Response 2A manager has responsibility to various stakeholders .docx
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Response 2: A manager has responsibility to various stakeholders in the organization. These stakeholders are employees, shareholders, customers, and community. However, when it comes to financial reporting, the information is of main concern to the shareholder/investors of the organization. The shareholders and investors make critical decision based on financial reports and naturally if the information on the report is incorrect, there could financial loss and damage to the investors. This situation goes against the ethical principle of non-maleficence. As a result, a manager has the ethical responsibility to report financial information on time and accurately. The main challenges that a manager may feel when reporting financial information is that the accuracy and timeliness of the information may be quite subjective to different parties. The challenges arise in dealing with the various teams, their interests and finally the interest of the supervisors. A manager is likely under pressure from supervisors to report an attractive picture about the financial situation of the company. At the same time, there may be an attempt from the subordinates to image management where they attempt to present a better than actual numbers on their financial report. As a result, the manager may need to verify the numbers that he/she receives from subordinates and also provide a factual report to the supervisors. These are the challenges that a manager usually face while reporting financial matters. .
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Picket, n.d. defines internal controls as mechanisms to ensure objectives are achieved. Good controls encourage efficiency, compliance with laws and regulations, sound information, and seek to eliminate fraud and abuse. Internal control is also a process designed to provide assurance regarding the achievement of objectives in the effectiveness and efficiency of operations, reliability and internal and external reporting, and compliance with applicable laws and regulations and internal policies.
Everyone in the organization has some role to play in the organization’s internal control system. The board of directors is responsible for the company’s system of internal control and it sets appropriate policies on internal control and seek regular assurance to ensure that the system of internal control is effective in managing risks in the manner which it has approved. It is also the role of the management to implement board policies on risk and control and all the employees of an organization have some responsibility for internal control as part of their accountability for achieving objectives. Management also needs to review the effectiveness of internal control by forming its own view on effectiveness after due and careful enquiry based on the information and assurances provided to it.
A few examples of internal control activities are as follows: (1) Tracking of major agency achievements and comparing these to the plans, goals and established objectives by the management. (2) Establishing physical control to secure and safeguard vulnerable assets. (3) Use a variety of control activities in information processing. (4) There should be a proper execution of transactions by making sure they are authorized and executed only by persons
acting within the scope of their authority. (5) Segregate the key duties and responsibilities to reduce the risk of error or fraud. (6) Appropriate documentation of transactions and other
significant events and they should be readily available for examination. (7) Establish finance committee to spearhead planning and monitoring of financial activities and reporting. (8) Design an effective organizational structure that takes into account the culture of the organization which is critical for effective financial management. (9) Effective management controls which includes methods of financial planning and budgeting and reporting of actual results and follow-up of variances between budgeted and actual amounts.
There are two groups of users of accounting information: internal users and external users. The internal users are the company managers who use the accounting information to decide how to plan and control operations on a daily and long-term basis while the external users are the existing or the potential investors, creditors, analysts, financial advise.
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Financial statement restatement
refers to the process of revising and reissuing previously published financial statements due to errors, misstatements, or omissions. It is a significant undertaking that requires careful analysis, investigation, and adherence to ethical principles. The discussion of financial statement restatement and ethics involves examining the ethical considerations and implications associated with restating financial statements.
The key points to consider when discussing financial statement restatement and ethics:
Accuracy and Transparency: Financial statement restatements aim to ensure the accuracy and transparency of financial information. Ethically, companies have a responsibility to provide stakeholders with reliable and truthful financial statements. Restatements correct errors, misstatements, or omissions that may mislead investors, creditors, and other stakeholders.
Ethical Responsibility: Companies have an ethical obligation to report financial information accurately and honestly. When errors or misstatements are discovered, it is important for companies to promptly address them and disclose the restatements to stakeholders. Failure to do so could lead to legal and ethical issues, erode trust, and damage the reputation of the company.
Accounting Standards and Regulations: Financial statement restatements should comply with applicable accounting standards and regulations. Companies must follow Generally Accepted Accounting Principles (GAAP) or International Financial Reporting Standards (IFRS) to ensure consistency, comparability, and transparency in financial reporting. Ethical behavior requires companies to adhere to these standards and regulations to maintain integrity and reliability in financial reporting.
Internal Control Systems: Effective internal control systems are crucial in preventing errors and misstatements in financial statements. Companies have an ethical duty to establish and maintain robust internal controls to safeguard the accuracy and integrity of financial information. Restatements may highlight deficiencies in internal control systems, requiring companies to address these weaknesses and improve their control environment.
Timeliness and Disclosure: Ethical considerations in financial statement restatement include timely identification, correction, and disclosure of errors or misstatements. Companies should promptly address any issues identified and communicate the restatement to stakeholders, including investors, regulators, and employees. Transparent communication helps maintain trust and allows stakeholders to make informed decisions.
Stakeholder Impact: Financial statement restatements can have significant implications for various stakeholders. Shareholders may experience changes in the value of their investments, lenders may reassess creditworthiness, and employees may face uncertainty. Ethical considerations require companies to mitigate the impact on stakeholders, provide clear explanation
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very high.
Before starting the actual audit , the audtors need to assess the following status regarding the
corporate governance of the company;
1. Whether there is an effective Audit Committee having independent Directors and at least one
Financial expert is working. Whether the Audit committee works independently and challenges
management views if required? Whether the Auditors report directly to Audit committee without
any interference from Management? Does the Audit committee understand well the business and
its environment and riskd?
2. Whether the internal Audit of the company is opeartional and give its suggestions
independently?
3. Whether there is strong whistleblower policy and protection for whistleblowers ? Has anything
in the recent pat been reported by whistleblowers?
After assessing the coroprate Governance status of the company , the Auditors need to assess the
fraud risks associated with the business. The Auditors must assess various finance processes for
risk from the input providers, from system or ERP, from output and storage of data and risks
from lapse in approval system or risks from ineffective segregation of duty.
According to the risk assessment, Auditors need to chalk out the Audit paln and do extended
audit if required in the vulnerable areas. Senior partners and associates must be deployed in such
audits to avoid any lapse due to inexperience in auditing.
While doing the actual audit, the following points may be specifically checked;
1. Whether there is frequest and unreasonable change in Accounting Principles and estimates,
2. Whether any loans or advances made to employees or Directors,
3. Whether any asset or liability that is directly related to comapny has been shown as asset &
liability of any special purpose entity (SPE) and no detailed disclosure made about that.
4. Whether some crucial disclosures are made an a masked and incorrect manner.
5. Whether any incorrect/inflated/deflated revenue or expense recorded and approved by
management.
6. Whether any fraudulane payment/receipt/debit or credit note payment or receipt has been
recoreded and approved by management?
7. Whether bad debt or other provision amounts are not based on realistic calculation and twisted
as per management advice?
8. Whether bank transactions are properly done and rconciliations are matched with bank
statementa and whether bank deposit receipts are cross tallied with bank physically?
9. Whether master data related to vendor and cutsomer master creation, manitaning the rates and
discount rates , vendor and customer bank details etc are manitained by authorised persons have
specific access and are properly authorised? The master data change trails need to be carefully
audited.
These are some of the audit points that will be very helpful in auditing a high risk comapny.
Solution
The Auditors need to be very cautious while auditing a firm where r.
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Who are stakeholders? Define who they are and then please share what particular interest each of
these stakeholders have in the information shared on the income statement, retained earnings
statement, balance sheet and statement of cash flows. How do we analyze if a company is
healthy or not?
Solution
Stakeholders are those persons or group of persons who have a interest in the company. The
Interest that they have may be financial or non financial, such as an employee has a financial
interest but customers have non-financial interest. Stakeholders are concerned about the working
of a company. Stakeholders are of two types
Various Types of Stakeholders are as follows:-
Different stakeholders have different interests in the company. Various Stakeholders and their
Interests are given below.
1.Customers. Customers have a stake in the goods of the company. Customers need to know that
company is making progress; it increases their confidence in using company’s products. All a
Customer need is Good a quality product with future care. A customer can understand from
Income statements of a company that whether companies do any research expenses to make their
product better for consumption.
2. Employees. Employees wants to see what company pays to them as a compensation for their
hard work. Companies Value added statements show the percentage of revenue distributed to
employees of company. Employees are also concerned about their job security. A profit making
company is suppose to give a satisfaction to employee that he has a good future in company.
3.Government. Government Collects takes which can be ascertained by reviewing Income
statement. Moreover companies help government by providing employment to millions of
people. Government has interest in knowing that companies prepare their financial statements
truthfully and frauds like Enron are not done.
4. Stock Holders. Stock Holders are basically owners of a company, They take major decisions
in working of a company. Results shown by income statements, Balance sheets and cash Flow
Statements help them take future decisions with precision.
5. Society. Society is also concerned about the working of business organizations. They have a
stake in Corporate Social Responsibility policies of a company. Whether company is taking
necessary steps to minimize pollution of water, air, or total environment as a whole. The
employment rate is another example of society’s stake in businesses.
6. Suppliers. Suppliers are Concerned about that cash position of company. The Current ratio of
Company. They supply Inventory so they need to know whether company is able to pay their
dues in time. Cash Flow statements show a supplier the position of cash of a company.
7. Creditors. Creditors are concerned about the payment of their dues.
8. Lenders. Lenders such as Bond Holders or Preference stock holders are concerned about the
efficient of use of their money and the return on their money. No one wants to lend his money to
a c.
Respond to at least two colleagues by doing the following· Note.docx
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· Note similarities and differences between how you plan to apply what you have learned and how they plan to apply their knowledge in their field experiences and careers.
· Identify an additional way that your colleagues might find what they have learned useful.
Student #1 (John):
Within the social work research, the following evaluation strategies can be defined: scientific-experimental, management-oriented, qualitative-anthropological and client-oriented (Osis, 2016). The scientific-experimental approach is aimed primarily at the development of the social work science and the client-oriented approach features more applied nature and is used to implement changes in the society. The management-oriented methodology helps to evaluate the effectiveness and performance of social institutions and the qualitative-anthropological connects the historical and modern observations of changes within the society.
Given the nowadays tendencies, the new field for social research emerged. These are social networks, where users leave personal information, interact with each other and comment on different political, economic or cultural events. According to the Code of Ethics for social workers, when evaluating or conducting research with the use of any technologies they should receive informed consent of the participants and ensure their confidentiality. It is essential to secure safety and prevent any harm or damage to participants` physical and mental health (NASW Code of Ethics, 2017). Another change of research environment pertains to multicultural and multiethnic societies. In these terms, the key principle for social workers should be social justice, as it encompasses social welfare for everyone (Chukwu, 2015). They should pay more attention to cultural and ethnic differences and include these insights to their researches and evaluations. “Social workers can also use research for policy reform efforts by critically examining legal and public discourse and the extent to which they comply with human rights principles” (Maschi, Youdin, Sutfin & Simpson, 2012). Currently, social workers act as the main promoters and champions of human rights and social justice.
In order to be able to provide highly qualified research or evaluation, the skills should feature transferability. It means that social practitioners should able to explain how their activity is informed by their knowledge base and being able to apply their knowledge and skills to new situations through appraising what is general and what is particular in each situation (Trevithick, 2000). The theory and practice should be effectively combined. Moreover, the special approach to the terminology should be used. It means changing terms of patient, case or subject to a client, person or consumer. Similarly, it is better to use an assessment or evaluation than diagnosis, study or examination (Cournoyer, 2017). The appropriate theoretical frame.
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Accuracy and Transparency: Financial statement restatements aim to ensure the accuracy and transparency of financial information. Ethically, companies have a responsibility to provide stakeholders with reliable and truthful financial statements. Restatements correct errors, misstatements, or omissions that may mislead investors, creditors, and other stakeholders.
Ethical Responsibility: Companies have an ethical obligation to report financial information accurately and honestly. When errors or misstatements are discovered, it is important for companies to promptly address them and disclose the restatements to stakeholders. Failure to do so could lead to legal and ethical issues, erode trust, and damage the reputation of the company.
Accounting Standards and Regulations: Financial statement restatements should comply with applicable accounting standards and regulations. Companies must follow Generally Accepted Accounting Principles (GAAP) or International Financial Reporting Standards (IFRS) to ensure consistency, comparability, and transparency in financial reporting. Ethical behavior requires companies to adhere to these standards and regulations to maintain integrity and reliability in financial reporting.
Internal Control Systems: Effective internal control systems are crucial in preventing errors and misstatements in financial statements. Companies have an ethical duty to establish and maintain robust internal controls to safeguard the accuracy and integrity of financial information. Restatements may highlight deficiencies in internal control systems, requiring companies to address these weaknesses and improve their control environment.
Timeliness and Disclosure: Ethical considerations in financial statement restatement include timely identification, correction, and disclosure of errors or misstatements. Companies should promptly address any issues identified and communicate the restatement to stakeholders, including investors, regulators, and employees. Transparent communication helps maintain trust and allows stakeholders to make informed decisions.
Stakeholder Impact: Financial statement restatements can have significant implications for various stakeholders. Shareholders may experience changes in the value of their investments, lenders may reassess creditworthiness, and employees may face uncertainty. Ethical considerations require companies to mitigate the impact on stakeholders, provide clear explanation
Business Case
Financial Education promises employers a return on investment of atlaest 1:4
i.e., for every one rupee spent in teching employees about their personal finance the organizations stands to gain 4 rupees directly.
To know more view the below presentation
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The Auditors need to be very cautious while auditing a firm where ri.pdf
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very high.
Before starting the actual audit , the audtors need to assess the following status regarding the
corporate governance of the company;
1. Whether there is an effective Audit Committee having independent Directors and at least one
Financial expert is working. Whether the Audit committee works independently and challenges
management views if required? Whether the Auditors report directly to Audit committee without
any interference from Management? Does the Audit committee understand well the business and
its environment and riskd?
2. Whether the internal Audit of the company is opeartional and give its suggestions
independently?
3. Whether there is strong whistleblower policy and protection for whistleblowers ? Has anything
in the recent pat been reported by whistleblowers?
After assessing the coroprate Governance status of the company , the Auditors need to assess the
fraud risks associated with the business. The Auditors must assess various finance processes for
risk from the input providers, from system or ERP, from output and storage of data and risks
from lapse in approval system or risks from ineffective segregation of duty.
According to the risk assessment, Auditors need to chalk out the Audit paln and do extended
audit if required in the vulnerable areas. Senior partners and associates must be deployed in such
audits to avoid any lapse due to inexperience in auditing.
While doing the actual audit, the following points may be specifically checked;
1. Whether there is frequest and unreasonable change in Accounting Principles and estimates,
2. Whether any loans or advances made to employees or Directors,
3. Whether any asset or liability that is directly related to comapny has been shown as asset &
liability of any special purpose entity (SPE) and no detailed disclosure made about that.
4. Whether some crucial disclosures are made an a masked and incorrect manner.
5. Whether any incorrect/inflated/deflated revenue or expense recorded and approved by
management.
6. Whether any fraudulane payment/receipt/debit or credit note payment or receipt has been
recoreded and approved by management?
7. Whether bad debt or other provision amounts are not based on realistic calculation and twisted
as per management advice?
8. Whether bank transactions are properly done and rconciliations are matched with bank
statementa and whether bank deposit receipts are cross tallied with bank physically?
9. Whether master data related to vendor and cutsomer master creation, manitaning the rates and
discount rates , vendor and customer bank details etc are manitained by authorised persons have
specific access and are properly authorised? The master data change trails need to be carefully
audited.
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Solution
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Interest that they have may be financial or non financial, such as an employee has a financial
interest but customers have non-financial interest. Stakeholders are concerned about the working
of a company. Stakeholders are of two types
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Different stakeholders have different interests in the company. Various Stakeholders and their
Interests are given below.
1.Customers. Customers have a stake in the goods of the company. Customers need to know that
company is making progress; it increases their confidence in using company’s products. All a
Customer need is Good a quality product with future care. A customer can understand from
Income statements of a company that whether companies do any research expenses to make their
product better for consumption.
2. Employees. Employees wants to see what company pays to them as a compensation for their
hard work. Companies Value added statements show the percentage of revenue distributed to
employees of company. Employees are also concerned about their job security. A profit making
company is suppose to give a satisfaction to employee that he has a good future in company.
3.Government. Government Collects takes which can be ascertained by reviewing Income
statement. Moreover companies help government by providing employment to millions of
people. Government has interest in knowing that companies prepare their financial statements
truthfully and frauds like Enron are not done.
4. Stock Holders. Stock Holders are basically owners of a company, They take major decisions
in working of a company. Results shown by income statements, Balance sheets and cash Flow
Statements help them take future decisions with precision.
5. Society. Society is also concerned about the working of business organizations. They have a
stake in Corporate Social Responsibility policies of a company. Whether company is taking
necessary steps to minimize pollution of water, air, or total environment as a whole. The
employment rate is another example of society’s stake in businesses.
6. Suppliers. Suppliers are Concerned about that cash position of company. The Current ratio of
Company. They supply Inventory so they need to know whether company is able to pay their
dues in time. Cash Flow statements show a supplier the position of cash of a company.
7. Creditors. Creditors are concerned about the payment of their dues.
8. Lenders. Lenders such as Bond Holders or Preference stock holders are concerned about the
efficient of use of their money and the return on their money. No one wants to lend his money to
a c.
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· Identify an additional way that your colleagues might find what they have learned useful.
Student #1 (John):
Within the social work research, the following evaluation strategies can be defined: scientific-experimental, management-oriented, qualitative-anthropological and client-oriented (Osis, 2016). The scientific-experimental approach is aimed primarily at the development of the social work science and the client-oriented approach features more applied nature and is used to implement changes in the society. The management-oriented methodology helps to evaluate the effectiveness and performance of social institutions and the qualitative-anthropological connects the historical and modern observations of changes within the society.
Given the nowadays tendencies, the new field for social research emerged. These are social networks, where users leave personal information, interact with each other and comment on different political, economic or cultural events. According to the Code of Ethics for social workers, when evaluating or conducting research with the use of any technologies they should receive informed consent of the participants and ensure their confidentiality. It is essential to secure safety and prevent any harm or damage to participants` physical and mental health (NASW Code of Ethics, 2017). Another change of research environment pertains to multicultural and multiethnic societies. In these terms, the key principle for social workers should be social justice, as it encompasses social welfare for everyone (Chukwu, 2015). They should pay more attention to cultural and ethnic differences and include these insights to their researches and evaluations. “Social workers can also use research for policy reform efforts by critically examining legal and public discourse and the extent to which they comply with human rights principles” (Maschi, Youdin, Sutfin & Simpson, 2012). Currently, social workers act as the main promoters and champions of human rights and social justice.
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Respond
to the capstone discussion question.
As a manager for a large multinational corporation, you travel around the world giving presentations and conducting meetings. You always try to include humor as an icebreaker. What potential barriers could you face when delivering your presentation in the United States, China, the United Kingdom, and India? Are you able to give the same presentation in all four locations? Why or why not?
Format
your paper consistent with APA guidelines.
Must have referenes
Click
the Assignment Files tab to submit your assignment.
Assignment #2
Post
your response to the following questions:
In what ways has learning about world religions influenced the way you think about religion?
Why is it important to learn about other peoples' beliefs and attitudes?
How will you utilize this information in the future?
Must have references
.
Respond to at least two of your colleagues in one or more of t.docx
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Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
Validate an idea with your own experience and additional research.
Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.
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POST 1
According to Cleary and Hunt, (2011), recent studies have shown the majority of nursing doctoral candidates are female, clinically experienced, and in their 40s or 50s at the time of starting their PhD. Based on that criteria, this writer fits exactly into that criteria. It is noted that other disciplines tend to start doctoral training much earlier (Cleary & Hunt, 2011). As a practicing nurse of 30 years, most of it as an Associate Degree nurse the recognition of the PhD nurse was seen as a profession in a nursing league of their own. According to Michael and Clochesy, (2016), the PhD in nursing was predominant throughout the 20th century with members of the academic nursing community recognizing the need for the development of knowledge to inform practice and to promote the credibility of the profession. Nursing theorists such as Jean Watson and Patricia Benner were game changers in the industry of theoretical nursing. The ability in achieving higher levels of education and in conducting research are hallmarks of professionalism (Houser, 2018).
This writer has a passion for teaching students and wants to be the best instructor she can be. She chose to go down the path of the PhD in Nursing education to increase skills and knowledge to improve what is delivered to students every day. The PhD is being pursued to separate myself from the growing amount of DNP faculty that she works with daily. Being an alumni with Walden University for the MSN, it was an easy choice to pick Walden University for the terminal degree. Michael and Clochesy, (2016), states the PhD and DNP represent complementary and alternative approaches to the highest level of educational preparation in nursing. PhD programs prepare nurse scientists to conduct original research and to generate knowledge that may be broadly applicable or generalizable using advanced research designs and statistical evaluative methods. Conversely, DNP programs prepare students for advanced specialty practice at a high level of complexity with a concurrent focus on the development of knowledge and skills required for translation of evidence to improve health outcomes and health care delivery (Michael & Clochesy, 2016).
Michael and Clochesy, (2016), also states two of the main reasons for not completing a doctoral program are financial and family stresses. Strategic plans must include financial considerations (e.g., research costs), support systems and a systemic approach to the d.
Respond to the capstone discussion question.As a manager for a l.docx
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to the capstone discussion question.
As a manager for a large multinational corporation, you travel around the world giving presentations and conducting meetings. You always try to include humor as an icebreaker. What potential barriers could you face when delivering your presentation in the United States, China, the United Kingdom, and India? Are you able to give the same presentation in all four locations? Why or why not?
Format
your paper consistent with APA guidelines.
Must have referenes
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the Assignment Files tab to submit your assignment.
Assignment #2
Post
your response to the following questions:
In what ways has learning about world religions influenced the way you think about religion?
Why is it important to learn about other peoples' beliefs and attitudes?
How will you utilize this information in the future?
Must have references
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Respond This week we explore the importance of utilizing the.docx
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This week we explore the importance of utilizing the appropriate resources and scheduling. A fundamental aspect of project management is the ability to identify available resources and outside resources that may be needed for successful project management. In order to follow the implementation plan, deadlines, and financial funding, a project manager must know what physical and human resources to use. Project management requires extensive planning and use of resources in order to receive approval, educate staff members, and recieve increased approval of staff (Karakashian & Schub, 2017).
Some human resources that will be concerning to secure or manage are nursing leadership roles such as the CFO or CNO, as they are often busy but will be dependent on their approval and financial backing to move forward. Human resources and a nurse educator will also be responsible for nurse recruitment and setting up training programs and shared governance models. Another human resource is contractors to facilitate and schedule renovations and expansions. Lastly, securing a nurse informatics specialist might also be difficult as they are limited and in high demand. This role is essential in implementing acuity-based programming. Some physical resources that a project manager must secure are available time, new software systems, online resources that provide evidence-based information and guidelines, new equipment, and change management frameworks (Schub & Walsh, 2017).
I look forward to reading everyone’s post on resource management in project management, and seeing the different resources available that I may have overlooked. Thank you.
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respond The PICOT question that is proposed for my final pro.docx
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The PICOT question that is proposed for my final project:
P: Are patients that are in the hospital who receive patient education lead to an increase in HCAPHS scores? I: with education to the staff and updated documentation policies, C: As opposed to those that do not? O: Increase HCAPHs scores and decreased readmissions at 30 days T: over 12 months.
Information that will need to be obtained includes what our current HCAPHS, the readmission rate and diagnosis of the patients are. What the cost of the current stay is on all the different levels of the hospital. How does HCAPHS affect reimbursement? What is the baseline documentation being done on education and care plans? The survey’s on the staff’s perception of what needs to be documented. How much time and what the cost of the hourly staff chosen to audit compliance of patient documentation of education and care plans. As one audits charge, there is a need to try and identify what are the deficits in the education and is there a correlation to the patient being readmitted to the facility (Burnett, Lee, Doherty, Suh, Kim, …, Choi, & Suh, 2018). The difficult part of my PICOT questions is that much of the information is subjective instead of objective. From my project, my true hope is that the policies of the organization will be updated with what is expected and that the staff will be educated on the proper way of documenting in the chart. One of my biggest concerns is that many do not give themselves enough information even to remember a patient or situation if that chart is ever brought to court for some reason.
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respond Roussel, Thomas, and Harris (2017) report that a mic.docx
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Roussel, Thomas, and Harris (2017) report that a microsystem analysis includes five P’s of purpose, populations, processes, patterns, and providers. A comprehensive analysis using a standardized approach to high light opportunities for improvement. Our purpose is to find the cause of the increase in malpractice claims and improve patient outcomes. The population is patients with operative procedures using Davinci robotics. The process is the Davinci robotic procedure. Next, patterns to narrow the search to understand cause and the providers are the nursing staff working in the OR. Jones, Polancich, Steaban, Feistritzer, and Poe believe quality and patient safety requires efforts from all nursing leadership. The nurse executive (CNO) is paramount to the team and drives the vision of nursing to deliver safe, quality, efficient, patient-centered care (2017, p.186). The leadership skills of CNO are necessary to achieve high-quality patient care and excellent clinical outcomes (Jones, Polancich, Steaban, Feistritzer, & Poe). The CNO establishes the direction and identifies goals to provide the foundation for strategic planning.
The first action as a leadership team is to determine if all the claims revolve around the same type of issues by gathering data on the claims. I will meet with the quality team and nursing leaders to identify the issues. Once we study the data then we will determine how to proceed. Does it appear to be a process issue or a person issue? Is there a lack of knowledge? From the data, we find a trend with procedures done by Davinci robotic surgeries. The clinical nurse leader will observe a Davinci surgery to examine the workflow process to determine areas of opportunity. The process is mapped out in detail to determine areas of concern. It was found that Davinci procedures are now being performed with new equipment. The data is further examined to determine a pattern. Is the data related to a process, structural, or outcomes-based to decide what needs to be improved? We must decide if there is a flaw in the procedure or equipment. Finally, we look at the staff and their experience, education, and familiarity with the procedure and equipment. Is there a knowledge-based error? We know from our previous reports that staffing has been a concern and there are many new RNs working in the OR. We look at the roles of all staff associated with the procedure including the providers. The data shows that many newer nurses may be unfamiliar with the use of the new equipment, so we have an area of opportunity to educate and train the staff. The education plan, communication plan, and timeline will be developed and shared. This communication will explain the plans for the change and allow for additional input if necessary. Physicians and key stakeholders will also need to be informed about the change in advance of implementation. This gives time for additional training of physicians and ancillary staff. Listening to the feedback.
Respond The medical center where I work is a large teaching.docx
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The medical center where I work is a large teaching institution in New York City is made up of 7 hospitals. They believe in educating the next generation of health care professionals, developing groundbreaking research, advancing innovative, patient-centered clinical care and serving the needs of our local, national and global community. The vision of the institution is to be the #1 academic health system in the nation in high-quality patient centered care, education and research. The culture is based on respect, teamwork, innovation, empathy, excellence and responsibility.
The mission and vision is reflected in the organizational culture and leadership through their behaviors. How leadership chooses to do their job everyday demonstrates the core values of the organization. My personal philosophy of nursing is based on respect. Patient care suffers when nurses are not respected (Stievano, Bellass, Rocco, Olsen, Sabatino, & Johnson, 2018). It is crucial that nurses operate in a moral work environment that involves respect to improve patient outcomes (Stievano, et al., 2018). The hospital’s Credo is based on respect. This is how my project aligns with the core values of the institution.
One theoretical approach to understanding how change may be achieved is Rogers’ diffusion model. He argues that certain characteristics of the innovation itself may facilitate its adoption. Factors influencing acceptance include promotion by influential role models, the degree of complexity of the change, compatibility with existing values and needs, and the ability to test and modify the new procedure before adopting it (Mohammadi, Poursaberi, & Salahshoor, 2018).
Current research suggests that the most effective communication strategy is face-to-face exchange (Mohammadi, Poursaberi, & Salahshoor, 2018). It provides an opportunity to tailor information to recipients and allows the advocate of the change to explore and, if necessary, modify the reasons why a shift in clinical behaviour should occur. Interpersonal communication is usually more effective when there is a high degree of professional resemblance between the individual attempting to introduce the innovation and the recipient (Mohammadi, Poursaberi, & Salahshoor, 2018).
Luckily, I think it will be relatively easy to implement changes related to a healthy work environment. I believe the majority of people want to work in an environment that is positive, supportive and frowns on bullying and incivility. Through communication as well as role modeling proper behaviors, Rogers’s diffusion of innovation framework will assist in the transformation.
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respond The ability to communicate effectively is a critical.docx
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The ability to communicate effectively is a critical skill for nurse leaders (Roussel, Thomas & Harris, 2016). In the healthcare setting such as a hospital, nurses work various shifts, and communication can be challenging. Nurse leaders will need to utilize fundamental communication skills to achieve organizational goals (Roussel et al.,2016). There are various traditional ways that leaders can communicate with their staff, such as through emails, text, or even instant messaging (Roussel et al., 2016). Leaders are also finding creative ways to connect with every team members, so the message remains consistent.
One strategy that I would use as a leader to improve communication and empower the members of my team working various shifts is to restructure team huddles. The huddle is a quick meeting given while standing that last approximately fifteen minutes (Johnson, 2018). The huddles can also occur at any time of the day (Johnson, 2018). Providing huddles at various times of the day will allow effective communication with members of the team that works on various days and shifts.
Also, because everyone is assembled, it allows staff to participate in a discussion and give feedback on the information shared. Another way to share information about the magnet designations is to have it displayed as screen savers on the computers nurses use to document. The messaging on the computer screen is a strategy that is used at my workplace to update the employees on new initiatives, and it is useful.
Another strategy is establishing a bulletin board where the staff spends time, such as the break room, nurse’s station, or even restrooms. Ensuring the messaging reaches everyone helps make each member feel part of the team. Another strategy would include leadership rounding. The leader could visit and meet with staff members and provide updates and share information on the magnet designation.
References
Johnson, I. (2018). Communication Huddles: The Secret of Team Success.
Journal Of Continuing Education In Nursing,49
(10), 451–453.
https://doi-org.chamberlainuniversity.idm.oclc.org/10.3928/00220124-20180918-04 (Links to an external site.)
Roussel, L., Thomas, P., & Harris, J. (2016).
Management and leadership for nurse administrators.
(7th ed.). Burlington, MA: Jones & Bartlett Learning.
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Respond Hello group - informative discussions! Many of you have .docx
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Hello group - informative discussions! Many of you have or will experience power gap differentials and blurred lines of authority. Navigating these can be challenging. Please identify strategies for navigating these potential obstacles to effective communication and collaboration within vertical, horizontal, and system-wide structures.
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respond EXPERIENCEThe Reduction in workforce paper ex.docx
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EXPERIENCE
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The Reduction in workforce paper explored the knowledge and the decision making process required to plan and execute the organizational changes at Roxboro Medical Center. The job of restructuring and reducing the workforce of an organization will always significantly impact the staff. In the setting that we were given, the CNO was tasked with reducing nursing leadership by 30%. Human resources provided guidelines and additional information to assist in the decision making process. It is especially important for key stakeholders to be involved from the outset of the process to assure organizational policy and procedure are adhered to.
The model that was chosen for this organizational staff reduction is Kotter’s change model which relies on stepwise planning and implementation of a strategic plan on a short timeline while also promising ownership for employees. Faced with the development of a plan to reduce the organization's workforce, it is the responsibility of management to use an approach that strengthens the organizational mission and values. Transparency, sensitivity, and open communication are essential and will allow staff members to better understand the decision making process during this challenging time. To assure the buy-in of the staff, the change model that is used to research and plan for the staff reduction must incorporate proven rationales and reassurance of an improved work-life balance along with increasing autonomy and ownership. The organization must remain transparent and communicate openly and often identifying details of the plan and timeline while identifying strategies in order to execute the plan and gain facility-wide acceptance and support.
REFLECTION
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During the time that I was doing research and writing this paper, the Covid-19 pandemic was surfacing and I actually was faced with making some similar decisions at my own organization. I am a manager in perioperative services and when the Governor placed a moratorium on elective surgeries our caseload decreased by about two thirds. Hospitals face many financial obstacles today and are often forced to use an approach such as staff layoffs to maintain their financial viability (Daniels & Ritter, 2018). The first wave of cuts that I had to make was dismissing all travel staff giving them two weeks’ notice. At this time, I also took all non-benefitted employees off the schedule. Ten days later I realized that we were still overstaffed and cut everyone’s FTE by 25%. Another week passed and our CEO and CNO tasked all managers with cutting our staffing budget by another 20%. Emotions and feelings may affect the initial acceptance of the change due to misconceptions about the process of the reduction in force and when issues of trust exist (Walker & Karau, 2016). This was gut-wrenching for me, I knew how devastating this would be to many of my staff members. Feelings of guilt and being at fault is quite common for managers who are faced with .
respond Communication is integral in the field of nursing. N.docx
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Communication is integral in the field of nursing. Nurses act as the hub of communication, relaying and interpreting information between physicians, caregivers, family members and patients. The ability to establish effective communication in nursing is imperative to providing the best care and patient outcomes possible (Bender, Williams, Su, & Hites, 2016). At any workplace, good communication is vital. Effective communication removes obstacles that detract from efficiency and collaboration. As a nurse executive, I should create the structure and processes that facilitate effective communication within in my team. To improve communication to and between team members, my focus would be improving both the content and the coverage of team members’ communication.
To begin with, I would provide role clarity at the workplace. One of the most effective structural ways to improve the content of communication within a team is to invest in role clarity (Marquis & Huston, 2017). It helps everyone on the team know from the beginning which content is most relevant to discuss with different team members. I would promote role clarity by explaining to each employee what metrics will be used to define success in their role. Another way of enhancing communication is by creating an open door policy. This would encourage free communication by removing any potential barriers.
Empowering team members would enable them have the authority or power to execute certain functions. Additionally, empowering people also makes them more confident, for instance, in decision-making (Marquis & Huston, 2017). One major way in which I would empower my team members is by including them in the decision-making process of our healthcare organization. Through this inclusion, their views are likely to be heard by a higher authority.
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Respond As the unit director for the emergency department an.docx
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As the unit director for the emergency department and part of an ad hoc interdisciplinary committee formed to address rise in medication errors it is important to include all stakeholders to combat this issue system-wide. Ultimately, stakeholders are known as our consumers or patients, however, we must take into consideration the stakeholders of the organization; CNO, nurse manager, pharmacist technicians, nurses, pharmacists, IT and any member of the team that has access to medication rooms. Stakeholders are not chosen by the organization, but rather stakeholders choose to have a stake in the organization’s decision making (Marquis & Houston, 2017). It is essential to include all members of the organization because each individual has their own vision and view toward their approach to medication administration, medication verification, and the technology used to do so.
I’ve worked in both adult health and currently in the pediatric arena; one major difference to reducing medication errors between specialties is highly regarding diabetes and insulin and anticoagulants. To compare the two fields, in the pediatric field our medication administration is calculated weight based and in specific the sliding scale protocol is based on caloric intake per meal. Each syringe of medication is drawn and sent via tube from pharmacy, nurses are never to draw up units from vials. This extra precaution and safety measure (although medication checks are still necessary and double RN checked) is put in place to reduce complications relating to insulin administration. Medication errors often times occur when layers of defense are not implemented correctly, when teamwork is strong on a unit and resources are available, most often another team member may catch the error before it occurs, the Swiss Cheese Model illustrates exactly that (Aebersold & Kalisch, 2016).
As different roles gather to overcome the medication error prevention ad hoc, we must look into organizational culture and organizational climate. Organization culture is known as the total of an organization’s values, language, traditions customs and certain aspects of the organization that is not open for change (Marquis & Houston, 2017). With that being said, the team will utilize effective, respectful communication and transparency throughout the process. Approaching medication errors with the intention to learn from mistakes and find the “swiss cheese” effect is essential in all departments involved. In short, the organizational culture can be specific to one organization, including unique ways of thinking and behavior. On the other hand, organizational climate is how the organization is perceived. One employee may perceive the organization in a positive light whereas another may not. Leadership and management can influence their employee’s perception of the unit or organization as a whole, influencing perceptions through effective communication, leadership styl.
Respond with 150 words and 2 references with 1 being the textbook, b.docx
Respond with 150 words and 2 references with 1 being the textbook, biblical reference
Cullen, F. T., & Jonson, C. L. (2017).
Correctional theory: Context and consequences
(2nd ed.). Thousand Oaks, CA: Sage. ISBN: 9781506306520.
*Barry**
The Pros and Cons of a Pure Deterrence Theory
As one reviews the application of a pure deterrence theory in America corrections operations today, the absence of empirical evidence in the development of many such theories remains evident. Based on this author’s research and personal observations of local corrections operations in practice, it appears that many pure deterrence programs develop more like a knee jerk response to various challenges within the corrections system. America’s public opinion historical suggests that felonious offenders should be incarcerated through determinate or indeterminate sentencing. The political reaction to public opinion has been to increase incarceration to satisfy safety issues within our communities. Indeed, incarceration does stop that offender from bringing harm to our communities (Cullen, Jonso, & Nagin, 2011). The increased prison populations serve to create overcrowding conditions within prisons, however, which serves to increase violence, more dangers to over-worked corrections personnel, and a resulting increase in parole or felony probation diversion strategies to lessen this burden. One reactive strategy is the use of Intensive Supervision Parole/Probation (ISP) (Hyatt & Barnes, 2017). The question remaining is, how valid is this strategy, and what challenges have arisen within this strategy?
What is Intensive Supervision Parole/Probation ( ISP)?
The theory behind ISP assumes that a specific offender is more prone to recidivism if he or she is awarded the standard probation or parole, which requires minimal reporting such as monthly office visits with the parole/probation officer or even lesser challenging requirements such as phone calls to the officer. ISP, therefore, has arisen as an immediate solution to this challenge. The parolee/probationer is required to submit to more intensive visitation or office visits, drug testing, and other more stringent requirements, which, by design, are perceived to gain more control over the offender, which forces compliance (Hyatt & Barnes, 2017). However, one must ask if this is a pure form of rational emotive behavior therapy, or does it merely delay the inevitable by creating controlled robotic responses? Does history offer examples in intensive parenting controls gone wrong?
Challenges within ISP
The more significant and obvious error within the application of the theory of ISP rests with the increased caseload resulting from the diversion of offenders from incarceration into the parole/probation system. Many states developed parole in absentia program, which is designed to work with offenders with less than a five-year sentence. The offender is released on parole immediately the following sent.
Respond on 2 different days who were assigned different case stud.docx
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on 2 different days who were assigned different case studies than you. Analyze the possible conditions from your colleagues' differential diagnoses. Determine which of the conditions you would reject and why. Identify the most likely condition, and justify your reasoning.
Main Post
Knee Pain SOAP Note
Patient Information:
SJ, 15-year-old WM
S.
CC
- Pain in both knees.
HPI
: 15-year-old white male presents with pain in bilateral knees. Pain onset was 1 week ago after football practice. Pain is described as “dull”. Associated s/s include clicking in one or both knees and a catching sensation under the patella. SJ describes pain as dull and constant, pain rated at 3 on a scale of 0-10. Pain is exacerbated by movement and relieved by rest.
Current Medications
: No medications, no OTC medications or vitamins.
Allergies:
seasonal allergies only
PMHx
: Immunizations current, flu shot received from PCP 10/5/19. No previous injuries, hospitalizations, or surgeries.
Soc Hx
: 10th grade student, on high school football team (offensive lineman), has played football since age 6. Denies alcohol use, denies tobacco use, Denies use of illicit drugs. Honor student, popular in school with many friends. Lives at home with dad and two younger sisters. Mom is active duty/deployed currently. Currently learning to drive in driver’s education at school.
Fam Hx
: No significant medical history in parents. Maternal grandmother died at 80 of lung cancer, grandfather at 81 of MI. Paternal grandmother has osteoarthritis, grandfather has DM.
ROS
: GENERAL: Denies weight loss, fever, chills, weakness or fatigue.
HEENT: Head: denies headache,
Eyes: Denies visual loss, blurred vision, or double vision, denies hearing loss, nasal dysfunction or sore throat.
SKIN: denies rash or puritis.
CARDIOVASCULAR: Denies chest pain, chest pressure or chest discomfort. Denies palpitations or edema.
RESPIRATORY: Denies shortness of breath, cough or sputum.
NEUROLOGICAL: Denies headache, dizziness, syncope, paralysis, ataxia, numbness or tingling in the extremities. Denies change in bowel or bladder control.
MUSCULOSKELETAL: Knee pain, with clicking and catching sensation under the patella. Denies back pain, stiffness.
HEMATOLOGIC: Denies anemia, bleeding or bruising.PSYCHIATRIC: Denies depression or anxiety.
ALLERGIES: Denies food or drug allergies, allergy to pollen.
O.
VS: BP 123/68; P 89; RR 18; T 97.6; O2 98%; Wt 179; BMI 25.68
General
- AOx4. Pt appears healthy and well nourished, athletic build. Well groomed, no acute distress noted.
Cardiovascular-
Regular rate/rhythm. S1/S2 heard, no murmurs, gallops, or rubs noted.
Respiratory
- RR even and unlabored. Clear to auscultation bilaterally with no wheezing, rales, rhonchi, or crackles.
Musculoskeletal-
joint stability normal in upper extremities, no tenderness to palpation. Lower bilateral popliteal tenderness upon palpation, Rt quadricep angle 18 degrees, Lt qua.
RespondWhat is artCompare your current thinking to .docx
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What is art?
Compare your current thinking to the definition you wrote in week one.
In what ways has your personal definition of art expanded or changed over the course of this session?
Reflecting on your exploration of the visual arts across varied times, places, and cultures, how has this course influenced your thinking about the ways we as humans are more alike than different?
Select a work of art that illustrates your current definition of art.
Share your selected artwork and discuss in what ways it illustrates your current definition of art.
Will you use the same work of art or select something new?
Is more than one artwork needed to fully illustrate your new definition?
From what cultures and times will you find your examples?
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respond As the nurse executive in an acute care hospital, I .docx
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As the nurse executive in an acute care hospital, I welcome collaboration among advanced practice nurses (APN) and the clinical staff for many reasons. Advanced practice nurses can take on acute services, be readily available and in all honesty are far more approachable, accessible and can provide a sense of trust into our patient population when being compared to a PGYI or newer medical student. Often times our medical residents or surgical residents lack empathy and lack a collaborative effort that makes our admissions and discharges flow in less than desired manner. As a whole, the unit gravitates toward reaching out to the APRN for effective communication when placed in a position to communicate between families, patients and our medical teams.
An organizational chart could absolutely be utilized to enhance and improve collaborative communication and facilitate trust among different departments through reflexivity. From the article
Margaret Archer, Modes of Reflexivity: The Structured Agency of Nursing Action,
communicative reflexivity is said to be our inner conversations which required confirmation and communication with others before we act. A nurse who predominantly uses communicative reflexivity will consider what their peers are thinking and will want to act in such a way as to fit in (Goodman, 2017). Although the nursing profession especially as a clinical provider we tend to use our professional critical thinking skills and act on our best nursing judgement, we tend to disconnect from our peers and resources such as the APNs to confirm our actions before we act. Although working together as a team is essential for the unit to function properly in crisis situations, I often times see nurses perform on “auto-pilot”, working independently without collaborative efforts that could be in the best interest of our patient population. Facilitating collaboration between available APNs and clinical staff is essential to improving patient outcomes and building a higher self-esteem among staff. Being validated that our critical thinking, assumptions and interventions are correct from someone with higher level education can be very empowering.
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RespondThe brokerage firm of E. F. Hutton was charged with fe.docx
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The brokerage firm of E. F. Hutton was charged with federal criminal violations of interstate funds transfers. In reviewing the case, the lawyers for the government discovered internal Memoranda from and between branch managers in several states that outline a process for check kiting (a literal stringing together of checks and deposits) that enabled E. F. Hutton to earn interest on phantom deposits.
In 1985 E. F Hutton was found guilty of check kiting managers of the firm use check kiting technique to obtain legal interest over large sums of money, lawyers of government discovered internal memoranda from an between branch managers in several states that outlined process for check kiting that unableed E. F Hutton to earn interest on phantom deposits. E. F Hutton was charge with federal criminal violations.
The case will be tried in the Federal District Court by the United State Attorney, under the Federal Court System because the Federal District has the jurisdiction that involved cases from different states and also the damage exceeds $75,000. Because is a federal crime it is tried a Federal district.
The obligations of the layer is to draft the documents without a perfume with the complete facts and transaction of the fraud committed. The company’s obligation was to show the correct financial statements, the company have the right to provide the correct documents and financial statements to the court. Company have to take steps in order to avoid any future possibilities of having any more frauds.
EFH manager should not disclosed the documents to the government. Managers need communicate to the directors about the situation and look solutions to find the way to avoid future fraud for happen.
Respond:
The phrase Stare Decisis comes from Latin and means "let the decision stand". It is a doctrine that allows judges to examine previous cases as examples to make decisions about new cases. Stare Decisis is closely connected to the idea of a precedent. This means that if a Supreme Court has previously made a ruling on a similar case, it will use that precedent as a model for another case. However, following a precedent does not necessarily mean that all similar cases will be decided in the same way. Other factors, such as context or changes in societal views, can also influence whether or not a precedent will be followed.
One of the most talked about recent U.S. Supreme Court decisions was the April 2018 decision of Janus v. American Federation of State, County and Municipal Employees. The case was brought by Mark Janus, a child support specialist who worked for the state government in Illinois. He sued the union, saying he did not agree with its positions and should not be forced to pay fees to support its work. By a 5-to-4 vote, the court ruled that government workers who choose not to join unions may not be required to help pay for collective bargaining. This ruling overruled the court's 1977 decision in Abood v. Detroit Bo.
RespondEXPERIENCEI had been a bedside nurse for 24 years.docx
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EXPERIENCE
I had been a bedside nurse for 24 years before I transitioned into my current position as an Accreditation Specialist. I have been in my position a little over two years and due to being a bedside nurse I never had to deal with any budgeting issues. My husband tends to all our personally finances. I honestly have to admit, I am not good with money. My husband is so much better in planning and saving for the future, I have more of a spontaneous personality. I paying more attention and asking more questions to my department manager and director in regards to our budget. They have quarterly leadership meeting where our organizations financial information is discussed. After these meetings, my leaders share the information and are willing to answer any of our questions. They want to be transparent to allow us to be educated and knowledgeable in regards to our organization.
REFLECTION
The pre-conceived notion I had of healthcare financial and budgeting principle is of staffing. I did not realize developing a staffing budget consisted of a certain formula. I was unaware of the number of factors related to identifying the full-time equivalents (FTEs) needed to staff a hospital floor. I now understand that an FTE consisted of 2,080 hours/year for a full-time employee. And patient hours are a major factor, the percentage of direct admits from the emergency room (ER). The budget also has to take into consideration the skill mix needed for your organization.
Two concepts that were very interesting to me were the nonprofit and for-profit concepts. They only difference is that non-profit organizations do not pay taxes. For profit hospitals are owned and operated by financial cooperation’s and have access to larger sums of money when needed. Nonprofit organizations are more community oriented and focuses on what the community needs. They are typically in area that are financially well off but that is not the case for the organization I am affiliated with. My community is poor and Medicaid and Medicare are a high percentage of our reimbursement. Quality verses quantity is always a main focus for us. We do not provide a lot of specialty services but what we offer is quality care with the capability to stabilize and transfer to affiliated hospitals. We like to ensure our patients are receiving quality care not matter where they are sent.
IMPLICATIONS FOR THE FUTURE
My proposed project is implementing a sepsis bundle checklist to improve sepsis bundle compliance in the Emergency Department (ED) to improve patient outcomes. This project is not a high cost to the organization. The sepsis bundle checklist can be created by our quality department and once passed through the form committee for approval it can be rolled out for use. The education department will be involved to develop the education for the staff and providers to ensure the checklist is getting implemented correctly. The checklist will be printed in our print shop so each .
respondStaffing issues have always been a major area of conc.docx
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Staffing issues have always been a major area of concern within the health field. Adequate staffing affects the patient safety, staff morale and finances of the organization. It’s important that organizations take note of concerns related to their staffing and take the necessary steps to ensure that adequate staffing within the units.
The staffing in my organization varies depending on the unit and level of care or acuity of the patients. For starters, patients enter into the Emergency Department and are typically cared for by a nurse who is assigned a team of 3-4 patients. Nurses who work on the medical/ telemetry units are assigned a 1:6 nurse: patient ratio. Nurses who work on the Intermediate Care or Step Down unit is assigned a 1:3 nurse:patient ratio. ICU and CVICU patients are assigned at a 1:2 or 1:1 nurse to patient ratio.
There could be a number of variables that affects the staffing ratio. The shortage in healthcare professionals is one of the greatest variables affecting the staffing ratios. When there is not enough employees on duty, nurses and nurses assistants are forced to work under staff. Patients and families notice when there is a shortage of staff, and they tend to lose their faith in their provider when they’re working short. It’s important that staff understand the importance of managing up the organization and notify their leader if they are feeling overwhelmed instead of venting to the patients.
As it stands now, my organization has some of the lowest nurse to patient ratios which is currently mandated by the organization itself. Our organization takes pride in patient safety, and focuses on safe quality care as a whole. This staffing ratio affects the organizational budget as a great deal of resources is put into recruiting qualified staff as well as using alternative staffing agencies to assist with nursing and support staff coverage.
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