WRITE YOUR OPINION TO THE FOLLOWING ISSUES BELOW ABOUT THE AFFORDABLE CARE ACT.Since the Affordable Care Act was passed in 2010, the U.S. Supreme Court has issued three (3) significant rulings related to the Act, which has caused considerable debate across the country.?

WRITE YOUR OPINION TO THE FOLLOWING ISSUES BELOW ABOUT THE AFFORDABLE CARE ACT.Since the Affordable Care Act was passed in 2010, the U.S. Supreme Court has issued three (3) significant rulings related to the Act, which has caused considerable debate across the country.?

On June 28, 2012 the Supreme Court upheld the individual mandate requiring Americans to buy health insurance or pay a penalty. The court ruled 5-4 that the mandate can stay as part of Congress’s power under a taxing clause. The court said that the government will be allowed to tax people for not having health insurance. “The Affordable Care Act’s requirement that certain individuals pay a financial penalty for not obtaining health insurance may reasonably be characterized as a tax,” Chief Justice John Roberts wrote in the ruling. “Because the Constitution permits such a tax, it is not our role to forbid it, or to pass upon its wisdom or fairness.” On June 24, 2015, the U.S. Supreme Court affirmed the Act by ruling in favor (6-3) of using nationwide tax subsidies on federal exchanges to help buy health insurance.? On June 30, 2014, the U.S. Supreme Court ruled that certain for-profit companies cannot be required to pay for specific types of contraceptives for their employees. The 5- 4 decision was a legal and political setback for a controversial part of President Barack Obama’s healthcare reform law.RESPOND to EACH of these Supreme Court rulings.a) Should the Affordable Care Act be implemented as a tax so everyone is assured of coverage if they become ill or injured? Or is the government “overreaching” to require everyone to pay for a plan–using tax-supported subsidies–even if they do not want insurance coverage?b) Should the Affordable Care Act require for-profit corporations to pay for contraceptives for their employees if the CEO has religious objections? Since this ruling targets women almost exclusively, is that fair to their female employees? Or should a corporate CEO be allowed to decide which benefits should be included in a health care plan if contraception (i.e., IUDs and emergency contraception pills) is not consistent with his/her religious beliefs?


 

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Describe the process of making assumptions. Why is this an important component in market research, particularly as it relates to healthcare marketing?

Describe the process of making assumptions. Why is this an important component in market research, particularly as it relates to healthcare marketing?

300-350 Word discussion post. APA format, sources need. This is an opinion type post. The question is below and the lecture material for this topic is attached.

Question: Describe the process of making assumptions. Why is this an important component in market research, particularly as it relates to healthcare marketing? Provide an example.


 

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Where do you anticipate blockages and what strategies will you employ?outline steps to operationalize this program, detailing timelines , resources needed andA rough budget should be prepared

Where do you anticipate blockages and what strategies will you employ?outline steps to operationalize this program, detailing timelines , resources needed andA rough budget should be prepared

Taking the Magnet Journey

Operationalization of Project

outline steps to operationalize this program, detailing timelines , resources needed andA rough budget should be prepared

I. Introduction
Describe the purpose of the project you wish to initiate or the problem that this change will address?
What are the goals of the project? (Goals should be measurable)
What is the intended outcome of this project in relationship to the institution, the patient/family/community?
How is this project consistent with the role of nursing in today’s society?
*Reference the role of the nurse from the literature 15 Week Two
(plus AARP paper)
II. Research Review
What in the literature supports the overall design and approach of your project? Has this approach been researched before by others? What were their findings?
*Use only evidence based research 18 Week Three
III. Key Stakeholders and Communication Points
Who are the key stakeholders who will need to be engaged in order to get support to move this project?
What are specific persuasive arguments that you would use with each constituency and why?
Where do you anticipate blockages and what strategies will you employ?
* Reference organizational theory, systems theory, change theory 12 Week Four
IV. Operationalization of Project
Outline the steps to operationalize this program, detailing timelines, resources needed, and the communication plan.
*A rough budget should be prepared, but will not be graded – there will be feedback only 20 Week Five
V. Evaluation Parameters
Describe the outcomes that you would want to measure along the way and at the end of the program. Why are these important? How would you use the indicators to adapt

different strategies along the way? 15 WeekSix
VI. Overall written quality, grammar, spelling, and APA
Capstone Peer Review Rubric–to be integrated in these last two weeks 11 Week Seven: Revise & Post Final DRAFT to Class
VII. Use of appropriate references from the literature included in above scores


 

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You are to delineate processes for getting the policy adopted and implemented within that practice setting. Using these “steps” as headings for your paper elaborated on the required items listed here.

Developing a Policy

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1 Objectives
y

PreviousNext
2 Instructions

Final Project Instructions

Directions:
Your assignment is to write a paper on how you would develop a policy (new or revised policy and specify which) to address an issue identified in a practice setting. This writing assignment should adhere to APA style and be between 3-5 pages NOT including the title page and reference list.

You are to delineate processes for getting the policy adopted and implemented within that practice setting. Using these “steps” as headings for your paper elaborated on the required items listed here.

a. Whom is the policy intended for? Identify customers (internal, external). Whom is the policy intended to address?

b. What are the customers’ needs/wants? How will you identify these needs/wants?

c. How will the policy respond to customers’ needs/wants? What does the policy and/or procedure provide for the customer?

d. What processes and/or procedures will be needed to produce results to meet customers’

needs/wants?

e. Who will be responsible for implementing this policy – What actions are needed to

implement this policy? What is your institutions process for policy development and revision?

Consider and include, at a minimum, potential issues related to safety, culture, collaboration, finances, information management, and resource utilization, if applicable, when writing this assignment.

You must follow the steps identified above and support your narrative with evidence from the scholarly nursing literature. Preferably nursing journals, within the last 5 years.

1) Demonstrate the ability to develop a policy as a means of Quality Improvement.

2) Identify the critical components in developing a policy.


 

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What ethical, moral, or legal skills, dispositions, and/or strategies would help you resolve this dilemma?

What ethical, moral, or legal skills, dispositions, and/or strategies would help you resolve this dilemma?

Effective leaders have a high degree of self-awareness and know how to leverage their strengths in the workplace. Assessments are a valuable tool that professionals can use to learn more about themselves and consider how their temperament and preferences influence their interactions with others.

As you engage in this learning process, it is important to remember that everyone—regardless of temperament type or related preferences—experiences some challenges with regard to leadership. The key to success is being able to recognize and leverage your own strengths while honoring differences among your colleagues.

At some point in your leadership career, you will encounter an ethical or moral dilemma that requires you to take a stand and defend your position.

For this Assignment, you evaluate an issue and consider how you could act as a moral agent or advocate, facilitating the resolution of the issue for a positive outcome.

To prepare:

Consider the examples of leadership demonstrated in this week’s media presentation and the other Learning Resources.
To further your self-knowledge, you are required to complete the Kiersey Temperament as indicated in this week’s Learning Resources. Consider your leadership style, including your strengths for leading others and include your results from Kiersey Temperament Sorter to describe potential challenges related to your leadership style.
Mentally survey your work environment, or one with which you are familiar, and identify a timely issue/dilemma that requires you to perform the leadership role of moral agent or advocate to improve a situation (e.g., speaking or acting on behalf of a vulnerable patient, the need for appropriate staffing, a colleague being treated unfairly).
What ethical, moral, or legal skills, dispositions, and/or strategies would help you resolve this dilemma? Define the differences between ethical, moral, and legal leadership.
Finally, consider the values and principles that guide the nursing profession; the organization’s mission, vision, and values; the leadership and management competencies addressed in this course; and your own values and reasons for entering the profession. What motivation do you see for taking a stand on an important issue even when it is difficult to do so?


 

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How-to Create a Definition Essay

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The candidate provides a logical discussion, with substantial detail, of the steps for preparing for the FMEA

Healthcare organizations accredited by the Joint Commission are required to conduct a root cause analysis (RCA) in response to any sentinel event such as the one described below. Once the cause is identified and a plan of action established, it is useful to conduct a failure mode and effects analysis (FMEA) to reduce the likelihood that a process would fail. As a member of the healthcare team in the hospital described in this scenario, you have been selected as a member of the team investigating the incident.

Scenario:

It is 3:30 p.m. on a Thursday and Mr. B, a 67-year-old patient, arrives at the six-room emergency department (ED) of a sixty-bed rural hospital. He has been brought to the hospital by his son and neighbor. At this time, Mr. B is moaning and complaining of severe pain to his (L) leg and hip area. He states he lost his balance and fell after tripping over his dog.

Mr. B was admitted to the triage room where his vital signs were B/P 120/80, HR-88 (regular), T-98.6, R-32, and his weight was recorded at 175 pounds. Mr. B. states that he has no known allergies and no previous falls. He states, “My hip area and leg hurt really bad. I have never had anything like this before.” Patient rates pain at ten out of ten on the numerical verbal pain scale. He appears to be in moderate distress. His (L) leg appears shortened with swelling (edema in the calf), ecchymosis, and limited range of motion (ROM). Mr. B’s leg is stabilized and then he is further evaluated and discharged from triage to the emergency department (ED) patient room. He is admitted by Nurse J. The admitting nurse finds that Mr. B has a history of impaired glucose tolerance and prostate cancer. At Mr. B’s last visit with his primary care physician, laboratory data revealed elevated cholesterol and lipids. Mr. B’s current medications are atorvastatin and oxycodone for chronic back pain. After the nurse completes Mr. B’s assessment, Nurse J informs the ED physician of admission findings and the ED physician proceeds to examine Mr. B.

Staffing on this day consists of two nurses (one RN and one LPN), one secretary, and one emergency department physician. Respiratory therapy is in-house and available as needed. At the time of Mr. B’s arrival, the ED staff is caring for two other patients. One patient is a 43-year-old female complaining of a throbbing headache. The patient rates current pain at four out of ten on numerical verbal pain scale. The patient states that she has a history of migraines. She received treatment, remains stable, and discharge is pending. The second patient is an eight-year-old boy being evaluated for possible appendicitis. Laboratory results are pending for this patient. Both of these patients were examined, evaluated, and cared for by the ED physician and are awaiting further treatment or orders.

After evaluation of Mr. B, Dr. T, the ED physician, writes the order for Nurse J to administer diazepam 5 mg IVP to Mr. B. The medication diazepam is administered IVP at 4:05 p.m. After five minutes, the diazepam appears to have had no effect on Mr. B, and Dr. T instructs Nurse J to administer hydromorphone 2 mg IVP. The medication (hydromorphone) is administered IVP at 4:15 p.m. After five minutes, Dr. T is still not satisfied with the level of sedation Mr. B has achieved and instructs Nurse J to administer another 2 mg of hydromorphone IVP and an additional 5 mg of diazepam IVP. The physician’s goal is for the patient to achieve skeletal muscle relaxation from the diazepam, which will aid in the manual manipulation, relocation, and alignment of Mr. B’s hip. The hydromorphone IVP was administered to achieve pain control and sedation. After reviewing the patient’s medical history, Dr. T notes that the patient’s weight and current regular use of oxycodone appear to be making it more difficult to sedate Mr. B.

Finally at 4:25, the patient appears to be sedated and the successful reduction of his (L) hip takes place. The patient appears to have tolerated the procedure and remains sedated. He is not currently on any supplemental oxygen. The procedure concludes at 4:30 p.m. and Mr. B is resting without indications of discomfort and distress. At this time, the ED receives an emergency dispatch call alerting the emergency department that the emergency rescue unit paramedics are en route with a 75-year-old patient in acute respiratory distress. Nurse J places Mr. B on an automatic blood pressure machine programmed to monitor his B/P every five minutes and a pulse oximeter. At this time Nurse J leaves his room. The nurse allows Mr. B’s son to sit with him as he is being monitored via the blood pressure monitor. At 4:35, Mr. B’s B/P is 110/62 and his O2 sat is 92%. He remains without supplemental oxygen and his ECG and respirations are not monitored.

Nurse J and the LPN on duty have received the emergency transport patient. They are also in the process of discharging the other two patients. Meanwhile, the ED lobby has become congested with new incoming patients. At this time, Mr. B’s O2 saturation alarm is heard and shows “low O2 saturation” (currently showing a sat of 85%). The LPN enters Mr. B’s room briefly and resets the alarm and repeats the B/P reading.

Nurse J is now fully engaged with the emergency care of the respiratory distress patient, which includes assessments, evaluation, and the ordering respiratory treatments, CXR, labs, etc.

At 4:43, Mr. B’s son comes out of the room and informs the nurse that the “monitor is alarming.” When Nurse J enters the room, the blood pressure machine shows Mr. B’s B/P reading is 58/30 and the O2 sat is 79%. The patient is not breathing and no palpable pulse can be detected.

A STAT CODE is called and the son is escorted to the waiting room. The code team arrives and begins resuscitative efforts. When connected to the cardiac monitor, Mr. B is found to be in ventricular fibrillation. CPR begins immediately by the RN, and Mr. B is intubated. He is defibrillated and reversal agents, IV fluids, and vasopressors are administered. After 30 minutes of interventions, the ECG returns to a normal sinus rhythm with a pulse and a B/P of 110/70. The patient is not breathing on his own and is fully dependent on the ventilator. The patient’s pupils are fixed and dilated. He has no spontaneous movements and does not respond to noxious stimuli. Air transport is called and, upon the family’s wishes, the patient is transferred to a tertiary facility for advanced care.

Seven days later, the receiving hospital informed the rural hospital that EEG’s had determined brain death in Mr. B. The family had requested life-support be removed, and Mr. B subsequently died.

Additional information: The hospital where Mr. B. was originally seen and treated had a moderate sedation/analgesia (“conscious sedation”) policy that requires that the patient remains on continuous B/P, ECG, and pulse oximeter throughout the procedure and until the patient meets specific discharge criteria (i.e., fully awake, VSS, no N/V, and able to void). All practitioners who perform moderate sedation must first successfully complete the hospital’s moderate sedation training module. The training module includes drug selection as well as acceptable dose ranges. Additional (backup) staff was available on the day of the incident. Nurse J had completed the moderate sedation module. Nurse J had current ACLS certification and was an experienced critical care nurse. Nurse J’s prior annual clinical evaluations by the manager demonstrated that the nurse was “meeting requirements.” Nurse J did not have a history of negligent patient care. Sufficient equipment was available and in working order in the ED on this day.

Task:

A. Complete a root cause analysis (RCA) that takes into consideration causative factors, errors, and/or hazards that led to the sentinel event (this patient’s outcome).

B. Discuss a process improvement plan that would decrease the likelihood of a reoccurrence of the outcome of the scenario.

1. Discuss a change theory that could be used to implement the process improvement plan developed in B.

C. Use a failure mode and effects analysis (FMEA) to project the likelihood that the process improvement plan you suggest would not fail.

1. Identify the members of the interdisciplinary team who will be included in the FMEA.

2. Discuss steps for preparing for the FMEA.

3. Apply the three steps of the FMEA (severity, occurrence, and detection) to the process improvement plan created in part B.

4. Explain how you would test the interventions from the process improvement plan from part B to improve care in a similar situation.

Note:You are not expected to carry out the full FMEA, but you should explain each step, and how you would apply it to your process improvement plan.

D. Discuss how the professional nurse may function as a leader in promoting quality care and influencing quality improvement activities.

E. When you use sources to support ideas and elements in a paper or project, provide acknowledgement of source information for any content that is quoted, paraphrased or summarized. Acknowledgement of source information includes in-text citation noting specifically where in the submission the source is used and a corresponding reference, which includes:

• Author

• Date

• Title

• Location of information (e.g., publisher, journal, or website URL)

Note: The use of APA citation style is encouraged but is not required for this task. Evaluators will offer feedback on the acknowledgement of source information but not with regard to conformity with APA or other citation style.

Note: No more than a combined total of 30% of a submission can be directly quoted or closely paraphrased from outside sources, even if cited correctly

Please include all parts see below:
Evaluation Method
A rubric is used in this Evaluation.

The candidate provides substantial articulation of response.

The candidate completes an appropriate root cause analysis (RCA), with substantial detail, that takes into consideration causative factors, errors, and/or hazards that led to the sentinel event (this patient’s outcome).

The candidate provides a logical discussion, with substantial detail, of a process improvement plan that would decrease the likelihood of a reoccurrence of the outcome of the scenario

The candidate provides a logical discussion, with substantial detail, of a change theory that could be used to implement the process improvement plan developed in B.

The candidate uses a failure mode and effects analysis, with substantial support, to project the likelihood that the process improvement plan suggested would not fail.

The candidate accurately identifies the members of the interdisciplinary team who will be included in the FMEA.

The candidate provides a logical discussion, with substantial detail, of the steps for preparing for the FMEA

The candidate appropriately applies, with substantial detail, the 3 steps of the FMEA (severity, occurrence, and detection) to the process improvement plan created in part B.

The candidate provides a logical explanation, with substantial support, of how the candidate would test the interventions from the process improvement plan from part B to improve care in a similar situation.

The candidate provides a logical discussion, with substantial detail, of how the professional nurse may function as a leader in promoting quality care and influencing quality improvement activities.

The candidate provides source information for all quoted, paraphrased and summarized content. Source information appears to include accurate and complete acknowledgement of source information regarding the author, date, title and location of the information (e.g., publisher, journal or website URL) as well as appropriate in-text citation. This level is also appropriate if there is no evidence of quoted, paraphrased or summarized content, and it is not required by the instructions.


 

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Explore the various qualitative methods used in nursing research/ 2. Discuss why one might choose qualitative methodologies to study nursing research questions/3. Learn how to critique qualitative nursing research studies.

Explore the various qualitative methods used in nursing research/ 2. Discuss why one might choose qualitative methodologies to study nursing research questions/3. Learn how to critique qualitative nursing research studies.

Instruction
This week we will look at research whose findings are reported in words not numbers. This is Qualitative research. Remember l is for letters and n is for numbers.
1. Explore the various qualitative methods used in nursing research
2. Discuss why one might choose qualitative methodologies to study nursing research questions
3. Learn how to critique qualitative nursing research studies
DB #7: QUALITATIVE ANALYSIS (50 POINTS)
1. Go to the ISU library databases.
2. Find a Qualitative article that is important to your current or future practice. Remember qualitative articles use wordsnot numbers in their results and gives more meaning to what we do. THIS MUST BE QUALITATIVE=-=NOT QUANTITATIVE. HINT: May not be a bad idea to find one that gives meaning to your intervention for your EBP projecteither on the culture context of care or population. HINT#2: If you pick a Quantitative Article to critique you will receive an AUTOMATIC ZERO. There is no excuse for not knowing the difference between qualitative and quantitative at this point. HINT #3: I will not provide any advice as to whether or not an article is qualitative or quantitative. Again you should already know this.
3. Use tools to critically appraise the article. You can use your text critique guide or any CAT from a quality CAT website.
4. Write APA style paper using the major headings of the critique from a CAT or your text as your paper subheadings. Provide for a discussion that is inclusive of all of the questions within each of the major sections.
5. Again Im looking for a discussionnot just yes-no responses.
6. Do not include the questionsjust provide the answers to the question in discussion format so the paper flows.
7. No more than 3-4 pages long (the shorter the better)not including title page and reference page. Getting your ideas in a logical order not being too wordy and staying on point is key.
8. Submit in Word format to the discussion board.
9. Comment on others content and APA style.
10. Hang on to this paper as you may want to use it for the critique assignment coming up.


 

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Discuss and Explain the managerial tool of management by walking around (MBWA) and its impact on creating a strategy ready culture.

Discuss and Explain the managerial tool of management by walking around (MBWA) and its impact on creating a strategy ready culture.

Include a title page and 3-5 references. Only one reference may be from the internet (not Wikipedia). The other references must be from the Grantham University online library. Please adhere to the Publication Manual of the American Psychological Association (APA), (6th ed. 2nd printing) when writing and submitting assignments and papers.

Part 2

Final Exam

Your final exam consists of 2 essay questions. Each essay question is a 2 page paper.

Each essay question is worth 50 points for a combined score of 100.

In Essay Question #1 – Address the following:

Discuss the 5 P’s of strategy.
In Essay Question #2 – Address the following:

Evaluate the eight managerial tasks and how they are used to help guide overall organizational strategy.
Include a title page and 3 – 5 references (per question). Only one reference (for both essays) may be from the internet (not Wikipedia). The other references must be from the Grantham University online library. Please adhere to the Publication Manual of the American Psychological Association (APA), (6th ed. 2nd printing) when writing and submitting assignments and papers.


 

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The Development of Mobile Communications and Technology. After the introduction of the first cellular phone in 1973, the progression of mobile telephony has experienced global diffusion in developed and developing countries.

The Development of Mobile Communications and Technology. After the introduction of the first cellular phone in 1973, the progression of mobile telephony has experienced global diffusion in developed and developing countries.

The Development of Mobile Communications and Technology
Name:
Institution:

Abstract
Mobile communication is one of the fastest growing sectors in the global economy. After the introduction of the first cellular phone in 1973, the progression of mobile telephony has experienced global diffusion in developed and developing countries. Accordingly, certain factors, which comprise accessibility to the Internet services such as 1G, 2G and 3G Services, have increased the popularity of mobile phones in both countries. Additionally, the rate at which mobile communication has progressed in less-developed countries is remarkable. Based on this, it is certain that mobile communication poses positive implications for developing countries.
The Development of Mobile Communications and Technology
Introduction
Since the first development of cellular phone technology in 1973, the telecommunications sector has experienced a dynamic and consistent change in mobile phones (Katz, 2011). This is evident based on the vast acquisition of new-era phones that integrate computing technology in today’s era. A formidable instance comprises the use of smartphones and the integration of mobile applications for the end-user. At one point, smartphones were an accessory especially in developed countries. However, such technology is widely accessible in developing countries. This is because of the friendly international market and the increasing need for smartphone technology in the developing market. Nowadays, most of these phones and their applications focus on mitigating the needs of the populace in developed countries. This explains the reason for the limited number of mobile applications suitable for populations existing in the developing countries.
Growth of Mobile Communication and Advances in Mobile Phone Technology
Growth of Mobile Communication
The growth of mobile communication began spreading globally in the early 1990s. This is evident based on the increase in the ratio of mobile phone usage to telephone use. The ratio of cellular phones to mainline phones increased to 1:8 in 1995 from 1:34 from 1991 (Castells, 2009). This is because of the extensive utilization of cellular phones making them among the most commonly possessed customer assets. In the onset of the 2000s, there were less than two mainlines to a single mobile phone. Specifically, in 2003, the cellular phone subscriptions overtook mainline subscriptions extensively making it mainstream internationally. In a span of 10 years from the year 2000, there is evidence of a broad increase of cellular phone subscriptions (Castells, 2009). Accordingly, the number of these subscriptions has doubled the amount of mainlines accessible globally.
The progression of mobile communication is evident based on the significant number of mobile connections and networks globally. According to WIPO (2010), there are more than 4 billion mobile connections all over the globe. Furthermore, there are extensive terrestrial GSM networks that cover more than 80 percent of the global population. However, even though mobile phones are the mainstream in contemporary telecommunication, there is also evidence of the increase of subscriptions from fixed telephones.


 

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