilias, the male head who held absolute authority.
Culturally, the Romans were eclectic, absorbing and adapting elements from the civilizations they encountered, particularly the Greeks. Roman art, literature, and philosophy reflected this synthesis, creating a rich cultural tapestry. Latin, the Roman language, became the lingua franca of the Western world, influencing numerous modern languages.
Roman architecture and engineering achievements were monumental. They perfected the arch, vault, and dome, constructing enduring structures like the Colosseum, Pantheon, and aqueducts. These engineering marvels not only showcased Roman ingenuity but also served practical purposes, from public entertainment to water supply.
How to Create Map Views in the Odoo 17 ERPCeline George
The map views are useful for providing a geographical representation of data. They allow users to visualize and analyze the data in a more intuitive manner.
This is a presentation by Dada Robert in a Your Skill Boost masterclass organised by the Excellence Foundation for South Sudan (EFSS) on Saturday, the 25th and Sunday, the 26th of May 2024.
He discussed the concept of quality improvement, emphasizing its applicability to various aspects of life, including personal, project, and program improvements. He defined quality as doing the right thing at the right time in the right way to achieve the best possible results and discussed the concept of the "gap" between what we know and what we do, and how this gap represents the areas we need to improve. He explained the scientific approach to quality improvement, which involves systematic performance analysis, testing and learning, and implementing change ideas. He also highlighted the importance of client focus and a team approach to quality improvement.
Palestine last event orientationfvgnh .pptxRaedMohamed3
An EFL lesson about the current events in Palestine. It is intended to be for intermediate students who wish to increase their listening skills through a short lesson in power point.
Synthetic Fiber Construction in lab .pptxPavel ( NSTU)
Synthetic fiber production is a fascinating and complex field that blends chemistry, engineering, and environmental science. By understanding these aspects, students can gain a comprehensive view of synthetic fiber production, its impact on society and the environment, and the potential for future innovations. Synthetic fibers play a crucial role in modern society, impacting various aspects of daily life, industry, and the environment. ynthetic fibers are integral to modern life, offering a range of benefits from cost-effectiveness and versatility to innovative applications and performance characteristics. While they pose environmental challenges, ongoing research and development aim to create more sustainable and eco-friendly alternatives. Understanding the importance of synthetic fibers helps in appreciating their role in the economy, industry, and daily life, while also emphasizing the need for sustainable practices and innovation.
Instructions for Submissions thorugh G- Classroom.pptxJheel Barad
This presentation provides a briefing on how to upload submissions and documents in Google Classroom. It was prepared as part of an orientation for new Sainik School in-service teacher trainees. As a training officer, my goal is to ensure that you are comfortable and proficient with this essential tool for managing assignments and fostering student engagement.
TESDA TM1 REVIEWER FOR NATIONAL ASSESSMENT WRITTEN AND ORAL QUESTIONS WITH A...
113DNP Prospectus Comment by Cynthia Fletcher Th.docx
1. 1
13
DNP Prospectus Comment by Cynthia Fletcher: This is a good
beginning Ann Marie. There are many areas that we will discuss
at our meeting to improve clarity and congruence with a DNP
Project.
Educating Inpatient Nurses to use Standardized Care Plans
Anne Marie Wouapet
Doctor of Nursing Practice – Nursing Informatics
A00505587
Prospectus: Educating Inpatient Nurses to use Standardized
Care Plans
Problem Statement
Standardized care plans can be described as the pre-determined
menu of interventions which are used for different patient
situations (Monsen, Swenson & Kerr, 2016). Evidence-based
2. care is the conscientious use of the most recent evidence to
make decisions on the care of individual patients or in the
delivery of health care services (Murdaugh, Parsons & Pender,
2018). The current best evidence is the most recent information
which has been obtained from valid and relevant research about
the effects of different types of healthcare, the accuracy of
diagnostic tests, the potential for harm from exposure to
different agents, or predictive power of prognostic factor
(Schmidt & Brown, 2017). Standardized care plans form the
main basis for the implementation of evidence-based care
directly in practice and for the improvement of patient outcomes
(Nussbaum et al., 2015; Yehuda & Hoge, 2016). A health care
facility recently transitioned to the use of a new and better
electronic health record system. The facility also purchased
standardized care plans to increase efficiency in their
operations. However, the compliance with using the
standardized care plans was only 40 percent among the inpatient
nurses. Comment by Cynthia Fletcher: ?Comment by Cynthia
Fletcher: Questionable purpose.Comment by Cynthia Fletcher:
Was it different for those who were not inpatient nurses?
Accordingly, the facility recently had a visit from the Joint
Commission on Accreditation of Healthcare Organizations and
received a negative rating because the nurses were not adding
care plans based on the patients' primary problem or diagnosis
in the patients' charts upon admission. This presents several
specific problems in the healthcare facility. There is poor
compliance from the nurses concerning the addition of
standardized care plans to the charts of patients based on their
diagnosis or primary problem(s). The system which the facility
invested in was not being used for the improvement of patient
outcomes and quality of care delivered. The focus of this
project is the failure of inpatient nurses to make use of
standardized care plans. The gap in nursing is the failure of
delivery of evidence-based practice using the standardized care
plans which result in poor patient outcomes and quality of life.
One of the areas of knowledge that has not yet been explored is
3. the cause of low rates of adoption of standardized care plans by
nurses. Another gap is the lack of studies on nurses’ perception
of the standardized care plans and how they affect their use in
inpatient care setting. Further, the study also seeks to explore
the effectiveness of a training program on the implementation of
standardized care plans.Comment by Cynthia Fletcher: Why is
this a reason to cite the facility?Comment by Cynthia Fletcher:
What the negative rating?Comment by Cynthia Fletcher:
Rephrase: the policy requires the use of ….
The compliance rate is low.Comment by Cynthia Fletcher: This
is what should be included when you first identify this
program.Comment by Cynthia Fletcher: You have not identified
that this is a problem and validation for a gap was not
presented. Comment by Cynthia Fletcher: Where is your
evidence for this statement?Comment by Cynthia Fletcher:
?Comment by Cynthia Fletcher: You are not conducting a study;
you are implementing a teaching program to increase knowledge
aboutComment by Cynthia Fletcher: You do not train
professionals to perform a professional function; they are
educated.
Practice-Focused Question
The guiding practice-focused questions which is the focus for
this study is as follow:
1. What are the causes of low use of standardized care plans by
in-patient nurses?
2. What are the nurses’ perceptions of the standardized care
plans?
3. Can the nurses’ training andWill an education program to
teach nurses how to use on standardized care plans increase
their use of in the inpatients’ settings for their patients
according to the establish guidelines, increase their knowledge
about the use of the plans?
The practice-focused questions are relevant to the
practice and identified gaps in various ways. While standardized
care plans are increasingly being embraced in inpatient care
settings, there is scarcity of knowledge about ways of
4. successfully implement them. Jansson et al. (2010) observed
that nNurses’ understanding of how to use standardized care
plans is critical to their successful implementation (Jansson et
al., 2010). Therefore, these research questions can guide inquiry
into the factors that influence the successful adoption of
standardized care plans by inpatient nurses in hospital
settings.Comment by Cynthia Fletcher: referenceComment by
Cynthia Fletcher: referenceComment by Cynthia Fletcher: this
reference is not on the reference listComment by Cynthia
Fletcher: this is outside the scope of the project.
Social Change Comment by Cynthia Fletcher: Ann Marie, this is
a beginning; we can review at our meeting.
Social change involves alteration of the social order of the
society including changes in the social relations, behaviors, and
institutions (Yanicki, Kushner & Reutter, 2015). The project
will impact the social change for healthcare consumers and
professionals in several ways. There would be appropriately
developed care plans from which nurses can select reducing the
need for nurses to develop them from scratch for every patient
(Altman & Brinker, 2016). The selection and addition of a care
plan by a nurse would lead to the automatic population of the
chart of an individual patient. Furthermore, the educational
tablets of the patients would be dependent on the completion of
the nurses adding the care plan to the patients’ chart. There
would also be a decrease in workflow time of nurses because of
the presence of a preset care plan. Finally, there would be no
need for nurses to do any follow up teaching on the care plan.
The mission of Walden University is to develop a diverse
community of career professionals with the chance to change
themselves as scholar-practitioners so that they can promote
positive change. This project seeks to meet this mission by
exploring providing knowledge on implementation of
standardized care plans (Monsen et al., 2011). Such knowledge
can be integrated into practice in order to improve patient
outcomes and nurses’ productivity in health settings. Also, a
positive social is any deliberate process of creating ideas,
5. strategies, and actions which are aimed at promoting the work,
development, and dignity of people, communities,
organizations, cultures, and societies (Yob et al., 2016).
The parties that might benefit from the project include
the nurses and the patients. Standardized care plans make it
possible for all patients to receive good care irrespective of who
is caring. This project improves the works of nurses and also
leads to an improvement in the quality of care delivered to
patients. Patient safety increases as a result of implementation
of standardized care plans (Andreae, Ekstedt, Snellman, 2011).
Nurses also benefit from standardized care plans in terms of
ease of work since they can easily access a rich body of
evidence to integrate into practice. In addition, nurses benefit in
terms of the ease of access and the documentation of medical
records.Comment by Cynthia Fletcher: ?
Context for Doctoral Change
The intended setting for the project is a community small
teaching hospital where the inpatient nurses deliver care to
patients. The main foundation of the project is the education of
the inpatient to educate the nurses on the benefits and use of
standardized care plans and the need for the nurses to make use
of these care planswhen planning patient care. Comment by
Cynthia Fletcher: This is not clear
The research design that will be used for the study is a
descriptive design. Stratified random sampling procedure will
be used to select participants, who will mainly be inpatient
nurses. The interviews will be administered on the nurses to
explore the causes of poor use of the standardized care plans
and their perceptions on the health institution’s standardized
care plans.Comment by Cynthia Fletcher: ?
Sources of Evidence Comment by Cynthia Fletcher: Ann Marie,
please use the Checklist to identify what is required in this area.
The main source of evidence is the Joint Commission's standard
for a care plan which details the information which should be
considered for standardized care plans (Baker, 2017). The
medical records of patients contain numerous clinical
6. information (Garrett, 2016). They contain the reason for
admission, initial diagnosis or diagnostic impression, findings
of assessments, food allergies, medication allergies, and
conclusions from the medical history and physical examination.
The records also have information on complications, hospital-
acquired infections, consultation reports, observations that are
relevant to care, noted progress, all orders, a medication which
have been administered, adverse drug reactions, treatment
goals, and discharge plan (Carter, 2015). The records should
guide standardized care plans formulation. The use of the
electronic system enables the selection of the appropriate care
plan based on the patient medical record as the system is
automatic and integrates the different patient information. This
makes it necessary to educate the nurses on the use of the
standardized care plan as a way of improving patient care. Also,
standardization is an aspect of clinical practice that has been
emphasized by different healthcare stakeholders for the purpose
of improving the quality of patient care. For instance, the World
Health Organization emphasizes the need for consistence in
clinical procedures through standardization to minimize
confusion among healthcare workers as provided in the EBP
guidelines (World Health Organization, 2017). Furthermore,
standardization increases effectiveness of communication
among healthcare workers when sharing patient information
across different healthcare units and among different healthcare
facilities (Adelson et al., 2017). Also, standardization has been
found to reduce the likelihood of misinterpretation of data
among different healthcare workers, which increases patients’
quality of life through administration of accurate treatment
processes, and also reduces the number of hospital readmissions
(Adelson et al., 2017). Further afield, standardization of
healthcare procedures reinforces a safety and accuracy
organizational culture in which high quality patient care is part
of healthcare values. As a result, the quality of patient care will
be high hence high patient satisfaction with healthcare services
provided by healthcare organizations (Kasiri, Cheng,
7. Sambasivan & Sidin, 2017). Standardization of clinical
procedures has also been shown to minimize cases of
misdiagnoses, which in turn reduces health risks to patients and
expenses associated with continued treatment (Douketis et al.,
2016). Lack of standardized procedures is often associated with
high risks of misdiagnoses and other medical errors since some
healthcare procedures such as administration of anticoagulants
in perioperative units can cause serious health effects or even
fatalities. As such, there is a need to introduce education on
standardization to minimize errors thereby increasing the
quality of patient care and the efficiency and effectiveness of
clinicians when performing medical procedures.
Lack of standardization of medical procedures is
associated with high likelihood of errors when treating or
handling patients. For instance, the manner in which patient
details such as medical history is entered can cause confusion
when being analyzed by other hospital units if the data has not
been entered in a standardized manner (Badano et al., 2015).
Furthermore, the use of different standards for interpreting the
same information such as the use of different color codes when
interpreting images can cause confusion when the same
information is being interpreted using a different color in a
different healthcare facility, which can lead to misinterpretation
of images, which can lead to misdiagnoses and prescription
errors (Badano et al., 2015). It is thus necessary for clinical
practitioners to use standardized criteria for interpreting data
that have been provided in different modes in order to ensure
consistency in interpretations, and to enhance interoperability
of clinical equipment (Wager, Lee & Glaser, 2017). Lack of
standardization also has negative implications on healthcare
workers. Confusion and miscommunication often occur in
clinical settings that lack standardized operating procedures.
The confusion leads to significant wastage of time and effort,
which significantly slows down activities and increases anxiety
and depression among healthcare workers (Wager et al., 2017).
Such situations occur when nurses start to develop the
8. perception that they are less competent than expected thereby
lowering their self-esteem and increases negative perception of
their work and overall job satisfaction.
Procedural Steps
In order to successfully complete the project, data will be
gathered from different sources using different approaches. One
way of sourcing relevant information that can be applied for the
project is to search in scholarly databases for information on the
approaches of implementing standardization in practical clinical
settings. Secondly, I would use questionnaires with open-ended
questions to inquire from the inpatient nurses in the hospital
that the program is to be implemented about the challenges that
they encounter as a result of lack of standardization of clinical
procedures. The questionnaires will be issued to willing
participants who will respond to the questions in their own free
time, and in privacy settings. Questionnaires answered in
private settings have the potential to yield genuine and detailed
information since they give respondents a sense of anonymity
and limiting factors such as influence from the management is
not experienced (Corr, 2016). The third approach will involve
physical assessments of the clinical procedures used in the
hospital to check the degree of standardization in the healthcare
institution. Comment by Cynthia Fletcher: This is the
information required in the previous section.
In order to succeed in such an assessment, it will be necessary
to seek for permission from the management in advance, and to
request the management to provide information on the levels of
standardization in the hospital, the challenges faced due to
ineffective or lack of standardized procedures. Information will
also be gathered from the management concerning the level or
lack of educational programs on standardization so as to have a
clear view of how to introduce the program (Corr, 2016).
Lastly, it is also necessary to consult other stakeholders such as
patients to give their views on the quality of care with relation
to standardized clinical procedures in order to have a clear
understanding of the effects of lack of standardization on the
9. quality of patient care.
This project on education on standardization is supported by the
DNP resources page. The project falls under evidence-based
approaches that can be used to improve the quality of patient
care. This project takes the educational approach on
standardization to improve the quality of patient care.
Ethical Considerations
Several ethical considerations will be put in place. The first
consideration is that the project has a favorable risk to benefit
ratio with the benefits outnumbering the risks involved
(Ketefian, 2015). The selection of nurses for the project will be
fair based on the scientific objectives and not vulnerability. The
nurses will also be required to sign consent forms which will be
voluntary after being informed of all that is required of them
and risks involved in the program (Hoyland, Hollund & Olsen,
2015). The subjects will also be accorded with respect in the
lines of privacy, confidentiality and an opportunity to withdraw
from the study (Oye, Sørensen & Glasdam, 2016).
The regions of data sources will be inpatient units in
the hospital. Data will also be sourced from the admissions unit,
in wards, and from the hospital’s inventory.
Data will only be collected after receiving full
approval from the committee and the IRB. Finally, the project
will obtain approval from an independent review organization
before the collection of information.
The potential ethical issues that can arise include
psychological and emotional harm to some inpatient nurses in
units that perform the poorest with regards to the use of
standardized care plans, and negative ratings of the hospital’s
use of standardized procedures. Comment by Cynthia Fletcher:
?
AlignmentComment by Cynthia Fletcher: ?
All the aspects of the project from the data-gathering phase to
planning and implementation are in harmony and follow a
systematic and sequential order.
10. The use of a standardized care plan is supported by different
organizations both locally and internationally as they have been
found to contribute to an improvement of patient outcomes and
the quality of care. The practice-focused question and the
procedural steps will help in addressing the practice problem by
revealing the importance of using standardized care plans.
Credible sources that support the practice problem
include but not limited to healthcare organizations such as the
Joint Commission, WHO, and scholarly researches. They will
help to convince inpatient nurses in the affected units to make
use of the standardized care plans which will see an
improvement from the current 40% compliance and positive
rating from the Joint Commission for Accreditation of
Healthcare Organizations.
The practice-focused questions will address the lack of
standardization by inquiring about the levels of standardization,
barriers and reinforcing factors, and the best approaches to
implement the project. The feedback will be used to align
project activities to specific needs and conditions of the
healthcare workers in the hospital.
References
Adelson, K., Paris, J., Horton, J. R., Hernandez-Tellez, L.,
Ricks, D., Morrison, R. S., & Smith, C. B. (2017). Standardized
criteria for palliative care consultation on a solid tumor
oncology service reduces downstream health care use. Journal
of oncology practice, 13(5), 431-440.
11. Altman, M., & Brinker, D. (2016). Nursing social
entrepreneurship leads to positive change. Nursing
Management, 47(7), 28-32.
Baker, D. W. (2017). History of The Joint Commission’s pain
standards: lessons for today’s prescription opioid
epidemic. Jama, 317(11), 1117-1118.
Carter, J. T. (2015). Electronic medical records and quality
improvement. Neurosurgery Clinics, 26(2), 245-251.
Corr, P. J. (2016). Reinforcement sensitivity theory of
personality questionnaires: structural survey with
recommendations. Personality and Individual Differences, 89,
60-64.
Garrett Jr, J. H. (2016). Effective perioperative communication
to enhance patient care. AORN journal, 104(2), 111-120.
Høyland, S., Hollund, J. G., & Olsen, O. E. (2015). Gaining
access to a research site and participants in medical and nursing
research: A synthesis of accounts. Medical Education, 49(2),
224-232.
Ketefian, S. (2015). Ethical considerations in research. Focus
on vulnerable groups. Investigación y Educación en
Enfermería, 33(1), 164-172.
Martin, S. A., & Sinsky, C. A. (2016). The map is not the
territory: medical records and 21st-century practice. The
Lancet, 388(10055), 2053-2056.
Monsen, K. A., Swenson, S. M., & Kerr, M. J. (2016). The
perceptions of public health nurses using standardized care
plans to translate evidence-based guidelines into family home
visiting practice. Kontakt, 18(2), e75-e83.
Murdaugh, C. L., Parsons, M. A., & Pender, N. J.
(2018). Health promotion in nursing practice. Pearson
Education Canada.
Nussbaum, D. P., Penne, K., Stinnett, S. S., Speicher, P. J.,
Cocieru, A., Blazer III, D. G., ... & White, R. R. (2015). A
standardized care plan is associated with a shorter hospital
length of stay in patients undergoing
pancreaticoduodenectomy. journal of surgical research, 193(1),
12. 237-245.
Øye, C., Sørensen, N. Ø., & Glasdam, S. (2016). Qualitative
research ethics on the spot: Not only on the desktop. Nursing
Ethics, 23(4), 455-464.
Schmidt, N. A., & Brown, J. M. (2017). Evidence-based
practice for nurses. Jones & Bartlett Learning.
Sowan, A. K., Leibas, M., Tarriela, A., & Reed, C. (2019).
Nurses’ Perceptions of a Care Plan Information Technology
Solution
with Hundreds of Clinical Practice Guidelines in Adult
Intensive Care Units: Survey Study. JMIR human factors, 6(1),
e11846.
Wager, K. A., Lee, F. W., & Glaser, J. P. (2017). Health care
information systems: a practical approach for health care
management. New Jersey: John Wiley & Sons.
World Health Organization. (2017). Facilitating evidence-based
practice in nursing and midwifery in the WHO European
Region. WHO. Retrieved from
http://www.euro.who.int/_data/assets/pdf_file/0017/348020/WH
06_EBP_report_complete.pdf?ua=1
Yanicki, S. M., Kushner, K. E., & Reutter, L. (2015). Social
inclusion/exclusion as matters of social (in) justice: a call for
nursing action. Nursing Inquiry, 22(2), 121-133.
Yehuda, R., & Hoge, C. W. (2016). The meaning of evidence-
based treatments for veterans with posttraumatic stress
13. disorder. JAMA Psychiatry, 73(5), 433-434.
Yob, I. M., Danver, S. L., Kristensen, S., Schulz, W., Simmons,
K., Brashen, H. M., ... & Penland, D. R. (2016). Curriculum
alignment with a mission of social change in higher
education. Innovative higher education, 41(3), 203-219.
Problem Statement must include:
· Why it’s necessary to have standardized care plans (their
importance and benefit, why are care plans necessary). Why do
nurses need to have care plans for the patients
· How will the standardized care plans affect patients care.
b) Summarize preliminary, supporting evidence that provides
justification that this problem is meaningful and relevant to the
local setting as well as the broader field of nursing practice,
citing key scholarly sources.
· The facility recently upgraded their system to include
standardized care plans. Unfortunately, since the
implementation of the standardized care plans, the nurses
compliance with adding care plans to the patients’ chart upon
14. admission based on the patients’ diagnosis decreased from 90%
compliance to 40% which was supported by the findings of the
Joint Commission who recently paid a visit to the facility and
had penalized the facility for poor compliance by the nurses in
adding the standardized care plans to the patients’ charts.
· Why are the nurses not utilizing the standardized care plans?
The nurses stated that the facility had not provided them with
the proper training on how to use the new standardized care
plans.
· Some nurses also expressed their concern on the standardized
care plans being time consuming and impede the workflow.
c) Explicitly state the gap in nursing practice or problem that
will be the focus of this doctoral project
· Implementing a teaching tool to educate the nurses on how to
use the standardized care plans.
· The importance of standardized care plans.
· Also, to increase the nurses’ knowledge on using the
standardized care plans
The Practice Focus Question
a) Describe the meaningful gap-in-practice that this doctoral
project addresses.
b) State the guiding practice-focused question(s) for this
doctoral project.
Will an educational tool increase the inpatient nurses’
15. compliance in using the standardized care plans from 40% to
90% as compared to non-standardized care plans.
c) Briefly explain the practice focused question as it is relevant
to the identified gap in practice.
Social Change
a) Discuss how the healthcare consumers support positive social
change in the community.
b) Discuss how Walden University support social change and be
specific (google “Walden University social change).
c) Specify who might benefit from the project and in what ways
the information from the project might result in positive social
change.
Context for Doctoral Change
a) Briefly describe the intended setting for the doctoral project.
Inpatients hospital
b) Explain how this project can be accomplished in the
identified setting or context.
· Approval from the institution. I need to speak to the facility to
get their approval to build a teaching tool for the inpatients’
nurses.
· Approval from the stakeholders, the nurses and anyone
involved in the project.
· The research design is pre presentation questionnaire and post
16. presentation questionnaire
Sources of Evidence
· The library
· Joint Commission
· Literature search, review and appraisal
Ethical Considerations
This section should include how do you protect the involved
parties. Also reassure the involved parties that the follow-up
test would be done anonymously. Also, how do you protect the
involve parties from not reporting their Get consent for all
those who will participate in the teaching program ( example:
by continuing to complete this questionnaire, you are giving
your agreement to participate in this questionnaire).