What is the transmission and pathophysiology of TB?

TB (TUBERCULOSIS)Conduct an evidence-based literature search to identify the most recent standards of care/treatment modalities from peer-reviewed articles and professional association guidelines (w

 TB (TUBERCULOSIS)

Conduct an evidence-based literature search to identify the most recent standards of care/treatment modalities from peer-reviewed articles and professional association guidelines (www.guideline.gov)

MUST INCLUDE FOLLOWING: 

  1. What is the transmission and pathophysiology of TB?
  2. What are the clinical manifestations?
  3. After considering this scenario, what are the primary identified medical concerns for this patient?
  4. What are the primary psychosocial concerns?
  5. What are the implications of the treatment regimen, as far as likelihood of compliance and outcomes? Search the Internet to research rates of patient compliance in treatment of TB, as well as drug resistant TB.
  6. Identify the role of the community clinic in assisting patients, particularly undocumented patients, in covering the cost of TB treatment. What resources exist for TB treatment in community health centers around the United States? Compare the cost for treatment between, subsidized as it would be for a community health center, and unsubsidized.
  7. What are the implications of TB for critical care and advanced practice nurses?

My project is CLABSI preventionBenchmark Assignment – Comprehensive Assessment Part Two: Outcomes and ReflectionThe DNP comprehensive assessment provides learners the opportunity to demonstrate th

My project is CLABSI preventionBenchmark Assignment   – Comprehensive Assessment Part Two: Outcomes and ReflectionThe DNP comprehensive assessment provides learners the opportunity to demonstrate th

My project is CLABSI prevention

Benchmark Assignment   – Comprehensive Assessment Part Two: Outcomes and Reflection

The DNP comprehensive assessment provides learners the opportunity to demonstrate their achievement of core and specialty DNP competencies. It is also an appraisal of learners’ ability to integrate and synthesize knowledge within the context of their scholarly and practice interests and their readiness to complete the DPI project. The two-part comprehensive assessment includes evaluation of work completed throughout the program and a final synthesis and self-reflection demonstrating achievement of programmatic outcomes. In Part One of the assessment, learners were required to collect and review coursework deliverables and practice immersion hours completed in the program thus far. In Part Two, learners are required to synthesize and reflect on their learning and prioritize work for their DPI project.

General Requirements:

Use the following information to ensure successful completion of the assignment:

· Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is 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. Please refer to the directions in the Student Success Center.

Directions:

To complete Part Two of the DNP comprehensive assessment:

Use the information collected in the competency matrix from Comprehensive Assessment Part One to address the following prompts as directed. Each response should be 500-750 words. Your responses should concisely demonstrate synthesis of knowledge gained in the program and the relevant application of knowledge into your practice. You are further required to cite relevant and specific evidence from your coursework to demonstrate your achievement of these programmatic outcomes and corresponding competencies. Review the rubric for this assignment prior to responding to the prompts. Your responses should specifically address the competencies included on the rubric.

Outcome 1:

A DNP must integrate and apply appropriate nursing and science-based theories to evaluate and analyze health and health care phenomena and develop and implement innovative practice approaches.

In what ways have you integrated and applied nursing and science-based theories in your coursework and practice during your DNP course of study? How will you apply what you have learned to your DPI project? Cite specific evidence from your coursework and practice immersion hours in your response.

Outcome 2:

A DNP must provide the leadership to develop and implement health care and organizational policy based on regulatory and other external and internal factors and drive effective change within organizations.

In what ways have you demonstrated leadership in the development and implementation of policy or policy change and contributed to quality improvement during your DNP studies? How will you apply what you have learned to your DPI project? Cite specific evidence from your coursework and practice immersion hours in your response.

Outcome 3:

A DNP must be able use information systems to mine, analyze, and apply data for the purpose of improving information systems as well as patient and organizational outcomes.

In what ways have you successfully applied data analysis to the improvement of information systems, patient care, and organizational outcomes during your course of study? How will you apply what you have learned to your DPI project?  Cite specific evidence from your coursework and practice immersion hours in your response.

Outcome 4:

A DNP must be able to articulate and implement strategy and to advocate for the ethical and equitable deployment of care delivery models for improvement of individual, aggregate, and population health management. 

In what ways have you articulated, deployed, or advocated for such strategies in your coursework and practice immersion hours? How will you apply what you have learned to your DPI project? Cite specific evidence from your coursework and practice immersion hours in your response.

Outcome 5:

A DNP must be able to evaluate practice outcomes and use research, national benchmarks, and other relevant findings from evidence-based practice to design, direct, utilize, and evaluate quality improvement methodologies that lead to improved patient-centered care.

In what ways have you evaluated practice outcomes and participated in quality improvement initiatives in your coursework and practice immersion hours? How will you apply what you have learned to your DPI project? Cite specific evidence from your coursework and practice immersion hours in your response.

Self-Reflection:

Based on an evaluation of your learning to date, assess your readiness for undertaking your DPI project. How has what you learned in your coursework and practice immersion hours and application of learning in your practice informed your approach to your project? What do you need to revise in your 10 Strategic Points document and/or your Draft Prospectus to successfully implement your project? Reflect on your progress to this point and outline the steps necessary to successfully complete your DPI Project Proposal for the Institutional Review Board (IRB) in DNP-955.

Discuss the relationship between accreditation decisions, reimbursement, quality of care, informatics.

Social Media and the Modern Impact of InformaticsWrite an essay addressing each of the following points/questions. Be sure to completely answer all the questions for each number item. There should be

Social Media and the Modern Impact of Informatics

Write an essay addressing each of the following points/questions. Be sure to completely answer all the questions for each number item. There should be three sections, one for each item number below, as well the introduction (heading is the title of the essay) and conclusion paragraphs. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least three (3) citations in your essay. Make sure to reference the citations using the APA writing style for the essay. The cover page and reference page do not count towards the minimum word amount. Review the rubric criteria for this assignment.

  1. Most people remember the story below that made national headlines. As most Americans have smart phones, tablets, and computers the utilization of social media is common place.
    1. Finley, T. (2017, Sept. 20). Navy hospital removes staffers for calling babies ‘mini Satan’s’ on social media. Parenting.
      1. If you were writing a hospital policy on smart phone and social media usage, what should be included in the policy?
      2. What potential ethical and legal liabilities are there for the hospital and employees in the case presented above?
  2. In 2007, Harvard University rescinded admission to 10 students after reviewing their social media post.
    1. Do you feel potential employers, current employers, and colleges have the right to access your social media post? Do you feel employers and universities should make decisions based on your post?
  3. Discuss the relationship between accreditation decisions, reimbursement, quality of care, informatics.

Assignment Expectations

Length: 500 words per essay prompt/section (1500 total for this assignment)

Structure: Include a title page and reference page in APA style. These do not count towards the minimal word amount for this assignment. All APA Papers should include an introduction and conclusion.

References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least three (3) scholarly sources to support your claims.

Rubric: This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level.

Format: Save your assignment as a Microsoft Word document (.doc or .docx) or a PDF document (.pdf)

File name: Name your saved file according to your first initial, last name, and the module number (for example, “RHall Module1.docx”)

8. What advice would they share with younger people to help them prepare for aging?

This assignment is for my Intro to Gerontology class For this assignment prepare 2 interviews. Instructions for BOTH interviews: 1. Typed with font size 12. Both interviews together should be 5-7 p

This assignment is for my Intro to Gerontology class

For this assignment prepare 2 interviews. 

Instructions for BOTH interviews: 

1.  Typed with font size 12.  Both interviews together should be 5-7 pages in length. 

2.  Include the interview questions in your report in a format that enables the reader to know what the person you are interviewing is referring to. 

3.  Discuss your personal reaction to the interview using at least one paragraph at the end of each report. 

Instructions for INTERVIEW 1:  Meet with and request an opportunity to interview a person 70 years or older.  Do not use real names for the report.  Ask and report on the following questions.  Feel free to ask your own questions throughout the interview as it naturally flows.  Ask at least 3 of your own questions throughout the interview process.  Questions/information should include the following:

1.  Gather general information about the person’s background.  Such as where they were born, grew up, went to school, occupation/profession.

2.  Gather information about the person’s family, past and current.  

3.  Gather information about the person’s current social activities and ask how their current social life compares to their social life as a younger person. Do they experience loneliness?

4.  Gather information about their physical health.  Has their health had an impact on their overall quality of life? 

5.  Gather information about their support network and current activity level.  

6.  Gather information about their perception of the best years of their life and what made them the best years.  

7. Gather information about if they could change anything about their current life, what would that be?

8.  What advice would they share with younger people to help them prepare for aging?  

9.  Remember to ask at least 3 of your own questions.  Also remember to report your personal reaction to the interview.  

Instructions for INTERVIEW 2:  Meet with and request an opportunity to interview a caregiver of an aging person.  Do not use real names for the report.  Ask and report on the following questions.  Feel free to ask your own questions throughout the interview as it naturally flows.  Ask at least 3 of your own questions throughout the interview process.  Questions/information should include the following: 

1.  Gather information about how the person came to be a caregiver.  How long have they been providing care?  Are they the only care provider or does the person share the duties?

2.  Gather information about the positive things they have experienced as a caregiver.  

3.  Gather information about how caregiving has impacted their day to day lives.  

4.  Share the stages of grief for caregivers reviewed in the video viewed in Folder 2.  Gather information on whether or not they believe they have or are currently experiencing any of those stages of grief.  

5.  Remember to ask at least 3 of your own questions.  Also, remember to share your personal reaction to the interview.  

Explain how the quality improvement initiative will be evaluated to determine whether there was improvement.

Identify a quality improvement opportunity in your organization or practice. In a 1,250-1,500 word paper, describe the problem or issue and propose a quality improvement initiative based on evidence-b

Identify a quality improvement opportunity in your organization or practice. In a 1,250-1,500 word paper, describe the problem or issue and propose a quality improvement initiative based on evidence-based practice. Apply “The Road to Evidence-Based Practice” process, illustrated in Chapter 4 of your textbook, to create your proposal.

Include the following:

  1. Provide an overview of the problem and the setting in which the problem or issue occurs.
  2. Explain why a quality improvement initiative is needed in this area and the expected outcome.
  3. Discuss how the results of previous research demonstrate support for the quality improvement initiative and its projected outcomes. Include a minimum of three peer-reviewed sources published within the last 5 years, not included in the course materials or textbook, that establish evidence in support of the quality improvement proposed.
  4. Discuss steps necessary to implement the quality improvement initiative. Provide evidence and rationale to support your answer.
  5. Explain how the quality improvement initiative will be evaluated to determine whether there was improvement.
  6. Support your explanation by identifying the variables, hypothesis test, and statistical test that you would need to prove that the quality improvement initiative succeeded.

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.

Quality Improvement Proposal

No of Criteria: 11 Achievement Levels: 5CriteriaAchievement LevelsDescriptionPercentage1: Unsatisfactory0.00 %2: Less Than Satisfactory65.00 %3: Satisfactory75.00 %4: Good85.00 %5: Excellent100.00 %Content70.0     Problem or Issue in Practice or Organization5.0Overview of the problem and the setting in which the problem or issue occurs is not described.Overview of the problem and the setting in which the problem or issue occurs is partially described. More information is needed to fully understand the problem and the scope of the organization or practice.Overview of the problem and the setting in which the problem or issue occurs is summarized. Some information is needed to fully understand the problem or the scope of the organization or practice.Overview of the problem and the setting in which the problem or issue occurs is described. Some detail is need for clarity.Overview of the problem and the setting in which the problem or issue occurs is described in detail.Significance of Quality Improvement in Practice or Organization10.0Explanation of why the quality improvement initiative is needed is omitted.Explanation of why the quality improvement initiative is needed is partially presented. More information is needed to understand why the quality improvement is relevant to the problem or setting. The expected outcome is unclear.Explanation of why the quality improvement initiative is needed is summarized. Some information is needed to understand why the quality improvement is relevant to the problem or setting. The expected outcome is generally presented.Explanation of why the quality improvement initiative is needed is discussed. It appears that the quality improvement initiative would help address the problem within the described setting. The expected outcome is described. Some information or rationale is needed for support or clarity.Explanation of why the quality improvement initiative is need is clearly discussed. The quality improvement initiative would help address the problem within the described setting presented. The expected outcome is thoroughly described. Overall, the explanation is clear and well supported.Demonstration of Support From Previous Research15.0The use of research to demonstrate support for the quality improvement initiative and its projected outcomes is omitted. Three peer-reviewed sources published within the last 5 years are omitted.The use of research to demonstrate support for the quality improvement initiative and its projected outcomes is incomplete. Overall, the research results do not demonstrate support for the initiative or projected outcomes. Fewer than three peer-reviewed sources published within the last 5 years were used.The use of research to demonstrate support for the quality improvement initiative and its projected outcomes is generally presented. The research results generally demonstrate support for the initiative and projected outcomes. Three peer-reviewed sources published within the last 5 years were used.The use of research to demonstrate support for the quality improvement initiative and its projected outcomes is presented. The research results demonstrate support for the initiative and projected outcomes. The three peer-reviewed sources meet all assignment criteria.The use of research to demonstrate support for the quality improvement initiative and its projected outcomes is clearly presented. The research results strongly demonstrate support for the initiative and projected outcomes. The three peer-reviewed sources meet all assignment criteria and provide critical support for the initiative.Steps Necessary to Implement Quality Improvement Initiative15.0The steps necessary to implement the quality improvement initiative are omitted.The steps necessary to implement the quality improvement initiative are incomplete. It is unclear how the steps presented will lead to implementation. More information is needed.The steps necessary to implement the quality improvement initiative are summarized. Some steps are vague. More evidence or rationale is needed for support.The steps necessary to implement the quality improvement initiative are discussed. Some evidence or rationale is needed for support or clarity.The steps necessary to implement the quality improvement initiative are thoroughly discussed. The implantation steps are well supported with evidence and rationale.Evaluation of Quality Improvement15.0An explanation for how the quality improvement initiative will be measured is omitted.An explanation for how the quality improvement initiative will be measured is partially presented. It is unclear how the evaluation will measure improvement; or it is unclear how the evaluation relates to the quality improvement initiative.A general explanation for how the quality improvement initiative will be measured is summarized. The evaluation is generally appropriate to the quality improvement initiative.An explanation for how the quality improvement initiative will be measured is presented. The evaluation is appropriate to the quality improvement initiative.An explanation for how the quality improvement initiative will be measured is presented in detail. The evaluation is appropriate to the quality improvement initiative. Evaluation proposed is well supported.Identification of Variables, Hypothesis Test, and Statistical Test10.0The variables, hypothesis, and statistical tests needed to prove the quality improvement succeeded are omitted.The variables, hypothesis, and statistical tests needed to prove the quality improvement succeeded are partially presented; one is omitted. The proposed elements are not relevant to proving the quality improvement succeeded.The variables, hypothesis, and statistical tests needed to prove the quality improvement succeeded are summarized. There are inaccuracies.The variables, hypothesis, and statistical tests needed to prove the quality improvement succeeded are presented. Overall, the proposed elements are relevant to proving the quality improvement succeeded.The variables, hypothesis, and statistical tests needed to prove the quality improvement succeeded are presented and accurate. The proposed elements will prove whether the quality improvement succeeded.Organization and Effectiveness20.0     Thesis Development and Purpose7.0Paper lacks any discernible overall purpose or organizing claim.Thesis is insufficiently developed or vague. Purpose is not clear.Thesis is apparent and appropriate to purpose.Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.Argument Logic and Construction8.0Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.Argument shows logical progression. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.Mechanics of Writing (includes spelling, punctuation, grammar, language use)5.0Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied.Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed.Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech.Writer is clearly in command of standard, written, academic English.Format10.0     Paper Format (use of appropriate style for the major and assignment)5.0Template is not used appropriately, or documentation format is rarely followed correctly.Appropriate template is used, but some elements are missing or mistaken. A lack of control with formatting is apparent.Appropriate template is used. Formatting is correct, although some minor errors may be present.Appropriate template is fully used. There are virtually no errors in formatting style.All format elements are correct.Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)5.0Sources are not documented.Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.Sources are documented, as appropriate to assignment and style, and format is mostly correct.Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.Total Percentage  100

Applied Statistics for Health Care

Grand Canyon University. (Ed.). (2018). Applied statistics for health care.

URL:https://www.gcumedia.com/digital-resources/grand-canyon-university/2018/applied-statistics-for-health-care_1e.phpLOOK AT CHAPTER 4 FOR REFERENCE.

Soap Note 1 Acute Conditions (15 Points)Pick any Acute Disease from Weeks 1-5 (see syllabus)Soap notes will be uploaded to Moodle and put through TURN-It-In (anti-Plagiarism program)Turn it in Score m

Soap Note 1 Acute Conditions (15 Points)Pick any Acute Disease from Weeks 1-5 (see syllabus)Soap notes will be uploaded to Moodle and put through TURN-It-In (anti-Plagiarism program)Turn it in Score m

Soap Note 1 Acute Conditions (15 Points)

Pick any Acute Disease from Weeks 1-5 (see syllabus)

Soap notes will be uploaded to Moodle and put through TURN-It-In (anti-Plagiarism program)

Turn it in Score must be less than 50% or will not be accepted for credit, must be your own work and in your own words. You can resubmit, Final submission will be accepted if less than 50%. Copy paste from websites or textbooks will not be accepted or tolerated. Please see College Handbook with reference to Academic Misconduct Statement.

Late Assignment Policy

Assignments turned in late will have 1 point taken off for every day assignment is late, after 7 days assignment will get grade of 0. No exceptions 

Follow the MRU Soap Note Rubric as a guide:

Grading Rubric

Student______________________________________

This sheet is to help you understand what we are looking for, and what our margin remarks might be about on your write ups of patients. Since at all of the white-ups that you hand in are uniform, this represents what MUST be included in every write-up.

1)      Identifying Data (___5pts): The opening list of the note. It contains age, sex, race, marital status, etc. The patient complaint should be given in quotes. If the patient has more than one complaint, each complaint should be listed separately (1, 2, etc.) and each addressed in the subjective and under the appropriate number.

2)      Subjective Data (___30pts.): This is the historical part of the note. It contains the following:

a) Symptom analysis/HPI(Location, quality , quantity or severity, timing, setting, factors that make it better or worse, and associate manifestations.(10pts).

b) Review of systems of associated systems, reporting all pertinent positives and negatives (10pts).

c) Any PMH, family hx, social hx, allergies, medications related to the complaint/problem (10pts). If more than one chief complaint, each should be written u in this manner.

3)      Objective Data(__25pt.): Vital signs need to be present. Height and Weight should be included where appropriate.

a)      Appropriate systems are examined, listed in the note and consistent with those identified in 2b.(10pts).

b)      Pertinent positives and negatives must be documented for each relevant system.

c)        Any abnormalities must be fully described. Measure and record sizes of things (likes moles, scars). Avoid using “ok”, “clear”, “within normal limits”, positive/ negative, and normal/abnormal to describe things. (5pts).

4)      Assessment (___10pts.): Diagnoses should be clearly listed and worded appropriately.

5)      Plan (___15pts.): Be sure to include any teaching, health maintenance and counseling along with the pharmacological and non-pharmacological measures. If you have more than one diagnosis, it is helpful to have this section divided into separate numbered sections.

6)      Subjective/ Objective, Assessment and Management and Consistent (___10pts.): Does the note support the appropriate differential diagnosis process? Is there evidence that you know what systems and what symptoms go with which complaints? The assessment/diagnoses should be consistent with the subjective section and then the assessment and plan. The management should be consistent with the assessment/ diagnoses identified.

7)      Clarity of the Write-up(___5pts.): Is it literate, organized and complete?

  • Soap Note 1 Acute ConditionsAssignment

Assignment 4.1: Motivation and Motivation Strategies

Assignment 4.1: Motivation and Motivation StrategiesMotivation and Motivation StrategiesOBJECTIVESDescribe the theories and perspectives on motivation Identify the different types of motivation and t

Assignment 4.1: Motivation and Motivation Strategies

Motivation and Motivation Strategies

OBJECTIVES

  • Describe the theories and perspectives on motivation
  • Identify the different types of motivation and their nature

ASSIGNMENT OVERVIEW

This reaction and response assignment explores theories, perspectives, and types of motivation.

DELIVERABLES

A one-page (12-point font) paper

Step 1 Review the major theories of motivation.

Review the major theories of motivation in this lesson and in at least two articles. For example, you might read these articles:

  • Theories of Human Motivation
  • Employee Motivation

Step 2 Answer the questions.

Answer the following questions:

  • What is motivating you to attend school?
  • What motivates you generally? Consider the arousal, incentive, and self-determination theories.
  • Where do you fall in Maslow’s Hierarchy of Needs?
  • What strategies do you use to motivate yourself?

Step 3 Report your findings. 

Theories of Human Motivation

Created Sep 13, 2004 | Updated Oct 4, 2010

3 Conversations

For years, managers, psychologists and academics have been interested in theories about motivation – why we get out of bed and go to work every morning; why some people are willing to do a great job despite being faced with huge challenges on a daily basis; why others can’t do even the simplest thing without making mistakes; and why seemingly small things such as the removal of a water-cooler in the canteen can have hugely detrimental effects on work performance. A large body of research has been written attempting to tackle these issues – some of which have gained considerable currency inside businesses as they try to get the most from their workforce. This article introduces a few of the more established and popular theories.

Money as a Motivator

This theory states that all workers are motivated primarily by the need for money; so if you want to get the most out of your workforce, you pay them more. This has particular effectiveness in areas where payment is directly linked to the accomplishment of objectives. This theory is prevalent in many businesses in the form of performance-related pay, incentives, bonuses and promotion schemes. While few would argue that it does not have some validity (indeed it is the driver behind most sales forces the world over), it is not an all-encompassing theory. It doesn’t really address the sometimes complex reasons why people are motivated by money. It excludes people who are not driven primarily for money. It does not, for example, apply to voluntary organisations. In addition, it may not work if meeting the financial objectives might threaten other entitlements, creature-comforts or rights, such as an employee’s location, network of friends, employment conditions or current level of job satisfaction.

The Hierarchy of Needs

This theory is probably the best-known motivation theory. It was coined by Abraham Maslow during the 1940s and 1950s. In essence, it states that our motivations are dictated primarily by the circumstances we find ourselves in, and that certain ‘lower’ needs need to be satisfied before we are motivated towards ‘higher’ accomplishments. Let’s take an extreme case: if we were stranded in a high mountain range after a plane crash, all our energies would initially go into finding food, shelter, defence and possibly, medical assistance. Only after these needs were satisfied would we seek other objectives such as respect, friendship, care of others and sexual fulfilment. If all these goals were answered then we would be free to seek purer goals such as enlightenment, wisdom, great works and perpetual remembrance. Maslow divided these objectives into five distinct stages, starting at physiological needs and ending at self-actualisation needs. In practice, the theory has its application in ensuring that the workforce have sufficiently comfortable surroundings and working conditions in order for them to be free to do their best for their company. If your technical writers are stuffed four people per desk into a Portakabin with no windows which fluctuates between -10 degrees in the Winter and +50 degrees in summer, you should not expect them to write Shakespeare1.

Theory X and Theory Y

In 1960, Douglas McGregor advanced the idea that managers had a major part in motivating staff. He essentially divided managers into two categories – Theory X managers who believe that their staff are lazy and will do as little as they can get away with; and Theory Y managers who believe that their people really want to do their best in their work. Theory X managers believe that staff will do things if they are given explicit instructions with no wiggle room, and plenty of stick if they don’t do what they are supposed to do. Theory Y managers believe their people work their best when empowered to make appropriate decisions. Theory Y2 has begun to replace Theory X as the dominant management philosophy in many organisations (except your workplace, of course).

AAP Theory

This theory was developed by DC McClelland and DG Winteer in 1969. Essentially it groups people’s needs into three different categories – the need for achievement, the need for affiliation and the need for power. Taking a less hierarchical approach than Maslow, it acknowledges that different strokes are required for different folks. Some people will have strong motivations in some or all of the categories, while others will have little or none. So, in order to get the most out of people you must make the goals and objectives fit with each individual’s needs. Don’t expect someone with high affiliation needs to be a great parking warden or sports referee!

Dual Factor Theory

Another theory to gain prominence at this time was Frederick Hertzberg’s Dual Factor theory. He identified two separate groups of factors that had a strong bearing on motivation. He called the first group ‘hygiene factors,’ because they strongly influenced feelings of dissatisfaction amongst employees. Hygiene factors include working conditions, pay, and job security. According to Hertzberg, they don’t motivate employees as such, but if they are not there, they can adversely affect job performance. He referred to the other group as ‘motivation factors’ because they had a role in positively influencing performance – such as achievement, career progression and learning. Hertzberg went on to state that you can forget about workforce motivation if you don’t get the hygiene factors right first of all. Fixing the downstairs toilets is not normally a recipe for a 50% productivity improvement.

Equity Theory

John Stacy Adams posited another theory in 1965, looking at how motivation was affected by the degree of fairness within an organisation, particularly within a group of peers. Consider the situation where nine sales representatives are given a company Mercedes, but one of them is given a Toyota, even though that person believes he did just as good a job as his colleagues. How would that last sales representative feel? Now there’s nothing wrong with a Toyota, but by comparing one’s own circumstances to the treatment of others in a similar situation, very intense feelings can be experienced. These feelings could lead to intense positive or negative motivations. It’s completely relative, and could apply to a peer group of millionaires should they compare one another’s yachts, or hair transplants. In practice, managers need to be careful in singling out an individual for special treatment within a group of peers because of the emotions this can engender.

Expectancy Theory

Victor Vroom in 1964 put forward the notion that people are driven by the likelihood of genuine success in achieving particular objectives. Three barriers need to be jumped by managers if they want to motivate their people to succeed. First of all, they need to connect the task to be performed to the likelihood of better results. Secondly they need to set expectations that there are positive benefits to the employee in achieving those results, and thirdly they need to ensure that these benefits are of value to the employee. For instance, there is no point asking your engineers to be happy about coming in a half-hour early in future if you can’t properly explain how this will lead to eventual real benefits for the engineers themselves. Telling them that it will increase senior management’s bonuses doesn’t tend to work so well.

To sum up

All the popular motivation theories have their flaws and detractors, but they do give us an insight into some of the mechanisms at work in day-to-day organisational life. A number of key messages ring true: firstly, people are not automatons and their reasons for behaving in a certain way are more complex than just money or laziness. Secondly, different people are motivated differently – there is no such thing as a simple, all-encompassing solution. Thirdly, it’s important to get the work environment right if you want to get the most from people; and finally, managing perceptions and expectations is very important if you want to help people get the most from their work.

1On the other hand, the 17th Century conditions in which Shakespeare wrote his plays may have been even worse than this; and if your technical writers are writing plays and sonnets when they are meant to be working on something else, then you might advise them to change careers before your boss finds out.2Since McGregor, Theory Z has been advanced by William Ouchi. This is Theory Y on steroids, and states that employees crave responsibility and opportunities for growth all the time. It is strongly influenced by Japanese management styles. There is also a Theory W (Boehm and Ross), which encourages managers to focus on win-win outcomes for all stakeholders 

Write a one-page report on your motivators based on the major theories of motivation.

Write a short (50-100-word) paragraph response for each question. This assignment is to be submitted as a Microsoft Word document.

Write a short (50-100-word) paragraph response for each question. This assignment is to be submitted as a Microsoft Word document.Define negotiation as it applies to patient education. Explain how th

Write a short (50-100-word) paragraph response for each question. This assignment is to be submitted as a Microsoft Word document.

  1. Define negotiation as it applies to patient education.
  2. Explain how the change in the patient’s status through the years has affected patient education.
  3. List the pros and cons of negotiation.
  4. Describe the general conditions that would be included in a patient contract.
  5. Discuss old age and the baby boomer.
  6. List several generational, religious, and cultural differences between the 30-year-old health care professional and the elderly patient.
  7. Explain some of the barriers to patient education of the elderly and discuss their special needs.
  8. List ways to best approach patient education of the elderly.
  9. Discuss some cultural and religious beliefs about death that you have encountered.
  10. Explain why it is important to discuss death and dying with the elderly patient and what the impact is on all involved.
  11. Explain how to teach a patient with a life-threatening illness.

· Discuss non-financial factors do the authors believe need to be included in break-even analysis?

Evaluating financial statements and using financial analysis methods is a critical part of the decision to make capital investments. The goal of capital management is to acquire and maintain sufficien

Evaluating financial statements and using financial analysis methods is a critical part of the decision to make capital investments. The goal of capital management is to acquire and maintain sufficient working capital and assets. This helps an organization meet operating and expense obligations, while also keeping a sufficient cash flow. It is also a way to confirm that capital purchases and agreements are made with ethical standards. This part of your project will require you to complete two (2) article reviews and report on your findings. Then, you will apply your findings to how capital decisions can be made in your specific case; as well as comparing your viewpoint to the authors’ and recent ethical scandal. Keep in mind that you will use your article analysis to either support or disprove the purchase of an information system in the final portion of your project.

Submit a minimum 3-page report that:

· Discusses why is it more difficult for healthcare companies to get expansion financing in the today’s economic climate and financial issues with expansions.

· Describes why healthcare companies need to look beyond their banks to secure financing.

· Explains the importance of making a good case for expanding healthcare providers’ methods of calculating break-even analysis.

· Discuss non-financial factors do the authors believe need to be included in break-even analysis?

· Explain how current issues, such as the Affordable Care Act, affect break-even analysis.

· Summarizes the authors’ viewpoints and apply the concepts to your case. Also include a summary of your viewpoint in comparison to the authors’. Be sure to specifically address the methods that influence capital investments and decision-making; and explore methods of analyzing capital investments (Payback, Net Present Value, and Internal Rate of Return). This report will serve as your Capital Management section of your project.

· Analyze the key points of the Enron Scandal and specifically address how professionalism and ethics influence decision-making. How do unethical standards impact an organization’s performance and capital investments? Reference the concepts of embezzlement and losses. Explain how you maintain ethical standards in relation to Code of Ethics.

· Include an APA formatted reference page to include at least three (3) academic sources, such as a book or an academic scholarly journal, to support your topic. You should reference your academic sources by including at least three (3) in-text citations. You can use the articles outlined in the instructions, as well as information found on the Enron Scandal. Academic scholarly journals can be accessed through the Rasmussen Online Library.

Article Review #1 Read the article Expanding Credit Lines in Order to Expand which discusses the challenges related to expansion financing. 

· Discuss why is it more difficult for healthcare companies to get expansion financing in the current economic situation?

· Explain the 2 major issues with the Caribbean expansion the turnaround company found and why do you think they were brought up?

· Describe why healthcare companies need to look beyond their banks to secure financing?

Article Review #2 Read the article The New Break-Even Analysis which looks at expanding how healthcare providers look at break-even analysis and includes some non-financial considerations. 

· Do you think the authors make a good case for expanding healthcare providers’ methods of calculating break-even analysis? Why or Why Not?

· Discuss non-financial factors do the authors believe need to be included in break-even analysis?

· Explain how the Affordable Care Act affect break-even analysis?

Ethical Scandal The ‘Enron Scandal’ involving acts of embezzlement is one of the most well-known financial, ethic scandals in modern day history. Perform a web search of the Enron Corporation Scandal to find more information.

Use the following websites on ethics to help support your course of action in upholding ethical standards.

· Five Top Ethical Issues in Healthcare

· American College of Healthcare Executives (ACHE) Code of Ethics

****SAMPLE PAPER OF WHAT IS EXPECTED IS ATTACHED PLEASE DONT COPY THIS PAPER IT SHOWS A LAYOUT OF WHAT IS EXPECTED*

· Explain the patient outcome(s) or patient-care efficiencies this project is aimed at improving and explain how this improvement would occur. Be specific and provide examples.

Learning ResourcesRequired ReadingsMcGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.Chapter 25, “The

Learning Resources

Required Readings

McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.

  • Chapter 25, “The Art of      Caring in Technology-Laden Environments” (pp. 525–535)
  • Chapter 26, “Nursing Informatics and the      Foundation of Knowledge” (pp. 537–551)

American Nurses Association. (2018). Inclusion of recognized terminologies supporting nursing practice within electronic health records and other health information technology solutions. Retrieved from https://www.nursingworld.org/practice-policy/nursing-excellence/official-position-statements/id/Inclusion-of-Recognized-Terminologies-Supporting-Nursing-Practice-within-Electronic-Health-Records/

Glassman, K. S. (2017). Using data in nursing practice. American Nurse Today, 12(11), 45–47. Retrieved from https://www.americannursetoday.com/wp-content/uploads/2017/11/ant11-Data-1030.pdf 

Macieria, T. G. R., Smith, M. B., Davis, N., Yao, Y., Wilkie, D. J., Lopez, K. D., & Keenan, G. (2017). Evidence of progress in making nursing practice visible using standardized nursing data: A systematic review. AMIA Annual Symposium Proceedings, 2017, 1205–1214. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5977718/

Office of the National Coordinator for Health Information Technology. (2017). Standard nursing terminologies: A landscape analysis. Retrieved from https://www.healthit.gov/sites/default/files/snt_final_05302017.pdf 

Rutherford, M. A. (2008). Standardized nursing language: What does it mean for nursing practice? Online Journal of Issues in Nursing, 13(1), 1–12. doi:10.3912/OJIN.Vol13No01PPT05. 

Thew, J. (2016, April 19). Big data means big potential, challenges for nurse execs. Retrieved from https://www.healthleadersmedia.com/nursing/big-data-means-big-potential-challenges-nurse-execs

Wang, Y. Kung, L., & Byrd, T. A. (2018). Big data analytics: Understanding its capabilities and potential benefits for healthcare organizations. Technological Forecasting and Social Change, 126(1), 3–13. doi:10.1016/j.techfore.2015.12.019. 

Required Media

Laureate Education (Executive Producer). (2012). Data, information, knowledge and wisdom continuum [Multimedia file]. Baltimore, MD: Author. Retrieved from http://mym.cdn.laureate-media.com/2dett4d/Walden/NURS/6051/03/mm/continuum/index.html

Public Health Informatics Institute. (2017). Public Health Informatics: “shipping” information for better health [Video file]. Retrieved from https://www.youtube.com/watch?v=q1gNQ9dm0zg.

Public Health Informatics Institute. (2017). Public Health Informatics: knowledge “architecture” [Video file]. Retrieved from https://www.youtube.com/watch?v=sofmUeQkMLU.

Assignment: The Impact of Nursing Informatics on Patient Outcomes and Patient Care Efficiencies

In the Discussion for this module, you considered the interaction of nurse informaticists with other specialists to ensure successful care. How is that success determined?

Patient outcomes and the fulfillment of care goals is one of the major ways that healthcare success is measured. Measuring patient outcomes results in the generation of data that can be used to improve results. Nursing informatics can have a significant part in this process and can help to improve outcomes by improving processes, identifying at-risk patients, and enhancing efficiency.

To Prepare:

· Review the concepts of technology application as presented in the Resources.

· Reflect on how emerging technologies such as artificial intelligence may help fortify nursing informatics as a specialty by leading to increased impact on patient outcomes or patient care efficiencies.

The Assignment: (4-5 pages)

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

· Describe the project you propose.

· Identify the stakeholders impacted by this project.

· Explain the patient outcome(s) or patient-care efficiencies this project is aimed at improving and explain how this improvement would occur. Be specific and provide examples.

· Identify the technologies required to implement this project and explain why.

· Identify the project team (by roles) and explain how you would incorporate the nurse informaticist in the project team.