Why is it important to conduct a quality literature review?First assignemnt is : Why is it important to conduct a quality literature review? What are the essential components of a quality literature review?

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Why is it important to conduct a quality literature review?First assignemnt is : Why is it important to conduct a quality literature review? What are the essential components of a quality literature review?

What are some struggles and difficulties in creating a good literature review?
Second Assingment is: How do theory and research influence each other? How do theory and research affect practice in nursing? Using your experience as a nurse, provide an example of how a theory or research affected patient care.

Third assignment:

Submit your Research Questions for Approval

What is a research proposal?

The purpose of the research proposal is to identify and formulate questions that arise from nursing practice and to design a research project to study the identified problem. The goal of a research proposal is to present and justify a research idea you have and to present the practical ways in which you think this research should be conducted. Research proposals contain extensive literature reviews and must provide persuasive evidence that there is a need for the proposed research study. In addition to providing rationale for the proposed research, a proposal describes detailed methodology for conducting the research consistent with requirements of the professional or academic field and a statement on anticipated outcomes and/or benefits derived from the study.

Directions:

You will be required to write a research proposal to be submitted in week 7. This may be either a qualitative or quantitative research proposal. The proposal should be a 6–10 pages plus appendices, cover page, and reference page. In week 8, you will present your proposal to your classmates via video presentation.

This week, you will submit a topic for your research proposal and presentation as well as the research questions you will be utilizing for your proposal and presentation. Your instructor must approve your research questions and topic for your proposal.

Submit your journal assignment and include the following:

Research topic for the proposal and presentation
Research questions for the proposal and presentation
Note: Once approved, any changes to your topic or research questions should be approved by your instructor.

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Ashworth college EN130 online exam 1 attempt 1 latest 2013 nov.Part 1 of 1 – 95.0/ 100.0 PointsQuestion 1 of 200.0/ 5.0 PointsEssays appear in many different forms, but every essay has two features: rhetorical context and rhetorical:A. reason.B. structure.C. purpose.D.

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Ashworth college EN130 online exam 1 attempt 1 latest 2013 nov.Part 1 of 1 – 95.0/ 100.0 PointsQuestion 1 of 200.0/ 5.0 PointsEssays appear in many different forms, but every essay has two features: rhetorical context and rhetorical:A. reason.B. structure.C. purpose.D.

audience.Question 2 of 205.0/ 5.0 PointsAlmost all writing follows the classical pattern; although it has variations, this pattern includes all of the following EXCEPT:A. a context.B. a conclusion.C. an introduction.D. a body.Question 3 of 205.0/ 5.0 PointsThe approach in which the reader is aware of not only what the writer is trying to say but also how the writer is communicating is called:A. profitable method.B. reading for information.C. active, analytical reading.D. easy reading.Question 4 of 205.0/ 5.0 PointsThe preliminary steps you take before you write your first draft include all of the following EXCEPT:A. prewriting.B. focusing.C. organizing.D. revising for content.Question 5 of 205.0/ 5.0 PointsIn establishing your rhetorical context, audience and __________ are inextricably linked.A. purposeB. ageC. geographical locationD. occupationsQuestion 6 of 205.0/ 5.0 PointsMost people prefer one of three basic approaches to learning, i.e., your preferred learning style, that include all of the following EXCEPT:A. aural.B. articulate.C. verbal.D. visual.Question 7 of 205.0/ 5.0 PointsA __________ is a sentence or group of sentences that states your controlling idea.A. brainstormB. clusterC. thesisD. loopQuestion 8 of 205.0/ 5.0 PointsStudents may encounter all of the following while drafting an in-class essay EXCEPT:A. the internal editor.B. writers block.C. panic.D. choice of environment and extra time.Question 9 of 205.0/ 5.0 PointsThe use of the pronoun you in an essay is acceptable:A. all of the time.B. under only one condition: if the writer is speaking directly to the reader.C. only in a technical or legal document that calls for objective writing.D. in a technical document when the pronoun I also is used.Question 10 of 205.0/ 5.0 PointsTechniques that writers use to get the readers attention in introductory paragraphs include all of the following EXCEPT:A. using an engaging anecdote.B. using a provocative statement.C. using exclamation points after every sentence.D. using a quotation or questioning an assumption.Question 11 of 205.0/ 5.0 PointsWhen writers use the __________ option, they are trying to prove a general assertion by providing specific evidence to back up the assertion.A. exemplificationB. descriptionC. narrationD. process analysisQuestion 12 of 205.0/ 5.0 PointsJust as the thesis statement represents the controlling idea of an essay, the __________ sentence indicates the specific subject of a paragraph.A. authoritativeB. comparison/contrastC. classificationD. topicQuestion 13 of 205.0/ 5.0 PointsThe process of modifying what you have written so that it is more effective and economical is:A. coherence.B. solicitation.C. revision.D. shaping.Question 14 of 205.0/ 5.0 PointsAn essay can go wrong in all of the following ways EXCEPT:A. have coherence.B. sound a false note.C. confuse the reader.D. have an impact that the writer never intended.Question 15 of 205.0/ 5.0 PointsStandard English:A. avoids the casual tone and slang of informal English.B. is conversational and includes slang.C. is the language of scholarly writing.D. uses the complex vocabulary and syntax of formal English.Question 16 of 205.0/ 5.0 Points__________ language appeals to the senses and usually communicates ideas and details more effectively.A. AbstractB. ConcreteC. SpecificD. CarefulQuestion 17 of 205.0/ 5.0 PointsYour __________ is your essays attitude toward your subject.A. body paragraphB. rhetoricalC. toneD. contextQuestion 18 of 205.0/ 5.0 PointsA/an __________ is a word or phrase used to modify an adjacent noun.A. participleB. verbC. originalD. appositiveQuestion 19 of 205.0/ 5.0 Points__________ are words used to join words, phrases, and sentences.A. ConjunctionsB. Dependent clausesC. VerbsD. ParticiplesQuestion 20 of 205.0/ 5.0 PointsThe use of two or more words together that mean the same thing, such as future plans, is called:A. emphasis.B. redundancy.C. the use of euphemisms.D. figurative language.ashworth college EN130 online exam 1 attempt 2 latest 2013 nov.Part 1 of 1 – 95.0/ 100.0 PointsQuestion 1 of 200.0/ 5.0 PointsEssays appear in many different forms, but every essay has two features: rhetorical context and rhetorical:A. reason.B. structure.C. purpose.D. audience.Question 2 of 205.0/ 5.0 PointsAlmost all writing follows the classical pattern; although it has variations, this pattern includes all of the following EXCEPT:A. a context.B. a conclusion.C. an introduction.D. a body.Question 3 of 205.0/ 5.0 PointsThe approach in which the reader is aware of not only what the writer is trying to say but also how the writer is communicating is called:A. profitable method.B. reading for information.C. active, analytical reading.D. easy reading.Question 4 of 205.0/ 5.0 PointsThe preliminary steps you take before you write your first draft include all of the following EXCEPT:A. prewriting.B. focusing.C. organizing.D. revising for content.Question 5 of 205.0/ 5.0 PointsIn establishing your rhetorical context, audience and __________ are inextricably linked.A. purposeB. ageC. geographical locationD. occupationsQuestion 6 of 205.0/ 5.0 PointsMost people prefer one of three basic approaches to learning, i.e., your preferred learning style, that include all of the following EXCEPT:A. aural.B. articulate.C. verbal.D. visual.Question 7 of 205.0/ 5.0 PointsA __________ is a sentence or group of sentences that states your controlling idea.A. brainstormB. clusterC. thesisD. loopQuestion 8 of 205.0/ 5.0 PointsStudents may encounter all of the following while drafting an in-class essay EXCEPT:A. the internal editor.B. writers block.C. panic.D. choice of environment and extra time.Question 9 of 205.0/ 5.0 PointsThe use of the pronoun you in an essay is acceptable:A. all of the time.B. under only one condition: if the writer is speaking directly to the reader.C. only in a technical or legal document that calls for objective writing.D. in a technical document when the pronoun I also is used.Question 10 of 205.0/ 5.0 PointsTechniques that writers use to get the readers attention in introductory paragraphs include all of the following EXCEPT:A. using an engaging anecdote.B. using a provocative statement.C. using exclamation points after every sentence.D. using a quotation or questioning an assumption.Question 11 of 205.0/ 5.0 PointsWhen writers use the __________ option, they are trying to prove a general assertion by providing specific evidence to back up the assertion.A. exemplificationB. descriptionC. narrationD. process analysisQuestion 12 of 205.0/ 5.0 PointsJust as the thesis statement represents the controlling idea of an essay, the __________ sentence indicates the specific subject of a paragraph.A. authoritativeB. comparison/contrastC. classificationD. topicQuestion 13 of 205.0/ 5.0 PointsThe process of modifying what you have written so that it is more effective and economical is:A. coherence.B. solicitation.C. revision.D. shaping.Question 14 of 205.0/ 5.0 PointsAn essay can go wrong in all of the following ways EXCEPT:A. have coherence.B. sound a false note.C. confuse the reader.D. have an impact that the writer never intended.Question 15 of 205.0/ 5.0 PointsStandard English:A. avoids the casual tone and slang of informal English.B. is conversational and includes slang.C. is the language of scholarly writing.D. uses the complex vocabulary and syntax of formal English.Question 16 of 205.0/ 5.0 Points__________ language appeals to the senses and usually communicates ideas and details more effectively.A. AbstractB. ConcreteC. SpecificD. CarefulQuestion 17 of 205.0/ 5.0 PointsYour __________ is your essays attitude toward your subject.A. body paragraphB. rhetoricalC. toneD. contextQuestion 18 of 205.0/ 5.0 PointsA/an __________ is a word or phrase used to modify an adjacent noun.A. participleB. verbC. originalD. appositiveQuestion 19 of 205.0/ 5.0 Points__________ are words used to join words, phrases, and sentences.A. ConjunctionsB. Dependent clausesC. VerbsD. ParticiplesQuestion 20 of 205.0/ 5.0 PointsThe use of two or more words together that mean the same thing, such as future plans, is called:A. emphasis.B. redundancy.C. the use of euphemisms.D. figurative language.ashworth college EN130 online exam 1 attempt 3 latest 2013 nov..784px;”=””>Part 1 of 1 – 55.0/ 100.0 PointsQuestion 1 of 200.0/ 5.0 PointsEssays appear in many different forms, but every essay has two features: rhetorical context and rhetorical:A. reason.B. structure.C.

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Build effective teams. Construct a plan to build effective teams in collaboration for a selecting a new EHR system. Instructions

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Build effective teams. Construct a plan to build effective teams in collaboration for a selecting a new EHR system.
Instructions

You are a healthcare leader within a large multi-campus hospital system. The CEO and Board of Directors have tasked you to facilitate discussion with other health professionals regarding a new EHR system that will be implemented across the organization.

Please complete the assignment as indicated in the instructions below.

Part Competency Assessed Instructions

1 Build effective teams. Construct a plan to build effective teams in collaboration for a selecting a new EHR system. Your plan should include at least three (2) team/consensus building methods.

2 Interpret concepts of change management theories, techniques and leadership. Evaluate the concepts of change management theories, techniques, and leadership by critiquing the challenges with implementing a new EHR system within the organization. Your evaluation should include at least three (2) concepts of change management, risk exposure, organizational design, and/or mergers.

3 Implement a departmental strategic plan. Demonstrate implementation of a department strategic plan by analyzing strategic planning, critical thinking for organizational leadership, and/or benchmarking. Evaluate the best practices in strategic leadership against the potential pitfalls with implementing strategic plans.

Evaluate the stages of the procurement process. Evaluate the stages of the procurement process by critiquing the value of a Request for Proposal (RFP), Requisition for Information (RFI), and Request for Quotation (RFQ).
Judge the needs for an organization by developing a plan to use each procurement process type.

1200 words in lengt

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Identify and discuss Medicares Prospective Payment System Case Assignment, Session Long Project Calculate Medicare payments for hospital services Case Assignment Calculate and discuss the significance of outliers Case Assignment

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Identify and discuss Medicares Prospective Payment System Case Assignment, Session Long Project
Calculate Medicare payments for hospital services Case Assignment
Calculate and discuss the significance of outliers Case Assignment

Discuss physician reimbursement under Medicare and distinguish between physicians Case Assignment, Threaded Discussion
Apply Relative Value Units in calculating physician reimbursement Case Assignment
Discuss the current state and financial health of the Medicare Session Long Project
Diagnostic Related Groups are 495 distinct categories or groupings that serve as the foundation for Medicares prospective payment system. Below are examples of Diagnostic-Related Groups adapted from the Health Care Finance Administration:
DRG Description Case Weight Outlier
001 Craniotomy Age>17 Years, Except for Trauma 3.0932 32
037 Orbital procedures 0.8821 26
072 Nasal Trauma 0.6419 26
115 Permanent Cardiac Pacemaker 3.5513 33
191 Pancreas, Liver, Shunt Procedure 4.2189 36
302 Kidney Transplant 4.137 35
418 Post-operative infections 0.9777 29
441 Hand Procedure/Surgery 0.8785 25
488 HIV Extensive O.R. Procedure 4.2177 37

Generally speaking, Medicares payment to hospitals may be split into two categories:
1. Prospective payment
2. Physician payment

PROSPECTIVE PAYMENT: The Prospective category involves three elements:

OPERATING PAYMENT: The operating payment is a major part of Medicares prospective payment; however, if the patients condition requires additional services or longer stay in the hospital, Medicare makes what are called outlier payments. These payments may be more than the operating and capital payments. The elements of the operating payment are as follow:

CAPITAL PAYMENT: Beginning in 1992, Medicare began paying hospitals for their capital costs associated with care and treatment of a patient, on a prospective basis. The elements of the Capital Payment are as follow:

OUTLIER PAYMENT: Outlier payments are additional payments made for patients who use an extraordinary or unusually large amount of resources. The background page has a link to the Medicare site containing information on the process and formula for calculating total payments including outliers.
How are physician rates calculated?
There are Medicare payment rates for 7,000 current procedural terminology (CPT) codes. The specific values vary by region. The payment rates are the product of three relative values and geographic cost indexes and a conversion factor.
Work RVU Represents physician time, skill level, stress and other related factors;
Practice expense RVU Represents non-physician costs, excluding malpractice costs;
Malpractice RVU Represents the cost of malpractice insurance.
The following table should help you better understand how rates are calculated:
Categories RVU Geographic Cost Index Product Conversion Factor
Work 27.36 1.089 29.80 –
Practice Expense 33.59 1.473 49.48 –
Malpractice 6.82 0.646 4.41 –
Total – – 83.69 69.87
The product values are added up and multiplied by the conversion factor. Using the above figures, the payment rate would be $5,847.42.
Now that we know the Medicare Approved Rate;
How are Physicians Reimbursed?
The following table should help you better understand the distinction made between physicians:
Participating Physicians Accept assignment on each and every case Bill Medicare and the patient 100% of the Medicare approved fee for a procedure. Receive payment from Medicare equal to 80% of the Medicare approved fee, and patient pays 20% of the approved fee.
Non-participating Physicians who accept assignment on a case-by-case basis Bill Medicare and the patient 95% of the Medicare approved fee for a procedure. Receive payment from Medicare equal to 80% of the Medicare approved fee for non-participating physicians (95%), and patient pays 20% of the approved fee.

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Ethical Theories Applied to Nurses’ Policy Positions The graduate analyzes the values that drive policies.

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This paper requires that you propose a public policy, that is, a policy that is at a “bigger” level (such as at the county level, state level, or federal level).

Competencies
This course provides guidance to help you demonstrate the following 5 competencies:

• Competency 7007.1.1: Organization and Financing Healthcare
The graduate analyzes the organization of healthcare delivery and financing systems in the U.S. and other nations.

• Competency 7007.1.2: Policy Process
The graduate analyzes the historical, economic, and political factors that effect healthcare policy development and the impact of those policies on healthcare cost, quality, and access.

• Competency 7007.1.3: Effects of Legal and Regulatory Policies
The graduate analyzes the effect of major legal and regulatory policies on nursing practice, healthcare delivery, and health outcomes for individuals, families, and communities.

• Competency 7007.1.4: Ethical Theories Applied to Nurses’ Policy Positions
The graduate analyzes the values that drive policies.

• Competency 7007.1.5: Advocate for Policies that Improve the Health of the Public and the Profession of Nursing
The graduate analyzes strategies that healthcare advocates use to effect policies with the goal of improving the public health and the profession of nursing.

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What are the ethical concerns regarding GMOs in the food industry?Please respond with a different color of font and include your original questions. Attach your response to the journal site by midnight on Wednesday, May 3rd.

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What are the ethical concerns regarding GMOs in the food industry?Please respond with a different color of font and include your original questions. Attach your response to the journal site by midnight on Wednesday, May 3rd.

Biology:Applied Final: GMOs and Feeding the World
Please respond with a different color of font and include your original questions. Attach your response to the journal site by midnight on Wednesday, May 3rd.
Objectives:
Journey around the world and explore the use of GMOs and their application for feeding the world.….
Determine your belief on the following: Are GMOs are a good thing for society or are we heading into dangerous territory in their use?
Directions:
There are 12 Main “Thought Questions”.
You will be asked to review the background information I have provided and visit the various articles and videos for each question.
IMPORTANT: You MUST answer the “Thought Questions” in red at the beginning of each. Reading the associate article may help establish your response. ..
You will then respond to the questions following the article.

What are the ethical concerns regarding GMOs in the food industry?
“God (Nature in my view) makes all things good; man meddles with them and they become evil…” “― Jean-Jacques Rousseau; philosopher, 1770
“An ecosystem, you can always intervene and change something in it, but there’s no way of knowing what all the downstream effects will be …” – Dr. Richard Lewontin, Professor of Genetics, Harvard University
“The controversy surrounding genetically modified organisms has real importance for society, there are complex scientific and logical issues to sort through, and the topic is rife with misinformation and motivated reasoning……” -Dr. Novella, academic neurologist; Yale University School of Medicine

Remember, the first step in ethical problem solving and policy decision making should first involve ascertaining the facts. Facts by themselves, however, only tell us what is; they do not tell us what ought to be.
Resolving an ethical issue also requires an appeal to values. Before tackling the GMO debate, let’s review the five different approaches philosophers have developed to deal with moral issues.

After learning the science and obtaining facts, Keep philosophical approaches in mind when tackling the GMO issues.

Utilitarian Approach: What benefits and what harms will each course of action produce, and which alternative will lead to the best overall consequences?

Rights Approach: What moral rights do the affected parties have, and which course of action best respects those rights?

Fairness or Justice Approach: Which course of action treats everyone the same, except where there is a morally justifiable reason not to, and does not show favoritism or discrimination?

Common Good Approach: Which course of action advances the common good?

Virtue Approach: Which course of action develops moral virtues?
(1) What is the GMO debate really about? (35 points; 9 for essay response and 26 for attached questions)
The GMO Controversy
“GMO critics despise corporate control and greed, and fear the unnatural, while GMO advocates see this technology as an example of the triumph of human ingenuity and science”

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Describe at least two (2) career options someone with an accounting education can pursue. Accounting is the study of how businesses track their income and assets over time.

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Describe at least two (2) career options someone with an accounting education can pursue.
Accounting is the study of how businesses track their income and assets over time.

Accountants engage in a wide variety of activities besides preparing financial statements and recording business transactions. These activities includecosts and efficiency gains from new technologies, participating in strategies for mergers and acquisitions, quality management, developing and using information systems to track financial performance, tax strategy, and health care benefits management.

Use the Internet or the Strayer Online database to research career options within the accounting field and accounting job postings in your local area to respond to the questions in the assignment.

Write a one to two (1-2) page paper in which you:

1.Describe at least two (2) career options someone with an accounting education can pursue. Be sure to reference sources such as the Bureau of Labor Statistics and the American Institute of Certified Public Accountants.

2.Describe one (1) researched accounting position, and explain the essential skills that would make a candidate successful in the position. Articulate the primary manner in which the researched accounting positions could add value to the company seeking candidates.

3.Use at least two (2) quality academic resources in this assignment. Note: Wikipedia and other Websites do not qualify as academic resources.

Your assignment must follow these formatting requirements:

•Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.

•Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.

The specific course learning outcomes associated with this assignment are:

•Identify and explain the fundamental concepts and principles in accounting, the components of the accounting equation, the primary financial accounting equation, and financial statements and reports.

•Use technology and information resources to research issues in financial accounting.

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Why is it that millions of Americans who have jobs can’t make ends meet? Custom Essay This EPE features three articles on current topics. You must choose one and write a persuasive or argumentative essay on it.

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Why is it that millions of Americans who have jobs can’t make ends meet? Custom Essay
This EPE features three articles on current topics. You must choose one and write a persuasive or argumentative essay on it.

You may do further research on the topic, but make sure you cite any material you get from outside sources.

• Print out and read the attached articles. Select one for your paper.

• You may make notes on the text or the back side of the article• Create a thesis statement that presents your position on the issue discussed in the article

• Prepare three supporting points for your position• Your essay should meet the following specifications:

o Five paragraph persuasive essay

o 500 – 650 words

o 12 point/ double spacing

o Use quotes from article or internet to support your thesis

o Cite any quotes from outside article

o Demonstrate knowledge of essay structure

o Demonstrate appropriate knowledge of grammar and usage

• Outline forms and dictionary will be available at testing location

the article

Who are the working poor?
They’re the millions of people who have jobs that leave them mired at the edge of poverty. Their ranks include legions of retail clerks at chains like Walmart, fast-food workers, dishwashers, customer assistance representatives, home health-care aides, factory workers, and farm laborers. Some 46.2 million Americans now live in families where someone is working but earning less than the poverty line: $11,702 a year for an individual or $23,021 for a family of four. Many economists have a broader definition, saying that the working poor are those whose incomes do not cover basic needs: food, clothing, housing, transportation, child care, and health care. By that standard, there are more than 146 million Americans in the poor-but-working class. People in this category generally have no savings and survive from check to check, often filling in the gaps by going into debt. “Any little thing — a child getting sick, a car breaking down — those are quite significant events for these working families,” said Brandon Roberts of the Working Poor Families Project.
Where do they live and work?
About half the working poor are white, mostly living in the South or Southwest. But African-Americans and Latinos are vastly overrepresented in their ranks: Over a quarter of blacks and Latinos live in poverty, while only a tenth of whites do. Most commonly they work for major national chains whose business models depend on very low labor costs — Walmart, Pizza Hut, McDonald’s, Target. In these hugely successful companies, most of the profits go to top management and stockholders. The top 50 employers of low-wage workers, a recent study found, paid their top executives an average of $9.4 million a year and have returned $175 billion in dividends to their shareholders since 2006. In contrast, the typical worker eligible for the Earned Income Tax Credit, a tax break for low-income workers, has an adjusted gross income of $13,900. Since the Great Recession of 2008, about 60 percent of the jobs created in the U.S. have been low-wage ones. One out of four Americans now earns less than $10 an hour.
Is the minimum wage too low?
There is a strong case that it is. The federal minimum wage has been frozen at $7.25 since 2009, and the cost of living has risen more than 7 percent since then. Some economists argue that paying workers more would mean fewer jobs as labor costs rose, but others say that basic economic principle doesn’t hold at the low end of the job spectrum. Many of these service jobs can’t be outsourced or automated. But thanks to globalization and the waning power of labor unions, workers have little leverage to press for higher salaries.
Why are unions shrinking?
One major factor is that the manufacturing companies that were once a union stronghold have closed or sent their jobs overseas. But that’s not the whole story. Canada’s economy has seen similar changes over the past four decades, yet union membership there is still 30 percent, whereas in the U.S. it is 11.3 percent overall and less than 7 percent in the private sector. In the U.S., unions have dwindled partly because poor leadership has damaged their image, and partly because of “right-to-work” laws, now in place in 24 states, which effectively bar unions from organizing workers.
Do the working poor pay taxes?

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Who decides on behalf of the patient if the patient is determined to lack competency? Discussion 2: Patient Autonomy or Surrogate Decision Maker?

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Who decides on behalf of the patient if the patient is determined to lack competency?
Discussion 2: Patient Autonomy or Surrogate Decision Maker?

Note: Before completing this Discussion, please familiarize yourself with the Week 4 Discussion 2 Rubric, located in the Course Information area of the course navigation menu.

Patients’ rights in the United States include the right to informed consent, which means that patients must receive adequate information to make medical decisions. However, many questions can arise if a patient appears to lack the capacity to understand his or her medical condition or options.

As a health care administrator, it is your responsibility to educate medical staff about your facility’s policy on obtaining informed consent, reflecting state law, and how to determine whether a patient is competent. It is essential to balance the moral needs of protecting the rights of the patient with the legal and ethical obligations to breach this confidentiality in certain select situations, or determine circumstances requiring a surrogate decision maker.

Medical staff should have no difficulty in following a patient’s wishes specific to health treatment when the patient is a competent adult who can articulate his or her wishes to the medical team. However, what if the medical team is unable to determine competency? How would the team assess mental competency to understand benefits and risks of the medical treatment? If the patient is not competent, how should the medical staff proceed?

To prepare for this Discussion, view the first video in this week’s Learning Resources, “Incident in the ER: Scene 1”. Then, reflect on the delivery of health care services demonstrated in the video regarding determining competency. Reflect on the positive and negative aspects demonstrated and consider how health care administrators should consider these aspects when engaged in practice.

Post by Day 4 a response to the following questions in which you apply your understanding of ethical and legal principles to your analysis of the “Incident in the ER: Scene 1” video:

Who decides on behalf of the patient if the patient is determined to lack competency?
How should a surrogate decision maker proceed on behalf of a patient?
How can a healthcare administrator ensure that the patient’s autonomy is ensured and competency is established?
How do the facility’s standards and regulations affect how competency is determined

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Describe stressors encountered by soldiers in the firefight of the book Black Hawk Down. Describe stressors encountered by soldiers in the firefight of the book Black Hawk Down.

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Describe stressors encountered by soldiers in the firefight of the book Black Hawk Down.
Describe stressors encountered by soldiers in the firefight of the book Black Hawk Down.

2 pages: Describe an adaptive and a maladaptive coping reaction to prisoner of war (POW) captivity. 2 pages: Compare issues faced by professionals providing mental health care to WWI, WWII and Vietnam era combat veterans to issues faced by professionals providing mental health care to modern day combat veterans.

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