Data Mining

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Data Mining

(Data Mining)

Question description

Perform data mining activities on two Excel data sets. Prepare a 5 page report of findings, including whether data sets accurately depict performance, the use of data sampling methods in strategic decision making, and conclusions and recommendations about improving patient service and staff performance. Include in the report the analysis of the raw data in Excel data analysis tables.

Data Set 1: Clincial Performance

Data Set 2: Nursing Performance

INSTRUCTIONS

As a Vila Health data analyst, you have been asked to work on a project related to customer satisfaction and nursing staff performance. You will analyze two datasets. One concerns clinic performance, specifically, patient wait times and office visit lengths. The other dataset is on nursing performance.

After analyzing these two datasets, you will compose a report for the clinic’s physicians based on your analysis.

Dataset 1: Clinic Performance

This first dataset contains raw data about clinic performance from a customer-service perspective. First, organize and analyze the raw data in Excel data analysis tables. You will include these tables in your report. Write your report about Dataset 1. Be sure to include these headings and address the bullets following each heading:

  • Accurate Depiction of Clinic Performance.
    • Explain whether the sample can accurately depict clinic performance, noting variations and patterns.
  • Data Sampling Methods and Strategic Decision Making.
    • Describe how to use data sampling methods in strategic decision making.
  • Conclusions and Recommendations About Clinic Physicians and Customer Service.
    • Draw conclusions about clinic physicians and customer service.
    • Make two recommendations for improving patient service based on your analysis.

Dataset 2: Nursing Staff Performance

Dataset 2 provides information on nursing staff performance on two tasks. The data show a decrease in nursing staff productivity at one Vila Health clinic in the past few months. Use the Nursing Data Worksheet and the Pivot Table Report, both contained in Dataset 2 Nursing Performance 2016, to perform data mining techniques to determine how nursing staff performed when completing Tasks 1 and 2. Organize and analyze the raw data in Excel data analysis tables. You will include these tables in your report.

Note: Be careful of filters. Be sure to check data from various years.

Write your report, including all of the following:

Data Mining Techniques to Evaluate Nursing Staff Performance on Tasks.

  • Explain how each of these data mining techniques can be used to evaluate nursing staff task performance:
    • Genetic algorithms.
    • Neural networks.
    • Predictive modeling.
    • Rule induction.
    • Decision trees.
    • K-Nearest neighbor.
  • Include examples of the use of each data mining technique in relation to the nursing data.

Data Mining and Strategic Decision Making.

  • Describe the use of data mining in strategic decision making.

Conclusions and Recommendations About Nursing Staff Performance.

  • Draw conclusions about nursing performance on tasks.
  • Create two recommendations for improving nursing performance.

Conclusion

Summarize the findings of your analysis of the two datasets. Draw conclusions about how the information from the datasets might be connected. For example, how might physician performance impact nursing tasks? Or what is the association between customer satisfaction and nursing task performance?

Resources: Data Collection

    • Horton, L. A. (2017). Calculating and reporting healthcare statistics (5th Rev. ed.). Chicago, IL: AHIMA Press. Available from the bookstore.
      • Chapter 12, “Basic Research Principles,” pages 283–307.
      • Chapter 13, “Inferential Statistics in Healthcare,” pages 309–320.
    • Cleary, M., Horsfall, J., & Hayter, M. (2014). Data collection and sampling in qualitative research: Does size matter? Journal of AdvancedNursing, 70(3), 473–475.
    • Kandola, D., Banner, D., O’Keefe-McCarthy, S., & Jassal, D. (2014). Sampling methods in cardiovascular nursing research: An overview. Canadian Journal of Cardiovascular Nursing, 24(3), 15–18.
    • Roberts, P. (2015). Data sampling for the right reasons. Business Intelligence Journal, 20(1), 33–38.
    Resources: Data Mining

      • Horton, L. A. (2017). Calculating and reporting healthcare statistics (5th Rev. ed.). Chicago, IL: AHIMA Press. Available from the bookstore.
        • Chapter 14, “Data Analytics,” pages 321–330.
      • Lismont, J., Janssens, A., Odnoletkova, I., Vanden Broucke, S., Caron, F., & Vanthienen, J. (2016). A guide for the application of analytics on healthcare processes: A dynamic view on patient pathways. Computers in Biology and Medicine, 77, 125–134.
      • Ullah, Z., Fayaz, M., & Iqbal, A. (2016). Critical analysis of data mining techniques on medical data. International Journal of Modern Education and Computer Science, 8(2), 42–48.
      • Data Mining | Transcript.
        • In under five minutes, this Capella media piece presents some basic assumptions about leading a data mining project.
        Resources: Data Presentation

          • Horton, L. A. (2017). Calculating and reporting healthcare statistics (5th Rev. ed.). Chicago, IL: AHIMA Press. Available from the bookstore.
            • Chapter 11, “Presentation of Data,” pages 245–281.
          • Ghazisaeidi, M., Safdari, R., Torabi, M., Mirzaee, M., Farzi, J., & Goodini, A. (2015). Development of performance dashboards in healthcare sector: Key practical issues. Acta Informatica Medica, 23(5), 317–321.
 
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Approach To Care Of Cancer

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Approach To Care Of Cancer

(Approach To Care Of Cancer)

Write a paper (1,250-1,750 words) describing the approach to care of cancer. In addition, include the following in your paper:

  1. Describe the diagnosis and staging of cancer.
  2. Describe at least three complications of cancer, the side effects of treatment, and methods to lessen physical and psychological effects.
  3. Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a grading rubric. Instructors will be using the
rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center. Only Word documents can be submitted to Turnitin.

RUBRIC:

Explanation of the Diagnosis and Staging of Cancers is Provided.
An explanation of the diagnosis and staging of cancers is provided that is offered in a detailed manner, while demonstrating higher level or critical thinking.

At Least Three Complications of Cancer are Identified With Comprehensive Discussion of Available Treatments:

More than three complications of cancer are identified with a comprehensive discussion of available treatments, while demonstrating higher level or critical thinking.

Provides Recommendations to Address Physiological and Psychological Side Effects of Care.

Recommendations to address physiological and psychological side effects of care are offered in a detailed manner, while demonstrating higher level or critical thinking.

Thesis Development and Purpose

Thesis and/or main claim are comprehensive; contained within the thesis is the essence of the paper. Thesis statement makes the purpose of the paper clear.

Paragraph Development and Transitions

There is a sophisticated construction of paragraphs and transitions. Ideas progress and relate to each other. Paragraph and transition construction guide the reader. Paragraph structure is seamless.

Mechanics of Writing (includes spelling, punctuation, grammar, language use)

Writer is clearly in command of standard, written, academic English.

Paper Format (1- inch margins; 12-point-font; double-spaced; Times New Roman, Arial, or Courier)

All format elements are correct.

Research Citations (In-text citations for paraphrasing and direct quotes, and reference page listing and formatting, as appropriate to assignment)

In-text citations and a reference page are complete. The documentation of cited sources is free of error.

 
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Health & Medicine Homework

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Topic 1: Reflection, Health & Medicine Homework

(Health & Medicine Homework)

Question description

Think back upon your first topic question in Unit 1 and the four assignments you completed in this course. What do you believe about the influences of theory on nursing practice? What value do you place on using a model for practice as an advanced practice registered nurse? How has your philosophy of advanced practice nursing changed over the last nine weeks? Question should be 3-4 paragraphs and have 3 references please. (I attached the 3 papers I did for the class)

This is my topic 1 answer:

“A philosophy of science is a perspective-a lens, a way one views the world , and in the case of advance practice nurses, the viewpoint the nurse acts from in every encounter with a patient, family or group” (Butts & Rich, 2015, p.3). It is the responsibility of nurses to be able to view science from various perspectives, including scientist, providers, patients, family and the society in which they live (Butts & Rich, 2015, p.11).

As a nurse working in a large teaching institution, I have had the opportunity to work with many novice and quite experienced nurses. I observe them and reflect on myself as a somewhat seasoned nurse. There are many nurses that I work with that are from different countries, religious backgrounds and hold different value systems. As a Christian, Ghanaian nurse, at times I have to really evaluate situation without bias and understand what the patient, co-worker or family member needs from me as a nurse. An interesting article I read published on nurseinteruppted.com says it best, “we walk alongside the patient as they continue to interact with and “within” their environment (hospital or home, young body or old body, and spiritual realms) and we enhance their ability to interact with it “better” (Nurseinterupted, 2012).

Two years ago my sister passed away from a rare condition and I was no longer the nurse, I was the concerned family member. It really put things in perspective for me and I realized how vulnerable we all are when we are ill or caring for our sick family members. I observed all the nurses that cared for her and saw first-hand how important empathy and compassion from nursing can improve the patient’s outcome. “As patient advocates, APNs should identify patient preferences in an emphatic and non-paternalistic fashion in order to navigate, coordinate and facilitate multi-disciplinary and patient-centered treatment plans” (Guia-Rayos, 2014).

References:

Butts, J., and Rich, K. (2015).Philosophies and Theories for Advanced Nursing Practice. Burlington, MA: Jones & Bartlett Learning.

Guia-Rayos, J. (2014, December 10). My Personal Philosophy of Advance Practice Nursing. Retrieved April 23, 2016, from http://nurses.mountsinaihealth.org/blog/my-personal-philosophy-of-advance-practice-nursing/

Personal Nursing Philosophy….Do you have one? (2012, August 23). Retrieved April 24, 2016, from https://nurseinterupted.wordpress.com/2012/08/23/personal-nursing-philosophy-do-you-have-on

 
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Pender’s Health Promotion Model

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Middle Range Theory: Pender’s Health Promotion Model

(Pender’s Health Promotion Model)

Question description

Assignment 2: Nursing Theory Analysis Paper

Overview/Description:

The purpose of this assignment is to describe, evaluate and discuss application of a nursing grand or mid-range theory. This assignment also provides the learner an opportunity to connect theory and research to nursing phenomena. Learners will develop an 8-10 page paper (excluding the title page and references) using APA style to address the elements listed below.

Theory/Author Name and Background

  1. Select a Grand or Mid-Range Theory that is appropriate to your practice setting.
  2. Describe the theorist’s background in detail and discuss how their experiences have impacted the theory development.
  3. Examine crucial references for the original and/or current work of the theorist and other authors writing about the selected theory.
  4. Identify the phenomenon of concern or problems addressed by the theory.

Theory Description

  1. Explain whether the theory uses deductive, inductive or retroductive reasoning. Provide evidence to support your conclusion.
  2. Describe the major concepts of the theory. How are they defined? (theoretically and/or operationally) Is the author consistent in the use of the concepts and other terms in the theory?
  3. Interpret how the concepts are defined. Implicitly or explicitly?
  4. Examine the relationships (propositions) among the major concepts.

Evaluation

  1. Identify explicit and implicit assumptions (values/beliefs) underlying the theory. On what assumptions does the theory build?
  2. Examine if the theory has a description of the four concepts of the nursing metaparadigm. If so, how are they explained in the theory? If the metapardigm is not explained, what elements do you see as relevant to the theory and why?
  3. Discuss the clarity of the theory. Did it have lucidness and consistency?

Application

  1. Examine how the theory would guide nursing actions.
  2. Describe specifically how you can use this theory in your area of nursing (Practice, Education, Informatics or Administration).

APA Style/Format

 
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Assignment: Adaptive Response

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Assignment: Adaptive Response

(Assignment: Adaptive Response)

As an advanced practice nurse, you will examine patients presenting with a variety of disorders. You must, therefore, understand how the body normally functions so that you can identify when it is reacting to changes. Often, when changes occur in body systems, the body reacts with compensatory mechanisms. These compensatory mechanisms, such as adaptive responses, might be signs and symptoms of alterations or underlying disorders. In the clinical setting, you use these responses, along with other patient factors, to lead you to a diagnosis.

Consider the following scenarios:

Scenario 1:

Jennifer is a 2-year-old female who presents with her mother. Mom is concerned because Jennifer has been “running a temperature” for the last 3 days. Mom says that Jennifer is usually healthy and has no significant medical history. She was in her usual state of good health until 3 days ago when she started to get fussy, would not eat her breakfast, and would not sit still for her favorite television cartoon. Since then she has had a fever off and on, anywhere between 101oF and today’s high of 103.2oF. Mom has been giving her ibuprofen, but when the fever went up to 103.2oF today, she felt that she should come in for evaluation. A physical examination reveals a height and weight appropriate 2-year-old female who appears acutely unwell.  Her skin is hot and dry. The tympanic membranes are slightly reddened on the periphery, but otherwise normal in appearance. The throat is erythematous with 4+ tonsils and diffuse exudates. Anterior cervical nodes are readily palpable and clearly tender to touch on the left side. The child indicates that her throat hurts “a lot” and it is painful to swallow. Vital signs reveal a temperature of 102.8oF, a pulse of 128 beats per minute, and a respiratory rate of 24 beats per minute.

Scenario 2:(Assignment: Adaptive Response)

Jack is a 27-year-old male who presents with redness and irritation of his hands. He reports that he has never had a problem like this before, but about 2 weeks ago he noticed that both his hands seemed to be really red and flaky. He denies any discomfort, stating that sometimes they feel “a little bit hot,” but otherwise they feel fine. He does not understand why they are so red. His wife told him that he might have an allergy and he should get some steroid cream. Jack has no known allergies and no significant medical history except for recurrent ear infections as a child. He denies any traumatic injury or known exposure to irritants. He is a maintenance engineer in a newspaper building and admits that he often works with abrasive solvents and chemicals. Normally he wears protective gloves, but lately they seem to be in short supply so sometimes he does not use them. He has exposed his hands to some of these cleaning fluids, but says that it never hurt and he always washed his hands when he was finished.

Scenario 3:

Martha is a 65-year-old woman who recently retired from her job as an administrative assistant at a local hospital. Her medical history is significant for hypertension, which has been controlled for years with hydrochlorothiazide. She reports that lately she is having a lot of trouble sleeping, she occasionally feels like she has a “racing heartbeat,” and she is losing her appetite. She emphasizes that she is not hungry like she used to be. The only significant change that has occurred lately in her life is that her 87-year-old mother moved into her home a few years ago. Mom had always been healthy, but she fell down a flight of stairs and broke her hip. Her recovery was a difficult one, as she has lost a lot of mobility and independence and needs to rely on her daughter for assistance with activities of daily living. Martha says it is not the retirement she dreamed about, but she is an only child and is happy to care for her mother. Mom wakes up early in the morning, likes to bathe every day, and has always eaten 5 small meals daily. Martha has to put a lot of time into caring for her mother, so it is almost a “blessing” that Martha is sleeping and eating less. She is worried about her own health though and wants to know why, at her age, she suddenly needs less sleep.

To Prepare(Assignment: Adaptive Response)

· Review the three scenarios, as well as Chapter 6 in the Huether and McCance text.

· Identify the pathophysiology of the disorders presented in each of the three scenarios, including their associated alterations. Consider the adaptive responses to the alterations.

· Construct a mind map for the disorder described on the Scenario 1: Consider the epidemiology, pathophysiology, risk factors, clinical presentation, and diagnosis of the disorder, as well as any adaptive responses to alterations.

To Complete

Write a 2- to 3-page paper excluding the title page, reference page and Mind Map that addresses the following:

· For each of the three scenarios explain the pathophysiology, associated alterations and the patients’ adaptive responses to the alterations caused by the disease processes.  You are required to discuss all three scenarios within the paper component of this assignment.

· Construct one mind map on the disorder described on Scenario 1. Your Mind Map must include the epidemiology, pathophysiology, risk factors, clinical presentation, and diagnosis of the disorder, as well as any adaptive responses to alterations.

Instructor Requirements

As advanced practice nurses, we are scholars, nurse researchers and scientists. As such, please use Peer-Reviewed scholarly articles and websites designed for health professionals (not designed for patients) for your references. Students should be using the original citation in Up to Date and go to that literature as a reference. The following are examples (not all inclusive) of resources/websites deemed inadmissible for scholarly reference:

  1. Up to Date (must use original articles from Up to Date as a resource)
  2. Wikipedia
  3. Cdc.gov- non healthcare professionals section
  4. Webmd.com
  5. Mayoclinic.com
 
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Family Crisis: Nursing Interventions

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Family Crisis: Nursing Interventions

(Family Crisis: Nursing Interventions)

Please Do A Comment Base In These Answer In APA Format. Write 130 Words At Least In Each Comment.

Comment 1

This situation impacts every individual; Susie, her family and elderly and chronically ill mother. Along with that, nurses should provide information about community resources to Susie and her family to facilitate in providing care. To assist this family in overcoming with changing situation, nurses can use the family structural theory to identify current interaction patterns, behavior, and activities of the family. During the family assessment, the nurse should focus on family roles, capacity to face changes, illness, or crisis. So that nurse can provide family teaching about role changes that need to be made by each family member. For instance, Susie has to look after her three school-aged children and chronically ill elderly mother as well which can be overwhelming.to her mother and keep the family functioning.

Nurses should assist Mrs. Jones in coping with her illness and new family too. Susie’s Children should also encourage to be involved in the family discussion to adapt and face the changing situation.

The developmental theory can be used in this family simultaneously by assessing the new responsibilities in various aspects of progress and success in caring the elderly mother by Susie and her family. As family enters in the new developmental stage, it presents opportunities for health promotion and intervention as the family moves through new stages as a result of the event (Huerta, 2013).

Health education as well is an important factor in helping this family to prepare for the role changes by providing education in caring chronically ill elderly mother with focusing on safety, nutrition, infection, and bedsore. In addition, nurses need to provide education on other resources such as obtaining services required to assist in caring the elderly and provide information to Susie, her family, and mother as the coping mechanism which helps to enhance health promotion.

Comment 2

Basically, such cases of child abuse, domestic violence among other evil things are on the verge of increase in our families all across the world. Research has proved it that majority of families are facing hard times in sorting out their family issues, something which has majorly contributed to increased cases of abuse. Medical practitioners also have brought out the fact behind their worries relating to the same issue (Yawn, Yawn, & Uden, 1992). Most of the cases they handle in the daily operations are related to either child abuse or any kind of domestic violence. Certain known characteristics are utilized by these medical practitioners in the health sector to investigate and come to a conclusion that the client is actually a victim of the same issue in question.

In the case where anyone has been facing any kind of abuse may it be physical or emotional, they will exhibit characteristics which will speak it loud and reveal the abnormality of their situation. To start with, for child abuse, the child will show signs of fear even in the presence of the service provider; he or she will have a sense of uncomfortable, they will feel lonely even in the presence of their less caring parents. Also, they will exhibit such behaviors like being worried as their abusers are still a threat to them, difficulties to understand concepts when it comes to class work, less interaction with others and difficulties in communication and lastly, they will face a lot of struggle ensuring good relationships with the same abusive parents. For elder people, they will almost exhibit the same characteristics but in a way slightly different from children since they are in a better position to control their emotions (Malley-Morrison, & Hines, 2004). As a healthcare facility, we have put in place certain frameworks enable victims of either domestic or child abuse to feel free and report the issue for solutions to be achieved. To start with, we have majored in creation of awareness of the rights of each citizen and provoking them not to feel ashamed about the same, but to be free and share them with the necessary bodies, also, we have as well done our investigations on any victim presented to clearly identify the extent of the matter and pretend any future occurrence by taking the necessary measures.

 
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Amphetamine Use and Abuse2

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Amphetamine Use and Abuse2

(Amphetamine Use and Abuse2)

Aaliyah continues to struggle with balancing her work hours and her schoolwork. She has been drinking coffee to help her stay awake, but it is no longer working. She has an exam coming up and needs to stay up to study.

Aaliyah decides to take an amphetamine to stay awake to study for the exam. She promises herself that she will only take it this one time for the exam. The drug allows her to stay awake and alert while she is studying for the exam. She also feels that she is learning the material better because of the amphetamine. When the grades are in, Aaliyah receives an A on her work.

As the semester continues, Aaliyah turns to amphetamines more and more often to help her stay awake to complete her schoolwork. Soon, Aaliyah finds that one pill no longer keeps her awake if she needs.

She starts taking more than one pill at a time. She knows that taking amphetamines so often is not good for her health, and she finds she experiences an increase in headaches when she takes them, but she continues to take them because they are helping her be successful in school and at work.

Based on the case study, prepare a paper that addresses the following:

· Examine the change in amphetamine use and abuse in the U.S. from the 1950s to the present.

· Explain to which schedule amphetamines belong and why they are on the Schedule of Controlled Substances.

· Explain the effects Aaliyah might be experiencing because of her regular amphetamine use. Be sure to include:

o Acute effects, chronic effects, and withdrawal

o Effects on physiology (brain and body), behavior, mood, and toxicity

· Give at least three indications from the case study suggesting there may be a problem with Aaliyah’s substance use. That is, describe at least three likely behaviors that Aaliyah is likely to exhibit if she is misusing amphetamines.

Determine whether Aaliyah has a substance use disorder. Include a discussion of DSM criteria. Use the template to help you make the assessment.

Download the diagnosis template to use with this assignment.

Diagnosis Template: (Amphetamine Use and Abuse2)

Place a check in front of each symptom that is present

o Substance is taken in larger amounts or for longer periods than intended

o A persistent desire or unsuccessful attempts to cut down or regulate substance use

o A great deal of time spent obtaining the substance, using the substance, or recovering from substance use

o An intense desire or urge for the substance o Use results in failure to fulfill major obligations at work, home, or school

o Continued use despite social or interpersonal problems caused or exacerbated by the substance use

o Important social, occupational, or recreational activities are given up or reduced because of the substance use

o Recurrent use in situations where it is physically hazardous

o Continued use despite persistent or recurrent physical or psychological problems that occur because of or exacerbated by substance use

o Tolerance

o Need for more of the substance to achieve desired effect

o Markedly diminished effect when using the same amount of the substance

o Withdrawal 

o Presence of characteristic withdrawal syndrome when the substance is not present

o Using the substance to alleviate withdrawal symptoms

(Note: Criteria of tolerance and withdrawal are not considered to be met for those individuals taking medications under appropriate medical supervision)

Two or more checks on this list = substance use disorder

Reference

American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: American Psychiatric Association.

 
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Combining Nurse Leader & Advocacy

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Combining Nurse Leader & Advocacy

(Combining Nurse Leader & Advocacy)

Combining nurse leadership with advocacy is essential for driving meaningful change in healthcare. Nurse leaders possess the expertise and influence to shape policies, improve patient outcomes, and advance the profession. By integrating advocacy into their leadership roles, nurses can amplify their impact and advocate for the needs of both patients and fellow healthcare providers.

Nurse leaders can advocate for patient-centered care by promoting initiatives that prioritize quality, safety, and accessibility. They can also champion policies that address social determinants of health, such as access to healthcare services, affordable housing, and nutritious food, to ensure equitable care for all individuals.

Furthermore, nurse leaders can advocate for their profession by promoting education and training opportunities, advocating for fair compensation and working conditions, and raising awareness of the crucial role nurses play in healthcare delivery.

Through effective advocacy, nurse leaders can influence decision-makers, engage stakeholders, and mobilize communities to enact positive change. By combining their leadership skills with a commitment to advocacy, nurses can drive systemic improvements, ultimately enhancing the quality of care and advancing health equity for diverse populations.

 

Rate yourself using the results from the “Nurse Manager Skills Inventory”:

http://www.aone.org/resources/nurse-manager-skills-inventory.pdf

Write a reflection of 750-1,000 words in which you identify your strengths and weaknesses related to the four content areas below:

  1. Personal and professional accountability
  2. Career planning
  3. Personal journey disciplines
  4. Reflective practice reference behaviors/tenets

Discuss how you will use your current leadership skill set to advocate for change in your workplace.

Identify one personal goal for your leadership growth and discuss your implementation plan to achieve that goal.

While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

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

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

30.0 %Identification of strengths and weaknesses related to the four content areas listed.

25.0 %Discussion of use of current leadership skills to advocate change in the workplace

25.0 %Reflection on personal goal for leadership growth and development of implementation plan to reach goal.

 
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Nursing Leadership/Discussion

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Nursing Leadership/Discussion

(Nursing Leadership/Discussion)

Part 1

My post

Hello class and Professor,

The advent of the technological era has been linked to improved patient outcomes. Most of the technologies in place are patient-centered and are aimed at improving the quality of care and service delivery. At the facility I work for, there are several technologies in place. The most recent is the point of care technology. As much as this technology is in its initial stages of implementation, the benefits have had profound effects on the operations of nursing. This technology allows nurses to access patient data such as X-rays and medication directly from the bedside. This is achieved through linked computers placed at the bedside of patients to ensure that their records can easily be accessed (Adam, 2017).

Considering that the facility has not yet adopted electronic health records, the point of care technology comes with great significance to the hospital. Through the technology, time is saved which would have otherwise been used to access the documents physically. This also allows for easier update of the patient information ensuring that they stay up to date. Point of care technology also ensures that nursing practice focuses on patient-centered care (Adam, 2017). This means that the patient is engaged in making decisions, follow-ups, and education to better their health.

The facility should, however, consider the importance of implementing electronic health records to complement the point of care technology. With electronic records coupled with this technology, nurses will have diverse alert systems such as mobile phones and tablets to ensure that they can access patient data away from the bedside.

Part2 

Professor Comments and question

It is really interesting that your organization has not implemented the electronic health record (EHR). The Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009 provided $35 billion dollars for organizations to implement electronic health records. The incentive did not cover the entire costs of implementation to organizations, but are mandatory to meet the requirements for the Centers for Medicare and Medicaid Services the Merit-Based Incentive Payment System, or MIPS which will start in 2019. Do you think the organization will change to the EHR in the near future?

References
Schwartz, S. (2016). Defensive medicine versus value-based care. Medical Economics. Retrieved from: http://medicaleconomics.modernmedicine.com/medical-economics/news/defensive-medicine-versus-value-based-care?page=0,0

Part 3/another students comments and question

I found your topic very interesting. Prior to working on the PCU unit at a hospital, my last employer was just in the process of implementing EMR. They were actually using paper charts. It is interesting that some health care organizations are behind when it comes to information technology. Do you think that this could be due to cost? I think cost was the major reason as to why my prior employer was slow to using EMR.

 
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software project: computer science

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software project: develop a pizza ordering application,
computer science homework help

(software project: computer science)

Question description

You have been asked to develop a pizza ordering application. Here is the information your manager just shared with you about this software development project.

The pizza ordering application allows customers with a web browser to order pizza for home delivery. To place an order, a customer would search to find items to purchase (specialty pizzas, sodas, desserts, salads, etc.), and then add items one at a time to a shopping cart. They could also view a page that showed the daily special. The customer could search again for more items if they wanted. They would also have the option to build their own pizza with as many toppings as they liked. When all items were chosen, the customer would see the cost of their order, and also be prompted to provide a delivery address for that specific order. If not paying with cash, the customer would provide credit or debit card information for use on the current order. The system should have an option for customers to register with the pizza shop. They could then save their name, address information and e-mail address, so that they wouldn’t have to enter this information every time they placed an order. If they didn’t want to save their personal details on the site, they could register their e-mail address only, which would let them receive coupons and updates on special promotions.

To complete this assignment, make assumptions as needed–just be sure to document any assumptions you make.  Remember:  “When in doubt sound convincing.”


1.  Identify the following information about the pizza ordering application:
a.  Purpose or goal of the system
b.  Primary user(s) of the system
2.  Generate an Activity UML diagram that starts with the customer connecting with the web site and ends with the driver receiving the address (along with the pizza).  I am looking for a very focused and specific UML Activity diagram here.  I want the diagram to show me the process of what happens between the time that the customer connects to the website and the driver gets the pizza and address.  Note that the cooks will also interact with the process at some point – identify the step or steps where the cook interacts with the system.  Number each element of the activity diagram.  The activity diagram must contain a minimum of 10 elements.
3.  Using the activity diagram created for step 2, generate 20 User stories.  For each User story, identify the User (customer, cook, or driver), and the element of the activity diagram you are using to generate this user story.  The user stories must be of the form “As a <Role> I need to <function> so that <reason or justification>”.
4.  Using the user stories created in step 3, generate 25 System requirements.  The requirement must be of the form “The system shall…”.  Points will be deducted for statements that use should instead or statements that use an alternate format.

 

5.  Produce a Use Case UML diagram that contains a minimum of the Customer, the Cook, and the Driver.  Review the User stories from step 3 for ideas as to the features to include in the Use Case diagram, but all features need not be included.
6.  Using the requirements produced for number 4 above, produce 30 system tests.  Review assignment 8.3 for an example of what good test step should look like.  For each test, identify the Requirement, the User story, and the Activity UML block from which this test derives.
7.  Identify whether a plan-driven “waterfall” software development approach or an agile framework or methodology might be more suitable for this software development project. Explain your recommendation.


8.  Identify at least five evolution and maintenance related items that should be considered when planning to develop the pizza ordering software application.
9.  Identify ten or more risks that could develop with this project. What is the probability or likelihood that each risk might occur, and what would be the effect to your pizza ordering application if it did? What is your plan to avoid, minimize or recover from (i.e., contingency plan) each of these risks if they were to occur?  Present your risk analysis as a Risk Register in a tabular format, with the highest impacts/effects listed first.
10.  Assume that SCRUM is being used for this project.  Rank your user stories from number 3 and assign them to four different two week sprints.  Identify which user stories should be completed in each sprint.

 
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