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Discussion reply 2

Discussion reply 2. I’m trying to study for my Health & Medical course and I need some help to understand this question.

Tiffany Davis
Main Discussion Post: Discussion – Week 7

NURS-6231: Healthcare Systems and Quality Outcomes

Using Improvement Science Models to Promote Quality and Safety
Hospitals and health care facilities face a variety of quality concerns that must be closely monitored and quickly resolved in order to protect the patient population as well as the reputation of the organization. The purpose of this discussion is to select and analyze two improvement models that could be used to foster a culture of quality and safety, and to explain how one of these models could be used to address a quality improvement issue within my organization.
Improvement Models
There is an array of improvement models that can be used in health care organizations in order to support in creating an environment of patient safety and quality. The two improvement models that will be discussed are the Plan, Do, Study, Act (PDSA) Cycle and the Six-Sigma Model. The PDSA Cycle was created by Edward Denning and is a change model that can be utilized to make positive change through setting necessary objectives, implementing these objectives, ensuring that improvements are successfully enforced, and ensuring that the desired results are achieved (Donnelly and Kirk, 2015).
The Six-Sigma Model is an improvement model that was created by the Motorola Corporation as an attempt to improve manufacturing quality and performance (Polk, 2011). The process consists five steps that include defining the process that is in need of improvement, measuring the current performance of the process, analyzing possible weaknesses in the current process while identifying best practice methods, designing the improvements that are needed to overcome past weaknesses, and verifying that the implemented corrective actions will be successful in achieving the desired process improvement (Polk, 2011).
Addressing Quality Improvement Issues
The quality improvement issue in my organization is medication and breastmilk administration errors in which I would use the PDSA cycle to address improvement strategies. I would start by creating objectives that could be used to reduce and eventually eliminate these errors through researching best practices and identifying the sources of the weakness. These objectives would be implemented through employee education of evidenced based research. I would ensure that these improvements are successfully enforced with close monitoring through audits and safety reports. Finally, I would ensure that the desired results were achieved through conducting employee evaluation of the implemented practices, and the continuation of audits and safety reports. According to Tzelepis, Sanson-Fisher, Zucca, and Fradgley (2015), the Institute of Medicine (IOM) utilizes six aims as the foundation for using patient-reported measures as a source for quality and patient safety improvements. Utilizing the PDSA improvement model in addressing medication and breastmilk administration errors would assist in achieving all six of the IOM’s aims for improving quality and safety as these implementations would prove to be safe, effective, patient-centered, timely, efficient, and equitable.
Donnelly, P. and Kirk, P. (2015). Use the PDSA model for effective change management. Education for Primary Care. 26(4). Pp. 279–281. Retrieved from
Polk, J. D. (2011). Lean Six Sigma, innovation, and the change acceleration process can work together. Physician Executive. 37(1). Pp. 38–42. Retrieved from
Tzelepis F, Sanson-Fisher, R.W., Zucca, A.C., and Fradgley, E.A. (2015). Measuring the quality of patient-centered care: why patient-reported measures are critical to reliable assessment. Patient Preference and Adherence. 2015(9). Pp. 831-835. Retrieved from

Discussion reply 2

Analysis Of Play And Interactions Children And Young People Essay. This observation took place at a public day care facility that serves children 6weeks to 6 years of age. It had an infant classroom, a toddler-two year old classroom, and a preschool classroom. The infants and toddlers were located in the same large room, with dividers that were gates. I focused my attention on the infant and toddlers room. There were three infants and 9 toddlers and 2 -year-olds that were present at the time. They had three full time teachers, one with the infants and the other two were with the toddlers/2-year-olds. During their mealtime was when I first observed the interactions between the infants and the toddlers. Toddlers and infants were allowed to interact with each other during meal time. Infants were in their high chairs or rockers and toddlers were seated near them. I was so amazed to see the interactions between the two age groups. Both groups seem to really get along with each other. I observed a two year old girl feed an infant around the age of 6 or 8 months old. They were both smiling and enjoying each others company, of course with adult supervision. Another toddler was allowed to feed another infant a bottle, and the toddler had this huge grin on his face as to be so proud when the infant allowed him to feed him. During their play time I observed some toddlers were more interested in the toys the infant had then toys they had. One of the toddlers would frequently go to one of the infant rockers trying to climb in instead of playing with toys that were there for her. I also observed the toddlers playing with baby dolls. One thing that caught my eye was how they were handling the doll with such care. One of the toddler girls sat the doll in her lap and grabbed a book and pretended as though she was reading to the doll, while another toddler was rocking and singing to her doll. In another section of the room I observed three toddler boys playing. One of the boys had just turned three years old and the other two boys were 1 year old. The older toddler wanted to lead and control the play. He would make suggestions on what to play and the others would follow along. Also, when the younger boy toddler tried to leave and go to another area, the older toddler guided him with his own type of language back to the group. Analysis of play and interactions Infants respond positive to toddlers when interacting with one another. Field (1990) found that infants smile at, look at, and reach more often to peers when seated near each other than they do when seated in front of a mirror. The National Institute of Child Health and Human Development (NICHD, 2005) indicated that children in early care experiences become more positive and less negative toward peers in their play between 24 and 36 months. In observing the environment alone, it made it conducive for the positive interactions between infants and toddlers. It was possible for them to see each other at all times even though their classes were divided. The gates made it possible for them to be separated and at the same time, allowed them to have visual contact at all times. For example, during meal time, infants were seated at the same table with the toddlers/2year olds at eye level and the 2-year olds’ were definitely showing strong interest in the infants and their well being. This shows that when they have the opportunity to closely interact with one another, they have a trusting relationship. Description of use of cultural objects and language use There were dolls and other materials in the toddler and 2-year-old classroom. The children imitated the interactions they observed between infants and adults in the classroom. For example, how the toddlers were handling their dolls was much the same as adults used in caring for the infants. Some things toddlers were doing when playing with the dolls were feeding, comforting, singing, rocking and reading to their doll. I also observed a male toddler that had just turned 3 years old interacting with the younger toddlers that were 1-2 years old. I called this 3 year old toddler the alpha toddler because he led the group with ideas of play. The younger toddlers responded with acceptance and trust. I think this gave the 3 year old a since of responsibility of being a leader as well as looking out for them. For example, when one of the 1-2 year old toddler decided to wonder off to a section I assume he wasn’t suppose to be in, the alpha toddler ran after him telling him, “no, no,” and the 1-2 year old returned with the others and continued his play. The last thing I observed before I left the facility was an infant and a toddler playing and interacting with each other. They were both playing with some sort of plush toys really enjoying and exploring them. They were making eye contact with one another, returning their smiles, making gestures, reaching to communicate with each other. When the infant dropped his toy he was playing with, the toddler picked it up and handed it to him and the infant nicely received it from him with a smile and they continued to play and explore with their toys. Theories of play Here are a few modern psychological theories and theorists that describes the current trends put into “play” in today’s educational settings. Piaget, Erikson and Vygotsky all agree that the child uses play for self teaching. The child plays through situations very much like an adult thinks through a situation. Also, fantasy play is a manifestation of symbolic representation— the child represents objects and ideas through play situations. Vygotsky believed that play is a means of deferring immediate gratification-instead of tantrums or swallowing the need; the child fulfills needs in fantasy play. He also believed that children learn to live within self imposed rules during fantasy play; play allows the child to practice self regulation. Play, for Vygotsky, was vehicle for a child behaving more maturely than a other times. “In play it is as though he were a head taller than himself.” In 1920, Sigmund Freud posed a psychoanalytic play theory that was defined in his book, “Beyond the Pleasure Principle.” In this work, Freud described play as a child’s mechanism for repeatedly working out a previously experienced traumatic event in a effort to correct or master the event to his satisfaction. In 1972, Bruner stated that one of the main functions of child’s play was to rehearse actions to various real-life scenarios in a safe, risk-free environment so that when confronted with a difficult situation, it would not be so stressful. John Dewey was prominent theorist in the early 1900s. According to Dewey, play is a subconscious activity that helps and individual develop both mentally and socially. It should be separate from work as play helps a child to grow into a working world. As children become adults, they no longer “play” but seek amusement from their occupation. This childhood activity of play prepares them to become healthy working adult. Maria Montessori, an Italian educationist during the early 1900s, postulated that “play is the child’s work.” According to the Montessori Method, which is still employed today in private schools, children would be best served spending their play time learning or imagining. Montessori play is sensory, using a hands-on approach to everyday tools like sand tables. The child sets her own pace, and the teacher is collaborative in helping the child play to learn. Lev Vygotsky suggested that children will use play as a means to grow socially. In play, they encounter others and learn how to work together using language and role-play. Vygotsky is most noted for introducing the ZPD, or zone of proximal development. This suggest that while children need their peers or playmates to grow, they need adult interaction as they master each social skill and are ready to be introduced to new learning for growth. Reflection I really enjoyed the time I spent at the daycare facility. The classroom spaces for their infants and toddlers provided opportunities for the younger and older children to interact with each other. I think through their interactions and play, the infants will learn certain behaviors from the older children, such as feeding themselves, walking, running, etc. Things that will possible make transitioning stages from infant to toddler easier as well as making the transition from toddler to preschool easier. Allowing the toddlers to assist with things such as feeding the infants and playing with them, and in their mind helping them, allows the toddlers to have a since of maturity and independence and not scared and dependent on others do everything for them. It also allows them to be caring and a positive support for others. Analysis Of Play And Interactions Children And Young People Essay
NUR612 St Thomas University Geriatric Acute Case Study.

I’m working on a Nursing case study and need support to help me learn.

A 78-year-old female comes to your office escorted by a neighbor who is a patient of yours. The neighbor, who has lived next door to the older woman for years, relates that a week ago the elderly woman’s sister died and that she had been her caregiver for many years. The neighbor relates that although she would occasionally see the older woman, she did not visit the home. At the funeral last week, she noticed that the woman appeared fatigued, confused, sad, and gaunt in appearance. Later the neighbor approached the woman, inquired about her health, and determined that the woman had a very difficult time the past couple of months, caring alone for her sister until the end when hospice care was initiated. The neighbor convinced the woman to seek medical care and today is the first appointment with a provider that this 78-year-old female has had in 3 years. The older woman states that she is very fatigued and sad over the loss of her sister. Neither her sister nor the patient has been married. A distant niece came to the funeral but lives about 30 miles away. The woman states that she is not taking any prescription medication and relates no medical problems that she is aware of being diagnosed.Vital signs: T 97.6°F, HR 98, RR 22, BP 95/60, BMI 21 Chief Complaint: Fatigue and sadness over the death of her older sister.Discuss the following:1) What additional subjective information will you be asking the patient? 2) What additional objective findings would you be examining the patient for? 3) What are the differential diagnoses that you are considering? 4) What laboratory tests will help you rule out some of the differential diagnoses? 5) What screening tools will you select to use on this patient? 6) What is your plan of care? 7) What additional patient teaching may be needed? 8) Will you be looking for a consult?Submission Instructions:Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.
NUR612 St Thomas University Geriatric Acute Case Study

PSY 120 Grossmont College Human Personality Traits Discussion.

Consider how nature and nurture are intertwined in their influence on personality. Which human personality traits do you think are more influenced by nature, and which do you think are more influenced by nurture? ExplainSome people believe that “all you are” is determined by the types and amount of neurotransmitters that ooze through your synaptic gaps and the electrical current in your brain.Do you think that all of your thoughts, hopes, dreams and aspirations are results of physiological processes; your love, hate, anger and memories are only at the synaptic level? Why or why not?How would you explain this to someone who knows nothing about how the brain works?in your own w
PSY 120 Grossmont College Human Personality Traits Discussion

The Prospects of Future Business Essay

Table of Contents Introduction How the business will be like in 20-30 years from now How will the economy, business, and society function The type of jobs that will appear What my role will be My own question References Introduction The prospects of the business, say in 20 or 30 years to come, will have to vary, especially with the current enormous impetus for economic growth. Besides economic growth, Gitman and McDaniel (2000, p. 115) opine that corporate futurists expect that businesses will actively pursue emergent opportunities capable of endearing them to economic growth strategies. The overriding prospects of the businesses will be to seek greater profitability to increase cash flow. The business community also expects that the expansion of information technology will continue to influence the scope of business in the years to come. Moreover, efforts will be to create greater sales for both products and services that corporations offer to ensure that businesses can always guarantee competitive services and products to increase customer experience and to boost corporate efficiency. Just like in any other endeavor, the business community expects greater demand for its products and services, and this point to greater need to improve operational systems while integrating their services to remain relevant to the emergent consumer needs (Hamel 2007, p. 56). Among the drivers that will shape the prospects of future business includes the need to embrace diversity, the need to improve environmental awareness, and the need to advance technology in the concept of doing business, among other things. How the business will be like in 20-30 years from now The world economic landscape keeps on shifting and rapidly becoming increasingly global, and in the next 20 or 30 years to come, it will be more diverse. Virtually, in every organization in the developing as well as in the developed economies, embracing diversity continues to be the hallmark of business survival. The greatest concern of the 21st century is rather how successful organizations are, especially at exploiting the evolving opportunities while tackling their underlying challenges as well (Hitt, Black, and Porter 2005, p. 56). Achieving such a great feat will depend on how intelligent businesses are at observing as well as interpreting the dynamics of the societies under which businesses operate. Cultivating a global mindset, for instance, will be a key ingredient for nurturing corporate intelligence. The environment under which most organizations subsist will be more than ever before, complex, global, dynamic, extremely volatile and yet, highly competitive. This trend is likely to expand, and even accelerate in the years to come, especially regarding the ever-changing market trends (Schirato and Webb 2003, p. 34). Apart from these external conditions, research documents that numerous businesses currently face many global challenges, especially those linked with talent flow, generational conflict – including the shortage of much-desired competencies (Fisher 2009, p. 348). Business futurists hypothesize that among the major institutional challenges for most organizations is that their lifeline depends solely on their propensity and wish to be global. Within these facts, a business may have to outsource for a diverse employee base, which will, in turn, create jobs for prospective employees anywhere across the world (Gitman and McDaniel 2000, p. 145). Get your 100% original paper on any topic done in as little as 3 hours Learn More Moreover, businesses aspiring to be on the global map will have to be systematic, especially in managing their human resource capacities to infer greater economic appeal. Essentially, this aims at streamlining the organization in an attempt to improve the global household consumer experience. All these endeavors seek to secure organizational effectiveness and sustain a competitive advantage for businesses. How will the economy, business, and society function In every part of the world, businesses face an uphill task to conform to the laid down environmentally friendly practices. The increased economic activities in various parts of the world will result in the production of more energy to meet consumption demands. This massive production is responsible for environmental degradation experienced in various regions will continue to fuel fears that if things continue this way, the environment may not be able to sustain the demands of production. The need for a sustainable approach to an organization’s environmental awareness, therefore, will continue to be the concern of environmentally friendly bodies that seek to perpetually remind organizations of their roles in making the business environments and our society safer (Perron, Cote and Duffy 2006, p. 557). Several businesses will have a duty to engage in environmentally friendly initiatives aimed at improving the quality of their environmental performance. Organizational environmental awareness, according to King and Lawley (2013, p. 66), will help businesses to be mindful of the environment, thus assisting them in nurturing environmentally friendly practices. While this awareness is expected to inform the business of the numerous benefits to environmental awareness, the business will have no choice but to conform to the laid down environmentally friendly corporate ideals or face rejection from the authorities. The benefits of environmentally friendly practices are varied, including reduced corporate liability and financial savings, among other factors, and business growth might be read on these lines in the future. However, Rollinson (2005, p. 50) opines that there several constraints might normally inhibit the full realization of responsible and environmentally organization, especially if there are no stricter jurisdictions to that effect. Some of the most notable constraints are concerns related to corporate culture, including change management. According to Lussier (2006, p. 34), to overcome these concerns and succeed in the implementation of robust environmental conscious initiatives, the role of organizations in understanding the environmental needs will have to suffice above all other operations. Moreover, there will be a great need for businesses to emphasize the importance of environmental awareness and training that seeks to produce responsiveness in business by training and popular participation that nurtures safer environmental commitment and understanding. Equipped with this awareness, organizations will amicably understand how their surroundings can affect and be, in turn, affected by their activities. We will write a custom Essay on The Prospects of Future Business specifically for you! Get your first paper with 15% OFF Learn More The type of jobs that will appear The world over, marketing professionals constantly adjust their business strategy and tact to exceptionally reach out to the ever-changing customer demands (Lamarre, Galarneau, and Boeck 2012, p. 1). From this aspect, businesses have no option but to keep within the technological advancements that continue to drive business operations. With the modern-day shift to adoption of media services in the concept of marketing, Khalifa and Shen (2008 p. 112) opine that mobility is rapidly becoming an ordinary way of life as well as a concept of doing business. Innovative business mind-sets that have effectively integrated e-commerce within their marketing strategy will not relent in their choices but to view mobile social media marketing as the next best-exiting business opportunity that must be upped through technological advancements (Lamarre et al. 2012, p. 3). Mobile social media marketing will grow in stature and differentiate itself from the contemporary media marketing concepts in the years to come. This arguably will further grow through the highly interactive nature supplied by web browser advantages and mobile device interface will continue to make it possible for businesses to offer continuous services and access to the prospective customers, anywhere, anytime (Davis, Sajtos 2009, p. 16). Technological advancements will effectively do businesses to suffice as robust, dynamic while offering personal mediums that will further shape the future marketing and consumption trends (Jadhav, Kamble, and Patil 2012, p. 48). Mobile social media marking has had the ability to integrate several forms of mobile device technology and practices such as the Internet, VoIP, mobile SMS, Bluetooth, mobile e-mail. Other than these concepts, such as SMS marketing, mobile gaming, mobile advertising, online exchange, as well as location-based marketing have been the face of modern business (Lamarre et al. p. 5). Much is expected to change with changes and improvements in technology, and business futurists do predict with a precision that businesses that embrace technology will have a fair share of their bargain. What my role will be From the foregoing analysis, the prospects for the future scope of business will vary significantly. Naturally, my role to partake in the rapid business growth will depend on many factors already outlined here above. I seek to embrace diversity in my professionalism. Moreover, I endeavor to improve my environmental awareness, as well as the need to advance my technological know-how, especially in the concept of business. My own question While businesses futurists may predict the possibilities of the prospects of business in these realms, it is prudent to pose one question: What must I do to do the business worth its progression? Being already aware of the drivers for change in the concept of business, I endeavor to play a significant role in making these predictions positive by nurturing the ideals that might bring forth greater corporate efficiency. As an individual, I recognize my role in cultivating corporate ethics, capable of endearing my business orientation to acceptable production practices that guarantee safer environments. Moreover, I remain cognizance of the fact that technological advancements guarantee the future scope of businesses; hence, it becomes necessary to keep with the changes in technological concepts. Not sure if you can write a paper on The Prospects of Future Business by yourself? We can help you for only $16.05 $11/page Learn More References Davis, R., and Sajtos, L. 2009, ‘Anytime, anywhere: Measuring the ubiquitous consumer’s impulse purchase behavior,’ International Journal of Mobile Marketing, vol. 4, no. 1, pp. 15-23. Fisher, E. A. 2009, ‘Motivation and leadership in social work management: A review of theories and related studies,’ Administration in Social Work, vol. 33, no. 9, pp. 347-367. Gitman, L., and McDaniel, C. 2000, The future of business (Millennium ed.), South-Western College Publishers, Cincinnati, Ohio. Hamel, G. 2007, The future of management, Harvard Business School Press, Boston. Hitt, M., Black, J. S. and Porter, L. W. 2005, Management, Prentice Hall, London. Jadhav, N., Kamble, S., and Patil, M 2012, ‘Social Media Marketing: The next generation of business trends’, Journal of Computer Engineering, vol. 2278, no. 8727, pp. 45-49. Khalifa, M., and Shen, K. N. 2008, ‘Drivers for Transactional B2C M-commerce Adoption: Extended Theory of Planned Behavior,’ Journal of Computer Information Systems, vol. 48, pp. 111-117. King, D., and Lawley, S. 2013, Organisational behaviour, Oxford University Press, Oxford. Lamarre, A., Galarneau, S. and Boeck, H. 2012, ‘Mobile marketing and consumer behaviors current research trend’. Int. J. Latest Trends Computing, vol. 3, no. 201. pp. 1-9. Lussier, R. 2006, Management Fundamentals: Concepts, Applications, and Skill Development (3rd ed.), Thomson/South-Western. Mason, Ohio. Perron, G., Cote, R., and Duffy, J 2006, ‘Improving environmental awareness training in business’, Journal of Cleaner Production, vol. 14, no. 6, pp. 551-562. Rollinson, D 2005, Organisational Behaviour and Analysis (3rd ed.), FT/Prentice-Hall, New York. Schirato, T. and Webb, J 2003, Understanding Globalization, Sage Publications, New York.

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Read Chapter 11. Revise (or create) your resume based on the guidance provided by the
textbook. You may also include other input, such as Andrea Cordray’s workshop. Your
intended audience for this resume is the organization you selected for your project (Walmart). Tailor the resume for a position (internship, full-time job, etc.) that you could perform
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MKT 310 Strayer Retailer Relationships Consumers and Innovation Paper

MKT 310 Strayer Retailer Relationships Consumers and Innovation Paper.

Assignment 1: Retailer Relationships, Consumers, and Innovation
WORTH 250 points
Imagine that you are a new marketing strategist for a retail business and wish to examine the practices of existing retailers for a frame of reference. Go to The World’s Largest U.S. Retail Chains in 2017 and select from the list a retailer in which you are interested.
Write a six to eight-page paper in which you:

Determine which of the retailers from the website is currently the most successful at strategic planning and building relationships. Support your position with one example of such success.
For the retailer you selected, recommend three actions that would enhance relationships with its customers.
Analyze and discuss the characteristics of ownership of the selected retailer and justify your logic.
MKT 310Analyze and discuss the nontraditional forms of retailing of the selected retailer. Suggest two actions that the retailer can implement to take advantage of the consumer trends in retailing.
Describe the target consumer for this retailer and the buying process this consumer uses specific to this retailer.
Use at least three quality academic resources in this assignment. Note: Wikipedia and other websites do not qualify as academic resources.

Your assignment must follow these formatting requirements:

Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.

The specific course learning outcomes associated with this assignment are:

Examine the special characteristics of retailing and the importance of building and sustaining relationships.
Evaluate the process of strategic planning in retailing and the characteristics of ownership.
Examine nonstore retailing, electronic retailing, and nontraditional retailing approaches.

Click here to view the grading rubric.
MKT 310 Strayer Retailer Relationships Consumers and Innovation Paper

This is a discussion that requires two different article answering the questions listed below in the full instruction. PLEASE read them carefully!

Each student will find two refereed journal articles (PubMed or MEDLINE) on the topic to be discussed: MY TOPIC: Is the COVID vaccine safe? What is the risk? In a brief form include the following about each of the articles: 1.Research question(s) asked. 2.(n) the number of subjects 3.What measure(s) were used to answer the question(s) 4.Results (statistics utilized you those that may be use for talking points). 5.Conclusion 6. Explain how you might use this information in your community. (You will have one article at the top and answer questions below it and than on the same page you will list the second article and than answer the same question. The topic will be the same for both articles.) Please attach both articles on your discussion.