Creating a Good Acquire Sell Binding agreement In your Internet business

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Building a Good Get Easily sell Commitment In your Enterprise

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Getting a Good Obtain Sell Understanding For the Internet business

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Setting up a Good Invest in Easily sell Settlement For ones Internet business

While looking to help the actual very best buy easily sell agreement, you should get yourself adequately updated produce the suitable actions for the people to pick to do business along with. Receive all of the facts concerning found sector earliest, familiarizing by yourself with all the diverse offered promotions first within order to opt for the perfect choices for you to you. Under no circumstances make this kind of accord without having all often the essential material to make any good final decision. There tend to be several authorized considerations you will want to remember before making this solution to get as well as market. You must understand all the legal constraints around a deal thus well enough research is important. Do not make the decision not having proper genuine guidance. Generally, it is not which means that complicated provided that you adhere that will the fundamental enterprise law regulations which govern these kinds of types about dealings. On the other hand, it is additionally necessary that an individual choose the right specialists who will get capable involving helping an individual from the progression that will help everyone choose the proper deals. Have acquainted to prospects professionals in the present market who will be more probable to offer you reliable suggestions and assist you through the approach for that reason as to help make your top deals for those products in addition to services out there. Remember in which if you want that will make a quick determination, you then should look for individuals professionals who have have organized a decent reputation close to you. Those industry experts who will be famous plus have spanned their internet business through a good great purchaser collection happen to be more probable to benefit from the services together with merchandise you have to. Suitable studies mandatory to establish those authorities who have favorable comments together with more prone to offer you consent to an individual want. Working experience is additionally a inevitable factor if looking towards generate a shop for promote binding agreement which has a experienced. The for a longer time they have been doing, the more likely they will give you suitable companies and guidance so when to face the right options. Look just for those people individuals who’ve been around the organization for years of time to be able to have virtually any assurances of constructing the best prices meant for the goods in query. You need to have some sort of lot regarding information within the current market place. That is regardless of often the item within question because the better you understand the market, the greater your own chances of making the best deals. Understand the current courtroom proceedings involving the markets so while to know very well what is likely from everyone and then to protect against oneself by paying a great altogether large bit for money in the way. The top on the obtain sell off deal is those of which are low cost and on the way of both typically the shopper along with the entrepreneur. You must be curious and set to perform a lot of investigate thus as towards find the proper balance in terms of selling price. You should not recognize to shell out as well considerably money for a deal you could get cheaply out of another car dealership so of which you cut back on the main additional bills. Look for all of the data you require well before making any sort of decisions. Read more:

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Making A Good Obtain Will sell Commitment For the Industry

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Has      there been similar legislation introduced and/or passed in other states?

Nursing homework help

As you have discovered through this course, nurses are influential members of the community and the political system. Therefore, for the purposes of this assignment you will identify a problem or concern in your community, organization, etc. that has the capacity to be legislated. You will conduct research and state a proposal. Through the legislative process, your proposal for the problem or concern may influence an idea for change into a law.

First, refer to the “How a Bill Becomes a Law” media.

http://lc.gcumedia.com/zwebassets/courseMaterialPages/nrs440v_how-a-bill-becomes-a-law-v2.1.php/.

Then, view the “Bill to Law Process” to watch the scenario.

After viewing the scenario, refer to the “Legislative Assignment.” You will need to save the document first in order to use it.

Submit the assignment to the instructor. You also reserve the right to submit your completed proposal to the respective government official. However, this is optional. If you select to submit your proposal as a part of the legislative process, refer to “Find Your Representative” or research the contact information on your own.

( 600-700 words. Find a topic that actually can be legislated (made into a law). It could be a health issue in your community. An example of a problem that troubles me is why restaurant food that is left over is thrown out each night instead of saving and offering it to soup kitchens when 25% of our population has “food insecurity”. Such a topic could be developed into a proposal following the steps on the form.

APA format is not required, but solid academic writing is expected.)

 

Legislative Worksheet (SBAR Format) –

How a Bill Becomes a Law

SITUATION: IS THIS SOMETHING THAN CAN BE LEGISLATED?

  • Identify      the problem/concern:
  • State      your proposal/idea.

BACKGROUND: DO YOUR RESEARCH

  • Include      studies, reports, personal experience, or anecdotal stories related to      your proposal.
  • Has      there been similar legislation introduced and/or passed in other states?      If so, include it.

ASSESSMENT: FINANCES AND STAKEHOLDERS 

  • Identify      financial impact if any (e.g., added costs, cost savings, increased      revenue):
  • Identify      stakeholder groups that would support this bill:
  • Identify      people/groups that would oppose this bill:

RECOMMENDATION

Make an appointment with your legislator to discuss your proposal.

Can you describe to me all of the foods that the child has eaten in the past 24-48 hours? How many sugary drinks such as soda and juice, does the child drink each day? 

Nursing homework help

I need 1 comment per each post in APA with citation and 2 references per comment not older that 2013.

Post 1

For this week’s discussion, I chose the 5-year old girl with normal weight with obese parents.  Unfortunately, this topic hits close to home as our youngest daughter is 4 ½ and both my husband and I have gained significant weight over the past few years and are in the obese category.  Most children are able to self-regulate diet and balance what they eat with the amount of energy that they are expending. Parental influence at a young age can have a significant effect on the child’s ability to regulate on their own.  Obesity places adults and children alike at a higher risk for hypertension and diabetes than those of normal weight.  A child who has obese parents is at a higher risk of becoming obese due to unhealthy eating habits that are learned at home.  Obesity is defined in the course text as BMI > 95th percentile for age and gender in children ages 2-18 (Ball, Dains, Flynn, Solomon and Stewart, 2015).

During the child’s health assessment the provider needs to be watchful for any signs of malnutrition as well as over-nutrition.  In addition to standard screening using height, weight and BMI, additional nutritional screening should be performed. Below are three specific questions that could be utilized to further assess nutrition and risk for obesity.

  1. Can you describe to me all of the foods that the child has eaten in the past 24-48 hours? How many sugary drinks such as soda and juice, does the child drink each day?
  2. How many minutes/hours of screen time does your child have per day?
  3. Do you have a standard bedtime? How many hours of sleep does the child typically get per night?

Describing the foods that the child has eaten over 24-48 hours will provide a more accurate account of overall nutrition.  Specifically asking about sugary drinks such as soda and juice can provide opportunity to discuss the health risks that can be associated with too much sugar intake. Specific questions related to amounts of fruits and vegetables are important as well.  Determining if the child is receiving adequate nutrients from the food that they are eating is important.  If there is concern that the child may not be receiving enough vitamins and minerals from food, it may be necessary to recommend a multi-vitamin to supplement what the child is missing from diet.

There are multiple studies that have shown that an increased amount of screen time can have devastating effects on children’s health.  High volume of screen time whether that is from television, video games, computers or other hand-held devices can lead to increased risk of obesity as well as behavioral problems.  Asking questions related to screen time also provides the opportunity to determine where the child eats most of their meals.  Does the family eat together at the table? Do they eat while watching television? How often do they eat in the car or on the go due to busy schedules?  These factors can be used to determine the risk of the normal weight child at age 5 becoming overweight or obese as they get older.  These questions also provide an opportunity to educate parents on healthy eating habits that they can utilize as well to improve the overall health of the family.

Another important factor to determine overall health of the child is determining if the child is getting enough sleep each night.  Children are in a period of rapid growth in early childhood and the body needs time to rest so that it can develop appropriately.  Asking if the child has a standard bedtime and how many hours of sleep the child gets each night can help determine if the child is getting adequate sleep.  In relation to screen time it is important to discuss bedtime habits that the child and parents may have as well.  Does the child have their own bedroom?  Or do they share with an older sibling or parent?  Is there a television in the room? Video games in the room?  There are many children whose parents will tell providers that their children are in bed by 8 pm each evening and while that may be a true statement, the child may not actually be going to sleep until much later due to television or other distractions present in the room. This again provides the opportunity to educate family members on the importance of a good night sleep for overall family health.

Strategies to encourage parents to be proactive about child’s health

In addition to the above strategies, maintaining a food dairy can be an excellent tool to determine over time whether there is adequate nutrition for both the child and parents.  There are many tools that can be utilized to keep a food diary.  A simple notebook and pen works well and with all of the technology available, there are multiple apps such as My Fitness Pal that can be used to track more than the type of food.  They can help track calories, fat, cholesterol, sugar as well as exercise.  These apps are only as good as the information that the user puts in them. “Parents influence a child’s weight through interactions that shape the development of child eating behaviors.” (Pietrobelli and Agosti, 2017).  Parents can be educated on modeling good habits of eating such as eating at the table versus in the care or while watching television. Avoid using food as a reward that can lead to child becoming an emotional eater when they are older. (Pietrobelli and Agosti, 2017). Providing good habits that can be passed on to children can also decrease their risk of depression and eating disorders such as anorexia and bulimia.

Reference

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2015). Seidel’s guide to physical examination (8th ed.). St. Louis, MO: Elsevier Mosby.

Pietrobelli, A., & Agosti, M. (2017). Nutrition in the First 1000 Days: Ten Practices to Minimize Obesity Emerging from Published Science. International Journal Of Environmental Research And Public Health14(12), doi:10.3390/ijerph14121491

Rub, G., Marderfeld, L., Poraz, I., Hartman, C., Amsel, S., Rosenbaum, I., & … Shamir, R. (2016). Validation of a Nutritional Screening Tool for Ambulatory Use in Pediatrics. Journal Of Pediatric Gastroenterology And Nutrition62(5), 771-775. doi:10.1097/MPG.0000000000001046

Watkins, F., & Jones, S. (2015). Reducing Adult Obesity in Childhood: Parental Influence on the Food Choices of Children. Health Education Journal74(4), 473-484

Post 2

Diagnostic Tests: Mammography

Mammography is an effective diagnostic test that can help practitioners identify breast cancer at an early stage (Jerome-D’Emilia & Chittams, 2015). Typically, a mammogram is a series of x-ray images capable of detecting tumors too small to be palpated as well as calcium microcalcifications that are associated with breast cancer growth (National Cancer Institute, 2016). Screening mammograms are performed routinely and diagnostic mammograms, specific targeted imaging, are used when changes are identified on screening exams or when visibility is compromised, for example with breast implants (National Cancer Institute, 2016).

It is important to evaluate the validity and reliability of important screening tests like mammography to ensure proper screening and early diagnosis and treatment in affected patients. This early detection allows for a greater array of treatment options and an improved overall prognosis (Jerome-D’Emilia & Chittams, 2015). The reliability and validity of the mammogram increases when used in accordance to recommendations, for instance, in patients over the age of 30, as younger women have increased breast density that affects the diagnostic value (Dains, Baumann, & Scheibel, 2016). In addition, for best results, it is important to adhere to regularly scheduled mammograms, typically done annually for women over the age of 40 (National Cancer Institute, 2016). The National Health Service Breast Screening Programme has developed national guidelines to standardize image assessments and screening programs (Hill & Robinson, 2015). The Breast Imaging Reporting and Database System provides radiologists a uniform way to describe and report findings from mammograms, which helps physicians to appropriately coordinate necessary plans of care (National Cancer Institute, 2016).

At times, mammogram imaging can lead to false-positive results, when radiologists identify abnormalities without the presence of cancer. This can result in over treatment with follow up diagnostic mammograms, ultrasounds, and biopsies to rule out findings (National Cancer Institute, 2016). Predictive values can change if screening is not done properly, and Taylor et al. describes breast positioning as being the most important factor in producing quality mammography images (2017). Ensuring that diagnostic tests provide valuable, accurate, and useful information is key to preventative health care services and early management and treatment of identified disease processes.

References

Jerome-D’Emilia, B., & Chittams, J. (2015). Validation of a cultural cancer screening scale for mammogram utilization in a sample of African American women. Cancer Nursing, 38(2), 83-88. Retrieved from

https://ezp.waldenulibrary.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=psyh&AN=2015-07872-002&site=eds-live&scope=site

National Cancer Institute. (2016). Mammograms. Retrieved from https://www.cancer.gov/types/breast/mammograms-fact-sheet

Dains, J. E., Baumann, L. C., & Scheibel, P. (2016). Advanced health assessment and clinical diagnosis in primary care  (5th ed.). St. Louis, MO: Elsevier Mosby.

Hill, C., & Robinson, L. (2015). Mammography image assessment; validity and reliability of current scheme. Radiography, 21, 304-307. Retrieved from https://ezp.waldenulibrary.org/login

url=https://search.ebscohost.com/login.aspx?direct=true&db=edselp&AN=S1078817415000899&site=eds-live&scope=site

Taylor, K., Parashar, D., Bouverat, G., Poulos, A., Gullien, R., Stewart, E., & … Wallis, M. (2017). Mammographic image quality in relation to positioning of the breast: A multicentre international evaluation of the

assessment systems currently used, to provide an evidence base for establishing a standardised method of assessment. Radiography, 23(4), 343-349. Retrieved from https://ezp.waldenulibrary.org/login

url=https://search.ebscohost.com/login.aspx?direct=true&db=mnh&AN=28965899&site=eds-live&scope=site

Comparing Frameworks for Analyzing Organizations

Nursing homework help
Discussion: Comparing Frameworks for Analyzing Organizations

Avedis Donabedian’s work generated a pivotal means of assessing organizational performance relative to structure, process, and outcomes. However, it is clearly not sufficient to view health care quality merely in terms of outcomes—the structures and processes that facilitate these outcomes are equally as important.

In this Discussion, you consider multiple frameworks that can be used to analyze an organization. As you proceed, consider how these frameworks allow you to examine the interplay of interdependent and related parts and processes that comprise the systems within an organization, as well as the arrangements or structures that connect these parts.

To prepare:

Investigate and reflect on the systems and structures of an organization with which you are familiar. Consider the following:

What is the reporting structure?

Who holds formal and informal authority?

How many layers of management are there between the frontline and the highest office-holders of the organization?

How are interdisciplinary teams organized?

How is communication facilitated?

How well integrated is decision making among clinical personnel and administrative professionals?

How are particular service lines organized?

Which departments, groups, and/or individuals within the organization are responsible for monitoring matters related to performance, such as quality and finances?

Select two of the following frameworks:

Learning organizations, presented in the Elkin, Haina, and Cone article

Complex adaptive systems (CAS), presented in the Nesse, Kutcher, Wood, and Rummans article

Clinical microsystems, presented in the Sabino, Friel, Deitrick, and Sales-Lopez article

Good to great, presented in the Geller article

The 5 Ps, presented in the ASHP Foundation article

Review the Learning Resources for each of the frameworks that you selected. Also conduct additional research to strengthen your understanding of how to use each framework to assess an organization.

Compare the two frameworks. How could each framework be used to identify opportunities to improve performance? In particular, how would you use each of these frameworks to analyze the organization that you have selected?

By Day 3

Post an analysis of the systems and structures of the organization you selected, sharing specific examples. Explain insights that you gained by comparing the two frameworks, and how each can be used to assess an organization, identify a need for improvement, and, ultimately, enhance the performance of an organization.

Hickey, J. V., & Brosnan, C. A. (2017). Evaluation of health care quality in for DNPs (2nd ed.). New York, NY: Springer Publishing Company.

Chapter 1, “Evaluation and DNPs: The Mandate for Evaluation” (pp. 3-36)

Chapter 3, “Conceptual Models for Evaluation in Advanced Nursing Practice” (pp. 61-86)

Chapter 6, “Evaluating Organizations and Systems” (pp. 127-142)Chapter 1 defines microsystem, mesosystem, and macrosystem and notes that evaluation can focus on one of these levels or all three. Chapter 5 examines the evaluation of organizations and systems.

Sadeghi, S., Barzi, A., Mikhail, O., & Shabot, M. M. (2013). Integrating quality and strategy in health care organizations, Burlington, MA: Jones & Bartlett Publishers.

Chapter 2, “Understanding the Healthcare Organization” (pp. 31–43)Although this chapter focuses on hospitals, the authors provide information about strategic planning and organizational structure that is applicable in many health care settings. The authors examine financial and quality issues as key aspects of performance measurement.

Elkin, G., Zhang, H., & Cone, M. (2011). The acceptance of Senge’s learning organisation model among managers in China: An interview study. International Journal of Management, 28(4), 354–364.

Retrieved from the Walden Library databases.

This article outlines the five disciplines that Senge argued could be found in a learning organization. The authors also discuss the worldview that is inherent in business organizations in China and explain how this relates to Senge’s theory.

Geller, E. S. (2006). From good to great in safety: What does it take to be world class? Professional Safety, 51(6), 35–40.

Retrieved from the Walden Library databases.

Geller reviews and applies Collin’s foundational Good to Great theory from its focus on financial success to safety.

Nesse, R. E., Kutcher, G., Wood, D., & Rummans, T. (2010). Framing change for high-value healthcare systems. Journal for Healthcare Quality, 32(1), 23–28.

Retrieved from the Walden Library databases.

This article explores how to implement change in complex adaptive systems (CAS) such as health care. The authors purport that an understanding of the principles of change management in CAS is critical for success.

Sabino, J. N., Friel, T., Deitrick, L. M., & Salas-Lopez, D. (2009). Striving for cultural competence in an HIV program: The transformative impact of a microsystem in a larger health network. Health & Social Work, 34(4), 309–313.

Retrieved from the Walden Library databases.

The authors discuss cultural competence as part of a patient-centered perspective on health care delivery. They examine an approach to creating innovation that originates at the unit (microsystem) level and can be diffused to the larger health care environment (macrosystem).

Literature Review (Childhood Obesity)

Nursing homework help

 Details:

While the implementation plan prepares students to apply their research to the problem or issue they have identified for their capstone change proposal project, the literature review enables students to map out and move into the active planning and development stages of the project.

A literature review analyzes how current research supports the PICOT, as well as identifies what is known and what is not known in the evidence. Students will use the information from the earlier PICOT Statement Paper and Literature Evaluation Table assignments to develop a 750-1,000 word review that includes the following sections:

  1. Title page
  2. Introduction section
  3. A comparison of research questions
  4. A comparison of sample populations
  5. A comparison of the limitations of the study
  6. A conclusion section, incorporating recommendations for further research

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

What is the purpose of the consensus model for APRN regulation?

Nursing homework help

 Please follow instructions carefully. Info needs to be true and correct. do not invent. Include references.

Search the Internet for the “The Consensus Model for APRN Regulation” video provided by the National Council of State Boards of Nursing.

Watch the video.

Write a 200 word message addressing the following:

1. What is the purpose of the consensus model for APRN regulation?

2. How do APRNs benefit from the consensus model?

3. What regulation changes do you foresee facing in your role as an APRN now that the consensus model has been established?