Doe 1
John Doe
Professor O. Jean
ENC1102
15 July 2020
Simulation Training for Nursing Students
They can’t fly or read minds, but they still save lives! Nurses are the modern-day
superheroes. In today’s evolving world of technology, the medical field welcomes advancements
with open arms. The best way for a nursing student to craft and hone their skills is with on-the-
job training. Since it is not safe for nursing students to practice on actual human beings right
away, simulation training is the next best thing. Simulation training allows students to practice
on human like figures, ranging from babies to adults, that are able to breathe, maintain a pulse
and blood pressure, go into cardiac arrest, and much more. With this technological advancement,
nursing students will be able to enter the medical field with more knowledge and confidence,
better manage stressful situations, and produce less errors.
It has been proven effective in any place of work that on-the-job training is the best
method of learning. Just the same as a sponge, some students soak up all the knowledge that a
textbook contains, but others require hands on learning. When learning new techniques, tools,
body parts, etc., touching them teaches the brain muscle memory allowing students to put a face
to the name. “… simulation had improved students’ learning in terms of knowledge, critical
thinking, reasoning and self-confidence” (Agha, 19). These simulations allow students to be able
to learn and perfect possible scenarios before going into clinicals. “Through simulated practices,
the student health professional can improve technical, communication and also behavioral skills,
develop critical observation, learn to work in a team, and exercise clinical reasoning and
Doe 2
decision-making” (Fonseca, 3). Hospital staff, patients, and their family’s minds can be more at
ease knowing that nursing students are getting the most out of their education before entering the
medical field.
A hospital is the home of chaos. While one wing may be silent, another contains the
screams of a mother giving birth, or doctors and nurses scrambling to keep their patient alive in
an operating room. Nurses must be able to manage their stress in any situation thrown at them. In
a study conducted on Hybrid simulations, groups of three to four nursing students were able to
work with various forms of simulations from low to high technologies. This exercise essentially
mirrored a high-volume emergency room scenario. “Hybrid simulation is the combination of
more than one simulation modality in a single teaching or evaluation exercise…Hybrid
simulations allows for the training of technical skills combined with communication proficiency”
(Unver, p. 264). Professionalism and teamwork, although frequently overlooked, are some of the
most important skills a nurse should bear. As a nurse you will never be working alone. You are
working ...
- Nursing informatics is defined as integrating nursing, information, and technology to support health worldwide. A master's-prepared nurse discussed her role in a military hospital, which involves obtaining patient data from various sources and presenting it to help improve care.
- She advised that nursing informatics is a growing field with many opportunities for self-starters interested in technology. Shadowing her showed her taking on roles like mentoring others and evaluating education programs on any given day.
The Anotated bilography should look like this Social1) S.docxmattinsonjanel
The Anotated bilography should look like this:
Social:
1) Strachan, Juliet, and Vincent Pavie-Latour. "Food for Thought." International Journal of Market Research 50.01 (2008): 13-27. Print. Since a long time, people argued wither to concentrate advertisements on children and youth. Children an Youth are our society while the advertisement is one of the important tool to make marketing. We have to care about our generations and not to stop making business. Here is an article supporting my idea.
2) Gbadamosi, Ayantunji, Robert E. Hinson, Eddy K. Tukamushaba, and Irene Ingunjiri. "Children’s Attitudinal Reactions to TV Advertisements." International Journal of Market Research 54.4 (2012): 543+. Print. It's a study has been done on African Children to figure how they behave and thier reactions. The study provede that kids have point in thier mantelaty they can analysis and get feedback from them.Its case of study helps me in certain way.
3)
4)
5)
Economics:
1)
2)
3)
4)
5)
Politics:
1)
Quinlan, Mark. "Thousands Could Lose Internet Access July 9 Due to Virus." CNBC News (2012): n. pag. CBCnews. CBC/Radio Canada, 04 July 2012. Web. 05 Aug. 2014. Lot of information about internet and how to secure our children from the abusers. It helps me in statistics and ways to be awareness and useful methods to use.
2)
Messmer, Ellen. "The Worst Data Breach Incidents of 2012 – So Far." The Worst Data Breach Incidents of 2012 – So Far. N.p., 18 June 2012. Web. 30 July 2014. Its related to my article by the statistics it has.
3)
Author is trying to explain how can we afford the safe environment to Internet to kids with all support ways to improve the kids' skills. In Europe, governments are supporting the childhood privacy in more secure sites. "Particular attention will be paid to soft law adopted in the UK and in France." Its such an awesome source taking about law in our case of study.
4)
5)
http://web.a.ebscohost.com.ezproxy.library.ewu.edu/ehost/detail/detail?sid=13c127bb-2ef4-4388-bde6-190c2cd83e35%40sessionmgr4004&vid=2&hid=4214&bdata=JnNpdGU9ZWhvc3QtbGl2ZSZzY29wZT1zaXRl#db=bth&AN=37362616
http://web.a.ebscohost.com.ezproxy.library.ewu.edu/ehost/detail/detail?sid=84b2632c-da79-4031-8c5a-a932a345513b%40sessionmgr4004&vid=0&hid=4214&bdata=JnNpdGU9ZWhvc3QtbGl2ZSZzY29wZT1zaXRl#db=bth&AN=78072523
http://web.a.ebscohost.com.ezproxy.library.ewu.edu/ehost/detail/detail?sid=be241d5d-6c48-4a67-8550-87ee54dc1e6f%40sessionmgr4001&vid=0&hid=4214&bdata=JnNpdGU9ZWhvc3QtbGl2ZSZzY29wZT1zaXRl#db=bth&AN=96330681
http://web.a.ebscohost.com.ezproxy.library.ewu.edu/ehost/detail/detail?vid=8&sid=a5068c93-d46a-4f6c-ae99-dfe9e542cf0d%40sessionmgr4001&hid=4214&bdata=JnNpdGU9ZWhvc3QtbGl2ZSZzY29wZT1zaXRl#db=bth&AN=27996445
He used the following resources: (you may use the first one and what you see as it works well with the essay)
Some sorces and links that needed in the annotated bibliography
In Defense of Data (2013) ‘Data Breach tre ...
FEEDBACK FOR M7 Draft PPT SlidesHello Dear Student,The maiChereCheek752
FEEDBACK FOR M7 Draft PPT Slides
Hello Dear Student,
The main feedback is that you might review the structure - so that the slides in your main body section align with the main points described on slide 7.
The main body section has many different headings so I'm not seeing those four definitive sections. Maybe, having figured out what you really are covering, you can work backwards and reword the main points on that the slide 7, using new main points based on what you actually covered and making sure the order you've put them in make logical sense.
After those corrections, you are ready for the Final Project Submission.
Capstone Project Topic Selection2
Capstone Project Topic Selection4
Staffing, What Does It Cost?
Jane Doe
Grand Canyon University
Professional Capstone and Practicum
NRS-490
Professor Barbara Pridgen
August 25, 2017
Running head: Capstone Project Topic Selection1
Staffing, What Does It Cost?
Nurses have a responsibility to their patients to deliver quality healthcare and to keep patients safe. According to a report conducted by the American Nurses Association (2015) there is a new emphasis placed on cost containment and the first group being affected by cost-cutting measures is staffing (p. 4). This is not a very good idea since the majority of patient care falls on nurses and “appropriate nurse staffing levels are essential to optimizing quality of care and patient outcomes in the era of value-based healthcare (American Nurses Association [ANA], 2015, p. 4). This writer would like to explore how staffing affects patient care in regards to quality, outcomes and level of satisfaction. In addition, this writer would also like to explore the affect short-staffing has on the nurse and how the organization benefits financially from cutting staff. In the end, this writer would like to seek creative, cost-effective solutions that would benefit the nurse, the patient and the organization.
Impact of Staffing
Organizations believe that by cutting staff they are saving money to help their bottom-line, which is not unreasonable because everyone has a responsibility to be cost-conscious in today’s world. However, the reality may differ from what the organization believes that they are gaining. Lower staffing can have detrimental effects on patient care and outcomes and increase the risk of patient harm. When staffing is not adequate to care for patients it increases the risk for hospital acquired infections, medication errors, falls, missed treatment, and even death.
When staff levels are low and nurses are expected to perform too many tasks with too little time in a twelve-hour shift, staff burnout is sure to happen which will lead to high staff turnover. With the push to have more registered nurses with their Bachelor’s degree on the belief that they can deliver better more efficient care, will more likely open the door for the nurse to seek employment elsewhere. In the end, the nurse does not like to put pa ...
Incident decision tree following james reasonDigitalPower
The document describes the development of the Incident Decision Tree by the National Patient Safety Agency in the UK. The tool was created to provide guidelines for NHS managers on determining a fair course of action, like suspension, for staff involved in patient safety incidents. It encourages considering systems failures rather than individual blame, as research shows the majority of incidents stem from systems issues. Initial findings found the tree robust and adaptable across healthcare environments and professions. It aims to standardize the approach and encourage open reporting of incidents.
The Application of Data to Problem-SolvingIn the modern era, the.docxtodd801
The Application of Data to Problem-Solving
In the modern era, there are few professions that do not to some extent rely on data. Stockbrokers rely on market data to advise clients on financial matters. Meteorologists rely on weather data to forecast weather conditions, while realtors rely on data to advise on the purchase and sale of property. In these and other cases, data not only helps solve problems, but adds to the practitioner’s and the discipline’s body of knowledge.
Of course, the nursing profession also relies heavily on data. The field of nursing informatics aims to make sure nurses have access to the appropriate date to solve healthcare problems, make decisions in the interest of patients, and add to knowledge.
In this Discussion, you will consider a scenario that would benefit from access to data and how such access could facilitate both problem-solving and knowledge formation.
To Prepare:
Reflect on the concepts of informatics and knowledge work as presented in the Resources.
Consider a hypothetical scenario based on your own healthcare practice or organization that would require or benefit from the access/collection and application of data. Your scenario may involve a patient, staff, or management problem or gap.
By Day 3 of Week 1
Post
a description of the focus of your scenario. Describe the data that could be used and how the data might be collected and accessed. What knowledge might be derived from that data? How would a nurse leader use clinical reasoning and judgment in the formation of knowledge from this experience?
By Day 6 of Week 1
Respond
to at least
two
of your colleagues
* on two different days
, asking questions to help clarify the scenario and application of data, or offering additional/alternative ideas for the application of nursing informatics principles.
Click on the
Reply
button below to reveal the textbox for entering your message. Then click on the
Submit
button to post your message.
*Note:
Throughout this program, your fellow students are referred to as colleagues.
Will be posting additional discussion replies that will require two replies which will be included in this discussion post.
Each requires at least three references and all need to be in APA format.
Monicas discussion
Discussion #1- Initial Post
All healthcare workers are trained to share the common goal of providing the best quality of care to their patients. Regardless of what role one may serve on the multidisciplinary team, they all have an obligation to accurately assess the needs of the patient, to efficiently collect and record data, to contribute to diagnosing, and to treat/ evaluate properly. “Informatics blend technology and information to blend something new that people, organizations and society can make use of” (Laureate, 2018). Advancement in technologies such as, electronic health records (EHR), electronic medication administration records (EMARS), computerized physician order entry (COPOE) and.
Lean Thinking in Veterinary Organizations to Improve Employee ExperienceDr. Ivan Zakharenkov
This document discusses how applying lean thinking principles from manufacturing can help reduce burnout among veterinary professionals. The author conducted a survey of 1,457 veterinary professionals and found high levels of burnout, especially among younger professionals and veterinary technicians. Lean principles like empowering employees, eliminating unnecessary processes, and respecting staff could help large veterinary organizations improve employee experiences and reduce turnover following acquisitions. The author argues veterinary medicine should adopt lean thinking as a continuous process of cultural transformation rather than a quick fix.
- Nursing informatics is defined as integrating nursing, information, and technology to support health worldwide. A master's-prepared nurse discussed her role in a military hospital, which involves obtaining patient data from various sources and presenting it to help improve care.
- She advised that nursing informatics is a growing field with many opportunities for self-starters interested in technology. Shadowing her showed her taking on roles like mentoring others and evaluating education programs on any given day.
The Anotated bilography should look like this Social1) S.docxmattinsonjanel
The Anotated bilography should look like this:
Social:
1) Strachan, Juliet, and Vincent Pavie-Latour. "Food for Thought." International Journal of Market Research 50.01 (2008): 13-27. Print. Since a long time, people argued wither to concentrate advertisements on children and youth. Children an Youth are our society while the advertisement is one of the important tool to make marketing. We have to care about our generations and not to stop making business. Here is an article supporting my idea.
2) Gbadamosi, Ayantunji, Robert E. Hinson, Eddy K. Tukamushaba, and Irene Ingunjiri. "Children’s Attitudinal Reactions to TV Advertisements." International Journal of Market Research 54.4 (2012): 543+. Print. It's a study has been done on African Children to figure how they behave and thier reactions. The study provede that kids have point in thier mantelaty they can analysis and get feedback from them.Its case of study helps me in certain way.
3)
4)
5)
Economics:
1)
2)
3)
4)
5)
Politics:
1)
Quinlan, Mark. "Thousands Could Lose Internet Access July 9 Due to Virus." CNBC News (2012): n. pag. CBCnews. CBC/Radio Canada, 04 July 2012. Web. 05 Aug. 2014. Lot of information about internet and how to secure our children from the abusers. It helps me in statistics and ways to be awareness and useful methods to use.
2)
Messmer, Ellen. "The Worst Data Breach Incidents of 2012 – So Far." The Worst Data Breach Incidents of 2012 – So Far. N.p., 18 June 2012. Web. 30 July 2014. Its related to my article by the statistics it has.
3)
Author is trying to explain how can we afford the safe environment to Internet to kids with all support ways to improve the kids' skills. In Europe, governments are supporting the childhood privacy in more secure sites. "Particular attention will be paid to soft law adopted in the UK and in France." Its such an awesome source taking about law in our case of study.
4)
5)
http://web.a.ebscohost.com.ezproxy.library.ewu.edu/ehost/detail/detail?sid=13c127bb-2ef4-4388-bde6-190c2cd83e35%40sessionmgr4004&vid=2&hid=4214&bdata=JnNpdGU9ZWhvc3QtbGl2ZSZzY29wZT1zaXRl#db=bth&AN=37362616
http://web.a.ebscohost.com.ezproxy.library.ewu.edu/ehost/detail/detail?sid=84b2632c-da79-4031-8c5a-a932a345513b%40sessionmgr4004&vid=0&hid=4214&bdata=JnNpdGU9ZWhvc3QtbGl2ZSZzY29wZT1zaXRl#db=bth&AN=78072523
http://web.a.ebscohost.com.ezproxy.library.ewu.edu/ehost/detail/detail?sid=be241d5d-6c48-4a67-8550-87ee54dc1e6f%40sessionmgr4001&vid=0&hid=4214&bdata=JnNpdGU9ZWhvc3QtbGl2ZSZzY29wZT1zaXRl#db=bth&AN=96330681
http://web.a.ebscohost.com.ezproxy.library.ewu.edu/ehost/detail/detail?vid=8&sid=a5068c93-d46a-4f6c-ae99-dfe9e542cf0d%40sessionmgr4001&hid=4214&bdata=JnNpdGU9ZWhvc3QtbGl2ZSZzY29wZT1zaXRl#db=bth&AN=27996445
He used the following resources: (you may use the first one and what you see as it works well with the essay)
Some sorces and links that needed in the annotated bibliography
In Defense of Data (2013) ‘Data Breach tre ...
FEEDBACK FOR M7 Draft PPT SlidesHello Dear Student,The maiChereCheek752
FEEDBACK FOR M7 Draft PPT Slides
Hello Dear Student,
The main feedback is that you might review the structure - so that the slides in your main body section align with the main points described on slide 7.
The main body section has many different headings so I'm not seeing those four definitive sections. Maybe, having figured out what you really are covering, you can work backwards and reword the main points on that the slide 7, using new main points based on what you actually covered and making sure the order you've put them in make logical sense.
After those corrections, you are ready for the Final Project Submission.
Capstone Project Topic Selection2
Capstone Project Topic Selection4
Staffing, What Does It Cost?
Jane Doe
Grand Canyon University
Professional Capstone and Practicum
NRS-490
Professor Barbara Pridgen
August 25, 2017
Running head: Capstone Project Topic Selection1
Staffing, What Does It Cost?
Nurses have a responsibility to their patients to deliver quality healthcare and to keep patients safe. According to a report conducted by the American Nurses Association (2015) there is a new emphasis placed on cost containment and the first group being affected by cost-cutting measures is staffing (p. 4). This is not a very good idea since the majority of patient care falls on nurses and “appropriate nurse staffing levels are essential to optimizing quality of care and patient outcomes in the era of value-based healthcare (American Nurses Association [ANA], 2015, p. 4). This writer would like to explore how staffing affects patient care in regards to quality, outcomes and level of satisfaction. In addition, this writer would also like to explore the affect short-staffing has on the nurse and how the organization benefits financially from cutting staff. In the end, this writer would like to seek creative, cost-effective solutions that would benefit the nurse, the patient and the organization.
Impact of Staffing
Organizations believe that by cutting staff they are saving money to help their bottom-line, which is not unreasonable because everyone has a responsibility to be cost-conscious in today’s world. However, the reality may differ from what the organization believes that they are gaining. Lower staffing can have detrimental effects on patient care and outcomes and increase the risk of patient harm. When staffing is not adequate to care for patients it increases the risk for hospital acquired infections, medication errors, falls, missed treatment, and even death.
When staff levels are low and nurses are expected to perform too many tasks with too little time in a twelve-hour shift, staff burnout is sure to happen which will lead to high staff turnover. With the push to have more registered nurses with their Bachelor’s degree on the belief that they can deliver better more efficient care, will more likely open the door for the nurse to seek employment elsewhere. In the end, the nurse does not like to put pa ...
Incident decision tree following james reasonDigitalPower
The document describes the development of the Incident Decision Tree by the National Patient Safety Agency in the UK. The tool was created to provide guidelines for NHS managers on determining a fair course of action, like suspension, for staff involved in patient safety incidents. It encourages considering systems failures rather than individual blame, as research shows the majority of incidents stem from systems issues. Initial findings found the tree robust and adaptable across healthcare environments and professions. It aims to standardize the approach and encourage open reporting of incidents.
The Application of Data to Problem-SolvingIn the modern era, the.docxtodd801
The Application of Data to Problem-Solving
In the modern era, there are few professions that do not to some extent rely on data. Stockbrokers rely on market data to advise clients on financial matters. Meteorologists rely on weather data to forecast weather conditions, while realtors rely on data to advise on the purchase and sale of property. In these and other cases, data not only helps solve problems, but adds to the practitioner’s and the discipline’s body of knowledge.
Of course, the nursing profession also relies heavily on data. The field of nursing informatics aims to make sure nurses have access to the appropriate date to solve healthcare problems, make decisions in the interest of patients, and add to knowledge.
In this Discussion, you will consider a scenario that would benefit from access to data and how such access could facilitate both problem-solving and knowledge formation.
To Prepare:
Reflect on the concepts of informatics and knowledge work as presented in the Resources.
Consider a hypothetical scenario based on your own healthcare practice or organization that would require or benefit from the access/collection and application of data. Your scenario may involve a patient, staff, or management problem or gap.
By Day 3 of Week 1
Post
a description of the focus of your scenario. Describe the data that could be used and how the data might be collected and accessed. What knowledge might be derived from that data? How would a nurse leader use clinical reasoning and judgment in the formation of knowledge from this experience?
By Day 6 of Week 1
Respond
to at least
two
of your colleagues
* on two different days
, asking questions to help clarify the scenario and application of data, or offering additional/alternative ideas for the application of nursing informatics principles.
Click on the
Reply
button below to reveal the textbox for entering your message. Then click on the
Submit
button to post your message.
*Note:
Throughout this program, your fellow students are referred to as colleagues.
Will be posting additional discussion replies that will require two replies which will be included in this discussion post.
Each requires at least three references and all need to be in APA format.
Monicas discussion
Discussion #1- Initial Post
All healthcare workers are trained to share the common goal of providing the best quality of care to their patients. Regardless of what role one may serve on the multidisciplinary team, they all have an obligation to accurately assess the needs of the patient, to efficiently collect and record data, to contribute to diagnosing, and to treat/ evaluate properly. “Informatics blend technology and information to blend something new that people, organizations and society can make use of” (Laureate, 2018). Advancement in technologies such as, electronic health records (EHR), electronic medication administration records (EMARS), computerized physician order entry (COPOE) and.
Lean Thinking in Veterinary Organizations to Improve Employee ExperienceDr. Ivan Zakharenkov
This document discusses how applying lean thinking principles from manufacturing can help reduce burnout among veterinary professionals. The author conducted a survey of 1,457 veterinary professionals and found high levels of burnout, especially among younger professionals and veterinary technicians. Lean principles like empowering employees, eliminating unnecessary processes, and respecting staff could help large veterinary organizations improve employee experiences and reduce turnover following acquisitions. The author argues veterinary medicine should adopt lean thinking as a continuous process of cultural transformation rather than a quick fix.
Meeting healthcare challenges: what are the challenges and what is the role o...Mohammad Al-Ubaydli
The document discusses the challenges facing healthcare systems and the role that e-health can play in addressing these challenges. The major challenges are quality and safety, access, responsiveness, and affordability. E-health can help by providing access to electronic patient records, reducing complexity, optimizing information processing, and increasing efficiency. It can also help with navigation through the healthcare system and engaging patients in their own health. The document advocates for free access to research information and using data to identify at-risk patients in need of care.
This document summarizes a presentation about technology-enhanced nursing and patient-centered care. It discusses how emerging technologies can help achieve patient-centered care if guided by nursing's goals of protecting health and optimizing care. It outlines three policy areas where academic nursing could provide input: personal health records, technical infrastructure, and quality indicators reported by patients. Finally, it proposes strategies for leveraging existing nursing education to create technology-enhanced practice, such as integrating technologies into curricula and leveraging partnerships across disciplines.
1. The document discusses TeamSTEPPS, a training initiative to improve teamwork and communication in healthcare to enhance patient safety and outcomes.
2. TeamSTEPPS provides a framework and curriculum to teach core teamwork competencies including leadership, situation monitoring, mutual support and communication.
3. Research has shown that adopting a TeamSTEPPS approach and strengthening teamwork can reduce medical errors and preventable deaths, though widespread changes have been slow to be implemented across the healthcare system.
Reflective paper10 pages of paper examining individual experienc.docxdebishakespeare
Reflective paper
10 pages of paper examining individual experience, providing a critical examination of their performance and what can be improved.
The reflective paper must address each of the following learning objectives:
· Synthesis of the logistics and supply chain management program experience identifying key components and ideas that are presented throughout the program.
· Development of career objectives or after program objectives based on what is learned in the program.
· Associate the courses with key components of a successful logistics or supply chain career.
· Critical examination of individual performance, examining weaknesses and strengths to take advantages of and clarify opportunities for exploiting successful use of the degree.
· Critical examination of the weaknesses, strengths and opportunities for the program to grow and enhance the student experience.
· Written in current APA format (includes a running head, title page, abstract, table of contents, introduction, body, and conclusion).
14 KAI TIAKI NURSING NEW ZEALAND > JULY 2010 > VOL 16 NO 6
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WHAT SKILLS WILL THE NURSE LEADERS OF 2020 NEED?
Carol Huston – a brave new nursing world
K
eynote speaker at the conference, American
nursing professor and former president of
the international honour society of nurs-
ing, Sigma Theta Tau, Carol Huston, painted a
picture of a brave new nursing world in 2020,
in her opening presentation, Preparing nurse
leaders for 2020.
She outlined eight leadership competencies
every nurse leader would need in the 2020. The
first was a global perspective. “Every health care
issue has to be looked at from a global perspec-
tive. We used to think pandemics were confined
to developing countries. We now know they are
just one short flight away.”
There was a more urgent need for interna-
tional standards for basic nursing education.
The nursing shortage was one of the most
serious threats to global health, she said, and
it would get significantly worse before it got
better. Nurse migration was a global problem.
(See news p7.)
The second leadership competency was better
use of technology to connect people. Technology
had driven so many changes already in health
care but knowledge and information acquisition
and distribution was going to multiply exponen-
tially. “Forty percent of what we know today will
be obsolete in three years,” Huston said.
She listed a range of technological develop-
ments that would have a major impact on health
care in the next 20 years. By 2030 diagnostic
body scans, which could identify underlying
pathology, would become part of showering.
Improvements in body scanning technology
would mean there would be no need for invasive
surgery or tests. “Nano bots” circulating in the
blood stream would identify disease processes
and begin t ...
Here is a professionally written paragraph on the topic with an APA formatted citation:
Alarm fatigue poses a significant patient safety risk in healthcare facilities. When nurses are inundated with a high volume of alarms, some of which are clinically irrelevant, it can lead to desensitization and delays in response to critical alarms (Sendelbach & Jepsen, 2013). Nuisance or false-positive alarms are a key driver of alarm fatigue, as they do not indicate an actual adverse patient condition but still interrupt care providers (Graham & Cvach, 2010). The overuse of alarms has created a "cry wolf effect" wherein nurses start to mistrust clinical alarm systems due to the frequency of irrelevant alerts (Cvach, 2010
Part 1 Interest RatesMacroeconomic factors that influence inter.docxssuser562afc1
Part 1: Interest Rates
Macroeconomic factors that influence interest rates in general
The variables influencing microfinance interest rates for MFIs can be characterized into two general gatherings: 1) interior – the components MFIs can impact: for example work costs, specialized help, creations; or 2) outer – political risks, full scale factors, authoritative risk, and four fundamental parts reflected in the microfinance interest rates: working costs, cost of assets, advance misfortune costs, and benefit. Working expenses speak to around 60 % of the all out MFI costs and generally rely upon the credit size, age, area and customer's appraising, and so on.
Macroeconomic factors is your industry most sensitive
Like most businesses, the carrier business is affected by the monetary cycle's pinnacles and troughs. The present development in created economies—like the U.S. that is driven by the extricating money related strategy—has brought about an ascent in business certainty, mechanical creation, and universal exchange.
Impacts on the interest rates experienced within your chosen industry
In any industry, the economy assumes a urgent job that incorporates the general development of the division, and common flight, with the ever-developing interest, is no special case. To give a major picture, Airbus GMF 2016 evaluations the 20-year interest for new traveler and cargo airplane to be a little more than 33,000 airplane comprising a market estimation of over USD $5.2 trillion underlining and setting up the effect of market development.
Part 2: Stock Valuation, Risk and Returns
Stock Valuation. As indicated by the Bureau of Economic Analysis (or BEA), the genuine total national output (or GDP) expanded 4% every year in 2Q14 in the wake of diminishing 2.1% in 1Q14. With financial and modern development, work rates have expanded. This has prompted higher genuine extra cash.
From Video
My company doesn't have stocks right now, so I'll use Costco Wholesale as an example to explain the stock valuation. Future Costco Wholesale Corp stock predictions formula:
P0 = Div1 / (r – g)
P0 = Stock Price;
Div1= Estimated dividends for the next period;
r = Required Rate of Return;
g = Growth Rate
In this formula, we need to know the value of estimated dividends for the next period; required rate and return as well as growth rate. Let’s get each number individually.
g: Growth Rate = Retention Ratio x ROE
0.52 x 0.24 = 0.1248
r: Required Rate of Return.
R = D / P0 + g
0.65 / 296.09 + 0.1248 = 0.1269
Div1: Estimated dividends for the next period is 65c. Therefore, the future Costco Wholesale Corp stock predictions are:
P0 = Div1 / (r – g)
0.65 / 0.0021 = $309.52
The present stock worth and the assessed stock worth utilizing the Dividend Discount Model is higher on account of the contenders are attempting to get into the membership segment showcase. Likewise, Amazon and Sam's club have improved their online store distribution centers. So all in all, financing an organi.
Part 1 Interest RatesMacroeconomic factors that influence inter.docxkarlhennesey
Part 1: Interest Rates
Macroeconomic factors that influence interest rates in general
The variables influencing microfinance interest rates for MFIs can be characterized into two general gatherings: 1) interior – the components MFIs can impact: for example work costs, specialized help, creations; or 2) outer – political risks, full scale factors, authoritative risk, and four fundamental parts reflected in the microfinance interest rates: working costs, cost of assets, advance misfortune costs, and benefit. Working expenses speak to around 60 % of the all out MFI costs and generally rely upon the credit size, age, area and customer's appraising, and so on.
Macroeconomic factors is your industry most sensitive
Like most businesses, the carrier business is affected by the monetary cycle's pinnacles and troughs. The present development in created economies—like the U.S. that is driven by the extricating money related strategy—has brought about an ascent in business certainty, mechanical creation, and universal exchange.
Impacts on the interest rates experienced within your chosen industry
In any industry, the economy assumes a urgent job that incorporates the general development of the division, and common flight, with the ever-developing interest, is no special case. To give a major picture, Airbus GMF 2016 evaluations the 20-year interest for new traveler and cargo airplane to be a little more than 33,000 airplane comprising a market estimation of over USD $5.2 trillion underlining and setting up the effect of market development.
Part 2: Stock Valuation, Risk and Returns
Stock Valuation. As indicated by the Bureau of Economic Analysis (or BEA), the genuine total national output (or GDP) expanded 4% every year in 2Q14 in the wake of diminishing 2.1% in 1Q14. With financial and modern development, work rates have expanded. This has prompted higher genuine extra cash.
From Video
My company doesn't have stocks right now, so I'll use Costco Wholesale as an example to explain the stock valuation. Future Costco Wholesale Corp stock predictions formula:
P0 = Div1 / (r – g)
P0 = Stock Price;
Div1= Estimated dividends for the next period;
r = Required Rate of Return;
g = Growth Rate
In this formula, we need to know the value of estimated dividends for the next period; required rate and return as well as growth rate. Let’s get each number individually.
g: Growth Rate = Retention Ratio x ROE
0.52 x 0.24 = 0.1248
r: Required Rate of Return.
R = D / P0 + g
0.65 / 296.09 + 0.1248 = 0.1269
Div1: Estimated dividends for the next period is 65c. Therefore, the future Costco Wholesale Corp stock predictions are:
P0 = Div1 / (r – g)
0.65 / 0.0021 = $309.52
The present stock worth and the assessed stock worth utilizing the Dividend Discount Model is higher on account of the contenders are attempting to get into the membership segment showcase. Likewise, Amazon and Sam's club have improved their online store distribution centers. So all in all, financing an organi ...
Your supervisor, Sophia, Ballot Online director of information t.docxMargaritoWhitt221
Your supervisor, Sophia, Ballot Online director of information technology, has tasked you with creating a presentation that will convince the executives that using cloud-based computing to accommodate Ballot Online future growth rather than trying to expand the current infrastructure will help the company do business faster and at lower cost while conserving IT resources.
Question:
Create a high-level proposal for a compliance program for Ballot Online that enables the organization and its employees to conduct itself in a manner that is in compliance with legal and regulatory requirements.
The proposal will be one to two pages in length and should take the form of a high-level outline or flowchart showing the different components and relationships among the components.
Include the following elements that are generally found in an effective program:
● Identification of company employees who have oversight over the program, their roles, and responsibilities
● List of high-level policies and/or procedures that may be required
● List of high-level training and education programs that may be required
● Relationships between components of the program, including (but not limited to):
○ communication channels
○ dependencies
● Identification of enforcement mechanism
● Identification of monitoring and auditing mechanisms
● How will responses to compliance issues be handled, and how will corrective action plans be developed?
● How are risk assessments handled?
Please add references
.
Your selected IEP. (Rudy)Descriptions of appropriate instructi.docxMargaritoWhitt221
Your selected IEP. (Rudy)
Descriptions of appropriate instructional and assessment accommodations for the exceptional student based on their needs as described in the IEP.
You will need to list and describe the appropriate assessment tools and accommodations.
You will also need to describe how the lesson can be modified for other learners with varying reading deficiencies.
Rudy IEP
Current Grade: 2
Present Levels of Educational Performance
• Ruby is in good health with no known physical performance issues, and she socializes well with her peers.
• Ruby performs at grade level in all subjects except reading.
• Ruby can identify all letters of the alphabet and knows the sound of most consonants and short vowels.
• Her sight vocabulary is approximately 65 to 70 words, and she reads on the primer level.
• Ruby can spell most words in a first-grade textbook, but has difficulty with words in the second-grade textbook.
Annual Goals
1. By the end of the school year, Ruby will read at a beginning second-grade level with 90% accuracy in word recognition and 80% accu- racy in word comprehension.
Person Responsible: Resource Teacher
2. By the end of the school year, Ruby will increase her sight word vocabulary to 150 words.
Person Responsible: Resource Teacher
3. By the end of the school year, Ruby will read and spell at least 75% of the second-grade spelling words.
Person Responsible: Second-Grade Teacher
Amount of Participation in General Education
• Ruby will participate in all second-grade classes and activities except for reading.
Special Education and Related Services
• Ruby will receive individualized and/or small-group instruction in reading from the Resource Teacher for 30 minutes each day.
.
Your project sponsor and customer are impressed with your project .docxMargaritoWhitt221
Your project sponsor and customer are impressed with your project schedule, but due to some factors out of their control, you’ve been told to deliver your project early, roughly 15% earlier than anticipated. Using the information from the readings, explain how you would go about assessing the possibility of delivering your project early. How will that affect scope, costs, and schedule?
.
Your initial post should use APA formatted in-text citations whe.docxMargaritoWhitt221
Your initial post for class discussions should include APA formatted in-text citations when paraphrasing or directly quoting outside sources like the textbook. You must also include an APA formatted reference list at the end of your post. Posts should be at least 150 words long.
Your life is somewhere in a databaseContains unread posts.docxMargaritoWhitt221
Your life is somewhere in a database
Contains unread posts
(Clipart from MS Office)
Many TV shows depict law enforcement personnel accessing readily accessible databases that contain all types of records about individuals –records about everything from address to telephone records to finances, insurance, and criminal history. The information you share with your bank, doctor, insurance agent, the TSA, ancestry kit companies, and on social media can make your life an open book. Here are some questions to address as you reflect on this:
1. Are you comfortable with giving away some of your privacy for increased security? Why or why not? How far would you let the government go in examining people's private lives?
2. How much access should we have to certain aspects of others' private lives? For example, should States share criminal databases? But should a database of people paroled or released for crimes be made public? Why or why not?
.
Your original initial post should be between 200-300 words and 2 pee.docxMargaritoWhitt221
Your original initial post should be between 200-300 words and 2 peer responses in the range of 75-125 words each. Posts are too brief for a cover page and double-spacing. Otherwise, your posts, references and citations should be in APA format. The rubrics with Biblical Integration determines your grade. It considers:
Providing a short introduction stating your position and argument
Supporting your argument (intext citing shows this)
When all is done, give a brief conclusion
a reference at the end
In this chapter, Collins begins the process of identifying and further developing from the research those unique factors and variables that differentiated the good and great companies. One of the most significant differences, he asserts, is the quality and nature of leadership in the firm. Collins initially told the research team to downplay the role of top executives in the good-to-great process. It became obvious that there was something different that these leaders did. Collins went on to identify "Level 5 leadership" as a common characteristic of the great companies assessed in the study. By further studying the behaviors and attitudes of so-called Level 5 leaders, Collins found that many of those classified in this group displayed an unusual mix of intense determination and profound humility. Characteristics used to describe these leaders included words like quiet, humble, modest, gracious, and understated. Yet there was also the stoic resolve and an unwavering determination evident. They were low-key executives, rarely appearing in the media, who demonstrated a relentless drive for results. These leaders often had a long-term personal sense of investment in the company and its success, often cultivated through a career-spanning climb up the company’s ranks. The personal ego and individual financial gain were not as important as the long-term benefit of the team and the company. As such, Collins warned of the liability involved in employing a bigger-than-life charismatic leader —personalities often brought in from outside the company or organization by a board seeking a high profile figure. The data suggested that a celebrity CEO brought in to turn around a flailing firm was usually not conducive to fostering the transition from
Good to Great
(Collins, 2001).
Why is this important?
Collins was asked and did not want to use "servant leader" for the Level 5 leader (Lichtenwalner, 2012). The team chose the term, “Level 5 Leadership” over Servant Leadership, in part, for fear readers would misinterpret the concept as “servitude” or “weakness.” In his mind, this position looked like something else. And so a new leadership phrase was born. What is interesting is that many but not all of the leaders profiled had a faith background. Lichtenwalner, (2012) in his research suggests that Servant Leadership is a key aspect of Level 5 Leadership. But perhaps it is not the technique but the heart and faith of the leader that had such a signifi.
Your assignment is to research and report about an archaeological fi.docxMargaritoWhitt221
Your assignment is to research and report about an archaeological find of the last fifteen years.
When you begin the research phase of your project, you will be happily surprised to find just how many active sites are producing new insights into ancient cultures every single day. Some recent examples include excavations in Scotland, England, Egypt, Jerusalem, Rome, and China. Find one that interests you.
Please message me for full assignment information as I am not able to post it.
.
Your assignment for Physical Science I is to write a paper on.docxMargaritoWhitt221
Your assignment for Physical Science I is to write a paper on:
Clean Energy as well as an alternatives and the Environments: Solar, Geological (Geothermal!), and Wind Energy for the Future. Also, Hydro Power Plants, Dams, and the Water Table and Ecology Issues.
1200 words.
.
Your charge is to develop a program using comparative research, anal.docxMargaritoWhitt221
Your charge is to develop a program using comparative research, analyzing the relationship of workplace behavior and employee motivation. Create a diversity mentoring program (DMP) for an organization of your choosing. You may select a current or former employer, church, hobby team, etc.Within your plan, include the following items listed below:
name of organization;
introduction of DMP;
need of such program;
benefits of the program;
potential challenges (may include potential problems that may incur without such program);
justification of the important aspects of employee behavior and the relationship to employee motivation;
one inclusion of a motivation theory;
details of the equity of social justice and the power to make positive change; and
explanation of the plan to implement the program with recommendations with inclusion of the expected outcomes.
Two pages
.
Young consumers’ insights on brand equity Effects of bra.docxMargaritoWhitt221
Young consumers’ insights on brand equity
Effects of brand loyalty, brand awareness, and brand image
1
CONTENTS
INTRODUCTION
LITERATURE REVIEW
METHODOLOGY
2
- Data set development
- Customer expectation
--Brand recognition
--The quality of the brand is guaranteed
- Advantage of Brand effect
-- Increase market share
--Increase of competitive advantage
Research Background
- Data set development
- Customer expectation
--Brand recognition
--The quality of the brand is guaranteed
- Advantage of Brand effect
-- Increase market share
--Increase of competitive advantage
Research Background
3
Research problem
-Limited research
-Different research perspectives
-The impact factor of brand equity
Research objectives
The purpose of this study is to measure the relationship between brand loyalty, brand awareness and brand image and brand equity of young consumers.
Aaker (1991) Model theory was incorporated into the relevant research system
Identify the relationship between brand equity and brand loyalty, brand awareness and brand image
The research scope of brand effect has been expanded
Provide guidance for enterprises to design effective strategies
Significant of study
Contribution
Scope of study
Master students are the main research objects, and the research scope is to investigate Chinese master students.
THEORETICAL FRAMEWORK
The conclusion of this paper is based on the principle of Aaker (1991) model.
It can be said that customers' attitude towards brands has an important impact on brand assets (Choi, Parsa, Sigala, & Putrevu, 2009).
Thwaites et al. (2012) found that when consumers' perception of brand cognition is positive, their purchase intention of brand will also be positive.
LITERATURE REVIEW
Brand loyalty
The study found that the creative consumption behavior of customers has a positive effect on the cultivation of brand loyalty, and the brand equity associated with high brand loyalty of consumers is higher than that of other brands (Atilgan, Aksoy, & Akinci, 2005).
Brand awareness
According to the research, when customers‘ brand awareness is enhanced and they have a certain understanding of brand awareness, the brand equity will also be further enhanced,It can be said that there is a significant influence relationship between brand awareness and brand equity (Pouromid & Iranzadeh, 2012).
LITERATURE REVIEW
Brand image
Most consumers will choose products with good brand image and feel that such products are of relatively high quality (Rubio, Oubina, & Villasenor, 2014).
Relevant studies, such as Faircloth et al. (2001), Rubio et al. (2014), and Vahie and Paswan (2006), have confirmed the positive influence of brand image on brand equity.
Brand equity is the added value of a product or a service, which mainly reflects the customer's evaluation and use of the brand, and also reflects the competitive advantage, price advantage and profitability brought by the brand to the enterp.
You will examine a scenario that includes an inter-group conflict. I.docxMargaritoWhitt221
You will examine a scenario that includes an inter-group conflict. In this scenario, you are recognized as an authority in cross-cultural psychology and asked to serve as a consultant to help resolve the conflict. You will be asked to write up your recommendations in a 5–6page paper not including your title and reference page.
Reference
Darley, J.M. & Latané, B. (1968). Bystander interview in emergencies: Diffusion of responsibility. Journal of Personality and Social Psychology, 8(4), 377-383.
To Prepare:
Review the following:
Scenario: Culture, Psychology, and Community
Imagine an international organization has approached you to help resolve an inter-group conflict. You are an authority in cross-cultural psychology and have been asked to serve as a consultant based on a recent violent conflict involving a refugee community in your town and a local community organization. In the days, weeks, and months leading up to the violent conflict, there were incidents of discrimination and debates regarding the different views and practices people held about work, family, schools, and religious practice. Among the controversies has been the role of women’s participation in political, educational, and community groups.
(6 pages excluding title page and reference page)
:
Part 1: Developing an Understanding
(2 pages)
Based on the scenario, explain how you can help integrate the two diverse communities so that there is increased understanding and appreciation of each group by the other group. (
Note
: Make sure to include in your explanation the different views and practices of cultural groups as well as the role of women.)
Based on your knowledge of culture and psychology, provide three possible suggestions/solutions that will help the community as a whole. In your suggestions make sure to include an explanation regarding group think and individualism vs. collectivism.
Part 2: Socio-Emotional, Cognitive, and Behavioral Aspects
(2 pages)
Based on your explanations in Part 1, how do your suggestions/solutions impact the socio-emotional, cognitive, and behavior aspects of the scenario and why?
Part 3: Gender, Cultural Values and Dimensions, and Group Dynamics
(2 pages)
Explain the impact of gender, cultural values and dimensions, and group dynamics in the scenario.
Further explain any implications that may arise from when working between and within groups.
Support your Assignment by citing all resources in APA
Learning Resources
Required Readings
Ahmed, R., & Gielen, U. (2017). Women in Egypt. In C. M. Brown, U. P. Gielen, J. L. Gibbons, & J. Kuriansky (Eds.), Women's evolving lives: Global and psychosocial perspectives (pp. 91–116). New York, NY: Springer.
Credit Line: Women's Evolving Lives: Global and Psychosocial Perspectives, by Brown, C.; Gielen, U.; Gibbons, J.; Kuriansky, J. (eds). Copyright 2017 by Springer International Publishing. Reprinted by permission of Springer International Publishing via the Copyright Clearance .
You will perform a history of a head, ear, or eye problem that y.docxMargaritoWhitt221
The student will conduct a history and assessment of a head, ear, or eye problem provided by their instructor or from their own experience. They will document their findings, identify any actual or potential risks, and submit a Word document with this information to an assignment drop box. The assignment is due based on the course calendar dates.
You need to enable JavaScript to run this app. .docxMargaritoWhitt221
You need to enable JavaScript to run this app.
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Management
Richard L. Daft
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Cover Pagecover
Title Pagei
HEOA-1HEOA-1
Copyright Pageii
Dedication Pageiii
About the Authorv
Brief Contentsvii
Contentsvix
Prefacexv
Chapter 1: Leading Edge Management2
Chapter 2: The Evolution of Management Thinking38
Chapter 3: The Environment and Corporate Culture74
Chapter 4: Managing in a Global Environment110
Chapter 5: Managing Ethics and Social Responsibility144
Chapter 6: Managing Start-Ups and New Ventures180
Chapter 7: Planning and Goal Setting216
Chapter 8: Strategy Formulation and Execution248
Chapter 9: Managerial Decision Making284
Chapter 10: Designing Organization Structure324
Chapter 11: Managing Innovation and Change370
Chapter 12: Managing Human Talent406
Chapter 13: Managing Diversity and Inclusion446
Chapter 14: Understanding Individual Behavior484
Chapter 15: Leadership528
Chapter 16: Motivating Employees570
Chapter 17: Managing Communication608
Chapter 18: Leading Teams648
Chapter 19: Managing Quality and Performance688
Appendix: Operations Management and E-Commerce721
Name Index741
Company Index756
Subject Index761
Open/Close Margin
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Chapter 8: Strategy Formulation and Execution | Page 248
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Quality tools, methods paper
In the assigned textbook (chapter 15 p. 269), the authors present a table describing how the used the model for improvement, PDSA, and lean six sigma as a tool to develop their organization’s plan for improvement.
Studying the situation in your organization, present a suggested improvement plan (present a table similar to the one in p.269 + two pages explanation) utilizing one or more of the models discussed in the class (see chapter 2).
Grading rubric:
1. Quality of the table: at last, one of the quality models/tools should be applied correctly
2. Adequate explanation is given to support and explain the table
3. General organization of the assignment. Correct grammar and spelling are used
Note:
Suggested improvement plan is:
Decreased number of urinary catheter infections.
.
You will act as a critic for some of the main subjects covered i.docxMargaritoWhitt221
You will act as a critic for some of the main subjects covered in the humanities. You will conduct a series of short, evaluative critiques of film, philosophy, literature, music, and myth. You will respond to five different prompts, and each response should include an analysis of the topics using terminology unique to that subject area and should include an evaluation as to why the topic stands the test of time. The five prompts are as follows:
1:
Choose a film and offer an analysis of why it is an important film, and discuss it in terms of film as art. Your response should be more than a summary of the film.
2:
Imagine you had known Plato and Aristotle and you had a conversation about how we
fall in love
. Provide an overview of how Plato would explain falling in love, and then provide an overview of how Aristotle might explain falling in love.
3:
Compare and contrast the two poems below:
LOVE’S INCONSISTENCY
I find no peace, and all my war is done;
I fear and hope, I burn and freeze likewise
I fly above the wind, yet cannot rise;
And nought I have, yet all the world I seize on;
That looseth, nor locketh, holdeth me in prison, And holds me not, yet can I ’scape no wise;
Nor lets me live, nor die, at my devise,
And yet of death it giveth none occasion.
Without eyes I see, and without tongue I plain;
I wish to perish, yet I ask for health;
I love another, and yet I hate myself;
I feed in sorrow, and laugh in all my pain;
Lo, thus displeaseth me both death and life,
And my delight is causer of my grief.
Petrarch
After great pain a formal feeling comes—
The nerves sit ceremonious like tombs;
The stiff Heart questions—was it He that bore?
And yesterday—or centuries before?
The feet mechanical go round
A wooden way
Of ground or air or ought
Regardless grown,
A quartz contentment like a stone.
This is the hour of lead
Remembered if outlived
As freezing persons recollect
The snow—
First chill, then stupor, then
The letting go
Emily Dickinson
4:
Compare and contrast these two pieces of music: see files attached below
Beethoven’s Violin Romance No. 2
Scott Joplin’s Maple Leaf Rag
5:
Explain in classical terms why a modern character is a hero. Choose from either Luke Skywalker, Indiana Jones, Bilbo Baggins, Harry Potter, Katniss Everdeen, or Ender Wiggins.
.
You will research and prepare a presentation about image. Your rese.docxMargaritoWhitt221
You will research and prepare a presentation about image. Your research / presentation should provide the following information / answers:
What is raster image? List two (2) common types of raster image.
What is a vector image? List two (2) common types of vector image.
Create a table listing pros and cons comparing raster vs. vector images. You should present at list three (3) pros and three (3) cons for each type of image.
Show one (1) good and (1) bad example of raster image. Explain why it is a good and bad example.
Show two (2) examples of vector images.
What is the difference between ppi and dpi?
Which are the common resolution used for: website, plotter, banner and social media. Why do we use different resolution for each type of media?
How you identify the real size of an image using resolution and pixels?
.
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Reflective paper
10 pages of paper examining individual experience, providing a critical examination of their performance and what can be improved.
The reflective paper must address each of the following learning objectives:
· Synthesis of the logistics and supply chain management program experience identifying key components and ideas that are presented throughout the program.
· Development of career objectives or after program objectives based on what is learned in the program.
· Associate the courses with key components of a successful logistics or supply chain career.
· Critical examination of individual performance, examining weaknesses and strengths to take advantages of and clarify opportunities for exploiting successful use of the degree.
· Critical examination of the weaknesses, strengths and opportunities for the program to grow and enhance the student experience.
· Written in current APA format (includes a running head, title page, abstract, table of contents, introduction, body, and conclusion).
14 KAI TIAKI NURSING NEW ZEALAND > JULY 2010 > VOL 16 NO 6
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WHAT SKILLS WILL THE NURSE LEADERS OF 2020 NEED?
Carol Huston – a brave new nursing world
K
eynote speaker at the conference, American
nursing professor and former president of
the international honour society of nurs-
ing, Sigma Theta Tau, Carol Huston, painted a
picture of a brave new nursing world in 2020,
in her opening presentation, Preparing nurse
leaders for 2020.
She outlined eight leadership competencies
every nurse leader would need in the 2020. The
first was a global perspective. “Every health care
issue has to be looked at from a global perspec-
tive. We used to think pandemics were confined
to developing countries. We now know they are
just one short flight away.”
There was a more urgent need for interna-
tional standards for basic nursing education.
The nursing shortage was one of the most
serious threats to global health, she said, and
it would get significantly worse before it got
better. Nurse migration was a global problem.
(See news p7.)
The second leadership competency was better
use of technology to connect people. Technology
had driven so many changes already in health
care but knowledge and information acquisition
and distribution was going to multiply exponen-
tially. “Forty percent of what we know today will
be obsolete in three years,” Huston said.
She listed a range of technological develop-
ments that would have a major impact on health
care in the next 20 years. By 2030 diagnostic
body scans, which could identify underlying
pathology, would become part of showering.
Improvements in body scanning technology
would mean there would be no need for invasive
surgery or tests. “Nano bots” circulating in the
blood stream would identify disease processes
and begin t ...
Here is a professionally written paragraph on the topic with an APA formatted citation:
Alarm fatigue poses a significant patient safety risk in healthcare facilities. When nurses are inundated with a high volume of alarms, some of which are clinically irrelevant, it can lead to desensitization and delays in response to critical alarms (Sendelbach & Jepsen, 2013). Nuisance or false-positive alarms are a key driver of alarm fatigue, as they do not indicate an actual adverse patient condition but still interrupt care providers (Graham & Cvach, 2010). The overuse of alarms has created a "cry wolf effect" wherein nurses start to mistrust clinical alarm systems due to the frequency of irrelevant alerts (Cvach, 2010
Part 1 Interest RatesMacroeconomic factors that influence inter.docxssuser562afc1
Part 1: Interest Rates
Macroeconomic factors that influence interest rates in general
The variables influencing microfinance interest rates for MFIs can be characterized into two general gatherings: 1) interior – the components MFIs can impact: for example work costs, specialized help, creations; or 2) outer – political risks, full scale factors, authoritative risk, and four fundamental parts reflected in the microfinance interest rates: working costs, cost of assets, advance misfortune costs, and benefit. Working expenses speak to around 60 % of the all out MFI costs and generally rely upon the credit size, age, area and customer's appraising, and so on.
Macroeconomic factors is your industry most sensitive
Like most businesses, the carrier business is affected by the monetary cycle's pinnacles and troughs. The present development in created economies—like the U.S. that is driven by the extricating money related strategy—has brought about an ascent in business certainty, mechanical creation, and universal exchange.
Impacts on the interest rates experienced within your chosen industry
In any industry, the economy assumes a urgent job that incorporates the general development of the division, and common flight, with the ever-developing interest, is no special case. To give a major picture, Airbus GMF 2016 evaluations the 20-year interest for new traveler and cargo airplane to be a little more than 33,000 airplane comprising a market estimation of over USD $5.2 trillion underlining and setting up the effect of market development.
Part 2: Stock Valuation, Risk and Returns
Stock Valuation. As indicated by the Bureau of Economic Analysis (or BEA), the genuine total national output (or GDP) expanded 4% every year in 2Q14 in the wake of diminishing 2.1% in 1Q14. With financial and modern development, work rates have expanded. This has prompted higher genuine extra cash.
From Video
My company doesn't have stocks right now, so I'll use Costco Wholesale as an example to explain the stock valuation. Future Costco Wholesale Corp stock predictions formula:
P0 = Div1 / (r – g)
P0 = Stock Price;
Div1= Estimated dividends for the next period;
r = Required Rate of Return;
g = Growth Rate
In this formula, we need to know the value of estimated dividends for the next period; required rate and return as well as growth rate. Let’s get each number individually.
g: Growth Rate = Retention Ratio x ROE
0.52 x 0.24 = 0.1248
r: Required Rate of Return.
R = D / P0 + g
0.65 / 296.09 + 0.1248 = 0.1269
Div1: Estimated dividends for the next period is 65c. Therefore, the future Costco Wholesale Corp stock predictions are:
P0 = Div1 / (r – g)
0.65 / 0.0021 = $309.52
The present stock worth and the assessed stock worth utilizing the Dividend Discount Model is higher on account of the contenders are attempting to get into the membership segment showcase. Likewise, Amazon and Sam's club have improved their online store distribution centers. So all in all, financing an organi.
Part 1 Interest RatesMacroeconomic factors that influence inter.docxkarlhennesey
Part 1: Interest Rates
Macroeconomic factors that influence interest rates in general
The variables influencing microfinance interest rates for MFIs can be characterized into two general gatherings: 1) interior – the components MFIs can impact: for example work costs, specialized help, creations; or 2) outer – political risks, full scale factors, authoritative risk, and four fundamental parts reflected in the microfinance interest rates: working costs, cost of assets, advance misfortune costs, and benefit. Working expenses speak to around 60 % of the all out MFI costs and generally rely upon the credit size, age, area and customer's appraising, and so on.
Macroeconomic factors is your industry most sensitive
Like most businesses, the carrier business is affected by the monetary cycle's pinnacles and troughs. The present development in created economies—like the U.S. that is driven by the extricating money related strategy—has brought about an ascent in business certainty, mechanical creation, and universal exchange.
Impacts on the interest rates experienced within your chosen industry
In any industry, the economy assumes a urgent job that incorporates the general development of the division, and common flight, with the ever-developing interest, is no special case. To give a major picture, Airbus GMF 2016 evaluations the 20-year interest for new traveler and cargo airplane to be a little more than 33,000 airplane comprising a market estimation of over USD $5.2 trillion underlining and setting up the effect of market development.
Part 2: Stock Valuation, Risk and Returns
Stock Valuation. As indicated by the Bureau of Economic Analysis (or BEA), the genuine total national output (or GDP) expanded 4% every year in 2Q14 in the wake of diminishing 2.1% in 1Q14. With financial and modern development, work rates have expanded. This has prompted higher genuine extra cash.
From Video
My company doesn't have stocks right now, so I'll use Costco Wholesale as an example to explain the stock valuation. Future Costco Wholesale Corp stock predictions formula:
P0 = Div1 / (r – g)
P0 = Stock Price;
Div1= Estimated dividends for the next period;
r = Required Rate of Return;
g = Growth Rate
In this formula, we need to know the value of estimated dividends for the next period; required rate and return as well as growth rate. Let’s get each number individually.
g: Growth Rate = Retention Ratio x ROE
0.52 x 0.24 = 0.1248
r: Required Rate of Return.
R = D / P0 + g
0.65 / 296.09 + 0.1248 = 0.1269
Div1: Estimated dividends for the next period is 65c. Therefore, the future Costco Wholesale Corp stock predictions are:
P0 = Div1 / (r – g)
0.65 / 0.0021 = $309.52
The present stock worth and the assessed stock worth utilizing the Dividend Discount Model is higher on account of the contenders are attempting to get into the membership segment showcase. Likewise, Amazon and Sam's club have improved their online store distribution centers. So all in all, financing an organi ...
Similar to Doe 1 John Doe Professor O. Jean ENC1102 15 J (7)
Your supervisor, Sophia, Ballot Online director of information t.docxMargaritoWhitt221
Your supervisor, Sophia, Ballot Online director of information technology, has tasked you with creating a presentation that will convince the executives that using cloud-based computing to accommodate Ballot Online future growth rather than trying to expand the current infrastructure will help the company do business faster and at lower cost while conserving IT resources.
Question:
Create a high-level proposal for a compliance program for Ballot Online that enables the organization and its employees to conduct itself in a manner that is in compliance with legal and regulatory requirements.
The proposal will be one to two pages in length and should take the form of a high-level outline or flowchart showing the different components and relationships among the components.
Include the following elements that are generally found in an effective program:
● Identification of company employees who have oversight over the program, their roles, and responsibilities
● List of high-level policies and/or procedures that may be required
● List of high-level training and education programs that may be required
● Relationships between components of the program, including (but not limited to):
○ communication channels
○ dependencies
● Identification of enforcement mechanism
● Identification of monitoring and auditing mechanisms
● How will responses to compliance issues be handled, and how will corrective action plans be developed?
● How are risk assessments handled?
Please add references
.
Your selected IEP. (Rudy)Descriptions of appropriate instructi.docxMargaritoWhitt221
Your selected IEP. (Rudy)
Descriptions of appropriate instructional and assessment accommodations for the exceptional student based on their needs as described in the IEP.
You will need to list and describe the appropriate assessment tools and accommodations.
You will also need to describe how the lesson can be modified for other learners with varying reading deficiencies.
Rudy IEP
Current Grade: 2
Present Levels of Educational Performance
• Ruby is in good health with no known physical performance issues, and she socializes well with her peers.
• Ruby performs at grade level in all subjects except reading.
• Ruby can identify all letters of the alphabet and knows the sound of most consonants and short vowels.
• Her sight vocabulary is approximately 65 to 70 words, and she reads on the primer level.
• Ruby can spell most words in a first-grade textbook, but has difficulty with words in the second-grade textbook.
Annual Goals
1. By the end of the school year, Ruby will read at a beginning second-grade level with 90% accuracy in word recognition and 80% accu- racy in word comprehension.
Person Responsible: Resource Teacher
2. By the end of the school year, Ruby will increase her sight word vocabulary to 150 words.
Person Responsible: Resource Teacher
3. By the end of the school year, Ruby will read and spell at least 75% of the second-grade spelling words.
Person Responsible: Second-Grade Teacher
Amount of Participation in General Education
• Ruby will participate in all second-grade classes and activities except for reading.
Special Education and Related Services
• Ruby will receive individualized and/or small-group instruction in reading from the Resource Teacher for 30 minutes each day.
.
Your project sponsor and customer are impressed with your project .docxMargaritoWhitt221
Your project sponsor and customer are impressed with your project schedule, but due to some factors out of their control, you’ve been told to deliver your project early, roughly 15% earlier than anticipated. Using the information from the readings, explain how you would go about assessing the possibility of delivering your project early. How will that affect scope, costs, and schedule?
.
Your initial post should use APA formatted in-text citations whe.docxMargaritoWhitt221
Your initial post for class discussions should include APA formatted in-text citations when paraphrasing or directly quoting outside sources like the textbook. You must also include an APA formatted reference list at the end of your post. Posts should be at least 150 words long.
Your life is somewhere in a databaseContains unread posts.docxMargaritoWhitt221
Your life is somewhere in a database
Contains unread posts
(Clipart from MS Office)
Many TV shows depict law enforcement personnel accessing readily accessible databases that contain all types of records about individuals –records about everything from address to telephone records to finances, insurance, and criminal history. The information you share with your bank, doctor, insurance agent, the TSA, ancestry kit companies, and on social media can make your life an open book. Here are some questions to address as you reflect on this:
1. Are you comfortable with giving away some of your privacy for increased security? Why or why not? How far would you let the government go in examining people's private lives?
2. How much access should we have to certain aspects of others' private lives? For example, should States share criminal databases? But should a database of people paroled or released for crimes be made public? Why or why not?
.
Your original initial post should be between 200-300 words and 2 pee.docxMargaritoWhitt221
Your original initial post should be between 200-300 words and 2 peer responses in the range of 75-125 words each. Posts are too brief for a cover page and double-spacing. Otherwise, your posts, references and citations should be in APA format. The rubrics with Biblical Integration determines your grade. It considers:
Providing a short introduction stating your position and argument
Supporting your argument (intext citing shows this)
When all is done, give a brief conclusion
a reference at the end
In this chapter, Collins begins the process of identifying and further developing from the research those unique factors and variables that differentiated the good and great companies. One of the most significant differences, he asserts, is the quality and nature of leadership in the firm. Collins initially told the research team to downplay the role of top executives in the good-to-great process. It became obvious that there was something different that these leaders did. Collins went on to identify "Level 5 leadership" as a common characteristic of the great companies assessed in the study. By further studying the behaviors and attitudes of so-called Level 5 leaders, Collins found that many of those classified in this group displayed an unusual mix of intense determination and profound humility. Characteristics used to describe these leaders included words like quiet, humble, modest, gracious, and understated. Yet there was also the stoic resolve and an unwavering determination evident. They were low-key executives, rarely appearing in the media, who demonstrated a relentless drive for results. These leaders often had a long-term personal sense of investment in the company and its success, often cultivated through a career-spanning climb up the company’s ranks. The personal ego and individual financial gain were not as important as the long-term benefit of the team and the company. As such, Collins warned of the liability involved in employing a bigger-than-life charismatic leader —personalities often brought in from outside the company or organization by a board seeking a high profile figure. The data suggested that a celebrity CEO brought in to turn around a flailing firm was usually not conducive to fostering the transition from
Good to Great
(Collins, 2001).
Why is this important?
Collins was asked and did not want to use "servant leader" for the Level 5 leader (Lichtenwalner, 2012). The team chose the term, “Level 5 Leadership” over Servant Leadership, in part, for fear readers would misinterpret the concept as “servitude” or “weakness.” In his mind, this position looked like something else. And so a new leadership phrase was born. What is interesting is that many but not all of the leaders profiled had a faith background. Lichtenwalner, (2012) in his research suggests that Servant Leadership is a key aspect of Level 5 Leadership. But perhaps it is not the technique but the heart and faith of the leader that had such a signifi.
Your assignment is to research and report about an archaeological fi.docxMargaritoWhitt221
Your assignment is to research and report about an archaeological find of the last fifteen years.
When you begin the research phase of your project, you will be happily surprised to find just how many active sites are producing new insights into ancient cultures every single day. Some recent examples include excavations in Scotland, England, Egypt, Jerusalem, Rome, and China. Find one that interests you.
Please message me for full assignment information as I am not able to post it.
.
Your assignment for Physical Science I is to write a paper on.docxMargaritoWhitt221
Your assignment for Physical Science I is to write a paper on:
Clean Energy as well as an alternatives and the Environments: Solar, Geological (Geothermal!), and Wind Energy for the Future. Also, Hydro Power Plants, Dams, and the Water Table and Ecology Issues.
1200 words.
.
Your charge is to develop a program using comparative research, anal.docxMargaritoWhitt221
Your charge is to develop a program using comparative research, analyzing the relationship of workplace behavior and employee motivation. Create a diversity mentoring program (DMP) for an organization of your choosing. You may select a current or former employer, church, hobby team, etc.Within your plan, include the following items listed below:
name of organization;
introduction of DMP;
need of such program;
benefits of the program;
potential challenges (may include potential problems that may incur without such program);
justification of the important aspects of employee behavior and the relationship to employee motivation;
one inclusion of a motivation theory;
details of the equity of social justice and the power to make positive change; and
explanation of the plan to implement the program with recommendations with inclusion of the expected outcomes.
Two pages
.
Young consumers’ insights on brand equity Effects of bra.docxMargaritoWhitt221
Young consumers’ insights on brand equity
Effects of brand loyalty, brand awareness, and brand image
1
CONTENTS
INTRODUCTION
LITERATURE REVIEW
METHODOLOGY
2
- Data set development
- Customer expectation
--Brand recognition
--The quality of the brand is guaranteed
- Advantage of Brand effect
-- Increase market share
--Increase of competitive advantage
Research Background
- Data set development
- Customer expectation
--Brand recognition
--The quality of the brand is guaranteed
- Advantage of Brand effect
-- Increase market share
--Increase of competitive advantage
Research Background
3
Research problem
-Limited research
-Different research perspectives
-The impact factor of brand equity
Research objectives
The purpose of this study is to measure the relationship between brand loyalty, brand awareness and brand image and brand equity of young consumers.
Aaker (1991) Model theory was incorporated into the relevant research system
Identify the relationship between brand equity and brand loyalty, brand awareness and brand image
The research scope of brand effect has been expanded
Provide guidance for enterprises to design effective strategies
Significant of study
Contribution
Scope of study
Master students are the main research objects, and the research scope is to investigate Chinese master students.
THEORETICAL FRAMEWORK
The conclusion of this paper is based on the principle of Aaker (1991) model.
It can be said that customers' attitude towards brands has an important impact on brand assets (Choi, Parsa, Sigala, & Putrevu, 2009).
Thwaites et al. (2012) found that when consumers' perception of brand cognition is positive, their purchase intention of brand will also be positive.
LITERATURE REVIEW
Brand loyalty
The study found that the creative consumption behavior of customers has a positive effect on the cultivation of brand loyalty, and the brand equity associated with high brand loyalty of consumers is higher than that of other brands (Atilgan, Aksoy, & Akinci, 2005).
Brand awareness
According to the research, when customers‘ brand awareness is enhanced and they have a certain understanding of brand awareness, the brand equity will also be further enhanced,It can be said that there is a significant influence relationship between brand awareness and brand equity (Pouromid & Iranzadeh, 2012).
LITERATURE REVIEW
Brand image
Most consumers will choose products with good brand image and feel that such products are of relatively high quality (Rubio, Oubina, & Villasenor, 2014).
Relevant studies, such as Faircloth et al. (2001), Rubio et al. (2014), and Vahie and Paswan (2006), have confirmed the positive influence of brand image on brand equity.
Brand equity is the added value of a product or a service, which mainly reflects the customer's evaluation and use of the brand, and also reflects the competitive advantage, price advantage and profitability brought by the brand to the enterp.
You will examine a scenario that includes an inter-group conflict. I.docxMargaritoWhitt221
You will examine a scenario that includes an inter-group conflict. In this scenario, you are recognized as an authority in cross-cultural psychology and asked to serve as a consultant to help resolve the conflict. You will be asked to write up your recommendations in a 5–6page paper not including your title and reference page.
Reference
Darley, J.M. & Latané, B. (1968). Bystander interview in emergencies: Diffusion of responsibility. Journal of Personality and Social Psychology, 8(4), 377-383.
To Prepare:
Review the following:
Scenario: Culture, Psychology, and Community
Imagine an international organization has approached you to help resolve an inter-group conflict. You are an authority in cross-cultural psychology and have been asked to serve as a consultant based on a recent violent conflict involving a refugee community in your town and a local community organization. In the days, weeks, and months leading up to the violent conflict, there were incidents of discrimination and debates regarding the different views and practices people held about work, family, schools, and religious practice. Among the controversies has been the role of women’s participation in political, educational, and community groups.
(6 pages excluding title page and reference page)
:
Part 1: Developing an Understanding
(2 pages)
Based on the scenario, explain how you can help integrate the two diverse communities so that there is increased understanding and appreciation of each group by the other group. (
Note
: Make sure to include in your explanation the different views and practices of cultural groups as well as the role of women.)
Based on your knowledge of culture and psychology, provide three possible suggestions/solutions that will help the community as a whole. In your suggestions make sure to include an explanation regarding group think and individualism vs. collectivism.
Part 2: Socio-Emotional, Cognitive, and Behavioral Aspects
(2 pages)
Based on your explanations in Part 1, how do your suggestions/solutions impact the socio-emotional, cognitive, and behavior aspects of the scenario and why?
Part 3: Gender, Cultural Values and Dimensions, and Group Dynamics
(2 pages)
Explain the impact of gender, cultural values and dimensions, and group dynamics in the scenario.
Further explain any implications that may arise from when working between and within groups.
Support your Assignment by citing all resources in APA
Learning Resources
Required Readings
Ahmed, R., & Gielen, U. (2017). Women in Egypt. In C. M. Brown, U. P. Gielen, J. L. Gibbons, & J. Kuriansky (Eds.), Women's evolving lives: Global and psychosocial perspectives (pp. 91–116). New York, NY: Springer.
Credit Line: Women's Evolving Lives: Global and Psychosocial Perspectives, by Brown, C.; Gielen, U.; Gibbons, J.; Kuriansky, J. (eds). Copyright 2017 by Springer International Publishing. Reprinted by permission of Springer International Publishing via the Copyright Clearance .
You will perform a history of a head, ear, or eye problem that y.docxMargaritoWhitt221
The student will conduct a history and assessment of a head, ear, or eye problem provided by their instructor or from their own experience. They will document their findings, identify any actual or potential risks, and submit a Word document with this information to an assignment drop box. The assignment is due based on the course calendar dates.
You need to enable JavaScript to run this app. .docxMargaritoWhitt221
You need to enable JavaScript to run this app.
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Management
Richard L. Daft
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Cover Pagecover
Title Pagei
HEOA-1HEOA-1
Copyright Pageii
Dedication Pageiii
About the Authorv
Brief Contentsvii
Contentsvix
Prefacexv
Chapter 1: Leading Edge Management2
Chapter 2: The Evolution of Management Thinking38
Chapter 3: The Environment and Corporate Culture74
Chapter 4: Managing in a Global Environment110
Chapter 5: Managing Ethics and Social Responsibility144
Chapter 6: Managing Start-Ups and New Ventures180
Chapter 7: Planning and Goal Setting216
Chapter 8: Strategy Formulation and Execution248
Chapter 9: Managerial Decision Making284
Chapter 10: Designing Organization Structure324
Chapter 11: Managing Innovation and Change370
Chapter 12: Managing Human Talent406
Chapter 13: Managing Diversity and Inclusion446
Chapter 14: Understanding Individual Behavior484
Chapter 15: Leadership528
Chapter 16: Motivating Employees570
Chapter 17: Managing Communication608
Chapter 18: Leading Teams648
Chapter 19: Managing Quality and Performance688
Appendix: Operations Management and E-Commerce721
Name Index741
Company Index756
Subject Index761
Open/Close Margin
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Chapter 8: Strategy Formulation and Execution | Page 248
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Quality tools, methods paper
In the assigned textbook (chapter 15 p. 269), the authors present a table describing how the used the model for improvement, PDSA, and lean six sigma as a tool to develop their organization’s plan for improvement.
Studying the situation in your organization, present a suggested improvement plan (present a table similar to the one in p.269 + two pages explanation) utilizing one or more of the models discussed in the class (see chapter 2).
Grading rubric:
1. Quality of the table: at last, one of the quality models/tools should be applied correctly
2. Adequate explanation is given to support and explain the table
3. General organization of the assignment. Correct grammar and spelling are used
Note:
Suggested improvement plan is:
Decreased number of urinary catheter infections.
.
You will act as a critic for some of the main subjects covered i.docxMargaritoWhitt221
You will act as a critic for some of the main subjects covered in the humanities. You will conduct a series of short, evaluative critiques of film, philosophy, literature, music, and myth. You will respond to five different prompts, and each response should include an analysis of the topics using terminology unique to that subject area and should include an evaluation as to why the topic stands the test of time. The five prompts are as follows:
1:
Choose a film and offer an analysis of why it is an important film, and discuss it in terms of film as art. Your response should be more than a summary of the film.
2:
Imagine you had known Plato and Aristotle and you had a conversation about how we
fall in love
. Provide an overview of how Plato would explain falling in love, and then provide an overview of how Aristotle might explain falling in love.
3:
Compare and contrast the two poems below:
LOVE’S INCONSISTENCY
I find no peace, and all my war is done;
I fear and hope, I burn and freeze likewise
I fly above the wind, yet cannot rise;
And nought I have, yet all the world I seize on;
That looseth, nor locketh, holdeth me in prison, And holds me not, yet can I ’scape no wise;
Nor lets me live, nor die, at my devise,
And yet of death it giveth none occasion.
Without eyes I see, and without tongue I plain;
I wish to perish, yet I ask for health;
I love another, and yet I hate myself;
I feed in sorrow, and laugh in all my pain;
Lo, thus displeaseth me both death and life,
And my delight is causer of my grief.
Petrarch
After great pain a formal feeling comes—
The nerves sit ceremonious like tombs;
The stiff Heart questions—was it He that bore?
And yesterday—or centuries before?
The feet mechanical go round
A wooden way
Of ground or air or ought
Regardless grown,
A quartz contentment like a stone.
This is the hour of lead
Remembered if outlived
As freezing persons recollect
The snow—
First chill, then stupor, then
The letting go
Emily Dickinson
4:
Compare and contrast these two pieces of music: see files attached below
Beethoven’s Violin Romance No. 2
Scott Joplin’s Maple Leaf Rag
5:
Explain in classical terms why a modern character is a hero. Choose from either Luke Skywalker, Indiana Jones, Bilbo Baggins, Harry Potter, Katniss Everdeen, or Ender Wiggins.
.
You will research and prepare a presentation about image. Your rese.docxMargaritoWhitt221
You will research and prepare a presentation about image. Your research / presentation should provide the following information / answers:
What is raster image? List two (2) common types of raster image.
What is a vector image? List two (2) common types of vector image.
Create a table listing pros and cons comparing raster vs. vector images. You should present at list three (3) pros and three (3) cons for each type of image.
Show one (1) good and (1) bad example of raster image. Explain why it is a good and bad example.
Show two (2) examples of vector images.
What is the difference between ppi and dpi?
Which are the common resolution used for: website, plotter, banner and social media. Why do we use different resolution for each type of media?
How you identify the real size of an image using resolution and pixels?
.
You will be asked to respond to five different scenarios. Answer eac.docxMargaritoWhitt221
You will be asked to respond to five different scenarios. Answer each scenario (about 1 page per scenario). You will need to:
Decide what action the responding officer should take and provide an explanation/justification for your response.
In your explanation, explain the role that discretion played in your decision. Choose at least five factors from the list below to include in your explanation.
When considering your response for each scenario, remember that because of the nature of law enforcement work, police officers have always maintained a certain amount of discretion. Due to the amount of interaction that officers have with members of the public, this discretion must be fair, equal, impartial, and legal. As such, the use of discretion by officers is both a foundation of police work and a component of community policing.
Note
: You may make any and all assumptions necessary to answer these scenarios as long as they do not conflict with the details provided.
FACTORS (CHOOSE AT LEAST 5 FOR EACH SCENARIO):
Environmental factors
Nature of the community.
Socio-demographic characteristics.
Level and type of crime in the community.
Police/Community relations.
Organizational factors
Department Rules and Regulations.
Policies and Procedures.
Department bureaucracy.
Officer experience.
Dimensions of policing: philosophical; strategic; tactical; organizational.
Situational factors
Seriousness of crime.
Weapon involvement.
Victim – Desire to prosecute.
Group/gang crime.
Suspect’s demeanor.
Age/gender/race of involved parties.
Suspect’s criminal record.
Ethics
Moral values.
Cultural/Societal norms.
Accountability.
Friends/Family/Coworkers.
Experience/Upbringing.
Legal
Laws.
Past practice.
Evidence.
Victim signatures.
Landmark Supreme Court cases.
Scenario 1:
Officer Merced responds to a call of a Theft in Progress. Upon arrival, he finds that an 18-year-old female has stolen baby formula and diapers by exiting the store without paying. He speaks with her and finds that she has a newborn baby, does not have any source of income, and needed the formula and diapers for the baby. As such, theft is still a crime. What should Officer Merced do?
Do you arrest the woman or not? What factors influenced your decision?
Provide an explanation/justification for your chosen response including the role that discretion played in your decision.
Be sure to consider at least five of the provided factors in your explanation.
Use evidence and details from the scenario as well as supporting information and examples from the text in your response.
Scenario 2:
Dane is in an electronics store where he and a couple of friends are searching for a potential gift to give to a friend. They are happy to find a video game that is on sale but decide to continue looking around the store. They decide to go grab a bite to eat before making a final decision on what to get for their friend. As they are walking .
You might find that using analysis tools to analyze internal .docxMargaritoWhitt221
You might find that using analysis tools to analyze internal
and external environments is an effective way of analyzing the
chosen capstone organization. If you need to learn more
about these types of analysis tools, check out the resources
below.
Internal Analysis Tools
• tutor2u. (2016). PESTLE (PEST) analysis
explained [Video]. YouTube. https://www.youtube.com/
watch?v=sP2sDw5waEU
• SmartDraw. (n.d.). SWOT analysis. https://
www.smartdraw.com/swot-analysis/
• SWOT Framework.
External Analysis Tools
• Applying VRIO and PESTLE.
• PESTLE Analysis. (n.d.). What is PESTLE analysis? A
tool for business analysis. http://pestleanalysis.com/what-
is-pestle-analysis/
• Study.com. (n.d.). What is PESTLE analysis? Definition
and examples. https://study.com/academy/lesson/what-
is-pestle-analysis-definition-examples.html
• Management & Finance1 TU Delft. (2016). The five
competitive forces that shape strategy [Video]. YouTube.
https://www.youtube.com/watch?v=mYF2_FBCvXw
Use these resources as you see appropriate:
• Research Guide – MBA
https://www.youtube.com/watch?v=sP2sDw5waEU
https://www.youtube.com/watch?v=sP2sDw5waEU
https://www.youtube.com/watch?v=sP2sDw5waEU
https://www.smartdraw.com/swot-analysis/
http://media.capella.edu/CourseMedia/MBA5006/GuidedPath/SWOTFramework/wrapper.asp
http://media.capella.edu/CourseMedia/MBA5006/GuidedPath/ApplyVRIOandPESTLE/wrapper.asp
http://pestleanalysis.com/what-is-pestle-analysis/
http://pestleanalysis.com/what-is-pestle-analysis/
https://study.com/academy/lesson/what-is-pestle-analysis-definition-examples.html
https://study.com/academy/lesson/what-is-pestle-analysis-definition-examples.html
https://www.youtube.com/watch?v=mYF2_FBCvXw
https://www.youtube.com/watch?v=mYF2_FBCvXw
https://www.youtube.com/watch?v=mYF2_FBCvXw
https://capellauniversity.libguides.com/MBA
• This research guide was custom created to help
MBA learners. If you are feeling a bit lost on where
to start, this would be a good starting point.
• James, N. (2007). Writing at work: How to write clearly,
effectively and professionally. Crows Nest, Australia:
Allen & Unwin.
• Use this as a general writing handbook. For
example, there are chapters on tone, grammar,
punctuation, style, et cetera.
https://capella.skillport.com/skillportfe/custom/login/saml/login.action?courseaction=launch&assetid=_ss_book:25059
https://capella.skillport.com/skillportfe/custom/login/saml/login.action?courseaction=launch&assetid=_ss_book:25059
1
MBA Capstone Project Description
MBA Capstone Project Description
Throughout your MBA program, you have worked to develop as a business professional and
prepare to meet future challenges as a business leader. Your program culminates in the
capstone project, which forms the primary focus of MBA-FPX5910, the final course you will take
in the program. The capstone project is intended to provide you the opportunity to demonstrate
your MBA program outcomes by:
• Planning and executing .
You will conduct a professional interview with a staff nurse and a s.docxMargaritoWhitt221
You will conduct a professional interview with a staff nurse and a staff nurse leader to discover their intra/inter-professional communications styles. It will be important to incorporate learning objectives regarding therapeutic communication styles including their method of caring, assertive, and responsible communication in your discussion/analysis of the interview.
.
You have chosen the topic of Computer Forensics for your researc.docxMargaritoWhitt221
This document provides instructions for a research project on computer forensics. The research project must include an abstract, introduction, section on computer forensics, and conclusion. It must be 500 words with in-text citations and 4 references.
1.Describe some of the landmark Supreme Court decisions that h.docxMargaritoWhitt221
1.
Describe some of the landmark Supreme Court decisions that have influenced present-day juvenile justice procedures.
2.
How are children processed by the juvenile justice system from arrest to reentry into society?
3.
Discuss the key issues of the preadjudicatory stage of juvenile justice including detention, intake, diversion, pretrial release, plea bargaining and waiver.
Textbook for the class
Siegel, Welsh, and Senna.
(2014).
Juvenile Delinquency: Theory, Practice, and Law
(12). Cengage Learning. [ISBN-978-1-285-45840-3]
Format:
should be thoroughly researched and reported. References and sources should be listed in MLA or APA format. The average length paper is two to three pages. You may interview individuals currently employed or retired from the criminal justice system and use them as a reference. All writing assignments must be original work for this course. Do not submit a paper used in another course. Do not cut and paste paragraphs of information into your paper. All source material should be paraphrased in your own words. Short quotations are allowed.
this paper wil be scanned through turntin
.
How to Setup Warehouse & Location in Odoo 17 InventoryCeline George
In this slide, we'll explore how to set up warehouses and locations in Odoo 17 Inventory. This will help us manage our stock effectively, track inventory levels, and streamline warehouse operations.
How to Add Chatter in the odoo 17 ERP ModuleCeline George
In Odoo, the chatter is like a chat tool that helps you work together on records. You can leave notes and track things, making it easier to talk with your team and partners. Inside chatter, all communication history, activity, and changes will be displayed.
Executive Directors Chat Leveraging AI for Diversity, Equity, and InclusionTechSoup
Let’s explore the intersection of technology and equity in the final session of our DEI series. Discover how AI tools, like ChatGPT, can be used to support and enhance your nonprofit's DEI initiatives. Participants will gain insights into practical AI applications and get tips for leveraging technology to advance their DEI goals.
A workshop hosted by the South African Journal of Science aimed at postgraduate students and early career researchers with little or no experience in writing and publishing journal articles.
A review of the growth of the Israel Genealogy Research Association Database Collection for the last 12 months. Our collection is now passed the 3 million mark and still growing. See which archives have contributed the most. See the different types of records we have, and which years have had records added. You can also see what we have for the future.
1. Doe 1
John Doe
Professor O. Jean
ENC1102
15 July 2020
Simulation Training for Nursing Students
They can’t fly or read minds, but they still save lives! Nurses
are the modern-day
superheroes. In today’s evolving world of technology, the
medical field welcomes advancements
with open arms. The best way for a nursing student to craft and
hone their skills is with on-the-
job training. Since it is not safe for nursing students to pr actice
on actual human beings right
away, simulation training is the next best thing. Simulation
training allows students to practice
on human like figures, ranging from babies to adults, that are
able to breathe, maintain a pulse
and blood pressure, go into cardiac arrest, and much more. With
this technological advancement,
2. nursing students will be able to enter the medical field with
more knowledge and confidence,
better manage stressful situations, and produce less errors.
It has been proven effective in any place of work that on-the-job
training is the best
method of learning. Just the same as a sponge, some students
soak up all the knowledge that a
textbook contains, but others require hands on learning. When
learning new techniques, tools,
body parts, etc., touching them teaches the brain muscle
memory allowing students to put a face
to the name. “… simulation had improved students’ learning in
terms of knowledge, critical
thinking, reasoning and self-confidence” (Agha, 19). These
simulations allow students to be able
to learn and perfect possible scenarios before going into
clinicals. “Through simulated practices,
the student health professional can improve technical,
communication and also behavioral skills,
develop critical observation, learn to work in a team, and
exercise clinical reasoning and
Doe 2
3. decision-making” (Fonseca, 3). Hospital staff, patients, and
their family’s minds can be more at
ease knowing that nursing students are getting the most out of
their education before entering the
medical field.
A hospital is the home of chaos. While one wing may be silent,
another contains the
screams of a mother giving birth, or doctors and nurses
scrambling to keep their patient alive in
an operating room. Nurses must be able to manage their stress
in any situation thrown at them. In
a study conducted on Hybrid simulations, groups of three to
four nursing students were able to
work with various forms of simulations from low to high
technologies. This exercise essentially
mirrored a high-volume emergency room scenario. “Hybrid
simulation is the combination of
more than one simulation modality in a single teaching or
evaluation exercise…Hybrid
simulations allows for the training of technical skills combined
with communication proficiency”
(Unver, p. 264). Professionalism and teamwork, although
frequently overlooked, are some of the
4. most important skills a nurse should bear. As a nurse you will
never be working alone. You are
working with other nurses, doctors, your patients, and their
families. In stressful situations,
nurses must be able to keep themselves, the patient, and the
patient’s family cool, calm, and
collected. “Previous experience with simulated patients helped
me a lot. I feel confident and
calm when dealing with a real patient and families” (Agha,
P2,6).
In a hospital lives are always on the line. Nurses and doctors
have a job that they are
expected to do. That is to exhaust every last option in order to
save the lives of their patients,
therefore there is little to no room for error. “Our goal is to
provide students the opportunity to
simulate an emergency, analyze the situation and think critically
informing and implementing a
plan of case management… to help students learn what it’s like
to have to make decisions
quickly in an environment where it is safe to make mistakes”
(Dowling, par. 4). When students
Doe 3
5. can make mistakes and learn from them without being scolded
or criticized, confidence is
gained. A confident person produces greater and more precise
work, allowing no room for error.
After many evaluations, it has been proven that simulation
training would benefit nurses
by being added to every nursing program’s curriculum.
Simulation training allows hands on
learning before dealing with live patients and affords students
the opportunity to learn how to
keep calm in stressful situations. Nursing students who
participated in simulation training came
out more confident in what they learned, allowing them to not
feel so anxious and stressed when
heading into clinicals and entering the medical field. With this
extra practice the margin for error
is minimized. Therefore, simulation training is the way to go.
6. Doe 4
Works Cited
Agha, Sajida. “Effect of Simulation Based Education for
Learning in Medical Students:
A Mixed Study Method.” JPMA. The Journal of the Pakistan
Medical Association, vol. 69, no.
4, Apr. 2019, pp. 545-554. EBSCOhost,
search.ebscohost.com/login.aspx?direct=true&AuthType=shib&
db=mnh&AN=31000861&site=
ehost-live&scope=site.
Fonseca, Luciana Mara Monti, et al. “Interdisciplinary
Simulation Scenario in Nursing
Education: Humanized Childbirth and Birth.” Revista Latin-
Americana de Enfermagem, vol. 28,
June 2020, p. e3286. EBSCOhost, doi: 10.1590/1518-
7. 8345.3681.3286.
“Surgical Technology; New Nursing Teaching Tool Dubbed
SimBaby.” Obesity, Fitness
& Wellness Week, Jul 23 2005, p. 1498. ProQuest. Web. 14 July
2020.
Unver, Vesile, et al. “Integrating Simulation Based Learning
into Nursing Education
Programs: Hybrid Simulation.” Technology and Health Care:
Official Journal of the European
Society for Engineering and Medicine, vol. 26, no. 2, 2018, pp.
263-270.EBSCOhost, doi:
10.3233/THC-170853.
The global electronic health record market is
expected to grow at a CAGR of 5.6% from 2017 to
2027
Publication info: PR Newswire ; New York [New York]09 Jan
2018.
ProQuest document link
8. FULL TEXT
NEW YORK, Jan. 9, 2018 /PRNewswire/ -- Read the full report:
https://www.reportlinker.com/p05273324
Report Details
The global electronic health record market is expected to grow
at a CAGR of 5.6% from 2017 to 2027. In 2016, the
Web-based EHR segment held 43% share of the global
electronic health record market.
How this report will benefit you
Read on to discover how you can exploit the future business
opportunities emerging in this sector.
In this brand new 151-page report you will receive 77 tables and
84 figures– all unavailable elsewhere.
The 151-page report provides clear detailed insight into the
global electronic health record market. Discover the
key drivers and challenges affecting the market.
By ordering and reading our brand-new report today you stay
better informed and ready to act.
Report Scope
9. • Global Electronic Health Record Market forecasts from 2017-
2027
This report also breaks down the revenue forecast for the global
electronic health record market by technology:
- On-premise based EHR
- Web-based EHR
- Cloud-based EHR
Each submarket is further broken down by region: North
America, South America, Europe, Asia-Pacific and RoW
This report also breaks down the revenue forecast for the global
electronic health record market by end-users:
- Hospitals
- Ambulatory Care Centers
- Home Healthcare Agencies, Nursing Homes, and Assisted
Living Facilities
- Diagnostic and Imaging Centers
- Pharmacies
Each submarket is further broken down by region: North
America, South America, Europe, Asia-Pacific and RoW
11. record market:
- McKesson Corporation
- Allscripts Healthcare
Solution
s, Inc
- athenahealth, Inc.
- Epic Systems Corporation
- GE Healthcare
- Cerner Corporation
- Oracle Corporation
- Philips
- Infor, Inc.
Read the full report: https://www.reportlinker.com/p05273324
12. About Reportlinker
ReportLinker is an award-winning market research solution.
Reportlinker finds and organizes the latest industry
data so you get all the market research you need - instantly, in
one place.
__________________________
Contact Clare: [email protected]
US: (339)-368-6001
Intl: +1 339-368-6001
View original content: http://www.prnewswire.com/news-
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expected-to-grow-at-a-cagr-of-56-from-2017-to-2027-
300580219.html
SOURCE Reportlinker
13. CREDIT: Reportlinker
DETAILS
Subject: Ambulatory care; Market research
Business indexing term: Subject: Market research; Industry:
54191 : Marketing Research and Public Opinion
Polling
Classification: 54191: Marketing Research and Public Opinion
Polling
Terms and Conditions Contact ProQuest
Publication title: PR Newswire; New York
14. Publication year: 2018
Publication date: Jan 9, 2018
Dateline: NEW YORK, Jan. 9, 2018
Publisher: PR Newswire Association LLC
Place of publication: New York
Country of publication: United States, New York
Publication subject: Business And Economics
Source type: Wire Feeds
Language of publication: English
Document type: News
ProQuest document ID: 1985925017
Document URL: https://www.proquest.com/wire-feeds/global-
electronic-health-record-market-
15. is/docview/1985925017/se-2?accountid=158399
Copyright: Copyright PR Newswire Association LLC Jan 9,
2018
Last updated: 2020-1 1-16
Database: ABI/INFORM Dateline
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record-market-is/docview/1985925017/se-2?accountid=158399
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record-market-is/docview/1985925017/se-2?accountid=158399
https://www.proquest.com/info/termsAndConditions
http://about.proquest.com/go/pqissupportcontactThe global
electronic health record market is expected to grow at a CAGR
of 5.6% from 2017 to 2027
Writing Effective Thesis Statements
16. Competencies and Outcomes
The activities in this lesson will help you achieve the following
competencies and course outcomes:
Competency 1-
choosing and limiting a subject that can be sufficiently
developed within a given time for a specific purpose and
audience
developing and refining pre-writing and planning skills
formulating the main point to reflect the subject and purpose of
the writing
Competency 2-
constructing a thesis statement
Learning Outcomes
LO1- Communicate effectively using listening, speaking,
reading, and writing skills.
LO2- Thinking critically and demonstrate knowledge of diverse
cultures, including global and historical perspectives/ events .
Unfocused
17. Unorganized
Lacks structure
What is a thesis statement?
The thesis statement is the main point of the essay. It explains
what the essay will be about and expresses the writer’s position
on the subject and the organization of the essay.
Major Arteries
Heart
Highways
18. How To Write an Effective Thesis
Tips For Writing an Effective Thesis Statement
Make an assertion- take a position, state a view point, or
suggests your approach toward the topic
Be specific
Focus on one central point
Offer an original perspective on your topic
Make sure your thesis is arguable
Avoid making an announcement
Use your thesis to preview the organization of the essay- use
your thesis to mention the three or four key concepts on which
your essay will focus, in the order you will discuss them
Insert the thesis as the last sentence of your introduction
Example
19. General Topic = Food
Specific/ Focused Topic= Vegan diet
Assertion= A vegan diet is a great way to remain healthy.
3- point thesis= A vegan diet is a great way to remain healthy
because it increases nutrient intake, helps with weight loss, and
protects against certain cancers.
Which of the following is an example of an effective thesis?
A).Teachers and school officials should be allowed to carry
guns in school.
B). Teachers should not be allowed to carry guns in school, for
this will increase violence, present distractions, and lead to
confusion during an active shooter situation.
20. C). Many people believe that teachers should carry guns in
schools to protect students from shooting massacres.
Check Your Understanding
https://create.kahoot.it/kahoots/my-kahoots/folder/ad9612e6-
e4ae-4730-b1fe-098ff61529ab
Assignment
Now that we have discussed various pre- writing strategies (i.e.
free writing, mapping/ clustering, asking questions) and how to
write an effective thesis. Choose a prewriting strategy and
narrow the topics below. Then you must write a thesis for each
21. topic.
Education
Sports
By Larry Wolf, Jennie Harvell, and Ashish K. Jha
Hospitals Ineligible For Federal
Meaningful-Use Incentives Have
Dismally Low Rates Of Adoption
Of Electronic Health Records
ABSTRACT The US government has dedicated substantial
resources to help
certain providers, such as short-term acute care hospitals and
physicians,
adopt and meaningfully use electronic health record (EHR)
systems. We
used national data to determine adoption rates of EHR systems
among all
types of inpatient providers that were ineligible for these same
22. federal
meaningful-use incentives: long-term acute care hospitals,
rehabilitation
hospitals, and psychiatric hospitals. Adoption rates for these
institutions
were dismally low: less than half of the rate among short-term
acute care
hospitals. Specifically, 12 percent of short-term acute care
hospitals have
at least a basic EHR system, compared with 6 percent of long-
term acute
care hospitals, 4 percent of rehabilitation hospitals, and 2
percent of
psychiatric hospitals. To advance the creation of a nationwi de
health
information technology infrastructure, federal and state policy
makers
should consider additional measures, such as adopting health
information technology standards and EHR system certification
criteria
appropriate for these ineligible hospitals; including such
hospitals in
state health information exchange programs; and establishing
low-
interest loan programs for the acquisition and use of certified
23. EHR
systems by ineligible providers.
T
he Health Information Technology
for Economic and Clinical Health
(HITECH) provisions of the Ameri-
can Recovery and Reinvestment Act
were enacted into law in 2009 to
develop a nationwide health information tech-
nology (IT) infrastructure. The legislation pro-
motes the electronic exchange of clinical data
through the widespread use of certified elec-
tronic health records (EHRs) as a means of fos-
tering health care quality and efficiency. This
foundation is critical to broader health care re-
form efforts, such as patient-centered medical
homes and accountable care organizations as
articulated in the Affordable Care Act of 2010.
The HITECH provisions make Medicare and
Medicaid incentives available to certain types of
providers, such as short-term acute care hospi-
25. Larry Wolf is a health
information technology
strategist at Kindred
Healthcare, in Louisville,
Kentucky.
Jennie Harvell is a senior
policy analyst in the Office of
the Assistant Secretary for
Planning and Evaluation,
Department of Health and
Human Services, in
Washington, D.C.
Ashish K. Jha is an associate
professor of health policy at
the Harvard School of Public
Health and an associate
professor of medicine at
Harvard Medical School, in
Boston, Massachusetts.
March 2012 31:3 Health Affairs 505
Electronic Health Records
26. by Rachel McCartney
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tions. Assuming that these ineligible hospital
providers adopt EHR systems at a slower rate
as a consequence of their exclusion from finan-
cial incentives, the patients who receive care at
these hospitals will be less likely to benefit from
the improved care associated with access to an
EHR. There will be spillover effects as well: If
large segments of the health care system remain
paper based, then investments to support EHR
adoption and use by eligible hospitals and physi-
cians might not produce the expected quality
and efficiency gains.
Nearly one-third of all Medicare patients dis-
charged from short-term acute care hospitals are
discharged to postacute care settings such as
rehabilitation hospitals.2,3 This proportion of pa-
27. tients is likely to increase over time. As a result, it
is critical to ensure the flow of clinical data
among providers to reduce waste and promote
high-quality care. Case studies of some postacute
care providers have identified benefits of imple-
menting EHR systems similar to those reported
for acute care hospitals and physicians.4,5 It is
generally believed that the use of EHR systems
would produce the same quality and efficiency
gains for the ineligible hospitals as are antici-
pated for eligible, short-term acute care hospi-
tals. Adoption rates for EHR systems have been
previously examined, using national data, for
nursing homes, home health, and hospice
providers.6,7
This study isthefirst to use nationallyavailable
hospital data to provide a baseline of EHR system
adoptionrates for hospitals thatareineligiblefor
federal incentives. It compares the use of this
technology at ineligible hospitals with that at
short-term acute care hospitals. We examined
data for all ineligible hospital providers: long-
term acute care hospitals, rehabilitation hospi-
tals, and psychiatric hospitals. First, we deter-
28. mined EHR system adoption rates and compared
these rates to those at eligible short-term acute
care hospitals to assess whether a gap already
exists. Second, we examined how engaged these
ineligiblehospitals areinelectronically exchang-
ing clinical data. Finally, we assessed whether
ineligible hospitals could meet the meaningful-
use criteria incorporated in stage 1 of existing
federal regulations. These stage 1 criteria spell
out EHR data capture and information-sharing
requirements that hospitals must meet to qualify
for federal incentives.
Information from this analysis will provide
critical insights for policy makers about how
these providers are faring on adopting EHR tech-
nology and what the implications are for efforts
to develop a nationwide health IT infrastructure
to improve the quality and efficiency of the
health care system.
Study Data And Methods
Data On The Hospital Survey We used data
from the 2009 health IT supplement to the
American Hospital Association survey. We fo-
29. cused on responses from the three types of ineli-
gible hospitals (long-term acute care, rehabilita-
tion, and psychiatric) and compared their
responses to those from short-term acute care
hospitals, which have been previously pub-
lished.8 The 2009 survey was conducted from
March through September 2009, and its ap-
proach has been described elsewhere.9 The
health ITsupplement was developed by an expert
panel under the auspices of the Office of the
National Coordinator for Health Information
Technology. The survey was sent by the Ameri-
can Hospital Association to each hospital’s CEO.
Each hospital reported on the presence or ab-
sence of thirty-two clinical functions of an EHR
system and on whether these had been fully
implemented in every unit of the hospital, fully
implemented in at least one unit of the hospital,
partly implemented, or not yet begun to be
implemented.9 The survey results also identify
key hospital characteristics, including hospital
type, size, ownership, location, and available
services (such as a coronary care unit).
Defining EHR Systems And Meaningful-Use
30. Requirements The functions included in basic
and comprehensive EHR systems were derived
by the expert panel described above and have
been used in previous reports of the adoption
and use of EHR systems.8,9 A hospital was des-
ignated as having a basic EHR system if it had ten
specific electronic clinical functions deployed in
at least one hospital unit. A hospital was catego-
rized as having a comprehensive EHR system if it
had a set of twenty-four electronic clinical func-
tions deployed in all clinical units of the hospi-
tal.9 The functions required to meet the defini-
tion of a basic or comprehensive EHR system are
included in Appendix Exhibit 1.10
We identified questions from the American
Hospital Association survey that had clear ana-
logues to the stage 1 meaningful-use criteria. The
ones meeting this test were nine of the fourteen
core objectives and three of the ten menu objec-
tives in the final rule for the Medicare and Medic-
aid Electronic Health Record Incentive Program
(Appendix Exhibit 2).8,10,11
31. Analysis We used a series of statistical tests
(chi-square tests for categorical variables and t
tests for continuous variables) to compare
respondents and nonrespondents to the survey
and found modest but significant differences. To
adjust for nonresponse bias, we used a logistic
regression model to estimate the likelihood of a
hospital’s responding to the survey based on
characteristics such as size, location, and teach-
Electronic Health Records
506 Health Affairs March 2012 31:3
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ing status.We then weighted all responses by the
inverse of that hospital’s likelihood of response.
This technique allowed us to create national es-
timates while accounting for the observable com-
32. ponents that might produce nonresponse bias.
We computed the number of hospitals in each
of our three ineligible hospital types and eligible
acute care hospitals that were able to meet the
definitions for basic and comprehensive EHR
systems explained above.9 We also calculated,
using the weighting technique described above,
the adoption rates of individual functions, such
as computerized physician order entry for med-
ications and the ability to exchange clinical data
electronically. We used chi-square tests (for cat-
egorical variables) and analyses of variance (for
continuous variables) to compare adoption rates
of basic and comprehensive EHR systems as well
as the twenty-four individual functions across
the four groups of hospitals.
We also considered multivariable models in
which we combined all four groups of hospitals
and modeled the likelihood of having a basic or
comprehensive EHR system across these groups,
adjusting for key hospital characteristics such as
size and teaching status. The results were quali-
tatively similar. However, given that the finan-
33. cial incentives under the HITECH provisions do
not “adjust” or give credit for key hospital char-
acteristics, we believe that the most policy-rel-
evant comparison was one that was unadjusted.
Finally, we used questions identified in the
American Hospital Association survey with ana-
logues to the stage 1 meaningful-use criteria and
calculated the number of hospitals in each insti-
tutional type that would be able to meet certain
stage 1 meaningful-use hospital criteria, regard-
less of actual eligibility for incentives.11 We used
the same statistical approaches defined above,
starting with bivariate models (using an analysis
of variance) and then building multivariable
models (where the results were qualitatively very
similar). Again, we present only the bivariate
analyses because those are the most relevant
for the policy discussion.
Limitations There are several limitations to
this study. First, although the survey attained a
nearly 70 percent response rate for short-term
acute care hospitals, response rates for the ineli -
gible hospitals were decidedly lower. We at-
34. tempted to statistically correct for potential non-
response bias through weighting; however,
these techniques are inherently imperfect. Non-
response was associated with characteristics of
hospitals that are less likely to have EHR sys-
tems. Therefore, we may have overestimated
the degree to which these ineligible hospitals
have adopted EHR systems.
Second, we used self-reported data from
health IT leaders in these institutions. Thus,
the data were not independently verified.
Third, the definitions of basic EHR system, com-
prehensive EHR system, and meaningful use were
largely designed for acute care hospitals. They
may not comprise the optimal set of functions to
facilitate high-quality, efficient care at ineligible
hospitals.
Fourth, we focused on whether hospitals had
adopted EHR systems rather than on how hos-
pitals used the systems. As a result, this report
may overestimate how much clinical care EHR
systems support.
35. Finally, we did not ask directly about the mean-
ingful-use objectives. Instead, we mapped our
survey responses to the objectives and measures
outlined by the Department of Health and Hu-
man Services. Our approach represents the cur-
rent best estimate of how many of these hospitals
might be able to meet meaningful-use criteria.
However, it is conservative for the majority of
individual criteria and thus may overestimate the
number of hospitals that could have met these
criteria at the time of the survey.
We may have understated the number of hos-
pitals that met the meaningful-use criterion of
being able to exchange clinical data electroni-
cally with other providers. The meaningful-use
rule requires only that hospitals demonstrate the
ability to engage in information exchange,
whereas our survey asked if hospitals were ac-
tively exchanging data with other providers. As a
result, we also report our findings without the
health information exchange requirement.
Study Results
36. Survey Size And Response Rate The American
Hospital Association survey of all nonfederal
hospitals included 4,629 general short-term
acute care hospitals, 401 long-term acute care
hospitals, 237 rehabilitation hospitals, and
466 psychiatric hospitals. The response rates
varied by hospital type: 36 percent for long-term
acute care hospitals; 46 percent for rehabilita-
tion hospitals; 52 percent for psychiatric hospi-
tals; and 68 percent for short-term acute care
hospitals.
Characteristics Of The Ineligible Hospi-
tals There were important differences in the
characteristics of hospitals based on their type
(Exhibit 1). For example, approximately half of
the acute care and psychiatric hospitals were
small; by comparison, more than 80 percent of
rehabilitation and long-term acute care hospitals
were small. There were modest differences
among hospital types with respect to the region
where they were located and their membership
in a provider system. There were large
March 2012 31:3 Health Affairs 507
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differences in terms of their ownership, teaching
status, and urban versus rural location. For ex-
ample, although only 16 percent of the short-
term acute care hospitals were for profit, 67 per-
cent of rehabilitation hospitals and 75 percent of
long-term acute care hospitals were.
Overall Adoption We found a wide range in
the rates of EHR system adoption by hospital
type: Although 6 percent of long-term acute care
hospitals had adopted any EHR system (basic or
comprehensive), only 4 percent of rehabilitation
hospitals and just 2 percent of psychiatric hos-
pitals had any system (Exhibit 2). In contrast,
12 percent of short-term acute care hospitals had
any system in 2009.When we examined rates of
38. adoption of a comprehensive EHR system (func-
tions needed for the system to have a robust
impact on quality and efficiency), we found that
no psychiatric or rehabilitation hospitals met
these criteria and that just 2 percent of long-term
acute care hospitals had such systems. As re-
ported, 3 percent of short-term acute care hos-
pitals met these criteria.9
Selected EHR Capabilities Overall, the adop-
tion of specific EHR system functions also varied
greatly by hospital type. However, we found one
consistent pattern: Compared to short-term
acute care hospitals, ineligible hospitals had
lower rates of adoption for each of the twenty-
four individual functions that make up a com-
prehensive or basic EHR (Exhibit 3). For exam-
ple, 30 percent of short-term acute care hospitals
reported having computerized provider order
entry for medications in at least one clinical unit.
However, the numbers for the ineligible hospi-
tals ranged from 19 percent to 23 percent (for
difference across the four hospital subtypes,
p ¼ 0:004). Electronic discharge summaries—a
key function of sharing data among providers—
39. were available in 62 percent of short-term acute
care hospitals but in just 29–36 percent of ineli-
Exhibit 1
Hospital Characteristics Among Responders To The Health
Information Technology Survey, 2009
Characteristic
Long-term
acute care
(n = 144)
Rehabilitation
(n = 108)
Psychiatric
(n = 240)
Short-term
acute care
(n = 3,161)
AHA member 70% 83% 82% 98%
40. Size
Small (< 100 beds) 87 82 53 49
Medium (100–399 beds) 11 18 39 41
Large (≥ 400 beds) 2 0 8 10
Location
Northeast 9 18 20 13
Midwest 22 13 22 30
South 57 57 43 38
West 12 12 15 19
Urban hospital 93 92 84 56
Ownership
For-profit 75 67 37 16
Private, nonprofit 20 26 17 60
Public 5 7 46 24
Teaching hospital 4 15 21 23
Member of provider system 78 68 47 54
SOURCE Authors’ analyses of data from the 2009 American
Hospital Association (AHA) annual survey and Health
Information
41. Technology Supplement of Acute Care Hospitals in the United
States.
Exhibit 2
Electronic Health Record (EHR) System Adoption Rate Among
Hospitals, By Type Of
Hospital And EHR System Capability, 2009
P
er
ce
nt
Long-term acute care
Rehabilitation
Psychiatric
Short-term acute care
Comprehensive Basic Any
SOURCE Authors’ analyses of data from the 2009 American
Hospital Association annual survey and
Health Information Technology Supplement of Acute Care
42. Hospitals in the United States. NOTE For
sample sizes, see Exhibit 1.
Electronic Health Records
508 Health Affairs March 2012 31:3
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gible hospitals. For nearly every function exam-
ined, psychiatric hospitals appeared to have the
lowest rates of adoption.
Finally, ineligible hospitals were also much
more likely than eligible hospitals to report
not having plans to implement clinical decision
support and computerized provider order entry
functions, which have great potential to improve
quality and patient safety.12,13
43. Information Exchange The rate of health
information exchange with unaffiliated hospi-
tals and physicians was also much lower for
ineligible hospitals than eligible hospitals
(Exhibit 4). Although 17 percent of short-term
acute care hospitals reported that they were ac-
tively exchanging health information with other
providers, the comparable rates were just 11 per-
cent for long-term acute care hospitals, 5 percent
for rehabilitation hospitals, and 9 percent for
psychiatric hospitals.
Meaningful Use When we mapped our survey
questions to meaningful-use criteria, we found
that very few hospitals would be able to meet
meaningful-use requirements (Exhibit 5). None
of the psychiatric or rehabilitation hospitals had
all nine core and all three menu objectives re-
quired to meet meaningful-use criteria, and only
0.6 percent of long-term acute care hospitals and
2.1 percent of short-term acute care hospitals
could meet them. When we eliminated the need
to electronically exchange clinical data, there
were still no psychiatric or rehabilitation hospi-
tals that could meet the criteria, although the
44. rates among long-term acute careand short-term
hospitals increased to 3.5 percent and 3.3 per-
cent, respectively. Few psychiatric and rehabili-
tation hospitals were able to meet even the min-
imal core requirements.
Discussion
We found very low EHR system adoption rates
among hospitals ineligible for the incentives in
the HITECH provisions. These rates were less
than half of the rate among short-term acute care
hospitals. Low EHR system adoption rates
among short-term acute care (eligible) hospitals
have received much attention from policy mak-
ers. The 2–6 percent adoption rates among ineli-
gible providers suggest major challenges ahead.
The federal meaningful-use incentives will al-
most surely widen this gap.
We posit several important reasons why EHR
Exhibit 3
Hospitals In Which Electronic Health Record Capabilities Have
Been Implemented In At Least One Unit, 2009
45. Ineligible hospitals (%)a Eligible hospitals (%)b
Capability
Long-term
acute care Rehabilitation Psychiatric
Short-term
acute care
Medication list 48 49 33 65
Computerized provider order entry 23 22 19 30
Drug allergy alerts 47 39 35 62
Radiology images 61 29 7 83
Lab reports 62 46 32 83
Advance directives 17 15 12 48
Discharge summary 33 36 29 62
SOURCE Authors’ analyses of data from the 2009 American
Hospital Association Health Information Technology
Supplement of Acute
Care Hospitals in the United States. NOTE For sample sizes, see
Exhibit 1. aIneligible hospitals do not meet meaningful-use
criteria and
46. therefore are not eligible to receive financial incentives under
the Health Information Technology for Economic and Clinical
Health
provisions of the American Recovery and Reinvestment Act of
2009. bEligible hospitals meet the necessary meaningful-use
criteria
and therefore may receive financial incentives. p < 0:01 for
differences among the four hospital types.
Exhibit 4
Percentage Of Hospitals That Actively Exchange Data
Electronically, By Type Of Hospital,
2009
P
er
ce
nt
Long-term acute care Rehabilitation Psychiatric Short-term
acute care
SOURCE Authors’ analyses of data from the 2009 American
47. Hospital Association annual survey and
the Health Information Technology Supplement of Acute Care
Hospitals in the United States. NOTES
For sample sizes, see Exhibit 1. Hospitals are included that
responded: “Participate, we actively ex-
change data” when asked, “Does your hospital participate in any
regional arrangements to share elec-
tronic patient level clinical data through an electronic health
information exchange, such as an RHIO
(Regional Health Information Organization)?”
March 2012 31:3 Health Affairs 509
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system adoption rates are so much lower among
ineligible hospitals. First, the hospitals might
not perceive the contribution that EHR systems
could make to improving the care they provide,
because data on the benefits of inpatient EHR
48. systems come mostly from short-term acute care
hospitals. Second, it is likely that providers and
vendors alike are uncertain about what type of
EHR system functionality these ineligible hospi-
tals need and would find appropriate.
Third, most vendors of EHR systems for hos-
pitals are focused on meeting the demands of
short-term acute care hospitals for products that
will enable them to meet meaningful-use crite-
ria. It is unlikely that the vendors will devote
substantial resources, at least in the short run,
to developing EHR systems for ineligible hos-
pitals.
The lower levels of engagement in health in-
formation exchange among ineligible hospitals
have important consequences. Electronically
exchanging health information has the ability
to enhance care coordination as patients move
among care settings. The full use of information
exchange depends on the electronic capabilities
of providers to both send and receive data. The
low levels of health information exchange
among ineligible providers probably reflects
49. both their lower levels of electronic capabilities,
such as fewer EHR systems, and their lack of
engagement in these efforts.
Given that health information exchange is a
clearly stated priority of the federal incentives—
and is one of the three components of meaning-
ful use highlighted in the HITECH provisions—
we expect that the rate of information exchange
among short-term acute care hospitals will rise
substantially over time. In the final rule for the
Medicare and Medicaid Electronic Health Rec-
ord Incentive Program, the Centers for Medicare
and Medicaid Services states that “stage two
meaningful use requirements will include rigor-
ous expectations for health information ex-
change.”11(p44321) It is unlikely that the ineligible
hospitals will catch up.
Policy Implications Our findings have im-
portant policy implications. High and rising
health care costs, coupled with uneven quality,
represent one of the biggest domestic policy
challenges facing the nation. The HITECH pro-
50. visions seek to provide some of the necessary
infrastructure to advance the electronic use
and exchange of health information.
The use of EHR systems within a care setting
will be essential to the continued ability of ineli-
gible hospitals to provide high-quality and effi-
Exhibit 5
Hospitals’ Ability To Meet Meaningful-Use Criteria
Ineligible hospitals (%)a Eligible hospitals (%)b
Criterion
Long-term
acute care Rehabilitation Psychiatric
Short-term
acute care p value
Meaningful-use core functions
Use computerized provider order entry 23 22 19 30 < 0:04
Implement drug-drug and drug-allergy alerts 17 12 13 14 0.55
51. Maintain up-to-date problem list 23 18 22 46 < 0:001
Maintain active medication list 48 49 33 66 < 0:001
Key demographics 56 70 60 86 < 0:001
Discharge summary 33 36 29 62 < 0:001
Report hospital quality measures 14 16 12 26 < 0:001
Implement one clinical decision support 38 28 25 60 < 0:001
Information exchange 5 1 2 11 < 0:001
Total core functions 0.6 1.4 0.0 2.1 0.19
Total core functions except information exchange 5.5 2.8 0.0
4.2 0.78
Meaningful-use menu functions
Lab results 62 46 32 84 < 0:001
Medication reconciliation 30 33 22 53 < 0:001
Advance directives 17 15 12 49 < 0:001
Total menu functions 11.1 7.1 6.6 33.1 < 0:001
Totals
Total core and menu functions 0.6 0.0 0.0 1.6 0.30
Total functions except information exchange 3.5 0.0 0.0 3.3
0.60
SOURCE Authors’ analyses of data from the 2009 American
52. Hospital Association annual survey and the Health Information
Technology Supplement of Acute Care Hospitals
in the United States. NOTE For sample sizes, see Exhibit 1.
aIneligible hospitals do not meet meaningful-use criteria and
therefore are not eligible to receive financial
incentives under the Health Information Technology for
Economic and Clinical Health provisions of the American
Recovery and Reinvestment Act of 2009. bEligible
hospitals meet the necessary meaningful-use criteria and
therefore may receive financial incentives.
Electronic Health Records
510 Health Affairs March 2012 31:3
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cient care. EHR systems help reduce medication
errors, promote compliance withevidence-based
treatments, and avoid duplication and ineffi-
53. ciency in receipt of services. As adoption of
EHR systems grows among the eligible hospi-
tals, there may be increasing pressure for the
ineligible hospitals to become meaningful users
of fully functional EHR systems.
A major cause of inefficiency in our health care
system is fragmentation and lack of coordination
across care settings.2 The Affordable Care Act
makes some efforts to address these challenges
by requiring the Centers for Medicare and
Medicaid Services to experiment with new deliv-
ery and payment models, such as bundled pay-
ments and accountable care organizations. Fun-
damental to the success of any of these programs
is the ability to share clinical data across prov-
iders. These emerging payment models—along
with the needs of postacute care providers to
maintain relationships with acute care hospi-
tals—may force ineligible hospitals to adopt
EHR systems and use electronic health informa-
tion exchange, although they will be at a finan-
cial disadvantage because of their lack of HI-
TECH incentive payments.
By law, the HITECH incentive program for
54. EHR systems applies to only certain “eligible
hospitals” (acute care hospitals) and “eligible
professionals” (primarily physicians). Expand-
ing this program to include ineligible providers
might not be a viable option because of the costs
of making incentive payments to them.
The HITECH incentive programs managed by
the Office of the National Coordinator for Health
Information Technology are not restricted to
those health care providers who could be eligible
for theEHRsystemincentiveprogram. However,
initial federal efforts—such as technical assis-
tance through the regional extension centers—
were primarily directed to the eligible providers.
The Office of the National Coordinator awarded
more than half a billion dollars in grants to states
and state-designated entities to facilitate health
information exchange, primarily among eligible
hospitals and professionals.
At the same time, the Office of the National
Coordinator recognized the importance of
advancing the exchange of health information
55. on behalf of patients who receive services from
postacute and long-term care providers, as well
as by other providers ineligible for EHR system
incentives. As a result, in January 2011 the office
provided $7 million in challenge grants to four
states to focus on health information exchange
for transitions in care that involve nursing
homes and home health agencies.14 In addition,
a few of the Beacon Community Programs, which
are health IT pilots, include postacute care, long-
term care, and behavioral health care provid-
ers.15 The Office of the National Coordinator de-
scribes a broader set of its activities for ineligible
providers on its website.16
The Centers for Medicare and Medicaid Ser-
vices anticipates potentially offering assistance
to Medicare providers that are ineligible for fi-
nancial incentives, through a future contract
with Quality Improvement Organizations. These
organizations contract with Medicare to help
providers improve quality, but they may also
be able to function as entities that help provide
technical assistance to ineligible providers as
56. they adopt and use EHR systems.
Federal and state policy makers could consider
other ways to further advance and accelerate the
use of EHR systems by all health care providers.
Policy makers could adopt health IT standards
and EHR system certification criteria appropri-
ate for the ineligible providers. This would pro-
vide important guidance to ineligible providers
and health IT vendors. In addition, establishing
rigorous health information exchange require-
ments for eligible providers should increase the
value of health information exchange for all
providers, which will then be able to send and
receive important clinical data.
State health information exchange programs
could expand their focus to include ineligible
providers. In addition, establishing low-interest
loan programs for the acquisition and use of
certified EHR systems by ineligible providers
could accelerate the acquisition and use of these
systems. These actions may encourage ineligible
providers to adopt and use EHR systems.
Whether investments in the health IT infra-
57. structure will be sufficient to enable all health
care providers to become meaningful users of
health IT is an area requiring study. The Office
of the National Coordinator uses data from the
National Ambulatory Medical Care Survey to
track changes in physicians’ adoption rates of
EHR systems and data from the American Hos-
pital Association annual survey to track EHR
system adoption rates by acute care hospitals.
As this study has shown, the hospital data can
also be used to analyze adoption rates among
ineligible hospitals.
The National Home Health and Hospice Care
Survey includes questions on the use of EHR
systems by home health and hospice care prov-
iders. The National Nursing Home Survey cre-
ates opportunities to assess trends in EHR sys-
tem adoption rates by nursing homes. The
nursing home survey includes a question on
the use of electronic information systems. How-
ever, this question should be refined to provide
reliable, valid, and national data on the adoption
of EHR systems in nursing homes.17,18
58. March 2012 31:3 Health Affairs 511
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Including questions in national surveys re-
garding the meaningful use of EHR systems
would enable comparisons of meaningful use
across provider types as well as analyses of mean-
ingful use appropriate for each provider type.
Fielding questions concerning the adoption of
EHR systems by nursing homes and home health
care providers would fill an important informa-
tion gap and facilitate analyses of trends in EHR
adoption by these providers.
Conclusion We examined rates of adoption of
EHR systems and engagement in health infor-
mation exchange among inpatient providers
ineligible for financial incentives and found dis-
59. mally low rates. Given the central importance of
the availability of electronic data in our national
efforts to reform the delivery system, these find-
ings have important implications: By leaving out
ineligible providers, the nation risks building a
new digital divide in which key providers, which
already have low levels of electronic clinical data,
may fall further behind.
To develop a nationwide health IT infrastruc-
ture that provides timely and complete informa-
tion at the time and place of care, electronic
clinical data will need to be available across all
sites of care. Consideration should be given to
measuring and advancing the use of EHR sys-
tems and health information exchange by prov-
iders ineligible for federal EHR incentives. ▪
The authors are grateful for the access
to the survey data provided by the
American Hospital Association.
NOTES
60. 1 Leonard K. Excluded groups want in
on health information technology
funding . iWatch News [serial on the
Internet], 2011 May 23 [cited 2012
Feb 10]. Available from: http://
www.iwatchnews.org/2011/05/ 23/
4697/excluded-groups-want-health-
information-technology-funding
2 Bogasky S. Examining relationships
in an integrated hospital system.
Waltham (MA): RTI
International; 2008.
3 Kahn JM, Benson NM, Appleby D,
Carson SS, Iwashyna TJ. Long-term
acute care hospital utilization after
critical illness. JAMA. 2010;303(22):
2253–9.
4 Bennett RE, Tuttle M, May K,
Harvell J, Coleman EA (University of
Colorado Health Sciences Center,
Denver, CO). Health information
exchange in post-acute and long-
61. term care case study findings: final
report. Washington (DC): Depart-
ment of Health and Human Services,
Office of Disability, Aging and Long-
Term Care Policy; 2007 Sep. (Con-
tract No. HHS-100-03-0028).
5 Kramer A, Bennett R, Fish R, Lin CT,
Floersch N, Conway K, et al. Case
studies of electronic health records
in post-acute and long-term care.
Washington (DC): Department of
Health and Human Services; 2004
Aug. (Contract No. HHS-100-
03-0028).
6 Resnick HE, Alwan M. Use of health
information technology in home
health and hospice agencies: United
States, 2007. J Am Med Inform As-
soc. 2010;17(4):389–95.
7 Resnick HE, Manard BB, Stone RI,
Alwan M. Use of electronic infor-
mation systems in nursing homes:
62. United States, 2004. J Am Med In-
form Assoc. 2009;16(2):179–86.
8 Jha AK, DesRoches CM, Kralovec
PD, Joshi MS. A progress report on
electronic health records in U.S.
hospitals. Health Aff (Millwood).
2010;29(10):1951–7.
9 Jha AK, DesRoches CM, Campbell
EG, Donelan K, Rao SR, Ferris TG,
et al. Use of electronic health records
in U.S. hospitals. N Engl J Med.
2009;360(16):1628–38.
10 To access the Appendix, click on the
Appendix link in the box to the right
of the article online.
11 Centers for Medicare and Medicaid
Services. Medicare and Medicaid
programs; Electronic Health Record
Incentive Program; final rule. Fed
Regist. 2010;75(144):44314–584.
63. 12 Kaushal R, Shojania KG, Bates DW.
Effects of computerized physician
order entry and clinical decision
support systems on medication
safety: a systematic review. Arch In-
tern Med. 2003;163(12):1409–16.
13 Eslami S, de Keizer NF, Abu-Hanna
A. The impact of computerized
physician medication order entry in
hospitalized patients—a systematic
review. Int J Med Inform. 2008;
77(6):365–76.
14 Office of the National Coordinator
for Health Information Technology.
Health Information Exchange Chal-
lenge Grant Program [Internet].
Washington (DC): Department of
Health and Human Services; [last
updated 2011 Feb 23; cited 2012
Feb 10]. Available from: http://
healthit.hhs.gov/portal/server.pt?
open=512&mode=2&objID=3378
64. 15 Office of the National Coordinator
for Health Information Technology.
Beacon Community Program [Inter-
net]. Washington (DC): Department
of Health and Human Services; [last
updated 2011 May 19; cited 2012
Feb 10]. Available from: http://
healthit.hhs.gov/portal/server.pt/
community/healthit_hhs_gov__
onc_beacon_community_
program__improving_health_
through_health_it/1805
16 Hogin E, Daniel JG. The many
meaningful uses of health informa-
tion technology. Health IT Buzz
[blog on the Internet]. Washington
(DC): Department of Health and
Human Services, Office of the Na-
tional Coordinator; 2011 May 18
[cited 2012 Feb 10]. Available from:
http://www.healthit.gov/buzz-blog/
meaningful-use/meaningful-health-
65. information-technology/
#axzz1VOENsSB3
17 Richard A, Kaehny M, May K,
Kramer A (University of Colorado,
Denver, CO). Literature review and
synthesis: existing surveys on health
information technology, including
surveys on health information tech-
nology in nursing homes and home
health. Washington (DC): Depart-
ment of Health and Human Services,
Office of Disability, Aging, and Long-
Term Care Policy; 2009 Feb. (Con-
tract No. HHS-100-03-0028).
18 Kramer A, Kaehny M, Richard A,
May K (University of Colorado,
Denver, CO). Survey questions for
EHR adoption and use in nursing
homes: final report. Washington
(DC): Department of Health and
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Aging, and Long-Term Care Policy;
2010 Jan. (Contract No. HHS-100-
66. 03-0028).
Electronic Health Records
512 Health Affairs March 2012 31:3
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ABOUT THE AUTHORS: LARRY WOLF, JENNIE HARVELL
&
ASHISH K. JHA
Larry Wolf is a
health information
technology
strategist at
Kindred Healthcare.
In this month’s Health Affairs,
Larry Wolf and coauthors examine
67. the use of electronic health records
by inpatient providers that are
ineligible for the federal incentives
made available to others. The
authors found that the rate of
adoption among those ineligible
providers, which includes long-
term acute hospitals and
psychiatric hospitals, was “dismally
low.” They recommend additional
measures that state and federal
policy makers should consider to
boost adoption by these providers.
Wolf is a health information
technology (IT) strategist at
Kindred Healthcare who focuses on
clinical systems across the
spectrum of care. He is also the
chair of the Federation of American
Hospitals’ Health IT Task Force,
cochair of the Healthcare
Information and Management
Systems Society’s Interoperability
Showcase Planning Committee, a
68. member of the American Health
Care Association’s Health IT Task
Force, and a member of the
American Health Information
Management Association’s
Emerging Issues Practice Council.
Wolf has a master’s degree in
computer and information sciences
from the University of
Massachusetts.
Jennie Harvell is a
senior policy
analyst at the
Department of
Health and Human
Services.
Jennie Harvell is a senior policy
analyst at the Department of
Health and Human Services’ Office
of the Assistant Secretary for
Planning and Evaluation. Her
responsibilities include leading the
69. department’s efforts to integrate
health IT standards into Medicare
and Medicaid postacute care and
long-term care programs. She holds
a master’s degree in educational
administration, supervision, and
curriculum from the University of
Maryland.
Ashish K. Jha is an
associate professor
of health policy at
the Harvard School
of Public Health.
Ashish Jha is both an associate
professor of health policy at the
Harvard School of Public Health
and an associate professor of
medicine at Harvard Medical
School. His research interest is in
the quality of care provided by
health care systems, focusing on
health care disparities as a marker
of poor quality of care and health
70. IT as a potential solution for
improving care.
Jha also is an associate physician
at Brigham and Women’s Hospital
and a staff physician in the
Veterans Affairs Boston Healthcare
System. Additionally, he is a
special assistant to the secretary of
the Department of Veterans Affairs.
He was awarded the 2009 Young
Investigator of the Year award by
the Society of General Internal
Medicine.
Jha earned his medical degree
from Harvard Medical School and a
master’s degree in public health
from the Harvard School of Public
Health.
March 2012 31:3 Health Affairs 513
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Reproduced with permission of the copyright owner. Further
reproduction prohibited without permission.
Research Paper Instructions
You will have to write an informative research paper about a
current advancement or issue in your field. This may be a new
form of technology, device, cure, medication, software,
practice, etc. For example, if you are in the filed of education,
you may wish to do a research paper on adaptative technologies
like MATHia or ALEKS, which are online learning tools
students can use to get personalized tutoring and lessons in
Math based on their growth indicators.
growth indicators.
The paper must be 3-4 pages or 750-1000 words. It must be in
MLA format, 12pt- font, doubled space. You MUST include a
works cited page with at least 6 scholarly sources. You should
cite sources at least three times in each supporting paragraph.
72. Make sure your sources are from the online library databases.
DO NOT USE WIKIPEDIA as a source. Visit owl.purdue.edu
for assistance with citing your sources in your paper. You
should submit your research paper to the writing lab for review
before submitting your final draft to your professor.
Your research paper topic and thesis must be approved before
you submit your paper. Papers submitted without an approval
will receive an automatic zero. If you do not complete a
research paper, you will not be able to pass the class.
Good Luck!
Nursing EHR Satisfaction Takes a Major Swing to
the Positive, Black Book User Survey
Publication info: PR Newswire ; New York [New York]10 May
2018.
ProQuest document link
73. FULL TEXT
TAMPA, Fla., May 10, 2018 /PRNewswire/ -- In mid-2014,
nurse dissatisfaction with inpatient electronic health
record systems had escalated to an all-time high of ninety-two
percent, according to a Black Book EHR Loyalty
survey. Disruption in productivity and workflow had also
negatively influenced job dissatisfaction according to
nurses in eighty-four percent of US Hospitals. Eighty-five
percent of nurses were struggling with continually flawed
EHR systems.
Fast forward to Q2 2018 and nurses, the most instrumental
stakeholders of hospital EHR success and a group
rarely surveyed as the prime users of inpatient technologies,
have swung to the positive on health technologies.
7,409 staff nurses and managers responded to Black Book's
2018 EHR Loyalty Poll addressing the past difficulties
74. of systems largely selected by non-clinicians and that impact on
patient care.
Black Book polled nearly fifteen thousand licensed registered
nurses from forty states in three separate surveys,
all utilizing implemented hospital EHRs over the last four
years.
Survey respondents also ranked the vendor performance of
eleven inpatient EHR systems from a nursing
functionality and usability perspective. Cerner ranked first in
hospital nursing satisfaction for the third
consecutive year.
"Technology can help nurses do their jobs more effectively or it
can be a highly intrusive burden on the hospital
nurse delivering patient care," said Brown.
Despite the years of frustration noted in the annual Black Book
EHR user surveys, ninety-six percent of nurse
75. respondents said they would not want to go back to using paper
records indicating, in part, the perceived value
electronic health records adds to delivering higher quality care.
EHR acceptance by nurses has shifted since 2015
when twenty-six percent of nurses were hoping for a return to
paper records.
Eighty-eight percent of nurses believe their hospitals' IT
departments and administrators respond quickly to
making changes in the EHR that the nurses recognize as
vulnerabilities in the documentation, as compared to
thirty percent in 2016.
"With so many unique software interfaces from medical
equipment and the multiple departmental applications,
siloed health data sets, and current cybersecurity initiatives, it's
no surprise that hospital nurses are, at times,
discouraged but the majority of nurses responding to the 2018
76. survey see the value in their EHR fluency," said
Brown.
Eighty-five percent of nurses now see competency with at least
one EHR as a highly-sought employment skill for
an RN, and sixty-five percent believe nurses with multiple
fluencies are deemed a highly superior job candidate
currently by health systems.
EHRs have become an advantage for some hospitals in
attracting top nursing talent. Registered nurses have also
developed preferences more so for the EHR product and vendor
as a working environment standard than for the
hospital itself, according to eighty percent of job-seeking
registered nurses which reported that the reputation of
the hospital's EHR system is a top three consideration in their
choice of where they will work.
A lack of IT resources is still impacting nursing productivity.
77. Eighty-two percent of nurses in inpatient facilities
stated they do not have computers in each room or hand-
held/mobile devices to aid in the EHR requirement, down
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from ninety-three percent in 2016.
Among those hospitals outsourcing the EHR help desk, twenty-
one percent of nurses reported that their
experiences with EHR's call center do not meet their
expectations of communication skills and knowledge of the
product, a significant improvement from eighty-eight percent in
2016.
Nurses that work in hospital Emergency Rooms, Oncology,
78. Labor &Delivery, ICU/CCU, Neonatal, Radiology
&Diagnostics, and Neuro/Ortho units reported the highest user
satisfaction in usability and functionality.
Psychiatry/Mental Health, Ambulatory Clinics, Anesthesia and
general Medical/Surgical floors indicated the
highest continued dissatisfaction and negative feedback on their
hospitals' technology.
About Black Book
Black Book Market Research LLC, its founder, management and
staff do not own or hold any financial interest in
any of the vendors covered and encompassed in the surveys it
conducts. Black Book reports the results of the
collected satisfaction and client experience rankings in
publication and to media prior to vendor notification of
rating results and does not solicit vendor participation fees,
review fees, inclusion or briefing charges, and/or
79. vendor collaboration as Black Book polls vendors' clients.
In 2009, Black Book began polling the healthcare user and
client experience of now over 600,000 healthcare
software and services users. Black Book expanded its survey
prowess and reputation of independent, unbiased
crowd-sourced surveying to IT and health records professionals,
physician practice administrators, nurses,
financial leaders, executives and hospital information
technology managers.
For Black Book vendor satisfaction rating methodology,
auditing, resources, comprehensive research and ranking
data see www.blackbookmarketresearch.com
Related Files
NURSING EHR USABILITY AND SATISFACTION 2018
SURVEY RESULTS BLACK BOOK.pdf
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Copyright: Copyright PR Newswire Association LLC May 10,
2018
Last updated: 2020-11-16
Database: ABI/INFORM Dateline
https://www.proquest.com/wire-feeds/nursing-ehr-satisfaction-