Regulatory Environment Explain how healthcare exchanges chan
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Regulatory Environment Explain how healthcare exchanges change the concept of outpatient treatment. Many clinical information systems now embed practice guidelines and clinical pathways into their electronic medical record systems. Discuss some of the advantages and disadvantages of this. Describe demand management and how it can increase consumer involvement in care. Compare and contrast disease management and case management. Reading and Resources Ferrier, G. D., & Trivitt, J. S. (2013). Incorporating quality into the measurement of hospital efficiency: A double DEA approach. Journal of Productivity Analysis, 40(3), 337-355. https://search.proquest.com/docview/1448800469?accountid=169658 Search the site for US Department of Health and Human Services “Hospital Compare” and use the interactive database to compare and contrast health plans, hospitals, etc. How might you use this site with patients as a case manager? Chapter 16 pages 297-316, Chapter 23 pages 395-404, Chapter 20 pages 367-375, Chapter 26 pages 439-447 in Fundamentals of Case Management Practice. Review clinical guidelines of the AHRQ Pizzi, Michael A,PhD., O.T.R./L. (2014). Promoting health, wellness, and quality of life at the end of life: Hospice interdisciplinary perspectives on creating a good death . Journal of Allied Health, 43(4), 212-20. Annicka G M van der,Plas, Vissers, K. C., Francke, A. L., Donker, G. A., Jansen, W. J. J., Deliens, L., & Onwuteaka-Philipsen, B. (2015). Involvement of a case manager in palliative care reduces hospitalisations at the end of life in cancer patients; A mortality follow-back study in primary care . PLoS One, 10(7) Meyer, Star,R.N., B.S.N. (2012). Care management role in end-of-life discussions . Care Management Journals, 13(4), 180-3. Review the National Committee for Quality Assurance certification criteria. Additional Instructions: All submissions should have a title page and reference page. Utilize a minimum of two scholarly resources. Adhere to grammar, spelling and punctuation criteria. Adhere to APA compliance guidelines. Adhere to the chosen Submission Option for Delivery of Activity guidelines. Submission Options: Instruction Paper 4 to 6-page paper. Include title and reference pages. ...
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I need between 100-120 words for each assignment, and I want ind.docx
I need between 100-120 words for each assignment, and I want individual references with each response. Please, no plagiarized work
Module 1
DQ 1
Outcome measures are significant in showing the worth of the Doctor of Nursing Practice's role in health care. Identify a practice-level outcome study or project and describe the expectation of its effect on health care. Which outcome measure do you think aligns with your DPI project (Quality Improvement Project)? Why? Provide examples and literature support.
DQ 2
In this week's readings, theories of accident causation, human error, foresight, resilience, and system migration were discussed. Identify a safety theory and propose quality measures to improve patient safety. Which theory or framework are you using to guide your DPI Project's intervention and outcome? Please define what constructs of your chosen DPI Project theory will help you change/improve clinical practice to improve a specific patient outcome? Provide examples and literature support.
Resources
Henneman, E. A. (2017). Recognizing the ordinary as extraordinary: Insight into the “way we work” to improve patient safety outcomes.
American Journal of Critical Care
,
26
(4), 272–277. doi:10.4037/ajcc2017812
Smith, S. A., Yount, N., & Sorra, J. (2017). Exploring relationships between hospital patient safety culture and Consumer Reports safety scores.
BMC Health Services Research
,
17,
1-9. doi:10.1186/s12913-017-2078-6
Module 2
DQ 1
Discuss economic methodology, including the concept of cost-based analysis. If you will not be addressing this in your DPI Project, provide an example of a program where it could be used to show outcomes. Provide examples and literature support.
DQ 2
Discuss a change theory and how it can be or has been applied in nursing practice to integrate care delivery sustainability. How will you use change theory in the design of your project to support the sustainability of your practice improvement intervention? Provide examples and literature support.
Resources
Uluskan, M., McCreery, J. K., & Rothenberg, L. (2018). Impact of quality management practices on change readiness due to new quality implementations.
International Journal of Lean Six Sigma
,
9
(3), 351-373. doi:10.1108/IJLSS-05-2017-0049
Steele Gray, C., Wilkinson, A., Alvaro, C., Wilkinson, K., & Harvey, M. (2015). Building resilience and organizational readiness during healthcare facility redevelopment transitions: Is it possible to thrive?
HERD: Health Environments Research & Design Journal
,
9
(1), 10-33. doi:10.1177/1937586715593552
Allen, B. (2016). Effective design, implementation and management of change in healthcare.
Nursing Standard
,
31
(3), 58. doi:10.7748/ns.2016.e10375
Module 3
DQ 1
New health care delivery models are being presented to accommodate the shift in health care objectives. Many of these models are community-based and focused on improving quality outcomes, population health, and reducing readmissions.
Copyright © 2017 The Author(s). Published by Wolters Kluwer He.docx
Copyright © 2017 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the National Association of Orthopaedic Nurses.
12 Orthopaedic Nursing • January/February 2017 • Volume 36 • Number 1 Copyright © 2017 The Author(s).
T
here are transformative changes occurring in
healthcare for which nurses, because of their
role, their education, and the respect they have
earned, are well positioned to contribute to and
lead. To be a major player in shaping these changes,
nurses must understand the factors driving the change,
the mandates for practice change, and the competencies
(knowledge, skills, and attitudes) that will be needed for
personal and systemwide success. This article discusses
the driving factors leading to healthcare transformation
and the role of the registered nurse (RN) in leading and
being a fully contributing member of the interprofes-
sional team as we shift from episodic, provider-based,
fee-for-service care to team-based, patient-centered care
across the continuum that provides seamless, affordable,
Factors driving healthcare transformation include fragmen-
tation, access problems, unsustainable costs, suboptimal
outcomes, and disparities. Cost and quality concerns along
with changing social and disease-type demographics cre-
ated the greatest urgency for the need for change. Caring
for and paying for medical treatments for patients suffering
from chronic health conditions are a signifi cant concern.
The Affordable Care Act includes programs now led by
the Centers for Medicare & Medicaid Services aiming to
improve quality and control cost. Greater coordination of
care—across providers and across settings—will improve
quality care, improve outcomes, and reduce spending, es-
pecially attributed to unnecessary hospitalization, unneces-
sary emergency department utilization, repeated diagnostic
testing, repeated medical histories, multiple prescriptions,
and adverse drug interactions. As a nation, we have taken
incremental steps toward achieving better quality and lower
costs for decades. Nurses are positioned to contribute to
and lead the transformative changes that are occurring
in healthcare by being a fully contributing member of the
interprofessional team as we shift from episodic, provider-
based, fee-for-service care to team-based, patient-centered
care across the continuum that provides seamless, afford-
able, and quality care. These shifts require a new or an
enhanced set of knowledge, skills, and attitudes around
wellness and population care with a renewed focus on
patient-centered care, care coordination, data analytics, and
quality improvement.
Healthcare Transformation and Changing
Roles for Nursing
Susan W. Salmond ▼ Mercedes Echevarria
Susan W. Salmond, EdD, RN, ANEF, FAAN, Professor & Executive Vice
Dean, Rutgers University School of Nursing, Westfi eld, NJ.
Mercedes Echevarria, DNP, RN, APN, Associate Dean of A.
Recommended
I need between 100-120 words for each assignment, and I want ind.docx
I need between 100-120 words for each assignment, and I want individual references with each response. Please, no plagiarized work
Module 1
DQ 1
Outcome measures are significant in showing the worth of the Doctor of Nursing Practice's role in health care. Identify a practice-level outcome study or project and describe the expectation of its effect on health care. Which outcome measure do you think aligns with your DPI project (Quality Improvement Project)? Why? Provide examples and literature support.
DQ 2
In this week's readings, theories of accident causation, human error, foresight, resilience, and system migration were discussed. Identify a safety theory and propose quality measures to improve patient safety. Which theory or framework are you using to guide your DPI Project's intervention and outcome? Please define what constructs of your chosen DPI Project theory will help you change/improve clinical practice to improve a specific patient outcome? Provide examples and literature support.
Resources
Henneman, E. A. (2017). Recognizing the ordinary as extraordinary: Insight into the “way we work” to improve patient safety outcomes.
American Journal of Critical Care
,
26
(4), 272–277. doi:10.4037/ajcc2017812
Smith, S. A., Yount, N., & Sorra, J. (2017). Exploring relationships between hospital patient safety culture and Consumer Reports safety scores.
BMC Health Services Research
,
17,
1-9. doi:10.1186/s12913-017-2078-6
Module 2
DQ 1
Discuss economic methodology, including the concept of cost-based analysis. If you will not be addressing this in your DPI Project, provide an example of a program where it could be used to show outcomes. Provide examples and literature support.
DQ 2
Discuss a change theory and how it can be or has been applied in nursing practice to integrate care delivery sustainability. How will you use change theory in the design of your project to support the sustainability of your practice improvement intervention? Provide examples and literature support.
Resources
Uluskan, M., McCreery, J. K., & Rothenberg, L. (2018). Impact of quality management practices on change readiness due to new quality implementations.
International Journal of Lean Six Sigma
,
9
(3), 351-373. doi:10.1108/IJLSS-05-2017-0049
Steele Gray, C., Wilkinson, A., Alvaro, C., Wilkinson, K., & Harvey, M. (2015). Building resilience and organizational readiness during healthcare facility redevelopment transitions: Is it possible to thrive?
HERD: Health Environments Research & Design Journal
,
9
(1), 10-33. doi:10.1177/1937586715593552
Allen, B. (2016). Effective design, implementation and management of change in healthcare.
Nursing Standard
,
31
(3), 58. doi:10.7748/ns.2016.e10375
Module 3
DQ 1
New health care delivery models are being presented to accommodate the shift in health care objectives. Many of these models are community-based and focused on improving quality outcomes, population health, and reducing readmissions.
Copyright © 2017 The Author(s). Published by Wolters Kluwer He.docx
Copyright © 2017 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the National Association of Orthopaedic Nurses.
12 Orthopaedic Nursing • January/February 2017 • Volume 36 • Number 1 Copyright © 2017 The Author(s).
T
here are transformative changes occurring in
healthcare for which nurses, because of their
role, their education, and the respect they have
earned, are well positioned to contribute to and
lead. To be a major player in shaping these changes,
nurses must understand the factors driving the change,
the mandates for practice change, and the competencies
(knowledge, skills, and attitudes) that will be needed for
personal and systemwide success. This article discusses
the driving factors leading to healthcare transformation
and the role of the registered nurse (RN) in leading and
being a fully contributing member of the interprofes-
sional team as we shift from episodic, provider-based,
fee-for-service care to team-based, patient-centered care
across the continuum that provides seamless, affordable,
Factors driving healthcare transformation include fragmen-
tation, access problems, unsustainable costs, suboptimal
outcomes, and disparities. Cost and quality concerns along
with changing social and disease-type demographics cre-
ated the greatest urgency for the need for change. Caring
for and paying for medical treatments for patients suffering
from chronic health conditions are a signifi cant concern.
The Affordable Care Act includes programs now led by
the Centers for Medicare & Medicaid Services aiming to
improve quality and control cost. Greater coordination of
care—across providers and across settings—will improve
quality care, improve outcomes, and reduce spending, es-
pecially attributed to unnecessary hospitalization, unneces-
sary emergency department utilization, repeated diagnostic
testing, repeated medical histories, multiple prescriptions,
and adverse drug interactions. As a nation, we have taken
incremental steps toward achieving better quality and lower
costs for decades. Nurses are positioned to contribute to
and lead the transformative changes that are occurring
in healthcare by being a fully contributing member of the
interprofessional team as we shift from episodic, provider-
based, fee-for-service care to team-based, patient-centered
care across the continuum that provides seamless, afford-
able, and quality care. These shifts require a new or an
enhanced set of knowledge, skills, and attitudes around
wellness and population care with a renewed focus on
patient-centered care, care coordination, data analytics, and
quality improvement.
Healthcare Transformation and Changing
Roles for Nursing
Susan W. Salmond ▼ Mercedes Echevarria
Susan W. Salmond, EdD, RN, ANEF, FAAN, Professor & Executive Vice
Dean, Rutgers University School of Nursing, Westfi eld, NJ.
Mercedes Echevarria, DNP, RN, APN, Associate Dean of A.
EVIDENCE-BASED CARESHEETAuthorsHillary Mennella, DNP
EVIDENCE-
BASED CARE
SHEET
Authors
Hillary Mennella, DNP, ANCC-BC
Cinahl Information Systems, Glendale, CA
Monica Key, ANP-C, APRN, AOCNP,
CCRN
Cinahl Information Systems, Glendale, CA
Reviewers
Debra Balderrama, RN, MSCIS
Clinical Informatics Services, Tujunga, CA
Alysia Gilreath-Osoff, RN, MSN
Cinahl Information Systems, Glendale, CA
Nursing Executive Practice Council
Glendale Adventist Medical Center,
Glendale, CA
Editor
Diane Pravikoff, RN, PhD, FAAN
Cinahl Information Systems, Glendale, CA
May 20, 2022
Published by Cinahl Information Systems, a division of EBSCO Information Services. Copyright©2022, Cinahl Information Systems. All rights
reserved. No part of this may be reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, or by
any information storage and retrieval system, without permission in writing from the publisher. Cinahl Information Systems accepts no liability for advice
or information given herein or errors/omissions in the text. It is merely intended as a general informational overview of the subject for the healthcare
professional. Cinahl Information Systems, 1509 Wilson Terrace, Glendale, CA 91206
Case Management: Readmissions
What We Know
› Readmission is defined as a patient admission to the same or a different hospital within a
period of 30 days of discharge(3,4)
• In the United States, the estimated 30-day, all-cause, hospital readmission rate was
13.9% in 2016, down from 14.2% in 2010(2)
–Readmission rates in 2016 varied by patient insurance status, as follows:
- Medicare: 17.1%
- Medicaid: 13.4%
- Uninsured: 11.8%
- Private insurance: 8.6%
• Common reasons for readmission include premature discharge, inappropriate treatment,
and inadequate patient education, discharge planning, and post-discharge monitoring and
management(6)
–Hospitals serving a higher population of patients from a lower socioeconomic status
often have readmission higher rates than the national average. Patients from a lower
socioeconomic status can have difficulty procuring follow-upappointments, food, and
medications after discharge
› In 2010 the Affordable Care Act (ACA) established the Hospital Readmissions Reduction
Program, which provides financial incentives to hospitals to reduce readmissions(3,4)
• The program requires a reduction in Medicare and Medicaid reimbursement to
applicable hospitals for excess readmissions for acute myocardial infarction (AMI),
heart failure (HF), pneumonia, chronic obstructive pulmonary disease (COPD), elective
hip and/or total knee replacement, and coronary artery bypass graft (CABG) surgery(3,4)
–Readmission reimbursement calculations for individual hospitals are based on national
readmission rates for these specific diagnoses and are intended to improve health care
for beneficiaries and control unnecessary spending of healthcare dollars. Hospitals with
high readmission rates will receive lower payments or may be denied payment(3,11 ...
Running head STRATEGIC PLAN FOR CHANGE1STRATEGIC PLAN FOR.docx
Running head: STRATEGIC PLAN FOR CHANGE
1
STRATEGIC PLAN FOR CHANGE
2
Strategic Plan for Change
Jennifer Zimmerman
Walden University- NURS 6201
December 29, 2017
Improving Patient Experience who are Undergoing Chemotherapy from an Outpatient setting to an Inpatient Setting
1.
Introduction and Statement of the Problem
1.1.
What is the problem?
Outpatient chemotherapy sessions are sufficient in most organizations, especially for those receiving curative intent chemotherapy (Davidoff et al. 2013). The patients who meet the set criteria end up receiving supportive care post induction chemotherapy, as well as different cycles as other outpatients. Outpatient management can be made safe and the transition to inpatient more efficient, which is considered a challenge for most healthcare organizations. The problem at hand in this section has been adequately analyzed, which involves the transition of patients receiving chemotherapy from outpatient to inpatient in healthcare facilities.
1.2.
Why is it important enough to warrant a change?
Outpatient care especially for most patient has become a familiar concept that is driven by increased healthcare costs and more so, the increased demand for existing inpatient resources in different organizations (Joana et al. 1987). Improved supportive care in inpatient is also another reason for the need to embrace the transition, and patient wishes to spend the least amount of time, especially in waiting for service delivery in the outpatient setting. With these concepts in mind, it is important enough to warrant a change. Patient satisfaction ought not to be ignored in different healthcare organizations. There is a need to, therefore, be on the forefront in enhancing adequate care, and embracing inpatient plans for the chronically ill patients.
1.2.1.
Scholarly Reference #1
Joana, L., Mary, H., Alan, M., Andrew, B., & Steven, C., (1987). Case Mix and Changes in inpatient and outpatient chemotherapy. PubMed 8(4): 65-71.
In most healthcare settings, the therapy provided in outpatient has been associated with substantial tumors, chemotherapy involving high doses, and then followed by autologous stem cell transplantation. Outpatient administration of consolidation cycles has been reported, which emphasizes the major problem in this scholarly soured. According to the authors, the transition to inpatient to outpatient care should be considered and priority to solve the efficiency problems at hand.
1.2.2.
Scholarly Reference #2
Hayes, J. (2014). The theory and practice of change management. Palgrave Macmillan.
This source deals with theory and practice of change management. Change management is an adequate practice in the healthcare setting. There is a need for all healthcare organizations to be at the forefront to ensure that healthcare, both inpatient and outpatient are realized. The source provides and explains outpatient inefficiency for chronic patients as the worst problem in the medical profession. Th ...
A Catalyst For Transforming Health Systems And Person-Centred Care Canadian ...
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4CHANGE PROPOSALPRESENTATIONFORFACULTY REVIEWCapston
4
CHANGE PROPOSALPRESENTATIONFORFACULTY REVIEW
Capstone Project Change Proposal Presentation for Faculty Review and Feedback
Name
Name of the institution
Date
Running head: ASSIGNMENT TITLE HERE
1Running head: CHANGE PROPOSAL PRESENTATION FOR FACULTY REVIEW
Intervention
The capstone change proposal is effects of disproportionate nurse to patient staffing ratios on the quality of patient care. Patients can be exposed to several safety issues if proper care is not given to them. These problems include falls, hospital-acquired infection due to poor hand hygiene by the healthcare workers, medication administration errors, poor health education to the patients, and negligence in attending to the spiritual needs of the patients. Interventions includes presenting the safety concerns to the management team of the facility to enable them to hire more nurses to deliver adequate care to the patients. In-service training of the nurses on fall prevention, proper application of fall precautions and identification of patients who are at risk of falls are another important intervention. Proper hand hygiene is an intervention that will prevent hospital-acquired infections and nurses should form the culture of doing it (Sands, & Aunger, 2020). Medication errors can lead to complications or death of patients. Nurses should check the medications properly and identify the patients before administration of the medications.
Evidence Based Literature
The articles reviewed have different research aims and questions, but they are all centered into the idea of the effects of nurse-to-patient ratios on patient outcomes. The research questions of these articles are divided into three categories: definition of nursing staffing, effects of nursing-to-patient ratio on patient outcomes and nursing characteristics that hinders the delivery of care. The study by (Cho et al., 2020), defines the term nursing staffing in terms of the nursing care needs of the patients.
Nurses are essential in the provision of quality care in acute units, and their staffing levels have an impact on patient outcomes. (Cho et al., 2015), examine the link between nursing staffing and patient outcomes, specifically the mortality rate. Comparing to (Driscoll et al., 2018) and (Shin et al., 2018), the articles examine the effects of nursing staffing ratios on the patient outcomes in acute specialist units. Besides, (Needleman, 2016) reviews the studies that examine the effects of nursing skill mix on the patient outcomes such as patient ratings of hospitals, mortality, adverse health outcomes, and nurse burnout and dissatisfaction.
Some of the factors such as nursing skills, staffing methods, and working environment affects the nursing staffing ratio, which hinders the quality of care. The article by (Bridges et al., 2019), explores the relationship between nursing staffing skills and the quality and quantity of their interactions with patients in hospital wards. (Olley et al., 2019) ...
4CHANGE PROPOSALPRESENTATIONFORFACULTY REVIEWCapston.docx
4
CHANGE PROPOSALPRESENTATIONFORFACULTY REVIEW
Capstone Project Change Proposal Presentation for Faculty Review and Feedback
Name
Name of the institution
Date
Running head: ASSIGNMENT TITLE HERE
1Running head: CHANGE PROPOSAL PRESENTATION FOR FACULTY REVIEW
Intervention
The capstone change proposal is effects of disproportionate nurse to patient staffing ratios on the quality of patient care. Patients can be exposed to several safety issues if proper care is not given to them. These problems include falls, hospital-acquired infection due to poor hand hygiene by the healthcare workers, medication administration errors, poor health education to the patients, and negligence in attending to the spiritual needs of the patients. Interventions includes presenting the safety concerns to the management team of the facility to enable them to hire more nurses to deliver adequate care to the patients. In-service training of the nurses on fall prevention, proper application of fall precautions and identification of patients who are at risk of falls are another important intervention. Proper hand hygiene is an intervention that will prevent hospital-acquired infections and nurses should form the culture of doing it (Sands, & Aunger, 2020). Medication errors can lead to complications or death of patients. Nurses should check the medications properly and identify the patients before administration of the medications.
Evidence Based Literature
The articles reviewed have different research aims and questions, but they are all centered into the idea of the effects of nurse-to-patient ratios on patient outcomes. The research questions of these articles are divided into three categories: definition of nursing staffing, effects of nursing-to-patient ratio on patient outcomes and nursing characteristics that hinders the delivery of care. The study by (Cho et al., 2020), defines the term nursing staffing in terms of the nursing care needs of the patients.
Nurses are essential in the provision of quality care in acute units, and their staffing levels have an impact on patient outcomes. (Cho et al., 2015), examine the link between nursing staffing and patient outcomes, specifically the mortality rate. Comparing to (Driscoll et al., 2018) and (Shin et al., 2018), the articles examine the effects of nursing staffing ratios on the patient outcomes in acute specialist units. Besides, (Needleman, 2016) reviews the studies that examine the effects of nursing skill mix on the patient outcomes such as patient ratings of hospitals, mortality, adverse health outcomes, and nurse burnout and dissatisfaction.
Some of the factors such as nursing skills, staffing methods, and working environment affects the nursing staffing ratio, which hinders the quality of care. The article by (Bridges et al., 2019), explores the relationship between nursing staffing skills and the quality and quantity of their interactions with patients in hospital wards. (Olley et al., 2019).
The Effect of Radiology Data Mining Software on Departmental Scholarly Activity
Study present at AUR 2015 conducted by the Department of Radiology at University of Tennessee Medical Center and Mayo Clinic Jacksonville that shows how research publication increased by 4X after using Softek Illuminate data mining software.
An Overview of Patient Satisfaction and Perceived Care of Quality
This paper aims to audit the patient satisfaction literature, precisely survey methods used, which fundamentally analyses its hypothesis and use at that point to introduce proof for perceived service quality as a discrete and further advanced construct. Findings Patient satisfaction has been widely reviewed and significant efforts have gone into creating survey instruments to estimate it. Although, most surveys have been critical of its utilization, since there is seldomly any hypothetical or calculated development of the patient satisfaction theory. The construct has little normalization, low accuracy and undetermined validity. It keeps on being utilized interchangeably with, and as an intermediary for, perceived health service quality, which is a conceptually extraordinary and predominant construct. Practical Implications The persistent utilization of patient satisfaction to assess the patients perception of the quality of a healthcare service is truly flawed. The way to settling this dilemma might be for the healthcare division to concentrate on perceived healthcare service quality by considering the particular theories and models that can be found in the administrations advertising literature. This literature offers further developed consumer theories which are preferred differentiated and tried over existing healthcare satisfaction models. Conclusion This paper brings up that there is a critical requirement for differentiation and normalization of patient satisfaction and healthcare service quality definitions and constructs, and argues for examination to concentrate on estimating perceived healthcare service quality. Shubham Chaurasia | Shivani Dadwal Salaria | Rakhi Ahuja | Amit Sharma "An Overview of Patient Satisfaction and Perceived Care of Quality" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-4 | Issue-4 , June 2020, URL: https://www.ijtsrd.com/papers/ijtsrd31548.pdf Paper Url :https://www.ijtsrd.com/management/public-sector-management/31548/an-overview-of-patient-satisfaction-and-perceived-care-of-quality/shubham-chaurasia
OverviewWrite a 3-4 page evidence-based health care delivery pla.docx
Overview
Write a 3-4 page evidence-based health care delivery plan for one component of a heart failure clinic.
Nursing within an organization is a critical component of health care delivery and is an essential ingredient in patient outcomes (Kelly & Tazbir, 2014). The concern for quality care that flows from evidence-based practice generates a desired outcome. Without these factors, a nurse cannot be an effective leader. It is important to lead not only from this position but from knowledge and expertise.
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
•Competency 2: Explain the accountability of the nurse leader for decisions that affect health care delivery and patient outcomes. ◦Describe accountability tools and procedures used to measure effectiveness.
•Competency 3: Apply management strategies and best practices for health care finance, human resources, and materials allocation decisions to improve health care delivery and patient outcomes. ◦Develop an evidence-based plan for health care delivery.
•Competency 4: Apply professional standards of moral, ethical, and legal conduct in professional practice. ◦Apply professional and legal standards in support of a care plan.
•Competency 5: Communicate in manner that is consistent with the expectations of a nursing professional. ◦Write content clearly and logically, with correct use of grammar, punctuation, and mechanics.
◦Correctly format citations and references using current APA style.
Reference
Kelly, P., & Tazbir, J. (2014). Essentials of nursing leadership and management (3rd ed.). Clifton Park, NY: Delmar.
Context
In an effort to improve the patients' health literacy concerning heart failure, it is important that the clinic staff and the hospital staff present a consistent, evidence-based message on self-care to these patients and their families in order to decrease acute exacerbation and re-admissions. Review current evidence for clinical practice guides or protocols when developing your patient teaching plans and materials. Consider the following:
•What does the patient know about the disease process as a baseline?
•What does the patient need to do understand as far as the best self-care processes?
•Can the patient identify proper medication compliance?
•Is there a financial issue that affects compliance?
•Who buys and prepares the food in the home?
•Can the patient verbalize when to seek medical assistance?
Questions to Consider
To deepen your understanding, you are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community.
•What factors contribute to inadequate quality of care?
•How effective are organizational mandates for quality?
•How do financial concerns impact health and safety goals?
Suggested Resources
The following optional resources are provided to support you in complet.
Transitional Care Workgroup
July 12, 2013 slide presentation for the Transitional Care Workgroup Meeting.
Application 3 Becoming a Leader in the Translation of Evidence
Application 3: Becoming a Leader in the Translation of Evidence to Practice
Reflect on your growth, professionally and personally, since you embarked on your DNP journey. The AACN believes that one of the benefits of a practice doctorate is that it enhances your leadership skills to “strengthen practice and health care delivery” (2006, p. 5). As you continue to engage in your practicum experience, be cognizant of your growth in these areas.
In Week 6, you were asked to reflect on your leadership skills for this Assignment. This week, you continue your reflection on leadership and how you can lead the translation of evidence to practice through contribution to policy development.
Prepare
for this week’s section of Application 3 as follows:
Building on the work you began in Week 6 for this Application, review this week’s Discussion posting, and consider how you can lead policy development to address your EBP Project issue.
To complete:
Due tomorrow 10/11/18 before midnight
Write a 2- to 3-page paper in APA format with a minimum of 5 scholarly references less than 5 years old that synthesizes (
DO NOT GO OVER THREE PAGES):
Your vision of yourself as a leader—specifically:
1) How you would continue to increase your knowledge and awareness of financial, economic, and other concerns related to new practice approaches (
see week 6 discussion attached you did for me
, except focus on the critics the professor added for me [see bold and underlined professor critique below] which you failed to include in this discussion
2) How translating evidence would enable you to affect or strengthen health care delivery and nursing practice
3)
How you would advocate for the use of new evidence-based practice approaches through the policy arena
(see week 7 discussion attached you did for me)
Professor Critics in week 6 on the cost and financial impact of the implementation of the project
Dear student: Thank you for your contribution to this week’s discussion. You brought forward potential costs associated with increased mobilization of ICU patients….namely the need for more nurse time. Do you have some hard numbers you can provide on the potential cost of this? Do you have any local or national information on the cost of not mobilizing the patients (longer stays, increased infection, readmission)? Calculating approximate cost associated with the practice change versus the cost of not changing is important. This will help stakeholders see the value in the investment.
Required Readings
White, K. M., Dudley-Brown, S., & Terharr, M. F. (2016).
Translation of evidence into nursing and health care practice
(2nd ed.). New York, NY: Springer.
Chapter 6, “Translation of Evidence for Leadership”
Balakas, K., Sparks, L., Steurer, L., & Bryant, T. (2013). An outcome of evidence-based practiced education: Sustained clinical decision-making among bedside nurses.
Journal of Pediatric Nursing
, 28, 479-485.
...
Discussion topic 2Cyber AttacksDefine the term hacking.How migh.docx
Discussion topic 2:Cyber Attacks
Define the term hacking.
How might a computer hacker illegally gain access to a computer and manipulate data?
What are computer viruses and how do they enter computer systems? What kind of harm can they do to a company’s computer system?
Give an example of a computer virus.
.
Discussion topicFor this weeks discussion, review the normal prof.docx
Discussion topic
For this week's discussion, review the normal profiles for children ages 4 months to 2-years-old and post responses to the following:
Based upon the five assessment categories of motor, play, adaptive, social, and language, identify possible environmental hazards for children under the age of 2.
How might the environment negatively influence a toddler’s normal development?
How might complications with pregnancy affect a young infant?
.
More Related Content
Similar to Regulatory Environment Explain how healthcare exchanges chan
EVIDENCE-BASED CARESHEETAuthorsHillary Mennella, DNP
EVIDENCE-
BASED CARE
SHEET
Authors
Hillary Mennella, DNP, ANCC-BC
Cinahl Information Systems, Glendale, CA
Monica Key, ANP-C, APRN, AOCNP,
CCRN
Cinahl Information Systems, Glendale, CA
Reviewers
Debra Balderrama, RN, MSCIS
Clinical Informatics Services, Tujunga, CA
Alysia Gilreath-Osoff, RN, MSN
Cinahl Information Systems, Glendale, CA
Nursing Executive Practice Council
Glendale Adventist Medical Center,
Glendale, CA
Editor
Diane Pravikoff, RN, PhD, FAAN
Cinahl Information Systems, Glendale, CA
May 20, 2022
Published by Cinahl Information Systems, a division of EBSCO Information Services. Copyright©2022, Cinahl Information Systems. All rights
reserved. No part of this may be reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, or by
any information storage and retrieval system, without permission in writing from the publisher. Cinahl Information Systems accepts no liability for advice
or information given herein or errors/omissions in the text. It is merely intended as a general informational overview of the subject for the healthcare
professional. Cinahl Information Systems, 1509 Wilson Terrace, Glendale, CA 91206
Case Management: Readmissions
What We Know
› Readmission is defined as a patient admission to the same or a different hospital within a
period of 30 days of discharge(3,4)
• In the United States, the estimated 30-day, all-cause, hospital readmission rate was
13.9% in 2016, down from 14.2% in 2010(2)
–Readmission rates in 2016 varied by patient insurance status, as follows:
- Medicare: 17.1%
- Medicaid: 13.4%
- Uninsured: 11.8%
- Private insurance: 8.6%
• Common reasons for readmission include premature discharge, inappropriate treatment,
and inadequate patient education, discharge planning, and post-discharge monitoring and
management(6)
–Hospitals serving a higher population of patients from a lower socioeconomic status
often have readmission higher rates than the national average. Patients from a lower
socioeconomic status can have difficulty procuring follow-upappointments, food, and
medications after discharge
› In 2010 the Affordable Care Act (ACA) established the Hospital Readmissions Reduction
Program, which provides financial incentives to hospitals to reduce readmissions(3,4)
• The program requires a reduction in Medicare and Medicaid reimbursement to
applicable hospitals for excess readmissions for acute myocardial infarction (AMI),
heart failure (HF), pneumonia, chronic obstructive pulmonary disease (COPD), elective
hip and/or total knee replacement, and coronary artery bypass graft (CABG) surgery(3,4)
–Readmission reimbursement calculations for individual hospitals are based on national
readmission rates for these specific diagnoses and are intended to improve health care
for beneficiaries and control unnecessary spending of healthcare dollars. Hospitals with
high readmission rates will receive lower payments or may be denied payment(3,11 ...
Running head STRATEGIC PLAN FOR CHANGE1STRATEGIC PLAN FOR.docx
Running head: STRATEGIC PLAN FOR CHANGE
1
STRATEGIC PLAN FOR CHANGE
2
Strategic Plan for Change
Jennifer Zimmerman
Walden University- NURS 6201
December 29, 2017
Improving Patient Experience who are Undergoing Chemotherapy from an Outpatient setting to an Inpatient Setting
1.
Introduction and Statement of the Problem
1.1.
What is the problem?
Outpatient chemotherapy sessions are sufficient in most organizations, especially for those receiving curative intent chemotherapy (Davidoff et al. 2013). The patients who meet the set criteria end up receiving supportive care post induction chemotherapy, as well as different cycles as other outpatients. Outpatient management can be made safe and the transition to inpatient more efficient, which is considered a challenge for most healthcare organizations. The problem at hand in this section has been adequately analyzed, which involves the transition of patients receiving chemotherapy from outpatient to inpatient in healthcare facilities.
1.2.
Why is it important enough to warrant a change?
Outpatient care especially for most patient has become a familiar concept that is driven by increased healthcare costs and more so, the increased demand for existing inpatient resources in different organizations (Joana et al. 1987). Improved supportive care in inpatient is also another reason for the need to embrace the transition, and patient wishes to spend the least amount of time, especially in waiting for service delivery in the outpatient setting. With these concepts in mind, it is important enough to warrant a change. Patient satisfaction ought not to be ignored in different healthcare organizations. There is a need to, therefore, be on the forefront in enhancing adequate care, and embracing inpatient plans for the chronically ill patients.
1.2.1.
Scholarly Reference #1
Joana, L., Mary, H., Alan, M., Andrew, B., & Steven, C., (1987). Case Mix and Changes in inpatient and outpatient chemotherapy. PubMed 8(4): 65-71.
In most healthcare settings, the therapy provided in outpatient has been associated with substantial tumors, chemotherapy involving high doses, and then followed by autologous stem cell transplantation. Outpatient administration of consolidation cycles has been reported, which emphasizes the major problem in this scholarly soured. According to the authors, the transition to inpatient to outpatient care should be considered and priority to solve the efficiency problems at hand.
1.2.2.
Scholarly Reference #2
Hayes, J. (2014). The theory and practice of change management. Palgrave Macmillan.
This source deals with theory and practice of change management. Change management is an adequate practice in the healthcare setting. There is a need for all healthcare organizations to be at the forefront to ensure that healthcare, both inpatient and outpatient are realized. The source provides and explains outpatient inefficiency for chronic patients as the worst problem in the medical profession. Th ...
A Catalyst For Transforming Health Systems And Person-Centred Care Canadian ...
Academic Paper Writing Service
http://StudyHub.vip/A-Catalyst-For-Transforming-Health-Syst 👈
4CHANGE PROPOSALPRESENTATIONFORFACULTY REVIEWCapston
4
CHANGE PROPOSALPRESENTATIONFORFACULTY REVIEW
Capstone Project Change Proposal Presentation for Faculty Review and Feedback
Name
Name of the institution
Date
Running head: ASSIGNMENT TITLE HERE
1Running head: CHANGE PROPOSAL PRESENTATION FOR FACULTY REVIEW
Intervention
The capstone change proposal is effects of disproportionate nurse to patient staffing ratios on the quality of patient care. Patients can be exposed to several safety issues if proper care is not given to them. These problems include falls, hospital-acquired infection due to poor hand hygiene by the healthcare workers, medication administration errors, poor health education to the patients, and negligence in attending to the spiritual needs of the patients. Interventions includes presenting the safety concerns to the management team of the facility to enable them to hire more nurses to deliver adequate care to the patients. In-service training of the nurses on fall prevention, proper application of fall precautions and identification of patients who are at risk of falls are another important intervention. Proper hand hygiene is an intervention that will prevent hospital-acquired infections and nurses should form the culture of doing it (Sands, & Aunger, 2020). Medication errors can lead to complications or death of patients. Nurses should check the medications properly and identify the patients before administration of the medications.
Evidence Based Literature
The articles reviewed have different research aims and questions, but they are all centered into the idea of the effects of nurse-to-patient ratios on patient outcomes. The research questions of these articles are divided into three categories: definition of nursing staffing, effects of nursing-to-patient ratio on patient outcomes and nursing characteristics that hinders the delivery of care. The study by (Cho et al., 2020), defines the term nursing staffing in terms of the nursing care needs of the patients.
Nurses are essential in the provision of quality care in acute units, and their staffing levels have an impact on patient outcomes. (Cho et al., 2015), examine the link between nursing staffing and patient outcomes, specifically the mortality rate. Comparing to (Driscoll et al., 2018) and (Shin et al., 2018), the articles examine the effects of nursing staffing ratios on the patient outcomes in acute specialist units. Besides, (Needleman, 2016) reviews the studies that examine the effects of nursing skill mix on the patient outcomes such as patient ratings of hospitals, mortality, adverse health outcomes, and nurse burnout and dissatisfaction.
Some of the factors such as nursing skills, staffing methods, and working environment affects the nursing staffing ratio, which hinders the quality of care. The article by (Bridges et al., 2019), explores the relationship between nursing staffing skills and the quality and quantity of their interactions with patients in hospital wards. (Olley et al., 2019) ...
4CHANGE PROPOSALPRESENTATIONFORFACULTY REVIEWCapston.docx
4
CHANGE PROPOSALPRESENTATIONFORFACULTY REVIEW
Capstone Project Change Proposal Presentation for Faculty Review and Feedback
Name
Name of the institution
Date
Running head: ASSIGNMENT TITLE HERE
1Running head: CHANGE PROPOSAL PRESENTATION FOR FACULTY REVIEW
Intervention
The capstone change proposal is effects of disproportionate nurse to patient staffing ratios on the quality of patient care. Patients can be exposed to several safety issues if proper care is not given to them. These problems include falls, hospital-acquired infection due to poor hand hygiene by the healthcare workers, medication administration errors, poor health education to the patients, and negligence in attending to the spiritual needs of the patients. Interventions includes presenting the safety concerns to the management team of the facility to enable them to hire more nurses to deliver adequate care to the patients. In-service training of the nurses on fall prevention, proper application of fall precautions and identification of patients who are at risk of falls are another important intervention. Proper hand hygiene is an intervention that will prevent hospital-acquired infections and nurses should form the culture of doing it (Sands, & Aunger, 2020). Medication errors can lead to complications or death of patients. Nurses should check the medications properly and identify the patients before administration of the medications.
Evidence Based Literature
The articles reviewed have different research aims and questions, but they are all centered into the idea of the effects of nurse-to-patient ratios on patient outcomes. The research questions of these articles are divided into three categories: definition of nursing staffing, effects of nursing-to-patient ratio on patient outcomes and nursing characteristics that hinders the delivery of care. The study by (Cho et al., 2020), defines the term nursing staffing in terms of the nursing care needs of the patients.
Nurses are essential in the provision of quality care in acute units, and their staffing levels have an impact on patient outcomes. (Cho et al., 2015), examine the link between nursing staffing and patient outcomes, specifically the mortality rate. Comparing to (Driscoll et al., 2018) and (Shin et al., 2018), the articles examine the effects of nursing staffing ratios on the patient outcomes in acute specialist units. Besides, (Needleman, 2016) reviews the studies that examine the effects of nursing skill mix on the patient outcomes such as patient ratings of hospitals, mortality, adverse health outcomes, and nurse burnout and dissatisfaction.
Some of the factors such as nursing skills, staffing methods, and working environment affects the nursing staffing ratio, which hinders the quality of care. The article by (Bridges et al., 2019), explores the relationship between nursing staffing skills and the quality and quantity of their interactions with patients in hospital wards. (Olley et al., 2019).
The Effect of Radiology Data Mining Software on Departmental Scholarly Activity
Study present at AUR 2015 conducted by the Department of Radiology at University of Tennessee Medical Center and Mayo Clinic Jacksonville that shows how research publication increased by 4X after using Softek Illuminate data mining software.
An Overview of Patient Satisfaction and Perceived Care of Quality
This paper aims to audit the patient satisfaction literature, precisely survey methods used, which fundamentally analyses its hypothesis and use at that point to introduce proof for perceived service quality as a discrete and further advanced construct. Findings Patient satisfaction has been widely reviewed and significant efforts have gone into creating survey instruments to estimate it. Although, most surveys have been critical of its utilization, since there is seldomly any hypothetical or calculated development of the patient satisfaction theory. The construct has little normalization, low accuracy and undetermined validity. It keeps on being utilized interchangeably with, and as an intermediary for, perceived health service quality, which is a conceptually extraordinary and predominant construct. Practical Implications The persistent utilization of patient satisfaction to assess the patients perception of the quality of a healthcare service is truly flawed. The way to settling this dilemma might be for the healthcare division to concentrate on perceived healthcare service quality by considering the particular theories and models that can be found in the administrations advertising literature. This literature offers further developed consumer theories which are preferred differentiated and tried over existing healthcare satisfaction models. Conclusion This paper brings up that there is a critical requirement for differentiation and normalization of patient satisfaction and healthcare service quality definitions and constructs, and argues for examination to concentrate on estimating perceived healthcare service quality. Shubham Chaurasia | Shivani Dadwal Salaria | Rakhi Ahuja | Amit Sharma "An Overview of Patient Satisfaction and Perceived Care of Quality" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-4 | Issue-4 , June 2020, URL: https://www.ijtsrd.com/papers/ijtsrd31548.pdf Paper Url :https://www.ijtsrd.com/management/public-sector-management/31548/an-overview-of-patient-satisfaction-and-perceived-care-of-quality/shubham-chaurasia
OverviewWrite a 3-4 page evidence-based health care delivery pla.docx
Overview
Write a 3-4 page evidence-based health care delivery plan for one component of a heart failure clinic.
Nursing within an organization is a critical component of health care delivery and is an essential ingredient in patient outcomes (Kelly & Tazbir, 2014). The concern for quality care that flows from evidence-based practice generates a desired outcome. Without these factors, a nurse cannot be an effective leader. It is important to lead not only from this position but from knowledge and expertise.
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
•Competency 2: Explain the accountability of the nurse leader for decisions that affect health care delivery and patient outcomes. ◦Describe accountability tools and procedures used to measure effectiveness.
•Competency 3: Apply management strategies and best practices for health care finance, human resources, and materials allocation decisions to improve health care delivery and patient outcomes. ◦Develop an evidence-based plan for health care delivery.
•Competency 4: Apply professional standards of moral, ethical, and legal conduct in professional practice. ◦Apply professional and legal standards in support of a care plan.
•Competency 5: Communicate in manner that is consistent with the expectations of a nursing professional. ◦Write content clearly and logically, with correct use of grammar, punctuation, and mechanics.
◦Correctly format citations and references using current APA style.
Reference
Kelly, P., & Tazbir, J. (2014). Essentials of nursing leadership and management (3rd ed.). Clifton Park, NY: Delmar.
Context
In an effort to improve the patients' health literacy concerning heart failure, it is important that the clinic staff and the hospital staff present a consistent, evidence-based message on self-care to these patients and their families in order to decrease acute exacerbation and re-admissions. Review current evidence for clinical practice guides or protocols when developing your patient teaching plans and materials. Consider the following:
•What does the patient know about the disease process as a baseline?
•What does the patient need to do understand as far as the best self-care processes?
•Can the patient identify proper medication compliance?
•Is there a financial issue that affects compliance?
•Who buys and prepares the food in the home?
•Can the patient verbalize when to seek medical assistance?
Questions to Consider
To deepen your understanding, you are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community.
•What factors contribute to inadequate quality of care?
•How effective are organizational mandates for quality?
•How do financial concerns impact health and safety goals?
Suggested Resources
The following optional resources are provided to support you in complet.
Transitional Care Workgroup
July 12, 2013 slide presentation for the Transitional Care Workgroup Meeting.
Application 3 Becoming a Leader in the Translation of Evidence
Application 3: Becoming a Leader in the Translation of Evidence to Practice
Reflect on your growth, professionally and personally, since you embarked on your DNP journey. The AACN believes that one of the benefits of a practice doctorate is that it enhances your leadership skills to “strengthen practice and health care delivery” (2006, p. 5). As you continue to engage in your practicum experience, be cognizant of your growth in these areas.
In Week 6, you were asked to reflect on your leadership skills for this Assignment. This week, you continue your reflection on leadership and how you can lead the translation of evidence to practice through contribution to policy development.
Prepare
for this week’s section of Application 3 as follows:
Building on the work you began in Week 6 for this Application, review this week’s Discussion posting, and consider how you can lead policy development to address your EBP Project issue.
To complete:
Due tomorrow 10/11/18 before midnight
Write a 2- to 3-page paper in APA format with a minimum of 5 scholarly references less than 5 years old that synthesizes (
DO NOT GO OVER THREE PAGES):
Your vision of yourself as a leader—specifically:
1) How you would continue to increase your knowledge and awareness of financial, economic, and other concerns related to new practice approaches (
see week 6 discussion attached you did for me
, except focus on the critics the professor added for me [see bold and underlined professor critique below] which you failed to include in this discussion
2) How translating evidence would enable you to affect or strengthen health care delivery and nursing practice
3)
How you would advocate for the use of new evidence-based practice approaches through the policy arena
(see week 7 discussion attached you did for me)
Professor Critics in week 6 on the cost and financial impact of the implementation of the project
Dear student: Thank you for your contribution to this week’s discussion. You brought forward potential costs associated with increased mobilization of ICU patients….namely the need for more nurse time. Do you have some hard numbers you can provide on the potential cost of this? Do you have any local or national information on the cost of not mobilizing the patients (longer stays, increased infection, readmission)? Calculating approximate cost associated with the practice change versus the cost of not changing is important. This will help stakeholders see the value in the investment.
Required Readings
White, K. M., Dudley-Brown, S., & Terharr, M. F. (2016).
Translation of evidence into nursing and health care practice
(2nd ed.). New York, NY: Springer.
Chapter 6, “Translation of Evidence for Leadership”
Balakas, K., Sparks, L., Steurer, L., & Bryant, T. (2013). An outcome of evidence-based practiced education: Sustained clinical decision-making among bedside nurses.
Journal of Pediatric Nursing
, 28, 479-485.
...
Similar to Regulatory Environment Explain how healthcare exchanges chan (20)
EVIDENCE-BASED CARESHEETAuthorsHillary Mennella, DNP
EVIDENCE-BASED CARESHEETAuthorsHillary Mennella, DNP
Running head STRATEGIC PLAN FOR CHANGE1STRATEGIC PLAN FOR.docx
Running head STRATEGIC PLAN FOR CHANGE1STRATEGIC PLAN FOR.docx
A Catalyst For Transforming Health Systems And Person-Centred Care Canadian ...
A Catalyst For Transforming Health Systems And Person-Centred Care Canadian ...
4CHANGE PROPOSALPRESENTATIONFORFACULTY REVIEWCapston
4CHANGE PROPOSALPRESENTATIONFORFACULTY REVIEWCapston
4CHANGE PROPOSALPRESENTATIONFORFACULTY REVIEWCapston.docx
4CHANGE PROPOSALPRESENTATIONFORFACULTY REVIEWCapston.docx
NRS 493 GCU Improving Patient Care through Bedside Report Proposal.pdf
NRS 493 GCU Improving Patient Care through Bedside Report Proposal.pdf
The Effect of Radiology Data Mining Software on Departmental Scholarly Activity
The Effect of Radiology Data Mining Software on Departmental Scholarly Activity
An Overview of Patient Satisfaction and Perceived Care of Quality
An Overview of Patient Satisfaction and Perceived Care of Quality
OverviewWrite a 3-4 page evidence-based health care delivery pla.docx
OverviewWrite a 3-4 page evidence-based health care delivery pla.docx
Application 3 Becoming a Leader in the Translation of Evidence
Application 3 Becoming a Leader in the Translation of Evidence
In what ways can informatics help health care providers overcome.docx
In what ways can informatics help health care providers overcome.docx
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Discussion topic 2Cyber AttacksDefine the term hacking.How migh.docx
Discussion topic 2:Cyber Attacks
Define the term hacking.
How might a computer hacker illegally gain access to a computer and manipulate data?
What are computer viruses and how do they enter computer systems? What kind of harm can they do to a company’s computer system?
Give an example of a computer virus.
.
Discussion topicFor this weeks discussion, review the normal prof.docx
Discussion topic
For this week's discussion, review the normal profiles for children ages 4 months to 2-years-old and post responses to the following:
Based upon the five assessment categories of motor, play, adaptive, social, and language, identify possible environmental hazards for children under the age of 2.
How might the environment negatively influence a toddler’s normal development?
How might complications with pregnancy affect a young infant?
.
Discussion-Based AssessmentOnce you have completed all of the le.docx
Discussion-Based Assessment
Once you have completed all of the lessons up to this point, complete your Discussion-Based Assessment.
Writing Prompt:
Choose one reading from the unit. From this reading, choose a quote that you feel is reflective of the unit theme of "achievements that have changed people's lives and the world around us."
Explain how the quote is significant to the theme, and how you can relate the message of the quote to yourself or to the world around you.
Requirements:
Three well written paragraphs that explain how your quote is representative of the unit theme.
One example that relates your quote to the other readings present in the unit.
One example that links your quote to “real life.”
Readings:
1.
Malawi Windmill Boy With Big Fans
," By Jude Sheerin, BBC
Self-taught William Kamkwamba has been feted by climate change campaigners like Al Gore and business leaders the world over.
His against-all-odds achievements are all the more remarkable considering he was forced to quit school aged 14 because his family could no longer afford the $80-a-year (£50) fees.
When he returned to his parents' small plot of farmland in the central Malawian village of Masitala, his future seemed limited.
But this was not another tale of African potential thwarted by poverty.
Defence Against Hunger
The teenager had a dream of bringing electricity and running water to his village.
And he was not prepared to wait for politicians or aid groups to do it for him. The need for action was even greater in 2002 following one of Malawi's worst droughts, which killed thousands of people and left his family on the brink of starvation.
Unable to attend school, he kept up his education by using a local library. Fascinated by science, his life changed one day when he picked up a tattered textbook and saw a picture of a windmill.
Mr Kamkwamba told the BBC News website: "I was very interested when I saw the windmill could make electricity and pump water.
"I thought: 'That could be a defence against hunger. Maybe I should build one for myself'. "
When not helping his family farm maize, he plugged away at his prototype, working by the light of a paraffin lamp in the evenings.
But his ingenious project met blank looks in his community of about 200 people.
"Many, including my mother, thought I was going crazy," he recalls. "They had never seen a windmill before. "
Shocks
Neighbours were further perplexed at the youngster spending so much time scouring rubbish tips.
"People thought I was smoking marijuana," he said. "So I told them I was only making something for juju [magic]. ' Then they said: 'Ah, I see. '"
Mr Kamkwamba, who is now 22 years old, knocked together a turbine from spare bicycle parts, a tractor fan blade and an old shock absorber, and fashioned blades from plastic pipes, flattened by being held over a fire.
"I got a few electric shocks climbing that [windmill]," says Mr Kamkwamba, ruefully recalling his months of painstaking work.
The finished.
Discussion Answer the following discussion questions with below.docx
Discussion:
Answer the following discussion questions with below attachements.
Compare the APHA, NASW and APA Codes of Ethics. How are they similar to each other? Do they conflict with each other and how? What have you learned from this lesson that you were not aware of before?
.
Discussion topic 1 Computer Crime Versus Computer FraudYour frien.docx
Discussion topic 1: Computer Crime Versus Computer Fraud
Your friend has just come on board at the public accounting firm where you work and needs some background in computer crime and computer fraud, as they did not get a course in this at their university. How would you explain this? You write an outline containing the following and then attempt to explain these items to her:
Define computer crime and computer fraud. In what ways are they different? Give an example of a computer crime and a computer fraud. Discuss the four ways in which computers are used in cybercrime. What are some of the skills needed to investigate cybercrime?
How have provisions of the Patriot Act made it easier to apprehend cybercriminals?
The internet has enabled concealment in many money laundering fraud schemes.
Define and explain the three stages of money laundering.
What are some of the methods money launderers use in cyberspace to conceal illegitimate transactions?
Explain how alternate forms of currency are used in internet transactions.
.
Discussion TopicExplain how you would integrate the current extern.docx
Discussion Topic
Explain how you would integrate the current external environment factors in the health industry. Translate your interpretation into a critical list of action items for a health organization. Develop this list for the organization in terms of a strategic plan, directional strategies, external and internal environment, organizational culture, and any other factors that you deem important for organizational positioning and survival.
.
DiscussionDiscussion topic #1 Popular culture (music, books, visu.docx
Discussion
Discussion topic #1: Popular culture (music, books, visual art, and clothing) during the 1960s has been labeled “psychedelic.” After engaging in your own independent research, explain which type of popular culture seemed to be the most influential in the psychedelic movement. For example, did psychedelic popular culture first originate with music, books, or the styles of clothing? Please justify your response. For each of the artists that you discuss, please post a URL that your classmates can link up to to take a look at their work.
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Discussion topic Complex FraudsAuditors often fail to detect fina.docx
Discussion topic: Complex Frauds
Auditors often fail to detect financial fraud in companies they are auditing because the perpetrators have concealed the fraud well in a complex manner.
What are the components that make a fraud complex?
What role does collusion play in complex frauds?
Research the internet and find an example of a complex financial fraud and discuss the fraud act, how it was concealed, and what benefit was obtained by the perpetrator.
.
Discussion Topic The Importance of Strategic ControlsRetail com.docx
Discussion Topic: The Importance of Strategic Controls
Retail companies like Walmart are heavy users of strategic control systems. Think about how it utilizes RFID technology to track products from inventory to the market shelves. Discuss how Walmart relies upon strategic surveillance, special alert control, and implementation control. What improvements might you suggest to the company’s COO relative to strategic control and why?
200 words
.
Discussion Topic Porter’s Five Force AnalysisChoose an industry.docx
Discussion Topic: Porter’s Five Force Analysis
Choose an industry in which you would like to compete globally. Use the Five-Force method of analysis to explain why you find that industry attractive for business.
Please remember to use APA citation (text and list references) to further validate your initial responses.
200 words with reference
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Discussion Topic 1 – Ethical CommunicationCommunication that is et.docx
Discussion Topic 1 – Ethical Communication
Communication that is ethical is true, and relevant information is always included, so that deception does not occur. Unethical communication distorts and manipulates the reader/listener.
Review and Write: Review the section in Chapter 1.4 of our textbook (Responsibilities as a Communicator) on ethical communication and give three examples of unethical communication. Describe two scenarios (real or made up) involving unethical, or potentially unethical communication. If you describe a real scenario be sure to change the company or the names. OR Write two substantial paragraphs on positive traits of an ethical communicator.
Discussion Topic 2 – Transitions in Writing
Review and Write:
The table below presents 14 types of transitions that can be used in writing, along with their definitions. One example is provided for each type of transition. Select 10 of the transitions and provide at least three to four examples of each type of transition.
Type
Definition
Examples
1. Internal Previews
An
internal preview
is a brief statement referring to a point you are going to make. It can forecast or foreshadow a main point in your document.
Example: Next we’ll examine . . .
2. Signposts
A
signpost
alerts the audience you are moving from one topic to the next. Sign posts or signal words draw attention to themselves and focus the audience’s attention.
Example: I would like to emphasize . . .
3. Internal Summaries
An
internal summary
briefly covers information or alludes to information introduced previously. It can remind an audience of a previous point and reinforce information covered in your document.
Example: To summarize . . .
4. Sequence
A
sequence transition
outlines a hierarchical order or series of steps in your document. It can illustrate order or steps in a logical process.
Example: Next . . .
5. Time
A
time transition
focuses on the chronological aspects of your order. Particularly useful in an article utilizing a story, this transition can illustrate for the audience progression of time.
Example: Presently . . .
6. Addition
An
addition or additive transition
contributes to a previous point. This transition can build on a previous point and extend the discussion.
Example: Furthermore . . .
7. Similarity
A
transition by similarity
draws a parallel between two ideas, concepts or examples. It can indicate a common area between points for the audience.
Example: In the same way . . .
8. Comparison
A
transition by comparison
draws a distinction between two ideas, concepts or examples. It can indicate a common or divergent area between points for the audience.
Example: In relation to . . .
9. Contrast
A
transition by contrast
draws a distinction of difference, opposition, or irregularity between two ideas, concepts or examples. This transition can indicate a key distinction between points for the audience.
Example: On the other hand . . .
10. Cause and Effect, Result
A .
Discussion Thread 2—Integration of TechnologyTechnology has chan.docx
Discussion Thread 2
—Integration of Technology
Technology has changed the way we conduct business on a daily basis. A number of organizations have opted for integrating systems and sharing information with their counterparts.
Then respond to the following:
As a manager, if you have to design an IT system for supply chain purposes using a cross-functional team, who would you include on your team and why?
Explain some of the trade-offs you would consider when designing/acquiring the system. Be specific and support your reasoning with examples.
What trade-offs are involved in (a) sharing information with other organizations in a supply chain and (b) the acquisition of information-processing technology?
Who needs to be involved in decisions as they pertain to technology acquisition for supply chain management?
Name three different ways that technology has improved the ability to manage supply chains.
Explain why integrated technology has improved the ability to manage supply chains.
.
Discussion Statistical Hypothesis Testing and ErrorProvide .docx
Discussion: Statistical Hypothesis Testing and Error
Provide an example of an experiment taken from asurvey of the literature related to your research manuscript and explain what constitutes Type I and Type II error in the example you choose. Indicate any implications for each type of error as they apply to your design. Provide at least one peer-reviewed source, other than the textbooks for this course, to support your position. Post your observation using APA format where applicable.
This is a graded discussion worth 100 points.
· Must demonstrate understanding of the task be able to address the requirement using creativity and application of research design knowledge.
· Must demonstrate understanding of how data are assessed and interpreted for an experimental research design.
· Particular competence in identifying threats to Type I and Type II errors must be provided.
This is part of my final paper…
E+W+S
Treason Act 1795
1795 CHAPTER 7 36 Geo 3
An Act for the Safety and Preservation of his Majesty’s Person and Government against treasonable and seditious Practices and Attempts.
[18th December 1795]
Preamble. Persons who shall compass, devise, &c. the death, restraint, &c. of his Majesty or his heirs, or to depose them, or to levy war to compel a change of measures, &c. to be deemed traitors.
We, your Majesty’s most dutiful and loyal subjects, the lords spiritual and temporal, and commons, of Great Britain, in this present Parliament assembled, duly considering the daring outrages offered to your Majesty’s most sacred person in your passage to and from your Parliament at the opening of this present session, and also the continued attempts of wicked and evil disposed persons to disturb the tranquility of this your Majesty’s kingdom, particularly by the multitude of seditious pamphlets and speeches daily printed, published and dispersed with unremitting industry and with a transcendent boldness, in contempt of your Majesty’s royal person and dignity, and tending to the overthrow of the laws, government and happy constitution of these realms, have judged that it is become necessary to provide a further remedy against all such treasonable and seditious practices and attempts: We therefore, calling to mind the good and wholesome provisions which have at different times been made by the wisdom of Parliament for the averting such dangers, and more especially for the security and preservation of the persons of the sovereigns of these realms, do most humbly beseech your Majesty that it may be enacted, and be it enacted by the King’s most excellent Majesty, by and with the advice and consent of the lords spiritual and temporal, and commons, in this present Parliament assembled, and by the authority of the same, that if any person or persons whatsoever . . . F1 shall, within the realm or without compass, imagine, invent, devise or intend death or destruction, or any bodily harm tending to death or destruction, maim or wounding, imprisonment.
Discussion Questions for Theories of Personality.Discussion 1 – Di.docx
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Differentiate between the various humanistic and existential personality theories.
Discussion 2 – strengths and limitations – Discuss in 150 Words – with in text citations and references
Explain the strengths and limitations of humanistic and existential personality theories.
Discussion 3 – Analyze personality characteristics– Discuss in 150 Words – with in text citations and references
Analyze individual personality characteristics using humanistic and existential personality theories.
Discussion 4 – Interpersonal Relations – Discuss in 150 Words – with in text citations and references
Explain interpersonal relations using humanistic and existential personality theories.
Discussion 5 – Which do you prefer? – Discuss in 150 Words – with in text citations and references
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Discussion 6 – explain interspersonal communication – Discuss in 150 Words – with in text citations and references
How would humanistic theories explain interpersonal communication versus existential theories?
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Acknowledging Bias
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Discussion Question Short 150 wordsFinding Terrorists within th.docx
Discussion Question: Short 150 words
Finding Terrorists within the Community
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How would you go about enlisting a broad spectrum of the community in helping to identify possible terrorists and terrorist’s targets?
What would be some of the challenges of asking the different cultures to work together?
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Classify the types of torts.
Assess the different types of and legal protections for intellectual prop
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Objective:
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Discussion Question:
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Engaging in a political process enables a nurse leader to influence others in order to achieve a set of professional goals. Conduct extensive research on the importance of political process in nursing, and answer the following questions:
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