Health organization case study

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Health organization case study

Question descriptionResearch a health care organization or a network that spans several states within the U.S. (Example: United Healthcare, Vanguard, Banner Healthcare, etc.).

Harvard Business Review Online and Hoover’s Company Records, found in the GCU Library, are useful sources. You may also find pertinent information on your organization’s webpage.

Review “Singapore Airlines Case Study.”

Prepare a 1,000-1,250-word paper that focuses on the organization or network you have selected.

Your essay should assess the readiness of the health care organization or network in addressing the health care needs of citizens in the next decade, and include a strategic plan that addresses issues pertaining to network growth, nurse staffing, resource management, and patient satisfaction.

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

This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

You are required to submit this assignment to Turnitin.

 
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Adult Day Services

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 Adult Day Services

  • Contrast the operations of socially oriented adult day services (ADS) with those of medically oriented ADS.
  1. How are the participants likely to differ?
  2. How does the staff differ?
  3. How do administrative issues differ?
  • My book resource is the continuum of long term care 3rd edition Connie J. Evashwick- (2005)
 
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REVIEW LITERATURE FOR MORAL/ETHICAL ISSUES ENCOUNTERED BY ADVANCED PRACTICE NURSES IN CLINICAL PRACTICE.

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REVIEW LITERATURE FOR MORAL/ETHICAL ISSUES ENCOUNTERED BY ADVANCED PRACTICE NURSES IN CLINICAL PRACTICE.

Review literature for moral/ethical issues encountered by advanced practice nurses in clinical practice.
Review literature for moral/ethical issues encountered by advanced practice nurses in clinical practice.
In your role, as an advanced practice nurse, you will encounter several situations that will require your ability to make sound judgments and practice decisions for the safety and well-being of individuals, families, and communities. For this Assignment, you will review the literature and discover the various ethical dilemmas advanced practice nurses encounter and how these issues are typically addressed in your state.
To prepare:
Review literature for moral/ethical issues encountered by advanced practice nurses in clinical practice.
Select an article that was published within the last five years related to the moral and ethical issues in advanced nurse practice .
To Complete
Write a two page paper that answers the following questions:
Summarize the moral/ethical issue in the article (no more than 1 paragraph)
Describe the moral and ethical dilemmas surrounding the issue
Analyze the ethical issue and compare them to the State Health Laws and Regulations in your state
Outline the process of ethical decision making you would use to address this ethical dilemma
References
Buppert, C. (2015). Resolving ethical dilemmas. In Nurse Practitioner’s Business Practice and Legal Guide (5th ed.) (479 – 487). Burlington, MA: Jones & Bartlett.
Hamric, A. B., Hanson, C. M., Tracy, M. F., & O’Grady, E. T. (2014). Ethical decision making. In Advanced Practice Nursing: An Integrative Approach (5th ed.) (328 – 354). St. Louis, MO: Elsevier Saunders
Kaplan, C. (2008). Ethical Dilemmas. Advance Healthcare Network. Retrieved from http://nurse-practitioners-and-physician-assistants.advanceweb.com/Article/Ethical-Dilemmas-2.aspx
MidlevelU: The Online Hub for Midlevels. (2013, January 14). Should Providers Treat Their Friends and Family? [Blog post]. Retrieved from http://midlevelu.com/blog/should-providers-treat-their-friends-and-family

 

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Communicating with legislators to influence health policy

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300 words response with 2 refrences
Nursing Discussion
How do servant leaders, as compared with leaders using the transformational model of leadership, manage organization dynamics and lead change to ensure that the continued success of the stakeholders will be served? Is servant leadership or transformational leadership the best approach to these tasks? Why?
Nurses demonstrate leadership in many situations. For this discussion, review situation below ( that I have not previously experienced), and tell us how the nurse could improve quality through demonstrating leadership.

  • Communicating with legislators to influence health policy

Note:we look into systems-based practice and leadership. I would like to clarify the meaning of legislature vs legislation. The former is the body which makes laws and the latter is the law itself.
Requirements: At least three full paragraph, APA format, one internal and one external resource with corresponding references in APA format.
For internal resource, see attached document .

 
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BACHELORS OF NURSING, AUSTRALIA

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BACHELORS OF NURSING, AUSTRALIA

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Case study 1400words, APA style, Minimum of 15 references. I am attaching you my assignment piece and unit outline for all details. It should be based on Australian research based on indigenous Australian perspective.

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NRSG366 Assessment 1 Semester 1, 2013 Clients Situation This assessment consists of a 1400 word written discussion that requires you, the student, to identify and prioritise the clinical issues within the scenario below. For your top three (3) issues describe and justify the nursing actions /care that should be initiated. In addition identify and discuss one (1) issue relevant to “Community”. The development of a concept map is also mandatory and additional to the 1400 words. Refer to the NRSG366 Unit Outline where the Assessment Information and Marking Criteria are located. James Silva is a 46 year old Indigenous man who lives in a capital city near you. James lives with his wife and 4 children; Karen who is 13 years old, John who is 8 years old, Peter who is 6 years old and Janet who is 3 years old. James is an elder of his community and works part time as a self-employed accountant. Clinical History James developed Chronic Renal Failure three years ago as a result of his diabetes mellitus and is being treated with haemodialysis. His obesity since the age of 24 consequently led to James being diagnosed with Type 2 (non-insulin dependent) diabetes 10 years ago. James attends a local hospital satellite unit where he dialyses for 3-4 hours three time a week (Monday, Wednesday and Friday mornings). His haemodialysis access site is an arterio-venous fistula on his right forearm. Two months ago he developed a diabetic foot ulcer on his left outer ankle bone which is being dressed when he attends dialysis, by the dialysis nurse, with hydrogel. James’s current medical diagnoses are: ? Renal failure ? Haemodialysis ? Diabetes mellitus ? Early stage diabetic retinopathy (both eyes) ? Diabetic neuropathy (both feet)
It is Friday and when James turns up for dialysis he states he isn’t feeling too well. You take a blood sugar level which is 20 mmol/L and when you weigh him you find he has gained two kilograms since Wednesday.

 
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Week 2: Finding Sources of Evidence

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Describe what topic you selected, the search term(s) that you used, ( SEE BY DAY 3 FOR DETAILS)

Question description

Week 2: Finding Sources of Evidence

In acquiring a background on a topic with the goal of developing an evidence-based practice, it is essential that you identify resources that are both accurate and scientific. How comfortable would you be defending a new practice if it was based on information from Wikipedia or something that you read in a random blog post that you found using Google? The time taken to ensure that you have located meaningful, credible information will provide confidence in initiating new practices. One characteristic of a credible and thorough research study is the care that is taken prior to the start of a project to determine what is currently known about a subject and to evaluate the quality of the information that is reviewed.

This week, you focus on finding meaningful, credible evidence on a particular research topic. You consider what types of sources have been previously vetted by experts in the field for the quality of the content. You also explore the different types of evidence that can be used, and you are introduced to search techniques for identifying evidence for EBP.

To prepare:

  • Choose a simple search term(s) relating to a topic of your PICOT question.
  • Review the information on the evidence hierarchy discussed in Chapter 2 of the course text, in the article, “Facilitating Access to Pre-Processed Research Evidence in Public Health,” and in the multimedia presentation “Hierarchy of Evidence Pyramid,” found in this week’s Learning Resources.
  • Review the information on the Walden Library’s website, “Levels of evidence.” Take a few minutes to explore the different types of databases available for each level of evidence and focus on the meaning of filtered and non-filtered resources.
  • Conduct a literature search in the Walden Library on your selected topic using the databases that you reviewed. Use at least one database for each of the three levels of filtered information and at least one unfiltered database. Record the number of hits that you find at each level of the hierarchy of evidence.
  • Select one article from the results at each level of the hierarchy. Compare the articles based on the quality and depth of information. What would be the value of each resource if you were determining an evidence-based practice?

BY DAY 3

Post a summary of your search. Describe what topic you selected, the search term(s) that you used, and the number of results found at each level of the hierarchy. Compare the types of information found in the articles from different levels and the value of the information from each level. Highlight a useful tip that you could share with your colleagues about conducting an effective literature search.

 
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Explain your theoretical orientation and how your chosen theory(ies) addresses the role of the school counselor, which includes promoting students’ academic, career, and personal/social development.

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Developing a Theoretical Orientation to School Counseling
Identify your own theoretical orientation toward school counseling, integrating or selecting from the theories and applications presented in this course. You may also integrate additional theories with which you are familiar, but you must support your main ideas with information gleaned from scholarly literature and address their relevance to the practice of school counseling.
The purpose of this Project is to demonstrate your ability to understand, integrate, and apply theories of counseling in your school counseling specialization based on the knowledge you have gained in this course. This project is intended to be beneficial for your professional development by having you actively think about how your personal attributes, skills, emotions, and knowledge influence and shape your selection and application of theory in school-based settings.
The Assignment:
In a 5- to 7-page (not including references), double-spaced, APA-formatted paper, summarize the theory or theories you intend to integrate into your work as a school counselor. Structure your Assignment to the following key questions or areas and connect your responses to theoretical foundations, while offering scholarly support for your ideas. In addition to the course materials, you must include at least five scholarly sources.

  • Explain your theoretical orientation and how your chosen theory(ies) addresses the role of the school counselor, which includes promoting students’ academic, career, and personal/social development.
  • Addressing Adlerian as my primary and Reality and Choice Theory as my integrations.
  • Describe the nature of the school counselor-student relationship and its relative importance, both according to your view and the perspective of your chosen theory(ies).
  • Describe the key goals, according to your chosen theory(ies), of the school counseling process. (In other words, how will students be different, as a result?)
  • Describe developmentally appropriate techniques and procedures of your approach and their application to school-based settings.
  • Identify key factors that promote and enhance student success, both according to your own views and the perspective of your chosen theory(ies). (Explain what key factors facilitate positive change).
  • Describe specific student populations, presenting issues, or developmental concerns best suited and least for this approach.
 
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Choose Maslow’s,      Herzberg’s, or McClelland’s model of motivation, and argue the primary      reasons why it is applicable to the Kaluyu Memorial Hospital scenario.

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Due Week
Imagine that you have been appointed the Director of Health at the Kaluyu Memorial Hospital in Nairobi, Kenya – a for-profit hospital. The facility is also a referral hospital and receives severe cases of accidents, chronicle / communicable diseases, and houses an HIV / AIDS ward. As you settle into your position, you realize that the employees always act scared as they approach their superiors. Some of the employees even deliver files and leave your office in a hurry.
As you make your routine departmental visits, you realize that there are tensions between nurses and doctors, and there is a sentiment that the nurses tend to do the majority of the work within patient care but the doctors get all the credit. You realize that the employees are always looking forward to the end of their shifts to go home. Some employees even come back to work wearing the same unwashed clothes as the previous day. Too many employees are calling in sick, and many of them give weak reasons for their tardiness.
There is also a sense that employees and nurses dominate other employees in similar positions. In meetings and conference calls, some employees are always quiet and never participate. You notice that people with families tend to gather and talk quietly on breaks. The new mothers working for the hospital have to use bathrooms to pump breast milk for their infants and the refrigerators do not work well. Looking at the financial statements of the hospital, you realize that the hospital expenses are higher than the industry standard, and it makes losses year after year.
Note: You may create and / or make all necessary assumptions needed for the completion of this assignment.
Write a four to six (4-6) page paper in which you:

  1. Investigate the major      demotivational factors at Kaluyu Memorial Hospital. Assess the level of impact      that the identified factors could have on specific areas of service and      business if the administration does not address the situation. Support      your response with at least two (2) examples of the potential negative      impact of the identified demotivational factors on the hospital.
  2. Choose Maslow’s,      Herzberg’s, or McClelland’s model of motivation, and argue the primary      reasons why it is applicable to the Kaluyu Memorial Hospital scenario.
  3. Formulate a communication      system that will have the greatest impact on improving the situation, and specify      the major reasons why your system will influence the employee behaviors      for the better. Justify your response.
  4. Use four (4)      recent (within the last five [5] years) quality academic resources in this      assignment. Note: Wikipedia and      other websites do not qualify as quality academic resources.

Your assignment must follow these formatting requirements:

  • Be typed, double      spaced, using Times New Roman font (size 12), with one-inch margins on all      sides; citations and references must follow APA or school-specific format.      Check with your professor for any additional instructions.
  • Include a cover      page containing the title of the assignment, the student’s name, the      professor’s name, the course title, and the date. The cover page and the      reference page are not included in the required assignment page length.
 
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Bowen Family Systems, Structural, and Strategic Models Theory Application

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Bowen Family Systems, Structural, and Strategic Models Theory Application

Question description

Read the “Case Study Analysis.”

Select one of the following theories that you feel best applies to treating the client in the case study:

  1. Bowen Family Systems
  2. Structural
  3. Strategic

Write a 750-1,000-word analysis of the case study using the theory you chose. Include the following in your analysis.

  1. What concepts of the theory make it the most appropriate for the client in the case study?
  2. Why did you choose this theory over the others?
  3. What will be the goals of counseling and what intervention strategies are used to accomplish those goals?
  4. Is the theory designed for short- or long-term counseling?
  5. What will be the counselor’s role with this client?
  6. What is the client’s role in counseling?
  7. For what population(s) is this theory most appropriate? How does this theory address the social and cultural needs of the client?
  8. What additional information might be helpful to know about this case?
  9. What may be a risk in using this approach?

Include at least three scholarly references in your paper.

Each response to the assignment prompts should be addressed under a separate heading in your paper. Refer to “APA Headings and Seriation,” located on the Purdue Owl website for help in formatting the headings.

 
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Identify a current research problem related to advanced nursing practice that is of interest to you.

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Identify a current research problem related to advanced nursing practice that is of interest to you.

Identify a current research problem related to advanced nursing practice that is of interest to you. Include WHY this is a problem. (Limit response to no more than 3 sentences).
Catheter-associated urinary tract infection (CAUTI) is a growing problem in hospitals today. Complications associated with CAUTI cause discomfort to the patient, prolonged hospital stay, and increased cost and mortality. Evidence-based practice show that to reduce the rate of CAUTI we need to shorten the time of catheter use with timely removal of urinary catheters.
2. Develop a research question to provide information about the research problem. This needs to be stated as a question. (This should be a one sentence response).
Can Catheter-associated urinary tract infections (CAUTI) be reduced by evaluating the need every shift (q12 hours) for them to remain indwelling?
3. Looking at the above research question, do you believe it will best be answered by a qualitative or quantitative study and support your decision as to why you believe the answers would best be provided by the type of study you have chosen. (This should be a response of no more than 3 sentences). It is possible to have a mixed methods study but it is not recommended that you choose to do this type of project. It may be too complex for novice researchers.
A quantitative study will be our approach to support the evidence. Information in regards to the study is best retrieved in a hospital setting by acquiring the information from the different units within. We will be looking at catheters that have remained indwelling for unexplained intervals to determine if the incidence of UTI’s is higher in longer length of catheter use.
4. Now, again looking at your research question you framed above, identify your variables. If, applicable identify which is the dependent [outcome] and which is the independent (or predictor) variable. (Here, limit to 1 predictor or independent variable, and 1 dependent or outcome variable.)
Independent Variable: Length of Urinary Catheters
Dependent Variable: Urinary Tract Infections (UTI’s)
“The presumed cause is the independent variable, and the presumed effect is the dependent variable” (Polit & Beck, 2008, p.58).
5. What conceptual or operational definitions will you assign to your variables chosen to explore? (Conceptual and operational definitions are very important and are not the same things. Check with the Nursing Research text by Polit and Beck (9th edition, 2012) page 52 for description of conceptual and operational definitions.) Tell me which definition you are providing.
In quantitative studies, such as the one stated above, concepts need to be defined from the beginning of the study. This will indicate how the variables will be measured. “An operational definition of a concept specifies the operations that researchers must perform to measure it” (Polit & Beck, 2012, p. 52). In the above study, the operational definitions of the variables are as follows:
Independent Variable: Urinary catheters will be measured in number of catheters patients with indwelling urinary catheter with a diagnosis of UTI.
Dependent Variable: Urinary Tract Infection (UTI) will be defined as number of diagnoses of UTI with a positive urine culture > 100,000.
References
Polit, D. F., & Tatano Beck, C. (2012). Nursing research: Generating and assessing evidence for Nursing Practice (9th ed.). Philadelphia: Wolters Kluwer: Lippincott, Williams & Wilkins.
Wilson, M., Wilde, M., Webb, M., Thompson, D., Parker, D., Harwood, J.,…Gray, M. (2009). Nursing interventions to reduce the risk of catheter associated urinary tract infections. Journal of Wound, Ostomy and Continence Nursing, 36(2), 137-154.

 

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