Project 3

Document attached

/by

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

Course Project Overview

PICOT Question

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

P= barrier to administration

I= administration of t-PA

C= vs. not receiving thrombolytic

O= administration of thrombolytic

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

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

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

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

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

Course Project: Part 1–Identifying a Researchable Problem

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

—Karen Sue Davies

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

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

To prepare:

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

To complete:

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

  • A summary of your area of interest, an identification of the problem that you have selected, and an explanation of the significance of this problem for nursing practice
  • The 5 questions that you have generated, and a description of how you analyzed them for feasibility  
  • Your preliminary PICOT question and a description of each PICOT variable relevant to your question  
  • At least 10 possible keywords that could be used when conducting a literature search for your PICOT question and a rationale for your selections
/by

Create a 3 page essay paper that discusses Nurse Manager Power. The author playing the role of her boss will assess the case and suggest how she can improve her management skills using literature on management.

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

/by

Security Weakness Assessment

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

 

/by

>English homework help

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

    CarrieChapmanCatt-SuffrageSpeechtoCongress.pdf
/by

Operations Management homework help

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

/by

RESOURCES SYSTEMS THEORY PROVIDES A MEANINGFUL AND BENEFICIAL MEANS OF EXAMINING CHALLENGES IN HEALTH CARE ORGANIZATIONS.

As noted in the Learning Resources systems theory provides a meaningful and beneficial means of examining challenges in health care organizations. To do this effectively however it is essential to assessallsystem components as some may be relatively healthy while others are problematic.For this Assignment you apply systems theory to the examination of a problem in a department or a unit within a health care organization. (Note:You may use the same problem you identified for the Discussion as long as it meets the criteria for this assignment.)To prepare:Write a 3- to 5-page paper (page count does not include title and reference page) that addresses the following:Marquis B. L. & Huston C. J. (2015).Leadership roles and management functions in nursing: Theory and application(8th ed.). Philadelphia PA: Lippincott Williams & Wilkins.Johnson J. K. Miller S. H. & Horowitz S. D. (2008). Systems-based practice: Improving the safety and quality of patient care by recognizing and improving the systems in which we work. Retrieved from http://www.ahrq.gov/downloads/pub/advances2/vol2/Advances-Johnson_90.pdfThis article addresses the importance of systems-based practice (SBP) in health care workplaces. The authors state that SBP knowledge is one of six core competencies that physicians have to know in order to provide safe and proper care for their patients.Manley K. OKeefe H. Jackson C. Pearce J. & Smith S. (2014). A shared purpose framework to deliver person-centred safe and effective care: Organisational transformation using practice development methodology.FoNS 2014 International Practice Development Journal 4-(1).Retrieved from the Walden Library databases.Meyer R. M. & OBrien-Pallas L. L. (2010). Nursing services delivery theory: An open system approach.Journal of Advanced Nursing 66(12) 28282838.Retrieved from the Walden Library databases.In this article the authors examine the effects of nursing services delivery theory in large-scale organizations. Among other benefits this theory supports multilevel phenomena and cross-level studies and it can guide future research and the management of nursing services.

/by

>Financial markets homework help

Paper
All written assignments, including the project, should be
1)
Typed, double spaced
2)
Include a cover page
3)
Subject matter listed in a
bold header
4)
“Work Cited” page (if applicable) noting the source of the information.
 
Property Marketing Review Paper :
(two pages maximum.
Use the data mining software directions (in
the Contents tab) to produce the following information.
You will need this link in order to collect the data
mining info:
https://link.gale.com/apps/DNOW?u=dbasic&id=trial
Follow the “Data Mining” Directions in the D2L Contents tab.
Identify a food service establishment in your area (your place of employment can be an option if
it’s not a food service establishment & it’s approved by me) and review their:
1.
Menu Descriptions
(include alcohol)
2.
Services
(to go? Take out? Curb-side service?)
3.
Specific demographic target market
– use the data mining software to show specifics:
a.
Map of five-mile radius
b.
Demographic groups targeted- use the data mining report (“Complete Demographic
Summary Report”) to show estimated specifics of the estimated demographic
groups:
Demographic age groups
you think the business targets:
Baby Boomers? Gen Xers? Parents with kiddie parties? Rave parties?
Retirees? Club goers? Sports fans?
Household income of those groups
that would allow them to dine out
Traffic count of closest road
c.
Psycho-graphics
– what is the lifestyle of the customers, or how much do they spend per household on food & Bev outside of the house? Use the data mining report (“Consumer
Expenditure Food Beverage Grocery Detail Summary”)
d.
Summarize the groups:
For the Nexton-located restaurant, Hall’s Chophouse, they would likely promote to
demographic groups with certain characteristics located in Summerville, Ladson,
Lincolnville, Goose Creek. They would also promote to businesses who want meeting
space. (Data mining report: “Business Summary Repor
 

/by

how the practice of nursing is expected to grow and change.

As the country focuses on the restructuring of the U.S. health care delivery system, nurses will continue to play an important role. It is expected that more and more nursing jobs will become available out in the community, and fewer will be available in acute care hospitals.
Write an informal presentation (500-700 words) to educate nurses about how the practice of nursing is expected to grow and change. Include the concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics.
Share your presentation with nurse colleagues on your unit or department and ask them to offer their impressions of the anticipated changes to health care delivery and the new role of nurses in hospital settings, communities, clinics, and medical homes.
In 800-1,000 words summarize the feedback shared by three nurse colleagues and discuss whether their impressions are consistent with what you have researched about health reform.
APA FORMAT PLEASE
NO PLAGIARISM
PLEASE INCLUDE CITATIONS AND REFERENCES.
THANK YOU.

Q2

Choose one of the types of security threats to health information you have reviewed in your work in this module and find an example from the real world where that type of threat has resulted in a security breach. In a three page paper, using APA format, summarize the type of threat, the breach that occurred and what you would recommend as part of a Security Plan to have prevented, detected and mitigated that breach. 
Types of Security Threats

Human 
Natural 
Environmental
Both human and natural/environmental threats can also be categorized as:

Internal threats
External threats

/by

Mr. Jones and Mr. Smith have both been referred for home nursing. Mr. Jones is married and has a supportive wife and family but requires home visits for wound care due to a lower leg ulcer.

Task 2
Case Study
A final grade will be applied on successful completion of tasks 1, 2 and 3 This task will represent 50% of the final grade
The case study is to be completed in your own time using available reliable sources such as the course text books provided to you at orientation, credible internet sources such as the department of health and other text and online journals available to you through the online library service offered to all students and discussed at orientation.
It is important that you reference all sources of information that you use to obtain information used in your answers. Referencing must be included and failure to adhere to this requirement will result in a not satisfactory outcome for the assessment.
Use the following Case information for each Part of your case study.
Mr. Jones and Mr. Smith have both been referred for home nursing.
Mr. Jones is married and has a supportive wife and family but requires home visits for wound care due to a lower leg ulcer. He cannot attend the wound clinic because his wife does not drive. Mrs. Jones provides nutritious meals and helps him in the shower.
Mr. Smith is single, lives alone. He has a large dog on the premises and is a bit of a recluse.
There is evidence he also does not eat properly and is reluctant to shower unassisted. He continues to smoke.
Has been referred for home nursing as he has Chronic Obstructive pulmonary Disease( COPD) and has had 2 recent admissions to hospital for exacerbation of COPD .Mr Smith has appointments to attend the hospital’s outpatient clinic to assess his lung function and provide him with physiotherapy. Mr Smith does not want to attend the outpatient clinic. 
PART A: The Nursing Process.
The nursing Process begins with a thorough client assessment to provide the information needed to plan appropriate care. It also provides a baseline for evaluation of nursing care that has been provided.
Conducting a nursing assessment means getting to know the client and their family, their environment and lifestyle as well as their goals and perception of care. Assessment in this context includes an assessment of the client’s needs and a risk assessment. The information you gather enables you and the client and responsible family members to identify actual and potential problems.
Nursing care in the primary health environment is client focused and includes understanding and using available family and resources. Expected outcomes are identified; this provides a guide for implementing care and the achievement of goals. Goals need to be set in partnership with the client and appropriate family members.
Care plans are individualised and incorporate clinical pathways and best practice objectives to ensure that care is evidence based and meets quality standards.
When formulating nursing care plans the Primary Health Care Nurse (PHCN) should consult and collaborate with the client, registered nurse and /or case manager.
It is important to consider who will be involved in providing the planned care. If a partner or relative or appropriate other person is to be significantly involved, then the plan will need to include provision of adequate information to ensure safe, relevant care is delivered. Care providers roles need to be clearly defined. Planning of care for clients in a home environment also incorporates identifying relevant referrals and accessing additional services.
A care plan should also include appropriate education of the client and family.
You must prepare thoroughly before your visit. An organisational pre visit check list is completed to ensure aspects associated with the client, family and the specific environment have been identified.
Questions and Assessment Part A:
Use the above client scenario information as a guide to complete the following:-: (Refer to Marking criteria Part A)
1 Identify 3 specific care needs (Nursing Diagnoses) and 3 Goals for each client.
2. Provide individual pre-visit check lists for each scenario. Your pre-visit check lists should include identification of any risks
PART B: Nursing Intervention and Rationale.
Nursing interventions must be provided in a professional, ethical and legal manner. Interventions reflect the client’s needs and individuality. Nursing interventions should be specific and relate to the goals.
When providing nursing interventions in the primary care environment, remember that you are not in a facility where the client is subject to the organisations routine. You are a guest in their home. Respect their privacy, beliefs, lifestyle and requests. Adapt your nursing interventions to meet their needs while maintaining professional, ethical and legal standards. Informed consent forms part of those standards.
Nursing Interventions must have rationales and should be specific to each client.
Questions and Assessment Part B:
Use the above client scenario information as a guide, and your client assessment, nursing diagnosis and goals for each client to complete the following:-: (Refer to Marking criteria Part B)
1. Provide nursing interventions for each client. The nursing interventions for each client 
should include teaching that is specific to each client scenario. Identify what teaching you would need to 
include in each scenario.
2. Provide nursing rationales for each client.
3. The nursing Interventions should include community and other resources that match the client’s needs and
how to access these resources.
4. Compare the likelihood of success for each client. How could you increase the likely hood that your
interventions will be successful?
5. Document what you would do when you do when you arrive at each client’s house.
PART C: Evaluation
Evaluation is the final step in the nursing process. Evaluation identifies the achievement of outcomes. Evaluation can also lead to re-assessment of care. During evaluation it becomes evident whether the previous steps of the nursing process were effective and if the expected outcomes have been reached. The purpose of evaluation is to monitor the client’s responses to nursing interventions and their progress toward planned goals.
Evaluation of care should be a continuous process that occurs with every visit to the client and through the documenting and reporting process. Each evaluation that is made depends on your ability to form a judgement or an opinion about the data that has been collected. Evaluation findings will help to:
• Determine if original assessment data still applies
• Identifies further potential or actual complications
• Analyse responses to nursing interventions, this may identify the need for first aid or emergency care.
• Determine if care meets standards and is evidence based
• Identify opportunities to improve the quality of care
• Assess outcomes from other health care team members
Questions and Assessment Part C:
Use the client scenario information as a guide and refer back to your previous client assessment and nursing care plans to complete the following :- (Refer to Marking criteria Part C)
1. What criteria would you look for when evaluating whether you have met the goals you set for each 
client?
2. As the PHCN conducting the home visits, who would you report the outcomes to?
3. What specific documentation would you complete after the home visit for Mr Jones, and Mr Smith?

/by