Evidence-Based Practice Healthcare Organization

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NURS-8114C

Evidence-Based Practice Healthcare Organization

BLOG RESPONSE

PEER #1

Chikita Domonique Smith

1:12pmSep 18 at 1:12pm

Manage Discussion Entry

Advocating for Evidence-Based Practice in Healthcare

An illustration of evidence-based practice:

At our institution, the prognosis for patients with central line-associated bloodstream infections (CLABSIs) has greatly improved. Strict hand hygiene, chlorhexidine skin preparation, sterile draping, and daily review of the requirement for the central line were just a few of the evidence-based treatments implemented by our nursing staff. CLABSIs have fallen drastically in the last year, with astounding outcomes.

This illustration shows how the application of evidence-based recommendations can have a direct impact on patient safety and well-being. Additionally, this shows how adopting evidence-based practice (EBP) affects patient outcomes.

Application of EBP:

While there have been examples of effective adoption, it is critical to evaluate the wider use of evidence-based practice (EBP) inside our healthcare organization. In general, I believe that tremendous progress has been made in integrating evidence-based practice (EBP) into our professional pursuits. Other factors also contribute to this phenomenon.

· We provide access to the most up-to-date research by making databases and academic journals available to the public. This facilitates the discovery of relevant evidence for making clinical judgments (Helou et al., 2020).

· Evidence-based practice (EBP) workshops and training seminars are offered on a regular basis to the nursing staff. By doing so, we can learn about the current standards and improve our methods.

· Our nursing administration fully backs EBP efforts, helping to foster an environment where the best available scientific information is given due consideration.

But there are still challenges to be met:

· Some doctors and nurses may be resistant to change if they are accustomed to doing things in a certain way.

· In today’s healthcare system, it can be challenging to commit enough time to do in-depth study and implement EBP (Khoddam et al., 2023).

Advocating for EBP:

Long-term support for evidence-based practice (EBP) across our healthcare system is required to improve patient care. I suggest using the following strategy:

· Workshops and seminars can be organized to inform people about the significance of evidence-based practice (EBP). By highlighting successes like the decline in CLABSIs, we might persuade individuals to utilize evidence-based techniques.

· Peer support groups can help to build a feeling of community and get past hesitation by allowing nurses to talk about and share their experiences with EBP-related issues (Chen-Lim, 2019).

· Building interdisciplinary teams with our healthcare providers is necessary to carry out EBP projects. As a result, everyone involved is expected to act more responsibly and with greater accountability.

· We shall collect data on a continuous basis to track the success of EBP activities (Contreras, Hoffmann, & Slocum, 2021) and submit the results to our superiors.

Finally, as nurses and other healthcare professionals, it is our responsibility to advocate the use of evidence-based methods. This will allow us to better assist patients, make our workplaces safer, and advance our field. Let us continue to advocate for EBP and incorporate it into our routines so that our patients always receive the best care possible.

Reference:

Contreras, B. P., Hoffmann, A. N., & Slocum, T. A. (2021). Ethical behavior analysis: Evidence-based practice as a framework for ethical decision making. Behavior analysis in practice, 1-16.

Chen-Lim, M. L. (2019). The Practice of Scholarly Inquiry in Post Licensure Nurses. Widener University.

Helou, M. A., DiazGranados, D., Ryan, M. S., & Cyrus, J. W. (2020). Uncertainty in decision-making in medicine: a scoping review and thematic analysis of conceptual models. Academic medicine: journal of the Association of American Medical Colleges, 95(1), 157.

Khoddam, H., Modanloo, M., Mehrdad, N., Heydari, F., & Talebi, R. (2023). Nurses’ experience of integrating evidence‐based changes into their practice: A qualitative study. Nursing Open.

PEER #2

Rose Tarantino
6:40amSep 18 at 6:40am

Manage Discussion Entry

Decreasing Midline Catheter Dislodgment

One of our evidenced based practice projects within my facility consisted of identifying inadvertent midline catheter removals. My co-worker and I work in Interventional Radiology and insert all the PICC (peripherally inserted central catheters) and the midline catheters.

Background

In 2020, we were able to introduce a midline catheter to the institution. A midline catheter, defined by Infusion Nurses Society, is a vascular access device intended for placement into a peripheral vein in the upper arm; basilic, cephalic, or one of the two brachial veins, with the internal tip located level at or near the level of the axilla and distal to the shoulder (What is a Midline Catheter? 2021). They are characteristically used for infusion and short-term IV antibiotics (less than 30 days). Nurses and physicians also like them for patients with difficult veins and for someone needing antibiotics for 2 weeks. We inserted about five per day. In the second half of 2020, we noticed a flux of patients needing to come to us to have it reinserted. My co-worker and I used this for our clinical ladder. We began to keep a log of anyone that needed a midline after re-insertion. We also asked the nurses to document this in verge. Verge is the industry’s leading risk management software company for hospitals and health systems (Verge Health Boosts RWJBarnabas Health’s Approach to Patient Safety, 2020). This can be tracked by administration as well as quality.

OBJECTIVE:

We wanted to stop this from occurring. The patients are sometimes kept in the hospital longer because if a midline falls out on a Friday night, we cannot put it back until Monday. Recurrent insertions cost the facility money; we don’t get reimbursed. The Interventional Radiology team must reinsert these lines when they can be doing other necessary procedures. Infection risk is also higher because you are now sticking them twice instead of once.

Design

After proof that midlines were inadvertently being removed, we set up a plan. We researched using journal articles. This research study was conducted utilizing the Kean University library database CINAHL and PubMed, and MEDLINE using the keywords, midline catheter, infection, and inadvertent removal. The journal articles that we found were all related to inadvertent midline removals. There were four in total.

Interventions

We provided in-services on midlines to every nursing unit all the shift’s “huddles”. We found a device that was in stock at our facility and that we use for the dressing called a STAT lock. This prevents accidental removal. We educate staff on STAT lock adhesive, and the use of a tegaderm. We encouraged the use of kling, kerlex, or a sleeve to those patients at risk of pulling them out. We provided the staff education about if they push a partially removed midline back that the risk of infection is higher. We also recommended having a sitter with patients that were identified as a risk for pulling out their lines.

Result

Because of this Evidenced Based Practice study at my facility, there were zero inadvertent removals six months after this study. Unfortunately, a year later there were two inadvertent removals. One was due to an alert patient that thought it was the string on her gown, so she pulled it out by accident. Another was pulled out within ten minutes of returning to the floor. This was coincidentally shift change. If anything will go wrong, chances are it is a change of shift.

Conclusion

We were able to generate a problem in the system and with support, we were able to step up and speak up for patient safety. Because of this study, patients were safer, the facility saved money, and the workload on the Interventional Radiology team was spared so they focus on new procedures. We can and sis advocate for safety based on Evidenced Based Practice.

References

Swaminathan, L. (2021). Safety and Outcomes of Midline Catheters vs Peripherally Inserted Central Catheters for Patients with Short-term Indications. Jama Internal Medicine, 50-58.

Verge Health Boosts RWJBarnabas Health’s Approach To Patient Safety. (2020). Retrieved from Verge Health: https://www.vergehealth.com/news/press-releases/verge-health-boosts-rwjbarnabas-health-approach-to-patient-safety Links to an external site.

Nurses use research to answer questions and discover trends in health care

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PNUR1257 Research Assignment Rubric
PNUR1257 Reading Research Assignment Guidelines

Nurses use research to answer questions and discover trends in health care. It is essential that nurses are able to locate, review and utilize research to inform their practice.

Course Outcome addressed with this assignment
· Differentiate the attributes of qualitative and quantitative research for use in evidence-informed practice.

Unit Outcomes addressed with this assignment
· Review the link between research, evidence-informed practice and best practice guidelines

· Differentiate between quantitative, qualitative, and mixed-method approaches to research and identify the benefits of each in nursing

· Identify peer-reviewed or refereed journals

· Demonstrate effective use of library databases to find research documents

· Develop beginning skills in critically reading nursing research articles

· Identify ways a practical nurse can incorporate research into everyday practice

Paper Style Requirements and General Information
· The essay is worth 20%. The passing grade for this assignment is 65%. Papers exceeding page limit will not receive full credit. The assignment should be 3 page in length ( not including a cover page and reference page). Maximum length = 5 pages. This assignment is to be a scholarly guided reflection written in a paragraph format submitted following guidelines from: APA @ Conestoga. The reflection must be submitted through Turnitin (eConestoga dropbox is formatted with Turnitin) by the due date. If your originality score is >20%, it is your responsibility to lower your score. The submission will not be graded until the score is <20% and/or the teacher is notified with explanation of the issue. Refer to the Academic Integrity policies outlined in the “School of Health and Life Sciences Practical Nursing Program Standards and Procedures Handbook”. Ethical guidelines must be adhered to. Plagiarism is considered unethical behaviour and will be handled following the guidelines in the “Conestoga College Student Procedures Guide and the School of Health Sciences Student Handbook”. Submitting a portion or all of another student’s work will result in a Failure grade and an academic offense. An extension must be granted in advance of the due date to avoid a failure mark as per the Practical Nursing Handbook. Writing Resources · Access writing support services through the LRC at https://lib.conestogac.on.ca/writing-services/about · Format the essay according to current APA@Conestoga 7th edition. A sample paper can be found through the LRC https://lib.conestogac.on.ca/writing-services/about · All sources must be referenced. Follow APA@Conestoga to write your in-text citations and reference list. Completing the Essay The purpose of this assignment is to identify the research method of your chosen article. Explain the benefits of this method and why the authors chose to use it for their research. You will strengthen your argument by finding a second research article on a similar topic and compare it to the first. Step 1: Select one article from the list below and find it in the LRC databases A. ‘Effects of a Mixed Media Education Intervention Program on Increasing Knowledge, Attitude and Compliance with Standard Precautions Among Nursing Students.’ by Xiong, Zhang, Wang, Leong, and Hall (2017) B. ‘Making Sense of Moral Distress Within Cultural Complexity’ by Bressler, Hanna and Smith (2017) C. ‘Does Simulation Enhance Nurses’ Ability to Assess Deteriorating Patients?’ by Bliss & Aitken (2018) D. ‘Perspectives of Older Adults on Aging Well: A Focus Group Study’ by Halaweh, Dahlin-Ivanoff, Svantesson, and Willen (2018). Step 2: Read your chosen study several times to make sure you understand the content · What question is the study trying to answer? · What type of research method/design is used? Why did the authors choose this method? Is it appropriate for the research question? · What results did the authors find? What are the implications for nursing? Step 3: Locate an additional research article A. Using the reference list at the back of your chosen article, find one additional, current research article with a similar focus. B. You will use this additional article to support your views and opinions about your chosen article. Step 4: Writing the essay A. You may use ‘I’ as the first person. You are asked to express your view based on theory and knowledge acquired from your readings. B. INTRODUCTION. An introduction is needed with a clear statement of why you are writing this essay and how the essay will be developed. Include the title of the article you will be discussing. Remember, this is NOT a paper about the subject matter of the chosen article. Rather this is a demonstration of your ability to read, review and critique the article as research. You are expected to support your comments using the additional research article. C. BODY. The bulk of your essay should include the following. a) Identify the purpose of the study; what is the research question? b) Identify the research approach ( method/design) that was used? c) Define the method and explain some of the benefits of using this method. Identify why you think it was chosen for this particular study. d) Explain how the review of additional research articles relate to the study and support your comments? e) Explain the impact this study, as well as reading research in general, will have on your future practice and on nursing practice as a whole? D. CONCLUSION. Your conclusion should summarize the purpose of your paper and clearly address how you demonstrated your ability to read a research study. E. REFERENCE LIST. All in-text citations will be in the reference list. Your reference list will include the additional research article you have mentioned in your essay to support your statements. If you did not refer to an article in your essay, it should not be in your reference list. F. Proficient writing reflects critical thinking, personal insight, and original thoughts supported with evidence. Criteria Proficient Capable Developing (66.5%) Needs Improvement Awareness FORMAT Title page, formatting and page limit Fully matches APA@Conestoga sample template and guidelines One error in formatting/guidelines Up to three errors in formatting/guidelines Four errors in formatting and/or exceeds page limit More than four errors in formatting and/or exceeds page limit Grammar & Spelling; Sentence structure Sentence structure, grammar excellent; no spelling errors Sentence structure, grammar generally strong, occasional spelling error(s) Some correct use of, but also difficulties in sentence structure, grammar and spelling Rarely uses proper sentence structure, grammar, and spelling Significant problems with sentence structure, grammar and spelling. References & Citations using APA@conestoga Correct use of APA references and citations Occasional lapse in APA references and citation Some difficulties with APA references and citations Frequently noted difficulties with APA references, citations Significant problems with APA references and citations. CONTENT Introduction to Research Assignment with explanation of purpose of the paper Complete succinct and scholarly introduction fully reflecting why assignment is written; study to be critiqued has been correctly cited. Introduction present, reflecting why assignment is written; study to be critiqued has been correctly cited. Introduction present, with some evidence of why assignment is written; study to be critiqued has been correctly cited. Introduction present with minimal reference to why assignment is written; study to be critiqued has been incorrectly cited. Introduction does not reflect why the assignment is written; study to be critiqued has not been cited. Research approach / design /method used in study Approach / method / design has been correctly identified with thorough definition Approach / method / design has been correctly identified with adequate definition Approach / method / design has been identified with gaps in definition and use Approach / method / design has been poorly identified and defined Approach/method / design has not been identified and/or inaccurately defined. Explanation and understanding of why this approach/method/design was chosen Clear explanation / critical thinking is present regarding why research method was chosen Explanation / some personal thought is present regarding why research method was chosen Explanation is present regarding why research method was chosen Minimal attempt to explain why research method was chosen No explanation present regarding why research method was chosen Literature used to support your statements Research article plus one other current research article. Writing is in author’s own words and demonstrates through understanding of the relationship among material obtained from all sources Research article plus one other current research article. Writing is mostly in author’s own words and demonstrates a good understanding of the relationship among material obtained from all sources Research article plus one other research article. Writing in author’s own words is limited (heavy use of quotes); demonstrates a limited understanding of the relationship among material obtained from all sources Research plus one other research article (outdated). Writing does not demonstrate understanding of relationships among material obtained from all sources. Quotations from others outweigh the writer’s own ideas. Research article and/or supporting research references are not present. Impact research will have on your future practice and on nursing as a whole Impact that research and this study will have on future nursing practice and on nursing as a whole, has been identified with extensive personal insight Impact that research and this study will have on future nursing practice and on nursing as a whole, has been identified with some personal thoughts evident Impact that research and this study will have on future nursing practice and on nursing as a whole, has been identified. Impact that research and this study will have on future nursing practice and on nursing as a whole, has barely been addressed. Impact that research and this study will have on future nursing practice and/or nursing practice as a whole, has not been identified. Concluding comments Clear distinct reference to introduction; extensive personal insight evident Reference to introduction; personal insight evident Reference to the introduction; some personal thoughts Little to no reference to the introduction; lacking personal insight Concluding comments are minimal; no relation to introduction See eConestoga rubric for weighting and values

Reflect on how emerging technologies such as artificial intelligence may help fortify nursing informatics as a specialty by leading to increased impact on patient outcomes or patient care efficiencies.

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To Prepare:

· Review the concepts of technology application as presented in the Resources.

· Reflect on how emerging technologies such as artificial intelligence may help fortify nursing informatics as a specialty by leading to increased impact on patient outcomes or patient care efficiencies.

The Assignment: (4-5 pages not including the title and reference page)

In a 4- to 5-page project proposal written to the leadership of your healthcare organization, propose a nursing informatics project for your organization that you advocate to improve patient outcomes or patient-care efficiency. Your project proposal should include the following:

· Describe the project you propose.

· Identify the stakeholders impacted by this project.

· Explain the patient outcome(s) or patient-care efficiencies this project is aimed at improving and explain how this improvement would occur. Be specific and provide examples.

· Identify the technologies required to implement this project and explain why.

· Identify the project team (by roles) and explain how you would incorporate the nurse informaticist in the project team.

· Use APA format and include a title page and reference page.

· Use the Safe Assign Drafts to check your match percentage before submitting your work.

BY DAY 7 OF WEEK 4

Submit your completed Project Proposal.

Gynecologic Health

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Gynecologic Health

Select a patient that you examined as a nurse practitioner student during the last three weeks of clinical on OB/GYN Issue. With this patient in mind, address the following in a SOAP Note 1 OR 2 PAGES :

Subjective: What details did the patient provide regarding her personal and medical history?

Objective: What observations did you make during the physical assessment?

Assessment: What were your differential diagnoses? Provide a minimum of three possible diagnoses. List them from highest priority to lowest priority. What was your primary diagnosis and why?

Plan: What was your plan for diagnostics and primary diagnosis? What was your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters for this patient , as well as a rationale for this treatment and management plan.

Very Important: Reflection notes: What would you do differently in a similar patient evaluation?

Reference

Gagan, M. J. (2009). The SOAP format enhances communication. Kai Tiaki Nursing New Zealand, 15(5), 15.

Tharpe, N. L., Farley, C., & Jordan, R. G. (2013). Clinical practice guidelines for midwifery & Women’s health (4th ed.). Burlington, MA: Jones & Bartlett Publishers.

Chapter 6, “Care of the Well Woman Across the Life Span” ,“Care of the Woman Interested in Barrier Methods of Birth Control” (pp. 275–278)

Chapter 7, “Care of the Woman with Reproductive Health Problems”

“Care of the Woman with Dysmenorrhea” (pp. 366–368)

“Care of the Woman with Premenstrual Symptoms, Syndrome (PMS), or Dysphoric Disorder (PMDD)” (pp. 414–418)

explain the challenges of the new public health that include caring for an aging population while also coping with chronic diseases and inequality

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The challenges of the new public health that include caring for an aging population while also coping with chronic diseases and inequality

In the first sentence of page 87 of Chapter 2 of the textbook, Tulchinsky, and Varavikova explain the challenges of the new public health that include caring for an aging population while also coping with chronic diseases and inequality. Read this paragraph, and write a reflection paper that includes the following:

Describe what you believe the authors meant through this statement in relation to the new public health.

Define what the “new public health” means to you, how to effectively communicate it, and how it goes about solving future problems in public health.

Explain opportunities for future learning for yourself and for public health communication.

Your completed reflection paper should be a minimum of two and a half pages in length. Outside sources and APA Style are not requirements for this reflection paper.

My topic is Human Trafficking (Dependent Variable). L

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Write a RESEARCH PAPER PROPOSAL on Human Trafficking. My topic is Human Trafficking (Dependent Variable). Look at the CAUSES of Human Trafficking for the Independent Variable. Please use TEMPLATE BELOW for paper.

Instructions:

-Use APA format

-Must have at least 5 sources (APA). Must be scholarly sources/research from journal articles, dissertations, etc.)

Final Paper Research Proposal TEMPLATE Below

Table of Content: 10 points

Introduction to the Problem: (120 words or more) 10 points

Research Questions or Hypothesis: 10 points

Variables: Dependent (Human Trafficking) and Independent (THE Causes of Human Trafficking): 10 points

Research Methods and Design (Qualitative). 30 points

Sampling (Population and sample/sampling (ex-Random sample) (size 10 or more) Time period of a year and location) 20 points.

Literature (Research from textbook, journals, and dissertation and other sources) 30 points.

Conclusion: 10 points

Reference. 20 points

Total 100 points. All sections must be included to avoid deduction

Personal Philosophy and Theoretical Concepts

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Your “Personal Philosophy and Theoretical Concepts” Paper is due this week. Your paper should contain the following sections:

  • Nursing Autobiography: A brief (1 page) discussion of your background in nursing. This does not include future goals.
  • The Four Metaparadigms: Describe what the literature says about the basic four metaparadigms/concepts of patient, nurse, health, and environment. Do not relate the metaparadigms to the theory you have chosen.
  • Briefly describe the theory you have chosen.
  • Two Practice-Specific Concepts: in separate subsections discuss each of your two concepts:
    • What is the definition of the concept (outside of the theory)?
    • How does your theorist define your concept?
    • How does this concept apply to your clinical setting? Give an example of how nurses in your area provide care that correlates with the theorist’s definition of the concept.

You MUST use the attached template here to complete your paper.

The paper is to be thoroughly researched and well documented, with relevant material from the nursing theorists presented incorporated into the paper. Use the current edition of the APA Manual throughout the paper. Sources should focus on references from nursing theory but may also include conceptual and theoretical material from other professional domains. The paper, excluding references or appendices, is to be limited to 3-5 pages. Writing should be succinct and well organized, as it is impossible for the facilitator to evaluate form and content separately.

Here is the template to use:

Personal Philosophy and Theoretical Concepts

2-3 sentences about your paper (introduce the paper in general).

Autobiography

Describe your professional background with personal history that is pertinent to you as a professional.  It should not include future goals. It should be about a page long.

The Four Metaparadigms

This is where you discuss what metaparadigms are (in general) and introduce the topics.  It needs to be about three to four sentences long.  Do not relate these to your theory.

Patient.

Here you write three to four sentences on what a patient is – according to your textbook or in general.  Do not make this part theory-specific.

Environment.

Here you write three to four sentences on what environment means – according to your textbook or in general.  Do not make this part theory-specific.

Nursing.

Here you write three to four sentences on what nursing means – according to your textbook or in general.  Do not make this part theory-specific.

Health.

Here you write three to four sentences on what health is – according to your textbook or in general.  Do not make this part theory-specific.

Two Practice-Specific Concepts

Three or four sentences to introduce your theory (including the concepts the theorist lists).  Then mention the two concepts you chose from the theory that are relevant to your practice.

Name of First Concept

Discuss the meaning of the first concept from other sources.  Then discuss how the theorist defines the concept.  Then a few sentences on how the concept applies to your clinical practice.

Name of Second Concept

Discuss the meaning of the second concept from other sources.  Then discuss how the theorist defines the concept.  Then a few sentences on how the concept applies to your clinical practice.

Conclusion

Three to four sentences to summarize your paper.

SLPASSESSMENT OF DATA SOURCES FOR THE RESEARCH PROBLEM

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Class Doc70 SLP 1

Module 1 – SLPASSESSMENT OF DATA SOURCES FOR THE RESEARCH PROBLEM

In this SLP you will begin the process of collecting and analyzing background information on the firm for your Doctoral Study Project (DSP). You received this firm’s commitment via the Letter of Intent in DOC650.

In the SLPs, you will analyze secondary data on your chosen firm. (In the Cases, you will design how you will conduct your primary research at the firm.) Secondary data are records that are publicly available while primary data for most of you will involve interviews and observations at the firm.

In the SLPs, you will take a deep dive into the context of the firm for your DSP. For some of you this may be a for-profit corporation that has stockholders and publishes an Annual Report with articles about the firm in Forbes, Fortune, CNNMoney, and other sources. For others, this may be a non-profit or volunteer organization. Some may have selected a small business that is privately owned, or you may have selected a government agency for your DSP. You could be researching an educational institution at any level. Bear in mind that before you can start collecting primary data from the firm, you will need to submit a proposal on your research to Trident’s Institutional Review Board, one of whose rules is that research subjects must be at least 18 years of age.

In this SLP, you will describe the organization where you will conduct your DSP research, describing the organization in detail and why it is relevant for your research question. Here in SLP 1, you will build a quantitative case to supplement your qualitative rationale for selecting this firm.

Below is a list of data sources that may be helpful in finding background information for your firm. You may have other sources, and you can certainly use them as long as you provide the source for the information you use in justifying the context for your DSP research.

Data Sources

U.S. Census data – https://www.usa.gov/statistics

Statistics of U.S. Businesses (SUSB) – https://www.census.gov/programs-surveys/susb.html

Annual reports for 9,233 international companies – http://www.annualreports.com/

Candid – http://data.foundationcenter.org/

2020 Census – https://www.census.gov/programs-surveys/decennial-census/decade/2020/2020-census-main.html

US Bureau of Labor Statistics – https://www.bls.gov/

Industry Trends for 2023 – https://www.ibisworld.com/industry-trends/ (available via the Trident Online Library)

Nonprofits

In the remaining SLPs, you will use Excel. In Figure 1 below you see how you can get the latest version of Excel via the Trident website using Microsoft 365. EXCEL is free to you as a TUI Student. Log on to mytlc.trident.edu and then go to your email.

  1. Click the Office 365 button at the top.
  2. Click Install Office Apps.
  3. Follow the directions to get Office 365 on your computer.

Figure 1.

SLP Assignment Expectations

Provide background data about your organization. This may be the total sales or the number of customers, patients, or clients served. How does this firm differ from other similar organizations? Find similar statistics on these other similar firms and provide a comparative analysis in a table.

You want to find all the secondary data available on the organization that you can locate. Besides financial data this may involve research with IBISWorld libraries and articles in Fortune Magazine or Business Week. Get the names of management and descriptions of their jobs. Find out the firm’s locations (addresses) and how products or services are delivered. Describe the customers or other external contacts. What are the logistical issues in delivering the product or service? Who are the competitors and what are their sales? Of the total market for the product or service, what percentage does your firm have?

From your review of secondary sources, produce a 4- to 5-page Background Introduction on your selected firm. In coming modules, you will add quantitative analysis to the Introduction you develop for this SLP. This is the first step and the introduction to your background on why this firm has been selected for your research.

Your assignment will be graded using the following criteria:

Assignment-Driven Criteria: Student demonstrates mastery covering all key elements of the assignment.

Critical Thinking/Application to Professional Practice: Student demonstrates mastery conceptualizing the problem and analyzing information. Conclusions are logically presented and applied to professional practice in an exceptional manner.

Business Writing and Quality of References: Student demonstrates mastery and proficiency in written communication and use of appropriate and relevant literature at the doctoral level.

Citing Sources: Student demonstrates mastery applying APA formatting standards to both in-text citations and the reference list.

Professionalism and Timeliness: Assignments are submitted on time.

When making suggestions for adjustments, clear and effective communication is absolutely necessary

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Description

please respond to the following discussion post as a peer making a comment:

“Monitoring the project’s key performance indicators on a consistent basis and contrasting the actual outcomes with the ones that were desired are both necessary steps in determining whether or not a change project requires any modifications. In the event that there are discrepancies or indications of resistance, it is essential to investigate the underlying causes in order to establish whether or not adjustments are required. If they are not effectively managed, these adjustments have the potential to cause delays, which will have an effect on the timeline of the project. Making adjustments to the timing of events requires striking a delicate balance between ensuring the success of the change and minimizing disruptions. When deciding on the most appropriate timing, it is important to take into account the overall timeline of the project, as well as any important milestones and the potential impact on the various stakeholders.

When making suggestions for adjustments, clear and effective communication is absolutely necessary. It is possible to build understanding and support among stakeholders by sharing in an open and honest manner the reasons for the adjustment, the potential benefits, and the expected outcomes. Because it focuses on addressing the concerns of individuals at various stages of change, an approach that is aligned with the ADKAR model (Awareness, Desire, Knowledge, Ability, and Reinforcement) can be helpful in communicating adjustments. This model is known as the Awareness, Desire, Knowledge, Ability, and Reinforcement model. For instance, if a healthcare facility is in the process of implementing a new patient care protocol but encounters resistance from nurses as a result of workflow disruptions, assessing the need for adjustment might involve conducting a survey to collect staff feedback as well as analyzing patient outcomes. In order to effectively communicate this adjustment to stakeholders, you might consider holding regular team meetings, providing updates via email or the intranet, and creating opportunities for open dialogue.

Reference

Hiatt, J. M. (2006). ADKAR: A model for change in business, government, and our community. Prosci.

This assignment will incorporate a common practical tool in helping clinicians begin to ethically analyze a case

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Assessment DescriptionThis assignment will incorporate a common practical tool in helping clinicians begin to ethically analyze a case. Organizing the data in this way will help you apply the four principles and four boxes approach.Based on the \”Case Study: Healing and Autonomy\” and other required topic Resources, you will complete the \”Applying the Four Principles: Case Study\” document that includes the following:Part 1: ChartThis chart will formalize the four principles and four boxes approach and the four-boxes approach by organizing the data from the case study according to the relevant principles of biomedical ethics: autonomy, beneficence, nonmaleficence, and justice.Part 2: EvaluationThis part includes questions, to be answered in a total of 500 words, that describe how principalism would be applied according to the Christian worldview.Remember to support your responses with the topic Resources.APA style is not required, but solid academic writing is expected.You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.