REFLECTION: The penultimate stage in this process is a 3-4 page written reflection on how you conducted your research and how your research has (or has not) impacted how you think about the debate. It should address the following questions: • What was the research process like? Was it easy or difficult to find information on both sides of the debate? Was there more scholarly research available for one side than the other? If so, what does that suggest? • What new information did you learn from researching both positions? • Has your thinking on the subject changed in response to your research? Why or why not?
Sample Solution
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https://www.youtube.com/watch?v=BoT7qH_uVNo Based on the findings shared by Dimitri Christakis, discuss the implications of media and technology on children’s cognitive development. What aspect of cognition is media influencing based on his research and findings? Think about mode of representation, affordances of the media but also different cognitive capacities that they are influencing, representation of knowledge, attention, problem solving, learning etc.
https://youtu.be/P41_nyYY3Zg What are the different cognitive mechanisms involved in this discussion around media and cognitive development?
Sample Solution
The Indian economy has demonstrated an astounding development after the appropriation of progression approach. The opening up of the Indian economy in the mid 1990s prompted increment in modern yield and all the while brought the swelling Rate up in India. There was a massive weight on the expansion rate because of the awesome development pace of business and modern yield. The fundamental worry of the Reserve Bank of India (the national bank) and the Ministry of Finance, Government of India was the predominant and irregular ascent of the expansion rate. Expanding expansion rate could be negative to the anticipated development of Indian economy. In this way, the Reserve Bank of India was putting checks and measures in different strategies to put a stop to the rising expansion. The Indian business network and the overall population were guaranteed by the national bank that the inflationary ascent was innocuous yet at the same time certain fears existed among them. The estimating dissimilarity of horticultural items between the maker and end-buyer was adding to the expanding Inflation Rate. Aside from this the precarious ascent of costs of nourishment items, fabricating items, and necessities had likewise shot the Inflation Rate. Because of this, the Wholesale Prices Index (WPI) of India arrived at 6.1% and the Cash Reserve Ratio contacted 5.5% on sixth January, 2007. The Reserve Bank of India gave top need to value steadiness in its as of late drafted money related arrangement in order to capture the frenzy and uneasiness among the Indian business circles. It likewise means to support the awesome pace of financial development of India. The Reserve Bank of India raised the Cash Reserve Ratio and utilized it as an instrument to capture the expanding Inflation Rate. Defending the valuing dissimilarity between the maker and the shopper is the main answer for this issue. Just this will guarantee swelling adjustment and along these lines maintainable financial development of India. From the earliest starting point of FY2008 the Indian economy confronted an ascent in the costs of vegetables, beats and other fundamental nourishment stuffs. This was went with sharp ascent in the costs when the yearly strategy articulation for 2008-09 was uncovered on April 29. Swelling expanded relentlessly during the year, arriving at 8.75% before the part of the bargain in June when this figure bounced to 11% at that point there was a disturbing increment in the costs. There were numerous explanations behind it yet one of the principle main impetuses was decrease in government fuel appropriations, which lifted gas costs by a normal 10%. Surely, by July 2008, the key Indian Inflation Rate for example the Wholesale Price Index contacted the sign of 12.6%, most noteworthy rate in recent long stretches of the Indian history. This was just about multiple times the RBI’s objective of 4.1% and nearly served when contrasted with a year ago. This constant ascent slipped back to 12.4% by mid-August. Since the start of 2008 blend of different inner and outer elements prompted soak household swelling and the resultant advances taken to control it in were easing back the pace of development. These components incorporated the checked ascent in the global costs of oil, sustenance, and metals, directing the pace of capital inflows, exacerbating present and monetary record deficiencies, expanding cost of assets, minor deterioration of the Indian rupee against the dollar, and moderate development in modern economies. The Indian economy was at a basic point where strategies to contain expansion and guarantee macroeconomic adjustment have become the dominant focal point. In the principal quarter of FY2008 (for example April – June), development pace of GDP backed off to 7.9% from 9.2% in the relating earlier year quarter, for the slowest extension in three and a half years. The most noteworthy decay was in industry where development rate tumbled to 6.9% this was fundamentally a result of cutting in the assembling development rate to 5.6%. The stoppage was extended when horticulture and administrations segment demonstrated an immaterial development of 1.4% and 0.9% focuses, underneath their exhibitions of the year-sooner quarter.Over the medium term, the fundamental goal of the legislature was to cut down expansion to 3%. The Repo and Reverse Repo Rates stayed unaltered while Cash Reserve Ratio (CRR) was expanded by 0.25 rate focuses. A review of assembling organizations was led by the Reserve Bank of India in June 2008 which demonstrated a control in business good faith. This was authenticated by the composite business good faith file for July – September 2008 that was set up by Dun and Bradstreet, which demonstrates a decrease of 11.2% when contrasted with the past quarter. In July, the BBB-rating on remote cash obligation was affirmed yet minimized the viewfor India’s long – term nearby money obligation from stable to negative, with a perceptible crumbling in the financial position.Growth of the expansive cash supply (M3) must be directed in the scope of 16.5 to 17 percent. While stores were planned to ascend by 17% and non-sustenance credit payment by banks will develop at a moderate pace of 20% when contrasted with 22.5% in 2007-08. Credit dispensed by banks a year ago was less when contrasted with the past period. Bank credit had developed by a burning 30% consistently for successively three years starting in 2004-05. The joined spending shortages of the focal and state governments have been generously diminished in the course of recent years. This reflected true endeavors by the legislature to hold fast to monetary duty enactment. For FY2008, the focal Government’s shortage is planned at 2.5% of GDP and the states’ at 2.1% (4.6% of GDP on a combined premise). The main considerations that reinforce the apparent monetary solidification from the base were a more extensive assessment base upheld by a light economy and improved consistence. Two principle circumstances that must be defeated before accomplishing the deficiency focuses for the FY2008 are: an easing back economy that may restrain the income lightness found as of late and consistent weight by the Central Government to raise the pay rates of its representatives by 21% (about 0.3% of GDP) because of proposals of the Sixth Central Pay Commission. Comparable pay increments were declared quickly by about six states and others were following the suit. Then again arrangement for these compensation increments was not planned. Impacts Inflationary weights in any economy prompts devaluation of its residential money. This is the thing that our Indian economy was looking because of the running expansion and thus Indian rupee devalued by about 20% since April 2008. Expansion influences 1.Common man: Inflation impacts a typical man in various jobs, for example, a purchaser: Products, for example, raw petroleum, composts, pharmaceutical items, minerals and metals, or utilize imported segments, for example, Personal Computers and PCs are legitimately imported. Because of deterioration of the Indian Rupee every one of these products turned out to be over the top expensive. Parts in PCs, for example, processor, hard plate drive and motherboard are additionally imported. Items, for example, mouse, console and screen additionally saw an effect on their costs because of Rupee deterioration. Swelling may ascend in an economy when the info costs increment. As a speculator: Devaluation of rupee makes imports of different segments, capital products and crude materials progressively costly. As information sources and other gear that are imported get costlier and decreasing the overall revenues. Organizations that import merchandise in mass and those with substantial outside money borrowings might be discounted in the securities exchange as the rupee devalues. As a Wage-worker: During swelling this class of regular man endured a great deal in view of two reasons- Increment in wages and compensations neglected to keep pace with the rising costs. Wages expanded during swelling however there is consistentl
y a period slack between the ascent in cost and increment in wages. Thus basic man looses during the interceding time frame. Fare organizations: Because of deterioration of residential cash exporters get better costs for their products and enterprises when sold in outside business sectors. Remote Investors: Devaluation of Indian Rupee decreased the profits that remote speculators used to win by putting resources into Indian organizations. Devaluation of a money activated FII outpourings. NRI speculators, who recently put their cash in India under different store conspires because of high loan fees, began finding those plans less appealing by virtue of rupee deterioration. Nation’s Balance of Payments: One of the downsides of deterioration of Rupee is that fares turned out to be shoddy regarding outside cash and imports become costlier. Current record shortage enlarged on the grounds that Indian imports fundamentally comprises basics, for example, unrefined petroleum, normal assets and numerous capital products. Deterioration of Indian Rupee made the fares progressively aggressive comprehensively and subsequently higher fares concealed the exchange shortage. Ranchers: The costs of the essential products, for example, minerals, diesel oil and fuel, control light and greases went up fundamentally. This divergence influenced the farming division in two different ways- It restrictively affected interests in cultivating and influenced the creation effectiveness. On one hand the horticultural item costs were falling or stale and then again expanding costs of agribusiness inputs and other day by day life products prompted decay in the expectation for everyday comforts of the ranchers. Costs paid by the purchaser have affected by the average cost for basic items of the whole worth chain, which develops on the wasteful markets and this adds to the last expense of the material. For instance, high vitality cost itself has added to the expansion in the expense of information sources required for agribusiness other than pushing up the advertising expenses of ranch items. IT organizations: The IT segment is among the most astounding enrollment specialists in the Indian economy and a deteriorating rupee spells uplifting news for the area. Bills for Information Technology organizations are essentially arranged in dollars or in other remote>
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Describe the importance of providing health care to those who have not had access to services. Provide examples of how you have provided assistance to others in need from your community, work or school environment.Statement of purpose clearly identifying why the applicant seeks admission to the particular specialization to which she or he is applying. […]
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Nurses engaged in the policy arena often are asked to provide information on a health care topic of interest to policy makers. This is frequently accomplished through developing a policy brief. A policy brief advocates for a particular recommendation (prior to the enactment of a policy). Learning how to write a policy brief in a clear, succinct, scholarly, and professional manner is an essential skill for advanced practice nurses.
For this Assignment, you will assess one of the recommendations from the Institute of Medicine’s “The Future of Nursing: Leading Change, Advancing Health: Report Recommendations. You will then develop a policy brief to advocate for this recommendation (the written policy brief is due in Week 7).
To prepare:
Review the Lavis et al. article on preparing and writing policy briefs provided in the Learning Resources (See attached file).
Select one of the recommendations within the IOM The Future of Nursing: Leading Change, Advancing Health: Report Recommendations to focus on for this assignment. (For this assignment, I have selected RECOMMENDATION 1, please see attached file)
Research the history of the problem behind the recommendation and what has been done to try to solve the problem.
What does the recommendation say should be done? Are there any groups, nursing and others, currently supporting work to implement the recommendation (e.g., Kaiser Family Foundation, professional organizations)? Does the recommendation suggest specific groups that should be involved in the implementation? Think critically about how the recommendation should be implemented – did the IOM get it right? What other strategies are possible to consider?
By Sunday 04/15/2018 12pm,
To complete:
Develop a scholarly and professionally written 2- to 3-page single-spaced policy brief on the recommendation you selected from the IOM report following the format presented in the Lavis et al. article (follow the exact format, including how the layout of the paragraphs, and the way the references [at least 10 scholarly references] are displayed at the end, numbered in-text and number plus citation at the end, copy the same exact format as the article please). (See attached file for the article). Include the following:
Short introduction with statement of the problem.
The selected recommendation (from the IOM Report)
Background
Current characteristics
The impact of the recommendation from the perspective of consumers, nurses, other health professionals, and additional stakeholders
Current solutions
Current status in the health policy arena
Final conclusions
Resources used to create the policy brief
Required Readings
Hyder, A., Syed, S., Puvanachandra, P., Bloom, G., Sundaram, S., Mahmood, S., … Peters, D. (2010). Stakeholder analysis for health research: case studies from low- and middle-income countries. Public Health, 124(3), 159–166.
This study demonstrates how the engagement of stakeholders in research and policy making can assist in the successful implementation of policy proposals. The authors propose that by engaging stakeholders, researchers and policy makers are provided with multiple perspectives on proposed policies, which can lead to greater success with policy adoption and implementation.
Lavis, J. N., Permanand, G., Oxman, A. D., Lewin, S., & Fretheim, A. (2009). SUPPORT Tools for evidence-informed health Policymaking (STP) 13: Preparing and using policy briefs to support evidence-informed policymaking. Health Research Policy & Systems, 71–79. doi: 10.1186/1478-4505-7-S1-S13
The purpose of a policy brief is to communicate an issue clearly and definitively to policy makers. The authors of this article propose an outline for policy briefs and also stress the importance of using research when creating a policy brief.
Lowery, B. (2009). Obesity, bariatric nursing, and the policy process: The connecting points for patient advocacy. Bariatric Nursing & Surgical Patient Care, 4(2), 133–138.
This article provides an example of nurse involvement in policy making by examining a bariatric nursing issue. The author stresses that nurses, in their patient-advocacy role, have a responsibility to be involved in the health care policy process.
Moore, K. (2006). How can basic research on children and families be useful for the policy process? Merrill-Palmer Quarterly, 52(2), 365–375.
Institute of Medicine. (2010). The future of nursing: Leading change, advancing health: Report recommendations. Retrieved from http://www.nationalacademies.org/hmd/~/media/Files/Report%20Files/2010/The-Future-of-Nursing/Future%20of%20Nursing%202010%20Recommendations.pdf
Introduced in Week 2, this IOM report highlights four key recommendations in its proposal for the future directions of the nursing profession. These recommendations focus on nursing practice, education and training, partnerships with other healthcare professionals, and workforce planning and policymaking.
National Center for Policy Analysis (2010). Ideas changing the world: Free-market health care policy. Retrieved from http://www.ncpa.org/healthcare/
The NCPA is a nonprofit, nonpartisan organization that promotes private sector solutions to public policy issues (See attached file and choose recommendation 1).
Slack, B. (2011). The policy Process. Retrieved from http://people.hofstra.edu/geotrans/eng/methods/ch9c2en.html
The author presents a policy-making framework and provides details on the four steps of that process: problem definition, policy objectives and options, policy implementation, and policy evaluation and maintenance.
Required Media
Laureate Education, Inc. (Executive Producer). (2011). Healthcare policy and advocacy: Agenda setting and the policy process. Baltimore: Author.
Note: The approximate length of this media piece is 17 minutes.
Dr. Kathleen White and Dr. Joan Stanley share their insights into agenda setting and how issues are moved forward into the policy process.
Optional Resources
Barnes, M., Hanson, C., Novilla, L., Meacham, A., McIntyre, E., & Erickson, B. (2008). Analysis of media agenda setting during and after Hurricane Katrina: Implications for emergency preparedness, disaster response, and disaster policy.
American Journal of Public Health, 98(4), 604–610.
Jennings, C. (2002). The power of the policy brief. Policy, Politics & Nursing Practice, 3(3), 261–263. doi: 10.1177/152715440200300310
Neumann, P. J., Palmer, J. A., Daniels, N., Quigley, K., Gold, M. R., & Chao, S. (2008). A strategic plan for integrating cost-effectiveness analysis into the US health care system. American Journal of Managed Care, 14(4), 185-188.
Plan, Policy, Procedure Relationship Diagram. (n.d.). Retrieved from http://www.informationsecurityintel.com/docs/Fig.%204.3.pdf
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a. Develop an assessment and selection plan that does not exceed the remaining $4,000 budget
b. Justify your proposed selection system in your report
Note: you will not be completing c. and d. of this chapter
Chapter 10
a. Improve internal promotion practices.
b. Recommend ways to identify and develop sales associates who have the potential to
become department managers.
Chapter 11
11.Submit information along with the rationale for hiring your choices.
12.Explain what additional information you would like to have had before making a hiring
decision.
1.Write a job offer letter to the top candidate of your two selections.
2.Calculate the ROI or net return of your staffing investment for the two people you
selected. Interpret the ROI or net return.
Chapter 12
a Write a report recommending appropriate onboarding and socialization strategies,
and explain why you are making each recommendation.
b Develop a retention plan for the company’s top performers.
c. Identify a downsizing strategy to reduce the number of sales associates by 15 percent
Note: chapter 12a, instructs you to write a report. As for the length, as long as you can fully respond and support your suggestion it can be 3/4 page single spaced and no more than 1.5 pages single spaced. Report instructions problems
Sample Solution
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As a registered nurse, you have the power to influence change in patient outcomes. An important aspect of influencing change is identifying areas that need improvement. This is done primarily through measurement of data. There are several different measures to gather data within organizations as well as on a national scale. Some of these measurements include core measures, standards, best practices, evidence-based practices, and the National Database of Nursing Quality Indicators (NDNQI). These support mechanisms have also been discussed as a means for helping nurses to deliver quality care and improve patient safety. Each measurement essentially focuses on providing care that is safe, effective, patient-centered, timely, efficient, and equitable.
Although there are several different measurements, NDNQI data is used in the process of attaining Magnet Recognition. Magnet Recognition is the highest honor a health care organization can receive for nursing excellence and high-quality patient care. The nurse-specific measures presented in the NDNQI help inform nursing staffs and their organizations of areas where nursing practices can be improved and where nursing practice efforts are producing positive clinical outcomes. Nurses must be directly involved in developing and implementing action plans based on the data presented by the NDNQI.
This week, you will explore the importance of nurse empowerment in effecting change and how action plans are created based on the results of the NDNQI as presented on a dashboard. You will also consider how nurses advocate for patients’ rights, even when that means supporting a patient whose personal choices may have negative health outcomes.
Learning Objectives
Students will:
Evaluate strategies to empower both the nurse and the patient to improve quality of care
Analyze the use of National Database of Nursing Quality Indictors for nurse empowerment in practice
Analyze nurse empowerment in relation to use of quality improvement data for practice
Analyze practice experiences for patient or nurse empowerment
Analyze quality improvement dashboards for nursing plans
Note: The Assignment related to these Learning Objectives is introduced this week and submitted in Week 5.
Photo Credit: [Eva Katalin Kondoros]/[iStock / Getty Images Plus]/Getty Images
Learning Resources
Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.
Required Readings
Brown, D. S., Aydin, C. E., & Donaldson, N. (2008). Quartile dashboards: Translating large data sets into performance improvement priorities. Journal of Healthcare Quality, 30(6), 18–30. doi: 10.1111/j.1945-1474.2008.tb01166.x
Note: You will access this article from the Walden Library databases.
Typically, references should be within five to seven years of publication. However, this publication is considered a classical research reference pertaining to quality improvement and the use of data sets.
Cole, C., Wellard, S., & Mummery, J. (2014). Problematising autonomy and advocacy in nursing. Nursing Ethics, 21(5), 576–582. doi: 10.1177/0969733013511362
Note: You will access this article from the Walden Library databases.
Garrard, L., Boyle, D. K., Simon, M., Dunton, N., & Gajewski, B. (2016). Reliability and validity of the NDNQI® injury falls measure. Western Journal of Nursing Research, 38(1), 111–128. doi: 10.1177/019394591454281
Note: You will access this article from the Walden Library databases.
Giancarlo, C., Comparcini, D., & Simonetti, V. (2014). Workplace empowerment and nurses’ job satisfaction: A systematic literature review. Journal of Nursing Management, 22(7), 855–871. doi: 10.1111/jonm.12028
Note: You will access this article from the Walden Library databases.
Guglielmi, C. L., Stratton, M., Healy, G. B., Shapiro, D., Duffy, W. J., Dean, B. L., & Groah, L. K. (2014). The growing role of patient engagement: Relationship-based care in a changing health care system. AORN, 99(4), 517–528. doi: 10.1016/j.aorn.2014.02.007
Note: You will access this article from the Walden Library databases.
Rock, M. J., & Hoebeke, R. (2014). Informed consent: Whose duty to inform? MEDSURG Nursing, 23(3), 189–194. Retrieved from http://web.b.ebscohost.com.ezp.waldenulibrary.org/ehost/pdfviewer/pdfviewer?vid=9&sid=273f009b-d8f5-4cd8-8f01-0973c944bcf7%40sessionmgr104&hid=107
Note: You will access this article from the Walden Library databases.
American Hospital Association. (2003). The patient care partnership: Understanding expectations, rights and responsibilities. Retrieved from http://www.aha.org/content/00-10/pcp_english_030730.pdf
Read through this document created by the American Hospital Association. This document was created for inpatient hospital stays. However, it is applicable to other practice settings as well.
Montalvo, I. (2007). The national database of nursing quality indicators. The Online Journal of Issues in Nursing,12(3). Retrieved from http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Volume122007/No3Sept07/NursingQualityIndicators.html
Institute for Healthcare Improvement. (2016). Retrieved from http://www.ihi.org/Pages/default.aspx
The IHI offers numerous resources for improving nursing practice and patient care. Explore a variety of topics and examine some of the resources available.
National Quality Forum. (2016b). Retrieved from http://www.qualityforum.org/Home.aspx
The National Quality Forum (NQF) strives to improve patient safety and reduce medical errors. Explore the NQF’s endorsed standards and consider how they apply to nursing practice.
Document: Dashboard Directions (Word document)
Document: Sample Dashboard (Excel spreadsheet)
Required Media
Laureate Education. (Producer). (2009a). Topics in clinical nursing: Accountability and nursing practice [Video file]. Baltimore, MD: Author.
Note: The approximate length of this media piece is 15 minutes.
Discussion: Nurse/Patient Empowerment
As a nurse, you are the individual who has the ability to empower patients in the decision-making process pertaining to their health care. In addition, you are in a unique position to empower your nursing colleagues to improve job satisfaction and use performance indicator data from dashboards to effect social change.
In this week’s Learning Resources, you examined both the National Database of Nursing Quality Indicators (NDNQI) and the key role nurses play as advocates for patient rights. To assist nurses in being better prepared for this role, programs such as Patient Care Partnership provide guidance.
For this Discussion, you will analyze the use of quality improvement data and discuss how this data can help empower both patients and nurses. Review the Patient Care Partnership information presented in this week’s Learning Resources. In addition, reflect on the media presentation and the information shared by Ms. Manna on patients’ rights.
By Day 3
Respond to the following:
What are the best strategies the nurse can employ to empower patients and support patients’ rights to improve quality of care? (Some considerations to keep in mind may include: providing information on effectiveness, risks, and benefits of alternative treatments.)
In what ways can NDNQI data from dashboards or quality improvement data be used to support nurse empowerment in practice?
How has your institution empowered the nursing staff through the use of quality improvement data?
Provide an example of how you have personally empowered either a patient or a fellow nurse.
Support your response with references from the professional nursing literature.
Note Initial Post: A 3-paragraph (at least 250–350 words) response. Be sure to use evidence from the readings and include in-text citations. Utilize essay-level writing practice and skills, including the use of transitional material and organizational frames. Avoid quotes; paraphrase to incorporate evidence into your own writing. A reference list is required. Use the most current evidence (usually ≤ 5 years old).
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