NURS6053-WEEK3-REPLY2

 

In the United States (US), nursing turnover is a major challenge in the nursing industry with an averege turnover rate of about 14%  for registered nurses (Lindley & Cozad, 2017).  According to the American Hospital Association, 75% of all vacant positions are for registered nurses (Patricia, Sean, Jeannie, & Rosaly, 2004). The United States Department of Health and Human Services projects that the nursing shortage will soon reach a critical stage that will impact negatively on the healthcare industry  (Lindley & Cozad, 2017).  Nursing shortage has been adduced to a number of factors. Specifically, social factors and government policy have immensely contributed to the issue of nursing shortage and turnover. Government policy on the philosophy of free-market economy without adequate consideration for the assessment and compensation for quality care, the complex recruitment methods of new nurses and nurses

Competing Needs

Aging Population: Studies have reported that the United States has the largest number of nurses 65 years and over currently. This is coupled with a generally ageing population implies the need for more nurses to cope with this (Haddad et al, 2020).

Aging Work Force: The nurses are also becoming older like the populations they serve, the nursing workforce is also aging. By implication, one-third of the nursing workforce could be at retirement age in the next 10 to 15 years (Haddad et al, 2020)..

Nurse Burnout: High rate of burnout and job dissatisfaction is another competing need. Turnover in nursing seems to be leveling off, but only after years of steady climbing in rates. Currently, the national average for turnover rates is 8.8 % to 37.0%, depending on geographic location. (Haddad et al, 2020).

Growth: The high rate of job growth means a higher need is required seen in areas that have high retirement populations (Haddad et al, 2020)..

Competing Needs from the Economic Angle

Static Economic Shortages: This is based on the principle of demand and supply. Specifically nursing shortage depends on nurse availability in the face of actual budgeted slots at particular wage rates.  In a static economic shortage, the health organization has a budgeted position available but is unable to find suitable qualified candidate for employment at the wage being offered. That is, there is a shortage because the actual demand for nurses exceeds the actual supply of nurses who are available and willing to take these positions (Goldfarb, 2008).

Dynamic Economic Shortages: In this instance, demand and supply are equal, but suddenly the demand rises. Suppose that wages rise enough in response to call forth a sufficient increase in the number of nurses being supplied. The initial demand increase will then be met by rising supply (in response to the higher wage) and a moderating of the initial rise in demand because the higher wage makes adding nurses more expensive (Goldfarb, 2008).

How Policy Might Address These Competing Needs

Another important competing need is having adequate data on nursing. The question is: are nursing shortfalls large compared to other occupations. There is the need for organizations, policy makers and other stakeholders to have adequate data on nurse vacancy. A policy is required that will be driven in the direction of training enough nurses that will address the problem of nursing shortage in the US.

References

REFLECTION ON LEARNING 1

READINGS

American Association of Colleges of Nursing. (2006). The essentials of doctoral education for advanced nursing practice. https://www.aacnnursing.org/Education-Resources/AACN-Essentials (Links to an external site.)

Dang, D., & Dearholt, S. L. (2018). Johns Hopkins nursing evidence-based practice: Model and guidelines (3rd ed.). Sigma Theta Tau International.

·  Chapter 1: Evidence-Based Practice: Context, Concerns, and Challenges

·  Chapter 7: Evidence Appraisal: Nonresearch

·  Appendix F: Nonresearch Evidence Appraisal Tool

White, K. M., Dudley-Brown, S., & Terhaar, M. F. (2016). Translation of evidence into nursing and health care (2nd ed.). Springer Publishing Company.

·  Chapter 4: Translation of Evidence to Improve Clinical Outcomes

REFLECTION ON LEARNING

Reflective inquiry allows for expansion in self-awareness, identification of knowledge gaps, and assessment of learning goals. Each week, you will reflect upon what you have learned and complete a reflective journal assignment: Reflection on Learning. Each weekly reflection is placed in one document, which will be submitted for grading at the end of Week 7. There is no weekly reflection in Week 8 because a reflection is incorporated into the discussion question. Create a document where you will keep your weekly reflection.

In your document, reflect upon your Week 1 learning journey in NR701 and consider the following in one or two paragraphs.

·  Provide one specific example of how you achieved the weekly objectives.

·  What did you learn from this week to challenge your beliefs or attitudes?

·  How will this knowledge improve your effectiveness as a practice scholar?

Number and Operations Lesson Plan

 

One of the most important components of a lesson plan is the instructional strategies used to deliver the lesson. There are numerous, research-based instructional strategies to use when introducing a new concept in mathematics. The instructional strategies chosen for math should help to create engagement and motivation with students.

This lesson plan will focus in the content area of number and operations.

Part 1: Number and Operations Lesson Plan

For this assignment, select a K-8 grade level and a state standard in the area of number and operations and use the “COE Lesson Plan Template” to design an original lesson plan. Be sure to write appropriate learning objectives and explore research-based instructional strategies that encourage elementary students’ development in learning, connecting, and applying major concepts and principles from mathematics as you are preparing your lesson plan.

Use the “Class Profile” to differentiate to meet the diverse needs of students. 

Part 2: Rationale

In 250-500 words, provide a rationale explaining why you chose the specific instructional strategies for your lesson plan. How did your chosen research-based instructional strategies align to what was measured in the learning objectives? How did the instructional strategies you chose promote student engagement and motivation in mathematics? Explain how you identified opportunities to use digital tools or resources in teaching major mathematical concepts and real-world problem solving.

Support your findings with at least two scholarly resources.

Change Initiative: Creating Vision

In a written paper of 1,250-1,500 words, evaluate the current forces driving change in your field or industry. As a leader, or considering the role of a leader, assess your organization and evaluate how well it is responding to the forces, and identify where there is a need for change. Develop a vision to inspire this change. Include the following:

  1. Describe your organization, include the organization’s mission, and identify the various stakeholders.
  2. Identify the external and internal forces that drive organizational change in your field or industry. Explain the origin or reason for these internal or external driving forces. Explain how these forces directly affect the viability of your organization.
  3. Choose one of the driving forces. Describe the specific issues this driving force creates, or will potentially create, for your organization or department.
  4. Propose the steps needed for your organization or department to respond to this driving force.
  5. Predict how employees at various levels in the organization will respond to your proposed change initiative.
  6. Develop a vision for change. Describe how this vision correlates with the organization’s mission, and how you will present this vision to internal stakeholders.
  7. Predict how you think your vision will assist internal stakeholders in supporting the change initiative. Identify potential considerations posed by stakeholders, and discuss how you will respond.

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 LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

U7 5-7 page cited

  

Preparation

As stated in the project description, research is at the core of psychology practice whether you conduct it yourself or apply evidence-based strategies and techniques in your professional practice. After developing your vision “My Personal Vision Statement—“My career as a Cognitive Behavior Counselor began in 2003 when I was promoted with the Michigan Department of Corrections. After an extensive training for the Thinking for a Change evidence-based program and Substance Abuse Counselor for adult male offenders I realized I found my calling. I re-enrolled in college where I finished my Associates Degree in Criminal Justice and from there a Bachelor’s Degree in Psychology. I took a job for a private provider where I was able to counsel foster children in state custody and after doing that for a couple years I found I wasn’t happy with this career move and that’s when I found my current job as a counselor for Young Adult male offenders with the Tennessee Department of Corrections. My personal vision is to use myself, life experiences, and knowledge to impact positive attitudes with those who may cross my path in life. I wish to inspire and motivate them to discover and develop their true potential and live their lives to the fullest. In order for this vision to be fulfilled, I need to finish m Master’s Degree and gain advance evidence-based training experience so I can become more experienced with my facilitation in this area.  

Creating meaningful goals you created a research question related to your goals and searched the literature for answers—My Research QuestionI gathered a couple of insights about depression in my research. One is that some personalities are prone to depression more than others especially the introverts, perfectionists. Depression affects memory especially the part of the memory that deals with tasks like names and places. Depression is also linked to some diseases like heart disease, leads to faster aging and diabetes among others (Elliott, Huizinga & Menard, 2012). The research will play a very important role in my future career because it will help me keep up to date with current information about depression and other illnesses. I will be able to know the best and most modern treatments for various conditions and their public health interventions. The research will help me broaden my knowledge and skills as a Youth Offender Counselor.”  You practiced using critical thinking frameworks to evaluate the relevance and quality of research and you integrated the literature to prepare for a cohesive review.

This assignment provides an opportunity to receive feedback to help you further refine your research interests, reflect on the role of scholarship in your career vision, and practice evaluating and synthesizing evidence to apply in your profession.

Your writing in this assignment should not just be a collection of notes, lists, or questions and answers. Instead, it should be a well-organized discussion that flows logically from one idea to the next.

Instructions

Complete the following in your assignment template:

Introduction

State your research question and explain why it is important.

Evaluation of Sources

Synthesis of Literature Into a Cohesive Review

You should have identified at least three key themes, or focuses of inquiry, that are relevant to your research question and present in each article. These themes may be based on:

  • Related      aspects of research questions.
  • Related      or differing conclusions.
  • Other      factors or ideas the studies have in common.
  • Other      points of contrast between the studies.

Use concise formulations of these themes as headings for the next sections of the paper. In these sections, compare and contrast your resources’ positions relative to each theme, and then synthesize your own position relative to the theme. Support your conclusions by citing your references. However, if you find that more research would be needed to decide a question, briefly outline ideas of how that could be undertaken.

  • Discuss      how you would apply these findings to your future professional practice in      psychology.
  • Analyze      how these findings could help you accomplish the functions,      responsibilities, and ethics required of a psychology professional. You      are encouraged to cite information from your interview with a psychology      professional here; however, remember to critically evaluate the      information you use. 
    • What       techniques, strategies, and best practices are indicated by your       research?
    • What       enhanced outcomes can be expected when they are applied?

The final step in this assignment is to describe how your research fits into your future vision and goals for your career.

  • Craft      additional professional goals related to this research.
  • Revise      the vision statement you completed in Unit 3 to integrate research and      scholarship in your specialized field of psychology.

Your assignment should also meet the following requirements:

  • Template:      Use the Your Research in Psychology Template to format your assignment.
  • Length:      5–7 typed and double-spaced content pages in Times New Roman 12-point      font. The title page, abstract, and reference list are not included in      this length.
  • References:      Include a minimum of three references. Your references may include both      scholarly literature and practitioner sources. All references need to be      cited in-text, according to current APA standards. Remember that citations      are to support your thoughts, not take the place of them!
  • Written      communication: Must be clear, with correct spelling, grammar, and syntax      and with good organization.
  • Writing      style: APA expectations for scholarly writing include the use of      third-person narrative, unless it is awkward to do so. However, because      you are talking about yourself in this paper, you may write in the first      person.
  • APA      formatting: Must be formatted according to APA style and formatting and      include a title page, abstract, and reference list. Note that these three      elements are not counted toward the length of your assignment.

Week 6 pharma

DERMATOLOGY CASE STUDY

Chief complaint:  “ My right great toe has been hurting for about 2 months and now it’s itchy, swollen and yellow. I can’t wear closed shoes and I was fine until I started going to the gym”.

HPI: E.D a 38 -year-old Caucasian female presents to the clinic with complaint of pain, itching, inflammation, and “yellow” right great toe. She noticed that the toe was moderately itching after she took a shower at the gym. She did not pay much attention. About two weeks after the itching became intense and she applied Benadryl cream with only some relief. She continued going to the gym and noticed that the itching got worse and her toe nail started to change color. She also indicated that the toe got swollen, painful and turned completely yellow 2 weeks ago. She applied lotrimin AF cream and it did not help relief her symptoms. She has not tried other remedies. Denies associated symptoms of fever and chills. 

PMH:

Diabetes Mellitus, type 2.

Surgeries: None

Allergies: Augmentin

Medication: Metformin 500mg PO BID.

Vaccination History: Immunization is up to date and she received her flu shot this year.

Social history:

College graduate married and no children. She drinks 1 glass of red wine every night with dinner. She is a former smoker and quit 6 years ago.

Family history:

Both parents are alive. Father has history of DM type 2, Tinea Pedis. mother alive and has history of atopic dermatitis, HTN.

ROS:

Constitutional: Negative for fever. Negative for chills.

Respiratory: No Shortness of breath. No Orthopnea

Cardiovascular: Regular rhythm.

Skin: Right great toe swollen, itchy, painful and discolored.

Psychiatric: No anxiety. No depression.

Physical examination:

Vital Signs

Height: 5 feet 5 inches Weight: 140 pounds BMI: 31 obesity, BP 130/70 T 98.0, P 88 R 22, non-labored

HEENT: Normocephalic/Atraumatic, Bilateral cataracts; PERRL, EOMI; No teeth loss seen. Gums no redness.

NECK: Neck supple, no palpable masses, no lymphadenopathy, no thyroid enlargement.

LUNGS: No Crackles. Lungs clear bilaterally. Equal breath sounds. Symmetrical respiration. No respiratory distress.

HEART: Normal S1 with S2 during expiration. Pulses are 2+ in upper extremities. 1+ pitting edema ankle bilaterally.

ABDOMEN: No abdominal distention. Nontender. Bowel sounds + x 4 quadrants. No organomegaly. Normal contour; No palpable masses.

GENITOURINARY: No CVA tenderness bilaterally. GU exam deferred.

MUSCULOSKELETAL: Slow gait but steady. No Kyphosis.

SKIN: Right great toe with yellow-brown discoloration in the proximal nail plate. Marked periungual inflammation. + dryness. No pus. No neuro deficit.

PSYCH: Normal affect. Cooperative.

Labs: Hgb 13.2, Hct 38%, K+ 4.2, Na+138, Cholesterol 225, Triglycerides 187, HDL 37, LDL 190, TSH 3.7, glucose 98.

A:

Primary Diagnosis: Proximal subungual onychomycosis

Differential Diagnosis:  Irritant Contact Dermatitis, Lichen Planus, Nail Psoriasis

Special Lab: Fungal culture confirms fungal infection.

Please see below:

Now that you have identified the treatment for onychomycosis and labs for baseline and follow up therapy. For Week 6, please address the following:

  1. Specify when to refer the patient after therapy and why? Provide rationale.
  2. According to the recommended guidelines, what are the non-pharmacological approaches to Onychomycosis?
  3. Provide patient education. Keep in mind the past medical history of this patient.

Term Paper For History

  

TERM PAPER INSTRUCTIONS

This assignment will require you to have already done the Primary Source Analysis. 

This paper should advance a position (thesis/argument) based on a historical topic from our course. You will use at least two (2) sources for this assignment: one will be the primary source you analyzed; and the secondary source must be a journal article from a peer-reviewed journal that you researched and found through the MVC library database. I would use J-Stor for this – it’s a major database for history journals. https://www-jstor-org.dcccd.idm.oclc.org/

The textbook is not a valid source for this assignment and should only be used for context – do not cite or quote from it. When researching the secondary source, make sure that it is historical, written by an historian, and preferably published in a journal of history. Avoid “Reviews,” encyclopedia entries, biographies, and textbooks.

Only use the approved sources mentioned above. A failure to use the primary source will result in an automatic zero. Using randomly Googled websites is discouraged and will also result in a failing grade. The standard rules of Scholastic Dishonesty and Plagiarism apply (see syllabus for more on that).

Be sure to have a clear argument that you defend with relevant evidence. Organize your paper with a logical structure and use clear topic sentences and transitions to help your reader understand the logic of your organization. Edit your paper thoroughly to avoid grammatical, punctual, and spelling errors and to improve readability. Don’t forget to give your paper a title.

Grading criteria: Also see the Grading Rubric in the “Course Materials” folder on BB.

· Argument: 25% Does your paper have a clear, singular, specific argument that

· answers the question?

· Evidence: 25% Do you use all the relevant evidence to defend your argument?

· Organization: 25% Does your paper have a logical structure and use clear topic

· sentences and transitions?

· Clarity: 25% Is your prose efficient, crisp, and polished, free of excessive passive voice or distracting spelling or grammatical errors?

Formatting:

1. 12-point, Times New Roman font – double-spaced

2. 1-inch margins all around

3. 1200-1500 words (5-7 pages, double-spaced pages)

4. Standard heading (single space, first page only, not in margin): name, class, prof, date

5. TITLE (in all caps and centered after the heading)

6. Indent all paragraphs .5 inches (using the “Tab” key does it automatically)

7. Do not center or justify body text—keep the default alignment to the left of the page

8. Enumerate pages at the top right

9. Keep quotes short and at a minimum—excessive quoting is a sign of poor writing. 

a. I want to read your words and hear your voice come through.

article summarize

  For Blog 1, you will review an academic article related to Human Computer Interaction. There are numerous articles to choose from, and from multiple academic sources, but I would prefer if you reviewed an article from one of the following high-quality sources below, all of which are accessible through the ACM Digital Library, available through the CSUCI Library website. You can access the library via http://library.csuci.edu/research/databases-az.htmLinks to an external site. and clicking the link for ACM Digital Library. First, however, you’ll want to find a title that interests you from the below sources: 

Requirements:1. Briefly summarize the article and include one interesting thing you learned.

 2. Link the article back to Fogg’s Eight-Step Design Process????Actions

3. Include references where appropriate. 

CJUS 810-Powerpoint -Transnational Organized Crime In Europe

The following is an outline of the minimum points to be covered in your PowerPoint – Country/Area Topics:

These are minimum guidelines – you may expand the topics covered in your PowerPoint – keep the quality at a doctoral level.

PowerPoint Presentation Transnational Organized Crime In Europe

1)  Begin your paper with a brief analysis of the following elements:

a.  Country analysis

 i.  Introduction to the country

 ii.  People and society of the country 

 iii.  What is the basic government structure

2)  Analyze the nature of organized crime in the assigned area (you may narrow the scope of your analysis through your introduction if needed)

3)  Analyze the impact of organized crime in the assigned area on the government

4)  Briefly propose policies that may be helpful in mitigating organized crime in the assigned area 

5)  A Holy Bible comparison/analysis of the nature of the organized crime system, the impact on the country, or your proposed policy to mitigate the system    

Prepare a 10-17 slide PowerPoint presentation.  Title slide(s) and reference slide(s) do not count toward the slide count. The vast slide count difference is due to the fact that organized crime in some countries are quite easy to study and organized crime in some countries have very limited information.  In some instances there will be a plethora of information and you must use skilled writing to maintain proper slide count. Please keep in mind that this is a doctoral level presentation. Your research must go beyond the mere textbook and have a minimum of 8 scholarly sources.  The Holy Bible should be used at least once in the PowerPoint presentation.  Each slide (of the 10 slides) must have 200 to 350 words of bulleted or paragraph speakers notes (in speaker notes section of the slide build). The slides should be professional and not cluttered with too many words.  The sources should be reflected in the speaker notes, slides, and “reference section slide.” Additionally, you, the student, should use animations, transitions, and graphics to reflect PhD level research.  Please review the grading rubric when forming your presentation. Sources should reflect scholarly work but may include .gov information is there is an author or if the information comes from a valid government research database (think CIA, State Department, United Nations, etc.). 

PowerPoint Presentation Transnational Organized Crime In Europe

7 – Reorganization Report

Scenario – USE ATTACHED FOR COMPANY INFORMATION

You are an organizational behavior consultant, and your role is to analyze a company’s overall performance. As a consultant, you conduct observation, analysis, and suggestions for workplace improvement to help organizations achieve overall success. An American company called NoJax Inc. has hired you based on your ability to demonstrate professionalism and skillset as an OB analyst.

  • You have been asked by NoJax to come in as a consultant and analyze the business for factors that impact the company’s organizational behavior. NoJax Inc. would like to ensure that their company design is current and that its employees are as efficient as possible. You have been analyzing several elements of the organization structure and behaviors using the NoJax Company background document to identify improvement areas. You will use that information to provide NoJax with a new reorganization plan to continue their success, be more efficient, and stay ahead of their competition.

Instructions

Review the NoJax Company background document as part of your analysis and create a reorganization report that:

  • Includes an executive summary that discusses the value of organizational behavior analysis for NoJax and challenges and opportunities in applying your recommendations. Use 2 examples.
  • Examines the big-five personality traits for your analysis of the workforce from the background document and determine what personalities and personal values are a good “organizational fit” for NoJax Inc. Use examples for each.
  • Analyzes policies that can improve employee motivation and give examples of how these policies might influence employee behavior, attitudes, and motivation. Note: policies may need to be updated.
  • Proposes one change for each of NoJax’s barriers and then discuss how the changes will create more effective and supportive communication to build better relationships.
  • Details the process of decision-making NoJax currently uses and provides recommendations on how they can better use the negotiation process, ensuring NoJax is making each step of the decision-making process more efficient.
  • Summarizes how each management person should best use their management style to have the most significant positive influential impact on employees.
  • Additionally, identify the three essential elements to management, maintaining a balance between the current culture, and improving relationships to minimize resistance to change.
  • Uses examples to support understanding of concepts in a well-defined reorganization report
  • Provides attribution for credible references used in the development of content ideas following academic guidelines
  • As always, please keep in mind who your audience is and use correct grammar and spelling