Explain the significance of monitoring the prevalence of MDR-TB among Category II pulmonary tuberculosis patients.

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Assignment 2—Effective Management of Tuberculosis

Multidrug-resistant tuberculosis (MDR-TB) has emerged as a global public health concern. Tuberculosis (TB) is contracted by breathing in air droplets from a sneeze or cough of an infected person. TB primarily attacks the lungs; however, it can spread to other parts of the body, especially if left untreated. The drug treatment regimen takes approximately 6 months or longer, so many patients become resistant to the medications after a certain period.

From the assigned readings this week, review the following article:

  • Sharma, S. K., Kumar, S., Saha, P. K., George, N., Arora, S. K., Gupta, D.,  . . . Vashisht, R. P. (2011). Prevalence of multidrug-resistant tuberculosis among Category II pulmonary tuberculosis patients. Indian Journal of Medical Research, 133(3), 312–315. (Web of Science Accession Number: WOS: 000289322400013)

Write a 3–5-page paper in Microsoft Word format that addresses the following:

  • Explain the significance of monitoring the prevalence of MDR-TB among Category II pulmonary tuberculosis patients.
  • Describe the methodology of the study in the above journal article and how the study sample was selected.
  • Analyze the study’s findings as they relate to the effective management of tuberculosis.
  • Summarize the results of the study.
  • Justify how the results of the study can improve rapid detection of MDR-TB.

Support your statements with appropriate examples and scholarly references.

Submit your assignment to the W4: Assignment 2 Dropbox by Tuesday, October 31, 2017.

Name your document SUO_PHE4095_W4_A2_LastName_FirstInitial.doc.

Cite all sources using the APA format.

3) Identify the change management strategies that you would use to facilitate a successful implementation. Identify key resources that you would need to promptly overcome potential barriers.

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The Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine (2011) notes that “the nursing profession is the largest segment of the nation’s health care workforce.” Nursing’s three million–plus members are known for their ability to react quickly and efficiently on the front lines of patient care. This agility is lost, however, when the nursing profession fails to evolve with the field of information technology. Have you witnessed any unintentional barriers that have excluded nurses from quickly adopting and accepting informatics systems?
Those nurses who apply strategies developed by change management experts can help expedite the adoption process by positively addressing staff concerns and implementation challenges. In this Discussion, you explore change leadership strategies through a role-playing activity.
Reference:
Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine. (2011). The future of nursing: Leading change, advancing health [Consensus report]. Retrieved from the Institute of Medicine of the National Academies website: http://www.iom.edu/Reports/2010/The-Future-of-Nursing-Leading-Change-Advancing-Health.aspx
To prepare:

  • Review      the Learning Resources, focusing on the findings of the TIGER Leadership      Collaborative.
  • Consider      the TIGER Nursing Informatics Competencies model from a leadership      standpoint.
  • Engage      in the following role play: Your practice setting has appointed you to      lead the implementation of a new information technology initiative. As you      plan for this undertaking, you consider the various challenges that this      implementation may bring to your practice.

 

  • Select       an information technology initiative that your practice could benefit       from (i.e., a new information system, point-of-care service, robotics       machinery, mobile devices, glucometers, smart pumps etc.).
  • What       change management strategies might you utilize to facilitate a quick and       successful implementation?
  • What       potential barriers might the initiative bring to the practice? What       leadership strategies could shift the culture toward a smooth transition?

By tomorrow Tuesday October 31, 2017, write a minimum of 550 words essay in APA format with at least 3 references. Include the level one headings as numbered below:

post a cohesive response that addresses the following:

1) Briefly identify your practice setting (hospital setting) and the information technology initiative you selected. Provide a rationale for your selection. (i.e., a new information system, point-of-care service, robotics machinery, mobile devices, glucometers, smart pumps etc.).

2) Evaluate the potential barriers to implementing your hypothetical initiative.

3) Identify the change management strategies that you would use to facilitate a successful implementation. Identify key resources that you would need to promptly overcome potential barriers.

4) Appraise the leadership strategies that you would employ to establish a culture that supports the new information technology initiative. Reference the TIGER Informatics Competencies where appropriate.

Required Readings

Course Text: Ball, M. J., Douglas, J. V., Hinton Walker, P., DuLong, D., Gugerty, B., Hannah, K. J., . . . Troseth, M. R. (Eds.) (2011). Nursing informatics: Where technology and caring meet (4th ed.). London, England: Springer-Verlag.

Chapter 2, “Strategies for Culture Change”

Chapter 9, “Leadership Collaborative”

Chapter 10, “Challenging Leadership Status Quo”

Chapters 2 and 10 discuss the theories, models, and trends of technology. Chapter 9 details TIGER’s strides in the realms of education and basic competency requirements to better prepare nurses in informatics principles.

Caballero Muñoz, E., & Hullin Lucay Cossio, C. M. (2010). Engaging clinicians in health informatics projects. Studies in Health Technology and Informatics, 151,195-206.

The authors of this article break down the implementation, planning, and design phases of informatics projects into specific management categories. Each category consists of factors that can help to integrate clinician’s work flow needs.

Liaw, S. T., & Gray, K. (2010). Clinical health informatics education for a 21st century world. Studies in Health Technology and Informatics, 151, 479-491.

This article examines the educational and competency requirements put into place by the American Medical Informatics Association.

T.I.G.E.R. Technology Informatics Guiding Education Reform. (2011). Informatics competencies collaborative team. Retrieved from https://web.archive.org/web/20150910131244/http://www.thetigerinitiative.org/docs/tigerreport_informaticscompetencies.pdf

Use this website to acquire the informatics competencies as outlined by the TIGER collaborative. Useful links, resources, and learning objectives can be easily located, as they are categorized into the competencies of basic computer, information literacy, and information management.

Required Media

Laureate Education, Inc. (Executive Producer). (2011). Transforming nursing and healthcare through technology: Information systems and changing culture. Baltimore, MD: Author.

Note: The approximate length of this media piece is 7 minutes.

This week’s media presentation provides real-world examples of doctors, nurses, and general staff changing their standard methods and procedures to reap the benefits of new technology systems.

Optional Resources

Simpson, R. L. (2009). Innovations in transforming organizations. Nursing Administration Quarterly, 33(3), 268-272.

Stanton, M. P., & Barnett Lammon, C. A. (2008). The “wins” of change: Evaluating the impact of predicted changes on case management practice. Professional Case Management, 13(3), 161-168.

Szydlowski, S., & Smith, C. (2009). Perspectives from nurse leaders and chief information officers on health information technology implementation. Hospital Topics, 87(1), 3-9.Bottom of Form

Prepare a report that includes your findings and describes how these findings should influence the nursing care administered to laboring women representing these cultural groups. Complete your report in an APA format!

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Choose two cultural groups and investigate the manner in which members of the culture perceive and express pain. Use the literature, personal experience, and interviews to obtain the required information. Prepare a report that includes your findings and describes how these findings should influence the nursing care administered to laboring women representing these cultural groups. Complete your report in an APA format!

Outline how the study’s qualitative data collection and analysis did, or did not, promote rigor, provide scientific or systematic scaffolding, and/or generate a more thorough analysis of the research topic.

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Which method of research provides the best evidence for nursing practice? Is there a place for both quantitative and qualitative research in evidence-based practice? How do these research methods improve patient outcomes?

Return to and reflect on your thoughts and postings from Week 1’s Discussion on the respective characteristics, strengths, and limitations of quantitative and qualitative research. Consider the uses of each type of research in the health care field. Also reflect on the amount of quantitative versus qualitative research that exists in the health care field in particular. There is an impression among some researchers that qualitative research is inferior to, easier than, or not as rigorous as quantitative research.

In this Discussion, you consider the idea of rigor, or thoroughness and scope of study, with regard to qualitative research. You examine the methods of qualitative research outlined and recommended in this week’s Learning Resources and how they aim to create standards of rigor by which to assess qualitative studies. You also have the opportunity to assess an article of your choice in terms of rigor and recommended methods of qualitative data collection.

To prepare:

  • Consider      your readings about and understanding of quantitative and qualitative      research. If you had to choose, which type of research (quantitative or      qualitative) do you think is more rigorous and why? Do you think it is      useful to make such generalizations and comparisons?
  • Locate      an article describing a qualitative research study related to a health      care topic (see attached PDF).
  • Formulate      a research question to address the problem and that would lead you to      employ correlational statistics.
  • With      information from the Learning Resources in mind, critically analyze your      selected study. Ask yourself: How rigorous was the study in terms of the      researchers’ efforts, the data collected, and the conclusions drawn? What      might the researchers have done to improve the rigor?

By tomorrow Tuesday October 31, 2017 by 8 pm, write a minimum of 550 words essay in APA format with at least 3 references. Include the level one headings as numbered below:

Post a cohesive response that addresses the following:

1) Do you think there is one type of research (quantitative or qualitative) that is inherently more rigorous than the other? If so, identify which one and why. If not, discuss your reasoning.

2) Post a brief summary of your research article analysis and the correct APA citation for the article (See attached PDF).

3) Outline how the study’s qualitative data collection and analysis did, or did not, promote rigor, provide scientific or systematic scaffolding, and/or generate a more thorough analysis of the research topic.

Required Media

Laureate Education, Inc. (Executive Producer). (2011). Research methods for evidence-based practice: Qualitative research. Baltimore, MD: Author.

Note: The approximate length of this media piece is 9 minutes.

In this week’s video, the presenter discusses the purpose of qualitative research and explains how it differs from, yet complements, quantitative research.

Required Readings

Maidment, I. D., Aston, L., Moutela, T., Fox, C. G., & Hilton, A. (2017). A qualitative study exploring medication management in people with dementia living in the community and the potential role of the community pharmacist. Health Expectations, 20(5), 929-942. doi:10.1111/hex.12534 (See Attached PDF Article Citation)

Gray, J.R., Grove, S.K., & Sutherland, S. (2017). Burns and Grove’s the practice of nursing research: Appraisal, synthesis, and generation of evidence (8th ed.). St. Louis, MO: Saunders Elsevier.

Chapter 12, “Qualitative Research Methods” (pp. 251-274)

This section of Chapter 12 details key qualitative research data collection and analysis methods.

Bradley, E. H., Curry, L. A., & Devers, K. J. (2007). Qualitative data analysis for health services research: Developing taxonomy, themes, and theory. Health Services Research, 42(4), 1758–1772. doi:10.1111/j.1475-6773.2006.00684.x

This article outlines practical approaches to qualitative data with a specific emphasis on methods useful for generating taxonomy, themes, and theory with regard to the health care field.

Smith, J., & Firth, J. (2011). Qualitative data analysis: The framework approach. Nurse Researcher, 18(2), 52–62.

This article outlines the framework approach to qualitative data, in which researchers follow detailed objectives and goals to collect and manage data. This approach is in direct contrast to inductive approaches, including grounded theory, which allows for a more fluid qualitative research process governed by the nature of the data.

Optional Resources

Lockwood, C. (2008). Cochrane qualitative research methods group. Cochrane Database of Systematic Reviews, (4). http://ezp.waldenulibrary.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=chh&AN=CE000142&site=ehost-live&scope=site

Nicholls, D. (2009). Qualitative research: Part three—Methods. International Journal of Therapy & Rehabilitation, 16(12), 638–647.

Taylor-Powell, E., & Renner, M. (2003). Analyzing qualitative data. University of Wisconsin-Extension, Cooperative Extension. Retrieved from http://learningstore.uwex.edu/assets/pdfs/g3658-12.pdf

Vander Putten, J., & Nolen, A. (2010). Comparing results from constant comparative and computer software methods: A reflection about qualitative data analysis. Journal of Ethnographic & Qualitative Research, 5(2), 99–112.

Walden University. (n.d.). Collecting qualitative data. Retrieved August 1, 2011, from http://streaming.waldenu.edu/hdp/researchtutorials/educ8106_player/educ8106_collecting_qualitative_data.html

Walden University. (n.d.). Analyzing and interpreting qualitative data. Retrieved August 1, 2011, from http://streaming.waldenu.edu/hdp/researchtutorials/educ8106_player/educ8106_analyzing_and_interpreting_qualitative_data.html

Analyze the challenges Medicare faces in terms of improving access to care, quality of care, and reducing the cost of care.

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MMA was signed by President Bush in 2003. The MMA brought about sweeping changes that increased enrollment and improved access to Medicare Plans. Similarly, the PPACA was signed into law by President Obama in 2010. The law is expected to significantly increase access to Medicaid for the uninsured, low-income families, and individuals. Medicaid managed care has been implemented by most states, mainly because of rising costs, plan quality, access to providers, and the decrease in state revenues and federal matching funding. Medicare has explored managed care for the same reasons: to reduce costs, improve quality and improve access to providers. Using the South University Online Library or the Internet, research the following two topics and write a paper evaluating the impact of these policies on Medicare and Medicaid managed care.

You need to research on the following two topics:

  • Medicare and managed care
  • Medicaid and managed care

Based on your research, answer the following questions:

  • Write a summary for each topic tying together the information learned about that topic.
  • Analyze the challenges Medicaid faces in terms of improving access to care, quality of care, and reducing the cost of care.
  • Analyze the challenges Medicare faces in terms of improving access to care, quality of care, and reducing the cost of care.
  • Draw conclusions about the future of managed care in each program—will it grow or decline? What will be the challenges for success?
  • Select at least four reputable articles per topic that address the challenges facing Medicare and Medicaid managed care.

Based on your research, summarize your findings on the selected topics and compile your observations in a 5 page Microsoft Word document.

Support your responses with examples.

Cite any sources in APA format

How you create (or anticipate creating) an engaging or enriching learning environment, and specific activities or exercises to engage your students

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This week, you will develop your personal philosophy of teaching in a written statement, articulating your beliefs about important educational theories and practices. Your teaching philosophy should be based on what is meaningful to you in your approach to teaching.

Note: As your experiences and beliefs about teaching grow and change, your philosophy will also change. Therefore, at the end of this course, you will submit your revised teaching philosophy with a brief discussion of how your philosophy has changed or developed during this course.

There is no right or wrong way to write a personal teaching philosophy. However, for the purpose of this assignment, please follow the assignment guidelines below to connect your beliefs, goals, and strategies into a coherent approach to help students learn and grow.

Assignment Guidelines

Philosophy Paper Requirements

  • The paper should be 2–4 pages, typed in Times New Roman using 12-point font, and double-spaced with 1″ margins.
  • Use a first person narrative and present tense.
  • Write sincerely, uniquely, and memorably. Avoid clichés, jargon, and technical terms.
  • Include specific (not abstract) ideas, using 1–2 concrete examples, whether actual or anticipated experiences.
  • Show humility and mention students enthusiastically.
  • Include your conception of how learning occurs.
  • Communicate your goals as an instructor.
  • Include actual or anticipated teaching strategies and methods.
  • Include justification for why you teach (or anticipate teaching) the way you do.
  • Include a brief discussion of how your teaching (or anticipated teaching) facilitates student learning.
  • Include a conclusion.

To assist you in developing your teaching philosophy, you may choose to include any or all of the following:

  • Famous quotes
  • Your personal experiences as a learner
  • Your views of the educational system
  • Your interest in new types of teaching and learning
  • What you think students should expect from you as a teacher
  • How you know your goals for students are being met
  • How you create (or anticipate creating) an engaging or enriching learning environment, and specific activities or exercises to engage your students

What is your perception of this tension? Use the lecture and the topic readings to support your response.(Read the Introduction and Chapter 1 from Bioethics: A Primer for Christians)

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  This is a discussion post, about 250 words, tittle page not require In- text citation is required original work please, reference source.

QUESTION

The ethos of scientism and postmodernism has exacerbated the perceived philosophical and cultural tension between science and religion. What is your perception of this tension? Use the lecture and the topic readings to support your response.(Read the Introduction and Chapter 1 from Bioethics: A Primer for Christians)

Define the political economies of a low income & high income countries and describe how governments impact global public health, both positively and negatively? 

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Define the political economies of a low income & high income countries and describe how governments impact global public health, both positively and negatively?

maximum word : 500 but not less than 280

work should be with citation and reference:

no plagiarism 

I’m welling to pay 5$

I have attached some of our material that can help in understanding and completing the work

Describe this model. Identify two reasons why these groups are adopting this model.

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One model of leadership being adopted by many organizations, disciplines, and vocations is servant leadership. Describe this model. Identify two reasons why these groups are adopting this model.