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A merger-related current best practice or trend that is being successfully employed by HR departments

Overview

Company mergers are very busy and challenging times for corporate leadership. The role that HR plays during a merger is often complex and far reaching. In this assignment, you write an executive brief that considers aspects of how an HR department might prioritize and operate to support the union of two companies. 

Preparation

How to Brief an Executive

There is no single correct way to brief an executive or other stakeholder. The final deliverable is your choice, but effective briefs have common elements; they should be clear, concise, relevant, well-structured, and provide decision-making information. Here are a couple of resources you may use to get started:

Scenario

Imagine that Anchor Hospital, a 250-bed medical center, is merging with the similar-sized Saint Mary’s Hospital to better serve the needs of their metropolitan community. An administrative board has been formed to guide all aspects of the merger. They have asked all departments to submit an executive brief that states their roles, intended model of operations, and initial steps to build interdepartmental relationships. 

The board’s primary concern for HR is how it will manage the merging of the workforces into a single, cohesive, and effective team. They want to understand HR’s primary role, guiding principles, and application of current practice. Specifically, they want your vision for the following:

  • A merger-related current best practice or trend that is being successfully employed by HR departments.
  • HR’s primary role in assimilating the workforces for the two hospitals.
  • The HR management model to be followed.
  • How to foster relationships between HR and department managers.

Instructions

Write a 3–4-page executive brief that address the following merger-related items:

  1. Recommend a relevant HR trend or practice that would be useful to consider as part of this merger. Justify your recommendation.
  2. Analyze HR’s primary role(s) as a strategic corporate partner in merging the workforces of the organizations. 
  3. Recommend an HRM model that would effectively steer the joining of each organization’s employees into a single, cohesive workforce. Justify your recommendation.
  4. Recommend two initial steps that HR should initiate to develop an effective relationship between HR and management. Justify your recommendation.

Additional Requirements

  • Resources: Use four sources to support your writing. Choose sources that are credible, relevant, and appropriate. Cite each source listed on your source page at least one time within your assignment. For help with research, writing, and citation, access the library or review library guides

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Evidence-based practice (EBP) integrates the best evidence available to guide optimal nursing care

Create a 2-4 page resource that will describe databases that are relevant to EBP around a diagnosis you chose and could be used to help a new hire nurse better engage in EBP.

Introduction

Evidence-based practice (EBP) integrates the best evidence available to guide optimal nursing care, with a goal to enhance safety and quality. EBP is crucial to nursing practice because it incorporates the best evidence from current literature, along with the expertise of the practicing nurse. The concern for quality care that flows from EBP generates a desired outcome. Without these factors, a nurse cannot be an effective leader. It is important to lead not only from this position but from knowledge and expertise. To gain the knowledge, you require a good understanding of how to search for scholarly resources, as well as identify which databases and websites are credible for the purposes of implementing evidence-based changes in practice.

Scenario

You are supervising three nurses working on the medical-surgical floor of a local teaching hospital. This hospital is nationally recognized as a leader in education and has a computer lab with an online library where staff has access to medical research databases (that is, CINAHL, PubMed, Medline, and Cochrane library) and online sources of all hospital policies, procedures, and guidelines, and computers at nurse workstations that also have access to these resources. (For this scenario, use the Capella University Library to simulate the hospital’s online library.) You have given the nurses their patient assignments and you have all participated in shift report. A new nurse who just completed orientation and training a week ago approaches you and tells you that one of the assigned patients has a diagnosis he or she is very unfamiliar with. Knowing that patient-centered care based on best practices is imperative to positive patient outcomes, you want to assist this nurse to find research that can be utilized to provide the best care for this patient. Describe how you would communicate with this nurse to encourage him or her to research the diagnosis. Assume you will assist in the quest to locate evidence, then describe where you would go within the facility and what resources you would look for. These resources may include websites, journals, facility policies or guidelines, or any other sources of online information.

You may choose the diagnosis for the patient in this scenario or health care issue/diagnosis of your choice. Or you may choose something you would find interesting to research or that applies to a clinical problem/diagnosis you would be interested in addressing. Create a list of at least five sources that could be used to find evidence, with the best source listed first, and explain why the sources you chose are best to find evidence for the diagnosis you chose and the clinical scenario. You are only evaluating the sources of evidence (database, website, policy database or website, journal article, et cetera). You are not actually completing a search and selecting evidence. Consider the following examples: a nursing journal in CINAHL may not be the best source of evidence for information on how to administer medications through a central-venous catheter, whereas a hospital policy database found on a website may not be the best source of information on caring for a patient with a rare chromosomal abnormality.

Instructions

The purpose of this assessment is to understand where to find evidence that can be applied to clinical scenarios and to learn effective communication and collaboration with clinical staff during the process of evidence location. As a baccalaureate-prepared nurse, you will not only use research for self-improvement in your clinical role, but you will also serve as a mentor to supervised nursing staff. Therefore, you will need to be able to communicate and collaborate effectively to guide them toward resources to find research, as well as support them through the initial evidence location process. In doing so, nurses can gain access to evidence that can be analyzed and utilized to stay current on best practices. This allows them to provide safe, patient-centered care and improve patient outcomes.

For this assessment:

  • Describe your role as a baccalaureate-prepared nurse supervising clinical staff nurses with regard to communication and collaboration in locating evidence for application to a nursing practice scenario.
  • Compile a list of five online databases or other online sources (that is, websites, journals, facility policies or guidelines, et cetera) that can be used to research evidence to apply to this scenario or clinical practice issue/diagnosis and describe to which of these you would direct a nurse colleague to search for evidence.
  • Describe where you might go in the work place to complete this research and how you would access the desired, relevant research within research databases or other online sources.

Be sure to address the following in this assessment, which correspond to the grading criteria in the scoring guide. Please study the scoring guide carefully so that you will know what is needed for a distinguished score.

  • Describe communication strategies to encourage nurses to research the diagnosis/practice issue, as well as strategies to collaborate with the nurses to access resources.
  • Describe the best places to complete research and what types of resources you would want to access to find pertinent information for the diagnosis/health care issue within the context of a specific health care setting.
  • Identify five sources of online information (medical journal databases, websites, hospital policy databases, et cetera) that could be used to locate evidence for a clinical diagnosis/practice issue.
  • Explain why the sources of online information selected should provide the best evidence for the chosen diagnosis/health care issue.
  • Communicate using writing that is clear, logical, and professional with correct grammar and spelling using current APA style.

Note: While you are not selecting and evaluating specific evidence to help with the clinical diagnosis/practice issue, you should still be citing the literature and best practices to support your description of your communication and collaboration approach. Additionally, it is appropriate to cite best practices related to EBP and evaluating databases to support your explanation as to why you selected the five sources of online information that you did.

Additional Requirements

Your assessment should meet the following requirements:

  • Length of submission: 2-4 pages (not including the title page or the reference page) description of communication, collaboration, and evidence location process, including a list of databases or other sources with description of why they are appropriate for clinical scenario diagnosis/health care issue (that is, something that would be useable in professional practice for other nurses). Be sure to include an APA-formatted reference page at the end of your submission.
  • Number of references: Cite a minimum of three sources of scholarly or professional evidence that supports your findings and considerations. Resources should be no more than five years old.
  • APA formatting: References and citations are formatted according to current APA style.

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

  • Competency 1: Interpret findings from scholarly quantitative, qualitative, and outcomes research articles and studies.
    • Explain why the sources selected should provide the best evidence for the chosen diagnosis/health care issue.
  • Competency 2: Analyze the relevance and potential effectiveness of evidence when making a decision within the context of a specific health care setting.
    • Describe the best places to complete research within the workplace environment and what types of resources one would want to access to find pertinent information for the diagnosis/health care issue.
  • Competency 4: Plan care based on the best available evidence.
    • Identify five sources of online information (medical journal databases, websites, hospital policy databases, et cetera) that could be used to locate evidence for a diagnosis/health care issue and three out of five should be specific to the diagnosis/health care issue.
  • Competency 5: Apply professional, scholarly communication strategies to lead practice changes based on evidence.
    • Describe communication strategies to encourage nurses to research a diagnosis/health care issue, as well as strategies to collaborate with the nurses to access resources.
    • Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.
    • Apply APA formatting to in-text citations and references exhibiting nearly flawless adherence to APA format

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Research of ethical, economical and legal issues relative to the practice in relation to health promotion protocol/practice

The purpose of this assignment is to complete a review of a screening tool utilized by nurse practitioners in maintaining individual, family, or community health.

Your presentation should:

1. Identify and select a screening tool 
2. Research of ethical, economical and legal issues relative to the practice in relation to health promotion protocol/practice. 
3. Provide recommendations.

Incorporate a minimum of 4 current (published within the last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work

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The Law and Health Care Practice

Assessment 1: Essay (E-tivities) & Annotated Bibliography
Task Overview
Course NUR8340: The Law and Health Care Practice
Assessment name Essay (E-tivities) & Annotated Bibliography
Brief task description The first part of this assessment requires you to participate in a minimum of four (4) Etivities. These will form Part A – essay. You will then locate four (4) recent journal articles on one of your chosen E-tivity topics, relevant to your workplace, and provide an annotated bibliography of these articles.
Rationale for assessment task This assessment will enable you to link a relevant legal and/or ethical issue in your workplace to the literature and make sense of how current research can be put into practice. Evidence based practice at work.
Due Date Tuesday 19th April 2022 by 2355 AEST.
Length 1500 words for the Essay (E-tivities).
1500-1800 words for the Annotated Bibliography. The reference for each chosen article is not included in the word count.
Marks out of: Weighting: Total marks /100
50% of final grade.
Course
Objectives

  1. Critically review contemporary law and health literatures to inform legal, ethical, and professional health care practice.
  2. Employ a realistic application of theories and principles of law and ethics to the design of reasoned responses to critical incidents in health care practice.
    Task Details For this assessment you will apply and contextualise advanced knowledge and understanding of Australian healthcare law and/or ethics that impacts on your workplace, through contributing to E-tivities and an annotated bibliography.
    PART A – Essay – E-tivities:
    Format: You will submit evidence of participation in the E-tivities by copying and pasting your chosen contributions from the Study Desk E-tivity Forums onto a Word document file for submission. Please use a heading for each E-tivity indicating the week it came from.
    Guidelines for E-tivities
    • Each week, an E-tivity will be assigned as part of your weekly activities. Read what the activity is asking you to do and post your response on that week’s Etivity Forum.
    • Complete a minimum of four (4) E-tivities on four (4) different weeks (there is no maximum to the number of contributions you can make),
    • You are to support at least two (2) of your E-tivity contributions with a minimum of one (1) contemporary literature source and provide a reference for
    that source using APA 7th edition referencing style at the end of your E-tivity post.
    • Choose a minimum of four (4) of your E-tivity responses and copy and paste them onto a word document. These form Part A of this assessment.
    NOTE: The four (4) E-tivities chosen must equal 1500 words (+/-10%). If you choose to use more than four (4) contributions, please do not exceed 1500 words (+/-10%).
    Intext referencing is included in the word count, but the reference source at the end is not.
    Part B – Annotated Bibliography:
  3. Choose one of the topics from Part A, your E-tivity participation, and locate four (4) contemporary journal articles relevant to your chosen topic (one article can be the one you used in your discussion). For example: each week’s E-tivity matches the content of that week. If you submit the Week 5 E-tivity in Part A, then you may choose Negligence as your topic for Part B and you will locate four (4) journal articles on Negligence.
    Write an annotated bibliography on each article using the following format:
    • One introduction for the whole annotated bibliography section – introduce your chosen topic and the articles you will discuss. (100-150 words)
    • Full citation for each article directly above its annotated bibliography – APA
    7th referencing must be used. (not included in the word count)
    • Annotation Bibliography (one for each article):
    o a summary of the article in your own words (one paragraph).
    (100-150 words) o a critique of the article, which is a brief statement about the article’s calibre ie:
    ? is the article easy to understand and current?
    ? is the article easy to set out well – headings/subheadings?
    ? Is the author(s) credible?
    ? Are the interpretation of findings correct?
    ? what type of audience would benefit from reading this article?
    (100-150 words)
    o a reflection on the articles value ie:
    ? how relevant is the information in the article to your own practice as a health care professional? (100-150 words)
    NB: the word count in red beside each section is a guide only.
    Resources available to assist with task The StudyDesk Assessment Tab contains the following resources to help you with this assessment:
  • Information on how to write an Annotated Bibliography.
  • Information on how to do APA 7th edition referencing style.
  • Link to the library APA 7th edition referencing guide.
    Support for academic writing (and referencing) is available from the Learning Advisor and Liaison Librarian, you can find information and contact them via their site: Study and Research Support for Health & Community students
    Writing & formatting requirements Case study and discussion on the legal and ethical issues will be in academic writing style ie third person.
    Reflection, section (4), may be in first person.
    Assignments should be presented using:
    • Double-line spacing
    • Times New Roman, 12 point font
    • APA formatting (7th Edition as per APA guide)
    • Footer with name, student number & page number
    Referencing/ citations • For this assessment you will use APA 7th referencing style.
    • Sources: your reference list must include at least 8 scholarly sources with the majority no older than 6 years old (four of them will be your chosen articles for the Annotated Bibliography).
    In text citations: You must include intext citations in the body of your work. Each new point or piece of evidence must be attributed (via in-text citation) to the source.
    Submission What you need to submit:
    One Microsoft Word document to the submission link on the course StudyDesk that contains the following items:
    • The Essay and Annotated Bibliography as one document,
    • No coversheet but footer must include: course code, semester and year, student name, student number, page number
    • Do NOT include the marking criteria sheet
    • Save your document with the following naming convention:
    surname_initial_NUR8340_A1.doc
    E.g: Jones_J_NUR8340_A1.doc
    Please upload the four journal articles, or a clear link to them (eg. URL), on a separate page to the second submission link – Save your document with the following naming convention: surname_initial_NUR8340_A1articles.doc
    E.g: Jones_J_NUR8340_A1articles.doc
    Marking and moderating • This task will be marked against a marking rubric available on StudyDesk.
    • All staff who are assessing your work meet to discuss and compare their judgements before marks or grades are finalised.
    Academic integrity & Misconduct Students should be familiar with, and abide by, USQ’s policy on Academic Integrity and the definition of Academic Misconduct . Penalties apply to student’s found to have breached these policies & procedures.
    Assessment policy &
    procedure
    Information and links regarding USQ’s assessment policy/ procedure; extensions and late submissions; academic integrity & misconduct and marking are found on your course StudyDesk Assessment page.
    Note on Late submission & extensions: Applications for an extension of time will only be considered if received in accordance with the USQ Assessment procedure and the Assessment of Compassionate and Compelling Circumstances Procedure. Refer to the links on StudyDesk for copies of these procedures.
    NUR8340: The Law and Health Care Practice. Semester 1, 2022
    Assessment 1: Annotated Bibliography and Essay – Marking Rubric
    E-tivity 20 – 17 16.9 – 15 14.9 – 13 12.9 – 10 9.9 – 0
    Contributions to E-tivities
    (20 marks) Evidence of 4 or more Etivity contributions to 4 different weeks, which are highly articulate and relevant to the week’s topic.
    Evidence of 4 E-tivity contributions to 3-4 different weeks, which are relevant to the week’s topic. Evidence of 3-4 E-tivity contributions to 3-4 different weeks, which are mostly relevant to the week’s topic. Evidence of 2-3 E-tivity contributions to 2-3 different weeks which attempt to be relevant to the week’s topic. Evidence of one (1) or more contributions to E-tivities which are not relevant to the week’s topic.
    No evidence of contributing to an E-tivity.
    6 – 5.1 4.6 – 5 4.5 – 4
    3.9 – 3 2.9 – 0
    Referencing
    in E-tivities
    APA7th ed referencing
    style used
    (6 marks) A minimum of two (2) reference sources have been used to support a minimum of two (2) E-tivity discussions.
    APA7 is used correctly to cited sources both within text and at the end of the Etivity with no errors.
    Two (2) reference sources have been used to support two (2) E-tivity discussions.
    APA7 is used correctly to cite sources both within text and at the end of the E-tivity with some minor errors. Two (2) reference sources have been used to support one (1) E-tivity discussion.
    APA7 is mostly used correctly to cite source(s) within text and at the end of the E-tivity with numerous minor errors.
    One (1) reference source has been used to support one (1) E-tivity discussion.
    APA7 is mostly used correctly to cite the source within text and/or at the end of the E-tivity with major errors.
    An attempt to provide one (1) reference source has been made intext only/no reference sources have been used to support the E-tivity discussion.
    APA7 has not been correctly used intext/no referencing.
    Annotated Bibliography
    4
    3
    2
    1
    0.9 – 0
    Bibliographic (reference) details APA
    7th ed
    (4 marks) All four (4) annotated bibliography journal articles are cited in correct APA7 referencing format with no errors. All four (4) annotated bibliography journal articles are cited in correct APA7 referencing format with one error. All four (4) annotated bibliography journal articles are cited in correct APA7 referencing format with twothree errors. All four (4) annotated bibliography journal articles are cited with an attempt at APA7 referencing format with more than four errors. There are omitted or no citations for the annotated bibliography journal articles/
    APA7 referencing format has not been used.
    5
    4
    3
    2
    1 – 0
    Introduction to Annotated Bibliography
    (5 marks) Highly relevant comprehensive introduction. Defines topic at an advanced level and includes a comprehensive introduction to the annotated bibliography articles. Well-developed introduction. Defines the topic and includes an introduction to the annotated bibliography articles.
    Effective attempt at writing an introduction. Defines the topic and attempts to introduce the annotated bibliography articles. An attempt made to provide an introduction,
    The topic chosen is not clear. Some/vague evidence of introducing the annotated bibliography articles. Inadequate and/or poor introduction.
    Minimal/no evidence of an overview of the annotated bibliography.
    20 – 17 16.9 – 15 14.9 – 13 12.9 – 10 9.9 – 0
    Summary of
    article
    (20 marks – 5 marks for each article) A sophisticated choice of all articles which are relevant to the topic.
    A comprehensive summary, demonstrating a thorough understanding of each article has been provided.
    There is no repetitiveness in the summaries. All articles have been well chosen and are relevant to the topic.
    A comprehensive summary, demonstrating a considerable understanding of each article has been provided.
    There is no repetitiveness in the summaries. All articles chosen are relevant to the topic. A clear summary, demonstrating a broad understanding of each article has been provided. There is some repetitiveness in the summaries. All articles chosen are somewhat relevant to the topic.
    A summary, demonstrating a beginning understanding of each article has been provided but is unclear at times.
    There are a number of repetitive statements in the summaries. Articles chosen are not relevant to the topic/ there are
    less than five articles chosen/ no summary has been provided.
    20 – 17 16.9 – 15 14.9 – 13 12.9 – 10 9.9 – 0
    Critique of each article (20 marks – 5 marks for each article) A comprehensive critique of each article is provided which is highly articulate and clearly describes how the article is set out and who would benefit from reading it.
    Highly relevant rationales are used to support the critique. There is a high level of synthesis of the material. A substantial critique of each article is provided which is articulate and clearly describes how the article is set out and who would benefit from reading it.
    Relevant rationales are used to support the critique. Material is well synthesised. A sound critique of each article is provided which describes how the article is set out and who would benefit from reading it.
    Sound rationales are used to support the critique however greater synthesis is needed. A broad critique of each article is provided which attempts to describes how the article is set out and who would benefit from reading it.
    An attempt has been made to provide rationales to support the critique, however more detail and relevance is required. A limited/no critique of each article is provided. It is not clear how the article is set out and who would benefit from reading it, or there is no information provided.
    Limited/no attempt to provide rationales to support the critique.
    20 – 17 16.9 – 15 14.9 – 13 12.9 – 10 9.9 – 0
    Reflection for each article (20 marks – 5 marks for each article) A highly articulated and comprehensive reflection on each article is presented.
    A highly articulated reflection
    on relevance to own professional practice is presented.
    A relevant and concise reflection on each article is presented.
    A well-articulated reflection on relevance to own professional practice is presented. A sound reflection on each
    article is presented however some generalisations used rather than personal reflection.
    Relevance to own professional practice is presented. A generic reflection is provided with an attempt at a personal reflection.
    It is unclear what the relevance is to own professional practice.
    The reflection is vague and generic with no attempt at personal reflection/ No reflection is provided.
    No attempt at providing information on relevance to own professional practice.
    5 4 3 2 1 – 0
    Academic
    writing/ expression/ grammar (5 marks) Word limit has been adhered to.
    High standard of academic presentation with formatting style adhered to.
    Good standard of academic presentation with formatting style mostly adhered to.
    Sound standard of academic presentation with some errors in formatting style.
    Basic/beginner standard of academic presentation with a number of errors in formatting style.
    Word limit has not been adhered to.
    Assessment is poorly presented demonstrating poor understanding of academic presentation. Numerous errors in formatting style.
    Writing is clear, concise & fluent with few/no spelling or
    grammatical errors
    Structure:
    Well-constructed with excellent paragraph and sentence structure. Writing style conforming to assessment instructions. Writing is clear & fluent with some spelling and/or
    grammatical errors
    Structure:
    Well-constructed with good paragraph and sentence structure. Writing style mostly conforming to assessment instructions. Writing is mostly clear but lacks fluency in places with a number of spelling and/or grammatical errors
    Structure:
    Some paragraph and/or sentence structure errors. Writing style mostly conforming to assessment instructions. Writing is unclear and lacks fluency in places with many spelling and/or grammatical
    errors
    Structure:
    There are paragraph and/or sentence structure errors. Writing style partially conforms to assessment instructions. Writing is difficult to follow with
    major spelling and grammatical errors.
    Structure:
    Poor paragraph and sentence structure. Writing style does not conform to assessment instructions.
    All marking is completed in Turnitin. You will find your feedback and marks there. This rubric is for your reference only.
    Please note that a LATE PENALTY of 5% of the total marks available for the assessment will be deducted for each day the assessment is late

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What were some of the main features of Mongol political practice and ceremony?

Discussion Board: 

200 words each

1- POST (or respond) with your thoughts/ideas/comments in the discussion forum: What were some of the main features of Mongol political practice and ceremony?

2- Post (or respond) your thoughts/comments/ideas in the discussion forum: How close were cultural and political relations between early Japanese and Chinese societies?

3- POST (or respond) with your thoughts/ideas/comments in the discussion forum: Comment on the idea of humanism as an important part of the Renaissance and Reformation

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Evidence-Based Practice and Ethics in Community Health Nursing

  1. Click and read the Case Study below and post answers.
  2. Answers must: 
    • Be 100 words or more
    • APA FORMAT
    • References are cited (if necessary)

Case Study

Chapter 4

Evidence-Based Practice and Ethics in Community Health Nursing

The student nurse starts the day with the community health nurse with a discussion about the implementation of evidence-based practice. The nurse reviews with the student the importance of including appropriate research and evidence-based practice principles each day during the daily visits. The community health nurse emphasizes the importance of looking at one’s own values since the student nurse will encounter various individuals in the community health setting. The community health nurse asks the student nurse to review the key human values that influence a client’s health.

  1. The community health nurse asks the student nurse to explain what is involved in evidence-based practice. What are the necessary steps in the process of evidence-based practice that the nurse should include in the discussion with the community health nurse?
  2. What does implementation of evidence-based practice enable the community health nurse to do in the community?
  3. Research has what significant impact on community health and nursing practice?
  4. Values and ethical principles strongly influence community health nursing practice and ethical decision-making. What function do values hold in clinical practice in the community health setting?
  5. What three human values influence client health that the community health nurse must consider?

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practice responding and analyzing short stories with support derived from research

 Literary Analysis In this essay you should combine your practice responding and analyzing short stories with support derived from research. So far in class, we have practiced primarily formal analysis. Now I want you to practice ″joining the conversation.″ In this essay you will write a literary analysis that incorporates the ideas of others. The trick is to accurately present ideas and interpretations gathered from your research while adding to the conversation by presenting your own ideas and analysis. You will be evaluated based on how well you use external sources. I want to see that you can quote, paraphrase and summarize without plagiarizing. Remember, any unique idea must be credited, even if you put it in your own words. Choose one of the approaches explained in the ″Approaches to Literary Analysis″ located at the bottom of this document. Each approach will require research, and that research should provide the context in which you present your own ideas and support your thesis. Be sure to properly document your research. Review the information, notes, and pamphlets I have distributed in class as these will help guide you. While I am asking you to conduct outside research, do not lose sight of the primary text to which you are responding—the story! Your research should support your interpretations of the story. Be sure that your thesis is relevant to the story and that you quote generously from the story. To rewrite and make plagiarism free. Purpose: critical analysis, Argument, writing from sources Length: approx 1200 words Documentation: Minimum of 4 sources required. Document in MLA format 

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Registered nurses (RNs) and advanced practice registered nurses (APRNs) play a vital role in healthcare delivery.

Respond to the two following post

APA format

2 scholarly References within the last two years for each post

Plagiarism free, Turnitin report

Chloe C

Discusion # 1

Top of Form

Opportunities

Nursing plays a role in changing health policy on multiple levels: conduct quality improvement projects on the job, attend local meetings to share their expertise and advice and write to their political representatives to advise them on critical health-related issues. Registered Nurses and Advanced Practice Registered Nurses are in a great position to advocate for policy development because they spend so much time with patients to know the specific needs of the communities they serve. (Regis College, n.d.).

 Challenges

Nurses often must move out of their comfort zone to advocate for health policy changes, and this process can be very time-consuming. Some have no interest in politics and policy-making and lack educational preparedness. Some have found a lack of resources and mentorship from exemplary nurse leaders. 

           Joining nursing organizations is essential for nurses to enhance individual advocacy efforts. These groups provide resources and strategize more effectively to bring nursing perspectives to health policy decision-makers. Nursing organizations can monitor public policy, offer ways for their members to learn about health policy, and serve as a resource for reliable information related to policy issues and policymakers. (Abood, n.d.).

 Strategies 

As nurses, these opportunities to participate in policy-making can be communicated in the employment setting through word of mouth directly to coworkers or nursing-led education classes about the subject. Also, social media is a great way to reach, educate, advocate, and communicate with a specific target audience on a larger scale in this day and age. (Anders, 2021).

Andrikia W

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Registered nurses (RNs) and advanced practice registered nurses (APRNs) play a vital role in healthcare delivery. As RNs and APRNs, we must become actively involved and continue to be the voice and advocate for our patients and community. We can become involved by meeting with local legislators and community leaders to address the problems we are facing with health care. Also, joining an organization such as American Nurses Association is a way for nurses to become actively involved in the policy-making process. In addition to lobbying on issues that directly affect the nursing profession, ANA takes bold stances on issues important to its members. ANA has taken firm positions on a range of issues including Medicare reform, the importance of safe nurse staffing, workplace violence, whistleblower protections for health care workers, and adequate reimbursement for health care services (ANA, n.d.). Social media is a key platform for nurses to be advocates. For example, Facebook has a variety of distinct groups designated for RNs and APRNs. It is a resourceful tool to utilize to network and get information to the public. Another strategy in increasing participation and bringing awareness to politics and policymaking is providing nurses with efficient information regarding health policies. For example, I did not have a lot of knowledge about healthcare policy making until taking this course. Surprisingly, this information is not provided or taught in undergraduate courses. If the information is introduced at an early stage in nurses’ careers, then they will be more actively engaged.

Nurses are not always granted the opportunity to voice their concerns. The International Nursing Review article identifies a lack of support, resources, and time for nurses to do so in their workplaces, and too often nurses lack confidence and skills in policymaking and do not understand the differences or connections between policy and politics (Health Stream, 2021). However, nurses should not allow negativity or lack of support from legislators to discourage them from becoming involved. Instead, nurses should fight back and have adequate evidence-based practice to support the topic of concern. Nursing organizations allow nurses to band together and support one another in policy implementation. Nurses can create healthcare change and should become involved in the policy process and learn about upcoming issues. As a component of professional nursing, active participation in the policy process is essential in the formulation of policies designed to provide quality health care at sustainable costs to all individuals (Milstead & Short, 2019).

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A predominant theme in research and practice today is obesity, which is increasing at an alarming rate worldwide in all ages

 Discussion 6

A predominant theme in research and practice today is obesity, which is increasing at an alarming rate worldwide in all ages. As a future nurse practitioner:

1. How would you approach or discuss the topic of obesity and diet with your adult or geriatric patients?

2. What are the possible health consequences of obesity and what factors need to be taken into consideration when treating the obese patient who also has multiple comorbidities (e.g., hypertension, diabetes, high cholesterol)?

Requirements: 4 paragraphs

Discussion 7

Darlene, age 32 years, has been having back pain for a number of years, ever since suffering a compressed L2 disc as the result of a motor vehicle accident that led to surgery and extensive physiotherapy. Now she is missing time from work as a secretary because of constant pain. Darlene has been referred to you for chronic pain.

1. As the nurse practitioner working with Darlene, what aspects of disorders of pain are important to understand?

2. How would you effectively manage Darlene’s pain at this time?

Requirements: 4 paragraphs

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Chapter 19 Mini Case in Financial Management: Theory and Practice

 The purpose of this assignment is to explain core concepts related to lease vs. purchase and tactical financial decisions.

Read the Chapter 19 Mini Case in Financial Management: Theory and Practice. Using complete sentences and academic vocabulary, please answer questions a through f.

Mini Case

Lewis Securities Inc. has decided to acquire a new market data and quotation system for its Richmond home office. The system receives current market prices and other information from several online data services and then either displays the information on a screen or stores it for later retrieval by the firm’s brokers. The system also permits customers to call up current quotes on terminals in the lobby.

The equipment costs $1,000,000 and, if it were purchased, Lewis could obtain a term loan for the full purchase price at a 10% interest rate. Although the equipment has a 6-year useful life, it is classified as a special-purpose computer and therefore falls into the MACRS 3-year class. If the system were purchased, a 4-year maintenance contract could be obtained at a cost of $20,000 per year, payable at the beginning of each year. The equipment would be sold after 4 years, and the best estimate of its residual value is $200,000. However, because real-time display system technology is changing rapidly, the actual residual value is uncertain.

As an alternative to the borrow-and-buy plan, the equipment manufacturer informed Lewis that Consolidated Leasing would be willing to write a 4-year guideline lease on the equipment, including maintenance, for payments of $260,000 at the beginning of each year. Lewis’s marginal federal-plus-state tax rate is 25%. You have been asked to analyze the lease-versus-purchase decision and, in the process, to answer the following questions.

A.

  • (1)Who are the two parties to a lease transaction?
  • (2)What are the four primary types of leases, and what are their characteristics?
  • (3)How are leases classified for tax purposes?
  • (4)What effect does leasing have on a firm’s balance sheet?
  • (5)What effect does leasing have on a firm’s capital structure?    

 B

  • (1)What is the present value of owning the equipment? (Hint: Set up a time line that shows the net cash flows over the period t = 0 to t = 4, and then find the PV of these net cash flows, or the PV of owning.)
  • (2)What is the discount rate for the cash flows of owning?

C. What is Lewis’s present value of leasing the equipment? (Hint: Again, construct a time line.)

D. What is the net advantage to leasing (NAL)? Does your analysis indicate that Lewis should buy or lease the equipment? Explain.

E. Now assume that the equipment’s residual value could be as low as $0 or as high as $400,000, but $200,000 is the expected value. Because the residual value is riskier than the other relevant cash flows, this differential risk should be incorporated into the analysis. Describe how this could be accomplished. (No calculations are necessary, but explain how you would modify the analysis if calculations were required.) What effect would the residual value’s increased uncertainty have on Lewis’ lease-versus-purchase decision?

F. The lessee compares the present value of owning the equipment with the present value of leasing it. Now put yourself in the lessor’s shoes. In a few sentences, how should you analyze the decision to write or not to write the lease?

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