You will submit your proposal as a text-based Word or PDF file. AnastaciaShadelb
You will submit your proposal as a text-based Word or PDF file.
Your research proposal should include the following:
Your selected global ethical dilemma
Background/explanation of why this is a global ethical issue
Make connections to issues of cultural diversity
Research question
Two scholarly, peer-reviewed sources connected to your selected topic (cited in current APA format)
***NOTE***
RESEARCH IS ON GENDER DISCRIMINATION
...
What is Family Resource Management and why is it important to tAnastaciaShadelb
"What is Family Resource Management and why is it important to today's American family?"
Goldsmith, E. B., & GOLDSMITH, E. B. (2003). Resource Management. In J. J. Ponzetti Jr. (Ed.),
International encyclopedia of marriage and family
(2nd ed.). Farmington, MI: Gale. Retrieved from
RESOURCE MANAGEMENT
from
International Encyclopedia of Marriage and Family
Resource management
is the process in which individuals and families use what they have to get what they want. It begins with thinking and planning and ends with the evaluation of actions taken. Three fundamental concepts in resource management are
values, goals
, and
decision making.
Values such as honesty and trust are principles that guide behavior. They are desirable or important and serve as underlying motivators. Values determine goals, which are sought-after end results. Goals can be implicit or explicit. They can be short-term, intermediate-, or long-term. Decisions are conclusions or judgments about some issue or matter.
Decision making
involves choosing between two or more alternatives and follows a series of steps from inception to evaluation.
Through choices, individuals and families define their lives and influence the lives of others. The study of resource management focuses on order, choices, and control, and how people use time, energy, money, physical space, and information. As an applied social science, it is an academic field that is fundamental to our understanding of human behavior. "The knowledge obtained through the study of management is evaluated in light of its ability to make an individual's or family's management practice more effective" (Goldsmith 2000, p. 5).
Individuals and families have characteristic ways of making decisions and acting called their
management style.
Although similar styles are exhibited within families (such as a tendency to be on time or to finish tasks to completion), there are also wide ranges of styles within families making the study of management intrinsically interesting, especially from a
socialization
point of view. Why do such differences exist and how does the individual's style mesh with that of the other members' styles in the family?
Measuring devices, techniques, or instruments that are used to make decisions and plan courses of action are called management tools. For example, time is a resource and a clock or stopwatch is a management tool.
Resources can be divided up into human and material resources, assets that people have at their disposal.
Material resources
(e.g., bridges, roads, houses) decline through use whereas
human resources
(e.g., the ability to read, ride a bicycle) improve or increase through use.
Human capital
describes the sum total of a person's abilities, knowledge, and skills. Education is one way to develop human capital. Related to this is the concept of social capital. The term
social capital
is gaining in importance in the family-relations field and management is considered ...
What can you do as a teacher to manage the dynamics of diversityAnastaciaShadelb
What can you do as a teacher to manage the dynamics of diversity in your classroom? How can you differentiate for the culturally diverse students in your classroom to ensure a safe, supportive, compassionate, and caring learning environment without compromising your personal values and spiritual beliefs?
...
Week 4 APN Professional Development Plan PaperPurpose The purAnastaciaShadelb
Week 4: APN Professional Development Plan Paper
Purpose
The purpose of this assignment is to provide the student with an opportunity to explore the nurse practitioner (NP) practice requirements in his/her state of practice, NP competencies and leadership skills to develop a plan to support professional development.
Activity Learning Outcomes
Through this assignment, the student will demonstrate the ability to:
1. Examine roles and competencies of advanced practice nurses essential to performing as leaders and advocates of holistic, safe, and quality care. (CO1)
2. Analyze essential skills needed to lead within the context of complex systems. (CO3)
3. Explore the process of scholarship engagement to improve health and healthcare outcomes in various settings. (CO4)
Due Date
Assignment should be submitted to the Week 4 Roles in APN Professional Development Plan dropbox by Sunday 11:59 p.m. MST at the end of Week 4.
When the assignment is placed in the dropbox, it will automatically be submitted to Turnitin. You may submit the assignment one additional time before the due date to lower the Turnitin score. If you choose to resubmit, the second submission will be considered final and subject to grading. Once the due date for the assignment passes, you may not resubmit to lower a Turnitin score.
This assignment will follow the late assignment policy specified in the course syllabus.
Students are expected to submit assignments by the time they are due. Assignments submitted after the due date and time will receive a deduction of 10% of the total points possible for that assignment for each day the assignment is late. Assignments will be accepted, with penalty as described, up to a maximum of three days late, after which point a zero will be recorded for the assignment.
In the event of a situation that prevents timely submission of an assignment, students may petition their instructor for a waiver of the late submission grade reduction. The instructor will review the student's rationale for the request and make a determination based on the merits of the student's appeal. Consideration of the student's total course performance to date will be a contributing factor in the determination. Students should continue to attend class, actively participate, and complete other assignments while the appeal is pending.
Total Points Possible: 200
Requirements
A
Week 4 Paper Template to be used for your assignment is required for this assignment.
1. The
APN Professional Development Plan paper is worth 200 points and will be graded on the quality of the content, use of citations, use of Standard English grammar, sentence structure, and overall organization based on the required components as summarized in the directions and grading criteria/rubric.
2. Submit the paper as a Microsoft Word Document, which is the required format at Chamberlain University. You are encouraged to use the APA Academic Writer and G ...
TopicTransitions of Care in Long- Term Care (LTC)Discuss CAnastaciaShadelb
Topic:
Transitions of Care in Long- Term Care (LTC):
Discuss Care Coordination, Subacute Care, Post-Acute care, and the impact of U.S Healthcare Policies and Regulations on transitions of care
Details:
·
2 pages
·
APA 7 th edition reference style with recent references within the last 5 years
·
3 references
Health Financial ManagementRead this article: Hirsch, J.A., Harvey, H.B., Barr, R. M., Donovan, W. D., Duszak, R., Nicola, G. N., ... & Manchikanti, L. (2016): ‘’Sustainable Growth Rate Repealed, MACRA Revealed: Historical Context and Analysis of Recent Changes in Medicare Physician Payment Methodologies’’
Once you have read the article, discuss the Medicare Sustainable Growth Rate. “The SGR target is calculated on the basis of projected changes in 4 factors:
1) fees for physicians’ services,
2) the number of Medicare beneficiaries,
3) US gross domestic product, and
4) service expenditures based on changing law or regulations (Hirsch, et al. 2016).”
How have these 4 factors been tied to fiscal performance? Find some additional sources and support your position in few paragraphs.
Details
- 2 pages
- 3 PARAGRAPHS ONLY
· Paragraph 1 – answer the question, supporting your answer by citing from the RELIABLE SOURCES using proper APA format. Terms need to be defined in order to receive as many points as possible.
· Paragraph 2 – expand your answer by including additional information and opinions
·
· Paragraph 3 – Summarize your answer, concluding with a thought or an opinion of your own.
- APA 7 th edition reference style with recent references within the last 5 years
- 3 references
...
Topic Hepatitis B infection Clinical Practice PresenAnastaciaShadelb
Topic: Hepatitis B infection
Clinical Practice Presentation . The focus of the presentation
must reflect current treatment recommendations from accepted professional organizations.
Clinical Standard of Practice Presentation
Students are expected to expand their use of resources for evidence-based practice beyond the required text and explore nursing and related literature to improve their understanding and application of advanced interventions. Each student will present a Clinical Practice Presentation. The focus of the presentation must reflect current treatment recommendations from accepted professional organizations. Presentations will be evaluated related to the criteria listed.
Presentations must be no more than twelve slides in a PowerPoint format with a Reference List in APA format which once done must be sent by email to me and/or posted on week of the due time frame. Topics will be listed, and students must sign up for presentation by the second week of the course..
image1.png
...
The Fresh Detergent CaseEnterprise Industries produces Fresh, AnastaciaShadelb
The Fresh Detergent Case
Enterprise Industries produces Fresh, a brand of liquid detergent. In order to more effectively manage its inventory, the company would like to better predict demand for Fresh. To develop a prediction model, the company has gathered data concerning demand for Fresh over the last 33 sales periods. Each sales period is defined as one month. The variables are as follows:
·
Period = Time period in month
·
Demand = Y = demand for a large size bottle of Fresh (in 100,000)
·
Price = the price of Fresh as offered by Ent. Industries
·
AIP = the Average Industry Price
·
ADV = Enterprise Industries Advertising Expenditure (in $100,000) to Promote Fresh in the sales period.
·
DIFF = AIP - Price = the "price difference" in the sales period
Only the trend of PRICE is negative. Other four variables have positive trends. However, the R2 values suggest that for ADV and DEMAND only the linear model is explained by the data points moderately (66% and 51% respectively). For all the other three variables, the R2 values are too poor to accept the models as adequates because very few percent of data points actually represents the linear model.
As expected, the Demand is negatively correlated with Price. But the regression line equation cannot be relied upon due to poor R2 value. For other three variables, there is a positive correlation. Out of these, for the ADV variable, the regression line can be adequate for the R2 value is moderately higher.
Interpretation
Strong positive correlation is found between
1. PERIOD and ADV
2. PERIOD and DEMAND
3. AIP and DIFF
4. DIFF and ADV
5. DIFF and DEMAND
6. ADV and DEMAND
Strong negative correlation exists between
1. PRICE and DIFF
2. PRICE and ADV
3. PRICE and DEMAND
PERIOD
DEMAND
Forecast
MA(3)
Forecast
MA(6)
Absotute Error - MA(3)
Absotute Error - MA(6)
1
9.4
2
10.3
3
11.5
4
11.1
10.4
0.7
5
11
11.0
0.0
6
10.5
11.2
0.7
7
10.2
10.9
10.6
0.7
0.4
8
8.9
10.6
10.8
1.7
1.9
9
8.3
9.9
10.5
1.6
2.2
10
8.12
9.1
10.0
1.0
1.9
11
8.8
8.4
9.5
0.4
0.7
12
9.8
8.4
9.1
1.4
0.7
13
10.1
8.9
9.0
1.2
1.1
14
11.3
9.6
9.0
1.7
2.3
15
12.5
10.4
9.4
2.1
3.1
16
12.4
11.3
10.1
1.1
2.3
17
12.1
12.1
10.8
0.0
1.3
18
11.8
12.3
11.4
0.5
0.4
19
11.5
12.1
11.7
0.6
0.2
20
11
11.8
11.9
0.8
0.9
21
10.2
11.4
11.9
1.2
1.7
22
10.3
10.9
11.5
0.6
1.2
23
10.9
10.5
11.2
0.4
0.2
24
11.2
10.5
11.0
0.7
0.2
25
12.5
10.8
10.9
1.7
1.7
26
13.4
11.5
11.0
1.9
2.4
27
14.7
12.4
11.4
2.3
3.3
28
14.1
13.5
12.2
0.6
1.9
29
14
14.1
12.8
0.1
1.2
30
13.5
14.3
13.3
0.8
0.2
31
13.5
13.9
13.7
0.4
0.2
32
13.1
13.7
13.9
0.6
0.8
33
12.5
13.4
13.8
0.9
1.3
34
13.0
13.5
MAD =
0.9
1.3
Since MAD of MA(3) is less than that of MA(6), we should be preferring MA(3) over MA(6). However, Moving average may not be a good choice for predicting the demand because there is a clear p ...
tables, images, research tools, mail merges, and much more. Tell us AnastaciaShadelb
tables, images, research tools, mail merges, and much more. Tell us how these features can help you collaborate and work with others? What feature surprised you the most? Do you think you can do better research documents after this week? Why are tools such as spelling and translation so important specially in the United States? Add a PowerPoint and a word document
...
You will submit your proposal as a text-based Word or PDF file. AnastaciaShadelb
You will submit your proposal as a text-based Word or PDF file.
Your research proposal should include the following:
Your selected global ethical dilemma
Background/explanation of why this is a global ethical issue
Make connections to issues of cultural diversity
Research question
Two scholarly, peer-reviewed sources connected to your selected topic (cited in current APA format)
***NOTE***
RESEARCH IS ON GENDER DISCRIMINATION
...
What is Family Resource Management and why is it important to tAnastaciaShadelb
"What is Family Resource Management and why is it important to today's American family?"
Goldsmith, E. B., & GOLDSMITH, E. B. (2003). Resource Management. In J. J. Ponzetti Jr. (Ed.),
International encyclopedia of marriage and family
(2nd ed.). Farmington, MI: Gale. Retrieved from
RESOURCE MANAGEMENT
from
International Encyclopedia of Marriage and Family
Resource management
is the process in which individuals and families use what they have to get what they want. It begins with thinking and planning and ends with the evaluation of actions taken. Three fundamental concepts in resource management are
values, goals
, and
decision making.
Values such as honesty and trust are principles that guide behavior. They are desirable or important and serve as underlying motivators. Values determine goals, which are sought-after end results. Goals can be implicit or explicit. They can be short-term, intermediate-, or long-term. Decisions are conclusions or judgments about some issue or matter.
Decision making
involves choosing between two or more alternatives and follows a series of steps from inception to evaluation.
Through choices, individuals and families define their lives and influence the lives of others. The study of resource management focuses on order, choices, and control, and how people use time, energy, money, physical space, and information. As an applied social science, it is an academic field that is fundamental to our understanding of human behavior. "The knowledge obtained through the study of management is evaluated in light of its ability to make an individual's or family's management practice more effective" (Goldsmith 2000, p. 5).
Individuals and families have characteristic ways of making decisions and acting called their
management style.
Although similar styles are exhibited within families (such as a tendency to be on time or to finish tasks to completion), there are also wide ranges of styles within families making the study of management intrinsically interesting, especially from a
socialization
point of view. Why do such differences exist and how does the individual's style mesh with that of the other members' styles in the family?
Measuring devices, techniques, or instruments that are used to make decisions and plan courses of action are called management tools. For example, time is a resource and a clock or stopwatch is a management tool.
Resources can be divided up into human and material resources, assets that people have at their disposal.
Material resources
(e.g., bridges, roads, houses) decline through use whereas
human resources
(e.g., the ability to read, ride a bicycle) improve or increase through use.
Human capital
describes the sum total of a person's abilities, knowledge, and skills. Education is one way to develop human capital. Related to this is the concept of social capital. The term
social capital
is gaining in importance in the family-relations field and management is considered ...
What can you do as a teacher to manage the dynamics of diversityAnastaciaShadelb
What can you do as a teacher to manage the dynamics of diversity in your classroom? How can you differentiate for the culturally diverse students in your classroom to ensure a safe, supportive, compassionate, and caring learning environment without compromising your personal values and spiritual beliefs?
...
Week 4 APN Professional Development Plan PaperPurpose The purAnastaciaShadelb
Week 4: APN Professional Development Plan Paper
Purpose
The purpose of this assignment is to provide the student with an opportunity to explore the nurse practitioner (NP) practice requirements in his/her state of practice, NP competencies and leadership skills to develop a plan to support professional development.
Activity Learning Outcomes
Through this assignment, the student will demonstrate the ability to:
1. Examine roles and competencies of advanced practice nurses essential to performing as leaders and advocates of holistic, safe, and quality care. (CO1)
2. Analyze essential skills needed to lead within the context of complex systems. (CO3)
3. Explore the process of scholarship engagement to improve health and healthcare outcomes in various settings. (CO4)
Due Date
Assignment should be submitted to the Week 4 Roles in APN Professional Development Plan dropbox by Sunday 11:59 p.m. MST at the end of Week 4.
When the assignment is placed in the dropbox, it will automatically be submitted to Turnitin. You may submit the assignment one additional time before the due date to lower the Turnitin score. If you choose to resubmit, the second submission will be considered final and subject to grading. Once the due date for the assignment passes, you may not resubmit to lower a Turnitin score.
This assignment will follow the late assignment policy specified in the course syllabus.
Students are expected to submit assignments by the time they are due. Assignments submitted after the due date and time will receive a deduction of 10% of the total points possible for that assignment for each day the assignment is late. Assignments will be accepted, with penalty as described, up to a maximum of three days late, after which point a zero will be recorded for the assignment.
In the event of a situation that prevents timely submission of an assignment, students may petition their instructor for a waiver of the late submission grade reduction. The instructor will review the student's rationale for the request and make a determination based on the merits of the student's appeal. Consideration of the student's total course performance to date will be a contributing factor in the determination. Students should continue to attend class, actively participate, and complete other assignments while the appeal is pending.
Total Points Possible: 200
Requirements
A
Week 4 Paper Template to be used for your assignment is required for this assignment.
1. The
APN Professional Development Plan paper is worth 200 points and will be graded on the quality of the content, use of citations, use of Standard English grammar, sentence structure, and overall organization based on the required components as summarized in the directions and grading criteria/rubric.
2. Submit the paper as a Microsoft Word Document, which is the required format at Chamberlain University. You are encouraged to use the APA Academic Writer and G ...
TopicTransitions of Care in Long- Term Care (LTC)Discuss CAnastaciaShadelb
Topic:
Transitions of Care in Long- Term Care (LTC):
Discuss Care Coordination, Subacute Care, Post-Acute care, and the impact of U.S Healthcare Policies and Regulations on transitions of care
Details:
·
2 pages
·
APA 7 th edition reference style with recent references within the last 5 years
·
3 references
Health Financial ManagementRead this article: Hirsch, J.A., Harvey, H.B., Barr, R. M., Donovan, W. D., Duszak, R., Nicola, G. N., ... & Manchikanti, L. (2016): ‘’Sustainable Growth Rate Repealed, MACRA Revealed: Historical Context and Analysis of Recent Changes in Medicare Physician Payment Methodologies’’
Once you have read the article, discuss the Medicare Sustainable Growth Rate. “The SGR target is calculated on the basis of projected changes in 4 factors:
1) fees for physicians’ services,
2) the number of Medicare beneficiaries,
3) US gross domestic product, and
4) service expenditures based on changing law or regulations (Hirsch, et al. 2016).”
How have these 4 factors been tied to fiscal performance? Find some additional sources and support your position in few paragraphs.
Details
- 2 pages
- 3 PARAGRAPHS ONLY
· Paragraph 1 – answer the question, supporting your answer by citing from the RELIABLE SOURCES using proper APA format. Terms need to be defined in order to receive as many points as possible.
· Paragraph 2 – expand your answer by including additional information and opinions
·
· Paragraph 3 – Summarize your answer, concluding with a thought or an opinion of your own.
- APA 7 th edition reference style with recent references within the last 5 years
- 3 references
...
Topic Hepatitis B infection Clinical Practice PresenAnastaciaShadelb
Topic: Hepatitis B infection
Clinical Practice Presentation . The focus of the presentation
must reflect current treatment recommendations from accepted professional organizations.
Clinical Standard of Practice Presentation
Students are expected to expand their use of resources for evidence-based practice beyond the required text and explore nursing and related literature to improve their understanding and application of advanced interventions. Each student will present a Clinical Practice Presentation. The focus of the presentation must reflect current treatment recommendations from accepted professional organizations. Presentations will be evaluated related to the criteria listed.
Presentations must be no more than twelve slides in a PowerPoint format with a Reference List in APA format which once done must be sent by email to me and/or posted on week of the due time frame. Topics will be listed, and students must sign up for presentation by the second week of the course..
image1.png
...
The Fresh Detergent CaseEnterprise Industries produces Fresh, AnastaciaShadelb
The Fresh Detergent Case
Enterprise Industries produces Fresh, a brand of liquid detergent. In order to more effectively manage its inventory, the company would like to better predict demand for Fresh. To develop a prediction model, the company has gathered data concerning demand for Fresh over the last 33 sales periods. Each sales period is defined as one month. The variables are as follows:
·
Period = Time period in month
·
Demand = Y = demand for a large size bottle of Fresh (in 100,000)
·
Price = the price of Fresh as offered by Ent. Industries
·
AIP = the Average Industry Price
·
ADV = Enterprise Industries Advertising Expenditure (in $100,000) to Promote Fresh in the sales period.
·
DIFF = AIP - Price = the "price difference" in the sales period
Only the trend of PRICE is negative. Other four variables have positive trends. However, the R2 values suggest that for ADV and DEMAND only the linear model is explained by the data points moderately (66% and 51% respectively). For all the other three variables, the R2 values are too poor to accept the models as adequates because very few percent of data points actually represents the linear model.
As expected, the Demand is negatively correlated with Price. But the regression line equation cannot be relied upon due to poor R2 value. For other three variables, there is a positive correlation. Out of these, for the ADV variable, the regression line can be adequate for the R2 value is moderately higher.
Interpretation
Strong positive correlation is found between
1. PERIOD and ADV
2. PERIOD and DEMAND
3. AIP and DIFF
4. DIFF and ADV
5. DIFF and DEMAND
6. ADV and DEMAND
Strong negative correlation exists between
1. PRICE and DIFF
2. PRICE and ADV
3. PRICE and DEMAND
PERIOD
DEMAND
Forecast
MA(3)
Forecast
MA(6)
Absotute Error - MA(3)
Absotute Error - MA(6)
1
9.4
2
10.3
3
11.5
4
11.1
10.4
0.7
5
11
11.0
0.0
6
10.5
11.2
0.7
7
10.2
10.9
10.6
0.7
0.4
8
8.9
10.6
10.8
1.7
1.9
9
8.3
9.9
10.5
1.6
2.2
10
8.12
9.1
10.0
1.0
1.9
11
8.8
8.4
9.5
0.4
0.7
12
9.8
8.4
9.1
1.4
0.7
13
10.1
8.9
9.0
1.2
1.1
14
11.3
9.6
9.0
1.7
2.3
15
12.5
10.4
9.4
2.1
3.1
16
12.4
11.3
10.1
1.1
2.3
17
12.1
12.1
10.8
0.0
1.3
18
11.8
12.3
11.4
0.5
0.4
19
11.5
12.1
11.7
0.6
0.2
20
11
11.8
11.9
0.8
0.9
21
10.2
11.4
11.9
1.2
1.7
22
10.3
10.9
11.5
0.6
1.2
23
10.9
10.5
11.2
0.4
0.2
24
11.2
10.5
11.0
0.7
0.2
25
12.5
10.8
10.9
1.7
1.7
26
13.4
11.5
11.0
1.9
2.4
27
14.7
12.4
11.4
2.3
3.3
28
14.1
13.5
12.2
0.6
1.9
29
14
14.1
12.8
0.1
1.2
30
13.5
14.3
13.3
0.8
0.2
31
13.5
13.9
13.7
0.4
0.2
32
13.1
13.7
13.9
0.6
0.8
33
12.5
13.4
13.8
0.9
1.3
34
13.0
13.5
MAD =
0.9
1.3
Since MAD of MA(3) is less than that of MA(6), we should be preferring MA(3) over MA(6). However, Moving average may not be a good choice for predicting the demand because there is a clear p ...
tables, images, research tools, mail merges, and much more. Tell us AnastaciaShadelb
tables, images, research tools, mail merges, and much more. Tell us how these features can help you collaborate and work with others? What feature surprised you the most? Do you think you can do better research documents after this week? Why are tools such as spelling and translation so important specially in the United States? Add a PowerPoint and a word document
...
TBSB NetworkThe Best Sports Broadcasting Network is home to alAnastaciaShadelb
TBSB Network
The Best Sports Broadcasting Network is home to all college football games, events, and updates. From Alabama and Clemson to Mount Union and Wheaton College, Division 1 to Division 3 top to bottom 24/7 college football. Being a college football athlete myself and having played at Clemson University and now here at University of Maryland I understand the different levels of exposure programs and athletes get even across power 5 conferences there is some exposure but different and some more than others. What my goal and plan for TBSB is that we bring the same amounts of awareness and exposure to their programs that the Clemson’s and Alabama’s receive to their programs.
After conducting many research experiments on former college athletes as well as parents, family members of student athletes, and fans I learned that they are not happy with not having the chance to always support and watch programs who aren’t top tier and do not have the same lime light as others. I also found that there is not one particular network that shows all power 5 conference football games on Saturdays, there are different networks you have to pay for monthly to keep up with all football games from different conferences. For example, you have ACC Network, Big 10 Network, and SEC Network for each of these networks you need a different subscription and or certain cable plan. With TBSB we are putting all of these networks under one station to give families, fans, and much more the best possible experience.
I feel like this network will be beneficial to many different people starting with the players. Giving all players who are not receiving a lot of exposure this prime television opportunity for family and friends to watch and cheer them on. Also giving these players opportunities to be evaluated, and scouted by the NFL for those who have that desire. This network will also be beneficial to the university itself, football programs have a chance to increase school’s revenue at any given time. Putting these different schools in the lime light will increase the chances to help up school’s revenue. Last but not least TBSB will be beneficial to families, friends, fans, and much more the people who are not able to make it to the games but would still love to support and cheer on these programs. With the click of a button all of their problems are solved with TBSB giving them the chance to watch not only the games of their loved ones but any other college football games of their choice.
Currently, I am in the process of finalizing the concept and sources of revenue, as of now my guaranteed sources of revenue will come from customers who sign up they will pay a monthly fee. My next source of revenue I want to work with television companies to have TBSB added to their channel listings and work with these different companies for another stream of revenue. These are my biggest “road blocks” at the moment. I also will have to find workers who are willing and dedica ...
SU_NSG6430_week2_A2_Pand
ey_R.docx
by Ram Pandey
Submission date: 04-Sep-2020 06:47PM (UTC-0400)
Submission ID: 1379955415
File name: SU_NSG6430_week2_A2_Pandey_R.docx (20.8K)
Word count: 685
Character count: 4114
89%
SIMILARITY INDEX
42%
INTERNET SOURCES
2%
PUBLICATIONS
89%
STUDENT PAPERS
1 89%
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SU_NSG6430_week2_A2_Pandey_R.docx
ORIGINALITY REPORT
PRIMARY SOURCES
Submitted to South University
Student Paper
FINAL GRADE
/20
SU_NSG6430_week2_A2_Pandey_R.docx
GRADEMARK REPORT
GENERAL COMMENTS
Instructor
PAGE 1
PAGE 2
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SU_NSG6430_week2_A2_Pandey_R.docxby Ram PandeySU_NSG6430_week2_A2_Pandey_R.docxORIGINALITY REPORTPRIMARY SOURCESSU_NSG6430_week2_A2_Pandey_R.docxGRADEMARK REPORTFINAL GRADEGENERAL COMMENTSInstructor
SOAP NOTE
Name: MT
Date:12/3/19
Time: 0930
Encounter 2
Age: 32
Sex: Female
SUBJECTIVE
CC:
“I need to start on birth control, I just don’t know which one to go on as there are so many to choose from.”
HPI:
30 -year-old Asian American female that presents to the clinic requesting to start birth control.
Medication: (list with reason for med)
PT is not taking any medication currently
PMH: None
Allergies: Does not have any food or drug allergies
Medication Intolerances: None
Chronic Illnesses/Major traumas:
Patient denies any medical trauma
Chronic Health Problems: No known chronic health problems
Hospitalization/Surgeries: None
Family History: Mother Healthy. Father HTN. Sister Healthy. Brother autism
Social History:
Social history is negative for ETOH and she denies past or present illicit drug use. Denies present use of tobacco. States she does exercise regularly, and is not on a specific diet. Pt is currently in school for accounting.
ROS
General:
Patient denies weight change, fatigue, fever, chills, night sweats, energy level
Cardiovascular:
Denies any episodes of chest pain, palpitations, syncope or orthopnea.
Skin:
Denies any skin lesions.
Respiratory:
Patient denies dyspnea. Denies cough
Eyes:
Patient states no changes in vision, no blurred or double vision.
Gastrointestinal:
Patient denies any change in appetite, denies nausea and vomiting. denies any bowel changes
Ears:
No recent hearing loss, tinnitus, denies any ear discharge or pressure.
Genitourinary/Gynecological:
Patient denies any itching, burning or discharge
Last PAP: 9/11/18
Mammogram: 11/2/18
Pregnancy: G4P3
Not on any contraception, is currently sex ...
Sheet1Risk Register for Project NameDateProject NameID No.RankRisAnastaciaShadelb
This document appears to be a risk register template for a project that lists risks by ID number, rank, description, category, root cause, potential triggers, responses, risk owner, probability, impact, and status. However, the document contains no further details to summarize as it appears to be an empty template.
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Final Project Topic
Final Project Topic
I selected the question: Analyze differences among research, evidence-based practice, practice-based evidence, comparative effectiveness research, outcomes research, and quality improvement. How do these practices affect nursing and patient outcomes?
Selected References
Davis, K., Gorst, S. L., Harman, N., Smith, V., Gargon, E., Altman, D. G., ... & Williamson, P. R. (2018). Choosing important health outcomes for comparative effectiveness research: An updated systematic review and involvement of low and middle-income countries. PloS one, 13(2), e0190695.
Davies, C., Lyons, C., & Whyte, R. (2019). Optimizing nursing time in a daycare unit: Quality improvement using Lean Six Sigma methodology. International Journal for Quality in Health Care, 31(Supplement_1), 22-28.
Eppley, K., Azano, A. P., Brenner, D. G., & Shannon, P. (2018). What counts as evidence in rural schools? Evidence-based practice and practice-based evidence for diverse settings. The Rural Educator, 39(2).
Fiset, V. J., Graham, I. D., & Davies, B. L. (2017). Evidence-based practice in clinical nursing education: A scoping review. Journal of Nursing Education, 56(9), 534-541.
Forsythe, L., Heckert, A., Margolis, M. K., Schrandt, S., & Frank, L. (2018). Methods and impact of engagement in research, from theory to practice and back again: early findings from the Patient-Centered Outcomes Research Institute. Quality of Life Research, 27(1), 17-31.
Gargon, E., Gorst, S. L., Harman, N. L., Smith, V., Matvienko-Sikar, K., & Williamson, P. R. (2018). Choosing important health outcomes for comparative effectiveness research: 4th annual update to a systematic review of core outcome sets for research. PloS one, 13(12), e0209869.
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12
Capstone Project
Olivia Timmons
Department of Nursing. St. Johns River State College
NUR 4949: Nursing Capstone
Dr. C. Z. Velasco
November 14, 2021
Capstone Project
There is a saying that states one can only learn through doing it, practically and physically. It is the explanation as to why it is very important to implement the skills acquired in theory into practice to ascertain one’s competence. This is even more crucial in the medical field as they have no choice but just to be perfect at what they are doing, the only secret is through practice. Practicums connect the two worlds of theory and classwork, thus breaking the monotony alongside connecting what was taught in class with what happens in the field. They are important as apart from sharpening the student’s skills, they also open a window of opportunity and build up connections that will come in handy for the student later on. They will feel the experience and the pressure that comes with it thus preparing themselves accordingly.
Statement of the Problem
Timing is essential in the nursing field and the Emergency Room is notorious for its long wait times. The goal of a clinical laboratory is to deliver medically useful results for patients on a timely basis. This goal can be hindered by the new paradigm of the modern laboratory – “do more with less" (Lopez, 2020). When implementing new care models for patients, the patient perspective is critical. The objective of this study was to describe and develop an understanding of the information needs of patients in the ED waiting room concerning ED wait time notification (Calder, 2021). As a patient arrives at the ER waiting area, it's critical to have lab results for the provider to evaluate. I can give you an example of a patient that waited in the waiting room for over 3 hours, no labs were completed because they were waiting for the patient to go back into a room. The patient was suffering from a heart attack and his troponins were elevated and no one knew until 3 hours later. If POC labs were done on all patients as soon as they arrived, mistakes like these can be avoided. Completed POC blood can cut the wait times in half and the laboratory also won't be backed up on resulting lab specimens.
PICOT Question
Question: Is there a significant decrease in Emergency Department patient length of stay (LOS) for those whose blood was analyzed using POC testing versus those whose blood was analyzed using laboratory testing?
· P-Population= emergency room patients
· I-Intervention or Exposure= POC testing of blood specimens
· C-Comparison= Laboratory blood specimens
· O-Outcome= Decrease patient stay in the emergency room
· T-Time = N/A
History of the Issue
The length of patient stay in the emergency department (ED) is an issue that not only increases the severity of illnesses but also reduces the quality of patient care. Serious health conditions including diabetes and hypertension can worsen while patients are ...
12
First Name Last Name
Plaza College
MGT1003 Section 8 – Supervisory Management
Professor Aicha Cesar
Spring 2022
1. Do you believe that Joe Trosh has the right to carry a concealed weapon in the hospitaldue to being harassed for visiting casinos?
Part IA: The Purpose of the Report and the Problem
The purpose of the report is to solve the problem of whether or not Joe Trosh has the right to carry a concealed weapon in the hospital as a reason for self-defense against discrimination and harassment from the staff of a rural hospital in Oklahoma. According to the U.S. Equal Employment Opportunity Commission, harassment is a form of employment that violates Title VII of the Civil Rights Act of 1964, Age Discrimination Employment Act of 1967, and Americans with Disabilities Act of 1990 ("Equal Employment Opportunity Commission," n.d.).
The Equal Employment Opportunity Commission outlined that “harassment’’ based on race/color discrimination means unwelcome conduct that is based on color, religious background, sex, national origin, older age, disability, or genetic information that is based on medical history ("U.S. Equal Employment Opportunity Commission," n.d.).
Hirsch (2018) stated that the impact of discrimination on racism often creates challenges that the human resource manager is responsible for overcoming. In a workplace, racism is evident through macroaggression, defined as indirect, subtle, and unintentional acts of discrimination against marginalized groups.
Harassment based on stereotypes can affect an organization’s decision-making process in many ways, such as making a quick judgment without looking at the consequences. It also makes people feel preconceptions about a specific group of people leading to harsh treatment.in addition, harassment of stereotypes leads to fixed beliefs about the place of women and men in society.
Managers need to know about the Second Amendment right to bear arms and U.S. Supreme Court Cases that examine this issue because it will protect the hospital from legal matters ("Cornell Law School," n.d.). The District of Columbia v. Heller case in which the supreme court held in 2008 on the second Amendment regarding firearm possession. It gives one the right to possess firearms, independent of service in state militia use the guns for self-defense.
A potential legal issue the Supervisor must consider is how to handle discipline decisions that involve employees who have experienced discrimination through harassment by co-workers. According to the Oklahoma Self-Defense Act, it is “not right for a person to identify themselves as a licensed handgun or as lawfully in possession of any other firemen if the law does not demand information."
Part 1B The Research Experience
To perform my research, I began with online research. I used Google and searched for articles rights of carrying weapons to work as a form of self-defense and discrimination and harassment in the place of work.
I have foun ...
12Epic EMR ImplementationComment by Author 2 Need a AnastaciaShadelb
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Epic EMR Implementation
Comment by Author 2: Need a running head. Ex:
RUNING HEAD: Implementation of EMR
Implementation of Electronic Medical Records (EMR) Comment by Author 2: Your topic is very broad. You should have a unique identification of basically what you are trying to investigate with your research. Basically, you need to try to funnel it. For instance, The impact of the EMR on ...... Comment by Author 2: Also, the title doesn't tell the story of your research. Basically, the reader should be attracted to your topic just by reading the title. That is why is very broad and doesn't present an attractive meaning. Comment by Author 2: Example: The Implementation of EMR: Tjhe Role of Data in ... Comment by Author 2: Or, Barriers to Implementing the EMR in ....
HCIN 699-51 – B-2021/Summer
Applied Project in Healthcare Informatic
Dr. Chaza Abdul and Dr. Glenn Mitchell
Prepared by:
Name: Bolade Yusuf
Student ID: 273092
Harrisburg University
08/18/21
Table of Contents
INTRODUCTION 3
1.1 Background to research problem 3
1.1.1 Electronic Medical Records (EMR) 3
1.1.2 Patient’s Data 4
1.2 Problem Statement 4
1.3 Objectives 5
1.4 Research Questions 5
1.5 Significance of the Research 5
LITERATURE REVIEW 6
2.1 Introduction 6
2.2 Features of an Effective EMR 6
2.3 Barriers to adoption of EMR 8
2.4 Addressing EMR adoption barriers 9
2.5 Related Work 11
RESEARCH METHODOLOGY 12
3.0 Introduction 12
3.1 Research Philosophy 12
3.2 Research design 12
3.3 Study Population Sample 13
3.4 Sample Size and Sampling Procedure 13
3.5 Data Collection 14
DATA ANALYSIS AND FINDINGS 15
4.1 Data Analysis 15
4.2 Findings 15
4.3 Benefits of epic EMR 16
Conclusion 17
References 18
Appendix 1: Survey Questionnaire 20
Appendix 2:Survey Questions Response Analysis 21
INTRODUCTION1.1 Background to research problem
Health care is critical in any society. Managing patient’s data goes a long way in ensuring good treatment measures are taken. Health care information therefore must be collected correctly and stored in a manner which abides by the principled of confidentiality, integrity and accessibility (Kaushal et al., 2009). Data regarding a patient should be kept confidential as much as possible and only retrieved when needed. A good health records management system should be able to confidentially store patient’s data. Each patient should have an account within the system where their data is stored. Access to this data should be given on privileges basis and only to individuals who will use it for treatment of the patient. The patient’s data in a good health information management system should be of high integrity. Data should be collected from the source (the patient) and recorded during the collection process. Having an intermediary stage where data is recorded in in a secondary avenue before being transferred to the primary system could lead to errors thus compromising its integrity. A good health information management system should also ...
12Facebook WebsiteAdriana C. HernandezRasmussen UnAnastaciaShadelb
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Facebook Website
Adriana C. Hernandez
Rasmussen University
COURSE#: MA242/BSC2087C
Jenessa Gerling
05/01/2022
Thesis Statement: Facebook, which emerged as a standalone website, is used worldwide. Facebook has emerged as one of the 21st century's largest companies, with a consumer base of people who understand the word internet.
Title of Paper: Facebook Website
I. Introduction
A. Attention grabbing sentence about topic
Facebook, which emerged as a standalone website, is used worldwide. Skyrocketing revenues' simplified version of the term perception is a way of perceiving or viewing things and refers to how the brain knows how things are or processes things (Mosquera et al.,2020).
B. Thesis statement
Facebook, which emerged as a standalone website, is used worldwide. Facebook has emerged as one of the 21st century's largest companies, with a consumer base of people who understand the word internet.
II. First paragraph main point – topic sentence
The case in this study involves deciphering the website perception elements and related responses to the same crucial points as follows:
A. Supporting details (in-text citation for outside resource used as support/evidence)
1. Details about the supporting details
Sensory response refers to the way we respond to specific website visual elements. The website contains both a design pattern and a logo which most individuals worldwide are aware of today.
2. Details about the supporting details
The image of the logo is a letter f-like. The most dominant colour in the ad on Facebook is blue and white shades used to design and highlight the tangible symbol.
B. Supporting details (in-text citation)
There are also lines and shapes in the logo, and as mentioned, the logo lines include lines and a square box forming a bold character, 'f' and highlighting the Facebook company name (Plantin et al.,2018). Contrast and balance are also incorporated. There is contrast present and light colours in the image that easily distinguish the Facebook symbol from other symbols such as WhatsApp and YouTube. The balance is indicated in the proper depiction of the 'F' symbol, highlighting everything around the same.
C. Transition sentence
On the other hand, perceptual response refers to the number of groups of persons attracted to the ad and those not attracted.
III. Second paragraph main point – topic sentence
Though perceptual response targets a potential user base involving many people from any age group, ethnicity, or age, it is more dominant among the youth, in my view.
A. Supporting details (in-text citation)
The aged have no more time in the Facebook like the youth who are in desire remain informed and have interest in sharing their feelings and information through the platform (Plantin et al.,2018).
1. Details about the supporting details
The technical response involves specific elements, including buttons and dropdowns worldwide, which technically impact the user.
2. Details about the supporting details
T ...
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Experience
During my clinical placement in a neurosurgical unit, we would occasionalJy exa mine epilepsy
patients to document any seizures. These patients rarely require substantial nursing care, and
most are self-sufficient with only 1-2 prescriptions administered every six hours. I was working
an early shift, and my buddy nurse assigned me to three patients, one of whom was under
examination for a seizure. My buddy nurse handed me the drawer keys and indicated the
medication was in the side drawer when I went with my nurse to provide the patient medication.
Looking over the initial purchase, I began my safety check prior to dispensing the prescription
and discovered that it had expired in February 2019. I requested that my preceptor come over
and take a look at the package. She realized the medication was out of date when she noticed the
expiration date. She then went out of the room with the packaging. When she returned, she
indicated that she had reported the event to the NUM. I then inquired if there was anything else
we needed to do, but I was respectfully told to stay out of it. I took a set of vitals on the patient,
which were all normal, and the buddy nurse was given a new pack of medication that was still
usable. I felt accomplished at the end of my shift since I had followed the procedure for providing
the correct medication and had identified the problem. Being a part. of event reporting and alerting
the doctors, on the other hand, would have been a great experience. Overall, I followed NSHQS's
safety requirements and medication standards when performing my nursing responsibilities.
h
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Dissertation Topic Approval
Dissertation Topic Approval
Topic
How can the fourth industrial revolution technologies be used to address the current climatic issues facing the world?
General Reasoning
I selected this research topic because climatic change has become a major concern today, with world leaders and researchers trying to develop ways to address this concern. There are several adverse impacts of climatic change on the world. One of the adverse effects is that humans and animals face new challenges for their survival due to the consequences of climatic change. Climatic change has resulted in increased temperature levels in the world, rising sea levels, shrinking glaciers, and increased ocean temperatures. It has resulted in frequent and intense droughts, storms, and heat waves threatening animals' lives. It has also resulted in biodiversity loss due to limited adaptability and the economic implications of these climatic changes. One of the ways that can be used to deal with climatic issues is through the use of technology which can help reduce greenhouse gas emissions. The fourth revolution technologies such as the internet of things, artificial intelligence, and cloud computing can play a vital role in addressing these climatic challenges.
Potential thesis
The fourth industrial revolution technologies such as the internet of things, artificial intelligence, and cloud computing can play a vital role in addressing these climatic challenges; therefore, it is important to determine how these technologies can be utilized to achieve the environmental objectives of the world.
Thesis map for your Literature Review
The literature review will consist of articles that have been published over the five years. It will consist of journals and articles that have researched fourth industrial revolutions that can be used to address climatic change.
The research topic I selected for my dissertation is related to the program goals and core courses by addressing the revolution of technology and its applications in addressing the world's challenges.
...
12Essay TitleThesis Statement I. This is the topicAnastaciaShadelb
The document outlines the structure for a Rogerian argument essay on school uniforms. It provides instructions for introducing opposing viewpoints in three paragraphs, then addressing the proponents' viewpoints in three more paragraphs. It instructs to then write a paragraph presenting a compromise viewpoint. Each main point should have an introductory topic sentence, a quote or paraphrase with citation, commentary, and transitional statement. The outline concludes by stating the conclusion paragraph should reiterate the compromise and benefits of accepting it.
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Cyber Research Proposal
Cybersecurity in business
Introduction
Because of today's international economy, securing a company's intellectual property, financial information, and good name is critical for the company's long-term survival and growth. However, with the rise in risks and cyber vulnerability, most businesses find it difficult to keep up with the competition. Since their inception, most companies have reported 16% fraud, 37.7% financial losses, and an average of over 11% share value loss, according to data compiled by the US security. Most corporations and governments are working hard to keep their customers and residents safe from harm. There are both physical and cybersecurity risks involved with these threats. According to a recent study, many company owners aren't aware of the full scope of cybersecurity. People who own their businesses must deal with various issues daily.
Nevertheless, steps are being taken to address these issues. Customers and the company are likely to be protected by the measures adopted. Cybersecurity is one of the most pressing issues facing organizations today. Leaks of a company's intellectual property and other secrets may have devastating effects on its operations, as competitors and rivals will do all in their power to stop them. is an excellent illustration of this. This is perhaps the most talked-about security compromise of the year [footnoteRef:3]. The firm was severely damaged because of this. [1: "Database security attacks and control methods."] [2:q "Comprehending the IoT cyber threat landscape: A data dimensionality reduction technique to infer and characterize Internet-scale IoT probing campaigns."] [3: "The Equifax data breach: What cpas and firms need to know now." ]
Some individuals take advantage of clients by stealing highly important information to profit financially from their actions. For example, if the wrong individuals get their hands on your credit card information, you're in serious trouble since you might lose money. Some families lose all their resources, while others are forced to declare bankruptcy after being financially stable for a long period. Many of the findings of this study will be focused on cybersecurity and the sources of cybersecurity risks. The paper outlines a few of the issues and solutions that organizations may use to keep their operations and consumers safe from exploiting dishonest individuals.
Research question
According to the most recent study, more than 1500 companies have been exposed to some cybersecurity assault[footnoteRef:4]. This research details the specific types of attacks that have occurred. Organizational operations are affected, as is corporate governance, and the internal management of financial status is rendered ineffective due to these assaults. The question that will be investigated during the study is: [4: "Towards blockchain-based identity and access management for internet of things in enterprises."]
How doe ...
12Culture-centered leadership in Nursing ManagementNurseAnastaciaShadelb
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Culture-centered leadership in Nursing Management
Nurse Managers must work with staff to foster respect of different lifestyles. As a future manager, how can you provide culture-centered leadership to influence your team members and care for a culturally diverse patient population? Please incorporate concepts of cultural humility, sensitivity, or competence and one cultural theory into your response.
There are different ways in which one can provide culture-centered leadership to influence others. These include creating awareness of the issues that are affecting individuals in society, avoiding making assumptions, learning about other cultures, educating patients about medical practices, and practicing active listening (Quintana, 2018). Leaders should understand the importance of humility, competence, and being sensitivity when dealing with patients. They also need to teach nurses that everyone matters in society and therefore treating everyone right remains paramount.
References
Quintana, K. A. (2018). Cultural Diversity and Inclusion in Health Care. Leading and Managing in Nursing-E-Book, 62.
Lewis, L. D., & Steinert, Y. (2020). How culture is understood in faculty development in the health professions: a scoping review. Academic Medicine, 95(2), 310-319.
Hooker, K. (2019). Enhancing the patient experience: a challenge for leadership in health care (Doctoral dissertation, University of Pittsburgh).
...
This document provides an introduction to action research as a method for educational research. It discusses action research as a collaborative process that allows educators to address problems in their own practice and make improvements through a cycle of planning, acting, observing, and reflecting. The text is intended to help educators understand how to plan and conduct action research studies to inform instruction and enhance student outcomes.
12CORE SKILLS AND COMPETENCIESQuality Care Nursing SAnastaciaShadelb
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CORE SKILLS AND COMPETENCIES
Quality Care Nursing Skills
IV Certified/CPR Trained
Excellent Hospital Experience
Proficient Charge Nurse
Proficient Infection Control Preventionist
Excellent Interpersonal Communication Skills
Excellent Tracheotomy Care Skills
Proficient in Medication Administration
Excellent Evidence-Based Practice Skills
Excellent Vent Monitoring Skills
Great Team Player
G/NG-Tube Care
Excellent Multi-Tasking Skills
PROFILE
Highly motivated, meticulous, and ethical Registered Nursing professional with over 21 years of clinical nursing experience in dynamic, fast-paced environments. Has a comprehensive understanding of the skills needed to deliver quality care, administer medication and adhere to individualized patient plans while utilizing evidence-based practices. IV Certified and CPR trained Charge Nurse, with the demonstrated ability to provide outstanding tracheostomy care, vent monitoring, and facilitate the use of gastrostomy and nasogastric tubes. Practiced in the understanding of nursing guidelines, training, and procedures. Superior knowledge of medical databases, advanced technology, and equipment.
Regarded for outstanding organizational skills, critical thinking ability, and excellent interpersonal communication skills, with an outgoing, professional demeanor. Adaptable, patient, and clear-headed under pressure, prioritizing as needed. Dedicated advocate, acknowledged for answering questions and educating patients in a compassionate bedside manner. Collaborative team player, regarded for the ability to deliver exceptional care with the highest degree of professionalism. Enthusiastic in obtaining a full-time RN position, working in a supervisory capacity on a medical-surgical unit.
PROFESSIONAL EXPERIENCE
Infection Control Preventionist- Stoddard Baptist Global Care, Washington, DC.
(February 2021- Present)
Responsible for conducting rounds, discussing and monitoring infection prevention practices with staff members, collecting infection data from departments, training staff members on how to implement infection prevention practices, conducting outbreak investigation, maintaining records for each case of healthcare-associated infection, ensuring that supplies required for infection prevention activities are available, and inspecting incidents of infections and reporting them to the appropriate person or department.
Restorative Nursing Program Director- Stoddard Baptist Global Care, Washington, DC. (2019- Present)
Responsible for developing, implementing, directing, and evaluating the facility’s Restorative Nursing Program, ensuring that the restorative nursing program conforms to applicable laws, regulations, and national restorative nursing requirements and standards, performing administrative tasks such as care planning, charting, and reports, assisting with the enrollment and selection of restorative nursing staff, supervising subordinate restorative staff, counseling and disciplining restorative nursing ...
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Care Management
Kimberly Boynton
Grand Canyon University
HCA-699- Evidence Based Research Project
Edward Paulch
10/13/2021
Care Management
Care management is a term that refers to the activities carried out to improve patient care and reduce the need for medical services by enhancing care coordination and helping patients and caregivers to manage their healthcare conditions effectively. Care management utilizes several integrated programs which extend beyond current clinical care. Care management consists of several healthcare professionals, such as nurses, social workers, and patent educators. These healthcare management professionals work collaboratively to create a health care plan that will help meet the specific needs. Care management services include patient education, medication management, managing symptoms, and preventative testing. This essay aims to formulate a PICOT question associated with care management, describing the problem's background and identifying the key stakeholders.
Background of the Problem
The problem that is aimed to be solved in care management is high rehospitalization rates due to poor care management among adults. Older adults are at risk have several complex medical and social needs that are fatal and can result in high increased mortality rates among older adults if care management for these adults is not efficient and effective. These medical conditions and social needs result in rapid hospitalization of older adults, which can be prevented through care management ((Wideman, 2012). Although the united states government has put in place several regulations and policies to ensure that the care management offered to older people is the best, several challenges have made it impossible to meet goals that have been put in place. One of the challenges includes a lack of guidelines to address care transitions between the hospital and the nursing home. Standardized disease management approaches should be introduced in geriatric care management to help lower hospitalization rates of the intended population. One of the ways to improve the quality of geriatric care management is through the use of pay for performance incentives. Pay for performance incentives are offered to healthcare providers if they meet specific performance results instead of their work. This incentive will motivate the healthcare team responsible for geriatric care management to improve the quality of care, efficiency, and the overall care they will be providing for the older adults, resulting in reduced hospitalization rates.
Stakeholders
Several stakeholders are involved in the care management of older persons. These stakeholders are older adults, healthcare providers, the united states government, payers and policymakers, and the Medicare and Medicaid Services center. These stakeholders need to work together to ensure the successful implementation of the proposed solution. Implementing the proposed solution will help reduce t ...
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Compiled Comprehensive Research
Robert Benders
Columbia Southern University
BSL 4000- Managing Diversity in Organizations
Table of Contents
Executive Summary 3
Section 1: Benefits of Organizational Diversity 4
Assessment Findings in Miami, FL 4
Assessment Findings in Kansas 5
Recommendation to ELC 6
Section 2: Improving Organizational Culture 6
Assessment of Religious Beliefs and Practices and its Impact on Organization Culture 7
Assessment of Gender and Sexual Orientations and its Impact in Organization Culture 8
Plan of Action to Address Raised Concerns 9
Section 3: Gender and Work-Life Balance 10
Analysis of Demographics of Gender in Workplace 10
Advantages and Disadvantages Flexible Schedules and Responsibilities 12
Benefits of offering child and elder care in the organization 12
Work-Life Balances to Achieve Greater Results in Organization 13
Section 4: Age Demographics 13
Advantages and disadvantages of a younger workforce 14
Advantages and disadvantages of an older workforce 15
References 16
Executive Summary
Organizational diversity is a growing concern that takes various dimension. Fig Technologies that has been rocked with various issues relating to diversity. Executive Leadership Council contracted consultancy services on numerous diversity issues which Fig Technology was experiencing. Steps to improve organizational diversity have been covered in the detail in the project. First, benefits of organizational diversity are discussed on how to improve working conditions reported on Miami, Florida and Kansas City. Second, improving organizational culture is another area of interest that has been explored and emphasized by embracing religious diversity. Similarly, concerns raised on the perception on LGBTQ celebrations is addressed with recommendation made to ELC integrate diversity on the basis of gender and sexual orientation. Third, gender and work-life balance and lastly, question of age demographics and its dimension is analyzed and how can be applied to enhance organizational diversity.
Section 1: Benefits of Organizational Diversity
The workplace is becoming more and more diverse necessitated by globalization, cultural integration and the development of digital communications. Small to big organizations are operating in the global market. This requires an organization to embrace diversity to enable them successfully manage employees and customers from diverse backgrounds. It is commonly said that the world has become a global village. This simply means that the world has become more diversified creating demand for companies to adopt global corporate culture where employees from any part of the world can comfortably work without a feeling of estrangement (Inegbedion et al…, 2020). Benefits of organizational diversity is discussed by evaluating organizational environment in three locations-FL, Miami and MO. Assessment Findings in Miami, FL
Organizational culture in both offices has been perceived ...
TBSB NetworkThe Best Sports Broadcasting Network is home to alAnastaciaShadelb
TBSB Network
The Best Sports Broadcasting Network is home to all college football games, events, and updates. From Alabama and Clemson to Mount Union and Wheaton College, Division 1 to Division 3 top to bottom 24/7 college football. Being a college football athlete myself and having played at Clemson University and now here at University of Maryland I understand the different levels of exposure programs and athletes get even across power 5 conferences there is some exposure but different and some more than others. What my goal and plan for TBSB is that we bring the same amounts of awareness and exposure to their programs that the Clemson’s and Alabama’s receive to their programs.
After conducting many research experiments on former college athletes as well as parents, family members of student athletes, and fans I learned that they are not happy with not having the chance to always support and watch programs who aren’t top tier and do not have the same lime light as others. I also found that there is not one particular network that shows all power 5 conference football games on Saturdays, there are different networks you have to pay for monthly to keep up with all football games from different conferences. For example, you have ACC Network, Big 10 Network, and SEC Network for each of these networks you need a different subscription and or certain cable plan. With TBSB we are putting all of these networks under one station to give families, fans, and much more the best possible experience.
I feel like this network will be beneficial to many different people starting with the players. Giving all players who are not receiving a lot of exposure this prime television opportunity for family and friends to watch and cheer them on. Also giving these players opportunities to be evaluated, and scouted by the NFL for those who have that desire. This network will also be beneficial to the university itself, football programs have a chance to increase school’s revenue at any given time. Putting these different schools in the lime light will increase the chances to help up school’s revenue. Last but not least TBSB will be beneficial to families, friends, fans, and much more the people who are not able to make it to the games but would still love to support and cheer on these programs. With the click of a button all of their problems are solved with TBSB giving them the chance to watch not only the games of their loved ones but any other college football games of their choice.
Currently, I am in the process of finalizing the concept and sources of revenue, as of now my guaranteed sources of revenue will come from customers who sign up they will pay a monthly fee. My next source of revenue I want to work with television companies to have TBSB added to their channel listings and work with these different companies for another stream of revenue. These are my biggest “road blocks” at the moment. I also will have to find workers who are willing and dedica ...
SU_NSG6430_week2_A2_Pand
ey_R.docx
by Ram Pandey
Submission date: 04-Sep-2020 06:47PM (UTC-0400)
Submission ID: 1379955415
File name: SU_NSG6430_week2_A2_Pandey_R.docx (20.8K)
Word count: 685
Character count: 4114
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INTERNET SOURCES
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STUDENT PAPERS
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SU_NSG6430_week2_A2_Pandey_R.docx
ORIGINALITY REPORT
PRIMARY SOURCES
Submitted to South University
Student Paper
FINAL GRADE
/20
SU_NSG6430_week2_A2_Pandey_R.docx
GRADEMARK REPORT
GENERAL COMMENTS
Instructor
PAGE 1
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SU_NSG6430_week2_A2_Pandey_R.docxby Ram PandeySU_NSG6430_week2_A2_Pandey_R.docxORIGINALITY REPORTPRIMARY SOURCESSU_NSG6430_week2_A2_Pandey_R.docxGRADEMARK REPORTFINAL GRADEGENERAL COMMENTSInstructor
SOAP NOTE
Name: MT
Date:12/3/19
Time: 0930
Encounter 2
Age: 32
Sex: Female
SUBJECTIVE
CC:
“I need to start on birth control, I just don’t know which one to go on as there are so many to choose from.”
HPI:
30 -year-old Asian American female that presents to the clinic requesting to start birth control.
Medication: (list with reason for med)
PT is not taking any medication currently
PMH: None
Allergies: Does not have any food or drug allergies
Medication Intolerances: None
Chronic Illnesses/Major traumas:
Patient denies any medical trauma
Chronic Health Problems: No known chronic health problems
Hospitalization/Surgeries: None
Family History: Mother Healthy. Father HTN. Sister Healthy. Brother autism
Social History:
Social history is negative for ETOH and she denies past or present illicit drug use. Denies present use of tobacco. States she does exercise regularly, and is not on a specific diet. Pt is currently in school for accounting.
ROS
General:
Patient denies weight change, fatigue, fever, chills, night sweats, energy level
Cardiovascular:
Denies any episodes of chest pain, palpitations, syncope or orthopnea.
Skin:
Denies any skin lesions.
Respiratory:
Patient denies dyspnea. Denies cough
Eyes:
Patient states no changes in vision, no blurred or double vision.
Gastrointestinal:
Patient denies any change in appetite, denies nausea and vomiting. denies any bowel changes
Ears:
No recent hearing loss, tinnitus, denies any ear discharge or pressure.
Genitourinary/Gynecological:
Patient denies any itching, burning or discharge
Last PAP: 9/11/18
Mammogram: 11/2/18
Pregnancy: G4P3
Not on any contraception, is currently sex ...
Sheet1Risk Register for Project NameDateProject NameID No.RankRisAnastaciaShadelb
This document appears to be a risk register template for a project that lists risks by ID number, rank, description, category, root cause, potential triggers, responses, risk owner, probability, impact, and status. However, the document contains no further details to summarize as it appears to be an empty template.
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Final Project Topic
Final Project Topic
I selected the question: Analyze differences among research, evidence-based practice, practice-based evidence, comparative effectiveness research, outcomes research, and quality improvement. How do these practices affect nursing and patient outcomes?
Selected References
Davis, K., Gorst, S. L., Harman, N., Smith, V., Gargon, E., Altman, D. G., ... & Williamson, P. R. (2018). Choosing important health outcomes for comparative effectiveness research: An updated systematic review and involvement of low and middle-income countries. PloS one, 13(2), e0190695.
Davies, C., Lyons, C., & Whyte, R. (2019). Optimizing nursing time in a daycare unit: Quality improvement using Lean Six Sigma methodology. International Journal for Quality in Health Care, 31(Supplement_1), 22-28.
Eppley, K., Azano, A. P., Brenner, D. G., & Shannon, P. (2018). What counts as evidence in rural schools? Evidence-based practice and practice-based evidence for diverse settings. The Rural Educator, 39(2).
Fiset, V. J., Graham, I. D., & Davies, B. L. (2017). Evidence-based practice in clinical nursing education: A scoping review. Journal of Nursing Education, 56(9), 534-541.
Forsythe, L., Heckert, A., Margolis, M. K., Schrandt, S., & Frank, L. (2018). Methods and impact of engagement in research, from theory to practice and back again: early findings from the Patient-Centered Outcomes Research Institute. Quality of Life Research, 27(1), 17-31.
Gargon, E., Gorst, S. L., Harman, N. L., Smith, V., Matvienko-Sikar, K., & Williamson, P. R. (2018). Choosing important health outcomes for comparative effectiveness research: 4th annual update to a systematic review of core outcome sets for research. PloS one, 13(12), e0209869.
...
12
Capstone Project
Olivia Timmons
Department of Nursing. St. Johns River State College
NUR 4949: Nursing Capstone
Dr. C. Z. Velasco
November 14, 2021
Capstone Project
There is a saying that states one can only learn through doing it, practically and physically. It is the explanation as to why it is very important to implement the skills acquired in theory into practice to ascertain one’s competence. This is even more crucial in the medical field as they have no choice but just to be perfect at what they are doing, the only secret is through practice. Practicums connect the two worlds of theory and classwork, thus breaking the monotony alongside connecting what was taught in class with what happens in the field. They are important as apart from sharpening the student’s skills, they also open a window of opportunity and build up connections that will come in handy for the student later on. They will feel the experience and the pressure that comes with it thus preparing themselves accordingly.
Statement of the Problem
Timing is essential in the nursing field and the Emergency Room is notorious for its long wait times. The goal of a clinical laboratory is to deliver medically useful results for patients on a timely basis. This goal can be hindered by the new paradigm of the modern laboratory – “do more with less" (Lopez, 2020). When implementing new care models for patients, the patient perspective is critical. The objective of this study was to describe and develop an understanding of the information needs of patients in the ED waiting room concerning ED wait time notification (Calder, 2021). As a patient arrives at the ER waiting area, it's critical to have lab results for the provider to evaluate. I can give you an example of a patient that waited in the waiting room for over 3 hours, no labs were completed because they were waiting for the patient to go back into a room. The patient was suffering from a heart attack and his troponins were elevated and no one knew until 3 hours later. If POC labs were done on all patients as soon as they arrived, mistakes like these can be avoided. Completed POC blood can cut the wait times in half and the laboratory also won't be backed up on resulting lab specimens.
PICOT Question
Question: Is there a significant decrease in Emergency Department patient length of stay (LOS) for those whose blood was analyzed using POC testing versus those whose blood was analyzed using laboratory testing?
· P-Population= emergency room patients
· I-Intervention or Exposure= POC testing of blood specimens
· C-Comparison= Laboratory blood specimens
· O-Outcome= Decrease patient stay in the emergency room
· T-Time = N/A
History of the Issue
The length of patient stay in the emergency department (ED) is an issue that not only increases the severity of illnesses but also reduces the quality of patient care. Serious health conditions including diabetes and hypertension can worsen while patients are ...
12
First Name Last Name
Plaza College
MGT1003 Section 8 – Supervisory Management
Professor Aicha Cesar
Spring 2022
1. Do you believe that Joe Trosh has the right to carry a concealed weapon in the hospitaldue to being harassed for visiting casinos?
Part IA: The Purpose of the Report and the Problem
The purpose of the report is to solve the problem of whether or not Joe Trosh has the right to carry a concealed weapon in the hospital as a reason for self-defense against discrimination and harassment from the staff of a rural hospital in Oklahoma. According to the U.S. Equal Employment Opportunity Commission, harassment is a form of employment that violates Title VII of the Civil Rights Act of 1964, Age Discrimination Employment Act of 1967, and Americans with Disabilities Act of 1990 ("Equal Employment Opportunity Commission," n.d.).
The Equal Employment Opportunity Commission outlined that “harassment’’ based on race/color discrimination means unwelcome conduct that is based on color, religious background, sex, national origin, older age, disability, or genetic information that is based on medical history ("U.S. Equal Employment Opportunity Commission," n.d.).
Hirsch (2018) stated that the impact of discrimination on racism often creates challenges that the human resource manager is responsible for overcoming. In a workplace, racism is evident through macroaggression, defined as indirect, subtle, and unintentional acts of discrimination against marginalized groups.
Harassment based on stereotypes can affect an organization’s decision-making process in many ways, such as making a quick judgment without looking at the consequences. It also makes people feel preconceptions about a specific group of people leading to harsh treatment.in addition, harassment of stereotypes leads to fixed beliefs about the place of women and men in society.
Managers need to know about the Second Amendment right to bear arms and U.S. Supreme Court Cases that examine this issue because it will protect the hospital from legal matters ("Cornell Law School," n.d.). The District of Columbia v. Heller case in which the supreme court held in 2008 on the second Amendment regarding firearm possession. It gives one the right to possess firearms, independent of service in state militia use the guns for self-defense.
A potential legal issue the Supervisor must consider is how to handle discipline decisions that involve employees who have experienced discrimination through harassment by co-workers. According to the Oklahoma Self-Defense Act, it is “not right for a person to identify themselves as a licensed handgun or as lawfully in possession of any other firemen if the law does not demand information."
Part 1B The Research Experience
To perform my research, I began with online research. I used Google and searched for articles rights of carrying weapons to work as a form of self-defense and discrimination and harassment in the place of work.
I have foun ...
12Epic EMR ImplementationComment by Author 2 Need a AnastaciaShadelb
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Epic EMR Implementation
Comment by Author 2: Need a running head. Ex:
RUNING HEAD: Implementation of EMR
Implementation of Electronic Medical Records (EMR) Comment by Author 2: Your topic is very broad. You should have a unique identification of basically what you are trying to investigate with your research. Basically, you need to try to funnel it. For instance, The impact of the EMR on ...... Comment by Author 2: Also, the title doesn't tell the story of your research. Basically, the reader should be attracted to your topic just by reading the title. That is why is very broad and doesn't present an attractive meaning. Comment by Author 2: Example: The Implementation of EMR: Tjhe Role of Data in ... Comment by Author 2: Or, Barriers to Implementing the EMR in ....
HCIN 699-51 – B-2021/Summer
Applied Project in Healthcare Informatic
Dr. Chaza Abdul and Dr. Glenn Mitchell
Prepared by:
Name: Bolade Yusuf
Student ID: 273092
Harrisburg University
08/18/21
Table of Contents
INTRODUCTION 3
1.1 Background to research problem 3
1.1.1 Electronic Medical Records (EMR) 3
1.1.2 Patient’s Data 4
1.2 Problem Statement 4
1.3 Objectives 5
1.4 Research Questions 5
1.5 Significance of the Research 5
LITERATURE REVIEW 6
2.1 Introduction 6
2.2 Features of an Effective EMR 6
2.3 Barriers to adoption of EMR 8
2.4 Addressing EMR adoption barriers 9
2.5 Related Work 11
RESEARCH METHODOLOGY 12
3.0 Introduction 12
3.1 Research Philosophy 12
3.2 Research design 12
3.3 Study Population Sample 13
3.4 Sample Size and Sampling Procedure 13
3.5 Data Collection 14
DATA ANALYSIS AND FINDINGS 15
4.1 Data Analysis 15
4.2 Findings 15
4.3 Benefits of epic EMR 16
Conclusion 17
References 18
Appendix 1: Survey Questionnaire 20
Appendix 2:Survey Questions Response Analysis 21
INTRODUCTION1.1 Background to research problem
Health care is critical in any society. Managing patient’s data goes a long way in ensuring good treatment measures are taken. Health care information therefore must be collected correctly and stored in a manner which abides by the principled of confidentiality, integrity and accessibility (Kaushal et al., 2009). Data regarding a patient should be kept confidential as much as possible and only retrieved when needed. A good health records management system should be able to confidentially store patient’s data. Each patient should have an account within the system where their data is stored. Access to this data should be given on privileges basis and only to individuals who will use it for treatment of the patient. The patient’s data in a good health information management system should be of high integrity. Data should be collected from the source (the patient) and recorded during the collection process. Having an intermediary stage where data is recorded in in a secondary avenue before being transferred to the primary system could lead to errors thus compromising its integrity. A good health information management system should also ...
12Facebook WebsiteAdriana C. HernandezRasmussen UnAnastaciaShadelb
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Facebook Website
Adriana C. Hernandez
Rasmussen University
COURSE#: MA242/BSC2087C
Jenessa Gerling
05/01/2022
Thesis Statement: Facebook, which emerged as a standalone website, is used worldwide. Facebook has emerged as one of the 21st century's largest companies, with a consumer base of people who understand the word internet.
Title of Paper: Facebook Website
I. Introduction
A. Attention grabbing sentence about topic
Facebook, which emerged as a standalone website, is used worldwide. Skyrocketing revenues' simplified version of the term perception is a way of perceiving or viewing things and refers to how the brain knows how things are or processes things (Mosquera et al.,2020).
B. Thesis statement
Facebook, which emerged as a standalone website, is used worldwide. Facebook has emerged as one of the 21st century's largest companies, with a consumer base of people who understand the word internet.
II. First paragraph main point – topic sentence
The case in this study involves deciphering the website perception elements and related responses to the same crucial points as follows:
A. Supporting details (in-text citation for outside resource used as support/evidence)
1. Details about the supporting details
Sensory response refers to the way we respond to specific website visual elements. The website contains both a design pattern and a logo which most individuals worldwide are aware of today.
2. Details about the supporting details
The image of the logo is a letter f-like. The most dominant colour in the ad on Facebook is blue and white shades used to design and highlight the tangible symbol.
B. Supporting details (in-text citation)
There are also lines and shapes in the logo, and as mentioned, the logo lines include lines and a square box forming a bold character, 'f' and highlighting the Facebook company name (Plantin et al.,2018). Contrast and balance are also incorporated. There is contrast present and light colours in the image that easily distinguish the Facebook symbol from other symbols such as WhatsApp and YouTube. The balance is indicated in the proper depiction of the 'F' symbol, highlighting everything around the same.
C. Transition sentence
On the other hand, perceptual response refers to the number of groups of persons attracted to the ad and those not attracted.
III. Second paragraph main point – topic sentence
Though perceptual response targets a potential user base involving many people from any age group, ethnicity, or age, it is more dominant among the youth, in my view.
A. Supporting details (in-text citation)
The aged have no more time in the Facebook like the youth who are in desire remain informed and have interest in sharing their feelings and information through the platform (Plantin et al.,2018).
1. Details about the supporting details
The technical response involves specific elements, including buttons and dropdowns worldwide, which technically impact the user.
2. Details about the supporting details
T ...
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Experience
During my clinical placement in a neurosurgical unit, we would occasionalJy exa mine epilepsy
patients to document any seizures. These patients rarely require substantial nursing care, and
most are self-sufficient with only 1-2 prescriptions administered every six hours. I was working
an early shift, and my buddy nurse assigned me to three patients, one of whom was under
examination for a seizure. My buddy nurse handed me the drawer keys and indicated the
medication was in the side drawer when I went with my nurse to provide the patient medication.
Looking over the initial purchase, I began my safety check prior to dispensing the prescription
and discovered that it had expired in February 2019. I requested that my preceptor come over
and take a look at the package. She realized the medication was out of date when she noticed the
expiration date. She then went out of the room with the packaging. When she returned, she
indicated that she had reported the event to the NUM. I then inquired if there was anything else
we needed to do, but I was respectfully told to stay out of it. I took a set of vitals on the patient,
which were all normal, and the buddy nurse was given a new pack of medication that was still
usable. I felt accomplished at the end of my shift since I had followed the procedure for providing
the correct medication and had identified the problem. Being a part. of event reporting and alerting
the doctors, on the other hand, would have been a great experience. Overall, I followed NSHQS's
safety requirements and medication standards when performing my nursing responsibilities.
h
...
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Dissertation Topic Approval
Dissertation Topic Approval
Topic
How can the fourth industrial revolution technologies be used to address the current climatic issues facing the world?
General Reasoning
I selected this research topic because climatic change has become a major concern today, with world leaders and researchers trying to develop ways to address this concern. There are several adverse impacts of climatic change on the world. One of the adverse effects is that humans and animals face new challenges for their survival due to the consequences of climatic change. Climatic change has resulted in increased temperature levels in the world, rising sea levels, shrinking glaciers, and increased ocean temperatures. It has resulted in frequent and intense droughts, storms, and heat waves threatening animals' lives. It has also resulted in biodiversity loss due to limited adaptability and the economic implications of these climatic changes. One of the ways that can be used to deal with climatic issues is through the use of technology which can help reduce greenhouse gas emissions. The fourth revolution technologies such as the internet of things, artificial intelligence, and cloud computing can play a vital role in addressing these climatic challenges.
Potential thesis
The fourth industrial revolution technologies such as the internet of things, artificial intelligence, and cloud computing can play a vital role in addressing these climatic challenges; therefore, it is important to determine how these technologies can be utilized to achieve the environmental objectives of the world.
Thesis map for your Literature Review
The literature review will consist of articles that have been published over the five years. It will consist of journals and articles that have researched fourth industrial revolutions that can be used to address climatic change.
The research topic I selected for my dissertation is related to the program goals and core courses by addressing the revolution of technology and its applications in addressing the world's challenges.
...
12Essay TitleThesis Statement I. This is the topicAnastaciaShadelb
The document outlines the structure for a Rogerian argument essay on school uniforms. It provides instructions for introducing opposing viewpoints in three paragraphs, then addressing the proponents' viewpoints in three more paragraphs. It instructs to then write a paragraph presenting a compromise viewpoint. Each main point should have an introductory topic sentence, a quote or paraphrase with citation, commentary, and transitional statement. The outline concludes by stating the conclusion paragraph should reiterate the compromise and benefits of accepting it.
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Cyber Research Proposal
Cybersecurity in business
Introduction
Because of today's international economy, securing a company's intellectual property, financial information, and good name is critical for the company's long-term survival and growth. However, with the rise in risks and cyber vulnerability, most businesses find it difficult to keep up with the competition. Since their inception, most companies have reported 16% fraud, 37.7% financial losses, and an average of over 11% share value loss, according to data compiled by the US security. Most corporations and governments are working hard to keep their customers and residents safe from harm. There are both physical and cybersecurity risks involved with these threats. According to a recent study, many company owners aren't aware of the full scope of cybersecurity. People who own their businesses must deal with various issues daily.
Nevertheless, steps are being taken to address these issues. Customers and the company are likely to be protected by the measures adopted. Cybersecurity is one of the most pressing issues facing organizations today. Leaks of a company's intellectual property and other secrets may have devastating effects on its operations, as competitors and rivals will do all in their power to stop them. is an excellent illustration of this. This is perhaps the most talked-about security compromise of the year [footnoteRef:3]. The firm was severely damaged because of this. [1: "Database security attacks and control methods."] [2:q "Comprehending the IoT cyber threat landscape: A data dimensionality reduction technique to infer and characterize Internet-scale IoT probing campaigns."] [3: "The Equifax data breach: What cpas and firms need to know now." ]
Some individuals take advantage of clients by stealing highly important information to profit financially from their actions. For example, if the wrong individuals get their hands on your credit card information, you're in serious trouble since you might lose money. Some families lose all their resources, while others are forced to declare bankruptcy after being financially stable for a long period. Many of the findings of this study will be focused on cybersecurity and the sources of cybersecurity risks. The paper outlines a few of the issues and solutions that organizations may use to keep their operations and consumers safe from exploiting dishonest individuals.
Research question
According to the most recent study, more than 1500 companies have been exposed to some cybersecurity assault[footnoteRef:4]. This research details the specific types of attacks that have occurred. Organizational operations are affected, as is corporate governance, and the internal management of financial status is rendered ineffective due to these assaults. The question that will be investigated during the study is: [4: "Towards blockchain-based identity and access management for internet of things in enterprises."]
How doe ...
12Culture-centered leadership in Nursing ManagementNurseAnastaciaShadelb
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Culture-centered leadership in Nursing Management
Nurse Managers must work with staff to foster respect of different lifestyles. As a future manager, how can you provide culture-centered leadership to influence your team members and care for a culturally diverse patient population? Please incorporate concepts of cultural humility, sensitivity, or competence and one cultural theory into your response.
There are different ways in which one can provide culture-centered leadership to influence others. These include creating awareness of the issues that are affecting individuals in society, avoiding making assumptions, learning about other cultures, educating patients about medical practices, and practicing active listening (Quintana, 2018). Leaders should understand the importance of humility, competence, and being sensitivity when dealing with patients. They also need to teach nurses that everyone matters in society and therefore treating everyone right remains paramount.
References
Quintana, K. A. (2018). Cultural Diversity and Inclusion in Health Care. Leading and Managing in Nursing-E-Book, 62.
Lewis, L. D., & Steinert, Y. (2020). How culture is understood in faculty development in the health professions: a scoping review. Academic Medicine, 95(2), 310-319.
Hooker, K. (2019). Enhancing the patient experience: a challenge for leadership in health care (Doctoral dissertation, University of Pittsburgh).
...
This document provides an introduction to action research as a method for educational research. It discusses action research as a collaborative process that allows educators to address problems in their own practice and make improvements through a cycle of planning, acting, observing, and reflecting. The text is intended to help educators understand how to plan and conduct action research studies to inform instruction and enhance student outcomes.
12CORE SKILLS AND COMPETENCIESQuality Care Nursing SAnastaciaShadelb
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CORE SKILLS AND COMPETENCIES
Quality Care Nursing Skills
IV Certified/CPR Trained
Excellent Hospital Experience
Proficient Charge Nurse
Proficient Infection Control Preventionist
Excellent Interpersonal Communication Skills
Excellent Tracheotomy Care Skills
Proficient in Medication Administration
Excellent Evidence-Based Practice Skills
Excellent Vent Monitoring Skills
Great Team Player
G/NG-Tube Care
Excellent Multi-Tasking Skills
PROFILE
Highly motivated, meticulous, and ethical Registered Nursing professional with over 21 years of clinical nursing experience in dynamic, fast-paced environments. Has a comprehensive understanding of the skills needed to deliver quality care, administer medication and adhere to individualized patient plans while utilizing evidence-based practices. IV Certified and CPR trained Charge Nurse, with the demonstrated ability to provide outstanding tracheostomy care, vent monitoring, and facilitate the use of gastrostomy and nasogastric tubes. Practiced in the understanding of nursing guidelines, training, and procedures. Superior knowledge of medical databases, advanced technology, and equipment.
Regarded for outstanding organizational skills, critical thinking ability, and excellent interpersonal communication skills, with an outgoing, professional demeanor. Adaptable, patient, and clear-headed under pressure, prioritizing as needed. Dedicated advocate, acknowledged for answering questions and educating patients in a compassionate bedside manner. Collaborative team player, regarded for the ability to deliver exceptional care with the highest degree of professionalism. Enthusiastic in obtaining a full-time RN position, working in a supervisory capacity on a medical-surgical unit.
PROFESSIONAL EXPERIENCE
Infection Control Preventionist- Stoddard Baptist Global Care, Washington, DC.
(February 2021- Present)
Responsible for conducting rounds, discussing and monitoring infection prevention practices with staff members, collecting infection data from departments, training staff members on how to implement infection prevention practices, conducting outbreak investigation, maintaining records for each case of healthcare-associated infection, ensuring that supplies required for infection prevention activities are available, and inspecting incidents of infections and reporting them to the appropriate person or department.
Restorative Nursing Program Director- Stoddard Baptist Global Care, Washington, DC. (2019- Present)
Responsible for developing, implementing, directing, and evaluating the facility’s Restorative Nursing Program, ensuring that the restorative nursing program conforms to applicable laws, regulations, and national restorative nursing requirements and standards, performing administrative tasks such as care planning, charting, and reports, assisting with the enrollment and selection of restorative nursing staff, supervising subordinate restorative staff, counseling and disciplining restorative nursing ...
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Care Management
Kimberly Boynton
Grand Canyon University
HCA-699- Evidence Based Research Project
Edward Paulch
10/13/2021
Care Management
Care management is a term that refers to the activities carried out to improve patient care and reduce the need for medical services by enhancing care coordination and helping patients and caregivers to manage their healthcare conditions effectively. Care management utilizes several integrated programs which extend beyond current clinical care. Care management consists of several healthcare professionals, such as nurses, social workers, and patent educators. These healthcare management professionals work collaboratively to create a health care plan that will help meet the specific needs. Care management services include patient education, medication management, managing symptoms, and preventative testing. This essay aims to formulate a PICOT question associated with care management, describing the problem's background and identifying the key stakeholders.
Background of the Problem
The problem that is aimed to be solved in care management is high rehospitalization rates due to poor care management among adults. Older adults are at risk have several complex medical and social needs that are fatal and can result in high increased mortality rates among older adults if care management for these adults is not efficient and effective. These medical conditions and social needs result in rapid hospitalization of older adults, which can be prevented through care management ((Wideman, 2012). Although the united states government has put in place several regulations and policies to ensure that the care management offered to older people is the best, several challenges have made it impossible to meet goals that have been put in place. One of the challenges includes a lack of guidelines to address care transitions between the hospital and the nursing home. Standardized disease management approaches should be introduced in geriatric care management to help lower hospitalization rates of the intended population. One of the ways to improve the quality of geriatric care management is through the use of pay for performance incentives. Pay for performance incentives are offered to healthcare providers if they meet specific performance results instead of their work. This incentive will motivate the healthcare team responsible for geriatric care management to improve the quality of care, efficiency, and the overall care they will be providing for the older adults, resulting in reduced hospitalization rates.
Stakeholders
Several stakeholders are involved in the care management of older persons. These stakeholders are older adults, healthcare providers, the united states government, payers and policymakers, and the Medicare and Medicaid Services center. These stakeholders need to work together to ensure the successful implementation of the proposed solution. Implementing the proposed solution will help reduce t ...
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Compiled Comprehensive Research
Robert Benders
Columbia Southern University
BSL 4000- Managing Diversity in Organizations
Table of Contents
Executive Summary 3
Section 1: Benefits of Organizational Diversity 4
Assessment Findings in Miami, FL 4
Assessment Findings in Kansas 5
Recommendation to ELC 6
Section 2: Improving Organizational Culture 6
Assessment of Religious Beliefs and Practices and its Impact on Organization Culture 7
Assessment of Gender and Sexual Orientations and its Impact in Organization Culture 8
Plan of Action to Address Raised Concerns 9
Section 3: Gender and Work-Life Balance 10
Analysis of Demographics of Gender in Workplace 10
Advantages and Disadvantages Flexible Schedules and Responsibilities 12
Benefits of offering child and elder care in the organization 12
Work-Life Balances to Achieve Greater Results in Organization 13
Section 4: Age Demographics 13
Advantages and disadvantages of a younger workforce 14
Advantages and disadvantages of an older workforce 15
References 16
Executive Summary
Organizational diversity is a growing concern that takes various dimension. Fig Technologies that has been rocked with various issues relating to diversity. Executive Leadership Council contracted consultancy services on numerous diversity issues which Fig Technology was experiencing. Steps to improve organizational diversity have been covered in the detail in the project. First, benefits of organizational diversity are discussed on how to improve working conditions reported on Miami, Florida and Kansas City. Second, improving organizational culture is another area of interest that has been explored and emphasized by embracing religious diversity. Similarly, concerns raised on the perception on LGBTQ celebrations is addressed with recommendation made to ELC integrate diversity on the basis of gender and sexual orientation. Third, gender and work-life balance and lastly, question of age demographics and its dimension is analyzed and how can be applied to enhance organizational diversity.
Section 1: Benefits of Organizational Diversity
The workplace is becoming more and more diverse necessitated by globalization, cultural integration and the development of digital communications. Small to big organizations are operating in the global market. This requires an organization to embrace diversity to enable them successfully manage employees and customers from diverse backgrounds. It is commonly said that the world has become a global village. This simply means that the world has become more diversified creating demand for companies to adopt global corporate culture where employees from any part of the world can comfortably work without a feeling of estrangement (Inegbedion et al…, 2020). Benefits of organizational diversity is discussed by evaluating organizational environment in three locations-FL, Miami and MO. Assessment Findings in Miami, FL
Organizational culture in both offices has been perceived ...
4. and/or the emphasis on
punishing unwanted behavior rather than rewarding appropriate
behavior. Toch (2008)
suggests that behavioral management plans (i.e., behavior
control strategies implemented
by staff without inmate consent) that emphasize punishment
serve to intensify inmates'
resentment and solidify their resistance, even when they lead to
surface compliance. There
certainly is little reason to expect an “ah-ha” moment with the
extremely disruptive or
aggressive inmate unless the situational circumstances within
the institution change for
the inmate.
Therefore, in planning behavioral interventions, it is the task of
the mental health
professional to consult with and convince wardens and other
staff stakeholders that the
inmate is ultimately controlling things through disruptive
behaviors, and that a departure
from traditional responses, that is, a collaborative approach that
emphasizes positive
reinforcement, is necessary. Standards of care, such as those
offered by NCCHC (2008)
and the American Correctional Association (2004), as well as
features of settlement
agreements and consent decrees from other jurisdictions,
provide useful leverage for
moving correctional systems away from sole reliance on
traditional punitive custodial
practices and toward the development of more flexible and
effective behavioral treatment
strategies. A collaborative approach that appreciates and
incorporates both effective
custody and mental health practices tailored to the inmate's
6. Mental health care providers should bear in mind that BTPs
depend on the cooperation of
other staff, for whom the concept of the prisoner as patient, or
healthcare consumer, may
be utterly foreign. Hence, in formulating BTPs, it is vital to
bear in mind that staff must be
persuaded that BTPs have value and will benefit both the inmate
and the institution.
Additionally, staff must be reinforced for their cooperation.
Ideally, wardens and other
high-level administrators support these programs and recognize
staff for their
contributions.
Mental health, medical, and correctional staff may express
apprehension that meeting one
inmate's needs and making exceptions to standard correctional
practices via BTPs will
result in other inmates doing the same thing, the perceived
failure of the system, the
perception of inmates being in control, and the perception of
giving in. However, this
apprehension can easily be countered with the notion that when
these behaviors are not
properly treated, they can have a dramatic impact on facility
operations, including
increased staff injury and the canceling of visits, programs,
recreation, and other activities
important to inmates. Additionally, with regard to control
issues, it is the chronically
disruptive inmate who ultimately controls things anyway (e.g.,
provoking use of force,
compelling staff to expend more time in paperwork) through his
or her behavior. The key is
to accept that current punitive strategies are not effective with
8. change would be considered
a traditional behavior management plan, and as previously
noted, with such plans there is
the danger of increasing inmate resistance, the frequency of
disruptive behaviors, and an
adversarial relationship between staff and inmates. If the inmate
can be persuaded to
become an active partner in the treatment process; can see value
in developing alternative,
more acceptable behavioral patterns; and can be convinced to
work collaboratively with
staff, then behavioral change through BTPs becomes possible
and more likely to succeed.
Hence, if the inmate's cooperation cannot be obtained, perhaps
because maintaining the
control that exercising the problem behavior affords him or her
is extremely reinforcing, or
because no adequate reinforcement for more appropriate
behavior can be found, it is
recommended that a BTP be introduced on a much smaller scale.
Perhaps in this instance,
a first step would be to build trust through a small verbal
agreement such as providing out-
of-cell time for a shift of adaptive behaviors. Whereas formal
signed contracts may not be
needed if a verbal agreement can be obtained, it is important to
ensure that the inmate is
involved in the plan. As previously noted, improperly designed
behavioral interventions can
exacerbate problem behaviors.
Summary and Conclusions
This chapter has focused on disruptive inmate behaviors as well
as possible motivations
for these behaviors. It has reviewed treatment strategies
designed to ensure safety and
9. security through a collaborative approach designed to reduce
these behaviors. The
challenge for correctional staff is to reshape inmate demands
into something acceptable
to the institution through the reinforcement of appropriate,
adaptive behaviors. Most
systems can find the balance between care and safety in the
service of change and good
outcomes, as long as there is collaboration and clear
communication. It is clear that in
addition to those who meet typical criteria for serious mental
illness, there is a small group
of inmates with personality disorders or other mental health
symptoms whose extreme
behaviors require unique interventions based on behavioral
principles. Although these
interventions may be time- and labor-intensive and may meet
initial resistance from
correctional staff, their long-term benefits may warrant their use
with some offenders
when more traditional correctional management techniques
prove ineffective.
While the “mad” versus “bad” dilemma has a long history in
corrections, behaviors
attributed to either must be addressed collaboratively and based,
at least in part, on
behavioral principles. Recent standards of care, legal cases, and
heightened awareness
are moving correctional facilities toward making
accommodations for those whose
mental illness or symptoms (e.g., impulsivity) prohibit them
from progressing within the
framework of traditional correctional practices. This is leading
to best practices as
detailed in this chapter. Although several obstacles still exist,
11. factored suicide prevention programs appear most effective in
the prison environment.
Using trained inmates to provide social support to suicidal
inmates is promising. Staff
attitudes toward training programs were generally positive.
Keywords best practice, inmates, prison, suicidal behavior
INTRODUCTION
Research has consistently shown higher
suicide rates in prisons and jails worldwide,
when compared to the general population
(Dooley, 1990; Hayes, 1994; Hayes &
Blaauw, 1997). The prison environment
presents many predictors of suicidal beha-
viors which are unique from the general
population. Risk factors of suicidal
behaviors in prisons could be divided into
four distinct categories:
. Demographic risk factors including
being a young male, having prior crimi-
nal history, low education level, White
race, and being of single marital status
(Daniel & Fleming, 2006).
. Clinical factors including personal and
family history of psychiatric problems,
and dysfunctional family lives including
parental substance abuse and violence
(Laishes, 1997), and Axis I and Axis II
Color versions of one or more of the figures in
the article can be found online at www.tandfonline.
12. com/usui.
Archives of Suicide Research, 18:227–240, 2014
Copyright # International Academy for Suicide Research
ISSN: 1381-1118 print=1543-6136 online
DOI: 10.1080/13811118.2013.824830
227
psychiatric disorders (Daniel & Fleming,
2006).
. Psychosocial factors such as poor cop-
ing methods, stressful life events, past
suicide attempts, receiving a new charge
or conviction, and experiencing shame
or guilt (Daniel & Fleming, 2006), and
family conflict (Laishes, 1997).
. Institutional factors such as overcrowded
conditions, bullying and harassment,
recent disciplinary action (Kovasznay,
Miraglia, Beer et al., 2004), being in a
new environment (Winkler, 1992),
sentences of life imprisonment, being
held on remand (Fazel, Cartwright,
Norman-Nott et al., 2008), lack of staff
supervision, isolation, and sensory depri-
vation of suicidal inmates (Daniel, 2006).
Rising prison suicide rates since the
1980’s have seen an increase in the study
of suicide in prisons (Daniel, 2006), and
the introduction of new suicide prevention
13. programs (SPP’s) and policies. For example,
the World Health Organization (WHO) in
collaboration with the International Associ-
ation for Suicide Prevention (IASP) released
the guideline ‘‘Preventing suicide. In Jails
and Prisons’’ in 1999. However, despite
the increased attention, there still seems to
be lack of evidence-based activities and
programs focusing on reducing suicidal
behaviors in prisons.
The aim of current review is to system-
atically analyze existing literature on suicide
prevention activities in prisons, which have
been tested for their effectiveness.
Methodology
A search was conducted of English-
language, peer reviewed articles published
between 1990 and 2012. The search
terms applied in SCOPUS, MEDLINE,
PROQUEST, and Web of Knowledge
were ‘‘suicid�,’’ ‘‘prevent�,’’ ‘‘prison,’’ or
‘‘correctional facility.’’ The initial search
of the databases returned a total of 538
articles, with another 7 articles being added
after checking the reference lists of the
articles retrieved by the search. These 545
articles were then limited to 99 after con-
sideration of the titles (Figure 1). The
abstracts of these 99 articles were then read
and reviewed according to the following
criteria:
14. Studies that present an overview of
suicide prevention activities in the
correctional setting, and include an
analysis of effectiveness measured in
incidence of suicidal behaviors or a
changing of staff=inmates attitudes.
Studies were excluded if they did not
appropriately test the impact of suicide
prevention activities (i.e., solely presenting
numbers of suicides occurring while the
suicide prevention program was in place
without any comparison to numbers before
program implementation), if they were too
outdated, were not focused specifically on
suicide prevention within prisons, or if
they simply provided an overall summary
of various suicide prevention recommen-
dations without any support of the effec-
tiveness of these recommendations.
RESULTS
A total of 12 articles fulfilled the selected
criteria and are presented here in more
detail (see Table 1 for a summary). Out
of the 12 studies, 7 were conducted in
the United States, 2 in the United Kingdom
and 1 in Canada, Austria, and Australia. Six
of these studies involved multi-factored
suicide prevention programs. Two of the
studies were peer focused suicide preven-
tion activities. The other four studies
included changes to the referral and care
of suicidal inmates in prison mental
health services, risk management skills
15. based training for prison staff, changes in
Managing Suicide and Self-Harm in Prisons
228 VOLUME 18 � NUMBER 3 � 2014
legislation and a specific suicide prevention
program targeted at inmates with Border-
line Personality Disorder.
Multi-Factored SPPs
In 1986, the Galveston County Jail in
the US implemented an SPP based on the
principles listed by Felthous (1994), includ-
ing screening new inmates, giving specific
attention to inmates during risky periods
such as the 3 days before and after a court
hearing, providing psychological support
for inmates, and avoiding the isolation of
suicidal inmates. The study also noted that
the use of trained inmates to provide com-
pany for inmates housed in isolation should
FIGURE 1. Flow chart of the identification, screening,
eligibility assessment, and inclusion of articles.
E. Barker, K. Kõlves, and D. De Leo
ARCHIVES OF SUICIDE RESEARCH 229
138. g
ra
m
.
232 VOLUME 18 � NUMBER 3 � 2014
not replace staff observation, and that
closed-circuit television (CCTV) should not
replace personal observation and interac-
tion at least every 15 minutes (Felthous,
1994). According to Felthous (1994)
inmates should be disarmed from poten-
tially dangerous items depending on suicide
risk, and suicide prevention procedures
should be applied consistently, with clear
outlines as to the responsibilities of invol-
ved persons (Felthous, 1994). Finally,
inmates who were psychotically disturbed
were provided access to psychiatric hospi-
talization when possible. Although the
author notes the empirical testing of prison
SPP’S is difficult to achieve, the impact of
the application of these principles can be
seen by the reduction in suicide deaths
(Felthous, 1994). During the period from
1986 (when the program was implemented)
to 1994 (when the article was published) no
suicide deaths occurred in the jail, com-
pared to seven suicides between 1976 and
1986 before the program began. This vast
reduction is despite the jail population
having more than doubled since 1986
(Felthous, 1994).
139. Similar to the previous study, Hayes
(1995) reported on the effectiveness of
the SPP at the Elayn Hunt Correctional
Centre (EHCC) in Louisiana, US. The
prison acts as both an intake and assess-
ment point for male offenders committed
to the Louisiana Department of Public
Safety and Corrections, and as a permanent
housing facility for sentenced prisoners.
The SPP tested at EHCC addressed the
six main components of a successful pro-
gram as listed by Hayes (1995), including
staff training, intake screening=assessment,
appropriate housing of suicidal inmates,
appropriate levels of supervision according
to active suicide risk, intervention proce-
dures in the event of an attempt (staff first
aid and availability of an ambulance for
transportation to hospital), and adminis-
trative review following a suicide. Between
the period of 1983 and 1994, 57,091
inmates were processed through the EHCC
adult reception and diagnostic center
(ARDC), only one of whom completed sui-
cide (Hayes, 1995). This was coupled with a
significant reduction in suicide in prisons
all across the state after the introduction
of a departmental suicide review committee
in 1992, to aid in coordinating suicide pre-
vention practices across the state’s 11
prison facilities and to supplement internal
investigations. Since the introduction of
this committee, Louisiana’s suicide rates
dropped from a rate of 23.1 per 100,000
140. between 1984 and 1992 to 12.4 per
100,000 inmates during 1993 (Hayes, 1995).
A large metropolitan County Deten-
tion Centre (CDC) in the US experienced
nine suicides within 24 months, a much
higher rate than the national average
(Hayes, 1997). Reasons for this high rate
were attributed to lack of staff supervision,
inadequate response time by medical staff,
hazardous cell conditions, and inadequate
staff training (Hayes, 1997). Following
these nine suicides, a comprehensive sui-
cide prevention program was implemented
to resolve these shortcomings, including
improved staff training through the intro-
duction of 8 hour suicide prevention train-
ing sessions as well as 2 hours of refresher
training each year, identification=screening
of all inmates on intake and for all inmates
identified as being suicidal during their
incarceration, improved communication
between staff, the availability of suicide
resistant housing, and appropriate staff
intervention and use of first aid and cardio-
pulmonary resuscitation (CPR) when sui-
cide attempts occur (Hayes, 1997). In the
18 months following the nine inmate sui-
cides and the implementation of the new
suicide prevention program, no further
suicides were recorded (Hayes, 1997).
Also in the US, Freeman and Alaimo
(2001) provided an outline of an effective
SPP applied in the Cook County Depart-
ment of Corrections (CCDOC), the third
141. largest pre-trial detention system in the
E. Barker, K. Kõlves, and D. De Leo
ARCHIVES OF SUICIDE RESEARCH 233
country. This program included the mental
health screening of all new detainees
(utilizing structured questionnaires, clinical
observation, and previous staff member
experience to detect high risk individuals),
staff member training, inpatient care and
monitoring of suicidal inmates, emergency
procedures such as close observation and
the use of medical restraints for highly sui-
cidal inmates, and follow up treatment
once inmates were stabilized (Freeman &
Alaimo, 2001). The care of inmates per-
sisted after they were released back into
the general prison population; with a crisis
team available at all times (Freeman &
Alaimo, 2001). Finally, the SPP introduced
new training procedures for correctional
officers with regards to better identification
of the mental health needs of the prison
population. One unique factor of this pro-
gram was the community linkage of detai-
nees who were suicidal. This involved the
petition to the court to have inmates who
remained suicidal on release, committed
to a state hospital for further treatment.
Since 1990, after the implementation of
the SPP at CCDOC, suicide rates were
reduced to less than 2 per 100,000 admis-
142. sions at the prison (Freeman & Alaimo,
2001). This low rate is impressive consider-
ing departments which hold pre-trial
inmates have been shown to generally have
higher incidences of suicide than those
which detain inmates on longer sentences
(Blaauw, Kerkhof, & Hayes, 2005). How-
ever, authors did not provide a baseline
rate for CCDOC, though it was noted that
suicide rates across New York State
showed an average of 42.2 suicides per
100,000 admissions between 1988 and
1997 (Freeman & Alaimo, 2001).
Two of the studies involved multi-
factored SPP’s implemented in prisons
across New York. The first, by Cox &
Morschauser (1997), focused on a multi-
factored SPP addressing increasing prison
suicide rates in New York Prisons between
1983 and 1984. The program was named
the ‘‘Local Forensic Suicide Prevention
Crisis Service Program’’ and was imple-
mented in 57 counties, with revisions made
in 1993 to keep the program up to date
(Cox & Morschauser, 1997). This program
included many components seen in previ-
ously mentioned programs such as inmate
screening, supervision of high risk inmates,
and staff training. In addition, it included
details of the review process after a suicide
occurs to prevent future incidents, and
staff debriefing to provide support for
staff involved in the incident (Cox &
Morshauser, 1997). Cox and Morschauser
143. (1997) report that the program had great
success across the state, with a decrease
in suicide numbers from 26 in 1984 to 9
in 1996, despite a doubling in the jail popu-
lation. Strengthened relationships between
prisons and mental health agencies were
also reported by 78% of respondents
(Cox & Morshauser, 1997).
The second, more recent, study from
New York focused on a program imple-
mented by NYS Department of Correc-
tional Services (DOCS), Bureau of
Forensic Services (BFS), and the Central
New York Psychiatric Centre (CNYPC).
Similar to other studies, measures included
an improved process for the review of
suicides, with each completed suicide
undergoing a psychological autopsy and a
special investigation, and quality assurance
reviews for both completed suicides and
serious non-fatal attempts (Kovasznay,
Miraglia, Beer et al., 2004). Clinical Policies
and procedures were improved through
changes to the inmate service level classi-
fication process, the admittance of inmates
into the observation unit, methods to
engage reluctant inmates with appropriate
treatment, and modification of observation
cells for enhanced safety (Kovasznay,
Miraglia, Beer et al., 2004). Despite fluctua-
tions, suicide showed an overall declining
trend (dropping from 15.8 per 100,000 in
1993 and 24.4 per 100,000 in 1994 to
10.2 per 100,000 in 2001, 19.4 per
144. Managing Suicide and Self-Harm in Prisons
234 VOLUME 18 � NUMBER 3 � 2014
100,000 in 2002). Kovasznay, Miraglia,
Beer et al. (2004) suggest that it is related
to these measures implemented as well as
quality assurance reviews, an increase in
mental health staff in prisons, and the col-
laboration between DOCS and mental
health agencies.
Peer Focused Prevention Activities
The potential for using other inmates
as suicide prevention has come to attention
due to suggestions that inmates are more
able to relate to the experiences of their
peers, therefore being more likely than staff
to gain the trust of other inmates (Laishes,
1997). The SAMS in the Pen, peer SPP was
implemented in a medium security facility
in Southern Alberta, Canada. The program
was created by collaboration between the
prison and the Samaritans of Southern
Alberta (SAMS; an inmate suicide preven-
tion group). Training was provided to
selected inmates covering topics such as
the concept of befriending, effective and
active listening, nonverbal communica-
tions, the nature of mental illness, suicide
prevention and intervention, and policies
and procedures of SAMS (Hall & Gabor,
2004). After participation in the program,
145. the general inmate population, as well as
SAMS volunteers, perceived the program
to be quite helpful, however correctional
staff were not as certain about the effec-
tiveness (Hall & Gabor, 2004). Professional
staff (parole officers, mental health work-
ers, chaplains) were more impressed than
correctional officers about the accessibility
of the program and its helpfulness (Hall
& Gabor, 2004). The program appeared
to have potential for suicide prevention,
with suicide deaths lowering from four
suicides in the 5-year period before
implementation, to two completed suicides
during the 5-year period of the program
(1995–2000). Unfortunately, due to low
absolute numbers it was not possible to
demonstrate effectiveness statistically.
However, Hall and Gabor (2004)
concluded that the comments from parti-
cipants and the low suicide rate over the
duration of the program indicated the pro-
grams potential for suicide prevention.
The Inmate Observer Program (IOP)
implemented at a Federal Bureau of
Prisons Medical Referral center, specifically
aimed to prevent the negative effects of
isolation through the use of inmate obser-
vers in the correctional setting (Junker,
Beeler, & Bates, 2005). During the 24-week
study period, 82 suicide watches were
initiated for 37 individuals who were placed
on suicide watch in an inpatient restricted
housing unit. These inmates were obser-
146. ved through direct observation by trained
inmate observers as well as staff obser-
vation through CCTV and rounds by staff
(Junker, Beeler, & Bates, 2005). The num-
bers of suicide watches in the 12-week per-
iod prior to the program were compared to
the 12 weeks following, with watches being
reduced from 48 to 33 (31.25% reduction),
however this reduction was not significant
(p ¼ 0.096) (Junker, Beeler, & Bates,
2005). Nevertheless, one group of inmates,
those with personality disorders had signifi-
cantly fewer watches than before program
implementation (p ¼ 0.033). The mean
hours on suicide watch was then analyzed
before and after initiation of the program.
Before implementation, inmates spent an
average of 108.88 hours on suicide watch,
which was reduced significantly to 64.5
hours after implementation (p ¼ 0.036)
(Junker, Beeler, & Bates, 2005).
Other Studies
In 1975, law reforms in Austria
imposing fewer long term sentences, more
suspended sentences, more frequent release
on parole, and special requirements for the
management of mentally ill offenders
(those not guilty by reason of insanity,
E. Barker, K. Kõlves, and D. De Leo
ARCHIVES OF SUICIDE RESEARCH 235
147. highly dangerous and mentally ill offenders,
and alcohol and drug addicted offenders)
were expected to lower prison suicide rates
(Fruehwald, Frottier, Eher et al., 2000). The
reform also saw an increase in staff, impro-
ved staff training, and better facilities to
treat mentally ill inmates. Fruehwald, Frot-
tier, Eher et al. (2000) analyzed the statisti-
cal reports from the Ministry of Justice
between 1947 and 1996 to get an overview
of annual suicide rates over this time per-
iod. It was found that despite the measures
implemented to reduce suicide and a lower-
ing of the prison population, the rates of
suicide increased significantly since 1947
(6 suicides or 48.6 per 100,000 in 1947, to
20 suicides or 294.4 per 100,000 in 1996).
Authors stated that this increase may be
partly attributed to the fact that the reform
saw only highly dangerous or violent offen-
ders incarcerated; a population which has
been shown to have increased suicide risk.
Furthermore, despite the reduced prison
numbers, the housing arrangement of pris-
oners remained much the same, which may
have still given inmates the impression of
unpleasant overcrowded conditions
(Fruehwald, Frottier, Eher et al., 2000).
Eccleston and Sorbello (2002) pre-
sented an Australian program adapted from
Dialectical Behavior Therapy (DBT), which
was piloted in Victoria, called RUSH (Real
Understanding of Self-Help). The program
aimed to teach offenders with Borderline
148. Personality Disorder (BPD) more adaptive
coping skills, to reduce suicide and self-
harming behavior, and reduce recidivism
by addressing underlying criminogenic
needs (Eccleston & Sorbello, 2002). Five
groups participated in the program, with
group A comprising inmates who were
highly vulnerable to suicide, group B com-
prising violent offenders, group C, vulner-
able and first time offenders under the
age of 25, and groups D and E, protection
offenders. Quantitative evaluations were
conducted before and after participation
in the program using the depression,
anxiety, and stress scale (DASS) (Lovibond
& Lovibond, 1995). It was found that the
majority of participants experienced a
decline in Borderline Personality Disorder
symptoms during the program, particularly
groups B, C, and E (Eccleston & Sorbello,
2002). Interestingly, groups A and D
showed a reduction in stress, but an
increase in depression and anxiety. The
author noted that this may be attributed
to the fact that these participants had less
group experience than the other groups,
and therefore had more difficulty identify-
ing feelings of depression and anxiety on
entering the program. This prediction was
supported by participant feedback, with
those inmates who had little group experi-
ence admitting that they had denied symp-
tomology when completing the initial
questionnaire (Eccleston & Sorbello, 2002).
Qualitative analysis of facilitator therapy
149. notes showed that most participants had
high levels of motivation and commitment,
actively demonstrated the RUSH skills,
established group cohesion quickly and
regularly confirmed the programs useful-
ness during the program and in formal
feedback administered during the last
session (Eccleston & Sorbello, 2002). Cor-
rectional officers perceived the program to
be useful; indicating anecdotally that the
self-harming and dysfunctional behavior
had declined in participants.
To address criticism of staff suicide
prevention training in England and Wales,
a well-known suicide prevention training
package called Skills-Based Training on
Risk Management (STORM) was adapted
to fit the prison setting (Hayes, Shaw,
Lever-Green et al., 2008). The program
was evaluated at two adult male establish-
ments and one juvenile offender establish-
ment, through measurement of staff
attitudes to the training (using the adapted
Attitude to Suicide Prevention Scale). Fur-
thermore, a measure of knowledge about
suicide was developed for the study, and
a measure of self-efficacy was used to
Managing Suicide and Self-Harm in Prisons
236 VOLUME 18 � NUMBER 3 � 2014
evaluate staff confidence in their abilities
150. and satisfaction with the training. Results
of surveys completed before and after the
training showed a significant improvement
in scores for attitudes, knowledge, and con-
fidence (Hayes, Shaw, Lever-Green et al.,
2008). The majority of staff were satisfied
with the program with 78% enjoying the
course, 95% saying they would recommend
it to colleagues and 94% finding the skills
and techniques learned to be relevant to
the prison setting. The videotaping of role
plays was perceived to be the least helpful
part of the training, with only 42% of
participants reporting satisfaction with this
activity. Follow up surveys issued 6–8
months after program completion had
poor response rates (38%) making inter-
group comparisons difficult (Hayes, Lever-
Green et al., 2008).
Another paper from the United
Kingdom by Shaw and Humber (2007),
specifically focused on improvements to
prison mental health services in the UK.
The article presented the introduction of
suicide prevention procedures, namely the
Assessment, Care in Custody and Team-
work (ACCT) process, in which any staff
member can seek mental health services
for an inmate who appears to be at risk
of suicide. After being identified, these
individuals will be monitored, assessed,
and provided with a plan of care, all of
which will be supervised by a case manager
(Shaw & Humber, 2007). After the
implementation of these procedures there
151. was a decline in the prison suicide rate
from 127 per 100,000 in 2004 to 90 per
100,000 in 2006. Shaw and Humber
(2007) noted that this cannot yet be con-
sidered a definite trend as prison suicide
rates may fluctuate.
DISCUSSION
Prison SPP’s are difficult to empirically
asses, and as the study by Fruehwald,
Frottier, Eher et al. (2000) indicated, the
success of SPPs may rest partly on the
characteristics of the individual prisons
being analyzed. Despite this, the current
literature shows that multi-factored suicide
prevention programs focusing specifically
on reducing unique risk factors for suicide
in prison have the potential to lower the
incidence of suicide. Programs are most
likely to succeed when implemented as
prisoners arrive and are maintained until
inmates leave the facility. Effective multi-
factored programs may include screening
and assessment of inmates on intake,
improved staff training, post intake obser-
vation for suicide risk, monitoring and
psychological treatment of suicidal inmates,
limited use of isolation and increased social
support, and adequate and safe housing
facilities for at-risk individuals (Cox &
Morschauser, 1997; Felthous, 1994;
Freeman & Alaimo, 2001; Hayes, 1995;
1997; Kovasznay, Miraglia, Beer et al.,
2004). Procedures implemented after a
152. suicide or serious suicide attempt, such as
internal and external review processes
and staff debriefing and support can also
aid in preventing further incidents and
lower the burden of these events on staff
(Cox & Morshauser, 1997). Successful
SPPs in the prison environment do not
appear to be limited to multi-factored
programs. While still in the early stages of
development, programs aimed at pro-
viding support and observation of suicidal
prisoners through the use of trained
inmates may help to prevent suicides
and limit the negative effects of isolation
(Hall & Gabor, 2004; Junker, Beeler, &
Bates, 2005). However, despite positive
results, these inmate observers must be
carefully selected and trained, and inmate
observation must be coupled with frequent
observation by trained staff members
(Junker, Beeler, & Bates, 2005). If inmates
are not carefully selected there exists the
risk of volunteers misusing the program
to facilitate social visits, illegal activities or
E. Barker, K. Kõlves, and D. De Leo
ARCHIVES OF SUICIDE RESEARCH 237
transferring information (Hall & Gabor,
2004).
All except one of the programs evalu-
ated (Fruehwald, Frottier, Eher et al., 2000),
153. achieved positive outcomes. Three of the
studies reported decreases in suicide rates
(Freeman & Alaimo, 2001; Kovasznay,
Miraglia, Beer et al., 2004; Shaw &
Humber, 2007), while four studies obser-
ved changes in suicide numbers (Cox &
Morschauser, 1997; Felthous, 1994; Hayes,
1997; Hall & Gabor, 2005). One study
found both changes in numbers at the
particular prison where the program was
implemented as well as changes in rates
state-wide after the introduction of a
committee to co-ordinate the states suicide
prevention practices (Hayes, 1995). The
study which evaluated staff attitudes to an
improved training program retrieved posi-
tive results (Hayes, Shaw, Lever-Green
et al., 2008), as did the study analyzing
the mean number of hours prisoners spent
on suicide watch before and after imple-
mentation of a peer observer SPP (Junker,
Beeler, & Bates, 2005). Eccleston and
Sorbello (2002) found that the SPP targeted
specifically at individuals with BPD gener-
ally achieved a decline in BPD symptoms
during participation in the program. The
study by Fruehwald, Frottier, Eher et al.
(2000) found that suicide rates continued
to rise after the implementation of new
policies and procedures regarding suicide
prevention. However, this was the only
study that analyzed a longer period (50
years) across a whole country (Fruehwald,
Frottier, Eher et al., 2000). Furthermore,
the author partly attributed the rise to the
fact that the change in legislation resulted
154. in mainly highly violent offenders, who
are known to have a higher risk of suicide,
being housed in the prison (Fruehwald,
Frottier, Eher et al., 2000). The main find-
ing of the current literature review was that
there may be potential to reduce the occur-
rence of prison suicides, however this
appears to depend on programs addressing
all four major categories of risk specific to
prison suicides including demographic,
clinical, psychosocial and institutional
factors, through the use of comprehensive
multi-factored prevention programs. Fur-
thermore, the review indicates that the
progression of suicide prevention practices
around the world varies greatly from one
country to the next, with innovative SPP’s
such as the use of trained inmate observers
achieving positive results when carefully
implemented.
Limitations
The studies presented in this literature
review have several limitations which
should be noted. Due to the nature of
prison suicides, and the inability to use
controls to empirically test programs by
withholding treatment from some indivi-
duals (Felthous, 1994), most studies in this
review had to rely solely on changes in sui-
cide numbers or rates (Cox & Morschauser,
1997; Felthous, 1994; Freeman & Alaimo,
2001; Hayes, 1997, 1995) or perceived
changes in attitudes from staff and inmates
155. (Hayes, Shaw, Lever-Green et al., 2008). It
is noted that prison suicide numbers are
always fluctuating, meaning that small
changes may be difficult to attribute to
the implementation of a SPP (Shaw &
Humber, 2007). Other limitations include
small sample or group sizes due to partici-
pant attrition in follow-ups (Hayes, Shaw,
Lever-Green et al., 2008) or during the
course of the program (Eccleston &
Sorbello, 2002), problems with program
implementation due to the prison environ-
ment, prisoner behavior and attitudes, and
the complexity of some parts of the pro-
gram (Eccleston & Sorbello, 2002) and
poor generalizability of results from the
prison mental health setting to other prison
environments (Junker, Beeler, & Bates,
2005).
The current systematic literature
review was not without limitations itself.
Managing Suicide and Self-Harm in Prisons
238 VOLUME 18 � NUMBER 3 � 2014
Firstly, the review was limited to articles
published in English, which may have
resulted in the exclusion of some studies.
In fact, the majority of the studies included,
and all multi-factored SPPs were from the
US, and all of the studies came from
Westernized nations. Furthermore, there
156. may be unpublished reports that were not
found through our searches. Some studies
which were included in the systematic
review were not able to evaluate their
programs through changes in suicide rates
or numbers, meaning they depended on
personal perceptions which might be
less reliable. Finally, there is a possibility
of publication bias and studies which
retrieved undesirable results have not been
published.
CONCLUSIONS
Prison suicide is a major problem world-
wide, with prisons constantly showing
higher suicide rates than the general
population (McArthur, Camilleri, & Webb,
1999). This indicates the need for effective
suicide prevention programs in the prison
environment. Findings of the review dem-
onstrate that well known therapies or
programs such as DBT and the STORM
training package may be successfully
adapted for use in the prison setting,
indicating the potential to similarly adapt
other existing therapies or programs. Those
suicide prevention programs utilizing vari-
ous methods such as initial screening, staff
training, increased observation and moni-
toring, safer physical environments, mental
health services including external hospitali-
zation, reduced use of isolation, and post
suicide debriefing and staff support have
been found to be the most effective at
reducing suicidal behaviors in prisons.
157. Despite the effectiveness of multi-factored
programs it is important in the future to
continue considering the unique charac-
teristics of the prison environment by
including innovative methods such as the
use of trained inmates as observers to
reduce the problem of understaffing in
prisons.
The review highlights the lack of
current research and the need for future
studies analyzing the effectiveness of sui-
cide prevention practices in prisons. The
known general fluctuation of prison suicide
rates and the fact that the article analyzing
suicide prevention measures over the long
term was the only one to return negative
results, indicates the importance of studies
covering longer periods of time to lend
strength to current positive findings.
AUTHOR NOTE
Emma Barker, Kairi Kõlves, and Diego
De Leo, Australian Institute for Suicide
Research and Prevention; National Centre
of Excellence in Suicide Prevention; and
World Health Organization Collaborating
Centre for Research and Training in
Suicide Prevention, Griffith University,
Queensland, Australia.
Correspondence concerning this article
should be addressed to Diego De Leo,
AISRAP, Griffith University, Mt. Gravatt
158. Campus, Mt. Gravatt, QLD 4122, Australia.
E-mail: [email protected]
FUNDING
This review was supported by the Queens-
land Corrective Services.
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