Influencing Multiple Systems Through Evidence-Based Change
As an advance practice nurse, your work is informed by many factors beyond your direct reach, and your influence extends beyond the immediate context in which you labor. Likewise, the changes you propose as a nurse leader are influenced by multiple systems and, in turn, can have an impact on many different groups. One of the ways to distinguish yourself as a leader is to be knowledgeable about these spheres of influence and to promote awareness of the potential effects that may result from a change.
Indeed, with the fluid and persistently evolving nature of change, it is essential that you stay abreast of latest developments that may affect the practice environment. This is especially critical for maintaining or adapting a change once it has been implemented. As discussed in Weeks 8 and 9, you may need to make adjustments based on evaluation of outcomes; in addition, you must also be prepared for adjustments based on developments within or outside your targeted environment.
To prepare:
- What are some possible adjustments that you might need to make based on the evaluation of outcomes? Consider insights from the Discussion in Weeks 8 and 9.
- Consider the evidence-based change you are proposing for your practicum setting: What other systems or components of a system are within the sphere of influence of this change? How could evolving issues internal to the setting, such as budget, staffing shortage, regulations or external to it, such as supply, funding, national priorities, and disasters, affect the implementation—and ultimately the sustainability—of such a change?
- How might your proposed change, in turn, affect policy or practice at other levels beyond your initial focus?
By tomorrow Wednesday 5/1/19 2pm (America/New York time), write a minimum of 550 words essay in APA format with at least 3 references (see list or required readings below). Include the level one headers as numbered below:
Post a cohesive response that addresses the following:
1) Describe at least three evolving issues that are internal or external to your practicum setting that could affect the implementation and sustainability of your proposed change.
2) From what systems level do those issues originate (e.g., organizational, local, state, national, global) and what other systems are then involved in response to that factor?
3) How might your proposed change, in turn, lead to shifts at other levels beyond your initial focus?
Required Readings
White, K. M., & Dudley-Brown, S.(2016). Translation of evidence into nursing and health care practice. (2nd edition) New York, NY: Springer Publishing Company.
- Review Chapter 11 “Information Technology: A Foundation and Enabler for Translation”
- Review Chapter 15 “Best Practices in Translation: Challenges and Barriers in Translation”
Braithwaite, J., Westbrook, M., Nugus, P., Greenfield, D., Travaglia, J., Runciman, W., & … Westbrook, J. (2013). Continuing differences between health professions’ attitudes: the saga of accomplishing systems-wide interprofessionalism. International Journal for Quality in Health Care, 25(1), 8-15. doi: 10.1093/intqhc/mzs071
Hoyle, C., & Johnson, G. (2015). Building skills in organizational and systems change. Nurse Practitioner, 40(4), 15-23. doi:
10.1097/01.NPR.0000461948.38539. fc
Jeungok, C., & Zucker, D. M. (2013). Self-assessment of nursing informatics competencies for Doctor of Nursing practice students. Journal of Professional Nursing, 29(6), 381-387. doi: 10.1016/j.profnurs.2012.05.014
Toussaint, J. S. (2015). The Framework for a Whole-System Transformation. Journal Of Healthcare Management, 60(6), 386-389.
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Inflat Agg Dem Unemp Agg Supply 85202520 3 67423510 28204500 1 38565490 98766480
/in Uncategorized /by developerinflat % agg dem” unemp % agg. supply
8 520 2 520
3.6 742 3 510
2 820 4 500
1.3 856 5 490
.9 876 6 480
.6 887 7 470
.5 895 8 460
.4 900 9 450
.3 904 10 440
12.Equilibrium GDP is 520_ 13.At equilibrium GDP inflation is 8_ %
14.At equilibrium GDP unemployment is 2_ %
15.To return inflation to 2% and unemployment to 4%, _ must be subtracted from each agg demand level.
16. For +10 points write the equation relating unemployment to aggregate supply.
17. for +30 points write the equation relating inflation to unemployment
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Inflation Accounting Also Called General Price Level Accounting Is The Adjustmen
/in Uncategorized /by developerInflation accounting, also called general price level accounting, is the adjustment of a company’s financial statements to reflect inflationary economies. The purpose of these adjustments is to provide users of financial statements with a more accurate view of a company’s financial position under changing price levels. However, this type of accounting can also create issues with financial reporting, such as misleading financial statements. Like many other accounting promulgations, there are advantages and disadvantages to inflation accounting. Consider the U.S. and international inflation accounting promulgations. Determine the conditions of compliance for inflation accounting. Think about the advantages and disadvantages of inflation accounting within a multinational company.
Assignment:
Write a 3- to 5-page paper analyzing the U.S. and international promulgations for inflation accounting. In your analysis, explain the conditions of compliance for inflation accounting. Evaluate the advantages and disadvantages of inflation accounting within a multinational company.
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Inflation Due To A Recession Expected Inflation This Year Is Only 3 However The
/in Uncategorized /by developerINFLATION Due to a recession, expected inflation this year is only 3.25%. However, the inflation rate in Year 2 and thereafter is expected to be constant at some level above 3.25%. Assume that the expectations theory holds and the real risk-free rate (r*) is 2.5%. If the yield on 3-year Treasury bonds equals the 1-year yield plus 1.5%, what inflation rate is expected after Year 1?
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Inflation Is Expected To Be 5 Next Year And A Steady 8 Each Year Thereafter Matu
/in Uncategorized /by developerForecast the nominal yield on one-year government debt issued at the beginning of the second year. Round your answer to one decimal place. % Forecast the nominal yield on two-year government debt issued at the beginning of the second year. Round your answer to one decimal place. %
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Inflation Rate 0 00 Discount Rate 0 15 Project Development Capital Costs In Year
/in Uncategorized /by developerSuppose the cost of the raw material fluctuates with international market conditions.Your firm is concerned about increases in the cost of the raw material. Vary the cost ofraw material from $2 to $7 per unit (in increments of $1 per unit), with all other parametersremaining the same as in the base case, and plot a graph showing IRR versus raw materialcost per unit.
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Inflation Represents An External Impact Upon Future Returns Purchasing Power Dec
/in Uncategorized /by developerInflation represents an external impact upon future returns. Purchasing power decreases in times of inflation.
When an investor considers future returns of his or her portfolio, it is critical to consider inflation and build this variable into their analysis. In many cases, the impact can be significant especially in terms of retirement portfolios where the time horizon can be 10, 20 or more years.
Taxes represent another variable to consider for investors. Depending on the investment, taxes are either paid upfront (i.e. IRA) or upon withdrawals (i.e.401K). External impacts such as taxes and inflation can prevent any investments from being considered ‘riskless’.
Are there any other external impacts an investor should consider?
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Influence Processesyou Have Been Encouraged By A Colleague To Write An Article A
/in Uncategorized /by developerInfluence Processes
You have been encouraged by a colleague to write an article about “CEOs and presidents” for a management journal. You have decided to compare the leadership styles of three leaders. Using the Library, the Internet, and your course materials, write a 8-10 page report that elaborates on the following:
In your article, provide the following:
Use the Library or other Web resources to support your argument. Be sure to cite your sources using APA Style 6th edition guidelines.
Your report MUST include a reference list. All research should be cited in the body of the paper. Individual Projects without references and citations may not earn any higher grade than a ‘C’ letter grade. Your report should contain an abstract, an introduction, and conclusion in addition to the body of the paper. Please note that if you have a source in your reference section, you need to cite it in the body of the paper per APA guidelines and vice-versa.
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Influence The Outcome Of A Hypothesis Test The Spotlight Effect Refers To Overes
/in Uncategorized /by developerPlease I need help question 13 chapter 9 problem solve
Influence the outcome of a hypothesis test !1.3! The spotlight effect refers to overestimating the extentto which others notice your appearance or behavior ,especially when you commit a social faux pas . Effecttively , you feel as if you are suddenly standing in aspotlight with everyone looking . In one demonstrationof this phenomenon , Gilovich , Medvec , and Sav -itsky ( 2000) asked college students to put on a BarryManilow T-shirt that fellow students had previouslyjudged to be embarrassing . The participants were thenled into a room in which other students were alreadyparticipating in an experiment . After a few minutes ,the participant was led back out of the room and wasallowed to remove the shirt . Later , each participantwas asked to estimate how many people in the roomhad noticed the shirt . The individuals who were in theroom were also asked whether they noticed the shirt .In the study , the participants significantly overesti -mated the actual number of people who had noticed .2 . In a similar study using a sample of n = 9 partici -pants , the individuals who wore the shirt producedan average estimate of M = 6. 4 with SS – 162.The average number who said they noticed was3. 1 . Is the estimate from the participants signifi-cantly different from the actual number ? Test thenull hypothesis that the true mean is u = 3 . 1 usinga two – tailed test with a = . 05 .b . Is the estimate from the participants significantlyhigher than the actual number ( M = 3. 1 ) ? Use aone- tailed test with a = . 05 .
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Influencing Multiple Systems Through Evidence Based Changeas An Advance Practice
/in Uncategorized /by developerInfluencing Multiple Systems Through Evidence-Based Change
As an advance practice nurse, your work is informed by many factors beyond your direct reach, and your influence extends beyond the immediate context in which you labor. Likewise, the changes you propose as a nurse leader are influenced by multiple systems and, in turn, can have an impact on many different groups. One of the ways to distinguish yourself as a leader is to be knowledgeable about these spheres of influence and to promote awareness of the potential effects that may result from a change.
Indeed, with the fluid and persistently evolving nature of change, it is essential that you stay abreast of latest developments that may affect the practice environment. This is especially critical for maintaining or adapting a change once it has been implemented. As discussed in Weeks 8 and 9, you may need to make adjustments based on evaluation of outcomes; in addition, you must also be prepared for adjustments based on developments within or outside your targeted environment.
To prepare:
By tomorrow Wednesday 5/1/19 2pm (America/New York time), write a minimum of 550 words essay in APA format with at least 3 references (see list or required readings below). Include the level one headers as numbered below:
Post a cohesive response that addresses the following:
1) Describe at least three evolving issues that are internal or external to your practicum setting that could affect the implementation and sustainability of your proposed change.
2) From what systems level do those issues originate (e.g., organizational, local, state, national, global) and what other systems are then involved in response to that factor?
3) How might your proposed change, in turn, lead to shifts at other levels beyond your initial focus?
Required Readings
White, K. M., & Dudley-Brown, S.(2016). Translation of evidence into nursing and health care practice. (2nd edition) New York, NY: Springer Publishing Company.
Braithwaite, J., Westbrook, M., Nugus, P., Greenfield, D., Travaglia, J., Runciman, W., & … Westbrook, J. (2013). Continuing differences between health professions’ attitudes: the saga of accomplishing systems-wide interprofessionalism. International Journal for Quality in Health Care, 25(1), 8-15. doi: 10.1093/intqhc/mzs071
Hoyle, C., & Johnson, G. (2015). Building skills in organizational and systems change. Nurse Practitioner, 40(4), 15-23. doi:
10.1097/01.NPR.0000461948.38539. fc
Jeungok, C., & Zucker, D. M. (2013). Self-assessment of nursing informatics competencies for Doctor of Nursing practice students. Journal of Professional Nursing, 29(6), 381-387. doi: 10.1016/j.profnurs.2012.05.014
Toussaint, J. S. (2015). The Framework for a Whole-System Transformation. Journal Of Healthcare Management, 60(6), 386-389.
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Informal Caregiving Contrast The Positive And Negative Aspects Of Care Giving Fr
/in Uncategorized /by developerInformal Caregiving:
Contrast the positive and negative aspects of care giving from the caregiver’s perspective and discuss the issues that tip the balance for any given individual.
Most caregivers report substantial positive aspects, and little to no negative aspects. Some report that caregiving brought them closer to the care-recipient, and a good amount report caregiving provides satisfaction that the recipient is well cared for. Only a small number of caregivers report substantial negative aspects of caregiving, the most common being having more to do than they can handle, feeling exhausted, and not having time for themselves. Most caregivers also reported no difficulty with caregiving and reported substantial financial or physical difficulties. Some have reported emotional difficulty as a result of their caregiving. Patterns were similar for caregivers helping with self-care or mobility, although they appear to be slightly less likely to report few gains and more likely to report substantial negative aspects of caregiving and difficulties with caregiving. The apparent differences are not statistically significant, however, although self-care and mobility helpers were significantly less likely to report no financial, emotional, or physical difficulties.
2. Continuum of Care:
Long-term care providers may be considered in a continuum of care. Summarize this concept and include the three elements of a continuum discussed in Chapter 1 in the Pratt text.
Continuum of care is a client-oriented system composed of both services and integrating mechanisms that guides and tracks patients over time through a comprehensive array of health, mental health and social services spanning all levels of intensity of care. There must be a continuing health need that is being monitored, of course, but the transition of care levels from basic early intervention to skilled nursing care and all intermediate interventions comprises continuum of care. The term might include a substance abuse organization, a physical rehabilitation hospital or other facilities including nursing homes and assisted living. About long-term care, you might consider senior housing communities. Usually, there are four levels of care in these communities: independent living, assisted living, nursing home and skilled nursing.
The elements of a continuum are:
The Continuum is Client Oriented
The Continuum is Comprehensive
The Continuum is Integrated
References Pratt, J. (2016) Long-term care managing across the continuum (4e.) Sudbury , MA: Jones and Bartlett Publishers
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