Comment 1

Knowing scientific management theory as defined as supervising by way of focusing on task accomplishments rather than interpersonal relationships (Huber 2014). Some routines in health care that seem to be inefficient in regards to scientific management are the overwhelming focus on tasks, the evaluations based on tasks accomplished, and the pressure to join committees to add more tasks to nurses’ duties. A lot of times nurses have trouble tending to the needs of their patients because they are so focused on getting the tasks done so as to not get in trouble. Many times tasks are added to the nurses’ workload making it hard to complete everything on time. This causes incidental overtime which is also greatly frowned upon. Finally, the committees are supposed to be a good thing, allowing nurses to participate in shared governance. The issue arises when the requirements for the committees capitalize on the time the nurse should be working or decompressing from the stress of daily work. Some examples of participative decision-making at the hospital that I work at are unit forums and shared governance council. The unit forums allow for nurses and aides in the unit to meet and discuss issues to resolve amongst themselves. Shared governance councils allow for nurses to meet with administration to discuss issues at the bedside that can only be fixed by administration.

Comment 2

The scientific management theory states that humans are motivated by money, and there should be a separation between managers and workers. The expected result is a dramatic increase in productivity of the workers and profits for the organization. Some of the routines in the health care setting that are inefficient is nurse-to-patient ratio and staff retention. I feel the nurse-to-patient ratios are unsafe as it overloads the nurse and nursing assistants in carrying for high acuity patients with a higher prevalence of medical errors and oversight. When staffing is is done according to census instead of census it creates an unsafe environment for the patients and the staff. Without adequate staffing, patient care is inadequate and the patients suffer. Which in turns causes patient surveys to report negative feedback giving the hospital low numbers.Staff retention is important to ensure there is adequate staff to meet the demands of an aging population with numerous chronic illnesses. When facilities ignore the concerns of staff or do not provide attempt to implement change that benefits the staff and the patients, morale falls and staff leave. When nurses feel their safety and license are in jeopardy, they will seek out a better work environment they feel safe in. The facility I work for currently does annual retention surveys that allow its employees to voice any concerns and share what they feel the facility is doing well or could improve on. The nurses are asked various questions in regards to the leaders and managers they work directly under and whether their needs are being addressed. The facility offers committees that focus on allowing staff to have voice. Some include unit base council for each unit of the facility, committee for staffing concerns and safety committees that focus on sentinel events. 

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Community health centers were started to respond to the many health needs of some of the poorest and sickest communities in the nation. Centers were developed to serve the needs of communities beyond just medical care, but to provide resources for food access, housing, sanitation, and employment. Over time community health centers became known for understanding the populations they served and for offering superior primary care services. However, due to the rising costs of medical care, many community health centers veered away from public health interventions, health education, and environmental controls. Funding has been restricted to the delivery of personal medical services.

Using the weekly readings, the South University online library resources, and the Internet, research the role of community health centers in providing primary care services.

Based on your research, respond to the following:

• Do you think it’s possible for community health centers to once again become more community-centered in their approach to population health with the goal of improving the health of communities?
• What are some ways that they might do this?

Give reasons and examples in support of your responses. Be sure to cite any relevant resources.

Write your initial response in approximately 300 words. Your responses should clarify your understanding of the topic. They should be your own, original, and free from plagiarism. Follow the APA format for writing style, spelling and grammar, and citation of sources.

By the due date assigned, post your response to the appropriate Discussion Area. Through the end of the Week, review and comment on at least two peers’ responses. Participate in the discussion by analyzing each response for completeness and accuracy and by suggesting specific additions or clarifications for improving the discussion question response.

Evaluation Criteria:

• Explained if it’s possible for community health centers to become more community-centered in their approach to population health with the goal of improving the health of communities.
• Recommended ways for community health centers to achieve this.
• Responses demonstrated in-depth research and analysis.
• Justified your answers with appropriate research and reasoning.
• Commented on the postings of at least two peers.

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The Centers for Disease Control and Prevention (CDC) is the premier public health agency in the United States and is considered an expert on all public health issues. Review the CDC website to learn how the CDC articulates information related to public health and how you can write a similar narrative in your grant or contract application. Visit this website at the following: cdc.gov

Using the weekly readings, the South University online library resources, and the Internet, research the importance of writing a grant or contract proposal narrative. Based on your research, respond to the following:

• Knowing that the “devil is in the details,” what specific steps will you take to make sure you have addressed everything required by a Funding Opportunity Announcement (FOA)? Explain your answer with the help of examples.
• Which of these steps will be the most difficult to execute and why? Give reasons and examples in support of your responses. Be sure to cite any relevant resources.

Write your initial response in approximately 300 words

By  the due date assigned, post your response to the below Discussion Area. Through the end of the week, review and comment on at least two peers’ responses. Consider commenting on their plans to make sure that everything is in order and that they have adequately addressed every component of the FOA. Respond to the assigned question using the lessons and vocabulary found in the reading. Support your answers with examples and research. Your responses should clarify your understanding of the topic. They should be your own, original, and free from plagiarism. Follow the APA format for writing style, spelling and grammar, and citation of sources. Start reviewing and responding to the postings of your peers as early in the week as possible. Respond to at least two of your peers’ posts. Participate in the discussion by analyzing each response for completeness and accuracy and by suggesting specific additions or clarifications for improving the discussion question response.

Evaluation Criteria:

• Explained the steps required to address everything required by an FOA. Provided relevant examples.
• Identified the most difficult steps to execute and explained why they were difficult.
• Responses demonstrated in-depth research and analysis.
• Justified your answers with appropriate research and reasoning.
• Commented on the postings of at least two peers.

Rubrics 

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Cryptosporidium Infections

Public health response is crucial in the event of an infectious disease outbreak to reduce the number of people infected and to reduce the spread of disease. In outbreaks of a large magnitude, miscommunication between local, state, and federal agencies can delay the response and the effectiveness of the treatment.

Review the case study in the chapter “The Massive Waterborne Outbreak of Cryptosporidium Infections, Milwaukee, Wisconsin, 1993” in your textbook.

Write a 3–4-page report in Microsoft Word format to include the following:

• Describe, in brief, the health issue in the case study as well as the response methods to the health issue in chronological order.
• Evaluate the case study for appropriateness of response by both local and state officials.
• Rate the readiness and proficiency of the city health officials in Milwaukee, Wisconsin. Suggest more effective response methods for the public health response in this case study.

Support your statements with appropriate examples and scholarly references.

Submit your assignment to the W1: Assignment 3 Dropbox by Tuesday, October 10, 2017.

Name your document SUO_PHE4095_W1_A3_LastName_FirstInitial.doc.

Cite all sources using the APA format.

Assignment 3 Grading CriteriaMaximum PointsDescribed the health issue in the case study as well as the response methods to the health issue in chronological order.10Evaluated the case study for appropriateness of response by both local and state officials.15Rated the readiness and proficiency of the city health officials in Milwaukee, Wisconsin.10Suggested more effective response methods for the public health response.10Used correct spelling, grammar, and professional vocabulary. Cited all sources using the APA format.5Total50

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