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Informatics Proposal

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Informatics Proposal

  • Review the concepts of technology application as presented in the Resources.
  • Reflect on how emerging technologies such as artificial intelligence may help fortify nursing informatics as a specialty by leading to increased impact on patient outcomes or patient care efficiencies.

The Assignment: (4-5 pages)

In a 4- to 5-page project proposal written to the leadership of your healthcare organization, propose a nursing informatics project for your organization that you advocate to improve patient outcomes or patient-care efficiency. Your project proposal should include the following:

  • Describe the project you propose.
  • Identify the stakeholders impacted by this project.
  • Explain the patient outcome(s) or patient-care efficiencies this project is aimed at improving and explain how this improvement would occur. Be specific and provide examples.
  • Identify the technologies required to implement this project and explain why.
  • Identify the project team (by roles) and explain how you would incorporate the nurse informaticist in the project team.

 

SAMPLE ANSWER

Informatics Proposal

Electronic Health Records

Electronic Health Record refers to a tool of documentation that produces data which is useful in evaluating the quality of care, enhancing the safety of patients, measuring the needs of the staffs, and maximizing efficiency. The implementation of Electronic Health Records reduces the costs incurred by the patients and the health organization. This paper proposes the use of electron health records as a documentation tool to ensure accurate patient information which is necessary in making discharge, admissions and transfer decisions.

Informatics Proposal

Stakeholders that will be Impacted by the Project

The main stakeholders that will be affected by the project on the implementation of Electronic Health Records in the organization will be the nurses, physicians, pharmacists, and patients. Nurses will find it easy to signal and monitor when patients need to be discharged. Physicians will be able to prioritize rounding quickly (Ben-Assuli, 2015). The project will also impact on the pharmacists where the filling processes will be improved as well as the efficiency of discharge. The most significant impact will be on the patients since there will be no delays in discharge which results in higher costs. Thus, the implementation of the medical health records will contribute in provision of quality care leading to positive outcomes in patients.

Patient Outcome the Project is Aimed at Improving

The management of bed capacity in health care institutions has been a big challenge, which has resulted in inefficient discharge leading to slow care, high costs and also affects the flow of the patients.  Most hospitals focus on discharging a particular percentage of patients to free up hospital beds. However, the inefficiencies of bed capacity management system led to delayed discharges, transfers, and admissions (Ben-Assuli, 2015). As a result, there have been unnecessary lengths of stay in the hospital, which result in increased costs for every person involved, including the health organization. Therefore, the project team will develop a criterial for standard discharge for 15 inpatient diagnoses according to the expert consensus and available evidence. Then the information will be entrenched in the Electronic Health Record System to enhance a new process of discharge that will be specifically focused on the needs of the patients. The patients will be discharged when medically ready but not when beds are needed.  This will be a sign of the hospital’s commitment to the provision of quality patient care.

Informatics Proposal

Besides, by the implementation of the project, the inefficiencies related to discharges, the costs savings for patients and the organization will be enhanced. More beds will be available for the admission of more patients. Thus, the implementation of the medical health records will contribute in provision of quality care leading to positive outcomes in patients. Besides, the cost of care will be reduced by decreasing the length of stay at the hospital beds. The project will have estimated results of more than 40% percent of patients who are discharged after 3 hours. It also estimates approximately 6 million dollars cost savings.

The Technologies Needed to Implement the Project

Some of the techniques that will be necessary for successful implementation of the project will include:

  1. Configuration of software

The project team will work with the health IT to configure the Electronic Health Record to meet the necessary security measures. This will require the assessment of HIPAA risks (Lavin, Harper, & Barr, 2015). Customization of the software will also be required by developing a list of the elements built such as computerized order entry, demographics which are moved from practice management software, medication management systems, default patient history and discharge that is updated with new consents and codes.

  1. Server and Internet

Internet and server will be required for signaling the nurses on the patient needs. It will ensure that information is passed on effectively to minimize inefficiencies in hospital discharge, admissions as well as transfers.

  • Transfer data

Preparation of checklist of information needed to be transferred to the new Electronic Health Record system will be necessary. The list will upload all the past medical patient medical history, demographics, and discharge information in the new HER system (Lavin, Harper,& Barr, 2015).

Project Team Members and their Roles

The project team will be composed of the clinical members, lead physician, project manager, the super lead user and the nurse informatics. The clinical members will have two main roles, that is, bringing the clinical challenges to the project implementation team and teaching colleagues the skills of the new Electronic Health Record system (Daly, 2015). The lead physician will be in practice. He will also guide the health institution throughout the process of implementation by acting as a link between administrative staff, the technical team, and the frontline users.

The project manager will closely work with all the staff and the EHR vendor to ensure that the project stakeholders are acting according to their timeline, manage daily issues, and evaluate the progress of the project.

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The super lead user will act as an expert in the new Electronic Health Record system. His work will be to configure the new EHR system, order sets, create standard operating processes, and create templates for addressing the issues that frontline users raise.

Nursing informaticist will be critically required in the project team. They are specialists in defining, managing, identifying, and communicating data, knowledge, and the information in nursing practice. Nursing informaticist will play a vital role in designing, implementation, evaluation, development, and selection of the Electronic Health Record system (Daly, 2015). They will also play a significant role in the improvement of the new Health Electronic Health System on electronic devices for patient care (Rojas & Seckman, 2014). They will also be involved in the optimization and maintenance of the EHR system (Rojas & Seckman, 2014). The nurse informaticist will also play the role of educating other nurses and health professionals in the organization on the skills required for successful implementation of the new Electronic Health Record System to minimize inefficiencies related to discharges, admissions, and transfers.

Informatics Proposal

Conclusion

Electronic Health Record is useful in evaluating the quality of care, enhancing the safety of patients, measuring the needs of the staffs, and maximizing efficiency. The implementation of Electronic Health Records in the organization will result in more efficient patient discharge information to minimize delays which prolong the time of stay at the hospital beds. As a result, the costs incurred by the patients and organization will be reduced. Also, the implementation of the project will give space for new patient admissions. The overall aim of the project is to increase the quality of patient outcome. Thus, the implementation of the medical health records will contribute in provision of quality care leading to positive outcomes in patients.

 

References

Ben-Assuli, O. (2015). Electronic health records, adoption, quality of care, legal and privacy issues and their implementation in emergency departments. Health Policy, 119(3), 287-297.doi: 10.1016/j.healthpol.2014.11.014.

Daly, P. (2015). Clinical nurses lead the charge with EHR. Nursing 2019, 45(10), 25-26.doi: 10.1097/01.NURSE.0000471426. 47075.d2

Lavin, M. A., Harper, E., & Barr, N. (2015). Health information technology, patient safety, and professional nursing care documentation in acute care settings. Online J Issues Nurs, 20(2).DOI: 10.3912/OJIN.Vol20No02PPT04

Rojas, C. L., & Seckman, C. A. (2014). The informatics nurse specialist role in electronic health record usability evaluation. CIN: Computers, Informatics, Nursing, 32(5), 214-220. DOI:10.1097/CIN.0000000000000042

 

 

 

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The Creation of Hope

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The Creation of Hope

Chapter 11 in the textbook emphasizes the importance of hope and possibility in the counseling process. Clients come into counseling having tried many different solutions that have failed. In many cases, they are discouraged and hopeless about resolving their problems in a way that creates a better life.

The Creation of Hope

In some cases, clients face significant barriers of physical disability or illness, histories of trauma, occupational disadvantages, or addictions. Throughout the counseling process the counselor attempts to create hope.

Write a 750-1,000-word paper discussing the following:

1.      How can the counselor create a sense of hope and possibility for the client?

2.      How does establishing goals help clients to develop hope?

3.      What steps can the counselor take to help clients identify goals for change?

4.      What strategies can a counselor utilize to help clients commit to change?

Include at least three scholarly references in your paper.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

 

SAMPLE ANSWER

Introduction

Illness, and especially the type that requires psychotherapy brings with it a need for hope.  The term hope refers to an emotion that involves positive feelings about the future whether in short-term or long term basis. It is characterized by high motivation and optimism. Patients undergoing therapy need messages that give them a reason to find hope and alleviate the hopelessness that they may be experiencing. This is because; by the time patients go for counseling, many of them have tried several options that may have been futile.  Therefore, during counseling, hope serves the purpose of envisioning a future that they would like to take part in and consequently, it forms a central feature in counseling practice (Larsen et al. 2018).

The Creation of Hope

How can the counselor create a sense of hope and possibility for the client?

According to Edey and Jevne, (2003), people seek various solutions including internet searches, confiding in religious people, and friends, reading books among others, a situation that makes hopelessness and pessimism to set in. Therefore, mental health practitioners come in to help them find solutions and achieve inner peace, and this requires them to hold a sense of hope (Bartholomew et al. 2019). There are several ways that mental health practitioners can infuse hope to their patients. One way would be to examine the circumstances under which the client was symptom-free and invite them to process some of the ways that they have been able to overcome the challenges that they have experienced in the past. The main aim of this action is to enhance resilience and identify sources both internally and externally that would be beneficial In encouraging them to get a fighting spirit by focusing on their strengths.

The Creation of Hope

It is also necessary for the clinician to recognize and consequently validate the efforts that are being put in by the client. This action is ideal as it serves to re-instate a feeling of hope. If the clients are made to write down the baby steps, they will be able to recognize that they are making progress and consequently gain hope. Also, clients can be encouraged to realize that they possess choices, power as well as wisdom and therefore they are capable of helping themselves. In doing so, they take out the past feelings and replace them with hope. Therefore hope forms the basis of the therapeutic relationship and is integral to the very aims and motivation of counseling

How does establishing goals help clients to develop hope?

Hope is an emotion-driven by a specific desired outcome, which is unlikely to occur. One thing that is very unique about hope is that it tends to direct people and encourage them to remain committed to their goals and take actions toward achieving them despite setbacks and obstacles. Setting goals can be used to help clients develop hope mainly because goal setting increases positivity and hope is involved with positive emotions regarding the future (Larsen et al.2018). When people have goals, they desire to achieve them and therefore they develop the strategies that are useful in helping them meet the goals. One effective thing about setting goals is that people tend to visualize their goals coming into fruition and this makes hope and positivity to set in. making realistic goals and sub-goal, therefore, goes a long way in helping the clients develop hope (O’Hara, 2013).

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What steps can the counselor take to help clients identify goals for change?

The process of psychotherapy has many goals and includes facilitating behavior change, promoting decision-making process, enhancing the ability of the client to cope with the issue as well as enhancing the ability to build and maintain relationships. These goals become a guideline for the therapist when helping the patient in making efforts towards a positive change. One step that the therapist needs to undertake is to analyze the goal and establish the impact of the therapy, the available barriers, the expectations and motivations for making the changes (Brewer, 2016). The first step is to identify the goal and choose the starting point while establishing the steps that are essential in achieving the goal. Once the starting point is established, then the process begins. It is necessary to ensure that the goals are specific and challenging but they should not be impossible to achieve. The goals may then be divided into sub-goals and alternatives to achieving the goals identified.

The Creation of Hope

What strategies can a counselor utilize to help clients commit to change?

One of the strategies that can be employed to help the clients maintain their commitment to change is to employ hope focused strategies.  Hope-focused counseling requires a conscious decision on the part of the therapist to incorporate hope into the counseling session. Interventions that foster hope include establishing a therapeutic relationship, reframing the situation or helping the client envision a new perspective, empowering the patients and helping the patients utilize the available resources (Brewer, 2016).  Also, the therapist should ensure that the main goal is broken down into manageable chunks that would be easier to achieve, for example, one may strive to re-join the gym and do regular exercise, or socialize more. In line with this, the therapist should ensure that they remain compassionate and also identify and recognize the efforts that are made by the clients hence motivating them to do more. Tracking the progress is also a significant strategy and this may be accompanied by encouraging the client to write down the reason why they should stick to the goal as this may positively boost the motivation.

The Creation of Hope

Conclusion

Psychotherapy is necessary and mainly the clients that undergo it have lost hope or suffer from conditions such as depression that are characterized by the feeling of hopelessness. Therefore, hope is necessary for the counseling process mainly because it is instrumental in ensuring positivity as people look forward to their goals coming to fruition. Hope is necessary for both the clients and the therapists hence efforts should be made to ensure that the therapists also remain hopeful. One way to instill hope is to set goals and come up with strategies that will ensure that the clients stick to their commitment to change.

.

References

Bartholomew, T. T., Gundel, B. E., Li, H., Joy, E. E., Kang, E., & Scheel, M. J. (2019). The meaning of therapists’ hope for their clients: A phenomenological study. Journal of counseling psychology, 66(4), 496. http://dx.doi.org/10.1037/cou0000328

Brewer, A. B. (2016). A Qualitative Study on Clients’ and Therapists’ Perceptions of Therapeutic Interventions that Foster Hope.

Larsen, D. J., Stege, R., King, R., & Egeli, N. (2018). The hope collage activity: an arts-based group intervention for people with chronic pain. British Journal of Guidance & Counselling, 46(6), 722-737. doi.org/10.1080/03069885.2018.1453046

O’Hara, D. (2013). Hope in Counselling and Psychotherapy. Sage. Doi: 10.4135/9781446269992.

 

 

 

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Experiential Interventions

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Experiential Interventions

Read “Topic 6: Vargas Family Case Study.” Develop three experiential interventions that you would use with the Vargas family.

It’s time to get creative! You have noticed that the Vargas family struggles with emotional expression, particularly with congruent emotional expression (i.e., words, actions, and body language being congruent). Using the Experiential Interventions Template, create three unique experiential interventions that you would use with the family and describe how they would be helpful to the family. It may be helpful to refer to the library articles for ideas and inspiration, but do not copy existing interventions. Be sure to fully address each section in the template for each of the three interventions in your paper:

1. Title of your Intervention

2. General Goals

3. Materials Needed

4. Advance Preparation Needed

5. Description of the Intervention with the Vargas family

6. Discussion of the Benefits of the Intervention to the Vargas Family

7. References (if any)

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

You are required to submit this assignment to LopesWrite. Refer to the directions in the Student Success Center.

 

SAMPLE ANSWER

PCN-521 Topic 6: Experiential Interventions

Intervention 1

Title of your Intervention:

Act and talk it out

General Goals:

-The main goal of this intervention is to allow the direct sharing of messages between family members.

-Additionally, the intervention aims to heighten emotional experiences between the Vargas family members

-enactments will redesign new interactions among the family members

-the intervention will create positive cycles of responsiveness

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Materials Needed:

-chairs

Advance Preparation Needed:

Critical knowledge of the family’s history will help the therapist know which family members have a problem with expressing their emotions. Additionally, an analysis of successful implementation of previous enactments in family therapy will help the therapist to customize activities for the Vargas family.

Description of the Intervention with the Vargas family:

The therapist will direct the family members to interact with each other to be able to observe presenting problems. Since every member of the family has narrated how they feel about each other, in this intervention, they will tell each other how they feel. For example, Elizabeth is disappointed in the way Bob counteracts her decisions about disciplining Frank. Instead of telling the therapist, Elizabeth should recreate the scenario during the picnic where she felt disrespected and tell Bob about it.

Discuss the benefits of the Intervention to the Vargas family:

-it will help them express their emotions better

-it will reduce stress

Citation for references (if any):

(Pagano, 2018)

Intervention 2

Title of your Intervention:

Soccer for the mind

General Goals:

-to reduce stress in the family

-to reduce symptoms of ADHD

-to reduce anxiety

Materials Needed:

-a ball

-playing field

Advance Preparation Needed:

-Bob will have to take time off work in the afternoon to play soccer with the family

Description of the Intervention with the Vargas family:

For three times a week, the family will meet up and play soccer for at least thirty minutes. Every family member will be expected to participate.

Discuss the benefits of the Intervention to the Vargas family:

-physical activity and more specifically soccer is a good way of reducing stress and depression

-soccer is fun and thus reduces anxiety

-Frank loves soccer, therefore, he will enjoy this activity

-the commitment to play soccer will increase family bonding and improve relationships among all family members

Citation for references (if any):

Sharma, Madaan & Petty, 2016

Intervention 3

Title of your Intervention:

Paint your feelings

General Goals:

-to examine emotional undertones in the paintings

-to help the family members better understand their feelings and behavior

Materials Needed:

-paint

-painting brush

-canvas

Advance Preparation Needed:

-there is no artistic talent needed for this exercise

Description of the Intervention with the Vargas family:

Color and texture play an important role in the therapeutic process. Painting and drawing will help the family reveal their thoughts and feelings. Every member of the family will be encouraged to participate in this intervention. During the next therapy session, canvas, paint and other materials will be provided and the family will engage in the activity for the duration of the therapy session. The therapist will not intervene during this activity.

Discuss the benefits of the Intervention to the Vargas family:

-relieves stress

-improves symptoms of anxiety

-it is fun for all family members especially Frank and Heidi

-helps every family member explore their emotions

Citation for references (if any):

Regev & Cohen-Yatziv, 2018

 

References

Pagano, C.J. (2018). Exploring the Therapist’s Use of Self: Enactments, Improvisation and Affect in Psychodynamic Psychotherapy. The American Journal of Psychotherapy, https://doi.org/10.1176/appi.psychotherapy.2012.66.3.205

Regev, D. & Cohen-Yatziv, L. (2018). Effectiveness of Art Therapy with Adult Clients in 2018-What Progress has Been Made? Frontiers in Psychology, 9, 1531. Doi: 10.3389/fpsyg.2018.01531

Sharma, A., Madaan, V. & Petty, F. D. (2016). Exercise for Mental Health. Priamry Care Companion to the Journal of Clinical Psychiatry, 8(3), 106.

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Strategic Controls and Monitoring Tools

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Strategic Controls and Monitoring Tools

Organizational leaders must be aware of external forces that may impact their organization. Strategic controls and monitoring tools allow leaders to evaluate these forces and develop tactical objectives to limit negative consequences. For this Team Discussion, you explore how strategic controls, monitoring tools, and tactical objectives might be used to address issues impacting health care organizations.

To prepare:

In Week 1, the Instructor assigned to your team a scenario that involves a health care organization with an issue requiring an evaluation of the organization’s strategic plan. Reflect on the issue and, as a team, begin identifying and discussing evaluation or monitoring tools that would be useful to address this issue. Be sure to consider the following:

  • What strategic controls (e.g., promise control, implementation control, strategic surveillance, and special alert control) might you use and why?
  • What monitoring tools (e.g., Gantt Chart, Balanced Scorecard, Dashboard, etc.) might you use and why?
  • What are two tactical objectives that the organization might leverage to effectively address operations requirements and limit negative consequences?

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  • Group C’s Scenario: Lake County Medical Practice is a large physician practice in Tallahassee, Florida providing one-stop medical and ancillary services to their patients. Of the approximately 80,000 patients Lake County serves annually, 38% are Medicare beneficiaries. Recently, the Centers for Medicare & Medicaid Services reduced reimbursement rates by approximately 11% for office visits, surgical procedures, and a range of diagnostic and therapeutic services. Based on a projection from the chief financial officer, the new reimbursement rates equate to a $5.8 million reduction in revenue for the medical practice. This comes at a time when Lake County Medical Practice has experienced an increase in new Medicare beneficiaries, as one of the area’s medical practices closed its door after the founder and chief executive officer retired four months ago. Other Medicare beneficiaries have been unsuccessful at finding new primary care physicians, as area physicians are not accepting new Medicare patients. Therefore, Medicare beneficiaries are traveling at least 40 miles to the nearest provider to get medical service.

 

SAMPLE ANSWER

Strategic Controls and Monitoring Tools

Strategic and implementation controls are designed to assess the overall organizational strategies and the impacts of internal and external factors. In this scenario, some of the external factors affecting Lake County Medical Practice include a reduction in Medicare and Medicaid reimbursement. The organization can employ various strategic controls such as strategic surveillance, implementations control, and premise control. With strategic surveillance, it would be possible to observe and continuously analyze the necessary factors that might impact the selected strategy (Ginter, Duncan & Swayne, 2018). Further, premise control will enable the management to track each strategy as it gets implemented to make necessary adjustments to achieve maximum results.

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Besides selecting and measuring the strategies, it is also essential for the organization to monitor the performance. Using monitoring tools such as balanced scorecard, the management would be able to address business performance comprehensively by combining both financial and non-financial indicators (Bisbe & Barrubés, 2012). With the organization currently projecting a $5.8 million reduction in revenue due to the new reimbursement, employing a balanced scorecard will facilitate proper monitoring and assessment of the implementation process. Besides, the Gantt charts can also be used for planning organizational strategies by determining the required resources and the order in which projects should be accomplished (Bisbe & Barrubés, 2012).

The organization can reduce the negative impacts by implementing tactical objectives that work synergistically with the selected strategies to complement one another in achieving positive results. As such, tactical objectives that should be considered, based on the strategies chosen may involve, increasing the number of primary care providers and reconsidering the hospital’s financial budget to accommodate the Medicare beneficiaries they are going to serve.

 

References

Bisbe, J., & Barrubés, J. (2012). The balanced scorecard as a management tool for assessing and

monitoring strategy implementation in health care organizations. Revista Española de Cardiología (English Edition), 65(10), 919-927.

Ginter, P. M., Duncan, W. J., & Swayne, L. E. (2018). The strategic management of health care

organizations. John Wiley & Sons.

 

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Article Review

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Article Review

Review the sample argument article for this week and answer the following: (Short answer assignments must meet a word count of 100-150 words per question.)

1- what is the topic of the article and what is the article’s position?  Provide a key sentence from the article that supports your answer.  Provide an example of one appeal that the article uses.  Explain, how/why you feel this appeal is used successfully or not.

2- Joe has to write an argument essay supporting the right to have an abortion.  He begins his essay with a statistic discussing the significant number of cases of severe depression in teenage rape victims who gave birth to children in the past ten years.  What rhetorical appeal is joe using? Explain.

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3-Refer to the soapstone analysis handout to answer this question:

Juan is doing a research paper on the powers of the US presidency.  He has found a really good article from the library databases.  He decides to read the article closer in order to think about why the author wrote the article and what the author’s goals were for writing the article.  What type of close reading strategy is Juan using?  what other strategy from the handout would be beneficial for Juan to use also?

4- Debbie is writing an essay on illegal immigration.  Her first body paragraph uses a PBS News interview with the Border Patrol Commissioner.  What appeal is Debbie using in this paragraph? Explain.

 

SAMPLE ANSWER

Article Review

Question 1

The topic of the article is about the threats to reproductive health in the United States posed by the policies being implemented by the Trump administration. It particularly notes that the administration has been working to gut the Title X program. The program assists women from poor backgrounds to access cancer screening, birth control, and other reproductive health services. The key statement is “The Trump administration’s new Title X rule, announced in February, will lay waste to that progress. The rule bars facilities that receive Title X money from providing abortions, even with a separate source of money, as has been required by law for decades”. One of the appeals that the article uses is pathos, which is appealing to the emotions. The appeal is used successfully since it allows the article to appeal to the emotions of the readers.

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Question 2

The rhetorical appeal that Joe is using is logos. The appeal is associated with appealing to the logic of the audience, which involves using facts, figures, and reason to appeal to persuade them. Logos requires one to reason with his or her audience, which includes providing them with credible statistics and facts. Therefore, since Joes starts his article with a statistical figure, his rhetorical appeal may be described as logos since it persuades the audience using data.

Question 3

Juan tends to focus on why the author wrote the article as well as his goals for writing the article. Therefore, his strategy may be described as having focusing on the purpose of the article. With the strategy, one focuses on the purpose of a text, which includes the reasons why the author wrote the article, the message, and how the author conveys the message. However, incorporating other strategies would also be beneficial for Juan to use. This involves focusing on the subject of the article as well. The strategy includes reading closer to understand elements related to the content, topic, and ideas of the text. It also includes exploring whether there is more than one subject in the article.

 

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NRS-433V-RS3: Quantitative Studies

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Quantitative Studies

Write a critical appraisal that demonstrates comprehension of two quantitative research studies. Use the “Research Critique Guidelines – Part II” document to organize your essay. Successful completion of this assignment requires that you provide a rationale, include examples, and reference content from the study in your responses.

Use the practice problem and two quantitative, peer-reviewed research articles you identified in the Topic 1 assignment to complete this assignment.

In a 1,000–1,250 word essay, summarize two quantitative studies, explain the ways in which the findings might be used in nursing practice, and address ethical considerations associated with the conduct of the study.

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

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

 

SAMPLE ANSWER

NRS-433V-RS3: Quantitative Studies

Quantitative Research Article 1

Chiu, S., Bergeron, N., Williams, P. T., Bray, G. A., Sutherland, B., & Krauss, R. M. (2015). Comparison of the DASH (Dietary Approaches to Stop Hypertension) diet and a higher-fat DASH diet on blood pressure and lipids and lipoproteins: A randomized controlled trial–3. The American journal of clinical nutrition, 103(2), 341-347. https://www.ncbi.nlm.nih.gov/pubmed/26718414

  1. Problem

The DASH diet emphasizes the consumption of vegetables, fruits, whole grains, and low-fat dairy foods to reduce blood pressure and the risks of cardiovascular diseases(Chiu et al.2016). According to the reports on the nursing studies, high-fat dairy products, fewer vegetables, and fruits are associated with a high risk of stroke, blood pressure, and diseases of the coronary artery.

NRS-433V-RS3: Quantitative Studies

  1. Significance to nursing

The extent of adherence to diet determines the effectiveness of the intervention of the DASH diet. Most people with the problem of following prescribed diets have difficulty if adhering to DASH diet. It is the responsibility of the nurses to create awareness and advice patients on how to follow prescribed diets to increase the effectiveness of DASH intervention. According to Chiu, et al. 2016, it is essential to include a variation in the composition of the macronutrients in the DASH diet while still enhancing the preservation to the benefits of lipid and blood pressure risk factors.

NRS-433V-RS3: Quantitative Studies

  • Purpose of the study

The main objective of the study was to assess the possible effects of switching to low-fat dairy foods contained in the DASH diet from full-fat foods. This was accompanied by a corresponding addition in fat and a decrease in sugar intake on plasma lipids, blood pressure, and lipoproteins.

  1. Research question

Does the DASH diet effectively lower blood pressure, low-density lipoprotein and high-density lipoprotein cholesterol?

How the article answers the PICOT question

The article analysis the effects of the DASH diet, that is, the substitution of full-fat for low-fat dairy foods in the DASH diet with a reduction of sugar intake on the blood pressure, lipoproteins and plasma lipids.

How the intervention and comparison group in the article compares with those in the PICOT question

The report considers the DASH diet as a primary intervention to lower high blood pressure. The randomized trial takes place for three weeks. Similarly, the PICOT question includes the DASH diet as one of the responses in lowering blood pressure within the first five months.

 

Quantitative Research Article 2

Akita, S., Sacks, F. M., Svetkey, L. P., Conlin, P. R., & Kimura, G. (2003). Effects of the Dietary Approaches to Stop Hypertension (DASH) diet on the pressure-natriuresis relationship.  Hypertension, 42(1), 8-13. https://www.ncbi.nlm.nih.gov/pubmed/12756219

  1. Research problem

Blood pressure has become one of the leading causes of mortality rates across the globe. The Dietary Approaches to Stop Hypertension can act aa primary mechanism for lowering blood pressure through consumption of a diet with vegetables, fruits, and low-fat dairy foods.

NRS-433V-RS3: Quantitative Studies

  1. Significance to nursing

Nurses should consider Dietary Approaches to Stop Hypertension as one of the primary nonpharmacological approaches to stop high blood pressure.  The authors of the article theoretically describe that the blood pressure-lowering action can be analyzed on the pressure curve that is drawn through the use of data from the DASH-sodium trail.

  • The purpose of the study

The main objective of the study was to assess the effects of the DASH diet on the pressure-natriuresis relationship to identify its mechanisms of lowering blood pressure.

  1. Research question

What is the effect of the DASH diet on the pressure-natriuresis relationship in blood pressure lowering mechanism?

How the article answers the PICOT question

The report provides proof on whether the DASH diet lowers blood pressure within the first five months if intervention by testing its effects on pressure-natriuresis.

How the intervention and comparison group in the article compare to identified in the PICOT question

The article describes the effects of the DASH diet on the relationship of pressure-natriuresis to give clarity of its mechanism of lowering blood pressure. Similarly, the intervention in the PICOT question focuses on the blood pressure-lowering effect of the DASH diet.

Methods of the Two Studies

The report by Chiu, et al., 2016 used a randomized controlled trial where health men and women consumed a standard DASH diet, lower-fat and high fat carbohydrate modification of the DASH diet known as the HF-DASH diet for three weeks each separated by two weeks for washouts. The measurement in the laboratory included the concentration of lipoproteins articles which were determined by the mobility of ions. Statistical analysis for treatment differences was conducted through the use of ANOVA (Stata version 11) for a three-treatment cross over design.NRS-433V-RS3: Quantitative Studies

Similarly, the article on the Effects of the DASH diet on the Pressure-Natriuresis Relationship used a controlled trial method where DASH sodium trial and randomized feeding trial were used. However, the research design differed from the one conducted by Chiu et al. 2016 because it used a sample size of 412 who were 22 years and above(Akita, Sacks, Svetkey, Conlin & Kimura, 2003). Also, the participants were not healthy individuals as they had systolic blood pressure (SBP) ranging between 120 to 159 and Diastolic blood pressure ranging between 80-95 without blood pressure-lowering medication. Statistical analysis was conducted by comparing the x-intercept and the steepness of the curve of the pressure-natriuresis between DASH diets and the control diet as well as the subgroups and testing them by the use of Student t-test for the non-paired samples.

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Benefits and limitations of the methods used in the two research articles

Both articles used controlled trial methods. One benefits of the technique were that it was easy to produce accurate results which clearly showed the effects of the DASH diet on Blood pressure levels.

One limitation of the controlled trial methods used in the research articles was that it was difficult for the participants to strictly follow the prescribed diets, which made the research process tiresome.

Results of the two research studies and their implications to the nursing practice

Chiu et al. (2016) found that urinary potassium excretion was higher with the HF-DASH and DASH diets compared to control diets. The results of the DAH and H-F DASH DIETS did not differ where the mean for the DASH diet was 83.5, HF-DASH was 81.5, and that of the control diet was 50.5. The HF DASH and the DASH diets significantly lowered blood pressure as compared to the control diet. The implication of the study is that Nurses should emphasize the application of the DASH diet as a significant treatment of high blood pressure and create awareness among patients and members of the community. This would help effectively implement the use of the DASH diet as a nonpharmacological treatment of blood pressure.

NRS-433V-RS3: Quantitative Studies

Evaluation of the data obtained from the DASH-Sodium Trial through the use of pressure-natriuresis curve, the DASH increased the slope of the relationship (Akita, Sacks, Svetkey, Conlin & Kimura, 2003). This indicates that the DASH diet effectively lowered blood pressure groups though a diuretic action with high sensitivity of sodium. The implication of the study is that the DASH diet should be used as a primary nonpharmacological treatment of blood pressure. It also helps nurses understand the mechanism of the DASH diet in lowering BP, which makes it possible for them to speculate on patients and those situations it can be beneficial.

Outcomes comparison

The outcomes of the PICOT question included the lowering of blood pressure within the first five months of DASH diet intervention. The findings of the two articles showed a reduction of the blood pressure within less than five months as expected in the PICOT question.

 

References

Akita, S., Sacks, F. M., Svetkey, L. P., Conlin, P. R., & Kimura, G. (2003). Effects of the Dietary Approaches to Stop Hypertension (DASH) diet on the pressure-natriuresis relationship.  Hypertension, 42(1), 8-13. https://www.ncbi.nlm.nih.gov/pubmed/12756219

Chiu, S., Bergeron, N., Williams, P. T., Bray, G. A., Sutherland, B., & Krauss, R. M. (2015). Comparison of the DASH (Dietary Approaches to Stop Hypertension) diet and a higher-fat DASH diet on blood pressure and lipids and lipoproteins: A randomized controlled trial–3. The American journal of clinical nutrition, 103(2), 341-347. https://www.ncbi.nlm.nih.gov/pubmed/26718414

 

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Steps on Becoming a Grassroots Lobbyist

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Steps on Becoming a Grassroots Lobbyist

  1. Imagine that you are going to make a visit to your representative in Congress. Develop a one-page document that supports your position on the AHCA that you would leave with your representative or his or her aide when you make your visit. This one-pager, also called a “leave behind,” should state your position clearly in bullet points and give your reasons why your position is preferred. This “leave behind” should have 1 inch margins and utilize 14-point font throughout. If you were making this visit in person, you would present your “leave behind” to the person with whom you speak during your visit. Include a second page that describes your rationale for the position in your “leave behind” page supported by at least two journal articles.
  2. Write a two-page brief to describe the scenario surrounding your legislative visit. Understanding the political affiliation of your representative, include answers to the following:
    • Was your member in support or in opposition to the AHCA?
    • State three points that you would cover in support or opposition to your representative’s position.
    • How does your nursing experience influence the advocacy position that you take on the AHCA?

 

SAMPLE ANSWER

Steps on Becoming a Grassroots Lobbyist

Part 1

The AHCA may introduce many changes and enhance the American healthcare system. The country has changed drastically during the last decade. As such, the health care policies that may have worked during the past may not be the most effective during the current period. The American Health Care Act of 2017 (AHCA), therefore, may be the solution that is needed to address some of the key challenges associated with the current healthcare system in the country.

Steps on Becoming a Grassroots Lobbyist

Enacting the bill would result in better healthcare services since it will be addressing some of the challenges related to healthcare that the American people face. AHCA would be better relative to AHA for some reasons, which include:

  • Increased flexibility since not having health insurance would not attract a federal penalty, thus making AHCA more flexible.
  • Tax credits to aid in the payment of tax premiums, which tends to be particularly important for low-income earners. Furthermore, these credits phase out as incomes rise, which in turn increases equality.
  • The introduction of a maximum subsidy or tax credit the government can pay. Such ensures that public resources are utilized in the best way possible.
  • People can buy plans that do not cover benefits that they may not want. Such increases the flexibility, which in turn may lead to increased insurance coverage in the country (Fielder et al., 2017).

For the above reasons, therefore, it is my believe that enacting AHCA and repealing ACA would be more beneficial to the American people considering the former addresses new healthcare challenges, increases flexibility, and results in a better use of public resources relative to the latter.

Steps on Becoming a Grassroots Lobbyist

The rationale for the position that I take in the letter is that AHCA offers a better opportunity to improve healthcare in the United States compared to using the current Obama Care are system. One of the reasons for supporting AHCA is that it will lead to a repeal of AHA, which is associated with multiple problems and it does not fulfill on the promises that it made.

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One of the reasons why I support AHCA is that it will increase flexibility in taking insurance cover in the country since not having an insurance cover would not attract penalties. With AHA, failing to take an insurance cover attracts some penalties. By removing such penalties and introducing incentives, more people would take insurance cover. Furthermore, citizens would have the option to select the benefits that they would like to be covered for, unlike the AHA, which has mandatory areas that need to be covered. Such may lead to lower insurance premium, thus attracting more people to take insurance cover (Rice et al., 2018).

Moreover, enacting AHCA would lead to better use of resources, which includes having a cap on the amount of tax credits and subsidies that the government can pay. Such would result in better uses of resources for other critical elements, such as making healthcare affordable for all people, and not only those who have insurance cover. Moreover, the cost of healthcare in the country may decrease because of introducing maximum credits, and paying them based on the income of families, which would contribute to equality (Thompson et al., 2018). For instance, when family or individual incomes exceed certain amounts, they do not qualify for the tax credits or subsidies.

Part 2

The member was in opposition of AHCA in congress. He was strongly opposed to the bill and strongly campaigned against it. However, such may have been caused by his party affiliation, but not an analysis of the bill fully to understand how it would affect healthcare in the United States. As such, it would have been prudent for the representative to support the bill since it would have been more beneficial to the American people compared to AHA.

Steps on Becoming a Grassroots Lobbyist

One of the reasons for the need for supporting is increased cost of health insurance. While AHA promised to save around $2,500 per family each year, it has not. In fact, the Department of Health and Human Services notes that since 2013, insurance premiums have more than doubled. However, the family incomes have only risen by around 19%, which shows that the rise in premiums is not because of an improving economy (Fielder et al., 2017). Therefore, introducing AHCA may control the increasing cost of insurance premiums, while at the same time offering individuals with more flexibility since they can choose whether to be covered or not, or the benefits that they would like to be covered for.

Furthermore, there is an urgent need to repeal AHA because entitlement spending has increased drastically during the last few years. AHA has caused entitlement spending to increase more than it had been expected. For instance, the projected costs of Medicaid and AHA subsidies are expected to be $4.8 trillion, with both being responsible for an estimated 44% of the anticipated increase in entitlement spending in the future (Williamson & Singe, 2017). Therefore, enacting AHCA would ensure that such costs spending are controlled, which will be beneficial to the economy.

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Furthermore, AHCA presents a new opportunity for lowering the costs of healthcare in the United States. With the enactment of AHA, it was hoped that healthcare in the country would become more affordable. However, with the enactment, healthcare costs have continued rising. Before the implementation of AHA, healthcare costs amounted to an estimated 17.2% of the GDP. However, in the year that followed, it rose to 18.3%, which represented an increased or around $200 billion on healthcare spending (Fielder et al., 2017). Forecasts indicate that medical by 2025; medical expenses will make around 20% of the country’s GDP (Rice et al., 2018). Therefore, there is a need to enact a bill that would lower and control the increasing costs of health care in the country since AHA has not been addressing the issue. Enacting AHCA may be the ideal solution for addressing the problem in the country.

Steps on Becoming a Grassroots Lobbyist

My nursing experience has considerably influenced the advocacy position that I have taken with regard to AHCA. The experience has introduced me to some of the critical elements that need to be considered in the healthcare sector. For instance, medical expenses and healthcare costs are some of the key considerations that influence the quality of healthcare in a country. At the same time, nursing experience has enabled me to gain the relevant research skills, which means that I can be able to search for the right resources to support or opposes elements related to the healthcare sector. The research findings, coupled with my experience, inform the decisions that I make regarding whether to support a healthcare issue or not.

 

References

 Fiedler, M., Aaron, H. J., Adler, L., & Ginsburg, P. B. (2017). Moving in the wrong direction—health care under the AHCA. New England Journal of Medicine, 376(25), 2405-2407.

Rice, T., Unruh, L. Y., van Ginneken, E., Rosenau, P., & Barnes, A. J. (2018). Universal coverage reforms in the USA: From Obamacare through Trump. Health Policy, 122(7), 698-702.

Thompson, F. J., Gusmano, M. K., & Shinohara, S. (2018). Trump and the Affordable Care Act: Congressional repeal efforts, executive federalism, and program durability. Publius: The Journal of Federalism, 48(3), 396-424.

Willison, C. E., & Singer, P. M. (2017). Repealing the affordable care act essential health benefits: Threats and obstacles. American journal of public health, 107(8), 1225.

 

 

 

 

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Ethnicity and Pharmacotherapy for Cardiovascular Diseases

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Ethnicity and Pharmacotherapy for Cardiovascular Diseases

examine how patient factors may influence pharmacokinetic and pharmacodynamic processes of pharmacotherapeutics used in the treatment of cardiovascular disorders.  You also explore ways to improve drug therapy plans for cardiovascular disorders based on patient factors and overall health needs.

 

When writing your Week 2 Assignment, consider the following scenario:

Patient AO has a history of obesity and has recently gained 9 pounds. The patient has been diagnosed with hypertension and hyperlipidemia. Drugs currently prescribed include the following:

  • Atenolol 12.5 mg daily
  • Doxazosin 8 mg daily
  • Hydralazine 10 mg qid
  • Sertraline 25 mg daily
  • Simvastatin 80 mg daily

o Prepare

  • Review the Resources for this module and consider the impact of potential pharmacotherapeutics for cardiovascular disorders introduced in the media piece.
  • Review the case study assigned by your Instructor for this Assignment.
  • Select one the following factors: genetics, gender, ethnicity, age, or behavior factors.
  • Reflect on how the factor you selected might influence the patient’s pharmacokinetic and pharmacodynamic processes.
  • Consider how changes in the pharmacokinetic and pharmacodynamic processes might impact the patient’s recommended drug therapy.
  • Think about how you might improve the patient’s drug therapy plan based on the pharmacokinetic and pharmacodynamic changes. Reflect on whether you would modify the current drug treatment or provide an alternative treatment option for the patient.

 

Write a 2- to 3-page paper that addresses the following:

  • Explain how the factor you selected might influence the pharmacokinetic and pharmacodynamic processes in the patient from the case study you were assigned.
  • Describe how changes in the processes might impact the patient’s recommended drug therapy. Be specific and provide examples.
  • Explain how you might improve the patient’s drug therapy plan and explain why you would make these recommended improvements.

 

SAMPLE ANSWER

Ethnicity and Pharmacotherapy for Cardiovascular Diseases

Introduction

Drug prescription is considered to an essential aspect in patient care. When done properly, it leads to effective control of diseases and other health conditions, thereby improving the health of patients. Contrarily, poor prescriptions of drugs may lead to health problems. In some cases, it may lead to death. To achieve the aim of this process, practitioners need to adhere to suitable drug concentrations basing on different health factors (Ladd & Hoyt, 2016). One of the issues that may affect the effectiveness of drug dosages is ethnicity. This factor refers to the state of being in a social setting with common traditions. This paper tries to establish the impact of ethnicity on cardiovascular pharmacotherapy of a patient. The patient’s initials are AO and he is viewed to have had obesity in his life. He is diagnosed with hypertension and hyperlipidemia.

Ethnicity and Pharmacotherapy for Cardiovascular Diseases

Effect of Ethnicity on PD and PK Processes

There is a higher prevalence of cardiovascular diseases in African Americans than in other ethnic groups in the country. African Americans are depicted to have the highest prevalence of hypertension in the world. In addition, hypertension also develops earlier in blacks than in any other ethnic group. It is suggested that African Americans may carry a gene that increases their sensitivity to salt, thereby increasing their risk of attaining hypertension (Diaz et al., 2017). This group is also viewed to experience a high burden of morbid factors such as hyperdilipidemia, diabetes, heart disease, and obesity. These issues lead to elevated blood pressures in the ethnic group. The factors also increase the body’s resistance to drugs’ effects.  Assuming that AO is African American, he tends to have a lower control of hypertension than patients from other ethnic groups (Arcangelo et al., 2017).

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Changes in the Pharmacotherapy

Research shows that African American respond well to beta blockers in the treatment of hypertension. Therefore, Atenolol intake is suitable for AO. However, its dosage should start at 50 mg due to the patient having obesity. Doxazosin is viewed to be an essential add-on to calcium-channel blockers. However, it is discouraged in a monotherapy. Therefore, its 8mg dosage is suitable for the patient during a combinative therapy. Hydralazine is a vasodilator which is essential for relaxing the patient’s blood vessels. The drug may not be suitable for the patient when diuretics are involved (Sessoms et al., 2015). Simvastatin is suitable in the treatment of hyperlipidemia in African Americans. However, since the patient is obese, the starting dosage should 40mg. Sertraline is a suitable antidepressant whose intake is recommended to start between 50mg and 100mg. However, its interaction with simvastatin may lead to liver damage. Therefore, its 25mg dosage is safe for AO (Arcangelo et al., 2017).

Improving AO’s Therapy

Treatment of hyperlipidemia and hypertension for a patient with obesity also needs the use of physical exercises. In addition, the patient needs to have a healthy diet. Both approaches are considered suitable in reducing the patient’s weight (Diaz et al., 2017). In addition, control the amount of salt in the body, thereby making the patient to reduce effects of salt sensitivity. The practitioner also needs to engage in effective follow-ups to ensure that the patient’s liver is not affected by the interaction between simvastatin and sertraline. If its functionality is within the normal range, sertraline’s intake level may be increased to improve on the patient’s activeness (Whelton et al., 2016).

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Conclusion

Pharmacotherapy for hypertension and hyperlipidemia is depicted to be affected by ethnicity of the patient. The paper focuses on treatment basing on an African American ethnicity. The ethnic choice is essential for the disease because African Americans have a higher prevalence of hypertension than other ethnic groups. From the paper, it can be shown that proper consideration of changes in pharmacodynamic and pharmacokinetic processes leads to a safe prescription for the patient. Additional therapeutic measures such as exercises and a suitable diet are considered to improve the patient’s pharmacotherapy.

 

References

Arcangelo, V. P., Peterson, A. M., Wilbur, V., & Reinhold, J. A. (Eds.). (2017).

Pharmacotherapeutics for advanced practice: A practical approach (4thed.). Ambler, PA: Lippincott Williams & Wilkins.

Diaz, K. M., Booth III, J. N., Seals, S. R., Abdalla, M., Dubbert, P. M., Sims, M., … & Shimbo,

  1. (2017). Physical activity and incident hypertension in African Americans: the Jackson Heart Study. Hypertension, 69(3), 421-427.

Ladd, E., & Hoyt, A. (2016). Shedding light on nurse practitioner prescribing. The Journal for

            Nurse Practitioners, 12(3), 166-173.

Sessoms, J., Reid, K., Williams, I., & Hinton, I. (2015). Provider adherence to national

guidelines for managing hypertension in African Americans. International Journal of Hypertension, 1-7. Doi:10.1155/2015/498074.

Whelton, P. K., Einhorn, P. T., Muntner, P., Appel, L. J., Cushman, W. C., Diez Roux, A. V., …

& Arnett, D. K. (2016). Research needs to improve hypertension treatment and control in African Americans. Hypertension, 68(5), 1066-1072.

 

 

 

 

 

 

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Reviewing the Classical Argument

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Reviewing the Classical Argument

Please answer them thoroughly and in the order they are given. This type of journal should be at least 300 words or more.

 

FYI: Enclosed files might help to answer the assigment

 

How is the classical argument structure different from what you think of as a normal argument you might encounter in a conversation with somebody or an argument you might see on TV? Talk about the classical argument sections you feel you understand and do not understand.

 

SAMPLE ANSWER

Reviewing the Classical Argument

The classical argument differs from normal arguments as it strictly focuses on different sections. This type of argument aims at making inquiries, convictions, negotiations and persuasions. In normal conversations, these sections may not be present because there are no rules on how a person may approach a concept or subject. Therefore, there are different ways in which people argue or converse in a television setting. From another perspective, it can be seen that a classical argument does not involve more than one party (Winthrop, n.d.).

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In my understanding, all the different sections of a classical argument are necessary. In my view, the introductory section is easy to understand because it brings about the general information of the argument. I find the narration part to be tedious due to one’s involvement with various developments to create a position on an issue. In addition, it is difficult to understand because it restricts one from developing specific claims yet it requires one to state facts. The first reason and claim section is easy to develop because it involves developing one’s support of an argument basing on what they think to be strongest reasons (Winthrop, n.d.).

In addition, I find the second and third reason and claim sections to be well elaborated. They do not need much development a s long one brings about a suitable reason. Moreover, the rules involved in these sections are easy to follow. For instance, one needs to analyze a source and to support his or her position with suitable elaboration. The acknowledgement and refutation section is well-defined. However, it needs suitable techniques for writer to refute his position and come up with a better way to depict his position as the most relevant. In that regard, I find it to be difficult because it may make one to lose his direction when he acknowledges the opposing views without refuting it with the same rigor (Winthrop, n.d.).

 

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References

Winthrop (n.d.). The classical argument. Retrieved from

https://www.winthrop.edu › centerHandoutClassicalArgument

 

 

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Strategic Objectives Response Paper

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Strategic Objectives Response Paper

Need a peer respond to the selected posts.

 

Peer Post 1- Cornel Bedward

For this discussion I chose to discuss the strategic objectives of the Olympic Medical Center. The Olympic Medical Center is a public hospital district on the North Olympic Peninsula located in Port Angeles and Sequim, Washington. “Olympic Medical Center is responsible for proactively planning for the community’s health care need” (OMC, n.d.). Their strategic plan focuses on three areas:  quality, patient safety and satisfaction, Olympic Medical Center and community relationships, and organizational performance.

The first strategic objective Olympic Medical Center (OMC) has revolves around ensuring that they offer the safest, highest-quality health care with compassion. They will do so by continuing to standardize their care processes and fortify their systems in order to amplify patient safety and quality, and perfect their ability to deliver positive patient experiences (OMC, 2018-2020, p. 5).  OMC strategies include following evidence-based best practices through national quality initiatives, being a leader in adopting national patient safety initiatives, and encouraging a culture of service that constantly acknowledges the expectations and fulfills the needs of our patients, their families and our community in the services they provide (OMC, 2018-2020, p. 8). In order to implement these strategies OMC will continue to foster a culture of quality, patient safety and experience for their patients and staff. They will concentrate on explicit quality goals that will prevent unnecessary readmissions, and improve emergency department wait times. Lastly, OMC will ensure their Quality Management System will effectively sustain compliance with International Organization for Standardization (ISO) 9001: 2015 standards (OMC, 2018-2020, p. 8).

Strategic Objectives Response Paper

The second strategic objective Olympic Medical Center (OMC) has is to continue to work with their community partners and representatives and maintain recruitment and retention of the best doctors, advanced practice clinicians, clinical staff and employees to continue to achieve excellence in health care (OMC, 2018-2020, p. 5). The strategy OMC wants to achieve is to promote and inform the community about the services OMC provides. They will support public health, and promote health and wellness by discussing appropriate lifestyle choices, addressing social factors that negatively affect their community’s health and educating the community on chronic disease management. A third strategy they aim to achieve is to assist community partners to help support community development by “promoting health care access, advocacy and disaster preparation” (OMC, 2018-2020, p. 9). The goals they will implement to achieve this are: continue to meet with elected federal and state officials and their healthcare aides to further meet the needs of their healthcare system, organize annual goals and operating plans for the Swedish affiliation, to further enhance community health over time OMC will participate in agreed-upon Olympic Community of Health (OCH) programs and align with OCH-identified Medicaid measures with a focus on primary care access, continue to develop of wellness initiatives, and lastly preserve positive relationships with funding partners and donors (OMC, 2018-2020, p. 9).

Strategic Objectives Response Paper

The last strategic objective Olympic Medical Center (OMC) has is maintaining their organizational performance by sustaining financial solvency by achieving a positive net income (OMC, 2018-2020, p. 5). In order to do this OMC will maintain open communication within the organization and promote creative ideas from all staff. By sustaining prolific and respectful working relationships, OMC can encourage teamwork between employees, management, physicians and commissioners. They will contribute to employee development and education to advance quality, patient safety and experience, and financial stewardship. Lastly, OMC will continue to create a culture that reflects their Mission, Vision and Values (OMC, 2018-2020, p 10). OMC plans to “ implement “OMC Operational Excellence” across all divisions, prioritizing process improvements that result in improved operational efficiency, patient access, wait times, patient experience, and employee experience and engagement” (OMC, 2018-2020, p 10). They will put forth changes based on their 2015 employee survey and conduct a follow-up employee survey to further improve employee engagement. They will imbue a culture initiative to align

Their employees with the Mission and Values they have. OMC will also execute Workforce Development Plan (OMC, 2018-2020, p 10).

References

Olympic Medical Center (OMC). (n.d.). Strategic Plan. Retrieved August 31, 2019 from http://www.olympicmedical.org/default.aspx?ID=11

Olympic Medical Center (OMC). (2018 -2020). Strategic Plan. Retrieved August 31, 2019 from http://www.olympicmedical.org/pdfs/Strategic%20Plan%202018-2020.pdf

Sadeghifar, J., Jafari, M., Tofighi, S., Ravaghi, H., & Maleki, M. R. (2014). Strategic planning, implementation, and evaluation processes in hospital systems: A survey from Iran. Global Journal of Health Science, 7(2), 56–65. Retrieved from http://www.ccsenet.org/journal/index.php/gjhs/article/view/38626/22539

Walston, S. L. (2014). Strategic healthcare management: Planning and execution. Chicago, IL: Health Administration Press.

 

Peer Post 2 – Mackenzie Rodriquez

Tampa General Hospital is a very well-known health care facility located in Tampa, Florida. Some of the strategic objectives of Tampa General Hospital are to ensure quality health care services for all patients, create a safe environment, as well as ensure all staff members are equipped with the needed skills (TGH, 2019). First, TGH wants to make sure that all patients that visit the hospital will receive the best quality care regardless of the patient’s race, religion, economic background, etc… (TGH, 2019). Secondly, the safety of all patients and staff members is extremely important. Offering a safe environment for all patients and staff members allows patients to feel comfortable and allows employees to work more efficiently. Lastly, the hospital wants to ensure that all staff members are equipped with the needed skills in order to provide quality services to all of their patients.

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Some of the tactical objectives that will help Tampa General Hospital to achieve each of the strategic objectives are to make constant improvements to the technology equipment, increase security services, as well as create an overall efficient training program for all staff members (Chron, 2019). First, by frequently updating all technology every year, helps to ensure that all machines and equipment are efficient and functioning properly in order to help ensure the quality of services that are provided to patients. Secondly, increasing the number of security members over a period of time, will help keep the hospital safe and secure. Lastly, by making improvements to the training program for staff members every single year helps to ensure that they will have a better understanding of what is expected of them and what skills are required by the hospital. In addition, some of the operational objectives that can be used in order to help TGH achieve their strategic objectives is to fix the day to day issues (Chron, 2019). For example, any technology glitches should be fix immediately in order to prevent any of the machines from shutting down. Also, if any patients or staff members feel that a particular person makes them feel unsafe, it should be addressed immediately, and action needs to be taken. Any employees that are not working properly and working towards the hospitals goals needs to be addressed and potentially removed if needed. Overall, each of these objectives helps Tampa General hospital to achieve all of their overall strategic objectives.

Chron. (2019, April 24th). Tactical and operational planning. Retrieved from;

TGH. (2019). Mission and goals.Retrieved from;

https://www.tgh.org/health-professionals/school-medical-laboratory-science/mission-and-goals

 

SAMPLE ANSWER

Strategic Objectives Response Paper

Dear Cornel Bedward,

Sadeghifar et al. (2014), describe a strategic as being made up of strategic objectives that are important to the organization and have been established to be a significant management practice. This comes out clearly in the strategic plans that have been set out by your institution. I agree with you that the objectives should always be geared towards making the organization better. I also agree with you that strategic plans can be achieved within a specified period of time and as seen in your organization, they are for the year 2018-2020. Olympic medical Centre also has clear operational goals that will be able to help them. However, there is a need to bring out the tactical goals which will aim in the delivery of the strategic plan. Tactical objectives involve objectives at an individual level and are focused on the individuals in the organization.

Reference

Sadeghifar, J., Jafari, M., Tofighi, S., Ravaghi, H., & Maleki, M. R. (2014). Strategic planning,

implementation, and evaluation processes in hospital systems: A survey from Iran. Global Journal of Health Science, 7(2), 56–65. Retrieved from http://www.ccsenet.org/journal/index.php/gjhs/article/view/38626/22539

 

Dear Mackenzie Rodriquez

Tampa General Hospital has established itself to have a strategic plan and set out objectives to achieve them. You have listed some of the objectives that are present in the strategic plan of the organization which is to ensure that all patients get better quality of treatment irrespective of their background. A strategic plan is composed of strategic objectives that are important to the organization and have been established to be a significant management practice (Sadeghifar et al. 2014). I agree with you that for the goals of Tampa General Hospital to be achieved, there is a need to have operational and tactical objectives that have been clearly outlined in your article. However, Strategic objectives are goals that are aimed at being achieved within three to five years, and it has not been brought out when Tampa General Hospital aims at achieving the set out objectives in their strategic plan.

Reference

Sadeghifar, J., Jafari, M., Tofighi, S., Ravaghi, H., & Maleki, M. R. (2014). Strategic planning,

implementation, and evaluation processes in hospital systems: A survey from Iran. Global Journal of Health Science, 7(2), 56–65. Retrieved from http://www.ccsenet.org/journal/index.php/gjhs/article/view/38626/22539

 

 

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