After completing this week’s readings, identify five reasons why patient satisfaction is a key measure of organizational success in the healthcare industry.

For each reason, synthesize a connection between that point and how staff motivation, commitment, and energy can affect this point.

Each identified reason can be stated in one or two sentences; the connection between each reason and its affect human resources can have on each reason should be approximately two paragraphs, with sufficient detail to allow the reader to see how the connection was made. Additional research may be done in order you to justify your response.

Length: 2-3 pages, not including title page and reference page

References: Include a minimum of 3 scholarly resources.

https://ncuone.ncu.edu/d2l/le/content/119718/viewC…

https://ncuone.ncu.edu/d2l/le/content/119718/viewC…

https://ncuone.ncu.edu/d2l/le/content/119718/viewC…

In your role, as an advanced practice nurse, you will encounter several situations that will require your ability to make sound judgments and practice decisions for the safety and well-being of individuals, families, and communities. There may not be a clear cut answer of how to address the issue, but your ethical decision making must be based on evidenced based practice, and what is good, right, and beneficial for patients. You will encounter patients who do not hold your values, but you must remain professional and unbiased in the care you provide to all patients regardless of their sociodemographic and ethnic/racial background. You must be prepared to critically analyze ethical situations, and develop an appropriate plan of action. For this Assignment, you will review the literature and discover the various ethical dilemmas advanced practice nurses encounter and how these issues are typically addressed in your state.

To prepare:
  • Review literature for moral/ethical issues encountered by advanced practice nurses in clinical practice.
  • Select an article that was published within the last five years.

Apa format

Write a two page paper that answers the following questions: SC is the state

  • Summarize the moral/ethical issue in the article (no more than 1 paragraph)
  • Describe the moral and ethical dilemmas surrounding the issue
  • Analyze the ethical issue and compare them to the State Health Laws and Regulations in your state
  • Outline the process of ethical decision making you would use to address this ethical dilemma

1)Discuss the over-emergence analyzed in the article and how, if at all, you see that at work in your field. In what ways is the concept of the marble ceiling related yet distinct from the glass ceiling concept? Post a substantive response to the question (minimum 250 words).

Some materials below:

Leadership Over-emergence in Self-managing Teams: The Role of Gender and Countervailing Biases

LEADERSHIP OVER-EMERGENCE IN SELF-MANAGING.pdf

Cracking the Marble Ceiling

cracking the marble ceiling.pdf

2)Visit www.makers.com to watch two video interviews from the list designed for specific modules. The interview discussion board thread entry will answer the following question by 11:59 pm on Thursday. Include both video interviews in your one weekly post. In what ways do the interviewees articulate a specifically gendered approach to leadership in their fields? Module 2 Selections: Pick TWO from the list below Angela Salinas Andrea Jung Anna Maria Chavez Carol Gilligan Billie Jean King Condoleezza Rice Connie Chung Diane Nash Dolores Huerta Dr. Susan Love Post a substantive response to the question (minimum 250 words)

No plagiarism no copy and paste

John is interested in determining if frequency of exercise affects pulse rate. John randomly samples individuals at a local gym to ask if they will participate in his study. 55 individuals agree, and they are divided into three groups of exercisers: 1 = high frequency, 2 = moderate frequency, 3 = low frequency. Next, John measures their pulse after their workout. Do pulse rates differ among individuals who exercise with high frequency versus those who exercise moderately versus those who exercise with low frequency?

Note: Make sure you adjust the data so that there are three exercise variables (one for each level).

Conduct a one-way ANOVA to investigate the relationship between exercise frequency (Exercise) and pulse rate (Pulse1). Conduct Tukey’s HSD post hoc tests, if necessary. On the output, identify the following:

a. F ratio for the group effect

b. Sums of squares for the exercise effect

c. Mean for moderate exercisers

d. P value for exercise effect

MT302-5: Examine the role of the communication and leadership process in relationship to employee effectiveness.

Read the scenario regarding the communication and leadership processes used regarding the employee’s effectiveness.

Scenario (fictional):

Fameit Inc. (FI) is a manufacturing company that produces customized frames using all sorts of materials to create frames for certificates, pictures, paintings, etc., all over the world. There are 100 employees that are divided between manufacturing and sales representatives with about 20 staff assigned to managerial/administrative positions in the various departments. About two months ago, the head of production, Nicolas (in his position for the last 5 years), was in a meeting with his staff when the following conversation occurred:

Production Manager Nicolas says at the end of a half-hour meeting to review the production schedule results: “Does anyone have anything to add concerning operations today?”

Production employee Berta: “Well, we are having some problems in production because some of our vendor acrylics are changing composition and are not resulting in the best quality of product when they come off the line. Someone needs to speak with our vendor.”

Production Manager Nicolas: “Anyone else have that problem?” (He waits for 3 seconds for any response and then continues.) “Thanks everyone, I guess that wraps up this meeting. Now back to work!”

After a week the Production Manager began to receive reports from the database system that quality control was rejecting some of the final products off the assembly line. In addition, customer complaints and returns now had gotten to the critical point, and executive management had been alerted.

The production manager had a special meeting of his department that same day and admonished the production team saying:

“It is your responsibility to see that these products pass quality control. If there is a problem you are to contact me. I hold you all responsible for this lapse in reporting this problem. I will decide shortly who will be working with me to resolve this issue.”

The production employee Berta just looked at her colleagues and said, “But boss, I did bring this up at the last meeting.”

The Production Manager responded: “Well, if there was a problem as important as this one, you should have sent a follow-up memo to everyone.” Looking at Berta he continued, “Someone may be losing their job over this!” Then he adjourned the meeting.

Production employee Berta speaking to another employee after the meeting:

“I absolutely should not lose my job over this; I told him there was a problem. I am going to lodge a complaint with Human Resources right away.”

Checklist: Respond to the following items regarding the scenario and the leadership and communication processes you learned about through your Reading and Learning Activities.

  • Analyze the problems at this company as portrayed in the scenario.
  • Describe the leadership style demonstrated by the manager.
  • Describe the steps in the communication process that were not addressed or completed and how they were not completed or addressed.
  • Explain the aspects of the leadership process that were neglected by the manager.
  • Examine and explain how the manager could have used the communication and leadership process to (1) build a better relationship with the employees in his department and (2) make employees more effective on the job.
  • Submit your minimum 2–3 page expository essay with an additional title and references page in APA format and citation style

Write a brief description of the advantages of various types of annuities. Include in your discussion fixed, indexed and variable.

A successful submission will clearly and briefly explain what objectives would be best served by the different types of products available and what advantages and disadvantages exist with each.

Create a ten to twelve slide presentation in which you present on the issue identified in Assignment One and provide a recommendation to improve or resolve the issue. Summarize the issue and the primary ways that organizational, human, and budget resources impact the issue. Summarize the primary ways that policy and politics impact the issue, summarize the ethical concerns surrounding the issue, and summarize the relationship of constitutional law to the issue. Provide two recommendations to resolve or improve the issue. Include at lease four peer-reviewed references no more than five years old. Include a title slide and a reference slide, headings on each slide, two to three colors, two to three fonts, and two to three graphics. Abbreviate the information in no more than five or six bullet points. I have attached the specifics for this assignment as well as copies of assignments one, two, and three.

PLEASE NO PLAGIARISM

FOLLOW THE INSTRUCTIONS AND INCLUDE SPEAKER NOTES

I STARTED THE PRESENTATION

PLEASE USE THE ATTACHED FORMAT

Select one of the case studies below, and include discussion of your strategy for winning the patients cooperation while teaching concepts concerning pathological states to them and their families.

Requirements

  1. Make sure all of the topics in the case study have been addressed.
  2. Cite at least three sources; journal articles, textbooks or evidenced-based websites to support the content.
  3. All sources must be within five years.
  4. Do not use .com, Wikipedia, or up-to-date, etc., for your sources.

Case Study 1

Concepts of Altered Health in Older Adults

Joseph P. is an 82-year-old male living at home. He is in overall good health and enjoys taking long walks as often as possible. During his walks, he likes to stop for a cold glass of fruit juice at the local cafeteria. On cold or rainy days, he rides a stationary bicycle at home for 30 minutes to “stay in good shape.”

  1. What physiological factors would typically increase Joseph’s risk of falling while walking outdoors?
  2. What are the common changes in blood pressure regulation that occurs with aging?
  3. Joseph enjoys fruit juice when he walks. Considering the renal system in the older adult, why would dehydration be a particular concern?

Case Study 2

Structure and Function of the Kidney

Rivka is an active 21-year-old who decided to take a day off from her university classes. The weather was hot and the sun bright, so she decided to go down to the beach. When she arrived, she found a few people playing beach volleyball, and they asked if she wanted to join in. She put down her school bag and began to play. The others were well prepared for their day out and stopped throughout the game to have their power drinks and soda pop. Several hours after they began to play, however, Rivka was not feeling so good. She stopped sweating and was feeling dizzy. One player noted she had not taken a washroom break at all during the day. They found a shaded area for her, and one of the players shared his power drink with her. Rivka was thirstier than she realized and quickly finished the drink.

  1. In pronounced dehydration, hypotension can occur. How would this affect the glomerular filtration rate of the kidney? What actions by the juxtaglomerular apparatus would occur to restore GFR?
  2. What is the effect aldosterone has on the distal convoluted tubule? Why would the actions of aldosterone be useful to Rivka in her situation?
  3. What does a specific gravity test measure? If someone tested the specific gravity of Rivka’s urine, what might it indicate?

Case Study 3

Disorders of Fluid and Electrolyte Balance

Amanda is an 18-year-old with anorexia nervosa. She was recently admitted to an eating disorders clinic with a BMI of 13.9, and although she was a voluntary patient, she was reluctant about the treatment. She was convinced she was overweight because her clothes felt tight on her. She complained that even her hands and feet “were fat.” One of her nurses explained that a protein in her blood was low. The nurse further explained that, as difficult as it may be to believe, eating a normal healthy diet would make the “fat hands and feet” go away.

  1. What protein do you suspect the nurse was referring to? How would a deficiency in this protein contribute to edema?
  2. What is the difference between the physiology of pitting and nonpitting edema?
  3. Because of her weakened condition, Amanda was moved around the ward in a wheelchair when she was not on bed rest. How does this affect her edematous tissues?

Case Study 4

Disorders of Acid–Base Balance

Shauna is a healthy, fit 28-year-old who decided to go on a 2-week tour of Mexico for young singles. One hot afternoon in a small market community, she grabbed some fruit juice from a street vendor. Several hours later, she developed abdominal cramping and diarrhea. The diarrhea became so severe that she missed 3 days of the tour and stayed in her hotel room. By the end of her illness, she felt weak and tired. Her head ached, but the mild fever had disappeared, and she was able to join her new friends for the rest of the tour.

  1. What is the acid–base imbalance Shauna might have experienced and its etiology?
  2. What are the functions and importance of the bicarbonate buffer system in the body?

Case Study 5

Disorders of Renal Function

Fred, a fit and healthy 44-year-old, was working outside one warm summer afternoon. When he returned home by the end of the day, his lower back felt sore and he felt nauseated. His wife made him dinner, but he was not hungry and chose to go to bed instead. Fred’s symptoms progressed, and soon he was rolling on the bed with excruciating pain. He said his back hurt as well as his stomach and groin area. The pain would ease off only to return a short while later, and when it did, Fred would begin to sweat and run to the bathroom to vomit. His wife became concerned and started the car. When his symptoms abated, she helped him into the car and rushed him to the hospital.

  1. At the hospital, an abdominal radiograph showed the presence of renal calculi in Fred’s right ureter (urolithiasis). What is the mechanism of stone formation in the kidney? What is the role of citrate in the kidneys?
  2. Why would the administration of calcium supplements be useful for a patient with calcium oxalate stones?
  3. Hydronephrosis can be a complication of renal calculi. What is hydronephrosis? How does back pressure occur in a kidney, and what physiological mechanism is responsible for nephron damage when back pressure is present?

Case Study 6

Acute Renal Injury and Chronic Kidney Disease

Will is a 68-year-old male with a history of hypertension. Eight months ago, he started regular dialysis therapy for ESRD. Before that, his physician was closely monitoring his condition because he had polyuria and nocturia. Soon it became difficult to manage his hypertension. He also lost his appetite, became weak, easily fatigued, and had edema around his ankles. Will debated with his physician about starting dialysis, but she insisted, before the signs and symptoms of uremia increased, the treatment was absolutely necessary.

  1. What is the difference between azotemia and uremia?
  2. Two years ago, Will’s physician told him to decrease his protein intake. In spite of what the physician ordered, Will could not stop having chicken, beef, pork, or eggs at least once a day. Why did his physician warn him about his diet?
  3. Will’s feelings of weakness and fatigue are symptoms of anemia. Why is he anemic?
  4. Knowing what you do about Will’s history, why is left ventricular dysfunction a concern for his physician?

Case Study 7

Disorders of the Bladder and Lower Urinary Tract

Alvita is a frail 89-year-old woman residing in a nursing home. She is able to move slowly around the residence with the use of a walker, but appreciates when her daughter is there to hold her arm and walk alongside her. When one of the health care staff changes Alvita, her daughter helps. Alvita’s incontinence has progressed, particularly over the last six years since she has resided in the nursing home. Alvita can smile at her lack of bladder control, however, and says that her incontinence really began when she was a young woman, just after the birth of her second daughter.

  1. Alvita’s mobility is limited. How does this affect continence in the elderly?
  2. Shortly after the birth of her second daughter, Alvita experienced mild incontinence, particularly after laughing or coughing. What was she experiencing? What is the pathophysiology behind this type of incontinence?

Assignment Requirements:

Before finalizing your work, you should:

  • 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 American 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 format.

Write a 4- to 5-page paper in which you:

  1. Put yourself in the role of a prosecutor and explain the importance of the final report to the prosecution of a case. Further, analyze the possible impact of poorly completed final reports on the prosecution of a case.
  2. Review Figure 21.1, The Use of Evidence in the Stages of the Criminal Justice Process, in Chapter 21 of the text and specify the manner in which each stage of the criminal justice process helps to build a successfully litigated action. Provide a rationale to support the response. (The figure is in the file below)
  3. Identify the three areas that Detective Richard Gautsch, a seasoned investigator, recommends an investigator focus on when giving courtroom testimony and discuss the importance of each area. Next, define a criminal investigator’s role in preparing a case for court. Analyze the manner in which the investigator cooperates with the prosecutor to enhance the courtroom presentation. (Det. Gautsch 3 methods are Preparation, communication, & Credibility)
  4. Differentiate not guilty and acquitted. Give your opinion as to whether or not a not guilty verdict means that the investigator failed. Support the position.
  5. Predict one to two changes that will take place in criminal investigation in the next twenty years. Provide a rationale to support the response.
  6. Use at least three quality academic resources in this assignment. Note: Wikipedia and similar types of websites do not qualify as academic resources.