Proposing a new staffing matrix that is intended to reduce nurse turnover, improve nursing staff satisfaction

Using 800-1,000 words, discuss methods to evaluate the effectiveness of your proposed solution and variables to be assessed when evaluating project outcomes.

Example: If you are proposing a new staffing matrix that is intended to reduce nurse turnover, improve nursing staff satisfaction, and positively impact overall delivery of care, you may decide the following methods and variables are necessary to evaluate the effectiveness of your proposed solution:

Methods:
1. Survey of staff attitudes and contributors to job satisfaction and dissatisfaction before and after initiating change.
2. Obtain turnover rates before and after initiating change.
3. Compare patient discharge surveys before change and after initiation of change.

Variables:
1. Staff attitudes and perceptions.
2. Patient attitudes and perceptions.
3. Rate of nursing staff turnover.

Develop the tools necessary to educate project participants and to evaluate project outcomes (surveys, questionnaires, teaching materials, PowerPoint slides, etc. (Minimum 2 pages)

Refer to the “Topic 4: Checklist.”
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

(PART 2- MINIMUM 2 PAGES)

Using 250-500 words, summarize your strategy for disseminating the results of the project to key stakeholders and to the greater nursing community.
Refer to the “Topic 4: Checklist.”
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

Once completed

Combine all elements completed in previous weeks (Topics 1-4) into one cohesive evidence-based proposal and share the proposal with a leader in your organization. (Appropriate individuals include unit managers, department directors, clinical supervisors, charge nurses, and clinical educators.)(THIS COULD BE MADE UP: A CHARGE NURSE NAME YOU MAY USE IS NATASHA EUSTACHE)
Obtain feedback from the leader you have selected( FEEDBACK NEED TO BE IN A WRITTEN FORMAT A PARAGRAPH OR TWO IS FINE) and request verification using the Capstone Review Form. Submit the signed Capstone Review Form to CONHCPfield@gcu.edu (I WILL GET THIS SIGNED)

For information on how to complete the assignment, refer to “Writing Guidelines” and the “Exemplar of Evidence-Based Practice Capstone Paper.”

Final needs to Include abstract, problem statement, conclusion, reference section, and appendices (if tables, graphs, surveys, diagrams, etc. are created from tools required in Topic 4).( 2 page minimum required here to complete this section.)

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

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Description of your analysis of the problem including decisions about the classes used, a Class Diagram outlining the class structure for your proposed solution, and pseudocode for the key methods

Submission Instructions. Your submission should consist of a report (in pdf format) and implementation files (.java files).
• The report should be a pdf and should consist of Requirements: Summary of the above requirements statement. Analysis and Design: A short (one paragraph) description of your analysis of the problem including decisions about the classes used, a Class Diagram outlining the class structure for your proposed solution, and pseudocode for the key methods. Note that as this is a simple program a single class should be sufficient. Testing: A set of proposed test cases with expected results, and evidence of the results of testing (the simplest way of doing this is to cut and paste the result of running your test cases into your report or provide a screen shot).

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Pediatric Asthma and ultrafine particles

Previous research paper done but got stuck at the results part because I do not know how to use spss. The focus of this paper is to get presentable results and a great discussion section. This paper is on how particles from the well affect children that live around those areas in summary. When i initially started the paper I believed i would be able to create a paper survey asking the parents of the children about their symptoms, regular visits to ER & noticeable changes in overall health. I also thought i would be able to retrieve data from the health dept which didn’t work out. Attached is the raw data of concentration of particles of each well that i sampled. The location of the wells are in column C as well as long and latitude. The average of the concentration of ultrafine particles is in column U. These wells are located in West Virginia. I would like the results to talk about how the concentrations vary. There was also a freshwater impoundment that didn’t have any activity going on so the conc of particles are low in comparison to other active wells. Then I would like to conclude by suggesting future research ideas for the future researcher on the topic stating using the surveys, health data and samples of conc one should be able to get accurate data on how ultra fine particles affect pediatric asthma. I paid for 10 pages and i would like it to be districted as thus. 2 pages for data analysis. 5 pages for results and discussion ( with tables and graphs). 2 pages added to my methodology (surveys) and the last page to add to the overall quality of the paper.

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Cause-and-Effect (Fishbone) Diagram

Make sure that the fishbone diagram you develop for this assignment aligns with the topic or opportunity for improvement you select for the project.
Overview of Instructions:
•Select the problem or “effect” relevant to your clinical micro-system and your project for analysis.
•Consult with the members of your clinical micro-system team to gather as much information as possible on the possible causes or drivers of the problem and how they should be prioritized (i.e., which one/ones should be addressed first).
•Categorize the information using the categories described in the Nelson or Q Solutions texts or create your own categories. Make sure your categories are logical and relevant to the problem you are working on and that the “causes” in each category are aligned with their respective categories. For example, you would not want to include “lack of staff training” in a category relating to facilities or equipment.
•Create a fishbone diagram depicting the relationship between the causes and the problem (or effect).
•Evaluate/analyze and summarize the results to be read in an audio presentation along with the diagram.

Cover the following points in your discussion
1.The problem (or effect) you have selected for analysis and a brief description of how/why it is a problem for the staff/patients of your clinical micro-system.
B. Which of the Institute of Medicine Six Aims of Improvement does the problem/effect fall under?
2.The major categories of causes of the problem (i.e., how or why you selected and organized your analysis using the major categories you have opted to use)
3.Which one of the “causes” you and/or the members of your proposed QI team have selected to work on first (i.e., this should align with or relate to the process you plan to improve for the major project assignment) and how/why it was selected as the “priority for action”

The following elements should be included in your discussion:

II. Brief introduction introducing the topic and purpose of the discussion

III. Body of your discussion

IV. Summary describing recapping key insights/points.

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ASSIGNMENT CROSS CULTURAL HEALTH PROSPECTIVES

1. Please follow the directions for the correct coversheet format.
YOUR NAME: CHRISTOPHER D. MORGAN;
Trident University International;
COURSE NAME AND NUMBER: BHS414 CROSS-CULTURAL HEALTH PROSPECTIVES;
Module & Case/SLP: MOD 2 SLP ASSIGNMENT;
Paper Name: INTRODUCTION TO HEALTH AND CULTURE;
INSTRUCTOR NAME: DR. NAA-SOLO TETTEY;
DATE: 14 OCTOBER 2014
Copy the assignment’s actual questions or tasks on the cover page (you can copy them from the attachment).

Here is my answers to the quiz that you will use in the assignment:
Results Summary

You got 7 out of 23 answers right.
Select Review to return to the question and view an explanation of the answer. Click on Read more to learn more about the topic of the question.

1. Cross-cultural misunderstandings between providers and patients can lead to mistrust and frustration, but are unlikely to have an impact on objectively measured clinical outcomes.

You chose: True Review Correct answer: False Read more

10. If a family member speaks English as well as the patient’s native language, and is willing to act as interpreter, this is the best possible solution to the problem of interpreting.

You chose: False Review Correct answer: False Read more

11. Which of the following statements is TRUE?

You chose: c Review Correct answer: c Read more

12. Which of the following statements is NOT TRUE?

You chose: a Review Correct answer: c Read more

13. Which of the following statements in NOT true?

You chose: a Review Correct answer: b Read more

14. Because Hispanics have a lower incidence of certain cancers than the majority of the US population, their mortality rate from these diseases is correspondingly lower.

You chose: True Review Correct answer: False Read more

15. Minority and immigrant patients in the US who go to traditional healers and use traditional medicines generally avoid conventional Western treatments.

You chose: True Review Correct answer: False Read more

16. Providers whose patients are mostly European-American, U.S.-born, and middle-class still need to know about health practices from different world cultures.

You chose: True Review Correct answer: True Read more

17. Which of the following is good advice for a provider attempting to use and interpret non-verbal communication?

You chose: a Review Correct answer: a Read more

18. Some symbols—a positive nod of the head, a pointing finger, a “thumbs-up” sign—are universal and can help bridge the language gap.

You chose: True Review Correct answer: False Read more

19. Out of respect for a patient’s privacy, the provider should always begin a relationship by seeing an adult patient alone and drawing the family in as needed.

You chose: True Review Correct answer: False Read more

2. When the patient and provider come from different cultural backgrounds, the medical history obtained may not be accurate.

You chose: False Review Correct answer: True Read more

20. In some cultures, it may be appropriate for female relatives to ask the husband of a pregnant woman to sign consent forms or to explain to him the suggested treatment options if the patient agrees and this is legally permissible.

You chose: True Review Correct answer: True Read more

21. Which of the following is NOT true of an organization that values cultural competence:

You chose: c Review Correct answer: d Read more

22. A female Muslim patient may avoid eye contact and/or physical contact because:

You chose: b Review Correct answer: c Read more

23. Which of the following statements is NOT TRUE:

You chose: a Review Correct answer: c Read more

3. When a provider expects that a patient will understand a condition and follow a regimen, the patient is more likely to do so than if the provider has doubts about the patient.

You chose: True Review Correct answer: True Read more

4. A really conscientious health provider can eliminate his or her own prejudices or negative assumptions about certain types of patients.

You chose: True Review Correct answer: False Read more

5. When taking a medical history from a patient with a limited ability to speak English, which of the following is LEAST useful?

You chose: b Review Correct answer: a Read more

6. During a medical interview with a patient from a different cultural background, which is the LEAST useful technique:

You chose: c Review Correct answer: b Read more

7. When a patient is not adhering to a prescribed treatment after several visits, which of the following approaches is NOT likely to lead to adherence?

You chose: d Review Correct answer: b Read more

8. When a patient who has not adhered to a treatment regimen states that s/he cannot afford the medications prescribed, it is appropriate to assume that financial factors are indeed the real reasons and not explore the situation further.

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Thematic Analysis: A street cat named Bob by James Bowen Chapter 2: Road to Recovery

Analyse the transcript: “A street cat named Bob by James Bowen Chapter 2: Road to Recovery” using Thematic Analysis and present two themes
OR a superordinate theme and two sub-themes that you developed during the
analysis. Make sure you interpret your results and show depth to your
interpretation. Include quotes in your answer to substantiate your interpretation.
You should not include a literature review or a discussion, just the two themes as
if you were presenting the results of a study. (800 words excluding quotes).

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Reaction Paper-Nonfiction

A summary of the strategies you think the writer used to convey a particular idea.
Describe how you personally relate to the theme and explain the intended purpose of each story and its theme.
Use quotes from each selection to support your paper. At the end of the paper, consider how you analyzed the stories and answer the following questions:
What makes each of the chosen selections nonfiction?
Is imagination required for writing and reading nonfiction? Why or why not?
Format your paper consistent with APA guidelines.

1. Gretel Ehrlich: About Men

When I’m in New York but feeling lonely for Wyoming I look for the Marlboro ads in the subway. What I’m aching to see is horseflesh, the glint of a spur, a line of distant mountains, brimming creeks, and a reminder of the ranchers and cowboys I’ve ridden with for the last eight years. But the man I see in those posters with their stern, humorless looks remind me of no one I know here. In our hell-bent earnestness to romanticize the cowboy we’ve ironically disesteemed his true character. If he’s “strong and silent” its because there’s probably no one to talk to. If he “rides away into the sunset” its because he’s been on horseback since four in the morning moving cattle and he’s trying, fifteen hours later, to get home to his family. If he’s a “rugged individualist” he’s also part of a team: ranch work is teamwork and even the glorified open range cowboys of the 1880’s rode up and down the Chisholm Trail in the company of twenty or thirty riders. Instead of the macho, trigger-happy man our culture has perversely wanted him to be, the cowboy is more apt to be convivial, quirky, and softhearted. To be “tough” on a ranch has nothing to do with conquests and displays of power. More often than not, circumstances—like the colt he’s riding or an unexpected blizzard—are overpowering him. It’s not toughness but “toughing it out” that counts. In other words, this macho, cultural artifact the cowboy has become is simply a man who possesses resilience, patience, and an instinct for survival. “Cowboys are just like a pile of rocks—everything happens to them. They get climbed on, kicked, rained and snowed on, scuffed by the wind. Their job is ‘just to take it,’” one old-timer told me.
A cowboy is someone who loves his work. Since the hours are long—ten to fifteen hours a day—and the pay is $30 he has to. What’s required of him is an odd mixture of physical vigor and maternalism. His part of the beef raising industry is to birth and nurture calves and take care of their mothers. For the most part his work is done on horseback and in a lifetime he sees and comes to know more animals than people. The iconic myth surrounding him is built on American notions of heroism: the index of a man’s value as measured in physical courage. Such ideas have perverted manliness into a self-absorbed race for cheap thrills. In a rancher’s world, courage has less to do with facing danger than with acting spontaneously—usually on behalf of an animal or other rider. If a cow is stuck in a boghole he throws a loop around her neck, takes his dally (a half hitch around the saddle horn), and pulls her out with horsepower. If a calf is born sick, he may take her home, warm her in front of the kitchen fire, and massage her legs until dawn. One friend, whose favorite horse was trying to swim a lake with hobbles on, dove under water and cut her legs loose with a knife, then swam her to shore, his arm around her neck lifeguard-style, and saved her from drowning. Because these incidents are usually linked to someone or something outside himself, the westerner’s courage is selfless, a form of compassion.
The physical punishment that goes with cowboying is greatly underplayed. Once fear is dispensed with, the threshold of pain rises to meet the demands of the job. When Jane Fonda asked Robert Redford (in the film “Electric Horseman”) if he was sick as he struggled to his feet one morning, he replied, “No, just bent.” For once the movies had it right. The cowboys I was sitting with laughed in agreement. Cowboys are rarely complainers: they show their stoicism by laughing at themselves.
If a rancher or cowboy has been thought of as a “Man’s man”—laconic, hard drinking, inscrutable—there’s almost no place in which the balancing act between male and female, manliness and femininity, can be more natural. If he’s gruff, handsome, and physically fit on the outside, he’s androgynous at the core. Ranchers are midwives, hunters, nurturers, providers, and conservationalists all at once. What we’ve interpreted as toughness—weathered skin, calloused hands, a squint in the eye and a growl in the voice—only masks the tenderness inside. “Now don’t go telling me these lambs are cute,” one rancher warned me the first day I walked into the football field sized lambing sheds. The next thing I knew he was holding a black lamb. “Ain’t this little rat good-lookin’?”
So many of the men who came to the West were southerners—men looking for work and a new life after the Civil War—that chivalrousness and strict codes of honor were soon thought of as western traits. There were very few women in Wyoming during territorial days, so when they did arrive (some as mail order brides from places such as Philadelphia) there was a stand-offishness between the sexes and a formality that persists now. Ranchers still tip their hats and say, “Howdy ma’am” instead of shaking hands with me.
Even young cowboys are often evasive with women. It’s not that they’re Jekyll and Hyde creatures -gentle with animals and rough on women—but rather, that they don’t know how to bring their tenderness into the house and lack the vocabulary to express the complexity of what they feel. Dancing wildly all night becomes a metaphor for the explosive emotions pent up inside, and when these are, on occasion, released, they’re so battery-charged and potent that one caress of the face or one “I love you” will peal for a long while.
The geographical vastness and the social isolation here make emotional evolution seem impossible. Those contradictions of the heart between respectability, logic, and convention on the one hand, and impulse, passion, and intuition on the other, played out wordlessly against the paradisical beauty of the West, give cowboys a wide-eyes but drawn look. Their lips pucker up, not with kisses but with immutability. They may want to break out, staying up all night with a lover just to talk, but they don’t know how and can’t imagine what the consequences will be. Those rare occasions when they do bare themselves result in confusion. “I feel as if I’d sprained my heart,” one friend told me a month after such a meeting.
My friend Ted Hoagland wrote, “No one is as fragile as a woman but no one is as fragile as a man.” For all the women here who use “fragileness” to avoid work or as a sexual ploy, there are men who try to hide theirs, all the while clinging to an adolescent dependency on women to cook their meals, wash their clothes, and keep the ranch house warm in winter. But there is true vulnerability in evidence here. Because these men work with animals, not machines or numbers, because they live outside in landscapes of torrential beauty, because they are confined to a place and a routine embellished with awesome variables, because calves die in the arms that pulled others into life, because they go to mountains as if on a pilgrimage to find out what makes a herd of elk tick, their strength is also a softness, their toughness, a rare delicacy.

2. “Salvation”
By Langston Huges

I was saved from sin when I was going on thirteen. But not really saved. It happened like this. There was a big revival at my Auntie Reed’s church. Every night for weeks there had been much preaching, singing, praying, and shouting, and some very hardened sinners had been brought to Christ, and the membership of the church had grown by leaps and bounds. Then just before the revival ended, they held a special meeting for children, “to bring the young lambs to the fold.” My aunt spoke of it for days ahead. That night I was escorted to the front row and placed on the mourners’ bench with all the other young sinners, who had not yet been brought to Jesus.

My aunt told me that when you were saved you saw a light, and something happened to you inside! And Jesus came into your life! And God was with you from then on! She said you could see and hear and feel Jesus in your soul. I believed her. I had heard a great many old people say the same thing and it seemed to me they ought to know. So I sat there calmly in the hot, crowded church, waiting for Jesus to come to me.

The preacher preached a wonderful rhythmical sermon, all moans and shouts and lonely cries and dire pictures of hell, and then he sang a song about the ninety and nine safe in the fold, but one little lamb was left out in the cold. Then he said: “Won’t you come? Won’t you come to Jesus? Young lambs, won’t you come?” And he held out his arms to all us young sinners there on the mourners’ bench. And the little girls cried. And some of them jumped up and went to Jesus right away. But most of us just sat there.

A great many old people came and knelt around us and prayed, old women with jet-black faces and braided hair, old men with work-gnarled hands. And the church sang a song about the lower lights are burning, some poor sinners to be saved. And the whole building rocked with prayer and song.

Still I kept waiting to see Jesus.

Finally all the young people had gone to the altar and were saved, but one boy and me. He was a rounder’s son named Westley. Westley and I were surrounded by sisters and deacons praying. It was very hot in the church, and getting late now. Finally Westley said to me in a whisper: “God damn! I’m tired o’ sitting here. Let’s get up and be saved.” So he got up and was saved.

Then I was left all alone on the mourners’ bench. My aunt came and knelt at my knees and cried, while prayers and song swirled all around me in the little church. The whole congregation prayed for me alone, in a mighty wail of moans and voices. And I kept waiting serenely for Jesus, waiting, waiting – but he didn’t come. I wanted to see him, but nothing happened to me. Nothing! I wanted something to happen to me, but nothing happened.

I heard the songs and the minister saying: “Why don’t you come? My dear child, why don’t you come to Jesus? Jesus is waiting for you. He wants you. Why don’t you come? Sister Reed, what is this child’s name?”

“Langston,” my aunt sobbed.

“Langston, why don’t you come? Why don’t you come and be saved? Oh, Lamb of God! Why don’t you come?”

Now it was really getting late. I began to be ashamed of myself, holding everything up so long. I began to wonder what God thought about Westley, who certainly hadn’t seen Jesus either, but who was now sitting proudly on the platform, swinging his knickerbockered legs and grinning down at me, surrounded by deacons and old women on their knees praying. God had not struck Westley dead for taking his name in vain or for lying in the temple. So I decided that maybe to save further trouble, I’d better lie, too, and say that Jesus had come, and get up and be saved.

So I got up.

Suddenly the whole room broke into a sea of shouting, as they saw me rise. Waves of rejoicing swept the place. Women leaped in the air. My aunt threw her arms around me. The minister took me by the hand and led me to the platform.

When things quieted down, in a hushed silence, punctuated by a few ecstatic “Amens,” all the new young lambs were blessed in the name of God. Then joyous singing filled the room.

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