Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. An originality report is provided when you submit your task that can be used as a guide.
You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.
A. Write a summary of the significance and background of a healthcare problem by doing the following:
1. Describe a healthcare problem that can be used to develop a PICO question.
Note: You may use the same topic and the same research articles that were used in Task 1 provided they support the proposed intervention. Or you may choose a different topic and select articles focusing on one of the following topics: falls and fall prevention, pain management in children, opioid abuse, hepatitis C, catheter-associated urinary tract infections, and hand hygiene and infections in hospitals.
2. Explain the significance of the problem from part A1.
3. Describe the current healthcare practices related to the problem from part A1.
4. Discuss how the problem affects the organization and patients’ cultural background (i.e., values, health behavior, and preferences).
B. Complete a literature review by searching for a total of seven articles consisting of five research articles and two non-research articles related to the healthcare problem from part A1, and describe the search strategy you used to conduct the literature review by doing the following:
1. Discuss two research evidence sources and two nonresearch evidence sources that you considered.
Note: Please do not use the same primary author for more than two articles. Articles must not be more than five years old.
C. Use your research articles to develop a PICO (patient/population, intervention/indicator, comparison/control, and outcome) question based on the topic.
D. Complete the attached “Evidence Matrix,” using the five research evidence sources from scholarly journal sources you located during the literature review in part B. For each article, address the following points:
Note: You may submit your completed matrix as a separate attachment to the task, or you may include the matrix within your paper, aligned to APA formatting standards.
Note: Upload a copy of the full text of the articles with your submission.
• author, journal name, and year of publication
• research design (e.g., quantitative, qualitative, mixed design, systematic review)
• sample size (e.g., numbers of study participants, number of articles, number of control group participants)
• outcome variables measured (e.g., identify what the research is measuring)
• quality (using the following scale: A, B, C)
• results/author’s conclusions (e.g., briefly summarize the outcome)
E. Recommend a practice change that addresses the PICO question, using the evidence collected in the attached “Evidence Matrix.” You must use all five research articles from the “Evidence Matrix” attachment to support this recommendation via in-text citations.
F. Describe a process for implementing the practice change from part E in which you do the following:
1. Explain how you would involve three key stakeholders in the decision to implement the recommendation from part E.
2. Describe two specific barriers you may encounter when implementing the practice change from part E in the nursing practice setting.
3. Identify two strategies that could be used to overcome the barriers described in part F2.
4. Identify one indicator to measure the outcome (the O in PICO question) of the recommended change practice from part E.
G. Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized.
H. Demonstrate professional communication in the content and presentation of your submission.
Not Evident A description of a healthcare problem is not provided.
Approaching Competence The described healthcare problem does not contain enough detail that it can be used to develop a PICO question. The described healthcare problem is not one that is currently prioritized in healthcare organizations.
Competent The described healthcare problem contains enough detail that it can be used to develop a PICO question. The described healthcare problem is one that is currently prioritized in healthcare organizations.
A2:Significance of Problem
Not Evident An explanation is not provided.
Approaching Competence The explanation does not address the significance of the problem described in part A1.
Competent The explanation thoroughly addresses the significance of the problem described in part A1.” The explanation contains enough detail to address the significance of the problem described in part A1.
Not Evident A description is not provided.
Approaching Competence The description does not incorporate specific examples of the current healthcare practices related to the described problem from part A1.
Competent The description incorporates specific examples of the current healthcare practices related to the described problem from part A1.
A4:Impact on Background
Not Evident A discussion is not provided.
Approaching Competence The discussion incorporates how the problem affects the organization and patient’s cultural background, but specific details or examples related to the problem are not provided.
Competent The discussion incorporates specific details of how the problem affects the organization and specific examples of how the problem impacts the patient’s cultural background.
Not Evident A discussion of 2 research evidence sources and 2 nonresearch evidence sources is not provided.
Approaching Competence The discussion of 2 research evidence sources and 2 nonresearch evidence sources does not convey a level of understanding in relation to appropriate scholarly and secular sources.
Competent The discussion of 2 research evidence sources and 2 nonresearch evidence sources conveys a level of understanding in relation to appropriate scholarly and secular sources.
Not Evident The question is not provided.
Approaching Competence The developed question does not include all elements of PICO (patient/population, intervention/indicator, comparison/control, and outcome), is not based on the topic, or does not use research from part B.
Competent The developed question includes all elements of PICO (patient/population, intervention/indicator, comparison/control, and outcome), is based on the topic and uses research from part B.
Not Evident The attachment is not provided.
Approaching Competence The “Evidence Matrix” attachment does not include the 5 sources from part B, or the sources are from scholarly journals or are not located in major medical databases. The given points are not all accurately or logically addressed for each source.
Competent The “Evidence Matrix” attachment includes the 5 sources from part B, and the scholarly journal sources are located in major medical databases. All of the given points are accurately or logically addressed for each source.
E:Recommended Practice Change
Not Evident A practice change is not recommended.
Approaching Competence The recommended practice change is not a logical outcome of the PICO question or is not supported by the evidence collected in the “Evidence Matrix” attachment. Fewer than 5 research articles from the “Evidence Matrix” attachment are used via in-text citations to support the recommendation.
Competent The recommended practice change is an logical outcome of the PICO question and is supported by the evidence collected in the “Evidence Matrix” attachment. All 5 research articles from the “Evidence Matrix” attachment are used via in-text citations to support the recommendation.
F1 :Key Stakeholders
Not Evident An explanation is not provided.
Approaching Competence The explanation does not show an effective way for 3 key stakeholders to be involved in the decision to implement the recommendation from part E.
Competent The explanation shows an effective way for 3 key stakeholders to be involved in the decision to implement the recommendation from part E.
Not Evident A description is not provided.
Approaching Competence The description does not address 2 plausible barriers that may be encountered when implementing the practice change from part E in a nursing practice setting.
Competent The description addresses 2 plausible barriers that may be encountered when implementing the practice change from part E in a nursing practice setting.
F3:Strategies for Barriers
Not Evident 2 strategies are not identified.
Approaching Competence 2 strategies are identified, but both of the identified strategies could not be used to overcome the barriers described in part F2.
Competent 2 strategies that could be used to overcome the barriers described in part F2 are identified.
F4:Indicator to Measure Outcome
Not Evident An indicator is not provided.
Approaching Competence 1 indicator is identified, but the identified indicator would not measure the outcome of the recommended practice change from part E.
Competent The 1 identified indicator would measure the outcome of the recommended practice change from part E.
Not Evident The submission does not include in-text citations and references according to APA style for content that is quoted, paraphrased, or summarized.
Approaching Competence The submission includes in-text citations and references for content that is quoted, paraphrased, or summarized but does not demonstrate a consistent application of APA style.
Competent The submission includes in-text citations and references for content that is quoted, paraphrased, or summarized and demonstrates a consistent application of APA style.
Not Evident Content is unstructured, is disjointed, or contains pervasive errors in mechanics, usage, or grammar. Vocabulary or tone is unprofessional or distracts from the topic.
Approaching Competence Content is poorly organized, is difficult to follow, or contains errors in mechanics, usage, or grammar that cause confusion. Terminology is misused or ineffective.
Competent Content reflects attention to detail, is organized, and focuses on the main ideas as prescribed in the task or chosen by the candidate. Terminology is pertinent, is used correctly, and effectively conveys the intended meaning. Mechanics, usage, and grammar promote accurate interpretation and understanding.
You will identify a single intervention and then search for five research articles and two non-research articles that support that change practice.
InstructionsThe assignment is to prepare a mock fee proposal based on the following information: An owner of a 3 acre parcel of land has contacted your firm to provide a fee proposal to design a 25,000 square foot, 6-story office building (structure only) and all associated site work (grading, drainage, parking, civil utilities, etc….site electrical design is not required). The surface parking area will accommodate parking for 250 vehicles. Storm water retention on site will be required and an existing sanitary main runs adjacent to the site. Include the following in your proposal:-Scope of Work to be performed by your firm. (Note: The scope should be full design to meet the Owner’s requirements including structural and site design. Your firm will also provide geotechnical work, surveying, and a Phase I environmental survey) No architectural, mechanical, electrical, or any other design will be required. The owner will be contracting for this work separately. -Estimated Lump Sum Fee to complete the design ready for bidding. (Note: This will require you to estimate the number of hours for each labor classification to complete the design). Likely labor items will include: Senior Engineer, Civil Engineer, Structural Engineer, Draftsman, Clerical, Surveyor, etc. Geotechnical work should include the cost of the drill rig. Provide backup for the lump sum total. In other words, show the number of hours, unit cost and total cost for each labor classification line item. -A unit price listing of hourly rates for various positions in your firm. (Note: These rates will be used to negotiate any additional work should changes arise during design) Be sure to use a fully marked-up rate for each classification to cover overhead expenses for your firm.
To clarify, you are presenting a fee proposal for engineering (design) services…not construction cost. In other words, your are estimating the number of hours required to do the design for each of the required engineering positions…civil engineer, draftsman, geotechnical engineer, etc. required. In general, the unit billing rates for these professions are approx. 2.5 times the pay rate. For example, if an engineering firm pays a civil engineer $50/hr., the billing rate to a client would be $50 x 2.5 or $125/hr. Your assignment should be in a letter format addressed to me (the client). All other information is provided in the assignment description above.
PLS ANSWER THE THREE QUESTIONS BY READING the book “London eye mystery” here is the link of the book :https://www.bookscool.com/en/The-London-Eye-Mystery-168469/1 MYSTERIES 1. The London Eye Mystery would be considered a realistic novel. What creates the sense of realism? Is there anything that doesn’t seem realistic to you? (There probably is – but does it interfere with enjoying the story?)2. There’s a twist near the end (Ch. 38) – did it surprise you? Why do you think Dowd added it? What are some of the similarities and differences between this novel and other mysteries you’ve read or seen?3. What aspect of the London Eye Mystery was the most interesting to you? Why?
George Mason University The London Eye Mystery Book Review
SOCW 6205 WU Impact of Illness on Children and Adolescents Medical Discussion
SOCW 6205 WU Impact of Illness on Children and Adolescents Medical Discussion.
Young patients face unique challenges during an
illness and its treatment. Chronic childhood illness can be extremely
disruptive for the child or adolescent and his or her family, especially
when treatment demands frequent and lengthy hospitalizations. The
illness, as well as a lack of normalcy in the patient’s life, may hinder
biological, psychological, and social development. The primary role of
medical social workers working with children or adolescents is to help
the patient and family live as normal a life as possible in the face of
illness.To prepare for this Discussion:Think about chronic illnesses that may affect children and adolescents. Select one
chronic illness and consider how it impacts the patient and the family.
How might the illness affect the child’s growth and development? By Day 3Post a brief description of the
illness and its overall impact on the well-being of a young patient and
his or her family. Explain how the illness may disrupt or influence the
biological, psychological, and social growth and development of the
child or adolescent. Identify at least three primary stressors (e.g., complications, hospitalization) related to the illness. Select one
of the stressors that you think is critical. Justify your selection.
Analyze possible pediatric social work interventions that might be
applied to address the stressor.Required Readings
Beder, J. (2006). Hospital social work: The interface of medicine and caring. New York, NY: Routledge.
Chapter 15, “Social Work in the Pediatric Unit” (pp. 163–174)
Gehlert, S., & Browne, T. (Eds.). (2019). Handbook of health social work (3rd ed.). Hoboken, NJ: Wiley.
Chapter 16, “Social Work with Children and Adolescents with Medical Conditions” (pp. 362-375)
National Association of Social Workers. (n.d.). NASW standards for the practice of social work with adolescents. Retrieved from https://www.socialworkers.org/LinkClick.aspx?fileticket=rUt4ybE_GW4%3D&portalid=0
McCoyd, J. L. M., & Kerson, T. S., (Eds.). (2016). Social work in health settings: Practice in context (4th ed.) New York, NY: Routledge.
Chapter 7, “Social Work in a Pediatric Hospital: Managing a Medically Complex Patient” (pp. 90-101)Chapter 10, “Family-Focused Care of an Adolescent with a Burn: A Multidisciplinary Approach” (pp. 126-136)
Pinquart, M., & Shen, Y. (2011). Depressive symptoms in children and adolescents with chronic physical illness: An updated meta-analysis. Journal of Pediatric Psychology, 36(4), 375–384.
Sarwer, D. B., & Dilks, R. J. (2012). Invited commentary: Childhood and adolescent obesity: Psychological and behavioral issues in weight loss treatment. Journal of Youth & Adolescence, 41(1), 98–104.
Soleimanpour, S., Geierstanger, S. & Brindis, C.D. (2017). Adverse childhood experiences and resilience: Addressing the unique needs of adolescents. Academic Pediatrics, 17(7), S108-S114.
Congress, E. P. (2000). What social workers should know about ethics: Understanding and resolving ethical dilemmas. Advances in Social Work, 1(1), 1–26.Note: You will access this article from the Walden Library databases.
Feaster, E., Johnson, W., Kelps, K., Levine, H., MacDuffie, C., … Sinotte, P. (1998). Confidentiality in social work practice: Challenges and ethical dilemmas (part II). Retrieved from http://www.naswma.org/displaycommon.cfm?an=1&subarticlenbr=109
National Association of Social Workers. (2002). A factsheet for practitioners. HIV/AIDS and adolescents and young adults. Retrieved from https://www.socialworkers.org/Practice/HIV-AIDs/HIV-AIDS-and-Adolescents-and-Young-Adults
SOCW 6205 WU Impact of Illness on Children and Adolescents Medical Discussion
English Language and Literature homework help
assignment writer English Language and Literature homework help. This is a paper that focuses on this is an Honour Song identification and stating the significance. The paper also has a part two which is an essay of four choices.,This is an Honour Song identification and stating the significance,Part 1: Short Answer, Identify and State the Significance -Answer 4 out of the choices below (Each answer is worth 10 marks for a total of 40) -Each answer must be 200 words and consist of two parts.,1. Firstly, a definition and explanation of the term using course material,2. Secondly, an explanation of why the term is significant to the critical issues we have talked about in the course. Use at least three concrete examples per answer from course materials to substantiate your answer (with citations/page numbers). Christopher Columbus Colonization The Royal Proclamation and the Treaty of Niagara Number Treaties Assimilation Stereotypes Echoes Operation Salon The Ipperwash Crisis Gustafsen Lake Royal Commission on Aboriginal Peoples Truth and Reconciliation ,Elsipogtog, Idle No More Reconciliation,Part 2: Essays -Answer 2 out of 4 choices (Each answer is worth 30 marks for a total of 60) -Each answer must be 500 words and consist of a short (5 paragraph) academic essay. You must have a clear introduction that introduces a thesis/argument (in the form of an answer to the question); three body paragraphs that offer supporting points to prove your answer and that use at least 3 concrete examples of course material in each paragraph. (with in-text citations as proof – date of lecture/discussion and also name of author is fine); a formal conclusion.,This is an Honour Song identification and stating the significance,1. In This is an Honour Song, Leanne Simpson and Kiera L. Ladner argue that “to the Kanien’kehaka (Mohawk) people of Kanehsata:ke, who were living up to their responsibilities to take care of their lands, this was neither a “crisis” at Oka, nor was it about the non-Native town of Oka. This was about 400 years of colonial injustice” (1). Make an informed argument about why it is important to understand conflicts in Indigenous-Settler relations in their social context using frequent concrete references to course material (with citations and also page numbers) to demonstrate your argument.,2. Does the infamous “Face to Face” photograph adequately explain the Oka “crisis” in its social context? Why/why not? Make an informed argument that draws on concrete examples from course material to substantiate your argument. Be attentive to the different “perspectives” that we examined in Unit 2. Especially the role of the media in the Oka conflict and in Indigenous-settler relations generally.,3. Some have argued that the Oka conflict fundamentally changed Canada forever and put the country on the path to reconciliation. Others have argued that little has actually changed in Indigenous-Settler relations since the summer of 1990. Make an informed argument about the legacy of the Oka conflict. Also, comment on Canada’s commitment to reconciliation today using frequent concrete examples from course materials.,Attachments,Click Here To Download,English Language and Literature homework help
Gender Studies homework help
Gender Studies homework help. When Bobby Nickel was fired from Staples, he claimed it was because of age discrimination, but Staples claims it was due to Nickel’s violation of the company’s zero-tolerance policy.,When Bobby Nickel was fired from Staples, he claimed it was because of age discrimination,64-Year-Old Male Sues Staples for Wrongful Termination and Age Discrimination”, When Bobby Nickel was fired from Staples, he claimed it was because of age discrimination, but Staples claims it was due to Nickel’s violation of the company’s zero-tolerance policy. This activity is important because it examines the sensitive issue of diversity and whether firms manage such issues effectively.,The goal of this exercise is to encourage you to look at whether firms are truly encouraging workplace diversity across all levels—from gender to race to age.,Read the case about the 66-year-old Bobby Nickel. He claims he was fired from his job at Staples because of his age. Then, using the 3-step problem-solving approach, answer the questions that follow.,Bobby Nickel, a 66-year-old facilities manager for Staples Contract and Commercial, Inc., and Staples, Inc., was fired. He claims the company discriminated against and harassed him and ultimately terminated him due to his age.,From 2002 to 2008 Nickel worked for Corporate Express, which Staples then acquired.,He received positive performance evaluations for nine years before his termination.,“Because Corporate Express’ pay scale had been higher than the pay scale for employees hired by Staples, Nickel alleged in his complaint that his managers noted that they needed to ‘get rid of’ older, higher paid employees. Nickel’s complaint also explained how he became the regular butt of jokes at staff meetings and was referred to as ‘old coot’ and ‘old goat,” according to blogger Larry Bodine.1,Further, Nickel claimed that Lionel Marrero, his fulfillment center manager, regularly made harassing statements like, “Take a closer look at the older people. They are starting to drag and are slowing down. If they are not top performers, write them up and get rid of them.”. It was also alleged that Marrero said, “We need young, energetic people. Walk around the facility with the older workers and if they cannot keep up, then get rid of them.… We need to get rid of old people because they are slow. And we can get younger people to work cheaper.”2,Nickel was ultimately pressed by a manager to resign. When he didn’t, he experienced increased incidents of harassment from coworkers and a manager. “This included being written up and suspended for ‘stealing,’ after taking a bell pepper valued at 68 cents from the company cafeteria.” A receptionist told Nickel she had been instructed by management “to provide a false statement about Nickel’s conduct but she refused to do so,” said blogger Larry Bodine.3,Counsel for Staples contended that the company had cause to suspend Nickel because he violated “the company’s zero-tolerance policy when it came to ‘dishonesty of any kind, including theft or misappropriation of company property.’”4,Apply the 3-Step Problem-Solving Approach,Step 1: Define the problem in this case.,Step 2: Identify the ,OB concepts, or theories that may be causing the problem. For example, are stereotypes, diversity climate, or frameworks for managing diversity causes of the problem?,Step 3: Recommend what you would do to correct the situation. Think both short term and long term.,Attachments,Click Here To Download,Gender Studies homework help
GCU Rural Areas Difficulty to Generate Revenue Because of Low Consumer Base Discussion
GCU Rural Areas Difficulty to Generate Revenue Because of Low Consumer Base Discussion.
I’m working on a health & medical question and need guidance to help me study.
respond to the following questions as a peer with at least 1 reference and 150-200 word count. ( Providing healthcare in rural areas has its own set of challenges, and executives find themselves having to get creative in how to provide the necessary services to their consumers while having a smaller consumer base, spread out over a much larger geographical area than in urban settings (Commins, 2015). Two challenges, in particular, that plague the healthcare delivery system in rural areas is reimbursement and the shortage of providers (Shi & Singh, 2019).According to Shi & Singh (2019), “Across all races and ethnicities, rural residents have lower levels of insurance coverage” (p. 458). Rural hospital systems have also had to contend with dwindling Medicare reimbursements and disruptions in patients’ Medicaid coverage (Commins, 2015).Another struggle for rural health systems is the recruitment and retention of providers (Commins, 2015). Long swaths of country are in desperate need of primary care providers and specialists. For instance, out of Texas’ 254 counties, 158 of them have no general surgeon. 35 of its counties have no physicians at all.To address these two challenges, many rural systems have chosen to affiliate with formerly competing systems to benefit from increased shared capital and economies of scale and reduce redundancies of similar services (Commins, 2015). They have also integrated various service areas into one network to allow for greater Medicare reimbursements.I live in a rural area, but the town in which I live is home to a large medical system that has been systematically purchasing each small independent hospital in its surrounding area. The smaller hospitals that have been bought out now have the capital available to purchase necessary new equipment, and redundant services in our locality can be eliminated. The purchasing hospital system can choose to use certain hospitals to house certain specialties. Because the system has achieved greater economies of scale, it can now afford to pay its providers comparably to urban areas while also offering them a lower, rural cost of living.)ReferencesCommins, J. (2015). Rural healthcare and the challenge of population health. HealthLeaders Magazine, 18(8), 12-23.Shi, L., & Singh, D. A. (2019). Delivering health care in America: A systems approach (7th ed.). Jones & Bartlett Learning, LLC.
GCU Rural Areas Difficulty to Generate Revenue Because of Low Consumer Base Discussion
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