[ANSWERED 2023] Find an article or website that provides guidelines for developing an innovative organization
Find an article or website that provides guidelines for developing an innovative 1. Use your favorite Internet search engine and find an example of a successful innovation and one that was not so successful. (Finding failures is difficult.) o What were the reasons given for success? o For failure? o Which of these reasons relate to poor planning? o What does this tell you about the keys to success in innovation? 2. Do you believe creativity can be learned? Find an article or website that is devoted to capturing creativity in the work environment. o What does the author say about individual creativity and group creativity? 3. Find an article or website that provides guidelines for developing an innovative organization. o What do you think of the advice given? 4. In developing an organizational climate that supports innovation, management often overlooks critical issues. This is true especially when setting up and nurturing communication networks. Many good ideas are lost because the right person is not available at the right place at the right time to bring the innovation to fruition. o What issues do you believe are critical in planning for the integration and sharing of information in an innovative firm? o How do these issues differ for product and process innovations? Assignment Expectations Length: 1750 – 2000 words; answers must thoroughly address the questions in a clear, concise manner. Structure: Include a title page and reference page in APA style. These do not count towards the minimum word count for this assignment. References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least three (3) scholarly sources to support your claims. Format: Save your assignment as a Microsoft Word document (.doc or .docx). File name: Name your saved file according to your first initial, last name, and the assignment number (for example, “RHall Assignment 1.docx”) Expert Answer and Explanation Successful Innovation The success or failure of innovation depends on various factors that occur before and during the implementation of a project. Addressing these issues can increase the chances of success while also ensuring the reduction of risks (White & Bruton, 2017). A project manager must come up with means of tracking a project to ensure that all the designed timelines and milestones are met. Other attributes such as the skillset of the team and the availability of resources can be one of the major reasons for a project to fail or succeed. As a project manager, it is also important to understand these key determinants of success and implement them within the project. Successful and Not So Successful Innovation Successful Innovation One of the major successful innovation is Tesla, Inc.’s electric car. Over time the motor industry has dwelled on diesel or petrol-powered engines. The innovation of cars that can use battery power or electricity is one of the successful innovations of the 21st century. Electricity use minimizes carbon emissions and the expense that would be used to purchase fuel. The success of the project has made the owner, Elon Musk, the richest person in the world as the company increases its production of sleek and electric cars (Chen & Perez, 2018). The reasons for the success can also be attributed to various measures that were taken and the timing of the innovation. To begin with, the company hires highly skilled personnel who share the vision of coming up with products that have limited or no impact on the environment. The current global standpoint is also ensuring that products and innovations that are environmentally friendly are incorporated into the world to help reduce the aspect of global warming. Additionally, the success of the company also rises from the ready market of electric cars and other forms of transport that would have reduced impact on fuel consumption. The high cost of fuel in many nations has increased the demand for products from Tesla, Inc. (Chen & Perez, 2018). The availability of new and sophisticated technologies also contributes to the success of the company and its innovative technologies. There is also excitement and acceptance of the technology within the mainstream and corporate worlds. This raises the demands of cars throughout the world. Tesla, Inc. is also set to expand its factory and production lines to fast-track the production to meet the demand. The company is also based on a direct sales model and services, which makes the company interact directly with the clients other than using the franchised dealership (Alghalith, 2018). The organization is also diversifying into other fields such as aerospace and home energy. Reasons for Failure One innovation that failed upon its startup was the On-demand Delivery Platform, Shyp (2013-2018). The concept of the innovation was basic as users could take pictures of the item that they required to be shipped and then make use of the Shyp application to schedule a pick-up (Corporate Venturing, 2019). The package would then be picked and dropped at the provided destination at a flat rate of $5. The collapse of the innovation began after it secured a grant of $62 million from different investors that were used to expand its services to include new cities such as Chicago and New York. With the high presence in various cities, the consumer growth reached a saturation point and began to slow, leading to the inability to sustain the expansion. With the reduced number of clients, the company was not able to maintain different outlets with the $5 flat rate on all commodities. Another reason for the failure is the decision to increase the charges for larger packages, which led to client backlash. Similarly, the target audience for the company was individuals whose shipment was sporadic and could not be depended upon for continuity of the company (Corporate Venturing, 2019). The management of the company was also slow in re-evaluating the direction of the company, and by the time they were scaling down, it was already too late as the customer loyalty had been affected adversely. The low number of customers led to the untimely collapse of a rather
[ANSWERED 2023] Based on the public health issue selected, in 750-1,000 words address the following
Based on the public health issue selected, in 750-1,000 words address the following The purpose of this assignment is to discuss the impact of an environmental public health issue and make recommendations for policy change. Research public health issues located on the American Public Health Association (APHA) website, found in the topic Resources. Select a public health issue related to an environmental issue within the U.S. health care delivery system and examine its effect on a specific population. Based on the public health issue selected, in 750-1,000 words address the following: Describe the public health issue. Include the following information: (a) what population is affected, (b) at what level does it occur (local, state, or national), and (c) evidence about the issue supported by resources. Discuss how the public health issue is addressed by the current policies. Include what changes you would propose to the existing policies. Describe what steps are required to initiate policy change. Identify the necessary stakeholders required to initiate policy change (government officials, administrator) and explain the importance of their role, such as budgeting or funding. Discuss the impact on the health care delivery system. Include three peer-reviewed sources and two other sources to support the policy brief. 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 Healthcare Environmental Policy Issue Brief The Policy Health Issue The United States Environmental Protection Agency (EAP) is a body given responsibility to create public health policies that protect Americans from unhealthy environmental pollutions and changes. The institution is also responsible for ensuring that communities around the US are clean and safe. However, EAP has failed to protect Americans from environmental harm. The institution has changed air quality standards, and this has made American children vulnerable to asthma. According to Hasaneen and El-Halwagi (2017), the EAP has changed several policies and thus, allowing manufacturing companies to release soot and smog-forming pollutants in the air. Some of these firms include power plants, industrial facilities, and oil and gas extraction. The system has allowed manufacturing companies to release toxic contaminants such as lead, arsenic, and mercury into the air. The policy issue has affected most people in the Black, Asia, and Latino American communities. The change of the Clean Air Act has affected people across the United States. This paper recommends steps that can be taken to reduce the effects of emitted toxic pollutants into the air. Problem Statement The pollutant allowed into the air as a result of changed Clean Air Act has adverse effects on people. Witten (2016) reports that the impurities can affect a person’s cardiac health by hardening the heart’s blood vessels and thus, increasing the risks of heart failure, stroke, and attacks. Also, the pollutants are linked with certain psychological conditions such as schizophrenia, Parkinson’s disease, and Alzheimer’s disease. Further, contaminants such as arsenic and mercury are linked with respiratory conditions such as lung cancer, emphysema, as well as bronchitis. According to DeSalvo et al. (2016), pollutants can also cause asthma in children. Also, the toxins may damage children’s brain and thus, affecting their cognitive development. Lead and mercury toxins also cause pneumonia in children. According to Wysokińska (2016), about one million children aged five years and below lose their lives every year from pneumonia caused by air pollution. DeSalvo et al. (2016) argue that this is evident because compared to adults, children spend more time outside. Moreover, air pollution caused by lead, mercury, and arsenic has been associated with miscarriages during pregnancies. Toxins have also led to autism spectrum condition in children and premature birth. Lastly, according to Wysokińska (2016), the pollutants might reduce a person’s immune system and thus, making him or her susceptible to other diseases. Solution to the Issue Every American must do their best to ensure that they live in clean and safe air as far as their health is concerned. Oil and gas and coal industry are the largest emitters of toxic gases into the air. Therefore, the United States government should work on replacing oil, gas, and coal with less polluting fuels such as solar power, wind, fusion nuclear energy, and natural gas. DeSalvo et al. (2016) argue that this can be done by creating a body to regulate and conduct researches on green energy. The stakeholders that must be included in forming the body are the general public, the congress, and the executive. After the formation of the body, the government should avail finances for so that it can start working on researches about solar power, wind, fusion nuclear energy, and natural gas. Wysokińska (2016) estimates that replacing half of the coal, oil and gas energy might cost the US taxpayers about $180 billion. Another way of mitigating air pollution is by enacting laws that ensure that the EAP is an independent body. According to Evans (2017), this can be done by tabling a bill in parliament which protects the EAP from external influence, including the executive branch and allowing it to make policies that ensure clean and safe air. The Impact of the Issue on the Health Care Delivery System Healthcare industry is one of the disciplines which will benefit when the above policies are implemented. Today, the government of the US spends billions of dollars to solve environmental health problems. However, if the policy issue is addressed, sectors such as healthcare entirely will receive more funding from the government. The funds can be used to improve the healthcare delivery system by offering scholarships to more youths who want to become nurses. The health sector may also use the funds to employ more nurses in the healthcare facilities across the United States. Moreover, the
[ANSWERED 2023] In Weeks 4, 7, and 9 of the course, you will participate in clinical discussions called grand rounds. In one of these three weeks, you will be a presenter as well as help facilitate the online discussion
In Weeks 4, 7, and 9 of the course, you will participate in clinical discussions called grand rounds In Weeks 4, 7, and 9 of the course, you will participate in clinical discussions called grand rounds. In one of these three weeks, you will be a presenter as well as help facilitate the online discussion; in the others you will be an active discussion participant. When it is your week to present, you will create a Focused SOAP note and a short didactic (teaching) video presenting a real (but de-identified) complex patient case from your practicum experience. You should have received an assignment from your Instructor letting you know which week of the course you are assigned to present. To prepare: Review this week’s Learning Resources and consider the insights they provide. Select a child/adolescent or adult patient from your clinical experience that presents with a significant concern. Create a focused SOAP note for this patient using the template in the Resources. Then, based on your SOAP note of this patient, develop a video case study presentation. Your presentation should include objectives for your audience, at least 3 possible discussion questions/prompts for your classmates to respond to, and at least 5 scholarly resources to support your diagnostic reasoning and treatment plan. State 3–4 objectives for the presentation that are targeted, clear, use appropriate verbs from Bloom’s taxonomy, and address what the audience will know or be able to do after viewing. Present the full complex case study. Include chief complaint; history of present illness; any pertinent past psychiatric, substance use, medical, social, family history; most recent mental status exam; current psychiatric diagnosis including differentials that were ruled out; and plan for treatment and management. Report normal diagnostic results as the name of the test and “normal” (rather than specific value). Abnormal results should be reported as a specific value. Pose three questions or discussion prompts, based on your presentation, that your colleagues can respond to after viewing your video. Be succinct in your presentation, and do not exceed 8 minutes. Specifically address the following for the patient, using your SOAP note as a guide. Subjective: What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life? Objective: What observations did you make during the psychiatric assessment? Assessment: Discuss their mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses and why you chose them. List them from highest priority to lowest priority. What was your primary diagnosis, and why? Describe how your primary diagnosis aligns with DSM-5 diagnostic criteria and is supported by the patient’s symptoms. Plan: What was your plan for psychotherapy (include one health promotion activity and patient education)? What was your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters, as well as a rationale for this treatment and management plan. Reflection notes: What would you do differently with this patient if you could conduct the session again? If you are able to follow up with your patient, explain whether these interventions were successful and why or why not. If you were not able to conduct a follow-up, discuss what your next intervention would be. Expert Answer and Explanation Subjective: CC (chief complaint): “I have difficulty falling asleep, am always sad, and am easily distracted.’ HPI: The patient is a 26-year-old female who presented to the office complaining of anxiety, depression, and insomnia. The patient notes that she has been having problems with falling asleep, is easily distracted, is always sad, and has difficulties completing tasks. The patient also complains that she has trouble wanting to see people and associating with people. The patient notes that she finds comfort in isolating herself. She reports anhedonia and cried during the interview. She also reports severe anxiety. She says that her anxiety became more severe when she had that the person who raped her was released from jail. The symptoms have negatively affected her life. Her therapist pulled her out of work, and she hardly made friends with people. She rates her anxiety and depression as 8/10. Substance Current Use: She reports no current use of illicit drugs. Medical History: The patient has no medical problems. Current Medications: She is not on any medications at the moment. Allergies: She reports no allergies. Reproductive Hx: No reproductive problems. ROS: GENERAL: She denies fatigue, weight loss, chills, or fever. HEENT: Eyes: No yellow sclerae, visual loss, or double vision. Ears, Nose, Throat: No hearing problems, runny nose, congestion, sore throat, or sneezing. SKIN: No rash or itching. CARDIOVASCULAR: No chest pain, edema, chest discomfort, or palpitations. RESPIRATORY: No shortness of breath. GASTROINTESTINAL: No diarrhea, vomiting, abdominal blood, or pain. GENITOURINARY: She reports no odd urine color, no odor of urine, or burning on urination. NEUROLOGICAL: No dizziness, headache, syncope, ataxia, paralysis, numbness, or tingling in the extremities. MUSCULOSKELETAL: No joint or muscle stiffness or pain. HEMATOLOGIC: No anemia, HIV, bleeding, or bruising. LYMPHATICS: No enlarged nodes. ENDOCRINOLOGIC: No reports of health intolerance, cold, or sweating abnormities. Objective: Vital Signs: BP 102/90, P 67, RR 17, Ht. 5’4″, Wt. 67kgs, Temp 36.5. Physical Exam HEENT: Noncontributory. Skin: No rash or itching. Cardiovascular: Regular heart rhythm and heart rate. No cracks on the chest walls. No edema. Respiratory: Normal breathing sounds, no wheezing, no fluids in the lungs, crackles, and no inspiratory crackles. Diagnostic results: Beck Anxiety Inventory (BAI): Lemos et al. (2019) noted that BAI is used to measure the severity of patients’ anxiety. The authors found that the tool’s reliability is (Cronbach’s α=0.92) in terms of internal consistency. The patient scored 37, meaning that she has severe anxiety. Beck’s Depression Inventory (BDI): BID is a screening tool used to screen for depression (García-Batista et al., 2018). The patient scored 23, meaning that she has moderate depression. Assessment: Mental Status Examination: The patient is well-dressed, and her clothing is consistent with the
[ANSWERED 2023] Select a nursing practice problem of interest to use as the focus of your research. Start with the patient population
Select a nursing practice problem of interest to use as the focus of your research The first step of the evidence-based practice process is to evaluate a nursing practice environment to identify a nursing problem in the clinical area. When a nursing problem is discovered, the nurse researcher develops a clinical guiding question to address that nursing practice problem. For this assignment you will create a clinical guiding question know as a PICOT question. The PICOT question must be relevant to a nursing practice problem. To support your PICOT question, identify six supporting peer-revised research articles, as indicated below. The PICOT question and six peer-reviewed research articles you choose will be utilized for subsequent assignments. Use the “Literature Evaluation Table” to complete this assignment. Select a nursing practice problem of interest to use as the focus of your research. Start with the patient population and identify a clinical problem or issue that arises from the patient population. In 200–250 words, provide a summary of the clinical issue. Following the PICOT format, write a PICOT question in your selected nursing practice problem area of interest. The PICOT question should be applicable to your proposed capstone project (the project students must complete during their final course in the RN-BSN program of study). The PICOT question will provide a framework for your capstone project. Conduct a literature search to locate six research articles focused on your selected nursing practice problem of interest. This literature search should include three quantitative and three qualitative peer-reviewed research articles to support your nursing practice problem. Note: To assist in your search, remove the words qualitative and quantitative and include words that narrow or broaden your main topic. For example: Search for diabetes and pediatric and dialysis. To determine what research design was used in the articles the search produced, review the abstract and the methods section of the article. The author will provide a description of data collection using qualitative or quantitative methods. Systematic Reviews, Literature Reviews, and Metanalysis articles are good resources and provide a strong level of evidence but are not considered primary research articles. Therefore, they should not be included in this assignment. 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. Expert Answer and Explanation Literature Evaluation Table Summary of Clinical Issue (200-250 words): Postoperative comfort is important for good surgical outcomes for patients. The control of nausea, vomiting and pain in the postoperative period is important and has a great role in influencing the perception of patients on surgical procedures. Post-operative nausea, vomiting and pain is a significant problem for adult patients receiving general anesthesia. It is influenced by multiple factors related to the patient, surgery, and medications administered preoperative i.e. versed or medications administered intraoperatively. Postoperative pain, nausea and vomiting delays patient recovery, and can lead to unexpected delay in discharges. The long delays in discharge can also have tremendous psychological burden on the patient that further exacerbates the health issues faced by the patient. Using pre-emptive multimodality medications such as Tylenol, Gabapentin, Celebrex, and Dexamethasone reduces the risk of postoperative pain, nausea and vomiting and increase patient satisfaction. It is for this reason that the PICOT question selected aimed at evaluating the effectiveness of some of the identified interventions in dealing with postoperative symptoms. Therefore, the PICOT question is noted as follows; PICOT Question: In adult patients undergoing general anesthesia does giving preoperative analgesic and antiemetics decrease pain, nausea and vomiting postoperatively and provide better patient outcomes as compared to not receiving pre-operative meds? Criteria Article 1 APA-Formatted Article Citation with Permalink Fecher-Jones, I., & Taylor, C. (2015). Lived experience, enhanced recovery and laparoscopic colonic resection. British Journal of Nursing, 24(4), 223–228. https://doi-org.lopes.idm.oclc.org/10.12968/bjon.2015.24.4.223 Permalink https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=hch&AN=101196786&site=eds-live&scope=site How Does the Article Relate to the PICOT Question? The study aimed at explaining the lived experience for patients who have undergone laparoscopic surgery on an enhanced program. The links with the PICOT question from the aspect of identifying the outcomes of patients’ post-surgery which the PICOT also aims to also achieve Quantitative, Qualitative (How do you know?) The study is a qualitative study as it used interviews to collect data, which is common tool for collecting qualitative data. The data analysis approach which was hermeneutical-phenomenological method also indicated the research as qualitative. Purpose Statement The purpose of this study was to explore patients’ lived experience of undergoing laparoscopic colonic resection on an enhanced recovery (ER) program Research Question The research question for the study was “what is the lived experience for patients who have undergone laparoscopic procedures on an ER program?” Outcome The study was able to identify the lived experience of patients who have undergone laparoscopic procedures on an ER program Setting (Where did the study take place?) The study took place in the participants own homes post-surgery Sample 11 patients were selected to participate in the study Method Purposive sampling was used to select the study’s participants in a target population of 46 participants. Key Findings of the Study The study identified that participants of the ER program were keen to achieve their goals and return to full health as soon as possible after surgery which was against the longer than expected duration of recovery. The long hospital stays resulted to negative psychological outcomes with additional accompanying symptoms worsening the patient outcomes. The findings also indicated that patients had different expectations from surgical procedures, in this case the laparoscopic surgery. Recommendations of the Researcher The researcher recommended that nurses need to not only consider the physical but also to the emotional needs of patients on an ER program until they are discharged. It was also recommended that nurses should do more to prepare patients for what to expect post- discharge. Article 2 Herbert, G., Sutton, E., Burden, S., Lewis, S., Thomas, S., Ness, A., & Atkinson, C.
[ANSWERED] In 250-300 words explain the Christian perspective of the nature of spirituality and ethics in contrast to the perspective of postmodern relativism within health care.
In 250-300 words explain the Christian perspective of the nature of spirituality and ethics Worldview Analysis and Personal Inventory Based on the required topic study materials, write a reflection about worldview and respond to following: In 250-300 words explain the Christian perspective of the nature of spirituality and ethics in contrast to the perspective of postmodern relativism within health care. In 250-300 words, explain what scientism is and describe two of the main arguments against it. In 750-1,000 words, answer each of the worldview questions according to your own personal perspective and worldview: (a) What is ultimate reality? (b) What is the nature of the universe? (c) What is a human being? (d) What is knowledge? (e) What is your basis of ethics? (f) What is the purpose of your existence? Remember to support your reflection 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. Rubric Criteria Total100 points Criterion 1. Unsatisfactory 2. Less Than Satisfactory 3. Satisfactory 4. Good 5. Excellent Scientism and Arguments Scientism and Arguments 0 points Explanation of scientism or the explanations of two main arguments against scientism are inaccurate. Details are not supported. 19.5 points Description of scientism is accurate. Explanations of two main arguments against scientism are unclear. Details are not clearly supported by topic study materials. 22.5 points Explanation of scientism is clear. Explanations of two main arguments against scientism are clear. Details are supported by topic study materials. 25.5 points Explanation of scientism is clear and accurate. Explanations of two main arguments against scientism are clear. Details are clearly supported by topic study materials. 30 points Explanation of scientism is clear and accurate. Explanations of two main arguments against scientism are clear and insightful. Details are clearly supported by topic study materials. Mechanics of Writing (includes spelling, punctuation, grammar, language use) Mechanics of Writing (includes spelling, punctuation, grammar, language use) 0 points Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used. 3.25 points Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied. 3.75 points Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed. 4.25 points Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech. 5 points Writer is clearly in command of standard, written, academic English. Christian Perspective of Spirituality and Ethics in Contrast to Postmodern Relativism Christian Perspective of Spirituality and Ethics in Contrast to Postmodern Relativism 0 points Explanation of the Christian perspective of the nature of spirituality and ethics in contrast to the perspective of postmodern relativism is incomplete or insufficient. 19.5 points Explanation of the Christian perspective of the nature of spirituality and ethics in contrast to the perspective of postmodern relativism is unclear. Explanation is not supported by topic study materials. 22.5 points Explanation of the Christian perspective of the nature of spirituality and ethics in contrast to the perspective of postmodern relativism is clear. Explanation is not supported by topic study materials. 25.5 points Explanation of the Christian perspective of the nature of spirituality and ethics in contrast to the perspective of postmodern relativism is clear and detailed. Explanation is supported by topic study materials. 30 points Explanation of the Christian perspective of the nature of spirituality and ethics in contrast to the perspective of postmodern relativism is clear, detailed, and demonstrates a deep understanding of the subject. Explanation is supported by topic study materials. Documentation of Sources Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style) 0 points Sources are not documented. 3.25 points Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors. 3.75 points Sources are documented, as appropriate to assignment and style, although some formatting errors may be present. 4.25 points Sources are documented, as appropriate to assignment and style, and format is mostly correct. 5 points Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error. Personal Perspective and Worldview Personal Perspective and Worldview 0 points Worldview questions are not fully answered. 19.5 points Each of the worldview questions is answered but is lacking a personal connection or clarity. 22.5 points Each of the worldview questions is answered with personal connection. 25.5 points Each of the worldview questions is answered clearly and with personal connection. 30 points Each of the worldview questions is answered clearly and with deep personal insight. Expert Answer and Explanation Personal Worldview Inventory The claim that God exists may make sense to some individuals and not to others, and the divergence in the individuals’ views about God’s existence seems to stem from the exposure of these individuals to different values and thoughts. A Christian, for example, believes in the existence of God because of their exposure to the biblical doctrines and teachings. Conversely, an atheist’s position on this topic may stem from the exposure of the atheist to the teachings which contradict religious arguments in support of the claim. Religion and spirituality shape how people see the world around them, and they affect people’s perceptions about care (Newlin et al., 2015). This means that one’s worldview may differ from another person’s, and it is imperative to explore the worldview based on the Christian faith, and highlight the meaning of scientism, and debate against it. Meanings of Spirituality Although the spirituality, to an individual, may denote the belief in a higher being, and adopting practices in which one
[ANSWERED] A 70-year-old woman is in your office complaining of recently having trouble maintaining her balance after taking diazepam (valium). She occasionally takes diazepam when she feels
A 70-year-old woman is in your office complaining of recently having trouble maintaining Week 1: Discussion Question 1 Discussion Prompt Post your answers to the 6 questions corresponding to this week’s content on primary care medication management. Provide your responses and rationales. Support your rationales with high-level evidence. (See Post Expectations) A 70-year-old woman is in your office complaining of recently having trouble maintaining her balance after taking diazepam (valium). She occasionally takes diazepam when she feels anxious and has trouble sleeping. She has a 15-year history of taking diazepam. Q1. Explain the cause of this patient’s difficulty in maintaining her balance? Q2. Diazepam experiences a significant first-pass effect. What is the first-pass effect, and how can first-pass metabolism be circumvented? A 75-year-old woman develops symptoms of a cold and buys an over-the-counter cold medication at the grocery store. The medication contains diphenhydramine, acetaminophen, and phenylephrine. She takes the recommended adult dose but soon after taking the medication, she becomes very confused and disoriented. Q3. What is likely causing the signs of confusion? A 26-year-old woman who has never been pregnant is seeking preconception care as she is planning to pursue pregnancy in a couple of months. Currently, she has no symptoms to report and on review of body systems, there were no concerns. Her past medical history is significant for a history of rheumatic fever as a child. She subsequently underwent valve replacement with a mechanical heart valve. She is followed by a cardiologist who has already evaluated her cardiac function and she has received clearance from her cardiologist to pursue pregnancy. Records from her cardiologist include a recent cardiac echocardiography report that reveals a normal ejection fraction indicating normal cardiac function. She has no alterations in her daily activities related to her heart. She has no other significant medical or surgical history. She is a non-smoker, drinks occasionally but has stopped as she is attempting to conceive, and does not use any non-prescription drugs. Current Medications: Her current medications include only prenatal vitamins, which she has begun in anticipation of pregnancy, and warfarin. She has no known drug allergies. Vital Signs: On examination, her pulse is 80 beats per minute, blood pressure is 115/70 mm Hg, respiratory rate is 18 breaths per minute, and she is afebrile. Measurements: Weight = 152 pounds, Height = 5′5 ″, BMI= 25.29 Q4. How is warfarin metabolized? Does warfarin cross the placental barrier? Q5. Explain the hepatic drug metabolism of children 1 year and older. How do they compare with the hepatic drug metabolism of infants and adults? Q6. Explain protein binding in the neonate. Expert Answer and Explanation: Week 1: Discussion Question 1 Question 1 The patient’s difficulty maintaining her balance is due to the side effects of diazepam. Diazepam is a central nervous system depressant that can lead to dizziness, drowsiness, and impaired coordination (Ho et al., 2023). With a 15-year history of taking diazepam, her body may have developed tolerance, requiring higher doses, which can exacerbate these side effects. Additionally, she may be more susceptible to the drug’s sedative effects due to her age (Ho et al., 2023). It is essential to evaluate her medication regimen and consider alternative treatments for her anxiety and sleep issues to improve her balance and overall well-being. Question 2 The first-pass effect is when the liver metabolizes a significant portion of an orally administered drug before it enters the systemic circulation (Guo & Singh, 2019). This metabolization can reduce the bioavailability of the drug. Circumventing first-pass metabolism requires alternative administration routes, including intravenous injection, sublingual, or transdermal delivery, bypassing the liver and allowing for a more direct entry into the bloodstream to increase the drug’s effectiveness. Question 3 The woman’s signs of confusion are due to diphenhydramine in the cold medication. This element has a sedative effect and is known to cause drowsiness and confusion, especially in older adults (McKeirnan et al., 2020). Hence, although she uses the correct dosage, her advanced age increases the risk of side effects. Question 4 Warfarin metabolism occurs primarily in the liver through the action of the cytochrome P450 enzyme system. It is a racemic mixture of R and S enantiomers, with the S-enantiomer being more potent and metabolized by CYP2C9 (Cheng et al., 2022). Warfarin does cross the placental barrier. Therefore, its use during pregnancy increases the risk of fetal exposure, potentially leading to birth defects, especially if used during the first trimester (Cheng et al., 2022). Given the woman’s desire to conceive, it is crucial to consider alternative anticoagulation therapies. Question 5 Hepatic drug metabolism in children aged one year and older is similar to that of adults compared to infants. Infants lack fully developed hepatic drug-metabolizing enzymes, making drug metabolism less efficient (Van Groen et al., 2021). As children grow and develop, the activity of drug-metabolizing enzymes in the liver, particularly the cytochrome P450 system, mature and approach adult levels (Van Groen et al., 2021). This maturation leads to a more efficient and effective metabolism of drugs in children aged one or older. However, the specific maturation rate can vary for different enzymes and drugs. Therefore, dosing adjustments and considerations based on age and weight are still necessary to ensure safe and effective drug therapy in pediatric patients. Question 6 Protein binding in the neonate refers to how drugs and other substances in their bloodstream attach to proteins, primarily albumin, affecting their distribution and effectiveness. Neonates have lower albumin levels, making them more susceptible to drug interactions and potential toxicity (Leroux et al., 2019). This reduced protein binding capacity can lead to higher concentrations of free, unbound drugs in their system, increasing the need for careful dosing and monitoring in newborns. References Cheng, S., Flora, D. R., Rettie, A. E., Brundage, R. C., & Tracy, T. S. (2022). Pharmacokinetic modeling of warfarin І–model-based analysis of warfarin enantiomers with a target mediated drug disposition model reveals CYP2C9 genotype-dependent drug-drug interactions of s-warfarin. Drug Metabolism and Disposition, 50(9), 1287–1301. https://doi.org/10.1124/dmd.122.000876 Guo, Y. G., & Singh, A. P. (2019). Emerging strategies for
[ANSWERED 2023] NURS 6051S Week 5 Discussion Big Data Risks and Rewards
NURS 6051S Week 5 Discussion Big Data Risks and Rewards NURS 6051S Week 5 Discussion Big Data Risks and Rewards When you wake in the morning, you may reach for your cell phone to reply to a few text or email messages that you missed overnight. On your drive to work, you may stop to refuel your car. Upon your arrival, you might swipe a key card at the door to gain entrance to the facility. And before finally reaching your workstation, you may stop by the cafeteria to purchase a coffee. From the moment you wake, you are in fact a data-generation machine. Each use of your phone, every transaction you make using a debit or credit card, even your entrance to your place of work, creates data. It begs the question: How much data do you generate each day? Many studies have been conducted on this, and the numbers are staggering: Estimates suggest that nearly 1 million bytes of data are generated every second for every person on earth. As the volume of data increases, information professionals have looked for ways to use big data—large, complex sets of data that require specialized approaches to use effectively. Big data has the potential for significant rewards—and significant risks—to healthcare. In this Discussion, you will consider these risks and rewards. To Prepare: Review the Resources and reflect on the web article Big Data Means Big Potential, Challenges for Nurse Execs. Reflect on your own experience with complex health information access and management and consider potential challenges and risks you may have experienced or observed. By Day 3 of Week 5 Post a description of at least one potential benefit of using big data as part of a clinical system and explain why. Then, describe at least one potential challenge or risk of using big data as part of a clinical system and explain why. Propose at least one strategy you have experienced, observed, or researched that may effectively mitigate the challenges or risks of using big data you described. Be specific and provide examples. Required Readings McGonigle, D., & Mastrian, K. G. (2022). Nursing informatics and the foundation of knowledge (5th ed.). Jones & Bartlett Learning. Chapter 22, “Data Mining as a Research Tool” (pp. 537-558) Chapter 24, “Bioinformatics, Biomedical Informatics, and Computational Biology” (pp. 581-588) Glassman, K. S. (2017). Using data in nursing practice Links to an external site.. American Nurse Today, 12(11), 45–47. Retrieved from https://www.americannursetoday.com/wp-content/uploads/2017/11/ant11-Data-1030.pdf Thew, J. (2016, April 19). Big data means big potential, challenges for nurse execs Links to an external site.. Retrieved from https://www.healthleadersmedia.com/nursing/big-data-means-big-potential-challenges-nurse-execs Wang, Y., Kung, L., & Byrd, T. A. (2018). Big data analytics: Understanding its capabilities and potential benefits for healthcare organizations Links to an external site.. Technological Forecasting and Social Change, 126(1), 3–13. Expert Answer and Explanation Big Data Risks and Rewards Benefit of using Big Data in a Clinical System Big data refers to massive data sets that are often analyzed using advanced computational techniques to give information about human behaviors, trends, and patterns. In healthcare, big data helps in adopting increased speed of data processing, where individuals can gather relevant insights that aid in patient care. A primary benefit of using big data in a clinical system is that care providers can constantly and efficiently monitor vital signs of patients (Groves et al., 2016). Healthcare givers often try to improve the health of chronic disease patients by monitoring the vitals such as temperature and blood pressure. When a patient’s health condition is constantly changing, it becomes impossible for the healthcare provider to monitor this patient because of the large volume of data generated (Groves et al., 2016). Using big data helps in computing the vitals and relate them with the progress of the patient. Challenge of Using Big Data as Part of a Clinical System One of the biggest challenges that face big data in its implementation in a clinical system is the inability to capture all the data. In a recent study, an ophthalmology clinic found that only 23.5% of the patient data reported is captured by electronic health records (EHR), which are part of big data (Dyer et al., 2019). That is, a patient would report to have around three eye problems, but the EHR would only agree to one and report it. This is a primary challenge because it means that big data cannot participate in efficient diagnosis of patient conditions. Also, since big data is used in making and monitoring prescriptions, it is possible that the technology systems could fail to have efficient ways of capturing patient symptoms and the reaction of patients to medications (Heires, 2016). This problem is not always noticed because most of the healthcare givers using big data only focus on the small percentage of the reported data, and are oblivious of the fact that there could be other information that big data missed. Strategy to mitigate the stated Challenge of Using Big Data in a Clinical System One of the strategies to mitigate the challenge of capturing information in a clinical system using big data is prioritizing data types. While big data entails a situation where computers adopt human functions, it is evident that it is humans who program them to capture and record the data in specific ways (McCue & McCoy, 2017). That is, despite the fact that it is a powerful technology tool to manage data, there are human brains behind its design. The problem of big data can be solved when these programmers ensure that they prioritize the types of data that are open for documentation, and hence reduce the probabilities of the system missing out some of the patient information. Also, clinical documentation and improvement programs that help clinicians to ensure full capturing of the data by the systems is crucial (Heires, 2016). Such kind of education could be geared to helping the healthcare givers to have the skills to perform constant improvement and impart in them the skills to modify the system in the formats that help in relaying much of the patient information.
[ANSWERED 2023] Write a briefing note 500-750 words directed to the person that might be your manager of risk management outlining how your organization may or may not be meeting
Write a briefing note 500-750 words directed to the person that might be your manager of Briefing Note The Joint Commission (TJC) guidelines emphasize that hospitals must educate their staff regarding the identification and appropriate management of the forensic patient. Assessments on patients must be conducted within the context of the requirements of the law regarding the collection and preservation of evidentiary materials and support future legal actions. Review the current Pre-publication Standards on The Joint Commission website, found in the module learning resources. Write a briefing note (500-750 words) directed to the person that might be your manager of risk management outlining how your organization may or may not be meeting The Joint Commission Standards as it relates to the forensic patient. Outline the prepublication standard of your choice with a brief description of the highlights of how your organization has addressed this standard and how it applies to a patient with a forensic need. Critically analyze the following criteria: 1. Are there any gaps in the policies/procedures or guidelines in meeting this standard? Identify the gaps and indicate what steps should be taken to address them. 2. If there are appropriate policies/procedures or guidelines in place on paper, are they being followed in practice. 3. What changes in practice could better meet the pre-publication standard and improve care for the potential forensic patient population? Provide any recommendations to accomplish this goal. **Note: Remember this is a briefing note, not an essay. Be clear and succinct in your communications. Assignment Expectations: Length: 500-750 words Structure: Include a title and reference page in APA format. References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least three (3) scholarly resources to support your claims. Format: Save your assignment as a Microsoft Word document (.doc or .docx). Filename: Name your saved file according to your first initial, last name, and the module number (for example, “RHall Module1.pptx”) Expert Answer and Explanation To: Risk Manager Re: Complying with the Joint Commission Standards for Caring for Forensic Patients I hope this note finds you well. I am writing to provide a brief overview of our organization explaining how it has addressed the Joint Commission’s Pre-Publication Standards as they relate to providing care to forensic patients (Bell, 2019). The standard this note will focus on is standard the standard that healthcare organizations should provide education to their staff to identify victims of violence, abuse, and neglect, and be able to gather and protect physical evidence linked to a potential or known criminal act. In other words, the standard requires healthcare organizations to educate their staff on identifying patients who are victims of criminal acts and how to collect physical evidence from the victims and store them for law enforcement agencies. Our hospital has developed several policies and regulations related to forensic patient care. One of the policies of the organization is that only educated and trained personnel are allowed to care for forensic patients (Hogan & Olver, 2019). Staff at the emergency care are required to call a forensic physician and nurse to care for the patient and collect forensic evidence. The organization has created a forensic department to ensure that forensic patients are treated and cared for by trained staff. The department has two forensic physicians and four forensic nurses. Another policy the organization has put in place is regular education to healthcare staff to ensure that they are up-to-date with care practices for patients who have experienced criminal acts. The organization provides all healthcare staff with forensic patient identification and management. The education program often focuses on many aspects of forensic patient care. One of the areas the education focuses training healthcare staff on documentation of all aspects of care offered to patients who are victims of criminal acts and the need to ensure that all collected evidence is properly preserved and stored (Papapietro, 2019). Forensic patients often need evidence collected by healthcare professionals during treatment for use in court. If the collection and preservation of evidence are inappropriately done, then the patient can lose the evidence they need to seek justice for the crimes against them. Another aspect of the education program provided by the organization is local, state, and federal laws on how to care for forensic patients and evidence collected during the care process. The federal, state, and local criminal justice systems such as the state attorney often have policies on the information to look for when collecting evidence on forensic patients (Papapietro, 2019). The organization provides education on how to comply with the policies. The organization also has a policy regarding providing education to new patients about caring for forensic patients. However, I still believe that the organization should do more to improve staff education regarding caring for forensic patients. I recommend that the education program include simulations to provide practical ways of educating the healthcare staff. In conclusion, our healthcare facility has developed and implemented policies and regulations directing how our healthcare staff can be educated on how to handle forensic patients and ensure that the evidence collected is properly preserved and handed over to relevant authorities. The education program also informed the staff about federal, state, and local authorities’ policies regarding caring for forensic patients. Yours faithfully, Habert Johnson References Bell, S. (2019). Forensic science: An introduction to scientific and investigative techniques. (5th ed.). CRC Press. ISBN:9781138048126. Read chapters 1 & 2 Hogan, N. R., & Olver, M. E. (2019). Static and dynamic assessment of violence risk among discharged forensic patients. Criminal Justice and Behavior, 46(7), 923-938. https://doi.org/10.1177/0093854819846526 Papapietro, D. J. (2019). Involving forensic patients in treatment planning increases cooperation and may reduce violence risk. Journal of the American Academy of Psychiatry and the Law. https://psycnet.apa.org/record/2019-19693-005 Place your order now on a similar assignment and get fast, cheap and best quality work written by our expert level assignment writers.Other Answered Questions: [ANSWERED] Patient is a 24-year-old female administrative assistant who comes to the emergency department with a chief complaint of severe right-sided headache [ANSWERED] As a counsellor operating from a Jungian perspective [ANSWERED] Compare and contrast the various ways you can access information delivering professional continuing
[ANSWERED] Complete the Digital Experience. The estimated average time to complete this assignment is 1 hour and 30 minutes. Please note, this is an average time. Some students may need longer
Complete the Digital Experience. The estimated average time to complete this assignment Shadow Health Focused Abdominal Assessment With Esther This clinical experience is a focused exam. Students have one opportunity to complete this assignment and score at the Proficiency level. Upon completion, submit the lab pass to the instructor in the classroom. Students successfully scoring within the Proficiency level in the Digital Clinical Experience will earn a grade of 100 points. Students who do not pass the performance-based assessment and scoring within the Proficiency level will receive a failing grade (68 points). Please review the assignment in the Health Assessment Student Handbook in Shadow Health prior to beginning the assignment to become familiar with the expectations for successful completion. You are not required to submit this assignment to LopesWrite. Expert Answer Place your order now for a similar assignment and get fast, cheap and best quality work written by our expert level assignment writers.Use Coupon: NEW30 to Get 30% OFF Your First Order FAQs Understanding Hyperactive Bowel Sounds: What You Need to Know When it comes to our bodies, certain signs and sounds can indicate underlying health issues. One such phenomenon is hyperactive bowel sounds. These sounds might be concerning if you’re not familiar with them, but they’re actually a natural part of our digestive system. In this article, we will dive into the world of hyperactive bowel sounds, discussing what they are, what causes them, when to be concerned, and how they relate to our overall well-being. What Are Bowel Sounds? Bowel sounds, often referred to as stomach rumbling or gurgling, are the noises produced by the movement of food, liquids, and gas through the digestive tract. These sounds are a natural part of digestion and can be observed in everyone. They’re produced as muscles contract and relax to propel the contents of the intestines forward. Normal vs. Hyperactive Bowel Sounds Normal bowel sounds are relatively quiet and occur sporadically throughout the day. Hyperactive bowel sounds, on the other hand, are noticeably louder, more frequent, and might even be accompanied by abdominal discomfort or pain. It’s important to note that the perception of bowel sounds can vary from person to person, and what might be considered normal for one individual could be hyperactive for another. Causes of Hyperactive Bowel Sounds Several factors can contribute to the development of hyperactive bowel sounds. One common cause is an increase in the movement of the intestines, which can be triggered by various factors such as certain foods, stress, infections, and gastrointestinal disorders. The Gut-Brain Connection Believe it or not, there’s a strong connection between our gut and our brain. The gut-brain axis plays a significant role in regulating bowel movements and sounds. Stress and emotions can impact this connection, leading to increased bowel activity and potentially resulting in hyperactive bowel sounds. When to Consult a Doctor While hyperactive bowel sounds are often harmless, there are situations where medical attention is warranted. If you experience severe abdominal pain, bloating, changes in bowel habits, or blood in your stool along with hyperactive sounds, it’s important to consult a doctor to rule out any underlying conditions. Diagnosing Hyperactive Bowel Sounds Diagnosing the exact cause of hyperactive bowel sounds can be a bit challenging. Medical professionals will often take a comprehensive medical history, perform physical examinations, and may recommend tests such as imaging studies or blood tests to rule out any underlying issues. Treatment Options: Treating hyperactive bowel sounds involves addressing the underlying cause. Here are a few approaches that can be considered: Lifestyle Modifications Making positive changes in your lifestyle can have a significant impact on reducing hyperactive bowel sounds. Regular exercise, adequate sleep, and stress management techniques can help regulate bowel activity. 2. Dietary Adjustments Certain foods can trigger increased bowel activity. Experimenting with your diet and identifying trigger foods can help you manage hyperactive sounds. Fiber-rich foods, probiotics, and staying hydrated are generally good practices. 3. Managing Stress Since stress can exacerbate bowel symptoms, finding effective ways to manage stress is crucial. Techniques such as deep breathing, meditation, and yoga can be beneficial. Impact on Daily Life Hyperactive bowel sounds can be bothersome, especially in social or work settings. It’s important to remember that these sounds are a natural bodily function and that everyone experiences them to some extent. Practicing self-acceptance and educating others can help reduce any embarrassment or anxiety. Conclusion Hyperactive bowel sounds might sound alarming, but they’re usually a sign of a functioning digestive system. By understanding the causes, effects, and management strategies, you can confidently navigate through any concerns related to hyperactive bowel sounds. FAQs About Hyperactive Bowel Sounds What exactly are hyperactive bowel sounds? Hyperactive bowel sounds are louder and more frequent stomach noises caused by increased bowel activity. Are hyperactive bowel sounds painful? They can be accompanied by abdominal discomfort or pain in some cases. Can stress really affect bowel sounds? Yes, stress can impact the gut-brain axis and lead to hyperactive bowel sounds. Is it okay to self-diagnose based on bowel sounds? It’s always best to consult a medical professional for proper diagnosis and advice. How can I differentiate between normal and hyperactive bowel sounds? Hyperactive bowel sounds are notably louder and more persistent than normal sounds, often accompanied by discomfort. Tips for Managing Bowel Sound Discomfort Are you often faced with the uncomfortable sensation of bowel sound discomfort? The gurgling, rumbling, and sometimes embarrassing noises that emanate from your stomach and intestines can be quite distressing. But fear not! In this article, we’ll dive into effective tips and strategies for managing bowel sound discomfort, providing you with relief from digestive discomfort and bloating. So let’s explore some practical solutions to help you enjoy a more peaceful and comfortable digestive experience. Introduction Bowel sound discomfort, often accompanied by audible noises, can be bothersome and even embarrassing. However, it’s essential to recognize that these sounds are a natural part of the digestive process. In this article, we’ll provide you with valuable insights and practical tips for managing these sounds and
[ANSWERED 2023] In this Assignment you will practice this type of leadership by advocating for a healthcare program. Equally as important, you will advocate for a collaborative role of the nurse in the design and implementation of this program
In this Assignment you will practice this type of leadership by advocating for a healthcare Much like honeyguide birds and honey badgers, nurses and health professionals from other specialty areas can—and should—collaborate to design effective programs. Nurses bring specialties to the table that make them natural partners to professionals with different specialties. When nurses take the requisite leadership in becoming involved throughout the healthcare system, these partnerships can better design and deliver highly effective programs that meet objectives. In this Assignment you will practice this type of leadership by advocating for a healthcare program. Equally as important, you will advocate for a collaborative role of the nurse in the design and implementation of this program. To do this, assume you are preparing to be interviewed by a professional organization/publication regarding your thoughts on the role of the nurse in the design and implementation of new healthcare programs. To Prepare: Review the Resources and reflect on your thinking regarding the role of the nurse in the design and implementation of new healthcare programs. Select a healthcare program within your practice and consider the design and implementation of this program. Reflect on advocacy efforts and the role of the nurse in relation to healthcare program design and implementation. The Assignment: (2–3 pages) In a 2- to 3-page paper create an interview transcript of your responses to the following interview questions: Tell us about a healthcare program, within your practice. What are the costs and projected outcomes of this program? Who is your target population? What is the role of the nurse in providing input for the design of this healthcare program? Can you provide examples? What is your role as an advocate for your target population for this healthcare program? Do you have input into design decisions? How else do you impact design? What is the role of the nurse in healthcare program implementation? How does this role vary between design and implementation of healthcare programs? Can you provide examples? Who are the members of a healthcare team that you believe are most needed to implement a program? Can you explain why? Expert Answer and Explanation Advocating for the Nursing Role in Program Design and Implementation About the Healthcare Program The program entails the reduction of waiting times in an emergency nursing unit through the implementation of different processes and technologies. For nearly a decade, there has been regular complaints by patients who visit the ED about too much waiting times (Milstead & Short, 2019). Some of them always regret the choice of the facility, and swear that they will never go back there after they felt better. Target Population The main population affected by the program are the nurses in the ED departments. In the program, different software will be used by the triage nurse to assess the need for immediate treatment of the patient and this will help in the creation of more order in the department. Also, nurses will be using the program to reduce the time taken on one patient and hence reduce the situations that always occur of insufficient staffing. Role of the Nurse in Providing Input for the Design of the Program One of the primary roles of the nurse in providing input for the program design will be the guidance on some of the information that should be fed into the system. While computer systems and programs are always efficient tools in implementing support, the form in which they appear is determined by the input of the software during the formation (Centers for Disease Control and Prevention, CDC, 2020). Nurses will help in deducing the most crucial information, such as the vitals, that is necessary in evaluating the state of a patient immediately they present to the facility. My Role as an Advocate to my Target Population As an advocate, I will be sure to champion the interest of the nurses in the program. According to the American Nurses Association, ANA (2020), advocacy is one of the basic pillars of nursing, and it helps in efficiently determining the position of nurses in different care operations. For example, in the program, the nurse would perform advocacy role by preventing situations that would otherwise bring about nurse burnout. For this reason, as an advocate, I would have a lot of input in the design decisions of the program. The Role of the Nurse in Healthcare Program Implementation During implementation, the nurse would be one of the quality personnel in the program, as they would have the information about how best the program should be like. Just like in design, nurses use their expertise in determining the suitability of various process changes in the programs. For example, the nurse would be useful in the correction of a problem that arose when implementing the program in a setting that changed after the launch happened. Members of a Healthcare Team who are most needed in Program Implementation The project managers, who are mostly the organizational or departmental managers, are the members of the healthcare team who are most needed in program implementation. The role of these members is mainly monitoring the progress of the project, and ensuring that the project resources are managed efficiently (Ritchie et al., 2016; Smith et al., 2018). Specifically, they check whether or not every stakeholder is playing their role in project implementation, and act appropriately in doing the necessary corrections. References American Nurses Association, ANA, (2020). Advocacy. https://www.nursingworld.org/practice-policy/advocacy/ Centers for Disease Control and Prevention, CDC, (2020). Step by Step – Evaluating Violence and Injury Prevention Policies. Brief 4: Evaluating Policy Implementation https://www.cdc.gov/injury/pdfs/policy/Brief%204-a.pdf Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th Ed.). Burlington, MA: Jones & Bartlett Learning. Ritchie, C., Andersen, R., Eng, J., Garrigues, S. K., Intinarelli, G., Kao, H., & Tunick, E. (2016). Implementation of an interdisciplinary, team-based complex care support health care model at an academic medical center: impact on health care utilization and quality of life. PloS one, 11(2), e0148096. Smith, C. D., Balatbat, C.,