What is the recommendation of the source for clinical practice?

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What is the recommendation of the source for clinical practice?

Nursing Milestone

Order Description

Capstone Project Milestone #2:
Design for Change Proposal Guidelines
PURPOSE
You are to create a Design for Change proposal inclusive of your PICO and evidence appraisal information from your Capstone Project Milestone #1. Your plan is to convince your management team of a nursing problem you have uncovered and you feel is significant enough to change the way something is currently practiced. In the event you are not currently working as a nurse, please use a hypothetical clinical situation you experienced in nursing school, or nursing education issue you identified in your nursing program.
COURSE OUTCOMES
This assignment enables the student to meet the following course outcomes.
CO1: Applies the theories and principles of nursing and related disciplines to individuals, families, aggregates, and communities from entry to the healthcare system through long-term planning. (PO #1)
CO2: Proposes leadership and collaboration strategies for use with consumers and other healthcare providers in managing care and/or delegating responsibilities for health promotion, illness prevention, health restoration and maintenance, and rehabilitative activities. (PO #2)
DUE DATE
Milestone #2 consists of the proposal for your Design for Change Capstone Project. Submit this Milestone to the Dropbox by the end of Week 4.

 

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Choose a country and based on the concepts from Weeks 1-5, analyze the country’s dimensions of distance,institutions, industrial clusters, and diffusion of technology. use the readings from Weeks 1-5 and cite your use

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Choose a country and based on the concepts from Weeks 1-5, analyze the country’s dimensions of distance,institutions, industrial clusters, and diffusion of technology. use the readings from Weeks 1-5 and cite your use
carefully.

COURSE SCHEDULE________________________________________

/1. Multinational Business (Week of September 24, 2012)
Learning Objective: Introduce the concepts of multinational business including global context and company strategy.

Reading: Ghemawat P 2011 “The Cosmopolitan Corporation” Harvard Business Review. May, Vol. 89, Issue 5, pp. 92-99.
2. Dimensions of Distance (Week of October 1, 2012)
Learning Objective: Assess different types of distance between countries and analyze how these distances affect
global trade and multinational business strategy.

Reading: Ghemawat P 2001 “Distance Still Matters: The Hard Reality of Global Expansion” Harvard Business Review,
September, Vol. 79 Issue 8, p137-147.

Case: Alkema R Koster M and Williams C 2010 “Resuming Internationalization at Starbucks”. (Purchase from Harvard)

Question: Should Starbucks resume its international expansion and once again intensify its commitments in overseas
markets? If so, what approach should the company take?
3. Country Institutions (Week of October 8, 2012)
Learning Objective: Discover how multinational companies can identify and adjust to different country institutional
contexts.

Reading: Khanna T Palepu K and Sinha J 2005 “Strategies That Fit Emerging Markets” Harvard Business Review, June,
Vol. 83, Issue 6, pp. 63-76.

Case: Khanna T Raabe E 2007 “General Electric Healthcare”. (Purchase from Harvard)

Question: How do country institutions affect GE’s multinational business strategy?

4. Global Clusters (Week of October 15, 2012)
Learning Objective: Understand the role of local industrial clusters in the global economy for competition and
economic development.

Reading: Porter M 2000 “Location, Competition, and Economic Development: Local Clusters in a Global Economy” Economic
Development Quarterly, Vol. 14, No. 1, 15-34.

Case: Goerzen A and Colovic A 2009 “LyonBioPole: The Challenge of Becoming a World-Class Biotechnology Cluster”.

Question: How can global competition and economic development affect and be affected by local industrial clusters?

5. Global Diffusion of Technology (Week of October 22, 2012)
Learning Objective: Assess how factors affecting the global diffusion of technology influence industry emergence and
multinational business strategy.

Reading: Perkins R and Neumayer E 2005 “The International Diffusion of New Technologies: A Multi-technology Analysis
of Latecomer Advantage and Global Economic Integration” Annals of the Association of American Geographers, Vol. 95,
No. 4, pp. 789–808.

Case: Theyel G 2012 “Global Technology Diffusion and Industry Emergence: Global Wind Industry”

Question: How do different factors drive the global diffusion of technology at different times during an industry’s
emergence and how does this affect multinational business strategy?

 

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Identify areas for improvement, where appropriate, and recommend improvements.Week 8 Peer Review 2 SubmissionPeer Review AssignmentPeer reviews should provide feedback to a peer on the criteria expected in the paper.

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Identify areas for improvement, where appropriate, and recommend improvements.Week 8 Peer Review 2 SubmissionPeer Review AssignmentPeer reviews should provide feedback to a peer on the criteria expected in the paper.

Week 8 Peer Review 2 SubmissionPeer Review AssignmentPeer reviews should provide feedback to a peer on the criteria expected in the paper. The Feedback Form is located at the bottom. Follow these instructions:1. Use the essay paper below (Assignment 3) complete the Peer Review Feedback Form.2. Comment on all criteria, noting strengths and / or areas for improvement on the feedback form.As you read the paper, address these criteria:3. Provide positive feedback, where appropriate, on the criteria.4. Identify areas for improvement, where appropriate, and recommend improvements.The specific course learning outcomes associated with this assignment are:o Recognize the elements and correct use of a thesis statement.o Recognize transitional words, phrases, and sentences.o Identify effective sentence variety and word choice.o Identify positive qualities and opportunities for improvement in writing samples.o Analyze the rhetorical strategies of ethos, pathos, logos in writing samples and for incorporation into essays or presentations.o Correct grammatical and stylistic errors consistent with Standard Written Englisho Recognize how to organize ideas with transitional words, phrases, and sentences.
Assignment Three: Government Regulation on Pit Bulls: A Crime or a Punishment?
Prepared by: Allison Rada
• Breed Specific Legislation (BSL) is one that concerns dog victims, dog owners, and communities alike. For years the media has brought attention to the violent acts of pit bulls and similar breeds. Recently, certain states have enacted BSL in order to protect their communities. However, victims of dog attacks are no longer the only victims as BSL has gone into effect. Families have lost their own dogs, members of their family, to euthanasia because they are deemed “dangerous.” State or local governments should not enact different laws regarding certain animals as the breed is not responsible for the acts but the owners and behaviors.• BSL is a statute or regulation that is directed toward one or more specific breeds that are known as “dangerous” (Weiss, 2011). The first form of regulation started in 1980 when Florida’s City Commission passed an ordinance requiring pit bull owners to complete registration forms and prove public liability insurance of $25,000 (Weiss, 2011). Four years later, a New Mexico town and Cincinnati, Ohio passed regulation regarding pit bulls (Weiss, 2011). Today over 700 U.S. cities have enacted BSL (“State-by-State,” n.d.). Pit bulls are descendants of an English bull-baiting dog, a dog bred to bite and face larger animals; once baiting large animals was banned people started dog fighting instead (“Pit Bull Cruelty,” n.d.). The pit bulls that were not used for dog fighting were the perfect family pet due to their affection and gentle demeanor with children (“Pit Bull Cruelty,” n.d.). Though dog fighting is a felony offense in all 50 states, it still has a strong subculture; owners will prepare their pit bulls for dog fighting by encouraging aggression on other dogs and animals as well as starving and beating them to encourage aggression giving them the reputation of being “inherently dangerous” (“Pit Bull Cruelty,” n.d.). Animals are a product of their environment, so being raised to behave in a certain manner is the result of the owner and behavior rather than the individual animal. Pit bulls that are not raised for dog fighting are gentle creatures and service dogs. If the pit bulls are banned then the same individuals will find another breed to train to behave in the same demeanor.• The BSL was enacted due to specific occurrences of foul pit bull behaviors.

 

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Normative and non-normative events help us understand how change and stress may impact our quality of life.

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Normative and non-normative events help us understand how change and stress may impact our quality of life.

Using the South University Library, locate 2 scholarly journal articles written in the last 5-6 years on how change and/or stress can impact a person’s life. Look especially for how sudden, unanticipated (non-normative events) events can impact a person’s quality of life.

Write a summary.
Describe the main points of the article and how they relate to the week’s course and text readings.
Use the lessons and vocabulary found in the readings. Your responses should clarify your understanding of the topic and should be original and free from plagiarism. Follow APA guidelines for the writing style, spelling and grammar, and citation of sources.

 

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Which philosophy/conceptual framework/theory/middle-range theory describes nursing in the way you think about it?

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Which philosophy/conceptual framework/theory/middle-range theory describes nursing in the way you think about it?

Assignment 2: Personal Philosophy of Nursing

In a 6- to 7-page paper in APA format describe your personal approach to professional nursing practice. Be sure to address the following:

Which philosophy/conceptual framework/theory/middle-range theory describes nursing in the way you think about it? Discuss how you could utilize the philosophy/conceptual framework/theory/middle-range theory to organize your thoughts for critical thinking and decision making in nursing practice.
Formulate and discuss your personal definition of nursing, person, health, and environment.
Discuss a minimum of two beliefs and/or values about nursing that guide your own practice.
Analyze your communication style using one of the tools presented in the course. In your paper, discuss the strengths and weaknesses associated with your style of communication and the impact on your ability to collaborate as part of an interdisciplinary team.
On a separate references page, cite all sources using APA format.
Use this APA Citation Helper as a convenient reference for properly citing resources.
This handout will provide you the details of formatting your essay using APA style.
You may create your essay in this APA-formatted template.

 

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Explain two ways your own culture influences your definitions of mental health.

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Explain two ways your own culture influences your definitions of mental health.

Hs culture & pysch discussion 10 & 11

PLEASE WRITE OUT ALL THE QUESTIONS IN BOLD AND ANSWER ACCORDINGLY.
Introduction
Culture exerts a major influence on the identification, labeling, course, and outcomes of maladaptive behaviors. Culture provides context for abnormal behaviors.
Junko Tanaka-Matsumi
The symptoms that lead to a diagnosis of a disease or disorder in one culture may not be the same in another. Consider the cultural factors that lead to these differences and how this difference of conceptualization would impact the treatment and recovery of disease. Through your readings last week, you may now have a better understanding of how each culture has its own beliefs about the causes and treatment of illness. The same reasoning applies to mental health and the definition of abnormal psychology. Should behaviors that go against social norms define mental illness?
This week, you explore culture-specific definitions of mental health. You also analyze the influence of Western medicine on these definitions.
Reference:
Global Tribe. (2003). Arun Gandhi on terrorism, nonviolence, and Gandhi. Retrieved fromhttp://www.pbs.org/kcet/globaltribe/voices/voi_gandhi.html
Objectives
Analyze cultural attitudes, beliefs, and practices of mental health
Analyze ways to promote positive social change
Discussion 1:wk#11 Defining Mental Health (One page)
Many Western groups advocate viewing mental health issues from a medical model. Providers of mental health services and advocates for the mentally ill use this medical model with the intention of reducing the stigma placed on the individual diagnosed with the mental illness. Yet, consider the startling finding that, those who adopted the biomedical and genetic beliefs about mental illness were most often those who wanted less contact with the mentally ill or thought of them as dangerous and unpredictable (Watters, 2010, p. 173). Western conceptualization of mental health and illness has spread across the globe and impacted how individuals are treated. For example, cultures may have initially been more tolerant of these behaviors due to factors such as externalized locus of control, beliefs in traditional healing, spiritual beliefs, and less expressed emotion. (Watters, 2010)

 

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WHY WOULD IT BE IMPORTANT TO INTRODUCE THE CLINICIANS TO STANDARDIZED TERMINOLOGIES AND INVOLVE THEM IN DISCUSSIONS ABOUT EHRS BEFORE CONTACTING POTENTIAL SOFTWARE VENDORS, OR SHOULD YOU USE THE REVERSE APPROACH?

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WHY WOULD IT BE IMPORTANT TO INTRODUCE THE CLINICIANS TO STANDARDIZED TERMINOLOGIES AND INVOLVE THEM IN DISCUSSIONS ABOUT EHRS BEFORE CONTACTING POTENTIAL SOFTWARE VENDORS, OR SHOULD YOU USE THE REVERSE APPROACH?

2. WHAT STEPS WOULD YOU NEED TO COMPLETE BEFORE REPORTING TO THE BOARD OF DIRECTORS?

The ABC Home Health Agency is a nonprofit, Medicare-certified organization established in the mid-1950s in a small Midwestern city. It is accredited by the Accreditation Commission for Health Care, Inc. The agency offers a continuum of preventive and therapeutic services that have an individual, family, and community focus. Clinicians provide services to patients ranging in age from infants to elders. The agency employs supervisory, administrative, IT, and support staff as well as 45 clinicians: 25 nurses, 10 home care aides, 5 homemakers, 3 physical therapists, 1 occupational therapist, and 1 social worker. Staff members are on call 24 hours a day. ABC Home Health Agency services include (1) skilled home health and hospice; (2) home care aide and homemaker; (3) private duty, including nursing, personal care, and respite care; (4) wellness, flu, and immunization clinics; (5) school health; (6) jail health; and (7) durable medical equipment. There are two hospitals with about 100 beds and 15 physicians within the service area. The Agency has a good working relationship with both hospitals and the physicians. Many patients followed by the Agency have been referred from these services. Last year the Agency provided 20,345 home visits. The Agency has used an automated billing, statistical, and financial management information system for 15 years. However, all patient records are maintained in paper-and-pen format. Clinicians use a semistructured format consisting of subjective, objective, assessment, and plan (SOAP) sections. The previous director, who has just retired, did not believe that the cost of implementing an electronic health record (EHR) was justified. You have just been hired as the new director. The board of directors asks you to investigate purchasing an EHR and submit your recommendations to them. Discussion Questions 1. Why would it be important to introduce the clinicians to standardized terminologies and involve them in discussions about EHRs before contacting potential software vendors, or should you use the reverse approach? 2. What steps would you need to complete before reporting to the board of directors?

 

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Discuss the legal and ethical considerations that have influenced policy decision making regarding this issue.

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Discuss the legal and ethical considerations that have influenced policy decision making regarding this issue.

Write a 5 page paper (excluding cover sheet and references) that clearly lays out policies that define health care and nursing practice with your selected issue or problem. ( I HAVE ATTACHED THE DOCUMENT)
Include in your paper:
Legislation. (in the U.S, or Florida)
Executive decisions.
Court decisions.
Regulations that have defined this area of health care delivery and nursing practice, historically and today.

Discuss the legal and ethical considerations that have influenced policy decision making regarding this issue.

Discuss the legal and ethical considerations that have influenced policy decision making regarding this issue.
Use scholarly sources that address the social, historical, and political context of the research, theories, and methods related to your topic.

Discuss the legal and ethical considerations that have influenced policy decision making regarding this issue.

Cite a minimum of 10 sources with the majority being peer-reviewed sources. Your reference list should be appropriate to the body of literature available on this topic that has been published in the past five years.
Use APA style and formatting throughout your paper and when citing your sources.

 

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Finally, describe one strategy nurses might use in advocating for health care at the global level, and explain why this would be an effective strategy. What Can Nurses Do?

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Finally, describe one strategy nurses might use in advocating for health care at the global level, and explain why this would be an effective strategy.
What Can Nurses Do?

Many people, most of them in tropical countries of the Third World, die of preventable, curable diseases. . . . Malaria, tuberculosis, acute lower-respiratory infections—in 1998, these claimed 6.1 million lives. People died because the drugs to treat those illnesses are nonexistent or are no longer effective. They died because it doesn’t pay to keep them alive.

–Ken Silverstein, Millions for Viagra. Pennies for Diseases of the Poor, The Nation, July 19, 1999

Unfortunately, since 1998, little has changed. For many individuals living in impoverished underdeveloped countries, even basic medical care is difficult to obtain. Although international agencies sponsor outreach programs and corporations, and although nonprofit organizations donate goods and services, the level of health care remains far below what is necessary to meet the needs of struggling populations. Polluted water supplies, unsanitary conditions, and poor nutrition only exacerbate the poor health prevalent in these environments. Nurses working in developed nations have many opportunities/advantages that typically are not available to those in underdeveloped countries. What can nurses do to support their international colleagues and advocate for the poor and underserved of the world?

In this Discussion, you will consider the challenges of providing health care for the world’s neediest citizens, as well as how nurses can advocate for these citizens.

To prepare:

Consider the challenges of providing health care in underdeveloped countries.
Conduct research in the Walden Library and other reliable resources to determine strategies being used to address these challenges.
Using this week’s Learning Resources, note the factors that impact the ability of individuals in underdeveloped nations to obtain adequate health care.
Consider strategies nurses can use to advocate for health care at the global level. What can one nurse do to make a difference?
Post by Day 3 a description of at least two challenges related to providing adequate health care in underdeveloped countries. Then, describe two strategies you might use to address those challenges, and explain why. Finally, describe one strategy nurses might use in advocating for health care at the global level, and explain why this would be an effective strategy.

 

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Describe the purpose of a systematic review compared to a single randomised controlled trial?. Why is it important to use shortsearch terms in database search instead of long descriptive sentences?

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Describe the purpose of a systematic review compared to a single randomised controlled trial?. Why is it important to use shortsearch terms in database search instead of long descriptive sentences?

Task:
PART ONE: Contribution to Week 3 and Week 4 Discussion Forums
PART TWO: General content questions
One of the underlying concepts explored through this subject was conveying broad clinical scenarios and questions to searchable questions and using refined search terms to extract data.
1. Why is it important to use shortsearch terms in database search instead of long descriptive sentences?
2. Why is it important to use specificsearch terms in database search instead of broad search terms.
3. Describe the relationship between the two frameworks that underpin this subject: Tanner’s Model of Clinical Judgement and Evidence Based Practice?
4.Describe the purpose of a systematic review compared to a single randomised controlled trial?
PART THREE: Research methodology and results
CASE STUDY 1: Read the article carried out by Byrne et al. (2017). A copy of this article is in Assessment 2 folder.
5. What is the benefit of using randomised control trail study design in this study?
6. What are the study’s primary and secondary outcomes?
7. How did the researchers assess pain?
8. Has the study used an adequate sample size?
9. What important baseline differences between intervention and control group participants exist that may affect the study results?
10: how is the patients’ lack of blindness to their group allocation likely to affect the study results?
11. Was chewing gum effective in reducing length of hospital stay in this study?
12. Authors report that the median time to first bowel motion (TBM) was 50 hours in the chewing gum group? What does this mean to you?
13. Authors found that the median time to first bowel motion (TBM) was 50 hours in the chewing gum group with 95% CI 45.2-54.8. What does this confidence interval tell to you?
14.Looking at Table 3, did chewing gum reduce the need for morphine equivalents for the total 7 days post-surgery in the intervention group? (Hint: compare the mean required morphine for the chewing gum group with the mean required morphine for the non-chewing gum group, see the reported p value).
15. Would you consider using chewing gum for your patients post bowel surgery? (Justify your answer taking into consideration the results of statistics, clinical significance, and cost)
PART THREE: Implementation of EBP
Thinking broadly about the way you engage with evidence in your clinical practice, please answer the following questions:
16. What are some of the barriers to implementing new research findings into clinical practice?

 

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