Balanced Scorecard

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To prepare:

· Review the information in the Learning Resources, including this week’s media presentation, focusing on the development of performance metrics for a strategic plan.

· With your Strategic Plan in mind, think about how you would develop a balanced scorecard to measure performance, including the processes you would use to gather appropriate data.

· Consider how the use of a balanced scorecard reflects the importance of being able to evaluate progress, assess the impact of planned change on performance, and determine if the costs are justified in terms of the outcomes.

 
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Course Reflection 4636

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Course Reflection

Guidelines

Purpose

The purpose of this assignment is to provide the student an opportunity to reflect on selected RN-BSN competencies acquired through the NUR4636 course.

Course Outcomes

This assignment provides documentation of student ability to meet the following course outcomes:

– The students will be able to recognize the different level of prevention and apply them in the community (ACCN Essential I, II, IV, V, VII; QSEN: safety, evidence-based practice, teamwork and collaboration, quality improvement, informatics, and patient-centered care).

– This course will enable the student to place in practice methods of health prevention, promotion and restoration in the communities (ACCN Essential I, II, IV, V, VII; QSEN: safety, evidence-based practice, and teamwork and collaboration, quality improvement, informatics, and patient.

– The students will be able to educate the communities about the different ways to prevent illness and promote health (ACCN Essential I, II, IV, V, VII; QSEN: safety, evidence-based practice, teamwork, and collaboration, quality improvement, informatics, and patient-centered care).

– The student will understand the different tools available to put in place and in the hands of the communities in order to keep them healthy (ACCN Essential I, II, IV, V, VII; QSEN: safety, evidence-based practice, teamwork and collaboration, quality improvement, informatics, and patient-centered care).

Points

This assignment is worth a total of 100 points (10%).

Due Date

Submit your completed assignment under the Assignment tab by Sunday 11:59 p.m. EST of Week 15 as directed.

Requirements

1. The Course Reflection is worth 100 points (10%) and will be graded on quality of self-assessment, use of citations, use of Standard English grammar, sentence structure, and overall organization based on the required components as summarized in the directions and grading criteria/rubric.

2. Follow the directions and grading criteria closely. Any questions about your essay may be posted under the Q & A forum under the Discussions tab.

3. The length of the reflection is to be within three to six pages excluding title page and reference pages.

4. APA format is required with both a title page and reference page. Use the required components of the review as Level 1 headers (upper and lower case, centered):

Note: Introduction – Write an introduction but do not use “Introduction” as a heading in accordance with the rules put forth in the Publication manual of the American Psychological Association (2010, p. 63).

a. Course Reflection

b. Conclusion

Preparing Your Reflection

The BSN Essentials (AACN, 2008) outline a number of healthcare policy and advocacy competencies for the BSN-prepared nurse. Reflect on the NUR4636 course readings, discussion threads, and applications you have completed across this course and write a reflective essay regarding the extent to which you feel you are now prepared to:

1. “Demonstrate basic knowledge of healthcare policy, finance, and regulatory environments, including local, state, national, and global healthcare trends.

2. Describe how health care is organized and financed, including the implications of business principles, such as patient and system cost factors.

3. Compare the benefits and limitations of the major forms of reimbursement on the delivery of healthcare services.

4. Examine legislative and regulatory processes relevant to the provision of health care.

5. Describe state and national statutes, rules, and regulations that authorize and define professional nursing practice.

6. Explore the impact of socio­cultural, economic, legal, and political factors influencing healthcare delivery and practice.

7. Examine the roles and responsibilities of the regulatory agencies and their effect on patient care quality, workplace safety, and the scope of nursing and other health professionals’ practice.

8. Discuss the implications of healthcare policy on issues of access, equity, affordability, and social justice in healthcare delivery.

9. Use an ethical framework to evaluate the impact of social policies on health care, especially for vulnerable populations.

10. Articulate, through a nursing perspective, issues concerning healthcare delivery to decision makers within healthcare organizations and other policy arenas.

11. Participate as a nursing professional in political processes and grassroots legislative efforts to influence healthcare policy.

12. Advocate for consumers and the nursing profession.

13. Assess protective and predictive factors, including genetics, which influence the health of individuals, families, groups, communities, and populations.

14. Conduct a health history, including environmental exposure and a family history that recognizes genetic risks, to identify current and future health problems.

15. Assess health/illness beliefs, values, attitudes, and practices of individuals, families, groups, communities, and populations.

16. Use behavioral change techniques to promote health and manage illness.

17. Use evidence­ based practices to guide health teaching, health counseling, screening, outreach, disease and outbreak investigation, referral, and follow-up throughout the lifespan.

18. Use information and communication technologies in preventive care.

19. Collaborate with other healthcare professionals and patients to provide spiritually and culturally appropriate health promotion and disease and injury prevention interventions.

20. Assess the health, healthcare, and emergency preparedness needs of a defined population.

21. Use clinical judgment and decision-making skills in appropriate, timely nursing care during disaster, mass casualty, and other emergency situations.

22. Collaborate with others to develop an intervention plan that takes into account determinants of health, available resources, and the range of activities that contribute to health and the prevention of illness, injury, disability, and premature death.

23. Participate in clinical prevention and population ­focused interventions with attention to effectiveness, efficiency, cost-effectiveness, and equity.

24. Advocate for social justice, including a commitment to the health of vulnerable populations and the elimination of health disparities.

25. Use evaluation results to influence the delivery of care, deployment of resources, and to provide input into the development of policies to promote health and prevent disease.” (pp. 20-21, 24-25).

Reference:

American Association of Colleges of Nursing [AACN]. (2008). The essentials of baccalaureate education for professional nursing practice. Washington, DC: Author.

 
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Nursing

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Where Did Theory Come From

The purpose of this Assignment is to explore how a theorist explicates his or her philosophy and thoughts behind a theoretical field. As in other fields of study, nursing has a plethora of theorists and theories. These theorists have developed their paradigm over time enriching it with research and dialogue with other theorists.

BE SURE TO READ THE GRADING RUBRIC PRIOR TO STARTING ASSIGNMENT

1.         The introduction identifies the purpose of the assignment in a clearly stated fully formed paragraph of at least five sentences in length supported with relevant background and peer reviewed source support.

2.         Stage 1 : Theorizing – This part contains at least three concepts identified to what nursing is and what nursing is not.

3.         Stage 2 : Syntax – This part of the assignment contains at least two or more terms clearly defined

4.         Stage 3 : Theory Testing – Provides two or more examples of how theory was applied to quantitative/qualitative research consisting of different populations and a widening group of researchers outside the discipline of nursing.

5.         Stage 4 : Evaluation – Provides at least five examples of how theory is applied through evidenced based practice in the act of providing nursing care.

6.         The conclusion restates the main idea, summarizing at least three subpoints, in a fully formed paragraph of a minimum of five sentences in length with peer reviewed source support.

7.         Review for correct spelling, grammar, and APA formatting.

8.         References must be evidence-based.  Please keep websites, html documents, and PDF’s found on the internet to a minimum.  Purdue asks students to use the Library to find evidence-based journal articles to use as references.  Points will be deducted if references are not evidence-based per grading rubric.

Directions

In this assignment, you are going to explore how a nurse theorist of your choice created his or her theory.

You will become the theorist immersing yourself in the writings from the earliest mentioned to the most current literature.

Writing in the voice of the theorist (taking on the persona of the theorist) create the theory through the following four stages.

In the first stage, theorizing occurs. This is where you, as the theorist, identify the concepts of what nursing is and is not. Perhaps you questioned what concepts were guiding those in nursing practice and then started to question your role. You started asking yourself, “Where am I in nursing, and where the profession is going? Is there some overarching concept that guides the professional in his or her practice?” This is where you recognize that a theory is needed.

In the second stage, syntax is developed. This is where you will define the terms. Look for changing definitions of terms. Consider, for example, Jean Watson. She starts by defining the word “caring.” Within the last ten years she has refined her terminology changing the term caring to caritas. This demonstrates a growth and maturation from decades of research she and other scholars did to produce the theory of caring.

The third stage is theory testing. Defined as the phenomena behind the theory that are exposed through research. The definitions of terms are refined. The theorists and other researchers consider whether this theory helps answer questions that arise in practice. This is where your theory is used in by a widening group of researchers. For example, graduate nursing students request the tool you developed while testing your theory.

The fourth and last stage is evaluation. This is where philosophical debate occurs as the concepts are applied through evidenced based practice in the act of providing nursing care.

Assignment Details

For this Assignment, you will write on how you developed your theory through the four stages (theorizing, syntax, theory testing, and evaluation). Your paper must be 3 to 5 pages, not including the title and reference pages.

To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Resources.

Assignment Requirements

Before finalizing your work, you should:

  • Minimum requirement of at least five sources of support
  • be sure to read the Assignment description carefully (as displayed above);
  • consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; and
  • utilize spelling and grammar check to minimize errors.

Your writing Assignment should:

  • follow the conventions of Standard English (correct grammar, punctuation, etc.);
  • be well ordered, logical, and unified, as well as original and insightful;
  • display superior content, organization, style, and mechanics; and
  • use APA 6th Edition
 
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Business Strategy And Forecasting As Competitive Advantages

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Business Strategy and Forecasting as Competitive Advantages

Write a paper  about PepsiCo that includes the following sections, organized using APA headings (not the Part letter).

Part A: Introduce the paper with the background and information about the business, and the thesis for your paper (1 paragraph).

Part B: Explain, using Teece’s (2010) research article as a basis for your assignment:

  1. The business model.
  2. The business strategy by:
    • Segmenting the market.
    • Creating a value proposition for each segment.
    • Describing the apparatus to deliver the value.
    • Creating the preventative methods to avoid being imitated (p. 180).
  3. The business’s competitive advantage, using Teece’s definition and explanation as support (3–5 paragraphs).

Part C: Describe the main advantage your business’s main competitor has against the business.

  1. Analyze, using the Red Queen effect articles, [Derfus, Maggitti, Grimm, and Smith (2008) and Giachetti, Lampel, and La Pira (2017)], your business’s potential problem caused by its competition’s solution to the Red Queen effect.
  2. Include in your analysis one paragraph that synthetically presents each of the Red Queen articles’ main themes, research findings, and implications. Explain how the concepts of Red Queen effect have grown from 2008 to 2017 (at least 2 paragraphs).
  3. In one paragraph, explain your one recommended action as a solution to the problem caused by the competitor’s action. Describe whether or how it could increase competitiveness.

Part D: Conclusion. Summarize the main points of your paper and leave the reader with a thought to go forward with as an implication or recommendation from your ideas and analysis.

Part E: References.

  • Include a list of all references used.
  • Use at least 4 references: the three required readings, and one supporting your information about your selected business.
  • Use APA 6th edition on your paper and submit a paper free from errors and of high academic quality.

Refer to the scoring guide to ensure you have covered all the requirements.

Derfus, P. J., Maggitti, P. G., Grimm, C. M., & Smith, K. G. (2008). The red queen effect: Competitive actions and firm performance. Academy of Management Journal, 51(1), 61–80.

Giachetti, C., Lampel, J., & Li Pira, S. (2017). Red queen competitive imitation in the U.K. mobile phone industry. Academy of Management Journal, 60(5), 1882–1914.

Teece, D. J. (2010). Business models, business strategy and innovation. Long Range Planning, 43(2–3), 172–194.

 
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Case Study Assignment: Assessing The Head, Eyes, Ears, Nose, And Throat

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  Focused Thyroid Exam Chantal, a 32-year-old female, comes into your office with complaints of “feeling tired” and “hair falling out”. She has gained 30 pounds in the last year but notes markedly decreased appetite. On ROS, she reports not sleeping well and feels cold all the time. She is still able to enjoy her hobbies and does not believe that she is depressed.

 

Nurses conducting assessments of the ears, nose, and throat must be able to identify the small differences between life-threatening conditions and benign ones. For instance, if a patient with a sore throat and a runny nose also has inflamed lymph nodes, the inflammation is probably due to the pathogen causing the sore throat rather than a case of throat cancer. With this knowledge and a sufficient patient health history, a nurse would not need to escalate the assessment to a biopsy or an MRI of the lymph nodes but would probably perform a simple strep test.

In this Case Study Assignment, you consider case studies of abnormal findings from patients in a clinical setting. You determine what history should be collected from the patients, what physical exams and diagnostic tests should be conducted, and formulate a differential diagnosis with several possible conditions.

To Prepare
  • By Day 1 of this week, you will be assigned to a specific case study for this Case Study Assignment. Please see the “Course Announcements” section of the classroom for your assignment from your Instructor.
  • Also, your Case Study Assignment should be in the Episodic/Focused SOAP Note format rather than the traditional narrative style format. Refer to Chapter 2 of the Sullivan text and the Episodic/Focused SOAP Template in the Week 5 Learning Resources for guidance. Remember that all Episodic/Focused SOAP Notes have specific data included in every patient case.

With regard to the case study you were assigned:

  • Review this week’s Learning Resources and consider the insights they provide.
  • Consider what history would be necessary to collect from the patient.
  • Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis?
  • Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.
The Assignment

Use the Episodic/Focused SOAP Template and create an episodic/focused note about the patient in the case study to which you were assigned using the episodic/focused note template provided in the Week 5 resources. Provide evidence from the literature to support diagnostic tests that would be appropriate for each case. List five different possible conditions for the patient’s differential diagnosis and justify why you selected each.

 
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Business

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Discuss a corporate crime that affects most cities, explain why it goes undetected and explain what more has to be done to prevent it.

Focus on things like the BP oil spill

Intro
-What is a corporate crime.
-where have we seen it generally speaking.
-who are usually involved?
Thesis: corporate greed turns into corporate crime because of these following reason…

Please explain in detail what happened with bp the fines and everything associated with them now.

 
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Nursing Capstone

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Review your problem or issue and the study materials to formulate a PICOT question for your capstone project change proposal. A PICOT question starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The intervention used to address the problem must be a nursing practice intervention. Include a comparison of the nursing intervention to a patient population not currently receiving the nursing intervention, and specify the timeframe needed to implement the change process.  Formulate a PICOT question using the PICOT format (provided in the assigned readings) that addresses the clinical nursing problem.

The PICOT question will provide a framework for your capstone project change proposal.

In a paper of 500-750 words, clearly identify the clinical problem and how it can result in a positive patient outcome.

Describe the problem in the PICOT question as it relates to the following:

  1. Evidence-based solution
  2. Nursing intervention
  3. Patient care
  4. Health care agency
  5. Nursing practice

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

 
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Education

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DISCUSSION BOARD FORUM 2 INSTRUCTIONS

This course utilizes the Post-First feature in all Discussion Board Forums. This means you will only be able to read and interact with your classmates’ threads after you have submitted your thread in response to the provided prompt. For additional information on Post-First, click here for a tutorial.

Assignment

In Module/Week 8, you will write a 300–350-word Visual Analysis (Part I) and a 200–250-word response to a classmate’s thread (Part II). Please note the word count does not include citations.

A.  Visual Analysis  (300-350 words)

1. Watch the video: Purdue OWL: Visual Rhetoric.

Copy and Paste into your browser if the Blackboard link does not work:  https://youtu.be/-vJvivIzkDg

2. Review Textbook Chapter 4 (Section 2-a) “Summary and Comparison of the Classical, Toulmin, and Rogerian Models” in the Week 7 Reading and Study folder.

3.  Review the visual (included in Blackboard): https://www.surfrider.org/currents/psa/rap-sushi

 

4.  Analyze the effectiveness of the visual argument presented in the visual in a 300-350 word response containing the following information:

• Based on the video: “Purdue OWL: Visual Rhetoric”:

• Describe the Rhetorical Situation of the visual (purpose, audience, context).

• How do the visual elements persuade the viewer to think or act in a certain way? Give specific examples of visual elements in the visual.  Are the elements effective considering the Rhetorical Situation you have identified? Explain.

• Are there ways that the visual elements could be presented differently for a better result? What aspects of the visual are most effective? Explain.

• Based on the “Summary and Comparison of the Classical, Toulmin, and Rogerian Models”:

• Which model do you think could best be supported with this visual? Give specific reasons to support your answer (i.e. use of appeals in Classical, use of claim, warrants, and backing in Toulmin, or the common ground in Rogerian).

• Complete your analysis with a summary of the effectiveness of the visual argument presented in the visual.

• Cite the visual according to your documentation style (APA, MLA, or Turabian).

• Write MLA, APA, or Turabian in the title of your thread as follows: Title–Citation style (e.g., “Silence the Violence: A Visual Argument Critique – APA”). Check your A Writer’s Reference to verify your citations.

• Review the Discussion Board Forum Grading Rubric before submitting.

Part II: Reply to Classmate (200-250 words)

Reply to a classmate’s post with a 200-250 word response containing the following information:

• Reply to your classmate’s analysis of the visual.

• Address specific points regarding your classmate’s content related to the OWL video and textbook comparisons of the models of argument.

• Use the principles of argument either to rebut or to support your classmate’s ideas.

• Statements such as, “I like what you said” or “I disagree with your comment,” do not count as replies. You must explain why you liked or disliked the thread by adding additional thoughts or ideas if you agreed with the author or by providing alternative ideas or thoughts when you disagree.

• Keep in mind that, regardless of whether you agree or disagree with your classmates’ opinions, you must be respectful and courteous in every interaction. For more on proper discussion, consult the netiquette policy found in the Student Expectations link of this course.

• Review the Discussion Board Forum Grading Rubric before submitting

 
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Week 4 Discussion

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Shared Practice: Detail and Dynamic Complexity

Are you overwhelmed by complexity? If so, you are not alone. Senge notes that people are now able to “create far more information that anyone can absorb,” and he continues to say that the “scale of complexity is without precedent” (2006, p. 69). This “detail” complexity can make managing a business and making informed decisions particularly difficult.

As you review Senge’s Chapter 5, “A Shift of Mind,” consider his descriptions of detail complexity and dynamic complexity. Because organizations do not operate in a vacuum, they are invariably dealing with dynamic complexity. A company that attracts new customers with an innovative product will likely find itself facing many competitors with a similar offering. The market changes as a result of the new product, and the competitive response further changes the market. These shifting dynamics constitute the world in which most managers operate.

Consider organizations where you have worked or with which you are familiar. The organization could be a business, non-profit, or a government agency. Think about examples of detail complexity and dynamic complexity at these organizations.

By Day 3

Post your Shared Practice that includes the following:

  • A comparison of detail complexity to dynamic complexity from a systems thinking viewpoint
  • Two or more examples from organizations with which you are familiar that illustrate important elements of complexity within the system and that explains the negative impacts of such complexity
By Day 5

Read through your colleagues’ posts and by Day 5, respond to two or more of your colleagues in one or more of the following ways:

  • Provide a different or expanded perspective by offering an insight that you gained by reading your colleague’s conclusions.
  • Ask a question that will help your colleague think about his or her comparisons and conclusions more deeply or broadly. Make sure you provide context and/or references based from the class readings, your own investigation, or your experience.

OR:

  • Provide an example that further illuminates complexity in organizations and compare it to what your colleague presented.
  • Offer other lessons you learned and suggest ways your colleague could manage complexity.
 
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Make A Plan (On A Separate Page) And Develop Your Ideas (3000 Words)

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At lunch your friend Mary tells you that she is preparing to teach her first online class. She has taught the same course – Abnormal Psychology – about twenty times in a traditional college campus setting and tells you, “Its no big deal, right? I’ll just take my old syllabus, change the dates, and put it up on Blackboard!” You, having just finished Week 1 in our class, have a few, um, polite suggestions for Mary. Just as you are about to speak, her phone rings. It’s an important call she must take. She apologizes to you for having to go, gives you some money for the bill, and leaves.

Write a follow up email to Mary in which you identify four points that she may want to consider in preparing for her class. End with at least 2 resources (articles/videos/web resources, etc.) she might consider as she develops her online course.

You can compose this fictional email in a Word document. Aim for about 400 words and please include full APA-formatted (or format your discipline uses) references for the 2 resources you offered to Mary.

Please let me know if you need anything else

 
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