If I provide a lecture or essay associated with a topic or assignment, I like to discuss nuances or angles not apparent in the reading materials. You probably know that in the real world things are almost always more complicated than in a book or in school. What you may not realize is that what you know about the real world is not nearly as complicated as it really is. In providing insights about the complexities of things I am not trying to wow you or bury you trivia. I am trying to prepare you for when things are not, or do not work out, as expected. My favorite Yogi Berra quote is in theory, theory and practice are the same, in practice they are not.
Teams
The word team is overused, i.e., saying something is a team doesn’t make it so. A work gang may or may not be a team. A mere collection of persons does not make a team any more than a collection of coins makes a team. A team implies a certain level of necessary interpersonal cooperation and interaction. Sports teams provide very good examples. Note that the players on a basketball team have different talents and roles and all those roles are needed. A team of five centers is not a very good team. The coaches, locker room attendants, etc. associated with a team are really not part of the playing team; they are support (and may or may not be a support team). Five workers stripping shingles of a house are not a team if they are all doing the same job (or if adding or subtracting a couple of workers doesn’t alter what the other workers do). Neither a mere aggregate of rocks nor people are a team. Roles within a team can be repeated but if there are not identifiable roles, there is no team. To be a team, there must be a certain amount of team member autonomy. If you are playing with dolls or toy soldiers, those toys are not a team. If employees only do what they are told, when they are told, how they are told, they are probably not a team. Even when there are various roles and individuals have some autonomy and fulfilling their roles, there is not team without a certain level of shared purpose and action. A team is like a system. Think of the human circulatory system. The heart, lungs (two team members with the same role), and other parts work in concert. The members of the basketball team cannot merely have their individual roles and make individual decisions. Lastly, turn work or piece work is not team work. Let’s assume student A does this bit of a project and student B does that bit of a project, then student C puts the bits together, then student D presents the bits in class. That is not team work.
Training
For the most part, training and education are interchangeable. People make differences between training and education based on the purpose, who is getting trained/educated, and other factors. Usually, training is said to be more specific and of immediate use. Whereas, education has a lifelong focus is applicable to many situations. I think that these are spurious distinctions. For training or education, there is going to be some mix of generalizable theory (that will pretty much stay the same throughout your life and be applicable to different situations) and specific tools (techniques, behaviors) that can be use immediately for a specific task.
Basic problem solving describes the major steps of training. These steps can be stated in dozens of flowcharted nodes or in as little as three.
1. Decide what training needs to be done. This implies some sort of needs assessment and problem statement to identify the gap between what the person knows (or can do, etc.) and what they should know.
2. Deliver the training. This includes designing the training and all the steps of delivering it.
3. Evaluate the training to see if it closed the problem gap, i.e., the person now knows what they need to, can do what they need to.
Kirkpatrick’s Model focuses on the evaluation and includes the following.
· Reaction. The trainee’s change in the affective domain, i.e., their attitude and perceptions.
· Learning. The trainee’s change in cognitive domain, i.e., their knowledge.
· Behavior. The trainee’s change in psychomotor domain, i.e., their behavior.
· Results. The change in organizational output. For me, this is the most important. If the person changed a lot (in a good way, as intended) but the origination didn’t change (quality, efficiency, safety, whatever), the training was a waste of organization resources.
Note that without change, no learning took place. Training/teaching (as an activity by a trainer) may have taken place, but no one was trained/learned. Working backwards, what change was needed? #1 above; the identified problem gap. To not first specify the problem that training hopefully can cure is like deciding everyone needs insulin injections without a diagnosis. All too often, managers jump to the medication (the training) conclusion without a proper diagnosis. Often they are talked into the training by someone selling it (or by peer pressure, or conventional wisdom, e.g., everyone else is doing it). Like any project and plan, there needs to be a problem statement, rationale, needs analysis, cost-benefit analysis, etc. for the training. Then the training needs delivered. If you do not evaluate the results of the training, you cannot know if problem was solved. In case you thought of it, yes, as a problem solving process, training can follow the DMAIC steps.
Initial Post
See the general assignment instructions for information about the quality and quantity expectations and evaluation criteria.
III. Teams and training.
a. Describe a real-life team scenario related to quality. Describe the type of team it was, its purpose, and the team roles. Describe the functioning of the team, the results, and how the functioning and/or results might have been improved.
b. Summarize the Kirkpatrick Model.
c. Identify a real training need related to quality (remember the industrial-technical focus if you can) and outline the training plan to meet that need.
Do not copy anything from the internet or any other source to complete the assignment. Use information from your life and experiences.
If you have never personally been on a team that had something to do with quality you can use a team that you were not personally on but knew about. Note that the team might have had something to do with quality, e.g., a basketball team, but not focused only on quality. Note that the group might not have been labeled a team.
Similar to the preceding paragraph, the training need must be something you have witnessed and experienced. You might or might not be someone who needs the training, e.g., you might have received or witnessed poor service that could be corrected with training.
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Using The Payback Method, IRR, And NPV For Math
Purpose of Assignment
The purpose of this assignment is to allow the student to calculate the project cash flow using net present value (NPV), internal rate of return (IRR), and the payback methods.
Assignment Steps
Resources: Corporate Finance
Create a 350-word memo to management including the following:
- Describe the use of internal rate of return (IRR), net present value (NPV), and the payback method in evaluating project cash flows.
- Describe the advantages and disadvantages of each method.
Calculate the following time value of money problems:
- If you want to accumulate $500,000 in 20 years, how much do you need to deposit today that pays an interest rate of 15%?
- What is the future value if you plan to invest $200,000 for 5 years and the interest rate is 5%?
- What is the interest rate for an initial investment of $100,000 to grow to $300,000 in 10 years?
- If your company purchases an annuity that will pay $50,000/year for 10 years at a 11% discount rate, what is the value of the annuity on the purchase date if the first annuity payment is made on the date of purchase?
- What is the rate of return required to accumulate $400,000 if you invest $10,000 per year for 20 years. Assume all payments are made at the end of the period.
Calculate the project cash flow generated for Project A and Project B using the NPV method.
- Which project would you select, and why?
- Which project would you select under the payback method? The discount rate is 10% for both projects.
- Use Microsoft® Excel® to prepare your answer.
- Note that a similar problem is in the textbook in Section 5.1.
Sample Template for Project A and Project B:
Show all work.
Submit the memo and all calcluations.
Assessing Critical Business Indicators In Healthcare
Assessing Critical Business Indicators In Healthcare
In order to be a sound financial manager, you need to know the fiscal intricacies of your organization or department. Decisions about future expenditures should be based on careful calculations of organizational or departmental needs. By using critical business indicators, you can more effectively balance the fiscal realities of your budget with the functional demands of your department. In this Discussion, you examine the use of critical business indicators to assist in financial decision making for a health care department or organization. By Day 1 of this week, your Instructor should assign you a problem from the Zelman, McCue, and Glick online text. If you did not receive an assignment, contact your Instructor.
To prepare: •Review this week’s Learning Resources, focusing on how critical business indicators can be used in financial decision making. •For the problem you were assigned, complete the calculations and then answer the questions included. •Select a different business indicator than you used in your problem. Reflect on how this critical indicator could assist a nurse manager to more effectively balance the demands placed on a department while still meeting budgetary constraints. Find an example. •Assess the ramifications of making a decision without having the types of information these business indicators provide. •If it was imperative for you to make a certain purchase or launch a new initiative, but your break-even point was calculated as higher than the expected revenues, what are your options?
Post your response to the question you were assigned and explain your reasoning. Suggest how nurse managers could use the critical business indicator you selected to both meet the needs of a department or organization and remain within budget. Provide a specific example. Describe potential ramifications of making a financial decision without using business indicators. Specify strategies for addressing a situation where a break-even point is higher than expected revenues.
Required Readings Baker, J. J., Baker, R. W., & Dworkin, N. R. (2018). Health care finance: Basic tools for nonfinancial managers (5th ed.). Burlington, MA: Jones and Bartlett Learning. •Chapter 12, “Financial and Operating Ratios as Performance Measures” (pp. 127-134) Review: This chapter introduces a number of different tools that can be used to measure the performance of an organization. These include liquidity ratios, solvency ratios, and profitability ratios. •Chapter 15, “Using Comparative Data” (pp. 161-173) Review: In this chapter, you are introduced to the criteria for identifying other health care organizations that are comparable to your own. Data from these organizations can then be used to evaluate your own organizational performance. Zelman, W., McCue, M., & Glick, N. (2009). Financial management of health care organizations: An introduction to fundamental tools, concepts, and applications (3rd ed.). Hoboken, NJ: Jossey-Bass. Retrieved from the Walden Library databases. •Chapter 7, “The Investment Decision” (pp. 271–328)
ANA 2018 Quality and Innovation Conference
P4,P5 and P6
For my EBP project I feel that the conference best suited to present this research information would be the ANA 2018 Quality and Innovation Conference happening here in Florida in the city of Orlando in March. “The American Nurses Association (ANA) is the premier organization representing the interests of the nation’s 3.6 million registered nurses. ANA advances the nursing profession by fostering high standards of nursing practice, promoting a safe and ethical work environment, bolstering the health and wellness of nurses, and advocating on health care issues that affect nurses and the public. ANA is at the forefront of improving the quality of health care for all.”(About ANA, n.d.). This would also be the professional journal I would use. ANA is the gold standard of nursing information and is the ideal location to share this EBP research with the massive fellowship of nurses who use this site and journal.
The ANA has such a far reach in this profession for my country and I really feel that this is a perfect venue to share this information with the nurses of this great nation. They serve as an advocate for our profession and are seen as the innovators for the future of nursing.
References
About ANA. (n.d.). Retrieved from http://www.nursingworld.org/FunctionalMenuCategories/AboutANA
Summary of Organization’s Capabilities and Requisite Employee Competencies
| Assignment One: MS PowerPoint Presentation (20%) | |||||||||||||||||||||||||||||||||||
| Instructions | |||||||||||||||||||||||||||||||||||
| Using the SHRM case study (an organization named Reyes) provided, students will apply their knowledge about business and the function of Human Resources. In addition the use of a common business tool, a Strengths, Weaknesses, Opportunities and Threats (SWOT) assessment is used to assess both the HR domains and the role the HR function is performing in the organization. SPECIFICS It is anticipated that the presentation will be approximately seven to ten slides, written in bullet points with additional notes, if needed, included in the notes section of the presentation, and demonstrate good academic writing style. In text citations and references will be presented in APA format and are in addition to the approximately seven to ten slides. At least one scholarly source is to be included on the reference page along with corresponding in text citations in the content of the presentation. Students are to use the UMUC writing center or Owl Purdue online writing center for tutoring on APA format for in text citations and reference lists. 1. Title Page (Title of the paper, Your Name, Course Number, University, Professor’s Name & Date) 2. 3. Introduction and Purpose of the Presentation (what the paper is intended to achieve) DONE 4. 5. Summary of Organization’s Capabilities and Requisite Employee Competencies (what is Reyes in business to do and what competencies or knowledge, skills or abilities are needed of the employees in the entire organization in order to sustain success?) The course module/commentary gives examples of capabilities and competencies. 6. 7. Challenges the Organization Needs to Address (There are many in this study, find at least three that you think are key issues) 8. 9. Summary of the Findings of the SWOT Assessment for the HR function (using the following chart) 10. 11. Summary or Conclusions (Based on the challenges you identified and the SWOT, what are your findings? Go back to your purpose statement for the paper and reiterate what you have achieved) 12. I only want to see short bullet points. I do not want to see whole sentences on the slides. Your explanation of your short bullet points goes into the notes section of the slide. Each slide needs to have notes explaining what the slide is all about. USE THE SUMMARIES IN THE INSTRUCTIONS TO LABEL THE SLIDES, YOU NEED TO FOLLOW THE INSTRUCTIONS SWOT Assessment
|
EBP as a good practice
Deactivated
Kelie Hein
2 posts
Re:Topic 10 DQ 2
Simply stated, EBP is an essential part of the BSN-prepared nurse because EBP is best practice, and it ensures the most positive outcomes for patients. Nurses are leaders, and as education level increases, credibility and responsibility also increase. Each degree obtained causes people to look at the nurse as more of a leader, and leads patients to have more trust. The ANA agrees with those concepts, calling all nurses to further their education, and posits that EBP improves “care processes and patient outcomes” (Stevens, 2013, para. 3).
The first way I will integrate and encourage EBP is to continue to learn. As I increase my knowledge regarding EBP, I will be more prepared to utilize it. I will attend conferences and read the journals I subsribe to in order to stay abreast of new technology and advnaces, and the most current evidence. The other way I will integrate and encourage EBP is to set the example. We often get nursing students on our unit, and I will guide them in utilizing EBP, and encourage their spirit of inquiry. I will also be involved on my unit, presenting knowledge as I learn it, and perhaps even being a preceptor. At some point in my nursing career, I would like to be a clinical instructor.
The major obstacles to this plan are time and finances. School is extremely expensive and time-consuming. My facility is Magnet designated and very encouraging of education. I will utilize their tuition reimbursement program to minimize the financial impact. In order to minimize time impact, I will be sure to engage in self-care and balance my work, school, life time. I will also continue to strive and motivate myself based on making myself better, and making my patients’ lives better. I am also blessed to have God’s love and guidance, as well as that of my family.
PROBLEMS OF HYPERTENSION
Details:
Throughout the RN-to-BSN program, students are required to participate in scholarly activities outside of clinical practice or professional practice. Examples of scholarly activities include attending conferences, seminars, journal club, grand rounds, morbidity and mortality meetings, interdisciplinary committees, quality improvement committees, and any other opportunities available at your site, within your community, or nationally.
You are required to post one scholarly activity while you are in the BSN program, which should be documented by the end of this course. In addition to this submission, you are required to be involved and contribute to interdisciplinary initiatives on a regular basis.
Submit, as the assignment, a summary report of the scholarly activity, including who, what, where, when and any relevant take-home points. Include the appropriate program competencies associated with the scholarly activity as well as future professional goals related to this activity.
You may use the “Scholarly Activity Summary” resource to help guide this assignment.
While APA format is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
You are not required to submit this assignment to Turnitin.
infant development Assignment
Assignment 4
Highlight the correct answer, and explain why.
1) The mother of an infant child asks the nurse what the right feeding schedule is for an infant. Of the following responses, which would be the best response for the nurse to make?
| a. | Feed the infant every 2 hours. | c. | Feed the infant every 4 hours |
| b. | Feed the infant every 3 hours | d. | Feed the infant when the infant is hungry. |
2) A concerned parent asks the nurse how much fiber a 4 year old child should have each day. Of the following responses, which best answers the parents question?
| a. | As much as the child will eat. | c. | Fourteen grams per day. |
| b. | Between 9 and 14 grams per day. | d. | Nine grams per day. |
3) A client tells the nurse when discharged from the hospital that the client is going to do whatever is necessary to lose some weight. What is the most appropriate response for the nurse to make?
| a. | Be sure to contact your physician before embarking on a weight reduction plan. | c. | I’ll have the registered dietitian put together a meal plan for you. |
| b. | Good luck with your effort. | d. | Just follow a MyPyramid plan for 1,000 calories less a day than you think you need. |
4) The nurse is caring for a client in long term care who has been prescribed tetracycline. What, if any, dietary issues related to the tetracycline must the nurse be concerned with?
| a. | Dairy products should not be consumed within 2 hours of taking tetracycline. | c. | There are no food-drug interactions associated with tetracycline. |
| b. | The tetracycline should be taken with milk 2 hours before eating. | d. | This patient cannot have any dairy products until the course of antibiotic treatment is complete. |
5) The nurse is completing the initial assessment of a hospitalized client who has arthritis. The client uses aspirin daily for pain relief. The nurse makes a note to look at the patient’s labs when they come in to see if the patient may need supplementation of what nutrient?
| a. | calcium | c. | magnesium |
| b. | iron | d. | vitamin E |
analysis, synthesis and evaluation of nursing theory
Smith, Turkel & Wolf (2013) Chapter 4
Summary: The purpose of the weekly reflective journal exercises is to allow for analysis, synthesis and evaluation of nursing theory using guided questions. Reflection has been referred to as a process that happens internally, privately or in isolation (Hill & Watson, 2011). Also a useful definition of reflection has been referred to as the examination of an issue of concern, as a consequence of experience, creating clarity and meaning in terms of self, and which results in a change of perspective ( Boyd & Fales, 1983).
Directions: Complete the Reflective Journal questions presented in your Smith, Turkel, & Wolf (2013) text as defined in the course outline. Post the responses to the questions in the D2L dropbox.
book: https://books.google.com/books?id=x8jOEKojWRQC&printsec=frontcover&source=gbs_ge_summary_r&cad=0#v=onepage&q&f=false
application of evidence-based practice models as a strategy to improve patient safety and other quality dimensions
This week builds on that foundational awareness with a focus on the application of evidence-based practice models as a strategy to improve patient safety and other quality dimensions. In this Discussion, consider how these strategies can sustain practice changes.
To prepare:
Read: Newhouse, R.P. (2007) Diffusing confusion among evidence-based practice, quality improvement and research. JONA 37,432-535 (see attached pdf)
Read: Mazurek Melynk B., Gallagher-Ford, L., English Long, L., & Fineout-Overholt, E. (2014) The establishment of Evidence-Based practice competencies for practicing registered nurses and advanced practice nurses in real world clinical settings: proficiencies to improve healthcare quality, reliability, patient outcomes, and costs. Worldviews on Evidence-Based Nursing 11(1),5-15. (see attached pdf)
We all agree that research is the highest form of reliable evidence, when implemented in an organization that provides the basis for an evidence based practice. FIND a research study published in a peer reviewed journal related to a clinical practice problem that is of interest to you, and which would ultimately contribute to an evidence based practice.
The discussion assignment:
ANSWER the following discussion questions. Include the research study in your post (attach it to the post and post it in doc sharing). See page 11 #15 in Mazurek Melynk, Gallagher Ford, English Long and Fineout-Overholt. In this assignment, you are being asked to critically appraise a single research study for its relevance to a QI practice problem.
Discussion questions:
1) What was the purpose of the research?
2) Identify the independent and dependent variables in the study.
3) Briefly describe the research design, data collection method(s), and instruments used to measure the variables under study.
4) Briefly summarize study findings, conclusions and recommendations. Do you agree with these?
5) As a DNP prepared nurse, would you recommend a change in nursing practice based on the study? Defend and/or justify your decision based on research evaluation principles. In other words, does the evidence generated by this research article signify a need to change nursing practice? If not, why not; if so, why?
Post by tomorrow Wednesday January 31, 2018 by 10 pm America New/York time
Required Readings
Joshi, M.S., Ransom, E.R., Nash, D.B., & Ransom, S.B., (Eds.). (2014). The Healthcare Quality Book, 3rd ed. Chicago, IL: Health Administration Press.
- Chapter 14: “Leadership for Quality”
- Chapter 16: “Implementing Quality as the Core Organizational Strategy”
Baur, C. (2011). Calling the nation to act: Implementing the national action plan to improve health literacy. Nursing Outlook, 59(2), 63–69.
Note: You will access this article from the Walden Library databases.
This article describes the aspects of the National Action Plan to Improve Health Literacy. It starts by covering the background and objectives of the plan and then moves to its vision and goals.
Ferrara, L. R. (2010). Integrating evidence-based practice with educational theory in clinical practice for nurse practitioners: Bridging the theory practice gap. Research & Theory for Nursing Practice, 24(4), 213–216.
Note: You will access this article from the Walden Library databases.
The author of this article discusses using constructivist theory to teach nurse practitioner students to use evidenced-based practice. She focuses on introducing the student’s theoretical knowledge into real-life practice.
Grant, B., Colello, S., Riehle, M., & Dende, D. (2010). An evaluation of the nursing practice environment and successful change management using the new generation Magnet Model. Journal of Nursing Management, 18(3), 326–331. doi:10.1111/j.1365-2834.2010.01076.x
Note: You will access this article from the Walden Library databases.
Health care organizations have implemented the Magnet Model as a way to successfully implement practice change. This article examines the aspects of this process.
Lavoie-Tremblay, M., Bonin, J.-P., Lesage, A., Farand, L., Lavigne, G. L., & Trudel, J. (2011). Implementation of diagnosis-related mental health problems: Impact on health care providers. Health Care Manager, 30(1), 30(1): 4-14 (50 ref). doi:10.1097/HCM.0b013e3182078a95
Note: You will access this article from the Walden Library databases.
The study within this article analyzes two cases related to the implementation of diagnosis-related mental health programs.
Mark, D. D., Latimer, R. W., & Hardy, M. D. (2010). “Stars” aligned for evidence-based practice: a TriService initiative in the Pacific. Nursing Research, 59(1), S48–S57. doi:10.1097/01.NNR.0000313506.22722.53
Note: You will access this article from the Walden Library databases.
Nurses from a military health care system in Hawaii established ways to use and evaluate evidence-based practices. This article details the process and results of this collaborative effort between the Army, Air Force, and Navy.
Scobbie, L., Dixon, D., & Wyke, S. (2011). Goal setting and action planning in the rehabilitation setting: Development of a theoretically informed practice framework. Clinical Rehabilitation, 25(5), 468–482. doi:10.1177/0269215510389198
Note: You will access this article from the Walden Library databases.
In order to develop a theory-based framework for setting goals, the authors of this article use casual modeling to determine effective patient outcomes. They identify four major components of the framework that can be used to set effective goals.
Optional Resources
Schifalacqua, M. M., Mamula, J., & Mason, A. R. (2011). Return on investment imperative: the cost of care calculator for an evidence-based practice program. Nursing Administration Quarterly, 35(1), 15–20.
