Identify a patient care situation and describe how nursing care, or approaches to decision-making, differ between the BSN-prepared nurse and the ADN nurse.
Discuss the importance of applying evidence-based practice to nursing care
The field of nursing has changed over time. In a 750-1,000 word paper, discuss nursing practice today by addressing the following:
Explain how nursing practice has changed over time and how this evolution has changed the scope of practice and the approach to treating the individual.
Compare and contrast the differentiated practice competencies between an associate and baccalaureate education in nursing. Explain how scope of practice changes between an associate and baccalaureate nurse.
Identify a patient care situation and describe how nursing care, or approaches to decision-making, differ between the BSN-prepared nurse and the ADN nurse.
Discuss the significance of applying evidence-based practice to nursing care and explain how the academic preparation of the RN-BSN nurse supports its application.
Discuss how nurses today communicate and collaborate with interdisciplinary teams and how this supports safer and more effective patient outcomes.
Prepare this assignment according to the guidelines found in the APA Style Guide,
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How would you go about getting buy-in for your proposed policy?
Develop a Change in Policy to Improve the Public’s Health-Nursing
Using a Health Policy Model to Develop a Change in Policy to Improve the Public’s Health
This assignment focuses on the methods to develop a change in policy to improve the public’s health by using a health policy model.
Tasks:
Suppose you want to initiate a policy of taxing sugared sodas/pop/beverages in your community. Use the Longest’s policy cycle model to ponder the following questions:
What arguments would you use to make the case for the policy?
What argument(s) would your opponents make?
How would you go about getting buy-in for your proposed policy?
What stakeholder groups need to be involved in promoting your policy?
Submission Details:
Submit your response in a 2-page Microsoft Word document (500 words).
Name your document SU_NSG4068_W1_Project_LastName_FirstInitial.doc.
Submit your document to the Submissions Area by the due date assigned.
Cite sources in the APA format on a separate page.
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THE UNCERTAINTY AND IMPLICATIONS OF BREXIT TO THE UK AND EU
Introduction
The Centre for Economic Performance (2016) points out that since the
United Kingdom referendum to withdraw from the European Union
predominantly referred to as ‘Brexit’, standard measures point toward a
substantial rise in uncertainty. Bloom (2009) describes uncertainty as
the incapability of economic agents, for instance, investors,
politicians or consumers to develop clear expectations as regards
forthcoming economic developments. Accordingly, in the context of the
United Kingdom’s vote to leave the EU, there is for example,
considerable uncertainty concerning the future arrangement of trade
relationships after Brexit has been effected. As such, Schwab (2016)
states that the financial consequences of the UK’s ‘leave ‘vote are
being experienced already. Additionally, there are high likelihoods of
these effects increasing once Article 50 of the Lisbon Treaty is
implemented. The Lisbon Treaty handles the withdrawal of a member state
from the EU (Schwab, 2016). Also, the Bank of England (2016) notes that
as a result of Brexit, there is a material slump in the prices of
certain euro-area risky assets, for instance, bank equities, where the
fall in prices is aggravated by concerns regarding the profitability of
some banks in the euro region. Besides, slower growth in the UK, as
viewed through the Bank of England (2016), could also weigh on export
growth in the euro region to some extent. Accordingly, this paper
analyses the uncertainty, as well as implications of Brexit to the
United Kingdom and the European Union.
The Uncertainty and Implications of Brexit to the UK and EU
The European Commission (2016) notes that the results of the
referendum to leave the EU which took place on the twenty-third of June
2016 have altered the settings for the way ahead. For instance, the vote
to withdraw from the EU has caused a considerable increase in
uncertainty, sudden exchange rate fluctuations and financial market
instability. Furthermore, Breinlich et al. (2016) assert that the
developments instigated by Brexit, including the rising uncertainty
brought about by what is likely to be a prolonged period of withdrawal
from the EU negotiations have the capacity to damage the recovery in the
European Union. Even so, the European Commission (2016) suggests that
while uncertainty is anticipated to fade away in the end, future changes
in the political, as well as economic relationships between the United
Kingdom and EU Member States might have an enduring effect on the medium
to long-lasting economic outlook. At the present moment, the economic
outlook, according to Fichtner et al. (2016) and the European Commission
(2016), is chiefly influenced by the uncertainty as a result of the
United Kingdom’s vote of withdrawal from the EU. Hence, without clear
information regarding the circumstances after the implementation of
Brexit, for instance, policy responses, the mobility of products, labour
and services, as well as trade patterns, it is hard to outline the ‘new
equilibrium’; and as such, it is difficult to specify the adjustment
path. Therefore, according to the European Commission (2016), this
indicates that the uncertainty shock might possibly develop quite
differently in terms of duration and dimension.
Also, as noted by the Bank of England (2016), the sterling ERI
(Exchange Rate Index) has slumped by nine per cent since the ‘leave’
vote on the twenty-third of June 2016 as shown in figure 1 below; and by
fifteen per cent since its peak in November 2015, having declined
against both the US dollar and the euro. As such, the Bank of England
(2016) reasons that in part, this could point to concerns that,
depending on the results of any upcoming negotiations, withdrawing from
the EU has the possibilities of reducing the competitiveness of the UK.
Nevertheless, there remains considerable uncertainty regarding the type
of the UK’s forthcoming trading engagements, as well as the implications
for competitiveness. As viewed through Walduck (2016) and the Bank of
England (2016), this has the probability of increasing the risk premium
needed by investors to hold sterling-denominated assets.
Figure 1: The Sharp Fall of the Sterling Exchange Rate after the Referendum
Source: Adapted from Bank of England (2016)
Following Brexit, the exchange rate has sharply dropped as shown in
figure 1 above, and as such, the outlook for growth in the
short-to-medium term has deteriorated significantly. Accordingly, the
plunge in the UK’s sterling pound has high chances of pushing up CPI
(Consumer Price Index) inflation in the near term (Bank of England,
2016; Acs, Szerb & Autio, 2016). The World Economic Forum (2016)
explains that in the actual economy, even though the unconvincing
medium-term outlook for activity to a great extent is a sign of a
downward review of the supply capacity of the economy, imminent weakness
in demand has the probability of opening up a margin of spare capacity,
together with a subsequent upsurge in unemployment. In line with this,
the Bank of England (2016) asserts that latest surveys of trade
activity, optimism, as well as confidence point to the likelihood of the
UK realising minimal growth in GDP (Gross Domestic Product) in the
second half of 2016.
Nevertheless, the European Commission (2016) states that in the case
of moderate uncertainty concerning Brexit, the vote has an inhibiting
impact on the growth of the economy for a limited period. On the other
side, a more bleak uncertainty shock would intensify the risk premium
and hence financing costs; and as such, encourage households to consider
precautionary savings (Centre for Economic Performance, 2016; European
Commission, 2016). Also, as a result of Brexit, other EU Member States
currently are directly affected because of the depreciating sterling
pound, and through reduced demand for products and services in the
United Kingdom; this has reduced their exports. In addition, Dhingra et
al. (2016) and European Commission (2016) suggest that the uncertainty
is also likely to affect consumption, as well as investment in the rest
of the European Union, although to a smaller level than in the UK.
Therefore, despite the fact that the effects of Brexit on
non-European Union economies are hard to deduce at the moment, the main
impact is likely the overall and broad-based growth in uncertainty both
economic and political, increasing risk aversion, as well as a resultant
flight to safety. As such, this could amplify upward pressures on
currencies considered to be ‘safe haven’ (for instance CHF, USD, JPY),
as well as weighing on business confidence and exports in several
developed economies such as Switzerland, Japan and the USA (Morgan.
2016; European Commission, 2016; Begg & Mushövel, 2016; Busch &
Matthes, 2016). Hence, Brexit is likely to affect not only the United
Kingdom but also the rest of the European Union economy through a
variety of transmission channels, primarily trade, uncertainty,
migration and investment. Overall, the heightened uncertainty in the
United Kingdom, as well as other EU Member States is likely to slow down
investment decisions either by causing their cancellation or by
delaying them, while waiting for uncertainty to diminish (European
Commission, 2016). Also, the Bank of England (2016) states that it has
been proven that increasing uncertainty about Brexit is causing delays
to key economic decisions that are turning out to be costly, and will be
difficult to reverse; including residential, as well as commercial real
estate businesses, and also trade investment. For that reason,
situation examination and determination of uncertainty shocks of diverse
severities reveal a decline in investment growth already in 2016, and
could get worse in 2017. According to the European Commission (2016),
these implications could be made worse should the uncertainty shock also
affect the financial system harshly and result in tougher credit supply
conditions. In addition, based on the duration and magnitude of the
uncertainty shock, the effect on investment might bring about recession
in the United Kingdom (Busch & Matthes, 2016; European Commission,
2016; Dhingra et al., 2016).
However, the Bank of England (2016) states that the MPC (Monetary
Policy Committee) has deliberated on a variety of monetary policy
devices, and also the support each one should provide to the United
Kingdom economy, and especially to businesses and households. The MPC is
mandated with supporting the economic policy of the UK government,
together with its objectives for employment, as well as growth.
Accordingly, the Bank of England (2016) notes that in an environment of
increased uncertainty, as well as low interest rates, making use of a
variety of tools would grow the effectiveness, and also the efficiency
of the monetary transmission mechanism, mitigating any uncertainty as
regards the supply, together with price of credit. Moreover, it would
reduce its cost, and improve supply. Furthermore, according to ECB
(2011), heightened uncertainty is able to have a direct impact on
consumption through encouraging families to raise their precautionary
savings, and postpone purchases. This pattern has been noted during
previous times of growing uncertainty. For example, during the sovereign
debt crunch, when consumers came to be unwilling to increase spending
or make major purchases (ECB, 2011). In addition, Balta,
Valdés-Fernández & Ruscher (2013) claim that increased uncertainty
is also able to impact consumption indirectly through its negative
effect on employment creation, as well as economic growth, which would
bring down the growth of disposable incomes more than they reduce
inflation. As such, the growth of household consumption is thus expected
to be lowered. Nonetheless, while the direction of these short-term
impacts is known, the magnitude of the effect depends on the size, as
well as the length of the uncertainty shock (Balta, Valdés-Fernández
& Ruscher, 2013).
Even so, as stated by European Commission (2016), despite the
uncertainty caused by Brexit, the past good record of employment growth,
high levels of consumer confidence, as well as increasing wages, still
moderate rates of inflation. Anderton et al. (2014) assert that
employment in the United Kingdom has also profited from structural
reforms effected after recovery from the global financial crisis of
2008. Additionally, in some EU Member States, for instance, the UK,
temporary fiscal measures appear to have supported the employment
growth. However, according to the Bank of England (2016), the increased
uncertainty due to Brexit is expected to weigh on the United Kingdom’s
domestic demand growth. Accordingly, through trade links, this could
lower activity growth elsewhere, for instance, in the rest of the
European Union region, and also the USA. As such, the Bank of England
(2016) explains that these developments could only to some extent be
offset by the support to spending growth from drops in the United
Kingdom, the European Union, as well as the USA regions.
Conclusion
To summarise, it has been noted that since the United Kingdom
referendum to withdraw from the European Union, standard measures
indicate a substantial increase in uncertainty. Moreover, it has been
stated that Brexit has high probabilities of affecting not only the
United Kingdom but also the rest of the EU economy through various
transmission channels, for instance, uncertainty, trade, investment, as
well as migration. In addition, it is evident that in the near term, the
major effect of Brexit is heightened uncertainty, both political and
economic. Accordingly, these issues are likely to slow investment growth
and private consumption, as well as affect foreign trade, primarily in
the United Kingdom; even though other EU Member States also are likely
to be adversely affected by Brexit. Also, Brexit has caused unexpected
exchange rate fluctuations, as well as financial market instability. As
such, the depreciation of the sterling pound is likely to push up CPI
inflation in the near term. Additionally, depending on the outcomes of
any forthcoming negotiations, Brexit has chances of plummeting the
competitiveness of the United Kingdom. The depreciating sterling pound
is directly affecting the EU Member States through lowered demand for
products and services, which has reduced exports. Furthermore, based on
the intensity and length of the uncertainty shock, the impact on
investment may result in recession in the UK. Besides, the heightened
uncertainty can also influence consumption indirectly through its
negative impact on employment creation and economic growth, which might
reduce the growth of disposable incomes, and encourage families to
increase their precautionary savings, and suspend purchases. Finally, in
spite of the uncertainty brought about by Brexit, the previous
commendable record of employment growth, improved levels of consumer
confidence, and rising wages, still moderate inflation rates in the
United Kingdom.
References
Acs, Z. J., Szerb, L., & Autio, E. (2016). The Global
Entrepreneurship and Development Index. In Global Entrepreneurship and
Development Index 2015, 2(1), 11-31.
Anderton R., T. Aranki, B.Bonthuis & V. Jarvis (2014).
‘Disaggregating Okun’s Law. Decomposing the Impact of The Expenditure
Components of GDP On Euro Area Unemployment’. ECB Working Paper, 13(5),
17-47.
Balta, N., Valdés-Fernández, I. & E. Ruscher (2013). ‘Assessing
The Impact of Uncertainty on Consumption and Investment’. Quarterly
Report on the Euro Area (European Commission – DG ECFIN), 12(2), 6-18.
Bank of England. (2016). Inflation Report, August 2016. Available at http://www.bankofengland.co.uk/publications/Documents/inflationreport/2016/aug.pdf
Begg, I., & Mushövel, F. (2016). The Economic Impact of Brexit:
Jobs, Growth and The Public Finances, London: European Institute, London
School of Economics.
Bloom, N. (2009). ‘The Impact of Uncertainty Shocks’. Econometrica 77(3), 625–683.
Breinlich, H., S. Dhingra, T. Sampson, & J. van Reenen. (2016).
“Who Bears the Pain? How the Costs of Brexit Would Be Distributed across
Income Groups.” In Brexit 2016: Policy Analysis from the Centre for
Economic Performance, CEP. London: London School of Economics and
Political Science.
Busch, B., & Matthes, J. (2016). Brexit–The Economic Impact. A Meta-Analysis, IW-Report, 2(1), (10-22).
Centre for Economic Performance. (2016). Brexit 2016: Policy Analysis
from the Centre for Economic Performance. London: The London School of
Economics and Political Science.
Dhingra, S., Ottaviano, G., Sampson, T., & Van Reenen, J. (2016).
The Impact of Brexit on Foreign Investment in the UK. Centre for
Economic Performance (CEP), London School of Economics and Political
Science (LSE), 15(4), 4-21.
European Commission. (2016). “The Economic Outlook after the UK
Referendum: A First Assessment for the Euro Area and the EU.” European
Economy Institutional Paper 032, (6-13), Luxembourg: Publications Office
of the European Union. Available at http://ec.europa.eu/economy_finance/publications/eeip/pdf/ip032_en.pdf
Fichtner, F. et al. (2016). ‘Brexit Decision is Likely to Reduce
Growth in the Short Term’. DIW Economic Bulletin, 26(6), 301–317.
Morgan. (2016). “Treasury to ‘Guarantee’ Post-Brexit Funding for EU Research Projects,” August 13, Times Higher Education. https://www.timeshighereducation.com/news/treasury-guarantee-postbrexit-funding-eu-research-projects
Schwab, K. (2016), The Global Competitiveness Report 2016–2017, Insight Report, Geneva: World Economic Forum.
Walduck, R. (2016). Assessing the Competitiveness of the UK | KPMG | UK. [online] Home.kpmg.com. Available at: https://home.kpmg.com/uk/en/home/insights/2016/03/the-home-for-business-assessing-the-competitiveness-of-the-uk.html
World Economic Forum, (2016). “The Global Competitiveness Index
rankings and 2016–2017 comparisons”, Geneva: World Economic Forum.
Explain how multiculturalism and diversity can impact health care delivery or patient outcomes.
Nursing homework task-assessment 3 class 4
Write a 3 page executive summary that examines an organization’s diversity policies and practices.
Becoming a nursing leader requires a good deal of thought, consideration, and evaluation of the qualities you believe are essential for a nurse to effectively lead in the delivery of health care.
Multiculturalism and Diversity
Multiculturalism and diversity are significant factors in U.S. society, impacting all organizations; but in health care, the impact has significant consequences that can be seen in quality of care and patient outcomes. Due to constantly changing demographics, nursing leaders must remain vigilant when monitoring the impact of multiculturalism and diversity within their organizations and the communities served by the organizations. The multiple stakeholders affected by a multicultural and diverse workforce include patients, families, communities, system partnerships, et cetera. Nursing leaders must incorporate approaches that are inclusive and respectful of all stakeholders in the health care workforce, patient population, and the larger community that is served by the organization.
Preparation
To prepare for this assessment, use the Internet to study the impact of health system’s power structure on nursing, leadership, diversity related to empowerment in nursing and patient outcomes, and recruitment of a diverse workforce. You may also wish to look for examples of an executive summary on the Internet.
· Identify a type of health care facility and examine the Web site and available public information to review the organization of the nursing department, nursing recruitment, and any information about the diversity of the system’s workforce and leadership.
. You may use the health care setting in which you currently work or have worked in the past.
. Describe the type of organization and region. Example: a major Midwestern teaching hospital or a rehabilitation hospital on the East Coast.
. Do not report the name of the facility.
Deliverable: Executive Summary of Organizational Diversity
Read the following scenario:
Scenario:
The city in which you work has undergone a significant population shift within the last 10 years, due to increased employment, education opportunities, and an influx of immigrants and refugees. To put the population shift in perspective, the local school district enrollment report states that nearly 100 languages are spoken in the schools, up from 32 languages in the last census. Senior leadership has asked you to examine all types of multiculturalism and diversity within your health care organization.
To do this, you will need to use a systems perspective to examine the relationship between a diverse workforce and patient outcomes; identify gaps between best practices and the organization’s diversity policies, and make a recommendation for organizational change.
In the executive summary:
· Analyze the impact of a diverse workforce on patient outcomes.
. In what ways or situations might multiculturalism and diversity impact health care delivery or patient outcomes?
. How is diversity defined in the organization?
· Analyze how the health care system integrates diversity and multiculturalism into its practices.
. Is the makeup of the organization’s leadership representative of the patient and employee populations? Is this important? What would you change?
. Explain how multiculturalism and diversity can impact health care delivery or patient outcomes.
· Analyze current recruitment and retention policies to identify gaps between best practices and current policies.
· Assess the level of integration and importance of multiculturalism and diversity in a health care organization.
. Are all types of diversity recognized and included?
. Provide support for your position by including 2 or 3 examples of the integration of multiculturalism and diversity into the organization.
· Recommend evidence-based changes to the organizational structure and systems leadership that empower a diverse workforce.
. What changes would you champion as a health care leader to make the system more responsive to patients and the organization’s workforce?
Make your document easy to scan for readers by:
· Using subheadings to organize content.
· Using bullet points and phrases for main points, in addition to short, succinct paragraphs.
· Including a visual, such as a graph, table, or chart.
Additional Requirements
· Written communication: Written communication should be free of errors that distract from the overall message.
· APA formatting: Resources and in-text citations should be formatted according to current APA style and formatting.
· Font and font size: Times New Roman, 12 point, double-spaced.
· Length: Summary report should be 3 pages.
· Number of resources: Use a minimum of three peer-reviewed resources.
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Now that you’ve selected the goal you want to accomplish in your strategic management plan, it’s time to start budgeting out the costs that will be involved with its implementation. This assignment will require you to create an operating budget that takes into account the strategies and choices you’ve already made in previous sections of the course project. It’s important that you carefully consider exactly what you’ll have to spend money on in order to successfully complete your goal. The numbers will be very general estimates, but you’ll need to show the ability to accurately identify the major costs. The categories and subcategories for the budget should cover most if not all of the new expenses that will be present. This assignment should be at least two pages in length and complete the following:
Goal Choice
Clearly identify your chosen goal in an introductory paragraph.
Operating Budget
Create an operating budget for your goal.
The budget should include common categories and subcategories such as general operations, HR, marketing, miscellaneous expenses, etc.
Include all major expenses required for the goal. Common expenses include salaries, marketing channels, and inventory.
Connect the costs/categories that you’re considering to your already created marketing, management, and HR strategies discussed in earlier portions of the project.
Capital Budget
Identify two long-term assets from the capital budget that will play a role in the completion of your goal. These can be new purchases or existing assets.
For this DB, you will need to focus on only one of the three topics, either counseling people of the Hispanic/Latino culture or Asian descent (presented in module 7) or addressing spirituality and religious diversity (this module 8).
After reading and reviewing the material in the Reading & Study folders for Modules/Weeks 7 and 8, reflect and respond thoughtfully to one of the following prompts:
Prompt 1: What are some elements about the Hispanic/Latino culture that you have learned from the reading and video presentation that you will incorporate when counseling people of Hispanic/Latino population? Also, consider your ethnic/cultural background and discuss some potential challenges you might face when counseling people of the Hispanic/Latino culture? Be sure to support your argument with sources.
Prompt 2: What are some elements about the Asian culture that you have learned from the reading and video presentation that you will incorporate when counseling people of Asian descent? Also, consider your ethnic/cultural background and discuss some potential challenges you might face when counseling people of the Asian descent? Be sure to support your argument with sources.
Prompt 3: What are 3 themes that stand out in helping you understand spirituality and religious diversity better? Discuss some important considerations and potential challenges when integrating a Christian worldview in counseling. Be sure to support your argument with sources.
Strategic planning is essential in the sustainability of all healthcare organizations. Outline the processes, or steps, involved in the strategic planning process and continual monitoring of the internal and external environment. Provide a substantive 150 to 250 word initial post that fully answers the following questions:
Discuss how strategic planning is a dynamic, verses linear, process. Why is this important?
What roles, if any, do quality and information technology play in an organization’s strategic direction?
Utilize at least one scholarly source, cited in correct APA format that supports factual statements and conclusions about the topic. Review several of your classmates’ posts. Provide a substantive response to at least two of your peers by Day 7.
