Author: chris

Mandated Legal Requirements and Ethical Decision Making”  Please respond to the following:

 

• Read the article titled, “Sarbanes-Oxley Act: HR’s Role in Ensuring Compliance and Driving Organizational Change,” at http://www.section404.org/UserFiles/File/research/28_HRs_Role_In_SOX.pdf. Next, suggest two (2) actions that HR should take in order to ensure an organization’s compliance with Sarbanes-Oxley. Explain the manner in which HR policies and practices are instrumental in implementing, and ensuring compliance, with legal mandates.
• Examine the key individual and organizational factors that influence an ethical decision making framework in resolving ethical dilemmas. Outline a guide that HR can use to implement principles and core values in ethical decision making in an organization. Provide a rationale for your response.

“Accounting for a Specific Circumstance” Please respond to the following:

 

• Use the Internet or the Strayer Library to research companies who have potential (1) pollution problems, (2) environmental-disposal problems, or (3) demolition issues (specifically big-box stores). Next, analyze how you, as the Chief Financial Officer (CFO) of a “big box store” that has potential pollution, environmental-disposal, or demolition problems, would handle these costs in your financial statements and communicate this proposed plan to your colleagues on the management team. Indicate how any resistance would be overcome. Support your stance with the information that you obtained through your research.
• Recommend the advantages and disadvantages of recording the above-referenced costs in the final

 

“Accounting for a Specific Circumstance” Please respond to the following:

 

• Use the Internet or the Strayer Library to research companies who have potential (1) pollution problems, (2) environmental-disposal problems, or (3) demolition issues (specifically big-box stores). Next, analyze how you, as the Chief Financial Officer (CFO) of a “big box store” that has potential pollution, environmental-disposal, or demolition problems, would handle these costs in your financial statements and communicate this proposed plan to your colleagues on the management team. Indicate how any resistance would be overcome. Support your stance with the information that you obtained through your research.
• Recommend the advantages and disadvantages of recording the above-referenced costs in the financial statements and how this might alter the company’s public image.

Identify moral dilemmas in healthcare informatics that would best be approached with the use of an ethical Decision-making framework, such as the use of smartphones to interact with patients as well as to monitor and assess patient health. Try to share an actual situation/scenario you have witnessed or experienced at your institution, but you can be creative and make up your situation/scenario if you wish.

 

Cite References

 

1 page

 

Nursing Informatics and the foundation of knowledge, 3rd edition, Dee McGonigle and Kathleen Garv

According to the intensive distribution strategy, a consumer should not have to go beyond the nearest store to buy the product. Create a 300- to 400-word response answering the following:

 

• Which products are best suited for an intensive distribution strategy and why?
• Provide an example of a product you buy that is always available.
• How does this influence your brand loyalty toward the product?
• Discuss a situation when you went out of your way to buy a particular product. Why did you make such an effort to buy it? What are the lessons for marketing managers who sell products that consumers consider special?

 

ata collection is an important part of both quantitative and qualitative research. Although the actual approach to gathering information may vary, for either research design, researchers need to plan in advance how the data will be gathered, reported, and stored, and they need to ensure that their methods are both reliable and valid. As nurses review research when considering a new evidence-based practice, it is important to be familiar with sound collection practices in order to ascertain the credibility of the data presented.

Consider the following scenario:

Nurses and other health care professionals are often interested in assessing patient satisfaction with health care services. Imagine that you are a nurse working in a suburban primary care setting that serves 10,000 patients annually. Your organization is very interested in understanding the patient’s point of view to help determine areas of care that can be improved. With this focus in mind, consider how you would create a survey to assess patient satisfaction with the services your organization provides. You may wish to consider variables such as the ease of accessing care, patient wait time, friendliness of the staff, or the likelihood that a patient would recommend your organization to others.

For this Discussion, you generate questions and an overall plan for data collection that would be appropriate for a patient satisfaction survey in relation to the above scenario.

To prepare:

• Consider the guidelines for generating questions presented in this week’s Learning Resources.
• Review the scenario and formulate at least five questions that you could use to evaluate patient satisfaction.
• Reflect on the different methods or instruments that can be used for gathering data described in Chapter 13 and Chapter 22 of the course text. Which methods or instruments would work well for the scenario?
• Determine an appropriate sample size for the scenario.

Please answer these as your outline for my assignment:

1. The questions that you created for gathering information about patient satisfaction based on the above scenario.
2. Explain which method or instrument you would use to gather data.
3. Describe the sample size appropriate for the population and how you would select participants.
4. Provide a rationale for your choices, and explain how you can ensure high standard of reliability and validity.

All articles/references must be from the period of 2011 to 2016. Make 2-3 pages… Thank you.

*This is for Masters of Science in Nursing.

 

Required Resources

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Readings

• Polit, D. F., & Beck, C. T. (2012). Nursing research: Generating and assessing evidence for nursing practice (Laureate Education, Inc., custom ed.). Philadelphia, PA: Lippincott Williams & Wilkins.

o    Chapter 12, “Sampling in Quantitative Research”

This chapter introduces key concepts concerning sampling in quantitative research. This includes such concepts as a description of populations, different types of sampling and their uses, and how to determine a manageable, yet sufficient number to be included in a sample. The chapter also includes suggestions for implementing a sampling plan.

o    Chapter 13, “Data Collection in Quantitative Research”

Once a sampling design is complete, the next step is to collect the data, and this is the focus of Chapter 13. The chapter describes how to develop a data collection plan, and provides information about the different types of instruments that can be used, such as structured observation and biophysiologic measures.

o    Chapter 21, “Sampling in Qualitative Research”

The focus of this chapter is on the sampling process in qualitative research. The chapter describes the different types of sampling and when they are commonly used. Sampling techniques in the three main qualitative traditions (ethnography, phenomenological studies and grounded theory studies) are highlighted.

o    Chapter 22, “Data Collection in Qualitative Research”

This chapter examines the process of data collection in qualitative research as well as key issues surrounding data collection. This includes such methods as self-reporting, surveys, interviews, and personal journal keeping. The chapter also highlights important considerations when utilizing unstructured observations to gather data and how to record field notes.

• Keough, V. A., & Tanabe, P. (2011). Survey research: An effective design for conducting nursing research.Journal of Nursing Regulation, 1(4), 37–44.

  Retrieved from the Walden Library databases.

  This text emphasizes the advantages of survey research. The authors describe the nuances of survey research projects, including their design, methods, analysis, and limitations.

• Walden University. (n.d.a). Paper templates. Retrieved July 23, 2012, fromhttp://writingcenter.waldenu.edu/57.htm

  This website provides you access to theSchool of Nursing Sample Paper, which will serve as a template for formatting your papers.

Media

 

• Laureate Education, Inc. (Executive Producer). (2012b).Data collection. Baltimore, MD: Author.

  Note: The approximate length of this media piece is 4 minutes.

  Dr. Kristen Mauk discusses how she collected data for her DNP project in this video. She describes the details of her pre- and post-tests used to track nurses’ knowledge in a rehabilitation unit.

Before the digital revolution, health information technology supplied very limited support for evidence-based practice. If nurses wanted to be informed about cutting-edge research, their best bet was to either subscribe to leading journals or make periodic trips to the library. With the establishment of research databases, however, nurses became empowered to learn about and facilitate interdisciplinary and translational research. Databases are just one example of how health information technology supports evidence-based practice.

To prepare:

• Read the following scenario from the text (McGonigle & Mastrian, 2011, p. 482):
  • Twelve-hour shifts are problematic for patient and nurse safety, and yet hospitals continue to keep the 12-hour shift schedule. In 2004, the Institute of Medicine (Board on Health Care Services & Institute of Medicine, 2004) published a report that referred to studies as early as 1988 that discussed the negative effects of rotating shifts on intervention accuracy. Workers with 12-hour shifts realized more fatigue than workers on 8-hour shifts. In another study done in Turkey by Ilhan, Durukan, Aras, Turkcuoglu, and Aygun (2006), factors relating to increased risk for injury were age of 24 or less, less than 4 years of nursing experience, working in the surgical intensive care units, and working for more than 8 hours.
• Consider how the resources identified in the scenario above could influence an organization’s practice.
• Select an issue in your practice that is of concern to you. Using health information technology, locate at least three evidence-based practice resources that address your concern and that could possibly inform further action.

Follow these for my assignment outline:

1. A description of your practice concern.

2. Outline how you used health information technology to locate evidence-based practices that address this concern.

3. Cite and include insights from the resources.

4. Analyze how health information technology supports evidence-based practice.

*Please use articles/references only from the period of 2011 to 2016… Make 2-3 pages…Thank you.

 

Required Resources

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Readings

• McGonigle, D., & Mastrian, K. G. (2012). Nursing informatics and the foundation of knowledge(Laureate Education, Inc., custom ed.). Burlington, MA: Jones and Bartlett Learning.
  • Chapter 26, “Nursing Research: Data Collection, Processing, and Analysis”

    The authors of this chapter relate nursing research to the foundation of knowledge model. The chapter assesses informatics tools for collecting data, storing information, and processing and analyzing data.

  • Chapter 27, “Translational Research: Generating Evidence for Practice”

    In this chapter, the authors differentiate evidence-based practice and translation research. They also describe models used to introduce research findings intro practice.

• Hynes, D. M., Weddle, T., Smith, N., Whittier, E., Atkins, D., & Francis, J. (2010). Use of health information technology to advance evidence-based care: Lessons from the VA QUERI program. Journal of General Internal Medicine, 25(Suppl. 1), S44–S49.

  Retrieved from the Walden Library databases.

  This article presents a study that evaluated the role of health information technology (HIT) in the Department of Veteran Affairs’ Quality Enhancement Research Initiative. The authors convey their findings on how HIT provided data and information to aid implementation research, and how implementation research helped further HIT development. Additionally, the text details methods of overcoming common HIT barriers to implementation research.

• Jamal, A., McKenzie, K., & Clark, M. (2009). The impact of health information technology on the quality of medical and health care: A systematic review. Health Information Management Journal, 38(3), 26–37.

  Retrieved from the Walden Library databases.

  This text details a study that reviews the published evidence concerning the impact of health information technology (HIT) on the quality of health care. The study investigated the use of HIT in medical care and allied health and preventive services. The authors primarily focus on the impact of electronic health records, computerized provider order-entry, and decision support systems.

• Umscheid, C. A., Williams, K., & Brennan, P. (2010). Hospital-based comparative effectiveness centers: Translating research into practice to improve the quality, safety and value of patient care.JGIM: Journal of General Internal Medicine, 25(12), 1,352–1,355.

  Retrieved from the Walden Library databases.

  This article revolves around the usage of the hospital-based comparative effectiveness (CE) center model. The authors highlight the model’s benefits and the increasing usage of CE evidence. The article also reviews solutions to overcoming many of the challenges to operating hospital-based CE centers.

Optional Resources

• Chlan, L., Tracy, M. F., & Grossbach, I. (2011). Pulmonary care. Achieving quality patient-ventilator management: Advancing evidence-based nursing care. Critical Care Nurse, 31(6), 46–50.

Workflow analysis aims to determine workflow patterns that maximize the effective use of resources and minimize activities that do not add value. There are a variety of tools that can be used to analyze the workflow of processes and clarify potential avenues for eliminating waste. Flowcharts are a basic and commonly used workflow analysis method that can help highlight areas in need of streamlining.

In this Assignment, you select a common event that occurs regularly in your organization and create a flowchart representing the workflow. You analyze the process you have diagrammed and propose changes for improvement.

To prepare:

• Identify a common, simple event that frequently occurs in your organization that you would like to evaluate.
• Consider how you would design a flowchart to represent the current workflow.
• Consider what metrics you would use to determine the effectiveness of the current workflow and identify areas of waste.

To complete:

Write a 3- to 5-page paper which includes the following:

• Create a simple flowchart of the activity you selected. (Review the Sample Workflow of Answering a Telephone in an Office document found in this week’s Learning Resources for an example.)
• Next, in your paper:

o    Explain the process you have diagrammed.

o    For each step or decision point in the process, identify the following:

• Who does this step? (It can be several people.)
• What technology is used?
• What policies and rules are involved in determining how, when, why, or where the step is executed?
• What information is needed for the execution of this step?

o    Describe the metric that is currently used to measure the soundness of the workflow. Is it effective?

o    Describe any areas where improvements could occur and propose changes that could bring about these improvements in the workflow.

o    Summarize why it is important to be aware of the flow of an activity.

Remember to include a cover page, introduction, and summary for your paper.

 

Readings

• McGonigle, D., & Mastrian, K. G. (2012).Nursing informatics and the foundation of knowledge(Laureate Education, Inc., custom ed.). Burlington, MA: Jones and Bartlett Learning.

o    Chapter 16, “Nursing Informatics: Improving Workflow and Meaningful Use”

This chapter reviews the reasons for conducting workflow analysis and design. The author explains specific workflow analysis and redesign techniques.

Huser, V., Rasmussen, L. V., Oberg, R., & Starren, J. B. (2011). Implementation of workflow engine technology to deliver basic clinical decision support functionality. BMC Medical Research Methodology,11(1), 43–61.

Retrieved from the Walden Library databases.

In this article, the authors describe an implementation of workflow engine technology to support clinical decision making. The article describes some of the pitfalls of implementation, along with successful and future elements.

Koppel, R., & Kreda, D. A. (2010). Healthcare IT usability and suitability for clinical needs: Challenges of design, workflow, and contractual relations. Studies in Health Technology and Informatics, 157, 7–14.

Retrieved from the Walden Library databases.

This article points to many health information technology designs and workflow decisions that limit their value and usage. The authors also examine the structure of the conceptual relationships between HIT vendors and the clinical facilities that purchase HIT.

U.S. Department of Health & Human Services. (n.d.b). Workflow assessment for health IT toolkit.  Retrieved, June 18, 2012, fromhttp://healthit.ahrq.gov/portal/server.pt/community/health_it_tools_and_resources/919/workflow_assessment_for_health_it_toolkit/27865

This article supplies a toolkit on the planning, design, implementation, and use of health information technology. The sections of the website provide a definition of workflow, examples of workflow tools, related anecdotes, and research.

Document: Sample Workflow of Answering a Telephone in an Office (Word document)

Note: You will use this document to complete this week’s Assignment.

Media

• Laureate Education, Inc. (Executive Producer). (2012f).System design and workflow. Baltimore, MD: Author.

  Note: The approximate length of this media piece is 7 minutes.

  This video provides an overview of how workflow modeling can be used in a health care setting to target areas for revising current practices and procedures. The video also shows how technology and informatics can be used to improve workflow efficiency and increase the quality of care.

Accessible player –Downloads–Download Video w/CCDownload AudioDownload Transcript

 

Workflow analysis aims to determine workflow patterns that maximize the effective use of resources and minimize activities that do not add value. There are a variety of tools that can be used to analyze the workflow of processes and clarify potential avenues for eliminating waste. Flowcharts are a basic and commonly used workflow analysis method that can help highlight areas in need of streamlining.

In this Assignment, you select a common event that occurs regularly in your organization and create a flowchart representing the workflow. You analyze the process you have diagrammed and propose changes for improvement.

To prepare:

• Identify a common, simple event that frequently occurs in your organization that you would like to evaluate.
• Consider how you would design a flowchart to represent the current workflow.
• Consider what metrics you would use to determine the effectiveness of the current workflow and identify areas of waste.

To complete:

Write a 3- to 5-page paper which includes the following:

• Create a simple flowchart of the activity you selected. (Review the Sample Workflow of Answering a Telephone in an Office document found in this week’s Learning Resources for an example.)
• Next, in your paper:
  • Explain the process you have diagrammed.
  • For each step or decision point in the process, identify the following:
    • Who does this step? (It can be several people.)
    • What technology is used?
    • What policies and rules are involved in determining how, when, why, or where the step is executed?
    • What information is needed for the execution of this step?
  • Describe the metric that is currently used to measure the soundness of the workflow. Is it effective?
  • Describe any areas where improvements could occur and propose changes that could bring about these improvements in the workflow.
  • Summarize why it is important to be aware of the flow of an activity.
• Remember to include a cover page, introduction, and summary for your paper.

Required Resources

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Readings

• McGonigle, D., & Mastrian, K. G. (2012). Nursing informatics and the foundation of knowledge(Laureate Education, Inc., custom ed.). Burlington, MA: Jones and Bartlett Learning.
  • Chapter 16, “Nursing Informatics: Improving Workflow and Meaningful Use”

    This chapter reviews the reasons for conducting workflow analysis and design. The author explains specific workflow analysis and redesign techniques.

• Huser, V., Rasmussen, L. V., Oberg, R., & Starren, J. B. (2011). Implementation of workflow engine technology to deliver basic clinical decision support functionality. BMC Medical Research Methodology,11(1), 43–61.

  Retrieved from the Walden Library databases.

  In this article, the authors describe an implementation of workflow engine technology to support clinical decision making. The article describes some of the pitfalls of implementation, along with successful and future elements.

• Koppel, R., & Kreda, D. A. (2010). Healthcare IT usability and suitability for clinical needs: Challenges of design, workflow, and contractual relations. Studies in Health Technology and Informatics, 157, 7–14.

  Retrieved from the Walden Library databases.

  This article points to many health information technology designs and workflow decisions that limit their value and usage. The authors also examine the structure of the conceptual relationships between HIT vendors and the clinical facilities that purchase HIT.

• U.S. Department of Health & Human Services. (n.d.b). Workflow assessment for health IT toolkit.  Retrieved, June 18, 2012, fromhttp://healthit.ahrq.gov/portal/server.pt/community/health_it_tools_and_resources/919/workflow_assessment_for_health_it_toolkit/27865

  This article supplies a toolkit on the planning, design, implementation, and use of health information technology. The sections of the website provide a definition of workflow, examples of workflow tools, related anecdotes, and research.

• Document: Sample Workflow of Answering a Telephone in an Office (Word document)

  Note: You will use this document to complete this week’s Assignment.

Media

• Laureate Education, Inc. (Executive Producer). (2012f). System design and workflow. Baltimore, MD: Author.

  Note: The approximate length of this media piece is 7 minutes.

  This video provides an overview of how workflow modeling can be used in a health care setting to target areas for revising current practices and procedures. The video also shows how technology and informatics can be used to improve workflow efficiency and increase the quality of care.

 

 

REMINDERS:

*Kindly follow the outline of my assignment based on the third uploaded document…. Thank you

 

 

 

Creating a Flowchart

Type your paper here. The references belong on a page of their own. So does the title page.  This is your introduction so tells us about the process you are going to use in your diagram.