Imagine that you have been appointed the director of health at the Kaluyu Memorial Hospital in Nairobi, Kenya—a for-profit hospital. The facility is also a referral hospital and receives severe cases of accidents and chronicle and communicable diseases, and it houses an HIV/AIDS ward. As you settle into your position, you realize that the employees always act scared as they approach their superiors. Some of the employees deliver files and leave your office in a hurry. 

As you make your routine departmental visits, you realize that there are tensions between nurses and doctors, and there is a sentiment that the nurses tend to do the majority of the work within patient care but the doctors get all the credit. You realize that the employees are always looking forward to the end of their shifts when they can go home. Some employees even come back to work wearing the same unwashed clothes as the previous day. Too many employees are calling in sick, and many of them give weak reasons for their tardiness.

There is also a sense that employees and nurses dominate other employees in similar positions. In meetings and conference calls, some employees are quiet and never participate. You notice that people with families tend to gather and talk quietly on breaks. The new mothers working for the hospital have to use bathrooms to pump breast milk for their infants, and the refrigerators do not work well. Looking at the financial statements of the hospital, you realize that the hospital’s expenses are higher than the industry standard, and it makes losses year after year.
Note: You may create or make all necessary assumptions needed for the completion of this assignment.

Preparation
As part of your preparation for this assignment, please read the following:

• The Future of Healthcare Leadership.
• Reading: Herzberg’s Two-Factor Theory.
• McClelland’s Acquired Needs Theory.
• Maslow’s Hierarchy of Needs.
• Requirements
  Write a 4–6 page paper in which you:
• Investigate the major demotivational factors at Kaluyu Memorial Hospital. Assess the level of impact that the identified factors could have on specific areas of service and business if the administration does not address the situation. Support your response with at least two examples of the potential negative impact of the identified demotivational factors on the hospital.
• Read the overviews of the three major motivational theories (Maslow’s hierarchy of needs, Herzberg’s two-factor theory, and McClelland’s acquired needs theory). After reading all three, choose the theory that you think best fits this scenario and defend that choice in your assignment.
• Formulate a communication system that will have the greatest impact on improving the situation, and specify the major reasons why your system will influence the employee behaviors for the better. Justify your response.
• Go to Basic Search: Strayer University Online Library to find four recent (within the last five years) quality academic resources for this assignment. Note: Wikipedia and other websites do not qualify as quality academic resources.

For this professional development exercise, submit a 1500 – 2000 word paper. Two resources outside of your text should be used for this assignment.

Identify three legislative priorities related to the provision of home health and hospice services. Provide an overview of each issue and discuss how they affect the home care and hospice industry from the perspectives of cost, quality, or access.

Searching and Evaluating Scientific and/or Mathematical/Analytical Resources

Search and Evaluate

This week, you will find three scholarly, peer-reviewed research articles on your topic. Remember that next week you will submit a paper on Scientific and/or Mathematical/Analytical perspectives of inquiry, so use this week’s assignment to prepare materials and collect information for that purpose.

Use articles that will help you explain and describe scientific issues and/or statistical data or economic information related to your topic. You will analyze and evaluate these articles in your submission, which should include:

• A brief introductory paragraph.
• Three separate paragraphs, one for each of the three articles, each presenting: 
  • A brief 3–4 sentence summary of the article (use in-text citations)
  • An explanation as to what makes this source credible 
  • An explanation of why the article will be useful in addressing your problem or issue
• A brief conclusory paragraph
• An APA Style reference list on a separate page

Your paper should be 1–3 pages in length (including the References page). Adhere to APA Style throughout.

Using the Quality Improvement model you described in Week 3, provide a detailed explanation of the evidence-based practice plan that you will use to address the practice problem (6-10). Be sure to include the sources you found in the analysis of the evidence to support your EBP plan. Use appropriate and persuasive language that communicates meaning with clarity and fluency to readers, and is virtually error-free (see AWE Capstone Checklist). 

For this Assignment, write 4-5 paragraphs that address the following: does not need headings or title page

• Evidence-Based Practice Performance      Improvement Plan Explanation
  • Using the Quality Improvement model you described in Week 3       (attached) , provide a detailed explanation of the quality improvement       plan that you will use to address the practice problem.
  • Use the sources you found in the analysis of the evidence       (attached) to support the plan.-you can add more if needed-must be in       last 5 years..peer reviewed if articles

This is a specific plan….must all flow with the previous paper(attached) and information attached because it will all go into one project. If you need other resources to support plan that is fine….make sure they are credible sources and last 5 years. Please cite in information.

To prepare for this Assignment:

• Review the Capstone Paper Assignment      Guide
• Locate the      most current version of your Week 3 Assignment. You will add this section      to that document.
• Review the Academic Writing      Expectations Checklist Capstone Level
  • Note the new expectations for Use       of evidence and Credit to Source
  • Use a Scholarly Voice
    • http://academicguides.waldenu.edu/writingcenter/scholarlyvoice
    • http://academicguides.waldenu.edu/writingcenter/webinars/scholarlywriting#s-lg-box-2773859
  • Review the Walden University Writing Center webpage: Using       Evidence: Synthesis
• Review the Week      5 Assignment Rubric

Remember: Each section of the Capstone Paper must meet the Academic Writing Expectations for the Capstone Level.

Note: This Assignment is due on Day 5 of Week 11.

If you talk about a possible poor health outcome, do you believe that outcome will occur? Do you believe eye contact and personal contact should be avoided?

You would have a difficult time practicing as a nurse if you believed these to be true. But they are very real beliefs in some cultures.

Differences in cultural beliefs, subcultures, religion, ethnic customs, dietary customs, language, and a host of other factors contribute to the complex environment that surrounds global healthcare issues. Failure to understand and account for these differences can create a gulf between practitioners and the public they serve.

In this Assignment, you will examine a global health issue and consider the approach to this issue by the United States and by one other country.

To Prepare:

• Review the World Health Organization’s (WHO) global health agenda and select one global health issue to focus on for this Assignment.
• Select at least one additional country to compare to the U.S. for this Assignment.
• Reflect on how the global health issue you selected is approached in the U.S. and in the additional country you selected.
• Review and download the Global Health Comparison Matrix provided in the Resources.

The Assignment: (1- to 2-page Global Health Comparison Matrix; 1-page Plan for Social Change)

Part 1: Global Health Comparison Matrix

Focusing on the country you selected and the U.S., complete the Global Health Comparison Matrix. Be sure to address the following:

• Consider the U.S. national/federal health policies that have been adapted for the global health issue you selected from the WHO global health agenda. Compare these policies to the additional country you selected for study.
• Explain the strengths and weaknesses of each policy.
• Explain how the social determinants of health may impact the global health issue you selected. Be specific and provide examples.
• Using the WHO’s Organization’s global health agenda as well as the results of your own research, analyze how each country’s government addresses cost, quality, and access to the global health issue selected.
• Explain how the health policy you selected might impact the health of the global population. Be specific and provide examples.
• Explain how the health policy you selected might impact the role of the nurse in each country.
• Explain how global health issues impact local healthcare organizations and policies in both countries. Be specific and provide examples.

Part 2: A Plan for Social Change

Reflect on the global health policy comparison and analysis you conducted in Part 1 of the Assignment and the impact that global health issues may have on the world, the U.S., your community, as well as your practice as a nurse leader.

In a 1-page response, create a plan for social change that incorporates a global perspective or lens into your local practice and role as a nurse leader.

• Explain how you would advocate for the incorporation of a global perspective or lens into your local practice and role as a nurse leader.
• Explain how the incorporation of a global perspective or lens might impact your local practice and role as a nurse leader.
• Explain how the incorporation of a global perspective or lens into your local practice as a nurse leader represents and contributes to social change. Be specific and provide examples