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  • Problem Base Solution Paper

    Based upon the findings, students are expected to develop a proposed solution for enhancing or improving the selected problem identified from the practice on their current unit or in their organization. (note this must to be a current problem, not something that has already been implemented). The paper will include support from the literature, as well as, a plan for implementation and evaluation of the changes to improve patient outcomes.

    References should be cited from refereed journals, and include the utilizing of evidence-based articles. The grade will be based on the following: adequacy and rigor of the content, relevance of the selected issue and supporting argument, adherence to APA style, use of references, and professional/scholarly presentation. For specific grading criteria, please refer to the grading rubric. (~8 pages not including title page, abstract, any figures or tables and reference list). Students will demonstrate proficiency in QSEN, KSA and patient safety initiatives. This is a formal APA paper, so please refer to the APA 7th edition book for format and guidelines.

    Problem-based Solution Paper Rubric

    Paper Structure

    Paper Components

    Point value

    Title page

    Please follow APA 7 format for title page

    Use professional paper style

    Abstract

    Short review of paper in correct format (see APA book). Include summarizing of a current problem (not something that has been implemented), current state, proposal, implementation, and evaluation.

    Points: 10

    Introduction/Overview

    Purpose of the paper described in the introduction

    Brief discussion of the current problem (not something that has been implemented), and how it fits into ONE of the QSEN and KSA categories

    Points: 5

    Background

    Explore the problem as it currently presents in the healthcare setting today:

    Importance of this problem explained; particularly why it matters to healthcare at this point in time.

    Literature describing the problem and also supporting the need for a solution.

    Points: 10

    Assessment

    Critical assessment of the problem, as it presents in your area (unit/department):

    Introduce the unit where problem exists (type of unit, patient population, bed size, etc.)

    *Do not mention hospital by name*

    How significant is the problem in your area (use unit data/evidence to support the argument)?

    What are some potential causes of this problem?

    Evaluate how this problem fits into one of the QSEN categories and why there is a critical need for a solution.

    Why do masters prepared healthcare professionals need to develop competencies to address this problem?

    What specific KSAs of the QSEN competency you chose to apply do masters prepared healthcare professionals need to have in order to effectively address this problem and why?

    Points: 15

    Statement of Proposal/Solution

    Develop a proposed solution for enhancing or improving the selected problem from their practice.

    Be sure to be realistic about the solution. Although the literature may support many solutions, it may be necessary to focus on one solution that would be realistic to obtain.

    This solution cannot be a solution that has already been implemented on your unit or a completed project. This must be forward thinking.

    The proposal should cite current evidence based literature pertinent to the analysis and rationale.

    Points: 10

    Implementation Plan

    Detailed Implementation for the solution. Section must include:

    A detailed timeline of the plan (not a general plan)

    Who are the stakeholders needed?

    Education plan- what will the education look like, who will conduct it, how will it take place?

    Evaluationwhat metrics will be collected, by who, when and who will evaluate? How will you know the solution is successful?

    Include discussion of evidence based practice into the implementation plan

    Points: 20

    Conclusion

    Conclusion follows from all that has gone before

    Free of new or irrelevant material

    Conclusion is effective and leaves the reader satisfied

    Summarizes key points made in the paper. Points 15

    References APA 7 MUST BE NO OLDER THAN FIVE YEARS OLD. 2021-2026

    References should be cited from refereed journals, and newspapers, not just web sites. Reference list should be of sufficient breadth and depth. Points: 5

    Tables and Figures

    If utilized, they must be referenced in the paper and placed in the appendix

    APA7 format and professional presentation

    Adherence to APA 7 throughout

    8 page limit for the paper, not including title, abstract, tables, figures or reference pages.

    Points : 10

    Total Points: 100

    I HAVE UPLOADED MY ORIGINAL PAPER FOR REFERENCE- BUT THE SAME PAPER CAN NOT BE USED.

  • Foundations of Effective Group Work: Group Proposal

    SEE ATTACHED FOR FULL INSTRUTIONS.

    Topic: Effective group therapy for individuals recently released from jail focuses on fostering community reintegration, emotional regulation, and practical skill-building. Key approaches include cognitive-behavioral techniques to manage anger and stress, trauma-informed care for PTSD, structured goal-setting, substance abuse recovery, and relationship-building to navigate the challenges of life after incarceration.

    Attached Files (PDF/DOCX): EBSCO-FullText-02_08_2026.pdf, Instructions.docx, cf_week_6_group_proposal_template.docx

    Note: Content extraction from these files is restricted, please review them manually.

  • HCAD501 Healthcare

    Respond and reply to the following 4 people’s discussions. EACH reply must be 100 WORDS. There should be a total of 400 words. NOTE: 100 words for each person.

    1. Edgardo
    2. Kourtney
    3. Phillip
    4. Ezra

    EDGARDO: Good evening class, One team I was able to see work well while deployed in support of Joint Special Operations Task Force Somalia (JSOTF-SOM) operated effectively because we had a common mission, clearly communicated and coordination, and trust amongst the team. We all understood our roles and responsibilities which made it simple to keep organized and adapt quickly when our priorities were adjusted. I believe leadership was at the forefront of this because expectations were clear and people were held accountable, but still respectfully treated. According to Dye (2022) effective leadership in healthcare relies on foundational core values and hard skills like communication, teamwork, and accountability. I witnessed how those traits can manifest while deployed on my last assignment. I have also been a member of teams that did not operate effectively. The number one problem was communication and lack of coordination. When we are not talking to each other or trusting one another the team becomes disjointed and it feels like everyone is on their own versus working together as a team. Roles become blurred and frustration can build quickly, limiting the teams overall performance. This ties into why teamwork directly affects safety and outcomes under stressful conditions. Manser (2009) states that failings in teamwork can occur when there is a breakdown in communication and lack of coordination which can introduce risk and decrease the teams effectiveness. If I were to improve that team I would establish clearer expectations, promote open communication, and build trust within the team early on so they may work together rather than in their own silo. References:

    Dye, C. F. (2022). Leadership in healthcare: Essential values and skills (4th ed.). Health Administration Press.

    Manser, T. (2009). Teamwork and patient safety in dynamic domains of healthcare: A review of the literature. Acta Anaesthesiologica Scandinavica , 53 (2) 143 151.

    KOURTNEY: Hello Class,

    One of the best teams Ive been part of was during Bahrains initial COVID-19 housing response. Our team included 14 service members and 25 local national employees. We managed quarantine and Restriction of Movement facilities for over 1,100 returning personnel. What made this team work so well was mutual respect. Everyone respected each others roles and contributions, which made communication and focus on the mission easier. Rank and job titles mattered less than teamwork. Ethics and integrity were huge during this time. COVID brought a lot of uncertainty and stress, but leadership was transparent and consistent. We also had strong servant leadership. Leaders focused on supporting the team, removing barriers, making sure we had what we needed, and stepping in when things got tough. Ive also been part of teams that didnt work nearly as well. As an RBT, I worked within a team that included BTs, other RBTs, a BCBA, and a field staff manager. There wasnt much interpersonal connection, which is important in ABA since the work is all about people. Communication was often unclear, expectations werent well defined, and not everyone was on the same page. This led to frustration, role confusion, and avoidable errors in client care. Some things that could have made the team more effective include better communication and clearer expectations. According to Dye (2022), effective teams work best when members understand their individual roles and expectations, recognize their value to the team, and help shape the shared values that guide how the team works together. Quick check-ins or short team huddles could have ensured everyone knew their roles and expectations. Making an effort to connect, listen, support each other, and recognize contributions would have helped morale and built more trust within our team.

    References:Dye, Carson F.. Leadership in Healthcare: Essential Values and Skills, Fourth Edition, Health Administration Press, 2022. ProQuest Ebook Central, http://ebookcentral.proquest.com/lib/apus/detail.action?docID=7175471.

    PHILIP: Error chains consist of a series of small failures – sometimes 10, 15, or even 20 that can gradually snowball and ultimately avalanche into serious patient harm. As a result, patients may experience prolonged hospital stays or additional complications stemming from preventable breakdowns in care. Many of these errors are entirely avoidable when systems are designed to identify risks early and communicate them effectively. In the video, this concept is illustrated during a leadership walkaround where it was discovered that blood pressure cuffs in a unit were not functioning. This raises an important question: why was this issue not communicated to leadership before it was identified during the walkaround?

    This example particularly resonates with me because I routinely inspect medical equipment and can be held liable if I certify equipment that is not working as intended. Recently, a firefighter brought a suction unit to me for inspection, and I had to explain that because it was not charged routinely, it would fail during use. As a result, I could not sign off on the equipment. I also instructed them on proper preventative maintenance to preserve battery life. Had this routine inspection not occurred, a patients life could have potentially been at risk. This reinforces the importance of meaningful communication and shared best practices between departments, rather than simply checking the box during inspections. If I had not insisted on corrective action or emphasized the severity of routine maintenance, this situation could have resulted in significant risk.

    The video highlights (VIDEO LINK: )vision boards as a tool to help prevent these types of failures by allowing frontline staff to identify and communicate risks early. Vision boards encourage open communication between staff and leadership, making safety concerns visible and actionable. During the Q&A portion of the video, it is further emphasized that vision boards allow teams to visualize expected actions, track updates, and provide real-time feedback. These tools support high reliability by ensuring that small issues are addressed before they contribute to larger error chains.

    EZRA:In healthcare, its easy to assume that if nothing bad happened today, the system must be working. Frankel and Leonard challenge that comforting assumption head-on, and this was one of the most compelling insights from their presentation. They argue that high reliability is not about celebrating success, but about remaining uneasy even when things appear to be going well. In other words, smooth operations can actually hide risk. Recent research by Fricke et al (2023) supports this idea, showing that organizations applying high-reliability principles intentionally look for weak signals such as near misses or workarounds because these often reveal deeper system vulnerabilities. This perspective reframes safety as something actively maintained through constant attention and learning, rather than something achieved once errors stop occurring.

    Another important takeaway from the presentation is the emphasis on psychological safety as a foundational requirement for high reliability. Frankel and Leonard highlight that frontline clinicians often notice safety threats first, but their insights only matter if they feel safe speaking up. Contemporary research confirms that teams with strong psychological safety and safety climate are more likely to report concerns and less likely to experience serious adverse events, because problems are addressed earlier rather than ignored (Vogus et al., 2020). When staff trust that raising concerns will lead to improvement instead of blame, safety becomes a shared responsibility rather than an individual risk.

    Despite growing awareness of these principles, many healthcare organizations continue to struggle to achieve high reliability. One major challenge is the inherent complexity of healthcare systems, where frequent handoffs, unpredictable patient needs, and time pressure increase the likelihood of failure. Another barrier is cultural inertia, particularly environments that still respond to error with blame or silence rather than learning. Research suggests that these challenges can be overcome through sustained leadership commitment, reinforcement of reliability principles in daily work, and intentional efforts to strengthen safety culture across all levels of the organization (Fricke et al., 2023; Vogus et al., 2020). When leaders consistently prioritize learning, transparency, and trust, high reliability becomes an ongoing practice rather than an abstract goal.

    References:Fricke, J., Galligan, M., Douma, C., Souder, J., Hedden-Gross, A., & Mull, N. (2023). Examining the Impact of Implementing High-Reliability Organization Principles on Patient Safety Outcomes. National Library of Medicine.

    Requirements: 400 words

  • unit 6- ifsm- demetrius hall

    With AI technologies increasingly integrated into workplace systems, many organizations are adopting AI-powered tools to monitor employee productivity, analyze behavior patterns, and forecast performance outcomes. While these systems offer tangible business benefits such as improved efficiency and predictive insights they also present serious ethical challenges. These include issues of privacy, fairness, consent, algorithmic bias, and the potential erosion of trust in workplace culture.

    In this discussion, you will evaluate the ethical considerations involved in implementing such a system. You will apply formal ethical frameworks to analyze the trade-offs between business goals and employee rights, and make specific recommendations for responsible, culturally sensitive deployment across global contexts.

    Scenario

    A multinational organization is implementing an AI-powered employee monitoring system that tracks productivity, analyzes communication patterns, and predicts employee performance. The system promises significant efficiency improvements but raises concerns about privacy, potential bias, and workplace culture.

    • What ethical considerations should be addressed before implementing such a system?
    • How would you apply ethical frameworks to balance organizational benefits with potential negative impacts?

    In your responses to peers, consider different cultural and regulatory contexts across countries and how these might affect ethical analysis of the situation.

    While management anticipates significant improvements in efficiency and workforce optimization, concerns have been raised about the ethical implications especially around employee privacy, algorithmic transparency, and fairness. A recent note shows that 70% of large enterprises already use monitoring systems, and adoption of AI-powered systems is growing at 27% annually making it a pressing and widespread issue for IS leaders. ()

    Initial Post (400500 words)

    In your initial post, address the following:

    1. Identify Ethical Considerations

    • What privacy risks, consent requirements, and transparency obligations should be addressed?
    • How might AI-driven decisions introduce bias, lead to unfair evaluations, or erode workplace morale?
    • What are the long-term implications for trust, autonomy, and surveillance culture?

    2. Apply an Ethical Framework

    Choose one ethical framework to structure your analysis:

    • Utilitarianism: Does the benefit to the business justify the costs to individual rights?
    • Deontology: Are individual privacy and autonomy being respected as moral duties?
    • Virtue Ethics: What character traits does this decision cultivate in the organization?
    • Social Contract Theory: Is there a fair agreement between employees and employers?

    Explain how your selected framework supports or critiques the implementation decision.

    3. Make Recommendations

    Propose at least three concrete, actionable recommendations to ensure ethical deployment. For example:

    • Implement transparent communication about what data is collected and why
    • Conduct algorithmic fairness audits to reduce bias
    • Offer opt-out policies or anonymization options where feasible
    • Create an internal ethics board to oversee implementation

    Each recommendation should be justified using the ethical framework and grounded in business practicality.

    4. Consider Cultural and Regulatory Differences

    • How might this system be received differently in the EU (with GDPR) vs. the U.S. or Asia?
    • How do cultural expectations of privacy or workplace hierarchy influence acceptance or resistance?
    • What variations in regulatory compliance (e.g., GDPR, CCPA, LGPD) must be accounted for?

    Show how your recommendations must adapt across regions and cultural norms to be truly ethical.

    Response to Peers (150200 words each)

    Reply to at least two classmates and address the following:

    1. Compare Ethical Frameworks: How would a different framework (e.g., virtue ethics vs. utilitarianism) lead to an alternate conclusion?
    2. Cultural or Legal Context: How might the ethical analysis shift in a different jurisdiction or cultural environment?
    3. Extend or Challenge: Suggest additional risks, practical implications, or ethical considerations they may not have included.

    Use at least one new source in one of your responses and cite in APA style.

    Submission Guidelines

    • Submit your posts in the courses discussion forum
    • Use clear, professional language with minimal grammar errors
    • All sources must be cited in APA format
    • Ensure your responses reflect critical thinking, ethical reasoning, and engagement with peer ideas

    Due Date:

    • Initial post due by Friday, 11:59 PM ET
    • Peer responses due by Tuesday, 11:59 PM ET

    Evaluation Criteria:

    Your assignment will be evaluated based on the following rubric:

  • Housing prices analysis

    WWBD Chapter 3 WWBD Be sure to provide an introductory paragraph, body of the report and a closing statement. The visual MUST be imbedded, labeled (Figure or Table), titled, and referred to in the body of the report. DO NOT end with a visual! NO FILE UPLOADS – enter the assignment directly by either typing in or copying whatever you wrote on a word document! This writing exercise is from Chapter 3. In section 3.4 Writing with Big Data, there is an example of a case study analysis of the difference between housing prices in the college towns of Athens, Georgia and Chapel Hill North Carolina. Review that report, and see how the authors use visuals (pictures, tables, figures) to explain the data. Now, read the following and write a 2 – 3 paragraph report on the following: Perform a similar analysis to the one conducted in section 3.4 but choose two other college towns from the House_Price worksheet. Once you complete your writing, you can comment on your peers written assignment! (NOTE! You are NOT required to comment on peers WWBD posts, but you certainly can!)
  • Writing Question

    Essay Topic:

    A World of Balance and Plenty: The interaction between humans and nature (land, water, plants, animals) in California history.

    OR

    Milestones in California History: Events and/or Movements That Shaped California History

    Directions:

    These are obviously a very broad essay topic options.

    You choose which essay topic you would like to write about. In either case, plan to write about a minimum of two, and a maximum of four specific sub-topics in your essay. You may choose from anything covered in this course, and anything covered in your class textbook. The point of this essay is for you to tie together various elements and aspects of California History, by drawing comparisons or cause and effect relationships.

    The purpose of this essay is for you to think about the material that you have studied throughout this course. Provide your own analysis of the impact and legacy of the various historical eras and events that you have studied. You are not expected to discuss every era that we covered in this course. I will be looking for your ability to tie various historical movements/eras/phenomena together and show how they are connected.

    If you would like to run by me your sub-topics that you plan to include in your essay, feel free to do so by sending me a private message.

    Suggestions for proceeding with this assignment:

    1) Look through your previous work for this class to refresh your memory on what you have learned.

    2) Look through the textbook and make note of historical sub-topics that you think you would like to include in your essay.

    4) Pick 2 to 4 sub-topic to include in your essay. Run them past me via private message if you like. Read up on those from the textbook.

    5) Draft your essay. Put an extra emphasis on showing connections between the sub-topics and relating them to each other.

    6) If you have questions for me, contact me by private message sooner than later. Don’t wait until the last minute.

    Sources: the textbook and any other readings provided within this course if and when appropriate. You do not need to conduct outside research for this essay.

    Special Note: AI generated content, and AI enhanced content (such as grammar or writing style assistance) are not allowed. I do not grade on grammar. It is more important to me that I am reading YOUR words, vocabulary, ideas and writing style.

    Length: 4 full pages to 5 pages (aim for 1500 words), typed, double-spaced, 12 font.

    Format Options:

    Your work must be submitted as an attachment, using one of these file types: .doc, .docx, .pdf, .rtf

    Requirements: however it says

  • Health care policy powerpoint

    Guidelines

    Your presentation should:

    1. Length & Format

    o Recording of presentation

    a) MP4 or compatible video (50 MB size limit)

    o PowerPoint, Google Slides, or other approved format

    b) 1012 slides recommended

    2. Required Content

    o Title Slide

    o Problem Overview

    o Population(s) Affected (include diversity considerations)

    o Current Policy Landscape

    o Ethical and Financial Highlights

    o Recommended Policy Action

    o Expected Outcomes

    o Conclusion & Call to Action

    o Reference Slide (APA format)

    3. Presentation Expectations

    o Speak clearly and professionally.

    o Use a professional background.

    o Cite statistics and evidence visually on slides.

    o Use charts, graphs, or visuals (at least 2).

    o Avoid reading slides word-for-word.

    can you create a powerpoint presentation on the paper I uploaded and include speaker notes following the rubric. thank you!

    Requirements: 10-12 slides

  • Data Analytics Question

    I uploaded the files which contains the Exercise and the other files to solve it.

    Please adhere to the following:

    1- Do not use artificial intelligence, as the university detects its use and has Turnitin.

    2- Do not duplicate assignments from other students.

    3- Submit within the specified timeframe,I have chosen two days.

    Requirements:

  • discussion 5

    Week 5 – A Movement Goes Global

    As we’re moving into Week 5, I hope that you’re starting to get a sense of how and why the message of health has been such an integral element of the Seventh-day Adventist presence. We started with a large contingent of health related work, which combined our belief in an imminent Second Coming, but also allowed for healing to be something that begins in the present, anticipating the final healing of the future. With these elements in place, the chapters you’re going to be reading for this week will combine a view of how that message expanded and became international in a big way. We’ll be reading through the Robinson text, which again is a very rosy picture of things, but also allows for the diversity of thinking that was present in the international expansion projects. We’ll also be getting some first hand accounts from early 20th century medical missionaries, who were part of this expansion. Some of them may be known to long-time Adventists, but I’m hoping that we can also find relevance in how they describe their mission and purpose within these diversifying times.

    Robinson – Ch 22, 24-25 – The Message moves to a global audience. – Robinson Ch 22-25 – The Story of our Health Message.pdf

    Download Robinson Ch 22-25 – The Story of our Health Message.pdf

    1. Early 19th-century medicine often focused strictly on the physical administration of drugs. However, the sources suggest that a “Christian physician” should extend efforts to the “diseases of the mind” and the “saving of the soul”. Based on this, how does the 19th-century Adventist view of a doctor differ from a strictly secular “drug-based” practitioner of that era?

    2. Dr. Peter Parker, a missionary to China in 1834, found that his skill as a physician gave him “access to multitudes of people” that traditional theology could not reach. In a historical context where many nations were closed to Western religion, why was medical “healing art” considered the most effective “pioneer work” for opening new territories? Is this necessarily a colonial aspect to the mission of the church, or is there a greater philosophy at work?

    3. Dr. J.H. Kellogg argued that Adventist medical work should be “undenominational” and “independent of any sectarian or denominational control” to better serve humanity. Conversely, Ellen White warned that concealing the “peculiar characteristics of our faith” to gain patronage was a “danger”. How does this debate reflect the tension between professional medical standards and religious mission at the turn of the century? Is religious-based health practice fundamentally connected to issues of faith, or would it be better to abandon such connections?

    4. By 1901, the International Medical Missionary and Benevolent Association employed more people (over 1,700 physicians, nurses, and helpers) than the entire General Conference. How did the financial and personnel “strength” of the medical branch create an “impediment to united action” within the church organization?

    5. The General Conference was reorganized to include representatives from “all lines of our work,” including sanitariums and educational institutions. Why was it necessary to move from the “wisdom and power” of a few men to a committee that included medical professionals? Could it have been done differently, or better, based on where things eventually progressed?

    ESDA Articles – International Medical Sanitariums –

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    1. Robinson describes medical missionary work as “pioneer work” that provides access to people where traditional ministry might not. In Paraguay, the work began with nurse Mateo Leytes serving as the private masseur for the countrys president. How does Leytes’ experience illustrate the Adventist concept of the medical work as an “entering wedge,” and what are the strategic advantagesand potential risksof a religious movement gaining influence through the physical care of a nation’s elite?

    2. The Asuncion Sanitarium currently participates in complex national transplant programs while simultaneously promoting the “Eight Natural Remedies” and “Healthy Vegetarian Cooking Schools”. Based on Robinsons description of the “combined ministry for soul and body,” how does a modern institution balance high-tech medical science with the traditional Adventist emphasis on simple natural laws?

    3. Robinson highlights a tension where medical leaders often sought to be “independent of any sectarian or denominational control”. In South Africa, the sanitariums decline was partly attributed to doctors building “private practices” rather than focusing on the institutional mission. Why was the shift from institutional loyalty to private practice seen as “detrimental” to the Adventist mission, and how does this reflect the broader conflict between professional medical careerism and religious “self-sacrifice” discussed in Robinsons chapters?

    4. Dr. Edgar Caros Summer Hill Sanitarium was initially “semi-autonomous,” modeled after Dr. Kelloggs increasingly independent Battle Creek system. Robinson discusses the “impediment to united action” when medical institutions become more powerful than the General Conference. How did the Summer Hill crisiswhere church leaders eventually voted the independent association out of existencedemonstrate the denomination’s struggle to keep the “right arm” attached to the “body” of the church?

    5. Established in 1996, the Yeosu Sanitarium was a response to Korea’s “aging society” and an increase in “terminally ill patients”. Robinson notes that Adventist health reform was originally an “advance step” to awaken moral responsibility. How has the mission of Adventist sanitariums evolved from treating 19th-century “heroic medicine” victims to addressing modern “lifestyle diseases” like cancer, diabetes, and obesity?

    6. The Yeosu hospital emphasizes its success in passing government certifications and accreditation assessments. Referring to Robinson’s account of the American Medical Missionary College seeking state board approval, how does the modern need for “government accreditation” complicate or support the Adventist goal of remaining a “distinct and peculiar people” in their medical practice?

    Voices from the Past – Medical Missionaries speak – Pages from RH sept 12 1974 – report on health missions overseas.pdf

    Download Pages from RH sept 12 1974 – report on health missions overseas.pdf

    , Missions report – 1912.pdf,

    Download Missions report – 1912.pdf,

    1. How do the missions themselves seem to function on the ground? How are the higher ideals practiced, within the specific instances described?

    2. How do the missionaries themselves seem to understand their goals? Do they generally align with the greater work of the church, or is it a new branch from the mission?

    3. In looking backwards, how should we understand the present moment and our medical work within such religious institutions? Is there a religious ethos that should be met, or can/should we work independently from such concerns?