Leadership Implications

“The greatest leader is not necessarily the one who does the greatest things. He is the one that gets the people to do the greatest things.”

— Ronald Reagan
U.S. President (1981-1989)

Leadership is a critical role for advanced practice nurses. In order to be an effective leader, one must examine his or her role as an advanced practice nurse, and use his or her knowledge, and leadership skills to address issues related to his or her specialty area. There is a saying that one must know when to follow and when to lead. In order to be a good leader, you must also learn how to follow. As you transition from student to practicing NP, seek opportunities for mentorship to develop your leadership skills. Recognizing when to lead and when to follow is an interchangeable process that requires experience and preparation. The future for Americans in health care is unpredictable. This week it is important to focus on the complex and advanced leadership role that is needed to make effective change in a dynamic and demanding health care system.

This week you will focus on the importance of leadership in advanced practice nursing. You will have an opportunity to examine how you can execute positive social change in your state for salient advanced practice nursing issues.

State Practice Agreements

Write 1 page

This week you will have an opportunity to evaluate state practice agreements in your state ( of TEXAS ) and examine issues related to NP practice.

To prepare:

1. Review and Post a brief description of the REVIEW of practice agreements for NPs in your state of TEXAS.

2. dentify /name at least two physician collaboration issues in your state of Texas.

3. Explain what you think are the barriers to NPs practicing independently in your state mof TEXAS.

4. Finally, outline a plan for how you might address NP practice issues in your state.

5. Suggest additional actions you will  take.

6. Validate an idea with your own clinical experiences with the support of an additional literature search from a reputable source.

REFERENCES:
Required Readings

Buppert, C. (2015). The Employed Nurse Practitioner. In Nurse Practitioner’s Business Practice and Legal Guide (5th ed.). (323-336). Burlington, MA: Jones & Bartlett.

This chapter covers the rights of employed NPs, contract negotiation, interviewing, responsibilities of an NP employee, employer’s evaluation of the NP’s performance, malpractice insurance, and collaborative practice agreements.

Hatt, K. (2015). 5 Interview Pitfalls. Recruiters reveal how to respond to the most complicated questions. Advance Healthcare Network for NPs & PAs. Retrieved from http://nurse-practitioners-and-physician-assistants.advanceweb.com/student-and-new-grad-center/student-top-story/5-interview-pitfalls.aspx

Thomas, A. C., Crabtree, M. K., Delaney, K. R., Dumas, M. A., Kleinpell, R., Logsdon, C.,…Nativio, D. G. (2012). Nurse Practitioner Core Competencies. Retrieved from http://c.ymcdn.com/sites/www.nonpf.org/resource/resmgr/competencies/npcorecompetenciesfinal2012.pd

Assignment #2

W11 – Discussion: Write 1 page. 

State Practice Agreements

Social Change Agents

Assignment #2

W 11 Discussion

STATE PRACTICE AGREEMENT

Social change Agents

“We’ve been called disruptive innovators,” Ford said. “And I think ‘disruptive innovators’ is great – we just need more of them.”

— Heidesch, T. (2008)

As NPs, we are obligated to promote our profession. A component of promoting the profession is proactively being engaged with our communities and identifying areas where change is needed. An example of this would be identifying a community issue, such as an increase in the rate of obesity in a middle-school population and discovering that soda machines are present in the schools. Identifying a problem and being a positive change agent is an essential component of the NP role. Understanding the lawmaking process and how to initiate a local or state change empowers the NP to impart Social Change.

This week you will focus on the importance of leadership in advanced practice nursing. You will have an opportunity to examine how you can execute positive social change in your state for salient advanced practice nursing issues.

Consider the following:

During NP clinical practicum experiences, we identify, as nurses, many health care issues that need to be addressed at the local, state, or national level. Addressing the need for change in health care policy is now an intricate part of your role as a social change agent.

For this Discussion, you will identify a change needed in your community and what your nursing legacy for positive social change will be.

To prepare:

· 1. Consider the health care issues and deficits you have recognized in your professional practice.

· 2. Identify a change needed in your community in health care policy and discuss how you could impart change during your career as an NP.) (A change needed in my community is Obesity ).

· 3. Consider your future as a NP and what your nursing legacy will be. How will you impart Social Change?

1. Post a change needed in your community and an explanation for how you will begin to implement that change. 

2. Then, share with your colleagues a brief explanation of what your nursing legacy will be:(My nursing legacy  will be (Being an advocate for health promotion through disease screenings and illness prevention)

3.  How will you impart Social Change. 

4.  Provide  at least one suggestion for a colleague in your class on how they could implement this change and for their nursing legacy.

REFERENCES: Required Readings

Buppert, C. (2018). Nurse practitioner’s business practice and legal guide (6th ed.). Sudbury, MA: Bartlett & Jones Learning.

· Chapter 12, “Lawmaking and Health Policy” (pp. 421-433)

This chapter covers the legal process, the judicial system and health policy. Additionally, law and rules that affect NPs, how to initiate a change in law and the process involved from beginning until law or rule is finalized.

Christensen, C. M., Bohmer, R. M. J., & Kenagy, J. (2000). Will disruptive innovations cure health care? Harvard Business Review, 78(5), 102-112, 199.

Note: Retrieved from the Walden Library databases.

Heidesch, T. (2008). Disruptive innovation NPs are true Health Care Reformers. Advance Healthcare Network for NPs & PAs, 16(12), 94. Retrieved from http://nurse-practitioners-and-physician-assistants.advanceweb.com/Article/Disruptive-Innovator.aspx

National Conference of State Legislatures (n.d.). Glossary of Legislative Terms. Retrieved from http://www.ncsl.org/research/about-state-legislatures/glossary-of-legislative-terms.aspx

No plagiarism. Due Jan.30.18 by 12noon

Write 1 page only on each discussion (2 pages $20)

Use references provides ONLY

Check your grammar and sentences on gramerler.com. its free.   

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Describe the plans to maintain, extend, revise, and discontinue a proposed solution after implementation.

Nursing homework

In 1,000-1,500 words, provide a description of the methods to be used to implement the proposed solution. Include the following:

  1. Describe the setting and access to potential subjects. If there is a need for a consent or approval form, then one must be created. Although you will not be submitting the consent or approval forms in Topic 5 with the narrative, you will include the consent or approval forms in the appendices for the final paper.
  2. Describe the amount of time needed to complete this project. Create a timeline. Make sure the timeline is general enough that it can be implemented at any date. Although you will not be submitting the timeline in Topic 5 with the narrative, you will include the timeline in the appendices for the final paper.
  3. Describe the resources (human, fiscal, and other) or changes needed in the implementation of the solution. Consider the clinical tools or process changes that would need to take place. Provide a resource list. Although you will not be submitting the resource list in Topic 5 with the narrative, you will include the resource list in the appendices for the final paper.
  4. Describe the methods and instruments, such as a questionnaire, scale, or test to be used for monitoring the implementation of the proposed solution. Develop the instruments. Although you will not be submitting the individual instruments in Topic 5 with the narrative, you will include the instruments in the appendices for the final paper.
  5. Explain the process for delivering the (intervention) solution and indicate if any training will be needed.
  6. Provide an outline of the data collection plan. Describe how data management will be maintained and by whom. Furthermore, provide an explanation of how the data analysis and interpretation process will be conducted. Develop the data collection tools that will be needed. Although you will not be submitting the data collection tools in Topic 5 with the narrative, you will include the data collection tools in the appendices for the final paper.
  7. Describe the strategies to deal with the management of any barriers, facilitators, and challenges.
  8. Establish the feasibility of the implementation plan. Address the costs for personnel, consumable supplies, equipment (if not provided by the institute), computer-related costs (librarian consultation, database access, etc.), and other costs (travel, presentation development). Make sure to provide a brief rationale for each. Develop a budget plan. Although you will not be submitting the budget plan in Topic 5 with the narrative, you will include the budget plan in the appendices for the final paper.
  9. Describe the plans to maintain, extend, revise, and discontinue a proposed solution after implementation.

You are required to cite five to 10 sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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Management homework help

11/9/2020 Topic: The forum on “Greater Equality” (This is “Test 2 question “)
https://ccs.instructure.com/courses/1961380/discussion_topics/11340616?module_item_id=46516483 1/2

This is a graded discussion: 100 points possible
due Nov 10
The forum on “Greater Equality” (This is “Test 2 question “) 3 3
Read the article Greater Equality in the module 8, and combine the content in SpokesmanReview article “Neighborhood matters” , link is here:
https://www.spokesman.com/stories/2012/sep/23/solving-a-health-gap/,
(https://www.spokesman.com/stories/2012/sep/23/solving-a-health-gap/,) the pdf file of this
Neighbor matters article is also located in module 8 (but maybe it is hard to read because it is
made from hard copy). Think deeply about following questions, choose two out of three in
the following to reply, in addition, try to integrate the contents in”Neighborhood
matters” article in the reply of two questions you choose to reply, —-this means to use
Neighborhood matters content to support your view.
1. What does the author try to say in this paragraph? —-in Pg. 9, left hand section in
the 4th paragraph, the sixth line it says: “People are now more likely to see psycho-social
well being as dependent on what can be done at the individual level, using cognitive
behavioral therapy—one person at a time—or on providing support in early childhood, or on
the reassertion of religious or family values. Every problem is seen as needing its own
solution—-unrelated to others. People are encouraged to exercise, not to have unprotected
sex, to say no to drugs, to try to relax, to sort out their work-life balance, and to give their
children ‘quality’ time. The only thing that many of these policies do have in common is that
they often seem to be based on the belief that the poor need to be taught to be more sensible.
The glaringly obvious fact that these problems have common roots in inequality and relative
deprivation disappears from view. ”
2. What is your spontaneous response to view and solve poverty, crime and health issues?
What is this article’s (Greater Equality)perspective to view and solve poverty, crime, health
issues? Try to compare yours and the article’s solution in specific way. Summarize the
differences or similarities that you and the article have.
3. What did you learn in this article? Or has this article challenged your assumptions of the
society’s wealth and income distribution issue, or your assumption of the solution to these
issues? Reflect on your assumptions. If you say there is not much you learn in this article
because you don’t trust these data, then provide your evidence/data , with the source of your
data, date of publication, etc., provide the perspective you read from credible sources that is
opposite to this article i.e. Greater Equality, cite year of publication, where was it published.
If in your reply to two questions from the three listed above, you had shown nothing
about what you learned or getting informed from Neighborhood matters article, your
grade is going to be negatively affected.
11/9/2020 Topic: The forum on “Greater Equality” (This is “Test 2 question “)
https://ccs.instructure.com/courses/1961380/discussion_topics/11340616?module_item_id=46516483 2/2
Replies are only visible to those who have posted at least one reply.
Search entries or author
 Reply
The length of your post of two questions: 150-200 words.
Remember: you need to respond to ONE classmate’s post, share your thoughts on: what
is something valuable you learned or got informed from your classmates, or ask a further
question to deepen the discussion. Please pose your post directly on the discussion forum,
don’t attach a pdf format file on the discussion forum. And post your thoughts to two questions
in TWO or THREE separate paragraphs. Don’t jam everything in one huge paragraph.
I
Unread  

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>History homework help

 The 1960s History Within the Music
Choose a song that was written and produced in the 1960s. It does not have to be one of the songs highlighted in the book.
Discuss how this song relates to a specific historical event or movement that occurred in the 1960s. Here are some examples of key events or movements: the Vietnam War, the civil rights movement, and the rise of feminism and sexual freedom.
Research your topic and write a 500-word paper.
Use 12-point font, double-spaced.
Use at least one source other than your book.
Properly cite all external sources.
 
*The source material used in all assignments, including the class text, must be properly cited and referenced in accordance with APA style!! No Plagiarism!!
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FUNCTIONS OF HUMAN RESOURCE MANAGEMENT IN TERMS OF THEIR LEVEL OF SUPPORT TO THE HEALTH CARE FIELD

Assignment 1: Human Resource Management Overview

Using the course readings, articles, and your personal experiences, address the role of human resource management.

Write a six to eight (6-8) page paper in which you:

  1. Determine key roles that human resource management plays in the health care field.
  2. Evaluate three to five (3-5) functions of human resource management in terms of their level of support to the health care field, and then select which one you believe is the primary function in furthering the health care field.
  3. Analyze the role of human resource management in an organization’s strategic plan.
  4. Use at least three (3) quality academic resources in this assignment.  Note: Wikipedia and other Websites do not qualify as 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.
  • Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.
  • Thoroughly determining key roles that human resource management plays in the health care field.Thoroughly evaluated three to five (3-5) functions of human resource management, and then thoroughly selected which one you believe is the primary function in the health care field.Thoroughly analyzed the role of human resource management in an organization’s strategic plan.Exceeds number of required references; all references high quality choices.
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English homework help

  • 9: Joints
  • 10: The Muscular System
  • 11: Muscular Tissue

Chose one  topic from above then find a video
 
First question: What was your favorite topic this week? What did you enjoy? Find a video that relates to this topic.
You will create 4 short paragraphs. Please organize your post to earn points.
Overview:

  1. Research: Students will briefly summarize a video that relates to their favorite topic this week.  Locate and give the full page of the URL to a video in APA formatting (cite in text and reference) that pertains to your favorite topic this week. It is not unlike a main discussion post. Summarize the video in 50 words. Cite in the text. Reference at the end.  If the URL is not given and cannot be verified, points will not be earned for this section. Documentation of sources is necessary. /25 Words:
  1. System Check: Relate your topic from this week to another system in the body. Demonstrate and show how this information is connected to other functions in the body. Please illustrate how this system is interrelated to another system in the body. Compare and contrast structure. Provide examples from the text. Cite and reference the text. /75 Words.
  1. Apply the importance of this information at different levels (individual/career, society, world). What was the most significant connection you made with the material this week? How is your topic showing up in the news these days? Explain why this video is important. Tell me why this topic may be important to your future career. How can you apply this topic of anatomy to your career or your community? Society?  Give a detailed example. Be specific about this; Do not only say it is important but explain why it is important. /100 Words.
  2. Weekly Self Reflection: What resources do you think helped you most this week to help you understand? What challenges did you have with the material? What improvements can you make this week to implement for next week? /50 Words.

Due Date: This is due by 11:59pm EST Sunday.
       Expectations:

  • 250+ words minimum.
  • Thoughtful, substantial and factual information is required.
  • This must be written in your own words.
  • Direct quotes must be cited. Demonstrate comprehension of material. APA references and citations are expected when sources are used.

 
 

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Case Analysis of AMC

I have attached below also the one article that is needed from the CSU library. 

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Change project: patients with type 2 diabetes, lifestyle modification essay

Change project: patients with type 2 diabetes, lifestyle modification essay
Change project: In South Florida patients with type 2 diabetes, does lifestyle modification such as diet and physical activity help lower HBA1C compared to
those who do not make life style changes.
Write a literature review of your change project topic using peer-reviewed articles, books, and evidence-based guidelines. Identify and cite all sources of data according to APA guidelines. The goal is to review and critique the most current research to support your change project; this research will help drive the focus of your research.Summarize the key findings and provide a transition to the methods, intervention, or clinical protocol section of your final paper. Describe any gaps in knowledge that you found and the effects this may have on nursing practice as it relates to your change project topic. The literature review should be a synthesis of how each article relates to your change project. Also, when writing your literature review, remember to include subtopics to your main topic and gather data on these areas as well. For example, if you are doing a project on cancer, then subtopics for cancer treatments should be included.
A minimum of 10 Peer-reviewed articles
Literature is supported by scientific evidence that is credible and timely. Subtopics
are used to support the main topic.
Presents a thorough and insightful analysis of significant findings related to the change project topic. Ideas are synthesized and professionally sound and creative. Insightful and comprehensive conclusions and solutions are present
Your integrative literature review should be at least 6 pages. Change project: patients with type 2 diabetes, lifestyle modification essay

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List and describe the physiological effects, complications and weaning procedure of PEEP

Learning Objectives Covered
1. List and describe the physiological effects, complications and weaning procedure of PEEP
2. Describe techniques such as: weaning approaches, oxygenation titration, closed-loop control, and evidence-based weaning
3. Explain assessment techniques used to determine successful ventilator discontinuance
Background
In week one we discussed extrapulmonary effects of mechanical ventilation. Equally important however is understanding the pulmonary effects, the actual impacts of positive pressure ventilation on the lungs and other respiratory structures.
Competent respiratory therapists know how to ventilate patients in a way that achieves appropriate oxygenation levels and appropriate carbon dioxide levels, but in a way that also minimizes adverse effects on the pulmonary system. The concepts of barotrauma and volutrauma are especially important. The NBRC is very interested in assessing your knowledge in this area. The national board wants to credential therapists who know how to protect patient’s lungs while effectively ventilating them. Another key topic this week involves weaning your patient from the mechanical ventilator. No patient wants to stay on a ventilator for life. We want to “liberate” the patient from the ventilator as soon as feasible, but it is so important to do that safely. We need to make sure that the problem that put the patient on the ventilator has been corrected, and we need to make certain that key parameters have reached safe levels before we give the patient a “spontaneous breathing trial” away from the ventilator. You will learn this week about essential monitoring to make sure that the patient is succeeding with that spontaneous breathing trial. Let us now take a closer look at weaning.
Weaning from Mechanical Ventilation
Ventilator management should be aimed at getting the patient off ventilator support as quickly and safely as possible after stabilization. Weaning (also known today as liberation) should be considered as soon as the underlying disease process that led to mechanical ventilation is under control. For example, if the patient was intubated and ventilated due to pulmonary edema, then weaning can commence as soon as the excess pulmonary fluid has been removed and the patient’s gas exchange improves. This will also be evident on chest x-ray as the disappearance of the butterfly fluid pattern. If the patient was ventilated due to pneumonia, clearing of the chest x-ray infiltrates and improvement of sputum clearance would indicate that we could begin the weaning process.
Definitions Relating to Weaning from Mechanical Ventilation
First, sharing a few definitions to help us classify weaning:
·  Simple weaning: the ventilator is discontinued after the first weaning assessment
·  Difficult weaning: the ventilator is discontinued within one week after the first weaning assessment
·  Prolonged weaning: the ventilator is discontinued more than one week after the first weaning assessment
·  Weaning failure: this is failure to pass a spontaneous breathing trial (SBT) or the need for reintubation within 48 hours following extubation
Avoiding Reintubation 
Obviously, we do not want to extubate our patient and then have to reintubate them. So predicting weaning success is very important for reducing the rate of reintubation. Careful attention to the criteria for weaning, and optimal patient management to increase weaning success can both help to avoid reintubation. Reintubation is a very bad prognosticator for the patient, but smart RRT’s can keep reintubation rates very low. Consider the following:
· Reintubation is associated with a 7-10 fold increase in hospital mortality
· Reintubation rates of 10 to 15% are typical for most well run Respiratory Therapy weaning programs
· A reintubation rate of 0% is not realistic, and it would mean that we are not being aggressive enough with our weaning efforts
Criteria to Begin Weaning
· Lung disease is stable and resolving
· Oxygen titration to FiO2 less than 0.5 and PEEP less than 5-8cmH2O
· Hemodynamic stability, little or no pressure (blood pressure) agents
· Neuromuscular ability to initiate spontaneous breathing
 Approaches to Weaning from Mechanical Ventilation  
Weaning is typically a Two-step process leading up to ventilator liberation:
· First, essential weaning parameters are assessed, sometimes called the “wean screen,” and the wean screen should be performed daily once the decision is made to begin weaning. Parameters to be measured here include Maximal Inspiratory Pressure, Spontaneous Tidal Volume, Spontaneous Vital Capacity, Spontaneous Minute Volume, and Spontaneous Respiratory Rate. The Rapid Shallow Breathing Index should also be calculated daily.
· Next, we perform the first weaning trial
Patient Management to Avoid Weaning Delays:
Optimize Respiratory Muscle Power through:
· Good nutrition
· Discontinuing neuromuscular blocking drugs
· Decreasing steroid use
· Encourage spontaneous breathing but avoiding patient exhaustion
· Stabilizing electrolytes
· Physical Therapy for strength and range of motion
Decrease Respiratory Work:
· Patient should be sitting up
Decreasing Respiratory Demand:
· Treat any pyrexia
· Treat agitation
· Minimize respiratory dead space
· Decrease airway resistance
· Decrease abdominal distension
Optimize Ventilatory Drive
· Discontinue patient sedation
· Consider any causes prior to the neuromuscular junction
· Correct any metabolic acidosis
Increase Oxygen Carrying Capacity
· Eliminate atelectasis
· Correct anemia
· Correct any shifts in oxyhemoglobin dissociation curve
Optimize Cardiac Function
· Evaluate left ventricular function
· Treat congestive heart failure
· Treat ischemia
Optimize Sputum Clearance
· Treat infection
· Chest physiotherapy
· Suction before trials
· Therapeutic bronchoscopy if appropriate
Techniques of Weaning
· Gradual reduction in mandatory rate during synchronized intermittent mandatory ventilation
· Gradual reduction in pressure support ventilation
· Spontaneous breathing through a T-piece
· Spontaneous breathing via the ventilator on flow by with no pressure support and no PEEP
It is important to note that there is no evidence that gradual reduction of ventilation support speeds up the weaning process, so when patients meet Wean Screen criteria, the most rapid approach to weaning is to initiate spontaneous breathing trials, either by T-piece or by flow by.
Evidence-Based Protocols
Weaning protocols simply work, and this has been well demonstrated clinically over recent years. Protocol driven ventilator liberation procedures have clearly demonstrated that traditional care is often associated with significant delays in ventilator withdrawal. Respiratory Therapist (RT) run protocols consistently produce faster ventilator discontinuation times when compared to physician run usual care in the ICU. Perhaps this is because physicians who are leading the weaning process do not adhere to evidence-based guidelines. Also, they simply not be available often enough to move the weaning process forward quickly. There are approved Respiratory Therapy weaning protocols in each facility that allow RT’s to be in charge of the weaning process.
Automated feedback systems
Several recent innovations are improving the weaning process, and automation of weaning is certainly a hot topic in critical care today. For example, Adaptive Support Ventilation (ASV) is the most studied closed loop system in place today. It is an improvement over physician led weaning. Automated systems use a closed-loop control to enable ventilators to perform basic and advanced functions while supporting respiration. These systems provide a unique automated weaning system which measures selected respiratory variables, adapts ventilator output to individual patient needs by operationalizing predetermined algorithms and automatically conducts spontaneous breathing trials (SBTs) when predetermined thresholds are met. As a result, there is no delay in weaning when the patient is, in fact, ready. These systems are very new, and research is underway at this time to determine just how effective they really are.
For this assignment, discuss the following relating mechanical ventilation:
The title for this paper should be reflective of what you are to describe.  I might suggest something like this; Adverse Effects of Invasive Positive Pressure Ventilation.
List and describe 4 adverse effects of invasive positive pressure ventilation on the pulmonary system with strategies for minimizing or avoiding the negative effects entirely. Be specific about your recommended strategies.
Requirements
Unless specifically stated otherwise, all written assignments are expected to follow the writing style guidelines outlined in the APA Publication Manual, 6th Edition (see link below). Assignments will include a title page, double spacing with indented paragraphs (first line of each paragraph), in-text source citations and a references page.
APA Publication Manual, 6th EditionLinks to an external site.
Assignment Grading Rubric.pdf 
Submit your 500 word assignment (excluding references) in a Word document.  You must have 3 in-text citations with 3 corresponding references shown in proper APA format to defend and support your position.  This assignment is due before midnight, MST, this Saturday.

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Information Systems homework help

Required Reading:

Week 12 Written Assignment

This week’s journal article focus on the how positive team culture can correct the impact of lagging leadership creativity.  Additionally, we discussed how digital transformation leaders in regard to artificial intelligence (AI).  After reviewing the reading, please answer the following questions:

  1. What is your definition of AI?  Please explain.
  2. What is your opinion of AI, is the technology currently available? Why or why not?
  3. Please note at least four AI technologies, explain if they are truly AI or something else.  Thoroughly explain your answer.
  4. How is AI perceived as different in various industries and locations? Please explain.

The paper should meet the following requirements:

  • 3-5 pages in length (not including title page or references)
  • APA guidelines must be followed.  The paper must include a cover page, an introduction, a body with fully developed content, and a conclusion.
  • A minimum of five peer-reviewed journal articles.

The writing should be clear and concise.  Headings should be used to transition thoughts.  Don’t forget that the grade also includes the quality of writing.

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