Project 3

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In the ischemic stroke patient, what are the barriers to the administration of thrombolytic therapy within 3 hours of presentation to the emergency department when the last seen normal is within 2 hours?

Course Project Overview

PICOT Question

In the ischemic stroke patient, what are the barriers to the administration of thrombolytic therapy within 3 hours of presentation to the emergency department when the last seen normal is within 2 hours?

P= barrier to administration

I= administration of t-PA

C= vs. not receiving thrombolytic

O= administration of thrombolytic

T= within 3 hours of Emergency room presentation when the last seen normal is within 2 hours.

Evidence-based practice involves a great deal more than simply reading nursing periodicals on a regular basis. Nurses can take a more proactive approach to evidence-based practice by identifying authentic problems and concerns, and then using that to guide their inquiries into current research. In this way, nurses can connect the results of relevant research studies to their nursing practice.

For the Course Project, you identify and apply relevant research to a specific nursing topic or problem. You begin by formulating an answerable question that is relevant to nursing and evidence-based practice. In later weeks of this course, you continue the course project by conducting a literature review and then determining how the evidence from the literature can be applied to nursing practice.

Before you begin, review this document, which contains information about all three parts of the Course Project.

The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references

Course Project: Part 1–Identifying a Researchable Problem

One of the most challenging aspects of EBP is to actually identify the answerable question.

—Karen Sue Davies

Formulating a question that targets the goal of your research is a challenging but essential task. The question plays a crucial role in all other aspects of the research, including the determination of the research design and theoretical perspective to be applied, which data will be collected, and which tools will be used for analysis. It is therefore essential to take the time to ensure that the research question addresses what you actually want to study. Doing so will increase the likelihood of obtaining meaningful results.

In this first component of the course project, you formulate questions to address a particular nursing issue or problem. You use the PICOT model—patient/population, intervention/issue, comparison, and outcome—outlined in the weekly Learning Resources to design your questions.

To prepare:

  • Review the article, “Formulating the Evidence Based Practice Question: A Review of the Frameworks,” found in the Learning Resources for Week 2. Focus on the PICOT model for guiding the development of research questions.
  • Review the section beginning on page of the course text, 75 titled, “Developing and Refining Research Problems” in the course text, which focuses on analyzing the feasibility of a research problem.
  • Reflect on an issue or problem that you have noticed in your nursing practice. Consider the significance of this issue or problem.
  • Generate at least 5 questions that relate to the issue that you have identified. Use the criteria in your course text to select one question that would be most appropriate in terms of significance, feasibility, and interest. Be prepared to explain your rationale.
  • Formulate a preliminary PICOT question—one that is answerable—based on your analysis. What are the PICOT variables (patient/population, intervention/issue, comparison, and outcome) for this question? Note: Not all of these variables may be appropriate to every question. Be sure to analyze which are and are not relevant to your specific question.
  • Using the PICOT variables that you determined for your question, develop a list of at least 10 keywords that could be used when conducting a literature search to investigate current research pertaining to the question.

To complete:

Write a 3- to 4-page paper that includes the following:

  • A summary of your area of interest, an identification of the problem that you have selected, and an explanation of the significance of this problem for nursing practice
  • The 5 questions that you have generated, and a description of how you analyzed them for feasibility  
  • Your preliminary PICOT question and a description of each PICOT variable relevant to your question  
  • At least 10 possible keywords that could be used when conducting a literature search for your PICOT question and a rationale for your selections
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Create a 3 page essay paper that discusses Nurse Manager Power. The author playing the role of her boss will assess the case and suggest how she can improve her management skills using literature on management.

Create a 3 page essay paper that discusses Nurse Manager Power. The author playing the role of her boss will assess the case and suggest how she can improve her management skills using literature on management. Case Study Mrs. Jackson is a nurse manager on a coronary care step-down unit. She has a habit of dictating solutions to staff in case of any problem. She is also habitual of degrading her staff publicly and uses a rather a superior attitude. In addition, she also shows more favorable attitude towards some of her staff members and give them relax hours and vacations according to their desire while coerce the other staff members. Also, it has been observed that staff members who confront her are assigned worst hours and shifts and their request to change the shift is usually ignored. Considering this situation, the author has explored the detrimental and optimal behavior for unit functioning followed by observation and suggestion for Mrs. Jackson to improve her management skills. Behavior which is considered detrimental to the unit’s functioning Nurse Managers have is key in the acute care nursing area as it deals with development and retention of staff, with on the whole unit competency. Altogether, the nurse manager has the duty to make sure that the work in the facility is going on smoothly, while ensuring the capability and the competence of the day by day operations of their unit. The attitude that we see in case of Mrs. Jackson is termed as Pseudo-transformational leadership. Pseudo-transformational leaders are those who have narcissist tendencies and self-aggrandizing motives. Judge, LePine and Rich (2006) described narcissism as a grandiose sense of self-importance, which results in fantasies of unlimited success, sense of entitlement, interpersonally exploitative behaviors, lack of empathy, arrogant and haughtiness If nurse manager adopts such behavior, it will create a negative work environment which will affect team functioning and performance as well as workers outcomes. The behaviors that contribute to optimal team functioning within a larger systems environment An environment where workers are treated as assets, there experience and knowledge is acknowledged and they are treated equally with respect leads optimal team functioning. Leadership theories suggest that leaders need to serve as role models and reward and recognize individuals that reflect the values of the organization. The latest leadership style that is being popular almost in organization is transformation leadership. According to Bass and Steidlmeire (1999), to be transformational, leaders must be grounded in moral foundations. Such leaders must exhibit moral character in their concern for self and others, display ethical values embedded in their vision, demonstrate morality in their processes of social and ethical choices, and in all actions in which the leader and followers engage. In a larger system environment, leader should motivate follower, use rewards to encourage and appreciate staff members for their hard work. As, Smith (1998) believed that creative compliments can motivate followers to perform at higher levels (p. 71) Lastly, in order to accomplish all of the key components of their role, it is important for the nurse manager to foster interdisciplinary relationships through effective communication.

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Do you think the human race is continuing to evolve, not just socially, (which is questionable anyway) but in a Darwinian sense

Biology homework help
Do you think the human race is continuing to evolve, not just socially, (which is questionable anyway) but in a Darwinian sense? Do not just write “yes” or “no,” but explain why you think so. In addition, include how the mechanisms of evolution, such as natural selection, would be at play in this situation.
My wife and I have three children. This guy has 30 (and counting) https://www.yahoo.com/news/blogs/sideshow/man-fathered-30-kids-needs-break-child-support-140439765.html
In the context of evolution, which one of us is more successful? Why do you think so? I know that a man who cannot support his children is reprehensible, but consider it from a scientific point of few.
Please include the name of the person or question to which you are replying in the subject line. For example, “Tom’s response to Susan’s comment.”
PLEASE REPLY TO COMMENT BELOW FROM ANOTHER STUDENT⬇️⬇️⬇️⬇️⬇️
As human beings we just have raw intelligence none of us are the same not only because of our genetics but our atmosphere that surrounds us. We have different languages, cultures and we abide by laws and institutions. But our brains are larger than apes monkeys I do not agree that we have evolved from them our ancestors were people not animals. If that was the case we are not the monkey, chimps and apes evolving to humans as well? God intended to create us all animals included different with our own unique traits. We have evolved drastically as each decade comes and goes. Children are not even the same as I was growing up in the 90’s, they are way advanced and intelligent and very wise.
As far as the guy with 30 children and counting , WOW!  He has 11 different women he has produce children with which means they all have different traits because genetically the women are all different so it could be a genetic drift. He has a variation of children I’m sure which makes their traits evolve into another reproduction.
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SHOULD NURSING HOMES HAVE THE AUTHORITY TO RESTRAIN A RESIDENT

SHOULD NURSING HOMES HAVE THE AUTHORITY TO RESTRAIN A RESIDENT

 NO COMMENTS
Take a position as to whether or not nursing homes should have the authority to restrain a resident. Next, determine who should be held liable if the resident sustains injuries while being restrained. Provide a rationale for your response. Review the video titled “Senator Elizabeth Warren – The Future of Long-Term Care Policy: Continuing the Conversation” 9 min 32 s. Next, describe the fiscal impact of the growth and aging of the population on long-term care services, and take a position as to whether or not the federal government should continue to provide subsidies to offset the cost to families utilizing long-term care services. Provide support for your response.
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Banner Healthcare

Discussion
Research a health care organization or a network that spans several states within the U.S. (Example: United Healthcare, Vanguard, Banner Healthcare, etc.).
Harvard Business Review Online and Hoover’s Company Records, found in the GCU Library, are useful sources. You may also find pertinent information on your organization’s webpage.
Review “Singapore Airlines Case Study.”
Prepare a 1,000-1250-word paper that focuses on the organization or network you have selected.
Your essay should assess the readiness of the health care organization or network in addressing the health care needs of citizens in the next decade, and include a strategic plan that addresses issues pertaining to network growth, nurse staffing, resource management, and patient satisfaction. Provide a comparison to the health care organization or network and the Singapore Airlines. Include any cultural issues that may influence the practices listed above.
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 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.
RUBRIC:
Case study assesses the readiness of the health care organization or network in addressing the health care needs of citizens in the next decade
Case study assesses the readiness of the health care organization or network in addressing the health care needs of citizens in the next decade is offered in detail, while demonstrating higher level thinking by incorporating prior learning or reflective thought.
Case study includes a strategic plan that addresses issues pertaining to network growth
Case study including a strategic plan that addresses issues pertaining to network growth; is offered in detail, while demonstrating higher level thinking by incorporating prior learning or reflective thought.
Case study includes a strategic plan that addresses issues pertaining to nurse staffing
Case study including a strategic plan that addresses issues pertaining to nurse staffing is offered in detail, while demonstrating higher level thinking by incorporating prior learning or reflective thought.
Case study includes a strategic plan that addresses issues pertaining to resource management
Case study including a strategic plan that addresses issues pertaining to resource management is offered in detail, while demonstrating higher level thinking by incorporating prior learning or reflective thought.
Case study include a strategic plan that addresses issues pertaining to patient satisfaction
Case study including a strategic plan that addresses issues pertaining to patient satisfaction is offered in detail, while demonstrating higher level thinking by incorporating prior learning or reflective thought.
Essay provides comparison between health care organization or network and Singapore Airlines
A detailed and clear discussion is presented comparing a health care organization or network and Singapore Airlines.
Cultural issues that may influence practices are discussed
Cultural issues influencing proposed practices are thoroughly discussed. Detailed information and support is provided to establish how these influence the proposed practices.
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 (use of appropriate style for the major and assignment)
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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1.Do you believe the proposal would be approved if formally proposed?

In this assignment, you will select a program, quality improvement initiative, or other project from your place of employment. Assume you are presenting this program to the board for approval of funding. Write an executive summary (850-1,000 words) to present to the board, from which they will make their decision to fund your program or project. The summary should include: 1.The purpose of the program or project. 2.The target population or audience. 3.The benefits of the program or project 4.The cost or budget justification. 5.The basis upon which the program or project will be evaluated. Share your written proposal with your manager, supervisor, or other colleague in a formal leadership position within a health care organization. Request their feedback using the following questions as prompts: 1.Do you believe the proposal would be approved if formally proposed? 2.What are some strengths and weaknesses of the proposal? 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.]]>

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Security Weakness Assessment

This paper is a continuation of order #166887, therefore I will like the same writer to handle the work as well (Writer ID 303). Please, let the project be integrated. See the attached file for instructions and for any further detail,please do not hesitate to contact me.thanks

 

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>English homework help

Instructions: Your first essay – the critical evaluation essay – is due at the end of week three. In this essay, you will be critically evaluating a classic argument.
Choose one argument from the historic American works listed in the “Supplemental Readings” section of the course lessons. Decide whether this argument is successful or not. If you decide this essay is successful, discuss why. You may use the structure of the argument, the tone, and the various types of support (ethos, pathos, and logos) as proof of the argument’s success. Make sure that your thesis has an introduction that contains a hook and a thesis, body paragraphs that discuss one proof at a time (one paragraph per example), and a conclusion. If you decide that the essay is not successful, then discuss the fallacies that the argument makes. You are still required to have a strong introduction (hook and thesis), body paragraphs that discuss one fallacy at a time, and a conclusion. You may also discuss how the essay is successful with reservations. In this case, point to both the support and the fallacies you have found in the work. You are not offering personal or historical commentary, or responding to the ideas in the argument; you are evaluating the argument itself, in rhetorical terms.
This paper should be at least 700 words, but no more than 850. The paper should be formatted correctly MLA style and written in third person (do not use the words I, me, us, we, or you).  The essay should also contain citations and a works cited list based on your selected essay in the assigned readings.  Formulate the structured response from your own close reading of the text.
Cite from attached document
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    CarrieChapmanCatt-SuffrageSpeechtoCongress.pdf
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Operations Management homework help

MGMT 3900 Individual Research Report Questions and Scoring Guide
(100 points)
PLEASE MAKE SURE TO FOLLOW THE INSTRUCTIONS IN THE SYLLABUS and
cover the following topics:
• Identify the company and industry/industries that the company competes in (10 points).
• Identify the corporate (5 points) and business (5 points) level strategies of the company.
Why? (10 points)
• Identify the core competencies of the company, if any (5 points), and employ the VRIS
framework to analyze the core competency of the company and its weaknesses/problems
(10 points).
• Identify the problem that you want to help the firm resolve (10 points)
• Summarize your recommendation to the company (10 points).
• Explain the rationale of your recommendation by outlining the strategic analytical tools
and analyses that you have conducted (15 points).
• How your recommendation helps the company gain and potentially sustain competitive
advantage (10 points).
Please make sure to follow the detailed formatting requirements listed in the syllabus to avoid
potential penalty.
• Provide proper references/citations (5 points)
• No grammatical errors and typos (5 points)
Please be aware that the purpose of this research is to practice analyzing a real-world company
with the theoretical concepts and tools that we discuss in the class. Therefore, please employ the
terminologies and analytical tools of our class, avoid inventing your own terms to describe
strategies, and resist the temptation of copying existing analysis.

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