1) a)True or false, Continous labor support has been shown to decrease cesarean rates in laboring women.
b)True or false, the united states has one of the worst maternal and infant mortality rates among developed nations.
c) True or false, Routine Self breast exams that are done with the intention and energy of finding a lump or cancer, have been proven to decrease breast cancer rates with breast biopsies.
what Technologies May Be Used For Waste Minimization In Municipal Solid Waste And Hazardous Waste Management Systems
healthcare reforms
Unit 1 Assignment Instructions
With the changes in healthcare reform, we often forget about how human behavior can influence health informatics in a medical organization.
Review the information in the scenario below, and answer the questions that follow.
A good friend of yours is director of nursing at a 220-bed community hospital. Last year the hospital merged with a much larger medical center. One of the upsides, as well as
One of the challenges, resulting from this change has been the rapid introduction of new computer systems. The goal is to bring the hospital “up to speed” within 3 years.
At present CPOE is being implemented. The general medical and surgical units went live last month. The ICU and pediatrics and obstetrics units are scheduled to go-live next month. The plan is to work out any kinks or problems on the general units and then go-live in the specialty units.
Most of the physicians, nurse practitioners, and physician assistants initially complained but are now becoming more comfortable with the computers and are beginning to integrate the CPOE process into their daily routines. Several physicians are now requesting the ability to enter orders from their offices and others are looking into this option.
However, there are three physicians who have not commented during this process but are clearly resisting. For example, after performing rounds and returning to their offices they called the unit with verbal orders. After being counseled on this behavior they began to write the orders on scraps of paper and put these in the patient’s charts or leave them at the nurses’ station. When they were informed that these were not “legal orders” they began smuggling in order sheets from the non- activated units. In addition, they have been coercing the staff nurses on the units to enter the orders for them. This has taken two forms. Sometimes they sign and then ask the nurses to enter the orders. Other times they ask the nurses to put the orders in verbally and then they confirm the orders. The nurses feel caught between the hospital’s goals and the need to maintain a good working relationship with these physicians.
- How would you use the theories presented in in Chapter 2 in order to diagnosis the problems demonstrated in this case. List your diagnoses and explain your analysis.
- What actions would you recommend to your friend and what reason (theories) would you use as a basis for your recommendations?
- In your response, also discuss how the history and development of health informatics influenced your analysis and recommendations.
Requirements:
- Your paper must be 3–4 pages in length
- Cite sources as needed, using current APA format guidelines
Sexual Reproduction in Unicellular Eukaryotes
Sexual Reproduction in Unicellular Eukaryotes. Watch the instructor’s video about “Sexual Reproduction in Unicellular Eukaryotes”, which is found in the Instructor Insights section for this week. For a single-celled species to be capable of sexual reproduction, the species must have both haploid and diploid forms
Video Link (https://blackboard.strayer.edu/webapps/osv-kaltura-bb_bb60/LtiMashupPlayIframeWrapper?playUrl=/browseandembed/index/media/entryid/1_a2j4sdpd/showDescription/false/showTitle/false/showTags/false/showDuration/false/showOwner/false/showUploadDate/false/playerSize/400×285/playerSkin/31110461/&course_id=_224226_1&content_id=_23868172_1)
- (a) Explain what diploid form of the organism must be capable of doing, for the species to reproduce sexually.
- (b) Explain what haploid form of the organism must be capable of doing, for the species to reproduce sexually.
- Reminder: you don’t need to cite my videos or the papers that the videos are based on, but if you use any other sources, you must cite them.
Topic 3. Apoptosis. Watch the Khan Academy video about apoptosis (“Apoptosis”, n.d.), then address the following issues in your own words:
- (a) What is the difference between apoptosis and necrosis?
- (b) What is the role of apoptosis in normal, healthy development?
- Reminder: you don’t need to cite the Khan Academy video for this topic, but if you use any other sources, you must cite them.
Tumor-suppressor genes versus Proto-oncogenes
Choose one of the following three topics for your primary post. Your primary post should address everything that the instructions call for (for the topic you choose). Your post should also be at least 125 words in length. Additionally, please respond to at least one other discussant on any topic.
Tumor-suppressor genes versus Proto-oncogenes. This is a library-research topic in which you are required to provide your sources. Mutations in tumor suppressor genes can contribute to or cause cancer, just as mutations in proto-oncogenes can also contribute to or cause cancer. However, tumor suppressor genes are very different from proto-oncogenes.
- (a) What is the basic difference between a tumor suppressor gene and a proto-oncogene?
- (b) Explain how mutations in these very different types of genes can cause or contribute to causing cancer.
· Implementing and Evaluating the Needs-Based Action Learning of Program Planning
Unit 8
· Implementing and Evaluating the Needs-Based Action Learning of Program Planning
Introduction
The hallmark of public needs assessment and planning processes is not only intended to bridge the gaps in needs-based issues, but also to determine the action planning framework that can be implemented to bring about positive systems changes. The needs-based action learning mechanism for program planning and implementation framework can thus be conceived as a barometer for the management of change (MOC) in keeping with core organizational learning capabilities, performance evaluation, program or project intervention, assets and capacity building, and social transformation. Also, designing the needs-based action learning model for program planning and implementation framework can impact many aspects of the public sector, its citizenry, governments, regulations, systems, practices, and processes.
Furthermore, such action learning of program planning model and implementation framework can aid in carrying out the process objectives of a program’s strategic planning activities. Crucial to the program implementation process is the monitoring of how the program activities can bring about the positive systems changes. For this, it is imperative that a suitable model for the action learning process that can aid program planning and an implementation framework be identified and utilized in the facilitation of the needs-based performance evaluation and MOC processes.
Among several models of the action learning and action research mechanisms for the facilitation of the program planning and implementation framework are the action-oriented models such as Canadian Institutes of Health Research’s (2000) knowledge-to-action (KTA) intervention framework, Kemmis & McTaggart’s (1987) plan, act, observe, and reflect (PAOR) four-stage cycle, Stringer’s (1999) look, think, & act (LTA) cycle.
Using the KTA intervention framework, for example, it can be argued that the linkages between needs-based action learning tool for program or project planning, implementation, monitoring, and evaluation processes can be underpinned by the knowledge translation (KT) theory on the basis of its KTA intervention framework. In this case, within the KTA intervention framework, at the knowledge creation phase could be the needs-based action learning of program or project planning stage. On the second phase, the action cycle stage could be the action-oriented activities that undergird the implementation, monitoring, and evaluation processes.
Action planning is like drawing a map—you know what the destination is that you would like to reach, you know where you are right now, and you need to figure out how to get from point A to point B. Action planning to implement the needs assessment is similar. Point A, where you are today, is based on your current assessment of the situation and the problems. Once you have identified the scope and depth of the problems, you use data (maps) to identify needs and then prioritize them. You know who these needs will impact based on your data. You now have point B.
However, drawing the map may not always be easy. At each level—the individual, organization (such as a business or government department), and society (the whole)—we respond to stimuli for change differently. Couple this with motivators that change with each age generation and evolving corporate cultures, and you have some challenging but tempting scenarios to tackle! In this unit, models and frameworks of needs-based action learning and program planning, including implementation, monitoring, and performance evaluation processes that can aid MOC, as well as methods to document the resulting action learning change management plan are presented.
Objectives
To successfully complete this learning unit, you will be expected to:
1. Explore the action planning framework that can be implemented to bring about positive systems changes.
2. Explore several models of action learning and action-oriented research mechanisms such as knowledge-to-action intervention models for the facilitation of program planning and implementation framework.
3. Assess methods of performance evaluation, monitoring of program activities, and outcomes measurement for public needs assessments.
4. Apply change management strategies at the individual, systems, organizational and societal levels, and service delivery practices and processes for public projects.
5. Apply validated action learning of program planning models and needs assessment processes to ensure public participation in government decision on a needs assessment project.
6. Explore ways that needs-based action learning model for program planning and action planning can reflect public values and public input into stakeholders and government decision-making processes.
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Readings
Note: Be certain to read the unit introduction, as it may contain important information and references pertaining to this unit’s content and activities.
Use your Bridging the Gap Between Asset/Capacity Building and Needs Assessment text to read Chapter 6, “A Checklist for the Hybrid Framework,” pages 135–154.
Use your Designing and Managing Programs text to complete the following:
. Read Chapter 10, “Performance Measurement, Monitoring, and Program Evaluation,” pages 191–202
. Read Chapter 13, “Developing Line-Item, Functional, and Program Budgeting Systems,” pages 229–249.
Use your ABC of Action Learning library e-book to complete the following:
. Read Chapter 5, “The Philosophy of Action Learning,” pages 63–76.
. Read Chapter 6, “What Action Learning Is Not,” pages 77–93
. Read Chapter 7, “Some Experiences of Launching Action Learning,” pages 95–109
. Read Chapter 8, “The Enterprise As a Learning System,” pages 111–120
Use the Capella library to complete the following:
. Read Crossan, Lane, and White’s 1999 article, “An Organizational Learning Framework: From Intuition to Institution,” from The Academy of Management Review, volume 24, issue 3, pages 522–537.
. Read Field, Booth, Ilott, and Gerrish’s 2014 article, “Using the Knowledge to Action Framework in Practice: A Citation Analysis and Systematic Review,” from Implementation Science, volume 9, page 172.
. Read Koch, Mann, Kralik, and van Loon’s 2005 article, “Reflection: Look, Think and Act Cycles in Participatory Action Research,” from Journal of Research in Nursing, volume 10, issue 3, pages 261–278.
. Read Law and Chuah’s 2004 article, “Project-Based Action Learning As Learning Approach in Learning Organisation: The Theory and Framework,” from Team Performance Management, volume 10, issue 7, pages 178–186.
. Read Sibley and Salbach’s 2015 article, “Applying Knowledge Translation Theory to Physical Therapy Research and Practice in Balance and Gait Assessment: Case Report,” from Physical Therapy, volume 95, issue 4, pages 579–587.
. Read Small’s 1995 article, “Action-Oriented Research: Models and Methods,” from Journal of Marriage and the Family, volume 57, issue 4, page 941.
. Read Vo-Tran’s 2011 article, “Adding Action to the Information Audit,” from Electronic Journal of Information Systems Evaluation, volume 14, issue 2, pages 271–281.
. Read Worthington, Miller, and Talley’s 2011 article, “Action-Oriented Research: A Primer and Examples,” from the Journal of Psychology and Theology, volume 39, issue 3, pages 211–221.
Multimedia
Change happens, and in a public needs assessment implementation, change needs to be managed effectively for it to result in the outcome that the NAC envisioned.
Click Change Mapping Strategies to learn about a visual method that might work for your projects.
Article Search
In preparation for the discussion in this unit, locate at least three articles from peer-reviewed sources on change management as it pertains to individual, organizational, and societal changes at the intersection of government and the community. As examples, government wants to change public’s behavior related to smoking cigarettes or businesses’ behaviors of polluting the environment. In the unit discussion, you will define some individual, organizational, and societal strategies for the project you are planning for this course. You can use the Databases A–Z library guide for searching the articles.
Unit 8 Study 2
Assignment – Preparation
In preparation for your assignment in this Unit 9, locate additional peer-reviewed articles that can support your public needs assessment project. Remember that you have already located some of the peer-reviewed articles in the previous units. Because this final assignment requires a minimum of 20 peer-reviewed sources, you should just locate the remaining sources for inclusion in the final paper. You can use the Databases A–Z library guide for searching the articles.
Also, review the Unit 9 assignment description and scoring guide to understand the requirements and grading criteria for this assignment.
Resources
U8
You have been planning your needs assessment project for quite a few weeks now, and you undoubtedly have some idea of how you believe the problem you selected will be solved. Based on the course texts and on the articles you located in this unit’s studies, analyze the differences and similarities in making the MOC plan happen from the perspectives of the individual, organization, and society.
What role could the public sector, its citizenry, governments, regulations, systems, practices, and processes play in planning for the change management based on the needs-based action learning model for program planning, as well as type of decision made and who it may affect? What does this mean for public sector solutions to society’s problems, either the big ones or the small? In your post, consider how KTA intervention framework or perhaps another suitable framework can be used in the facilitation of your needs-based action learning of program or project planning, implementation, monitoring, and performance evaluation processes.
Reflecting on your public needs assessment project, what modification should be made to your MOC plan? Remember that you will need to specify the needs-based action learning model for program planning and action intended to be taken, the purpose of that action including who or what it is meant to change, the time frame in which it needs to occur, materials and directions, and the areas where it applies in your project. You will later incorporate this into your final assignment in the course, so paying attention to the feedback you receive from your instructor and peers will be important in making the final revision for submission in the next unit.
Response Guidelines
Compare your perspective to that of at least one peer. Whether you agree or disagree, why do you think each of you carry own perspectives? Also, analyze and provide advice on the suggested modification to be made on the MOC plan of at least one peer. Be substantive and constructive in your feedback so that he or she can further improve planning for his or her project.
Screen 1
When any project starts, the end goal may seem lofty and far off. Planning and effective communication of the plan can help aid the process run smoothly.
Screen 2
Success maps allow the Needs Assessment Committee (NAC) a clear picture of the overall project goals and processes. An effective success map balances detail with brevity: allowing stakeholders to glance at the document and gain perspective on each project component and its greater part in the initiative, without becoming distracted by too many details. In order to communicate effectively, you need to keep your plan concise, and highlight all major events that are necessary to success.
Screen 3
Below is a success map which outlines the process of a Performance Management System. Notice that while it is similar to a mind map, a success map flows in a linear fashion. Highlighted are the major milestones which must be completed in order for the project to be successful.
Screen 4
Notice, the success map is linear, so it is necessary to complete one milestone before moving to the next. Also notice that milestones may be running concurrently and completion of two (while still linear) may be necessary for completion of the next goal.
Screen 5
When creating a success map, keep in mind the important steps that are essential to successful completion. A good guide to remember is to keep the success map to one page. This ensures ease of use and allows for it to be a quick reference to the NAC.
Performance Management System Success Map
Credits
Subject Matter Expert:
Yvonne Kochanowski
Interactive Design:
Mark Bune
Instructional Designer:
Brian Powers
Project Manager:
Kristin Staab
DISCUSSION
Imagine you are an investigative reporter and your first assignment is to summarize data from a recently published journal or article concerning Public Health available via the Internet. Please share a link to the article and discuss the type of data that was collected, the type of study that was conducted, and any follow up studies you feel would be beneficial. (1 PAGE)
ethical competencies
RESPOND TO EACH DISCUSSION POST IN YOUR OWN WORDS & STATE WHETHER OR NOT YOU AGREE WITH THEM AND WHY
APA FORMAT FOR EACH POST
WORD COUNT IS YOUR DISCRETION (MINIMUM 100 WORDS FOR EACH)
NO REFERENCES USE YOUR OWN WORDS!!!
1. I think there are different ethical competencies that I could employ when trying to establish a genuine and ethical relationship with Ms. Mason. There are 13 competencies that are introduced in the text and are divided into three different categories. The categories are moral integrity, communication, and concern. (Butts & Rich, 2016, p. 81-82).
Moral integrity is a very important aspect of nursing ethics. When speaking with Ms. Mason I would be honest and use my own judgement on what is right and wrong to say to her. If I was pro choice or pro life in this scenario it would be unethical to persuade Ms. Mason to what I believe, or not inform her of other possible options. An aspect of moral integrity is truth telling, “…nurses should not intentionally deceive or mislead patients.” (Butts & Rich, 2016, p. 115). This shows that even if my own personal values are different, I should not deceive the patient in any way.
Next, I would employ ethical communication skills that will benefit Ms. Mason as well as her family. Mindfulness is a large part of communication between nurses and their patients, it involves being present, engaged, and attentive to what is going on (Butts & Rich, 2016, p. 93). If I was mindless while the physician explained the options to Ms. Mason I would not be able to accurately judge how Ms. Mason is feeling about the options and I would also not be an effective listener. Effective listening means that me and Ms. Mason would talk about the options and I would use nonverbal cues, such as nodding, to let her know that I am listening and absorbing the information. Effective listening is very important in this relationship because it would allow me to really tone in and focus on what Ms. Mason is saying and trying to convey, and then responding with a clarification of her intentions or repeating it in my own words. I think this also lets Ms. Mason know that I do care and am listening and want to give the best support that I can and the way I communicate can show a lot by this. Personally, I think communication is one of the most important aspect in creating this relationship with Ms. Mason.
Last, I would also act and show concern for Ms. Mason which can provide a safe feeling. Advocating for Ms. Mason and her interests is a very important aspect of the care she is receiving. Protecting her autonomy can show Ms. Mason my care as well.
Sources
Butts, J. B., & Rich, K. L. (2016). Nursing Ethics: Across the Curriculum and Into Practice (Fourth ed.). Burlington, MA: Jones & Bartlett Learning
2. The Masons are in the process of what is one of the most important decisions they will ever make. That being said, as a nurse I would exercise the ethical competencies of truthfulness and truthtelling as well as communication through effective listening. There is no right or wrong way to process all the information the Masons have been given and they are looking to me as a nurse to help them through this decision making process by giving them all the necessary information.
Truthtelling is so important as a nurse. Your patients come to you at their most vulnerable state for guidance. “Nurses are usually ethically obligated to tell the truth and are noT intentionally to deceive or mislead patients” (Butts & Rich, 2016, pg. 85). It is important for me to be truthful with Ms. Mason through her decision making process. If I were to deceive her it could lead to the wrong decision for her and her unborn child.
Also, in this situation communication is very important. A good way for good communication is through effective listening. Ms. Mason is going to have questions, concerns, etc. and it is up to me to listen to these things effectively so I can respond appropriately. As a nurse it is up to me to have open communication and listen effectively so when she makes her decision she has no reservations.
References
Butts, J. B., & Rich, K. L. (2016). Nursing ethics: across the curriculum and into practice. Burlington, MA: Jones & Bartlett Learning
**FOR THE TWO POST BELOW STATE WHETHER OR NOT YOU AGREE WITH THEM AND WHY? **
1. DH has been having problems with bleeding. It has been difficult to get the bleeding to stop once it has started. Discuss how AML could affect the formation of and numbers of platelets circulating in DH’s blood. (Hint: Discuss how platelets are associated with the myeloid cell line.)
Platelets are components of the blood which are responsible for normal blood clotting and assist in the repair of damaged blood vessels. Platelets begin as hematopoietic stem cells and derive from the myeloid cell line, megakaryoblasts, in the bone marrow. DH has been having problems with abnormal bleeding and difficulties of stopping it. This indicates that the number of platelets circulating in DH’s blood is slow. The reason for such a low blood platelet count is an Acute Myeloid Leukemia (AML). Since AML is caused by damage to the DNA of the myeloid line of blood cells, abnormal cells are being produced and built up in the bone marrow. This interferes with the production and formation of normal blood cells and platelets.
2. Who could safely receive transfusions from DH’s donated blood (A+)? What blood types should absolutely not receive transfusions of DH’s blood? Explain your answer.
Erythrocytes commonly referred to as red blood cells contain surface markers or antigens which can be found in blood. If the immune system detects a foreign antigen, it will begin to fight it resulting in death which is why blood typing is important. The only antigens your body will not fight in normal circumatances are the ones found in it own erythrocytes so that the body does not fight against its self. There are 2 possible antigens in blood; A and B. In blood type A, only the A antigen is present. Since the donated blood was A+, this means that only a person with blood type AB+ or A+ can receive the blood.
** READ THE 2 POST BELOW AND GIVE EACH PERSON TIPS ON HOW TO EAT HEALTHIER AND TAKE ON LESS SODIUM***
3. It is very embarrassing to admit that most of the time I live on frozen food. Unfortunately, with the fast pace life I am in right now, I do not have time to cook nor eat out. And as you know, the more processed food, the more sodium content in it. I am tracking my meals today with surprise that my frozen dinner meals, I am able to keep my sodium at 1,735mg today, which is lower than 2000mg per day goal
Breakfast;
Frozen Jamican Beef Patty (570mg sodium)
1 cup of coffee (5mg sodium) with 1 oz whole milk (14mg)
Lunch;
Frozen Shrimp Wonton Ramen with Yu Choy (680mg sodium)
Dinner;
Frozen Kung Pao Chicken (460mg sodium)
3 cups of Strawberries (6mg sodium)
I realize that this is an unhealthy diet choice. I would rather cook my own meals in order to be able to control what nutrients am I getting each meals. If I am to chance, I would cook my own meals. But I will still keep sodium intake around 2000mg per day as it plays important roles in the body.
4. Tracking my sodium intake exactly was a little challenging since I rarely eat out. In order to stay healthy I cook/prepare all my meals and snacks for the ambulance. So for this exercise I waited for a day in which I did eat out. This afternoon I purchased a grain bowl from Cava. I brought it home and mixed it with a bag of chopped mixed greens to make it last 2 meals. I used the nutrition calculator from Cava’s website to determine how much sodium was in my specific order.
Breakfast:
1 cup coffee (5 mg)
1/4 cup whole milk (24.5 mg)
Lunch:
1/2 Cava grain bowl (789 mg)
1 cup mixed greens (16 mg)
Dinner
1/2 Cava grain bowl (789 mg)
1 cup mixed greens (16 mg)
Total Sodium = 1639.5 mg
My sodium intake for today was approximately 80% of my daily limit. This is definitely higher than I’d like! I think on days where I only eat things I’ve cooked myself, my sodium intake is a lot lower. Especially since I actually hate the taste of salt… so I rarely add it to my food. I think sodium is one of those tricky ingredients that can actually be a lot higher in foods you wouldn’t necessarily expect.
DUE ON TIME 2/4/18 10:30 AM AMERICAN/NEW YORK TIME
Man vs. Nature
Man vs. Nature
This week we are discussing Genetically Modified Foods and just like any product available there are pros and cons. This will be a hands-on assignment that will require you visit a grocery store to compare and contrast Genetically Modified and Organic produce. Be sure to select the same type of fruit or vegetable to compare and contrast. You are not required to buy the product!
Note: You may ask a store employee for help to identify which produce is organic and which is a GM (conventional).
Student name:
What fruit or vegetable are you comparing?
| Genetically Modified | Organic | |
| Price | ||
| Availability (quantity) | ||
| Characteristics: · Color · Size · Smell · Weight |
||
| Where was it grown/imported from (country, state, etc.)? | ||
| Where were observations made (farmers market, Walmart, etc.)? |
Short Answer Questions (Minimum of 250 words each)
What are the some of the arguments for labeling GM foods? What are some of the arguments against it? What side do you feel is more valid, why? Provide at least one source per argument (one for and one against) to support your claims.
What are some ethical concerns or benefits of using GMOs based on the Christian Worldview? (Refer to “Here’s What Religious Experts Have to Say About Faith and GMOs” for help answering this question.)
© 2016. Grand Canyon University. All Rights Reserved.
Popular media article
for brilliant answer
Biology Writing assignment 1
Popular media article (from ScienceDaily)
Citation:
Summary:
People would be interested in reading this article because… They would (or would not) be inclined to follow the advice of this article because…
The information in this article was (or was not) presented authoritatively. Specific examples that led me to believe this include…
This article was (or was not) very scientifically rigorous. Specific examples that were included (or excluded) from the article that led me to believe this include…
Peer-Reviewed Scientific Research Article
Citation:
Summary:
I agree (or disagree) with the author’s interpretation of their data and its importance. Specific examples that led me to believe this include…
The conclusions stated by the popular media article do (or do not) match those reached by the scientific article. Specific ways the two articles differ in their conclusions include…
The emphasis presented by the popular article was comparable (or not) to the emphasis presented in the scientific article. Specific ways the two articles differ in their emphasis include…
Based on their treatment of this scientific article, I trust (or do not trust) the scientific legitimacy of this popular media source. Specific examples that made me feel this way include…
