In an essay of 1000-1,250 words, summarize the study, explain the ways in which the findings might be used in nursing practice, and address any ethical considerations associated with the conduct of the study.

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Select either the qualitative or quantitative study method for this assignment. The study method should connect to the practice problem of interest identified in Topic 1. This could be one of the previously selected articles from your literature review or a new peer-reviewed article. In an essay of 1000-1,250 words, summarize the study, explain the ways in which the findings might be used in nursing practice, and address any ethical considerations associated with the conduct of the study. Refer to the resource “Research Summary and Ethical Considerations Guidelines” for suggested headings for your paper. Prepare this assignment according to the APA 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 Turnitin.

Research Summary and Ethical Considerations Guidelines

The summary should include the areas detailed below. You need to describe this research report as though directed toward someone whose findings you want to implement. Introduction

Background of study: • Problem (why this issued is being studied) • Significance to nursing • Purpose • Objectives: research question and/or hypothesis • Concepts, phenomena

Methods of study: • Quantitative or qualitative • Research design • Sample • Procedures

Results of study: • What did they find? • Implications to nursing • Explain how the findings contribute to nursing knowledge/science. Would it impact practice, education, administration, or all areas of nursing?

Ethical Considerations • Was the study approved by an Institutional Review Board? • Was patient privacy protected? • Were there ethical considerations regarding the treatment or lack of?

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What should ABC Insurance Company do? Why? How? What should Verde Greene Hospital do? Why? How? What should the employers do? Why? How? What should the patients do? Why? How?  

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Atlanta, Georgia has a very diverse work force, consisting of men and women of various ages, ethnic groups, skills, and education. Many people live and work in one of approximately 14 counties that make up the Atlanta region. It is not uncommon for an employee to drive close to 100 miles one way to get to work. The employer base is diverse as well, consisting of large and small employers that range from entrepreneurs; healthcare services; local, state, and federal government offices; information technology; higher education; landscaping; personal services; banking; and the fast-food industry. Now that we have some background information, let’s learn more about the ABC Insurance Company located in Atlanta.

The ABC Insurance Company has been very aggressive and quite successful in recruiting companies, organizations, and individuals to join its managed care plans. Their ranges of services and rates have been extremely competitive. Their employer base is spread out among the 14 counties, which has been attractive to many employers. The ABC Insurance Company has been quite successful in selling its managed care insurance program to employers and organizations, so what is the issue?

Verde Greene Hospital has an excellent reputation for quality in maternity care, cardiac rehabilitation, and orthopedic medicine, and it is the only hospital in town to have received the Magnet Award for Excellence in Nursing. A sizable number of employer groups as well as employees, who have insurance coverage with ABC Insurance Company, want Verde Greene Hospital to be included in the network as a participating hospital.

When ABC insurance company approached Verde Greene Hospital to recruit it as a participating provider in their managed care plan, Verde Greene Hospital was very delighted to be asked. In fact, the hospital’s overall response was quite positive. However, there was one contractual stipulation that Verde Greene Hospital needed prior to signing any contracts and becoming a participating provider. Specifically, Verde Greene wanted to be the exclusive provider of maternity and cardiac care for all the patients in the ABC Insurance Company network: no exclusivity, no deal.

Because so many employers had pressured ABC Insurance Company to contract with Verde Greene Hospital, the insurance company agreed to the stipulations and agreed to enroll Verde Greene as a participating provider of care and an exclusive provider of cardiac and maternity services. This contract is legally binding for both parties, and they are scheduled to sign this contract in 10 days.

It appears that the exclusivity clause in the contract may have created several unanticipated problems, which are listed below.

  • It means that patients who needs cardiac or maternity care may need to drive 50 miles and pass four or five other good hospitals in the plan network in order to get the care they need at Verde Greene Hospital.
  • A number of obstetrics and gynecology physicians, as well as cardiologists, who reside in one of the 14 counties do not have privileges at Verde Greene Hospital and have threaten to disenroll from the plan if Verde Greene Hospital is the only hospital contracted to see their patients. Even if these physicians are given hospital privileges, this would mean more staff meetings and Emergency Department duty at a hospital that is too far away. The existing staff physicians at Verde Greene Hospital object to the loss of available hospital space and time, as well as to the possibility of losing existing patients to the new physicians. These physicians also threaten to disenroll from the plan.
  • The other hospitals in the managed care plan object to the loss of patients and have threatened to disenroll from the plan as well and have threatened to sue for restraint of trade.
Your Assignment
  1. What should ABC Insurance Company do? Why? How?
  2. What should Verde Greene Hospital do? Why? How?
  3. What should the employers do? Why? How?
  4. What should the patients do? Why? How?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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n this unit, you will explore the advantages and disadvantages of marketing tools used in healthcare. By the end of the unit, you will be able to make recommendations on what marketing tools would be most useful and effective given various elemental factors and internal influences.

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In this unit, you will explore the advantages and disadvantages of marketing tools used in healthcare. By the end of the unit, you will be able to make recommendations on what marketing tools would be most useful and effective given various elemental factors and internal influences.

To begin, select one (1) of the following healthcare systems that you would like to explore for this unit:

• Acute care • Ambulatory care • Assisted living • Continuing care retirement community • Critical access hospital • Dialysis care • Home health care • Hospice care • Long-term care • Memory care • Palliative care • Pediatric care • Primary care • Short-term care (e.g., post-surgery therapy) • Surgical care • Veterans Administration • Other (requires approval from instructor)

Next, select an environment/location:

• Downtown New York City • Denver, Colorado • Mobile, Alabama • Boston, Massachusetts • Rural Minnesota • Savannah, Georgia • Los Angeles, California • Fort Worth, Texas • Anchorage, Alaska • Other (requires approval from instructor)

Finally, select three (3) marketing tools:

• Email • Newspaper • Memorandum • Radio advertisement • Television • Telephone • Social media • Internet • Person-to-person • Billboard • Referral • Other (does not require approval from instructor)

Instructions

• Provide a general overview of your select healthcare system. • Discuss the demographics of your select location. • Discuss the advantages of using each marketing tool at your healthcare system and location. • Discuss the disadvantages of using each marketing tool at your healthcare system and location. • Summarize which marketing tool you would recommend that would yield the highest marketing potential of your select healthcare system and location.• Be sure to support your assertions with evidence-based research, scholarly articles, and well-supported strategies that support your predictions.• 3-4 page paper excluding front and back matter (APA standards apply ). • Internal organizational memorandum. • Infographic • PowerPoint presentation for a Board of Directors (10-12 slides; speaker notes as needed to support assertions). • 7-10 minute public service announcement (using a free online voice recorder such as vocaroo.com) • Video newscast (using a free online video recorder such as YouTube.com) (e.g., entertainment talk show, television commentary, interview-style, news reporting, etc.).

• The use of first person is permitted for this assignment (excluding option 1). APA formatting (e.g., title page, conclusion, reference page, etc.) should not be used. • Although the use of APA formatting is not required for this assignment, proper grammar, spelling, and punctuation are expected.

  • Hint: Try locating a healthcare system that you are familiar with, would like to network with, have heard concerns about, or one that is completely unfamiliar to you.

Reference: https://data.medicare.gov/

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You are a physician’s assistant working next to a cosmetic surgeon during an operation. Begin a description of the procedure or begin a dialogue that might take place in this setting.

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Discussion Question 1

Use five medical words discussed in this week’s reading to create a SOAP note. Respond
to other students by adding anything they may have missed, correcting any errors, complimenting them on proper usage, or expanding on the details of the SOAP note. Be sure to use a proper and respectful online tone.

Discussion Question 2

This discussion question is an audio dialogue. You will start the discussion and your classmates will help you finish it by responding to you. You must also provide a written transcript of all of your responses. Your portion of the discussion should:

o Be recorded in an audio file and submitted as a link.

o Include a written transcript.

o You will need to use at least two appropriate and specific medical words from this week’s
reading. Instead of using the word lung, use more specific language like the lower lobe of
the left lung.

To participate in this discussion:

Respond to your classmates’ discussions by adding the next logical statement.

Earn participation for the day by replying to two classmates in an audio format. You must also
include a written transcript for every response you post.

Participate in all three scenarios during the participation week. Each response
needs to use at least two appropriate and specific medical words.

Choose one of  the following three scenarios to begin your discussion.

o Scenario 1:
You are a physician’s assistant working next to a cosmetic surgeon during an operation. Begin a description of the procedure or begin a dialogue that might take place in this setting.

Scenario 2:

You are a lab technician analyzing a patient’s blood. Begin describing  what type of  testing is being performed. Let your classmates contribute to the discussion by  adding to the descriptions and reporting their findings.

o Scenario 3:
You are an allied health professional working with an endocrinologist. You have been working with the patient and need to update the doctor on the reason for the patient’s visit. Begin describing the patient’s concerns. Your classmates can continue with this discussion or summarize the rest of the patient’s visit.

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discussions in virtual classes

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Based on this course lectures, our discussions in virtual classes, and your own opinion, answer ONLY four of the following five questions:

1. Discuss the characteristics of strategic decisions. Give an example of a strategic decision made by your organization.

2. Why is it crucial that corporations employ effective corporate governance? Support your argument by discussing its goals and benefits.

3. To which extent do you believe that conducting stakeholder analysis is critical in strategic management? Why?

4. Discuss at least three barriers to entry and give an example concerning each.

5. What advantages can be realized when a company establishes a competitive intelligence program?

* You can answer four questions of your choice or reply to at least four classmates of yours, agreeing or disagreeing with their arguments

* Your answers/replies should be supported enough by examples and explanations.

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Prepare a critical analysis of a qualitative study focusing on the problem statement, study purpose, research question, literature review, and theoretical framework.

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Prepare a critical analysis of a qualitative study focusing on the problem statement, study purpose, research question, literature review, and theoretical framework. This can be one of the selected articles from your previous literature review or a new peer-reviewed article.

The completed analysis should be 1,000-1,250 words and should connect to your identified practice problem of interest.

Refer to “Research Critique Part 1.” Questions under each heading should be addressed as a narrative, in the structure of a formal paper.

Prepare this assignment according to the APA 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 Turnitin.

NRS433V.v10R.ResearchCritiquePart1Guidelines_student.docx Research Critique, Part 1

To write a critical appraisal that demonstrates comprehension of the research study conducted, respond to each of the questions listed under the headings below. Do not answer the questions with a yes or no; rather, provide a rationale or include examples or content from the study to address the questions.

CRITICAL APPRAISAL GUIDELINES: QUALITATIVE STUDY Problem Statement • Identify the clinical problem and research problem that led to the study. What was not known about the clinical problem that, if understood, could be used to improve health care delivery or patient outcomes? This gap in knowledge is the research problem. • How did the author establish the significance of the study? In other words, why should the reader care about this study? Look for statements about human suffering, costs of treatment, or the number of people affected by the clinical problem.

Purpose and Research Questions • Identify the purpose of the study. An author may clearly state the purpose of the study or may describe the purpose as the study goals, objectives, or aims. • List research questions that the study was designed to answer. If the author does not explicitly provide the questions, attempt to infer the questions from the answers. • Were the purpose and research questions related to the problem? • Were qualitative methods appropriate to answer the research questions?

Literature Review • Did the author cite quantitative and qualitative studies relevant to the focus of the study? What other types of literature did the author include? • Are the references current? For qualitative studies, the author may have included studies older than the 5-year limit typically used for quantitative studies. Findings of older qualitative studies may be relevant to a qualitative study. • Did the author evaluate or indicate the weaknesses of the available studies? • Did the literature review include adequate information to build a logical argument?

Conceptual / Theoretical Framework • Did the author identify a specific perspective from which the study was developed? If so, what was it? • When a researcher uses the grounded theory method of qualitative inquiry, the researcher may develop a framework or diagram as part of the findings of the study. Was a framework developed from the study findings?

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foundation for future discussions

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Primary Response: Within the Discussion Board area, write 300–500 words that respond to the following questions with your thoughts, ideas, and comments. This will be the foundation for future discussions by your classmates. Be substantive and clear, and use examples to reinforce your ideas.

For this Discussion Board, please complete the following:

The SWOT analysis is often used to help managers understand the competitive advantage of their organization. It can also help them to make decisions to support the organization’s mission and vision in an ethical manner and help with strategic planning.

Watch the video: Putting Your SWOT to Use

which will provide you with what you need to know about SWOT and making it work for your organization’s strategic planning.

Review the abbreviated version of the Starbucks 2020 SWOT Analysis.

Considering the video and the Starbucks 2020 SWOT Analysis, answer the following questions:

  • Opportunities are to be prioritized in your strategic plan. How would you recommend that Starbucks prioritize Ready to Drink (RTD) coffee products in the U.S.?
  • Weaknesses are important and need to be acted on quickly. What would be your first step to act on Starbucks expanding outside the U.S.? Why do you think this would work?
  • Threats need to be watched and monitored. Explain how you would plan to monitor weather disasters that could drive up the price of coffee beans?

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Despite fears of retaliation, Mrs. Lewis consulted a lawyer, who threatened the hospital with exposure and with penalties that would follow if one of its employees failed to follow the reporting provisions of the law on abuse in nursing  homes.

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In each case, answer the questions at the end of the case and give researched references to support your assertions; also, explain what would be the ethical course of action and the legal requirements for action in the case.

Case One

Mrs. Lewis was head nurse on a medical surgical floor in a community hospital with 250 beds. Over the course of 6 months, she noticed that all patients admitted from the Shady Rest Nursing Home had signs of severe injuries other than those connected with the admitting diagnosis. There appeared to be patient abuse in the nursing home. Mrs. Lewis investigated discreetly and found no explanation possible except abuse. In accord with the obligations of the law in her state, she reported the matter to the Department of Welfare Bureau of Inspection.

The Welfare Department investigated immediately, found proof of abuse, and threatened to close down Shady Rest if there were any more recurrences. Mrs. Lewis was overjoyed until her hospital administrator, bypassing the director of nursing, called her in and warned her that she would be fired if she reported any other instances of abuse. Shady Rest sent the hospital a lot of business, and good relations had to be maintained.

Mrs. Lewis was even more shocked when she discovered that the administrator was a golf partner of the owner of Shady Rest and was doing an old buddy a favor.Despite fears of retaliation, Mrs. Lewis consulted a lawyer, who threatened the hospital with exposure and with penalties that would follow if one of its employees failed to follow the reporting provisions of the law on abuse in nursing  homes.

Did Mrs. Lewis act correctly? What should she have done if she could not have afforded to consult with a lawyer? In what ways can whistle-blowers protect themselves? Must the art of intimidation be part of the toolbox of healthcare professionals in order to protect their patients? Is power an appropriate consideration in healthcare ethics?

Case Two

On a July weekend, Mrs. Allesfertig, nursing supervisor of the whole hospital, discovered that the intensive care unit was seriously understaffed. She pulled two nurses with previous ICU experience off other floors to bring the unit up to strength in view of the extreme level of acute care needed. On the following Monday, Dr. Bestknabe, who has overall responsibility for the ICU unit, closed the unit for further admissions until the staffing had been worked out on a permanent basis.

Should the new staffing policy give the nurses authority to refuse to admit patients when the staff is not sufficient to handle them? (In some hospitals, nurses have this authority.) Can any policy take precedence over the professional judgment of trained ICU nurses?

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Identify national healthcare trends and policy initiatives evident in the attached “Service Line Development Case Study.”      1.  Discuss how identified trends impact the delivery of healthcare in the case study.      2.  Discuss possible legislation that may result from these trends.

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Healthcare does not operate in a vacuum. Trends that emerge in the national market are influenced by legislation, delivery of care, changes in payment methods, and social and economic conditions. Healthcare professionals monitor policy at the national level by reviewing legislative initiatives and analyzing rules and regulations. Understanding healthcare policy helps in facilitating grant reviews and in developing new program initiatives. Legislation may cause changes in the way hospitals and healthcare providers deliver patient care. It is beneficial for hospitals to incorporate the national trends, policy, and legislation in determining the appropriate path for selecting service lines. You will use the “Service Line Development Case Study” to complete this task. Imagine that you have received a memo asking you to identify national trends, policy, and legislation and to summarize the impact it will have on the new service line. The proposed service lines are the following:

• Orthopedic center

• Cardiovascular center

• Cancer center

Task:

A.  Identify national healthcare trends and policy initiatives evident in the attached “Service Line Development Case Study.”
1.  Discuss how identified trends impact the delivery of healthcare in the case study.
2.  Discuss possible legislation that may result from these trends.

 

B.  If you use sources, include all in-text citations and references in APA format.

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Describe the American Nurses Association’s Magnet status process.

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Prepare and submit a 1,750- to 2,100-word paper based on your clinical research of epidemiology. When selecting a population and disease, consider that your choices will be for both the Week 5 Epidemiology paper and the Week 6 Teaching Brochure. Discuss potential groups with your facilitator and contacts you make at community or public health settings in your area. Select one population and one health concern of interest from the following lists:

 

  • Vulnerable populations

 

  • Infants, children, or youth at risk
  • Teens
  • People who are homeless
  • Elderly
  • People with mental illness
  • Immigrants, migrant workers or refugees
  • Victims of violence

 

  • Diseases for these populations might include the following:

 

  • Viral infections

 

  • Influenza
  • HIV
  • Human Papilloma virus
  • Hepatitis

 

  • Chronic illness

 

  • Diabetes

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