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CHANGE PROPOSALPRESENTATIONFORFACULTY REVIEW
Capstone Project Change Proposal Presentation for Faculty Review and Feedback
Name
Name of the institution
Date
Running head: ASSIGNMENT TITLE HERE
1Running head: CHANGE PROPOSAL PRESENTATION FOR FACULTY REVIEW
Intervention
The capstone change proposal is effects of disproportionate nurse to patient staffing ratios on the quality of patient care. Patients can be exposed to several safety issues if proper care is not given to them. These problems include falls, hospital-acquired infection due to poor hand hygiene by the healthcare workers, medication administration errors, poor health education to the patients, and negligence in attending to the spiritual needs of the patients. Interventions includes presenting the safety concerns to the management team of the facility to enable them to hire more nurses to deliver adequate care to the patients. In-service training of the nurses on fall prevention, proper application of fall precautions and identification of patients who are at risk of falls are another important intervention. Proper hand hygiene is an intervention that will prevent hospital-acquired infections and nurses should form the culture of doing it (Sands, & Aunger, 2020). Medication errors can lead to complications or death of patients. Nurses should check the medications properly and identify the patients before administration of the medications.
Evidence Based Literature
The articles reviewed have different research aims and questions, but they are all centered into the idea of the effects of nurse-to-patient ratios on patient outcomes. The research questions of these articles are divided into three categories: definition of nursing staffing, effects of nursing-to-patient ratio on patient outcomes and nursing characteristics that hinders the delivery of care. The study by (Cho et al., 2020), defines the term nursing staffing in terms of the nursing care needs of the patients.
Nurses are essential in the provision of quality care in acute units, and their staffing levels have an impact on patient outcomes. (Cho et al., 2015), examine the link between nursing staffing and patient outcomes, specifically the mortality rate. Comparing to (Driscoll et al., 2018) and (Shin et al., 2018), the articles examine the effects of nursing staffing ratios on the patient outcomes in acute specialist units. Besides, (Needleman, 2016) reviews the studies that examine the effects of nursing skill mix on the patient outcomes such as patient ratings of hospitals, mortality, adverse health outcomes, and nurse burnout and dissatisfaction.
Some of the factors such as nursing skills, staffing methods, and working environment affects the nursing staffing ratio, which hinders the quality of care. The article by (Bridges et al., 2019), explores the relationship between nursing staffing skills and the quality and quantity of their interactions with patients in hospital wards. (Olley et al., 2019).
Running head CAPSTONE PROJECT 1CAPSTONE PROJECT 3.docxsusanschei
Running head: CAPSTONE PROJECT 1
CAPSTONE PROJECT 3
Capstone Project Topic Selection: Improving Workflow for Nurses Working in Primary
Care Settings
Capstone Project Topic Selection and Approval
Problem or Issue
One of the major problems that affect nurses is improving workflow in a busy environment. When nurses are few and, healthcare professionals often face work overload. This has the potential to affect the quality of care given to patients in busy environments. When workload is high, efficiency reduces, thus making nurses vulnerable to errors (Cain & Haque, 2009). The healthcare sector has often faced a lot of demands to develop or reestablish its workflow. In many situations, the desire for evaluating workflow is the need to respond to new ways in which tasks are completed. There are various workflow issues that continue to face nurses in their working environments. They include challenges related to providing services to critically ill patients, and emergence of multidisciplinary teams in care. In such environments, all healthcare professionals struggle with the need to implement change that makes the care team more patient-centered.
Setting/ Context
The context under which this problem is common is primary care setting. Primary care settings are those that provide medical and psychological diagnosis and treatment. Primary healthcare settings are also involved in the provision of personal support for patients of all backgrounds, and in all stages of illness (Goroll & Mulley, 2012). In primary healthcare settings, nurses and other professionals are involved in the communication of information about prevention, diagnosis, treatment, and prognosis, as well as the prevention and care of chronic disease and disabilities through risk evaluation, health education, and early disease detection.
High-Level Detail of the Problem
Nurses operating in primary healthcare settings are often overburdened with many tasks that interfere with the workflow. This is particularly true when they are working in multidisciplinary teams that require coordination and cohesion. In such cases, it might be difficult to clearly determine each professional’s roles and responsibilities (Hickey & Kritek, 2011). At the same time, when the number of nurses is few, the available one’s face stress and physical strain that might interfere with the quality of care given to patients and increase likelihood of errors. In an environment where technological interventions do not sufficiently meet the objectives of healthcare groups, it might also cause workflow issues. Such alternative flows arouse worries since the non-formal mechanisms depend upon the health professionals’ memory and may overlook the safety systems that might be offered.
Impact of the Problem
Workflow issues often generate vinous negative impacts on both the nurses and the patients. For instance, poor coordination among healthcare professionals can result in errors that pose many harms to the pa ...
DQ1Sierra CossanoMy change proposal is being implemented in thDustiBuckner14
DQ1
Sierra Cossano
My change proposal is being implemented in the ICU. The intervention is implementing communication tools and processes that are evidence based to improve nursing sensitive indicators in the ICU. The internal stakeholders are the ICU staff and the hospital. The external stakeholders are the community that is served by the hospital. Our hospital works off of a relationship-based care (RBC) model. RBC is a culture transformation model and an operational framework that improves safety, quality, patient satisfaction, and staff satisfaction by improving every relationship within an organization (Gallison & Kester, 2018). The core of workforce engagement is the reignighting of joy and meaning for nurses. The joy and satisfaction in having a sense of accomplishment and significance in the work through processes leading to successful outcomes. RBC speaks to how we treat patients, family, and each other. Internal stakeholders all work off this model in this organization. However, covid greatly challenged relationship based care principles by limiting how we interact with each other and our patient families. That in person piece is missing for many patients still. In this organizational transition back to pre-covid practices, meetings, and policies staff are looking for guidance to unify and strengthen the workforce. It is a good segway into external stakeholders. Our nurses and other staff are also members of the community served by the hospital. Therefore, the internal stakeholders all face the real fact that they too receive their care here and have an interest in the quality of care provided. This community funded hospital has been influenced by local donors, architects and artists. Donors play a large role in celebrating the staff and creating this sense of meaning and significance for hospital staff. In a relationship based care model, these gestures serve a huge purpose and allow the hospital to recognize staff in unique ways. The positive factor here is that the nurses have come out of this powerless feeling covid left them with. Small gestures that build trust between nursing and management create a more productive work environment. This is done through clear concise communication, open discussion, and acting on feedback from staff.
Gallison, B., & Kester, W. T. (2018). Connecting Holistic Nursing Practice With Relationship-based Care: A Community Hospital’s Journey. Nurse Leader, 16(3), 181–185. https://doi-org.lopes.idm.oclc.org/10.1016/j.mnl.2018.03.007
DQ1
Virginia Gallardo
Stakeholder involvement is crucial for the successful implementation of the change proposal project. Stakeholders are those who are interested in the change proposal project, such as nurses, patients, and suppliers. They can affect or be affected by the organization's actions, objectives, and policies (Lubbeke et al., 2019). We must assess our work environment to identify all relevant stakeholders. Failure to do so can negatively affect the project ...
1
5
Research Outline
Student’s Name
Institutional Affiliation
Professor’s Name
Course
Due Date
Introduction
This paper aims to discuss a problem in the healthcare system and the possible solutions to solve the problem. Critical healthcare problems impact healthcare facilities in the United States, which stimulates procedures to please the contending necessity to provide reasonable standard care and nursing staff who offers the services. This paper aims to define the strategies and policies to discourse the contending necessity of providing safe and standard care to the sick and the needs of the workers who provide the services. The paper also outlines an issue in healthcare and any influence factors within the healthcare system.
Problem Identification
The healthcare institutions' major goal is to provide the target populations with standard, actual, and better patient care possible, but the healthcare providers scarcity impacts this aim's accomplishment. The rise of nurses’ scarcity influences medical care delivery to the sick and healthcare organizations' financial growth. Varying nurse-to-patient percentage compromises the provision of superior care, which impacts patients’ safety and outcomes.
Background
The nursing scarcity began in 1998 and not only continues but is to become worse. The root of the current shortage is three-fold; an inadequate supply of nurses, an elderly population, and an elderly employee. The baby boomers are going to their golden years. Between 2010 and 2030, one in every five individuals will be a pensioner. The internal sources of nursing scarcities comprise; increased obligation for unlicensed employees, long working periods, and remuneration problems.
Problem Analysis
The current research reveals that nursing shortage can be the contributing aspect that forces the medical providers to be allocated a large number of patients to a medical provider. The contending necessity of the medical care personnel is the main issue affecting the nursing shortage, which requires a practice set by the healthcare administrations while bearing in mind the inadequate resources to gratify the necessity (Friganović et al., 2019). Thus, there is a prerequisite for establishing a strategy that stabilizes medical care money-generating needs and the workforce's contending situations. Patients might benefit from the more outstanding care the nurses provide by achieving a balance of the necessities.
DMEP is a strategy that necessitates all medical care employees to report all errors planned at fostering comprehensive ethical procedures by having Medicare employees responsible for their operations for decreasing or eliminating clinical mistakes. Nurses’ shortage influences the effectiveness of DMEP because when the work of the nurse increases due to staff shortage, the risk of health blunders becomes inevitable, which often goes unreported.
Proposed Answers to Nursing Scarcity
Strategies to increase worker wellbeing include ...
Running head CAPSTONE PROJECT 1CAPSTONE PROJECT 3.docxsusanschei
Running head: CAPSTONE PROJECT 1
CAPSTONE PROJECT 3
Capstone Project Topic Selection: Improving Workflow for Nurses Working in Primary
Care Settings
Capstone Project Topic Selection and Approval
Problem or Issue
One of the major problems that affect nurses is improving workflow in a busy environment. When nurses are few and, healthcare professionals often face work overload. This has the potential to affect the quality of care given to patients in busy environments. When workload is high, efficiency reduces, thus making nurses vulnerable to errors (Cain & Haque, 2009). The healthcare sector has often faced a lot of demands to develop or reestablish its workflow. In many situations, the desire for evaluating workflow is the need to respond to new ways in which tasks are completed. There are various workflow issues that continue to face nurses in their working environments. They include challenges related to providing services to critically ill patients, and emergence of multidisciplinary teams in care. In such environments, all healthcare professionals struggle with the need to implement change that makes the care team more patient-centered.
Setting/ Context
The context under which this problem is common is primary care setting. Primary care settings are those that provide medical and psychological diagnosis and treatment. Primary healthcare settings are also involved in the provision of personal support for patients of all backgrounds, and in all stages of illness (Goroll & Mulley, 2012). In primary healthcare settings, nurses and other professionals are involved in the communication of information about prevention, diagnosis, treatment, and prognosis, as well as the prevention and care of chronic disease and disabilities through risk evaluation, health education, and early disease detection.
High-Level Detail of the Problem
Nurses operating in primary healthcare settings are often overburdened with many tasks that interfere with the workflow. This is particularly true when they are working in multidisciplinary teams that require coordination and cohesion. In such cases, it might be difficult to clearly determine each professional’s roles and responsibilities (Hickey & Kritek, 2011). At the same time, when the number of nurses is few, the available one’s face stress and physical strain that might interfere with the quality of care given to patients and increase likelihood of errors. In an environment where technological interventions do not sufficiently meet the objectives of healthcare groups, it might also cause workflow issues. Such alternative flows arouse worries since the non-formal mechanisms depend upon the health professionals’ memory and may overlook the safety systems that might be offered.
Impact of the Problem
Workflow issues often generate vinous negative impacts on both the nurses and the patients. For instance, poor coordination among healthcare professionals can result in errors that pose many harms to the pa ...
DQ1Sierra CossanoMy change proposal is being implemented in thDustiBuckner14
DQ1
Sierra Cossano
My change proposal is being implemented in the ICU. The intervention is implementing communication tools and processes that are evidence based to improve nursing sensitive indicators in the ICU. The internal stakeholders are the ICU staff and the hospital. The external stakeholders are the community that is served by the hospital. Our hospital works off of a relationship-based care (RBC) model. RBC is a culture transformation model and an operational framework that improves safety, quality, patient satisfaction, and staff satisfaction by improving every relationship within an organization (Gallison & Kester, 2018). The core of workforce engagement is the reignighting of joy and meaning for nurses. The joy and satisfaction in having a sense of accomplishment and significance in the work through processes leading to successful outcomes. RBC speaks to how we treat patients, family, and each other. Internal stakeholders all work off this model in this organization. However, covid greatly challenged relationship based care principles by limiting how we interact with each other and our patient families. That in person piece is missing for many patients still. In this organizational transition back to pre-covid practices, meetings, and policies staff are looking for guidance to unify and strengthen the workforce. It is a good segway into external stakeholders. Our nurses and other staff are also members of the community served by the hospital. Therefore, the internal stakeholders all face the real fact that they too receive their care here and have an interest in the quality of care provided. This community funded hospital has been influenced by local donors, architects and artists. Donors play a large role in celebrating the staff and creating this sense of meaning and significance for hospital staff. In a relationship based care model, these gestures serve a huge purpose and allow the hospital to recognize staff in unique ways. The positive factor here is that the nurses have come out of this powerless feeling covid left them with. Small gestures that build trust between nursing and management create a more productive work environment. This is done through clear concise communication, open discussion, and acting on feedback from staff.
Gallison, B., & Kester, W. T. (2018). Connecting Holistic Nursing Practice With Relationship-based Care: A Community Hospital’s Journey. Nurse Leader, 16(3), 181–185. https://doi-org.lopes.idm.oclc.org/10.1016/j.mnl.2018.03.007
DQ1
Virginia Gallardo
Stakeholder involvement is crucial for the successful implementation of the change proposal project. Stakeholders are those who are interested in the change proposal project, such as nurses, patients, and suppliers. They can affect or be affected by the organization's actions, objectives, and policies (Lubbeke et al., 2019). We must assess our work environment to identify all relevant stakeholders. Failure to do so can negatively affect the project ...
1
5
Research Outline
Student’s Name
Institutional Affiliation
Professor’s Name
Course
Due Date
Introduction
This paper aims to discuss a problem in the healthcare system and the possible solutions to solve the problem. Critical healthcare problems impact healthcare facilities in the United States, which stimulates procedures to please the contending necessity to provide reasonable standard care and nursing staff who offers the services. This paper aims to define the strategies and policies to discourse the contending necessity of providing safe and standard care to the sick and the needs of the workers who provide the services. The paper also outlines an issue in healthcare and any influence factors within the healthcare system.
Problem Identification
The healthcare institutions' major goal is to provide the target populations with standard, actual, and better patient care possible, but the healthcare providers scarcity impacts this aim's accomplishment. The rise of nurses’ scarcity influences medical care delivery to the sick and healthcare organizations' financial growth. Varying nurse-to-patient percentage compromises the provision of superior care, which impacts patients’ safety and outcomes.
Background
The nursing scarcity began in 1998 and not only continues but is to become worse. The root of the current shortage is three-fold; an inadequate supply of nurses, an elderly population, and an elderly employee. The baby boomers are going to their golden years. Between 2010 and 2030, one in every five individuals will be a pensioner. The internal sources of nursing scarcities comprise; increased obligation for unlicensed employees, long working periods, and remuneration problems.
Problem Analysis
The current research reveals that nursing shortage can be the contributing aspect that forces the medical providers to be allocated a large number of patients to a medical provider. The contending necessity of the medical care personnel is the main issue affecting the nursing shortage, which requires a practice set by the healthcare administrations while bearing in mind the inadequate resources to gratify the necessity (Friganović et al., 2019). Thus, there is a prerequisite for establishing a strategy that stabilizes medical care money-generating needs and the workforce's contending situations. Patients might benefit from the more outstanding care the nurses provide by achieving a balance of the necessities.
DMEP is a strategy that necessitates all medical care employees to report all errors planned at fostering comprehensive ethical procedures by having Medicare employees responsible for their operations for decreasing or eliminating clinical mistakes. Nurses’ shortage influences the effectiveness of DMEP because when the work of the nurse increases due to staff shortage, the risk of health blunders becomes inevitable, which often goes unreported.
Proposed Answers to Nursing Scarcity
Strategies to increase worker wellbeing include ...
1
5
Research Outline
Student’s Name
Institutional Affiliation
Professor’s Name
Course
Due Date
Introduction
This paper aims to discuss a problem in the healthcare system and the possible solutions to solve the problem. Critical healthcare problems impact healthcare facilities in the United States, which stimulates procedures to please the contending necessity to provide reasonable standard care and nursing staff who offers the services. This paper aims to define the strategies and policies to discourse the contending necessity of providing safe and standard care to the sick and the needs of the workers who provide the services. The paper also outlines an issue in healthcare and any influence factors within the healthcare system.
Problem Identification
The healthcare institutions' major goal is to provide the target populations with standard, actual, and better patient care possible, but the healthcare providers scarcity impacts this aim's accomplishment. The rise of nurses’ scarcity influences medical care delivery to the sick and healthcare organizations' financial growth. Varying nurse-to-patient percentage compromises the provision of superior care, which impacts patients’ safety and outcomes.
Background
The nursing scarcity began in 1998 and not only continues but is to become worse. The root of the current shortage is three-fold; an inadequate supply of nurses, an elderly population, and an elderly employee. The baby boomers are going to their golden years. Between 2010 and 2030, one in every five individuals will be a pensioner. The internal sources of nursing scarcities comprise; increased obligation for unlicensed employees, long working periods, and remuneration problems.
Problem Analysis
The current research reveals that nursing shortage can be the contributing aspect that forces the medical providers to be allocated a large number of patients to a medical provider. The contending necessity of the medical care personnel is the main issue affecting the nursing shortage, which requires a practice set by the healthcare administrations while bearing in mind the inadequate resources to gratify the necessity (Friganović et al., 2019). Thus, there is a prerequisite for establishing a strategy that stabilizes medical care money-generating needs and the workforce's contending situations. Patients might benefit from the more outstanding care the nurses provide by achieving a balance of the necessities.
DMEP is a strategy that necessitates all medical care employees to report all errors planned at fostering comprehensive ethical procedures by having Medicare employees responsible for their operations for decreasing or eliminating clinical mistakes. Nurses’ shortage influences the effectiveness of DMEP because when the work of the nurse increases due to staff shortage, the risk of health blunders becomes inevitable, which often goes unreported.
Proposed Answers to Nursing Scarcity
Strategies to increase worker wellbeing include ...
JOB SATISFATION AND NURSE PATIENT RATIO24Table of Contents.docxchristiandean12115
JOB SATISFATION AND NURSE PATIENT RATIO
24
Table of Contents
Chapter 1: Introduction1
Background of the Problem1
Problem Statement1
Purpose of the Study1
Nature of the Study1
Significance of the Study1
Research Questions1
Hypotheses1
Brief Review of the Literature2
Conceptual Framework2
Assumptions, Limitations, and Delimitations2
Definition of Terms3
Conclusion3
Chapter 2: Literature Review4
Historical Development of the Topic4
Contemporary Perspectives4
Historical Development of the Theory4
Importance of the Study and Implication for Practice4
Directions for Future Research5
Summary5
Chapter 3: Research Method6
Research Design6
Appropriateness of Design6
Procedure6
The Role of the Researcher6
Research Questions6
Hypotheses6
Population and Sample6
Geographic or Virtual Location6
Instrumentation6
Data Collection6
Data Analysis7
Human Participants and Ethics Precautions7
Validity and Reliability7
Contribution to Social, Practice, or Organizational Change7
Summary7
Chapter 4: Results8
General Description of the Participants8
Research Questions8
Sample Size8
Pilot Tests8
Data Collection8
Unit of Analysis and Measurement8
Data Analysis8
Coding and Codebook Generation8
Qualitative Results8
Results of Hypothesis Tests9
Between Group Differences9
Outliers9
Validity and Reliability9
Summary9
Chapter 5: Discussion, Conclusions, and Recommendations10
Ethical Dimensions10
Limitations10
Overview of the Population and Sampling Method10
Data Collection and Analysis10
Summary of Findings10
Explanation of Findings10
Recommendations11
Reflecting Upon the Study11
Suggestions for Future Research11
Implications for Social, Practice, or Organizational Change11
Conclusions11
References12
Appendix A: Tables13
Appendix B: Figures15
Table of Tables
Table A1: This is an Example APA Table in Appendix A and Uses the APA Table
Title Style14
Table of Figures
Figure B1. This is an example APA figure using the APA Caption Style. Neo meets the Architect while seeking the Source.16
JOB SATISFATION AND NURSE PATIENT RATIO
i
Chapter 1: Introduction
Fatigue in nurses have been a factor that has always come with very many consequences in the medical world such as poor decision making that has not only led to negligence in the hospital but also inappropriate administration of prescribed medicine leading to, at worst, death of patients. We are to see how nurse’s fatigue relates to job satisfaction and nurse to patient ratio.
Background of the Problem
Nurses who are dissatisfied in their jobs always lack mental strength or the motivation for that matter to endure the ever-demanding requirements that are accompanied by the nursing career. This lack of interest of interest may make them work without much care in their job which results to dissatisfaction among patients (Chang, Chiu, Lin, & Lee,2009). Nurse to patient ratio has been a major topic of focus among stakeholders of healthcare institutions. An appropriate nurse to patient ratio is required to see that healthca.
Discussion 1How Competing Needs May Impact the Development of VinaOconner450
Discussion 1
How Competing Needs May Impact the Development of a Policy
For my previous discussion post, I discussed how staffing shortages can lead to burnout due to increased workloads and longer hours. Burnout has been shown to significantly increase medication errors, reduce patient outcomes, and reduce productivity which decreases the quality of patient care overall (Bakhamis et al., 2019). Nurses will also become overwhelmed working in stressful environments, creating lower job satisfaction scores and lower nurse retention (Bakhamis et al., 2019). Because of this need to prevent burnout in nurses, the policy would need to be developed to address having an adequate nurse-to-patient ratio while also balancing budget costs. Despite attempts to develop policies to help healthcare organizations, competing needs related to the workforce and lack of resources make it difficult to address the shortage.
Nursing leaders would need to develop a policy that can create a supportive environment for nurses to care for patients safely. The goal would be to improve patient outcomes and improve retention, decreasing burnout. For example, developing a policy to establish set nurse-to-patient ratios depending on the unit. Adequate staffed units have been shown to result in lower mortality rates, shorter hospital stays, and less risk for adverse risks like medication errors (Saville et al., 2019).
Specific Competing Needs that May Impact Nurse Shortages
For adequate staffing, there needs to be a balance between the funds available and the organization’s available budget so that it is sustainable while also providing the best patient outcomes. In other words, there needs to be staff and funding available for this to happen. Within my healthcare organization, we have used travelers to fill in shifts to help supplement staffing. There have been times when the number of travel nurses outnumbers staff nurses on a given shift. While these travelers provide much-needed help, they also have expensive contracts and will work a few months per their contracts. When discussing this dilemma with hospital leadership, we have been told this process is not sustainable in the long run. Instead, the hospital risks losing more money in paying travelers than losing staff nurses. According to Kelly and Porr (2018), this is an example of how the business model of healthcare can negatively impact nurses and their ability to provide safe, high-quality patient care. Over time this can increase nursing stress due to ethical dilemmas, increase burnout, and ultimately worsen staffing anyway (Kelly & Porr, 2018).
Nurses should recognize these issues as serious ethical dilemmas as patients risk subpar care due to increasing healthcare costs. Milliken (2018) suggests nurses develop ethical awareness, by challenging situations and understanding the outcomes of these actions. For example, in my healthcare organization, we have discussed how the lack of staffing can lead to increa ...
Medication Administration Errors at Children's University Hospitals: Nurses P...iosrjce
Medication administration errors(MAE) can threaten patient outcomes and are a dimension of
patient safety directly linked to nursing care. Children are particularly vulnerable to medication errors because
of their unique physiology and developmental needs.
Aims: The present study aims to examine types, stages and causes of medication errors. Barriers of medication
administration errors reporting and its facilitator at pediatric University hospitals from nurses point of view.
Methods: A descriptive study was conducted in Pediatric intensive care units, medical, surgical and urology
ward of children's university hospital at Mansoura University, intensive care units, kidney dialysis at
Abouelrash pediatric hospital and general wards of Elmonaira at Cairo University Hospitals. 80 nurses were
included in the study after fulfilling the criteria of selection. A structured interview questionnaire that consists
of four sections was used.
Results: The highest types of medication errors as reported by studied nurses occurred when the medication is
delivered by the wrong route, the highest stage of medication errors done by nurses was missing of medication
then patient monitoring and administration and the highest cause of medication errors was due to heavy
workload. The results of this study indicated that the strongest perceived barriers to medication administration
errors reporting were fear from consequences of reporting, then managerial factor and then the process of
reporting from the nurse's viewpoint. The nurses agree that identifying benefits of reporting followed agree that
feeling safe about working environment, and agree that good professional relationship with physicians was the
most facilitating factors of reporting medication errors.
Conclusions: It was concluded that medication errors result from interrelated factors, the strongest perceived
barriers to medication administration errors reporting were fear from consequences of reporting, and good
relationship with nurse managers and physicians were the most facilitators of reporting medication errors.
Recommendation: The study recommended that the assessment of medication errors should be done
periodically and in- service training program about medication administrations should be applied
Running head ANALYSIS 1ANALYSIS6Pertinent Healthcar.docxhealdkathaleen
Running head: ANALYSIS
1
ANALYSIS
6
Pertinent Healthcare Issue
Student Name
University Name
August 27, 2019
Analysis of a Pertinent Healthcare Issue
This document discusses the critical care burnout for nurses and the correlation between them and bad patient care. A debate will be held on the burnout levels and rationale for nurses at the University of New Mexico Hospital (UNMH). The writer will show how self-care outside your workplace can decrease work tiredness and having adequate stress management organizations in the workplace. Two study papers related to the suggested modifications to reduce the burnout in infants will be analyzed. (Harkin, 2014).
Purpose of the change proposal
Increased workplace stress, lengthy hours and traumatic exposure in patient care are strong in acute care. This kind of setting may lead to enhanced work exhaustion and greater burnout levels on nurses. Employment fatigue is shown in patient care reduced and general compassion decreased (Cocker & Joss, 2016). With a healthy working and household with good self-care and good stress management, work fatigue can be avoided and high quality care is maintained in acute care environments. (Chilcoat, 2016).
University of New Mexico Hospital burnout rates
Care burnout remains one of the leading causes of UNMH turnover levels. In the last five years, the elevated burnout levels at UNMH studied reveal increased burnout. Research has demonstrated that burnout is immediately linked to the absence of social support, inadequacy in controlling schedules or tasks, a messy working situation and a work-life imbalance. UNMH is creating opportunities and programs aimed at reducing burnout prices. (University of New Mexico, 2016).
Nursing intervention
Educating nurses about the significance of beneficial self-care practices in acute care, for example meditation, treatment, physical exercise and spending time on working outdoors in order to enjoy life. In the workplace, the workforce can also interact, discussing severe stressors and communicating therapeutically to one another in order to decrease effective stress on the environment. (Wolf, Perhats, Delao, & Clark, 2017) — Working to offer worker self-programming, prevent compulsory overtime, monitor worker overtime, and create mentorship programs (University of New Mexico, 2016).
Evaluation of the literature
A study of comparative studies (2003) involves three-fold layout research involving quantity and qualitative techniques. This study will address the burnout among nursing workers in accidents and emergency and acute medicine. The aim of this research was to create stress and burnout variables, to determine the behaviors of the impacted nurses and to stress impacts on the care of the patient. Also to determine whether stress and burnout affect people outside of the clinical environment. The findings indicated that networks, interpersonal relationships and teamwork need to be made more effective as robuster means ...
Running head INFECTION PREVENTION1INFECTION PREVENTION.docxjeanettehully
Running head: INFECTION PREVENTION 1
INFECTION PREVENTION 15
Phase # 2 Infection Prevention
Literature Review
Healthcare acquired infections constitute a major public health issue and it is affecting millions of people on a yearly basis. The approximation from the recent studies is showing more than 5 percent of the hospitalized patients are exposed to nosocomial infections. Many studies further show that the surgical site infections are the common infections associated with nosocomial infections and it is contributing to about 30 percent of all healthcare acquired infections cases.
Study by Ayed et al (2015) shows that healthcare providers are continuously exposed to pathogens which are sometimes severe and lethal. Nurses specifically are more exposed to different infections during the course of providing healthcare services to the patients. This study indicates that it is therefore crucial for nurses to possess sound knowledge as well as strict adherence to the infection control practices. Updating the acquaintance and the practices of nurses through involvement in ongoing in-service educational programs and putting more focus on the role of the current evidence-based practices of infection prevention in the continuous training is important. Provision of the training to the newly recruited nurses regarding the infection control frequently as well as replicating the study through observation checklist is necessary in assessing the level of practice (Imad, Ayed, Faeda, & Lubna, 2015).
Study by Desta et al (2018) reveals that working experience is a stronger predictor of the knowledge in relation to the prevention of the infection. In this study, the goal was to the relationship between the acquaintance, practice and connected aspects of infection prevention among healthcare employees. Education level is a key determinant to the level of experience when it comes to the control or the prevention of infections. According to this study, it is clear that healthcare providers with advanced experience as well as advanced age are significantly linked with the knowledge. This is basically based on the fact that as healthcare providers are getting older, they are more likely to have advance knowledge due to their experiences as well as having worked with their seniors (Desta, Ayenew, Sitotaw, Tegegne, Dires, & Getie, 2018).
Teshager et al (2015) also studies the knowledge, practices, and the related aspects towards the reduction or prevention of the surgical site infections among nurses who were employed in Amhara Regional State Referral healthcare facilities, in the Northwest Ethiopia. This study looked at some of the factors linked with the knowledge of the nurses regarding the preventi ...
Running head NURSING RESEARCH PROJECT .docxjeanettehully
Running head: NURSING RESEARCH PROJECT 1
NURSING RESEARCH PROJECT 2
Phase 1 Paper Assignment
Karen Lezcano
Florida National University
February 1st, 2020
Nursing Research Project
Introduction
Nursing just like any profession faces numerous challenges daily. Nurses are usually tasked with the duty to ensure that they work diligently and professionally to ensure that their clients are satisfied with the services that they deliver. They are usually tasked with the duty to ensure that the patients that visit their premises get quality services that they deserve. However, these services come at a cost; they face a myriad of challenges that they have to work fully despite these challenges to satisfy their clients. Therefore, this research paper analysis some of the problems that nurses face in the daily execution of their duties.
Identification of the Problem
Nurse faces a myriad of challenges in their daily execution of duties. To ensure that they discharge their duties perfectly all these challenges must be identified and effective measures are put in place to ensure that the challenges are taken care of. The major problems that most of the medical facilities are the issue of understaffing. Nurses have faced challenges in terms of duties assigned to them in comparison to their numbers. Studies conducted have also portrayed that there are shortages of nurses in the medical facilities. However, the challenges that these nurses face are varied in different nations and towns, there are those nations that have surplus while there are those towns and nations that have a high shortage of these important service providers in the healthcare facilities.
The impact of these shortages has also resulted in further challenges for the nurses. In this regard, one of the major challenges that these nurses face is the need to work for long hours due to the shortage of employees at the medical facilities. The few available nurses must work in shifts and endure long working hours to ensure that they meet the desired goals of the institution are met. The work of nurses calls for one to be sober and cognitive in decision making (McLelland et al. 2015). However, with a situation where nurses are required to work for long hours, work in shifts such that they can sleep for a while and resume their duties. This is a worrying trend for the nurses because their cognitive ability and judgment as normal human beings are likely to decline when overworked. Therefore, the chances of making poor decisions are also likely to increase with time as they work overtime.
Besides that, the shortages of nurses in healthcare facilities which calls for overworking of these nurses to ensure that patients are fully taken care of, usually lead to an increase in hazard and dangerous accidents taking place taking ...
MHA6999 SEMINAR IN HEALTHCARE CASES-- WEEK 2 LECTURE, DISCUSSION, DioneWang844
MHA6999 SEMINAR IN HEALTHCARE CASES-- WEEK 2 LECTURE, DISCUSSION, AND PROJECT INSTRUCTIONS
Page | 1
Quality
Nearly fifteen years ago, the Institute of Medicine published the “To Err Is Human” report, which exposed the substantial impact of medical errors in the US healthcare system and called for a dramatic system change, including an improved understanding of those errors (McCarthy, Tuiskula, Driscoll, & Davis, 2017). Medical errors are considered to be failure to achieve the original goal or plan of action, and these errors may range from a patient falls to a mistake in the operating room. Not only do medical errors cause harm to the patient and jeopardize the patient’s trust, but they also cause a financial strain for the health system (“To Err is Human,” 1999). One of the contributing factors to medical errors is the lack of effective communication between doctors who are treating the same patient. This results in healthcare providers overprescribing medications for patients as well as increases the possibility of a patient having unnecessary tests or procedures performed. The report’s four-tiered approach includes:
· Focusing on creating a stronger foundation of education on patient safety
· Mandating a nationwide reporting system to encourage timely reporting of errors
· Increasing the standards of performance for healthcare providers
· Taking advantage of the security that safety systems offer (“To Err is Human,” 1999)
Creating a strong educational foundation for patient safety is most important. Healthcare personnel are much more likely to actively participate in reporting systems, encourage one another to perform at a higher level, and take advantage of safety systems when they are well educated on patient safety and the implications of medical errors. The reporting system seems to provide the least amount of impact on patient safety as they can result in losing patient trust in certain healthcare systems. The healthcare system as a whole has made progress in establishing a safe environment for patients when they are in need of care.
Challenges for Patient Safety and Steps for Improvement
Despite continuing evidence of problems in patient safety and gaps between the care that patients receive and the evidence about what they should receive, efforts to improve quality in healthcare show mostly inconsistent and patchy results.
Tap each image to know more.
Data Collection and Monitoring Systems
This always takes much more time and energy than anyone anticipates. It is worth investing heavily in data from the outset. Assess local systems, train people, and have quality assurance.
Tribalism and Lack of Staff Engagement
Overcoming a perceived lack of ownership and professional or disciplinary boundaries can be very difficult. Clarify who owns the problem and solution, agree roles and responsibilities at the outset, work to common goals, and use shared language.
Convince People That There's a Problem
Use hard data to secure emotional e ...
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Student paper 83%
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Student paper 94%
Student paper 81%
Bibliography: Baset, S., Suneja, S., Bila, N., Tuncer, O., & Isci, C. (2017). Usable declarative configuration specification and validation for applications, systems, and cloud.
Proceedings of the 18th ACM/IFIP/USENIX Middleware Conference on Industrial Track - Middleware ’17. https://doi.org/10.1145/3154448.3154453
Berger, S., Garion, S., Moatti, Y., Naor, D., Pendarakis, D., Shulman-Peleg, A., Rao, J. R., Valdez, E., & Weinsberg, Y. (2016). Security intelligence for cloud management
infrastructures. IBM Journal of Research and Development, 60(4), 11:1–11:13. https://doi.org/10.1147/JRD.2016.2572462
Duncan, R. (2020). A multi-cloud world requires a multi-cloud security approach. Computer Fraud & Security, 2020(5), 11–12. https://doi.org/10.1016/S1361-3723(20)30052-X
January 15, S. P. on, & 2020. (2020, January 15). Cloud Misconfigurations: The Security Problem Coming From Inside IT. Security Boulevard.
https://securityboulevard.com/2020/01/cloud-misconfigurations-the-security-problem-coming-from-inside-it/ Torkura, K. A., Sukmana, M. I. H., Strauss, T., Graupner, H., Cheng, F.,
& Meinel, C. (2018, November 1). CSBAuditor: Proactive Security Risk Analysis for Cloud Storage Broker Systems. IEEE Xplore. https://doi.org/10.1109/NCA.2018.8548329
1
2 2
3
4 5
1
Student paper
Proceedings of the 18th ACM/IFIP/USENIX Middleware
Conference on Industrial Track - Middleware ’17.
https://doi.org/10.1145/3154448.3154453
Original source
Proceedings of the 18th ACM/IFIP/USENIX Middleware
Conference on Industrial Track - Middleware '17
doi:10.1145/3.
1
5
Research Outline
Student’s Name
Institutional Affiliation
Professor’s Name
Course
Due Date
Introduction
This paper aims to discuss a problem in the healthcare system and the possible solutions to solve the problem. Critical healthcare problems impact healthcare facilities in the United States, which stimulates procedures to please the contending necessity to provide reasonable standard care and nursing staff who offers the services. This paper aims to define the strategies and policies to discourse the contending necessity of providing safe and standard care to the sick and the needs of the workers who provide the services. The paper also outlines an issue in healthcare and any influence factors within the healthcare system.
Problem Identification
The healthcare institutions' major goal is to provide the target populations with standard, actual, and better patient care possible, but the healthcare providers scarcity impacts this aim's accomplishment. The rise of nurses’ scarcity influences medical care delivery to the sick and healthcare organizations' financial growth. Varying nurse-to-patient percentage compromises the provision of superior care, which impacts patients’ safety and outcomes.
Background
The nursing scarcity began in 1998 and not only continues but is to become worse. The root of the current shortage is three-fold; an inadequate supply of nurses, an elderly population, and an elderly employee. The baby boomers are going to their golden years. Between 2010 and 2030, one in every five individuals will be a pensioner. The internal sources of nursing scarcities comprise; increased obligation for unlicensed employees, long working periods, and remuneration problems.
Problem Analysis
The current research reveals that nursing shortage can be the contributing aspect that forces the medical providers to be allocated a large number of patients to a medical provider. The contending necessity of the medical care personnel is the main issue affecting the nursing shortage, which requires a practice set by the healthcare administrations while bearing in mind the inadequate resources to gratify the necessity (Friganović et al., 2019). Thus, there is a prerequisite for establishing a strategy that stabilizes medical care money-generating needs and the workforce's contending situations. Patients might benefit from the more outstanding care the nurses provide by achieving a balance of the necessities.
DMEP is a strategy that necessitates all medical care employees to report all errors planned at fostering comprehensive ethical procedures by having Medicare employees responsible for their operations for decreasing or eliminating clinical mistakes. Nurses’ shortage influences the effectiveness of DMEP because when the work of the nurse increases due to staff shortage, the risk of health blunders becomes inevitable, which often goes unreported.
Proposed Answers to Nursing Scarcity
Strategies to increase worker wellbeing include ...
JOB SATISFATION AND NURSE PATIENT RATIO24Table of Contents.docxchristiandean12115
JOB SATISFATION AND NURSE PATIENT RATIO
24
Table of Contents
Chapter 1: Introduction1
Background of the Problem1
Problem Statement1
Purpose of the Study1
Nature of the Study1
Significance of the Study1
Research Questions1
Hypotheses1
Brief Review of the Literature2
Conceptual Framework2
Assumptions, Limitations, and Delimitations2
Definition of Terms3
Conclusion3
Chapter 2: Literature Review4
Historical Development of the Topic4
Contemporary Perspectives4
Historical Development of the Theory4
Importance of the Study and Implication for Practice4
Directions for Future Research5
Summary5
Chapter 3: Research Method6
Research Design6
Appropriateness of Design6
Procedure6
The Role of the Researcher6
Research Questions6
Hypotheses6
Population and Sample6
Geographic or Virtual Location6
Instrumentation6
Data Collection6
Data Analysis7
Human Participants and Ethics Precautions7
Validity and Reliability7
Contribution to Social, Practice, or Organizational Change7
Summary7
Chapter 4: Results8
General Description of the Participants8
Research Questions8
Sample Size8
Pilot Tests8
Data Collection8
Unit of Analysis and Measurement8
Data Analysis8
Coding and Codebook Generation8
Qualitative Results8
Results of Hypothesis Tests9
Between Group Differences9
Outliers9
Validity and Reliability9
Summary9
Chapter 5: Discussion, Conclusions, and Recommendations10
Ethical Dimensions10
Limitations10
Overview of the Population and Sampling Method10
Data Collection and Analysis10
Summary of Findings10
Explanation of Findings10
Recommendations11
Reflecting Upon the Study11
Suggestions for Future Research11
Implications for Social, Practice, or Organizational Change11
Conclusions11
References12
Appendix A: Tables13
Appendix B: Figures15
Table of Tables
Table A1: This is an Example APA Table in Appendix A and Uses the APA Table
Title Style14
Table of Figures
Figure B1. This is an example APA figure using the APA Caption Style. Neo meets the Architect while seeking the Source.16
JOB SATISFATION AND NURSE PATIENT RATIO
i
Chapter 1: Introduction
Fatigue in nurses have been a factor that has always come with very many consequences in the medical world such as poor decision making that has not only led to negligence in the hospital but also inappropriate administration of prescribed medicine leading to, at worst, death of patients. We are to see how nurse’s fatigue relates to job satisfaction and nurse to patient ratio.
Background of the Problem
Nurses who are dissatisfied in their jobs always lack mental strength or the motivation for that matter to endure the ever-demanding requirements that are accompanied by the nursing career. This lack of interest of interest may make them work without much care in their job which results to dissatisfaction among patients (Chang, Chiu, Lin, & Lee,2009). Nurse to patient ratio has been a major topic of focus among stakeholders of healthcare institutions. An appropriate nurse to patient ratio is required to see that healthca.
Discussion 1How Competing Needs May Impact the Development of VinaOconner450
Discussion 1
How Competing Needs May Impact the Development of a Policy
For my previous discussion post, I discussed how staffing shortages can lead to burnout due to increased workloads and longer hours. Burnout has been shown to significantly increase medication errors, reduce patient outcomes, and reduce productivity which decreases the quality of patient care overall (Bakhamis et al., 2019). Nurses will also become overwhelmed working in stressful environments, creating lower job satisfaction scores and lower nurse retention (Bakhamis et al., 2019). Because of this need to prevent burnout in nurses, the policy would need to be developed to address having an adequate nurse-to-patient ratio while also balancing budget costs. Despite attempts to develop policies to help healthcare organizations, competing needs related to the workforce and lack of resources make it difficult to address the shortage.
Nursing leaders would need to develop a policy that can create a supportive environment for nurses to care for patients safely. The goal would be to improve patient outcomes and improve retention, decreasing burnout. For example, developing a policy to establish set nurse-to-patient ratios depending on the unit. Adequate staffed units have been shown to result in lower mortality rates, shorter hospital stays, and less risk for adverse risks like medication errors (Saville et al., 2019).
Specific Competing Needs that May Impact Nurse Shortages
For adequate staffing, there needs to be a balance between the funds available and the organization’s available budget so that it is sustainable while also providing the best patient outcomes. In other words, there needs to be staff and funding available for this to happen. Within my healthcare organization, we have used travelers to fill in shifts to help supplement staffing. There have been times when the number of travel nurses outnumbers staff nurses on a given shift. While these travelers provide much-needed help, they also have expensive contracts and will work a few months per their contracts. When discussing this dilemma with hospital leadership, we have been told this process is not sustainable in the long run. Instead, the hospital risks losing more money in paying travelers than losing staff nurses. According to Kelly and Porr (2018), this is an example of how the business model of healthcare can negatively impact nurses and their ability to provide safe, high-quality patient care. Over time this can increase nursing stress due to ethical dilemmas, increase burnout, and ultimately worsen staffing anyway (Kelly & Porr, 2018).
Nurses should recognize these issues as serious ethical dilemmas as patients risk subpar care due to increasing healthcare costs. Milliken (2018) suggests nurses develop ethical awareness, by challenging situations and understanding the outcomes of these actions. For example, in my healthcare organization, we have discussed how the lack of staffing can lead to increa ...
Medication Administration Errors at Children's University Hospitals: Nurses P...iosrjce
Medication administration errors(MAE) can threaten patient outcomes and are a dimension of
patient safety directly linked to nursing care. Children are particularly vulnerable to medication errors because
of their unique physiology and developmental needs.
Aims: The present study aims to examine types, stages and causes of medication errors. Barriers of medication
administration errors reporting and its facilitator at pediatric University hospitals from nurses point of view.
Methods: A descriptive study was conducted in Pediatric intensive care units, medical, surgical and urology
ward of children's university hospital at Mansoura University, intensive care units, kidney dialysis at
Abouelrash pediatric hospital and general wards of Elmonaira at Cairo University Hospitals. 80 nurses were
included in the study after fulfilling the criteria of selection. A structured interview questionnaire that consists
of four sections was used.
Results: The highest types of medication errors as reported by studied nurses occurred when the medication is
delivered by the wrong route, the highest stage of medication errors done by nurses was missing of medication
then patient monitoring and administration and the highest cause of medication errors was due to heavy
workload. The results of this study indicated that the strongest perceived barriers to medication administration
errors reporting were fear from consequences of reporting, then managerial factor and then the process of
reporting from the nurse's viewpoint. The nurses agree that identifying benefits of reporting followed agree that
feeling safe about working environment, and agree that good professional relationship with physicians was the
most facilitating factors of reporting medication errors.
Conclusions: It was concluded that medication errors result from interrelated factors, the strongest perceived
barriers to medication administration errors reporting were fear from consequences of reporting, and good
relationship with nurse managers and physicians were the most facilitators of reporting medication errors.
Recommendation: The study recommended that the assessment of medication errors should be done
periodically and in- service training program about medication administrations should be applied
Running head ANALYSIS 1ANALYSIS6Pertinent Healthcar.docxhealdkathaleen
Running head: ANALYSIS
1
ANALYSIS
6
Pertinent Healthcare Issue
Student Name
University Name
August 27, 2019
Analysis of a Pertinent Healthcare Issue
This document discusses the critical care burnout for nurses and the correlation between them and bad patient care. A debate will be held on the burnout levels and rationale for nurses at the University of New Mexico Hospital (UNMH). The writer will show how self-care outside your workplace can decrease work tiredness and having adequate stress management organizations in the workplace. Two study papers related to the suggested modifications to reduce the burnout in infants will be analyzed. (Harkin, 2014).
Purpose of the change proposal
Increased workplace stress, lengthy hours and traumatic exposure in patient care are strong in acute care. This kind of setting may lead to enhanced work exhaustion and greater burnout levels on nurses. Employment fatigue is shown in patient care reduced and general compassion decreased (Cocker & Joss, 2016). With a healthy working and household with good self-care and good stress management, work fatigue can be avoided and high quality care is maintained in acute care environments. (Chilcoat, 2016).
University of New Mexico Hospital burnout rates
Care burnout remains one of the leading causes of UNMH turnover levels. In the last five years, the elevated burnout levels at UNMH studied reveal increased burnout. Research has demonstrated that burnout is immediately linked to the absence of social support, inadequacy in controlling schedules or tasks, a messy working situation and a work-life imbalance. UNMH is creating opportunities and programs aimed at reducing burnout prices. (University of New Mexico, 2016).
Nursing intervention
Educating nurses about the significance of beneficial self-care practices in acute care, for example meditation, treatment, physical exercise and spending time on working outdoors in order to enjoy life. In the workplace, the workforce can also interact, discussing severe stressors and communicating therapeutically to one another in order to decrease effective stress on the environment. (Wolf, Perhats, Delao, & Clark, 2017) — Working to offer worker self-programming, prevent compulsory overtime, monitor worker overtime, and create mentorship programs (University of New Mexico, 2016).
Evaluation of the literature
A study of comparative studies (2003) involves three-fold layout research involving quantity and qualitative techniques. This study will address the burnout among nursing workers in accidents and emergency and acute medicine. The aim of this research was to create stress and burnout variables, to determine the behaviors of the impacted nurses and to stress impacts on the care of the patient. Also to determine whether stress and burnout affect people outside of the clinical environment. The findings indicated that networks, interpersonal relationships and teamwork need to be made more effective as robuster means ...
Running head INFECTION PREVENTION1INFECTION PREVENTION.docxjeanettehully
Running head: INFECTION PREVENTION 1
INFECTION PREVENTION 15
Phase # 2 Infection Prevention
Literature Review
Healthcare acquired infections constitute a major public health issue and it is affecting millions of people on a yearly basis. The approximation from the recent studies is showing more than 5 percent of the hospitalized patients are exposed to nosocomial infections. Many studies further show that the surgical site infections are the common infections associated with nosocomial infections and it is contributing to about 30 percent of all healthcare acquired infections cases.
Study by Ayed et al (2015) shows that healthcare providers are continuously exposed to pathogens which are sometimes severe and lethal. Nurses specifically are more exposed to different infections during the course of providing healthcare services to the patients. This study indicates that it is therefore crucial for nurses to possess sound knowledge as well as strict adherence to the infection control practices. Updating the acquaintance and the practices of nurses through involvement in ongoing in-service educational programs and putting more focus on the role of the current evidence-based practices of infection prevention in the continuous training is important. Provision of the training to the newly recruited nurses regarding the infection control frequently as well as replicating the study through observation checklist is necessary in assessing the level of practice (Imad, Ayed, Faeda, & Lubna, 2015).
Study by Desta et al (2018) reveals that working experience is a stronger predictor of the knowledge in relation to the prevention of the infection. In this study, the goal was to the relationship between the acquaintance, practice and connected aspects of infection prevention among healthcare employees. Education level is a key determinant to the level of experience when it comes to the control or the prevention of infections. According to this study, it is clear that healthcare providers with advanced experience as well as advanced age are significantly linked with the knowledge. This is basically based on the fact that as healthcare providers are getting older, they are more likely to have advance knowledge due to their experiences as well as having worked with their seniors (Desta, Ayenew, Sitotaw, Tegegne, Dires, & Getie, 2018).
Teshager et al (2015) also studies the knowledge, practices, and the related aspects towards the reduction or prevention of the surgical site infections among nurses who were employed in Amhara Regional State Referral healthcare facilities, in the Northwest Ethiopia. This study looked at some of the factors linked with the knowledge of the nurses regarding the preventi ...
Running head NURSING RESEARCH PROJECT .docxjeanettehully
Running head: NURSING RESEARCH PROJECT 1
NURSING RESEARCH PROJECT 2
Phase 1 Paper Assignment
Karen Lezcano
Florida National University
February 1st, 2020
Nursing Research Project
Introduction
Nursing just like any profession faces numerous challenges daily. Nurses are usually tasked with the duty to ensure that they work diligently and professionally to ensure that their clients are satisfied with the services that they deliver. They are usually tasked with the duty to ensure that the patients that visit their premises get quality services that they deserve. However, these services come at a cost; they face a myriad of challenges that they have to work fully despite these challenges to satisfy their clients. Therefore, this research paper analysis some of the problems that nurses face in the daily execution of their duties.
Identification of the Problem
Nurse faces a myriad of challenges in their daily execution of duties. To ensure that they discharge their duties perfectly all these challenges must be identified and effective measures are put in place to ensure that the challenges are taken care of. The major problems that most of the medical facilities are the issue of understaffing. Nurses have faced challenges in terms of duties assigned to them in comparison to their numbers. Studies conducted have also portrayed that there are shortages of nurses in the medical facilities. However, the challenges that these nurses face are varied in different nations and towns, there are those nations that have surplus while there are those towns and nations that have a high shortage of these important service providers in the healthcare facilities.
The impact of these shortages has also resulted in further challenges for the nurses. In this regard, one of the major challenges that these nurses face is the need to work for long hours due to the shortage of employees at the medical facilities. The few available nurses must work in shifts and endure long working hours to ensure that they meet the desired goals of the institution are met. The work of nurses calls for one to be sober and cognitive in decision making (McLelland et al. 2015). However, with a situation where nurses are required to work for long hours, work in shifts such that they can sleep for a while and resume their duties. This is a worrying trend for the nurses because their cognitive ability and judgment as normal human beings are likely to decline when overworked. Therefore, the chances of making poor decisions are also likely to increase with time as they work overtime.
Besides that, the shortages of nurses in healthcare facilities which calls for overworking of these nurses to ensure that patients are fully taken care of, usually lead to an increase in hazard and dangerous accidents taking place taking ...
MHA6999 SEMINAR IN HEALTHCARE CASES-- WEEK 2 LECTURE, DISCUSSION, DioneWang844
MHA6999 SEMINAR IN HEALTHCARE CASES-- WEEK 2 LECTURE, DISCUSSION, AND PROJECT INSTRUCTIONS
Page | 1
Quality
Nearly fifteen years ago, the Institute of Medicine published the “To Err Is Human” report, which exposed the substantial impact of medical errors in the US healthcare system and called for a dramatic system change, including an improved understanding of those errors (McCarthy, Tuiskula, Driscoll, & Davis, 2017). Medical errors are considered to be failure to achieve the original goal or plan of action, and these errors may range from a patient falls to a mistake in the operating room. Not only do medical errors cause harm to the patient and jeopardize the patient’s trust, but they also cause a financial strain for the health system (“To Err is Human,” 1999). One of the contributing factors to medical errors is the lack of effective communication between doctors who are treating the same patient. This results in healthcare providers overprescribing medications for patients as well as increases the possibility of a patient having unnecessary tests or procedures performed. The report’s four-tiered approach includes:
· Focusing on creating a stronger foundation of education on patient safety
· Mandating a nationwide reporting system to encourage timely reporting of errors
· Increasing the standards of performance for healthcare providers
· Taking advantage of the security that safety systems offer (“To Err is Human,” 1999)
Creating a strong educational foundation for patient safety is most important. Healthcare personnel are much more likely to actively participate in reporting systems, encourage one another to perform at a higher level, and take advantage of safety systems when they are well educated on patient safety and the implications of medical errors. The reporting system seems to provide the least amount of impact on patient safety as they can result in losing patient trust in certain healthcare systems. The healthcare system as a whole has made progress in establishing a safe environment for patients when they are in need of care.
Challenges for Patient Safety and Steps for Improvement
Despite continuing evidence of problems in patient safety and gaps between the care that patients receive and the evidence about what they should receive, efforts to improve quality in healthcare show mostly inconsistent and patchy results.
Tap each image to know more.
Data Collection and Monitoring Systems
This always takes much more time and energy than anyone anticipates. It is worth investing heavily in data from the outset. Assess local systems, train people, and have quality assurance.
Tribalism and Lack of Staff Engagement
Overcoming a perceived lack of ownership and professional or disciplinary boundaries can be very difficult. Clarify who owns the problem and solution, agree roles and responsibilities at the outset, work to common goals, and use shared language.
Convince People That There's a Problem
Use hard data to secure emotional e ...
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SafeAssign Originality Report
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Bibliography: Baset, S., Suneja, S., Bila, N., Tuncer, O., & Isci, C. (2017). Usable declarative configuration specification and validation for applications, systems, and cloud.
Proceedings of the 18th ACM/IFIP/USENIX Middleware Conference on Industrial Track - Middleware ’17. https://doi.org/10.1145/3154448.3154453
Berger, S., Garion, S., Moatti, Y., Naor, D., Pendarakis, D., Shulman-Peleg, A., Rao, J. R., Valdez, E., & Weinsberg, Y. (2016). Security intelligence for cloud management
infrastructures. IBM Journal of Research and Development, 60(4), 11:1–11:13. https://doi.org/10.1147/JRD.2016.2572462
Duncan, R. (2020). A multi-cloud world requires a multi-cloud security approach. Computer Fraud & Security, 2020(5), 11–12. https://doi.org/10.1016/S1361-3723(20)30052-X
January 15, S. P. on, & 2020. (2020, January 15). Cloud Misconfigurations: The Security Problem Coming From Inside IT. Security Boulevard.
https://securityboulevard.com/2020/01/cloud-misconfigurations-the-security-problem-coming-from-inside-it/ Torkura, K. A., Sukmana, M. I. H., Strauss, T., Graupner, H., Cheng, F.,
& Meinel, C. (2018, November 1). CSBAuditor: Proactive Security Risk Analysis for Cloud Storage Broker Systems. IEEE Xplore. https://doi.org/10.1109/NCA.2018.8548329
1
2 2
3
4 5
1
Student paper
Proceedings of the 18th ACM/IFIP/USENIX Middleware
Conference on Industrial Track - Middleware ’17.
https://doi.org/10.1145/3154448.3154453
Original source
Proceedings of the 18th ACM/IFIP/USENIX Middleware
Conference on Industrial Track - Middleware '17
doi:10.1145/3.
61Identify the case study you selected. Explain whether the.docxBHANU281672
6:1
Identify the case study you selected. Explain whether the primary offender demonstrates features of a disciplined psychopath or an undisciplined psychopath. Provide examples to support your conclusion. Explain how these features differ from those displayed by individuals with antisocial personalities or narcissism. Explain the challenges a forensic psychology professional might have working with individuals with antisocial personality disorder or psychopathy.
Support your post with references to the Learning Resources and other academic sources.
Case Study #1
FPSY 6201 Psychological Aspects of Violent Crime Week 6 Case Studies
Paul is a 31-year-old man who was recently arrested for shooting a store manager during a robbery. He has a history of aggression and violating the law, including burglary, robbery, assault, and numerous drug charges. He is a high school dropout and has never been able to hold a job. When he first meets someone, he can come across as engaging, funny, and charming. He has been in numerous relationships; however, in those relationships he was emotionally detached and parasitic, as well as verbally and physically abusive. He has a volatile temperament and no sense of obligation or responsibility to anyone. His crimes often display a complete lack of empathy for his victims.
.
60CHAPTER THREEconsistent with the so-called performative app.docxBHANU281672
60 CHAPTER THREE
consistent with the so-called performative approach in social studies (K,apchan, 1995; Schechner, 2002; Warren 2001). According to this approach, to perform is to carry something into effect; hence, intercultural communication can be viewed as a process of carrying meaning, or cultural identity, as such, into effect.
When we speak of performativity or performance in intercultural communi cation, we must remember that "performance is the manifestation of performa tivity. This is to say, performativity refers to the reiterative process of becoming, while performance refers to the materialization of that process-the individual acts by human players in the world" (Warren, 2001: 106; boldface added)
The performative approach suggests that intercultural communication is per formed, like music. There are a variety of verbal and nonverbal elements (notes), with which people create various language games (music). Some games are quite simple (a routine greeting), while others are more complex (business negotia tions). In all cases, though, meanings are performed; that is, they are created and re-created in the process of interaction. People perform various activities repeat edly, and through repetition these movements become symbolic resources making up cultural identity. In intercultural interactions, to use Nietzsche's expression, "the deed is everything" (quoted in Butler, 1990: 25).
,11
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I,
Introducing the Performativity Principle
Looking at intercultural communication as performance, we will formulate our third principle of intercultural communication: the Perfo.rmativity Principle. There are three parts to this principle, and each deals with intercultural communication as creating and enacting meaning in the process of interaction. First, we will dis cuss the dramaturgy of intercultural performativity, or how people move from rules to roles. Next, we will present intercultural communication as a reiterative process. Finally, we will show the structure of intercultural communication as per formance. We will discuss each part separately and then formulate the Performa tivity Principle as a whole.
The Dramaturgy of Performativity:
From Rules to Roles
Communication as Drama. When people communicate with one another, they try to reach their goals by using various language means. Every act of com munication is a performance whereby people lace each other (either literally or in a mediated fashion, such as via the telephone or the Internet) and, as if on stage, present themselves-their very identities-dramatically to each other.
The theatrical or dramaturgical metaphor for communication does not sug
gest that people perform actions according to predetermined scripts or that per formances are insincere and deceitful. Nor does the theatrical metaphor suggest that people think of themselves as actors, always conscious of performing on stage. What the dramaturgical view of performativity states.
6 pagesThe following sections are in the final consulting .docxBHANU281672
6 pages
The following sections are in the final consulting report: Introduction to the Organization and Entry, Informal Data Collection, Microdiagnosis, and Contracting. Begin composing these sections in a document of 6–9 pages, not including the title page, table of contents, or reference list. Address the following elements:
Introduction to the Organization
Type of organization
Description of and information about the organization (e.g., review Web sites, press, and published documents)
Number of employees or key members
The opportunities that were initially identified or issues the organization faces
Entry, Informal Data Collection, Microdiagnosis, Contracting
Description of the issue or opportunity that served as a starting point for your work with the client
The process of diagnosing the problem and the agreed-upon objectives
The process you used to reach an agreement with the organization
.
600 words needed1. What do we mean by the New Public Administr.docxBHANU281672
600 words needed
1. What do we mean by the New Public Administration? Relatedly, but distictively,
2. what is meant by the New Public Management?
3. How are they related?
4. How has the advent of digital technology helped inspire new emphases on efficiency on the public sector?
.
6 peer responses due in 24 hours Each set of 2 responses wil.docxBHANU281672
6 peer responses due in 24 hours
Each set of 2 responses will have its own instructions.
Respond to at least two of your classmates
TAMMY’S POST:
The differences between mandatory, aspirational, principle and virtue ethics are paramount to ethical practice. The comprehension and implementation of the spheres of each allow for adhesion to policy and a sense of professionalism.
"General Principles, as opposed to Ethical Standards, are aspirational in nature. Their intent is to guide and inspire psychologists toward the very highest ethical ideals of the profession. General Principles, in contrast to Ethical Standards, do not represent obligations and should not form the basis for imposing sanctions. Relying upon General Principles for either of these reasons distorts both their meaning and purpose". (American Psychological Association, 2017)
The literature and the doctrine parameters cause uncertainty due to the conflictual environment and obligations. Questions of conflict about perceptual tension, as an example in
Professional ethics in interdisciplinary collaboratives: Zeal, paternalism, and mandated reporting
(2006) are between an attorney's zeal or client autonomy within the judicial system relationships in contrast to the Social Services scope of interests of humanity and social justice. Since the adaption of roles and environments tend to adjust, concern if responsibility sways in the contention of the differences. Social services render a larger and more diverse "moral community" and their sustainability stemming from virtue. The judicial system attends to the political policy and rules governing lawful adherence versus deviance. Another spectrum is mandatory reporting obligations which are said to be more profound when ethics pursue and in the collaboration still clash. An issue is an act of ethics versus the 'command' according to an agency (Anderson, Barenberg, & Tremblay, 2006. p. 663).
The differences between principle ethics and virtue ethics
The general principles of the APA are considered aspirational. Simultaneously, therapists, psychologists, and psychiatrists, and similar social services are mandated in the ethical codes of conduct to act in the betterment and safety of others, especially those deemed incompetent or incapacitated to do so.
The difference between principle ethics and virtue ethics splits by social normative and subjectivity. Social normative are more definite by culture but still universal and often mandatory. For instance, law-abiding and humane acts from avoiding reckless driving, speeding, or operating under the influence of obligatory care of the elderly, a child, or the disability are mandatory. Virtue ethics are less objective and more diverse to demographics and ethnography. Like integrity, it is a matter of right and wrong based on habits, behaviors rooted in one's upbringing. For example, seeing someone drop money instead of keeping it is returned to the person seen dropping it. Another.
6 page paper onWhat is second language acquisition and why is .docxBHANU281672
6 page paper on
What is second language acquisition and why is it important? The disadvantages of not learning a second language. The benefits of being bilingual and multilingual. When is the best time to learn a second language and why? Why is it important to learn a second language at a younger age rather than an older age?
3 reliable sources.
.
600 Words1) Specify some of the ways in which human resource m.docxBHANU281672
600 Words
1) Specify some of the ways in which human resource management differs significantly in the public sector from the private sector?
2) Specify some of the ways in which all public managers are involved in the areas human resource management?
3) In recent times, organizations have been devoting an increasing amount of the organization's resources toward human resources. This is particularly true in areas such as technical and social training, dispute resolution, and the like. Why do you think this is?
4) What are some of the ways that human resource managers operating in local government agencies (i.e. municipal, county, school districts, and so forth) are addressing the skills shortages caused by massive generational retirements in the public sector?
source
http://www.jstor.org.proxy.li.suu.edu:2048/stable/20447680
.
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Running head: Data MINING 1
Data MINING 8
Data Mining
Student: Avinash Kustagi
University of Cumberlands
Course Name: Business Intelligence
Course number: ITS-531
Professor: Dr. Abiodun Adeleke
05/29/2020
Data mining can be explained as the method to interpret information and hypothesis from large knowledge and data collections like databases or data warehouses.
Data mining popularity is increasing rapidly right now in the world. It is slowly becoming one of the most desired fields of work in the world right now. Data plays a
very big role in developing and shaping a business. It is because of Data mining that an organization comes to know more about what the market has demand for and
what their customers prefer and what they absolutely dislike. Data mining has proven to be extremely helpful in making valuable and important business decisions.
As described in the article” Business data mining — a machine learning perspective”, data mining has become an integral part of business development (Bose &
Mahapatra, 2001). Data mining has several applications in different fields of life. It is used in the field of finance, television industry, education, retail industry, and
telecommunication industry. Data mining is very valuable in the field of finance. Data mining help in data analysis to find a result in loan prediction. It gives an analysis
of the customer’s credit history and fraud detection (Valcheva, n.d.). It also assists in determining the previous money laundering trends and deduces a conclusion
about any unusual patterns in a credit history. It also assists in helping develop targeted marketing. In the field of finance, data mining and analysis helps in deducing
conclusion results from the previous trend in markets to determine what fiscal produc.
61520, 256 PMGlobal Innovation and Intellectual Property.docxBHANU281672
6/15/20, 2:56 PMGlobal Innovation and Intellectual Property
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12.1 Innovation as a Tool for Global Growth
LEARNING OBJECTIVE
Identify three types of innovation that can fuel global growth.
Over 93 percent of global executives rate innovation as a key driver of organic global growth. More importantly, research
shows that around 85 percent of a company's productivity gains are related to R&D and other innovation-related
investments.
Innovation is the commercialization of new invention. However, many innovations do not necessarily build on new
inventions. An invention is a new concept or product that derives from ideas or from scientific research. Innovation, on the
other hand, is the combination of new or existing ideas to create something desired by customers, viable in the
marketplace, and possible with technology (see Figure 12.1).
Figure 12.1Primary components of innovation
The inputs used to innovate could be new inventions or they could be old ideas. For example, Henry Ford didn't invent the
automobile. Karl Benz from Germany did. However, Ford combined scientific management concepts with the automobile
production process to build automobiles more efficiently (Figure 12.2). This innovation built on existing inventions to
usher in a new industry with the scale to meet demand.
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Figure 12.2Innovation in the auto industryCarl Benz of Mercedes Benz invented the automobile (left). Henry Ford of Ford
Motor Company innovated by combining ideas on assembly lines with car production (right).
Most global managers struggle to get people in their companies to innovate. So far, no one has created a formula or model
that reliably leads companies to increased innovation. Some management approaches are helpful, but none is perfect. As
Dr. Brian Junling Li, vice president of Alibaba Group, puts it, “Innovation doesn't come from organized plans. It comes
from our preparedness to deal with the uncertainty of the future.” To understand how global companies can effectively
deal with the uncertainties of the future, we first need to examine the different types of innovation in which companies can
invest.
Three Kinds of Innovation
Different types of innovation have different implications for company growth. Based on those implications, we can
organize innovations into three types: those that improve performance, those that enhance efficiency, and those that create
a market.
Performance-improving innovations replace old products with upgraded models. Often, the improvements in these models
are consistent worldwide. Performance-improving innovations keep a company growing because they provide .
6 Developing Strategic and Operational PlansIngram Publish.docxBHANU281672
6 Developing Strategic and Operational Plans
Ingram Publishing/Thinkstock
To mean well is nothing without to do well.
—Plautus
Trinummus
Learning Objectives
After reading this chapter, you should be able to do the following:
• Identify strategy concepts, including the components of organizational strategy; generic strategies; diversi-
fication, integration, and implementation strategies; and blue ocean strategy.
• Describe the use of strategies for large, multiunit organizations, including the use of the Boston Consult-
ing Group matrix to discern strategic implications from the analysis of existing operations, and the use of
product/market expansion strategies and diversification strategies for organizational growth.
• Discuss tactical issues that are relevant to pursuing participation in a managed-care network.
• Delineate the factors that influence the selection of a strategy by an organization.
• Explain how operational plans support strategic plans, and describe how operational plans are developed.
Section 6.1Strategy Concepts
Introduction
After developing a set of objectives for the time period covered by the strategic plan, the strat-
egy necessary for accomplishing those objectives must be formulated. First, planners must
design an overall strategy, and then define the operating details of that strategy as it relates
to providing services, promoting operations, determining locations, and increasing revenue
sources. This chapter introduces the concept of strategy, and describes strategy elements,
approaches to strategy development, and how operational plans support strategic plans.
6.1 Strategy Concepts
The word strategy has been used in a number of ways over the years and especially so in
the context of business. As we discussed in Chapter 2, strategy means leadership and may
be defined as the course of action taken by an organization to achieve its objectives. It is a
description first in general terms and then, in increasingly greater detail, of the activities
the organization will undertake to meet its goals and fulfill its ongoing mission. Strategy
is the catalyst or dynamic element of managing that enables a company to accomplish its
objectives.
Strategy development is both a science and an art, a product of both logic and creativity. The
scientific aspect deals with assembling and allocating the resources necessary to achieve
an organization’s objectives with emphasis on matching organizational strengths with envi-
ronmental opportunities, while working within cost and time constraints. The art of strat-
egy is mainly concerned with the effective use of resources, including motivating people to
make the strategy work, while being sensitive to the environmental forces that may affect
the organization’s performance and maintaining the ability to adapt the HCO to these chang-
ing conditions.
Components of Organizational Strategy
The focus of strategy varies by the planning level: the organizat.
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Running head: DEFENSE-IN-DEPTH AND AWARENESS TECHNIQUES
1
Running head: DEFENSE-IN-DEPTH AND AWARENESS TECHNIQUES
4
Defense-in-Depth and Awareness Techniques
Vikesh Desai
University of Cumberlands
Defense-in-Depth and Awareness Techniques
Awareness is one of the essential aspects in most of the organization, which requires a high magnitude to address comprehensively in all sections.
The depth in defense is more paramount to ensure that the organizations are comprehensively and effectively protect their system from the cyber-
attack activities. The most crucial strategy to deploy is two strategic systems that enhance the high degree of security instead of implementing one
security system. Various organizations have taken into account the defense in depth very crucial. Still, the organizations demanded to incorporate
their awareness through the provision of comprehensive educations to the employees and the workers in the organizations concerning the vital
measures that should be taken into account to curb security issues and develop holistic values taken into account. Most of the organizations are
known not to take the awareness as pressing issues that demand high consideration for the process of protecting and enhancing the security to be
tight. For any organization to protect their system from the cybercrime attack, they need to embrace situational awareness so that they can compre-
hensively develop strategic interventions that enable them to improve and assist in the detection of the up and coming threats as well as the
1
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strengthens that countermeasures the cybercrime activities. To me.
6.2 What protocols comprise TLS6.3 What is the difference.docxBHANU281672
6.2 What protocols comprise TLS?
6.3 What is the difference between a TLS connection and a TLS session?
6.4 List and briefly define the parameters that define a TLS session state.
6.5 List and briefly define the parameters that define a TLS session connection.
6.6 What services are provided by the TLS Record Protocol?
6.7 What steps are involved in the TLS Record Protocol transmission?
6.8 What is the purpose of HTTPS?
6.9 For what applications is SSH useful?
6.10 List and briefly define the SSH protocols.
.
6.2 What protocols comprise TLS6.3 What is the difference bet.docxBHANU281672
6.2 What protocols comprise TLS?
6.3 What is the difference between a TLS connection and a TLS session?
6.4 List and briefly define the parameters that define a TLS session state.
6.5 List and briefly define the parameters that define a TLS session connection.
6.6 What services are provided by the TLS Record Protocol?
6.7 What steps are involved in the TLS Record Protocol transmission?
6.8 What is the purpose of HTTPS?
6.9 For what applications is SSH useful?
6.10 List and briefly define the SSH protocols.
.
6-3 Discussion Making DecisionsDiscussion Topic Starts Jun 5, 2.docxBHANU281672
6-3 Discussion: Making Decisions
Discussion Topic
Starts Jun 5, 2021 11:59 PM
View
this interactive discussion scenario
and answer the question(s) posed at the end of the presentation.
A transcript for the video
Interactive Discussion Scenario
is available.
.
6 PEER RESPONSES DUE IN 24 HOURS.. EACH SET OF 2 HAS ITS OWN INSTRUC.docxBHANU281672
6 PEER RESPONSES DUE IN 24 HOURS.. EACH SET OF 2 HAS ITS OWN INSTRUCTIONS..
Guided Response:
Review your classmates’ posts and choose two posts to respond to.
If you choose a peer that selected the same student as you, address the following prompts:
· Discuss how your plans are similar and how they differ.
· Do you think you and your chosen peer have similar or different teaching styles? Explain.
· Do you think you and your chosen peer could team teach? Explain.
If you choose a peer that selected a different student than you, address the following prompts:
· Share what you appreciated about their plan and suggest at least one additional way to build a relationship with that student.
· Do you think you and your chosen peer have similar or different teaching styles? Explain.
· Do you think you and your chosen peer could team teach? Explain.
BRITTNEY’S POST:
I would work to have a relationship with Olivia just like I would work to have a relationship with any one of my students. I would start every morning by asking her how she is as she comes through door, ask her at some point throughout the day how she is doing, and ask how everyone’s day went at the end of the day. I would also make a point on Mondays to ask everyone what they did over the weekend and Fridays what everyone’s plans are for the weekend. Talking about a child’s day and/or weekend is a great way to build a connection with my students, as well as making it clear that they can talk to me if they need to, and speaking to them with respect, not like they are below you. In addition, it would help to talk about your weekend plans and your day as well. I think each of my strategies will make a positive impact on building a relationship with my students because each one has everything to do with them learning to trust, talk to, and respect me as well.
A few suggestions I would give Olivia’s parents to further build this bond is to suggest one on one time after school a couple times a week or a monthly recap with all the students. One on one time with Olivia would consist of Olivia being able to talk about whatever she wants with homework help and additional tutoring if needed. A monthly recap would consist of one hour a month where the student and their parents can come in for cookies and discuss anything they want. Such as, critiques on my teaching skills/methods, suggestions on material/activities, or just anything I can improve on as an educator. I think it is important to develop a relationship with every child because children do not want to learn from someone they do not like or who does not like them. Rita Pierson, who discusses how she, her parents, and maternal grandparents were educators and the value and importance of human connection. Pierson discusses how everyone is affected by a teacher or an adult at some point in their life. She then goes on to discuss how a teacher said “They don’t pay me to like the kids. They pay me to teach a lesson. The k.
6 peer responses due in 18 hours Each set of 2 responses will ha.docxBHANU281672
6 peer responses due in 18 hours
Each set of 2 responses will have its own instructions..
Guided Response:
Respond to one peer in this Discussion Forum. Read the challenging behavior scenario they have created and use the Developmental Discipline guidance strategy to problem solve. You must include the following in your response: child’s name, how you will approach the child, possible reminder or private sign, describe how you provide time and space, an example of self-talk that can help the child problem solve, and a choice you can offer the child. Additionally, can you use humor to defuse the situation? If so, how? If not, why?
My post:
Collaborative problem solving is one of the guidance strategies to address challenging behaviors. This strategy is based on the notion that a child does not just behave undesirably. There must be a reason for such behavior. Thus, understanding why the child is having a challenging behavior is the start towards addressing this behavior (Schaubman, Stetson, & Plog, 2011). The focus is on building skills like problem-solving, flexibility, and frustration tolerance rather than motivation the child to behave better. Surprisingly, children with challenging behaviors do not lack the will to behave in a desired manner. Simply, they do not have the skills necessary to behave in a desired manner. This information is vital to addressing challenging behaviors among children in the future. This would be achieved through identifying the challenging behaviors, skills needed to address the behaviors, and partnering with the child to build these needed skills (
Kaiser & Sklar Rasminsky, 2017
). This strategy would help address Olivia’s disruptive behavior, impulsivity and addressing peers negatively. Reward and punishment may not work on Olivia. Thus, Olivia needs to develop skills to address her behaviors (Schaubman et al., 2011). One of the skills to develop is social skills to enable her to control her impulsivity, connect with others, and relate with her peers positively. Apart from this strategy, time-out or time-away would address Olivia’s challenging behaviors. A scenario portraying Olivia’s challenging behavior is her inability to wait for her turn during a group activity. She is always blurting out answers before her turn arrives. How can this be solved?
References
Kaiser, B., & Sklar Rasminsky, J. (2017). Chapter 9: Guidance. In
Challenging behavior in young children: Understanding, preventing, and responding effectively
(4th ed.). Pearson Education.
Schaubman, A., Stetson, E., & Plog, A. (2011). Reducing teacher stress by implementing collaborative problem solving in a school setting.
School Social Work Journal
,
35
(2), 72-93.
BRITTNEY'S POST:
What did you learn about your chosen strategy and what information surprised you?
After reading Time Out or Time Away I have learned a couple of things, such as, not every teacher uses the timeout method and I also learned about the tim.
The Roman Empire A Historical Colossus.pdfkaushalkr1407
The Roman Empire, a vast and enduring power, stands as one of history's most remarkable civilizations, leaving an indelible imprint on the world. It emerged from the Roman Republic, transitioning into an imperial powerhouse under the leadership of Augustus Caesar in 27 BCE. This transformation marked the beginning of an era defined by unprecedented territorial expansion, architectural marvels, and profound cultural influence.
The empire's roots lie in the city of Rome, founded, according to legend, by Romulus in 753 BCE. Over centuries, Rome evolved from a small settlement to a formidable republic, characterized by a complex political system with elected officials and checks on power. However, internal strife, class conflicts, and military ambitions paved the way for the end of the Republic. Julius Caesar’s dictatorship and subsequent assassination in 44 BCE created a power vacuum, leading to a civil war. Octavian, later Augustus, emerged victorious, heralding the Roman Empire’s birth.
Under Augustus, the empire experienced the Pax Romana, a 200-year period of relative peace and stability. Augustus reformed the military, established efficient administrative systems, and initiated grand construction projects. The empire's borders expanded, encompassing territories from Britain to Egypt and from Spain to the Euphrates. Roman legions, renowned for their discipline and engineering prowess, secured and maintained these vast territories, building roads, fortifications, and cities that facilitated control and integration.
The Roman Empire’s society was hierarchical, with a rigid class system. At the top were the patricians, wealthy elites who held significant political power. Below them were the plebeians, free citizens with limited political influence, and the vast numbers of slaves who formed the backbone of the economy. The family unit was central, governed by the paterfamilias, the male head who held absolute authority.
Culturally, the Romans were eclectic, absorbing and adapting elements from the civilizations they encountered, particularly the Greeks. Roman art, literature, and philosophy reflected this synthesis, creating a rich cultural tapestry. Latin, the Roman language, became the lingua franca of the Western world, influencing numerous modern languages.
Roman architecture and engineering achievements were monumental. They perfected the arch, vault, and dome, constructing enduring structures like the Colosseum, Pantheon, and aqueducts. These engineering marvels not only showcased Roman ingenuity but also served practical purposes, from public entertainment to water supply.
The Art Pastor's Guide to Sabbath | Steve ThomasonSteve Thomason
What is the purpose of the Sabbath Law in the Torah. It is interesting to compare how the context of the law shifts from Exodus to Deuteronomy. Who gets to rest, and why?
2024.06.01 Introducing a competency framework for languag learning materials ...Sandy Millin
http://sandymillin.wordpress.com/iateflwebinar2024
Published classroom materials form the basis of syllabuses, drive teacher professional development, and have a potentially huge influence on learners, teachers and education systems. All teachers also create their own materials, whether a few sentences on a blackboard, a highly-structured fully-realised online course, or anything in between. Despite this, the knowledge and skills needed to create effective language learning materials are rarely part of teacher training, and are mostly learnt by trial and error.
Knowledge and skills frameworks, generally called competency frameworks, for ELT teachers, trainers and managers have existed for a few years now. However, until I created one for my MA dissertation, there wasn’t one drawing together what we need to know and do to be able to effectively produce language learning materials.
This webinar will introduce you to my framework, highlighting the key competencies I identified from my research. It will also show how anybody involved in language teaching (any language, not just English!), teacher training, managing schools or developing language learning materials can benefit from using the framework.
Instructions for Submissions thorugh G- Classroom.pptxJheel Barad
This presentation provides a briefing on how to upload submissions and documents in Google Classroom. It was prepared as part of an orientation for new Sainik School in-service teacher trainees. As a training officer, my goal is to ensure that you are comfortable and proficient with this essential tool for managing assignments and fostering student engagement.
Unit 8 - Information and Communication Technology (Paper I).pdfThiyagu K
This slides describes the basic concepts of ICT, basics of Email, Emerging Technology and Digital Initiatives in Education. This presentations aligns with the UGC Paper I syllabus.
The French Revolution, which began in 1789, was a period of radical social and political upheaval in France. It marked the decline of absolute monarchies, the rise of secular and democratic republics, and the eventual rise of Napoleon Bonaparte. This revolutionary period is crucial in understanding the transition from feudalism to modernity in Europe.
For more information, visit-www.vavaclasses.com
Students, digital devices and success - Andreas Schleicher - 27 May 2024..pptxEduSkills OECD
Andreas Schleicher presents at the OECD webinar ‘Digital devices in schools: detrimental distraction or secret to success?’ on 27 May 2024. The presentation was based on findings from PISA 2022 results and the webinar helped launch the PISA in Focus ‘Managing screen time: How to protect and equip students against distraction’ https://www.oecd-ilibrary.org/education/managing-screen-time_7c225af4-en and the OECD Education Policy Perspective ‘Students, digital devices and success’ can be found here - https://oe.cd/il/5yV
1. 4
CHANGE PROPOSALPRESENTATIONFORFACULTY
REVIEW
Capstone Project Change Proposal Presentation for Faculty
Review and Feedback
Name
Name of the institution
Date
Running head: ASSIGNMENT TITLE HERE
1Running head: CHANGE PROPOSAL PRESENTATION FOR
FACULTY REVIEW
Intervention
The capstone change proposal is effects of disproportionate
nurse to patient staffing ratios on the quality of patient care.
Patients can be exposed to several safety issues if proper care is
not given to them. These problems include falls, hospital-
acquired infection due to poor hand hygiene by the healthcare
workers, medication administration errors, poor health
education to the patients, and negligence in attending to the
spiritual needs of the patients. Interventions includes presenting
the safety concerns to the management team of the facility to
enable them to hire more nurses to deliver adequate care to the
2. patients. In-service training of the nurses on fall prevention,
proper application of fall precautions and identification of
patients who are at risk of falls are another important
intervention. Proper hand hygiene is an intervention that will
prevent hospital-acquired infections and nurses should form the
culture of doing it (Sands, & Aunger, 2020). Medication errors
can lead to complications or death of patients. Nurses should
check the medications properly and identify the patients before
administration of the medications.
Evidence Based Literature
The articles reviewed have different research aims and
questions, but they are all centered into the idea of the effects
of nurse-to-patient ratios on patient outcomes. The research
questions of these articles are divided into three categories:
definition of nursing staffing, effects of nursing-to-patient ratio
on patient outcomes and nursing characteristics that hinders the
delivery of care. The study by (Cho et al., 2020), defines the
term nursing staffing in terms of the nursing care needs of the
patients.
Nurses are essential in the provision of quality care in acute
units, and their staffing levels have an impact on patient
outcomes. (Cho et al., 2015), examine the link between nursing
staffing and patient outcomes, specifically the mortality rate.
Comparing to (Driscoll et al., 2018) and (Shin et al., 2018), the
articles examine the effects of nursing staffing ratios on the
patient outcomes in acute specialist units. Besides, (Needleman,
2016) reviews the studies that examine the effects of nursing
skill mix on the patient outcomes such as patient ratings of
hospitals, mortality, adverse health outcomes, and nurse burnout
and dissatisfaction.
Some of the factors such as nursing skills, staffing methods, and
working environment affects the nursing staffing ratio, which
hinders the quality of care. The article by (Bridges et al., 2019),
explores the relationship between nursing staffing skills and the
quality and quantity of their interactions with patients in
hospital wards. (Olley et al., 2019) evaluate research on nursing
3. staffing methods and their implication to patient outcomes in
acute hospitals. (Song et al., 2020) aim to find out the
association of the missing essential care tasks in nursing homes
and the work environment.
Objectives of the Study
The aim of the project is to determine the condition under which
the impact of hospital nurse staffing is associated with patient
outcome. To determine the incidence of fall associated with
hospital and unit staffing. Falls-prevention programs needs to
be carefully targeted to patients at greatest risk in other to
achieve cost saving (Spetz et al., 2015). To determine the work
environment and staffing effect on nurses. To develop evidence-
based intervention to reduce the rise of hospital-acquired
infections in the hospital.
Resources Needed
Resources needed in the capstone change proposal included
communication, finance, leadership and management, new
policies and regulations, and hospital libraries.
Good communication between nurses and patients is critical for
personalized nursingcare of each patient (Dithole et al., 2017).
The management team needs update on the project by telephone
calls, email, text messages, project introduction of the seminar
that requires the use of computers and projectors. Funds are
needed to purchase supplies such as water, soaps, falls
prevention equipment, computers, projectors, face masks, hand
gloves, sanitizers, and disinfectants. Leaders and managers have
the power to influence the policies that will favor my project’s
implementation, so they are especially useful resources.
Anticipated Measurable Outcomes
The measurable outcomes of the capstone change proposal are
reduction of nurse’s burnout. Nurse burnout is characterized by
the reduction of energy which can negatively impact on work
output, and lack of motivation in a nurse (Mudallal et al.,
2017). Improving safety outcomes and increasing the quality of
life of the patients. Implementing adequate nurse staffing ratios
will help in promoting quality care, which will reduce the rate
4. of hospital readmissions or length of stays in intensive care
units, which are often expensive.
How the Intervention will be Evaluated
Evaluation of the intervention will be done through random
selection of patients admitted in acute section of the facility.
Assessment of fall rate and fall prevention practice before and
after the implementation of the project, will enable to determine
if progress is made. Checking the infection control records to
determine the number of cases after the implementation of the
project will determine how well hand hygiene practices are
carried out by the nurses, and other health workers. Checking
admission records to obtain information about the number of
readmissions is another way of evaluating the intervention.
Interviewing the randomly selected patients on general
satisfaction of nursing care is one way to evaluating the
intervention. Errors of nurses can result to safety concerns in
the facility (Palteki et al., 2020). Assessment of the nurse to
patient ratios will show if the management hires more nurses to
take care of the patients.
References
Mudallal, R. H., Othman, W. M., & Al Hassan, N. F. (2017).
Nurses' burnout: The influence of leader empowering behaviors,
work conditions, and demographic traits. Inquiry: A Journal of
Medical Care Organization, Provision, and Financing, 54,
46958017724944. https://doi.org/10.1177/0046958017724944
Dithole, K. S., Thupayagale-Tshweneagae, G., Akpor, O. A., &
Moleki, M. M. (2017). Communication skills intervention:
promoting effective communication between nurses and
mechanically ventilated patients. BMC Nursing, 16, 1–6.
https://doi-org.lopes.idm.oclc.org/10.1186/s12912-017-0268-5
Sands, M., & Aunger, R. (2020). Determinants of hand hygiene
compliance among nurses in US hospitals: A formative research
study. Plos One, 15(4), 1–29. https://doi-
org.lopes.idm.oclc.org/10.1371/journal.pone.0230573
Palteki, T., Sur, H., Yazıcı, G., Þimþek, E. E., & Baktýr, Y.
(2020). Evaluation of the patients’ attitudes and behaviors
5. concerning patient safety. Southern clinics of Istanbul
Eurasia, 31(1), 69–74. https://doi-
org.lopes.idm.oclc.org/10.14744/scie.2020.80299
Cho, E., Sloane, D. M., Kim, E.-Y., Kim, S., Choi, M., Yoo, I.
Y., Lee, H. S., & Aiken, L. H. (2015). Effects of nurse staffing,
work environments, and education on patient mortality: An
observational study. International Journal of Nursing
Studies, 52(2), 535–542.
https://doi.org/10.1016/j.ijnurstu.2014.08.006
Cho, S.-H., Lee, J.-Y., Hong, K. J., Yoon, H.-J., Sim, W.-H.,
Kim, M.-S., & Huh, I. (2020). Determining nurse staffing by
classifying patients based on their nursing care needs. Journal
of Korean Academy of Nursing Administration, 26(1), 42.
https://doi.org/10.11111/jkana.2020.26.1.42
Driscoll, A., Grant, M. J., Carroll, D., Dalton, S., Deaton, C.,
Jones, I., Lehwaldt, D., McKee, G., Munyombwe, T., & Astin,
F. (2018). The effect of nurse-to-patient ratios on nurse-
sensitive patient outcomes in acute specialist units: A
systematic review and meta-analysis. European Journal of
Cardiovascular Nursing: Journal of the Working Group on
Cardiovascular Nursing of the European Society of
Cardiology, 17(1), 6–22.
https://doi.org/10.1177/1474515117721561
Needleman, J. (2016). Nursing skill mix and patient
outcomes. BMJ Quality & Safety, 26(7), 525–528.
https://doi.org/10.1136/bmjqs-2016-006197
Olley, R., Edwards, I., Avery, M., & Cooper, H. (2019).
Systematic review of the evidence related to mandated nurse
staffing ratios in acute hospitals. Australian Health
Review, 43(3), 288. https://doi.org/10.1071/ah16252
Shin, S., Park, J.-H., & Bae, S.-H. (2018). Nurse staffing and
nurse outcomes: A systematic review and meta-
analysis. Nursing Outlook, 66(3), 273–282.
https://doi.org/10.1016/j.outlook.2017.12.002
Song, Y., Hoben, M., Norton, P., & Estabrooks, C. A. (2020).
Association of Work Environment with Missed and Rushed Care
6. Tasks Among Care Aides in Nursing Homes. JAMA Network
Open, 3(1), e1920092.
https://doi.org/10.1001/jamanetworkopen.2019.20092
Spetz, J., Brown, D. S., & Aydin, C. (2015). The economics of
preventing hospital falls: Demonstrating ROI through a simple
model. The Journal of Nursing Administration, 45(1), 50–57.
https://doi.org/10.1097/NNA.0000000000000154
%25
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SafeAssign Originality Report
Summer 2020 - Business Intelligence (ITS-531-06) - First … •
Week 4 Assignment
%49Total Score: High riskSruthi Dhadvai
Submission UUID: 24de29e0-b2f4-c86f-3c3c-1670aa7508bb
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WK4Assignment.docx
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Highest: WK4Assignment.…
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8. WK4Assignment.docx
5 6 10
7
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5 kdnu… 8 Stud… 6 kdnu…
Running Head: ASSIGNMENT 4 1
ASSIGNMENT 4 2
Assignment #4
Sruthi Dhadvai
University of the Cumberlands
Business Intelligence ITS 531 – 06 Summer 2020 First Bi-Term
Q1: Data mining is considered to be a procedure which depends
on algorithms in analyzing as well as extracting information
which
is useful from given data. Data mining can be utilized in
automatically discovering patterns that are hidden in addition to
9. relations
in information, as well as predicting results from data sets that
are large. Text mining is identified as a set of procedure
needed to convert text documents that are unstructured or
resources to structured information which is valuable.
Sentiment
analysis extracts texts from social networks, online reviews,
emails, interactions on call center in addition to various sources
of
information to identifying threads that are common which point
negative or positive feelings on a clients’ part. Sentiment
analysis is
known to be the study of information which is subjective in a
given expression, such as appraisals, opinions, and attitudes in
addition to emotion in regard to a certain topic, entity or
person. Expressions are either categorized as negative, neutral
or positive
(Allahyari, et.al, 2017). Q2: Text mining is used to explore as
well as analyze huge sums of text data which unstructured
assisted by a
software which is capable of identifying patterns, concepts,
keywords, topics as well as additional attributes within the data.
This
process is also referred to as text analytics; however, several
individuals have a distinction drawn in between both terms.
From that
perspective, text analytics is considered to be an application
which is enabled through utilization of techniques of text
mining in
sorting through sets of data (Kong and Gerstein, 2018).
Applications of text mining include risk management this means
integrating
as well as adopting software of risk management which is
powered through text mining techniques like SAS text miner
help
10. enterprises in staying updated generally with trends that are
current within the enterprise market. Another application is the
customer service; techniques in text mining are getting
enhanced importance within the customer care field. Q3: Text
analytics is
considered to help during the process of building additional
structure in addition to metadata across a text which was
initially
unstructured. Through the addition of extra structure, it
becomes possible in deriving more value. Inducing structure
basically
means first having structure imposed unto the data, thereafter
have the structured data mined. Several ways of inducing
structure
into data include isolation of key words; determining the key
topics basically meaning the text has to be classified according
to the
matter of subject in addition to measuring the sentiment this
means having the tone gauged. Q4: NLP basically plays the role
of
leveraging the tireless computer’s speed into applying analysis
which is human like into text. Technologies that are new such
as text
embedding basically convert words as well as phrases into
vectors that are mathematical which make it possible for easy
comparing on how both phrases are similar. In simpler terms,
NLP allows people to manipulate as well as have texts analyzed
in a
number like manner. The capabilities of numbers include the
fact they are known for being great, this is because it is
considered to
be easy to add, average, compare in addition to learning all
manner of things such as revenue comparisons or consumer
trends on
their spending within a given period. NLP also has its own
limitations which include variety as well as ambiguity in text,
11. data
availability nowadays most of NLP tends to be generated
through the use of models which are considered to be machine-
learned
(Lee, et.al, 2020). Exercise: There are several packages which
are mainly implemented in the process of text mining as well as
data
mining which include; Civis- this package is mainly considered
to be an end to end, easy to use as well as an extendable
platform of data science which is within the cloud, created by
scientists of data, for any team which desires to make great
decisions
which are driven by data to make it possible for their
organizations be driven in the forward direction. Another
package which
is used in the process is considered to be the CMSR Data Miner
which is basically created for the enterprise data which is
known to
have database focus, which is also known for incorporating the
rule engine, decision tree, neural clustering, neural network,
hotspot
drill down, cross sell analysis, cross table deviation analysis,
charts and visualization in addition to many more. An additional
package which is also used in data mining as well as text
mining includes the Coheris SPAD, this package is basically
known for
providing exploratory analyses which are known to be powerful
as well as gadgets for data mining which include clustering,
PCA,
decision trees that are interactive, analyses that are
discriminant, networks that are neural, text mining in addition
to many more
others, all through GUI which is user friendly.
12. 1
2
3
4
2
5
6
5
There is also the package of AdvancedMiner which is from
Algolytics, it mainly offers tools of a wider range which are
used in
transformations of data, models of mining data, analysis of data
as well as reporting of data (Silge and Robinson, 2017).
References
Allahyari, M., Pouriyeh, S., Assefi, M., Safaei, S., Trippe, E.
D., Gutierrez, J. B., &Kochut, K. (2017). A brief survey of text
mining:
Classification, clustering and extraction techniques. arXiv
preprint arXiv:1707.02919. Retrieved from
https://arxiv.org/abs/1707.02919
Kong, X., & Gerstein, M. B. (2018). Text mining systems
13. biology: Turning the microscope back on the observer. Current
Opinion in Systems Biology, 11, 117-122. Retrieved from
5
7
8 9
10 10
11
Source Matches (20)
Student paper 86%
Student paper 65%
Student paper 100%
Student paper 89%
Student paper 67%
kdnuggets 69%
kdnuggets 76%
https://www.sciencedirect.com/science/article/pii/S2452310018
300787
Lee, J., Yoon, W., Kim, S., Kim, D., Kim, S., So, C. H., &
14. Kang, J. (2020).BioBERT: a pre-trained biomedical language
representation model for biomedical text mining.
Bioinformatics, 36(4), 1234-1240. Retrieved from
https://academic.oup.com/bioinformatics/article/36/4/1234/5566
506
Sharda, R., Delen, D., Turban, E., Aronson, J., & Liang, T.
(2014). Business intelligence and analytics. System for
Decesion
Support. Silge, J., & Robinson, D. (2017). Text mining with R:
A tidy approach. " O'Reilly Media, Inc.". Retrieved from
https://books.google.co.ke/books?
hl=en&lr=&id=qNcnDwAAQBAJ&oi=fnd&pg=PP1&dq=text+m
ining&ots=Q0DPdoJVxY&sig=RgpTzQUatkh-
2e0nqQ6TW6ENTw4&redir_esc=y#v=onepage&q=text%20mini
ng&f=false
8 8
12
3 1
13
1
Student paper
ASSIGNMENT 4 1
Original source
15. WEEK 4 ASSIGNMENT 1
2
Student paper
ASSIGNMENT 4 2
Original source
Week 4 Assignment
3
Student paper
University of the Cumberlands
Original source
University of the Cumberlands
4
Student paper
Business Intelligence ITS 531 – 06
Summer 2020 First Bi-Term
Original source
Business Intelligence ITS 531 – 06
Summer 2020 First Bi-Term
University of the Cumberlands
16. 2
Student paper
Text mining is identified as a set of
procedure needed to convert text
documents that are unstructured or
resources to structured information
which is valuable.
Original source
Text mining encompasses a set of
processes employed in turning
unstructured text resources or
documents into valuable, structured
information
5
Student paper
Civis- this package is mainly
considered to be an end to end,
easy to use as well as an extendable
platform of data science which is
within the cloud, created by
scientists of data, for any team
which desires to make great
decisions which are driven by data
to make it possible for their
organizations be driven in the
forward direction.
Original source
17. Civis, an easy-to-use, end-to-end,
extendable, data science platform in
the cloud, built by data scientists, for
teams who want to make great data-
driven decisions to drive their
organizations forward
6
Student paper
Another package which is used in
the process is considered to be the
CMSR Data Miner which is basically
created for the enterprise data
which is known to have database
focus, which is also known for
incorporating the rule engine,
decision tree, neural clustering,
neural network, hotspot drill down,
cross sell analysis, cross table
deviation analysis, charts and
visualization in addition to many
more.
Original source
CMSR Data Miner, built for business
data with database focus,
incorporating rule-engine, neural
network, neural clustering (SOM),
decision tree, hotspot drill-down,
cross table deviation analysis, cross-
sell analysis, visualization/charts,
and more
18. kdnuggets 64%
kupdf 73%
Student paper 73%
Student paper 86%
papers 86%
papers 100%
Student paper 88%
Student paper 100%
Student paper 100%
Student paper 66%
Student paper 75%
Student paper 82%
Student paper 100%
5
Student paper
An additional package which is also
used in data mining as well as text
mining includes the Coheris SPAD,
this package is basically known for
19. providing exploratory analyses
which are known to be powerful as
well as gadgets for data mining
which include clustering, PCA,
decision trees that are interactive,
analyses that are discriminant,
networks that are neural, text
mining in addition to many more
others, all through GUI which is user
friendly. There is also the package of
AdvancedMiner which is from
Algolytics, it mainly offers tools of a
wider range which are used in
transformations of data, models of
mining data, analysis of data as well
as reporting of data (Silge and
Robinson, 2017).
Original source
Coheris SPAD, provides powerful
exploratory analyses and data
mining tools, including PCA,
clustering, interactive decision trees,
discriminant analyses, neural
networks, text mining and more, all
via user-friendly GUI AdvancedMiner
from Algolytics, provides a wide
range of tools for data
transformations, Data Mining
models, data analysis and reporting
7
Student paper
20. A brief survey of text mining:
Original source
A Survey of Text Mining Techniques
and
8
Student paper
Classification, clustering and
extraction techniques.
Original source
Feature extraction, classification,
and clustering A
9
Student paper
Retrieved from
https://arxiv.org/abs/1707.02919
Original source
Retrieved from
https://arxiv.org/abs/1707.01031
10
Student paper
Kong, X., & Gerstein, M.
21. Original source
X Kong, M Gerstein (2018)
10
Student paper
Text mining systems biology:
Turning the microscope back on the
observer. Current Opinion in
Systems Biology, 11, 117-122.
Original source
Text mining systems biology Turning
the microscope back on the
observer Current Opinion in
Systems Biology 11:117-122
11
Student paper
Retrieved from
https://www.sciencedirect.com/scien
ce/article/pii/S2452310018300787
Original source
Retrieved from
https://www.sciencedirect.com/scien
ce/article/pii/S0167739X16306963
8
22. Student paper
Lee, J., Yoon, W., Kim, S., Kim, D.,
Kim, S., So, C. H., & Kang, J.
Original source
Lee, J., Yoon, W., Kim, S., Kim, D.,
Kim, S., So, C H., & Kang, J
8
Student paper
a pre-trained biomedical language
representation model for
biomedical text mining.
Bioinformatics, 36(4), 1234-1240.
Original source
a pre-trained biomedical language
representation model for
biomedical text mining
Bioinformatics, 36(4), 1234-1240
12
Student paper
Retrieved from
https://academic.oup.com/bioinfor
matics/article/36/4/1234/5566506
Original source
24. iii
Preface xxv
About the Authors xxxiv
PART I Introduction to Analytics and AI 1
Chapter 1 Overview of Business Intelligence, Analytics,
Data Science, and Artificial Intelligence: Systems
for Decision Support 2
Chapter 2 Artificial Intelligence: Concepts, Drivers, Major
Technologies, and Business Applications 73
Chapter 3 Nature of Data, Statistical Modeling, and
Visualization 117
PART II Predictive Analytics/Machine Learning 193
Chapter 4 Data Mining Process, Methods, and Algorithms 194
Chapter 5 Machine-Learning Techniques for Predictive
Analytics 251
Chapter 6 Deep Learning and Cognitive Computing 315
Chapter 7 Text Mining, Sentiment Analysis, and Social
Analytics 388
PART III Prescriptive Analytics and Big Data 459
Chapter 8 Prescriptive Analytics: Optimization and
25. Simulation 460
Chapter 9 Big Data, Cloud Computing, and Location Analytics:
Concepts and Tools 509
PART IV Robotics, Social Networks, AI and IoT 579
Chapter 10 Robotics: Industrial and Consumer Applications 580
Chapter 11 Group Decision Making, Collaborative Systems,
and
AI Support 610
Chapter 12 Knowledge Systems: Expert Systems,
Recommenders,
Chatbots, Virtual Personal Assistants, and Robo
Advisors 648
Chapter 13 The Internet of Things as a Platform for Intelligent
Applications 687
PART V Caveats of Analytics and AI 725
Chapter 14 Implementation Issues: From Ethics and Privacy to
Organizational and Societal Impacts 726
Glossary 770
Index 785
BRIEF CONTENTS
A01_SHAR2016_11_SE_FM.indd 3 21/12/18 1:43 PM
iv
26. CONTENTS
Preface xxv
About the Authors xxxiv
PART I Introduction to Analytics and AI 1
Chapter 1 Overview of Business Intelligence, Analytics, Data
Science, and Artificial Intelligence: Systems for Decision
Support 2
1.1 Opening Vignette: How Intelligent Systems Work for
KONE Elevators and Escalators Company 3
1.2 Changing Business Environments and Evolving Needs for
Decision Support and Analytics 5
Decision-Making Process 6
The Influence of the External and Internal Environments on the
Process 6
Data and Its Analysis in Decision Making 7
Technologies for Data Analysis and Decision Support 7
1.3 Decision-Making Processes and Computerized Decision
Support Framework 9
Simon’s Process: Intelligence, Design, and Choice 9
The Intelligence Phase: Problem (or Opportunity) Identification
10
0 APPLICATION CASE 1.1 Making Elevators Go Faster! 11
27. The Design Phase 12
The Choice Phase 13
The Implementation Phase 13
The Classical Decision Support System Framework 14
A DSS Application 16
Components of a Decision Support System 18
The Data Management Subsystem 18
The Model Management Subsystem 19
0 APPLICATION CASE 1.2 SNAP DSS Helps OneNet Make
Telecommunications Rate Decisions 20
The User Interface Subsystem 20
The Knowledge-Based Management Subsystem 21
1.4 Evolution of Computerized Decision Support to Business
Intelligence/Analytics/Data Science 22
A Framework for Business Intelligence 25
The Architecture of BI 25
The Origins and Drivers of BI 26
Data Warehouse as a Foundation for Business Intelligence 27
Transaction Processing versus Analytic Processing 27
28. A Multimedia Exercise in Business Intelligence 28
A01_SHAR2016_11_SE_FM.indd 4 21/12/18 1:43 PM
Contents v
1.5 Analytics Overview 30
Descriptive Analytics 32
0 APPLICATION CASE 1.3 Silvaris Increases Business with
Visual
Analysis and Real-Time Reporting Capabilities 32
0 APPLICATION CASE 1.4 Siemens Reduces Cost with the
Use of Data
Visualization 33
Predictive Analytics 33
0 APPLICATION CASE 1.5 Analyzing Athletic Injuries 34
Prescriptive Analytics 34
0 APPLICATION CASE 1.6 A Specialty Steel Bar Company
Uses Analytics
to Determine Available-to-Promise Dates 35
1.6 Analytics Examples in Selected Domains 38
Sports Analytics—An Exciting Frontier for Learning and
Understanding
Applications of Analytics 38
29. Analytics Applications in Healthcare—Humana Examples 43
0 APPLICATION CASE 1.7 Image Analysis Helps Estimate
Plant Cover 50
1.7 Artificial Intelligence Overview 52
What Is Artificial Intelligence? 52
The Major Benefits of AI 52
The Landscape of AI 52
0 APPLICATION CASE 1.8 AI Increases Passengers’ Comfort
and
Security in Airports and Borders 54
The Three Flavors of AI Decisions 55
Autonomous AI 55
Societal Impacts 56
0 APPLICATION CASE 1.9 Robots Took the Job of Camel-
Racing Jockeys
for Societal Benefits 58
1.8 Convergence of Analytics and AI 59
Major Differences between Analytics and AI 59
Why Combine Intelligent Systems? 60
How Convergence Can Help? 60
Big Data Is Empowering AI Technologies 60
30. The Convergence of AI and the IoT 61
The Convergence with Blockchain and Other Technologies 62
0 APPLICATION CASE 1.10 Amazon Go Is Open for Business
62
IBM and Microsoft Support for Intelligent Systems
Convergence 63
1.9 Overview of the Analytics Ecosystem 63
1.10 Plan of the Book 65
1.11 Resources, Links, and the Teradata University Network
Connection 66
Resources and Links 66
Vendors, Products, and Demos 66
Periodicals 67
The Teradata University Network Connection 67
A01_SHAR2016_11_SE_FM.indd 5 21/12/18 1:43 PM
vi Contents
The Book’s Web Site 67
Chapter Highlights 67 • Key Terms 68
Questions for Discussion 68 • Exercises 69
References 70
31. Chapter 2 Artificial Intelligence: Concepts, Drivers, Major
Technologies, and Business Applications 73
2.1 Opening Vignette: INRIX Solves Transportation
Problems 74
2.2 Introduction to Artificial Intelligence 76
Definitions 76
Major Characteristics of AI Machines 77
Major Elements of AI 77
AI Applications 78
Major Goals of AI 78
Drivers of AI 79
Benefits of AI 79
Some Limitations of AI Machines 81
Three Flavors of AI Decisions 81
Artificial Brain 82
2.3 Human and Computer Intelligence 83
What Is Intelligence? 83
How Intelligent Is AI? 84
Measuring AI 85
32. 0 APPLICATION CASE 2.1 How Smart Can a Vacuum Cleaner
Be? 86
2.4 Major AI Technologies and Some Derivatives 87
Intelligent Agents 87
Machine Learning 88
0 APPLICATION CASE 2.2 How Machine Learning Is
Improving Work
in Business 89
Machine and Computer Vision 90
Robotic Systems 91
Natural Language Processing 92
Knowledge and Expert Systems and Recommenders 93
Chatbots 94
Emerging AI Technologies 94
2.5 AI Support for Decision Making 95
Some Issues and Factors in Using AI in Decision Making 96
AI Support of the Decision-Making Process 96
Automated Decision Making 97
0 APPLICATION CASE 2.3 How Companies Solve Real-
World Problems
Using Google’s Machine-Learning Tools 97
33. Conclusion 98
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2.6 AI Applications in Accounting 99
AI in Accounting: An Overview 99
AI in Big Accounting Companies 100
Accounting Applications in Small Firms 100
0 APPLICATION CASE 2.4 How EY, Deloitte, and PwC Are
Using AI 100
Job of Accountants 101
2.7 AI Applications in Financial Services 101
AI Activities in Financial Services 101
AI in Banking: An Overview 101
Illustrative AI Applications in Banking 102
Insurance Services 103
0 APPLICATION CASE 2.5 US Bank Customer Recognition
and
Services 104
2.8 AI in Human Resource Management (HRM) 105
34. AI in HRM: An Overview 105
AI in Onboarding 105
0 APPLICATION CASE 2.6 How Alexander Mann
Solution
s (AMS) Is
Using AI to Support the Recruiting Process 106
Introducing AI to HRM Operations 106
2.9 AI in Marketing, Advertising, and CRM 107
Overview of Major Applications 107
AI Marketing Assistants in Action 108
Customer Experiences and CRM 108
0 APPLICATION CASE 2.7 Kraft Foods Uses AI for
Marketing
and CRM 109
35. Other Uses of AI in Marketing 110
2.10 AI Applications in Production-Operation
Management (POM) 110
AI in Manufacturing 110
Implementation Model 111
Intelligent Factories 111
Logistics and Transportation 112
Chapter Highlights 112 • Key Terms 113
Questions for Discussion 113 • Exercises 114
References 114
Chapter 3 Nature of Data, Statistical Modeling, and
Visualization 117
3.1 Opening Vignette: SiriusXM Attracts and Engages a
New Generation of Radio Consumers with Data-Driven
Marketing 118
36. 3.2 Nature of Data 121
3.3 Simple Taxonomy of Data 125
0 APPLICATION CASE 3.1 Verizon Answers the Call for
Innovation: The
Nation’s Largest Network Provider uses Advanced Analytics to
Bring
the Future to its Customers 127
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3.4 Art and Science of Data Preprocessing 129
0 APPLICATION CASE 3.2 Improving Student Retention with
Data-Driven Analytics 133
3.5 Statistical Modeling for Business Analytics 139
Descriptive Statistics for Descriptive Analytics 140
37. Measures of Centrality Tendency (Also Called Measures of
Location or
Centrality) 140
Arithmetic Mean 140
Median 141
Mode 141
Measures of Dispersion (Also Called Measures of Spread or
Decentrality) 142
Range 142
Variance 142
Standard Deviation 143
Mean Absolute Deviation 143
Quartiles and Interquartile Range 143
Box-and-Whiskers Plot 143
38. Shape of a Distribution 145
0 APPLICATION CASE 3.3 Town of Cary Uses Analytics to
Analyze Data
from Sensors, Assess Demand, and Detect Problems 150
3.6 Regression Modeling for Inferential Statistics 151
How Do We Develop the Linear Regression Model? 152
How Do We Know If the Model Is Good Enough? 153
What Are the Most Important Assumptions in Linear
Regression? 154
Logistic Regression 155
Time-Series Forecasting 156
0 APPLICATION CASE 3.4 Predicting NCAA Bowl Game
Outcomes 157
3.7 Business Reporting 163
0 APPLICATION CASE 3.5 Flood of Paper Ends at FEMA 165
3.8 Data Visualization 166
39. Brief History of Data Visualization 167
0 APPLICATION CASE 3.6 Macfarlan Smith Improves
Operational
Performance Insight with Tableau Online 169
3.9 Different Types of Charts and Graphs 171
Basic Charts and Graphs 171
Specialized Charts and Graphs 172
Which Chart or Graph Should You Use? 174
3.10 Emergence of Visual Analytics 176
Visual Analytics 178
High-Powered Visual Analytics Environments 180
3.11 Information Dashboards 182
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0 APPLICATION CASE 3.7 Dallas Cowboys Score Big with
Tableau
and Teknion 184
Dashboard Design 184
0 APPLICATION CASE 3.8 Visual Analytics Helps Energy
Supplier Make
Better Connections 185
What to Look for in a Dashboard 186
Best Practices in Dashboard Design 187
Benchmark Key Performance Indicators with Industry Standards
187
Wrap the Dashboard Metrics with Contextual Metadata 187
Validate the Dashboard Design by a Usability Specialist 187
41. Prioritize and Rank Alerts/Exceptions Streamed to the
Dashboard 188
Enrich the Dashboard with Business-User Comments 188
Present Information in Three Different Levels 188
Pick the Right Visual Construct Using Dashboard Design
Principles 188
Provide for Guided Analytics 188
Chapter Highlights 188 • Key Terms 189
Questions for Discussion 190 • Exercises 190
References 192
PART II Predictive Analytics/Machine Learning 193
Chapter 4 Data Mining Process, Methods, and Algorithms 194
4.1 Opening Vignette: Miami-Dade Police Department Is
Using
Predictive Analytics to Foresee and Fight Crime 195
42. 4.2 Data Mining Concepts 198
0 APPLICATION CASE 4.1 Visa Is Enhancing the Customer
Experience while Reducing Fraud with Predictive Analytics
and Data Mining 199
Definitions, Characteristics, and Benefits 201
How Data Mining Works 202
0 APPLICATION CASE 4.2 American Honda Uses Advanced
Analytics to
Improve Warranty Claims 203
Data Mining Versus Statistics 208
4.3 Data Mining Applications 208
0 APPLICATION CASE 4.3 Predictive Analytic and Data
Mining Help
Stop Terrorist Funding 210
4.4 Data Mining Process 211
Step 1: Business Understanding 212
43. Step 2: Data Understanding 212
Step 3: Data Preparation 213
Step 4: Model Building 214
0 APPLICATION CASE 4.4 Data Mining Helps in
Cancer Research 214
Step 5: Testing and Evaluation 217
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Step 6: Deployment 217
Other Data Mining Standardized Processes and Methodologies
217
4.5 Data Mining Methods 220
Classification 220
44. Estimating the True Accuracy of Classification Models 221
Estimating the Relative Importance of Predictor Variables 224
Cluster Analysis for Data Mining 228
0 APPLICATION CASE 4.5 Influence Health Uses Advanced
Predictive
Analytics to Focus on the Factors That Really Influence
People’s
Healthcare Decisions 229
Association Rule Mining 232
4.6 Data Mining Software Tools 236
0 APPLICATION CASE 4.6 Data Mining goes to Hollywood:
Predicting
Financial Success of Movies 239
4.7 Data Mining Privacy Issues, Myths, and Blunders 242
0 APPLICATION CASE 4.7 Predicting Customer Buying
Patterns—The
45. Target Story 243
Data Mining Myths and Blunders 244
Chapter Highlights 246 • Key Terms 247
Questions for Discussion 247 • Exercises 248
References 250
Chapter 5 Machine-Learning Techniques for Predictive
Analytics 251
5.1 Opening Vignette: Predictive Modeling Helps
Better Understand and Manage Complex Medical
Procedures 252
5.2 Basic Concepts of Neural Networks 255
Biological versus Artificial Neural Networks 256
0 APPLICATION CASE 5.1 Neural Networks are Helping to
Save
Lives in the Mining Industry 258
5.3 Neural Network Architectures 259
46. Kohonen’s Self-Organizing Feature Maps 259
Hopfield Networks 260
0 APPLICATION CASE 5.2 Predictive Modeling Is Powering
the Power
Generators 261
5.4 Support Vector Machines 263
0 APPLICATION CASE 5.3 Identifying Injury Severity Risk
Factors in
Vehicle Crashes with Predictive Analytics 264
Mathematical Formulation of SVM 269
Primal Form 269
Dual Form 269
Soft Margin 270
Nonlinear Classification 270
47. Kernel Trick 271
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5.5 Process-Based Approach to the Use of SVM 271
Support Vector Machines versus Artificial Neural Networks 273
5.6 Nearest Neighbor Method for Prediction 274
Similarity Measure: The Distance Metric 275
Parameter Selection 275
0 APPLICATION CASE 5.4 Efficient Image Recognition and
Categorization with knn 277
5.7 Naïve Bayes Method for Classification 278
Bayes Theorem 279
48. Naïve Bayes Classifier 279
Process of Developing a Naïve Bayes Classifier 280
Testing Phase 281
0 APPLICATION CASE 5.5 Predicting Disease Progress in
Crohn’s
Disease Patients: A Comparison of Analytics Methods 282
5.8 Bayesian Networks 287
How Does BN Work? 287
How Can BN Be Constructed? 288
5.9 Ensemble Modeling 293
Motivation—Why Do We Need to Use Ensembles? 293
Different Types of Ensembles 295
Bagging 296
Boosting 298
49. Variants of Bagging and Boosting 299
Stacking 300
Information Fusion 300
Summary—Ensembles are not Perfect! 301
0 APPLICATION CASE 5.6 To Imprison or Not to Imprison:
A Predictive Analytics-Based Decision Support System for
Drug Courts 304
Chapter Highlights 306 • Key Terms 308
Questions for Discussion 308 • Exercises 309
Internet Exercises 312 • References 313
Chapter 6 Deep Learning and Cognitive Computing 315
6.1 Opening Vignette: Fighting Fraud with Deep Learning
and Artificial Intelligence 316
6.2 Introduction to Deep Learning 320
50. 0 APPLICATION CASE 6.1 Finding the Next Football Star
with
Artificial Intelligence 323
6.3 Basics of “Shallow” Neural Networks 325
0 APPLICATION CASE 6.2 Gaming Companies Use Data
Analytics to
Score Points with Players 328
0 APPLICATION CASE 6.3 Artificial Intelligence Helps
Protect Animals
from Extinction 333
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6.4 Process of Developing Neural Network–Based
Systems 334
Learning Process in ANN 335
51. Backpropagation for ANN Training 336
6.5 Illuminating the Black Box of ANN 340
0 APPLICATION CASE 6.4 Sensitivity Analysis Reveals
Injury Severity
Factors in Traffic Accidents 341
6.6 Deep Neural Networks 343
Feedforward Multilayer Perceptron (MLP)-Type Deep Networks
343
Impact of Random Weights in Deep MLP 344
More Hidden Layers versus More Neurons? 345
0 APPLICATION CASE 6.5 Georgia DOT Variable Speed
Limit Analytics
Help Solve Traffic Congestions 346
6.7 Convolutional Neural Networks 349
Convolution Function 349
52. Pooling 352
Image Processing Using Convolutional Networks 353
0 APPLICATION CASE 6.6 From Image Recognition to Face
Recognition 356
Text Processing Using Convolutional Networks 357
6.8 Recurrent Networks and Long Short-Term Memory
Networks 360
0 APPLICATION CASE 6.7 Deliver Innovation by
Understanding
Customer Sentiments 363
LSTM Networks Applications 365
6.9 Computer Frameworks for Implementation of Deep
Learning 368
Torch 368
Caffe 368
53. TensorFlow 369
Theano 369
Keras: An Application Programming Interface 370
6.10 Cognitive Computing 370
How Does Cognitive Computing Work? 371
How Does Cognitive Computing Differ from AI? 372
Cognitive Search 374
IBM Watson: Analytics at Its Best 375
0 APPLICATION CASE 6.8 IBM Watson Competes against
the
Best at Jeopardy! 376
How Does Watson Do It? 377
What Is the Future for Watson? 377
Chapter Highlights 381 • Key Terms 383
54. Questions for Discussion 383 • Exercises 384
References 385
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Chapter 7 Text Mining, Sentiment Analysis, and Social
Analytics 388
7.1 Opening Vignette: Amadori Group Converts Consumer
Sentiments into Near-Real-Time Sales 389
7.2 Text Analytics and Text Mining Overview 392
0 APPLICATION CASE 7.1 Netflix: Using Big Data to Drive
Big
Engagement: Unlocking the Power of Analytics to Drive
Content and Consumer Insight 395
7.3 Natural Language Processing (NLP) 397
55. 0 APPLICATION CASE 7.2 AMC Networks Is Using
Analytics to
Capture New Viewers, Predict Ratings, and Add Value for
Advertisers
in a Multichannel World 399
7.4 Text Mining Applications 402
Marketing Applications 403
Security Applications 403
Biomedical Applications 404
0 APPLICATION CASE 7.3 Mining for Lies 404
Academic Applications 407
0 APPLICATION CASE 7.4 The Magic Behind the Magic:
Instant Access
to Information Helps the Orlando Magic Up their Game and the
Fan’s
Experience 408
7.5 Text Mining Process 410
56. Task 1: Establish the Corpus 410
Task 2: Create the Term–Document Matrix 411
Task 3: Extract the Knowledge 413
0 APPLICATION CASE 7.5 Research Literature Survey with
Text
Mining 415
7.6 Sentiment Analysis 418
0 APPLICATION CASE 7.6 Creating a Unique Digital
Experience to
Capture Moments That Matter at Wimbledon 419
Sentiment Analysis Applications 422
Sentiment Analysis Process 424
Methods for Polarity Identification 426
Using a Lexicon 426
57. Using a Collection of Training Documents 427
Identifying Semantic Orientation of Sentences and Phrases 428
Identifying Semantic Orientation of Documents 428
7.7 Web Mining Overview 429
Web Content and Web Structure Mining 431
7.8 Search Engines 433
Anatomy of a Search Engine 434
1. Development Cycle 434
2. Response Cycle 435
Search Engine Optimization 436
Methods for Search Engine Optimization 437
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0 APPLICATION CASE 7.7 Delivering Individualized Content
and
Driving Digital Engagement: How Barbour Collected More
Than 49,000
New Leads in One Month with Teradata Interactive 439
7.9 Web Usage Mining (Web Analytics) 441
Web Analytics Technologies 441
Web Analytics Metrics 442
Web Site Usability 442
Traffic Sources 443
Visitor Profiles 444
Conversion Statistics 444
7.10 Social Analytics 446
59. Social Network Analysis 446
Social Network Analysis Metrics 447
0 APPLICATION CASE 7.8 Tito’s Vodka Establishes Brand
Loyalty with
an Authentic Social Strategy 447
Connections 450
Distributions 450
Segmentation 451
Social Media Analytics 451
How Do People Use Social Media? 452
Measuring the Social Media Impact 453
Best Practices in Social Media Analytics 453
Chapter Highlights 455 • Key Terms 456
Questions for Discussion 456 • Exercises 456
60. References 457
PART III Prescriptive Analytics and Big Data 459
Chapter 8 Prescriptive Analytics: Optimization and Simulation
460
8.1 Opening Vignette: School District of Philadelphia Uses
Prescriptive Analytics to Find Optimal