Comparing Frameworks for Analyzing Organizations

Comparing Frameworks for Analyzing Organizations
Avedis Donabedian’s work generated a pivotal means of assessing organizational performance relative to structure, process, and outcomes. However, it is clearly not sufficient to view health care quality merely in terms of outcomes—the structures and processes that facilitate these outcomes are equally as important.
In this Discussion, you consider multiple frameworks that can be used to analyze an organization. As you proceed, consider how these frameworks allow you to examine the interplay of interdependent and related parts and processes that comprise the systems within an organization, as well as the arrangements or structures that connect these parts.
To prepare:

  • Investigate and reflect on the systems and structures of an organization with which you are familiar. Consider the following:
    • What is the reporting structure?
    • Who holds formal and informal authority?
    • How many layers of management are there between the frontline and the highest office-holders of the organization?
    • How are interdisciplinary teams organized?
    • How is communication facilitated?
    • How well integrated is decision making among clinical personnel and administrative professionals?
    • How are particular service lines organized?
    • Which departments, groups, and/or individuals within the organization are responsible for monitoring matters related to performance, such as quality and finances?
  • Select two of the following frameworks:
    • Learning organizations, presented in the Elkin, Haina, and Cone article
    • Complex adaptive systems (CAS), presented in the Nesse, Kutcher, Wood, and Rummans article
    • Clinical microsystems, presented in the Sabino, Friel, Deitrick, and Sales-Lopez article
    • Good to great, presented in the Geller article
    • The 5 Ps, presented in the ASHP Foundation article
  • Review the Learning Resources for each of the frameworks that you selected. Also conduct additional research to strengthen your understanding of how to use each framework to assess an organization.
  • Compare the two frameworks. How could each framework be used to identify opportunities to improve performance? In particular, how would you use each of these frameworks to analyze the organization that you have selected?

By Day 3
Post an analysis of the systems and structures of the organization you selected, sharing specific examples. Explain insights that you gained by comparing the two frameworks, and how each can be used to assess an organization, identify a need for improvement, and, ultimately, enhance the performance of an organization.
Read a selection of your colleagues’ responses.
 

Required Readings

Hickey, J. V., & Brosnan, C. A. (2017). Evaluation  of health care quality in for DNPs (2nd  ed.). New York, NY: Springer Publishing Company.
Chapter 1, “Evaluation and DNPs: The Mandate for Evaluation” (pp. 3-36)
Chapter 3, “Conceptual Models for Evaluation in Advanced Nursing Practice” (pp. 61-86)
Chapter 6, “Evaluating Organizations and Systems” (pp. 127-142)Chapter 1 defines microsystem, mesosystem, and macrosystem and notes that evaluation can focus on one of these levels or all three. Chapter 5 examines the evaluation of organizations and systems.

Sadeghi, S., Barzi, A., Mikhail, O., & Shabot, M. M. (2013). Integrating quality and strategy in health care organizations, Burlington, MA: Jones & Bartlett Publishers.
Chapter 2, “Understanding the Healthcare Organization” (pp. 31–43)Although this chapter focuses on hospitals, the authors provide information about strategic planning and organizational structure that is applicable in many health care settings. The authors examine financial and quality issues as key aspects of performance measurement.

Elkin, G., Zhang, H., & Cone, M. (2011). The acceptance of Senge’s learning organisation model among managers in China: An interview study. International Journal of Management, 28(4), 354–364.
Retrieved from the Walden Library databases.
This article outlines the five disciplines that Senge argued could be found in a learning organization. The authors also discuss the worldview that is inherent in business organizations in China and explain how this relates to Senge’s theory.

Geller, E. S. (2006). From good to great in safety: What does it take to be world class? Professional Safety, 51(6), 35–40.
Retrieved from the Walden Library databases.
Geller reviews and applies Collin’s foundational Good to Great theory from its focus on financial success to safety.

Nesse, R. E., Kutcher, G., Wood, D., & Rummans, T. (2010). Framing change for high-value healthcare systems. Journal for Healthcare Quality, 32(1), 23–28.
Retrieved from the Walden Library databases.
This article explores how to implement change in complex adaptive systems (CAS) such as health care. The authors purport that an understanding of the principles of change management in CAS is critical for success.

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How to Critique in nursing Research

How to Critique in nursing Research
Research Critique
To write a critical appraisal that demonstrates comprehension of the research study conducted, and respond to each of the action itemslisted under the headings below. Successful completion of this assignment requires that you provide a rationale,include examples, or reference content from the study in your response.
CRITICAL APPRAISAL GUIDELINES: QUANTITATIVE STUDY
Introduction of How to Critique in nursing Research
• Develop a topic sentence in which you will define the purpose of the Research Critique, Part 2
• Formulate a thesis statement which briefly provides a broad indication of your point of view in composing this assignment.
• Include a summary outline to describe the organization and main topics you will include in the body paragraphs of the assignments (see below sections).
Protection of Human Participants
• Identify the benefits and risks of participation addressed by the authors. Were there benefits or risks the authors do not identify?
• Was informed consent obtained from the subjects or participants?
• Did it seem that the subjects participated voluntarily in the study?
• Was institutional review board approval obtained from the agency in which the study was conducted?
Data Collection on How to Critique in nursing Research
• Are the major variables (independent and dependent variables) identified and defined? What were these variables?
• How were data collected in this study?
• What rationale did the author provide for using this data collection method?
• Identify the time period for data collection of the study.
• Describe the sequence of data collection events for a participant.
Data Management and Analysis on How to Critique in nursing Research
• Describe the data management and analysis methods used in the study.
• Did the author discuss how the rigor of the process was assured? For example, does the author describe maintaining a paper trail of critical decisions that were made during the analysis of the data? Was statistical software used to ensure accuracy of the analysis?
• What measures were used to minimize the effects of researcher bias (their experiences and perspectives)? For example, did two researchers independently analyze the data and compare their analyses?
Findings / Interpretation of Findings: Implications for Practice and Future Research
• What is the researcher’s interpretation of findings?
• Are the findings valid or an accurate reflection of reality? Do you have confidence in the findings?
• What limitations of the study were identified by researchers?
• Was there a coherent logic to the presentation of findings?
• What implications do the findings have for nursing practice? For example, can the study findings be applied to general nursing practice, to a specific population, to a specific area of nursing?
• What suggestions are made for further studies?
Conclusion on how to critique in nursing Research
• Emphasize the importance and congruity of the thesis statement
• Provide a logical wrap-up to bring the appraisal to completion and to leave a lasting impression and take-away points useful in nursing practice.
• Incorporate a critical appraisal and a brief analysis of the utility and applicability of the findings to nursing practice.
• Integrate asummary of the knowledge learned.
Reference
Burns, N., & Grove, S. (2011). Understanding Nursing Research (5thed.). Elsevier. ISBN-13: 9781437707502

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Dissemination of evidence-based practice (EBP) according to the Agency for Healthcare and Research Quality (AHRQ)

Give a positive comment on the following dissemination of Evidence-Based Practice (EBP) Essay Paper – Agency for Healthcare and Research Quality (AHRQ)

Dissemination of evidence-based practice (EBP) according to the Agency for Healthcare and Research Quality (AHRQ), is important, and they developed a tool to help do so. The dissemination plan should have several elements, six they have named:
Research findings and products—What is going to be disseminated?
End users—Who will apply it in practice?
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Dissemination partners—Individuals, organizations or networks through whom you can reach end users?
Communication—How you convey the research outcomes?
Evaluation—How you determine what worked?
Dissemination work plan—Where you start? (Agency for Healthcare and Research Quality, 2014, para. 2).
So, who would be the end user of your proposal? End users are individuals, health care professionals, or delivery organizations that could benefit from and use your research finding or product. These end users are the ultimate target for your dissemination efforts. Specifying your target audience and their needs will provide a focus for your dissemination plan and will help you tailor your offering to their needs (AHRQ, 2014, para 4).
The author would use the American Academy of Pediatrics journal, Pediatrics because it is solely based on the care of Pediatrics. My proposal is based on the care of late preterm infants, and it is a journal that has advances in the care of pediatrics, and the author believes this would be the best organization to bring the proposal to.
Next, the author would present the proposal to a conference of multidisciplinary members of the hospital  specifically one that is centered around neonates because they all would have part in the dissemination of the project from lab,, neonatologist, pharmacy, radiology, occupational therapy, administration, managers and neonate nurses.  Having a multidisciplinary approach would disseminate the information much easier and everyone is on the same page with treatment. Dissemination of Evidence-Based Practice (EBP) Essay Paper – Agency for Healthcare and Research Quality (AHRQ)
 
References
Advances in Patient SafetyDissemination Planning Tool: Exhibit A from Volume 4. (2014). Retrieved from https://www.ahrq.gov/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/planningtool.html  Dissemination of Evidence-Based Practice (EBP) Essay Paper – Agency for Healthcare and Research Quality (AHRQ)
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>Article writing homework help

  • a description or definition of the program or policy, including a brief discussion of the scope of the problem (e.g., statistics) that the policy or program is trying to address;
  • a discussion of the history of the program or policy, including why, where, and when it was created;
  • a discussion of the purpose(s) or goal(s) of the program or policy (i.e., what it is designed to accomplish, who or what it is targeting); and
  • a discussion of the elements of the program, including activities or actions designed to accomplish the program’s goals.

In addition, you should summarize empirical studies that have evaluated how effective the program or policy has been in achieving its goals. For each study, you may, but are not required to, include the following information:

  • a summary of the research question examined,
  • a summary of the population examined,
  • a summary of how the data were obtained (i.e., the type of information collected),
  • a summary of the findings as they relate to the thesis statement (e.g., evidence the author[s] found that supports it), and a brief discussion of any significant limitations to the findings.

All information contained in the paper must come from academic sources unless your instructor tells you otherwise. In addition, you should not rely on your own knowledge about the topic. Moreover, you must use a minimum of 10 academic sources when writing your paper. Your paper must be written in APA format and must include citations written in APA format. Failure to include citations constitutes plagiarism. Your paper must include a title page as well as a reference page. Points will be deducted from papers that do not meet the page requirement or that do not incorporate eight academic sources.

Structural Elements of the Capstone Research Report

Policy reports directly reflect the different roles that the policy analyst commonly plays, i.e. from researcher to advocate. The type of report that you are writing is one from the more action-oriented, advocacy end of the continuum (but that is nevertheless based purely on evidence and not your opinion). Although there is much variation even at this end of the scale, the most common elements of the policy brief are as follows:

  • Title of the Policy Report
  • Executive Summary
  • Context and Importance of the Problem (also called the ‘Introduction’)
  • Pre-existing Policies, Policy Options, and Research
  • Conclusion
  • Policy Recommendations
  • Reference Page
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History homework help

PART ONE:
1. Watch the video: “Museum Heist” scene from film, Black Panther (2018)
2. Read the text: Sarah Cascone, “The Museum Heist Scene in ‘Black Panther’ Adds Fuel to the Debate About African Art Restitution,” Artnet, March 5, 2018.
3. Then, read three other essential texts (see attachments) and (independently) research three of the case studies below. In a post of no less than 400 words, articulate the main ethical issues museums are facing apropos restitution and repatriation, and offer your opinion as to whether museums should return looted/stolen objects. Be sure to articulate your ideas in relation to three case studies below.
CASE STUDIES
· Parthenon Marbles, British Museum
· Gweagal shield, British Museum
· Benin sculptures, Humbolt Forum, Berlin, Germany
· Nedjemankh and His Gilded Coffin, Metropolitan Museum
· Congolese objects at the African Museum, Belgium
· Egon Schiele’s Portrait of Wally, 1912 (or another example of art stolen by the Nazis)
PART TWO: 
choose two texts from this lecture’s readings and summarize each in no more than 200 words each. What do the authors mean by “sexist bias” in museums? How is it manifest? Are museums reconciling with this problem? If so, how? What are they doing right or wrong? Be sure to mention examples of some success stories.
choose two texts:
https://news.artnet.com/womens-place-in-the-art-world/womens-place-art-world-museums-1654714
https://news.artnet.com/exhibitions/feminist-art-coalition-2020-1695666
https://www.theguardian.com/science/shortcuts/2019/oct/23/bad-science-sexist-bias-natural-history-museums-specimens
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Literature Evaluation Table

Details: 

 In nursing practice, accurate identification and application of research is essential to achieving successful outcomes. Being able to articulate the information and successfully summarize relevant peer-reviewed articles in a scholarly fashion helps to support the student’s ability and confidence to further develop and synthesize the progressively more complex assignments that constitute the components of the course change proposal capstone project.  For this assignment, the student will provide a synopsis of eight peer-reviewed articles from nursing journals using an evaluation table that determines the level and strength of evidence for each of the eight articles. The articles should be current within the last 5 years and closely relate to the PICOT statement developed earlier in this course. The articles may include quantitative research, descriptive analyses, longitudinal studies, or meta-analysis articles. A systematic review may be used to provide background information for the purpose or problem identified in the proposed capstone project. Use the “Literature Evaluation Table” resource to complete this assignment.  While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.  

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Management homework help

The next two questions are based on the following information.
Jane wants to setup a photo shop. The cost to rent an office is $150 per week. The variable cost of making one photo is $20 and she can sell it for $50.

Question 1 (5 points)

Question 1 options:Jane has to sellphotos per week to break even. (Please only enter an integer and include no units.)

Question 2 (5 points)

Question 2 options:If Jane sells 10 units, her profits would bedollars. (Please only enter an integer and include no units.)

Part 2

The next two questions are based on the following information.
Paul wants to choose one of the two investment opportunities over three possible scenarios. Investment 1 will yield a return of $10,000 in Scenario 1, $2,000 in Scenario 2, and a negative return of -$5,000 in Scenario 3. Investment 2 will yield a return of $6,000 in Scenario 1, $4,000 in Scenario 2, and zero in Scenario 3. The probability for Scenario 1 is 0.2, for Scenario 2 is 0.3, and for Scenario 3 is 0.5.

Question 3 (5 points)

If you were to choose the investment that maximizes Paul’s Expected Money Value (EMV), then you should choose __________.Question 3 options:Investment 1Investment 2Indifferent

Question 4 (5 points)

Question 4 options:If Paul is uncertain about the return for Investment 1 in Scenario 1, then this return has to bedollars in order to make Paul indifferent between these two investments (i.e. the two investments would have the same EMV.) (Please only enter an integer and include no units.)

Part 3

The next three questions are based on the following information.
Sam has a cleaning service. To better allocate his resources, he would like to forecast his weekly orders based on the order number he received in the past 13 weeks as shown in the following table.
WeekDemandWeek 111Week 214Week 316Week 410Week 515Week 617Week 711Week 814Week 917Week 1012Week 1114Week 1216Week 1315

Question 5 (5 points)

Question 5 options:Using a three week moving average, Sam’s forecast for his Week 14 order number is. (Please round to two decimal points and include no units.)

Question 6 (5 points)

Question 6 options:Using a three week weighted moving average with weights 3, 2, and 1 given to the most recent, second most recent, and third most recent week, respectively, Sam’s forecast for his Week 14 order number is. (Please round to two decimal points and include no units.)

Question 7 (5 points)

If the MAD for moving average is 4.17 and the MAD for weighted moving average is 2.38, then which forecast is more accurate?
Question 7 options:Moving averageWeighted moving averageThe sameNot enough information to evaluate.

Part 4

The next three questions are based on the following information.
A grocery store needs to sell 3,000 cartons of 2L 2% milk per month. The sales is relatively constant throughout the month. The owner of this grocery store purchases milk from a supplier 50 miles away for $2 per carton, and it takes a day to restock. The holding cost per carton per month is $1.5, and the ordering cost per order is about $18.5 including labor, gas and depreciation. Consider a month of 30 days.

Question 8 (5 points)

Question 8 options:The optimal order quantity is aboutcartons of milk, and the average inventory is aboutcartons. (Please round to the closest integer and include no units.)

Question 9 (5 points)

Question 9 options:Given the optimal order quantity calculated above, if the average inventory is 136 cartons, then the monthly holding cost isdollars, and the total cost including the cost of supply or the total unit cost for all units, holding and ordering isdollars. (Please round to two decimal points and include no units.)

Question 10 (3 points)

Question 10 options:The reorder point iscartons. (Please only enter an integer and include no units.)

Part 5

The next two questions are based on the following information.
A cafeteria wants to introduce a new burger, with bread and beef together weighing at least 1 ounce. The cafeteria manage also wants the new burger to meet a new nutrition standard, i.e. contains at least 7 units of Vitamin A and 10 units of Vitamin B. Each ounce of beef contains 1 unit Vitamin A and 6 units of Vitamin B, while each ounce of bread contains 2 units Vitamin A and 1 units of Vitamin B. The price of beef is $0.5 per ounce and the price of bread is $0.1 per ounce.

Question 11 (5 points)

Question 11 options:To minimize the cost, the cafeteria should useounces of beef andounces of bread to make the new burger. (Please round to two decimal points and include no units.)

Question 12 (5 points)

Question 12 options:If the cafeteria uses 1.18 ounces of beef and 2.91 ounces of bread to make the new burger, the total cost of the new burger (excluding other ingredients) isdollars, (Please round to two decimal points and include no units.) and the content of Vitamin A iswhile that for Vitamin B is. (Please round to the closest integer and include no units for the last two answers.)

Part 6

The next three questions are based on the following information.
The Low Knock Oil Company produces two grades of cut-rate gasoline for industrial distribution. The grades, regular and economy, are produced by refining a blend of two types of crude oil, type X100 and type X220. Each crude oil differs not only in cost per barrel, but in composition as well. The following table indicates the percentage of crucial ingredients found in each of the crude oils and the cost per barrel for each:
CRUDE OIL TYPEINGREDIENT A (%)INGREDIENT B (%)COST/BARREL ($)X100355530.00X220602534.80
Weekly demand for the regular grade of Low Knock gasoline is at least 25,000 barrels, and demand for the economy is at least 32,000 barrels per week. At least 45% of each barrel of regular must be ingredient A. At most 50% of each barrel of economy should contain ingredient B. While the gasoline yield from one barrel of crude depends on the type of crude and the type of processing used, we will assume for the sake of this example that one barrel of crude oil will yield 0.46 barrel of gasoline.
Hint: You may refer to the Low Knock Oil Company example analyzed on page 326-327 in the textbook (Program 8.9), and simply adjust your constraints for the demands accordingly.

Question 13 (3 points)

At the optimal production, does the company just make enough regular gasoline to meet the demand? Does the company just make enough economy gasoline to meet the demand?Question 13 options:Yes, yesYes, noNo, yesNo, no

Question 14 (3 points)

Question 14 options:To minimize the production cost, the optimal amount of X100 crude oil used in producing regular gasoline isbarrels, and the optimal amount of X220 crude oil used in producing regular gasoline isbarrel. (Please round to the closest integer and include no units.)

Question 15 (3 points)

Question 15 options:To minimize the production cost, the optimal amount of X100 crude oil used in producing economy gasoline isbarrels, and the optimal amount of X220 crude oil used in producing economy gasoline isbarrel. (Please round to the closest integer and include no units.)

Part 7

The next four questions are based on the following information. At a car wash station, on average, there are 4 cars coming in for the service every 10 minutes. The average wash time is 2 minutes. The Poisson distribution is appropriate for the arrival rate and service times are exponentially distributed. Please convert all rates into cars per hour and answer the following questions.

Question 16 (5 points)

Question 16 options:The average time a car spent in the waiting line ishours, and the total time a car spent in this car wash station ishour. (Please round to two decimal points and include no units.)

Question 17 (3 points)

Question 17 options:The average number of cars in this car wash station is. (Please round to the closest integer and include no units.)

Question 18 (5 points)

Question 18 options:The probability that there are no cars in this station is. (Please round to one decimal points and include no units.)

Question 19 (5 points)

Question 19 options:The probability that there are exactly two cars in this station is. (Please round to three decimal points and include no units.)

Part 8

The next three questions are based on the following information.
To study the weight accuracy of a 50lb fertilizer bag, 12 samples of 12 bags of fertilizer in each sample were taken and the results are as follows.
MeanRangeSample 1471.1Sample 2461.31Sample 3460.91Sample 4471.1Sample 5481.21Sample 6500.82Sample 7490.86Sample 8491.11Sample 9511.12Sample 10520.99Sample 11500.86Sample 12511.2

Question 20 (5 points)

Question 20 options:The overall average weight of a bag of fertilizer ispound, and the average range ispound. (Please round to two decimal points and include no units.)

Question 21 (5 points)

Question 21 options:The upper control limit for a 99.7% control chart for the mean ispound, and the lower control limit ispound. (Please round to two decimal points and include no units. Please enter the upper limit first.)

Question 22 (5 points)

Question 22 options:The upper control limit for a 99.7% control chart for the range ispound, and the lower control limit ispound. (Please round to two decimal points and include no units. Please enter the upper limit first.)

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Nursing homework help

Using the Quality Improvement model you described in Week 3, provide a detailed explanation of the evidence-based practice plan that you will use to address the practice problem (6-10). Be sure to include the sources you found in the analysis of the evidence to support your EBP plan. Use appropriate and persuasive language that communicates meaning with clarity and fluency to readers, and is virtually error-free (see AWE Capstone Checklist).
For this Assignment, write 4-5 paragraphs that address the following: does not need headings or title page

  • Evidence-Based Practice Performance      Improvement Plan Explanation
    • Using the Quality Improvement model you described in Week 3       (attached) , provide a detailed explanation of the quality improvement       plan that you will use to address the practice problem.
    • Use the sources you found in the analysis of the evidence       (attached) to support the plan.-you can add more if needed-must be in       last 5 years..peer reviewed if articles

This is a specific plan….must all flow with the previous paper(attached) and information attached because it will all go into one project. If you need other resources to support plan that is fine….make sure they are credible sources and last 5 years. Please cite in information.
To prepare for this Assignment:

Remember: Each section of the Capstone Paper must meet the Academic Writing Expectations for the Capstone Level.

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Analyze the main potential benefits of learning about health economics related to private sector government involvement in health care economics, financing, and delivery.

Assignment 1: Implications of Health Economic Concepts for Health Care       Select at least five (5) economic concepts covered in the first four (4) weeks’ readings, and discuss the primary manner in which these concepts impact the world of health care economics. Some examples of selected concepts are health demand and supply, elasticity, resources, health measures, and costs.       Write a four to six (4-6) page paper in which you:  

  1. Assess the value of health care professionals and decision makers understanding the discipline of health economics.
  2. Defend or critique the importance of considering the complex nature of health and health care when examining the economic principles related to health care delivery.
  3. Analyze the primary potential benefits of learning about health economics related to government involvement in health care economics, financing, and delivery.
  4. Analyze the main potential benefits of learning about health economics related to private sector government involvement in health care economics, financing, and delivery.
Use at least five (5) current references. Three (3) of these references must be from current peer-reviewed sources to support and substantiate your comments and perspectives  ]]>

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HOW CAN THE BSN NURSE INCORPORATE ELEMENTS OF GENOMICS INTO NURSING PRACTICE?

HOW CAN THE BSN NURSE INCORPORATE ELEMENTS OF GENOMICS INTO NURSING PRACTICE?

 NO COMMENTS
 

  1. What is the BSN nurse’s role in palliative care and how does that role differ from the role of the AND or diploma-prepared 

 
 

  1. What ethical concerns might a nurse face when a patient chooses palliative care over treatment?

 
Support your response with references from the professional nursing literature.
Discussion 2: (One Page paper) on Genetics and Genomics
Over the years, there has been some debate around the topic of genetics and genomics. Using the resources available, research an instance in which the role of genetics and genomics in nursing practice has been questioned. What would you have done in this situation? How was the nurse’s response appropriate or inappropriate? Answer the following:
 

  1. How can the BSN nurse incorporate elements of genomics into nursing practice

 

  1. What are your thoughts about ways that genomics could be included as part of the nursing assessment?

 
Support your response with references from the professional nursing literature.

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