EXPERT_RESEARCHER

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DUE MONDAY 01/23 —> NRUSING RESERACH

 

Assignment 2: Research Proposal Draft

By Monday, January 23, 2017, write a (5–6 pages) paper addressing the sections below of the research proposal.

This week you will submit the Literature Review section of your proposal. Each week you have been adding to your growing body of evidence to support your problem and proposed innovation to address the problem. The review of literature is a critical, analytical summary and synthesis of the current knowledge of your research topic. Thus it should compare and relate different theories, findings, etc., rather than just summarize them individually.

The following resources will help guide you (in addition to our course textbooks):

Submit your assignment to the W4: Assignment 2 Dropbox by Monday, January 23, 2017.

Assignment 2 Grading Criteria
Maximum Points
Literature reviewed represents current scholarly literature.
5
Literature reviewed represents a comprehensive review of the research topic.
5
Review of the literature is a critical, analytical summary. 
5
Review of the literature illustrates a synthesis of the current knowledge of research topic.
10
Followed APA guidelines for writing style, spelling and grammar, and citation of sources.
5
Total:
30

 

Developing an Evaluation Plan and Disseminating Evidence

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Details:

Using 800-1,000 words, discuss methods to evaluate the effectiveness of your proposed solution and variables to be assessed when evaluating project outcomes.

Example: If you are proposing a new staffing matrix that is intended to reduce nurse turnover, improve nursing staff satisfaction, and positively impact overall delivery of care, you may decide the following methods and variables are necessary to evaluate the effectiveness of your proposed solution:

Methods:

  1. Survey of staff attitudes and contributors to job satisfaction and dissatisfaction before and after initiating change.
  2. Obtain turnover rates before and after initiating change.
  3. Compare patient discharge surveys before change and after initiation of change.

Variables:

  1. Staff attitudes and perceptions.
  2. Patient attitudes and perceptions.
  3. Rate of nursing staff turnover.

Develop the tools necessary to educate project participants and to evaluate project outcomes (surveys, questionnaires, teaching materials, PowerPoint slides, etc.).

Refer to the “Topic 4: Checklist.”

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

 

 

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

6 NRS 441v.11R.Module 4_Checklist.doc

Details:

Using 250-500 words, summarize your strategy for disseminating the results of the project to key stakeholders and to the greater nursing community.

Refer to the “Topic 4: Checklist.”

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

You are not required to submit this assignment to Turnitin.

6 NRS 441v.11R.Module 4_Checklist.doc

Prof GEGEE

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Critical Thinking: Case Study – Develop a Motivation Plan (90 Points)

First read Case Study 5-6, Develop a Motivation Plan, on page 133 in Organizational Behavior in Health Care.

The following level headings might be useful in developing your paper.

  • Introduction and explanation of the case study
  • Theories for analysis
  • Recommendations for motivation
  • Conclusion

Within the principles of the content theories of Maslow, Herzberg, and Alderfer, address the following in a paper:

  1. Explain why Susan is behaving the way she has over the past three months.
  2. Offer three specific recommendations to address the problem.

Your well-written paper should meet the following requirements:

  • Be 3-4 pages in length, not including the required cover and reference pages
  • Formatted according APA writing guidelines
  • Provide support for your statements with in-text citations from a minimum of three scholarly articles from peer-reviewed journal articles which updated 7 years.
  • Deadline at 20/FEB/2017

The case study is here:

 

Case Study 5-6, Develop a Motivation Plan

Jane Crouch is the director of nursing for a 400-bed nonprofit hospital in the Southwest. Susan Smith joined the hospital as a staff nurse three years ago after relocating from the Northeast.  She is 30 years old and has been a staff nurse since graduating from a two-year college nursing program 10 years ago. She is married to a lawyer, and they have two children, ages 6 and 8.

The hospital’s inpatient census has been extremely high because of another hospital’s closing.  The tension on the nursing floors has been running pretty high because of time pressures to discharge patients early, lack of professional staff, and an upcoming accreditation visit from The Joint Commission. Because of time restraints, Jane was unable to complete the staff’s annual performance evaluations. However, all nurses received a 5 percent pay increase. With this increase, the hospital staff is now the highest paid as compared with other hospitals within the region. Jane believes the higher pay compensates the nursing staff for their increased workload and related stress levels.  

Until recently, Jane has been pleased with Susan’s performance. Susan has demonstrated her willingness to work hard and has made very few, if any, patient-care errors. However, over the past three months, Jane has noticed that Susan is not performing at her same productivity level and appears to argue frequently with the treating physicians and other nurses about the patient’s treatment plans. Jane frequently hears Susan complaining that “no one listens to me,” “no one wants to hear my opinion,” and “they don’t pay me enough to do this job.”

Susan was once a highly motivated, productive member of the nursing staff. Jane understands that everyone is experiencing more stress than usual because of the increased workload, but what can be done to motivate Susan to her prior “self”?

 

Within the principles of the content theories of Maslow, Herzberg, and Alderfer, explain to the director of nursing why Susan is behaving the way she has over the past three months.

POST@5

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Hello i need a good and positive comment related with this argument .A paragraph  with no more  90 words.

 

 Deactivated

 

Idalmis Espinosa 

 

3 posts

 

Re:Topic 4 DQ 1

 

The U.S health care system faces significant challenges, despite being viewed by many people as the most efficient. The U.S health care system remains one of the least efficient in the world and the most expensive (Stephen Davidson, 2010).  According to a report by the Commonwealth Fund, The US health care system ranks last among eleven industrialized countries on measures of access, equity, quality, efficiency and healthy lives. The study also shows that a higher percentage of Americans skip out on the medical care they need simply because it’s too expensive. 37% of Americans don’t visit a doctor or seek out medical care because they are afraid of the cost, compared to a country like the United Kingdom, where only 4% of people there are reported to have skimped on healthcare for similar concerns. This just shows how health care in America is expensive for the ordinary American to afford. One of the reasons that worsen the situation in America is that the U.S doesn’t offer universal health care as compared to other countries; this leaves a huge percentage of the population uninsured and unable to pay for medical services.

 

According to Stephen Davidson (2010), there are approximately 37 million Americans who are not insured and that’s a growing concern. Prevention care is underutilized in the U.S which results in higher spending on complex diseases. Patients with chronic illnesses like diabetes, hypertension etc. don’t receive the care they need for example; drug therapies and self-management services to help them manage their conditions. There have also been cases of patients receiving unnecessary and harmful treatment. People with lower incomes and of different ethnic groups are the most affected since they face great disparities in health care.

 

The biggest U.S health care challenge faced by the country is management challenges. The health care system is always under pressure to cut costs and improve the quality of health care (Stephen Davidson, 2010). The main challenge being use of outdated and ineffective technology in some of the facilities. The management of these health care facilities are also opposed to changes which is another barrier faced by the U.S health care system.

 

The U.S health care system was in dire need of reforms so that Americans can enjoy health care system like other countries. High cost of health care is one of the issues that encouraged the need for reform of American health care system. There was need to reform the health care system especially because 25 million Americans were under-insured and 37 million had no health insurance or coverage. This meant that most Americans would pay for health services out of their pockets which is not affordable to all.

 

Stephen Davidson (2010) notes that, Americans were and are still not getting the effective health care that they require, the cost is too high, and thus the needs for health care reform. All these challenges led to the passage of the affordable care Act of 2010. Chronic diseases in America account for seven of 10 deaths among Americans each year; this is one area that prompted the need for reform. Diseases such as hypertension, diabetes and arthritis cost the American economy trillions of dollars each year. Reform in such areas would help the country save a lot of money.

 

The American health care system is still facing challenges up-to-date and there is need for continuous reforms so that all Americans can have the health care system that they deserve. The cost of still too high, the population needs to be educated on areas of disease management and prevention among other areas.

 

 

 

p5

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Hello i need a Good and Positive Comment related with this argument .A paragraph  with no more  100 words.

 

Sarah Hagedorn 

 

1 posts

 

Re:Topic 2 DQ 2

 

The way in which I am understanding the difference between being begotten versus being made is the distinction between a mother and father who love each other having a child together that is begotten to them versus a mother being a surrogate to another family who has made their child. I may not be understanding the distinction correctly, but that is what I have gotten out of it and I do in a sense agree to his description but then I don’t because regardless of where or how the child was conceived and developed each set of parents will love that child regardless. They will not segregate the child because it was not created between the mother and father and carried by that mother. The distinction between procreation and reproduction appear to be the same as well as being the difference between parents creating a child out of passion and parents creating a child out of a petri dish. The thing that he points out with this is that the lines of procreation and reproduction become blurred when it becomes a matter of selecting gametes to use in creation as it blurs the lines of kinship and children are now a product of a person’s will rather than of a couples’ passion with one another (Meilaender 2005). This is a discussion that I can agree with because people begin to interrupt God’s will for their lives when they begin creating babies in petri dishes and some take it steps further to attempt to choose gender and hair and eye color and that is where people begin to ‘play God’ in a sense rather than procreating naturally.

 

 

 

 

P3

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 I NEED A POSITIVE COMMENT BASED IN THIS ARGUMENT..BETWEEN 10-200 WORDS

 

 Deactivated

 

Maria Pop 

 

1 posts

 

Re:Topic 4 DQ 2

 

Determining the level of evidence is a key component of appraising the evidence. This provides guidance in the type of research that are more likely to provide answers to a specific clinical question. Also, it can help us change clinical practice, or apply the clinical practice to the patient population. Peterson, M.  & et all in an article published reported that there are multiple levels of evidence such as:

 

1.        Meta-analysis of multiple controlled studies with results that consistently support a specific action, intervention, or treatment (systematic review of a randomized controlled trial).

 

2.        Evidence from well-designed controlled studies, both randomized and nonrandomized, with results that consistently support a specific action, intervention, or treatment

 

3.        Evidence from qualitative, integrative reviews, or systematic reviews of qualitative, descriptive, or correlational studies or randomized controlled trials with inconsistent results

 

4.        Evidence from peer-reviewed professional organizational standards, with clinical studies to support recommendations

 

5.        Theory-based evidence from expert opinion or multiple case reports

 

The best resources are enumerated from the strongest level of evidence in number one to the weakest level of evidence in number 5.

 

For example: Meta-analyses studies or systematic reviews are quantitative rigorous types of reviews. Which provide a quantitative estimate of how well a treatment works, or provide an estimate of how likely a person is to develop a disease and it produces more confidence for us to base our clinical decision. On the other hand, if you ask a cardiologist about a certain thing, his answer can contradict the books or other expert opinions. His opinion is based on his experience, not on other studies and it is the lowest trustworthy level of evidence. Furthermore, in qualitative research we find the essence of an experience and the sample is small so it is very difficult to be generalized.

 

In a nutshell, when we looking at a research we have to know what type of evidence it can provide and how trustworthy the evidence can be.

 

 

 

 

 

comment jamella

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 I NEED A POSITIVE COMMENT BASED IN THIS ARGUMENT..BETWEEN 150-200 WORDS

 

Author Samples (2011) illustrates understanding of the Christian concept of imago dei as the image of God. However, it can be best explained in Genesis 1:26: Then God said, “Let us make humankind in our image, per our likeness; and let them have dominion over the fish of the sea, and over the birds of the air, and over the cattle, and over all the wild animals of the earth, and over every creeping thing that creeps upon the earth.”  (Shelly & Miller, 2006, p. 77). This verse explains the concept in which human beings are made in the image of God to not just control everything and every animal on the planet, but rather so much more. Humans are to exemplify the values, beliefs, compassion, caring, and love that their creator has shown. As the text states, the best way to do this is mimic the behaviours of Jesus, the son of God, remembering he was not just human (man) but also spiritual in every sense. He cared for ALL things, including humans with unconditional love and compassion.

The Christian way believes every human being has imago dei and as such, is good and caring, providing “care for the poor, the sick and the disenfranchised regardless of social, financial, political or physical standings (Shelly & Miller, 2006, p. 76).  This concept is so very important to healthcare as health providers’ personal views and beliefs in human beings is vital to how they will treat and care for them. If health providers see humans as bad and flawed, as is the usual standing, care and treatment could, and possibly will reflect that belief and thus there will be reasons for subpar care or none. This is relevant because caring for each other, especially when a nurse or doctor, is the core of being a human being. We as nurses identify and address inequalities and injustices that have the potential to impact health through critical awareness of and reflection on the social, cultural and political status quo (Chinn & Kramer, 2011)

Having unconditional care and compassion for everyone whom is in need is even more critical when you are in the healthcare system. “The Christian understanding of the person is that we are physically, psychosocially and spiritually integrated moral beings, created in God’s image to live in relationship with God and others and as responsible stewards of the environment. If nurses lose sight of this understanding of human worth and human life, our profession will cease to exist, for there will no longer be any reason to provide nursing care” (Shelly & Miller, 2006, p. 79).

I say all this as in my day to day care as well as other nurses, we tend to see the type of situation where people are not treated equally daily. However, with my upbringing of two leaders, a dad whom was a professor and then turned Pastor, and my mother whom is still practicing in the nursing field, I can’t help but to treat everyone with the same respect just as I would want to be treated if I were in the hospital or anywhere. It is very unfortunate that many people don’t have people to speak up for them when they are hospitalized, they are alone with no one to voice their concerns, etc. In many cases nurses have a very high nurse to patient ratio which enables the nurse to spend the proper time with the patient to make sure all their needs and concerns are addressed properly. We try our best to make sure that all patients are cared for and that their concerns and needs are addressed within the proper manner. Health care has changed over the years. It seems to me that many hospitals don’t care about what the patient thinks. They are more concerned with the revenue they will receive from the services. Therefore, we must always be advocates for those who are unable to do so for themselves. We let our patients know each day that they have a voice and they are in charge of their care. I lead the interdisciplinary team rounds every morning to address their plan of care and needs. This team is comprised of myself the nurse leader, their assigned RN, Internal MD, pharmacist, and case management and have proven to be successful for about a year now that we have started the process.

                                                                                 References

Chinn, P.L. & Kramer, M.K. (2011). Integrated theory and knowledge development in nursing (8th ed.). St. Louis, MO: Elsevier.

Samples, K. (2011). Imago Dei: What does it mean? Retrieved from http://www.reasons.org/articles/imago-dei-what-does-it-mean

Shelly, J. A., & Miller, A. B. (2006). Called to care: A Christian worldview for nursing (2nd ed., Rev. and expanded.). Downers Grove, Ill.: IVP Academic/Intervarsity Press. Retrieved from https://viewer.gcu.edu/UGPTQ4

EXCEPTIONAL GENIOUS ONLY

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Homework 1 

 

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 The Annotated Bibliography  

The purpose of this assignment is to demonstrate progress in compiling research and to indicate a methodology for organizing research sources. 

Recommended: Before you begin, review chapters 4 – 6 in A Pocket Style Manual (APA).

Include the following in your annotated bibliography:

  • APA citations and annotations for four (4) sources you deem relevant to your problem statement (thesis).

For each source:

  • Cite the source in proper APA format. The citations should be organized in alphabetical order by author as in an APA References page. 
  • Follow with a brief annotation that summarizes the source (approximately 3 – 5 sentences). You may quote from the source, but do not copy and paste from the abstract. 
  • In 1 or 2 sentences, explain and evaluate the source’s relevance and significance to your hypothesis. Does this support or discredit your hypothesis?  
  • Use an academic tone and style. 

Review the rubric for further information on how your assignment will be graded.

 

 

***** I need this homework by Wednesday please******

 

 

Homework 2 

 

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 Public Policy Meeting Assignment

 Submit a 3-4 page summary paper on the public policy meeting. Include headings in your paper that address these components:

  • The purpose of the meeting, key participants, key agenda items, and meeting logistics
  • Background information and a description about the committee
  • One specific topic that was discussed at the meeting and an explanation of the committee process
  • An analysis of the key stakeholder positions related to the topic discussed
  • Key interactions that occurred at the meeting
  • Outcomes of the meeting including the specific topic focus
  • APA format (6th ed.), proper grammar, and references as appropriate

 

**** I need it for saturday**********