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Case Study

June 28, 2025/in Nursing Questions /by Besttutor

The assignment below is a group project. Please the attached pdf of the case studies and the whole project instructions, however, you are to only answer questions 1 through 4 below as these are my assigned questions. I will also attach the some of the questions already answered by my group project members as a guide only. Use it as a chart also to complete the highlighted in yellow section only. Thanks!

Use the attached chart to complete only the highlighted questions. This assignment is due by 9 am America New/York time tomorrow 01/18/18.

In week 9 the case study team assumes full senior leader support on the validation of the two

root causes identified.

1. Review the literature to find at least 4 peer reviewed research studies which evoke

validation of the latest patient safety evidence in support of your root cause finding (Only locate 1 peer-reviewed article).

2. At this point, the case study team determines recommendations using the latest

evidence from the literature on what is needed within these two hospitals to address

these significant root causes.

3. Assume a three-month implementation timeframe, recognizing that full realization may

take longer.

4. Construct a straw man Gantt chart or project plan to capture all necessary components

to move the recommendations forward.

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Marketing Research and Segmentation

June 28, 2025/in Nursing Questions /by Besttutor

Choose a health care organization, or use the organization you chose in Week Two.

Imagine you are a marketing representative for the organization.

Conduct research on the consumers in a particular area using at least two lifestyle analyses and marketing research databases.

Write a 1,050- to 1,400-word lifestyle profile for the neighborhood. Include the following:

•Describe your research method.

•Describe the databases and findings.

•Describe at least two strategies you could use to segment your market.

•How does this profile provide you with insight on how the people in this area perceive your organization?

•How will your target audience characteristics help you determine your market strategies?

•Is the demographic and psychographic information accurate? Why or why not?

Provide a brief description of the facility or organization.

(Choose the same organization in the previous assignment: Mckesson)

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As you have discovered through this course, nurses are influential members.

June 28, 2025/in Nursing Questions /by Besttutor

  Details:
As you have discovered through this course, nurses are influential members of the community and the political system. Therefore, for the purposes of this assignment you will identify a problem or concern in your community, organization, etc. that has the capacity to be legislated. You will conduct research and state a proposal. Through the legislative process, your proposal for the problem or concern may influence an idea for change into a law.

First, refer to the “How a Bill Becomes a Law” media.

http://lc.gcumedia.com/zwebassets/courseMaterialPages/nrs440v_how-a-bill-becomes-a-law-v2.1.php/.

Then, view the “Bill to Law Process” to watch the scenario.

After viewing the scenario, refer to the “Legislative Assignment.” You will need to save the document first to use it.

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DQ 1 Week 1

June 28, 2025/in Nursing Questions /by Besttutor

Identify two areas of nursing practice, which evidence-based practice has improved patient outcomes. State the study and its impact on patient care. How have these findings changed your nursing practice? Please support your response with a minimum of two supporting peer reviewed articles.

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discussion post

June 28, 2025/in Nursing Questions /by Besttutor

View the “Diary of Medical Mission Trip” videos dealing with the catastrophic earthquake in Haiti in 2010. Reflect on this natural disaster by answering the following questions:

  1. Propose one example of a      nursing intervention related to the disaster from each of the following      levels: primary prevention, secondary prevention, and tertiary prevention.      Provide innovative examples that have not been discussed by a previous      student.
  2. Under which phase of the      disaster do the three proposed interventions fall? Explain why you chose      that phase.
  3. With what people or agencies      would you work in facilitating the proposed interventions and why?

LINK TO VIDOE

http://lc.gcumedia.com/zwebassets/courseMaterialPages/nrs427v_nrs427v.php

400 WORDS, NO PLAGIARISM, 2 REFERENCES PLEASE

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paper

June 28, 2025/in Nursing Questions /by Besttutor

People of Haitian Heritage.

People of Iranian Heritage.

Read chapter 15 and 32 of the class textbook and review the attached Power Point presentations.  Read content chapter 32 in Davis Plus Online Website.  Once done answer the following questions;

1.  Discuss the historical background of these two heritages.

2.  Discuss the health care beliefs of these two heritages and mention if there is any similarity with the health care beliefs in United States.

3.  Do you think that the health care beliefs of these two heritages influence the delivery of evidence base nursing care?  Explain why.

As previous weeks and stated in the syllabus please present your assignment in an APA format word document, Arial 12 font, attached to the forum in the discussion tab of the blackboard title “week 8 discussion questions”.  A minimum of 2 evidence based references (excluding the class textbook) are require.  You must post two replies sustained with the proper references to any of your peers postings.  A minimum of 500 words are required.

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Assessment 1-4

June 28, 2025/in Nursing Questions /by Besttutor

· Overview

In this assessment, you will propose an economic initiative that presents an opportunity for improved care quality.

Master’s-level health care practitioners are charged with the responsibility of constantly scanning the external environment for shifts in supply of and demand for services. Concurrently, leaders must examine strategic fit with their organization’s directional strategy and determine if adjustments need to be made for current service offerings, updates in equipment, changes in staffing models, and a variety of other decisions. Each decision that is proposed must be evaluated in terms of the health care setting as a system, alignment with the mission and strategy, available internal resources, potential contract and payer source implications, and the short- and long-term economic effects at both the micro and macro levels.

Note: Complete the assessments in this course in the order in which they are presented.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

· Competency 1: Analyze the effects of financial and economic factors (such as cost-benefit, supply and demand, return on investment, and risks) in a health care system on patient care, services offered, and organizational structures and operation.

1. Analyze the supply and demand for a proposed economic initiative within contexts relevant to a care setting.

. Competency 2: Develop ethical and culturally equitable solutions to economic problems within a health care organization in an effort to improve the quality of care and services offered.

2. Propose an economic initiative that presents an opportunity for a care setting at both the micro and macro levels, and that will provide ethical and culturally equitable improvements to the quality of care.

. Competency 3: Justify the qualitative and quantitative information used to guide economic decision making to stakeholders and colleagues.

3. Explain relevant economic and environmental data that support a proposal and analysis.

. Competency 5: Apply various communication methods in order to clearly, effectively, and efficiently relate information to stakeholders and colleagues related to economic data, findings, and strategies.

4. Communicate an economic proposal in a logically structured and concise manner, writing content clearly with correct use of grammar, punctuation, and spelling.

4. Effectively support a proposal with relevant economic data and scholarly sources, correctly formatting citations and references using current APA style.

 

Questions to Consider

As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.

. What factors determine the price and quantity of health care? What factors determine the demand for health care services?

. What suggestions do you have for improving the economic situation of your current health care setting? How might strategies or priorities need to shift to keep up with the changing health care economic environment?

. How do the Centers for Medicare and Medicaid Services (CMS) regulations impact documentation, billing, and reimbursement?

Suggested Resources

The resources provided here are optional. You may use other resources of your choice to prepare for this assessment; however, you will need to ensure that they are appropriate, credible, and valid.

Internet Resources

These resources provide regulatory information and data that will help you with your assignment:

. National Institutes of Health. (n.d.). Retrieved from http://www.nih.gov/

8. Focus on the programs and activities of the organization.

. Centers for Disease Control and Prevention. (2016). National Center for Health Statistics. Retrieved from http://www.cdc.gov/nchs/

. Centers for Medicare & Medicaid Services. (n.d.). Retrieved from http://cms.gov/

 

 

 

 

 

 

· Assessment Instructions

In this assessment, you will propose an economic initiative that presents an opportunity for improved care quality.

Scenario

As an emerging health care leader, the senior management has requested that you independently research and explore one of the economic opportunities that may be available in your care setting. This may be offering a new service line, working to improve a service line already offered, retiring an outdated or unprofitable service line, or any other economic initiative that you believe will be of benefit to your care setting in the short and long term. One example of this is a recently launched partnership with a local bicycle sharing company. Your care setting partners with them to host healthy community events that offer free screenings for early detection of various health issues. This helps fulfill some of your care setting’s preventive and healthy lifestyle initiatives, while also potentially driving referrals to other services provided by your care setting. You have been asked to submit your proposal in the form of a 2–4 page executive summary that includes your proposed economic initiative, supporting economic data, and an analysis of the proposal’s benefits for your department and for the care setting overall.

Directions

You have been asked to ensure that your report addresses the following. Note: The bullet points below correspond to grading criteria in the scoring guide. Be sure your work is, at minimum, addressing each of the bullets below. You may also want to read the scoring guide and the Guiding Questions: Executive Brief: Proposal of New Economic Opportunity document to better understand the performance levels that relate to each grading criterion:

. Propose an economic initiative that presents an opportunity for your care setting at both the micro (departmental, neighborhood) and macro (organizational, community) level that you believe will provide ethical and culturally equitable improvements to the quality of care.

. Analyze the supply and demand for your proposed economic initiative within contexts relevant to your care setting.

. Explain relevant economic and environmental data that support your proposal and analysis.

. Communicate your economic proposal in a logically structured and concise manner, writing content clearly with correct use of grammar, punctuation, and spelling.

. Effectively support your proposal with relevant economic data and scholarly sources, correctly formatting citations and references using current APA style.

Additional Requirements

. Length: 2–4 double-spaced, typed pages. Your proposal should be succinct yet substantive.

. APA formatting: Resources and citations are formatted according to current APA style.

. Resources: Cite a minimum of 3–5 authoritative and scholarly resources. Be sure to include specific economic data and support as part of your cited resources. Resources must be current and a maximum of 5 years old.

 

·

 

Overview

 

 

In this assessment, you will propose an economic initiative that presents an

opportunity for improved care quality.

 

Master’s

–

level health care practitioners are charged with the responsibility of

constantly scanning the external environment for shifts in supply of and demand

for services. Concurrently, leaders must examine strategic fit with their

organization’s directi

onal strategy and determine if adjustments need to be made

for current service offerings, updates in equipment, changes in staffing models,

and a variety of other decisions. Each decision that is proposed must be evaluated

in terms of the health care setti

ng as a system, alignment with the mission and

strategy, available internal resources, potential contract and payer source

implications, and the short

–

 

and long

–

term economic effects at both the micro and

macro levels.

 

Note

: Complete the assessments in this course in the order in which they are

presented.

 

By successfully completing this assessment, you wil

l demonstrate your

proficiency in the following course competencies and assessment criteria:

 

·

 

Competency 1

: Analyze the effects of financial and economic factors (such as

cost

–

benefit, supply and demand, return on investment, and risks) in a health care

sys

tem on patient care, services offered, and organizational structures and

operation.

 

o

 

Analyze the supply and demand for a proposed economic initiative within contexts

relevant to a care setting.

 

·

 

Competency 2

: Develop ethical and culturally equitable solutio

ns to economic

problems within a health care organization in an effort to improve the quality of

care and services offered.

 

o

 

Propose an economic initiative that presents an opportunity for a care setting at

both the micro and macro levels, and that will pr

ovide ethical and culturally

equitable improvements to the quality of care.

 

·

 

Competency 3

: Justify the qualitative and quantitative information used to guide

economic decision making to stakeholders and colleagues.

 

o

 

Explain relevant economic and environment

al data that support a proposal and

analysis.

 

·

 

Competency 5

: Apply various communication methods in order to clearly,

effectively, and efficiently relate information to stakeholders and colleagues

related to economic data, findings, and strategies.

 

o

 

Communi

cate an economic proposal in a logically structured and concise manner,

writing content clearly with correct use of grammar, punctuation, and spelling.

 

 Overview

In this assessment, you will propose an economic initiative that presents an

opportunity for improved care quality.

Master’s-level health care practitioners are charged with the responsibility of

constantly scanning the external environment for shifts in supply of and demand

for services. Concurrently, leaders must examine strategic fit with their

organization’s directional strategy and determine if adjustments need to be made

for current service offerings, updates in equipment, changes in staffing models,

and a variety of other decisions. Each decision that is proposed must be evaluated

in terms of the health care setting as a system, alignment with the mission and

strategy, available internal resources, potential contract and payer source

implications, and the short- and long-term economic effects at both the micro and

macro levels.

Note: Complete the assessments in this course in the order in which they are

presented.

By successfully completing this assessment, you will demonstrate your

proficiency in the following course competencies and assessment criteria:

 Competency 1: Analyze the effects of financial and economic factors (such as

cost-benefit, supply and demand, return on investment, and risks) in a health care

system on patient care, services offered, and organizational structures and

operation.

o Analyze the supply and demand for a proposed economic initiative within contexts

relevant to a care setting.

 Competency 2: Develop ethical and culturally equitable solutions to economic

problems within a health care organization in an effort to improve the quality of

care and services offered.

o Propose an economic initiative that presents an opportunity for a care setting at

both the micro and macro levels, and that will provide ethical and culturally

equitable improvements to the quality of care.

 Competency 3: Justify the qualitative and quantitative information used to guide

economic decision making to stakeholders and colleagues.

o Explain relevant economic and environmental data that support a proposal and

analysis.

 Competency 5: Apply various communication methods in order to clearly,

effectively, and efficiently relate information to stakeholders and colleagues

related to economic data, findings, and strategies.

o Communicate an economic proposal in a logically structured and concise manner,

writing content clearly with correct use of grammar, punctuation, and spelling.

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Nursing

June 28, 2025/in Nursing Questions /by Besttutor

Discuss how evidence-based practice is applied in your  Nursing practice setting and describe the desired patient outcome achieved through this approach.

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NR 507 Week 3 Discussion

June 28, 2025/in Nursing Questions /by Besttutor

NR 507 Week 3 Discussion

PART No. 1:

A 17-year-old African American from the inner city complains of severe chest and abdominal pain. Upon examination the attending physician performs and EKG, chest x-ray, and an abdominal and chest clinical examination and finds nothing. Assuming, she is drug seeking he sends her home. She comes back to the ER four hours later and now you see the patient. She explains that she was running track this past afternoon at school and that despite being very hot (100 F) she pushed on. Afterwards, she starts feeling extensive pain in her chest and abdomen.  She has jaundiced eyes, her blood pressure is 98/50, pulse is 112, T = 99.9 F, R = 28. The pain seems out of proportion to the physical findings.

· What is your list of differential diagnoses in this case and explain how each of these fits with the case patient as described above. Be sure to list at least three (3) pertinent differential diagnoses. Indicate which of these you would select as the most likely diagnosis and explain why.

· Now, as she is in the ER she begins to exhibit stroke like features. ? Does this change your differential?

· How do you treat this patient now? Are they any preventative actions that could have been taken?

PART No. 2:

Jesse is a 57-year-old male who presents with gradual onset of dyspnea on exertion and fatigue. He also complains of frequent dyspepsia (GERD) with nausea and occasional epigastric pain. He states that at night he has trouble breathing especially while lying on his back (Orthopnea). This is relieved by him sitting up. His vitals are 180/110, P = 88, T = 98.0 F, R = 20.

· Write three (3) differential diagnoses in this case and explain how each item in your differential fits and how it might not fit.

· What tests would you order? What immediate treatment would you consider giving this patient and what treatment when he went home? Assume your first differential is definitive.

· Now, he comes back to your clinic 3 months later and both his ankles are slightly swollen. What possible explanations are there for this observation? CHF now involving right side Must order Echo with EKG and Nuc stress test, labs Pro BNP.

PART No. 3:

A new patient is brought into the office for their annual evaluation. The child is a 6-year-old and appears a bit small for their age but not so small that any alarm bells are set off.  The vitals are: P = 116, R = 22, T = 98.6 F, BP = 110/50. (The normal vitals in a 6-year-old are P = 75 – 120, R = 16 – 22, T = 98.6 , BP = (85-115)/(48-64).  Examination of the lungs is normal, HEENT is normal, as is the abdominal exam. The heart however, seems laterally displaced and there appears to be only a continuous murmur which can be described as crescendo/decrescendo systolic murmur that extends into diastole. Because, you were trained at Chamberlain College of Nursing you immediately know that this is probably a patent ductus arteriosus.

· Explain the murmur from a mechanistic view of the hearts physiological functioning?

· What is the epidemiology of a patent ductus arteriosus?

· How is a patent ductus arteriosus treated?

NR 507 Week 3 Quiz Answers:

1. The underlying disorder of _____ anemia is defective secretion of intrinsic factor, which is essential for the absorption of vitamin B12.(Points : 2)

2. What is the pathophysiologic process of aplastic anemia? (Points : 2)

3. The body compensates for anemia by (Points : 2)

4. A woman complains of chronic gastritis, fatigue, weight loss, and tingling in her fingers. Laboratory findings show low hemoglobin and hematocrit levels, and a high mean corpuscular volume. These findings are consistent with _____ anemia. (Points : 2)

5. In hemolytic anemia, jaundice occurs only when (Points : 2)

6. Symptoms of polycythemia vera are mainly the result of (Points : 2)

7. Which proinflammatory cytokines are responsible for the development and maintenance of DIC? (Points : 2)

8. Which of the following is a description consistent with acute lymphocytic leukemia (ALL)? (Points : 2)

9. Heparin-induced thrombocytopenia (HIT) is described as a(n) (Points : 2)

10. Which of the following is a description consistent with chronic lymphocytic leukemia (CLL)? (Points : 2)

11. Hemolytic disease of the newborn can occur if the mother is (Points : 2)

12. Polycythemia occurs in a fetus because (Points : 2)

13. The type of anemia that occurs as a result of thalassemia is (Points : 2)

14. The sickle cell trait differs from sickle cell disease in that the child with sickle cell trait (Points : 2)

15. Hemophilia B is caused by clotting factor _____ deficiency. (Points : 2)

16. What is the name of the disorder in which levels of bilirubin remain excessively high in the newborn and are deposited in the brain?(Points : 2)

17. An individual who is demonstrating elevated levels of troponin, creatine kinase (CK), and lactic dehydrogenase (LDH) is exhibiting indicators associated with: (Points : 2)

18. What alteration occurs in injured endothelial cells that contributes to atherosclerosis? (Points : 2)

19. Which of the following is manufactured by the liver and primarily contains cholesterol and protein? (Points : 2)

20. Cardiac cells can withstand ischemic conditions and still return to a viable state for how many minutes? (Points : 2)

21. When does systemic vascular resistance in infants begin to rise? (Points : 2)

22. An infant has a loud, harsh, holosystolic murmur and systolic thrill that can be detected at the left lower sternal border that radiates to the neck. These clinical findings are consistent with which congenital heart defect? (Points : 2)

23. Which congenital heart defects occur in trisomy 13, trisomy 18, and Down syndrome? (Points : 2)

24. The foramen ovale is covered by a flap that creates a check valve allowing blood to flow unidirectionally from the _____ to the _____.(Points : 2)

25. Which heart defect produces a systolic ejection murmur at the right upper sternal border that transmits to the neck and left lower sternal border with an occasional ejection click? (Points : 2)

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Public Health 500 word Article Critique APA

June 28, 2025/in Nursing Questions /by Besttutor

KNOW PUBLIC HEATH EPIDEMIOLOGY

DUE 2/28  8P.M EST 500 WORDS  Read Instructions

ARTICLE:  Aberg, A. et al. (2010). Exposure assessment at a PCDD/F contaminated site in Sweden–field measurements of exposure media and blood serum analysis.Environmental Science and Pollution Research International. 17(1):26-39. (IS ATTACHED) Answer questions below

 

Discussion of journal articles is important to the development of critical thinking and evaluation skills. You are provided with citations for two different articles to discuss with your colleagues, in a “journal club” style. A journal club typically refers to a group of individuals who meet to critically evaluate journal articles in their academic field. You will participate in a journal club style critique in this module’s Discussion. This type of evaluation is very useful to broaden your knowledge of the field and practice critical thinking skills. Your discussion must be relevant to the journal article and must provide a scholarly critique of the contents.

Answer these questions from Article

What do you think the public health significance of the research question in this study was? Is it mostly of local significance or is there a global impact? Explain. Does the study fill an important gap, in your opinion? Why or why not? Critique the methodology. Why do you think the authors chose this methodology and what would you have done differently? Explain. Interpret the results in your own words and then discuss with your colleagues whether you agree or disagree with the author’s interpretations and why.

 

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