This paper should be a minimum of 6 pages, typed and double spaced but not exceeding 10 pages. This does not include the title page and the reference page. Due Midnight CST, Day 6 of Week 8
 Guidelines:

Locate 3-4 articles on recent health care reform Act by President Obama & the proposed changes to the Health care act by President Trump. These articles should be obtained from journals in the library. They can also be reference articles online. Wikipedia data and citations will not be accepted. Summarize the articles clearly in your paper. 
Using these article discuss the issue with the health care crisis and your understanding of health care reform. 
Discuss what impact you feel the new health care guidelines may have on an HR department. Will this cost the company more money? Will it act as a bigger motivating factor for employees? 
Discuss the possible impact of health care reform will have on salaries and benefits that companies are able to offer their employees. 

Suggestions for sections/ headings:
I. Introduction
        This section can include an overview of the health care reform. 
II. Articles on Health Care Reform 
        This section can discuss the 3-4 articles that you are using. Be sure to include a summary of each article with clear headings. 
III. Your understanding of what the Health Care Reform Act entails
        This section should discuss your understanding of the health care reform. 
IV. How will the health care reform impact HR?
        This is an opinion section. You will need to discuss how the health care reform under Obamacare and the new proposed changes will impact HR in terms of how many people a company can hire, potential salaries and benefits. 
V. Conclusion
Please use the above headings to structure your paper.

Personal Philosophy of Nursing
In a 6- to 7-page paper in APA format describe your personal approach to professional nursing practice. Be sure to address the following:

Which philosophy/conceptual framework/theory/middle-range theory describes nursing in the way you think about it? Discuss how you could utilize the philosophy/conceptual framework/theory/middle-range theory to organize your thoughts for critical thinking and decision making in nursing practice.
Formulate and discuss your personal definition of nursing, person, health, and environment.
Discuss a minimum of two beliefs and/or values about nursing that guide your own practice.
Analyze your communication style using one of the tools presented in the course. In your paper, discuss the strengths and weaknesses associated with your style of communication and the impact on your ability to collaborate as part of an interdisciplinary team.
On a separate references page, cite all sources using APA format.

Use this APA Citation Helper as a convenient reference for properly citing resources.
This handout will provide you the details of formatting your essay using APA style.
You may create your essay in this APA-formatted template.

While the implementation plan prepares students to apply their research to the problem or issue they have identified for their capstone change proposal project, the literature review enables students to map out and move into the active planning and development stages of the project.  A literature review analyzes how current research supports the PICOT, as well as identifies what is known and what is not known in the evidence. Students will use the information from the earlier PICOT Statement Paper and Literature Evaluation Table assignments to develop a 750-1,000 word review that includes the following sections: 

1.Title page 

2.Introduction section 

3.A comparison of research questions 

4.A comparison of sample populations 

5.A comparison of the limitations of the study 

6.A conclusion section, incorporating recommendations for further research 

 Prepare this assignment according to the 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. 

Question Description

Well Child Developmental Assessment Paper Guidelines

Students will conduct a developmental assessment met in a home setting to identify factors influencing a child’s development.

WELL CHILD DEVELOPMENTAL ASSESSMENT PAPER (20%)

Each student will conduct a pediatric developmental assessment in order to facilitate his/her learning of the multiple, predictable aspects of a child’s growth and development.The student will also assess the child’s home environment to identify some of the factors influencing the child’s development.Following the visit, a written paper will be due which will include physiologic and psychosocial assessment data, goals for the child and family, interventions, and recommendations.

I.PROCEDURE FOR THE VISIT

Identify a well child (1 month – 10 years of age) either in a home or school environment.The child should not be a member of the student’s immediate family.

For home visits, you will be conducting a developmental and a home assessment for a child birth to 10 years of age.For school students, you may conduct a systematic assessment of their developmental status and identify environmental factors located in the school which are aimed at stimulating their development.

Some suggested parameters to include:

a)birth date, age, and gender

b)growth parameters – use growth charts based on the

  • For children < 2 years, use the Birth to 36 months 3rd-97th percentile forms and plot the following on the chart:
    • length for age
    • weight for age
    • head circumference for age
    • weight for length
  • For children > 2 years, use the 2-20 years 3rd-97th percentile forms and plot the following on the chart:
  • stature for age
  • weight for age
  • BMI for age

c)nutritional status

d)development – remember the different aspects of development

e)family

  • Who lives in the home and what are their roles with the child?
  • What influences do they have on the child’s development?
  • Is the child cared for outside of the home and what impact does that have on the child and his/her family?

f)home environment or school assessment–

  • include safety issues that may not be covered by this tool, i.e.: guns in home, helmets w/ bikes, harmful chemicals within reach, etc.

2) ANALYSIS OF DATA

  • Interpret the child’s growth percentiles.
  • Describe and interpret child developmental findings. Select at least two developmental theorists and compare the child’s development.
  • Assess the child’s environment in the areas of cognitive and social emotional support, safety, nutrition, and list factors that facilitate or inhibit the child’s growth and development. Or, if school based, describe environmental factors you have identified that are stimulating the child’s development
  • Discuss problems to be addressed, nursing diagnoses, and needs. If there are no problems, discuss anticipatory guidance needs.

3) GOALS – for child and family

4) INTERVENTIONS OR RECOMMENDATIONS – to maintain and promote growth, development and health of the child.Include documented rationale.

5)REFERENCE LIST – Use APA format.

SECTIONPOSSIBLE POINTS

ASSESSMENT: Collection of Subjective and Objective Data

1.Growth Chart5pts

2.Nutritional Status (24-hour food diary)5pts

3.Family Assessment5pts

5.Pediatric Home Environment5pts

Total points20pts

ANALYSIS OF DATA

1. Child’s Growth and Development (must reference

two developmental theorist)15pts

2.Child’s Home Environment10pts

3.Factors that facilitate/inhibit G&D10pts

4.Discussion of identified problems15pts

Total Points 50pts

GOALS:

1.2 for Child4pts

2.2 for Family4pts

Total Points 8pts

INTERVENTIONS/RECOMMENDATIONS:

1.Maintenance of current Health Practices10pts

2.Promotion of health, growth & development10pts

Total Points 20pts

APA FORMATING:2pts

TOTAL POSSIBLE POINTS:100pts

Health Promotion in Minority Populations
View

Details:

Select an ethnic minority group that is represented in the United States (American Indian/Alaskan Native, Asian American, Black/African American, Hispanic/Latino, Native Hawaiian, or Pacific Islander). Using health information available from Healthy People, the CDC, and other relevant government websites, analyze the health status for this group.
In a paper of 1,000-1,250 words, compare and contrast the health status of your selected minority group to the national average. Include the following:

Describe the ethnic minority group selected. Describe the current health status of this group. How do race and ethnicity influence health for this group?
What are the health disparities that exist for this group? What are the nutritional challenges for this group?
Discuss the barriers to health for this group resulting from culture, socioeconomics, education, and sociopolitical factors.
What health promotion activities are often practiced by this group?  
Describe at least one approach using the three levels of health promotion prevention (primary, secondary, and tertiary) that is likely to be the most effective in a care plan given the unique needs of the minority group you have selected. Provide an explanation of why it might be the most effective choice.
What cultural beliefs or practices must be considered when creating a care plan? What cultural theory or model would be best to support culturally competent health promotion for this population? Why?

Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria and public health 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.
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 LopesWrite. Please refer to the directions in the Student Success Center.

Health Promotion in Minority Populations  
1
Unsatisfactory
0.00%2
Less than Satisfactory
75.00%3
Satisfactory
79.00%4
Good
89.00%5
Excellent
100.00%80.0 %Content 10.0 %Identification and Description of Selected Minority GroupDescription and health status for ethnic minority group is not presented. Description of ethnic minority group is partially presented. Health status for this group is vague. It is unclear how race and ethnicity influence health for this group.Summary of ethnic minority group is partially presented. Health status for this group is generally discussed. Explanation of how race and ethnicity influence health this group is generally presented. It is unclear how the health status of this ethnic minority group compares to the national average. A general comparison for how the ethnic minority group compares to the national average is presented.Description of ethnic minority group is partially presented. Health status for this group is discussed. Explanation of how race and ethnicity influence health for this group is presented. A comparison for how the ethnic minority group compares to the national average is presented.A detailed description of ethnic minority group is partially presented. Health status for this group is thoroughly discussed. Explanation of how race and ethnicity influence health for this group is clearly presented. A well-developed comparison for how the ethnic minority group compares to the national average is presented.15.0 %Health Disparities and Nutritional Challenges for Minority GroupHealth disparities and nutritional challenges for this group are not presented.A summary of the health disparities and nutritional challenges for this group is presented. Significant details have been omitted. Summary lacks evidence to support statements.A discussion of the health disparities and nutritional challenges for this group is generally presented. Most significant findings related to the ethnic minority group have been included. A general comparison for how the ethnic minority group compares to the national average is presented. Some support is needed to support statements.A discussion of the health disparities and nutritional challenges for this group is presented. The significant findings related to the ethnic minority group have been included. A comparison for how the ethnic minority group compares to the national average is presented. Some detail is needed for clarity.A thorough discussion of the health disparities and nutritional challenges for this group is clearly presented. All relevant findings related to the ethnic minority group have been included. A well-developed comparison for how the ethnic minority group compares to the national average is presented.15.0 %Barriers to Health for Minority GroupBarriers to health for ethnic minority group are not presented.Barriers to health for ethnic minority group are partially presented. The summary is not consistent with the assignment criteria. There are significant inaccuracies. Summary lacks evidence to support statements.Barriers to health for ethnic minority group are summarized. The summary includes barriers resulting from culture, socioeconomics, education, and sociopolitical factors. There are some inaccuracies. A general comparison for how the ethnic minority group compares to the national average is presented. Some evidence is needed to support statements.Barriers to health for this ethnic minority group resulting from culture, socioeconomics, education, and sociopolitical factors are discussed. A comparison for how the ethnic minority group compares to the national average is presented. Minor evidence is needed to support statements.Barriers to health for this ethnic minority group resulting from culture, socioeconomics, education, and sociopolitical factors are thoroughly discussed. A well-developed comparison for how the ethnic minority group compares to the national average is presented. Compelling and accurate evidence is provided to support statements.10.0 %Health Promotion Activities Practiced by Minority GroupHealth promotion activities practiced by minority groups are not presented.Health promotion activities practiced by minority groups are partially summarized. There are significant inaccuracies. Summary lacks evidence to support statements. Health promotion activities practiced by minority groups are generally described. There are minor inaccuracies. A general comparison for how the ethnic minority group compares to the national average is presented. Some evidence is needed to support statements.Health promotion activities practiced by minority groups are described. A comparison for how the ethnic minority group compares to the national average is presented. Minor evidence is needed to support statements.Health promotion activities practiced by minority groups are accurately identified and described in detail. A well-developed comparison for how the ethnic minority group compares to the national average is presented. Compelling and accurate evidence is provided to support statements.15.0 %Three Levels of Health Promotion Prevention A care plan, with at least one approach using the three levels of health promotion prevention, is not presented.A care plan, with at least one approach using the three levels of health promotion prevention, is partially presented. It is unclear how this plan meets the unique needs of the ethnic minority group selected. There are inaccuracies.A care plan, with at least one approach using the three levels of health promotion prevention, is summarized. A general explanation of how this plan meets the unique needs of the ethnic minority group selected, and why it is the most effective choice, is presented. Some support or rationale is needed.A care plan, with at least one approach using the three levels of health promotion prevention, is described. An explanation of how this plan meets the unique needs of the ethnic minority group selected, and why it is the most effective choice, is presented. Minor support or rationale is needed.A care plan, with at least one approach using the three levels of health promotion prevention, is thoroughly described. A well-supported explanation of how this plan meets the unique needs of the ethnic minority group selected, and why it is the most effective choice, is presented. The discussion demonstrates a clear understanding of the three levels of health promotion prevention and their application to a unique group.15.0 %Cultural Competent Health Promotion for Ethnic Minority Population Cultural beliefs, practices, and relevant cultural theory significant to supporting a culturally competent health promotion for this population are not presented.Cultural beliefs and practices to be considered are presented but are incomplete or inaccurate. The cultural theory or model proposed is partially presented; or, the model is not relevant. Overall, the content does not support a culturally competent health promotion for this population. There are significant inaccuracies.Cultural beliefs and practices to be considered are summarized. A relevant cultural theory or model is proposed. Overall, the content generally supports a culturally competent health promotion for this population. There are some inaccuracies. More evidence or rationale is needed.Cultural beliefs and practices to be considered are discussed. A relevant cultural theory or model is proposed. Overall, the content generally supports a culturally competent health promotion for this population. Some evidence or rationale is needed.Cultural beliefs and practices to be considered are thoroughly discussed. A relevant cultural theory or model is proposed. Overall, the content strongly supports a culturally competent health promotion for this population. Strong evidence and rational are provided for support. The discussion demonstrates aptitude for understanding cultural competence and developing culturally competent health promotions.15.0 %Organization and Effectiveness  5.0 %Thesis Development and PurposePaper lacks any discernible overall purpose or organizing claim.Thesis is insufficiently developed or vague. Purpose is not clear.Thesis is apparent and appropriate to purpose.Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.15.0 %Organization and Effectiveness  5.0 %Argument Logic and ConstructionStatement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis. Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.15.0 %Organization and Effectiveness  5.0 %Mechanics of Writing (includes spelling, punctuation, grammar, language use)Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, or word choice are present.Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used. Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used. Writer is clearly in command of standard, written, academic English.5.0 %Format 2.0 %Paper Format (use of appropriate style for the major and assignment)Template is not used appropriately or documentation format is rarely followed correctly.Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.Template is used, and formatting is correct, although some minor errors may be present. Template is fully used; There are virtually no errors in formatting style.All format elements are correct. 3.0 %Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)Sources are not documented.Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.Sources are documented, as appropriate to assignment and style, and format is mostly correct. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.100 %Total Weightage

Prior to beginning work on this assignment, read sections 12.1–12.3 in Chapter 12 and sections 17.0–17.3 in Chapter 17 of the required textbook, Operations and Supply Chain Management. In addition, read pages 383–387 in Logistics and Supply Chain Risk and Uncertainty, Walmart: 3 Keys to Successful Supply Chain Management Any Business Can Follow (Links to an external site.), and The Effect of Top Management Involvement on Supply Chain Risk Management Through Buyer-Supplier Relationship.
For this class, the Supply Chain Management final presentation will apply toward Folio. Be sure to upload your PowerPoint presentation to Folio once you have completed it, and share a link in your submission in addition to uploading it to Waypoint to be graded. If you are not already familiar with Folio, please view the Folio Quick Start Guide (Links to an external site.).
Assume the role of a supply chain manager within an organization of your choice. Executive management has requested from you a presentation concerning supply chain risks associated with the organization and an action plan to mitigate those risks. Prepare a PowerPoint presentation to present your plan to the higher-level executives.
In your presentation,

  • Identify three types of supply chain risks (one slide).
  • Develop an action plan to mitigate the risks (two to three slides).
  • Review how technology will be used to understand the voice of the customer (one to two slides).
  • Define what type of performance measures will be used to monitor the risks or when the customer’s expectations change (one to two slides).
  • Explain how the supply chain manager will use the basic lean tools and approaches to provide a quality product, on-time, and at the lowest cost (two to three slides).

The Supply Chain Risk Management Final Presentation

  • Must be seven to 11 slides in length (not including title and references slides) and 100–125 words of speaker notes and formatted according to APA Style as outlined in the Ashford Writing Center’s How to Make a PowerPoint Presentation (Links to an external site.) resource. This should be a professional presentation, limited in verbiage and balanced in graphics. No oral component is required.
  • Must include a separate title slide with the following:
    • Title of presentation
    • Student’s name
    • Course name and number
    • Instructor’s name
    • Date submitted
  • Must use at least six scholarly, peer-reviewed, or credible sources in addition to the course text.
  • Must document any information used from sources in APA Style as outlined in the Ashford Writing Center’s APA: Citing Within Your Paper (Links to an external site.).
  • Must include a separate references page that is formatted according to APA Style as outlined in the Ashford Writing Center. See the APA: Formatting Your References List (Links to an external site.) resource in the Ashford Writing Center for specifications.

Carefully review the Grading Rubric (Links to an external site.) for the criteria that will be used to evaluate your assignment.

Instructions:
The product life cycle explains the sales and profits of a product or service over its lifetime. In the NewShoes Simulation, you have the option of keeping the basic version of the athletics shoes (version 0) or engaging in the development of a new product addressing product breakthroughs (up to version 6). How will you determine when it will be best to proceed with product development while considering the implications on the product life cycle of your athletic shoe brand? Please be sure to validate your opinions and ideas with citations and references in APA format.
The post and responses are valued at 40 points. Please review post and response expectations. Please review the rubric to ensure that your response meets criteria.

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  1. Submit a paper commenting on the Terri Schiavo case.

a.      Discuss why you think the decision reached was ethically and morally sound or why you disagree with the decision.b.      What Code of Ethics principles should a nurse in a similar situation evaluate for guidance?c.      Would the case you picked be decided differently today, why or why not?d.      Have you witnessed any similar scenarios at work?e.      Who speaks for the incapacitated patient in the absence of an advance directive in Florida? (Hint: the answer is in the Advance Directives statute, Part IV)

http://www.nejm.org/doi/full/10.1056/NEJMp058062 – Terri Schiavo Case

I also attached the American Nurse Association Code of Ethics

Answer to all questions, no plagiarism, APA format and citation.

Learning Resources

Required Readings

McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.

  • Chapter 25, “The Art of      Caring in Technology-Laden Environments” (pp. 525–535)
  • Chapter 26, “Nursing Informatics and the      Foundation of Knowledge” (pp. 537–551)

American Nurses Association. (2018). Inclusion of recognized terminologies supporting nursing practice within electronic health records and other health information technology solutions. Retrieved from https://www.nursingworld.org/practice-policy/nursing-excellence/official-position-statements/id/Inclusion-of-Recognized-Terminologies-Supporting-Nursing-Practice-within-Electronic-Health-Records/

Glassman, K. S. (2017). Using data in nursing practice. American Nurse Today, 12(11), 45–47. Retrieved from https://www.americannursetoday.com/wp-content/uploads/2017/11/ant11-Data-1030.pdf 

Macieria, T. G. R., Smith, M. B., Davis, N., Yao, Y., Wilkie, D. J., Lopez, K. D., & Keenan, G. (2017). Evidence of progress in making nursing practice visible using standardized nursing data: A systematic review. AMIA Annual Symposium Proceedings, 2017, 1205–1214. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5977718/

Office of the National Coordinator for Health Information Technology. (2017). Standard nursing terminologies: A landscape analysis. Retrieved from https://www.healthit.gov/sites/default/files/snt_final_05302017.pdf 

Rutherford, M. A. (2008). Standardized nursing language: What does it mean for nursing practice? Online Journal of Issues in Nursing, 13(1), 1–12. doi:10.3912/OJIN.Vol13No01PPT05. 

Thew, J. (2016, April 19). Big data means big potential, challenges for nurse execs. Retrieved from https://www.healthleadersmedia.com/nursing/big-data-means-big-potential-challenges-nurse-execs

Wang, Y. Kung, L., & Byrd, T. A. (2018). Big data analytics: Understanding its capabilities and potential benefits for healthcare organizations. Technological Forecasting and Social Change, 126(1), 3–13. doi:10.1016/j.techfore.2015.12.019. 

Required Media

Laureate Education (Executive Producer). (2012). Data, information, knowledge and wisdom continuum [Multimedia file]. Baltimore, MD: Author. Retrieved from http://mym.cdn.laureate-media.com/2dett4d/Walden/NURS/6051/03/mm/continuum/index.html

Public Health Informatics Institute. (2017). Public Health Informatics: “shipping” information for better health [Video file]. Retrieved from https://www.youtube.com/watch?v=q1gNQ9dm0zg.

Public Health Informatics Institute. (2017). Public Health Informatics: knowledge “architecture” [Video file]. Retrieved from https://www.youtube.com/watch?v=sofmUeQkMLU.

Assignment: The Impact of Nursing Informatics on Patient Outcomes and Patient Care Efficiencies

In the Discussion for this module, you considered the interaction of nurse informaticists with other specialists to ensure successful care. How is that success determined?

Patient outcomes and the fulfillment of care goals is one of the major ways that healthcare success is measured. Measuring patient outcomes results in the generation of data that can be used to improve results. Nursing informatics can have a significant part in this process and can help to improve outcomes by improving processes, identifying at-risk patients, and enhancing efficiency.

To Prepare:

· Review the concepts of technology application as presented in the Resources.

· Reflect on how emerging technologies such as artificial intelligence may help fortify nursing informatics as a specialty by leading to increased impact on patient outcomes or patient care efficiencies.

The Assignment: (4-5 pages)

In a 4- to 5-page project proposal written to the leadership of your healthcare organization, propose a nursing informatics project for your organization that you advocate to improve patient outcomes or patient-care efficiency. Your project proposal should include the following:

· Describe the project you propose.

· Identify the stakeholders impacted by this project.

· Explain the patient outcome(s) or patient-care efficiencies this project is aimed at improving and explain how this improvement would occur. Be specific and provide examples.

· Identify the technologies required to implement this project and explain why.

· Identify the project team (by roles) and explain how you would incorporate the nurse informaticist in the project team.

Read the Performance Appraisal at Telespazio: Aligning Strategic Goals to People Development case study  Discuss the assessment of employees within the Telespazio organization.
Develop a written description (750 words) discussing current evaluation methods, how the organization uses the appraisal assessments to identify employee roles, the current appraisal systems, performance ratings, and Telespazio’s practices for performing appraisal interviews.
Decide what changes or strategies could be implemented to Telespazio’s current performance appraisal practices.
Include an appraisal tool that would benefit the company and an effective method for performing an appraisal interview.
Describe the benefits of using both the appraisal tool and appraisal interview in the performance appraisal practice.