The association between suicidal ideation, friendships with delinquents, and social/parental connectedness in high-risk youth is poorly understood (Logan, Crosby, & Hamburger, 2011). The participants include 2,598 pre/early adolescents, but no further information is described regarding the individuals.
The results are included: After adjusting for demographic and mental distress factors, suicidal ideation was positively associated with having delinquent friends; yet, after factoring in substance abuse and mental distress, this was negative for males (Logan, Crosby, & Hamburger). Furthermore, after adjusting for all factors (demographic, mental distress, illicit substance abuse, and peer/date violence victimization), suicidal ideation was negatively associated with school and parental connectedness, but a higher association did exist for females (Logan, Crosby, & Hamburger).
The significance levels are not reported. Future research is touched on in the conclusion; potential benefits may exist in increasing school connectedness and improving parenting strategies, especially for females, as well as the improving the violence and substance-abuse prevention strategies, especially for males, connected with delinquent peers (Logan, Crosby, & Hamburger). After reading the entire article and re-reading the abstract, it remains clear and provides a good relevant description of the problem under study.
The purpose is also clear. The specific hypothesis is not clearly stated, however. The research questions are not clearly stated, but can be interpreted. The review is objective and unbiased, but does not contain any alternative viewpoints. Methods The participants are identified: English-speaking students enrolled in grades 7, 9, 11, and 12 at all 16 public schools within a school district (ranking among the 25 nationally highest in poverty, highest 15 in single-parent families, highest 10 in serious crime rates, and the highest 35 in unemployment rate).
The number of the entire population is not stated here, but that only data from grades 7 and 9 are used in the study; (3,314 in 7th grade and 2,598 in 9th grade). The participants were selected for the study by voluntarily completing an anonymous self-administered 174-item questionnaire. 78% participated and each student received a $5 gift card for returning the parental permission form and another $5 gift card after completing the survey (Logan, Crosby, & Hamburger).
There is no mention of approval from the Institutional Review Board. The variables of interest included the following: friendships with delinquents, parental caring and supervision, social support, school connectedness, and number of perceived close friends. Each of the aforementioned variables were further divided as well. The outcome variable, suicidal ideation, was dichotomized: did or did not seriously consider attempting suicide within the 12 months prior to completing the survey.
Three analyses were conducted: (1) basic descriptive analyses to characterize the population (including logistic regression to assess crude associations between each characteristic and the outcome variable; associations were reported via odds ratio); (2) logistic regression to determine the associations of each connectedness variable with the outcome variable, adjusting for potential confounding factors; and (3) interaction terms were added to each model-building step that adjusted for demographic actors between the main variables and the outcome variable by sex (Logan, Crosby, & Hamburger, 2011). Enough information to replicate the design is not provided, nor is the data analysis plan. Results Descriptive results are reported in a table, including demographics. A lot of information from the tables is not described in the text, but the tables can be interpreted stand alone.
The results are written in plain English: 17% had seriously considered suicide within the previous year; 71% had delinquent friends; 66% experienced peer or date abuse within the previous year; 53% experienced mental distress within the previous 30 days; 12% drank alcohol within the previous year; 10% used illicit drugs within the previous year; 80% felt connected to school; 70% felt they had moderate to high levels of social support; and 63% felt they had parents who cared about them and supervised their activities.
Develop a 6-7-page implementation plan for the initiative you proposed in Assessment 1. Include a budget for material, staffing, and capital costs over the first five years of the initiative, as well as projected earnings. In addition, include a timeline, an organizational impact analysis, and an explanation of the effects of environmental changes on the initiative.
Note: Each assessment in this course builds upon the work you have completed in previous assessments. Therefore, you must complete the assessments in the order in which they are presented.
As a master’s-level health care practitioner, you may be expected to create budgets and implementation plans to ensure that initiatives to take advantage of economic opportunities for the organization are rolled out successfully and can be sustained over multiple years. Additionally, it is important to be able to envision how an initiative could be implemented in different contexts and for different purposes to ensure that the investment remains a viable and positive asset to your organization or care setting.
Develop a thorough implementation plan for the economic initiative you proposed in Assessment 1. Your plan must include a budget for material, staffing, and capital costs over the first five years of the initiative, as well as projected earnings. In addition, include:
A plan and timeline for rolling out the initiative.
An analysis of how the initiative may impact other aspects of the organization or care setting.
An explanation how the initiative can remain viable in the face of environmental changes.
Sufficient relevant and credible supporting evidence.
Note: Remember that you can submit all, or a portion of, your draft implementation plan to Smarthinking for feedback before you submit the final version for this assessment. If you plan on using this free service, be mindful of the turnaround time of 24–48 hours for receiving feedback.
The requirements for your implementation plan, outlined below, correspond to the scoring guide criteria, so be sure to address each main point. Read the performance-level descriptions for each criterion to see how your work will be assessed. In addition, be sure to note the requirements for document format and length and for supporting evidence.
Create a budget for expected costs and earnings over the first five years of your proposed initiative.What are the expected material, staffing, and capital costs of your proposed initiative over its first five years?
What are the projected earnings for your organization or care setting over the first five years of your economic initiative?
How does this budget take into account the findings and feedback you received on your business case?
What assumptions are you basing your budget on?
Create an implementation plan for your proposed initiative that enables achievement of quality or service improvements in an ethical and culturally equitable way.Did you create a timeline for the rollout?
How will you work with relevant stakeholders to ensure that your economic initiative is implemented successfully and sustained?
How will you ensure that the rollout is conducted in an ethical and culturally equitable manner?
How will you ensure that the desired quality or service improvements your economic initiative will achieve are on track during and after implementation?
Analyze the impact of your proposed initiative, once implemented, on other aspects of your organization or care setting and ways in which negative impacts could be mitigated.What other aspects of your organization or care setting may be positively or negatively impacted by the implementation of your proposed initiative?
How will these other aspects of your organization or care setting be affected? (For example, increased workload on a testing department, borrowing of staff hours from another part of the care setting, or better communication with the community.)
How could you mitigate at least some of the negative effects on other aspects of your organization or care setting?
Explain your strategies for ensuring that your proposed initiative can remain a viable asset to the organization or care setting in the face of dynamic environmental forces.What are the environmental risks to your economic initiative?
How could your initiative, or aspects of it, still be a viable benefit to your organization or care setting if the environment shifts in unpredictable ways?
What strategies would you propose implementing to keep all, or a portion of, your initiative a viable net benefit to your organization or care setting?
Justify the relevance and significance of the quantitative and qualitative economic, financial, and scholarly evidence you used throughout your plan to support your recommendations.How is the evidence relevant to your organization or care setting?
How is the evidence relevant to your proposed economic initiative?
How does the evidence illustrate a solution that has been successful in the past?
How does the evidence illustrate that a recommendation is the best course of action for your situation and organization or care setting?
Write concisely and directly, using active voice.Proofread your document before you submit it to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your implementation plan.
Adhere to the rules of grammar, usage, and mechanics.
Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:
Assessment 3 Example [PDF].
Your assessment should also meet the following requirements:
Format: Format your implementation plan using current APA style. Use the APA Style Paper Tutorial [DOCX] to help you in writing and formatting your implementation plan. Be sure to include:A title page and references page. An abstract is not required.
A running head on all pages.
Appropriate section headings.
Length: Your implementation plan should be 6–7 pages in length, not including the title page and references page.
Supporting evidence: Cite 3–5 authoritative and scholarly resources to support your implementation plan. Be sure that your sources include specific economic data.
Portfolio Prompt: You may choose to save your implementation plan to your ePortfolio.
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment scoring guide 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.Create a budget for expected costs and earnings over the first five years of a proposed initiative.
Analyze the impact of a proposed initiative, once implemented, on other aspects of an organization or care setting and ways in which negative impacts could be mitigated.
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.Create an implementation plan for a proposed initiative that enables achievement of quality or service improvements in an ethical and culturally equitable way.
Competency 3: Justify the qualitative and quantitative information used to guide economic decision making to stakeholders and colleagues.Justify the relevance and significance of quantitative and qualitative economic, financial, and scholarly evidence used throughout an implementation plan to support recommendations.
Competency 4: Develop ethical and culturally equitable economic strategies to address dynamic environmental forces and ensure the future security of an organization’s resources and its ability to provide quality care. Explain strategies for ensuring that a proposed economic initiative can remain a viable asset to an organization or care setting in the face of dynamic environmental forces.
Competency 5: Produce clear, coherent, and professional written work, in accordance with Capella writing standards.Write concisely and directly using active voice.
Adhere to the rules of grammar, usage, and mechanics.