Health services continue to affect the gross domestic product, and this dramatic transformation has great demands on each dollar spent to deliver patient-centered products. Health care marketing must be repeatedly applied and practiced strategically to include environmental dimensions, such as technology, socioeconomics, competition, and regulatory.

That being said, in today’s global economy, investors and potential entrepreneurs must tap into the so-called “unexplored” market. In this aspect, health care establishments must utilize marketing, advertising, as well as sales strategies when pursuing new customers (e.g., suppose a health care investor wanted to build a small hospital in a rural community); this would entail exploration and logistical experimentation to determine who will patronize the facility. In an impoverished neighborhood, the feasibility of having lucrative profits may see diminishing returns, and so the venture may be not worth the effort. Also, suppose that the potential investor wants to sell mosquito deterrents (e.g., bedside netting in malaria-infested regions of Asia or Africa); then it would be wise to investigate the number of beds that are actually in the village, and who would be willing to purchase them. These activities take into account the investor portfolio, as well as the feasibility of marketing and selling the product. Such exploration also examines competitors, cultural differences, and—most important—identification of the customer.

Identify a local health care establishment (e.g., hospital, rehabilitation center, emergency medical center) and determine its product development practices. Utilize concepts from previous weeks to substantiate information, as needed. You may develop the discussion based on the ideas presented here, but feel free to inject any salient marketing strategy that you believe might support your presentation.

Write a three to four (3-4) page paper in which you:

1. Justify the purpose of the selected health care establishments’ product(s) / service (s) and their associated life cycle(s).
2. Suggest one (1) strategy to improve the marketing mix of the selected health care establishment. Support your strategy by highlighting one (1) benefit of (1) portfolio analysis and providing two (2) examples that display differential advantages.
3. Assess the importance of technology in providing patients with clear and accessible information about health care organizations and the product(s) / service(s) that they provide.
4. Outline a survey to capture patients’ expectations regarding the delivery and / or accessibility of product(s) / service(s) identified.
5. Use at least three (3) quality academic resources. Note: Wikipedia and other Websites do not qualify as academic resources. 

Your assignment must follow these formatting requirements:

• Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.
• Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.

 

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Needs Assessment

 When you are engaged in program planning, a needs assessment helps to determine the actuality and details of a specific problem. It also addresses how the target population views the problem—which is critical since their perspective and motivation to change are essential for the success of the program.
 

In this week’s video, the necessity of appraising a community’s assets as well as its challenges is evident as Dr. Donna Shambley-Ebron and Dr. Rebecca Lee discuss needs assessments. What additional insights have you gleaned from the Learning Resources that you intend to apply to your program?
 

For this Discussion, you develop a framework for completing a needs assessment for your program. To do this effectively, it is essential to begin with the program and the population you have identified and then develop an appropriate approach for conducting a needs assessment. This also leads to consideration of the types of data needed and the data collection methods to be used.

To prepare:

• Consider      aspects of your problem and population (breast cancer in African American women      in the USA) as you review the information on needs assessment presented in      the Learning Resources.
• How      would you conduct a needs assessment? What considerations would influence      your decision making about this process?
• What      would be the most efficient and effective methods for collecting data?      What challenges could be encountered?

   

By tomorrow Wednesday 12/19/18 2 pm, write a minimum of 550 words essay in APA format with at least 3 references from the list of required readings below. Include all headers as numbered below:

Post a cohesive scholarly response that addresses the following:

1) Discuss how you would conduct a needs assessment for your selected problem and the target population. Why is this approach appropriate for the problem you have identified? Support your response with evidence from the literature.

 

2) Describe your proposed data collection methods and evaluate any challenges you might encounter.

Required Readings

Assessment and Planning in Health Programs

Chapter 1, “Assessment for Developing Programs and Interventions: The Big Picture”

Chapter 1 notes the importance of looking not just at needs but also the assets associated with the target population and environment; that is, assessing what needs to be addressed given the assets that are present.

Chapter 3, “Data Collection Strategies for Needs Assessments and Evaluations”

In Chapter 3, the authors examine data collection, a key element of needs assessments. They also indicate that it is wise to plan ahead and consider data collection strategies for evaluation at the same time.

Kettner, P. M., Moroney, R. M., & Martin, L. L. (2017). Designing and managing programs: An effectiveness-based approach (5th ed.). Thousand Oaks, CA: Sage.

Chapter 4, “Needs Assessment: Theoretical Considerations”

Chapter 5, “Needs Assessment: Approaches to Measurement”

These two chapters provide foundational information as well as guidance for conducting a needs assessment as part of program planning.

Burrows, T., Hutchesson, M., Chai, L,K., Rollow, M., Skinner, G., & Collins, C. (2015). Nutrition interventions for prevention and management of childhood obesity: What do parents want from an eHealth program? Nutrients, 7, 10469–10479 doi:10.3390/nu7125546

Derguy, C., Michel, G., M’Bailara, K., Roux, S., & Bouvard, M. (2015). Assessing needs in parents of children with autism spectrum disorder: A crucial preliminary step to target relevant issues for support programs. Journal of Intellectual & Developmental Disability, 40(2), 156–166 doi.org/10.3109/13668250.2015.1023707

Millard, T., McDonald, K., Elliott, J., Slavin, S., Rowell, S., & Girdler, S. (2014). Informing the development of an online self-management program for men living with HIV: a needs assessment. BMC Public Health, 14, 1209 doi:10.1186/1471-2458-14-1209

Springer, A. E. & Evans, A.E. (2016). Assessing environmental assets for health promotion program planning: a practical framework for health promotion practitioners. Health Promotion Perspectives, 6(3), 111–118 doi: 10.15171/hpp.2016.19

Required Media

Laureate Education (Producer). (2011). Design and evaluation of programs and projects [Video file]. Baltimore, MD: Author.

“Needs Assessment” (featuring Dr. Rebecca Lee, Shiniche Thomas, and Dr. Donna Shambley-Ebron)

You may view this course video by clicking the link or on the course DVD, which contains the same content. Once you’ve opened the link, click on the appropriate media piece.

In this week’s videos, Dr. Rebecca Lee and Dr. Donna Shambley-Ebron discuss needs assessments. Then, Dr. Rebecca Lee demonstrates a windshield assessment along with Seven Hills community resident Shiniche Thomas.

 

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Part 1: For this project, you will choose to interview an adult who is in the middle, late, or oldest stages of adulthood and outline the following factors throughout their childhood and adult development: Risk Factors, Resilience Factors, Major Stressors/Trauma, and Developmental Stages they met or failed to meet (childhood stages must include at least 3 theorists).

Part 2: You will create a developmental milestones chart using Excel (sample provided on canvas) and chart each of the following eight developmental milestones throughout our lives: Prenatal, Infancy & Toddlerhood (0-3yrs), Preschool: Early School Age (3-6yrs), Middle Childhood (7-12yrs), Early Adolescence (13-18yrs), Late Adolescence (19-25yrs), Early  Adulthood (26-35yrs), Middle Adulthood (36-60yrs), Late Adulthood (61-75yrs), Oldest-Old Elderhood (75yrs & up). Bonus points will be given to students who are able to interview an adult in the oldest-old elderhood stage.  Due: Monday, December 2nd

 

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APA format 3 references 1 from walden university library due Tuesday April 9 at 7pm EST  Please use scenario 1 for the discussion post 

directions are below the scenario

 

Scenario 1: In-service for nursing staff  

Orange City is a mid-sized town comprised mostly of elderly and retired Caucasian adults. Since the addition of a new highway, shopping mall, and various other small businesses, Orange City has seen a recent explosion of families moving into the area. Many of these families come from diverse backgrounds adding a new layer of cultural diversity to the city. Because the nurses at Orange City hospital have traditionally worked with the same type of clientele, many have been taken off guard when individuals deny certain health care measures due to religious or cultural beliefs. One day the nursing manager approaches you, the nurse educator, and asks if you could create an in-service that highlights the ways culture and religion can impact patient responses to medicine, preventative care, and treatment options.

 

To prepare:

• Reflect on this week’s Learning Resources, paying specific attention to the alignment between learning activities and learning objectives.
• Review this week’s media, Crafting Learning Objectives, to examine an effective approach to crafting meaningful, measurable learning objectives.
• Select one of the scenarios above for your posting. Then, consider the following questions:
  • What are the learning needs illustrated in the scenario?
  • What meaningful learning objectives could you craft to address these learning needs?
  • How could you use the learning objectives to create an educational, learner-centered activity?
  • What type of activity might you create to help your learners achieve the learning objectives?
  • How can you use the learning objectives to measure if learning has taken place?
• Using your answers to the questions above, create learning objectives and a learning activity applicable to your scenario.

Posting Directions: When creating your post, use the title: “Learning activity for Scenario _____.”

 

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The disorder I chose is Nephrolithiasis (kidney stones). “Kidney stones, or calculi, form in the kidneys as a result of precipitation of urinary constituents and may develop in one or both of the kidneys” (Cunningham, Noble, Al-Modhefer, & Walsh, 2016, p.1112). I personally know a good many people who have had kidney stones in the past or even suffer from chronic kidney stones. I know a patient who suffered with chronic kidney stones for several years in a row and it seemed like nothing fixed her problem. The doctors said she was keeping them due to her drinking sweet tea. She quit drinking tea and still had them. Here recently she has randomly quit getting them as much even though she has not changed her diet except still not drinking sweet tea. She has had lithotripsy 4 times in the years that she had chronic kidney stones. “The first line treatment choice for upper urinary tract calculi is currently shock wave lithotripsy (SWL)” (Yamashita et al., 2018, p.1). 

            Kidney stones cause extreme amounts of pain. The patient I know, when she gets kidney stones, also has nausea and vomiting due to the pain caused by kidney stones. Treatment of kidney stones include treating the pain, helping the stone to pass or removing them, and preventing new stones from forming. Symptoms of kidney stones include flank pain and blood in the urine. 

            “The prevalence of stones in the United States is approximately 7% in women and 10% in men” (Huether &McCance, 2017, p.748). Before doing my research on kidney stones, I thought they were more prevalent in women, but men have a 3% higher chance of getting them than women. “The risk of urinary calculi formation is influenced by a number of factors, including age, sex, race, geographic location, seasonal factors, fluid intake, diet, and occupation. Most persons develop their first stone before age 50 years” (Huether &McCance, 2017, p.748).

            There are many factors that influence the formations of kidney stones. People who are more active and drink plenty of water are at a decreased risk of forming kidney stones. There are also multiple types of kidney stones like calcium stones, struvite stones, and uric acid stones. Everything that happens in our bodies can be brought back to cellular function. 

Huether & McCanee, 2017, p.749, stated: 

Human urine contains many ions capable of precipitating from solution and forming a variety of salts. The salts from crystals that are retained grow into stones. Crystallization is the process by which crystals grow from a small nidus of nucleus to larger stones in the presence of supersaturated urine. 

If doctors can pinpoint what type of kidney stone a patient is forming, they can most likely fix the problem. 

References

Cunningham, P., Noble, H., Al-Modhefer, A.-K., & Walsh, I. (2016). Kidney stones: 

pathophysiology, diagnosis and management. British Journal of Nursing, 25(20), 1112–1116. https://doi-org.ezp.waldenulibrary.org/10.12968/bjon.2016.25.20.1112

Huether, S. E., & McCance, K. L. (2017). Understanding pathophysiology (6th ed.). St. Louis, 

MO: Mosby.

Yamashita, S., Kohjimoto, Y., Iwahashi, Y., Iguchi, T., Nishizawa, S., Kikkawa, K., & Hara, I. 

(2018). Noncontrast Computed Tomography Parameters for Predicting Shock Wave Lithotripsy Outcome in Upper Urinary Tract Stone Cases. Biomed Research International, 2018, 9253952. https://doi-org.ezp.waldenulibrary.org/10.1155/2018/9253952

 

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