nurs 6053 Week 4 discussion question

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Critiquing a Change Effort

Week 4 discussion question nurs 6053

As a nurse leader, you need to have the skills and knowledge to collaborate and communicate with those who plan for and manage change. This capacity is valuable in any health care setting and for many different types of change. Furthermore, it is essential to be able to evaluate a change effort and determine if it is promoting improved outcomes and making a positive difference within the department or unit, or for the organization as a whole.

To prepare:

·        Review Chapters 7 and 8 in the course text. Focus on the strategies for planning and implementing change in an organization, as well as the roles of nurses, managers, and other health care professionals throughout this process.

·        Reflect on a specific change that has recently occurred in your organization or one in which you have worked previously. What was the catalyst or purpose of the change?

·        How did the change affect your job and responsibilities?

·        Consider the results of the change and whether or not the intended outcomes have been achieved.

·        Was the change managed skillfully? Why or why not? How might the process have been improved?

On the Week 4 Discussion Board, post on a summary of a specific change within an organization and describe the impact of this change on your role and responsibilities. Explain the rationale for the change, and whether or not the intended outcomes have been met. Assess the management of the change, and propose suggestions for how the process could have been improved.

 Course Readings/ Resources

·        Marquis, B. L., & Huston, C. J. (2015). Leadership roles and management functions in nursing: Theory and application (8th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.

o   Chapter 7, “Strategic and Operational Planning” Chapter 8, “Planned Change”

·        McAlearney, A., Terris, D., Hardacre, J., Spurgeon, P. Brown, C.,  Baumgart, A.,  Nyström, M. (2014). Organizational coherence in health care organizations: Conceptual guidance to facilitate quality improvement and organizational change. Quality Management in Health Care, 23(4), 254-267 doi: 10.1097/QMH.0b013e31828bc37d

·        Mitchell, G. (2013). Selecting the best theory to implement planned change. Nursing Management – UK,20(1), 32-37. doi: 10.7748/nm2013.04.20.1.32.e1013

.

·        Shirey, M. R. (2013). Lewin’s Theory of Planned Change as a strategic resource. The Journal of Nursing Administration, 43(2), 69-72. doi:10.1097/NNA.0b013e31827f20a9

 

 

This is for Case Study 2!!

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Unit 4 Discussion 1

Critical Thinking and Diagnostic Reasoning

Please select one of the following case studies and complete the chart. Please review audio-videos, PowerPoint presentations, and assigned chapters to assist with this Assignment. You are expected to role play the selected scenario with a family member to gather necessary data to complete the chart. For each person described in the following situations, discuss the developmental/age, socioeconomic, ethical considerations, and cross-cultural considerations that should be considered during the gathering of subjective and objective data, and the provision of health care. Discuss any additional information that might be needed before a judgment or diagnosis can be made. Submit the completed chart to the Discussion Board by Friday at 11:59 p.m.

 

1.      A. E. is a 35-year-old African American female, and is 5 months pregnant presenting to the office today for a routine prenatal visit. She complains that her neck feels swollen and that she has been feeling nervous and tired. She also complains about the heat, excessive sweating, and how she “can’t seem to get cool during these summer months.” She attributes all these complaints to her pregnancy.

 

2.      J. L. is a 55-year-old Caucasian female who had a CVA within the past week. J. L. is easily frustrated, anxious, fearful, and her speech is slurred. She needs verbal cuing for any task she is asked to carry out. She eats only food on the left side of the tray and responds only when approached from the left side.

 

Components of

assessment

Subjective

Diagnostic Reasoning

(list key questions —  use PQRSTU pneumonic)

Objective

Normal vs.

abnormal findings

(must note pertinent body systems to be examined)

Differential

diagnoses

(list 3)

 

Nurses diagnosis (list 1)

List relevant labs and

diagnostic studies (if any)

 

 

 Normal

Differential

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Abnormal Findings

Nurses Diagnosis

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Developmental/age considerations:

 

 

Socioeconomic considerations:

 

 

Cross-cultural considerations:

 

 

Ethical considerations:

 

 

Additional info needed to formulate actual diagnosis:

 

 

 

Unit 7: Unit 7: Qualitative Analysis and The Research Critique Process – Discussion

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Topic 1: Identifying Themes and Patterns
 

Qualitative data analysis can be quite complex and time-consuming. Whether the research design is descriptive or uses a specific qualitative methodology such as phenomenology, the researcher will need to consider all the data that is generated from data gathering. Most qualitative data are gathered from interviews, and the results are examined for themes and patterns.

 

  1. Please describe and discuss how themes and patterns emerge from the analysis of data.
  2. Identify and briefly describe the specific themes of the approved qualitative study you will be critiquing.
  3. End your discussion with a reflection of the significance of subjective findings to informing a patient-centered, holistic view of the patient.

Please attach the study for others to view

Provide at least three citations with full references to credible nursing scholarly articles supporting your definitions and discussion.

Responses must be specific to each point in the discussion. i.e., number the response addressing point #1, point #2, and point #3. 

Do not use quotes of any kind, but do provide citations to support statements and claims made.

 

PLEASE provide at least 300 words and 4 references within the last 5 years no copying ……….. 

For A-PLUS WRITER ONLY

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Public Healthcare Services

Create a presentation of 10- to 12-slides in Microsoft PowerPoint that addresses any one of the following topics of Healthy People 2020. Explain how it benefits the individual and the community.

Please select any one topic from the given list:

  • Access to health services
  • Educational and community based programs
  • Environmental health
  • Maternal, infant and child health
  • Mental health and mental disorders
  • Older adults

Note: The title slide and reference slide will be in addition to the twelve slides required.

You are asked to deliver a twenty minute keynote address to an audience consisting of health care, managed care, and government health professionals. You will focus on one topic of the Healthy People 2020 and address the interests of each audience members. Include the actual speech in the speaker notes below the actual slides of the above presentation.

Also, address the following in your presentation:

  • Provide the outlook of the chosen subject and how the health will be affected if requirements are not met by 2020.
  • What current public and private agencies provide assistance to the consumer to help them make health changes to meet the requirements of the chosen subject’s objectives?
  • What current issues are perceived or real barriers to attain the objectives of 2020?
  • What roles do health care professionals from all areas (healthcare, managed care, and government) need to provide to the consumer to help reach specific objectives in 2020?
  • What role does public health contribute to meeting one or two objectives?
  • What specific health promotion or wellness program will you suggest to help reach the 2020 objectives? If no programs are available, what type of program will you develop?
  • How can communities help reduce issues and risks so objectives can be achieved?
  • What types of financial support is needed by organizations to make the objectives attainable? Who should support the program financially and if the government is involved, what other program should be cut to be able to meet the needs of this program?
  • What health risks will continue to develop if the objectives are not achieved by 2020?
  • How will technology advancement help track data, provide resources for individuals, or monitor progress to stay on task for successful implementation?
  • What disparities for minorities are apparent to impede progress and not achieve the objectives? Does socioeconomic status factor in to a successful result?
  • Conclusion slide: Summarize findings and prediction if the objective(s) are on track to meet the 2020 timeline.

discussion/student response

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will post the students response below.  Discussion just Needs to be ATLEAST a paragraph or so. , students response should be 2-3 question long,

ALL QUESTIONS NEED TO BE ANSWERED!!!!

ALL QUESTIONS NEED TO BE ANSWERED!!!!

ALL QUESTIONS NEED TO BE ANSWERED!!!!

ALL QUESTIONS NEED TO BE ANSWERED!!!!

ALL QUESTIONS NEED TO BE ANSWERED!!!!

ALL QUESTIONS NEED TO BE ANSWERED!!!!

Will add Reading PDF to Post

NO CITATIONS OR QUOTATIONS!

********************Discussion Post*****************

Answer the following questions related to Case Number 4-F Where Everybody Knows Your Name in the Discussion(pg 81)

1. Did Luce have a responsibility to tell her editors about her relationship with Schenk? If so, when should she have informed them?

2. What aspects of their lives should journalists or other media professionals be able to keep private? How much power should the organization they work for have over how these employees conduct themselves?

************************ Student Response #1 ***************************

No, Luce did not have to tell her editors about her relationship with Schenk. There is no need. Luce states in page 125 that she didn’t see their relationship having an interference with her job. 

Journalists and other media professionals are just like us, normal people. The only difference is that more people might possibly know their name because of their occupation being in the media. If they would like to keep their private lives to themselves, they are allowed to do that. It is hard to explain exactly in words, but I believe that the organizations they work for shouldn’t have a say 100% but they should hold their employees to a professional extent. They should be respectful of their work place and employer and be responsible and respectful. What the employees do behind closed doors in their personal lives is their business and the organizations shouldn’t have a say but in public they should hold a certain amount of power. 

************************ Student Response #2 ***************************

1.Luce did not have to tell anyone about her relationship with Schenk because it is no one’s business. The only reason it was ever a problem was because of their jobs. They related in fields and it just seemed to colleagues it wouldn’t work out but they made it work even when no one knew. She did the right thing by keeping it on the low so no one would be surprised about the relationship but the best aspect about the situation is they kept it very professional. 2. Every aspect of a journalists life should be kept private cause work life and private life are two separate things. Although, Luce and Schenk beat all odds by being together it was like 2 magnets attracting and they took the risk by being together and they didn’t care what anyone said. As long as people come to work and do their job they shouldn’t have that much power over them unless they are doing something wrong.

************************ Student Response #3 ***************************

No, I do not feel as if Luce had to tell her editors about her relationship with Schenk. If I was in her position I would have done the same thing in all honesty. People’s personal lives are private so whatever goes on outside of work as long as it does not interfere with the workplace is that person’s business so Luce and Schenk in this case. Although their jobs related in a way it was also kept private for personal reasons. Organizations that people work for only should have power of what goes on in the workplace. Whatever task that have to do with work is the only power organizations should have over their employees. Luce and Schenk came to work, did their job and kept their private life private and that is exactly how it should be.

MN 504 Unit 3 Topic 1

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Using the following examples, develop problem statements, research questions, and hypotheses for EACH one:

  1. You are interested in determining the effect of music on anxiety and pain in the post-surgical patient.
  2. You want to know if tele-health monitoring improves CHF patient outcomes in the home setting.

      3.  End your discussion giving consideration to why it is necessary to have a problem statement, a research question, and a hypothesis. What benefit does it provide?

Provide at least three citations with full references to credible nursing scholarly articles supporting your definitions and discussion.

Responses must be specific to each point in the discussion. i.e., number the response addressing point #1. point #2 and point #3.

Do not use quotes of any kind, but do provide citations to support statements and claims made.

 

 

In order to earn full discussion points, the following criteria must be met in full:

1.     Provide an initial post on or BEFORE Saturday.

2.    Post more than 2 comments per Discussion topic on separate days  (resulting in total participation on three different days throughout the discussion). At least two comments include a citation.

3.    Frequently attempt to motivate the group discussion.

4.    Answer all discussion question points with opinions/ideas creatively and clearly. Supports post using several outside, peer-reviewed sources (Scholarly sources… NOT internet sites).

5.    No errors with APA format.

6.    Consistently use Standard American English with no misspellings. Appropriate mechanics and formatting.

 

7.    The initial post must at least 200 words.  This does not include repeating the DB question or the citations and references.

This is for Case Study 2!!

/in /by

Unit 4 Discussion 1

Critical Thinking and Diagnostic Reasoning

Please select one of the following case studies and complete the chart. Please review audio-videos, PowerPoint presentations, and assigned chapters to assist with this Assignment. You are expected to role play the selected scenario with a family member to gather necessary data to complete the chart. For each person described in the following situations, discuss the developmental/age, socioeconomic, ethical considerations, and cross-cultural considerations that should be considered during the gathering of subjective and objective data, and the provision of health care. Discuss any additional information that might be needed before a judgment or diagnosis can be made. Submit the completed chart to the Discussion Board by Friday at 11:59 p.m.

 

1.      A. E. is a 35-year-old African American female, and is 5 months pregnant presenting to the office today for a routine prenatal visit. She complains that her neck feels swollen and that she has been feeling nervous and tired. She also complains about the heat, excessive sweating, and how she “can’t seem to get cool during these summer months.” She attributes all these complaints to her pregnancy.

 

2.      J. L. is a 55-year-old Caucasian female who had a CVA within the past week. J. L. is easily frustrated, anxious, fearful, and her speech is slurred. She needs verbal cuing for any task she is asked to carry out. She eats only food on the left side of the tray and responds only when approached from the left side.

 

Components of

assessment

Subjective

Diagnostic Reasoning

(list key questions —  use PQRSTU pneumonic)

Objective

Normal vs.

abnormal findings

(must note pertinent body systems to be examined)

Differential

diagnoses

(list 3)

 

Nurses diagnosis (list 1)

List relevant labs and

diagnostic studies (if any)

 

 

 Normal

Differential

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Abnormal Findings

Nurses Diagnosis

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Developmental/age considerations:

 

 

Socioeconomic considerations:

 

 

Cross-cultural considerations:

 

 

Ethical considerations:

 

 

Additional info needed to formulate actual diagnosis:

 

 

 

Financial Management : Return and standard deviations

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Financial Management :Return and standard deviations

 

 

The market and Stock J have the following probability distributions:

Probability                          rM                          rJ

   0.3                                       15%                        20%

0.4                                          9                              5

0.3                                          18                           12

a. Calculate the expected rates of return for the market and Stock J.

b. Calculate the standard deviations for the market and Stock J.

 

 

Finance 100

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Chapter 9

 

P1.  Find the future value one year from now of a $7,000 investment at a 3 percent annual ompound interest rate.  Also calculate the future value if the investment is made for two years.

 

P2.  Find the future value of $10,000 invested now after five years if the annual interest rate is 8 percent.

a.       What would be the future value if the interest rate is a simple interest rate?

b.      What would be the future value if the interest rate is a compound interest rate?

 

P3.  Determine the future values if $5,000 is invested in each of the following situations:

a.       5 percent for ten years.

b.      7 percent for seven years.

c.       9 percent for four years.

 

P4.  You are planning to invest $2,500 today for three years at a nominal interest rate of 9 percent with annual compounding.

a.       What would be the future value of your investment?

b.      Now assume that inflation is expected to be 3 percent per year over the same three-year period.  What would be the investment’s future value in terms of purchasing power?

c.       What would be the investment’s future value in terms of purchasing power if inflation occurs at a 9 percent annual rate?

 

 

 

 

 

 

Learning Extension

Chapter 9

 

LE2.  Assume you are planning to invest $5,000 each year for six years and will earn 10 percent per year.  Determine the future value of this annuity due problem if your first $5,000 is invested now.

 

 

LE3.  What is the present value of a five-year lease arrangement with an interest rate of 9 percent that requires annual payments of $10,000 per year with the first payment being due now?

Unit 7: Unit 7: Qualitative Analysis and The Research Critique Process – Discussion

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In order to earn full discussion points, the following criteria must be met in full:

 

 

   Answer all discussion question points with opinions/ideas creatively and clearly. Supports post using several outside, peer-reviewed sources (Scholarly sources… NOT internet sites).

   No errors with APA format.

   Consistently use Standard American English with no misspellings. Appropriate mechanics and formatting.

   The initial post must at least 300 words.  This does not include repeating the DB question or the citations and references. At least 4 references in the last 5 years. No COPYING. 

 

Because data analysis in qualitative research is such a tedious and time-consuming process, various electronic software programs have been created to support the swift and detailed analysis of large amounts of narrative data.

  1. Please identify a specific qualitative research design and then choose the electronic data analysis software program you would use to examine the data generated from this research.
  2. Describe the data analysis program and justify why you would use the particular program for the analysis of data.
  3. End your discussion with a brief reflection of the benefits of using an electronic software program for the analysis of qualitative data.

 

Provide at least three citations with full references to credible nursing scholarly articles supporting your definitions and discussion.

Responses must be specific to each point in the discussion. i.e., number the response addressing point #1, point #2, and point #3. 

Do not use quotes of any kind, but do provide citations to support statements and claims made.