Project 1: Promoting Health Care Quality  
In this course, you develop a comprehensive Course Project: Promoting Health Care Quality.
To initiate this project, this week you examine the systems and structures of an organization with which you are familiar.
Organizational Systems and Structures Evaluation
When a problem related to health care quality and patient safety arises, there can be an inclination to focus on a specific event rather than to examine the larger context surrounding it. Analyzing the systems and structures within an organization provides a foundation for generating a fuller understanding of how and why the event occurred and for developing strategies to address the underlying issues. Perhaps more importantly, such an analysis can be used to proactively identify potential challenges and improve organizational systems and structures in order to promote positive outcomes. In the first section of your Course Project, you analyze the systems and structures of a health care organization with which you are familiar.
To prepare:  Identify a health care organization with which you are familiar; one that you will be able to sufficiently analyze to complete the full scope of the Course Project.
Select two or more of the following frameworks: o Learning organizations o Complex adaptive systems (CAS) o Clinical microsystems o Good to great o
The 5 Ps You may use the same frameworks that you addressed in this week’s Discussion. 
With these frameworks in mind, analyze the systems and structures of the organization. Be sure to research and consider: o Mission, vision, and values o Strategic plan, goals, and objectives, if possible o Key operational processes and patterns o Information technology use o Organizational priorities and investments, as indicated by financial data.
Section 1: Organizational Systems and Structures Evaluation  As you continue your evaluation of a health care organization, it is essential to pay attention to culture. Organizational culture provides the context in which all interactions and processes occur, and is therefore central to any effort to enact change.  To prepare: •Continue to analyze your selected organization, as indicated in Week 3 (Section 1 of the Course Project). •In addition, consider the ideas and information exchanged in this week’s Discussion. Continue to analyze essential elements of organizational culture and evaluate the influence of culture on the ability to achieve goals within your selected organization.
To complete:  Write a 4- to 5-page paper in which you:
•Provide a description of the organization you selected
•Present your analysis of the organization with attention to:
•Its mission, vision, values
•Strategic plan, goals, and objectives
•Key operational processes and patterns
•Information technology use
•Organizational priorities and investments, as indicated by financial data
•The essential elements of the organization’s culture
•The influence of culture on meeting organizational goals.
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 10, “Evaluation of Patient Care Standards, Guidelines, and Protocols” (pp. 207-226)
•Chapter 12, “Evaluating Populations and Population Health” (pp. 265-280) Chapter 10 reviews methods for using national, local, and organizational standards to evaluate the quality of health care practices. Chapter 12 examines strategies for identifying quality issues through the evaluation of populations.   Sadeghi, S., Barzi, A., Mikhail, O., & Shabot, M. M. (2013). Integrating quality and strategy in health care organizations, Burlington, MA: Jones & Bartlett Publishers.
•Chapter 3, “General Concepts in Quality” (pp. 45–82) See the six aims for quality
proposed by the Institute of Medicine (IOM).   Bellot, J. (2011). Defining and assessing organizational culture. Nursing Forum, 46(1), 29–37.

The reflection is personal and should address and include certain sections as discussed below. It is NOT A SUMMARY of each the chapters or lectures.
Length:
Your reflection should be 4-5 pages in length double spaced 12 point font.
Structure:
Your reflection should have a title, a brief introduction, all 3 sections listed and explained below (personal application reflection, class content reflection, and online class format/structure reflection) and a conclusion. Additional content of personal experience is welcome although not required.
Personal application reflection: this section should introduce and briefly explain one, two or three concepts from the chapter/s (e.g. ethnocentrism; high context; cultural shock…) this should not be more than half of a page in length at most. After you introduce the concept, you analyze it looking into how you may have seen it in your life and how; you should provide concrete examples from your life or that of other people close to you (e.g. gender roles, as I was growing up I was taught that…). If you disagree with the certain concept (e.g. the chapter says that Greek culture is high context in general and you disagree) you may provide arguments why you disagree. Please note that the sample personal application reflection is provided on blackboard and is a sample for content and not length nor in covers all required sections. Make sure that your transition between the concepts you choose to reflect on and discuss is smooth.
Class content reflection: in this section you will focus on the material discussed in class e.g. the lectures, chapters and text, video links, activities and self-assessments, guest speaker recorded lecture, discussion boards, speakers and topics for extra credit opportunities…etc. In this section you will write your own assessment of all or some of these.
Online class format/structure reflection: in this section please focus on the format of the class; you may discuss what worked for you? What did not work? What you liked and what you wished was different. While we all may have preferred the class to be face to face and you may mention this if you like, please focus in this section on the class’ online format itself.
Other: you surly can add anything that you would like to share which you may not have mentioned in the other sections.
Conclusion: Please conclude with a brief paragraph assessing your overall experience in this class.
 
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Unionization and the Nursing Profession Essay Assignment
Unionization is a highly charged topic. No matter what your beliefs or thoughts are on the subject, one thing is clear—nurse managers have a significant responsibility to promote the goals of their organizations while appreciating the labor concerns that may prompt employees to join unions. Beyond that, it is helpful to reflect on the core values of nursing and consider the extent to which they align with unionization.
To prepare:

  • Review the information in the Learning Resources. Conduct additional research on unionization in health care.
  • Consider the professional basis of nursing and the presence of unions in health care. Does unionization conflict with a professional nursing orientation?
  • Reflect on the experiences you have had working in unionized settings, or consider what would be required of you in such a setting if you do not have that experience.
  • Consider how you would address transitioning from being a member of a collective bargaining unit to being a manager who cannot be a member of a collective bargaining unit. How you might prepare to make this sort of transition?

ORDER A CUSTOM-WRITTEN PAPER
Post your position on whether unionization aligns with or conflicts with a professional nursing orientation and what this may mean for the role as a nurse manager. Share your experiences working in a unionized setting or describe what might be required of you when transitioning from one circumstance to another.
 

Required Readings

Marquis, B. L., & Huston, C. J. (2015). Leadership roles and management functions in nursing: Theory and application (8th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.
Chapter 22, “Collective Bargaining, Unionization, and Employment Laws”
Chapter 22 discusses several key topics surrounding unions and collective bargaining in nursing and health care organizations. Unionization and the Nursing Profession Essay Assignment.

Manthous, C. A. (2014). Labor unions in medicine: The intersection of patient advocacy and self–advocacy. Medical care52(5), 387–392.
Copyright 2014 by Llippincott  Williams & Wilkins – Journals. Reprinted by permission of Llippincott  Williams & Wilkins – Journals via the Copyright Clearance Center.

Ash, M., Seago, J. A., & Spetz, J. (2014). What do Health Care Unions do?: A Response to Manthous. Medical care52(5), 393–397. DOI: 10.1097/MLR.0000000000000124.
Copyright 2014 by Llippincott  Williams & Wilkins – Journals. Reprinted by permission of Llippincott  Williams & Wilkins – Journals via the Copyright Clearance Center.

Psychology homework help
ALZHEIMER’S DISEASE
FIDELIS MGBEAHURU
PSY 635
ROXANNE BEHARIE
07/25/2018
1
ALZHEIMER’S DISEASE IN A NUT SHELL
Alzheimer’s disease is an irreversible degenerative brain disease that attacks an individual especially as they age, causing them to experience cognitive and memory loss.

BRAIN DISEASE

THE BIG QUESTION
How do you deal with the loss of identity?

3

BRAIN DISEASE

IMPORTANCE OF ALZHEIMER’S DISEASE AND THE IMPACT ON CAREGIVERS
Alzheimer’s patient require caregiving support as the disease progresses, and eventually their identity cannot be defined, because who you were to them, is not who they know now, therefore, the research question would be, How can you manage the loss of identity?

4

BRAIN DISEASE

HOW IT HAPPENS
The progressive decline in memory loss as well as cognitive ability tends to cause them to exhibit mood swings. Alzate, (2018), “The patient initially demonstrates insidious impairment of higher intellectual functions, with alterations in mood and behavior.

5

BRAIN DISEASE

PUBLISHED STUDIES ABOUT ALZHEIMER’S DISEASE
Orona, (2002). In the research study, the researcher was able to identify the importance of identity loss, especially when family members of Alzheimer’s patient try to manage their physical presence but not the cognitive presence.
Kontos, (2004). In this research study, the researcher was concerned about the role of the nursing care provider’s knowledge caring for a total stranger with different behaviors which includes memory loss. As described in the article, “Several investigators have lamented the prevalence of negative attitudes towards individuals with Alzheimer’s disease in nursing homes”.

6

BRAIN DISEASE

POTENTIAL METHOD
GROUNDED THEORY
Interviewing the family members is very critical in the research for Alzheimer’s disease because it reveals the truth on a personal experience.
It allows for personal interaction and observation with the caregiving family members that are involved in the situation.
Surveys are conducted across the board for multiple patient with Alzheimer’s.
Questionnaires are handed out too in the process for those that would not want to talk to the interviewer.

7

BRAIN DISEASE

APPROPRIATE RESEARCH DESIGN
Qualitative design would be ideal for the research to determine the impact of Alzheimer’s disease on caregiving family members. I would apply the use of grounded theory, by conducting interviews, observations which will give me a better picture of what the caregiving family members are experiencing. “Qualitative data add an in-depth understanding of research results and allow the researcher to explore anomalies or subgroups within the data.” Hesse-Biber, (2010).

8

BRAIN DISEASE

ETHICAL ISSUES
INFORMED CONSENT AND COFIDENTIALITY
American Psychological Association. (2010), 8.03 Informed consent for recording voices and images in research. Psychologists obtain informed consent from research participants prior to recording their voices or images for data collection. American Psychological Association. (2010), “6.01, Documentation of Professional and Scientific Work and Maintenance of Records.) (b) If confidential information concerning recipients of psychological services is entered into databases.”

9

BRAIN DISEASE

ETHICAL ISSUES
ADDRESSING ETHICAL ISSUES
It is important to explain to the caregiving family member the purpose of the research and what the research will include, and let them know that they may not answer any question if they decide not to answer.
Also, it is important to inform the family members that their information will not be shared without their written or verbal permission.
I believe it will address the ethical issues that could arise if it was not addressed before the research.

10

BRAIN DISEASE

CONCLUSION
FAMILY MEMBER LOSING IDENTITY
The research process was able to identify real life experience by caregiving family members which gave a clearer perspective of the gradual loss of who they are and who they have become to the Alzheimer’s family member. As indicated in the journal, “Support must be forthcoming to aid in the loss that is being sustained: that of a person, a relationship, and of a self.” Orona, (2002). The research will give caregiving family members new techniques on how to manage their family member with Alzheimer’s disease identity loss.

11

BRAIN DISEASE

Reference
Alzate, L. (2018). Alzheimer’s Disease. Nutritional Perspectives: Journal Of The Council On
Nutrition, 41(2), 28-35.
American Psychological Association. (2010).
Ethical principles of psychologists and code of conduct: Including 2010 amendments (Links to an external site.)Links to an external site.. Retrieved from http://www.apa.org/ethics/code/index.aspx
Hesse-Biber, S. N. (2010). Mixed methods research: Merging theory with practice. New York,
NY: Guilford Press.

BRAIN DISEASE

Reference
Kontos, P. (2004). Embodied selfhood: Redefining agency in Alzheimer’s disease. In E. Tulle (Ed.), Old age and agency (pp. 105–121). Huntington, NY: Nova Science Publishers.
Orona, C. (2002). Temporality and identity loss due to alzheimer’s disease. In Huberman, A. M.,
& Miles, M. B. The qualitative researcher’s companion (pp. 367-391). Thousand Oaks, CA: SAGE Publications Ltd. doi: 10.4135/9781412986274

13

IMPORTANCE OF COMMUNITY
AND PUBLIC HEALTH

Assignment 2: The Healthcare Market
Due Week 6 and worth 240 points
Use the Internet or Strayer online database to research the current health care delivery structures—both private and public—within your state.
Write a 6-8 page paper in which you:

  1. Analyze the current health care delivery structure in the state of Georgia. Compare and contrast the major determinants of healthcare market power.
  2. Analyze the main competitive forces in the your healthcare delivery system in the state of Georgia, and compare the major factors that influence the fundamental manner in which these competitive forces determine prices, supply and demand, quality of care, consumerism, and providers’ compensation.
  3. Evaluate the positive benefits and negative aspects, respectively, of HMO managed care from the provider’s point of view—i.e., a physician and a healthcare facility—and from a patient’s point of view. Provide a rationale for your response.
  4. Assess the efficiency of the types of economic incentives available to providers in the delivery of healthcare services in the state of Georgia.
  5. Propose who bears the financial risk of a capitation payment system: the provider, the patient, or the consumer-driven health plan itself.
  6. Use at least five (5) current references. Three of these references must be from current peer-reviewed sources to support and substantiate your comments and perspectives.

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.

The specific course learning outcomes associated with this assignment are:

  • Explain how selected economic principles apply to the health care market and the provision of health care services.
  • Analyze the factors that are influencing the demand and supply of health care services in the U.S.
  • Assess current economic trends that influence the cost, quality, and access to care.
  • Use technology and information resources to research issues in health economics.
  • Write clearly and concisely about health economics using proper writing mechanics.

As demands on the U.S. public health system continue to increase, more quality improvement strategies are needed to support the system and improve outcomes. Public health agencies, like leaders in other industries, are developing quality improvement approaches for application in public health settings. Bringing together local, state and national healthcare practitioners and other stakeholders in quality improvement and quality assurance efforts has yielded several best practices and lessons for public health stakeholders. However, more work is needed if quality improvement is to become standard practice in public health.
Instructions
In this assignment you will read the article “Quality Improvement in Public Health: Lessons Learned from a Multi-State Learning Collaborative.” You will list the major concepts within the article and explain the positive outcomes in the two case studies. Further explore the how quality improvement programs could be systematically used in public health systems and explain the goals, values, and vision that should be considered in implementing such programs. Finally, consider the future, after such programs have been created and findings have been determined. How would ensure that the findings are implemented and followed in public health and public health policy in the future? This paper should be at least 1000 words in length. The paper has at least three references. Your writing should be well ordered, logical and unified, as well as original and insightful. All sources used should be properly cited using APA formatting.
Requirements

List the major concepts within the article and explain the positive outcomes in the two case studies.
Explore how quality improvement programs could be systematically used in public health systems and explain the goals, values, and vision that should be considered in implementing such programs.
Consider the future, after such programs have been created and findings have been determined and how to ensure that the findings are implemented and followed in public health and public health policy in the future.
Please be sure to download the file “Writing Center Resources” from Course Resources to assist you with meeting APA expectations for written Assignments. 

Changes In Pregnancy

-Create a paper, power point, or Prezi presentation to demonstrate your knowledge of this week’s learning objectives. Your presentation should cover the following topic fully, and be correctly cited in APA format.
-Minimum 1 – 2 page paper or 10 slide presentation, not including your cover sheet/ slide and reference page/ slide.
You are approached by a neighbor and her 16 year old daughter who just found out she is pregnant. The neighbor and her daughter want to know what to expect during the pregnancy. Outline for this mother and daughter what to expect during each of the trimesters.
-APA format is consistently done and correct. All information is referenced throughout the body of the presentation. A minimum of 3 relevant resources are used, and are cited correctly. Spelling and grammar are correct throughout the body of the presentation.
-Discussion of the physiological changes the woman may expect during pregnancy during each trimester.
-Discusses the major discomforts of pregnancy and nursing measures to reduce the discomforts
-Discusses what to expect at doctor visits, how often will she go, and what might she expect at the visits.
-Discuss how much weight gain is appropriate during pregnancy.
-Discuss a minimum of three local resources that the young woman may access for additional information and assistance. Examples include local pregnancy care centers that offer support for low income mothers, state resources, and federal resources.
-Discuss how the placenta functions to deliver nutrients and remove waste products.

Begin and prioritize your use of time in answering them. Also like some leadership and management decisions, there are no “hard and fast” right and wrong answer.   Think of a leader who espoused one message and then acted in a different manner. How did it affect the leader’s ability to be an effective leader? How did it change how you personally felt about the leader? Do you feel that leaders who have lost their “authenticity” can ever regain the trust of their followers?
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