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Total Quality Management/ Continuous Quality Improvement
(TQM/CQI) Paper Guidelines
Managing quality and risks is a major responsibility of the nurse/nurse manager in today’s health care practice. Quality improvement is a never-ending process and stresses “room for improvement”. To better understand the concept of quality improvement, you are to examine the topic and write a paper that will meet the following objectives:

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Paper Instructions:

❖ What are the major paradigm shifts in the ways that we look at the social determinants of health? Use Dennis
Raphael’s descriptions of the seven perspectives on the SDH, and clear, concise examples from course content,
readings and discussions.
❖ Describe, using clear, concise examples from course content, readings and discussions, what is meant by
“complex spheres of power and influence” (micro, meso, macro).
❖ Using one clear example, describe how complexity theory provides a comprehensive context for thinking about
public policy and health.
❖ Using the film ‘When the bough breaks’, © Adleman, describe public policy interventions to address racism and
the health of pregnant women. Specifically, describe what policy interventions might look like in each of
Raphael’s seven characterization of the SDH.
❖ Using ONE clear example, explain how are the SDH, the Ecological Determinants of Health and the Structural
Determinants of Health are synergistically linked.
❖ Using a course concept of your choice (e.g. complexity science, critical perspectives on the SDH, structural
determinants of health, Gaventa’s Power Cube) concisely describe how racism as a determinants of health
❖ Use Gaventa’s Power Cube to analyze a public policy problem of your choice.
❖ Describe what is meant by positivism. Concisely describe how positivism might impact public policy to tackle
childhood poverty.

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Paper Instructions:

Leadership and heath science

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Paper Instructions:

Part One: Research Paper 
Your research and paper should cover the following areas: 

1. According to the particular model you have chosen, how are substance use/misuse issues viewed?  • How would this compare and contrast to how a practitioner might view “addiction” from a psychodynamic perspective? This should include a description of the etiology of addiction, the dynamics of addiction as they pertain directly to the individual’s life, and how, theoretically, the addict he or she is considered. What makes substance use a problem?  • What are the pros and cons of both perspectives: for the client; the clinician and for the clinical work? 

2. What would the process of assessment look like according to this model?  • What aspects of the individual’s experience with substance use does assessment hone in on?  • What specific assessment tools, if any, do clinicians practicing from this model utilize?  • What standards for interpreting data collected from the assessment process are used in determining the scope or severity of the addiction problem (including determination regarding whether or not the person’s use is a problem)?  • How would treatment goals be established between the client and the practitioner?  • How would the process of assessment and diagnosis compare and contrast to psychodynamically informed practice?  Again, what might the pros and cons be? 

3. What particular practices, techniques and strategies are utilized in order to engage the client in the therapeutic relationship?  • Once the treatment alliance has been established, how will the clinician work with the client in order to meet designated treatment goals? Again, please describe specific strategies and treatment methodology used to achieve positive outcomes. You may want to consider providing a rationale for the employment of particular techniques (i.e. why would, according to this particular therapeutic approach, the clinician do what they do in the context of the treatment relationship?).  • How would these techniques, strategies, and practices compare to those of a psychodynamically informed clinician?  • How might these differences be utilized in the treatment arena? • How would the clinician make differential decisions regarding the application of various practices? 

4. How does this model of treatment take into account relevant factors regarding the client’s life and their unique psychosocial context (i.e. co-occurring psychiatric disorders; race; socio-economic status; social context; age; ethnicity and cultural distinctions; etc.)?  • How would this practice be compared and contrasted to a psychodynamically informed practice? 

5. How, according to the particular therapeutic model you have chosen, would ongoing treatment be assessed and evaluated?  • When does treatment come to an end and what, if any, specific strategies would the clinician use in the process of terminating the treatment relationship/process?  • What steps, if any, are taken to provide follow-up or relapse prevention?  • How would these practices be compared and contrasted to a psychodynamic focus and what might be the significant differences for the client over time? 

6. How is the outcome of the therapeutic effort evaluated?  • What, if any, research has been conducted regarding the efficacy of this approach?  • What strengths and limitations has research shown regarding this specific research?  • How would this practice compare and contrast to a psychodynamically informed practice? 


Part Two:  Reflection and Integration 

1. How did researching this particular model of intervention and making the comparison to psychodynamic orientation, impact your thinking in terms of: a) the way you view “addiction” as a problem; b) your ideas, beliefs and attitudes regarding “good treatment”; and c) the way you see yourself doing treatment? 

2. What insight, “new learnings”, and/or challenges did your research bring up for you?  How might these challenges be helpful and generative in your professional development?  

3. Given how you see yourself today, in terms of your own developmental path in the field, what would the application of this model be like for you?  Specifically, think about given who you are at this point in time, what might be an “easy fit” (how might this model be congruent with your own experiences and the way you are currently viewing addiction, addicts and addiction treatment) --- and what would be a challenge for you as you attempt to integrate this model into your ways of thinking and practice? 

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Paper Instructions:

Assignment: Academic Success and Professional Development Plan
Part 1: Developing an Academic and Professional Network
When was the last time you read Meditation XVII of John Donne's Devotions Upon Emergent Occasions?
Unless you are a student of seventeeth-century poetry, you may not be all that familiar with this piece. However, you may be much more familiar with one of its well-known phrases: “No man is an island...”.
As you begin your journey toward achieving your academic and professional goals, you have a great opportunity to network with academics and professionals who can help ensure you do not travel alone. This network can help to clarify your own vision for success and can help guide you now and in the future. To paraphrase Donne, no one is an island.
Begin creating an academic and professional network by identifying which academic and professional connections and resources with which you need to collaborate to succeed in your MSN program and as a practicing nurse.
To Prepare:
•    Consider individuals, departments, teams, and/or resources within Walden University and within your profession that you believe can support your academic and professional success.
•    Identify at least two academic and at least two professional individuals, colleagues, or teams that might help you succeed in your MSN program and as a practicing nurse.
•    Download the Academic Success and Professional Development Plan Template.
The Assignment:
Academic and Professional Network
Complete Part 1 of your Academic Success and Professional Development Plan Template. Be sure to address the following:
•    Identify at least two academic and at least two professional individuals or teams to collaborate with to be successful in your MSN program and as a practicing nurse.
•    Explain why you selected these individuals and/or teams and how they will support your success in the MSN program and as a practicing nurse.
By Day 4 of Week 1
Submit a draft of Part 1 of your Academic Success and Professional Development Plan Template to the Discussion board.
Make any revisions to your draft of Part 1 of your Academic Success and Professional Development Plan Template based on the feedback you receive in the Discussion.
By Day 7 of Week 1
Submit Part 1 of your Academic Success and Professional Development Plan Template.
N

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Paper Instructions:

The Employee Retention Committee Meeting

EXERCISE: COMMITTEE STRUCTURES
In no more than 100 words, describe the structure and size of a healthcare organization that has a board of directors and a formal committee structure. This description would most appropriately be of a hospital or nursing home, preferably one with which you are familiar, but it can be imaginary if you have no direct familiarity.

For your chosen organization, you are to design a complete two-part committee structure. This process will consist of naming (1) the committees you would expect to exist under the auspices of the board of directors and (2) the administrative committees you would expect to exist. For each committee you name, provide a one- or two-sentence description of its mission, and indicate the approximate number of committee members and any primary expertise that might be required on the committee. (To complete this exercise, it may be necessary to perform some research into healthcare organization committee practices.)

CASE: THE EMPLOYEE RETENTION COMMITTEE MEETING
Background
General Hospital has an administrative committee known as the Employee Retention Committee. This group’s role is to address issues having a bearing on turnover, with a stated goal of reducing undesirable turnover and thus enhancing retention. The committee consists of the following personnel:

• Dave Andrews, an administrative assistant who inherited chairmanship of this committee on entering his position with the hospital. He called the present meeting about 10 days earlier, having notified two of the other members by telephone and two in person.

• Harriet Roberts, the hospital’s employment manager.

• John Dawson, a staff nurse in the intensive care unit.

• Alice Morey, director of food service.

• Arthur Wilson, staff physical therapist.

The meeting was scheduled for 1:00 P.M. in Andrews’ office. Andrews returned from lunch at 1:08 to find Roberts and Wilson already there. At 1:12 Dawson entered and Andrews said, “I’d like to get started, but where’s Alice?”

Somebody responded, “Don’t know.”

Andrews dialed a number and received no answer. He then dialed the call center and asked for a page. A moment later a call came in.

Turning from the telephone, Andrews said to the rest of the group, “She forgot. She’ll be here in a minute.”

“Dave, I wish you had a larger office or a better place to meet,” said Dawson. “I don’t know how we’re going to fit another person in here.”

“I know it’s small,” Andrews answered, “but both conference rooms are in use and I couldn’t find another place. Say, holler out to Susan and tell her to find another chair—we’ll need it.”

Wilson said, “Dave, can you open your window a little? It’s already stuffy in here.”

Andrews opened the window a few inches. Just then Alice Morey arrived, squeezing into the office with the extra chair that had just been located. It was 1:18 P.M.

Andrews said, “I guess we can get started now.” He shuffled through a stack of papers and said, “I’ve got a copy, if I can—oh, here it is—of a recent turnover survey done by the human resources directors in the region.” He looked at Roberts and said, “I assume you have this?”

“Yes, there’s a copy in my office. But I didn’t know I needed to bring it.”

Andrews said, “Well, I think that from this we can assume—”

Dawson interrupted, “Dave, wouldn’t it be better if we could all see it? Then you could go through it point by point.”

Andrews said, “I guess you’re right. I have just this copy.” He turned toward the door and called out as he waved the document, “Susan, I need four copies of this. Right now, please.”

Turning back to his pile of papers, Andrews said to the group, “The last time we got together there were a number of things we decided to look for. I don’t remember just what we assigned to whom, but I’ve got it here somewhere.” For a half-minute or so he leafed through the papers before him, then he turned to his desk and began to leaf through folders in the file drawer.

While Andrews was looking, Morey turned to Roberts and said, “Say, what have you been doing about finding that new dietician we need? You’ve been dragging your feet on the employment requisition for 3 weeks and Elaine is leaving in another week and we still haven’t had any candidates to interview.”

Roberts responded. Her sharp tone sparked a defensive reaction and a lively discussion ensued.

Andrews located the paper he was seeking and Susan returned with the requested copies. Andrews distributed the copies and fixed his attention on Morey and Roberts as he waited for an opening in their discussion. At 1:32 the group returned to the subject of employee turnover.

“Now, about this regional survey,” Andrews began.

Wilson said, “What about the survey? I thought you wanted to start with the things we agreed to do the last time we met.”

“Who cares,” said Roberts, “let’s just get started.”

Dawson looked at his watch and said, “Let’s get started and finished. I have an ICU staff meeting at 2:00.”

The meeting settled down to a discussion of the regional survey and the preliminary information each person had gathered since the previous meeting. At exactly two minutes before 2:00 Dawson excused himself to attend his staff meeting. At 2:08 Morey was called over the paging system; she left the meeting and did not return.

At 2:12 Andrews said he felt they had tentatively decided on their next step but required some input from the two parties who had already left. He then started to excuse the other two with the suggestion that they get together again after 2 weeks, but his telephone rang and he answered it himself, his usual practice, and talked some 4 or 5 minutes before returning his attention to the two remaining in his office. He said, “I guess that’s it for now. I’ll set a time for the next meeting and let you know.”

When the last of the participants left, Andrews called Susan to remove the extra chair. As she did so, he reflected gloomily on how difficult it was to get anything substantive out of a committee in this organization.

Instructions
1. Perform a detailed critique of the Employee Retention Committee meeting. List the occurrences or omissions that you believe indicate faulty committee practice, and state why you believe so and what should have been done differently.

2. Comment on the composition and membership of the Employee Retention Committee, and indicate how you would structure and position such a committee and how you would thoroughly describe its mission, purpose, or charge.

Here are additional resources;
https://nam.edu/wp-content/uploads/2016/05/Preparing-Health-Care-and-Public-Health-Professionals-for-Team-Performance-The-Community-as-Classroom.pdf

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Paper Instructions:

The concept of managed care and the Health Maintenance Organization (HMO) has been evolving since the early 1970s and has significantly impacted the delivery of health and medical care in the United States.

Write a 1,050- to 1,400-word paper addressing the following:

Define managed care and briefly describe the different types of managed care models and key characteristics of an HMO.
Assess the economic impact of implementing managed care since the introduction of the 1973 HMO Act. 
Explain how consumer and provider incentives work to achieve cost reduction, improved resource allocation, and return on investment (ROI) in a managed care environment.
Explain the economic impact of alternative provider payment methods on HMO performance.
Compare and contrast the effects of HMOs with the effects of fee-for-services on resources used and quality of care.
Distinguish between employer and individual use of information on managed care health plan performance.
Discuss the rationale and potential implications and consequences of moving from a volume-based to value-based healthcare delivery system.

Include at least 10 current peer-reviewed articles in your paper.

Format your assignment according to APA guidelines.

Submit your assignment.

Resources
Center for Writing Excellence
Reference and Citation Generator
Grammar and Writing Guides
Learning Team Toolkit

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Due date
3/3/20, 1:59 AM (EST) 

Goals & standards
Aligned with 5 goals 

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Unlimited 

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Draft saved on 2/17/20, 12:13 AM
100 points

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Paper Instructions:

Childhood Flu explains why virus hits some harder than others

You will write a 5-7 page term paper a topic in Biochemistry, in the form of a review paper. Students should include enzymology in their paper. You will summarize what is known about your topic, including questions and methods used to investigate and methods used to investigate your topic. The paper requires references from peer review journals. At least 5 references must be post-2005. Note: instructor really wants the paper to discuss how proteins are involved

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Paper Instructions:

Point-of-Care Diagnostics will remove the need for dedicated hospital clinical biochemistry labs'

What are point-of-care/testing (POC/T) diagnostics? Give some examples where technological developments have resulted in their current practical availability and use. Do you agree with the quote above? [1500 words max]

[what I am looking for: why have POCTs?, exciting technical developments, current examples, possible adoption by healthcare, the future....answering the question! WITH REFERENCES]

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Paper Instructions:

Part 1: Advocacy Issue Selection

You are asked to select a local issue (example: access to healthcare, mental health support or fresh food) that you are passionate about that is specific to a special population. Special populations can include, but are not limited to, minorities, veterans, children, substance abuse, and the disabled or elderly.

Be sure to include the following information:

An explanation of the local issue you have selected and how it relates to target special populations.
A synopsis of why this issue needs to be advocated for utilizing the 8 case-advocacy tasks.
Submit your completed assignment to the drop box below. Please check the Course Calendar for specific due dates.

Save your assignment as a Microsoft Word document. (Mac users, please remember to append the ".docx" extension to the filename.) The name of the file should be your first initial and last name, followed by an underscore and the name of the assignment, and an underscore and the date. An example is shown below:

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Paper Instructions:

Birth Weight and Adult IQ, but Not Anxious Depressive Psychopathology, Are Associated with Cortical Surface Area: A Study in Twins

write a 3-page summary (double spaced, arial or times new roman 12, 1" margins) discussing what the article showed, your opinion of the article's findings stating whether you agree or disagree with their conclusions. Suggest some possible changes to their methods or additional studies that can be conducted in the future.

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Paper Instructions:

Further to our discussion, I have extracted the assignment question which you will see below. I have already started the assignment on introduction, literature search, a rationale which still need fine-tuning.
 I can furnish you with access to my portal if you need to access databases for journals and ebooks. I have also attached some documents in chronological order which will assist in doing the assignment. The literature shortlist provides the titles of the articles which need to be appraised, analysed and critiqued. I have the full articles which I will provide if you decide to take up the work. I have also attached extracts of past students just as a guide of the method and level of writing required.  





Many thanks



Guidelines for the Implementing Evidence Based Practice summative assignment

 ‘Summative Assessment: 3000 words (+/- 10%) assignment will be on a topic of the student’s own choice or from the list provided; identified from practice experience and of relevance to service users and their families’ care experiences’

The topic must be focus on improving patient safety and/ or patient experience.

Research Question: How effective Is hand hygiene by healthcare stakeholders in reducing Healthcare Associated Infections (HCAI) in adult wards? 

Examine the evidence supporting a clinical topic (chosen from your clinical experience) and critically appraise the evidence to underpin the evidence based practice, including a discussion of factors that may inhibit the implementation of the evidence base.

The Introduction

Introduce the research question and highlight any lack of evidence in the literature

 

Research question

Rationale for asking this question-why are you asking this? Is there a lack of evidence in the existing literature?

Introduce how you formulated your question

You must use PICO/PEO to clearly define your question.

Aims and objectives of this review

 

Methodology

You need to look at the evidence base for your chosen topic. This will require good literature searching skills and a clear account of the search strategy you used. 6-15 papers are recommended but there may be more or less depending on your question.

Describe search terms used

Inclusion/Exclusion criteria

 

Results of the search strategy

Describe your findings and use a table to depict results and place in appendices

 

Quality Appraisal

Use an appraisal tool (Caldwell Appraisal tool) to appraise the papers you have selected. Put this information in your appendices and refer to it.

Mention bias in terms of research methodology for the papers you have selected

 

Summary and synthesis of the papers

What are the main points of the literature in relation to your research question?

Are there any themes coming through? Is there a reliance on particular areas?

 

Issues of Implementation

For the last quarter of the assignment (roughly) you are encouraged to use a framework such as PARIHS to explore issues of implementation.

 

Conclusion

Complete the essay with a brief conclusion drawing together the key ideas that specifically answered your research question and finally the implication of your findings for practice.

 

Above all make sure you are being critical in a structured and logical way