Author: best-essay

Below are the instructions for the discussion post. I have attached chapters of my textbook since they’re relevant to this discussion. Please include them as part of your references. Here is the citation of it: Schneider, A. (2017). Managerial Accounting: Decision making for the service and manufacturing sectors (2nd ed.) [Electronic version]. Retrieved from https://content.ashford.edu/ (Exercise 12-12) Dr. Steve Rosenthal has his own medical practice. He specializes in the treatment of diabetics. His staff consists of a receptionist, two nurses, a lab technician, and a dietitian. As patients enter the outer office, they check in with the receptionist. The patient then waits until called by a nurse. When called, the patient moves from the waiting room to the inner offices. The patient must weigh in and is then assigned a room. The nurse assigning the patient to a room gathers all the personal data for updating the medical records, such as insulin dosage, medication, illnesses since last visit, etc. The nurse also takes an initial blood sample for blood sugar testing and performs a blood pressure test. The patient then waits until the doctor comes in. After the doctor’s conference, the nurse returns to take more blood samples, depending on what is ordered by the doctor. The patient then waits until the dietitian comes to review eating habits and talk about how to improve meal planning and weight control. The patient returns to the receptionist to pay for the office visit and to schedule the next visit. In your response include the following: List the activities in the doctor’s office that are candidates for non value-added activities. Explain why you classify them as non value-added activities.

Support your opinion by using one or more of these contingency models: -Situational theory of Hersey and Blanchard -path-goal theory, Fiedler and his associates -model of decision participation, Vroom-Jago -substitues-for-leadership concept

Using critical thinking, compare leadership theories. Compare and contrast Fiedler’s contingency model and the path-goal theory. What are the key similarities and differences, and which theory do you think is more applicable for leaders?

information- As a nursing leader, youll need to have a basic understanding of how things like regulatory requirements, business practices, and reimbursements drive patient and family-centered care. Lets break it down by each of those sections. Regulatory requirements: concepts to explore in this section would be how the agencies protect patient safety, patient satisfaction, and encourage facilities to deliver high quality care. You might want to discuss CMS no-pay events or CMS value-based purchasing. A Joint Commission survey is one way that organizations can meet the CMS participation requirements but not the only way. What you want to look at is how the Joint Commission standards are also based on patient safety, patient satisfaction, and the quality of an organizations care delivery. Regulatory requirements could also include state nursing licensure requirements. Not just anyone can practice as a nurse. They need to go through a certain amount of education, pass an NCLEX, and register with the state. Could you see how that would enhance patient safety? Business practices could mean a lot of different things, so think about what types of business practices might impact patient and family-centered care? How about things like visiting hours, the ability for family members to be present during codes, or the ease in which patients could get access to their medical records? Other business practices might be the policies written that capture some of those safety standards that need to be met in order to get CMS payments. For example, a policy on the proper way to insert a foley catheter to decrease the risk of a CAUTI (catheter associated UTI). Or fall prevention. Or, a policy that requires nurses to keep up on their licensure and certifications. Reimbursements can also impact patient and family-centered care. We know that a lot of attention is being paid to patient satisfaction through the use of surveys such as the HCAHPS survey. Take a look at how those scores might impact CMS reimbursements. Also, how might an organizations reputation in the community affect how many patients come to their door? What about the types of services that a community needs and an organizations ability to provide those services? Would that impact the financial viability of an organization and drive patients to the door? Those are all concepts that youll want to explore in this section of the task. It is important to make sure you discuss each of the three aspects mentioned in the rubric (business practices, regulatory requirements, and reimbursements) and how those concepts impact patient and family-centered care B. Complete the attached Patient-and Family-Centered Care Organizational Self-Assessment Tool (PFCC) for a healthcare organization. Write 1 paragraph in which you describe your facility including size, services, etc. Write a second paragraph in which you describe the population served by your hospital, including prominent ethnic groups. Also, discuss the community ie population size, urban vs. rural, etc. Note: The PFCC tool is a subjective tool used to assess the organization you have chosen. 1. Describe the healthcare setting you used in the PFCC. 2. Using the completed PFCC tool, describe the strengths and/or weaknesses of the organization for each domain. C. Identify one area of improvement from the weaknesses identified in part B2. C. Area of Improvement Once you have completed the PFCC and have identified a strength and weakness for each of the 11 domains, you will now choose one of the weaknesses and identify it as the area of improvement. It is important that you have narrowed this down to 1 element from 1 domain and identify the element and domain in this section of the paper. C1. Improvement Strategy Because you will provide a detailed explanation of your improvement strategy in D3 of this task, you only need to give a broad overview of the strategy in this section. Your improvement strategy will include the formation of a multi-disciplinary team. Keep this specific. Your strategy will coincide with the area of improvement noted in C. C1a. System Theory or Change Theory If you or I were to make a major life change, we would likely go through a process to realize the need for the change, research our options, make the change, and have it become a habit. Just like people, organizations also go through a process to embrace a new way of doing things. Change theories and system theories help explain how an organization will go through a process to adapt to a new change. For this area of the task, you will need to pick one change theory or one systems theory. Describe it a little bit and explain how you, and your multidisciplinary team, will apply that theory to help your organization go through a change process that is related directly to the strategy that you are suggesting. You might consider using a 2 column table for this section of the task. In the first column you could list and describe the stages or steps of the theory. In the 2nd column you could then describe how you would apply each step to y D. Create a multidisciplinary team by identifying the following: You will want to pick 4-6 people to be on your team. Remember, even though an entire discipline (such as nurses) might be a part of your strategy, it would be impossible to have a team meeting with the entire nursing staff. So, youd want to send a representative to provide the perspective of nurses. When you choose team members, youll want to make sure that they bring a specific value to the team. Dont put anyone on your team just to have them there. They should have a task that makes sense for their role and for the strategy you are implementing. Identify the member (for example, IT) and the value they bring or the role they will play for this strategy. D1. Team Diversity Remember that the goal of this task is to improve patient and family-centered care. An important component of that is understanding the voice of our patients and their loved ones. Having an understanding of the cultural, racial, and ethnic diversity of our patients and colleagues is an important part of ensuring that their voices and perspectives are heard. You will want to include a discussion of the importance of having cultural, racial, and ethnic diversity on your multidisciplinary team. Why would this benefit the team itself, and how does that spill over to benefit patients and families? D2. Leadership Theories As the team leader, youll want to motivate your team to implement this change strategy. To do that, you will need to discuss one of the four options given in your task instructions. Identify one of the four theories that you feel would apply best to the culture of your organization, your personal style, and the needs of your team and strategy. Discuss the leadership theory and describe how you would apply the theory to motivate your team to implement this strategy. D3. Implementation Strategy This will be the nuts and bolts of your plan. You cant be too detailed here. Starting from filling out the PFCC tool and recognizing the need for change, describe all the steps that you and your team will take to implement this strategy. You will want to discuss what your team will do together, but you will also want to detail what every member of your multidisciplinary team will do to help. If they showed up on your team in Section D, then you will want to have a specific task for them in D3. The plan should be specific to your strategy so I would avoid being vague about your ideas. This section tends to be at least a full page depending on the strategy. D4. Communication to the Organization You will need to communicate your intended outcomes to your facility-not just administration. Youll also want to discuss the major steps of your plan. How will you do that? You will likely be including several different forms of communication (face-to-face meetings, policy briefings, emails, bulletin boards, newsletters, etc.). Its important to understand that youll need to communicate strategy steps and intended outcomes both up and down the chain-of-command. You should also consider how you will communicate the change to the public. Section D5: Tools for the Team As a team leader, you will want to help individual members of your team become more efficient and more effective. How can you help your individual team members have a better understanding of their strengths and weaknesses? Or their personality type? Or how well they work with others? There are several tools out there that help people reflect on their own capabilities and do a self-assessment to discover these qualities.
Hide

One of your closest friends, Jim, has been recently promoted to Vice President of Company XYZ. Company XYZ is a thriving company that is known for being strictly about task management. Jim has always found this practice unsettling, and he wants to change the culture of Company XYZ. He is well liked and respected by his peers, which is one of the reasons for his promotion. The company has seen tremendous growth over the years, but the past two years have been trending downward. A recent employee survey has caught Jims attention. The survey polled employee job satisfaction and leadership satisfaction. The employee satisfaction rating was, on average, 5 out of 10, and the leadership satisfaction rating was 4 out of 10 on average. The scores have other members of management puzzled, but Jim believes that increasing these ratings could turn things around. Company XYZs yearly leadership conference is a month away, and Jim has been asked to speak on achieving organizational objectives. Jim knows that you have recently enrolled in a management course and wants to hear some fresh perspectives. You will see Jim next week, and he has given you a list of things to consider prior to the meeting:

Be sure to discuss how Fate impacts all the principal characters: Teiresias, Creon, Laius, Iocasta, the Corinthian Shepherd, the Theban Shepherd and, of course, Oedipus. A discussion of Oedipus is required. Then discuss at least two additional characters. Also include the concept of Fate as it relates to the overall theme (message) of the play. Develop specifically with citations to the text of the play. However, only two short quotations (3 lines or less) allowed. All other references to the play are in your own words and cited.

Course Project: Part 3Translating Evidence Into Practice In Part 3 of the Course Project, you consider how the evidence you gathered during Part 2 can be translated into nursing practice. Now that you have located available research on your PICOT question, you will examine what the research indicates about nursing practices. Connecting research evidence and findings to actual decisions and tasks that nurses complete in their daily practice is essentially what evidence-based practice is all about. This final component of the Course Project asks you to translate the evidence and data from your literature review into authentic practices that can be adopted to improve health care outcomes. In addition, you will also consider possible methods and strategies for disseminating evidence-based practices to your colleagues and to the broader health care field. To prepare: Consider Parts 1 and 2 of your Course Project. How does the research address your PICOT question? With your PICOT question in mind, identify at least one nursing practice that is supported by the evidence in two or more of the articles from your literature review. Consider what the evidence indicates about how this practice contributes to better outcomes.To complete: In a 3- to 4-page paper: Restate your PICOT question and its significance to nursing practice. Summarize the findings from the articles you selected for your literature review. Describe at least one nursing practice that is supported by the evidence in the articles. Justify your response with specific references to at least 2 of the articles. Explain how the evidence-based practice that you identified contributes to better outcomes. In addition, identify potential negative outcomes that could result from failing to use the evidence-based practice. Outline the strategy for disseminating the evidence-based practice that you identified throughout your practice setting. Explain how you would communicate the importance of the practice to your colleagues. Describe how you would move from disseminating the information to implementing the evidence-based practice within your organization. How would you address concerns and opposition to the change in practice? By Day 7 of Week 10 This part of the Course Project is due. It should be combined with the other two components of the Course Project and turned in as your Portfolio Assignment for this course. Note: In addition, include a 1-page summary of your project. For this final iteration, you will need to: Submit your paper to Grammarly and SafeAssign through the Walden Writing Center. Based on the Grammarly and SafeAssign reports, revise your paper as necessary. Reminder: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The School of Nursing Sample Paper provided at the Walden Writing Center provides an example of those required elements (available from the Walden University website found in this weeks Learning Resources). All papers submitted must Learning Resources Note: To access this weeks required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus. Required Readings Polit, D. F., & Beck, C. T. (2017). Nursing research: Generating and assessing evidence for nursing practice (10th ed.). Philadelphia, PA: Wolters Kluwer. Chapter 12, Sampling in Quantitative Research This chapter introduces key concepts concerning sampling in quantitative research. This includes such concepts as a description of populations, different types of sampling and their uses, and how to determine a manageable, yet sufficient number to be included in a sample. The chapter also includes suggestions for implementing a sampling plan. Chapter 13, Data Collection in Quantitative Research Once a sampling design is complete, the next step is to collect the data, and this is the focus of Chapter 13. The chapter describes how to develop a data collection plan, and provides information about the different types of instruments that can be used, such as structured observation and biophysiologic measures. Chapter 22, Sampling in Qualitative Research The focus of this chapter is on the sampling process in qualitative research. The chapter describes the different types of sampling and when they are commonly used. Sampling techniques in the three main qualitative traditions (ethnography, phenomenological studies and grounded theory studies) are highlighted. Chapter 23, Data Collection in Qualitative Research This chapter examines the process of data collection in qualitative research as well as key issues surrounding data collection. This includes such methods as self-reporting, surveys, interviews, and personal journal keeping. The chapter also highlights important considerations when utilizing unstructured observations to gather data and how to record field notes. Keough, V. A., & Tanabe, P. (2011). Survey research: An effective design for conducting nursing research. Journal of Nursing Regulation, 1(4), 3744. Copyright 2011 by Elsevier Science & Technology Journals. Used with permission of Elsevier Science & Technology Journals via the Copyright Clearance Center. This text emphasizes the advantages of survey research. The authors describe the nuances of survey research projects, including their design, methods, analysis, and limitations. Walden University. (n.d.a.). Paper templates. Retrieved July 23, 2012, from https://writingcenter.waldenu.edu/57.htm This resource provides you access to the School of Nursing Sample Paper, which will serve as a template for formatting your papers. Media Laureate Education (Producer). (2012b). Data collection. Baltimore, MD: Author. Note: The approximate length of this media piece is 4 minutes. Dr. Kristen Mauk discusses how she collected data for her DNP project in this video. She describes the details of her pre- and post-tests used to track nurses knowledge in a rehabilitation unit. Accessible player Optional Resources Krainovich-Miller, B., Haber, J., Yost, J., & Jacobs, S. (2009). Evidence-based practice challenge: teaching critical appraisal of systematic reviews and clinical practice guidelines to graduate students. Journal of Nursing Education, 48(4), 186195. This text emphasizes the advantages of survey research. The authors describe the nuances of survey research projects, including their design, methods, analysis, and limitations. Horsley, T., Hyde, C., Santesso, N., Parkes, J., Milne, R., & Stewart, R. (2011). Teaching critical appraisal skills in healthcare settings. Cochrane Database of Systematic Reviews (Online), 11, Art. No.: CD001270. Melnyk, B., Fineout-Overholt, E., & Mays, M. (2009). The evidence-based practice beliefs and implementation scales: Psychometric properties of two new instruments. Worldviews on Evidence-Based Nursing, 6(1), 49. Fawcett, J., & Garity, J. (2009). Evaluating research for evidence-based nursing. Philadelphia, PA: F.A. David Company. Chapter 9, Evaluation of Research Instruments and Experimental Conditions
Hide

Show respect Discuss, in detail, which three keys from the list above are most important in your opinion and why.

Compare Maslow’s hierarchy of needs theory to Herzberg’s two-factor theory. What is the significance and contribution of each, and how do the two theories complement one another?

Directions: Research, identify and list 6 peer-reviewed articles that pertain to your research topic. Be prepared to read and review more than 6 in order to select those that truly apply to your topic. For each source provide: Full citation information in APA format. This must include the following: last name, first and middle (if available) initials of all authors (maximum of 6 persons), as listed on the article; year of publication; title of article; name of journal; volume, issue number and pages (range) of the article. Refer to the APA citation format for information on how to correctly format each source. Authors abstract. Simply copy and paste the authors abstract following the citation information. Annotated reference: Briefly summarize the main findings of the article. You must read the article and then identify and summarize the main findings in your own words. Do NOT summarize the abstract (1 paragraph). Briefly explain why this research is relevant to the topic you have chosen (1 paragraph). TOTAL LENGTH OF PAPER: 6 pages (1 page per article) Typed and Single spaced Each article must begin on a new page. It needs to be scholarly articles