Explain the linkage between internal environmental analysis and the value adding service delivery and support strategies. How are the value adding strategies linked with action plans?
Explain the linkage between internal environmental analysis and the value adding service Assignment: Exercises: Explain the linkage between internal environmental analysis and the value adding service delivery and support strategies. How are the value adding strategies linked with action plans? How does the marketing of a service differ from the marketing of a physical product (good)? Professional Development: Case Study #15: “So, Doctor, can you fix this?” A case involving a medical spa. Perform an internal analysis of the medical spa to determine key challenges faced by the organization. Based on that information, create a “Strategic Thinking Map” for value-adding support strategies (Exhibit 8-9, p. 336). Evaluate the effectiveness of service delivery strategies by answering the questions posed in Exhibit 8-10 (p. 338) The Professional Development assignment should be between 1500 and 2000 words in length and contain at least two scholarly sources, in addition to the textbook and provided material. Please submit your assignment in one APA formatted document. Expert Answer and Explanation Value-Adding Support Strategies Exercise Internal environmental analysis is an important aspect in the development of strategies that lead to organizational growth. When considering internal analysis, attributes that are inherent to the organization that either promote or hinder quality service provision are evaluated. Value addition, on the other hand, is usually controlled by components that are internal to the organization. Therefore, an internal environmental analysis will assist the organization to understand the areas that can be enhanced within the organization, to improve the value of services delivered to clients (Ginter et al., 2013). By developing effective value-adding strategies, one can then evaluate how they ought to improve their services; who those strategies are aimed at; or who needs to act; where resources need to be placed to achieve better service delivery, all of which can then be condensed into implementable action plans. There are several differences between marketing a product and marketing a service. Given that products are tangible, in most cases, they are marketed based on their value, whereby, the customer has to evaluate the value and match it with the price offered for the product to make the purchase. However, for services, marketing is done based on relationships, this includes the interaction between the service delivery personnel and the client (Rather, 2019). While most of the products offered to the market are fixed, the services given to a client may vary from person to person and is therefore important to ensure that the level of quality of service provision is maintained at a constant or better still improved. Therefore, based on these aspects, service marketing can be seen to be more complex as compared to marketing a product That can also explain the difference in marketing mix between products and services with services having more elements attached to the mix (Isa et al., 2020). Professional Development Internal organization analysis is an important step in developing strategic plans that can assist the organization to navigate through the various market challenges and gain a competitive edge. This section of the paper will conduct an internal analysis of a medical spa, and provide value-adding strategies that can assist the organization. Internal Analysis Strengths From the case of Dr. Goyzueta’s spa, various attributes can be observed after conducting an internal analysis. Starting with the strengths of the business, it can be seen that Dr. Goyzueta has been a medical practitioner for a long time and his professional history is one of the aspects that made him more appealing as compared to non-medical spa operators. Like most medical spas run by doctors, the “halo effect” which clients had about a doctor’s reputation, made them even more willing to receive most of their cosmetic services in medical spas as compared to non-medical spas (Young & Chen, 2020). However, his medical background was in a different field and not cosmetics, which was also one of the issues that proved to be a weakness to the reputation of his spa.Another strength was that the spa industry had high reimbursement rates, with most of the clients coming to receive the services having the ability to pay upfront. In most cases, the clients had to pay out of pocket or using credit cards, with very few, if any insurance companies covering for procedures done in the spa. The medical spa industry had relatively cheap malpractice insurance, which also made the cost of operations slightly lower in comparison to other medical practices. Still, on strengths, the market base in the spa business has also been rapidly growing from one million in 1997 to over nine million in 2006 for non-surgical cosmetic procedures. This means that the cosmetic industry was still in its thriving stage and with the promise of better profit margins. The advertising efforts made on products offered in medical spas increased the demand for those services. Another aspect that made Dr. Goyzueta’s spa to have an edge is the fact that he was appealing to the Latino community where he comes from. The fact that he is bilingual also made him appealing to the English-speaking clients too. Weaknesses Some of the weaknesses faced by Dr. Goyzueta’s spa include lack of insurance coverage for most of the services offered in the spa. While most of the clients were able to fork out the incurred expenses out of their pockets, there was still a large chunk of the population who wanted but could not afford the facilities offered by the spa. Therefore, having insurance coverage could potentially open up a wide market that was currently locked out from accessing procedures offered in the medical spa (Sandberg, 2017). Another weakness that was apparent to the spa was its location. The fact that it was affected by flooding makes it to be susceptible to such events in case they happen again in the future and may pose a threat, including damage to property if a solution is not found.Starting a medical spa was also very expensive given the cost of high-end technology required to perform some of the
[ANSWERED 2023] Have you ever been involved in union organizing, collective bargaining, or worked in a union shop?
Have you ever been involved in union organizing, collective bargaining, or worked Power in Organizations Have you ever been involved in union organizing, collective bargaining, or worked in a union shop? If so, share your experience. If not, locate a scholarly journal article that describes collective bargaining and describe how it works within an organization. Have you ever worked in a healthcare facility that had Magnet accreditation, or had experience with shared governance? If so, share your experience. If not, locate a scholarly journal article that describes shared governance and explain how it could be implemented in your current facility. Expert Answer and Explanation Power in Organizations Over the years, people have been forming organizations to campaign for their employment rights and discuss other social factors. Through the formation of organizations, equality has been achieved in some sectors, such as the treatment of people with different sexual orientations and cultural, ancestral, and racial backgrounds. If people such as Martin Luther King had tried to negotiate for equal treatment individually, probably, he could not be successful. The phenomenon is also experienced in the workplace, where it is easier for workers to negotiate work conditions as a group than as individuals through collective bargaining. In other situations, companies engage in shared governance as it is necessary to create favorable policies for all participants. Through collective bargaining and shared governance, it is possible to understand organizations’ power in advocating for their members at the workplace. Collective Bargaining And How It Works In An Organization Collective bargaining is a process through which working people can negotiate their employment contracts with their employers to understand the terms of employment, job safety, benefits, leave and pay, among others. Over the years, it is through collective bargaining that employees have achieved better status at their workplace and further ensured that their safety is not compromised. According to Cazes et al. (2019), collective bargaining can occur at different levels which include firm level, sectoral level, and national level. The authors also explain multi-level bargaining, which combines firms and higher-level collective bargaining. Cazes et al. (2019 note that coordinated systems such as those that have organized decentralization have higher employment than full decentralization. It is also notable that in areas where there is collective bargaining, there is lower or greater wage dispersion compared to systems that lack collective bargaining and those that set wages independently. This shows that employees can enjoy the same salaries if they are in the same job group through collective bargaining. Cazes et al. (2019) further note that in areas where there are centralized bargaining systems, there is likely to have lower productivity. This shows that a lack of flexibility at the firm level, which mostly represents a centralized bargaining system, can affect the firm’s productivity. On the other hand, when there are decentralized systems, it is clear that there are no adverse effects on productivity. As far as collective bargaining is concerned, Cazes et al. (2019) explain that where coordination works effectively, it is more likely to be supported by employer associations because it moderates wage growth and ensures a high level of mediation. The authors concluded that engaging in collective bargaining greatly contributes to labor market inclusiveness and can create a macroeconomic effect when it covers a large share of workers and companies. The process of collective bargaining has been essential as it can contribute to either the success or failure of the initiative. It is notable that collective bargaining mostly occurs as a better alternative when comparing options such as strikes and quitting (Julius & DiGiovanni, 2019). The first step in collective bargaining is preparing for bargaining, where the teams are involved in identifying areas they want to improve and determining a strategy to help them move forward with the negotiations (National Education Association). The second stage involves conducting the negotiations and the union and management explain the rationale behind their proposals. This stage usually depends on the law provisions concerning the areas being addressed. In the third stage, the contract can be ratified if the parties have reached a tentative contract agreement. However, this is after the union has a meeting with the employees to discuss the offers made by the company, and then they are asked to vote using a secret ballot where the majority of votes determines if the contract will be ratified or rejected. The fourth stage occurs if the parties fail to reach an agreement, and through state law, they can decide on how to resolve the dispute, either using mediation, arbitration, or a strike (National Education Association). The fifth and last stage is changing or clarifying the contracts, where the parties can discuss any section of the ratified contracts and revise it to ensure that issues of mutual concerns are solved as the employees continue their employment contracts. Shared Governance And How It Can Be Implemented In The Facility When focusing on nursing, shared governance is crucial as it promotes nursing empowerment and encourages shared decision-making, ensuring that all professionals are accountable for their actions and contribution to the hospital’s processes. Shared governance is therefore defined as a process through which the board of governance, faculties, and staff participation are coordinated in the work and decision-making process and administrative leadership. The main aim of shared governance is to balance participation and ensure that all members take equal responsibility in their organizational roles. Through shared governance, it is possible to improve patient outcomes as all clinicians are involved in decision-making about the issues that impact them and the hospital’s services. Moreover, shared governance is crucial as it enables a culture that fosters a transparent review of work practices and further supports personal and professional development by involving evidence-based practices. It is, however, important to understand that implementing shared governance is hard and time-consuming, and therefore more organizations are likely to shun the practice. Nonetheless, the outcomes of shared governance usually outweigh the obstacles experienced, and with a good process in place, it is possible to have an effective, shared governance policy. According to Brennan & Wendt (2021), several principles should be ensured when implementing shared governance. They include accountability, innovation, autonomy, team building, leadership, ownership, and practice equity. Combining these models makes it possible to create a shared governance model that ensures quality patient care and promotes continuous quality improvement in the health facility. When forming shared governance, Kiwanuka (2022) explains using Kotter’s
[ANSWERED 2023] How did Greece influence the culture of Rome? What were the similarities and differences? Why did the Romans accept these ideas?
How did Greece influence the culture of Rome? What were the similarities and differences? Why did the Romans accept these ideas? Expert Answer and Explanation Rome was culturally influenced by their two great neighbors, Romans and Etruscans. Just like the Etruscans, Greeks had a significant influence on the Roman culture. The Greek influenced the Roman through various ways such as through Greek architectural designs, art, and mythology (Marconi, 2015). One of the key similarities between the two cultures was the way they designed their buildings. Greek architecture was among the significant influence of Greek culture on the Romans. The Greek temples, home of their gods, were made using marbles. Temples such as the Parthenon was made up of columns which added to its beauty. The Romans borrowed the Greek designs and started applying them in their public buildings. As time went by, they learnt how to use concrete to come up with larger structures such as the Circus Maximus, famous for horse racing, which could hold up to 200,0000 fans or more. The other similarity which emerged between the two as a result of their interaction was the use of Greek art. By that time, Greek pottery was highly valued throughout Mediterranean world just because of its beauty and usefulness (Marconi, 2015). The Greek potters made large clay pots which were used to store wine, food and water. What amused many were the paintings made on the pots. They depicted great leaders and warriors. The same modeling technique was later adopted by the Roman artists although they had their own designs. Other form of Greek art imitated by the Romans was painting. The third similarity relates to mythology. The Greeks worshipped various gods and goddesses. These governed their daily life. They conducted rituals and sacrifices to acquire the favors from these gods for everything right from curing the sick to celebrating good harvest. The Romans had their gods too. However, the knowledge about the gods shifted the moment they started relating with the Greeks. The gods from the Greek culture which portrayed almost similar features as theirs were automatically blended into their culture. They adopted various gods from the Greek and what they just simply did was changing the names. For instance, Zeus, the greatest Greek god was named as Jupiter. The Greek goddess of love, Aphrodite, was named as Venus. Despite sharing a lot in common as far as the idea of culture is concerned, the two had some differences too. For instance, the Romans were efficient at practical applications whereas their counterparts were good at theoretical pursuits and abstractions. The second difference related to the access of public places by women. Greek women were separated and could not go to public places. On the other hand, their counterparts had rights of movement, rights to own property or even divorce. The reason as to why the Romans accepted these ideas was because their region was situated in the middle of various cities in the Greece (Marconi, 2015). These cities were separated by Peninsula. This increased the chances of contact between the Greeks and the Romans hence leading to significant influence. Discuss the Roman division of social classes. How did Rome attempt to reconcile these differences in law and culture? What problems did these divisions cause? How could Rome have stopped these problems? The ancient Rome was made up two social classes, upper and lower classes. The difference between the two was clear. The first class or division was known as the patricians. The patricians consisted of leading citizens, wealthy landowners, very successful businessmen, and government officials. Patricians occupied the upper class. This group of individuals controlled both administrative and political power and enjoyed wealth (Alfoldy, 2014). They were well represented in Roman assemblies. They dominated for centuries because of their large number in the senate. On the other hand, the Plebians were just ordinary residents, some small businessmen others very prosperous entrepreneurs. The Plebians occupied the lower class of the social structure. Unlike the Patricians, the Plebians did not have administrative or political power. They were only supposed to engage in various activities but not politics (Alfoldy, 2014). Slaves in the ancient Roman social structure didn’t have any legal privileges. They completely depended on their masters. Roman tried to reconcile the differences by dividing the residents into major divisions based on the quantity of property owned. Obviously, the wealthiest individuals (patricians) had bigger chucks of land, and as a result, they occupied the senate. Separation of the people based on the amount of wealth brought a lot of confrontations among the Plebians, slaves, Lords, and Patricians. The groups openly opposed each other and sometimes the confrontations resulted to fights. One of the ways Rome could solve these problems was by allowing senate be occupied by individuals based on their ability to lead and not by the amount of wealth they possess. This means that individuals could come from any social class. This could have helped to bring some sought of inclusivity in the government. The other way could be through encouraging citizens to register. This could have helped to indentify the individuals together with their status. It could also present the simplest way to get public participation or consensus or opinion regarding a particular policy. How did the Hellenists govern the lands that Alexander had conquered? What were the differences and similarities in how each area was governed? How did Hellenic regions cooperate with one another? What were the problems that these areas faced, and how could these problems have been overcome? The reign of Hellenists started after the successful conquest by the Alexander the Great from Macedon to India. This success brought about tremendous changes especially in regard to the spread of the Greek culture in the conquered regions. During the reign of Alexander the Great, all the conquered regions maintained their initial system of governance (Alston, 2014). The only difference was that the regions were working and taking instructions from him. They paid taxes to him
[ANSWERED 2023] Mike and Joanne are the parents of James and Samuel, identical twins born 8 years ago. James is currently suffering from acute glomerulonephritis, kidney failure
Mike and Joanne are the parents of James and Samuel, identical twins born 8 years ago This assignment will incorporate a common practical tool in helping clinicians begin to ethically analyze a case. Organizing the data in this way will help you apply the four principles of principlism. Based on the “Case Study: Healing and Autonomy” and other required topic study materials, you will complete the “Applying the Four Principles: Case Study” document that includes the following: Part 1: Chart This chart will formalize principlism and the four-boxes approach by organizing the data from the case study according to the relevant principles of biomedical ethics: autonomy, beneficence, nonmaleficence, and justice. Part 2: Evaluation This part includes questions, to be answered in a total of 500 words, that describe how principalism would be applied according to the Christian worldview. Remember to support your responses with the topic study materials. APA style is not required, but solid academic writing is expected. You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. Case Study: Healing and Autonomy Mike and Joanne are the parents of James and Samuel, identical twins born 8 years ago. James is currently suffering from acute glomerulonephritis, kidney failure. James was originally brought into the hospital for complications associated with a strep throat infection. The spread of the A streptococcus infection led to the subsequent kidney failure. James’s condition was acute enough to warrant immediate treatment. Usually cases of acute glomerulonephritis caused by strep infection tend to improve on their own or with an antibiotic. However, James also had elevated blood pressure and enough fluid buildup that required temporary dialysis to relieve. The attending physician suggested immediate dialysis. After some time of discussion with Joanne, Mike informs the physician that they are going to forego the dialysis and place their faith in God. Mike and Joanne had been moved by a sermon their pastor had given a week ago, and also had witnessed a close friend regain mobility when she was prayed over at a healing service after a serious stroke. They thought it more prudent to take James immediately to a faith healing service instead of putting James through multiple rounds of dialysis. Yet, Mike and Joanne agreed to return to the hospital after the faith healing services later in the week, and in hopes that James would be healed by then. Two days later the family returned and was forced to place James on dialysis, as his condition had deteriorated. Mike felt perplexed and tormented by his decision to not treat James earlier. Had he not enough faith? Was God punishing him or James? To make matters worse, James’s kidneys had deteriorated such that his dialysis was now not a temporary matter and was in need of a kidney transplant. Crushed and desperate, Mike and Joanne immediately offered to donate one of their own kidneys to James, but they were not compatible donors. Over the next few weeks, amidst daily rounds of dialysis, some of their close friends and church members also offered to donate a kidney to James. However, none of them were tissue matches. James’s nephrologist called to schedule a private appointment with Mike and Joanne. James was stable, given the regular dialysis, but would require a kidney transplant within the year. Given the desperate situation, the nephrologist informed Mike and Joanne of a donor that was an ideal tissue match, but as of yet had not been considered—James’s brother Samuel. Mike vacillates and struggles to decide whether he should have his other son Samuel lose a kidney or perhaps wait for God to do a miracle this time around. Perhaps this is where the real testing of his faith will come in? Mike reasons, “This time around it is a matter of life and death. Expert Answer and Explanation Applying the Four Principles: Case Study Part 1: Chart (60 points) Based on the “Healing and Autonomy” case study, fill out all the relevant boxes below. Provide the information by means of bullet points or a well-structured paragraph in the box. Gather as much data as possible. Medical Indications Beneficence and Nonmaleficence Patient Preferences Autonomy Beneficence focuses on how the patient can positively benefit by interacting with the medical practitioner. The benefits include treatment, care delivery, and medication prescription to alleviate the pain and other issues affecting the patient. Nonmaleficence on the other hand entails the measures that can be taken by the doctor to prevent harm either by intentional or unintentional. These principles are evident in the case where the doctor informs the parents who have the power of attorney for the child of the best modes of medication to mitigate the severity of the symptoms on the child. The doctor also takes measure to prevent harm by telling the parent that they should consider visiting the facility in the event that their decision to focus on prayer alone does not lead to the outcome they want. The principle of autonomy is controversial as it binds the doctors, despite having professional knowledge, to abide by the needs and requirements set forth by the patients. The doctor has to conform to the needs of the patients and offer medical care that is aligned with how the patient wants. The most important attribute of care is the preference of the patient even when the doctor is against the decision. Autonomy is evident in the care where the parents decide to take the hold for prays as opposed to following the doctor’s advice of offering dialysis treatment. The parents are now faced with the decision on whether to use the twin brother as the donor. Quality of Life Beneficence, Nonmaleficence, Autonomy Contextual Features Justice and Fairness Patient car can have two outcomes depending on the mode of medication, patient decision and availability of resources. In order to ensure the quality if life and the overall sustenance of the patient from harm, there is need for collaboration. The patient is responsible for
[2023] Identify an organizational issue that, if addressed, could positively impact organizational effectiveness or outcomes. Your organizational issue should reflect
Identify an organizational issue that, if addressed, could positively impact organizational Identify an organizational issue that, if addressed, could positively impact Instructions Issue: Identify an organizational issue that, if addressed, could positively impact organizational effectiveness or outcomes. Your organizational issue should reflect a performance gap or potential problem of practice that you will describe as your area of interest in the assignment. Identify the organizational issue by completing a description of the issue just as done in the Examples of Gaps section that follows the blank gap analysis worksheet below. Process or Activity Title: Identify each process, factor, or activity associated with the organizational issue or performance gap identified in the issue statement. List those processes or associated activities related to the issue that are not performing as desired or expected. Each process or activity needs to be analyzed to determine its related performance gaps and its impact on the organization. Expected Performance (A): Regarding each process or activity, describe performance expectations based on established goals, performance standards (for example, state testing), or organizational intent/vision. In the Examples of Gaps section below, the expected performance for the discipline tickets report was anticipated to be at a low level because the system was designed for exceptions. The gap analysis revealed other issues and gaps in expected instructor performance. Note: If the expected performance level or number or percent is known, provide it, or if possible, provide a reasonable estimate and label it as an estimate only. Another approach is to qualitatively describe the expected performance. Current Performance (B): Describe the current performance. In the Examples of Gaps section below, a high number of ticket reports were identified as consistently submitted across semesters. Note: provide the most accurate performance indicators possible. In the Examples of Gaps, the exact number such as total number of tickets for the previous term or the average of tickets per week for the past term would have been a more precise measurement. Be as precise as you can in describing the current performance. Performance Gap (A minus B): Describe the difference between expected performance and the current performance: what should be and what is. Note that the comparison between expected performance and the current performance could involve additional gaps. In the Examples of Gaps table, the ticket report analysis showed additional problems. As with describing the expected and current performance use the most precise numbers, data, or language that you can. Effect of Gap on Organization: Describe in detail how each performance gap affects the organization. Describe both known effects and potential effects. Within the Examples of Gaps table for the ticket reports, the obvious overtaxed system was an effect and ethical issues and their implications were identified as potential effects. Carefully think through and identify the effects and potential effects of the gaps on the organization. Gap Analysis Worksheet Using the template below, do your own gap analysis. Complete each cell clearly and completely. Add rows for additional processes and activities that need to be analyzed. Use number/percentage data to support your statements only when the numbers are known. Otherwise, use descriptive words where no actual numbers are available. Gaps are often qualitative. If there are no established numbers (or reasonable estimates) to support a quantification of a gap, explain it in qualitative terms. Use a separate row for each process and activity and include the specific information requested for each column. Cells will expand as needed. Issue: Process or Activity Title Expected Performance (A) Current Performance (B) Performance Gap (A minus B) Effect of Gap on Organization Examples of Gaps Issue: Suspension rates at a high school are at unacceptably high levels. Process or Activity Title Expected Performance (A) Current Performance (B) Performance Gap (A minus B) Effect of Gap on Organization Discipline Ticket Reports The system is in place to accommodate exceptions. Exceptions are expected to be few in number. (Note: If expected number is known, provide it. Or provide a reasonable estimate and label it an estimate only.) A high number of ticket reports are consistently submitted across semesters. (Note: Provide actual data, e.g., number of tickets), if possible.) System that was created to handle exceptions routinely handles too many. (Note: If actual numbers are known for A and B, subtract the difference.) System is taxed. Ticket Distribution Tickets that enter the system are expected to be representative of the overall race and gender ratios at the institution. (Note: Provide actual data current race and gender ratios of student body if possible.) Students of color and males are overrepresented as recipients of behavioral/disciplinary tickets. (Note: Provide actual data about race, ethnicity, and gender if possible.) Ticket distribution ratios in terms of race and gender are not representative of student body demographics. (Note: Describe the difference.) Potential ethical implications; potential unbalanced or biased application of disciplinary regulations. May affect institution’s learning environment and climate. Classroom Management Faculty manage behavior in the classroom and submit tickets as a last resort. Faculty default to sending students out of class. Classroom resolution is not happening. Classroom instruction is missed by students; disruptions lower quality of instruction for all. Classroom Management Faculty manage behavior with cultural sensitivity. Faculty display limited skills in responding to behavioral issues or to facilitate a multicultural classroom effectively. Skills to manage and resolve behavioral problems and desired level of cultural competence are lacking. Ill will and distress for students and faculty; loss of incentive to attend class. Loss of opportunities to learn about others. Classroom Management and Support Faculty can, as an interim option, require students who have behavior issues schedule an appointment with student services counseling support. As a result students receive counseling and return to the classroom able to manage their behavior. Faculty do not exercise their interim option and do not require students who have behavior issues schedule an appointment with student services counseling support. Interim resolution with support is not happening. Classroom instruction is missed by students;
[ANSWERED 2023] The purpose of this assignment is to discuss concepts of epidemiology and apply nursing theories
The purpose of this assignment is to discuss concepts of epidemiology and apply nursing The purpose of this assignment is to discuss concepts of epidemiology and apply nursing theories and research to a communicable disease. Refer to “Communicable Disease Chain,” “Chain of Infection,” and the CDC websites, all located in the topic Resources, for assistance when completing this assignment. Choose a communicable disease topic from the resources mentioned above or you may select one from the list below: Chickenpox Tuberculosis Influenza Mononucleosis Hepatitis B HIV Ebola Measles Polio E. coli Salmonella Listeria Hepatitis A SARS-CoV-2 Monkeypox Dengue Botulism Norovirus Write a paper (1,000-1,500 words) in which you apply the concepts of epidemiology and nursing to research a communicable disease. Refer to “Communicable Disease Chain,” “Chain of Infection,” and the CDC websites, located in the topic Resources, for assistance when completing this assignment. Describe the chosen communicable disease, including causes, symptoms, mode of transmission, complications, treatment, and the demographic of interest (mortality, morbidity, incidence, and prevalence). Explain why this is a reportable disease. Provide details about reporting criteria. Describe the social determinants of health and how those factors contribute to the development of the chosen communicable disease. Discuss the epidemiologic triangle as it relates to the communicable disease you have selected. Include the host factors, agent factors (presence or absence), and environmental factors. Identify any special considerations or notifications for the epidemiologic triangle (community, schools, or general population). Explain the importance of demographic data to community health. Describe the role of the community health nurse in primary, secondary, and tertiary prevention through tasks such as case finding, reporting, data collection, analysis, and follow-up. Provide an example of how Christian worldview can be integrated by a community health nurse when working with a population impacted by the communicable disease selected. Identify at least one national agency or organization that addresses the communicable disease chosen and describe how the organizations contribute to resolving or reducing the impact of disease. Discuss a global implication of the disease. How is this addressed in other countries or cultures? Is this disease endemic to a particular area? Provide an example. A minimum of three peer-reviewed or professional references (i.e., professional health organizations like CDC, WHO, OSHA, DHS) is required. Prepare this assignment according to the guidelines 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. A link to the LopesWrite technical support articles is located in Course Resources if you need assistance. Expert Answer and Explanation Epidemiology of Tuberculosis Tuberculosis is a serious infectious disease which mostly affects the lungs. It is a bacterial infection spread through the inhalation of droplets when an infected person coughs or sneezes. Its main area of infection is the lungs but it can also be evident in other body parts such as the bone, the glands and the nervous system (Kevin, 2019). Tuberculosis is a bacterial infection and the infection of the lungs, called the pulmonary tuberculosis and it is the most contagious type. The bacteria that is involved in the transmission of tuberculosis is known as Mycobacterium Tuberculosis. In most cases prolonged periods of exposure and close contact to infected persons is what increases the chances of the transmission and spread of tuberculosis (Kevin, 2019). However, not everyone with tuberculosis is infectious. Extrapulmonary tuberculosis is the TB infection that occurs outside the lungs. Such infections and children with tuberculosis cannot infect other people with tuberculosis (Kevin, 2019). The bacteria when inhaled, settles in the lungs and continues growing and spreading to other organs. Symptoms A large population that gets infected with the bacteria that causes tuberculosis do not show any symptoms. Symptoms such as fever, weight loss and a cough might occur on some occasions. Latent TB is explained above as it occurs in cases where the patient depicts no symptoms despite having been infected by the bacteria. For active TB, the patient has evident symptoms. In this case, the possibility of transmission is also high (Kevin, 2019). This one may take a long duration after the infection by the bacteria. Some of the symptoms of TB include; coughing for a period of three weeks and more, presence of blood or mucus in the cough, chest pains and difficulties, pain during breathing and coughing, weight loss, fever, and loss of appetite. Mode of Transmission Most of the above symptoms occur when the TB has affected the lungs. In cases where it affects other parts of the body such as the spine, the symptoms may be different. Lack of treatment of tuberculosis could be fatal. It could have effect on not only the lungs but also other parts of the body (Kevin, 2019). Some of the complications of tuberculosis include spinal pain, joint pain and damage, swelling of the brain membranes commonly known as meningitis, liver problems and heart problems. Treatment of tuberculosis is important in preventing unnecessary disorders. The treatment is mainly carried out by having the patient take antibiotics for a period of 6-9 months. The length of consumption of the drugs however differs according to the age, health and drug resistance of the patient. Demographic of Interests Tuberculosis has had a large effect on population and the mortality rate. 1.5 million people died of TB in 2020. The disease is regarded as the 13th leading cause of death and is ranked as the second leading infectious killer after COVID-19 (Sharma, 2018). People with TB bacteria live at a 5-10% risk of getting ill with TB. Those with poor immune systems and people with HIV and diabetes are a high target of TB. Tuberculosis is a reportable disease. The law requires that any patient suspected or confirmed to have been infected by the disease be reported within a period of 1 working day to the TB Control Section. It is advisable not to wait
[ANSWERED 2023] Review the IOM Future of Nursing Recommendations for achieving higher levels of education
Review the IOM Future of Nursing Recommendations for achieving higher levels of education. Describe what The IOM published report, “Future of Nursing: Leading Change, Advancing Health,” makes recommendations for lifelong learning and achieving higher levels of education. In 1,000-words, examine the importance of nursing education and discuss your overall educational goals. Include the following: 1. Discuss your options in the job market based on your educational level. 2. Review the IOM Future of Nursing Recommendations for achieving higher levels of education. Describe what professional certification and advanced degrees (MSN, DNP, etc.) you want to pursue and explain your reasons for wanting to attain the education. Discuss your timeline for accomplishing these goals. 3. Discuss how increasing your level of education would affect how your competitiveness in the current job market and your role in the future of nursing. 4. Discuss the relationship of continuing nursing education to competency, attitudes, knowledge, and the ANA Scope and Standards for Practice and Code of Ethics. 5. Discuss whether continuing nursing education should be mandatory. Provide support for your response. You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice. Abstract and wrap up conclusion are necessary. Expert Answer and Explanation Nursing Education and Educational Goals Among the most populated professions in healthcare is nursing, as the services of nurses are fundamental in ensuring adequate healthcare provision at all levels of patient care. In the US, there are more than 3.1 million nurses who are registered, and the number is expected to grow by over 19% by 2022 due to the increased nursing care needs (Mackey & Bassendowski, 2017). Nurses are found in institutions such as schools, military centers, public health agencies, clinic settings, nursing homes, and even in medical research centers. Different levels of nursing degrees have different educational requirements as well as licensure. Nurse education consists of practical and theoretical training in which nurses are prepared to encounter various nursing duties. Some of the nursing education courses are relevant to general nursing as well as specialized nursing such as pediatric and geriatric nursing. Options in the Job Market There are numerous nursing options in the job market of nursing, whereby nurses apply their different expertise in improving health outcomes. Among the most common of these set ups is the clinical care settings, where nurses work in clinical healthcare facilities to manage the outpatients and inpatients who have various nursing needs.Other care settings include the pediatric care departments, where nurses manage sick children (Mackey & Bassendowski, 2017). There may be sub-sections per every department, such as the cancer care centers for pediatrics which attends to the health needs of the children who have cancerous tumors in their bodies. Other departments that nurses can choose to go to include the geriatrics, where they focus much in caring for the aged people.In most of the geriatric cases, there are nursing homes for the aged in which nurses practice care for the aged population who are in these centers. For all the options in the job market, it is important that one has a basic nursing course that leads to an autonomous registration- the Associate Degree in Nursing (ADN). These courses last for four years and they serve as blueprints for everyone who wishes to engage in the different nursing specialties. Post-qualification courses allow people to go a step father in improving their expertise and knowledge in their own fields of choice (Kelly et al., 2016). For my case, I have am a licensed practical Nurse (LPN), and I am qualified to work in different nurse settings such as administering injections, preparing patients for different surgical procedures (including CS), performing therapeutic massage, changing bandages and wound dressings, managing and maintaining medical records of patients, and managing intravenous drips. Most importantly, as an LPN, I am entrusted with the task of communicating with medical staff regarding the specific needs of patients. The IOM Future of Nursing Recommendations The Institute of Medicine report (IOM Report) is an examination of the nursing workforce that was done in 2010 and used to give various recommendations on how to improve the face of nursing care. Some of the recommendations in the report are focused on the intersection between the various health needs of changing patient populations across lifespans of patients and the nursing workforce. They support the efforts to improve the health of the US population through improvement of the contributions of nurses in quality care delivery.The first key recommendation from the IOM 2010 report is that nurses should practice in full extent the education and training they are given (Ironside, 2015). Secondly, from the report, nurses are encouraged to reach higher levels of education so as to ensure that they have an improved education training and constant academic progression. Thirdly, nurses are recommended to partner with physicians as well as other healthcare professionals in improving and redesigning the face of healthcare in the United States (Ironside, 2015). Finally from the IOM future of nursing recommendations, nurses are asked to have improved data collection techniques and good information infrastructure through which they can effectively embrace workforce planning and policy making (Ironside, 2015). How Increasing My Education Level Affects My Competitiveness in the Job Market Increasing my educational level improves my competitiveness in the job market as I am able to be of more substance in delivering various nursing care needs to the people who look up to me- that is patients as well as other healthcare givers. For my case, I am hoping to acquire a Doctorate in Nursing Practicing Degree and eventually acquire a Doctor of Philosophy (PhD) in Nursing. With these advanced educational achievements, I will be sure to improve my value in the care continuum and hence have a better place in the competitive nursing job market. Nurses with PhD degrees are more focused in abstract thinking as opposed to hands-on patient care, and
[ANSWERED 2023] In 200-250 words respond to the following: Should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James, or would that mean
In 200-250 words respond to the following: Should the physician allow Mike to continue Benchmark – Patient‘s Spiritual Needs: Case Analysis In addition to the topic study materials, use the chart you completed and questions you answered in the Topic 3 about “Case Study: Healing and Autonomy” as the basis for your responses in this assignment. Answer the following questions about a patient‘s spiritual needs in light of the Christian worldview. In 200-250 words respond to the following: Should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James, or would that mean a disrespect of a patient‘s autonomy? Explain your rationale. In 400-500 words, respond to the following: How ought the Christian think about sickness and health? How should a Christian think about medical intervention? What should Mike as a Christian do? How should he reason about trusting God and treating James in relation to what is truly honoring the principles of beneficence and nonmaleficence in James‘s care? In 200-250 words, respond to the following: How would a spiritual needs assessment help the physician assist Mike determine appropriate interventions for James and for his family or others involved in his care? Remember to support your responses with the topic study materials. While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. Case Study: Healing and Autonomy Mike and Joanne are the parents of James and Samuel, identical twins born 8 years ago. James is currently suffering from acute glomerulonephritis, kidney failure. James was originally brought into the hospital for complications associated with a strep throat infection. The spread of the A streptococcus infection led to the subsequent kidney failure. James’s condition was acute enough to warrant immediate treatment. Usually cases of acute glomerulonephritis caused by strep infection tend to improve on their own or with an antibiotic. However, James also had elevated blood pressure and enough fluid buildup that required temporary dialysis to relieve. The attending physician suggested immediate dialysis. After some time of discussion with Joanne, Mike informs the physician that they are going to forego the dialysis and place their faith in God. Mike and Joanne had been moved by a sermon their pastor had given a week ago, and also had witnessed a close friend regain mobility when she was prayed over at a healing service after a serious stroke. They thought it more prudent to take James immediately to a faith healing service instead of putting James through multiple rounds of dialysis. Yet, Mike and Joanne agreed to return to the hospital after the faith healing services later in the week, and in hopes that James would be healed by then. Two days later the family returned and was forced to place James on dialysis, as his condition had deteriorated. Mike felt perplexed and tormented by his decision to not treat James earlier. Had he not enough faith? Was God punishing him or James? To make matters worse, James’s kidneys had deteriorated such that his dialysis was now not a temporary matter and was in need of a kidney transplant. Crushed and desperate, Mike and Joanne immediately offered to donate one of their own kidneys to James, but they were not compatible donors. Over the next few weeks, amidst daily rounds of dialysis, some of their close friends and church members also offered to donate a kidney to James. However, none of them were tissue matches. James’s nephrologist called to schedule a private appointment with Mike and Joanne. James was stable, given the regular dialysis, but would require a kidney transplant within the year. Given the desperate situation, the nephrologist informed Mike and Joanne of a donor that was an ideal tissue match, but as of yet had not been considered—James’s brother Samuel. Mike vacillates and struggles to decide whether he should have his other son Samuel lose a kidney or perhaps wait for God to do a miracle this time around. Perhaps this is where the real testing of his faith will come in? Mike reasons, “This time around it is a matter of life and death. What could require greater faith than that?” Expert Answer and Explanation Ethical and Spiritual Decision Making Question 1: Whether the Physician should allow Mike to continue making Irrational Decisions that are Harmful to James According to the Christian Worldview, one’s spiritual health depends on the health of their body. The bible teaches us that good health is critical to fulfillment of one’s spiritual potential. The physician should reason from this perspective when engaging Mike. Based on this worldview, the best thing the physician should do is to remind him that James’ health to worsen if he continues making unreasonable decisions (Timmins & Caldeira, 2017). Given the physician’s knowledge about James’ kidney disorder including the complications that may arise if the treatment is delayed, and considering the principles of medical ethics such as harm reduction, the physician needs to intervene. As a minor, James cannot make decisions regarding his own health. In this case, the parent is responsible of making decisions on his behalf. As much as the patient’s autonomy matters, the physician should persuade Mike to rethink his position about how to approach his son’s illness (Smebye, Kirkevold, & Engedal, 2016). The physician’s role in this case would involve explaining to Mike the potential consequences of his actions. He should particularly remind Mike that a Christian should not engage in activities that hurt others or put the lives of others at risk. Therefore, intervening to stop Mike from denying James the opportunity to receive treatment is the best way the physician can address the issue. Question 2: How a Christian ought to think about
[ANSWERED 2023] Select an issue from the following list: bullying, unit closers and restructuring, floating, nurse turnover, nurse staffing ratios
Select an issue from the following list: bullying, unit closers and restructuring, floating In this assignment, you will be writing a 1,000-1,250 word paper describing the differing approaches of nursing leaders and managers to issues in practice. To complete this assignment, do the following: Select an issue from the following list: bullying, unit closers and restructuring, floating, nurse turnover, nurse staffing ratios, use of contract employees (i.e., registry and travel nurses), or magnet designation. Describe the selected issue. Discuss how it impacts quality of care and patient safety in the setting in which it occurs. Discuss how professional standards of practice should be demonstrated in this situation to help rectify the issue or maintain professional conduct. Explain the differing roles of nursing leaders and nursing managers in this instance and discuss the different approaches they take to address the selected issue and promote patient safety and quality care. Support your rationale by using the theories, principles, skills, and roles of the leader versus manager described in your readings. Discuss what additional aspects mangers and leaders would need to initiate in order to ensure professionalism throughout diverse health care settings while addressing the selected issue. Describe a leadership style that would best address the chosen issue. Explain why this style could be successful in this setting. Use at least three peer-reviewed journal articles other than those presented in your text or provided in the course. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. 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. This benchmark assignment assesses the following programmatic competencies: Expert Answer and Explanation Effective Approaches in Leadership and Management Policies in organizations are meant to guide employees’ behavior and conduct, and even if an organization has policies in place, workers may still adopt behaviors which contradict the organization’s policy directives. This is where the executive comes in considering that it enforces the code of conduct by updating and enforcing policies with the intention of creating a safe workplace for workers. When an executive is inactive, and does not encourage employees to give feedback or share their concerns, this can result to a situation in which workers lose morale especially if they are victims of abuse or bullying (Edmonson & Zelonka, 2019). This can in turn lead to poor employee performance, absenteeism and high turnover rates. It is imperative to explore bullying as a practice issue, the impact it has, and the leadership and management approaches to mitigating it. Description of the selected Issue Bullying is an act in which a person adopts aggressive behavior and intimidates, verbally and physically abuses another person with the intention of inflicting fear. There are various motivators of bullying, and among the factors that can cause one to bully others are inadequacies of the person bullying another, and if they feel threatened by another person. In organizational setting, for example, one can resort to bullying colleagues if they feel that they are threat and they stand on their way to promotion. Favoritism at work is equally a factor that can cause some workers to bully others, and this is noticeable where workers who feel left out of job promotion opportunities, intimidate colleagues who unfairly benefit from these opportunities (Hampton, Tharp-Barrie, & Kay, 2019). How the Issue impacts the Quality of Care and Patient Safety Bullying in clinical settings can have undesirable effect on the quality of care and the safety of patients. For example, frequent bullying of employees can demoralize them, and this can lead to absenteeism of the healthcare workers. This can be a major problem in poorly staffed hospitals because it can put pressure on the health care workers, and some may have to work for longer hours. Consequently, long work hours can cause the turnover rates to surge, and this can compromise the quality of care because the huge gap in provider-patient ratio is associated with poor quality of care. When a hospital has inadequate number of caregivers, patients’ risk of developing nosocomial infections or pressure ulcers can be high (Khoshhal & Guraya, 2016). The decline in the level of staffing may equally cause the increase in the patient’s risk of fall. How the Professional Standards can be demonstrated to resolve the Issue The professional standards are the anchor which dictate how providers can address various workplace issues including bullying. A provider can demonstrate these standards by being honest with those who bully others, and reminding that such behavior can dent the organization’s image, and affect the quality of care. Respect is a fundamental element of the professional standards, and a person in position of influence can demonstrate it by respecting what others might say in terms of the way the organization handles complaints pertaining to bullying. Caregivers are expected to uphold high standards of ethics by being fair in the way they treat others (Joseph & Huber, 2015). They can demonstrate fairness in this case by treating everyone equally, and offering promotions based on the employees’ competency rather than on the basis of whom they know. Doing this can help prevent interpersonal conflicts which are known to cause or exacerbate bullying. The differing Roles of the Nursing Leaders and Nursing Managers in addressing the Issue The path a leader would pursue to address the issue differs from the manager’s approach to resolving bullying. For example, the former would adopt a strategy that involves seeking the views of members of the staff so that they can address the issue together. This shared approach to resolving the problem can bring lasting solution because each employee would strive to protect and support the recommendations made to address it. Rather than involve the staff, a nurse a nurse leader would come up with the rules of engagement, and punish those who fail to comply with anti-bullying policy
[ANSWERED] Design a list of 10 data elements related to the patient demographic information
Design a list of 10 data elements related to the patient demographic information (refer back to the data sets if necessary) When designing data definitions, you will be assigning meaning to the data elements that are part of the computerized data. If there is no definition to the data, then it is not information. Write a paper of two (2) pages not including the title page, abstract page, and reference page that discusses the following: Design a list of 10 data elements related to the patient demographic information (refer back to the data sets if necessary). Indicate characteristics of each example, such as date format, text, alphanumeric, and so on. Define the number of characters for each data element and if it is required data based on a data set. Be sure to support your information by citing at least 2 references using APA format. EXPERT ANSWER AND EXPLANATION Data Elements used in Patient Demographic Information and their Characteristics The first type of data that is extracted from patients upon presentation to any health facility is their demographic information. Triage nurses are mostly involved in collecting this type of data, and it helps to identify the different characteristics of the patient and hence guide on the treatment plan (Wallace et al., 2020). The following are some of the common demographic data elements and their specific characteristics. Patient ID. The details of the patient ID include their surname, their first name, and the assigning authority ID. If the patient is recurrent in the facility, they would need to give the medical record number or other information that identifies the patient with their previous information (Okuda et al., 2020). Regarding the characteristics of this data element, each facility has its own preferred way of collecting the patient identification. Date of birth (DOB). The characteristics of this data set includes the use of an alpha-numeric format, in which the month of birth is written in alphabets while the day and year are written in numerals. The place of birth could also be collected as an additional element of the dataset. The data element of gender is usually categorized as either male or female, as the there are no provisions in the hospital for transgender individuals. Blood type. The blood type is categorized as either Rhesus Positive or Rhesus negative as well as the blood group A, B, AB, or O. Place of Residence. The address of the patient includes the street address, their state, apartment, and all other details that could guide easy access to their home in the event of need. Emergency contact information. The phone number of the close family members is the primary information collected at this stage. Major medical history. This data element includes things such as previous major diagnoses as well as the current drugs that the patient is taking. The data element includes the idea of whether the patient is black, white, Caucasian, Hispanic, or has other ethnicities (Unger et al., 2020). Primary Language. The primary language of the patient could either be English or other languages that the care providers can easily understand. Contact information. The data element requires the patients to give their phone numbers, email address, their physical address, work address, as well as all other information that would guide the healthcare providers in doing a follow-up on them. References Okuda, B. C., Tabbaa, S., Edmonds, M., Toubouti, Y., & Saltaji, H. (2020). Direct to consumer orthodontics: Exploring patient demographic trends and preferences. American Journal of Orthodontics and Dentofacial Orthopedics. https://doi.org/10.1016/j.ajodo.2019.12.024 Unger, J. M., Blanke, C. D., LeBlanc, M., Barlow, W. E., Vaidya, R., Ramsey, S. D., & Hershman, D. L. (2020). Association of patient demographic characteristics and insurance status with survival in cancer randomized clinical trials with positive findings. JAMA network open, 3(4), e203842-e203842. doi:10.1001/jamanetworkopen.2020.3842 Wallace, S. J., Murphy, M. P., Schiffman, C. J., Hopkinson, W. J., & Brown, N. M. (2020). Demographic data is more predictive of component size than digital radiographic templating in total knee arthroplasty. Knee Surgery & Related Research, 32(1), 1-7. https://doi.org/10.1186/s43019-020-00075-y Place your order now on the similar assignment and get fast, cheap and best quality work written from scratch by our expert level assignment writers.