RE: Pulmonary Case Discussion: Pulmonary Part One

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Question Description

I thought you did an excellent job identifying a cause of the patient’s asthma as well as choosing a severity and classification for her diagnosis. Both of these are needed in a patient with a new or chronic asthma diagnosis. I’m trying to get a sense of what National Guideline were used in your treatment plan and diagnosis. I see an article referencing the NAEPP, but do not see the actual guidelines in your references. Did you come across any EBP sources within the past 5 years since the source you cite is from 2008? If you did not, then it would be important to make sure you indicate awareness that the sources are > 5 years old.

I’d like for you to research the STEP approach to managing asthma….unless your preference would be GINA or something similar. This is one of the most widely used tools to manage asthma and I think it will help you fine tune your medication plan. In mild persistent asthma, according to the STEP approach, is a LABA indicated? and what do those guidelines say about the use of an ICS? Remember, in this course, all of your rationale should be coming from national guidelines, rather than textbooks. So while CURRENT is a good secondary source or place to look for some guidance, this course challenges you to find pathways and guidelines to support your plans.

Tell me more about the referrals for this first line plan. The allergist is a potential referral especially given her history but according to the source you cite, I’m struggling to see how this patient qualified for a referral to a pulmonologist for mild persistent asthma. You indicated a referral may be “recommended anytime there is a life-threatening exacerbation, the patient is not meeting their goals after being on therapy for 3-6 months, the patient’s signs and symptoms are atypical or the differentials are unclear, comorbidities are complicating the condition.” How do the case details for this patient support this?

You have some good general ideas for this plan, but there needs to be rationale and research to support your ideas. For example, I think your plan to repeat spirometry is reasonable. What will you specifically be looking for to evaluate efficacy of your treatment plan? and what is your interval for re-testing? What specific symptoms should the patient go to the ER for? What education will be important for her medications and management of her symptoms?

I’d like to see you find some support for how to manage not only mild persistent asthma but also occupational asthma so you can be as specific to this patient’s diagnosis that you have made as possible. This will be very helpful in clarifying and including things that are not only relevant but also pertinent to not only management this patient’s new diagnosis, but to provide primary care as well.

What other medications may be helpful to consider here given the patient’s occupational exposure to an irritant as well as her PMHx of allergies and childhood eczema?

One of the things that surprised me in your discussion of antibiotic use was the following: “While some studies are increasingly advocating for antibiotics as an important part of the medications for addressing asthma, it is still very isolated.” Can you tell me more about this? In this patient, are there any clinical indications for her to be prescribed an antibiotic? I’m hoping you can clarify the sentiment that antibiotics are a last resort in this patient’s situation.

Lots to consider here. I’m looking forward to your response!

Case study health history and medical information

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Question Description

It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.

Evaluate the Health History and Medical Information for Mrs. J., presented below.

Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.

Health History and Medical Information

Health History

Mrs. J. is a 63-year-old married woman who has a history of hypertension, chronic heart failure, and chronic obstructive pulmonary disease (COPD). Despite requiring 2L of oxygen/nasal cannula at home during activity, she continues to smoke two packs of cigarettes a day and has done so for 40 years. Three days ago, she had sudden onset of flu-like symptoms including fever, productive cough, nausea, and malaise. Over the past 3 days, she has been unable to perform ADLs and has required assistance in walking short distances. She has not taken her antihypertensive medications or medications to control her heart failure for 3 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure and acute exacerbation of COPD.

Subjective Data

  1. Is very anxious and asks whether she is going to die.
  2. Denies pain but says she feels like she cannot get enough air.
  3. Says her heart feels like it is “running away.”
  4. Reports that she is exhausted and cannot eat or drink by herself.

Objective Data

  1. Height 175 cm; Weight 95.5kg.
  2. Vital signs: T 37.6C, HR 118 and irregular, RR 34, BP 90/58.
  3. Cardiovascular: Distant S1, S2, S3 present; PMI at sixth ICS and faint: all peripheral pulses are 1+; bilateral jugular vein distention; initial cardiac monitoring indicates a ventricular rate of 132 and atrial fibrillation.
  4. Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%.
  5. Gastrointestinal: BS present: hepatomegaly 4cm below costal margin.

Intervention

The following medications administered through drug therapy control her symptoms:

  1. IV furosemide (Lasix)
  2. Enalapril (Vasotec)
  3. Metoprolol (Lopressor)
  4. IV morphine sulphate (Morphine)
  5. Inhaled short-acting bronchodilator (ProAir HFA)
  6. Inhaled corticosteroid (Flovent HFA)
  7. Oxygen delivered at 2L/ NC

Critical Thinking Essay

In 750-1,000 words, critically evaluate Mrs. J.’s situation. Include the following:

  1. Describe the clinical manifestations present in Mrs. J.
  2. Discuss whether the nursing interventions at the time of her admissions were appropriate for Mrs. J. and explain the rationale for each of the medications listed.
  3. Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition.
  4. Taking into consideration the fact that most mature adults take at least six prescription medications, discuss four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients. Provide a rationale for each of the interventions you recommend.
  5. Provide a health promotion and restoration teaching plan for Mrs. J., including multidisciplinary resources for rehabilitation and any modifications that may be needed. Explain how the rehabilitation resources and modifications will assist the patients’ transition to independence.
  6. Describe a method for providing education for Mrs. J. regarding medications that need to be maintained to prevent future hospital admission. Provide rationale.
  7. Outline COPD triggers that can increase exacerbation frequency, resulting in return visits. Considering Mrs. J.’s current and long-term tobacco use, discuss what options for smoking cessation should be offered.

You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

Problem Identification

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Question Description

se a provided template to develop a 2-4 page submission in which you research and define a patient, family, or population health problem relevant to personal practice.

Important: Complete this assessment first and complete all other assessments in the order they are presented.

In this assessment, you will lay the foundation for the work that will carry through your capstone experience and guide the practice hours to complete the work in this course. The purpose of this assessment is to allow you to define a patient, family, or population health problem that is relevant to your personal practice and to begin building a body of evidence that will inform your approach to your practice hours, the intervention you design, and the professional product you will deliver.

Demonstration of Proficiency

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

  • Competency 1: Lead people and processes to improve patient, systems, and population outcomes.
    • Define a patient, family, or population health problem that is relevant to personal practice.
  • Competency 2: Make clinical and operational decisions based upon the best available evidence.
    • Analyze evidence from the literature and professional sources to support decisions related to defining and guiding nursing actions related to a health problem.
  • Competency 7: Implement patient-centered care to improve quality of care and the patient experience.
    • Propose strategies to improve patient or population outcomes related to a health problem.
  • Competency 8: Integrate professional standards and values into practice.
    • Reflect on state board nursing practice standards relevant to a selected health problem.
    • Communicate professionally with clear, logically organized writing, using correct grammar, spelling, and APA style.

Important: Complete this assessment first.

Professional Context

Nurses are leaders in problem identification and solution, planning and implementing patient care strategies to address problems in the home, hospital, and community. This assessment will help you develop a problem statement for a patient, family, or population health concern.

Instructions

Throughout this capstone course, you will be investigating a patient, family, or population health problem relevant to your practice. For this assessment, you will identify the problem that you will address throughout your clinical practicum in this course, as well as begin to establish your evidence and research base to plan, implement, and share findings related to your project.

Your submission for this assessment will be the completed template. When working through the template, you may use the resources provided in this course; however, most of your research and search for evidence will be conducted by you. This is the capstone course for your BSN degree; your goal is to demonstrate your achievement of the program outcomes through your work on this project.

The following are some health issues that would be appropriate for your project:

  • Diabetes self-management.
  • Hypertension management and prevention.
  • Medication reconciliation within a family or group.
  • Parkinson’s disease support group.
  • Patient family education communication improvements.
  • Postoperative home care.

This list is by no means exhaustive. You should choose a patient, family, or population health issue that is relevant to your practice and organization; you must be able to study the problem in your clinical practicum effectively.

Your submission will be assessed based on the following criteria:

  • Define a patient, family, or population health problem and realistic goals relevant to personal practice.
  • Analyze evidence from the literature and professional sources to define and guide nursing actions related to a health problem.
  • Propose strategies to improve patient or population outcomes related to a health problem.
  • Reflect on state board nursing practice standards relevant to an identified health problem.
  • Communicate professionally, with writing that is clear, logically organized, and uses correct grammar, spelling, and APA style.

Journal Article Review Assignment

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Journal Article Reviews Instructions

You will write 2 Journal Article Reviews (Modules/Weeks 1 and 5), which will be based upon your choice of articles from the professional, peer-reviewed journal articles provided in Blackboard. No outside articles will be accepted. Each Journal Article Summary must be 3–5 double-spaced pages (not including the title and reference pages) and created in a Microsoft Word document. Use the following guidelines to create your paper:

  • Start your paper with a title page, correctly formatted per current APA. Use the provided template and the basic current APA components will be in place. Divide your paper into sections with the following Level One headings: Summary, Reflection, and Application as described on the template.
  • Develop a summary (35 points) of the main concepts from the article. Do not duplicate the article’s abstract. If the article describes a research study, include brief statements about the hypotheses, methods, results, discussion, and implications. If any test measures or statistical methods used are given in the article, do not provide detailed descriptions of these. Short direct quotations from the article are acceptable, but avoid long quotes in a paper this size. This section is the foundation of your Journal Article Review (at least a third of your paper). Make sure you include the core points from the article, even if it means a longer section. Do not reference any additional articles in your summary.
  • In approximately 1 page, reflect (10 points) on the article using your own words. Appropriate comments for this part of the paper could include, but are not limited to, your initial response to the article, comments regarding the study’s design or methodology (if any), insights you gained from reading the article, your reasons for being interested in this particular article, any other readings that you may plan to do based upon having read the article, and other thoughts you have that might further enhance the discussion of your article. Your subjective comments in this section must be clearly tied to main points from the article, not peripheral ideas. Again, do not reference any other article.
  • In your final section, in approximately 1 page, write how you would apply (25 points) the information you have learned from this article to a particular counseling setting. Make this setting one that would typically be seen in human services counseling—community services agencies, adoption agencies, volunteer counseling settings such as in churches, etc. Develop this section as if you are a pastor or clinician and your parishioner or client has come to you with a problem—grief, depression, substance abuse, relationships problems, etc.— needing your help. Adequately describe the counseling scenario including the presenting problem. Draw out concepts from the article and apply them to the scenario as if you were guided only by the content of the article. Show the reader how you expressly drew from the journal article in this application section and cite correctly, per APA.
  • Use the provided current APA template and personalize the template for your particular article.

Point values for each section as well as for writing can be found on the grading rubric. Remember that all papers in the program must be written to professional (graduate level) standards and writing/APAcan contribute 30 points to your score.

Instuctions the article to read and template are included at the bottom.

Sample Selection and Application

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Component 4

Sample Selection and Application

You will enter Sentinel City® via the link to begin your virtual experience by taking a bus tour of Sentinel City®.

Sentinel City® is a city just like your neighborhood. People live there from culturally diverse backgrounds. They vary in age, gender, and income level. Nurse researchers are unable to study the entire world so they choose “groups” or populations to study that actually mirror the population of interest. Your role is to experience the city and identify the “neighborhood” or sample that would provide the best place to study-

  1. Geriatrics
  2. Once you have identified the neighborhoods, complete an analysis of any evidence-based practice intervention that applies to one population of your choice and describe how you would implement this in the Sentinel City® neighborhood. Remember, use resources that are interprofessional, evidence-based and focus on improving health outcomes.

Helpful tips:

Don’t forget to view the Sentinel City navigation tips. After choosing an avatar you may be able to teleport to the various areas by utilizing the interactive map.

1. Question: How do I find out about the people who live in each neighborhood? How do I find out who lives here? How do I find the city population?

TIP: As you ride through the city you will be able to access the population statistics for each neighborhood. It will open on the left. You may pause the bus to view. You may also teleport to an area and choose the information icon.

2. Question: Where can I find information on seniors?

TIP: You may pause the bus and select the rotating icon for specifics about seniors in the city

3. Question: What information is available about healthcare use in Sentinel City®?

TIP: The Sentinel City® Healthcare System data is accessible by selecting the rotating icon. This selection will take you to a menu that has information on dentistry, vision, emergency, ambulatory care, integrated services, inpatient, pharmacy, and elderly.

4. Question: How do I know whom to sample for a research study?

TIP: The researcher will often choose a population that contains the most number of subjects who have the study topic. For instance, to study children choose the area with the most children

5. Question: Where does a nurse find evidence based practice recommendations?

TIP: Visit the American Nurses Association at http://researchtoolkit.org/

6. Question: What type of health promoting activity is interprofessional?

TIP: Think broadly consider nutrition (diet), Activity (exercise), Dental health, etc….

Review these core competencies:

Demonstrate an understanding of the basic elements of the research process and models for applying evidence to clinical practice.

Sample selection

Participate in the process of retrieval, appraisal, and synthesis of evidence in collaboration with other members of the healthcare team to improve patient outcomes.

Interprofessional EBP guidelines

Integrate evidence, clinical judgment, interprofessional perspectives, and patient preferences in planning, implementing, and evaluating outcomes of care.

Interprofessional EBP Guidelines

Collaborate in the collection, documentation, and dissemination of evidence.

Explore research literature for EBP guidelines

Acquire an understanding of the process for how nursing and related healthcare quality and safety measures are developed, validated, and endorsed.

Application of the PICO Model to nursing care

Describe mechanisms to resolve identified practice discrepancies between identified standards and practice that may adversely impact patient outcomes.

Application of the PICO Model to nursing care

All submissions must have a minimum of two scholarly references to support your work.

Examples of work to show mastery:

  • 5 page paper – APA format

assignment 5

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In order to maximize a firm’s profit, it’s important that healthcare administrators and operations professionals understand just how important it is to ensure that marginal revenues exceed marginal costs. When times are good, managers sometimes take their eye of costs and experience a phenomenon known as “expense creep”, which will undoubtedly have an adverse impact on the sort- and long-term profitability of the entity. We, leaders, need to be comfortable using a model to choose the profit maximization level of output. There are a number of strategies that being used with the public, private, for-profit, and non-profit sectors to improve their profit position. Regardless of the business structure, ALL businesses must ultimately generate profit in order to remain financially solvent. There are instances in which business don’t generate a profit, but remain viable enterprises. For example, start-ups typically don’t generate a profit for the first couple of years; however, the business owners can deduct these losses from their current and or past tax returns. For underperforming businesses that are acquired, the losses will be used to lessen the tax obligations of the acquiring firm. It is really important for healthcare organizations to be able to establish their prices using a sound and supportable methodology. In this unit, we’ll cover the standard marginal cost pricing model; explore how price discrimination can increase profits, examine the linkages between pricing and profits; and really delve into the importance of pricing setting.

It is important that you understand the interplay between pricing and profit maximization in business. There are very pragmatic approaches used to establish appropriate price points for goods and services and achieve optimal profit margins. To gain a deeper appreciation for pricing and profit maximization, you will be expected to complete the following end-of-chapter problems and mini-case:

Chapter 11: 11.8, and 11.10 (pp. 182-184; Lee textbook)
Chapter 12: Case 12.1, Price Discrimination in Practice (pp. 192-193, Lee textbook), 12.9, 12.10, and 12.14 (pp. 197-199; Lee textbook)

Unit Learning Outcomes

ULO 1. Evaluate why price discrimination can increase profits. (CLO 7)
ULO 2. Justify the importance of setting correct prices. (CLO 1, 2, and 3)
ULO 3. Evaluate measures of profitability. (CLO 3 and 7)
ULO 4. Compare marginal revenue and marginal costs for decision making. (CLO 7)
ULO 5. Use a model to select a profit maximizing level for output. (CLO 5, 6 and 7)

Directions

The students are expected to carefully read the assignment instructions, then thoroughly and explicitly address each question. Microsoft Excel will be used to perform the mathematical computations and graphs; however, the problems and their corresponding responses should be written up in a Microsoft Word document. Your responses to the assigned mini-case study should also be included in the same document. IMPORTANT: Make certain that there is a detailed description of how the calculations were performed. You will also need to include an interpretation of the results. While there is no minimum number of references that need to be utilized to support the completion of this assignment, it is generally understood that outside sources, including the text, will be necessary to complete the problems. The document must adhere to the APA writing style in terms of using in-text citations and the listing of sources on the references page. The Microsoft Word document and Excel spreadsheet are to be uploaded under the correct unit assignment page.

HSA 501WEEK 5-9 Summary Discussion questions

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Question Description

  • Power Plays and the Abuse of Power in Health Care Organizations
  • Suggest the major issues that you believe are the basis for most of the organizational power struggles within health care facilities. Propose a method that a health care facility could use to alleviate power imbalances within the organization.
  • Assess the importance of preventing power abuse within health care organizations. Propose two (2) effective negotiation approaches that the leadership within a health care organization could use to move situations involving power abuse to a productive conclusion. Justify your response.
  • Complex Systems, Organizational Learning, and Improving the Quality of Care
  • Elaborate on the major reasons why, according to the text, health care systems can be considered complex. Next, argue a case for double-loop against single-loop learning in organizational learning. Support your response with at least one (1) example of the advantages of double-loop learning. Common industry knowledge dictates that in order to achieve desired outcomes in quality improvement in health care organizations, the leadership must consider multiple factors. Speculate on the main reasons why focusing on “people” processes is a highly regarded practice for improving the performance of health care organizations. Support your response with at least two (2) examples of increased value and / or performance in the researched hospital from the e-Activity.
  • Strategic Thinking and Tactical Strategies, and Competitive Advantage
  • Assess the value of dynamic strategic thinking, particularly in the health care environment. Speculate on the most significant potential consequences should a health care organization neglect to think strategically. Give at least one (1) specific example of the constant changes that keep health care organizations seeking new strategies continually.Analyze the importance of having a competitive advantage in health care. Recommend two (2) actions that a hospital could take in order to achieve a competitive advantage. Provide a rationale for your response.
  • Decisions on Health Care Organization Alliances and Regulations
  • distinguish the factors that are most important in carrying out a successful health care organization’s merger or acquisition. Defend at least two (2) reasons why health care organization alliances are sometimes necessary. Provide a rationale for your response.Dispute or defend the idea that a government regulation system should be the main regulating body in health care. Predict two (2) consequences of the alternative regulating system being in control. Provide a rationale for your response.

Health Care Information Systems

  • Justify the primary reasons why investing in any health care organization’s technology and information system should align with the overall organization’s strategic goals. Speculate at least one (1) example of the potential adverse effects to the organization for not doing so.
  • Suppose you are the administrator at a hospital of your choosing. From the e-Activity, suggest the most important attributes of other hospital’s information systems (IS) that you would need to consider when structuring the IS system in your own hospital. Provide a rationale for your response.

Ethics and Globalization of Health Care, and Electronic Medical Records Versus Personal Health Records

examine the primary reasons why medical tourism is becoming popular among Americans, and determine whether or not the health care industry should encourage this consumer behavior. Give at least two (2) specific examples associated with such patient medical consumerism behaviors.

  • Compare and contrast electronic medical records with personal health records. Justify the ethical responsibility of keeping patients’ medical and personal health records confidential. Provide a rationale for your response.

Week 6: Journal Assignment

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Question Description

Purpose

To provide updates on your Course Project progress and receive individualized feedback from your instructor.

Course Outcomes

The journals enable the student to meet the following Course Outcomes (COs):

  • CO1: Identify the role of the BSN nurse in the quality improvement process as a member of the collaborative interprofessional team. (POs 2 and 7)
  • CO2: Discuss effective processes and strategies to improve quality in nursing. (POs 2 and 8)

Points

Week 6 Journal is worth 50 points.

Due Date

Submit your completed Week 6 Journal by Wednesday of Week 6 by 11:59 p.m. MT.

Requirements and Guidelines

  • You will submit one journal entry (due Wednesday of Week 6 by 11:59 p.m. MT) to help you think through Milestone 3.
  • Download the required Week 6 Journal Template (Links to an external site.).
  • Save it to your computer in Microsoft Word 2013 (or later) as a .docx file with the file name: Your Last Name NR392 W6 Journal.docx.
  • Carefully review the grading rubric criteria for Week 6 Journal and type directly in your saved Week 6 Journal Template.
  • Your instructor will provide a score and feedback by Friday of Week 6 by 11:59 p.m. MT. You must read that feedback and use it to produce a great Milestone 3.
  • Instructions for Week 6 Journal:
    • Explain your progress on Milestone 3. Ask at least one question of your instructor that could help you do your best on Milestone 3. Return to read Instructor’s response Saturday or Sunday of Week 6.
    • R392 – Week 6 Journal Assignment
      NR392 – Week 6 Journal Assignment
      Criteria Ratings Pts
      This criterion is linked to a Learning OutcomeAddresses journal question(s)/topic

      Address questions/topics of the journal of the week.

      40.0 pts

      Thoroughly addresses the questions/topic of the journal for the week.

      35.0 pts

      Mostly addresses the questions/topic of the journal for the week.

      32.0 pts

      Somewhat addresses the questions/topic of the journal for the week.

      16.0 pts

      Minimally addresses the questions/topic of the journal for the week.

      0.0 pts

      Does not address journal objectives for the week.
      40.0 pts
      This criterion is linked to a Learning OutcomeCommunicates professionally

      Present ideas and/or concerns using clear and concise language in an organized manner.

      10.0 pts

      Presents ideas and/or concerns using clear and concise language in an organized manner (minimal errors in English grammar, spelling, syntax, and punctuation)

      9.0 pts

      Presents ideas and/or concerns in a mostly organized manner (few errors in English grammar, spelling, syntax, and punctuation).

      8.0 pts

      Presents ideas and/or concerns using understandable language, but is somewhat disorganized (some errors in English grammar, spelling, syntax, and punctuation).

      4.0 pts

      Presents ideas and/or concerns using minimally understandable language, and/or is significantly disorganized (some errors in English grammar, spelling, syntax, and punctuation).

      0.0 pts

      Presents ideas and/or concerns that are not clear, logical, professional, or organized to the point that the reader has difficulty understanding the message (numerous errors in English grammar, spelling, syntax, and punctuation).
      10.0 pts
      This criterion is linked to a Learning OutcomeParticipation

      Student submits answer to journal by Wednesday at 11:59 p.m. MT.

      0.0 pts

      0 points deducted
      Submitted on time

      0.0 pts

      10 points deducted
      Not submitted on time
      0.0 pts

Complete Concept Map for Nursing (JACKIE NEW)

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Question Description

Using the Learning Resources as a guide and the theory you identified in this week’s Discussion, build a concept map that:

 Create a concept map demonstrating the linkages and interrelationships of the theoretical concepts. Include a clear problem and purpose statement. Express relational statements linking the concepts, literally and diagrammatically. You may use Microsoft Word, PowerPoint, or another software application of your choice; however, if you use a product that is not part of the Microsoft Office Suite you must be able to save it as a PDF or RTF file. (3 points)

 Include references from the literature to support your work. (2 points)

RESOURCES TO USE:

McEwin, M., & Wills, E. M. (2019). Theoretical basis for nursing. (5th ed.) Philadelphia, PA: Wolters Kluwer Health.

  • Chapter 4, “Theory Development: Structuring Conceptual Relationships in Nursing”Chapter 4 discusses theory development and examines the components of theories: concepts, theoretical statements, assumptions, and model development. In addition, the interrelationship between theory, research, and practice is examined.
  • Chapter 6, “Overview of Grand Nursing Theories”Chapter 6 presents an overview of grand theories and how they have influenced nursing practice and research.

Gray, J.R., Grove, S.K., & Sutherland, S. (2017). Burns and Grove’s the practice of nursing research: Appraisal, synthesis, and generation of evidence (8th ed.). St. Louis, MO: Saunders Elsevier.

  • Review Chapter 8, “Frameworks”

Cooper, E. (2009). Creating a culture of professional development: A milestone pathway tool for registered nurses. Journal of Continuing Education in Nursing, 40(11), 501–508.
Note: You will access this article from the Walden Library databases.
This article describes how a culture of professional development is found to have a positive impact on nurse retention and satisfaction, creating a culture of professional development.

Perkins, M., Jensen, P., Jaccard, J., Gollwitzer, P., Oettingen, G., Pappadopulos, E., & Hoagwood, K. (2007). Applying theory-driven approaches to understanding and modifying clinicians’ behavior: what do we know? Psychiatric Services, 58(3), 342–348. doi:10.1176/appi.ps.58.3.342
Note: You will access this article from the Walden Library databases.
This article provides an examination of theory-driven approaches for understanding a clinician’s behavior through the analysis of their attitudes, subjective norms, and perceived behavioral control.

Rushing, A. M. (2008). The unitary life pattern of persons experiencing serenity in recovery from alcohol and drug addiction. Advances in Nursing Science, 31(3), 198–2 10.
Note: You will access this article from the Walden Library databases.
This article discusses a research study that utilizes Newman’s grand theory as a part of its theoretical framework.

Veo, P. (2010). Concept mapping for applying theory to nursing practice. Journal for Nurses in Staff Development, 26(1), 17–22. doi: 10.1097/NND.0b013e3181cc2d6f
Note: You will access this article from the Walden Library databases.
This article explores the use of concept mapping as a tool used to apply theory into daily nursing practices.

Woods, N. F., & Magyary, D. L. (2010). Translational research: Why nursing’s interdisciplinary collaboration is essential. Research & Theory for Nursing Practice, 24(1), 9–24. doi:10.1891/1541-6577.24.1.9
Note: You will access this article from the Walden Library databases.
This article focuses on the use of translation research within the nursing profession and strategies for nursing leadership to apply translation practices.

Optional Resources

Panniers, T. L., Feuerbach, R. D., & Soeken, K. L. (2003). Methods in informatics: Using data derived from a systematic review of health care texts to develop a concept map for use in the neonatal intensive care setting. Journal of Biomedical Informatics, 36(4–5), 232–239. doi:10.1016/j.jbi.2003.09.010

Assignment 4

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Question Description

As a healthcare administrator and operations professional, you will need to be comfortable utilizing a number of well-established methodologies when it comes to generating forecasts. We routinely forecast sales, revenues, and expenses. It is important to keep in mind that forecasting isn’t a precise science, since it routinely involves the inclusion of history and judgment. As you know, historical performance isn’t always indicative of future performance. Judgments are assumptions grounded in one’s experience, so they aren’t always accurate. Changes in demand and policy can certainly have an impact for original forecasts and serve as a catalyst for reforecasting. You’ve probably noticed that several publicly traded companies are forced to adjust their earnings forecasts based on the trended performance in the company’s sales, revenues, and or expenses. Like many other industries, the healthcare industry is in a constant state of flux. We experience an all too familiar pattern of “peaks and valleys” in the prices and volumes of goods and services. New services may start out in high demand, only to wane; whereas well-established services will falter only to experience a revival.

In order to understand the nature of these patterns, managers need to understand the theory of supply and demand. While we, as operations professionals, have to focus our energy on managing the day-to-day operations of the business, we need to appreciate the perspective that supply and demand can provide in explaining organizational and industry phenomenon (Lee, 2015).

In order to fully appreciate the value that comes with forecasting sales, revenues, and expenses and correctly analyzing the supply and demand in the decision-making process, you will be expected to complete the following end-of-chapter problems and mini-cases:

Chapter 9: Case 9.2, Forecasting the Demand for Transfusions (p. 150)), 9.3, 9.7 (pp. 151-154; Lee textbook)
Chapter 10: 10.2, How Large Will the Shortage of Primary Care Physicians Be? (Create supply and demand graph using Microsoft Word or Excel; pp. 163-164, Lee textbook), 10.3, 10.6 (pp. 166-169; Lee textbook)

Unit Learning Outcomes

ULO 1. Use demand and supply analysis to make simple forecasts. (CLO 6 and 7)
ULO 2. Appropriately apply simple forecasting tools. (CLO 6 and 7)
ULO 3. Examine factors that contribute to a shift in demand and supply curves. (CLO 1, 3, and 4)
ULO 4. Interpret demand and supply curves. (CLO 1 and 7)

Directions

The students are expected to carefully read the assignment instructions, then thoroughly and explicitly address each question. Microsoft Excel will be used to perform the mathematical computations and graphs; however, the problems and their corresponding responses should be written up in a Microsoft Word document. Your responses to the assigned mini-case studies should also be included in the same document. IMPORTANT: Make certain that there is a detailed description of how the calculations were performed. You will also need to include an interpretation of the results. While there is no minimum number of references that need to be utilized to support the completion of this assignment, it is generally understood that outside sources, including the text, will be necessary to complete the problems. The document must adhere to the APA writing style in terms of using in-text citations and the listing of sources on the references page. The Microsoft Word document and Excel spreadsheet are to be uploaded under the correct unit assignment page.