NU 675 Walden University Childhood Bullying Clinical Reflective Journal

/in /by

NU 675 Walden University Childhood Bullying Clinical Reflective Journal

Description

 

 

You will create 7 entries for your Reflective Journal about a patient encounter. In the 7th entry, you will review the previous 6 entries and evaluate your progress in reflective practice over the course of the term.  Each journal should be a minimum of 250 words.

ORDER   A PLAGIARISM-FREE PAPER   NOW

The purpose of this reflective journal is self-reflection regarding the role in the process of self-reflection as a PMHNP provider. Through reflective practice, the student will evaluate their own emotional health and recognize one’s own feelings as well as one’s ability to monitor and manage those feelings. The point of the exercise is to learn yourself, your triggers, the types of cases you end up getting overly involved with, and those you’d rather refer to someone else. The idea is to be able to personally reflect on your behaviors/thoughts/decisions and how those impact you in the role of PMHNP.

Address the following items:

Investigate one mental health issue that you are passionate about; Childhood bullying, find an advocacy group that you would like to be a part of for mental health awareness for this particular topic or population.  Provide the link and discuss why this is important to you. NU 675 Walden University Childhood Bullying Clinical Reflective Journal

Reply 1 and 2 ,150 words each by 07/02/2021 at 6:00 pm

/in /by

Reply 1e: Topic 7 DQ 1TOPIC 7 DQ 1Describe one internal and one external method for the dissemination of your evidence-based change proposal. For example, an internal method may be the hospital board, and an external method may be a professional nursing organization. Discuss why it is important to report your change proposal to both of these groups. How will your communication strategies change for each group?The planning process for practice transformation includes determining which outcomes to assess and how to measure them. Conducting a premortem on your project is a unique method to discover results and plan for effective implementation (Ginex, 2018). We’ve all heard of postmortems—inquiries into what occurred after a sentinel incident or a bad patient outcome—but it’s equally vital to ask questions before embarking on a practice shift. A premortem can aid in the identification of results, roadblocks, and hazards to practical implementation. This is an activity in which members of a project team pretend that a planned strategy has failed after being briefed on it. Everyone is prompted to examine the strategy and anticipate potential risks and roadblocks as part of the process. A premortem’s framework makes it safe to uncover issues.The hospital board is the internal approach I would utilize to communicate evidence-based practice. Employees of the health organization, such as nurses, physicians, and other professionals involved in patient care, make up the hospital board. The most proper technique to employ when disseminating the EBP to the hospital board would be face to face. The method encourages engagement and immediate response, particularly during questioning sessions. Face-to-face consultation and conversation with other nursing experts is the technique I would utilize in the conference. In both internal and external forums, communication techniques would differ. Presentation at professional organization conferences, notably the American Nurses Association, is an external technique that I would use. The professional association would be an excellent vehicle for disseminating the initiative to a large number of nurses. The hospital board, for example, is made up of peers, which means that dialogue will be less formal and more participatory than at an American Nurses Association conference.I must provide my evidence-based findings to the two groups to encourage knowledge and information exchange throughout the nursing community. This would improve the ability of group members participating in nursing practice to make decisions and improve patient outcomes. Furthermore, presenting the findings to the groups would allow for a constructive critique of the results, allowing for improvements prior to implementation.ReferenceGinex. P (2018), Use These Methods to Evaluate EBP Outcomes and Disseminate Results. Retrieved from https://voice.ons.org/news-and-views/use-these-methods-to-evaluate-ebp-outcomes-and-disseminate-resultsReply 2Humbles (2019) explains that the dissemination of evidence-based practice (EBP) projects is a teaching strategy for nursing education. One internal method to disseminate my evidence-based change proposal to decrease the incidence of ventilator-associated pneumonia in patients admitted to assisted living facilities and home settings would be to speak with the Providers Relation team and see what their thoughts are on the research with their approval/backing. I would go to the training department. With both of those departments backing the research, it would make it easier for Management to be able to present to the administration. Administration would just have to find funding for the proposal as the departments would have already agreed. An external method would be submitting my research to the National Association of Directors of Nursing Administration in Long Term Care (NADONA/LTC). My communication approaches would be different with both groups. With management, since I know them, I would communicate via email and zoom meetings. I would provide them with a copy of my EBP proposal and request their feedback. As explained by Sefton (2019), EBP is a widely used problem-solving approach in the community health clinical setting as it is crucial to delivering interprofessional, collaborative, driven, and person centered care. As far as the National Association of Directors of Nursing Administration in Long Term Care (NADONA/LTC), I would call to request to speak to the person in charge of clinical to discuss briefly my proposal to decrease the incidence of ventilator-associated pneumonia in patients under their care and request for an email address to send a copy to review and provide me with their feedback.Resources:Dissemination of Evidence Based Practice and Nursing Research. (2019). https://www.va.gov/nursing/ebp/docs/ebpDisseminationModule.pdfHumbles, P. & Jones, S. (2019). Faculty and Students Find a Niche in Scholarship: Teaching Strategies to Disseminate Scholarly Evidence-Based Practice Projects. ABNF Journal, 30(4), 109–112.Sefton, M. & Hasnain, M. (2019). TIPS for preceptors facilitating interprofessional community-based clinical experiences. Nurse Educator, 44(3), 122-124. doi: 10.1097/NNE .0000000000000568.

HSM 494 Norfolk State University Baton Rouge General Outpatient Clinic Capstone

/in /by

HSM 494 Norfolk State University Baton Rouge General Outpatient Clinic Capstone

Description

You have been hired to develop an Outpatient Immunization Clinic for Baton Rouge General (https://www.brgeneral.org/in-the-community/community-health-needs-assessment). Their website has a wealth of information regarding their community.

The Mission Statement is:

We will preserve and restore health, one person at a time.

The Vision Statement is:

We will lead the region in exceptional patient experiences.

Utilizing the Web Site, on-line resources, and the information that we discussed in class via the PowerPoints and Assignments, prepare a proposal for the implementation of Outpatient Immunization Clinic which you will send  to the executive officers of the hospital for review. You are preparing this information for the board to demonstrate to them that this project is needed, is important and meets the mission, vision, and goals of the organization. HSM 494 Norfolk State University Baton Rouge General Outpatient Clinic Capstone

Present the information in correct professional language in paragraph form separated by Section Headers for each of the criteria listed below.

In your proposal, include the following.

1. At least two Goals for the Outpatient Immunization Clinic; Refer to the PowerPoint on Mission Statement for more information.

2. At least three Objectives for the Outpatient Immunization Clinic that are specific, attainable, and measurable; Refer to the PowerPoint on Mission Statement for more information.

3. An organizational chart for the Outpatient Immunization Clinic including a justification for each of the positions on the organizational chart. You will be the Director of the Outpatient Immunization Clinic. Remember that the lines upward on your organization chart show to whom they report and lines downward show who has authority over whom.

NOTE: If the Immunization clinic is approved and implemented, you will report to the Director of Outpatient Services who will report to Ms. Nijoka who is the Chief Nursing Officer. These positions are already a part of the organizational chart of the hospital and are not part of the organizational chart for this assignment. HSM 494 Norfolk State University Baton Rouge General Outpatient Clinic Capstone

ORDER   A PLAGIARISM-FREE PAPER   NOW

4. Using online data, information from the hospital website, and your own ideas, provide a justification and make a case for the development of the Outpatient Immunization Clinic.

5. Complete a SWOT analysis regarding the development the Outpatient Immunization Clinic.

6. Prepare a Job Description for two of the positions on your organizational chart.

7. Prepare Position Specific Interview questions for two different positions and describe the why that question is appropriate for the position. Do NOT asked questions that are generic and apply to all positions e.g. where do you see yourself in three years

a. Create two questions that you will ask of applicants for a specific position on your organizational chart.

b. Create two questions that you will ask of applicants for a different specific position on your organizational chart.

8. Identify and describe three specific ways that you will collect data to assess whether you have obtained your objectives for the Outpatient Immunization Clinic. You must suggest three ways that data can be gather to assess the achievement of your outcomes. HSM 494 Norfolk State University Baton Rouge General Outpatient Clinic Capstone

9. Describe two potential growth opportunities for the Outpatient Immunization Clinic.

Module 5 Grief and Final Reflections

/in /by

module 5 about grief will attach documents a the list of quootes are uploded too.

UC Healthcare Finance Cost Behavior Analysis Discussion

/in /by

UC Healthcare Finance Cost Behavior Analysis Discussion

Description

 

 

Cost accounting systems are designed to provide different measures of cost for different decision-making purposes. Assess how understanding cost behavior will help healthcare financial managers help their organizations achieve financial viability overall.

To prepare for this Discussion:

Identify one example of an event that has changed the operations of your organization or an organization with which you are familiar with. If you are not currently working in a healthcare organization (HCO), you may choose a case study from a reliable source from which to work.

ORDER   A PLAGIARISM-FREE PAPER   NOW

Review this week’s Reading and Learning Resources.

Post a cohesive response to the following:

Assess how the understanding of cost behavior will enable healthcare financial managers to help their organizations achieve financial viability in the long run.

Respond and continue the Discussion through Day 7: 

Expand on this Discussion by highlighting differences between your posting and your colleagues’ postings. Provide additional insights or alternative perspectives.

The initial post must require a minimum of four (4) current quality references, two (2) of them from peer-reviewed articles from the UC online library. Including references in your replies to classmates is optional but recommended.

 

Personal Protection Discussion Paper

/in /by

Personal Protection Discussion Paper

Description

Focusing on your assigned determinant of health, provide a specific example of when the government did or did not protect the public. Be sure to provide a brief summary of this incident.

In response to your peers, ask a critical thought question (see Module 1 for definition) to help you determine if the government has the responsibility to provide services to address this determinant. The question should incorporate your interpretation of the Constitution and the United States Supreme Court rulings or dissents in DeShaney. Be specific as to where you are generating your position. You should reference clauses or amendments. You should also provide supporting comments from the rulings or dissents. Personal Protection Discussion Paper

ORDER   A PLAGIARISM-FREE PAPER   NOW

As a class, we should try to ask each of our peers at least one question. Please try to answer all the questions regarding your initial posts as well.

Competencies:
5. Discuss the means by which structural bias, social inequities, and racism undermine health and create challenges to achieving health equity at organizational, community, and societal levels.
7. Apply awareness of cultural values and practices to the design or implementation of public health policies or programs.
11. Discuss multiple dimensions of the policy-making process, including the roles of ethics and evidence.
13. Advocate for political, social, or economic policies and programs that will improve health in diverse populations.

Learning Objectives:
1. Critique how personal/judicial interpretation influences public health.
2. Explore the concept of Negative Constitution.
3. Examine how the judicial branch can modify the implementation of a policy.
4. Discuss how policy can impact social determinants of health. Personal Protection Discussion Paper

  • Core Professional Attributes:
    1. ATSU: Social Responsibility
    2. ATSU: Critical Thinking

NU 675 Walden University Childhood Bullying Clinical Reflective Journal

/in /by

NU 675 Walden University Childhood Bullying Clinical Reflective Journal

Description

 

 

You will create 7 entries for your Reflective Journal about a patient encounter. In the 7th entry, you will review the previous 6 entries and evaluate your progress in reflective practice over the course of the term.  Each journal should be a minimum of 250 words.

The purpose of this reflective journal is self-reflection regarding the role in the process of self-reflection as a PMHNP provider. Through reflective practice, the student will evaluate their own emotional health and recognize one’s own feelings as well as one’s ability to monitor and manage those feelings. The point of the exercise is to learn yourself, your triggers, the types of cases you end up getting overly involved with, and those you’d rather refer to someone else. The idea is to be able to personally reflect on your behaviors/thoughts/decisions and how those impact you in the role of PMHNP.  NU 675 Walden University Childhood Bullying Clinical Reflective Journal

ORDER   A PLAGIARISM-FREE PAPER   NOW

Address the following items:

Investigate one mental health issue that you are passionate about; Childhood bullying, find an advocacy group that you would like to be a part of for mental health awareness for this particular topic or population.  Provide the link and discuss why this is important to you. NU 675 Walden University Childhood Bullying Clinical Reflective Journal

 

HCM 565 SEU Mod 4 Health & Medical Healthcare Finance Purchase Evaluation

/in /by

HCM 565 SEU Mod 4 Health & Medical Healthcare Finance Purchase Evaluation

Description

Module 04: Critical Thinking

Purchase Evaluation

Management is considering acquiring new office space by purchasing Zone A property which would cost $5,000,000 to buy today.

It has been estimated they could sell the Zone A property in 8 years for $8,500,000.

They will have to take a loan and pay an interest rate of 7.5% on that loan.

  1. What is the Present Value of the sale proceeds from the Zone A property?
  2. Should the fund purchase the Zone A property and if so, why?

The health fund realize they could rent out part of the one A property that is surplus to requirements and receive rent of $350,000 per year.

  1. What is the Present Value of the sale proceeds from the Zone A property with rent?
  2. Should the fund purchase the Zone A property with rent and if so why?

They receive a new offer of another building, the Zone B property but with slightly different conditions. HCM 565 SEU Mod 4 Health & Medical Healthcare Finance Purchase Evaluation

  • It costs $500,000 less to purchase
  • The rent to be received would be $150,000 less per year, however, the interest charged on the loan would be 1% less per year.

The Zone B property could be sold in 6.5 years, but they would receive $1,000,000 less than the Zone A property

  1. What is the Present Value of the sale proceeds from the Zone B property?
  2. Which is more attractive, the Zone A property (with rent) or the Zone B property?

The health fund has surplus funds available of $3,000,000 and can invest the funds earning 8% per annum

  1. How long would it take for them to have enough money to purchase outright
  2. The Zone A Property
  3. The Zone B Property

Purchase Evaluation

Management is considering acquiring new office space by purchasing Zone A property which would cost $5,000,000 to buy today.

It has been estimated they could sell the Zone A property in 8 years for $8,500,000.

They will have to take a loan and pay an interest rate of 7.5% on that loan.

  1. What is the Present Value of the sale proceeds from the Zone A property?
  2. Should the fund purchase the Zone A property and if so, why?

The health fund realize they could rent out part of the one A property that is surplus to requirements and receive rent of $350,000 per year.

  1. What is the Present Value of the sale proceeds from the Zone A property with rent?
  2. Should the fund purchase the Zone A property with rent and if so why? HCM 565 SEU Mod 4 Health & Medical Healthcare Finance Purchase Evaluation

    ORDER   A PLAGIARISM-FREE PAPER   NOW

They receive a new offer of another building, the Zone B property but with slightly different conditions.

  • It costs $500,000 less to purchase
  • The rent to be received would be $150,000 less per year, however, the interest charged on the loan would be 1% less per year.

The Zone B property could be sold in 6.5 years, but they would receive $1,000,000 less than the Zone A property

  1. What is the Present Value of the sale proceeds from the Zone B property?
  2. Which is more attractive, the Zone A property (with rent) or the Zone B property?

The health fund has surplus funds available of $3,000,000 and can invest the funds earning 8% per annum

  1. How long would it take for them to have enough money to purchase outright
  2. The Zone A Property
  3. The Zone B Property

The health fund finds it only has $2,75,000 to invest but can utilize an alternative investment and earn 9.5% per annum

  1. How long would it take for them to have money to purchase outright
  2. The Zone A Property
  3. The Zone B Property

You must show all your calculations for credit. Your calculations for this assignment must be submitted as a separate Excel file.

Prepare a PowerPoint presentation outlining all these scenarios and be sure to highlight the importance of the time value of money as one of the considerations.

Make a recommendation as to which scenario you feel is the best option and outline your reasoning for that determination. Also, explain if you consider there may be other factors that should be considered.

The PowerPoint presentation must meet the following structural requirements. In addition to the slide presentation, submit the Excel spreadsheet with your calculations.  HCM 565 SEU Mod 4 Health & Medical Healthcare Finance Purchase Evaluation

Your presentation should meet the following structural requirements:

  • Organized, using professional themes and transitions.
  • It should consist of nine slides, not including the title and reference slides.
  • Each slide must provide detailed speaker’s notes, with a minimum of 100 words per slide. Notes must draw from and cite relevant reference materials.
  • Provide support for your statements with in-text citations from a minimum of six scholarly articles. Two of these sources may be from the class readings, textbook, or lectures, but the other four must be external. The Saudi Digital Library is a good place to find these references.
  • Follow APA 7th edition and Saudi Electronic University writing standards.
  • You are strongly encouraged to submit all assignments to the Turnitin Originality Check prior to submitting them to your instructor for grading. If you are unsure how to submit an assignment to the Originality Check tool, review the Turnitin Originality Check Student Guide.

The health fund finds it only has $2,75,000 to invest but can utilize an alternative investment and earn 9.5% per annum

  1. How long would it take for them to have money to purchase outright
  2. The Zone A Property
  3. The Zone B Property

You must show all your calculations for credit. Your calculations for this assignment must be submitted as a separate Excel file.

Prepare a PowerPoint presentation outlining all these scenarios and be sure to highlight the importance of the time value of money as one of the considerations.

Make a recommendation as to which scenario you feel is the best option and outline your reasoning for that determination. Also, explain if you consider there may be other factors that should be considered.

The PowerPoint presentation must meet the following structural requirements. In addition to the slide presentation, submit the Excel spreadsheet with your calculations.  HCM 565 SEU Mod 4 Health & Medical Healthcare Finance Purchase Evaluation

Philosophy of nursing

/in /by

APA paper, no more than 3 pages. needs to have an abstract, reference page.  Rubric with what needs to be included in paper is attached.*NO PLAGERISM

UMUC Health & Medical Health Care Economics Discussion

/in /by

UMUC Health & Medical Health Care Economics Discussion

Description

 

Response 1-Jennifer Glockner

 

What kinds of treatments will comparative effectiveness research compare?

Comparative effectiveness research compares the effectiveness of treatments relative to their other options. This type of research identifies the most effective and efficient interventions that have the potential to reduce unnecessary treatments, which in turn, may help lower costs. For example, a randomized trial for treatments of osteoarthritis of the knee found that patients who received surgery did not have better outcomes than those treated with medicine and physical therapy. (KFF, 2009) In this case, the combination of medicine and physical therapy was as effective as the more costly, riskier surgical procedure. UMUC Health & Medical Health Care Economics Discussion

ORDER   A PLAGIARISM-FREE PAPER   NOW

References:
Kaiser Family Foundation (KFF) (2009, October) Explaining Health Reform: What is Comparative Effectiveness Research? Retrieved from, https://kff.org/wp-content/uploads/2013/01/7946.pdf

Question 2-Brianna Hart posted

Should comparative effectiveness research include measures of cost?

Yes, since the Patient Protection and Affordable Care Act of 2010 established comparative effectiveness research (CER) as a central feature of federal efforts to improve health care, measures of cost should be included. CER evaluates and compares many health care entities such as multiple treatment facilities, benefits, risks, services, and care. CER also compares services and items such as procedures, medical devices, protocols, pharmaceuticals and even health care interventions. (Garber & Sox, 2010)

It’s not uncommon for other countries to set budgets for health care spending and use comparative effectiveness to determine treatments and health care plans for patients. Typically using CER helps clinic management produce better decisions in regards to cost and revenue as well as the best care is given to the patient. (UMGC) UMUC Health & Medical Health Care Economics DiscussionReferences:

Garber, A. M., & Sox, H. C. (2010, October). HealthAffairs. Retrieved April 30, 2020, from The Role of Costs In Comparative Effectiveness Research : https://www.healthaffairs.org/doi/full/10.1377/hlt…

UMGC. (n.d.). Retrieved April 30, 2020, from HMGT 435 7981 Health Care Economics: https://learn.umgc.edu/d2l/le/content/491801/viewC…

 

Cost Benefit Analysis

Any organization aims to maximize returns. Therefore, due to the competitive nature of the corporate world, the management must ensure that costs are minimized. However, cost minimization is not an easy process for the department heads since they are tasked with the responsibility of preparing budgets and justifying the expenses included. This is the cost value analysis technique used by the managers to analyze the projects, systems, decisions, and the determination of the value of the intangibles. Costs benefits analysis identifies the benefits of the actions that are undertaken by the management less than the associated costs. As a result, the managers are in a position to make informed decisions when making investments.

The different methods that are used to determine the benefits under cost-benefit analysis include payback period (PB), internal rate of return (IRR), net present value (NPV). The ne NPV is a discounting technique in which the present value of cash inflows and outflows are compared to evaluate the risk nature of a project.  The approach measures the returns of an investment. The project is chosen for investment when the NPV is positive. The payback period is the method that is used to evaluate the period; it will take a project to generate the initial investment. The shorter the timeframe, the better (Pearce, Atkinson & Mourato, 2006). IRR is a profitability margin obtained as compared to the cost of investment. If IRRR is greater than the cost of capital in the market, it is an indication that the project will be valuable to the organization. Other approaches such PI and ARR use the same approach of in determining the profits of a venture. There is a decision criterion that is supposed to be used as a metric to evaluate the outcomes of the investment made. As a result, managers can determine if the project will be profitable or not. UMUC Health & Medical Health Care Economics Discussion

 

Reference

Pearce, D., Atkinson, G., & Mourato, S. (2006). Cost-benefit analysis and the environment: recent developments. Organisation for Economic Co-operation and development.