Journal Entry 7

From a nurse practitioner student in a family practice setting that uses Practice Fusion for electronic medical records (charting) :

Reflect on how you assess patients and chart information at your practicum setting. Explain how you record patient history and physical assessment findings. Include whether behavioral and/or psychosocial assessments are performed and charted and how. Then, explain how your practicum setting is using patient information to improve care.

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Journal Entry 8

From the perspective of a nurse practitioner student in a family practice setting:

Reflect on patients you evaluated at your practicum setting that you referred for specialized care or assistance (e.g., referrals to specialists, dieticians, social workers, etc.). Explain why the patient needed to be referred for care or assistance and whether the patient followed your recommendation. If not, consider what you might do next time to ensure patient follow-through. Then, explain at least two strategies to foster communication between patients and professional partners that provide specialized care and assistance.

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Application Assignment #4: Literature Review Matrix

Application Assignment #4: Literature Review Matrix

There are four parts to this essay PLEASE: READ Carefully & please include an introduction.

This Application expands upon the work you have been conducting for this week’s Discussion. For this assignment (which you will start this week, and submit by the end of Week 7), you will conduct a search for literature on your selected practice problem.

A Literature Review Matrix template will be used to identify gaps in the literature.

To prepare:

Consider the practice problem you addressed in this week’s Discussion. (You may select a new issue if necessary, but it is not recommended.)

Review the guidelines in the Literature Review Matrix, included in the Learning Resources.

Formulate a research question around your issue as indicated in Part I.

Then complete Part II of the Matrix, identifying the resources you will use, search terms and criteria, and Boolean search strings.

Using the Walden Library, locate 10 articles related to your research question. At least one article must be a systematic review. All of the articles should be primary sources. NOTE: If appropriate, you may use the four articles you reviewed for this week’s Discussion.

Review Part III of the Literature Review Matrix and notice which middle range theories were used most frequently in the articles you reviewed.

Consider the appropriate use of the theoretical frameworks in each article.

Review the information on empiricism presented in Chapter 1 of Theoretical Basis for Nursing and Chapter 6 in The Practice of Nursing Research:

Appraisal, Synthesis, and Generation of Evidence as you consider your response to Part IV.

In your analysis of the strengths and weaknesses of the existing literature, note the appropriate use of the theoretical frameworks.

Complete Part IV addressing the influence of empiricism on quantitative methodology.

Readings

Course Text: McEwin, M., & Wills, E.M. (2014). Theoretical basis for nursing. (4th. ed.). Philadelphia, PA: Wolters Kluwer Health.

Chapter 10, “Introduction to Middle Range Nursing Theories”
Chapter 11, “Overview of Selected Middle Range Nursing Theories”

Chapter 10 begins the exploration of middle range theories and discusses their development, refinement, and use in research. Chapter 11 continues the examination of middle range theories and provides an in depth examination of a select set of theories.

Course Text: Grove, S., Burns, N., & Gray, J. (2013). The practice of nursing research: appraisal, synthesis, and generation of evidence. (7th ed.). St. Louis, MO: Saunders Elsevier.

Chapter 8, “Objectives, Questions, Hypotheses, and Study Variables”

Chapter 8 guides nurses through the process of identifying research objectives, developing research questions, and creating research hypotheses.

Book Chapter: Fawcett, J., & Garity, J. (2009). Chapter 6: Evaluation of middle-range theories. Evaluating Research for Evidence-Based Nursing. Philadelphia, Pennsylvania: F. A. Davis.
Retrieved from the Walden Library Database.

This book chapter evaluates the use and significance of middle-range theories in nursing research and clinical practice.

Article: DeSanto-Madeya, S., & Fawcett, J. (2009). Toward Understanding and Measuring Adaptation Level in the Context of the Roy Adaptation Model. Nursing Science Quarterly, 22(4), 355–359.
Retrieved from the Sage Premier 2010 database.

This article describes how the Roy Adaptation Model (RAM) is used to guide nursing practice, research, and education in many different countries.

Article: Jacelon, C., Furman, E., Rea, A., Macdonald, B., & Donoghue, L. (2011). Creating a professional practice model for postacute care: Adapting the Chronic Care Model for long-term care. Journal of Gerontological Nursing, 37(3), 53–60.
Retrieved from the CINAHL Plus with Full Text database.

This article addresses the need to redesign health care delivery to better meet the needs of individuals with chronic illness and health problems.

Article: Murrock, C. J., & Higgins, P. A. (2009). The theory of music, mood and movement to improve health outcomes. Journal of Advanced Nursing, 65 (10), 2249–2257. doi:10.1111/j.1365-2648.2009.05108.x
Retrieved from the CINAHL Plus with Full Text database.

This article discusses the development of a middle-range nursing theory on the effects of music on physical activity and improved health outcomes.

Optional Resources:

Article: McCurry, M., Revell, S., & Roy, S. (2010). Knowledge for the good of the individual and society: Linking philosophy, disciplinary goals, theory, and practice. Nursing Philosophy, 11(1), 42–52.
Retrieved from the CINAHL Plus with Full Text database.

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Training Needs at Summit Credit Union

After reading the Summit Credit Union case study, answer the questions below in a 2 – 3 page, APA formatted paper. Include an introduction section and a References page.

Questions:

How would you conduct a needs assessment to determine if new lenders are starting their jobs with-out the necessary knowledge and skills to perform well, and if the organization of the training curriculum (or another training issue) is responsible for this problem?

Who would be involved in the needs assessment?

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There is no such thing as a neutral question. Evaluate this statement with reference to two areas of knowledge.

This is an essay for the subject of IB Theory of knowledge.

Essay Question:
There is no such thing as a neutral question. Evaluate this statement with reference to two areas of knowledge.

a. What are the key words & terms that need pinning down?

The command term in the prescribed title is ‘neutral question’. A quick look in any dictionary will give you a workable definition of this word – its essential meaning is unbiased, non-partisan, or something that does not take sides.

In other words, the prescribed title is suggesting that questions within the different areas of knowledge lead us in a certain direction, and have some sort of agenda. These are known as ‘leading questions’, and are well known in the legal world, where witnesses are often asked questions designed to produce a particular answer that confirms what the questioner wants to prove. Gathering knowledge in this way can also be termed ‘confirmation bias’.

The essay is therefore suggesting, that all questions are leading questions, and that it isn’t possible to ask or investigate knowledge without having a preconceived notion of what you want to find.

b. What are the difficulties and challenges of the question?

Although it may seem at first sight that this is a prescribed title that is easy to refute, the more you explore the different areas of knowledge, the more you find that it is very difficult to escape the kind of biases that produce leading questions. So one difficulty might be that it’s hard to counter the claim within the prescribed title.

You could argue that the search for knowledge is in itself an agenda: as soon as you ask a question, you cease to be looking for knowledge in a ‘neutral’ way. If you subscribe to this view, then it would be virtually impossible to counter the claim in the prescribed title.

c. What knowledge issues & associated WOKs/AOKs could be explored?
d. What sort of real life situations could be drawn on?
e. Which perspectives and implications could be considered?

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Financial Analysis

Individual Assignment
REQUIRED
Individual Assignment: Financial Analysis
The Final Project for this module is a consultancy report to Anthony’s Orchard, an expanding apple orchard and distributor. The company has been entertaining the idea of expanding its product line to include apple juice. In order to do this, a major investment in an apple press is needed. The aim of your consultancy report is to analyse all relevant data and make a recommendation to the management of the company in regard to this idea. Each of the remaining Individual Assignments Submission in this module will focus on one component of this consultancy report; in Unit 6 you will compile these, complete your analysis and submit the Final Project.
Measuring and regularly monitoring the financial health of a company, using budgeting and control methods, is a vital concern for managers. By acquiring and analysing timely and accurate financial data, decision-makers will have the tools to facilitate operational and strategic decisions. These decisions may concern reactions to business or environmental conditions, resource acquisition, expansion and more.
This Individual Assignment will provide the opportunity to analyse financial data for Anthony’s Orchard. As you heard from company CEO Bob Frost in this unit’s media piece, Anthony’s Orchard would like to make aggressive plans for its future, including the expanded product offering described above. At the same time, unforeseen circumstances can impact the current health of the company as well as its future plans. What-if analyses are valuable aids in assessing a variety of planned and unplanned events. You will utilise the analysis you conduct here as part of the Final Project.
To prepare for this Individual Assignment:
1. Review the readings and media for this unit, including the Anthony’s Orchard case study media.
2. Familiarise yourself with the Anthony’s Orchard company and its current situation; this can be done by exploring each of the tabs across the top of the screen in the Anthony’s Orchard case study media. Hint: You should focus on the financial information.
To complete this Individual Assignment:
1. Review the Financial Statements: Analyse the current financial state of Anthony’s Orchard and evaluate the impact of a major customer cancelling their expected order. This analysis should include the following:
 Your view of the current financial health of the company
 Your assessment of the materials and labor costs
 Your assessment of the income statement
 Your assessment of the cash flow statement
 Your assessment of each of the business units in Anthony’s Orchard
 C-V-P analysis of the current year’s financials
Conduct a What-If Analysis: This what-if analysis concerns an unforeseen circumstance that could impact the company’s current health as well as its future plans. A major customer is considering cancelling their order for prepared apple products. This customer accounts for 25% of the prepared apple product revenue. Evaluate the impact of this on the budgeted statements contained in the case study.
Notes:
You should fully state and justify any assumptions that you choose to make in relation to the financial data you use. For example, if you make assumptions about the state of the economy or the industry over the period you cover in your analysis, be sure to state these and identify why you believe they are worth consideration here.
Be sure to include references to any sources you use as well, including external sources of economic data or industry statistics.
This Individual Assignment forms the basis for Section 1 of your Final Project. You will receive feedback on this work from your Faculty Member, and will be expected to incorporate any suggestions into the Final Project.
Your submission (excluding appendices) should be 1,000 words (+/- 10%) in length.
Submit your Individual Assignment to your Faculty Member for feedback. Be sure to submit by the end of this unit in order to receive timely Faculty Member feedback. Contact your Faculty Member for permission to submit an assignment early, to submit an assignment after the end of the unit or to resubmit an assignment on which you have already received feedback.
To complete your Individual Assignment, do the following:
1. Please answer the Individual Assignment in a single Word document.
2. To upload your Individual Assignment, click on Individual Assignments Submission on the Module Menu, and then click the “Unit 2 – Individual Assignment Turnitin” link.

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Human Resource Development

Understand government led skills development initiatives
Write a formal, well structured report which explains the government led skills development initiatives introduced in the UK(Rolls Royce). Reference using the Harvard referencing system and use the appendices to briefly provide an explanation of the initiatives and organisations listed in the Guidance notes.
You should:
4.1: Explain the role of government in training, development and lifelong learning.

4.2 : Explain how the development of the competency movement has impacted on the public and private sectors. Explain how an organization of your choice has adopted this process.

4.3 : Read the case study and use the Rolls Royce Website to assess how contemporary training initiatives introduced by the UK government contribute to human resources development for Rolls Royce.

Guidance Notes
The UK government has recently introduced various initiatives to ensure that the UK work force is up to date and skilled. Discuss UK Government approaches to learning and development in the UK and include the following organizations, training schemes and initiatives in your report.

• QCA , Teaching Agency, Standards and Testing Agency and OFQUAL
• Skills Funding Agency
• Sector Skills Council (SSC’s)
• Learn direct
• Investors in People (IIP)
• National Skills Academies
• Apprenticeship Schemes
• New Deal
• Train to Gain
• NVQ’s

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How a Bill Becomes a Law

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.

https://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 in order to use it.

Submit the assignment to the instructor. APA format is not required, but solid academic writing is expected.

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Self as Leader: Leadership Style

Journal: As a continuation of your personal leadership journal, you will use two of the Leader’s Self-Insights from your text as a starting point to reflect on your own leadership style. Use the material from this unit to place yourself within the various leadership models that you have read about.

For Unit 2, consider your leadership style from the following Leader’s Self-Insights:

2.2 (p. 47): What’s Your Leadership Orientation?
3.1 (p. 69): T-P Leadership Questionnaire: An Assessment of Style

Write your leadership journal report for this unit by answering the following questions:

Where do you think you fall on the Leadership Grid (p. 49)?

What does that say about the types of situations that you would be most comfortable in as a leader?

In what situations would you have to develop new skills? What are those new skills?

http://www.4shared.com/folder/HQCTNg0q/_online.html

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Personal Learning Experience of operation management

The objective of this assignment is to enable you to critically reflect on your personal learning experience of the Managing Operations module. In particular you are required to recount your level of involvement in, and contribution to the most recent group work exercise, whilst simultaneously applying some concepts learnt during the module.
You are required to produce a two part report (maximum 1500 words):
Part I – maximum of 750 words.
(a) Illustrate by means of a diagrammatic flow chart, your Sustainable Supply Chain (SSC) group’s work process from commencement of research to completion of the assignment (to include both presentation and the report writing aspects).
Please note: You should use, (adopt or adapt) appropriate flow charting symbols and conventions.
You should also describe your flow chart and make up to five operations management related recommendations on how this process could be improved.
(b) A piece of reflective writing which critically discusses your personal learning experience for the group assignment with reference to;
• Peer feedback
• Your level of participation in the group work exercise as illustrated by your flow chart
• Two examples of how you contributed to group improvement and progress on the task
• One example of how you have noted, and learned peer feedback and how you intend to action this feedback in your own personal development.
Part II – maximum of 750 words.
A 750 word summary highlighting what you regard as the most relevant (to you) Operations Management concept, or idea, or improvement tool discovered during the module and how you might apply this in your own personal and/or professional development.
Part I and Part II are equally weighted.

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