Dissemination of Scholarship Related to the Practicum Project

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Discussion: Dissemination of Scholarship Related to the Practicum Project

According to Freemantle and Watt (1994), “effective dissemination encompasses more than just the distribution and diffusion of information. It involves the processes by which target groups become aware of, receive, accept and utilize information.” (p. 133).

Think about your Practicum Project. Which groups would find your project findings, conclusions, and recommendations most valuable? Why? How might your focus differ if you were delivering a presentation at a professional conference versus at your practicum site? What would you emphasize if you were publishing an article in a peer-reviewed journal related to your specialization as opposed to in an online forum with a wider healthcare readership? Dissemination of Scholarship Related to the Practicum Project

In this Discussion, you analyze your Practicum Project in terms of conventional means of scholarly dissemination: presentations, posters, and publication.

To prepare:

Reflect on your Practicum Project.

Speak with various individuals, especially those in your practicum setting, about presentations or poster sessions they have given and/or publications they have authored. Ask which organizations or journals they would recommend you consider for dissemination based on your Practicum Project topic.

Consider the following questions related to dissemination:

Who is your target audience? Who would be most interested in your project findings, conclusions, and recommendations? Consider how the needs or dispositions of the intended audience may inform your choice of dissemination method.

Which method of dissemination would you choose to convey the findings, conclusions, or recommendations from your Practicum Project? What are the relative benefits and challenges of giving a presentation, sharing your findings through a poster session, and/or publication?

Consider various nursing, health care, informatics, and leadership and management organizations and journals. What is one organization or journal you would select for your presentation or publication?

What are some potential challenges? Evaluate what you could do to promote the possibility that your presentation, poster, or manuscript would be accepted.

Conduct a search of the literature using the Walden Library and other reliable sources. Locate two or more articles published in peer-reviewed journals within the last five years that relate to your Practicum Project. These articles should demonstrate the significance of the topic for nursing leadership and management or nursing informatics. Note: These articles may also help you determine if your project findings are related to an area that will contribute to a more comprehensive literature base.

Post a brief description of your Practicum Project, including the anticipated outcomes and implications for nursing practice in your specialty area. Explain why your results warrant dissemination. Describe your target audience, and explain which method of dissemination you would use as well as the organization or journal you would choose for sharing findings related to your Practicum Project. Support your response with at least two citations from the literature Dissemination of Scholarship Related to the Practicum Project.

Read a selection of your colleagues’ responses.

Respond to at least two of your colleagues on two different days, using one or more of the following approaches:

Ask a probing question, substantiated with additional background information, evidence, or research.

Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

Validate an idea with your own experience and additional research.

Required Readings

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Alspach, G. (2010). Converting presentations into journal articles: A guide for nurses. Critical Care Nurse, 30(2), 8–15.

Note: Retrieved from the Walden Library databases.

 The authors recognize the value of disseminating evidence-based practice in promoting quality care. They address how this can be done using posters.

Forsyth, D. E., Wright, T. L., Scherb, C. A., & Gaspar, P. M. (2010). Disseminating evidence-based practice projects: Poster design and evaluation. Clinical Scholars Review, 3(1), 14–21.

The authors recognize the value of disseminating evidence-based practice in promoting quality care. They address how this can be done using posters.

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Jeffress, L., & Lyle, S. D. (2012). Maximizing accessibility of academic publications: Applications of electronic publishing technology. Contemporary Issues in Education Research, 5(4), 257–264.

Note: Retrieved from the Walden Library databases.

This article addresses the use of electronic publishing technology for broader dissemination of research.

Price, B. (2010). Disseminating best practice at conferences. Nursing Standard, 24(25), 35–41.

Note: Retrieved from the Walden Library databases.

In this article, the author provides suggestions for creating and delivering engaging conference presentations.

Roberts, D. (2011). ‘Pay it forward’ through publication. MEDSURG Nursing, 20(3), 112, 122.

Note: Retrieved from the Walden Library databases.

The author proposes creating a chain of lifelong learning through the publication of scholarly works. Among other matters, the article suggests the value of identifying a publication mentor.

Russell, C. L., & Ponferrada, L. (2012). How to develop an outstanding conference research abstract. Nephrology Nursing Journal, 39(4), 307–342.

Note: Retrieved from the Walden Library databases.

The authors propose recommendations for writing and submitting an abstract for a presentation at a conference.

Sawatzky, J. V. (2011). My abstract was accepted—now what? A guide to effective conference presentations. Canadian Journal of Cardiovascular Nursing, 21(2), 37–41.

Note: Retrieved from the Walden Library databases.

The article addresses fear of public speaking and provides recommendations for delivering successful presentations at conferences.

 Walden University. (n.d.). Research Dissemination. Retrieved October 18, 2017, from http://academicguides.waldenu.edu/researchcenter/orsp/dissemination

This Walden University resource examines how research is disseminated through presentations and publications.

Review the types of articles the following journals produce as well as submission requirements for publication:

 BMJ Publishing Group. (2013). Evidence-Based Nursing. Retrieved from http://ebn.bmj.com/

 Elsevier. (2013). Nurse Leader. Retrieved from http://www.nurseleader.com/

 John Wiley & Sons. (2013). Journal of Nursing Scholarship. Retrieved from http://onlinelibrary.wiley.com/journal/10.1111/%28ISSN%291547-5069/homepage/ForAuthors.html

 Lippincott Williams & Wilkins. (2013). CIN: Computers, Informatics, Nursing. Retrieved from http://journals.lww.com/cinjournal/pages/default.aspx

 Lippincott Williams & Wilkins. (2013). The Journal of Nursing Administration. Retrieved from http://journals.lww.com/jonajournal/pages/default.aspx

 National League for Nursing. (2011). Publications. Retrieved from http://www.nln.org/nlnjournal/writingjournal.htm

 Online Journal of Nursing Informatics. (2013). Retrieved from http://www.ojni.org/

 Rural Nurse Organization. (2013). Online Journal of Rural Nursing and Health Care. Retrieved from http://rnojournal.binghamton.edu/index.php/RNO

 Wiley-Blackwell. (n.d.) Nurse Author & Editor. Retrieved May 20, 2013, from http://www.naepub.com/

 Document: Practicum Project Presentation Overview (PDF)

Review this document in preparation for creating your PowerPoint presentation, which you will post in the Week 11 Discussion by Day 1 of next week Dissemination of Scholarship Related to the Practicum Project

 Document: Scholarship of Practice Poster Session (PDF)

 Review this document in preparation for creating an abstract based upon your Practicum Project, which will be due by Day 7 of this week.

Optional Resources

Rogobete, C., Peters, G., & Seruga, J. (2012). Cross media and e-publishing. International Journal of U- & E-Service, Science & Technology, 5(2), 17–29.

Note: Retrieved from the Walden Library databases Dissemination of Scholarship Related to the Practicum Project.

How the diagnosis might impact the patient’s life short-term and long-term

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Each week you will complete a Practicum Journal entry and Time Log that prompts you to reflect on and document your Practicum Experiences How the diagnosis might impact the patient’s life short-term and long-term.

Practicum Journal

Continue documenting your Practicum Experiences in your Practicum Journal. Reflect on your practicum experiences and relate them to your Professional Goals and Self-Assessment of Clinical Skills that you identified in Week 1.

Follow journal entry format and choose any illness or patient…..

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E.g

Reflect on a patient who presented with a disease. Describe key signs and symptoms that were consistent with this disease. If you diagnosed the patient with the disease, describe your experience in telling the patient that she had the disease, as well as the patient’s reaction to the diagnosis. Explain how the diagnosis might impact the patient’s life short-term and long-term. Include an explanation of the patient’s medical history, drug therapy and treatments, and follow-up care. If you did not have an opportunity to evaluate a patient with this background during the last four weeks, you may select a related case study from a reputable source or reflect on previous clinical experiences.

essay using at least two course resources (textbook, lectures, the Bible) and at least two other sources from the to support your points

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Write a 1,250-1,500-word essay using at least two course resources (textbook, lectures, the Bible) and at least two other sources from the  to support your points. Remember, the Bible counts as one reference regardless of how many times you use it or how many verses you cite.

Begin your paper with an appropriate introduction, including a thesis statement to introduce the purpose of the paper.

Organize your paper with the following sections, using the seven underlined titles for subheadings.

Write at least one paragraph for each component using the underlined titles for a subheading. 

  1. God: What is God like? What are God’s characteristics? What is his creation?
  2. Humanity: What is human nature? What is human purpose? What is the root cause of human problems?
  3. Jesus: What is Jesus’ true identity? What did Jesus do? Why is Jesus’ identity and work significant for the Christian worldview?
  4. Restoration: What is the solution to human problems according to the Christian worldview? What role do grace and faith play in Christian salvation? How do Christians think that the transformation of self and society happen?
  5. Analysis: Analyze the Christian worldview by addressing each of the following questions: What are the benefits or strengths of Christian belief? What is troublesome or confusing about Christianity? How does Christianity influence a person’s thinking and behavior?
  6. Reflection: Reflect on your worldview by answering one of the following questions: If you are not a Christian, what similarities and differences are there between your worldview and the Christian worldview? If you are a Christian, how specifically do you live out the beliefs of the Christian worldview?
  7. Conclusion: Synthesize the main points, pulling the ideas of the paper together.
  8. References

In at least 150 words, complete your introductory paragraph with a thesis statement in which you will address each of the following six sections with at least one paragraph each. 

God

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In at least 150 words, respond thoroughly to the questions in the assignment. Be sure to include citations. 

Humanity

In at least 150 words, respond thoroughly to the questions in the assignment. Be sure to include citations. 

Jesus

In at least 150 words, respond thoroughly to the questions in the assignment. Be sure to include citations. 

Restoration

In at least 150 words, respond thoroughly to the questions in the assignment. Be sure to include citations.   

In at least 150 words, respond thoroughly to the questions in the assignment. Be sure to include citations. 

Reflection

In at least 150 words, respond thoroughly to the questions in the assignment. Be sure to include citations. 

Conclusion

In at least 150 words, synthesize the main points, pulling the ideas of the paper together. Be sure to include citations. essay using at least two course resources (textbook, lectures, the Bible) and at least two other sources from the to support your points

The History Of The Identified Health Issue

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APA format,  at least 500 words, 3 references

This essay is about INFLUENZA. Please please have the essay about influenza

This is a Collaborative Learning Community (CLC) assignment.

In your Collaborative Learning Community, write a paper of 500-1,000 words that describes the history of the identified health issue. Include the following:

  1. Influences such as determinants of health and socioeconomic status.
  2. Past and present initiatives to address the issue.
  3. Outcome indicators that have been developed and utilized to measure progress on the issue.
  4. The current status of the issue based on measured outcomes The History Of The Identified Health Issue.

Refer to “CLC Health Issue Analysis Overview.”

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

This is a CLC project, I have two other students I am doing this project with. Here is topic 1 of the CLC agreement attached below.

Resource 1: CLC Health Issue Analysis Overview 

Group work has benefits and liabilities. EVERYONE assigned to a CLC is expected to equally participate in the work in terms of time and quality of effort. Each participant has strengths and it is reasonable to apportion the work to make best use of this. Some are natural leaders. Our strengths can be our greatest liabilities: No one wants to be bossed around no matter how skilled the boss is. Honest communication is critical to effective group work. The best way to avoid conflict is to set very clear expectations up front. Then, if someone does not do what is expected him/her, he/she can be referred to the original agreement rather than have the confrontation become personal.

Course instructors are able to observe the group process in the CLC forum. If the work takes place outside the forum, this information will be absent. Be certain (even if communicating via e-mail, phone, or face-to-face) to record the communication in the CLC forum.

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CLC Project Overview

The purpose of this assignment is to critically analyze a health care issue through the focus of major concepts from each Topic. There are six components to this assignment after the CLC agreement is signed and the topic is identified. It is not expected that every member of the CLC group will contribute to each assignment, but that assignments will be divided fairly and equally among the group. Each of the written components of the CLC project will be 500-1,000 words. These papers should be in APA format with a title and a reference page. An abstract is not required. An introduction is required ONLY for Part 1 and is not required in any parts thereafter. It is the intention that if one were to take the six parts of this assignment and put them together, a comprehensive and cohesive analysis would be produced. Part 1 is worth 3 points and each of the subsequent parts (2-6) are worth 4 points each. 

Topic 1 (10 points)

Check into the CLC group and provide contact information and describe prior experience, if any, with health policy. Locate and read the CLC Agreement provided by the instructor, located within the Additional Resources Folder in Canyon Connect. Choose one member to transfer the document to the CLC forum. Decide upon the process needed to fill out the contract. Everyone should participate. Before filling out the agreement, it may be helpful for each student to describe the most difficult, frustrating, helpful, or beneficial apects of working on a collaborative project. Getting this type of information out in the open ahead of time may help to prevent conflict later on. Since no one is angry yet, you can comfortably list what is likely to make you angry and also what would make you satisfied.

Complete the CLC Agreement (except for the final block, which is used at the end). Select someone to submit the CLC Agreement by the end of Topic 1. The History Of The Identified Health Issue

The pathophysiology, associated alterations and the patients’ adaptive responses to the alterations caused by the disease processes

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                                                      Adaptive Response

As an advanced practice nurse, you will examine patients presenting with a variety of disorders. You must, therefore, understand how the body normally functions so that you can identify when it is reacting to changes. Often, when changes occur in body systems, the body reacts with compensatory mechanisms. These compensatory mechanisms, such as adaptive responses, might be signs and symptoms of alterations or underlying disorders. In the clinical setting, you use these responses, along with other patient factors, to lead you to a diagnosis. The pathophysiology, associated alterations and the patients’ adaptive responses to the alterations caused by the disease processes

Consider the following scenarios:

Scenario 1:

Jennifer is a 2-year-old female who presents with her mother. Mom is concerned because Jennifer has been “running a temperature” for the last 3 days. Mom says that Jennifer is usually healthy and has no significant medical history. She was in her usual state of good health until 3 days ago when she started to get fussy, would not eat her breakfast, and would not sit still for her favorite television cartoon. Since then she has had a fever off and on, anywhere between 101oF and today’s high of 103.2oF. Mom has been giving her ibuprofen, but when the fever went up to 103.2oF today, she felt that she should come in for evaluation. A physical examination reveals a height and weight appropriate 2-year-old female who appears acutely unwell.  Her skin is hot and dry. The tympanic membranes are slightly reddened on the periphery, but otherwise normal in appearance. The throat is erythematous with 4+ tonsils and diffuse exudates. Anterior cervical nodes are readily palpable and clearly tender to touch on the left side. The child indicates that her throat hurts “a lot” and it is painful to swallow. Vital signs reveal a temperature of 102.8oF, a pulse of 128 beats per minute, and a respiratory rate of 24 beats per minute.

Scenario 2:

Jack is a 27-year-old male who presents with redness and irritation of his hands. He reports that he has never had a problem like this before, but about 2 weeks ago he noticed that both his hands seemed to be really red and flaky. He denies any discomfort, stating that sometimes they feel “a little bit hot,” but otherwise they feel fine. He does not understand why they are so red. His wife told him that he might have an allergy and he should get some steroid cream. Jack has no known allergies and no significant medical history except for recurrent ear infections as a child. He denies any traumatic injury or known exposure to irritants. He is a maintenance engineer in a newspaper building and admits that he often works with abrasive solvents and chemicals. Normally he wears protective gloves, but lately they seem to be in short supply so sometimes he does not use them. He has exposed his hands to some of these cleaning fluids, but says that it never hurt and he always washed his hands when he was finished.

Scenario 3:

Martha is a 65-year-old woman who recently retired from her job as an administrative assistant at a local hospital. Her medical history is significant for hypertension, which has been controlled for years with hydrochlorothiazide. She reports that lately she is having a lot of trouble sleeping, she occasionally feels like she has a “racing heartbeat,” and she is losing her appetite. She emphasizes that she is not hungry like she used to be. The only significant change that has occurred lately in her life is that her 87-year-old mother moved into her home a few years ago. Mom had always been healthy, but she fell down a flight of stairs and broke her hip. Her recovery was a difficult one, as she has lost a lot of mobility and independence and needs to rely on her daughter for assistance with activities of daily living. Martha says it is not the retirement she dreamed about, but she is an only child and is happy to care for her mother. Mom wakes up early in the morning, likes to bathe every day, and has always eaten 5 small meals daily. Martha has to put a lot of time into caring for her mother, so it is almost a “blessing” that Martha is sleeping and eating less. She is worried about her own health though and wants to know why, at her age, she suddenly needs less sleep.

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To Prepare

· Review the three scenarios, as well as Chapter 6 in the Huether and McCance text.

· Identify the pathophysiology of the disorders presented in each of the three scenarios, including their associated alterations. Consider the adaptive responses to the alterations.

· Review the examples of “Mind Maps—Dementia, Endocarditis, and Gastro-oesophageal Reflux Disease (GERD)” media in this week’s Learning Resources. Then select one of the disorders you identified from the scenarios. Use the examples in the media as a guide to construct a mind map for the disorder you selected. Consider the epidemiology, pathophysiology, risk factors, clinical presentation, and diagnosis of the disorder, as well as any adaptive responses to alterations.

· Review the Application Assignment Rubric found under Course Information

To Complete

Write a 2- to 3-page paper excluding the title page, reference page and Mind Map that addresses the following:

· For each of the three scenarios explain the pathophysiology, associated alterations and the patients’ adaptive responses to the alterations caused by the disease processes.  You are required to discuss all three scenarios within the paper component of this assignment.

· Construct one mind map on a selected disorder presented in one of the scenarios. Your Mind Map must include the epidemiology, pathophysiology, risk factors, clinical presentation, and diagnosis of the disorder, as well as any adaptive responses to alterations.

Learning Resources

Required Readings

Huether, S. E., & McCance, K. L. (2017). Understanding pathophysiology (6th ed.). St. Louis, MO: Mosby.

  • Chapter 6, “Innate Immunity:      Inflammation and Wound Healing”

This chapter examines how the body responds to injury and infection by exploring the first, second, and third lines of defense. It also covers wound healing and alterations of the wound healing process.

  • Chapter 7, “Adaptive      Immunity”

This chapter examines the third line of defense, adaptive immunity. It also covers the roles of antigens and immunogens, the humoral immune response, cell-mediated immunity, and the production of B and T lymphocytes in the immune response.

  • Chapter 8, “Infection and      Defects in Mechanism of Defense”

This chapter covers the epidemiology, clinical presentation, and treatment of disorders resulting from infection, deficiencies in immunity, and hypersensitivity. It also examines the pathophysiology of an important immune disorder—HIV/AIDS.

  • Chapter 9, “Stress and      Disease”

This chapter evaluates the impact of stress on various body systems and the immune system. It also examines coping mechanisms and disorders related to stress.

  • Chapter 10, “Biology of      Cancer”

This chapter explores the developmental process of cancer and factors that impact the onset of cancer at the cellular level. It also describes various treatment options.

  • Chapter 11, “Cancer      Epidemiology”

This chapter reviews genetic, environmental, behavioral, and diet-related risk factors for cancer. It also examines types of cancers that result from risk factors.

  • Chapter 12, “Cancer in      Children and Adolescents”

This chapter focuses on the presentation and prognosis of childhood cancers. It examines the impact of genetic and environmental factors on these cancers.

  • Chapter 38, “Structure and      Function of the Musculoskeletal System”

This chapter covers the structure and function of bones, joints, and skeletal muscle. It also explores effects of aging on the musculoskeletal system.

  • Chapter 39, “Alterations of      Musculoskeletal Function”

This chapter examines the pathophysiology, clinical manifestations, and evaluation and treatment of bone, joints, and skeletal muscle disorders. Additionally, it explores musculoskeletal tumors, osteoarthritis, and rheumatoid arthritis. The pathophysiology, associated alterations and the patients’ adaptive responses to the alterations caused by the disease processes

  • Chapter 40, “Alterations of      Musculoskeletal Function in Children”

This chapter includes musculoskeletal disorders that affect children, such as congenital defects, bone infection, juvenile idiopathic arthritis, muscular dystrophy, musculoskeletal tumors, and nonaccidental trauma.

  • Chapter 41, “Structure,      Function, and Disorders of the Integument”

This chapter begins with an overview of the structure and function of skin. It then covers effects of aging on skin, as well as disorders of the skin, hair, and nails.

  • Chapter 42, “Alterations of      Integument in Children”

This chapter covers alterations of the integument that affect children. These include acne vulgaris, dermatitis, infections of the skin, insect bites and parasites, vascular disorders, and other skin disorders.

Hammer, G. G. , & McPhee, S. (2014). Pathophysiology of disease: An introduction to clinical medicine. (7th ed.) New York, NY: McGraw-Hill Education.

  • Chapter 3, “Disorders of the      Immune System”

This chapter explores the anatomy and physiology of the immune system. It also explores the pathophysiology of various immune disorders such as primary immunodeficiency diseases and AIDS.

  • Chapter 8, “Diseases of the      Skin”

This chapter begins with an overview of the anatomy and physiology of skin. It also explores the pathophysiology of various types of skin lesions and inflammatory skin diseases.

  • Chapter 24, “Inflammatory      Rheumatic Disease”

This chapter explores the pathogenesis of inflammation and its role in rheumatic diseases. It also examines the clinical presentation, etiology, pathophysiology, and clinical manifestations of rheumatic diseases such as gout and rheumatoid arthritis.

Required Media

Zimbron, J.  (2008). Mind maps—Dementia, endocarditis, and gastro-oesophageal reflux disease (GERD) [PDF]. Retrieved from http://www.medmaps.co.uk/beta/

Gastro-oesophageal reflux disease. [Image]. Used with permission of MedMaps.

This media provides examples of mind maps for dementia, endocarditis, and gastro-oesophageal reflux disease (GERD).

Optional Resources

Arthritis Foundation. (2012). Retrieved from http://www.arthritis.org/ 

Lupus Foundation of America. (2012). Retrieved from http://www.lupus.org/newsite/index.html 

Pharmacology Case Study- Prescribed Drugs With CAMs

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No Plagiarism please, assignment will be checked with Turnitin. 

Will need 5 full pages, double spaced all throughout the page for the case study, APA Style, Times New Roman, font 12, Title Page and a Reference page. 

Case Study: Prescribed Drugs with CAMs

A 35-year-old male, Mr. NX, presents to your clinic today with complaints of back pain and “just not feeling good.” Regarding his back, he states that his back pain is a chronic condition that he has suffered with for about the last 10 years. He has not suffered any specific injury to his back. He denies weakness of the lower extremities, denies bowel or bladder changes or dysfunction, and denies radiation of pain to the lower extremities and no numbness or tingling of the lower extremities. He describes the pain as a constant dull ache and tightness across the low back Pharmacology Case Study- Prescribed Drugs With CAMs.

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He states he started a workout program about 3 weeks ago.

He states he is working out with a friend who is a body builder.

He states his friend suggested taking Creatine to help build muscle and Coenzyme Q10 as an antioxidant so he started those medications at the same time he began working out. 

He states he also takes Kava Kava for his anxiety and garlic to help lower his blood pressure.

His historical diagnoses, currently under control, are:

Type II diabetes since age 27

High blood pressure

Recurrent DVTs

His prescribed medications include:

Glyburide 3 mg daily with breakfast

Lisinopril 20 mg daily

Coumadin 5 mg daily

Directions:

*****This Assignment may be submitted in an  APA formatted paper of no more than five (5) pages excluding title page and references.

Based on the above case study, address each section of the Unit 9 Assignment template. 

Be sure to first view the Unit 9 Assignment Grading Rubric and use it to guide your completion.

Be sure to read the Assignment description carefully (as displayed above);

  1. Download the Unit 9 Assignment template 
  2. Rename the downloaded template file as “FirstInitial+LastName_ MN553_Unit9.docx” (e.g., JDoe_MN553_Unit4.docx).
  3. Review the Assignment grading rubric.
  4. Complete the template, basing your responses on the case study above.
  5. Support your arguments with appropriate evidence from the literature, citing and referencing in APA 6th edition style. Pharmacology Case Study- Prescribed Drugs With CAMs

Using Variance Analysis In Decision Making

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Having a budget is critical for the financial stability of an organization. Keeping track of how well the organization is actually adhering to the budget, and subsequent identification of why the budget numbers are being missed is equally important. Without this critical “why” piece, it is difficult to make the necessary adjustments to the budget or to organizational behavior that might be promoting overspending.

A good budget is built with thoughtful consideration of future costs and revenue. Though your budget is formulated with expected figures in mind, the actual resulting values may vary considerably. This variance–from projected to actual–can be a pleasant surprise or a fiscal nightmare and can make financial decision making difficult. Fortunately, variance analysis can enable management to determine why variance occurred and what can be done to mitigate its effects. Using Variance Analysis In Decision Making

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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 dealing with variance analysis, how it is calculated, and how it can be used in decision making.
  • View the video  Week 8 Application Assignment Tutorial: Variance Analysis, provided in this week’s Learning Resources.
  • Use the Week 8 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:For those Assignments in this course that require you to perform calculations you must:
Use the Excel spreadsheet template for the Week 8 assignment
Show all your calculations and formulas in the spreadsheet.
Answer any questions included with the problems (as text in the Excel spreadsheet).

Salary Variance Scenario

For this Assignment run a variance analysis. Based on the information you obtain: assess the results of the analysis, suggest potential causes of the budget variances and an explanation for addressing the situation.

Using the following performance data calculate the volume adjusted labor rate variance and volume adjusted efficiency variance. Your Variable Expense Factor is 40% and your Volume Change Factor is 50%.

Note:Submit the Excel spreadsheet containing your Salary Variance Scenario calculations to the Assignment submission link.

In the past, students expressed confusion on which cells to complete on the week 8 assignment. To reassure you and perhaps, make it simpler, I have highlighted all cells that should have data in them on this assignment. That data may be simply transferred from data provided, or require you to complete a formula. I hope this helps.   

Week 8 highlighted template Weatherspoon.xls

On your Excel assignments with a narrative, I have a request. 

Please click on the narrative cell box (where you will write your answer; then look at the tool bar on top- click Wrap Text.  This will keep your narrative answer in a viewable box. Otherwise it runs off the screen. This is a big help to me as I can grade the assignment within the Blackboard system. If it is not done I have to download and expand that box (using wrap text) then reupload it again.  This prevents me from putting feedback directly into the grading tool on your assignment. Here is a screenshot: Using Variance Analysis In Decision Making

Thank you for your help with this on the week 8 and week 10 assignments! Dr  Deb

The highlighted areas are where you need to complete! Don’t forget to Wrap Text!

Dr Deb

c

Expense forecasting is one of the preeminent tools that financial managers can use to prepare their organizations for future fiscal turbulence

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Throughout this course, you’ve examined the importance of anticipating financial fluctuations that may impact your organization’s ability to provide services. While financial managers have no time machines or crystal balls, they do have expense forecasts. Expense forecasting is one of the preeminent tools that financial managers can use to prepare their organizations for future fiscal turbulence. In this Assignment, you will examine a scenario and generate a corresponding expense forecast in Excel. Expense forecasting is one of the preeminent tools that financial managers can use to prepare their organizations for future fiscal turbulence

Before pursuing an opportunity or making a major purchase, financial decision makers must first ascertain if the expenditures are justified. Determining whether a new process, system, or purchase will yield worthwhile returns is no easy task. However, managers have a variety of tools to help them decide whether the new expenditure is warranted. Analyzing a venture’s benefit/cost ratio, marginal profit and loss statement, and break-even points enable nurse managers to make educated decisions about how they choose to commit their funds.

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Note: For those Assignments in this course that require you to perform calculations you must:Use the Excel spreadsheet template for the Week 3 assignment
Show all your calculations and formulas in the spreadsheet.
Answer any questions included with the problems (as text in the Excel spreadsheet).

Expense Forecasting

In this Application Assignment you calculate scenarios focusing on benefit/cost ratio analysis, marginal profit and loss statements, and break-even analysis. For these scenarios, you will utilize the provided figures to perform calculations and then make recommendations about the viability of the investment opportunities 

Expense Forecasting Scenario

Your department has performed 20,000 procedures during the first six months (January–June) of 20X1. Spending during that period of time was $210,000 for fixed expense items and $1,200,000 for variable expense items. Of those amounts, $50,000 of fixed expense money was spent on preparing for a Joint Commission survey. Volume is anticipated to be 10% higher in the second half of the year. On November 1st, two new procedure technicians will begin work. The salary and fringe benefit costs for each are $96,000/year. Based on the information provided, prepare an expense forecast for 20X1.

Annualization for Fixed:  (Adjusted Total for Year to Date Expense/6) * 12 =Total Annualized Amounts

Annualization for Variable (Adjusted Total for Year to Date Expense/ 20,000) * 40,000 =Total Annualized Amounts.

Financial Analysis Cycle

Marginal Profit and Loss Statement Scenario

You are examining a proposal for a new business opportunity – a new procedure for which demand is expected to be 1,400 units the first year, growing by 600 units a year thereafter. The price charged per procedure is $1,000. The collection rate is anticipated to be 80%. Each procedure consumes $300 of supplies. Salary cost is estimated to cost $540,000 each year, fringe benefits are 25% of salaries, rent for the facility is $55,000/yr and operating cost are $120,000/yr.

Questions:

  1. Develop a marginal profit and loss statement for this business opportunity.Based on that analysis, should this opportunity be pursued?

Break-Even Analysis Scenario

You can charge $1,075 for a new service. Demand is anticipated to be 8,000 units a year. Your business is able to handle up to 16,500 units annually, so capacity should not be a problem. The average collection rate is 80%. The new service has annual fixed costs of $4,700,000. Variable cost per unit of service is $420.

Question: Use break-even analysis to determine if this new service is financially viable. If the business is not financially viable, what steps could you take to make a case to proceed with implementation?  Explain your decision Expense forecasting is one of the preeminent tools that financial managers can use to prepare their organizations for future fiscal turbulence.

Benefit/Cost Ratio Analysis Scenario

You are considering the acquisition of a new piece of equipment with a useful life of five years. This new technology will make your clinical operation more efficient and allow for a reduction of 10 FTEs. The equipment purchase price is $4,500,000 plus 10% installation fee. The purchase price includes service for the first year, an item that has an annual cost of $10,000. There is a potential for additional volume of 150,000 units in the first year, growing by 30,000 each year thereafter. The price charged per unit is $15.00 with a 50% collection rate. The staff being eliminated are paid $12.50 per hour. The fringe benefits rate is 20%. The hurdle rate is 7.5%.

Questions: After reviewing Dr. Ward’s Video and the calculations below, please answer the following questions:

  • What is meant by  benefit/cost ratio, average payback period and ROI  and why are the all  important to understand when purchasing new equipment?
  • Based on this information, would you pursue this opportunity?
  • Explain your decision  in 250-500 words in the text box below.

References:

Baker, J. J., Baker, R. W., & Dworkin, N. R.  (2018). Health care finance: Basic  tools for nonfinancial managers (5th ed.). Burlington, MA: Jones and  Bartlett Learning.

Chapter 14, “Trend Analysis, Common Sizing, and Forecasted Data” (pp. 149-160)
The focus of this chapter is the use of trend analysis and forecasting to develop future budgets and make financial decisions about capital purchases, programs, and personnel.
Chapter 15, “Using Comparative Data” (pp. 161-173)
In this chapter, you are introduced to the criteria for identifying other health care organizations that are comparable to your own. Data from these organizations can then be used to evaluate your own organizational performance.
Chapter 19, “Estimates, Benchmarking, and Other Measurement Tools” (pp. 223-231)
In this chapter, you continue exploring the concept of financial benchmarking. The chapter focuses on the importance of benchmarking for identifying performance gaps.

Zelman, W., McCue, M., & Glick, N. (2009). Financial management of health care organizations: An introduction to fundamental tools, concepts, and applications (3rd ed.). Hoboken, NJ: Jossey-Bass.
Retrieved from the Walden Library databases.
Chapter 5, “Working Capital Management” (pp. 187–231)
This chapter examines the concept of working capital. The authors explore the specifics of current assets and the management of the working capital cycle.
Chapter 11, “Responsibility Accounting” (pp. 468–497)
Review: This chapter explores the trend toward the decentralization of health care organizations and the challenges this presents. This chapter also describes responsibility centers, or organizational units intended to achieve specific tasks.

Mulva, S., & Dai, J. (2009) Health care facility benchmarking. HERD, 3(1), 28–37.
Reprinted by permission of Sage Publications via the Copyright Clearance Center.

This article describes a national health care facility’s benchmarking program. It is designed to compare measures of capital project performance.

Agency for Healthcare Research and Quality. (2013). Measuring and benchmarking clinical performance. Retrieved from www.ahrq.gov

Ettorchi-Tardy, A., Levif, M., & Michel, P. (2012). Benchmarking: A Method for Continuous Quality Improvement in Health. Healthcare Policy, e101-e119. Retrieved fromhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC3359088/

Regardless of clients’ reasons for presenting for therapy, to reach these clients and effectively treat them, you must be able to break down barriers, establish relationships, and help them see the benefits of this therapeutic approach.

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Report Issue

                                      Group Therapy for Addiction

Consider the following scenario:

The psychiatric mental health nurse practitioner is working for a community health clinic that offers state mandated “intensive outpatient rehabilitation” services for individuals who face incarceration for driving while under the influence. Mr. Smith, a 24-year-old male patient, shows up for his initial intake appointment and says, “Look, this sounds like it’s going to be an AA meeting. Can’t I just go there? I only had a couple of drinks. I don’t know why the judge was such a jerk.”

Clients with addictive disorders may present for therapy for various reasons. Some, like Mr. Smith, attend because it is court mandated. Some attend because family or friends have pushed them to do so, while others may attend because life has become unmanageable. Regardless of clients’ reasons for presenting for therapy, to reach these clients and effectively treat them, you must be able to break down barriers, establish relationships, and help them see the benefits of this therapeutic approach.

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PLEASE REMEMBER TO REVIEW THE ATTACHED 7 VIDEO TRANSCRIPTS BEFORE DOING THE ASSIGNMENT, and to include a title page, introduction, summary, and references

                                                              The Assignment

In a 2- to 3-page paper, address the following:

· Identify the psychotherapeutic approach that the group facilitator is using and 

   explain why she might be using this approach Regardless of clients’ reasons for presenting for therapy, to reach these clients and effectively treat them, you must be able to break down barriers, establish relationships, and help them see the benefits of this therapeutic approach..

· Determine whether or not you would use the same psychotherapeutic approach 

   if you were the counselor facilitating this group and justify your decision.

· Identify an alternative approach to group therapy for addiction and explain why 

  it is an appropriate option.

· Support your position with evidence-based literature.

                                                                    Learning Resources

Required Readings

Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice. New York, NY: Springer.

  • Chapter      16, “Psychotherapeutic Approaches for Addictions and Related Disorders”      (pp. 565–596)

Yalom, I. D., & Leszcz, M. (2005). The theory and practice of group psychotherapy (5th ed.). New York, NY: Basic Books.

  • Chapter 13, “Problem Group Members” (pp. 391–427)

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

Gamble, J., & O’ Lawrence, H. (2016). An overview of the efficacy of the 12-step group therapy for substance abuse treatment. Journal of Health & Human Services Administration, 39(1), 142–160. Retrieved from http://jhhsa.spaef.org/

Kim, J. W., Choi, Y. S., Shin, K. C., Kim, O. H., Lee, D. Y., Jung, M. H., … Choi, I. (2012). The effectiveness of continuing group psychotherapy for outpatients with alcohol dependence: 77-month outcomes. Alcoholism: Clinical & Experimental Research, 36(4), 686–692. doi:10.1111/j.1530-0277.2011. 01643.x

Required Media

Allyn & Bacon (Producer). (2000). Motivational interviewing [Video file]. Mill Valley, CA: Psychotherapy.net.

Note: You will access this media from the ATTACHED TRANSCRIPT. The approximate length of this media piece is 102 minutes.

Laureate Education (Producer). (2013d). Levy family: Sessions 1-7 [Video file]. Baltimore, MD; Author. 

The basic structural unit in compact bone

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1. Question : What term is used to describe a hernial protrusion of a saclike cyst that contains meninges, spinal fluid, and a portion of the spinal cord through a defect in a posterior arch of a vertebra? 

2. Question : What provides the best estimate of the functioning of renal tissue?

3. Question : Where are Langerhans cells found?

4. Question : Where in the lung does gas exchange occur?

5. Question : The tonic neck reflex observed in a newborn should no longer be obtainable by:

6. Question : When renin is released, it is capable of which action?

7. Question : The portion of the antigen that is configured for recognition and binding is referred to as what type of determinant? The basic structural unit in compact bone

8. Question : Which sexually transmitted infection frequently coexists with gonorrhea?

9. Question : How is the effectiveness of vitamin B12 therapy measured?

10. Question : Carcinoma refers to abnormal cell proliferation originating from which tissue origin?

11. Question : Which type of microorganism reproduces on the skin?

12. Question : An infant has a crescendo-decrescendo systolic ejection murmur located between the second and third intercostal spaces along the left sternal border. A wide fixed splitting of the second heart sound is also found. These clinical findings are consistent with which congenital heart defect?

13. Question : An infant diagnosed with a small patent ductus arteriosus (PDA) would likely exhibit which symptom?

14. Question : What is the function of erythrocytes?

15. Question : Which terms represent the correct nomenclature for benign and malignant tumors of adipose tissue, respectively?

16. Question : What is the chance with each pregnancy that a child born to two parents with the sickle trait will have sickle cell disease (SCD)?

17. Question : What pulmonary defense mechanism propels a mucous blanket that entraps particles moving toward the oropharynx?

18. Question : The concentration of the final urine is determined by antidiuretic hormone (ADH), which is secreted by which gland?

19. Question : Why is the herpes virus inaccessible to antibodies after the initial infection?

20. Question : Which renal change is found in older adults?

21. Question : Which immunoglobulin is present in blood, saliva, breast milk, and respiratory secretions?

22. Question : Which hormone prompts increased anxiety, vigilance, and arousal during a stress response?

23. Question : Which statement is true regarding maternal antibodies provided to the neonate?

24. Question : The function of the tumor cell marker is to:

25. Question : Which statement is true concerning a fungal infection?

26. Question : Which change is a result of puberty and defends the vagina from infection?

27. Question : The number of persons living with a specific disease at a specific point in time is referred to by which term?

28. Question : Which risk factor for hypertension is influenced by genetic factors and lifestyle?

29. Question : Having ejected a mature ovum, the ovarian follicle develops into a(n):

30. Question : The failure of bones to ossify, resulting in soft bones and skeletal deformity, characterizes which disorder? The basic structural unit in compact bone

31. Question : What is the term that denotes the duration of time or the intensity of pain that a person will endure before outwardly responding?

32. Question : Aldosterone directly increases the reabsorption of:

33. Question : Atrial fibrillation, rheumatic heart disease, and valvular prosthetics are risk factors for which type of stroke?

34. Question : Which clinical manifestations are associated with fibromyalgia?

35. Question : Prolonged high environmental temperatures that produce dehydration, decreased plasma volumes, hypotension, decreased cardiac output, and tachycardia cause which disorder of temperature regulation?

36. Question : What is the leading cause of infertility in women?

37. Question : Which substance is a water-soluble protein hormone?

38. Question : What is the target tissue for prolactin-releasing factor?

39. Question : What is the cause of familial hypercholesterolemia (FH)?

40. Question : Regarding type 2 diabetes, obesity is considered to be what type of risk?

41. Question : Which four-step process correctly describes muscle contraction?

42. Question : Adoption studies have shown that the offspring of an alcoholic parent when raised by nonalcoholic parents have what amount of an increased risk of developing alcoholism?

43. Question : Which hormone stimulates gonads to produce both male and female hormones?

44. Question : A person with 47, XXY karyotype has the genetic disorder resulting in which syndrome?

45. Question : Which would be considered a positive symptom of schizophrenia?

46. Question : What term describes the loss of the comprehension or production of language?

47. Question : Consanguinity refers to the mating of persons:

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48. Question : The major sleep center is located in which section of the brain?

49. Question : Which type of ion directly controls the contraction of muscles?

50. Question : Bacteria gain access to the female urinary tract by which means?

51. Question : A criterion for a diagnosis of generalized anxiety disorder (GAD) is a period of excessive worrying that lasts for at least how many months?

52. Question : What is the first indication of nephrotic syndrome in children?

53. Question : An amniocentesis indicates a neural tube defect when an increase in which protein is evident?

54. Question : What is the risk for the recurrence of autosomal dominant diseases?

55. Question : Which term is used to identify the temporary displacement of two bones causing the bone surfaces to partially lose contact?

56. Question : The tear in a ligament is referred to as a:

57. Question : Why is prolonged diarrhea more severe in children than it is in adults?

58. Question : The BRCA1 and BRCA2 mutations increase the risk of which cancer in women?

59. Question : Insulin transports which electrolyte in the cell?

60. Question : What term is used to identify an interlacing bundle of dense, white fibrous tissue that is richly supplied with nerves, blood vessels, and lymphatic vessels?

61. Question : Which of the following is a lipid-soluble hormone?

62. Question : The mucosal secretions of the cervix secrete which immunoglobulin?

63. Question : The sudden apparent arousal in which a child expresses intense fear or another strong emotion while still in a sleep state characterizes which sleep disorder?

64. Question : What is the basic structural unit in compact bone?

65. Question : Parkinson disease is a degenerative disorder of the brain’s:

66. Question : Which pain theory proposes that a balance of impulses conducted from the spinal cord to the higher centers in the central nervous system (CNS) modulates the transmission of pain?

67. Question : Saliva contains which immunoglobulin (Ig)?

68. Question : What type of fracture occurs at a site of a preexisting bone abnormality and is a result of a force that would not normally cause a fracture?

69. Question : An infant suddenly develops abdominal pain, becomes irritable (colicky), and draws up the knees. Vomiting occurs soon afterward. The mother reports that the infant passed a normal stool, followed by one that looked like currant jelly. Based on these data, which disorder does the nurse suspect?

70. Question : In 95% of children of delayed puberty, the problem is caused by:

71. Question : Which characteristic is true of type II (white fast-motor) muscle fibers?

72. Question : Neurofibrillary tangles characterize which neurologic disorder?

73. Question : Which hormone triggers uterine contractions?

74. Question : How does the release (increase) of epinephrine raise body temperature?

75. Question : Which hormone is linked to an increase in appetite during puberty? The basic structural unit in compact bone