Reflection Artifact 
Please consider how you have developed the knowledge, skills, and attitudes that enable your achievement of the bachelor’s/master’s level nursing competency/ies listed below. Then write a minimum of 1000 words describing how this course has helped you achieve these outcomes.

Analyze the impact of economic, demographic and technological forces on health care delivery, and the concerns relating to ethical, legal, and social issues that influence nursing practice.

Apply a solid foundation of research and theory, focusing on the interrelationships and application of these concepts to nursing practice, education, and leadership

Improve population health across the lifespan and across the continuum of healthcare environments through health promotion and disease prevention strategies

Explore leadership and management concepts that directly and indirectly influence the nature and functioning of the healthcare system and professional nursing practice

Assess health among a diverse patient population, devising strategies for the prevention and early detection of disease across the life span

Integrate professional values, attitudes, knowledge, and behaviors into nursing practice

Part 1: Continuing Education (Part 1 should be at least 1 ½ pages and include 2 outside references plus the textbook.)

Continuing education units are required for renewal of license (in some states) and for recertification. Continuing education opens doors to job opportunities. Answer the questions:

Why is advancing your degree and knowledge important for nursing as a profession? Explain and give several reasons.

How would you respond to a nurse that states: “I only want to live and work in a state that does not require continue education credits and I never want to advance my degree?” Explain in detail what you would say and why.

Part 2: Future of Nursing (Part 2 should be at least 2 pages and include 2 outside references and the textbook.)

Review the author’s vision in the textbook (Chapter 25), of the future of nursing and complete your own research to include the Institute of Medicine’s (IOM) report.

Do you agree with the authors or do you have a different vision of nursing? Explain and provide examples as to why you do agree or do not agree.

The Interview
The medical interview serves several functions. It is used to collect information to assist in diagnosis of the present illness, to understand the patient’s values, to assess and communicate prognosis, to establish a therapeutic relationship and to reach agreement with the patient about further diagnostic procedures and therapeutic options. The interview also offers an opportunity to influence patient behaviors.
Discuss the following:  Please answer the following questions and include your rationale and evidence-based research to support your written work.
•What does it means to document accurately and appropriately?
•What are the documenting guidelines? When is it appropriate to use abbreviations? •What is the difference between subjective and objective data?
•What does it mean to demonstrate clinical reasoning skills?
•How can you use clinical reasoning to plan the organization of a comprehensive exam?
•How will you document variations of normal and abnormal assessment findings?
•What factors influence appropriate tools and tests necessary for a comprehensive assessment? •Reflect on personal strengths, limitations, beliefs, prejudices, and values.
•How will these impact your ability to collect a comprehensive health history? •How can you develop strong communication skills.
•What interviewing techniques will you use to interview the patient to elicit subjective health information about their health history?
•What relevant follow-up questions will you use to evaluate patient condition?
•How will you demonstrate empathy for patient perspectives, feelings, and sociocultural background?
•What opportunities will you take to educate the patient?

wards Lake Community Hospital balance sheet as of December 31, 2017, follows.

EDWARDS LAKE COMMUNITY HOSPITAL
Balance Sheet
As of December 31, 2017
Assets
  Current assets:
     Cash and Cash Equivalents$272,600
      Accounts and notes receivable (net of uncollectible accounts of $15,900)26,600
  Inventory72,600
  
          Total current assets371,800
  Assets limited as to use:
     Cash$17,240
     Investments229,720
          Total assets limited as to use246,960
  Property, plant, and equipment:
     Land210,600
     Buildings (net of accumulated depreciation of $1,623,100)2,893,500
        Equipment (net of accumulated depreciation of $1,024,600)1,859,000
          Total property, plant, and equipment4,963,100
  Total assets$5,581,860
  Liabilities and Net Assets
  Current liabilities:
     Accounts payable$19,300
     Accrued payroll45,200
     Current portion of mortgage payable505,000
          Total current liabilities569,500
  Long-term debt—mortgage payable2,510,000
  Total liabilities3,079,500
  Net assets:
    Unrestricted
     Undesignated2,083,260
     Designated for plant246,860
    Temporarily restricted172,2402,502,360
  Total liabilities and net assets$5,581,860
The following are the transactions of Edwards Lake Community Hospital during the fiscal year ended December 31, 2017.
(1)Information related to accrual of revenues and gains is as follows:
  Patient services revenue, gross$3,501,000  
  Charity care211,760  
  Contractual adjustments to patient service revenues1,521,000  
  Other operating revenues998,950  
(2)Cash received includes:
  Interest on investments in Assets Limited as to Use7,450
  Collections of receivables2,961,100  
(3)Expenses of $891,500 were recorded in accounts payable and $1,454,990 in accrued payroll. Since some of the nursing expenses met a temporary net asset restriction, $94,500 was released from temporary restrictions.
  Administration expenses446,980  
  General services expenses524,610  
  Nursing services expenses1,031,900  
  Other professional services expenses343,000  
(4)Cash paid includes:
  Interest expense (allocated half to nursing services      and half to general services)$281,000  
  Payment on mortgage principal505,000  
  Accounts payable for purchases837,000  
  Accrued payroll1,280,000  
(5)Interest of $1,230 accrued on investments in Assets Limited as to Use.
(6)Depreciation charges for the year amounted to $117,500 for the buildings and $129,000 for equipment. Depreciation was allocated 45 percent to nursing services, 15 percent to other professional services and 20 percent to each administrative and general services.
(7)Other information:
(a)Provision for uncollectible receivables was determined to be adequate.
(b)Supplies inventory balances:
12/31/201612/31/2017
  Administration$8,300$7,500
  General services9,0009,500
  Nursing services17,50017,000
  Other professional
       services
37,80041,000
     Totals$72,600$75,000

Imagine that you have been appointed the Director of Health at the Kaluyu Memorial Hospital in Nairobi, Kenya – a for-profit hospital. The facility is also a referral hospital and receives severe cases of accidents, chronicle / communicable diseases and houses an HIV / AIDS ward. As you settle into your position, you realize that the employees always act scared as they approach their superiors. Some of the employees even deliver files and leave your office in a hurry.

As you make your routine departmental visits, you realize that there are tensions between nurses and doctors, and there is a sentiment that the nurses tend to do the majority of the work within patient care but the doctors get all the credit. You realize that the employees are always looking forward to the end of their shifts to go home. Some employees even come back to work wearing the same unwashed clothes as the previous day. Too many employees are calling in sick, and many of them give weak reasons for their tardiness.

There is also a sense that employees and nurses dominate other employees in similar positions. In meetings and conference calls some employees are always quiet and never participate. You notice that people with families tend to gather and talk quietly on breaks. The new mothers working for the hospital have to use bathrooms to pump breast milk for their infants and the refrigerators do not work well. Looking at the financial statements of the hospital, you realize that the hospital expenses are higher than the industry standard, and it makes losses year after year.

Note: You may create and / or make all necessary assumptions needed for the completion of this assignment.

Write a four to six (4-6) page paper in which you:

Investigate the major demotivational factors at Kaluyu Memorial Hospital. Assess the level of impact that the identified factors could have on specific areas of service and business if the administration does not address the situation. Support your response with at least two (2) examples of the potential negative impact of the identified demotivational factors on the hospital.
Choose Maslow’s, Herzberg’s, or McClelland’s model of motivation, and argue the primary reasons why it is applicable to the Kaluyu Memorial Hospital scenario.
Formulate a communication system that will have the greatest impact on improving the situation, and specify the major reasons why your system will influence the employee behaviors for the better. Justify your response.
Use four (4) recent (within the last five [5] years) quality academic resources in this assignment.
Note: Wikipedia and other websites do not qualify as quality academic resources. 

Your assignment must follow these formatting requirements:

Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.

Psychology homework help
No Plagiarism Please, Turnitin will check. I/O psychology knowledge needed.Please follow the Rubric attached
Throughout your degree program, you have learned about many theorists within the various psychological schools of thought. For this Assignment, you will have the opportunity to focus on a theorist you find influential. First, you will describe the individual’s theory and critically analyze it by doing the following:

  • Detail the main concepts in the theory.
  • Discuss the strengths of the theory.
  • Discuss criticisms of the theory.

Next, you will apply the theory to Industrial Organization Psychology (I/O psychology).

  • Create a 1-paragraph case study of a client you might encounter in a job related to your concentration. The client can be an organization.
  • Discuss how at least three concepts from the theory you chose can be applied in working with your client.

The body of your paper should be 3–4 pages (not counting the title page and reference page) and should include an introduction and conclusion. You must use at least three academic references to support your ideas. References must be in APA format, including in-text citations and reference list.

Library Assignment

Critique a Research Article

A critique is a method of displaying a logical and organized analysis of a written or oral piece. Critique can provide the readers with both positive and negative outcomes depending on the author. The purpose of this assignment is for the student to perform a critique on a research article that deals with today’s health issues. In this paper the student must be diligent at what the author are claiming, taking into account the research methods being utilized and look for pros and cons of the researcher’s outcomes.

The assignment must be a minimal of five pages, excluding title page and references. The assignment must be strictly following APA guidelines, points will be deducted if otherwise. Do not use first person throughout the paper until the section called evaluate the paper.  It will be divided in the following manner:

                Title page: Give the name of the article, the authors name(s) and your name. Following APPA

                Introduction:

·         Provide an overview of the author’s research problem, research questions and main point including how the author supports his or her point.

·         Explain what the author initial          objectives (hypothesis) and results including the process he or she used to arrive at such conclusion.

Evaluate the Research Methods: in paragraph form answer the following:

·         Does the author provide a literature review?

·         Is the research current and relevant to today existing health issues?

·         Describe the research type utilized?– experimental, non-experimental, quasi experimental, etc.

·         Evaluate the sample (size, composition, or in the way the sample was selected in relation to the purpose of the study? Was the sample appropriate for the research or was it bias?

·          How practicaldoes this work seem to you? How does the author suggest research results could be applied and how do youbelieve they could be applied?

·          Could the study have been improved in your opinion? If so provide how you think it could have improved.

·          Is the writing in the article clear straightforward?

·          Can further research be conducted on this subject? Explain

Conclusion: In your conclusion, try to synthesize the pieces of your critique to emphasize your own main points about the author’s work, relating the researcher’s work to your own knowledge or to topics being discussed in your course.

Reference Page: APA style, see rubric below

Do you think that sentencing a person to prison is focused more on punishment or rehabilitation? Explain your reasoning.
REPLY TO MY CLASSMATE’S RESPONSE TO THE ABOVE QUESTION AND EXPLAIN WHY YOU AGREE? (A MINIMUM OF 200 WORDS EACH POST)
                                                        CLASSMATE’S POST
In my opinion, I believe sentencing someone to prison is focused more on punishment.  On one hand, I think about time.  How long does it take to truly rehabilitate someone?  What does it even mean to rehabilitate someone?  If a person enters a convenience store with a sawed-off shotgun and murders three people in the store to take the cash out of the cash register, how do you rehabilitate that type of person?  I think of rehabilitation in the form of drug/alcohol rehabilitation, for example. A person could stop drinking and taking drugs, enter treatment, attend an aftercare program, and establish a network of support that will help him or her stay off the drugs and alcohol.  But how does you rehabilitate a criminal?  In my opinion, you don’t.  It doesn’t mean that he or she, in some cases, doesn’t feel remorse for his or her actions but there is no continuing behavior moving forward like there would be in a drug and alcohol case.  So, that leads me to believe that sentencing is focused more on punishment that fits the crime.  If we take the example of the convenience store, sitting in jail for the rest of his life is probably a fitting punishment, if not the death penalty.  Rape, child molestation, and other sexually based crimes are not about changing the behavior and rehabilitation.  It’s about punishing the person for committing such heinous acts.  So, my short answer would be that sentencing is focused more on punishment.
Purpose
The purpose of this assignment is to provide the student an opportunity to reflect on the weekly concepts learned in the course.
Activity Learning Outcomes
Through this assignment, the student will demonstrate the ability to:

  1. Examine roles and competencies of advanced practice nurses essential to performing as leaders and advocates of holistic, safe, and quality care (CO1)
  2. Apply concepts of person-centered care to nursing practice situations. (CO2)
  3. Analyze essential skills needed to lead within the context of complex systems. (CO3)
  4. Explore the process of scholarship engagement to improve health and healthcare outcomes in various settings (CO4)

Requirements:
Reflection: write 1-2 paragraphs reflecting on your learning for the week. Guiding questions are provided or you may write about what you felt was most significant to you for the week.
Some possible areas to explore:

  • In your experience, how have changes in healthcare affected nurses’ ability to provide person-centered, holistic care?
  • As you think ahead to your future practice as an NP, which of the concepts covered this week resonates most with you? Why?
  • How do you anticipate that the concept of cultural humility will affect your practice?
Part 2
In the second part of this assignment, you will write a Final Paper. Include a title page, introduction, and conclusion in addition to the sections below. Include all appropriate in-text citations and references to support your statements. Document any information used from sources in APA style as outlined in the Ashford Writing Center’s Citing Within Your Paper (Links to an external site.) guide.
In your Final Paper,

  • Analyze management judgments and their effect on the financial statements.
  • Explain the calculations of cash flow statements.
  • Summarize the reporting methods for comprehensive income.
  • Examine the purpose of liquidation and required disclosures.

Part A—Management Judgments
Unlike U.S. GAAP, IFRS requires that an entity disclose both (a) management judgments with the most significant effect on the financial statements and (b) information about the major sources of estimation uncertainty that may result in a material misstatement to the carrying values of the entities assets and liabilities. These disclosure requirements are included in Applying IFRS: Enhancing Communication Effectiveness (Links to an external site.). Read pages 39 through 44, and address the following:

  • Identify where judgments in the financial statements should be disclosed.
  • Identify two examples of judgments that could have a significant impact on the financial statements.
  • Identify four examples of estimation uncertainty that could result in a material adjustment in future years?
  • Describe whether the entity should disclose the estimation if it is likely that this value might change significantly within the next year. (Consider an entity that reports an asset at fair value when the fair value is based upon recently observed market prices. Cite specific references from Applying IFRS: Enhancing Communication Effectiveness (Links to an external site.) to support your answer.)
  • Cite specific judgments and estimations that have been made in the notes to the Home Depot 2017 Annual Report (Links to an external site.).

Part B—Cash Flow

  • Explain the difference between the indirect and direct method of the statement of cash flows.
  • Describe whether all three sections of the cash flow statement are different when using either method.
  • Describe which method is preferred by the FASB.
  • Describe how are the following calculated when preparing the cash flow statement using the direct method:
    • Cash collected from customers,
    • Cash paid for merchandise,
    • Cash paid to employees and cash paid for other accrued expenses, and
    • Cash paid for other operating costs including insurance and other prepaid expenses.

Part C—Comprehensive Income
Read Statement of Financial Accounting Standards No.130 (Links to an external site.) paragraphs 8 through 9 and 58 through 67, and address the following:

  • Explain what comprehensive income is.
  • Identify the four possible reporting methods for comprehensive income (in theory).
  • Explain the pros and cons of each method.
  • Identify the method you think is the best.

Part D—Liquidations
Read Accounting Standards Update: Presentation of Financial Statements (Topic 205) (Links to an external site.), pages 4 through 7, and address the following:

  • Describe liquidation accounting.
  • Identify when liquidation is imminent.
  • Explain initial and subsequent measurement.
  • Identify what disclosures are required.

The Financial Statements Final Paper

  • Must be five to seven double-spaced pages in length (not including title and references pages) and formatted according to APA style as outlined in the Ashford Writing Center’s APA Style (Links to an external site.) resource.
  • Must include a separate title page with the following:
    • Title of paper
    • Student’s name
    • Course name and number
    • Instructor’s name
    • Date submitted