Evidence-Based Practice Project

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THIS PROJECT IS IN 2 PARTS (2 INDIVIDUAL PROJECT PAPERS)

Topic: Evidence-Based Practice Implementation

Evidence-Based Practice Proposal – Section E: Change Model (PART 1)

Details:

In 500-750 words (not including the title page and reference page), apply a change model to the implementation plan. Include the following:

  1. Rogers’ diffusion of innovation theory is a particularly good theoretical framework to apply to an EBP project. However, students may also choose to use change models, such as Duck’s change curve model or the transtheoretical model of behavioral change. Other conceptual models presented such as a utilization model (Stetler’s model) and EBP models (the Iowa model and ARCC model) can also be used as a framework for applying your evidence-based intervention in clinical practice.
  2. Apply one of the above models and carry your implementation through each of the stages, phases, or steps identified in the chosen model.
  3. In addition, create a conceptual model of the project. Although you will not be submitting the conceptual model you design in Topic 5 with the narrative, the conceptual model should be placed in the appendices for the final paper.

Prepare this assignment according to the APA guidelines found in the APA Style Guide. An abstract is not required.

You are required to submit this assignment to Turnitin.

Upon receiving feedback from the instructor, refine “Section E: Change Model” for your final submission. This will be a continuous process throughout the course for each section.

Evidence-Based Practice Proposal – Section F: Implementation Plan (PART 2)

Details:

In 500-750 words (not including the title page and reference page), provide a description of the methods to be used to implement the proposed solution. Include the following:

  1. Describe the setting and access to potential subjects. If there is a need for a consent or approval form, then one must be created. Although you will not be submitting the consent or approval form(s) in Topic 5 with the narrative, the consent or approval form(s) should be placed in the appendices for the final paper.
  2. Describe the amount of time needed to complete this project. Create a timeline. Make sure the timeline is general enough that it can be implemented at any date. Although you will not be submitting the timeline in Topic 5 with the narrative, the timeline should be placed in the appendices for the final paper.
  3. Describe the resources (human, fiscal, and other) or changes needed in the implementation of the solution. Consider the clinical tools or process changes that would need to take place. Provide a resource list. Although you will not be submitting the resource list in Topic 5 with the narrative, the resource list should be placed in the appendices for the final paper.
  4. Describe the methods and instruments, such as a questionnaire, scale, or test to be used for monitoring the implementation of the proposed solution. Develop the instruments. Although you will not be submitting the individual instruments in Topic 5 with the narrative, the instruments should be placed in the appendices for the final paper.
  5. Explain the process for delivering the (intervention) solution and indicate if any training will be needed.
  6. Provide an outline of the data collection plan. Describe how data management will be maintained and by whom. Furthermore, provide an explanation of how the data analysis and interpretation process will be conducted. Develop the data collection tools that will be needed. Although you will not be submitting the data collection tools in Topic 5 with the narrative, the data collection tools should be placed in the appendices for the final paper.
  7. Describe the strategies to deal with the management of any barriers, facilitators, and challenges.
  8. Establish the feasibility of the implementation plan. Address the costs for personnel, consumable supplies, equipment (if not provided by the institute), computer related costs (librarian consultation, database access, etc.), and other costs (travel, presentation development). Make sure to provide a brief rationale for each. Develop a budget plan. Although you will not be submitting the budget plan in Topic 5 with the narrative, the budget plan should be placed in the appendices for the final paper.
  9. Describe the plans to maintain, extend, revise, and discontinue a proposed solution after implementation.

Prepare this assignment according to the APA guidelines found in the APA Style Guide. An abstract is not required.

You are required to submit this assignment to Turnitin.

Upon receiving feedback from the instructor, refine “Section F: Implementation Plan” for your final submission. This will be a continuous process throughout the course for each section.

Evidence Based Practice

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Collaborative identification and interpretation of practice problems is a requirement of professional practice (AACN, 2008). Locating and summarizing literature using credible online databases is necessary for evidence-based nursing (AACN, 2008; QSEN, 2018).

Purpose

This assignment provides a learning activity for students to experience a practice-based scenario and apply a process worksheet designed to assist in the identification of an independent nursing problem or concern, develop a PICOT clinical question, and search for evidence using credible online databases/sources.

Course Outcomes

This assignment enables the student to meet the following Course Outcomes.

CO1: Examine the sources of evidence that contribute to professional nursing practice. (PO 7)

CO2: Apply research principles to the interpretation of the content of published research studies. (POs 4 & 8)

CO4: Evaluate published nursing research for credibility and significance related to evidence-based practice. (POs 4 & 8)

CO5: Recognize the role of research findings in evidence-based practice. (POs 7 & 8)

Due Date

Submit the completed PPL Worksheet by Sunday, 11:59 p.m. MT at the end of Week 3.

Points

This assignment is worth 175 points.

Directions

  1. Read over each of the following directions.
  2. You must read the Assignment Practice Scenario below before completing the PPL Worksheet.
  3. Download and use the required PPL Worksheet (Links to an external site.)Links to an external site..
  4. Review the information provided in our library of how to search for journal articles here (Links to an external site.)Links to an external site..
  5. Review the information provided in our library of how to locate and copy a journal permalink (Links to an external site.)Links to an external site..
  6. You are required to complete the worksheet using the productivity tools required by University, which is Microsoft Office Word 2013 (or later version), or Windows and Office 2011 (or later version) for MAC. You must save the file in the “.docx” format. Do NOT save as Word Pad. A later version of the productivity tool includes Office 365,
  7. Complete each section of the Problem/PICOT/Literature (PPL) Worksheet. For the Clinical PICOT Question, you are required to use one type of question from the American Academy of Ambulatory Care Nursing (AAACN). Please access the template to select the question type from the following link:

American Academy of Ambulatory Care Nursing (AAACN). (2018). AAACN research toolkit: Template for asking PICOT questions. Retrieved from https://www.aaacn.org/sites/default/files/documents/misc-docs/1e_PICOT_Questions_template.pdf (Links to an external site.)Links to an external site.

  1. Be sure to use the PPL grading rubric to make certain you are meeting all grading criteria of the PPL Worksheet.
  2. Use correct grammar, spelling, punctuation, and in-text APA formatting.
  3. Submit the completed PPL Worksheet on the Week 3 Assignment page.

Academic Integrity Reminder

College of Nursing values honesty and integrity. All students should be aware of the Academic Integrity policy and follow it in all discussions and assignments.

By submitting this assignment, I pledge on my honor that all content contained is my own original work except as quoted and cited appropriately. I have not received any unauthorized assistance on this assignment. Please see the grading criteria and rubrics on this page.

Please see the grading criteria and rubrics on this page.

NOTE: Please use your browser’s File setting to save or print this page.

Assignment Practice Scenario

Your Chief Nurse Executive (CNE) recognizes you are pursuing your BSN and has asked you to be a member of the nursing evidence-based practice (NEBP) committee. She has advised the members that the purpose is to conduct nursing research studies involving clinical practice problems. Increasing nurses’ awareness of quality and safety concerns will help develop an attitude of inquiry and asking questions (Sherwood & Barnsteiner, 2017). Baccalaureate nurses “collaborate in problem identification, participate in the process of search, retrieval, and documentation of evidence, and integrate evidence using credible databases and internet resources” (AACN, 2008, pp. 16-17).

The CNE has advised all members of the following areas of quality and safety clinical practice that each committee member needs to consider and choose one as a priority area for conducting a research study. Sources of research problems come from nursing clinical practice (Houser, 2018):

Quality

Safety

Patient satisfaction

Patient education

Falls

Non-pharmacological pain management

Errors (any). Examples include:

· Medication

· Patient identification

· Communication

Readmissions

Length of stay

Costs

Healthcare Associated Infections (HAIs). (Any type)

Examples include:

· Central Line Associated Blood Stream Infections (CLABSI)

· Catheter Associated Urinary Tract Infections (CAUTI)

· Ventilator Associated Pneumonia (VAP)

· Surgical Site Infections (SSI)

Sepsis

Discharge Teaching/Coaching

Transitions of Care/Level of Care

Pressure Ulcers

Skin Integrity

Your CNE has requested that you are to select one area and complete the PPL Worksheet using that topic. The committee will collaborate and decide as a team which nursing clinical problem area will be the priority focus of their next research study. Thank you for your valuable contributions to this important NEBP committee.

References

American Association of Colleges of Nurses (AACN). (2008). Executive summary: The essentials of baccalaureate education for professional nursing practice (2008). Retrieved from http://www.aacnnursing.org/Education-Resources/AACN-Essentials

Houser, J. (2018). Nursing research: Reading, using, and creating evidence (4th ed.). Sudbury, MA: Jones and Bartlett.

Sherwood, G., & Barnsteiner, J. (2017). Quality and safety in nursing: A competency approach to improving outcomes (2nd ed.). Hoboken, NJ: Wiley-Blackwell.

Quality and Safety Education for Nurses (QSEN). (2018). QSEN knowledge, skills, and attitude competencies. Retrieved from http://qsen.org/competencies/pre-licensure-ksas/

NR439 PPL Worksheet Rubric

NR439 PPL Worksheet Rubric

Criteria RatingsPts

This criterion is linked to a Learning Outcome Clinical Nursing Practice Problem

Identify one quality or safety clinical priority area from the assignment guidelines practice scenario. Summarize the independent clinical nursing practice problem/issue you believe is the most important. Summarize your rationale (why) for choosing the problem.

25.0 pts

Clearly identifies one quality and safety clinical priority practice problem from the assignment guidelines practice scenario. Thoroughly summarizes the importance of the problem/issue. Thoroughly summarizes the rationale (why) the problem was chosen.

22.0 pts

Criteria from the first column are mostly summarized or one criteria lacks details or is missing.

20.0 pts

Criteria from the first column are minimally summarized or two criteria lack details or are not present.

10.0 pts

Criteria from the first column are poorly summarized.

0.0 pts

Criteria are not discussed.

25.0 pts

This criterion is linked to a Learning Outcome Clinical PICOT Question

Using the AAACN Template for Asking PICOT Questions located in the assignment guidelines, write out your PICOT question. You must use one type of question from the AAACN template.

20.0 pts

PICOT question with all 5 elements correct.

18.0 pts

PICOT question with 4 elements correct.

16.0 pts

PICOT question with 3 elements correct.

8.0 pts

PICOT question with 1-2 elements correct.

0.0 pts

PICOT question with no elements correct or no PICOT question present.

20.0 pts

This criterion is linked to a Learning Outcome PICOT Elements

Identify each of the elements for your PICOT.

20.0 pts

All 5 PICOT elements are correctly identified.

18.0 pts

4 PICOT elements are correctly identified.

16.0 pts

3 PICOT elements are correctly identified.

8.0 pts

1-2 PICOT elements are correctly identified.

0.0 pts

No PICOT elements are correctly identified or are not present.

20.0 pts

This criterion is linked to a Learning Outcome Evidence Retrieval Process

Using the Chamberlain College of Nursing library, locate an original nursing report/article of a single nursing study published from a nursing source/journal within the last 10 years that is relevant to your chosen clinical nursing practice problem/issue. Provide a complete APA reference to the study and the permalink. *Meta-analysis, Meta-synthesis, Systematic Reviews should not be used.

20.0 pts

All of the five criteria are present or one criteria is missing: 1. Complete study reference is provided in APA. 2. Uses the Chamberlain College of Nursing library by providing the permalink for the study. 3. Study is less than 10 years old. 4. Single original nursing study. 5. Study is from a nursing source/journal *Meta-analysis, Meta-synthesis, Systematic Reviews should not be used.

18.0 pts

Missing two criteria from the A column.

16.0 pts

Missing three criteria from the A column

8.0 pts

Missing four criteria from the A column.

0.0 pts

Missing all five criteria from the A column or none of the criteria are present.

20.0 pts

This criterion is linked to a Learning Outcome Implications of Literature Evidence

Summarizes how the study is relevant to your chosen clinical nursing practice problem/issue. Summarizes why you believe the nursing evidence-based practice committee should focus their next research study on this practice problem.

25.0 pts

Thoroughly summarizes how the study is relevant to your chosen clinical nursing practice problem/issue. Thoroughly summarizes why you believe the nursing evidence-based practice committee should focus their next research study on this practice problem. Excellent details provided.

22.0 pts

Mostly summarizes the criteria in the first column or one criteria lacks details.

20.0 pts

Fairly summarizes the criteria in the first column or one criteria is missing. Fair details are provided.

10.0 pts

Poorly summarizes the criteria in the first column. Poor details are provided.

0.0 pts

Criteria are not summarized or is missing.

25.0 pts

This criterion is linked to a Learning Outcome Literature Search Terms

Identifies 4 (or more) relevant searchable terms you used for your search for literature.

25.0 pts

Identifies 4 (or more) relevant searchable terms used for the search for literature.

22.0 pts

Identifies 3 relevant searchable terms used for the search for literature.

20.0 pts

Identifies 2 relevant searchable terms used for the search for literature.

10.0 pts

Identifies 1 relevant searchable term used for the search for literature.

0.0 pts

No Marks

25.0 pts

This criterion is linked to a Learning Outcome Literature Search Strategies

Identifies 4 (or more) relevant search strategies you used to narrow/limit your search for literature.

25.0 pts

Identifies 4 (or more) relevant strategies used to narrow/limit the search for literature.

22.0 pts

Identifies 3 relevant strategies used to narrow/limit the search for literature.

20.0 pts

Identifies 2 relevant strategies used to narrow/limit the search for literature.

10.0 pts

Identifies 1 relevant strategy used to narrow/limit the search for literature.

0.0 pts

No strategies identified or strategies are not present.

25.0 pts

This criterion is linked to a Learning Outcome Scholarly Writing, Mechanics, Organization, Spelling, Sentence Structure, Grammar

8.0 pts

Excellent writing, mechanics, organization, spelling, sentence structure, grammar. 1-2 errors noted.

6.0 pts

Good writing, mechanics, organization, spelling, sentence structure, grammar. A few errors noted.

3.0 pts

Fair writing, mechanics, organization, spelling, sentence structure, grammar. Some errors noted.

2.0 pts

Poor writing, mechanics, organization, spelling, sentence structure, grammar. Many errors noted.

0.0 pts

Very poor writing, mechanics, organization, spelling, sentence structure, grammar. Errors throughout are noted. Writing is difficult to understand or follow.

8.0 pts

This criterion is linked to a Learning Outcome APA In-Text Formatting for Cited Sentences

7.0 pts

Excellent APA formatting. Uses APA in-text citation formatting with no errors.

6.0 pts

Good APA formatting. Uses APA in-text citation formatting with 1-2 errors noted.

4.0 pts

Fair APA formatting. Uses APA in-text citation formatting with some errors noted or does not use in-text citation formatting.

3.0 pts

Poor APA formatting with many errors noted.

0.0 pts

Very poor APA with errors noted throughout.

7.0 pts

This criterion is linked to a Learning Outcome Assigned PPL Worksheet Used

0.0 pts

Assigned PICOT Worksheet form NOT used for this assignment results in loss of 10% (17.5 points) from points possible. 17.5 points deducted

0.0 pts

Assigned PICOT Worksheet form used for this assignment. 0 points deducted

0.0 pts

Total Points: 175.0

Nursing Care Models

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Purpose: The purpose of this assignment is to identify nursing care models utilized in today’s various health care settings and enhance your knowledge of how models impact the management of care and may influence delegation. You will assess the effectiveness of models and determine how you would collaborate with a nurse leader to identify opportunities for improvement to ensure quality, safety and staff satisfaction.

Directions: Use the form attached to complete the Nursing Care Models Assignment.

  1. Read your text, Finkelman (2016), pp- 111-116.
  2. You are required to complete the assignment using the template.
  3. Observe staff in delivery of nursing care provided. Practice settings may vary depending on availability.
  4. Identify the model of nursing care that you observed. Be specific about what you observed, who was doing what, when, how and what led you to identify the particular model
  5. Review and summarize one scholarly resource (not your textbook) related to the nursing care model you observed in the practice setting.
  6. Review and summarize one scholarly resource (not including your text) related to a nursing care model that is different from the one you observed in the practice setting.
  7. Discuss a different nursing care model from step #3, and how it could be implemented to improve quality of nursing care, safety and staff satisfaction. Be specific.
  8. Summarize this experience/assignment and what you learned about the two nursing care models

Textbook: Finkelman, A. (2015). Leadership and Management for Nurses: Core Competencies for Quality Care (3rd ed.). Pearson

Nursing Standardized Simulation

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SCENARIO OVERVIEW

David Montanari is a 19-year-old male who suffered a T4-T5 burst fracture and a right scapula fracture as a result of a motorcycle accident on Sunday. He underwent spinal fusion on Sunday evening and has had an uneventful recovery period. David has no sensation or movement below the nipple line and is bedbound. He is frustrated and anxious about his condition and is refusing postoperative interventions, including pain medication and use of the incentive spirometer.

REVIEW AND COMPLETE PRIOR TO THE START OF PRE-BRIEFING:

In order to prepare for the simulation, you are required to complete the pre-briefing questions below and submit to the faculty facilitating the simulation prior to the start of pre-briefing. If you do not complete the pre-briefing questions below and submit to faculty facilitating the simulation prior to the start of pre-briefing, you will not be permitted to participate in the simulation.

Please keep in mind you will also be required to recognize a variety of signs and symptoms linked to abnormalities in these skills. 

                                       Questions
  1. What are three nursing interventions for a post-operative patient?
  2. What patient findings might you notice for a patient with immobility issues?
  3. Describe complications that can occur as a result of immobility for all body systems.

PLEASE USE APA FORMAT AND INCLUDE REFERENCES LESS THAN 5 YEARS OLD

Evidence Based Practice

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Submit the completed RRL Worksheet by Sunday, 11:59 p.m. MT at the end of Week 6.

Points

This assignment is worth 200 points.

Assignment Directions:

  1. Read over each of the following directions, the required Reading Research Literature worksheet, and grading rubric.
  2. Download and complete the required Reading Research Literature (RRL) worksheet (Links to an external site.)Links to an external site..
  3. Download or access the required article. The required article must be used.

O’Connor, M., Tanner, P. , Miller, L., Watts, K., & Musiello, T. (2017). Detecting distress: Introducing routine screening in a gynecological cancer setting. Clinical Journal of Oncology Nursing, 21(1), 79-85. Retrieved from https://chamberlainuniversity.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx? Links to an external site.

(Links to an external site.)Links to an external site.

  1. You must use the grading rubric to ensure you are meeting all grading criteria of the worksheet.
  2. You are required to complete the worksheet using the productivity tools required by Chamberlain University, which is Microsoft Office Word 2013 (or later version), or Windows and Office 2011 (or later version) for MAC. You must save the file in the “.docx” format. Do NOT save as Word Pad.
  3. Use correct grammar, spelling, punctuation, and in-text APA formatting.
  4. Submit the completed Reading Research Literature Worksheet to the Week 6 Assignment.

Academic Integrity Reminder

College of Nursing values honesty and integrity. All students should be aware of the Academic Integrity policy and follow it in all discussions and assignments.

By submitting this assignment, I pledge on my honor that all content contained is my own original work except as quoted and cited appropriately. I have not received any unauthorized assistance on this assignment. Please see the grading criteria and rubrics on this page.

Please see the grading criteria and rubrics on this page.

NOTE: Please use your browser’s File setting to save or print this page.

Literature Evaluation Table

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For this assignment, the student will provide a synopsis of eight peer-reviewed articles (ATTACHED) from nursing journals using an evaluation table (ATTACHED) that determines the level and strength of evidence for each of the eight articles. The articles should be current within the last 5 years and closely relate to the PICOT statement developed earlier in this course. The articles may include quantitative research, descriptive analyses, longitudinal studies, or meta-analysis articles. A systematic review may be used to provide background information for the purpose or problem identified in the proposed capstone project. Use the “Literature Evaluation Table” resource to complete this assignment. While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines. Please DO NOT modify the table. It will expand as words are typed into it.

Ethical And Spiritual Decision Making In Health Care

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Details:

In addition to the topic study materials, use the chart you completed and questions you answered in the Topic 3 about “Case Study: Healing and Autonomy” as the basis for your responses in this assignment.

Answer the following questions about a patient’s spiritual needs in light of the Christian worldview.

  1. In 200-250 words, respond to the following: Should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James, or would that mean a disrespect of a patient’s autonomy? Explain your rationale.
  2. In 400-500 words, respond to the following: How ought the Christian think about sickness and health? How should a Christian think about medical intervention? What should Mike as a Christian do? How should he reason about trusting God and treating James in relation to what is truly honoring the principles of beneficence and nonmaleficence in James’s care?
  3. In 200-250 words, respond to the following: How would a spiritual needs assessment help the physician assist Mike determine appropriate interventions for James and for his family or others involved in his care?

Remember to support your responses with the topic study materials.

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.

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.

Community Assessment And Analysis Presentation

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The RN to BSN program at Grand Canyon University meets the requirements for clinical competencies as defined by the Commission on Collegiate Nursing Education (CCNE) and the American Association of Colleges of Nursing (AACN), using nontraditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, specific care discipline, and local communities.

This assignment consists of both an interview and a PowerPoint (PPT) presentation.

Assessment/Interview

Select a community of interest in your region. Perform a physical assessment of the community.

Perform a direct assessment of a community of interest using the “Functional Health Patterns Community Assessment Guide.”

Interview a community health and public health provider regarding that person’s role and experiences within the community.

Interview Guidelines

Interviews can take place in-person, by phone, or by Skype.

Develop interview questions to gather information about the role of the provider in the community and the health issues faced by the chosen community.

Complete the “Provider Interview Acknowledgement Form” prior to conducting the interview. Submit this document separately in its respective drop box.

Compile key findings from the interview, including the interview questions used, and submit these with the presentation.

PowerPoint Presentation

Create a PowerPoint presentation of 15-20 slides (slide count does not include title and references slide) describing the chosen community interest.

Include the following in your presentation:

Description of community and community boundaries: the people and the geographic, geopolitical, financial, educational level; ethnic and phenomenological features of the community, as well as types of social interactions; common goals and interests; and barriers, and challenges, including any identified social determinates of health.

Summary of community assessment: (a) funding sources and (b) partnerships.

Summary of interview with community health/public health provider.

Identification of an issue that is lacking or an opportunity for health promotion.

A conclusion summarizing your key findings and a discussion of your impressions of the general health of the community.

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 format ting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

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.

Nursing Test

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Post on three separate days to the discussion board. Make an initial post that answers both questions, and then make two more posts on separate days to two different classmates. It is important to review the Discussion Board rubric to understand the expectations and grading criteria. Include at least one reference and citation using APA 6th edition format.

To begin discussing in this forum, click the forum title. Then, click Create Thread on the Action Bar to post your initial reply. To reply to a fellow participant, click the title of the initial post, then click Reply.
If a child is born with an insufficient amount of growth hormone, he or she will develop dwarfism. Do you think that such a child should be given supplemental growth hormone? What are the physical and ethical issues involved?
peer 1

Yasamin Sedaghat

Week 4 Discussion
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Total views: 8 (Your views: 2)
I do believe that if any child is born with an insufficient amount of growth hormones, the growth supplement should be given to them before the child being fully developed out of the womb of the mother. Just as they measure and take different tests of the baby to make sure he or she is healthy when they are out of the womb, surely they can also predict the growth hormones and how healthy the child is, for further development to take action. In one article it tells how doctors can do diagnostic tests for the child’s condition making sure their growth is not delayed or having any problems. (N.D., 2017) Physically their bodies can be disproportioned such as using their motor skills on walking and sitting up, arthritis, sleep apnea, numbness in the legs and much more problems depending on their situation. Yes, ethically people in our society do look at them differently because of their looks in their height and they would also need some special custom needs in their car to be able to drive such as fixing the gas pedal and raising the seat of in the car. But morally in all honesty, at the end of the day they are absolutely capable to do almost anything any normal human being are able to do. They are able to get the same education we are getting and go about in life with playing sports, games, doing different activities, and much more. In another article I found online, I read about how dwarfism can grow about through their genes of the family members and now doctors can perform several tests regarding of where it came from and help by giving them hormone injections. (L.N.D, 2017)

Word Count- 291

Application Assignment Net Revenue and Budgeting

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You will begin this assignment in Week 4 and it will be due by Day 7 of Week 5.

No one can predict the future, but accountants and financial managers must try and do exactly that! By examining net revenue, costs, and cash flow, you can get a clearer picture of what to expect in your organization’s (or one with which you are familiar) fiscal future. Using these metrics to look forward will enable you to more effectively plan budgets that accomplish organizational goals.

When developing a budget, what variables do you have to take into account? In health care organizations, two of the largest groups of factors that you must consider are first, volume, and second, staffing and supply. The number of patients and tests performed each day, as well as employees and their pay rates are all crucial pieces of information when determining a budget.

In this Assignment, you address five scenarios: net revenue, fixed and variable costs, cash flow, volume budget, and staffing and supplies budget.

Note: For those Assignments in this course that require you to perform calculations you must:

Use the Excel spreadsheet template for the Week 5 assignment.
Show all your calculations and formulas in the spreadsheet.
Answer any questions included with the problems (as text in the Excel spreadsheet).

A title and reference page are NOT needed in this assignment. Put your name and assignment at the top of the Excel spreadsheet.

For those not comfortable with the use of Microsoft Excel, this week’s Optional Resources suggest several tutorials.

To prepare:

Review the information in this week’s Learning Resources regarding net revenue, fixed and variable costs, and cash flow, and how they are used in financial decision making.
Review the budgeting information in Week 5 Learning Resources dealing with volume, staffing, and supplies budget.
View the following tutorial videos, provided in this week’s Learning Resources.
Week 5 Application Assignment Tutorial: Cash Flow Scenario
Week 5 Application Assignment Tutorial: Fixed Variable Scenario
Week 5 Application Assignment Tutorial: Net Revenue Scenario
Week 5 Application Assignment Tutorial: Staffing and Supply Budget Scenario
Week 5 Application Assignment Tutorial: Volume Budget Scenario
Use the Week 5 Application Assignment Template, provided in this week’s Learning Resources, to complete this assignment. Carefully examine the information in each of the scenarios and provide the necessary calculations. Using this information will help you answer the questions.
Note: All the scenarios will be submitted as one document. Each scenario will be on a different tab in the spreadsheet.

Scenario 1: Net Revenue Scenario
Your clinic provides four kinds of services:

Comprehensive initial medical consultation is priced at $250
Established patient limited visit is priced at $75
Established patient intermediate visit is priced at $125
Established patient comprehensive visit is priced at $250
Question: The profile of your patients is such that the average collection rate is 75%. Assuming you have 100 visits of each type each month, what amount of new revenue will you generate in the next 12 months?

Scenario 2: Fixed/Variable Cost Scenario
You have performed a cost analysis of your health care organization and have determined the following: based on the latest three years of information, your annual cost of operations is $1,600,000 with annual volume of 10,000 procedures. You have determined that certain of your supply items are fixed in nature (those marked with an F) while others are variable (marked with a V).

Question: An insurance company that is considering directing its 1,000 units per year of procedure business to your organization has approached you. For the last three years, you have been charging a price of $165 per procedure (with a 100% collection rate). Your board has mandated that you make $5 of profit from each of the procedures. You obviously want the highest possible price, but as you enter the negotiations, what is the lowest possible price you would be willing to accept from this payer?

Hint: Calculate the variable cost.

Scenario 3: Cash Flow Scenario
Your new business venture will begin operation on July 1, 20X2. You will hire staff effective January 1, 20X2 with a cost of $40,000 per month. You know from experience that collections lag billing by 3 months (in other words, once you bill for a service, you must wait 90 days for the payment to be received.) Your business volume is projected to be as follows:

Question: If you have $380,000 of cash on hand on January 1, 20X2, how much cash will you have at the end of June 20X3? Assume a 100% collection rate.

Scenario 4: Volume Budget Scenario
You manage lab services in a large hospital. You have the following data on both the hospital’s budgeted patient days and visits for budget year 20XX along with the ratio of lab tests to patient days or visits.

Question: Based on this raw data provided , how many lab tests would you anticipate for the coming budget year? If each test is priced at $20.00, how much gross revenue would you budget? Assuming each full-time lab technician (FTE) can perform 200,000 tests each year, how many full-time lab technicians would you plan for?

Example on Template: 2 North Bldg calculated. You will need to complete 2 South Bldg, ICU and OPD

Scenario 5: Staffing and Supply Budget Scenario
Calculate the supplies budget necessary to operate your unit for the fiscal year beginning January 1, 20X8. It is your expectation that you will perform 24,820 procedures in the budget year. The following spending data is available for the period January 1 to March 31, 20X7 during which time procedure volume amounted to 3,240. Items marked (F) are considered fixed, those marked (V) are considered variable. Inflation is planned at 4%.

In reviewing performance to date, you note that in January, you purchased $150,000 of D5W fluid replacement charged to IV solutions, which represents an entire year’s supply. In addition, you returned $2,800 of office supplies for credit from the vendor in Febuary. These supplies were purchased in a previous fiscal year.

You also need to prepare the salary budget for the same fiscal year. You have determined that staff needs are for 6.5 FTEs.

A pay raise will be given to all staff on October 1st of each year at a rate of 8 percent. In making your calculations, always round to the nearest whole dollar for annual salary amounts, but keep pennies in the hourly pay rates. New staff begins the new fiscal year at $16.00 per hour.

This Assignment will be due by Day 7 of Week 5. Be sure and include all of your calculations.