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The conservative or liberal philosophies

The conservative or liberal philosophies

Please answer the following questions in regards to the essay topic enclosed.  Note: no title page needed only the answers for the questions.

IMPORTANT: 100- 150 words required for each question answer, including each question within each question. (example two questions within a question = 200-300 words required total)

1- Explain your topic and why you believe (or do don’t believe) it is an important matter for the general public.

2-How do you plan to use Hass and Flower’s concept of purpose and context in your argument essay?

3-What was the most dominant appeal used by the debate members discussing your topic? Why do you believe that appeal was used most?

4- Which primary appeal do you think best suits your debate topic? Explain

 

SAMPLE ANSWER

Explain your topic and why you believe (or do don’t believe) it is an important matter for the general public.

The topic of discussion is “Liberals Hold the Moral High Ground.” It is a debate about the two opposing philosophies i.e. the conservative or liberal philosophies and the extent to which their ideas work towards achieving national identity in America. At the same time, each brings up points that are designed to indicate the best outcomes for the country and especially regarding the policy goals. The debate is an important one for the p8blic because of the interest in the side that offers higher moral ground this means that it seeks to establish which of the philosophies aims at bringing out the great good for a large number of people. Also, because of the divided political arena in the country, it is necessary to understand the side of the political divide that offers policies or ideas that reflect the culture of the country.  In doing so, the side will play a role in embracing the virtues of the country that are cherished by a large number of people.

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How do you plan to use Hass and Flower’s concept of purpose and context in your argument essay?

I intend to make use of the content strategies provided to get information from the debaters and use it for my essay. This means that I will have to first of all sum up the content. This will be followed by paraphrasing of the content so that I can ensure that I write it in my own words. I will also try my best to interpret the information that is provided. I will then make use of rhetorical strategies to go beyond simply understanding the text. This will involve analyzing the content so that I can attempt to account for the thoughts, as well as the purpose that the author had when providing the content. Also, I will put in the effort to understand the context that the author of the text is looking at as well as the intended impact of the content on the audience.

What was the most dominant appeal used by the debate members discussing your topic?

The appeal that was mostly used by the speakers is the pathos appeal. This is a type of appeal used in debates or public speaking that seeks to appeal to the emotions of the audience.  The people that sue the pathos appeal seek to offer a convincing argument to the audience and this is achieved by creating an emotional response to a plea or a story. In this case, the audience is being convinced about the moral standings of each part of the debate side. Each side seeks to bring out ideas or pleas so that they can be seen to be better than the opponents.

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Why do you believe that appeal was used most?

I believe that the appeal is used most because they all want to prove that they have a better moral standing as compared to the opponents. In doing so, they aim at bringing out their points to prove that they have been designed with the utmost good of the larger population in mind. The conservatives and the liberals seek to establish the meaning of morality by explaining what morality is to them. The liberals believe that morality is anchored on caring and looking after the disadvantaged people in society as well as ensuring justice, fairness, and generosity. Conservatives believe that morality is brought about by fairness, respect for leadership as well as an individual sense of responsibility and patriotism.

The conservative or liberal philosophies

Which primary appeal do you think best suits your debate topic?

The pathos appeal is the most suitable appeal for thus debate topic. This is because the debate topic requires one to take a side that they strongly believe speaks to the heart of the people. In doing so, there is a need to support the arguments by presenting the points in a way that the audience will acknowledge that the policies embody the most cherished virtues. In doing so, it will be important to not only capture their attention or provide facts as is seen in the logos appeal, it involves convincing them that the ideology of the supported side is the best for the country.

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An Advanced Practice Registered Nurse

An Advanced Practice Registered Nurse

Please follow this

One

A short Introduction = About APRN

Two

Post a comparison of at least two APRN board of nursing regulations in your state/region with those of at least one other state/region = Example is California state and Texas

Three

Describe how they may differ. Be specific and provide examples. = At least 3-4

Four

Then, explain how the regulations you selected may apply to Advanced Practice Registered Nurses (APRNs) who have legal authority to practice within the full scope of their education and experience.

Five

Provide at least one example of how APRNs may adhere to the two regulations you selected.

Reference page at Least three sources

Note

This is a discussion

No tittle pages.

No running heads.

This a Masters level class

APA Format with intext citation

Required to use the reading resources, no outside resources for this one.

Heading:

Ø  Comparison of Board of Nursing Regulations between (California state and Texas)

 

Ø  How they may Differ (include examples) 

Ø  How do the Regulations Apply to Advanced Practice Registered Nurses?

 

Ø  Example of how APRNs May adhere to the Two Regulations

 

SAMPLE ANSWER

An Advanced Practice Registered Nurse

An Advanced Practice Registered Nurse (APRN) is a registered nurse with clinical competencies, complex decision-making skills, and expert knowledge critical for expanded practice (NCSBN, 2019).  APRNs can take more complex case works and have more discretion and independence than RNs.

The APRN board of nursing regulations in both California and Texas are similar in both the certification process and the application process. The states require nurses to verify their certification through clinical competency and experience in delivery of health care services (NursingLicensure.org, 20191; NursingLicensure.org, 20192). The certification process is also determined through education and a certification exam as determined by the certification agency. The application process in both states is the same as the application forms are got online from the board website (NursingLicensure.org, 20191; NursingLicensure.org, 20192). The evidence of current certification and eligibility would also be required.

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The legislations also differ in both California and Texas. For example, the education requirements for APRNs in Texas are conducted at the master’s level or higher, and the programs must be nationally accredited by the board of nursing or an accrediting agency (NursingLicensure.org, 20191). In California, the education requirement includes completing an approved California’s education programs recognized by the Board or an equivalent program through an accepted organization (NursingLicensure.org, 20192).  The renewal requirements in both states also differ. For example, in Texas, APRN must have to maintain national certification, and there must be active practice and continuing education (NursingLicensure.org, 20191). However, in California, the renewal requirements do not involve continuous education. Instead renewal is automatic and may require payment of additional fees (NursingLicensure.org, 20192) Finally, Out-of-state nurses without licensing in California can apply and become temporary APRNs, but such nurses cannot work in Texas by submitting endorsement RN applications.

The legislations selected apply to APRNs because they must attain all education, certification, application and renewal requirements to work in respective states. The legislations are important in providing a clear understanding of APRNs scope of practice based on the state regulatory agencies (Milstead & Short, 2019).

APRNs need to adhere to both the educational requirements and certification requirements by doing approved programs by the Board of nurses or other nationally accredited by recognized accrediting agencies (ANA, 2017). The education requirements will help during the certification process since it must be consistent with education and other basics for certification exams.

 

References

Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.).

Burlington, MA: Jones & Bartlett Learning.

American Nurses Association (ANA). (November 14, 2017). ANA Enterprise.

https://www.nursingworld.org/practice-policy/aprn/

National Council of State Boards of Nursing (NCSBN). (2019). APRN consensus

implementation status. NCSBN. https://www.ncsbn.org/5397.htm

NursingLicensure.org (20191). Advanced Practice Registered Nurse license requirements in

Texas. Nursinglicensure. https://www.nursinglicensure.org/np-state/texas-nurse-practitioner.html

NursingLicensure.org (20192). Advanced Practice Registered Nurse license requirements in

Carlifornia. Nursinglicensure. https://www.nursinglicensure.org/np-state/california-nurse-practitioner.html

 

 

 

 

 

 

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United Healthcare Group

United Healthcare Group

Research a health care organization or network that spans several states with in the United States (United Healthcare, Vanguard, Banner Health, etc.). Assess the readiness of the health care organization or network you chose in regard to meeting the health care needs of citizens in the next decade.

Prepare a 1,000-1,250 word paper that presents your assessment and proposes a strategic plan to ensure readiness. Include the following:

  1. Describe the health care organization or network.
  2. Describe the organization’s overall readiness based on your findings.
  3. Prepare a strategic plan to address issues pertaining to network growth, nurse staffing, resource management, and patient satisfaction.
  4. Identify any current or potential issues within the organizational culture and discuss how these issues may affect aspects of the strategic plan.
  5. Propose a theory or model that could be used to support implementation of the strategic plan for this organization. Explain why this theory or model is best.

 

SAMPLE ANSWER

United Healthcare Group

United Healthcare Group is a health company that is located in Minnesota. Its main objective is to offer healthcare services at an affordable price to citizens of the United States and people across the globe. The company was founded in the late 1970s by Richard Burke with a primary purpose of enhancing quality healthcare practices to ensure adequate care to all people and also improve business management (Tillman, 2015). The company has experienced rapid growth and development over the last few years, and it is now known to be one of the largest health organizations in the United States. The organization still aims at transforming the quality of health care services in the United States to enhance the healthy living of the population it serves (Tillman, 2015). This paper aims at describing the readiness of the health organization in improving quality care, preparing strategic plans on network growth, nurse staffing, resource management, and patient satisfaction. Also, the paper discusses the organizational culture and how it may affect the effectiveness of the strategic plan. A theory that can help in the implementation of the strategic plan in the organization is also discussed.

Overall Readiness of United Healthcare in Meeting Healthcare Needs

United Healthcare Group is highly prepared in meeting the needs of citizens in the next decade; it employs healthcare providers who are competent and highly experienced. The organization also creates a network of healthcare professionals from all over the world to ensure that patients receive the highest quality of healthcare. Besides, the healthcare organization incorporates the highest level of technology (Tillman, 2015). The high degree of technology helps in the collection of a vast amount of clinical information. Through technology, healthcare providers are also able to use the most recent healthcare information when handling patients. Besides, the organization has access to the current pharmaceutical products and other healthcare-related innovations which helps them in offering the highest quality of care to patients (Tillman, 2015).  The organization aims at reducing patient care cost by adapting to the new payment technology. Besides, the company aims at improving its network to ensure that it employs more competent professionals in the field of healthcare.

Strategic Plan about Network Growth, Nurse Staffing, Resource Management, and Patient Satisfaction

  1. Network Growth

The growth of the network in healthcare will need high incorporation of inter-professional collaboration. To meet the benefits of inter-professional collaboration in healthcare, the organization needs to ensure that a vast number of professionals, including nurses, physicians, employers, therapists, and other professionals are involved (Traynor & Rademakers, 2017). Also, the organization has to embrace the highest level of technology to reach professionals from different parts of the world.

  1. Nurse Staffing

The high population growth rate in the modern world has created the need for more nurses. Due to the problem of nurse staffing, there is a need for increased nursing education and training to increase the number of competent nurses in the health care system (Traynor & Rademakers, 2017). Besides, experienced and skilled end nurse educators have to be employed to offer the best training to nurses to ensure they produce a high-quality patient outcome.

  • Resource Management

Resource management will enhance reduced costs for both the patients and the healthcare organization. Therefore, to achieve a high level of resource management, the organization will employ a high level of technology that can enhance the security of information (Traynor & Rademakers, 2017). Besides, the organization should increase motivation and engagement of workers to work effectively towards the common goal of the company.

  1. Patient Care

To enhance high-quality patient care, the organization will have to incorporate the use of the latest technology and create access to recent innovations and pharmaceutical products in the health system (Traynor & Rademakers, 2017). Also, the organization should utilize the latest technology to enhance reduced costs for patients and the health organization as well.

The Potential Issues in United Healthcare Group that May Affect the Aspects of the Strategic Plan

  1. Network Growth Strategic Plan

The organization works in partnership with other healthcare professionals and organizations to ensure that patients access the highest quality of care quickly. The company also incorporates extraprofessional collaboration by building health relationships with various professionals such as the government, physicians, nurses, employers, and healthcare consumers (Phillips & Phillips, 2017).

  1. Nurse Staffing Strategic Plan

The United Healthcare Group has a culture of advanced training, coaching, and mentoring of nurses within the organization. As a result, there is a continuous supply of nurses in the organizations, which helps solve the challenges associated with nurse staffing (Phillips & Phillips, 2017). Therefore, the organization is well prepared in handling the problems of nurse staffing in the next decade and beyond.

  • Resource management Strategic Plan

United Healthcare Group incorporates the use of Electronic Health Records; thus; it ensures high security of information. The company also enhances extraprofessional coloration and healthy relationships among workers to ensure that they work towards the common goal of the organization (Phillips & Phillips, 2017). Through human resource management and security of information, the organization will be in a position to affect the strategic plan on resource management.

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  1. Patient Care Strategic Plan

United Healthcare Group incorporates the use of cost estimators that helps in creating transparency. Also, cost estimators help in ensuring that care is provided at affordable costs. The organization also introduces new products and programs based on the most recent technology (Phillips & Phillips, 2017). Therefore, United Healthcare Group is well prepared to affect the strategic plan on continued quality patient care.

A Model to be used in the Implementation of the Strategic Plan

Quality Implementation Model developed in the year 2012 by Wandersman and Durlar, can be best applied in the implementation plan in United Health Group. The model is essential because it focuses on particular actions that can be used to ensure the improvement of efforts in quality implementation (Nilsen, 2015).

Conclusion

Healthcare United Group is well prepared in ensuring quality patient care in the next decade and beyond as it incorporates the use of the latest technology to enhance continued growth in networking. The organization still aims at transforming the quality of health care services in the United States to enhance the healthy living of the population it serves. The company also provides sufficient nurse staffing by training, coaching and mentoring the nurses within the organization, this, indicating that even in the next decade the organization will be well prepared in solving the challenges associated with nurse staffing. Also, United Healthcare Group enhances resource management through the application of high technology such as Electronic Health Records and Extraprofessional collaboration. Therefore, the organization portrays a high level of preparedness in meeting patient needs in the next decade and beyond.

 

References

Nilsen, P. (2015). Making sense of implementation theories, models and frameworks. Implementation science10(1), 53. doi:10.1186/s12883-011-0346-9

Phillips, S. L., & Phillips, J. V. (2017). Using Primary Care Payment Models as a Catalyst for Improvement. Journal of the American Medical Directors Association18(7), 558-560. https://doi.org/10.3945/ajcn.123.123281

Tillman, K. (2015). Building the Infrastructure of the Affordable Care Act: Hillary Clinton, UnitedHealth Group/Optum, and the Center for American Progress. J Am Phys Surg20, 110-115. https://doi.org/10.1145/jch.12244

Traynor, B. J., & Rademakers, R. (2017). Dementia Research—A Roadmap for the Next Decade. JAMA neurology74(2), 141-142. https://doi.org/10.3945/ajcn.114.123281

 

 

 

 

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Termination of the Counseling Relationship

Termination of the Counseling Relationship

In a 250-500-word essay, hypothetically terminate the counseling relationship with a client who has experienced trauma and abuse in the past and has now seen you, the counselor, for 8 months regarding this trauma.

1.      Describe the successful termination of the client relationship.

2.      Discuss strategies for helping the client to maintain change post-termination.

Include at least one scholarly reference 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 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

Termination of the Counseling Relationship

            For the past eight months, we have set goals, incorporated changes and worked through traumatic feelings. Now, we have come to end of the psychotherapy process. During this termination process, we will analyze the treatment plan to establish whether the treatment goals were met and we will also create a mental health wellness plan to maintain the positive change post-termination. You have undergone through several positive changes: you have a more positive body language, the severity of your symptoms has decreased, your relationships have improved, and you have a positive outlook on the present and the future. I remember the first session we had. You were terrified to talk about your trauma and you would get panic attacks when asked to recall the abuse you experienced. Now, you are more confident to talk about the painful experience amidst slight difficulties. You have truly come a long way! As we conclude our last session, we will collaboratively develop a wellness plan to prevent any relapse and maintain the positive progress we have established so far.

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To maintain the positive change, we have achieved in therapy, the following tips will be beneficial. Try to exercise for at least 45 minutes or more on most days. This will help you burn off adrenaline and release endorphins to make you feel better (Robinson, Smith & Segal, 2019). Make sure that you participate in social activities and connect with old friends. Connecting to others improves the healing process and helps you forget about the trauma. Mindful breathing will help you relieve anxiety and calm your nerves (Robinson, Smith & Segal, 2019). Like we discussed in our sessions, your physical health is very important. Therefore, get plenty of sleep, avoid drugs and alcohol and reduce stress by practicing relaxation techniques. Lastly, I commend you on your hard work in therapy and I take pride in what we have accomplished together.

 

Reference

Robinson, L., Smith, M. & Segal, J. (2019). Emotional and Psychological Trauma. HelpGuide. Retrieved from https://www.helpguide.org/articles/ptsd-trauma/coping-with-emotional-and-psychological-trauma.htm

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Week 3 Discussion_Strategic Plan

Week 3 Discussion_Strategic Plan

2 peer responses to Group A and Group E. They are posted below.

 Peer responses By Day 7

Individually respond to at least two other teams in one or more of the following ways:

  • Provide recommendations for another team’s content.
  • Offer insights on how your team’s content supports another team’s content.

Group E, Week 3 Discussion

In the scenario presented regarding Millersville Regional Medical Center with a strategic plan requiring an evaluation, there are certain factors and components that need to be considered (Ginter, Duncan & Swayne, 2018). In the process of, the center needs to apply strategic controls, which are some of the factors to consider when looking at the center’s ability to optimize its strengths and opportunities. Premise control is used in order to help measure and determine outside environmental factors and this strategy can potentially be used in order to help the health care organization when it comes to determining influx of immigrants in the surrounding area (Clear Point Strategy, n.d.).  For example, the center’s ability to recruit more physicians and also retain the current workforce in the face of competition and better alternatives such as better pay and amenities for its workforce from its competitors.

Also, implementation control could possibly be used in order to help create and track an overall plan that can be used in order to help decrease wait times, increase funds, as well as increase the number of health care professionals.  It is because, at the implementation of the strategic plan, the center needs to ensure that in the event of unforeseen circumstances like the influx of patients, the strategic plan will not need any adjustments. These adjustments, in most cases, are costly, time-consuming, and may trigger loss of clients to competitors.

Week 3 Discussion_Strategic Plan

The third strategic control the organization should utilize is the special alert control. “A special alert control is the need to thoroughly, and often rapidly, reconsider the firm’s basis strategy based on a sudden, unexpected event” (Strategic Control, 2018). This strategic control would benefit the organization because the organization has seen an unexpected spike in the number of patients that visits the hospital.

It is vital for every strategic plan, even at its time of evaluation to put in place some monitoring tools. In this case of Millersville Regional Center, a monitoring tool such as the Gantt Chart, which is a bar chart used to monitor and show a project plan and its advancement or progress over time, is crucial in its strategy. It is because, in the moment of monitoring progress, the center would have set appropriate measures to prevent the depletion of its charitable care budget early in the year. The use of a balanced scorecard is essential because of its purpose in tracking and isolating four separate areas, also known as legs. These legs include learning and growing, business processes, customers, and finance (Cebeci, 2018). In the scenario, the strategic plan needs this tool to evaluate the center’s ability and capacity to handle some issues. These issues include the increase of patients, better pay, and amenities for its workforce through available resources. It will give the center an idea of where immediate or critical improvements are required or the need for additional resources. A dashboard would also help the center to focus on its mission and ensure that its strategy is effective.

Week 3 Discussion_Strategic Plan

Two tactical objectives the organization can use to address its operations requirements are to reach out to the nearest universities to create connections with nursing and healthcare students so that they may find interest in becoming employed at the facility when they graduate. By networking, the hospital can establish connections while also making students aware of the overall benefit of using their talents in rural communities. Another tactical objective the hospital should consider is involving staff members with their input on creative and innovative ways to improve the quality care and rewarding the employees for their involvement. Regardless of job title, all staff members may have ideas that could benefit the organization. Including staff also shows them that the organization cares about them and their ideas regarding the company.

References

Klipfolio. 2001. What is a data dashboard? Retrieved from https://www.klipfolio.com/resources/articles/what-is-data-dashboard

Strategic Control. 2018. Strategic Management: Formulation and Implementation. Retrieved from https://www.strategic-control.24xls.com/en143

S. Epstein. September 2013. Using the Internet in Your Job Search. Retrieved from https://career.fsu.edu/sites/g/files/imported/storage/original/application/27ba368e3cba4cc02d2931a2be2f4f3d.pdf

Clear Point Strategy. (n.d). Strategic control: Breaking down the process and techniques.Retrieved from https://www.clearpointstrategy.com/strategic-control-process/

Cebeci, U. (2018). Building hospital balanced scorecard by using decision support approach. IIOAB JOURNAL, 9(6), 42-47.

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

 

Group A Week 3 Discussion

Scenario:

The board of directors of Elite Healthcare formulated and implemented a strategic plan to address the city’s rapidly growing population (11% increase per month), which is demanding greater access to quality, innovative patient care. However, they failed to evaluate the implementation of the plan, and over time, many employees became overworked because of the increased demand for services, which has led to a higher percentage of work-related employee and patient injuries. The current work environment has adversely impacted employee morale and the organization’s ability to recruit new talent. Moreover, patients have started seeking care across town even though it is a much longer commute

Strategic controls, monitoring tools, and tactical objectives might be used to address date and tracking via medical records.  As an organization using tolls to monitor data from medical claims, pharmacy claims, and electronic medical records can impact millions of lives. Strategically leveraging this data to hone and train predictive models for population health management, fostering innovation and research across health care will also be impactful.  Although the size of the data assets would be impressive, it’s the enrichment and curation that makes most valuable to the health care industry. Also, there will be fewer negative consequences with expressed objectives and goals. Organizations are built with the goal of profitability through processes in mind. The organizational control approach incorporates goals and the strategy used to reach them.

Week 3 Discussion_Strategic Plan

As far as tactical objectives to leverage operational requirements the organization should revamp the scheduling process on the front line. Offer and request should be taken into consideration in scheduling surgeries and other non-life-threatening processes. Patients should be planned for such processes on days when owing to a busy night in the ED, the hospital is less likely to have a spike in patient volume. Consider alternative care delivery techniques. The organization can attempt to treat patients in different ways to alleviate the burden of heavy wait times. For patients with less severe problems with ED, telemedicine may be one option. The organization can also partner directly with neighboring emergency medical centers and other healthcare institutions to provide patients with an option for ED to reduce their waiting time. Incorporate the preferences of patients. Patients, not providers, should be the focus of scheduling. The organization must, therefore, reach out to find out what types of modifications would best suit the requirements of patients. Some clinics have provided patients with access to schemes where they can create their own ED appointments for less critical problems –or offer patients an estimated time to wait over the phone before arrival so they can make the appropriate arrangements. (White, 2015) These solutions should help with accommodating the imbalance of supply and demand that the organization is facing.

Monitoring tools used are data-driven tools, Epic, and good old fashion workgroups and meetings. We have weekly meetings with our vendor to ensure that the project is up to speed and this issue is being worked through. Monitoring this is no easy task but through communication and a strong project plan, we get it done. We rely on the data from the groups and their feedback to drive our conversations and push us.

Week 3 Discussion_Strategic Plan

In addition, we will use a balanced scorecard to align the daily work of all employees with the strategic plan aimed at increasing access to quality care and measure progress towards our strategic target (Walston, 2018). Taking the organization’s internal strengths and weaknesses into account, our objective of delivering quality care will lead us to the tactical goal of matching a reasonable patient-provider ratio that will prevent employee burnout. The balanced the scorecard will, at all times, help keep the patient-provider ratio proportionate to that determined in the strategic plan; a ratio that will prevent excessive workloads and employee burnouts.

One tactic used is meeting the NCQA standards for the health risk assessment to ensure that our organization meets the guidelines and requirements for reimbursements and the standards of care.  This is a necessary objective for all parties involved.

Another objective is weekly meetings to ensure that no other issues will arise and the project is on track. To me, nothing beats good old-fashioned meetings and face-to-face conversation. Meeting weekly increases the amount of communication and ensures that the project will get done. To me, this is very necessary and one of the strongest tasks. We go over project plans, updates, questions, concerns, and the timeline. We all count on this meeting to get our product done. Behrouzi, Shaharoun, and Ma’aram note this in their piece as a useful measure (Behrouzi, F., Shaharoun, A. M., & Ma’aram, A., 2014).

Diving deeper, an example within the workplace comes from work in an ICU as a respiratory therapist. One employee noticed that the balloon cuff on are vented patients was deflating between shifts causing patients not to get the exact volume they need to keep their lungs open while they were on the ventilator. Of course, this drives the nurses crazy when the ventilator is alarming. So the employees came up with a plan to do cuff checks at the beginning and end of our shifts.  Employees would check all patients that were vented at the end of the month as our milestone review and notice deflation was down. This allows vented patients to get the volume they needed to get their lungs healthier until they come off the ventilator.

Week 3 Discussion_Strategic Plan

Stepping further, with monitoring tools, these employees used a data dashboard tool to analyze the data from doing the cuff checks. They could track the average time when deflation started, average pressure that stayed in the cuff and us used that data to help to keep accurate pressure in the cuffs for our vented patients.

References

Walston, S. L. (2018). Strategic healthcare management: Planning and execution (2nd ed.). Chicago, IL: Health Administration.

Chapter 15, “Implementing, Monitoring, and Evaluating Strategy” (pp. 339-353)

Behrouzi, F., Shaharoun, A. M., & Ma’aram, A. (2014). Applications of the balanced scorecard for strategic management and performance measurement in the health sector. Australian Health Review, 38(2), 208–217.

Jakob Lauring, Jan Selmer and Annamaria Kubovcikova, Personality in context: effective traits for expatriate managers at different levels, The International Journal of Human Resource Management, 10.1080/09585192.2017.1381137, 30, 6, (1010-1035), (2017)

White, J. (July 6, 2015). 4 keys to reducing patient wait times. https://www.healthcarebusinesstech.com/reduce-patient-wait-times/ 

SAMPLE ANSWER

Group E, Week 3 Discussion

Having a strategic plan for a healthcare institution has become very imperative with the changing healthcare needs. Therefore, it is important for every healthcare institution to have its strategic plan for the future to ensure its success. A strategic plan helps the organization plan for the unknown. This is important to ensure that the healthcare organization can be able to deal with whatever may come along the way that was not expected. One of the most important consideration that needs to be done and planned for is financial requirements for running the organization. An organization should have objectives as well as goals that have been set to be achieved. In order to measure the implementation and success of the set goals, it is important to have a strategic plan. As you have mentioned, it is important for the healthcare organization to have a dashboard that would measure its performance overtime. The dashboard will help in evaluating which areas that may require improvement and which areas that needs to be maintained at the same level. Having a dashboard and a reward system within the healthcare organization can help in improving the efficiency of the organization.

Reference

Strategic Planning in Hospitals. Retrieved from https://www.stratadecision.com/healthcare-and-hospital-strategic-planning/

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Group A Week 3 Discussion

Strategic management is an important management practice in healthcare institutions. Nowadays, in order to achieve improved quality of health services, it is important to set a plan for the future by establishing sustainable processes through a strategic plan. A strategic plan outlines how an organization aims to progress from the current situation to the desire future situation. For the current case, it was important for the board of directors to have done a thorough strategic plan that could have helped them avoid the problems they are currently facing. This would have saved resources as well as costs that can be used to expand the facility. Due to the current situation, the quality of healthcare has been affected leading to patients seeking healthcare services elsewhere. It is important to look at the broad picture while making a strategic plan. This can help in identifying all the elements that can affect positively or negatively a healthcare organization in the future. Hospital performance evaluation is very important in order to determine the performance over time. This in turn would help in the development of a strategic plan.

Week 3 Discussion_Strategic Plan

Reference

Sadeghifar, J., Jafari, M., Tofighi, S., Ravaghi, H and Maleki M. (2015). Strategic Planning, Implementation, and Evaluation Processes in Hospital Systems: A Survey from Iran. Glob J Health Sci, 7(2): 56–65.

 

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Foundations of Evidence Based Practice

Foundations of Evidence Based Practice

Write a 4 page APA paper addressing the following questions

1. Identify a project from a department at your place of employment that demonstrates a commitment to an improvement in patient care.  (Prefer pertaining to an inpatient PEDIATRIC UNIT)

2. Why is this project/study important?

3. What role would an APN play in this project?

4. Identify a PICOT question that you could use to guide the research of the identified problem.

5. Provide 5 databases that you might use for your research,and give a short description of each.

6. Provide 15 – 20 PEER reviewed references in APA format.

7. What barriers do you foresee in implementing this project?

Requirements for Paper:

  • APA Format, 6th
  • 4 pages in length, not including the title and reference page. (points will be deducted for papers over or under required length)

Note from teacher:   4 pages in length, not including the title and reference page. (points will be deducted for papers over or under required length)    PEER reviewed references do not go in the body of the paper but in the reference section.  That should give you enough space for the paper.  You do not have to incorporate all of the references into the paper. You just need to provide a list of appropriate references that you would use in researching the paper.

 

SAMPLE ANSWER

Foundations of Evidence Based Practice

Pediatric department of the health institution I currently work in has come up with a project to improve patient outcome through interventions in communication. The project management team will implement the plan through the use of a communication system that can put all the health caregivers on the same page (Berwick, 2016). The new communication system will include the use of whiteboards on the bedsides to indicate the daily objectives, the use of a dashboard for performance, and a note format for the daily progress of the residents (Lotz, Daxer,  Jox, Borasio, & Führer, 2017). The project will give families and patents who are excluded from rounds the courage to ask questions as well as express their concerns about the care plan.

Foundations of Evidence Based Practice

Why the Project is Important

Most of the breakdowns of teamwork and communication errors result in reduced patient outcome, increased costs, and prolonged losses in healthcare facilities. To solve these issues, the children’s department aims at improving communication to decrease medical errors during daily rounds (Katkin, et al. 2017). The project will begin by training healthcare workers on the rounds basics to help them conceptualize easily on its implementation (Gathara, et al. 2015). The project expectations are to increase the satisfaction of health care providers by more than 80 %. Besides, the project will be crucial in improving teamwork among health care providers, especially nurses, by reducing the number of nurses who multitask on bedsides during daily rounds (Hill, Knafl, &Santacroce, 2018). I will also reduce interruptions during presentations of the patients.

The role that an APN play in the project

Advanced Practice Nurses are those nurses with advanced certification and training with mostly a master’s degree and doctorates. Because of their advanced knowledge, APNs will play a crucial role in the implementation of the project. To begin with, the information on the bedside daily whiteboards will be verified by the APNs to ensure its high level of legitimacy in enhancing the highest quality of the patient outcome (Swan, Ferguson, Chang,  Larson&Smaldone, 2015).Besides, APNs will be involved in the project planning to ensure that the plan will be sound in meeting the goals and objectives of the project (Scotten, Manos,  Malicoat, & Paolo, 2015). APNs can work in the albescence of a doctor and other health practitioners because of their danced knowledge in nursing practice. Therefore, they will be useful in case of emergencies (Bryant‐Lukosius, et al. 2016). APNs will also have the role to educate and mentor other health practitioners on the best ways to implement the project primarily through teamwork and quality communication skills among healthcare professionals in the institution.

Foundations of Evidence Based Practice

PICOT question

Will the use of whiteboards on the bedsides to indicate the daily objectives, the use of a dashboard for performance and a note format for daily progress of the residents improve patient care within one year of project implementation?

Databases I might use for my research

  1. CINAHL Plus

CINAHL Plus is an advanced version of CINAHL index, and it provides a vast number of cited and full-text references and records. It includes nurse educators, nurses, researchers, students, and other health professionals with advanced literature in healthcare practice(Glanville, Dooley, Wisniewski, Foxlee, & Noel‐Storr, 2019). It provides easy access to high content that dates back to the late 1030s and a considerable number of healthcare journals. The database covers a wide variety of topics such as medicine, nursing, health sciences, biomedicine, complementary medicine, allied health disciplines, and consumer health, among others. The database would help conduct my search on how to improve communication to increase the quality of patient care.

Foundations of Evidence Based Practice

  1. Cochrane Library

Cochrane Library is an excellent source of quasi-randomized and randomized reports on controlled trails. It also provides other details such as the source, year of publication, and the author (English, Hillier & Lynch, 2017). However, they only give the summary of the report mostly through abstracts; that is, they do not provide the full text of the report. Cochrane Library will be a useful database for finding evidence-based information.

  • MEDLINE

MEDLINE is a library premier databases for medicine. The database provides the names of the authors and bibliographical citations and abstracts of the authors from about 4700 and above biomedical journals that are published in the United States and other countries (Duffy, de Kock, Misso, Noake, Ross, &Stirk, 2016). Some of the main topics covered in MEDLINE include nursing, medicine, veterinary, dentistry, pre-clinical sciences, and allied health. MEDLINE will be an accessible database when doing my research on the project to improve the quality of patient care.0

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  1. Nursing Reference Plus

Nursing Reference Plus is a database that is designed specifically for nurses. It educates nurses about nursing best practices and evidence-based practice(Oermann, et al. 2018). It mainly ensures that nurse educators, nurses, nursing students, and newly graduated nurses in the field have quick and easy access to the recent information in health practice to provide a maximum level of quality patient care.

  1. V) EMBASE

Embase is a pharmacological and biomedical database that contains more than 20 million articles and records that are published across the world (Bramer, Giustini,  Kleijnen, & Franco, 2018). It provides abstracts, citations, and indexing from peer-review journals and biomedical articles. Most of the quotes have summaries that are written by the authors. Some of the main topics covered by EMBASE include pediatrics, oncology, general clinical medicine, dermatology, and intensive care.

Barriers in implementing the project

Some of the barriers that may make the implementation of the project include; one, lack of full cooperation from the healthcare team members due to such factors as the conflict of interest or unwillingness to act according to the requirements of the project.

Foundations of Evidence Based Practice

Second, the costs involved incomplete implementation of the project may be higher, especially in redesigning the communication system in the institution. The administration of the institution may be reluctant in providing finances for designing bedside whiteboards and paying extra fees to the project management team (Friedman, Howard, Shaw, Cohen, Shahidi& Ferrante, 2016). This may hinder the successful implementation of the project.

Conclusion

Improving patient outcome through communication intervention is critical in the children’s department to improve communication among physicians and decrease medical errors during daily rounds. Developing and implementing a plan to facilitate communication between physicians and nurses will help reduce medical errors that result in reduced patient outcome, increased costs, and prolonged losses in healthcare facilities. APNs will play a crucial role in the implementation of the project, such as project planning and during education and mentoring program.  Databases such as CINAHL Plus, Cochrane Library, MEDLINE, Nursing Reference Plus, and EMBASE will provide more evidence on the interventional strategy including its application and importance. The major barriers during the implementation of the project will involve lack of full cooperation from the healthcare team members and the involved incomplete implementation of the project.

 

References

Berwick, D. M. (2016). Era 3 for medicine and health care. Jama315(13), 1329-1330.doi:

10.1001/jama.2016.1509.

Bramer, W. M., Giustini, D., Kleijnen, J., & Franco, O. H. (2018). Searching Embase and MEDLINE by using only major descriptors or title and abstract fields: a prospective exploratory study. Systematic reviews7(1), 200.doi: 10.1186/s13643-018-0864-9.

Bryant‐Lukosius, D., Spichiger, E., Martin, J., Stoll, H., Kellerhals, S. D., Fliedner, M., … & Schwendimann, R. (2016). Framework for evaluating the impact of advanced practice nursing roles. Journal of Nursing Scholarship48(2), 201-209.doi: 10.1111/jnu.12199.

Duffy, S., de Kock, S., Misso, K., Noake, C., Ross, J., & Stirk, L. (2016). Supplementary searches of PubMed to improve currency of MEDLINE and MEDLINE In-Process searches via Ovid. Journal of the Medical Library Association: JMLA, 016 Oct; 104(4): 309–312.doi: 10.3163/1536-5050.104.4.011

English, C., Hillier, S., & Lynch, E. (2017). Cochrane Corner. Stroke48, e275-e276. doi: 10.1002/14651858.CD007513.pub3.

Friedman, A., Howard, J., Shaw, E. K., Cohen, D. J., Shahidi, L., & Ferrante, J. M. (2016). Facilitators and barriers to care coordination in patient-centered medical homes (PCMHs) from coordinators’ perspectives. The Journal of the American Board of Family Medicine29(1), 90-101.  doi: 10.3122/jabfm.2016.01.150175.

Gathara, D., Nyamai, R., Were, F., Mogoa, W., Karumbi, J., Kihuba, E., … & Todd, J. (2015). Moving towards routine evaluation of quality of inpatient pediatric care in Kenya. PloS one10(3), e0117048.doi: 10.1371/journal.pone.0117048.

Glanville, J., Dooley, G., Wisniewski, S., Foxlee, R., & Noel‐Storr, A. (2019). Development of a search filter to identify reports of controlled clinical trials within CINAHL Plus. Health Information & Libraries Journal36(1), 73-90.doi: 10.1111/hir.12251.

Lam, M. T., De Longhi, C., Turnbull, J., Lam, H. R., &Besa, R. (2018). Has Embase replaced MEDLINE since coverage expansion?. Journal of the Medical Library Association: JMLA106(2), 227. doi: 10.5195/jmla.2018.281.

Lotz, J. D., Daxer, M., Jox, R. J., Borasio, G. D., & Führer, M. (2017). “Hope for the best, prepare for the worst”: A qualitative interview study on parents’ needs and fears in pediatric advance care planning. Palliative medicine31(8), 764-771.doi: 10.1177/0269216316679913.

Katkin, J. P., Kressly, S. J., Edwards, A. R., Perrin, J. M., Kraft, C. A., Richerson, J. E., … & Wall, L. (2017). Guiding principles for team-based pediatric care. Pediatrics140(2), e20171489.doi: 10.1542/peds.2017-1489.

Oermann, M. H., Nicoll, L. H., Chinn, P. L., Ashton, K. S., Conklin, J. L., Edie, A. H., … & Williams, B. L. (2018). Quality of articles published in predatory nursing journals. Nursing Outlook66(1), 4-10. doi: 10.1016/j.outlook.2017.05.005.

Scotten, M., Manos, E. L., Malicoat, A., & Paolo, A. M. (2015). Minding the gap: Interprofessional communication during inpatient and post discharge chasm care. Patient Education and Counseling98(7), 895-900.doi: 10.1016/j.pec.2015.03.009.

Swan, M., Ferguson, S., Chang, A., Larson, E., &Smaldone, A. (2015). Quality of primary care by advanced practice nurses: a systematic review. International Journal for Quality in Health Care27(5), 396-404. doi: 10.1093/intqhc/mzv054.

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Criteria for Impeaching the President

Criteria for Impeaching the President

Please submit a paper that summarizes (in your own words) the “You are the Policymaker” feature titled “What Should be the Criteria for Impeaching the President?” and then give your opinion; what would you do if you were the policymaker? It must be a minimum of one page in length, typed and double-spaced.

FYI: (professor’s instructions)

Do not use outside sources. Do not quote from the book; I want you to paraphrase the feature (put it into your own words) so I can see that you understand the feature. The papers are to be doublespaced, Times New Roman, size 12 font. The papers must be at least one page in length.

 

SAMPLE ANSWER

What Should be the Criteria for Impeaching the President?

The article “What Should be the Criteria for Impeaching the President?” basically talks about the sex scandal that broke in 1998 between the then President Clinton and Monica Lewinsky. The article notes how President Clinton tried to obstruct justice when he was questioned about the affair with Lewinsky. President Clinton, as noted in the article, president Lewinsky to lie under oath. The President could not be put on trial because of his position and therefore the only way to be help accountable was through the House of Representatives as well as the senate where he faced a possible impeachment. An investigation report by an independent counsel recommended that the president should face 11 counts of possible impeachment offences. The president was accused of braking the law, betraying public trust and dishonoring the presidency.

President Clinton was forced to apologize to the nation. He, through the White House, argued that the mistake affected his personal life and not that of the presidency. The white house also accused the investigator of having personal vendetta against the president.

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The issue on whether the scandal had reached the threshold that could lead to the president’s impeachment then arose. An offense should be grave in order for it to be used to impeach a president. The case of President Clinton is compared to that of President Richard Nixon who was charged with obstructing justice, abusing power and failing to comply with congressional subpoenas. When enough evidence was gathered Nixon resigned in order to avoid being impeached. His impeachment majorly failed because of how the legislatures voted on party lines.

Nursing Paper Help

If I was a policy make, I could not have voted to impeach the president. This is because, while it is true that the president did a mistake by obstructing justice, he accepted the mistake and apologized. In addition, I do not think that his affair with Lewinsky affected his duties as a president in any way. I would consider the affair as a personal life and look at what he has been able to achieve through his presidency. I also do not think the case reaches the threshold for impeachment. The investigations by the legislature might not tell the truth of the matter and that is why the White House rejected the recommendation. Therefore, impeaching President Clinton could not have been the best solution for this case. I would therefore vote to retain President Clinton as the president.

 

 

 

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Vargas Family Case Study Fourth Session

Vargas Family Case Study Fourth Session

Read “Topic 4: Vargas Family Case Study.” Write a 750-1,000-word paper in which you demonstrate how therapists apply structural family therapy theory to analyze the presenting problems and choose appropriate interventions.

Be sure to answer the following questions in your paper:

1. What are two current presenting problems for the Vargas family?

2. How are the problems maintained according to the structural family therapy perspective?

3. What structural interventions would you plan to use in your next session? (identify and describe your plan for two interventions)

4. What is the role of the counselor in the change process according to the structural family therapy perspective?

Cite at least three academic sources (peer-reviewed journal articles, books, etc.).

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.

 

SAMPLE ANSWER

Vargas Family Case Study Fourth Session

Structural family therapy is a form of treatment that focuses on patterns of interaction that cause problems within a family (Fisher, 2017). Structural family therapy (SFT) focuses on improving communication and interactions in the family and highlighting boundaries that would result in a healthier family structure. After having sessions with the family and observing how they communicate and interact with each other, the therapist should then draw a chart of the family’s structure. The chart is used to identify hierarchy, sub relationships and boundaries within the family unit. Additionally, the chart helps the therapist identify interventions that will help improve the situation (Fisher, 2017). According to SFT, the root cause of many childhood problems originates within the family unit. Therefore, to successfully transform a child’s behavior, a therapist must first help change the family and its dynamics.

Current Presenting Problems for the Vargas Family

A fourth session with the Vargas family has highlighted several problems. Bob and Elizabeth are still not communicating effectively when it comes to Frank and how to handle his behavior. After arriving separately to the session, Elizabeth is clearly upset when she learns that instead of Bob taking Frank to work, he takes him out for ice cream and a movie. Additionally, Bob does not believe that Frank’s suspension from school was valid. Furthermore, he thinks that Elizabeth is overacting and Frank’s behavior is normal. There is also a clear division within the family’s dynamics. Elizabeth and Heidi are on one side with Bob and Frank on the opposite side. Frank is more comfortable with his farther and believes that his mother gets angry easily. Heidi on the other hand, gravitates towards her mother and prefers sitting next to her. Despite Heidi’s stellar performance in school, more attention is still given to Frank and his behavior. As a result, Heidi feels left out. Lastly, Bob and Elizabeth are still divided on Frank’s behavior and whether there is something wrong with it.

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How the Problems are Maintained according to the Structural Family Therapy Perspective

According to structural family therapy, problems in the family are maintained by dysfunctional family organizations. Every family is organized into subsystems that have boundaries used to control interactions between family members (Jimenez et al. 2019). The family subsystems are further divided into several categories including spousal, parental, sibling and extended categories. Every family member has a specific role to play in each subsystem. Likewise, every subsystem has unique tasks and when one subsystem intrudes on another, it results in structural difficulties. In the case of the Vargas family, Frank belonging to the sibling category, through his bad behavior is intruding into his parents’ relationship altering the family structure. Additionally, problems are caused when the family’s communication patterns are altered (Jimenez et al. 2019). The Vargas family has clear breakdowns in their communication patterns. Bob takes Frank out on a fun day despite Elizabeth’s instructions not to do so. Likewise, Bob instructs Frank to keep the trip a secret from his mother. When Heidi tries to tell his parents about her achievements in school, she is practically ignored and all attention is directed towards Frank. Overall, a breakdown in the family structure and communication channels between the Vargas family members are the two main contributing factors to the family’s problems.

Vargas Family Case Study Fourth Session

Structural Interventions to be used

The mirroring activity is a fun exercise to help family members relate better with each other. The therapist begins by directing each individual to stand in front of them and copy everything they do or say. Essentially behaving like a mirror. This a fun activity especially for children as it helps them better communicate their emotions to the therapist (Ackerman, 2017). The activity requires family members to be attentive to each other, cooperate with each other and communicate with both their body language and their words. Additionally, the mirroring activity allows family members to be in tune with their feelings and with each other. It is effective with siblings and with parents.

Constructing a genogram helps the therapist and client identify patterns in the family’s genealogy and history and how they might have influenced their emotions and behaviors. A genogram is a graphic representation of the client’s family tree. It contains basic information including name and date of birth (Ackerman, 2017). It also contains additional information concerning chronic illnesses and social behaviors. By constructing a genogram, clients are able to analyze their relationships and determine whether there is abuse or whether the relationships are built on love and understanding.

Role of the Counselor in the Change Process

According to the structural family therapy perspective, the counselor’s main role is to modify the family’s dynamics and way of interacting to develop appropriate boundaries and effective family structures (Williams, Foye & Lewis, 2016). To effect change, counselors should be actively involved in the therapy session, map out the family’s underlying structure and identify potential avenues for change. Additionally, therapists should implement interventions that will change ineffective family structures to ensure healthy functioning.

 

References

Ackerman, C. (2017). What is Family Therapy? +6 Techniques & Interventions. PositivePsychology.com. Retrieved from https://positivepsychology.com/family-therapy/

Fisher, U. (2017). Use of Structural Family Therapy with an Individual Client Diagnosed with Intermittent Explosive Disorder: A Case Study. Journal of Family Psychotherapy, 28(2), 150-169. https://doi.org/10.1080/08975353.2017.1288989

Jimenez, L., Hidalgo, V., Baena, S., Leon, A. & Lorence, B. (2019). Effectiveness of Structural-Strategic Family Therapy in the Treatment of Adolescents with Mental Health Problems and their Families. International Journal of Environmental Research and Public Health, 16(7), 1255. Doi: 10.3390/ijerph16071255

Williams, N.D., Foye, A. & Lewis, F. (2016). Applying Structural Family Therapy in the Changing Context of the Modern African American Single Mother. Journal of Feminist Family Therapy, 28(1), 30-47. Doi: 10.1080/08952833.2015.1130547

 

 

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