Tag: Clinical-Nursing

  • Power of the media

    Given the power of the media, discuss how you would use an opinion editorial, a personal interview, websites, texting, Facebook, Twitter, and/or blogs to influence public opinion relative to your policy priority. What issues about media and electronic social networking do you need to consider? Why?

  • Nursing and counseling theories to guide practice in psychotherapy

    Journal Entry Practicum Assignment

    Analyze nursing and counseling theories to guide practice in psychotherapy*

    Develop goals and objectives for personal practicum experiences*

    Create timelines for practicum activities*

     

    Practicum Assignment – Journal Entry

    Develop diagnoses for clients receiving psychotherapy*

    Analyze legal and ethical implications of counseling clients with psychiatric disorders*

  • Descriptive statistics in nursing essay assignment

    Descriptive statistics in nursing essay assignment

    Explore key statistical concepts related to data and problem solving through the completion of the following exercises using SPSS and the information found in your 
    Statistics and Data Analysis for Nursing Research
     textbook. The focus of this assignment is to become familiar with the SPSS data analysis software and to develop an understanding of how to calculate descriptive statistics and make conclusions based on those calculations. As you formulate your responses, keep in mind that descriptive statistics only allow you to make conclusions and recommendations for the sample at hand—not for the larger population to which that sample may belong.

    To prepare:

    Review      the 
    Statistics and Data Analysis for Nursing Research
     chapters      assigned in this week’s Learning Resources. Pay close attention to the      examples presented, as they provide information that will be useful when      you complete the software exercise this week. You may also wish to review      the 
    Research Methods for Evidence-Based Practice
     video      resources to familiarize yourself with the software.

    Refer      to the Week      4 Descriptive Statistics Assignment page and follow      the directions to calculate descriptive statistics for the data provided      using SPSS software. If you run into any difficulties or problems, post      them to the Week 4 Discussion 2 area (see attached file)

    Download      and save the Polit2SetA.sav (see      attached file) data set. You will open the data file in SPSS.

    Compare      your data output against the tables presented in the Week 4 Descriptive Statistics SPSS Output      document (see attached file) This will enable you to become      comfortable with defining variables, entering data, and creating tables      and graphs.

    Formulate      an initial interpretation of the meaning or implication of your      calculations.

    To complete:

    Complete      the Part I, Part II, and Part III steps and Assignment as outlined in      the Week      4 Descriptive Statistics Assignment page. (see      attached file for week 4 descriptive statistics assignment page)

     

    Required Media

    Laureate Education, Inc. (Executive Producer). (2011). 
    Research methods for evidence-based practice: Quantitative research: Data analysis.
    Baltimore, MD: Author.

    Note: 
    The approximate length of this media piece is 10 minutes.

    In this week’s video, the presenter describes challenges to collecting and utilizing quantitative data and offers suggestions for assessing and improving data quality. The strategic use of quantitative data by health care organizations is also considered.

    Introduction to SPSS”

    Used by permission from SPSSVideoTutor.com A division of ConsumerRaters LLC., 1121 S Military Trail, 314, Deerfield Beach, FL 33442, USA

    Descriptive Statistics”

    Used by permission from SPSSVideoTutor.com A division of ConsumerRaters LLC., 1121 S Military Trail, 314, Deerfield Beach, FL 33442, USA

    Note:
     The approximate length of this media piece is 12 minutes.

    Note: The approximate length of this media piece is 11 minutes.

    Top of Form

    Required Readings

    Gray, J.R., Grove, S.K., & Sutherland, S. (2017)
    . Burns and Grove’s the practice of nursing research: Appraisal, synthesis, and generation of evidence
     (8th ed.). St. Louis, MO: Saunders Elsevier.

    Chapter      21, “Introduction to Statistical Analysis”

    This chapter discusses the concepts of statistical analysis with regard to hypothesis testing. The chapter also identifies and defines common statistical terminology.

    Polit, D. (2010). 
    Statistics and data analysis for nursing research
     (2nd ed.). Upper Saddle River, NJ: Pearson Education Inc.

    Chapter      1, “Introduction to Data Analysis in an Evidence-Based Practice      Environment”

    This chapter provides an introduction to quantitative and qualitative data in evidence-based practice. The chapter introduces levels of measurement and types of statistical analyses relevant to different types of research studies.

    Chapter      2, “Frequency Distributions: Tabulating and Displaying Data”

    Chapter 2 discusses frequency distributions as well as the different methods of presenting data, especially when data are very extensive. The chapter includes information on the use of bar charts, pie charts, histograms, and frequency polygons.

    Chapter      3, “Central Tendency, Variability, and Relative Standing”

    This chapter examines the many ways data distribution for a quantitative variable can be described through shape, central tendency, and variability.

    Software

    IBM SPSS Statistics Standard GradPack (current version). Available in Windows and Macintosh versions. Please refer to the 
    IBM SPSS Software
    area in the 
    Course Overview
     section on the left navigation bar for more information on how to install, register, and license this software.

    Optional Resources

    Bilheimer, L. T., & Klein, R. J. (2010). Data and measurement issues in the analysis of health disparities. 
    Health Services Research, 45
    (5), 1489–1507. doi:10.1111/j.1475-6773.2010.01143.x

    Granberg-Rademacker, J. S. (2010). An algorithm for converting ordinal scale measurement data to interval/ratio scale. 
    Educational & Psychological Measurement, 70
    (1), 74–90.

    This site provides step-by-step procedures and screenshots for working with SPSS.

    Walden University. (n.d.). Descriptive statistics. Retrieved August 1, 2011, from http://streaming.waldenu.edu/hdp/researchtutorials/educ8106_player/educ8106_descriptive_stats.html

  • Leadership Styles Essay

    Leadership Styles Essay

    There are many articles and books written about the differences between managers and leaders. Leaders are visionary, influential in positive ways, value their teams, support their growth, and empower their staff. Leaders who are positive in their actions coach, delegate, and share recognition. Read the following scenarios and answer the questions given in each scenario.

    Scenario A

    Consider a time when you had the experience of being led by someone who was able to get you to achieve more than you thought you could. Based on what you learned about leadership styles, describe events examining how your selected leader worked by certain principles. In addition, report details of an event demonstrating how you were led to perform.

    On the basis of the above scenario, answer the following questions in a Leadership Styles Essay :

    What style did the leader exhibit? Describe events pointing out how your selected leader worked by certain principles.

    Report details of the scenario demonstrating how you were led to perform.

    How did you improve your overall attitude and motivation based on a supportive leader in the workplace?

    Positive influence can help team members develop their skills and knowledge. Do you agree to this statement? Why and how?

    How does working in a positive organization with supportive leadership encourage staff performance at work each day?

    What leadership skills will you take from your positive experience and use when you are in a leadership position?

    Scenario B

    Now, recall a time when you were led by someone who could not motivate you. Describe events pointing out how your selected leader’s working style made subordinates feel uncomfortable.

    On the basis of the above scenario, answer the following questions in a Leadership Styles Essay:

    What style did the leader exhibit? Describe events pointing out your selected leader’s leadership style.

    Report details of the scenario demonstrating how you were led in his or her team.

    How did the manager’s action make you feel? Explain.

    Which leadership behaviors do you think your selected leader lacked? Do you think the leader had ever had a chance to learn about leadership styles?

    How important is it for a leader to be trained to guide and motivate the staff members to enhance team unity, enthusiasm, and positive attitudes?

    What role should the individual staff member have to motivate himself or herself instead of relying on a manager?

  • balanced scorecard presentation

    Overview

    Create and record a 5–10-minute (10–12-slide) presentation of a balanced scorecard briefing for a CEO using Adobe Connect and PowerPoint.

    Note: The assessments in this course are presented in sequence and must be completed in order.

    Organizations are required to demonstrate outcomes as a condition of participation for government and some private payers. The balanced scorecard is a methodology used to complete an implementation plan for the strategy and as a method measure results against predetermined benchmarks.

    By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

    Competency 2: Develop a strategic organizational plan that provides human and financial resources to support targeted organizational outcomes.

    Present operational recommendations and strategic control mechanisms including goals, objectives, resources, and action steps.

    Define critical success indicators that allow an organization to measure success in implementing the strategy.

    Competency 3: Recommend an organizational structure and design to optimize a strategic plan.

    Propose a strategic plan to optimize outcomes and mitigate risks in an organization.

    Competency 4: Communicate in a manner that is scholarly, professional, and consistent with expectations for professionals in health care administration.

    Create a visually pleasing professional presentation tailored to a specific audience that uses charts and/or images that support the content.

    Communicate persuasively and clearly in a limited time frame.

    Context

    Today, in health care management, there is an appropriate emphasis on outcomes and results. However, in the specific case of strategic management, we often say that the process of strategic thinking is more important than the product—the plan. In health care, the product is actually the service of care delivery.

    Strategic thinking is a challenging and exciting task for healthcare leaders. It requires experienced health care executives to think creatively and reserve judgment of new ideas.

    The Assessment 4 Context document contains important information about the following topics related to successful implementation of strategic plans:

    Decision making methodologies.

    Culture, structure, and value chain.

    Implementation strategies.

    Change strategies.

    Strategic control.

    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 the business community.

    What role does a TOWS analysis play when looking for some strategic alternatives?

    What is a value differentiation strategy?

    How would you use it and why?

    If you were looking for a marketing strategy, how would you determine which market entry strategy would provide the quickest entry into the market?

    What advantages might the slowest strategy offer?

    What changes first: Strategy or structure?

    What role does consumerism play in marketing a service?

    Does your health organization operate as a consumerism-driven service? If so, how does this affect the organization?

    What issues do hospital leaders face in responding to a disaster from the perspective of human resources, legal, and financial issues?.

    What, if anything, is a local hospital required to do in response to a disaster?

    What are the primary differences in the human resources strategies needed for expansion, contraction, and maintenance of scope?

    Which type of adaptive strategy is the most difficult to implement from a human resources perspective? Why?

    What is the linkage between the internal environment and value-adding service delivery and support services.

    What would be a good example of this in your own health care organization?

    Required Resources

    The following resources are required to complete the assessment.

    Recording a Presentation(I would do this part)**

    This assessment requires you to record your presentation using Adobe Connect (or a similar tool capable of recording presentations). If a tool other than Adobe Connect is used, you are required to provide the instructor ease of access in order to evaluate the recorded presentation. Instructions and tutorials are available from the Using Adobe Connect support page on Campus. The following resource is a quick overview of the steps and configuration information needed to record your presentation:

    Adobe Connect Recording Quick Start Guide.

    Adobe Connect

    In preparation for using Adobe Connect to record your presentation for this assessment, complete the following:

    If you have not already done so, install and test your recording device (headset or webcam with integrated microphone) on your computer, using the installation instructions included in the package.

    Suggested Resources

    The following optional resources are provided to support you in completing the assessment or to provide a helpful context. For additional resources, refer to the Research Resources and Supplemental Resources in the left navigation menu of your courseroom.

    Assessment 4 Context.

    Library Resources

    Burton, D. A. (2015). 6 predictions for health care and population health. Healthcare Financial Management, 69(4), 58–63.

    Ginter, P. M., Duncan, W. J., & Swayne, L. E. (2013). Strategic management of health care organizations (7th ed.). San Francisco, CA: Jossey-Bass.

    Chapter 6, “Developing Strategic Alternatives,” pages 204–251.

    Chapter 9, “Value-Adding Support Strategies,” pages 345–381.

    Chapter 10, “Communicating the Strategy and Developing Action Plans,” pages 383–409.

    Kaplan, R. S., & Norton, D. P. (1996). Using the balanced scorecard as a strategic management system. Harvard Business Review, 74(1), 75–85.

    Kaplan, R. S., & Norton, D. P. (2004). Measuring the strategic readiness of intangible assets. Harvard Business Review, 82(2), 52–63.

    Kun, K. E., Kassim, A., Howze, E., & MacDonald, G. (2013). Interviewing key informants: Strategic planning for a global public health management program. The Qualitative Report, 18(9), 1–17.

    Malof, L. C. (2013). The power of data—From data mining to consumer pricing and quality-of-care tools. Benefits Quarterly, 29(4), 20–23.

    Meyer, C. K., Clapham, S. E., & Lemke, A. (2014). Strategic planning at UnityTrust Hospital. Journal of Business and Behavioral Sciences, 26(3), 112–126.

    Rosenberg, L. (2012). Are healthcare leaders ready for the real revolution? Journal of Behavioral Health Services & Research, 39(3), 215–219.

    Internet Resources

    Access the following resources by clicking the links provided. Please note that URLs change frequently. Permissions for the following links have been either granted or deemed appropriate for educational use at the time of course publication.

    Balanced Scorecard Institute. (n.d.) What is strategic planning? Retrieved from https://balancedscorecard.org/Resources/Strategic-Planning-Basics

    Balanced Scorecard Institute. (n.d.) Creating organizational strategic alignment. Retrieved from https://balancedscorecard.org/Resources/Cascading-Creating-Alignment

    Balanced Scorecard Institute. (n.d.) What is a key performance indicator? Retrieved from https://balancedscorecard.org/Resources/Performance-Measures-KPIs

    Kovner, K. (2013). 8 simple rules for stronger PowerPoint presentations. Clickz. Retrieved from http://www.clickz.com/clickz/column/2306763/8-simple-rules-for-stronger-powerpoint-presentations#

    Wang, C. (2015). 7 design tips for effective, beautiful PowerPoint presentations. The Shutterstock Blog. Retrieved from http://www.shutterstock.com/blog/7-design-tips-for-effective-beautiful-powerpoint-presentations

    Assessment Instructions

    Note: Assessment 3, TOWS Matrix must be completed before beginning this assessment.

    Preparation

    Organize your thoughts. Use the balanced scorecard methodology to complete an implementation plan for the strategy you recommended for your corporation in Assessment 3. You are encouraged to strive for flow of logic, substance, and brevity.

    Set up your Adobe Connect Meeting Room. You will be recording your presentation in your Adobe Connect meeting room and including a link to the recorded file in the assessment submission comment box and in your document. Links to the Adobe Connect Tutorials can be found in the Resources section of this assessment.

    Step One: Create PowerPoint Presentation

    When preparing the information for your presentation, focus on the conceptual level to make sure you are on target and aligned with strategic goals. Remember, CEOs expect presentations to be brief, substantive, and concise.

    Design for your Audience: If your organization has “branding standards,” use them. You are expected to follow generally recognized guidelines for professional presentations. Spare your audience from a “death by PowerPoint” experience. Consult the suggested resources to remind yourself of the do’s and don’ts of effective presentations.

    Address the following points in your briefing:

    Describe at least five objectives, with your corresponding metrics, targets, and initiatives, to help the organization achieve the strategic direction you have designed.

    Present your operational recommendations and strategic control mechanisms.

    Include the strategic goals, objectives, and action steps for reconfiguring and aligning the organization’s structure, systems, shared values, management style, staff, and skills.

    Include critical success indicators that the organization can use to measure its performance in implementing the strategy.

    Evaluate the effect of your strategy formulation, weighing factors of measurement against current measurement benchmarks in the organization.

    Presentation Structure

    In the real world, you can consider yourself lucky when you get 5–10 minutes of a CEOs time. You will need to limit your briefing to 10–12 slides or you will run out of time. Structure your briefing following the format below. Use the notes portion of each slide to write your script and practice your script to make sure you stay as close to the suggested time frames as possible.

    Slide 1: Cover (15 seconds).

    Slide 2: Vision/Mission/Values (30 seconds).

    Slide 3: External environment analysis tool applied (table) (1 min).

    Slide 4: Internal analysis tool applied (table or graphic) (1 minute).

    Slide 5: Gap analysis: desired position v. actual (1 min).

    Slide 6: Recommend directional strategy (1 minute).

    Slide 7: Develop 3–4 key goals/objectives (1 minutes).

    Slide 8: Visual: Balanced Scorecard table with 1–3 performance indicators and associated metrics (1 min).

    Slide 9: Analysis (1 min).

    Slide 10: Recommendations/Conclusions (1 min).

    Slide 11: References.

    Step Two: Practice and Record Your BriefingI WOULD DO THIS PART**

    Use your Adobe Connect Meeting Room to practice and record your briefing. When you are satisfied with your recorded presentation, complete the following steps before submission:

    Change Access Type to Public: Your recording must be made “public” so that the instructor can view it.

    Paste the URL for Viewing into the activity text box: On the Recording Information page, click the URL for Viewing to watch your recording. If you are satisfied with your recording and are ready to share it with your instructor, copy the URL for Viewing and paste it into the activity text box.

    Submit your PowerPoint presentation, any relevant addendums along with the link to your Adobe Connect recording (The URL for Viewing) to this assessment.

    Note: Be sure that you are posting the specific URL for Viewing for the Adobe Connect recording rather than the URL for the meeting room in which the recording was made.

    Additional Requirements

    Time length: A 5–10 minute recorded presentation targeted to the CEO of your corporation. Paste the URL for Viewing into the assessment comments box.

    Number of slides: PowerPoint slide deck containing 10–12 slides.

    Addendum: Include all relevant supporting details, such as data, charts, and graphs as an addendum to the presentation. Indicate the slide associated with the relevant data set.

    APA formatting: Resources and citations are formatted according to current APA style and formatting.

    Number of Resources: Use a minimum of six authoritative contemporary sources to support your presentation.

  • Personal Worldview Essay

    Write an 800-1,000-word essay on your personal worldview. Briefly discuss the various possible meanings of the term “spirituality,” and your understanding of the concepts of pluralism, scientism, and postmodernism. Primarily, address the following seven basic worldview questions:

    What is prime reality?

    What is the nature of the world around us?

    What is a human being?

    What happens to a person at death?

    Why is it possible to know anything at all?

    How do we know what is right or wrong?

    What is the meaning of human history?

    Prepare this assignment according to the APA guidelines

  • Continuous Quality Improvement (CQI)

    Continuous Quality Improvement (CQI)

    A minimum of 300 words is required.

    1. In patient care settings, what questions should you ask to operationalize Continuous Quality Improvement (CQI)?

    2. Given  the abundance of the evidence about best practices in patient care and  evidence about how to improve quality and safety using CQI methods and  tool, how can we ensure progress in the future?

    Road Map for the Future: Who are the future leaders? Where do we find them? How can we support their development?

  • The Affordable Care Act Paper

    The Affordable Care Act Paper

    Please answer to this discussion post. Needs to be 150 words or more. No plagiarism and APA style, cited. Should you have any questions please let me know via messenger. Thanks.

    Identify what are the specific provisions within the mandate that will directly impact the delivery of care.

     
    The Affordable Care Act (ACA) seeks to contribute to the expansion of the healthcare coverage relating to the patients (Hall, & Allhoff, 2014). Some of the provisions of The Affordable Care Act include overhauling of the individual insurance market resulting to the various laws and regulating the conduction of different professionals in the health sector. The provisions required that the illegal immigrants remain unsecured while all the insurers were required not to deny any person who is eligible to be covered. Also, ACA’s provisions included the expansion of the Medicaid suggesting that the delivery of services relating to health were made more effective. Also, the provision to reduce the health care costs resulted in a large number seeking medical attention when there is the need. Therefore, delivery of health services is consistent, and it is made in a manner by which most of the individuals are in a position to enjoy high-quality healthcare services (Selker, & Wasser, 2014).  Therefore, it is evident that these provisions improved the health sector considering matters to do with delivery of services and how to care for the clients even after there are discharged.

    Discuss one key challenge that you anticipate facing in advanced practice as a result of one of the provisions

    However, with the overhauling of the individual insurance market, there exists a challenge that relates to increased costs that are meant to control the payment of the insurance premiums and observe whether the new regulations are followed. In other words, there are higher chances that the more costs will be earned when seeking to control and monitor the adherence to the laws and policies that have been set by the government.  Therefore, the revenue earned by the government from these proceedings will reduce and tend to affect the economy. Therefore, it is evident that as much as the ACA’s provisions led to benefits, there are also some cases of challenges.

    References

    Hall, M. & Allhoff, F. (2014). 
    The Affordable Care Act decision : philosophical and legal implications
    . New York: Routledge.

    Selker, H. & Wasser, J. (2014). 
    The Affordable Care Act as a National Experiment : Health Policy Innovations and Lessons
    . New York: Springer

  • Fetal Abnormality Case Study

    Write a 250-500 word analysis of “Fetal Abnormality Case Study” Be sure to address the following questions:

    Which theory or theories are being used by Jessica, Marco, Maria, and Dr. Wilson to determine the moral status of the fetus? Explain.

    How does the theory determine or influence each of their recommendation for action?

    What theory do you agree with?  How would the theory determine or influence the recommendation for action?

    Prepare this Fetal Abnormality Case Study assignment according to the APA guidelines

    Fetal Abnormality Case Study

    Jessica is a 30-year-old immigrant from Mexico City. She and her husband Marco have been in the U.S. for the last 3years and have finally earned enough money to move out of their Aunt Maria’s home and into an apartment of their own. They are both hard workers. Jessica works 50 hours a week at a local restaurant, and Marco has been contracting side jobs in construction. Six months before their move to an apartment, Jessica finds out she is pregnant.

    Four months later, Jessica and Marco arrive at the county hospital, a large, public, nonteaching hospital. A preliminary ultrasound indicates a possible abnormality with the fetus. Further scans are conducted and it is determined that the fetus has a rare condition in which it has not developed any arms, and will not likely develop them. There is also a 25% chance that the fetus may have Down syndrome.

    Dr. Wilson, the primary attending physician is seeing Jessica for the first time, since she and Marcodid not receive earlier prenatal care over concerns about finances. Marco insists that Dr. Wilson refrain from telling Jessica the scan results, assuring him that he will tell his wife himself whenshe is emotionally ready for the news. While Marco and Dr. Wilson are talking in another room, Aunt Maria walks into the room with a distressed look on her face. She can tell that something is wrong and inquires of Dr. Wilson. After hearing of the diagnosis, she walks out of the room wailing loudly and praying out loud.

    Marco and Dr. Wilson continue their discussion, and Dr. Wilson insists that he has an obligation to Jessica as his patient and that she has a right to know the diagnosis of the fetus. He furthermore is intent on discussing all relevant factors and options regarding the next step, including abortion. Marco insists ontaking some time to think of how to break the news to Jessica, but Dr. Wilson, frustrated with the direction of the conversation, informs the husband that such a choice is not his to make. Dr. Wilson proceeds back across the hall, where he walks in on Aunt Maria awkwardly praying with Jessica and phoning the priest. At that point, Dr. Wilson gently but briefly informsJessica of the diagnosis, and lays out the option for abortion as a responsible medical alternative, given the quality of life such a child would have. Jessica looks at him and struggles to hold back her tears.

    Jessica is torn between her hopes of a better socioeconomic position and increased independence, along with her conviction that all life is sacred. Marco will support Jessica in whatever decision she makes, but is finding it difficult to not view the pregnancy and the prospects of a disabled child as a burden and a barrier to their economic security and plans. Dr. Wilson lays out all of the options but clearly makes his view known that abortion is “scientifically” and medically a wise choice in this situation. Aunt Maria pleads with Jessica to follow through with the pregnancy and allow what “God intends” to take place, and urges Jessica to think of her responsibility as a mother.

  • Affordable Care Act

    The Affordable Care Act is kind of a watershed in the public health policies in U.S.Through extension series of and multiple laws that together consists of the U.S federal legal framework in the system of health care.ACA  is an act the forms the main and key legal protections that have been absent till now: which offers the guarantee of coverage to affordable health insurance when given birth till when ones go for retirement. A number of Americans that are uninsured will rise to more than half when the Act is fully implemented.

    There are key provisions that increase the access to the secondary and primary prevention services such as screening of regular diseases and immunizations while still the core goal of the ACA is to raise the access to the system of the traditional health care through the increase in the options for health insurance that is affordable.The mandate of the health plans is to offer preventive health services to their members without charging coinsurance or copayment so long as it is the provider that is delivering the services in the network plan.Blood pressure cancer screenings, cholesterol screening and immunization of vaccinations for both youth and adults are among the preventive health services.

    In conclusion, At no cost, several other health behavior interventions are covered including depression screening, misuse screening and counseling and interventions of tobacco cessation.ACA needs food and drug Administration free provision though this is a challenge when it comes to religion perspective to contraception. Shortage of health professional will be a great challenge due to the huge significant number.On the other hand, nurses and who are the programs practitioners will get even stronger.

    References

    Koestler, A. (2014). 
    The act of creation
    . United States: Last Century Media.