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Institutional Ethics DB

 

You are the chief financial officer (CFO) of a home health corporation. You have been asked by the board of directors to develop an overview of the cost reimbursement available from private, state, and federal agencies for high-technology home care being delivered to the corporation's current patients. Discuss the following:

  • Investigate and predict what impact the baby boomers will have on this issue (including the understanding that since 2011 more than 10,000 people are applying for and receiving Medicare each month).  

    Institutional Ethics 2

     Your health care organization has decided to undergo a major restructuring to better align with the new Patient Protection and Affordable Care Act (PPACA) of 2010. You have been tasked with developing a managed care organization (MCO) and health maintenance organization (HMO) that will have as its core mission the ethical treatment of patients in their health care needs. 

    • Define and propose what structure your MCO/HMO will use to maximize the ethical delivery of health care to your patients.
    • Research the library and other resources detailing best practices in MCO/HMO structuring to defend your answer.

      Handwashing

      Write about handwashing related to the nursing profession. Must be APA 7th edition format, be careful with plagiarism and AI Usage. Needs to be related to handwashing. Please use 3 peer reviewed scholarly articles, no older than 2020. Minimum 2 pages, max 4 pages. Please read attached outline. 

      NR103 Transition to the Nursing Profession Transitions Paper Guidelines

      Purpose

      The purpose of this assignment is to explore a critical concept in nursing. The student will be able to demonstrate application of information literacy and ability to utilize resources (library, writing center, Center for Academic Success [CAS], APA resources, Turnitin, and others) through literature search and writing the paper.

      Course outcomes: This assignment enables the student to meet the following course outcomes.

      CO 2: Identify characteristics of professional behavior including emotional intelligence, communication, and conflict resolution.

      CO 3: Demonstrate information literacy and the ability to utilize resources.

      Due date: Your faculty member will inform you when this assignment is due. The Late Assignment Policy applies to this assignment.

      Total points possible: 150 points

      Preparing the assignment

      Follow these guidelines when completing this assignment. Speak with your faculty member if you have questions.

      1) Locating Evidence

      a. Using the Chamberlain University library, search for a recent (published within the last five years) evidence- based article from a scholarly journal that addresses one of the topics listed.

      · Safety

      · Delegation

      · Prioritization

      · Caring

      2) Include the following sections.

      a. Introduction – 20 points/13%

      · Clearly establishes the purpose of the paper

      · Includes key points to be covered

      · Captures the reader’s interest

      b. Body of Paper – 60 points/40%

      · Complete, well-developed discussion of key points

      · Supports the purpose or main idea of the paper

      · Logical development of ideas with clear and accurate information

      · Ideas and statements are supported by three or more examples from personal and/or professional experiences

      · Provides own perspectives on the topic that is reflective, insightful, and original

      c. Conclusion – 30 points/20%

      · Clear and concise

      · Summarizes key points discussed in the paper

      · Leaves a strong impression, message, or idea on the reader

      d. Writing Style – 15 point/10%

      e. Correct use of standard English grammar, paragraph, and sentence structure

      f. No spelling or typographical errors

      g. Organized around required components

      h. Information flows in a logical sequence that is easy for the reader to follow

      i. APA Format, and References – 25 points/17%

      · There is correct and appropriate use of margins, spacing, font, and headers

      · Document setup includes title and reference pages in correct APA format

      NR103_Transitions_Paper_Guidelines © 2022 Chamberlain University. All Rights Reserved.

      1

      NR103 Transition to the Nursing Profession Transitions Paper Guidelines

      · Citation of sources included in the body of the paper uses correct APA format for direct and indirect quotes

      · All elements of each reference are included in the correct order

      · All information taken from the source, even if summarized, is cited and listed on the Reference page

      · All sources used are nursing journals published within the last five years

      For writing assistance visit The Writing Center located within the Virtual Center for Academic Success.

      Please note that your instructor may provide you with additional assessments in any form to determine that you fully understand the concepts learned.

      Grading Rubric

      Criteria are met when the student’s application of knowledge demonstrates achievement of the outcomes for this assignment.

      Assignment Section and Required Criteria

      (Points possible/% of total points available)

      Highest Level of Performance

      High Level of Performance

      Satisfactory Level of Performance

      Unsatisfactory Level of Performance

      Section not present in paper

      Introduction

      (20 points/13%)

      20 points

      19 points

      15 points

      7 points

      0 points

      Required criteria

      1. Clearly establishes the purpose of the paper

      2. Includes key points to be covered

      3. Captures the reader’s interest

      Includes no fewer than 3 requirements for section.

      Includes no fewer than 2 requirements for section.

      Includes no less than 1 requirement for section.

      Present, yet includes no required criteria.

      No requirements for this section presented.

      Body of Paper – 60 points/40%

      (60 points/40%)

      60 points

      55 points

      46 points

      23 points

      0 points

      Required criteria

      1. Complete, well-developed discussion of key points

      2. Supports the purpose or main idea of the paper

      3. Logical development of ideas with clear and accurate information

      4. Ideas and statements are supported by three or more examples from personal and/or professional experiences

      5. Provides own perspectives on the topic that is reflective, insightful, and original

      Includes 5 requirements for section.

      Includes 4 requirements for section.

      Includes 3 requirements for section.

      Includes 1-2 requirements for section.

      No requirements for this section presented.

      Conclusion

      (30 points/20%)

      30 points

      27 points

      23 points

      12 points

      0 points

      Required criteria

      1. Clear and concise

      2. Summarizes key points discussed in the paper

      3. Leaves a strong impression, message, or idea on the reader

      Includes 3 requirements for section.

      Includes 2 requirements for section.

      Includes 1 requirement for section.

      Section present yet includes no required criteria.

      No requirements for this section presented.

      NR103 Transition to the Nursing Profession Transitions Paper Guidelines

      NR103_Transitions_Paper_Guidelines © 2022 Chamberlain University. All Rights Reserved.

      3

      Assignment Section and Required Criteria

      (Points possible/% of total points available)

      Highest Level of Performance

      High Level of Performance

      Satisfactory Level of Performance

      Unsatisfactory Level of Performance

      Section not present in paper

      Writing Style

      (15 points/10%)

      15 points

      14 points

      11 points

      6 points

      0 points

      Required criteria

      1. Correct use of standard English grammar, paragraph, and sentence structure

      2. No spelling or typographical errors

      3. Organized around required components

      4. Information flows in a logical sequence that is easy for the reader to follow

      Includes 4 requirements for section.

      Includes 3 requirements for section.

      Includes 2 requirements for section.

      Includes 1 requirement for section.

      No requirements for this section presented.

      APA Style and Organization

      (25 points/10%)

      25 points

      23 points

      19 points

      9 Points

      0 points

      Required criteria

      1. There is correct and appropriate use of margins, spacing, font, and headers.

      2. Document setup includes title and reference pages in correct APA format.

      3. Citation of sources included in the body of the paper uses correct APA format for direct and indirect quotes.

      4. Sources are cited correctly on the Reference page. All elements of each reference are included in the correct order.

      5. All information taken from the source, even if summarized, must be cited, and listed on the Reference page.

      6. All sources used are nursing journals published within the last five years.

      Includes 6 requirements for section.

      Includes 5 requirements for section.

      Includes 3-4 requirements for section.

      Includes 1-2 requirements for section.

      No requirements for this section presented.

      Total Points Possible = 150 points

      image1.png

      Research methods and questions

      I have attached the following:

      Directions

      Example of what it has to look like 

      The assignment prior, that will help with completing this assignment

      Citation in APA

      Purpose Statement

      Research Question

      Study Method and Level of Evidence – Appraisal

      Population/Sample

      Findings/Outcomes

      Recommendations for Future Research

      Case 1:

      CDC. (2024, May 14). About older adult fall prevention. Older Adult Fall Prevention. https://www.cdc.gov/falls/about/index.html

      The objective of this study is to classify effective prevention plans by analyzing the incidence, influence, and costs of patient falls, mainly among vulnerable peoples such as older adults, dementia patients, those with physical impairments, and those at risk of self-damage.

      What are the occurrence rates, effects, and economic costs of patient falls in high-risk populations, and what involvements may be used to positively prevent these falls and their costs?

      This study would take a mixed-methods method, linking quantitative data examination of fall occurrence rates, injury costs, and related expenditures with qualitative interviews with healthcare suppliers and patients to better comprehend the setting and problems of fall avoidance. A mixed-method research offers strong evidence since it combines statistical data with individual experiences, resulting in a detailed information of the subject.

      The study's sample would comprise older persons (65 and older), people with dementia, those with physical disabilities, and those recognized as at risk of self-harm in a variety of healthcare settings, including hospitals, nursing homes, and home care. The sample size should be big enough to assure statistical significance, with stratified sampling employed to ensure representation across risk categories.

      The probable findings are likely to settle previous statistics, which show that falls are a leading cause of severe damage, including traumatic brain injuries and hip fractures, mainly among older persons and those with dementia. Falls have an important financial impact, costing more than $50 billion in 2015, eliminating long-term care expenditures. The answers would further highlight the importance of focused fall prevention approaches in high-risk persons to reduce both the frequency and severity of falls.

      Future research should concentrate on establishing and evaluating intervention programs customized to the requirements of high-risk populations, such as multifactorial programs that involve physical therapy, home safety changes, and medication reviews. Additionally, longitudinal studies are compulsory to inspect the long-term impact of these treatments. Examining the function of technology, such as wearable fall uncovering devices and telemedicine, in fall deterrence might potentially offer useful outcomes. Finally, studying the psychological effects of falls and recovery experiences from the patient's viewpoint might help to inform more comprehensive care techniques.

      Case 2

      Wang, L., Li, X., Wang, Z., Bancks, M. P., Carnethon, M. R., Greenland, P., … & Zhong, V. W. (2021). Trends in prevalence of diabetes and control of risk factors in diabetes among US adults, 1999-2018.  Jama326(8), 704-716.

      The objective of this study is to measure the efficiency of numerous dietary approaches in controlling type 2 diabetes mellitus (T2DM) and to classify the most real dietary plan based on individual requirements.

      What dietary plan is most successful for talking T2DM, and should numerous dietary answers be tailored to exact patient requirements?

      This project will behavior a comprehensive assessment of both randomized controlled trials (RCTs) and observational studies. Level of indication: Level I for RCTs. Level II for high-quality observational trainings

      Adults diagnosed with T2DM in United States

      According to preliminary data, individualized dietary interventions such as ketogenic, intermittent fasting, and limited carbohydrate diets may enhance glycemic control and facilitate weight loss in T2DM patients.

      Future studies must concentrate on long-term comparative studies of numerous dietary approaches in distinct groups to classify the most effective and sustainable diet for T2DM control.

      Summative Research proposal

      I have posted the instructions, I also posted the previous assignment. Please choose case study #2 and further the discussion on this final assignment. I have also posted the rubric, let me know if you need anything

      Summative Assessment: Modified Research Proposal and Formal Presentation

      Use the Directions below (Read carefully) and the Rubric found in Canvas area Module 4: Directions for Modified Research Proposal and Formal Presentation) to complete the Summative Modified Research Proposal and Formal Presentation. Select ONE of the two problem statement cases from Module 2 to develop a Brief Research Proposal and Presentation using the headings and steps below. The Research Proposal and Presentation must follow APA format and style. After opening a WORD document do the following:

      Set APA Format/Style for the Research proposal

      · NO RUNNING HEAD

      · A title page using example on page 61 in the APA Manual

      · Title repeated at top of page 2 – Centered, bolded, upper and lower case

      · Pages numbered in upper right side of document– NO HEADERS- Use “insert page numbers.” https://www.youtube.com/watch?v=WWXCZoHne0g

      · 1 in margins top, sides and bottom of document0 setting before and after paragraphs- See “format” – “paragraphs” https://www.youtube.com/watch?v=X7Cu-o2Io_c

      · Times new Roman or Arial font type

      · 12 font size

      · Double space document

      · If headings are used, see inside front cover of APA manual for “Format for the Five Levels of Heading in APA Style.”

      · Citations in body of assessment must be correct APA- see front inside cover of APA manual for “Basic In-Text Citation Styles.”

      · Reference(s) page(s) with correct APA citations see back inside cover of APA manual for “Common References at a Glance.”

      · Uploaded as WORD only attachment into assigned area in Canvas

      Steps for Development of the Narrative Research Proposal

      Step 1: Title Page

      · Name of research proposal – This will depend on problem statement case you selected. For example, in the Problem Statement Case Example, the name might be: Levels of Test Anxiety in BSN Students: A Comparison Study

      · Must use sample student title page in APA manual page 61

      Step 2: **Introduction

      · The problem statement

      · The PICO(T)

      · The purpose

      · The objective

      · There is no heading for the Introduction in APA

      ** Note this work has been done previously and can be used in this assessment

      Step 3: Background Significance/Literature Review

      · Use the evidence gathered, appraised and organized in the Literature Review Matrix from Module 2, to provide a narrative summary of the evidence (no more than 5 paragraphs)

      Step 4: **Research Method

      · Identify the research method and rationale for the method

      ** Note this work has been done previously and can be used in this assessment

      Step 5: Implication(s) to Healthcare

      · How will the potential study contribute to healthcare quality, safety, delivery, etc.

      Step 6: Summary

      · A one paragraph summary of the proposal – reinforcing the stated purpose

      Step 7: References

      Formal Presentation of Research Proposal

      Directions

      1. Develop a formal presentation of the Research Brief by using any type of presentation software (See examples below) or use powerpoint, goggle slides, prezi, screencast, ZOOM, etc)

      Top Seven Presentation Software  (Links to an external site.)

      2. Follow the steps from the narrative in presenting the proposal. For example, if you use a slide presentation, Slide 1 would be the Title, Slide 2 the Introduction, Slide 3 the Background Significance/Literature and so forth

      3. Use note pages or voiceover as appropriate for the presentation

      4. Use correct APA style and format and correct syntax- See below

      5. Post to appropriate Canvas area by due date and respond to at least one peers research proposal presentations. These responses to other learners should be substantive posts that contribute to the conversation by asking questions, respectfully debating positions, and presenting supporting information relevant to the topic if applicable.

      Format and Style: Formal Presentations

      If selecting powerpoint program specifically or other slide presentation programs, remember the following in developing the presentation:

      · Keep the text on each slide to a minimum

      · Use the 7×7 rule: For every slide use no more than seven lines of text or seven bullet points and no more than seven words per line

      · Use font sizes for Headings- 32-36 or larger font size and be consistent

      · Use 24 or larger for supporting points and be consistent

      · Use readable font types such as sans or arial or times new roman or cambria

      · Use color sparingly- never use the color green on a slide

      · Use animations sparingly

      · Enhance the data with charts and graphs if applicable 

      · Design the presentation for Wide Screen Formats

      Be Consistent With Style Settings

      FREE READ

      · One FREE READ of the proposal and resentation may be submitted before final due date. The Draft proposal and presentation must be submitted for feedback by 12/11/2022. The final proposal and presentation is due 12/16/2022. The choice to submit a draft of either the Brief and/or Presentation for a FREE READ (review) is at the sole discretion of the students.

      ,

      Citation in APA

      Purpose Statement

      Research Question

      Study Method and Level of Evidence – Appraisal

      Population/Sample

      Findings/Outcomes

      Recommendations for Future Research

      Case 1:

      CDC. (2024, May 14). About older adult fall prevention. Older Adult Fall Prevention. https://www.cdc.gov/falls/about/index.html

      The objective of this study is to classify effective prevention plans by analyzing the incidence, influence, and costs of patient falls, mainly among vulnerable peoples such as older adults, dementia patients, those with physical impairments, and those at risk of self-damage.

      What are the occurrence rates, effects, and economic costs of patient falls in high-risk populations, and what involvements may be used to positively prevent these falls and their costs?

      This study would take a mixed-methods method, linking quantitative data examination of fall occurrence rates, injury costs, and related expenditures with qualitative interviews with healthcare suppliers and patients to better comprehend the setting and problems of fall avoidance. A mixed-method research offers strong evidence since it combines statistical data with individual experiences, resulting in a detailed information of the subject.

      The study's sample would comprise older persons (65 and older), people with dementia, those with physical disabilities, and those recognized as at risk of self-harm in a variety of healthcare settings, including hospitals, nursing homes, and home care. The sample size should be big enough to assure statistical significance, with stratified sampling employed to ensure representation across risk categories.

      The probable findings are likely to settle previous statistics, which show that falls are a leading cause of severe damage, including traumatic brain injuries and hip fractures, mainly among older persons and those with dementia. Falls have an important financial impact, costing more than $50 billion in 2015, eliminating long-term care expenditures. The answers would further highlight the importance of focused fall prevention approaches in high-risk persons to reduce both the frequency and severity of falls.

      Future research should concentrate on establishing and evaluating intervention programs customized to the requirements of high-risk populations, such as multifactorial programs that involve physical therapy, home safety changes, and medication reviews. Additionally, longitudinal studies are compulsory to inspect the long-term impact of these treatments. Examining the function of technology, such as wearable fall uncovering devices and telemedicine, in fall deterrence might potentially offer useful outcomes. Finally, studying the psychological effects of falls and recovery experiences from the patient's viewpoint might help to inform more comprehensive care techniques.

      Case 2

      Wang, L., Li, X., Wang, Z., Bancks, M. P., Carnethon, M. R., Greenland, P., … & Zhong, V. W. (2021). Trends in prevalence of diabetes and control of risk factors in diabetes among US adults, 1999-2018.  Jama326(8), 704-716.

      The objective of this study is to measure the efficiency of numerous dietary approaches in controlling type 2 diabetes mellitus (T2DM) and to classify the most real dietary plan based on individual requirements.

      What dietary plan is most successful for talking T2DM, and should numerous dietary answers be tailored to exact patient requirements?

      This project will behavior a comprehensive assessment of both randomized controlled trials (RCTs) and observational studies. Level of indication: Level I for RCTs. Level II for high-quality observational trainings

      Adults diagnosed with T2DM in United States

      According to preliminary data, individualized dietary interventions such as ketogenic, intermittent fasting, and limited carbohydrate diets may enhance glycemic control and facilitate weight loss in T2DM patients.

      Future studies must concentrate on long-term comparative studies of numerous dietary approaches in distinct groups to classify the most effective and sustainable diet for T2DM control.

      Explain an additional strategy

        

      Suggest an additional strategy each colleague did not consider and explain how and why you think it may contribute to their success as an online doctoral student.

        

      Amy 

        Working as a manager in an Employee Health clinic, my responsibilities vary substantially from one day to the next.  One of the strategies I consistently use in my role is prioritization and planning.  Being able to prioritize tasks efficiently helps me to stay on task and allows me to meet deadlines.  Time management skills will also help to me navigate through this course to make sure I allow enough time to complete assignments and meet the requirements for posting on the discussion board.

             Another strategy I employ day-to-day in my professional role is effective communication.  A quick daily huddle with my staff.  This allows me to do a quick touch base with the employees, communicate any important issues, and presents an opportunity to ask questions.  I feel that communication is very important to an early morning huddle helps to start the day off right.  Communication is an “exchange of information, thoughts, and feelings through a variety of mechanisms” (AACN, 2021).

             One strategy that I think would be beneficial for me to adopt is studying.  I am so used to researching quickly using technology or finding answers to questions quickly online and moving on, that I don’t take the time to read through everything thoroughly.  Taking time to read through the entire resource, as well as additional information would be beneficial for me.

      Aaron 

      The strategy I have utilized most in both my academic and professional career is time management.   Time management refers to planning, prioritizing, and scheduling of tasks to create work efficiency in an environment of competing demands (Comstock, 2023).  As I am currently preparing for boards, my professional career is still at the bedside as a registered nurse.  Since I became a nurse, I have worked in the ICU, with the occasional float to ER, Med/Surg, Telemetry, or Endoscopy while on travel assignments.  I had to learn early in my professional career to manage my time, as things can change drastically in the hospital.  I learned early on in my career that I had a massive influence on my days flow, in that the quicker I performed my daily duties, the more time I had for more enjoyable activities, getting to know the patients and their families, helping other nurses, as well as learning more about the patient’s medical history to better provide care for them.

                 The one strategy I have yet to master is studying.  I have found that I am easily distracted, so having a 6-month-old daughter at home will make it exceptionally difficult to stay focused.  During previous semesters, my fiancé would go in the other room or go stay with her sister and allow me to block out the world and focus.  As I write this entry, my daughter is screaming at the top of her lungs and banging her toy on the hardwood floor. 

      To help myself with my study habits, I will be looking into metacognitive awareness.  According to Fergus, there was some evidence supporting metacognitive awareness in relation to methods such as self-testing and spacing out studying sessions (2022).  Metacognitive awareness refers to one’s ability to plan, manage, and assess his own learning processes (Karaoglan-Yilmaz et al., 2023).  Knowing how to improve the quality of my studying, not just trying to increase the time, will hopefully help my study habits as well as improve my studying efficiency. 

      I keep telling myself that I am smart enough to get into the program, I need to improve myself to maintain my status and to thrive within the program.  Utilizing metacognitive awareness will help me study more efficiently, and effectively, while not necessarily needing to increase the amount of studying.  The responsibilities in life continue to grow, but there remain only 24 hours in a day to complete them. 

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