Saving Our Fiscal ShipI have created a long and complex assignment that puts you in charge of attending to the long-term health and wellbeing of the United States of America (!). Utilizing a simulation created for the Brookings Institution called The Fiscal Ship you will learn about the relationships that exist between federal decision-makers and the myriad policy decisions they make. Given the dire condition of the federal debt and ongoing levels of deficit spending you are tasked with no less than saving the country by mid-century!(Spend a few minutes examining the federal debt by clicking on this link:http://www.usdebtclock.org/(Links to an external site.)Links to an external site.)(Links to an external site.)Links to an external site.(Links to an external site.)Links to an external site.BackgroundThe interplay of governing institutions and the making of public policy is at the heart of what we study in Module 2. As we will see typically what we know about politics and policymaking is pretty far removed from the actual practices of politics. Separation of powers with checks and balances produces the executive legislative and judicial branches of government; while it does not create coequal branches of government it does prevent any one branch from dominating the others. These governing institutions are inherently political. They produce policies that allocate relative advantage and disadvantage meaning that there are winners and losers with every decision government makes. It makes sense then that there are forces pressuring these institutions to maximize advantages or to minimize disadvantages.Americans are raised with a naive kind of assumption that government should do whats best for the people a notion that ignores the role of political parties interest groups powerful stakeholders and ideological preferences in the policymaking processes. It is true that the American political system works more effectively when bipartisan compromises can be reached. This is so because a sizable portion of the governed feels better represented when such compromises are made. However todays political environment offers few opportunities for bipartisan responses to important public policy priorities. The political divide in Washington DC is wider today than at any other time in the modern era.For decision makers the tool by which they shape policy outcomes is the federal budget. In general the president of the United States proposes a budget. This proposal pays homage to the promises made on the campaign trail and is broadly reflective of the preferences he or she brings to office. In general the Congress disregards this proposal and offers up its own preferences for federal spending. Congressional proposals are shaped by the preferences that dominate the House and the Senate. Every federal agency weighs in on proposals to increase or cut budgets as do interest groups and individuals attached to the spending proposals. Passing a federal budget is a long complex and heavily negotiated process but there is little regard to its impact on short-term deficits and the long-term debt.The impact of public policy decisions and non-decisions can be felt in the general health of the economy trade relations international relations defense arrangements social wellbeing and much much more.About the GameThe Fiscal Ship (http://fiscalship.org/(Links to an external site.)Links to an external site.) challenges you to put the federal budget on a sustainable course. Measured as a share of gross domestic product the federal debt is higher than at any time since the end of World War II and projected to climb to unprecedented levels. America is looking at a permanent growing mismatch between revenues and spending and policymakers are faced with difficult decisions about how to reconcile important government prioritiesincluding retirement and health benefits promised to the growing number of old folkswith the tax revenues that the current tax code will yield. Todays tax code wont yield enough revenue to pay for basic services of government plus the retirement and health benefits promised to the growing number of old folks. So your mission is to pick from a menu of tax and spending options to reduce the debt from projected levels over the next 25 years. Small changes to spending and taxes wont suffice. The choices are difficult but the goal is achievable.But budget decisions arent only about fiscal sustainability. They also shape the kind of country we live in. To win the game you need to find a combination of policies that match your values and priorities AND set the budget on a sustainable course.Inside the Game you will find the categories in which most significant public policies can be organized:According to the Game the goals of public policies include:Fight Climate ChangeRein in EntitlementsShrink GovernmentTax CutterFiscal HawkProtect the ElderlyInvest in the FutureReduce inequalityStrengthen National DefenseStrengthen Social Safety NetInstructionsFor purposes of this assignment you are to run the simulation three separate times so that you can observe the outcomes through the lenses of the three broad policy preferences provided in the game. They are:The centrists: strengthen national defense invest in the future rein in entitlementsThe conservatives: rein in entitlements shrink government tax cutterThe progressives: reduce inequality invest in the future strengthen the social safety netUse these policy preferences to make budgetary decisions. For example make your first run centrist where your three goals are to strengthen national defense invest in the future and rein in entitlements. Make your second run conservative and your goals rein in entitlements shrink government and tax cutter. Finally for your third run choose the progressive goals to reduce inequality invest in the future and strengthen the social safety net. Each time you run the simulation look for changes in the budget projections. You will notice these as you tinker with policy decisions.To complete this assignment prepare an essay in which you respond to each of the prompts listed below. I recommend answering each prompt in its own paragraph. This structure provides you with a 6-paragraph format in which you can meet or exceed the minimum word count requirement.You will prepare a 540 word (minimum) essay in which you respond to the prompts listed above. Your response must be written in academic English. You will use your own voice and write in your own wordsno quotes or paraphrases allowed.To earn full points you must follow all instructions carefully proofread for writing errors and submit on time.PSFor specific reference purposes considering reviewing the information in the American Government textbook found on these pages:

200 words, 2 nursing references within 5 years. MUST HAVE IN TEXT CITATIONS

• Choose a workplace data collected quality improvement project associated with practice guidelines and discuss its congruency with an established published guideline by a reliable database (e.g. standardize regulatory organizations, certification boards, professional organizations, etc.).
• Discuss how the published reliable database guideline gathered its data (e.g. quantitative –  survey; correlational research; treend analysis; exploratory research; descriptive research; experimental research and newest “observational-interventional research, etc.” in comparison to the workplace quality improvement project data collection.
• Remember not to identify the health organization by name or provide guidelines with organization’s name.

TO PREPARE: What are health data standards and how do they relate to your role as an informaticist? Health data standards are the agreed upon representations of nursing data. From the coding of medical processes to documentation formats and terminology definitions, health data standards help to align nursing language. Being knowledgeable in health data standards is imperative to the data aggregation and informatics system selection process. It is the informaticist’s responsibility to not only understand the nursing domains of each standard, but also to be educated on the standards development organizations (SDO) that create, maintain, and approve these standards. •Review the health data standards presented in this week’s Learning Resources. (THIS IS THE LINK TO THE STANDARDS : http://www.phdsc.org/standards/health-information/D_Standards.asp ) •How does each provide a framework to align the terminologies and data sets used in health care settings? •Reflect upon your current health care setting. •Does your setting currently use any of the standards outlined by a specific organization? Why? •How might standards impact the documentation processes of your setting? Furthermore, which standards might most apply to you in your work as a nurse? DIRECTIONS: WRITE a description of the health data standards your setting uses and how these standards impact documentation and your specific nursing role. Explain how standard development organizations impact your health care setting.

Benchmark – Patient’s Spiritual Needs: Case Analysis 

In addition to the topic study materials, use the chart you completed and questions you answered in the Topic 3 about “Case Study: Healing and Autonomy” as the basis for your responses in this assignment.

Answer the following questions about a patient’s spiritual needs in light of the Christian worldview.

1. In 200-250 words, respond to the following: Should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James, or would that mean a disrespect of a patient’s autonomy? Explain your rationale.
2. In 400-500 words, respond to the following: How ought the Christian think about sickness and health? How should a Christian think about medical intervention? What should Mike as a Christian do? How should he reason about trusting God and treating James in relation to what is truly honoring the principles of beneficence and nonmaleficence in James’s care?
3. In 200-250 words, respond to the following: How would a spiritual needs assessment help the physician assist Mike determine appropriate interventions for James and for his family or others involved in his care?

Remember to support your responses with the topic study materials.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

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. Refer to the LopesWrite Technical Support articles for assistance.

This benchmark assignment assesses the following competencies:

BS Nursing (RN to BSN)

5.2: Assess for the spiritual needs and provide appropriate interventions for individuals, families, and groups.

RUBRIC

Attempt Start Date: 15-Jul-2019 at 12:00:00 AM

Due Date: 21-Jul-2019 at 11:59:59 PM

Maximum Points: 200.0

Benchmark – Patient’s Spiritual Needs: Case Analysis – Rubric

No of Criteria: 8 Achievement Levels: 5CriteriaAchievement LevelsDescriptionPercentageUnsatisfactory0.00 %Less than Satisfactory65.00 %Satisfactory75.00 %Good85.00 %Excellent100.00 %Content 70.0     Decision-Making and Principle of Autonomy20.0Decisions that need to be made by the physician and the father are not analyzed according to the principle of autonomy.Decisions that need to be made by the physician and the father are analyzed from both perspectives, but the analysis according to the principle of autonomy is unclear. Analysis is not supported by the case study, topic study materials, or Topic 3 assignment responses.Decisions that need to be made by the physician and the father are clearly analyzed from both perspectives, but the analysis according to the principle of autonomy lack details. Analysis is not supported by the case study, topic study materials, or Topic 3 assignment responses.Decisions that need to be made by the physician and the father are clearly analyzed from both perspectives with details according to the principle of autonomy. Analysis is supported by the case study, topic study materials, or Topic 3 assignment responses.Decisions that need to be made by the physician and the father are analyzed from both perspectives with a deep understanding of the complexity of the principle of autonomy. Analysis is supported by the case study, topic study materials, or Topic 3 assignment responses.Decision-Making, Christian Perspective, and the Principles of Beneficence and Nonmaleficence20.0Decisions that need to be made by the physician and the father are not analyzed according to the Christian perspective and the principles of beneficence and nonmaleficence.Decisions that need to be made by the physician and the father are analyzed according to the Christian perspective and the principles of beneficence and nonmaleficence, but the analysis is unclear. Analysis is not supported by the case study, topic study materials, or Topic 3 assignment responses.Decisions that need to be made by the physician and the father are clearly analyzed according to the Christian perspective and the principles of beneficence and nonmaleficence but lacks details. Analysis is not supported by the case study, topic study materials, or Topic 3 assignment responses.Decisions that need to be made by the physician and the father are clearly analyzed with details according to the Christian perspective and the principles of beneficence and nonmaleficence. Analysis is supported by the case study, topic study materials, or Topic 3 assignment responses.Decisions that need to be made by the physician and the father are analyzed with deep understanding of the complexity of the Christian perspective, as well as with the principles of beneficence and nonmaleficence. Analysis is supported by the case study, topic study materials, or Topic 3 assignment responses.Spiritual Needs Assessment and Intervention (CoNHCP 5.2)30.0How a spiritual needs assessment would help the physician assist the father determine appropriate interventions for his son, his family, or others involved in the care of his son is not analyzed.How a spiritual needs assessment would help the physician assist the father determine appropriate interventions for his son, his family, or others involved in the care of his son is analyzed, but unclear. Analysis is not supported by the case study, topic study materials, or Topic 3 assignment responses.How a spiritual needs assessment would help the physician assist the father determine appropriate interventions for his son, his family, or others involved in the care of his son is clearly analyzed but lacks details. Analysis is not supported by the case study, topic study materials, or Topic 3 assignment responses.How a spiritual needs assessment would help the physician assist the father determine appropriate interventions for his son, his family, or others involved in the care of his son is clearly analyzed with details. Analysis is supported by the case study, topic study materials, or Topic 3 assignment responses.How a spiritual needs assessment would help the physician assist the father determine appropriate interventions for his son, his family, or others involved in the care of his son is clearly analyzed with a deep understanding of the connection between a spiritual needs assessment and providing appropriate interventions. Analysis is supported by the case study, topic study materials, or Topic 3 assignment responses.Organization, Effectiveness, and Format 30.0     Thesis Development and Purpose7.0Paper 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.Argument Logic and Construction8.0Statement 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 progression. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.Mechanics of Writing (includes spelling, punctuation, grammar, language use)5.0Surface 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) or word choice are present. Sentence structure is correct but not varied.Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed.Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech.Writer is clearly in command of standard, written, academic English.Paper Format (use of appropriate style for the major and assignment)5.0Template is not used appropriately, or documentation format is rarely followed correctly.Appropriate template is used, but some elements are missing or mistaken. A lack of control with formatting is apparent.Appropriate template is used. Formatting is correct, although some minor errors may be present. Appropriate template is fully used. There are virtually no errors in formatting style.All format elements are correct. Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)5.0Sources are not documented.Documentation of sources is inconsistent and/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.Total Percentage  100

NRS 440 -Gc Entire Course

NRS440

NRS-440VN | The Future of Nursing in an Evolving Health Care System

NRS 440 Grand Canyon Topic 1 Discussion 1

What is the impact to the nursing profession and to the public related to the projected nursing shortage? Discuss at least one way that the nursing profession is working toward a resolution of this problem.

NRS 440 Grand Canyon Topic 1 Discussion 2

What is the role of health care reform in shifting the focus from a disease-oriented health care system toward one of wellness and prevention, and how does nursing fit into this shift?

NRS 440 Grand Canyon Topic 1 Assignment

Benchmark – Implementation of the IOM Future of Nursing Report

Details:

In a formal paper of 1,000-1,250 words you will discuss the work of the Robert Wood Johnson Foundation Committee Initiative on the Future of Nursing and the Institute of Medicine research that led to the IOM report, “Future of Nursing: Leading Change, Advancing Health.” Identify the importance of the IOM “Future of