Tag: Homework Solution

  • [Solved] State and government and Constitutional Guidelines

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  • [Solved] WK Resp Health 1

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    – 2 years ago **files (1)** – ## WK8RESPHEALTH1.docx **## WK8RESPHEALTH1.docx** NATIONAL AND GLOBAL NURSING PROFESSION ISSUES ![A room with a red carpeted floor and a podium Description automatically generated](https://www.sweetstudy.com/questions/wk-resp-health-1) What issues are affecting healthca…

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    **## WK8RESPHEALTH1.docx**

    NATIONAL AND GLOBAL  NURSING PROFESSION ISSUES

    ![A room with a red carpeted floor and a podium Description automatically generated](https://www.sweetstudy.com/questions/wk-resp-health-1)

    What issues are affecting healthcare? How do these issues affect you, your practice, and/or your organization? How do these issues affect your patients?

    Throughout this course you have identified and supported an advocacy priority, focusing specifically on how best to move the agenda forward. Now is your opportunity to explore a specific issue affecting the nursing profession in the United States and a global health issues.. Nurses hold a front row seat to what is happening in healthcare. Nurses can see what is working and what is not working in the field on a daily basis. While it can be easy to focus specifically on our own practice and organization, healthcare is a global practice. And considering the impact of global initiatives, policy issues affecting nurses on a global scale can help us to better understand, remedy, connect, and even prepare for current or potential national issues.

    For this Discussion, consider what you have learned thus far about the political and social determinants of health and healthcare policy and advocacy. Identify a nursing issue that many impact you. What can be done about this issue? Who is impacted by this issue? How might policy remedy this issue?

    Resources

    Be sure to review the Learning Resources before completing this activity.
    Click the weekly resources link to access the resources.

    [**WEEKLY RESOURCES**](https://waldenu.instructure.com/courses/148513/modules/items/5624108)

    [Readings](https://waldenu.instructure.com/courses/148513/pages/week-8-10-learning-resources?module_item_id=5624108)

    · Dawes, D. E. (2020).
    _The political determinants of health_. Johns Hopkins University Press.

    · Chapter 4, “How the Game is Played: Successful Employment of the Political Determinants of Health” (pp. 78–111)

    · Porche, D. J. (2023).
    _Health policy: Applications for nurses and other healthcare professionals_(3rd ed.). Jones & Bartlett Learning.

    · Chapter 13, “Board Governance and Policy Leadership” (pp. 185–192)

    · Chapter 14, “Institutional and Organizational/ Association Policy” (pp. 193–199)

    · Chapter 17, “Policy Institutes” (pp. 255–264)

    · American Association of Nurse Anesthesiology. (2022).
    [_Advocacy and policyLinks to an external site._](https://www.aana.com/advocacy) _._ https://www.aana.com/advocacy

    · American Association of Nurse Practitioners. (2022).
    [_AANP advocacy: Championing the NP role and amplifying the NP voiceLinks to an external site._](https://www.aanp.org/advocacy) _._ https://www.aanp.org/advocacy

    · American Nurses Association. (2018).
    [_ANA advocacy toolkitLinks to an external site._](https://rnaction.org/SitePages/toolkit.aspx) _._ https://rnaction.org/SitePages/toolkit.aspx

    · American Nurses Association. (n.d.).
    [_Nurses serving in congressLinks to an external site._](https://www.nursingworld.org/practice-policy/advocacy/federal/nurses-serving-in-congress/) _._ https://www.nursingworld.org/practice-policy/advocacy/federal/nurses-serving-in-congress/

    · Centers for Disease Control and Prevention, Office of Policy, Performance, and Evaluation. (2021).
    [_Resources for writing briefs_ Links to an external site.](https://www.cdc.gov/policy/polaris/training/writing-briefs/index.html). https://www.cdc.gov/policy/polaris/training/writing-briefs/index.html

    · IDRC. (n.d.).
    [_How to write a policy brief_ Links to an external site.](https://idrc-crdi.ca/en/funding/resources-idrc-grantees/how-write-policy-brief). https://idrc-crdi.ca/en/funding/resources-idrc-grantees/how-write-policy-brief

    · International Council of Nurses. (n.d.).
    [https://www.icn.ch/Links to an external site.](https://www.icn.ch/)

    · International Council of Nurses. (2022).
    [_Nursing policyLinks to an external site._](https://www.icn.ch/nursing-policy) _._ https://www.icn.ch/nursing-policy

    · National League for Nursing. (2022).
    [_Public policyLinks to an external site._](https://www.nln.org/public-policy) _._ https://www.nln.org/public-policy

    · National League for Nursing. (2022).
    [_Toolkit homeLinks to an external site._](https://www.nln.org/education/teaching-resources/professional-development-programsteaching-resources/toolkits) _._ https://www.nln.org/education/teaching-resources/professional-development-programsteaching-resources/toolkits

    · Open Secrets. (2021).
    [_Health professionalsLinks to an external site._](https://www.opensecrets.org/industries/indus.php?ind=H01) _: Summary._ https://www.opensecrets.org/industries/indus.php?ind=H01

    · Pitsker, K. (2019, November 26). How to run for local office.
    [_Kiplinger_ Links to an external site.](https://www.kiplinger.com/article/business/t043-c000-s002-how-to-run-for-local-office.html). https://www.kiplinger.com/article/business/t043-c000-s002-how-to-run-for-local-office.html

    ·
    [She Should RunLinks to an external site.](https://sheshouldrun.org/). (2020).
    [https://sheshouldrun.org/Links to an external site.](https://sheshouldrun.org/) **Note:** Explore this site on the topic of “Running for Elected Office.” You will need to join (free) to access the self-quizzes and materials.

    · United Nations. (n.d.). Sustainable development goals:
    [_17 goals to transform our worldLinks to an external site._](https://www.un.org/sustainabledevelopment/) _._ https://www.un.org/sustainabledevelopment/

    · Weakley, S., & Tarrega, M. (n.d.).
    [_How to write a policy brief_ Links to an external site.](https://policyscotland.gla.ac.uk/wp-content/uploads/2021/04/TSRFWritingaPolicyBrief.pdf). https://policyscotland.gla.ac.uk/wp-content/uploads/2021/04/TSRFWritingaPolicyBrief.pdf

    ·
    **Document:** [Global Issues Impacting Nursing](https://waldenu.instructure.com/courses/148513/files/11127209?wrap=1) [Download Global Issues Impacting Nursing](https://waldenu.instructure.com/courses/148513/files/11127209/download?download_frd=1)(PDF)

    [Media](https://waldenu.instructure.com/courses/148513/pages/week-8-10-learning-resources?module_item_id=5624108)

    · American Nurses Association. (2021, May 11). RNAction:
    [_When nurses speak, Washington listensLinks to an external site._](https://www.youtube.com/watch?v=IJD60OucJn0) [Video]. https://www.youtube.com/watch?v=IJD60OucJn0

    **Note:** The approximate length of this media piece is 1 minute.

    · Parks, M., & Weiner, C. (2019, October 19).
    [_How to run for office_ Links to an external site.](https://www.npr.org/2019/10/15/770332855/how-to-run-for-office) [Multimedia]. NPR. https://www.npr.org/2019/10/15/770332855/how-to-run-for-office

    To Prepare:

    · Review resources about nursing profession issues in the United States. Look specifically at the NLN and ANA website resources.

    · Review the global issues explored by the International Council of Nurses.

    · Consider a nursing issue that may impact you.

    · Consider what might be done about this issue.

    By Day 3 of Week 8

    **Select** a nursing profession issue happening in the United States or a global health issue.

    **Post** a response detailing the following:

    · Provide a clear and detailed description of the nursing profession issue.

    · Explain how you might be impacted by this issue.

    · Explore how this issue might be addressed and/or remedied through policy.

    By Day 6 of Week 8

    **Read** a selection of your colleagues’ posts.
    **Respond** to
    **at least two** of your colleagues on
    **2 different days** by supporting or expanding on the ideas identified by your colleagues or sharing additional perspectives on the issue described by your colleagues.

    RESPOND TO THE DISCUSSION POST

    ****Bibi Ndu****

    ****National and Global Nursing Profession Issues****

    ****The issue of safe working conditions and occupational health are critical concerns within the nursing profession, as nurses often face unique and multifaceted occupational hazards. These include exposure to infectious diseases, physical injuries from lifting patients, workplace violence, and mental health challenges such as burnout and compassion fatigue (Schulte et al., 2022). According to various studies, healthcare workers, including nurses, experience some of the highest rates of musculoskeletal injuries, with over 50% reporting back pain attributed to patient handling (Schulte et al., 2022). Furthermore, a 2021 report from the American Nurses Association (ANA) revealed that 44% of nurses experienced physical violence and 68% verbal abuse within the previous year, underscoring the pervasive risks of workplace violence in healthcare settings (Schulte et al., 2022).****

    ****The impact of this issue extends beyond individual nurses to affect the quality of patient care. Nurses working in unsafe conditions often report lower job satisfaction and higher turnover intentions, which exacerbates staffing shortages and increases the workload for the remaining staff (Schulte et al., 2022). This creates a cyclical strain that compromises worker well-being and patient safety (Schulte et al., 2022). For me, as a mental health nurse, unsafe working conditions increase the risk of burnout, impacting my ability to provide optimal care. In high-stress environments, such as the emergency department, which I find myself in many times due to the nature of my role, inadequate staffing or support often leads to emotional exhaustion and could ultimately hinder my professional growth and resilience.****

    ****Addressing the issue of safe working conditions and occupational health requires comprehensive policy interventions. Implementing evidence-based, safe patient handling programs, such as using mechanical lifts and providing adequate staffing ratios, can significantly reduce the risk of physical injuries (González‐Caballero, 2024). Additionally, legislative measures like the Workplace Violence Prevention for Health Care and Social Service Workers Act, currently under consideration in the U.S. Congress, aim to mandate the development of workplace violence prevention plans, thereby addressing one of the most pervasive risks in nursing (González‐Caballero, 2024). Hospitals and healthcare organizations must also prioritize mental health resources for nurses, including access to counseling services, stress management programs, and mental health days (Kulchania, 2021).****

    ****To ensure effectiveness, policies must be informed by robust data collection and stakeholder engagement. Engaging nurses in policy development ensures that interventions address the realities of clinical practice (Kulchania, 2021). Moreover, regulatory bodies like OSHA and state boards of nursing should enforce compliance with safety standards, holding healthcare organizations accountable for creating safe and supportive work environments (Kulchania, 2021). These measures can collectively foster a culture of safety, protect the health of nursing professionals, and ultimately enhance patient outcomes.****

    ****References****

    ****González‐Caballero, J. (2024). Occupational health nursing and political action.****
    ****_International Nursing Review_.****

    ****Kulchania, S. K. (2021). Occupational safety for nurses.****
    ****_International Journal of Nursing Education and Research_,****
    ****_9_(3), 370-372.****

    ****Schulte, P. A., Iavicoli, I., Fontana, L., Leka, S., Dollard, M. F., Salmen-Navarro, A., … & Fischer, F. M. (2022). Occupational safety and health staging framework for decent work.****
    ****_International journal of environmental research and public health_,****
    ****_19_(17), 10842.****

    ****Reply****

    **## image1.jpeg**

    **## WK8RESPHEALTH1.docx**

    NATIONAL AND GLOBAL  NURSING PROFESSION ISSUES

    ![A room with a red carpeted floor and a podium Description automatically generated](https://www.sweetstudy.com/questions/wk-resp-health-1)

    What issues are affecting healthcare? How do these issues affect you, your practice, and/or your organization? How do these issues affect your patients?

    Throughout this course you have identified and supported an advocacy priority, focusing specifically on how best to move the agenda forward. Now is your opportunity to explore a specific issue affecting the nursing profession in the United States and a global health issues.. Nurses hold a front row seat to what is happening in healthcare. Nurses can see what is working and what is not working in the field on a daily basis. While it can be easy to focus specifically on our own practice and organization, healthcare is a global practice. And considering the impact of global initiatives, policy issues affecting nurses on a global scale can help us to better understand, remedy, connect, and even prepare for current or potential national issues.

    For this Discussion, consider what you have learned thus far about the political and social determinants of health and healthcare policy and advocacy. Identify a nursing issue that many impact you. What can be done about this issue? Who is impacted by this issue? How might policy remedy this issue?

    Resources

    Be sure to review the Learning Resources before completing this activity.
    Click the weekly resources link to access the resources.

    [**WEEKLY RESOURCES**](https://waldenu.instructure.com/courses/148513/modules/items/5624108)

    [Readings](https://waldenu.instructure.com/courses/148513/pages/week-8-10-learning-resources?module_item_id=5624108)

    · Dawes, D. E. (2020).
    _The political determinants of health_. Johns Hopkins University Press.

    · Chapter 4, “How the Game is Played: Successful Employment of the Political Determinants of Health” (pp. 78–111)

    · Porche, D. J. (2023).
    _Health policy: Applications for nurses and other healthcare professionals_(3rd ed.). Jones & Bartlett Learning.

    · Chapter 13, “Board Governance and Policy Leadership” (pp. 185–192)

    · Chapter 14, “Institutional and Organizational/ Association Policy” (pp. 193–199)

    · Chapter 17, “Policy Institutes” (pp. 255–264)

    · American Association of Nurse Anesthesiology. (2022).
    [_Advocacy and policyLinks to an external site._](https://www.aana.com/advocacy) _._ https://www.aana.com/advocacy

    · American Association of Nurse Practitioners. (2022).
    [_AANP advocacy: Championing the NP role and amplifying the NP voiceLinks to an external site._](https://www.aanp.org/advocacy) _._ https://www.aanp.org/advocacy

    · American Nurses Association. (2018).
    [_ANA advocacy toolkitLinks to an external site._](https://rnaction.org/SitePages/toolkit.aspx) _._ https://rnaction.org/SitePages/toolkit.aspx

    · American Nurses Association. (n.d.).
    [_Nurses serving in congressLinks to an external site._](https://www.nursingworld.org/practice-policy/advocacy/federal/nurses-serving-in-congress/) _._ https://www.nursingworld.org/practice-policy/advocacy/federal/nurses-serving-in-congress/

    · Centers for Disease Control and Prevention, Office of Policy, Performance, and Evaluation. (2021).
    [_Resources for writing briefs_ Links to an external site.](https://www.cdc.gov/policy/polaris/training/writing-briefs/index.html). https://www.cdc.gov/policy/polaris/training/writing-briefs/index.html

    · IDRC. (n.d.).
    [_How to write a policy brief_ Links to an external site.](https://idrc-crdi.ca/en/funding/resources-idrc-grantees/how-write-policy-brief). https://idrc-crdi.ca/en/funding/resources-idrc-grantees/how-write-policy-brief

    · International Council of Nurses. (n.d.).
    [https://www.icn.ch/Links to an external site.](https://www.icn.ch/)

    · International Council of Nurses. (2022).
    [_Nursing policyLinks to an external site._](https://www.icn.ch/nursing-policy) _._ https://www.icn.ch/nursing-policy

    · National League for Nursing. (2022).
    [_Public policyLinks to an external site._](https://www.nln.org/public-policy) _._ https://www.nln.org/public-policy

    · National League for Nursing. (2022).
    [_Toolkit homeLinks to an external site._](https://www.nln.org/education/teaching-resources/professional-development-programsteaching-resources/toolkits) _._ https://www.nln.org/education/teaching-resources/professional-development-programsteaching-resources/toolkits

    · Open Secrets. (2021).
    [_Health professionalsLinks to an external site._](https://www.opensecrets.org/industries/indus.php?ind=H01) _: Summary._ https://www.opensecrets.org/industries/indus.php?ind=H01

    · Pitsker, K. (2019, November 26). How to run for local office.
    [_Kiplinger_ Links to an external site.](https://www.kiplinger.com/article/business/t043-c000-s002-how-to-run-for-local-office.html). https://www.kiplinger.com/article/business/t043-c000-s002-how-to-run-for-local-office.html

    ·
    [She Should RunLinks to an external site.](https://sheshouldrun.org/). (2020).
    [https://sheshouldrun.org/Links to an external site.](https://sheshouldrun.org/) **Note:** Explore this site on the topic of “Running for Elected Office.” You will need to join (free) to access the self-quizzes and materials.

    · United Nations. (n.d.). Sustainable development goals:
    [_17 goals to transform our worldLinks to an external site._](https://www.un.org/sustainabledevelopment/) _._ https://www.un.org/sustainabledevelopment/

    · Weakley, S., & Tarrega, M. (n.d.).
    [_How to write a policy brief_ Links to an external site.](https://policyscotland.gla.ac.uk/wp-content/uploads/2021/04/TSRFWritingaPolicyBrief.pdf). https://policyscotland.gla.ac.uk/wp-content/uploads/2021/04/TSRFWritingaPolicyBrief.pdf

    ·
    **Document:** [Global Issues Impacting Nursing](https://waldenu.instructure.com/courses/148513/files/11127209?wrap=1) [Download Global Issues Impacting Nursing](https://waldenu.instructure.com/courses/148513/files/11127209/download?download_frd=1)(PDF)

    [Media](https://waldenu.instructure.com/courses/148513/pages/week-8-10-learning-resources?module_item_id=5624108)

    · American Nurses Association. (2021, May 11). RNAction:
    [_When nurses speak, Washington listensLinks to an external site._](https://www.youtube.com/watch?v=IJD60OucJn0) [Video]. https://www.youtube.com/watch?v=IJD60OucJn0

    **Note:** The approximate length of this media piece is 1 minute.

    · Parks, M., & Weiner, C. (2019, October 19).
    [_How to run for office_ Links to an external site.](https://www.npr.org/2019/10/15/770332855/how-to-run-for-office) [Multimedia]. NPR. https://www.npr.org/2019/10/15/770332855/how-to-run-for-office

    To Prepare:

    · Review resources about nursing profession issues in the United States. Look specifically at the NLN and ANA website resources.

    · Review the global issues explored by the International Council of Nurses.

    · Consider a nursing issue that may impact you.

    · Consider what might be done about this issue.

    By Day 3 of Week 8

    **Select** a nursing profession issue happening in the United States or a global health issue.

    **Post** a response detailing the following:

    · Provide a clear and detailed description of the nursing profession issue.

    · Explain how you might be impacted by this issue.

    · Explore how this issue might be addressed and/or remedied through policy.

    By Day 6 of Week 8

    **Read** a selection of your colleagues’ posts.
    **Respond** to
    **at least two** of your colleagues on
    **2 different days** by supporting or expanding on the ideas identified by your colleagues or sharing additional perspectives on the issue described by your colleagues.

    RESPOND TO THE DISCUSSION POST

    ****Bibi Ndu****

    ****National and Global Nursing Profession Issues****

    ****The issue of safe working conditions and occupational health are critical concerns within the nursing profession, as nurses often face unique and multifaceted occupational hazards. These include exposure to infectious diseases, physical injuries from lifting patients, workplace violence, and mental health challenges such as burnout and compassion fatigue (Schulte et al., 2022). According to various studies, healthcare workers, including nurses, experience some of the highest rates of musculoskeletal injuries, with over 50% reporting back pain attributed to patient handling (Schulte et al., 2022). Furthermore, a 2021 report from the American Nurses Association (ANA) revealed that 44% of nurses experienced physical violence and 68% verbal abuse within the previous year, underscoring the pervasive risks of workplace violence in healthcare settings (Schulte et al., 2022).****

    ****The impact of this issue extends beyond individual nurses to affect the quality of patient care. Nurses working in unsafe conditions often report lower job satisfaction and higher turnover intentions, which exacerbates staffing shortages and increases the workload for the remaining staff (Schulte et al., 2022). This creates a cyclical strain that compromises worker well-being and patient safety (Schulte et al., 2022). For me, as a mental health nurse, unsafe working conditions increase the risk of burnout, impacting my ability to provide optimal care. In high-stress environments, such as the emergency department, which I find myself in many times due to the nature of my role, inadequate staffing or support often leads to emotional exhaustion and could ultimately hinder my professional growth and resilience.****

    ****Addressing the issue of safe working conditions and occupational health requires comprehensive policy interventions. Implementing evidence-based, safe patient handling programs, such as using mechanical lifts and providing adequate staffing ratios, can significantly reduce the risk of physical injuries (González‐Caballero, 2024). Additionally, legislative measures like the Workplace Violence Prevention for Health Care and Social Service Workers Act, currently under consideration in the U.S. Congress, aim to mandate the development of workplace violence prevention plans, thereby addressing one of the most pervasive risks in nursing (González‐Caballero, 2024). Hospitals and healthcare organizations must also prioritize mental health resources for nurses, including access to counseling services, stress management programs, and mental health days (Kulchania, 2021).****

    ****To ensure effectiveness, policies must be informed by robust data collection and stakeholder engagement. Engaging nurses in policy development ensures that interventions address the realities of clinical practice (Kulchania, 2021). Moreover, regulatory bodies like OSHA and state boards of nursing should enforce compliance with safety standards, holding healthcare organizations accountable for creating safe and supportive work environments (Kulchania, 2021). These measures can collectively foster a culture of safety, protect the health of nursing professionals, and ultimately enhance patient outcomes.****

    ****References****

    ****González‐Caballero, J. (2024). Occupational health nursing and political action.****
    ****_International Nursing Review_.****

    ****Kulchania, S. K. (2021). Occupational safety for nurses.****
    ****_International Journal of Nursing Education and Research_,****
    ****_9_(3), 370-372.****

    ****Schulte, P. A., Iavicoli, I., Fontana, L., Leka, S., Dollard, M. F., Salmen-Navarro, A., … & Fischer, F. M. (2022). Occupational safety and health staging framework for decent work.****
    ****_International journal of environmental research and public health_,****
    ****_19_(17), 10842.****

    ****Reply****

    **## image1.jpeg**

  • [Solved] SOP DISCUSSION 3 REPLIES

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  • [Solved] WK 8 RESP THEO 2

    ✓ Verified Academic Solution Available

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    – 2 years ago **files (1)** – ## WK8RESTHEOSDOHANDSOCIALCHANGE.docx **## WK8RESTHEOSDOHANDSOCIALCHANGE.docx** SDOH AND SOCIAL CHANGE "A good intention, with a bad approach, often leads to a poor result." ―Thomas Edison ![A network of red threads Description automatically generated with medium confid…

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    – 2 years ago

    **files (1)**

    – ## WK8RESTHEOSDOHANDSOCIALCHANGE.docx

    **## WK8RESTHEOSDOHANDSOCIALCHANGE.docx**

    SDOH AND SOCIAL CHANGE

    "A good intention, with a bad approach, often leads to a poor result."

    ―Thomas Edison

    ![A network of red threads Description automatically generated with medium confidence](https://www.sweetstudy.com/questions/wk-8-resp-theo-2)

    The U.S. Department of Health and Human Services (HHS) has identified five areas that impact one’s social determinants of health (SDOH), which include economic stability, education, social and community context, health and healthcare, and neighborhood and surrounding environment (ODPHP, 2020). And although the United States spends more money on healthcare than other highly industrialized countries, according to the National Academies of Sciences, Engineering, and Medicine (2021), it has some of the poorest health outcomes of other developed countries.

    As nurses, we identify the inequities that affect our patients outside of medical care, such as lack of money to purchase needed medications, transportation, food insecurity, poor housing, and fear of safety in the neighborhood. Because of these factors, understanding the impact of the SDOH, in shaping one’s health, is critical to today’s nursing workforce.

    As noted in the introductory quote from Thomas Edison, addressing SDOH and developing strategies with good intentions and a bad approach, to promote positive social change, may not help the patient, the community, nor the organization. Planning for change by using a translation model, instead, assists the organization and ensures that a variety of stakeholders have plan input, implementation time is decreased, and outcomes are clearly identified.

    Resources

    Be sure to review the Learning Resources before completing this activity.
    Click the weekly resources link to access the resources.

    [**WEEKLY RESOURCES**](https://waldenu.instructure.com/courses/142660/modules/items/5646739)

    Learning Resources

    [Required Readings](https://waldenu.instructure.com/courses/142660/pages/week-8-learning-resources?module_item_id=5646739)

    · Dang, D., Dearholt, S. L., Bissett, K., Ascenzi, J., & Whalen, M. (2021). Johns Hopkins evidence-based practice for nurses and healthcare professionals: Model and guidelines (4th ed.). Sigma Theta Tau International.

    · Chapter 8, “Translation” (pp 189–205)

    · Chapter 10, “Exemplars” (pp 223–243)

    ·
    [Appendix A, “PET Process Guide” (pp. 279–282)](https://waldenu.instructure.com/courses/142660/files/11137326?wrap=1) [Download Appendix A, “PET Process Guide” (pp. 279–282)](https://waldenu.instructure.com/courses/142660/files/11137326/download?download_frd=1)

    **Note:** You previously purchased this text for NURS 8002.

    · White, K. M., Dudley-Brown, S., & Terhaar, M. F. (Eds.). (2024). Translation of evidence into nursing and healthcare (4th ed.). Springer.

    · Chapter 19, “Population Health Exemplars” (pp. 355–380)

    · Chapter 20, “Specialty Practice Exemplars” (pp. 381–426)

    · Chapter 21, “Healthcare System Exemplars” (pp. 427–466)

    **Note:** You are only required to read
    **one** of the three exemplars above. Select the exemplar that best aligns with the practice or organization issue you select for the Week 8 Discussion.

    · Johns Hopkins Nursing Center for Nursing Inquiry. (n.d.).
    [_Evidence-based practice_ Links to an external site.](https://www.hopkinsmedicine.org/nursing/center-nursing-inquiry/nursing-inquiry/evidence-based-practice). Johns Hopkins Medicine. https://www.hopkinsmedicine.org/nursing/center-nursing-inquiry/nursing-inquiry/evidence-based-practice#:~:text=EBP%20is%20a%20process%20used,et%20al.%2C%202022).I

    [Literature Review Assignment Resources](https://waldenu.instructure.com/courses/142660/pages/week-8-learning-resources?module_item_id=5646739)

    · Dang, D., Dearholt, S. L., Bissett, K., Ascenzi, J., & Whalen, M. (2021).
    _Johns Hopkins evidence-based practice for nurses and healthcare professionals: Model and guidelines_ (4th ed.). Sigma Theta Tau International.

    · Chapter 5, “Searching for Evidence” (pp. 99–128)

    · Chapter 6, “Evidence Appraisal: Research” (pp. 129–162)

    · Chapter 7, “Evidence Appraisal: Nonresearch” (pp. 163–188)

    ·
    [Appendix B, “Question Development Tool” (pp. 283–288)](https://waldenu.instructure.com/courses/142660/files/11137325?wrap=1) [Download Appendix B, “Question Development Tool” (pp. 283–288)](https://waldenu.instructure.com/courses/142660/files/11137325/download?download_frd=1)

    ·
    [Appendix E, “Research Evidence Appraisal Tool” (pp. 297–306)](https://waldenu.instructure.com/courses/142660/files/11137324?wrap=1) [Download Appendix E, “Research Evidence Appraisal Tool” (pp. 297–306)](https://waldenu.instructure.com/courses/142660/files/11137324/download?download_frd=1)

    ·
    [Appendix F, “Nonresearch Evidence Appraisal Tool” (pp. 307–314)](https://waldenu.instructure.com/courses/142660/files/11137332?wrap=1) [Download Appendix F, “Nonresearch Evidence Appraisal Tool” (pp. 307–314)](https://waldenu.instructure.com/courses/142660/files/11137332/download?download_frd=1)

    ·
    [Appendix G, “Individual Evidence Summary Tool” (pp. 315–316)](https://waldenu.instructure.com/courses/142660/files/11137334?wrap=1) [Download Appendix G, “Individual Evidence Summary Tool” (pp. 315–316)](https://waldenu.instructure.com/courses/142660/files/11137334/download?download_frd=1)

    ·
    [Appendix H, “Synthesis and Recommendations Tool (pp. 319–323)](https://waldenu.instructure.com/courses/142660/files/11137335?wrap=1) [Download Appendix H, “Synthesis and Recommendations Tool (pp. 319–323)](https://waldenu.instructure.com/courses/142660/files/11137335/download?download_frd=1)

    **Note:** Be prepared to complete and submit Appendices B, G, and H for your Assignment this week.

    **Also Note:** You previously purchased this text for NURS 8002.

    · Bermudez, N. (2021).
    [Formulating well-written clinical practice questions and research questionsLinks to an external site.](https://scholarlycommons.baptisthealth.net/nhsrj/vol4/iss1/10/).
    _Nursing and Health Sciences Research Journal, 4_(1), 70–82. https://doi.org/10.55481/2578-3750.1113

    · Echevarria, I. M., & Walker, S. (2014).
    [To make your case, start with a PICOT questionLinks to an external site.](https://access.ovid.com/custom/redirector/index.html?dest=https://go.openathens.net/redirector/waldenu.edu?url=http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00152193-201402000-00007&D=ovft).
    _Nursing, 44_(2), 18–19. https://doi.org/10.1097/01.NURSE.0000442594.00242.f9

    · Ford, L. G., & Melnyk, B. M. (2019).
    [The underappreciated and misunderstood PICOT question: A critical step in the EBP processLinks to an external site.](https://search.ebscohost.com/login.aspx?direct=true&AuthType=shib&db=rzh&AN=140231445&site=eds-live&scope=site&custid=s6527200).
    _Worldviews on Evidence-Based Nursing, 16_(6), 422–423. https://doi.org/10.1111/wvn.12408

    **Note:** The following resources also appear in NURS 8002.

    · OASIS. (n.d.).
    [_Analyze and evaluate research articles_ Links to an external site.](https://academics.waldenu.edu/library/analyze-evaluate-research-articles) [Interactive media]. Walden University. https://academics.waldenu.edu/library/analyze-evaluate-research-articles

    · OASIS. (n.d.).
    [_Break a topic into keywordsLinks to an external site._](https://academics.waldenu.edu/library/topic-into-keywords) [Interactive media]. Walden University. https://academics.waldenu.edu/library/topic-into-keywords

    · OASIS. (n.d.).
    [_Evaluate resourcesLinks to an external site._](https://academics.waldenu.edu/library/evaluate-resources)[Interactive media]. Walden University. https://academics.waldenu.edu/library/evaluate-resources

    · OASIS.
    [_Grading evidence_ Links to an external site.](https://rise.articulate.com/share/–e-gVRMA_y8V2KffxxJAQNb_lswZ2zX) [Interactive media]. Walden University. https://rise.articulate.com/share/–e-gVRMA_y8V2KffxxJAQNb_lswZ2zX

    · OASIS. (n.d.).
    [_Locate, cite, and reference journal articlesLinks to an external site._](https://academics.waldenu.edu/library/locate-cite-reference-articles) [Interactive media]. Walden University. https://academics.waldenu.edu/library/locate-cite-reference-articles

    · OASIS. (n.d.).
    [_Paraphrase and summarize informationLinks to an external site._](https://academics.waldenu.edu/writing/paraphrase-summarize) [Interactive media]. Walden University. https://academics.waldenu.edu/writing/paraphrase-summarize

    · OASIS. (n.d.).
    [_Synthesis_ Links to an external site.](https://academicguides.waldenu.edu/writingcenter/evidence/synthesis) [Multimedia]. Walden University. https://academicguides.waldenu.edu/writingcenter/evidence/synthesis

    · OASIS. (n.d.).
    [_Synthesize literature_ Links to an external site.](https://academics.waldenu.edu/writing/synthesize-literature) [Interactive media]. Walden University. https://academics.waldenu.edu/writing/synthesize-literature

    · Walden University. (2021).
    [_DNP glossary_ Links to an external site.](https://cdn-media.waldenu.edu/2dett4d/Walden/NURS/8114/DNPG/index.html) [Interactive media]. Walden University Canvas. https://waldenu.instructure.com

    · Walden University Library. (n.d.).
    [_Ask a librarian_ Links to an external site.](https://academicguides.waldenu.edu/library/ask%20). https://academicguides.waldenu.edu/library/ask
    Note: Use this website to find answers to common questions or to contact a librarian directly.

    · Walden University Library. (n.d.).
    [_Databases A–Z: Nursing_ Links to an external site.](https://academicguides.waldenu.edu/az.php?s=19981). https://academicguides.waldenu.edu/az.php?s=19981

    · Walden University Library. (n.d.).
    [_Evaluating resources: Primary and secondary sources_ Links to an external site.](https://academicguides.waldenu.edu/library/evaluating/sources). https://academicguides.waldenu.edu/library/evaluating/sources

    · Walden University Library. (n.d.).
    [_Subject research: Nursing_ Links to an external site.](https://academicguides.waldenu.edu/library/subject/nursing). https://academicguides.waldenu.edu/library/subject/nursing

    **Note:** This database is a good starting point for nursing related searches.

    · Walden University Quick Answers. (n.d.).
    [_How do I verify that my article is peer reviewed?_ Links to an external site.](https://academicanswers.waldenu.edu/faq/72613) [Multimedia]. https://academicanswers.waldenu.edu/faq/72613

    [Optional Resources](https://waldenu.instructure.com/courses/142660/pages/week-8-learning-resources?module_item_id=5646739)

    · Fineout-Overholt E., Melnyk, B. M., Stillwell, S. B., & Williamson, K. M. (2010).
    [Evidence-based practice, step by step: Critical appraisal of the evidence: Part II: Digging deeper—examining the “keeper” studiesLinks to an external site.](https://access.ovid.com/custom/redirector/index.html?dest=https://go.openathens.net/redirector/waldenu.edu?url=http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00000446-201009000-00024&D=ovft).
    _AJN American Journal of Nursing, 110_(9), 41–48. https://doi.org/10.1097/01.NAJ.0000388264.49427.f9

    **Note:** This resource is seminal to the field.

    RESOND TO THIS DISCUSSION POST

    **Jess OKp**

    **Overcrowding in the Emergency Room at Grady Memorial Hospital**

    **Overcrowding in emergency rooms has emerged as a multifaceted issue, notably at Grady Memorial Hospital in Atlanta, Georgia, known for its pivotal role in providing emergency care to a diverse, often underserved population. While the surge in demand for emergency services can be attributed to various factors, the influence of Social Determinants of Health (SDOH) remains paramount in understanding the root causes of this overcrowding.**

    **Understanding SDOH and Their Connection to ER Overcrowding**

    **SDOH encompasses the economic and social conditions influencing individual and community health outcomes. These determinants include factors such as income level, education, healthcare access, and neighborhood characteristics. In the case of Grady Memorial Hospital, patients often arrive in crisis due to issues like inadequate access to primary care, lack of health insurance, and socioeconomic vulnerabilities. For instance, individuals from lower-income neighborhoods may forgo routine medical visits due to financial stressors, thus relying on the ER for both urgent and non-urgent health issues, inadvertently contributing to overcrowding.**

    **Grady Memorial has attempted to address some SDOH issues through outreach programs designed to connect patients with community resources. Initiatives such as education on managing chronic illnesses, transportation assistance for medical appointments, and integrated mental health services aim to alleviate the factors that push individuals toward emergency care. Despite these efforts, overcrowding persists, indicating that although SDOH has been acknowledged, comprehensive solutions remain elusive.**

    **Examining the Impact of Initiatives: Did Positive Social Change Occur?**

    **Positive social change has occurred to some extent, as initiatives aimed at addressing SDOH have improved health literacy and community engagement. However, the direct impact on ER overcrowding has been limited, as many patients still lack alternatives to seeking care in the ER. The emergency room continues to be viewed as the frontline for healthcare access, particularly for those who might be facing economic barriers or systemic inequalities.**

    **Analyzing Grady’s Approach Using the Johns Hopkins Evidence-Based Practice Model**

    **According to the Johns Hopkins Evidence-Based Practice Model outlined by Dang et al. (2021), addressing the issue of overcrowding at Grady Memorial Hospital involved several critical steps that may have been partially followed or overlooked. First, the assessment phase recognized overcrowding as a significant practice issue, particularly acknowledging the role of social determinants of health in driving emergency room utilization. This aspect has been adequately addressed. However, during the evidence-based solution identification phase, while efforts like outreach and education were implemented, a more systematic review of best practices from other institutions facing similar challenges could have enhanced the response. The implementation of initiatives targeting SDOH was initiated, but gaps in patient follow-up and continuity of care raised concerns about the sustainability of these efforts. Lastly, the evaluation phase lacks robust mechanisms for ongoing assessment of the outcomes associated with the implemented strategies. Without thorough data collection and analysis, accurately measuring the effectiveness of these interventions remains a challenge, underscoring the need for a more comprehensive approach to addressing the complex issue of overcrowding in emergency services (Dang et al., 2021).**

    **Evaluating Outcomes: Positive or Negative?**

    **The outcomes at Grady Memorial Hospital can be characterized as mixed. While some initiatives have improved health literacy and preventive care awareness, the persistent challenge of ER overcrowding suggests that the measures taken have not sufficiently impacted the underlying issues.**

    **To achieve a better outcome, a comprehensive strategy focusing on expanding primary care access, enhancing public transportation to healthcare facilities, and fostering community partnerships could yield significant results. For instance, establishing a system of mobile clinics in underserved neighborhoods could divert non-emergency cases from the ER, alleviating overcrowding and providing timely care.**

    **Conversely, if the outcomes were satisfactory, it would be essential to identify the key actions that led to this success. Such actions include effective stakeholder collaboration and healthy patient engagement strategies that promote trust and improve healthcare adherence.**

    **Measuring Change and Evaluating Outcomes**

    **To estimate the effectiveness of implemented strategies, outcomes should be quantitatively measured using metrics such as ER wait times, patient satisfaction scores, and medical outcome data. Such evaluations could involve regular patient surveys and data analytics to assess the flow of patients through the ER. For example, implementing an information system to track patient demographics and service efficiency can allow for targeted interventions based on data-driven insights.**

    **In conclusion, while the issue of overcrowding in the ER at Grady Memorial Hospital highlights systemic challenges rooted in SDOH, adequate strategies centered on patient access and community engagement are critical for combating this growing crisis. By applying evidence-based practices and continuously evaluating outcomes, Grady Memorial can advance toward a more sustainable healthcare delivery model, ultimately improving patient care and community health.**

    **References**

    **Dang, D., Dearholt, S. L., Bissett, K., Ascenzi, J., & Whalen, M. (2021).**
    **_Johns Hopkins evidence-based practice for nurses and healthcare professionals: Model and guidelines_ (4th ed.). Sigma Theta Tau International.**

    [Previous](https://waldenu.instructure.com/courses/142660/modules/items/5646735) [Next](https://waldenu.instructure.com/courses/142660/modules/items/5646743)

    To Prepare

    · Review the Week 8 Learning Resources. Pay particular attention to Chapter 10 and Appendix A in the Dang, et al. text. Also, review the three exemplars provided in the White et al. text.

    · Select an organization with which you are familiar that went through a practice change to address a practice or organization issue.
    **Note:** You may reuse organizations and/or issues that you selected earlier in this course. Or you may select new ones.

    · Consider how SDOH and positive social change relate to the issue you selected.

    · Consider how the approaches used by the organization to address the practice or organization issue were decided upon and received, as well as if the outcome was satisfactory or not.

    By Day 3 Of Week 8

    **Post** the following:

    · Identify the organization you selected. Describe the practice or organization issue you selected.

    · Explain how SDOH relates to the issue you selected. Be specific and provide examples.

    · Were SDOH addressed? If so, in what ways?

    · Did positive social change occur? Why or why not?

    · Using Appendix A from the Dang et al. text. Briefly describe the steps that were followed and/or missing in the organization’s approach to the practice or organization change.

    · Were the outcomes positive or negative?

    · If the outcome was less than satisfactory, what could have been done differently to achieve a better outcome? Be specific and provide examples.

    · If the outcome was satisfactory, what key actions were taken that led to this positive outcome? Be specific and provide examples.

    · How was the change measured, if at all? In what ways were the outcomes evaluated? Be specific and provide examples.

    **Note:** Your posts should be substantial (500 words minimum), supported with scholarly evidence from your research and/or the Learning Resources, and properly cited using APA Style. Personal anecdotes are acceptable as part of a meaningful post but cannot stand alone as the entire post.

    **Read** a selection of your colleagues’ posts.

    By Day 6 of Week 8

    **Respond** to at least
    **two** of your colleagues, on different days, by offering ideas for how their organization might have achieved a better outcome or how they might have more thoroughly addressed SDOH to achieve positive social change. Be specific and cite sources to support your recommendations.

    **Note:** Your responses to colleagues should be substantial (250 words minimum), supported with scholarly evidence from your research and/or the Learning Resources, and properly cited using APA Style. Personal anecdotes are acceptable as part of a meaningful response but cannot stand alone as a response. Your responses should enrich the initial post by supporting and/or adding a fresh viewpoint and be constructive, enhancing the learning experience for all students.

    **Return** to this Discussion in a few days to read the responses to your initial posting. Note what you have learned and/or any insights that you have gained because of your colleagues’ comments.

    ## image1.jpeg

    **## WK8RESTHEOSDOHANDSOCIALCHANGE.docx**

    SDOH AND SOCIAL CHANGE

    "A good intention, with a bad approach, often leads to a poor result."

    ―Thomas Edison

    ![A network of red threads Description automatically generated with medium confidence](https://www.sweetstudy.com/questions/wk-8-resp-theo-2)

    The U.S. Department of Health and Human Services (HHS) has identified five areas that impact one’s social determinants of health (SDOH), which include economic stability, education, social and community context, health and healthcare, and neighborhood and surrounding environment (ODPHP, 2020). And although the United States spends more money on healthcare than other highly industrialized countries, according to the National Academies of Sciences, Engineering, and Medicine (2021), it has some of the poorest health outcomes of other developed countries.

    As nurses, we identify the inequities that affect our patients outside of medical care, such as lack of money to purchase needed medications, transportation, food insecurity, poor housing, and fear of safety in the neighborhood. Because of these factors, understanding the impact of the SDOH, in shaping one’s health, is critical to today’s nursing workforce.

    As noted in the introductory quote from Thomas Edison, addressing SDOH and developing strategies with good intentions and a bad approach, to promote positive social change, may not help the patient, the community, nor the organization. Planning for change by using a translation model, instead, assists the organization and ensures that a variety of stakeholders have plan input, implementation time is decreased, and outcomes are clearly identified.

    Resources

    Be sure to review the Learning Resources before completing this activity.
    Click the weekly resources link to access the resources.

    [**WEEKLY RESOURCES**](https://waldenu.instructure.com/courses/142660/modules/items/5646739)

    Learning Resources

    [Required Readings](https://waldenu.instructure.com/courses/142660/pages/week-8-learning-resources?module_item_id=5646739)

    · Dang, D., Dearholt, S. L., Bissett, K., Ascenzi, J., & Whalen, M. (2021). Johns Hopkins evidence-based practice for nurses and healthcare professionals: Model and guidelines (4th ed.). Sigma Theta Tau International.

    · Chapter 8, “Translation” (pp 189–205)

    · Chapter 10, “Exemplars” (pp 223–243)

    ·
    [Appendix A, “PET Process Guide” (pp. 279–282)](https://waldenu.instructure.com/courses/142660/files/11137326?wrap=1) [Download Appendix A, “PET Process Guide” (pp. 279–282)](https://waldenu.instructure.com/courses/142660/files/11137326/download?download_frd=1)

    **Note:** You previously purchased this text for NURS 8002.

    · White, K. M., Dudley-Brown, S., & Terhaar, M. F. (Eds.). (2024). Translation of evidence into nursing and healthcare (4th ed.). Springer.

    · Chapter 19, “Population Health Exemplars” (pp. 355–380)

    · Chapter 20, “Specialty Practice Exemplars” (pp. 381–426)

    · Chapter 21, “Healthcare System Exemplars” (pp. 427–466)

    **Note:** You are only required to read
    **one** of the three exemplars above. Select the exemplar that best aligns with the practice or organization issue you select for the Week 8 Discussion.

    · Johns Hopkins Nursing Center for Nursing Inquiry. (n.d.).
    [_Evidence-based practice_ Links to an external site.](https://www.hopkinsmedicine.org/nursing/center-nursing-inquiry/nursing-inquiry/evidence-based-practice). Johns Hopkins Medicine. https://www.hopkinsmedicine.org/nursing/center-nursing-inquiry/nursing-inquiry/evidence-based-practice#:~:text=EBP%20is%20a%20process%20used,et%20al.%2C%202022).I

    [Literature Review Assignment Resources](https://waldenu.instructure.com/courses/142660/pages/week-8-learning-resources?module_item_id=5646739)

    · Dang, D., Dearholt, S. L., Bissett, K., Ascenzi, J., & Whalen, M. (2021).
    _Johns Hopkins evidence-based practice for nurses and healthcare professionals: Model and guidelines_ (4th ed.). Sigma Theta Tau International.

    · Chapter 5, “Searching for Evidence” (pp. 99–128)

    · Chapter 6, “Evidence Appraisal: Research” (pp. 129–162)

    · Chapter 7, “Evidence Appraisal: Nonresearch” (pp. 163–188)

    ·
    [Appendix B, “Question Development Tool” (pp. 283–288)](https://waldenu.instructure.com/courses/142660/files/11137325?wrap=1) [Download Appendix B, “Question Development Tool” (pp. 283–288)](https://waldenu.instructure.com/courses/142660/files/11137325/download?download_frd=1)

    ·
    [Appendix E, “Research Evidence Appraisal Tool” (pp. 297–306)](https://waldenu.instructure.com/courses/142660/files/11137324?wrap=1) [Download Appendix E, “Research Evidence Appraisal Tool” (pp. 297–306)](https://waldenu.instructure.com/courses/142660/files/11137324/download?download_frd=1)

    ·
    [Appendix F, “Nonresearch Evidence Appraisal Tool” (pp. 307–314)](https://waldenu.instructure.com/courses/142660/files/11137332?wrap=1) [Download Appendix F, “Nonresearch Evidence Appraisal Tool” (pp. 307–314)](https://waldenu.instructure.com/courses/142660/files/11137332/download?download_frd=1)

    ·
    [Appendix G, “Individual Evidence Summary Tool” (pp. 315–316)](https://waldenu.instructure.com/courses/142660/files/11137334?wrap=1) [Download Appendix G, “Individual Evidence Summary Tool” (pp. 315–316)](https://waldenu.instructure.com/courses/142660/files/11137334/download?download_frd=1)

    ·
    [Appendix H, “Synthesis and Recommendations Tool (pp. 319–323)](https://waldenu.instructure.com/courses/142660/files/11137335?wrap=1) [Download Appendix H, “Synthesis and Recommendations Tool (pp. 319–323)](https://waldenu.instructure.com/courses/142660/files/11137335/download?download_frd=1)

    **Note:** Be prepared to complete and submit Appendices B, G, and H for your Assignment this week.

    **Also Note:** You previously purchased this text for NURS 8002.

    · Bermudez, N. (2021).
    [Formulating well-written clinical practice questions and research questionsLinks to an external site.](https://scholarlycommons.baptisthealth.net/nhsrj/vol4/iss1/10/).
    _Nursing and Health Sciences Research Journal, 4_(1), 70–82. https://doi.org/10.55481/2578-3750.1113

    · Echevarria, I. M., & Walker, S. (2014).
    [To make your case, start with a PICOT questionLinks to an external site.](https://access.ovid.com/custom/redirector/index.html?dest=https://go.openathens.net/redirector/waldenu.edu?url=http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00152193-201402000-00007&D=ovft).
    _Nursing, 44_(2), 18–19. https://doi.org/10.1097/01.NURSE.0000442594.00242.f9

    · Ford, L. G., & Melnyk, B. M. (2019).
    [The underappreciated and misunderstood PICOT question: A critical step in the EBP processLinks to an external site.](https://search.ebscohost.com/login.aspx?direct=true&AuthType=shib&db=rzh&AN=140231445&site=eds-live&scope=site&custid=s6527200).
    _Worldviews on Evidence-Based Nursing, 16_(6), 422–423. https://doi.org/10.1111/wvn.12408

    **Note:** The following resources also appear in NURS 8002.

    · OASIS. (n.d.).
    [_Analyze and evaluate research articles_ Links to an external site.](https://academics.waldenu.edu/library/analyze-evaluate-research-articles) [Interactive media]. Walden University. https://academics.waldenu.edu/library/analyze-evaluate-research-articles

    · OASIS. (n.d.).
    [_Break a topic into keywordsLinks to an external site._](https://academics.waldenu.edu/library/topic-into-keywords) [Interactive media]. Walden University. https://academics.waldenu.edu/library/topic-into-keywords

    · OASIS. (n.d.).
    [_Evaluate resourcesLinks to an external site._](https://academics.waldenu.edu/library/evaluate-resources)[Interactive media]. Walden University. https://academics.waldenu.edu/library/evaluate-resources

    · OASIS.
    [_Grading evidence_ Links to an external site.](https://rise.articulate.com/share/–e-gVRMA_y8V2KffxxJAQNb_lswZ2zX) [Interactive media]. Walden University. https://rise.articulate.com/share/–e-gVRMA_y8V2KffxxJAQNb_lswZ2zX

    · OASIS. (n.d.).
    [_Locate, cite, and reference journal articlesLinks to an external site._](https://academics.waldenu.edu/library/locate-cite-reference-articles) [Interactive media]. Walden University. https://academics.waldenu.edu/library/locate-cite-reference-articles

    · OASIS. (n.d.).
    [_Paraphrase and summarize informationLinks to an external site._](https://academics.waldenu.edu/writing/paraphrase-summarize) [Interactive media]. Walden University. https://academics.waldenu.edu/writing/paraphrase-summarize

    · OASIS. (n.d.).
    [_Synthesis_ Links to an external site.](https://academicguides.waldenu.edu/writingcenter/evidence/synthesis) [Multimedia]. Walden University. https://academicguides.waldenu.edu/writingcenter/evidence/synthesis

    · OASIS. (n.d.).
    [_Synthesize literature_ Links to an external site.](https://academics.waldenu.edu/writing/synthesize-literature) [Interactive media]. Walden University. https://academics.waldenu.edu/writing/synthesize-literature

    · Walden University. (2021).
    [_DNP glossary_ Links to an external site.](https://cdn-media.waldenu.edu/2dett4d/Walden/NURS/8114/DNPG/index.html) [Interactive media]. Walden University Canvas. https://waldenu.instructure.com

    · Walden University Library. (n.d.).
    [_Ask a librarian_ Links to an external site.](https://academicguides.waldenu.edu/library/ask%20). https://academicguides.waldenu.edu/library/ask
    Note: Use this website to find answers to common questions or to contact a librarian directly.

    · Walden University Library. (n.d.).
    [_Databases A–Z: Nursing_ Links to an external site.](https://academicguides.waldenu.edu/az.php?s=19981). https://academicguides.waldenu.edu/az.php?s=19981

    · Walden University Library. (n.d.).
    [_Evaluating resources: Primary and secondary sources_ Links to an external site.](https://academicguides.waldenu.edu/library/evaluating/sources). https://academicguides.waldenu.edu/library/evaluating/sources

    · Walden University Library. (n.d.).
    [_Subject research: Nursing_ Links to an external site.](https://academicguides.waldenu.edu/library/subject/nursing). https://academicguides.waldenu.edu/library/subject/nursing

    **Note:** This database is a good starting point for nursing related searches.

    · Walden University Quick Answers. (n.d.).
    [_How do I verify that my article is peer reviewed?_ Links to an external site.](https://academicanswers.waldenu.edu/faq/72613) [Multimedia]. https://academicanswers.waldenu.edu/faq/72613

    [Optional Resources](https://waldenu.instructure.com/courses/142660/pages/week-8-learning-resources?module_item_id=5646739)

    · Fineout-Overholt E., Melnyk, B. M., Stillwell, S. B., & Williamson, K. M. (2010).
    [Evidence-based practice, step by step: Critical appraisal of the evidence: Part II: Digging deeper—examining the “keeper” studiesLinks to an external site.](https://access.ovid.com/custom/redirector/index.html?dest=https://go.openathens.net/redirector/waldenu.edu?url=http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00000446-201009000-00024&D=ovft).
    _AJN American Journal of Nursing, 110_(9), 41–48. https://doi.org/10.1097/01.NAJ.0000388264.49427.f9

    **Note:** This resource is seminal to the field.

    RESOND TO THIS DISCUSSION POST

    **Jess OKp**

    **Overcrowding in the Emergency Room at Grady Memorial Hospital**

    **Overcrowding in emergency rooms has emerged as a multifaceted issue, notably at Grady Memorial Hospital in Atlanta, Georgia, known for its pivotal role in providing emergency care to a diverse, often underserved population. While the surge in demand for emergency services can be attributed to various factors, the influence of Social Determinants of Health (SDOH) remains paramount in understanding the root causes of this overcrowding.**

    **Understanding SDOH and Their Connection to ER Overcrowding**

    **SDOH encompasses the economic and social conditions influencing individual and community health outcomes. These determinants include factors such as income level, education, healthcare access, and neighborhood characteristics. In the case of Grady Memorial Hospital, patients often arrive in crisis due to issues like inadequate access to primary care, lack of health insurance, and socioeconomic vulnerabilities. For instance, individuals from lower-income neighborhoods may forgo routine medical visits due to financial stressors, thus relying on the ER for both urgent and non-urgent health issues, inadvertently contributing to overcrowding.**

    **Grady Memorial has attempted to address some SDOH issues through outreach programs designed to connect patients with community resources. Initiatives such as education on managing chronic illnesses, transportation assistance for medical appointments, and integrated mental health services aim to alleviate the factors that push individuals toward emergency care. Despite these efforts, overcrowding persists, indicating that although SDOH has been acknowledged, comprehensive solutions remain elusive.**

    **Examining the Impact of Initiatives: Did Positive Social Change Occur?**

    **Positive social change has occurred to some extent, as initiatives aimed at addressing SDOH have improved health literacy and community engagement. However, the direct impact on ER overcrowding has been limited, as many patients still lack alternatives to seeking care in the ER. The emergency room continues to be viewed as the frontline for healthcare access, particularly for those who might be facing economic barriers or systemic inequalities.**

    **Analyzing Grady’s Approach Using the Johns Hopkins Evidence-Based Practice Model**

    **According to the Johns Hopkins Evidence-Based Practice Model outlined by Dang et al. (2021), addressing the issue of overcrowding at Grady Memorial Hospital involved several critical steps that may have been partially followed or overlooked. First, the assessment phase recognized overcrowding as a significant practice issue, particularly acknowledging the role of social determinants of health in driving emergency room utilization. This aspect has been adequately addressed. However, during the evidence-based solution identification phase, while efforts like outreach and education were implemented, a more systematic review of best practices from other institutions facing similar challenges could have enhanced the response. The implementation of initiatives targeting SDOH was initiated, but gaps in patient follow-up and continuity of care raised concerns about the sustainability of these efforts. Lastly, the evaluation phase lacks robust mechanisms for ongoing assessment of the outcomes associated with the implemented strategies. Without thorough data collection and analysis, accurately measuring the effectiveness of these interventions remains a challenge, underscoring the need for a more comprehensive approach to addressing the complex issue of overcrowding in emergency services (Dang et al., 2021).**

    **Evaluating Outcomes: Positive or Negative?**

    **The outcomes at Grady Memorial Hospital can be characterized as mixed. While some initiatives have improved health literacy and preventive care awareness, the persistent challenge of ER overcrowding suggests that the measures taken have not sufficiently impacted the underlying issues.**

    **To achieve a better outcome, a comprehensive strategy focusing on expanding primary care access, enhancing public transportation to healthcare facilities, and fostering community partnerships could yield significant results. For instance, establishing a system of mobile clinics in underserved neighborhoods could divert non-emergency cases from the ER, alleviating overcrowding and providing timely care.**

    **Conversely, if the outcomes were satisfactory, it would be essential to identify the key actions that led to this success. Such actions include effective stakeholder collaboration and healthy patient engagement strategies that promote trust and improve healthcare adherence.**

    **Measuring Change and Evaluating Outcomes**

    **To estimate the effectiveness of implemented strategies, outcomes should be quantitatively measured using metrics such as ER wait times, patient satisfaction scores, and medical outcome data. Such evaluations could involve regular patient surveys and data analytics to assess the flow of patients through the ER. For example, implementing an information system to track patient demographics and service efficiency can allow for targeted interventions based on data-driven insights.**

    **In conclusion, while the issue of overcrowding in the ER at Grady Memorial Hospital highlights systemic challenges rooted in SDOH, adequate strategies centered on patient access and community engagement are critical for combating this growing crisis. By applying evidence-based practices and continuously evaluating outcomes, Grady Memorial can advance toward a more sustainable healthcare delivery model, ultimately improving patient care and community health.**

    **References**

    **Dang, D., Dearholt, S. L., Bissett, K., Ascenzi, J., & Whalen, M. (2021).**
    **_Johns Hopkins evidence-based practice for nurses and healthcare professionals: Model and guidelines_ (4th ed.). Sigma Theta Tau International.**

    [Previous](https://waldenu.instructure.com/courses/142660/modules/items/5646735) [Next](https://waldenu.instructure.com/courses/142660/modules/items/5646743)

    To Prepare

    · Review the Week 8 Learning Resources. Pay particular attention to Chapter 10 and Appendix A in the Dang, et al. text. Also, review the three exemplars provided in the White et al. text.

    · Select an organization with which you are familiar that went through a practice change to address a practice or organization issue.
    **Note:** You may reuse organizations and/or issues that you selected earlier in this course. Or you may select new ones.

    · Consider how SDOH and positive social change relate to the issue you selected.

    · Consider how the approaches used by the organization to address the practice or organization issue were decided upon and received, as well as if the outcome was satisfactory or not.

    By Day 3 Of Week 8

    **Post** the following:

    · Identify the organization you selected. Describe the practice or organization issue you selected.

    · Explain how SDOH relates to the issue you selected. Be specific and provide examples.

    · Were SDOH addressed? If so, in what ways?

    · Did positive social change occur? Why or why not?

    · Using Appendix A from the Dang et al. text. Briefly describe the steps that were followed and/or missing in the organization’s approach to the practice or organization change.

    · Were the outcomes positive or negative?

    · If the outcome was less than satisfactory, what could have been done differently to achieve a better outcome? Be specific and provide examples.

    · If the outcome was satisfactory, what key actions were taken that led to this positive outcome? Be specific and provide examples.

    · How was the change measured, if at all? In what ways were the outcomes evaluated? Be specific and provide examples.

    **Note:** Your posts should be substantial (500 words minimum), supported with scholarly evidence from your research and/or the Learning Resources, and properly cited using APA Style. Personal anecdotes are acceptable as part of a meaningful post but cannot stand alone as the entire post.

    **Read** a selection of your colleagues’ posts.

    By Day 6 of Week 8

    **Respond** to at least
    **two** of your colleagues, on different days, by offering ideas for how their organization might have achieved a better outcome or how they might have more thoroughly addressed SDOH to achieve positive social change. Be specific and cite sources to support your recommendations.

    **Note:** Your responses to colleagues should be substantial (250 words minimum), supported with scholarly evidence from your research and/or the Learning Resources, and properly cited using APA Style. Personal anecdotes are acceptable as part of a meaningful response but cannot stand alone as a response. Your responses should enrich the initial post by supporting and/or adding a fresh viewpoint and be constructive, enhancing the learning experience for all students.

    **Return** to this Discussion in a few days to read the responses to your initial posting. Note what you have learned and/or any insights that you have gained because of your colleagues’ comments.

    ## image1.jpeg

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    [>Management homework help](https://www.sweetstudy.com/fields/business-finance-management) Go to the internet and find a news article(s) published _within the last month_ that discusses US level of interest rates, summarize key points of the article using finance terminology. Note that the goal of t…

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    [>Management homework help](https://www.sweetstudy.com/fields/business-finance-management)

    Go to the internet and find a news article(s) published _within the last month_ that discusses US level of interest rates, summarize key points of the article using finance terminology.

    Note that the goal of this discussion is to read, understand, and discuss recent news using finance terminology. The article should be from an online newspaper or magazine. Materials posted on educational websites, such as www.thebalance.com, [www.khanacademy.org](https://www.khanacademy.org/), Investopedia and so on, are not considered news articles even if they were recently updated and contain material related to the discussion topic.

    Discussion questions:

    1. Summarize key points of the article using finance terminology.
    2. What are the ramifications of the interest rate levels to the economy, consumer spending, lending, et al?
    3. Reflection: the students should also include a paragraph in the initial response in their own words, using finance terminology, reflecting on what they learned from the assignment and how they think they could apply what they learned in the workplace or in everyday life.

    You are expected to contribute to the main topic and respond with value-added comments to at least two of your classmates and your instructor.

    You must start a thread before you can read and reply to other threads

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    RWH week 2 presentation

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    SEE ATTACHED – 2 years ago **files (3)** – ## GradDiscussionRubric.pdf – ## DiscussionWeek154525HRA.docx – APA_RequiredCoverPage_and_Template_7thed4.docx **## GradDiscussionRubric.pdf** TCOB Graduate Studies Discussion Rubric Criteria No Submission 0 points Novice (Criterion is missing or not in…

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    – 2 years ago

    **files (3)**

    – ## GradDiscussionRubric.pdf

    – ## DiscussionWeek154525HRA.docx

    – APA_RequiredCoverPage_and_Template_7thed4.docx

    **## GradDiscussionRubric.pdf**

    TCOB Graduate Studies Discussion Rubric

    Criteria No Submission

    0 points

    Novice
    (Criterion is missing or not

    in evidence)
    1-13 points

    Basic
    (works towards meeting

    expectations;
    performance needs

    improvement)
    14-16 points

    Proficient
    (meets expectations;

    performance is satisfactory)
    17-18 points

    Exemplary
    (exceeds expectations;

    performance is outstanding)
    19-20 points

    Support of
    Week's Reading

    No Student
    Submission
    (0 points)

    Does not refer to the
    readings to support postings

    (1-13 points)

    Alludes to the readings
    to support postings

    (14-16 points)

    Refers to examples from the
    readings to support postings

    (17-18 points)

    Provides concrete examples from
    the readings to support postings;

    integrates prior readings in
    postings

    (19-20 points)

    Observations No Student
    Submission
    (0 points)

    Does not integrate personal
    observations or knowledge;

    does not present new
    observations
    (1-13 points)

    Integrates personal
    observations and

    knowledge in a cursory
    manner; does not

    present new
    observations

    (14-16 points)

    Integrates personal
    observations and knowledge
    in an accurate way; presents

    new observations
    (17-18 points)

    Integrates personal observations
    and knowledge in an accurate and

    highly insightful way; presents
    new observations

    (19-20 points)

    Response to
    Classmates

    No Student
    Submission

    (0 points)

    Responds in a cursory
    manner to classmates’

    postings
    (1-13 points)

    Constructively responds
    to classmates’ postings

    (14-16 points)

    Constructively responds to
    classmates’ postings; offers

    insight that encourages other
    students to think critically

    about their own work.
    (17-18 points)

    Constructively responds to
    classmates’ postings; masterfully
    connects the material presented
    in classmates’ postings to their

    responses; encourages classmates
    to think critically about their own

    work.
    (19-20 points)

    Organization,
    Word Choice,
    and Sentence

    Structure

    No Student
    Submission

    (0 points)

    Posts are disorganized and
    information is not presented
    in a logical sequence; word

    choice and sentence
    structure are not suitable

    (1-13 points)

    Posts are somewhat
    disorganized, and
    information is not

    presented in a logical
    sequence; word choice
    and sentence structure

    are not suitable
    (14-16 points)

    Posts are organized, and
    information is presented in a

    logical sequence; word
    choice and sentence

    structure are suitable; there
    are a few errors; however,

    errors do not affect
    readability.

    (17-18 points)

    Posts are organized and
    information is presented in a

    logical sequence; word choice and
    sentence structure are suitable;

    no errors in the response.
    (19-20 points)

    References No Student
    Submission

    (0 points)

    Includes no sources to
    support conclusions

    (1-13 points)

    Includes 1 outside
    source to support and
    enrich the discussion;

    Includes 2 or more outside
    sources to support and
    enrich the discussion;

    sources are properly cited in

    Includes 2 or more outside
    sources to support and enrich the
    discussion; sources are cited using

    APA format; style guidelines are

    TCOB Graduate Studies Discussion Rubric

    sources are not properly
    cited in APA format

    (14-16 points)

    APA format and are properly
    integrated into the discussion

    response
    (17-18 points)

    masterfully integrated into the
    discussion response.

    (19-20 points)

    **## DiscussionWeek154525HRA.docx**

    **Assignments 1A and 1B. Below.**

    **1A. Please respond to the discussion question below using and citing scholarly references in APA format AND text author reference:** Moran, J. J. (2014). Employment law: new challenges in the business environment (6th ed.). Boston: Pearson.

    **Employer-Employee Relationships**

    In today's business world, being an employee is not the only way someone can be hired to carry out work. The traditional employee with graded pay scales, benefits packages, and other employment participation may not represent the best format for the company or the worker. The category of "independent contractor" is only one option. Outsourcing, temporary agencies, and consultants represent options that bring many cost-saving elements to the table. For example, there are clear cost benefits, such as no pension, no health benefits, and no long-term employment commitment to the individual hired under these titles. Cite one or more Internet sources in your initial response.

    List the benefits and negatives of being an "employee" from the viewpoint of both the employer and the employee. What are the benefits and negatives of being an "independent contractor" from the viewpoints of both the employer and the employee?

    If you were an employer, would you prefer to employ workers designated as employees or independent contractors? Why? How would you make such designations?

    Would you prefer the "employee" or the "independent contractor" designation as a worker? Why?

    \*\*\******************************************************************************

    **1B.) **Please respond to the 2 peers' questions** using the above discussion info regarding the Employer-Employer Relationship:
    **Cite 2 additional scholarly references in APA format** **JC.**  First, as Moran (2014) explains, the employment relationship is a contract between an employer and a worker in which the worker is considered either an employee or an independent contractor for direct benefits like compensation, rights against harassment, balancing the family, requested leaves, compensation after involuntary layoffs, unemployment insurance salary, and rights against discrimination.
         Employers may choose to use the services of independent contractors for several reasons, including the contractor not being paid vacation, sick pay, personal days, or any life, health, or unemployment insurance benefits. Furthermore, there is no expectation of pension benefits; workers' compensation claims cannot be brought; Social Security and other taxes are not taken out; there are no prevailing wage concerns, no limitation on work time as well as no overtime; and liability of an independent contractor artfully causing the injury or the damage is low or non-existent (Moran, 2014).
        On the other hand, these same factors come into play from the employee's perspective. While I understand why some would choose the role of an independent contractor, one benefit is being your own boss and working as much as you want. As Nisnik (2024) states, employers are willing to pay independent contractors more than their staff because they don't have to deal with such things as long-term commitments at a high price or health benefits and employment compensation, Social Security taxes, and Medicare taxes that expensively drive up costs.
        Finally, as an employer, I would hire independent contractors because I do not have to provide benefits that would save the company money. However, as an employee, I prefer not to be an independent contractor. I have been in the workplace for decades and am well-versed in all the unexpected things that can happen to you at work. I have hurt myself at work before, and I appreciated that the company covered the medical bills. While I understand why some will choose the independent contractor role, I would prefer not to be my own boss.

                                                                      References

    Moran, J. J. (2014). Employment law: new challenges in the business environment (6th ed.). Boston: Pearson.
    Nisnik, J. S. (2024). Pros and Cons of Working as an Independent Contractor. Retrieved January 14, 2025, from thebalancemoney.com

    l

    **ML:** Benefits and Negatives of Being an "Employee" and "Independent Contractor"

    In today’s business landscape, organizations have numerous options when it comes to how they hire and manage talent. The decision between hiring employees versus independent contractors can significantly impact both the employer and the worker. Below, I outline the benefits and negatives from the perspectives of both parties.

    Benefits and Negatives of Being an Employee

    From the Employer's Perspective

    Benefits:

    Control and Stability: Employers have more control over employees' work schedules, responsibilities, and methods. Employees are typically a long-term investment, which provides the employer with a stable workforce (Moran, 2014).

    Loyalty and Commitment: Employees are generally more loyal and committed to the company's mission, as they are tied to long-term employment (Moran, 2014).

    Integration and Culture: Employees are easier to integrate into the company culture, and their long-term presence fosters a cohesive workplace environment.

    Negatives:

    Costs: Employers must provide benefits such as health insurance, retirement plans, paid leave, and other compensations, which can be expensive (Moran, 2014).

    Regulatory Burden: Employers face complex labor laws, including minimum wage, overtime regulations, and workers' compensation, which can lead to additional administrative work and legal exposure.

    Limited Flexibility: Firing or laying off employees can be difficult due to employment laws, which provide significant job security to workers.

    From the Employee's Perspective

    Benefits:

    Job Security: Employees often enjoy more job security and consistency in terms of pay, benefits, and working hours.

    Benefits Packages: Employees typically receive health benefits, paid time off, retirement plans, and other perks (Moran, 2014).

    Training and Development: Employers tend to invest in the professional growth and development of employees through ongoing training and educational programs.

    Negatives:

    Lack of Flexibility: Employees often have less control over their working hours, and may be required to follow company protocols that limit independence.

    Limited Earnings Potential: Unlike independent contractors, employees usually have a set salary or hourly wage and may have limited potential for income growth unless promoted.

    Dependence on Employer: Employees are dependent on their employer for continued work, benefits, and compensation. If the company faces financial difficulty, employees may be laid off or have their hours reduced.

    Benefits and Negatives of Being an Independent Contractor

    From the Employer's Perspective

    Benefits:

    Cost Savings: Independent contractors are not entitled to benefits such as health insurance, retirement plans, or paid leave. This reduces overall employment costs (Moran, 2014).

    Flexibility: Employers can hire contractors for specific tasks, making it easier to scale labor as needed, and eliminate the long-term commitment to a workforce.

    Expertise: Contractors bring specialized skills for a short period of time, which can be beneficial for specific projects (Moran, 2014).

    Negatives:

    Limited Control: Employers have less control over contractors' work schedules and methods, which can make it difficult to ensure alignment with company culture and procedures.

    Potential for Misclassification: Misclassifying workers as independent contractors instead of employees can lead to legal issues, including fines and back pay for benefits and taxes.

    From the Independent Contractor's Perspective

    Benefits:

    Flexibility: Contractors can set their own schedules and choose the projects they work on, offering more autonomy in their work life.

    Higher Earning Potential: Independent contractors can charge higher rates for their services since they are not provided with benefits and are responsible for their own taxes (Moran, 2014).

    Variety and Experience: Contractors often work on a variety of projects, allowing them to gain diverse experience and expand their skillset.

    Negatives:

    Lack of Benefits: Independent contractors do not receive health insurance, retirement benefits, paid time off, or other employment-related perks (Moran, 2014).

    Income Instability: Contractors may experience periods of unemployment between contracts and face difficulty in ensuring a steady income.

    Self-Employment Taxes: Contractors are responsible for paying their own self-employment taxes, which can be a financial burden (Moran, 2014).

    Employer Preference: Employee vs. Independent Contractor

    If I were running a business, I’d rather hire employees than independent contractors, especially for roles that require consistency, long-term commitment, and teamwork. Employees help create stability and loyalty within the company, and they tend to align better with the business's values and goals (Moran, 2014). This is particularly important in a law firm where building strong client relationships and ensuring continuity are key to success. Employees are also easier to train and shape according to the firm’s standards, making them more effective team players who contribute to better collaboration and communication (Carmichael, 2023).

    When deciding between hiring employees or contractors, I’d focus on the type of work. For tasks that require ongoing teamwork, deep client connections, and alignment with the firm's culture, I’d choose employees. However, for short-term projects or jobs requiring specialized skills, independent contractors might be the better fit. My decision would depend on factors like how long the work will last, the expertise needed, and how much control the firm needs over the work (Carmichael, 2023).

    Worker Preference: Employee vs. Independent Contractor

    From a worker’s point of view, I’d prefer being an employee over working as an independent contractor. The biggest reasons are job security, access to healthcare, and retirement benefits; things that are crucial for long-term financial stability (Bureau of Labor Statistics, 2020). Another major plus is the professional development opportunities that come with employer-provided training (Moran, 2014). While being an independent contractor can offer flexibility, I would value the steady paycheck and support that come with being an employee. In a field like law, where trust and lasting client relationships are important, the stability of full-time employment is even more valuable.

    References:

    Moran, J. J. (2014). Employment law: New challenges in the business environment (6th ed.). Pearson.

    Bureau of Labor Statistics. (2020). "Employee Benefits in the United States—March 2020." U.S. Department of Labor. https://www.bls.gov/news.release/ebs2.nr0.htm

    Carmichael, L. (2023). "The Pros and Cons of Hiring Independent Contractors vs. Employees." Forbes. https://www.forbes.com/sites/forbeshumanresourcescouncil/2023/06/12/the-pros-and-cons-of-hiring-independent-contractors-vs-employees

    **APA_RequiredCoverPage_and_Template_7thed4.docx**

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    **## GradDiscussionRubric.pdf**

    TCOB Graduate Studies Discussion Rubric

    Criteria No Submission

    0 points

    Novice
    (Criterion is missing or not

    in evidence)
    1-13 points

    Basic
    (works towards meeting

    expectations;
    performance needs

    improvement)
    14-16 points

    Proficient
    (meets expectations;

    performance is satisfactory)
    17-18 points

    Exemplary
    (exceeds expectations;

    performance is outstanding)
    19-20 points

    Support of
    Week's Reading

    No Student
    Submission
    (0 points)

    Does not refer to the
    readings to support postings

    (1-13 points)

    Alludes to the readings
    to support postings

    (14-16 points)

    Refers to examples from the
    readings to support postings

    (17-18 points)

    Provides concrete examples from
    the readings to support postings;

    integrates prior readings in
    postings

    (19-20 points)

    Observations No Student
    Submission
    (0 points)

    Does not integrate personal
    observations or knowledge;

    does not present new
    observations
    (1-13 points)

    Integrates personal
    observations and

    knowledge in a cursory
    manner; does not

    present new
    observations

    (14-16 points)

    Integrates personal
    observations and knowledge
    in an accurate way; presents

    new observations
    (17-18 points)

    Integrates personal observations
    and knowledge in an accurate and

    highly insightful way; presents
    new observations

    (19-20 points)

    Response to
    Classmates

    No Student
    Submission

    (0 points)

    Responds in a cursory
    manner to classmates’

    postings
    (1-13 points)

    Constructively responds
    to classmates’ postings

    (14-16 points)

    Constructively responds to
    classmates’ postings; offers

    insight that encourages other
    students to think critically

    about their own work.
    (17-18 points)

    Constructively responds to
    classmates’ postings; masterfully
    connects the material presented
    in classmates’ postings to their

    responses; encourages classmates
    to think critically about their own

    work.
    (19-20 points)

    Organization,
    Word Choice,
    and Sentence

    Structure

    No Student
    Submission

    (0 points)

    Posts are disorganized and
    information is not presented
    in a logical sequence; word

    choice and sentence
    structure are not suitable

    (1-13 points)

    Posts are somewhat
    disorganized, and
    information is not

    presented in a logical
    sequence; word choice
    and sentence structure

    are not suitable
    (14-16 points)

    Posts are organized, and
    information is presented in a

    logical sequence; word
    choice and sentence

    structure are suitable; there
    are a few errors; however,

    errors do not affect
    readability.

    (17-18 points)

    Posts are organized and
    information is presented in a

    logical sequence; word choice and
    sentence structure are suitable;

    no errors in the response.
    (19-20 points)

    References No Student
    Submission

    (0 points)

    Includes no sources to
    support conclusions

    (1-13 points)

    Includes 1 outside
    source to support and
    enrich the discussion;

    Includes 2 or more outside
    sources to support and
    enrich the discussion;

    sources are properly cited in

    Includes 2 or more outside
    sources to support and enrich the
    discussion; sources are cited using

    APA format; style guidelines are

    TCOB Graduate Studies Discussion Rubric

    sources are not properly
    cited in APA format

    (14-16 points)

    APA format and are properly
    integrated into the discussion

    response
    (17-18 points)

    masterfully integrated into the
    discussion response.

    (19-20 points)

    **## DiscussionWeek154525HRA.docx**

    **Assignments 1A and 1B. Below.**

    **1A. Please respond to the discussion question below using and citing scholarly references in APA format AND text author reference:** Moran, J. J. (2014). Employment law: new challenges in the business environment (6th ed.). Boston: Pearson.

    **Employer-Employee Relationships**

    In today's business world, being an employee is not the only way someone can be hired to carry out work. The traditional employee with graded pay scales, benefits packages, and other employment participation may not represent the best format for the company or the worker. The category of "independent contractor" is only one option. Outsourcing, temporary agencies, and consultants represent options that bring many cost-saving elements to the table. For example, there are clear cost benefits, such as no pension, no health benefits, and no long-term employment commitment to the individual hired under these titles. Cite one or more Internet sources in your initial response.

    List the benefits and negatives of being an "employee" from the viewpoint of both the employer and the employee. What are the benefits and negatives of being an "independent contractor" from the viewpoints of both the employer and the employee?

    If you were an employer, would you prefer to employ workers designated as employees or independent contractors? Why? How would you make such designations?

    Would you prefer the "employee" or the "independent contractor" designation as a worker? Why?

    \*\*\******************************************************************************

    **1B.) **Please respond to the 2 peers' questions** using the above discussion info regarding the Employer-Employer Relationship:
    **Cite 2 additional scholarly references in APA format** **JC.**  First, as Moran (2014) explains, the employment relationship is a contract between an employer and a worker in which the worker is considered either an employee or an independent contractor for direct benefits like compensation, rights against harassment, balancing the family, requested leaves, compensation after involuntary layoffs, unemployment insurance salary, and rights against discrimination.
         Employers may choose to use the services of independent contractors for several reasons, including the contractor not being paid vacation, sick pay, personal days, or any life, health, or unemployment insurance benefits. Furthermore, there is no expectation of pension benefits; workers' compensation claims cannot be brought; Social Security and other taxes are not taken out; there are no prevailing wage concerns, no limitation on work time as well as no overtime; and liability of an independent contractor artfully causing the injury or the damage is low or non-existent (Moran, 2014).
        On the other hand, these same factors come into play from the employee's perspective. While I understand why some would choose the role of an independent contractor, one benefit is being your own boss and working as much as you want. As Nisnik (2024) states, employers are willing to pay independent contractors more than their staff because they don't have to deal with such things as long-term commitments at a high price or health benefits and employment compensation, Social Security taxes, and Medicare taxes that expensively drive up costs.
        Finally, as an employer, I would hire independent contractors because I do not have to provide benefits that would save the company money. However, as an employee, I prefer not to be an independent contractor. I have been in the workplace for decades and am well-versed in all the unexpected things that can happen to you at work. I have hurt myself at work before, and I appreciated that the company covered the medical bills. While I understand why some will choose the independent contractor role, I would prefer not to be my own boss.

                                                                      References

    Moran, J. J. (2014). Employment law: new challenges in the business environment (6th ed.). Boston: Pearson.
    Nisnik, J. S. (2024). Pros and Cons of Working as an Independent Contractor. Retrieved January 14, 2025, from thebalancemoney.com

    l

    **ML:** Benefits and Negatives of Being an "Employee" and "Independent Contractor"

    In today’s business landscape, organizations have numerous options when it comes to how they hire and manage talent. The decision between hiring employees versus independent contractors can significantly impact both the employer and the worker. Below, I outline the benefits and negatives from the perspectives of both parties.

    Benefits and Negatives of Being an Employee

    From the Employer's Perspective

    Benefits:

    Control and Stability: Employers have more control over employees' work schedules, responsibilities, and methods. Employees are typically a long-term investment, which provides the employer with a stable workforce (Moran, 2014).

    Loyalty and Commitment: Employees are generally more loyal and committed to the company's mission, as they are tied to long-term employment (Moran, 2014).

    Integration and Culture: Employees are easier to integrate into the company culture, and their long-term presence fosters a cohesive workplace environment.

    Negatives:

    Costs: Employers must provide benefits such as health insurance, retirement plans, paid leave, and other compensations, which can be expensive (Moran, 2014).

    Regulatory Burden: Employers face complex labor laws, including minimum wage, overtime regulations, and workers' compensation, which can lead to additional administrative work and legal exposure.

    Limited Flexibility: Firing or laying off employees can be difficult due to employment laws, which provide significant job security to workers.

    From the Employee's Perspective

    Benefits:

    Job Security: Employees often enjoy more job security and consistency in terms of pay, benefits, and working hours.

    Benefits Packages: Employees typically receive health benefits, paid time off, retirement plans, and other perks (Moran, 2014).

    Training and Development: Employers tend to invest in the professional growth and development of employees through ongoing training and educational programs.

    Negatives:

    Lack of Flexibility: Employees often have less control over their working hours, and may be required to follow company protocols that limit independence.

    Limited Earnings Potential: Unlike independent contractors, employees usually have a set salary or hourly wage and may have limited potential for income growth unless promoted.

    Dependence on Employer: Employees are dependent on their employer for continued work, benefits, and compensation. If the company faces financial difficulty, employees may be laid off or have their hours reduced.

    Benefits and Negatives of Being an Independent Contractor

    From the Employer's Perspective

    Benefits:

    Cost Savings: Independent contractors are not entitled to benefits such as health insurance, retirement plans, or paid leave. This reduces overall employment costs (Moran, 2014).

    Flexibility: Employers can hire contractors for specific tasks, making it easier to scale labor as needed, and eliminate the long-term commitment to a workforce.

    Expertise: Contractors bring specialized skills for a short period of time, which can be beneficial for specific projects (Moran, 2014).

    Negatives:

    Limited Control: Employers have less control over contractors' work schedules and methods, which can make it difficult to ensure alignment with company culture and procedures.

    Potential for Misclassification: Misclassifying workers as independent contractors instead of employees can lead to legal issues, including fines and back pay for benefits and taxes.

    From the Independent Contractor's Perspective

    Benefits:

    Flexibility: Contractors can set their own schedules and choose the projects they work on, offering more autonomy in their work life.

    Higher Earning Potential: Independent contractors can charge higher rates for their services since they are not provided with benefits and are responsible for their own taxes (Moran, 2014).

    Variety and Experience: Contractors often work on a variety of projects, allowing them to gain diverse experience and expand their skillset.

    Negatives:

    Lack of Benefits: Independent contractors do not receive health insurance, retirement benefits, paid time off, or other employment-related perks (Moran, 2014).

    Income Instability: Contractors may experience periods of unemployment between contracts and face difficulty in ensuring a steady income.

    Self-Employment Taxes: Contractors are responsible for paying their own self-employment taxes, which can be a financial burden (Moran, 2014).

    Employer Preference: Employee vs. Independent Contractor

    If I were running a business, I’d rather hire employees than independent contractors, especially for roles that require consistency, long-term commitment, and teamwork. Employees help create stability and loyalty within the company, and they tend to align better with the business's values and goals (Moran, 2014). This is particularly important in a law firm where building strong client relationships and ensuring continuity are key to success. Employees are also easier to train and shape according to the firm’s standards, making them more effective team players who contribute to better collaboration and communication (Carmichael, 2023).

    When deciding between hiring employees or contractors, I’d focus on the type of work. For tasks that require ongoing teamwork, deep client connections, and alignment with the firm's culture, I’d choose employees. However, for short-term projects or jobs requiring specialized skills, independent contractors might be the better fit. My decision would depend on factors like how long the work will last, the expertise needed, and how much control the firm needs over the work (Carmichael, 2023).

    Worker Preference: Employee vs. Independent Contractor

    From a worker’s point of view, I’d prefer being an employee over working as an independent contractor. The biggest reasons are job security, access to healthcare, and retirement benefits; things that are crucial for long-term financial stability (Bureau of Labor Statistics, 2020). Another major plus is the professional development opportunities that come with employer-provided training (Moran, 2014). While being an independent contractor can offer flexibility, I would value the steady paycheck and support that come with being an employee. In a field like law, where trust and lasting client relationships are important, the stability of full-time employment is even more valuable.

    References:

    Moran, J. J. (2014). Employment law: New challenges in the business environment (6th ed.). Pearson.

    Bureau of Labor Statistics. (2020). "Employee Benefits in the United States—March 2020." U.S. Department of Labor. https://www.bls.gov/news.release/ebs2.nr0.htm

    Carmichael, L. (2023). "The Pros and Cons of Hiring Independent Contractors vs. Employees." Forbes. https://www.forbes.com/sites/forbeshumanresourcescouncil/2023/06/12/the-pros-and-cons-of-hiring-independent-contractors-vs-employees

    **APA_RequiredCoverPage_and_Template_7thed4.docx**

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    **## GradDiscussionRubric.pdf**

    TCOB Graduate Studies Discussion Rubric

    Criteria No Submission

    0 points

    Novice
    (Criterion is missing or not

    in evidence)
    1-13 points

    Basic
    (works towards meeting

    expectations;
    performance needs

    improvement)
    14-16 points

    Proficient
    (meets expectations;

    performance is satisfactory)
    17-18 points

    Exemplary
    (exceeds expectations;

    performance is outstanding)
    19-20 points

    Support of
    Week's Reading

    No Student
    Submission
    (0 points)

    Does not refer to the
    readings to support postings

    (1-13 points)

    Alludes to the readings
    to support postings

    (14-16 points)

    Refers to examples from the
    readings to support postings

    (17-18 points)

    Provides concrete examples from
    the readings to support postings;

    integrates prior readings in
    postings

    (19-20 points)

    Observations No Student
    Submission
    (0 points)

    Does not integrate personal
    observations or knowledge;

    does not present new
    observations
    (1-13 points)

    Integrates personal
    observations and

    knowledge in a cursory
    manner; does not

    present new
    observations

    (14-16 points)

    Integrates personal
    observations and knowledge
    in an accurate way; presents

    new observations
    (17-18 points)

    Integrates personal observations
    and knowledge in an accurate and

    highly insightful way; presents
    new observations

    (19-20 points)

    Response to
    Classmates

    No Student
    Submission

    (0 points)

    Responds in a cursory
    manner to classmates’

    postings
    (1-13 points)

    Constructively responds
    to classmates’ postings

    (14-16 points)

    Constructively responds to
    classmates’ postings; offers

    insight that encourages other
    students to think critically

    about their own work.
    (17-18 points)

    Constructively responds to
    classmates’ postings; masterfully
    connects the material presented
    in classmates’ postings to their

    responses; encourages classmates
    to think critically about their own

    work.
    (19-20 points)

    Organization,
    Word Choice,
    and Sentence

    Structure

    No Student
    Submission

    (0 points)

    Posts are disorganized and
    information is not presented
    in a logical sequence; word

    choice and sentence
    structure are not suitable

    (1-13 points)

    Posts are somewhat
    disorganized, and
    information is not

    presented in a logical
    sequence; word choice
    and sentence structure

    are not suitable
    (14-16 points)

    Posts are organized, and
    information is presented in a

    logical sequence; word
    choice and sentence

    structure are suitable; there
    are a few errors; however,

    errors do not affect
    readability.

    (17-18 points)

    Posts are organized and
    information is presented in a

    logical sequence; word choice and
    sentence structure are suitable;

    no errors in the response.
    (19-20 points)

    References No Student
    Submission

    (0 points)

    Includes no sources to
    support conclusions

    (1-13 points)

    Includes 1 outside
    source to support and
    enrich the discussion;

    Includes 2 or more outside
    sources to support and
    enrich the discussion;

    sources are properly cited in

    Includes 2 or more outside
    sources to support and enrich the
    discussion; sources are cited using

    APA format; style guidelines are

    TCOB Graduate Studies Discussion Rubric

    sources are not properly
    cited in APA format

    (14-16 points)

    APA format and are properly
    integrated into the discussion

    response
    (17-18 points)

    masterfully integrated into the
    discussion response.

    (19-20 points)

    **## DiscussionWeek154525HRA.docx**

    **Assignments 1A and 1B. Below.**

    **1A. Please respond to the discussion question below using and citing scholarly references in APA format AND text author reference:** Moran, J. J. (2014). Employment law: new challenges in the business environment (6th ed.). Boston: Pearson.

    **Employer-Employee Relationships**

    In today's business world, being an employee is not the only way someone can be hired to carry out work. The traditional employee with graded pay scales, benefits packages, and other employment participation may not represent the best format for the company or the worker. The category of "independent contractor" is only one option. Outsourcing, temporary agencies, and consultants represent options that bring many cost-saving elements to the table. For example, there are clear cost benefits, such as no pension, no health benefits, and no long-term employment commitment to the individual hired under these titles. Cite one or more Internet sources in your initial response.

    List the benefits and negatives of being an "employee" from the viewpoint of both the employer and the employee. What are the benefits and negatives of being an "independent contractor" from the viewpoints of both the employer and the employee?

    If you were an employer, would you prefer to employ workers designated as employees or independent contractors? Why? How would you make such designations?

    Would you prefer the "employee" or the "independent contractor" designation as a worker? Why?

    \*\*\******************************************************************************

    **1B.) **Please respond to the 2 peers' questions** using the above discussion info regarding the Employer-Employer Relationship:
    **Cite 2 additional scholarly references in APA format** **JC.**  First, as Moran (2014) explains, the employment relationship is a contract between an employer and a worker in which the worker is considered either an employee or an independent contractor for direct benefits like compensation, rights against harassment, balancing the family, requested leaves, compensation after involuntary layoffs, unemployment insurance salary, and rights against discrimination.
         Employers may choose to use the services of independent contractors for several reasons, including the contractor not being paid vacation, sick pay, personal days, or any life, health, or unemployment insurance benefits. Furthermore, there is no expectation of pension benefits; workers' compensation claims cannot be brought; Social Security and other taxes are not taken out; there are no prevailing wage concerns, no limitation on work time as well as no overtime; and liability of an independent contractor artfully causing the injury or the damage is low or non-existent (Moran, 2014).
        On the other hand, these same factors come into play from the employee's perspective. While I understand why some would choose the role of an independent contractor, one benefit is being your own boss and working as much as you want. As Nisnik (2024) states, employers are willing to pay independent contractors more than their staff because they don't have to deal with such things as long-term commitments at a high price or health benefits and employment compensation, Social Security taxes, and Medicare taxes that expensively drive up costs.
        Finally, as an employer, I would hire independent contractors because I do not have to provide benefits that would save the company money. However, as an employee, I prefer not to be an independent contractor. I have been in the workplace for decades and am well-versed in all the unexpected things that can happen to you at work. I have hurt myself at work before, and I appreciated that the company covered the medical bills. While I understand why some will choose the independent contractor role, I would prefer not to be my own boss.

                                                                      References

    Moran, J. J. (2014). Employment law: new challenges in the business environment (6th ed.). Boston: Pearson.
    Nisnik, J. S. (2024). Pros and Cons of Working as an Independent Contractor. Retrieved January 14, 2025, from thebalancemoney.com

    l

    **ML:** Benefits and Negatives of Being an "Employee" and "Independent Contractor"

    In today’s business landscape, organizations have numerous options when it comes to how they hire and manage talent. The decision between hiring employees versus independent contractors can significantly impact both the employer and the worker. Below, I outline the benefits and negatives from the perspectives of both parties.

    Benefits and Negatives of Being an Employee

    From the Employer's Perspective

    Benefits:

    Control and Stability: Employers have more control over employees' work schedules, responsibilities, and methods. Employees are typically a long-term investment, which provides the employer with a stable workforce (Moran, 2014).

    Loyalty and Commitment: Employees are generally more loyal and committed to the company's mission, as they are tied to long-term employment (Moran, 2014).

    Integration and Culture: Employees are easier to integrate into the company culture, and their long-term presence fosters a cohesive workplace environment.

    Negatives:

    Costs: Employers must provide benefits such as health insurance, retirement plans, paid leave, and other compensations, which can be expensive (Moran, 2014).

    Regulatory Burden: Employers face complex labor laws, including minimum wage, overtime regulations, and workers' compensation, which can lead to additional administrative work and legal exposure.

    Limited Flexibility: Firing or laying off employees can be difficult due to employment laws, which provide significant job security to workers.

    From the Employee's Perspective

    Benefits:

    Job Security: Employees often enjoy more job security and consistency in terms of pay, benefits, and working hours.

    Benefits Packages: Employees typically receive health benefits, paid time off, retirement plans, and other perks (Moran, 2014).

    Training and Development: Employers tend to invest in the professional growth and development of employees through ongoing training and educational programs.

    Negatives:

    Lack of Flexibility: Employees often have less control over their working hours, and may be required to follow company protocols that limit independence.

    Limited Earnings Potential: Unlike independent contractors, employees usually have a set salary or hourly wage and may have limited potential for income growth unless promoted.

    Dependence on Employer: Employees are dependent on their employer for continued work, benefits, and compensation. If the company faces financial difficulty, employees may be laid off or have their hours reduced.

    Benefits and Negatives of Being an Independent Contractor

    From the Employer's Perspective

    Benefits:

    Cost Savings: Independent contractors are not entitled to benefits such as health insurance, retirement plans, or paid leave. This reduces overall employment costs (Moran, 2014).

    Flexibility: Employers can hire contractors for specific tasks, making it easier to scale labor as needed, and eliminate the long-term commitment to a workforce.

    Expertise: Contractors bring specialized skills for a short period of time, which can be beneficial for specific projects (Moran, 2014).

    Negatives:

    Limited Control: Employers have less control over contractors' work schedules and methods, which can make it difficult to ensure alignment with company culture and procedures.

    Potential for Misclassification: Misclassifying workers as independent contractors instead of employees can lead to legal issues, including fines and back pay for benefits and taxes.

    From the Independent Contractor's Perspective

    Benefits:

    Flexibility: Contractors can set their own schedules and choose the projects they work on, offering more autonomy in their work life.

    Higher Earning Potential: Independent contractors can charge higher rates for their services since they are not provided with benefits and are responsible for their own taxes (Moran, 2014).

    Variety and Experience: Contractors often work on a variety of projects, allowing them to gain diverse experience and expand their skillset.

    Negatives:

    Lack of Benefits: Independent contractors do not receive health insurance, retirement benefits, paid time off, or other employment-related perks (Moran, 2014).

    Income Instability: Contractors may experience periods of unemployment between contracts and face difficulty in ensuring a steady income.

    Self-Employment Taxes: Contractors are responsible for paying their own self-employment taxes, which can be a financial burden (Moran, 2014).

    Employer Preference: Employee vs. Independent Contractor

    If I were running a business, I’d rather hire employees than independent contractors, especially for roles that require consistency, long-term commitment, and teamwork. Employees help create stability and loyalty within the company, and they tend to align better with the business's values and goals (Moran, 2014). This is particularly important in a law firm where building strong client relationships and ensuring continuity are key to success. Employees are also easier to train and shape according to the firm’s standards, making them more effective team players who contribute to better collaboration and communication (Carmichael, 2023).

    When deciding between hiring employees or contractors, I’d focus on the type of work. For tasks that require ongoing teamwork, deep client connections, and alignment with the firm's culture, I’d choose employees. However, for short-term projects or jobs requiring specialized skills, independent contractors might be the better fit. My decision would depend on factors like how long the work will last, the expertise needed, and how much control the firm needs over the work (Carmichael, 2023).

    Worker Preference: Employee vs. Independent Contractor

    From a worker’s point of view, I’d prefer being an employee over working as an independent contractor. The biggest reasons are job security, access to healthcare, and retirement benefits; things that are crucial for long-term financial stability (Bureau of Labor Statistics, 2020). Another major plus is the professional development opportunities that come with employer-provided training (Moran, 2014). While being an independent contractor can offer flexibility, I would value the steady paycheck and support that come with being an employee. In a field like law, where trust and lasting client relationships are important, the stability of full-time employment is even more valuable.

    References:

    Moran, J. J. (2014). Employment law: New challenges in the business environment (6th ed.). Pearson.

    Bureau of Labor Statistics. (2020). "Employee Benefits in the United States—March 2020." U.S. Department of Labor. https://www.bls.gov/news.release/ebs2.nr0.htm

    Carmichael, L. (2023). "The Pros and Cons of Hiring Independent Contractors vs. Employees." Forbes. https://www.forbes.com/sites/forbeshumanresourcescouncil/2023/06/12/the-pros-and-cons-of-hiring-independent-contractors-vs-employees

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  • [Solved] P/identity 2

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    – 2 years ago **files (2)** – ## ProfessionalIdentityoftheNurseLeaderD2.docx – NUR4590_org_chartD2.png **## ProfessionalIdentityoftheNurseLeaderD2.docx** NUR4590CBE Section 01CBE Professional Identity of the Nurse Leader (11 Weeks) – CBE Online Course – 2025 Winter Quarter Deliverable 2 – Organiza…

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    **files (2)**

    – ## ProfessionalIdentityoftheNurseLeaderD2.docx

    – NUR4590_org_chartD2.png

    **## ProfessionalIdentityoftheNurseLeaderD2.docx**

    NUR4590CBE Section 01CBE Professional Identity of the Nurse Leader (11 Weeks) – CBE Online Course – 2025 Winter Quarter

    Deliverable 2 – Organizational Chart

    Top of Form

    Bottom of Form

    Assignment Content

    1.

    Top of Form

    Question <bdi></bdi>

    **Competency**

    Explain the complexity of organizational systems and their impact on healthcare delivery.

    **Student Success Criteria**

    View the grading rubric for this deliverable by selecting the “This item is graded with a rubric” link, which is located in the
    _Details & Information_ pane.

    **Scenario**

    You have been hired as a consultant for a large healthcare organization. In your role, you have been tasked with examining the current organizational structure at the micro, meso, and macro levels, including the impact on healthcare delivery.

    As you develop your plans, you will reflect how these roles individually and collectively influence the ability of the organization to deliver high quality client services.

    The roles and titles of people working in the three levels of systems may vary. A brief definition of each is offered to clarify the contributions of leaders at each level.

    · Micro system: This is the point of contact with the client or customer. In the health care setting the micro level may be a specific unit. Roles of those in the micro system include all that come in contact with the client and the manager of the unit or department.

    · Meso system: This level reflects a collection of micro systems, such as a Surgical Services Department including multiple units. The meso level aims to group and coordinate similar micro system levels of service.

    · Macro system: This level is a larger scale of groups and departments typically more at the administration level.

    **Nursing Hierarchy**

    ·
    **Macro Level:** Vice President of Nursing Services

    · Potential Titles: Chief Nursing Officer, Vice President of Nursing, Director of Nursing Services.

    ·
    **Meso Level:** Program Manager

    · Potential Titles: Department Head, Service Manager, Director.

    ·
    **Micro Level:** Unit Manager

    · Potential Titles: Bedside Nurse, Unit Nurse, Unit Manager, Change Nurse.

    **Instructions**

    · Research a healthcare organization and include their mission statement, vision, or philosophy in your paper.

    · Describe how the organization’s mission, vision, and philosophy influence the expectations of leaders at the three system levels: micro, meso, and macro.

    · Describe how nursing leaders in each of these levels of the organization’s operations address health care delivery goals.

    · Describe nurse leaders at the micro, meso, and macro level of the organization including a discussion of how these three levels may integrate to improve outcomes.

    · Provides stated ideas with professional language and attribution for credible sources with correct APA citation, spelling, and grammar.

    Bottom of Form

    **Submission**

    **NUR4590_org_chartD2.png**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/nur4590-org-chartd2-png-10156187)

    **NUR4590_org_chartD2.png**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/nur4590-org-chartd2-png-10156187)

    **## ProfessionalIdentityoftheNurseLeaderD2.docx**

    NUR4590CBE Section 01CBE Professional Identity of the Nurse Leader (11 Weeks) – CBE Online Course – 2025 Winter Quarter

    Deliverable 2 – Organizational Chart

    Top of Form

    Bottom of Form

    Assignment Content

    1.

    Top of Form

    Question <bdi></bdi>

    **Competency**

    Explain the complexity of organizational systems and their impact on healthcare delivery.

    **Student Success Criteria**

    View the grading rubric for this deliverable by selecting the “This item is graded with a rubric” link, which is located in the
    _Details & Information_ pane.

    **Scenario**

    You have been hired as a consultant for a large healthcare organization. In your role, you have been tasked with examining the current organizational structure at the micro, meso, and macro levels, including the impact on healthcare delivery.

    As you develop your plans, you will reflect how these roles individually and collectively influence the ability of the organization to deliver high quality client services.

    The roles and titles of people working in the three levels of systems may vary. A brief definition of each is offered to clarify the contributions of leaders at each level.

    · Micro system: This is the point of contact with the client or customer. In the health care setting the micro level may be a specific unit. Roles of those in the micro system include all that come in contact with the client and the manager of the unit or department.

    · Meso system: This level reflects a collection of micro systems, such as a Surgical Services Department including multiple units. The meso level aims to group and coordinate similar micro system levels of service.

    · Macro system: This level is a larger scale of groups and departments typically more at the administration level.

    **Nursing Hierarchy**

    ·
    **Macro Level:** Vice President of Nursing Services

    · Potential Titles: Chief Nursing Officer, Vice President of Nursing, Director of Nursing Services.

    ·
    **Meso Level:** Program Manager

    · Potential Titles: Department Head, Service Manager, Director.

    ·
    **Micro Level:** Unit Manager

    · Potential Titles: Bedside Nurse, Unit Nurse, Unit Manager, Change Nurse.

    **Instructions**

    · Research a healthcare organization and include their mission statement, vision, or philosophy in your paper.

    · Describe how the organization’s mission, vision, and philosophy influence the expectations of leaders at the three system levels: micro, meso, and macro.

    · Describe how nursing leaders in each of these levels of the organization’s operations address health care delivery goals.

    · Describe nurse leaders at the micro, meso, and macro level of the organization including a discussion of how these three levels may integrate to improve outcomes.

    · Provides stated ideas with professional language and attribution for credible sources with correct APA citation, spelling, and grammar.

    Bottom of Form

    **Submission**

    **NUR4590_org_chartD2.png**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/nur4590-org-chartd2-png-10156187)

    **## ProfessionalIdentityoftheNurseLeaderD2.docx**

    NUR4590CBE Section 01CBE Professional Identity of the Nurse Leader (11 Weeks) – CBE Online Course – 2025 Winter Quarter

    Deliverable 2 – Organizational Chart

    Top of Form

    Bottom of Form

    Assignment Content

    1.

    Top of Form

    Question <bdi></bdi>

    **Competency**

    Explain the complexity of organizational systems and their impact on healthcare delivery.

    **Student Success Criteria**

    View the grading rubric for this deliverable by selecting the “This item is graded with a rubric” link, which is located in the
    _Details & Information_ pane.

    **Scenario**

    You have been hired as a consultant for a large healthcare organization. In your role, you have been tasked with examining the current organizational structure at the micro, meso, and macro levels, including the impact on healthcare delivery.

    As you develop your plans, you will reflect how these roles individually and collectively influence the ability of the organization to deliver high quality client services.

    The roles and titles of people working in the three levels of systems may vary. A brief definition of each is offered to clarify the contributions of leaders at each level.

    · Micro system: This is the point of contact with the client or customer. In the health care setting the micro level may be a specific unit. Roles of those in the micro system include all that come in contact with the client and the manager of the unit or department.

    · Meso system: This level reflects a collection of micro systems, such as a Surgical Services Department including multiple units. The meso level aims to group and coordinate similar micro system levels of service.

    · Macro system: This level is a larger scale of groups and departments typically more at the administration level.

    **Nursing Hierarchy**

    ·
    **Macro Level:** Vice President of Nursing Services

    · Potential Titles: Chief Nursing Officer, Vice President of Nursing, Director of Nursing Services.

    ·
    **Meso Level:** Program Manager

    · Potential Titles: Department Head, Service Manager, Director.

    ·
    **Micro Level:** Unit Manager

    · Potential Titles: Bedside Nurse, Unit Nurse, Unit Manager, Change Nurse.

    **Instructions**

    · Research a healthcare organization and include their mission statement, vision, or philosophy in your paper.

    · Describe how the organization’s mission, vision, and philosophy influence the expectations of leaders at the three system levels: micro, meso, and macro.

    · Describe how nursing leaders in each of these levels of the organization’s operations address health care delivery goals.

    · Describe nurse leaders at the micro, meso, and macro level of the organization including a discussion of how these three levels may integrate to improve outcomes.

    · Provides stated ideas with professional language and attribution for credible sources with correct APA citation, spelling, and grammar.

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    **Submission**

    **NUR4590_org_chartD2.png**

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  • [Solved] week 5-2025

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    *****NOTE: Write in short paragraphs and use at least one **HEADING** per question.***** – Explain the four different acculturation strategies – Explain how acculturation can lead to negative consequences – Explain how identity denial and stereotype threat have consequences in multicult…

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    Assignment Prompt & Instructions

    *****NOTE: Write in short paragraphs and use at least one **HEADING** per question.*****

    – Explain the four different acculturation strategies

    – Explain how acculturation can lead to negative consequences

    – Explain how identity denial and stereotype threat have consequences in multicultural contexts

    REPLIES to classmates: Explain, explore, expand, and describe how these concepts are relevant and significant to the study of cultural psychology. How do the applications of these topics help us understand the concepts and ideas in the field of cultural psychology? (minimum 100-200 word count)

    *****NOTE: Write in short paragraphs and use at least one **HEADING** per section.*****

    Find one research study (or more) to explain the following concepts to provide either evidence for it (prove it) or against it (disprove it), you may provide evidence for either side. Explain, describe, compare and contrast:

    – Bicultural identity integration, frame-switching, and blending

    – 2 years ago