Many times trade-offs are necessary to increase productivity. What are important trades-offs involving the inputs to productivity? Your initial post should include real life situations.
Visit the World Business Culture website (http://www.worldbusinessculture.com/) and choose two countries that appear to be culturally diverse. Compare the culture of those countries and then indicate how cultural differences influence: a) The cost of doing business in each country b) The likely future economic development of that country c) Business Practices
Why do people trade? When answering this question consider the history of trade and how trade has influenced history. Consider the theories of Absolute and Comparative Advantage. Incorporate thoughts on the Ricardian model, Heckscher (1919) Olin (1933) Theory, Leontief Paradox and the New Trade Theory.
Please assist in writing a letter addressed to Management to conduct a study at my current workplace. basically, do the study and to use the current resources available to construct the study chapters.
Develop a data table that illustrates one or more underperforming clinical outcomes in a care environment of your choice. Write an assessment (35 pages) in which you set one or more quantitative goals for the outcomes and propose a change plan that is designed to help you achieve the goals.
Note: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, it is recommended that you complete the assessments in this course in the order in which they are presented.
Knowing what is the best practice for our patients is very important in providing safe and effective care. Understanding best practices can help nurses identify areas of care that need to be improved. To identify areas of need, nurses must use evidence from various sources, such as the literature, clinical practice guidelines (CPG), professional organization practice alerts or position papers, and protocols. These sources of evidence can also be used to set goals for improvement and best practices with an eye toward improving the care experience or outcomes for patients.
The challenge facing many care environments and health care practitioners is how to plan for change and implement changes. For, if we cannot effectively implement changes in practice or procedure, than our goals of improving care will likely amount to nothing. This assessment focuses on allowing you to practice locating, assessing, analyzing, and implementing change strategies in order to improve patient outcomes related to one or more clinical goals.
This assessment will take the form of a data table to identify areas for improvement and to set one or more outcome goals, as well as a narrative describing a change plan that would help you to achieve the goals you have set.
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
Competency 1: Design patient-centered, evidence-based, advanced nursing care for achieving high-quality patient outcomes.
o Develop a data table that accurately reflects the current and desired states of one or more clinical outcomes.
Competency 2: Develop change strategies for improving the care environment.
o Propose change strategies that will help to achieve the desired state of one or more clinical outcomes.
o Justify the specific change strategies used to achieve desired outcomes.
Competency 3: Apply quality improvement methods to practice that promote safe, equitable quality of care.
o Explain how change strategies will lead to quality improvement with regard to safety and equitable care.
Competency 4: Evaluate the efficiency and effectiveness of interprofessional care systems in achieving desired health care improvement outcomes.
o Explain how change strategies will utilize interprofessional considerations to ensure successful implementation.
Competency 5: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with organizational, professional, and scholarly standards.
o Communicate change plan in a way that makes the data and rationale easily understood and compelling.
o Integrate relevant sources to support assertions, correctly formatting citations and references using current APA style.
CONTEXT
One area in health care that it is necessary to consider is the environment in which the nurse works. It is important that this environment evolves and changes so that all patients are adequately supported. For this assessment, you will develop a change strategy to improve the health care environment. These changes can be rooted in a desire to improve clinical outcomes and data related to assessment accuracy, drug administration, disease recovery rates, or another relevant metric or outcome. A key skill for master’s-level nurses is to be able to evaluate clinical data and create a change plan to help drive improvements in the data to reach set goals.QUESTIONS TO CONSIDER
As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.
The assessment will be based on one or more outcomes that you would like to see improve. Think about experiences you have had working on setting goals for outcomes or using data to identify areas of need. Part of achieving your goal will be your ability to implement change in pursuit of improving outcomes. The Vila Health: Using Evidence to Drive Improvement simulation may be helpful in this regard.
Where do you look for resources and evidence to help you get started when treating a specific condition?
Where do you look for resources and evidence to help you get started when setting clinical goals?
o When there are no guidelines or policies for setting clinical goals, where do you look for resources and evidence to help you get started?
How do you use these resources and evidence to begin constructing evidence-based treatment, or developing evidence-based goals?
What data do you plan to use as a basis for setting improved outcome goals?
o What care environment do you envision using as the context of your assessment?
o How would change models, strategies, or theories need to be applied to help ensure achievement of your outcome goals?
o Which change models, strategies, or theories seem to be the best fit for your goals and environments. Why?
ASSESSMENT INSTRUCTIONS
Scenario
Consider the current environment. This could be your current care setting, the care settings presented in the Vila Health: Using Evidence to Drive Improvement or Vila Health: Concept Maps as Diagnostic Tools media, or a care setting in which you are interested in working.
For the setting that you choose you will need to have a data set that depicts sub-optimal outcomes related to a clinical issue. This data could be from existing sources in the course (Vila Health: Using Evidence to Drive Improvement), a relevant data set that already exists (a data set from the case study you used as a basis for your Concept Map assessment, or from your current place of practice), or an appropriate data set that you have created yourself. (Note: if you choose to create your own data set, check with your instructor first for approval and guidance.)
After you have selected an appropriate data set, use your understanding of the data to create at least one realistic goal (though you may create more) that will be driven by a change strategy appropriate for the environment and goal.
Potential topics for this assessment could be:
Consider ways to help minimize the rate of secondary infections related to the condition, disease, or disorder that you focused on for your Concept Map assessment. As a starting point you could ask yourself, “What could be changed to facilitate safety and minimize risks of infection?”
Consider how to help a patient experiencing traumatic stress or anxiety over hospitalization. As a starting point you could ask yourself, “How could the care environment be changed to enhance coping?”
Once you determine the change you would like to make, consider the following:
What data will you use to justify the change?
How can the team achieve this change with a reasonable cost?
What are the effects on the workplace?
What other implementation considerations do you need to consider to ensure that the change strategy is successful?
How does your change strategy address all aspects of the Quadruple Aim, especially the well-being of health care professionals?
Once the change strategy is implemented, how would you evaluate the efficiency and effectiveness of the care system if the desired outcomes are met?
Instructions
Your assessment submission should include a data table that illustrates the current and desired states of the clinical issue you are attempting to improve through your application of change strategies. Additionally, you will need to explain the rationale for your decisions around your chosen change strategies, as well as how the change strategies will be successfully implemented. The bullet points below correspond to the grading criteria in the scoring guide. Be sure that your change strategy addresses all of them. You may also want to read the Change Strategy and Implementation scoring guide and Guiding Questions: Change Strategy and Implementation to better understand how each grading criterion will be assessed.
Develop a data table that accurately reflects the current and desired states of one or more clinical outcomes.
Propose change strategies that will help to achieve the desired state of one or more clinical outcomes.
Justify the specific change strategies used to achieve desired outcomes.
Explain how change strategies will lead to quality improvement with regard to safety and equitable care.
Explain how change strategies will utilize interprofessional considerations to ensure successful implementation.
Communicate the change plan in a way that makes the data and rationale easily understood and compelling.
Integrate relevant sources to support assertions, correctly formatting citations and references using current APA style.
Additional Requirements
Length of submission: 35 double-spaced, typed pages, not including the title and reference pages. Your plan should be succinct yet substantive.
Number of references: Cite a minimum of 35 sources of scholarly or professional evidence that supports your goal setting, proposed change strategies, quality improvement, and interprofessional considerations. Resources should be no more than five years old.
APA formatting: Use the APA Paper Template linked in the Resources. An APA Template Tutorial is also provided to help you in writing and formatting your analysis. No abstract is required.
RESOURCES
Suggested Resources
The resources provided here are optional. You may use other resources of your choice to prepare for this assessment; however, you will need to ensure that they are appropriate, credible, and valid.
Assessment
Komenan, K., Elidj, E. J., Ildevert, G. P., Yao, K. I., Kanga, K., Kouam, K. A., . . . Kanga, J. (2013). Multifocal buruli ulcer associated with secondary infection in HIV positive patient. Case Reports in Medicine, 2013, 14. Retrieved from https://www.hindawi.com/journals/crim/2013/348628/ (PLEASE USE WEBLINK TO VIEW)
Biopsychosocial
Scaramuzzo, L. A., Gordils-Perez, J., & Cullen, P. M., (2014). Getting patients active: Using national data to drive practice. Clinical Journal of Oncology Nursing, 18, 4143. (THIS WILL BE IN ADDITIONAL FILES )
Change
Eads, V., & Maruzzella, G. (2016). The clinical nurse as an agent of change. Medsurg Nursing, 25(3), 173175. (THIS WILL BE IN ADDITIONAL FILES )
Heinig, M. J. (2010). Using data to drive and shape change. Journal of Human Lactation, 26(4), 359361. (THIS WILL BE IN ADDITIONAL FILES )
Nundy, S., Mishra, A., Hogan, P., Lee, S. M., Solomon, M. C., & Peek, M. E. (2014). How do mobile phone diabetes programs drive behavior change? Evidence from a mixed methods observational cohort study. The Diabetes Educator, 40(6), 806819. (THIS WILL BE IN ADDITIONAL FILES )
Evidence and Goal Setting
Ahrens, S., & Johnson, C. S. (2013). Finding the way to evidence-based practice. Nursing Management, 44(5), 1519.
Taylor, M. V., Priefer, B. A., & Alt-White, A. C. (2016). Evidence-based practice: Embracing integration. Nursing Outlook, 64(6), 575582. (THIS WILL BE IN ADDITIONAL FILES )
View the simulation Vila Health: Using Evidence to Drive Improvement | Transcript. (THIS WILL BE IN ADDITIONAL FILES )
Pathophysiology
Li, Y., Lu, Z., Zhang, X., Yu, H., Kirkwood, K. L., Lopes-Virella, M. F., & Huang, Y. (2015). Metabolic syndrome exacerbates inflammation and bone loss in periodontitis. Journal of Dental Research, 94(2), 362370.
Mocan Hognogi, L. D., & Simiti, L. V. (2016). The cardiovascular impact of visfatin – An inflammation predictor biomarker in metabolic syndrome. Clujul Medical, 89(3), 322326. (THIS WILL BE IN ADDITIONAL FILES )
Pharmacology
Sharmila, V., & Babu, T. (2015). Oral contraceptive pills induced hemichorea in an adolescent female with polycystic ovarian disease. Indian Journal of Pharmacology, 47(2), 232233. (THIS WILL BE IN ADDITIONAL FILES )
Course Files and Templates
Guiding Questions: Change Strategy and Implementation [DOC]. (THIS WILL BE IN ADDITIONAL FILES )
Select a nearby school and its district to help identify special education resources. Your list should include:Ten community resources (provide short descriptions and links).Ten school or district-based resources (provide short descriptions).The exceptionalities/needs they address.
From your list, design a brochure, flyer, or newsletter with school staff in mind that includes the information you’ve researched.
Field Experience C: Teaming to Make a Difference, Video Analysis
View the “Teaming to Make a Difference” video. In a
250-500-word response, address the following:1. What are the four skills and examples discussed in the video that are necessary for successful teaming and integration of services for individuals with disabilities and their families?2. What are the different perspectives that individual team members offered on inclusion?3. What is the value of each team member and the importance of her or his contributions to their collective effort?4. Research a journal article for best practices on successful teaming and integration of services for individuals with disabilities and their families. Does the article support the video? Explain and provide the citation to your article.https://www.youtube.com/watch?v=zhoH9B1eZc4
Create a poster for a presentation about a quality improvement (QI) project or plan that builds on the work you completed in the first two assessments. Include an abstract of 100250 words about the QI plan and key information in your poster.
Note: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, it is recommended that you complete the assessments in this course in the order in which they are presented.
The ability to propose and promote quality improvements in care is a vital skill for a master’s-prepared nurse. One aspect of this is understanding strategies for implementing best practice changes in a team, department, or care setting. Another is understanding how best practices can help lead to a continuous quality improvement cycle. Additionally, it is important to grasp how successful change strategies can be leveraged to help in the creation or implementation of clinical best practices. Part of this is considering the audience when proposing quality improvement projects or new best practices. Another part of this is being able to effectively communicate the goals, rationale, and benefits of a project.
For this assessment you will create a presentation poster to communicate a quality improvement project.
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
Competency 1: Design patient-centered, evidence-based, advanced nursing care for achieving high-quality patient outcomes.
o Evaluate specific evidence that supports the quality improvement methods proposed.
Competency 2: Develop change strategies for improving the care environment.
o Explain how the project is grounded in successful change strategies.
Competency 3: Apply quality improvement methods to practice that promote safe, equitable quality of care.
o Propose quality improvement methods to promote continuous improvement related to a specific biopsychosocial consideration.
Competency 4: Evaluate the efficiency and effectiveness of interprofessional care systems in achieving desired healthcare improvement outcomes.
o Analyze the way in which interprofessional teamwork will improve the effectiveness or efficiency of the quality improvement project.
Competency 5: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with organizational, professional, and scholarly standards.
o Communicate quality improvement considerations to relevant stakeholders in a way that is clear, concise, and compelling for the audience.
o Integrate relevant sources to support assertions, correctly formatting citations and references using current APA style.CONTEXT
As a master’s-level nurse you will be responsible for promoting equitable quality of care. In the biopsychosocial model of care, there are a number of areas where you can have an impact on improving the quality, safety, and equitablility of care. One example area where equitable quality of care is an issue is with medications, especially considering the cost of various medications to treat the same condition versus the effectiveness and potential side-effects of the medications. A further pharmacological concern for safe and quality care is medication errors. This could include considerations like a patient getting the wrong medication or a dangerous interaction due to other aspects of a patient’s health and treatment situation. An example could be vitamin or herbal supplements the patient has not disclosed as part of the medication reconciliation process.
One way to communicate the need for quality improvements, and your plans for achieving specific improvements, is through a presentation poster. This type of communication tool is used both in the work place and at professional and academic conferences. Being able to convey the essence and value of a project in a compelling and succinct way is a valuable skill, and it is vital within the constraints of a single poster.QUESTIONS TO CONSIDER
As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.
The assessment will be built around creating a professional and compelling poster to present a quality improvement project that may have grown out of your change initiative in the second assessment.
Who will be the primary audience of your poster? Who might be the wider, or outreach, audience that will be relevant to consider when creating your poster?
o What details or information will be most important and compelling to your audiences?
o How might you craft the design of your poster so that it better speaks to your audiences?
What steps might a nurse take to implement best practice changes in a care setting while respecting the multidisciplinary team?
o What does each member bring to the care of the client or community?
o How might recognizing the contributions of the multidisciplinary team help build buy-in or collaboration?
o Why is buy-in important to the success of a quality improvement project?ASSESSMENT INSTRUCTIONS
Scenario
For this assessment, you may take one of two approaches:
The first is to build upon the clinical issue that was the focus of your Change Strategy and Implementation assessment, and turn it into a full, organization- or community-wide quality improvement initiative.
The second is to identify a new issue related to a biopsychosocial (BPS) clinical issue, or a clinical issue related to one of the items from the list of conditions, diseases, and disorders presented in the Resources section for the Concept Map assessment. The focus should be on a community rather than on a specific patient or health care setting.
As a master’s level nurse, your specific focus is on reviewing the implications of the data relevant to the clinical issue you are trying to address. Once you research this, review the aggregate data, and understand the BPS considerations relevant to the clinical issue, you can suggest strategies for improving the quality, equitability, and safety of care around the issue. You should act as an advocate for the value and need to pursue quality improvements to leadership and executives, as well as be able to present potential projects to a wide range of colleagues and community stakeholders.
Instructions
Create an abstract and a poster for a presentation to executive-level leadership of the organization, to the community, or to your colleagues that will sell them on your quality improvement plan.
Abstract Requirements
Your abstract should be 100250 words.
It should summarize the key information in your poster.
Do not put your abstract on your poster itself; submit it as a separate document. Or, if you are using PowerPoint to help create your poster, create a new slide that is clearly labeled as your abstract.
Poster Requirements
Your poster should include the following sections:
o Quality Improvement Methods.
o Evidence Supporting QI Methods.
o Change Strategy Foundation.
o Interprofessional Team Benefits.
o Overall Project Benefits.
There are templates in PowerPoint or on the Internet that can help you get a start designing your poster.
The bullet points below correspond to the grading criteria in the scoring guide. Be sure that your presentation addresses all of them. You may also want to read the Quality Improvement Presentation Poster scoring guide and the Guiding Questions: Quality Improvement Presentation Poster document to better understand how each grading criterion will be assessed.
Propose quality improvement methods to promote continuous improvement related to a specific biopsychosocial consideration.
Evaluate specific evidence that supports the quality improvement methods proposed.
Explain how the project is grounded in successful change strategies.
Analyze the way in which interprofessional teamwork will improve the effectiveness or efficiency of the quality improvement project.
Communicate quality improvement considerations to relevant stakeholders in a way that is clear, concise, and compelling for the audience.
Integrate relevant sources to support assertions, correctly formatting citations and references using current APA style.
Additional Requirements
Length of submission:
o Abstract: 100250 words. Your abstract should be succinct and precise.
o Poster: Make sure your poster fits entirely onto a single poster template page (or slide) and contains all of the sections described in the assessment instructions.
Number of references: Cite a minimum of 57 sources of scholarly or professional evidence that support your considerations and plans. Resources should be no more than five years old.
APA formatting: Resources and citations are formatted according to current APA style.RESOURCES
Suggested Resources
The resources provided here are optional. You may use other resources of your choice to prepare for this assessment; however, you will need to ensure that they are appropriate, credible, and valid.
Assessment
House, M., Stephens, K. P., Whiteman, K., Swanson-Biearman, B., & Printz, M. (2016). Cardiac medicine 30-day readmission reduction strategies: Do improved discharge transitions decrease readmissions? Medsurg Nursing, 25(4), 251254. (THIS WILL BE IN ADDITIONAL FILES)
Rajasekhar, P. T., Rees, C. J., Nixon, C., East, J. E., & Brown, S. (2016). Factors influencing change in clinical practice: A qualitative evaluation of the implementation of the quality improvement in colonoscopy study. International Journal of Health Care Quality Assurance, 29(1), 515.
Write a 2000 word essay & a Reflective critical commentary(500 words ) based on how youwrote the essay following the rules in the file strictly. The commentary must strictly use atleast 2 sources from the list of 4sources given appropriately .
Here is the outline of this paper, please follow the outline in general and you can change some minor parts if necessary. 2. Background of Brexit
2.1 Historical relationship between the UK and the EU
2.2 Reason for Brexit
2.3 Brexit process
3. British economic status in the EU before Brexit
3.1 UK economic scale and economic growth contribution
3.2 UK’s share of imports and exports in the EU
4. The economic impact of Brexit
4.1 Impact on consumption, investment and foreign trade in EU member states
4.2 Impact on the Euro zone market
4.3 Impact on the free trade process of the EU
4.4 Impact on European banking
4.5 Impact on the EU’s economic recovery
5. Future prospects and conclusions
5.1 Future prospects
5.2 Conclusions