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1. Includes all cost issues in the development, implementation, and monitoring of this new matrix 2. Addresses recruitment and retention programs for and costs of this new matrix 3. Provides new nursing leadership philosophies to staff a healthcare facility 4. Explains the staffing approach in employing licensed versus non-licensed personnel 5. Describes the variables that you need to track in implementing the plan 6. Explains the anticipated positive and negative trends in implementing such a matrix

After reading Chapter 3 of the textbook respond to the following questions: 1. What is your understanding, in your own words, of a hierarchy of evidence? 2. What, using your own words, is the difference between quantitative and qualitative research designs? 3. With respect to the section of the chapter titled What Type of Research Designs Apply to What type of EBP Questions answer the following two questions: 1. Which of the following four categories (pick one) captures your interest? ? What factors best predict desirable and undesirable outcomes ? What can I learn about clients, service delivery, and targets of intervention from the experience of others ? What assessment tool should be used ? What intervention, program, or policy has the best effects 2. Why is this category of interest to you?

In this assignment, you will discuss how mandatory state nurse patient ratios or system-based staffing plans impact fiscal decisions. Many state legislatures are considering nursepatient ratios, which are mandatory, for staffing. Assume that you are working as a nursing leader in a healthcare facility. Your state hospital association has asked all the chief executive officers (CEOs) to provide written reports as to why this legislation would work or not work from a hospital nursing leadership perspective. You have been asked by your CEO to develop a response to this effect. To answer your CEO, you have been asked to work with all your nursing leaders to develop a response. How would you approach this? You need to provide reasons to the CEO for why this mandatory staffing issue would work or not work in your healthcare delivery system. Also, you must explain the variables that you would examine. Your response should include an analysis of staffing needs versus acuity needs (remember, acuity is going to become more complex). Your response should also show how you have accounted for greater reimbursement due to higher acuity and how this staffing pattern is going to impact nursing and operational budgets.

In this assignment, you will discuss how mandatory state nursepatient ratios or system-based staffing plans impact fiscal decisions. Many state legislatures are considering nursepatient ratios, which are mandatory, for staffing. Assume that you are working as a nursing leader in a healthcare facility. Your state hospital association has asked all the chief executive officers (CEOs) to provide written reports as to why this legislation would work or not work from a hospital nursing leadership perspective. You have been asked by your CEO to develop a response to this effect. To answer your CEO, you have been asked to work with all your nursing leaders to develop a response. How would you approach this? You need to provide reasons to the CEO for why this mandatory staffing issue would work or not work in your healthcare delivery system. Also, you must explain the variables that you would examine. Your response should include an analysis of staffing needs versus acuity needs (remember, acuity is going to become more complex). Your response should also show how you have accounted for greater reimbursement due to higher acuity and how this staffing pattern is going to impact nursing and operational budgets.

A quaint but well-established coffee shop, the Hot New Cafe, wants to build a new cafe for increased capacity. Expected sales are $800,000 for the first 5 years. Direct costs including labor and materials will be 50% of sales. Indirect costs are estimated at $100,000 a year. The cost of the building for the new cafe will be a total of $750,000, which will be depreciated straight line over the next 5 years. The firm’s marginal tax rate is 37%, and its cost of capital is 12%. For this assignment, you need to develop a capital budget. It is important to know what the cafe managers should consider within their capital budget. You must also define the key terms necessary to understand capital budgeting. In this assignment, please show all work, including formulae and calculations used to arrive at financial values. You must answer the following: Using the information in the assignment description: ?Prepare a capital budget for the Hot New Cafe with the net cash flows for this project over a 5-year period. ?Calculate the payback period (P/B) and the net present value (NPV) for the project. ?Answer the following questions based on your P/B and NPV calculations: ?Do you think the project should be accepted? Why? ?Define and describe Net Present Value (NPV) as it pertains to the new cafe. ?Define payback period. Assume the company has a P/B (payback) policy of not accepting projects with life of over 3 years. Do you think the project should be accepted? Why?

McGee Carpet and Trim installs carpets in commercial offices. Andrea McGee has been very concerned with the amount of time it took to complete several recent jobs. Some of her workers are very unreliable. A list of activities and their optimistic completion time, the most likely completion time, and the pessimistic completion time (all in days) for a new contract are provided in a given table. Following are the activities that are required to install the carpets in the offices: Activity 1: Measure office room dimensions Activity 2: Estimate cost Activity 3: Material requisition Activity 4: Workforce requisition Activity 5: Special tool requisition Activity 6: Installation Activity 7: Inspection and customer acceptance Activity 2 starts immediately after Activity 1. Activity 3, Activity 4, and Activity 5 start concurrently after Activity 2. Activity 6 does not start until after Activity 3, Activity 4, and Activity 5 are completed. The carpet installation project is complete after Activity 7 is completed. If OT = Optimistic Time, MT = Most Likely Time, and PT = Pessimistic Time, use a Program Evaluation Review Estimate (PERT) to compute the statistical time for each activity, as in the following table: Activities OT MT PT Activity 1 2 3 4 Activity 2 3 6 9 Activity 3 4 8 12 Activity 4 6 8 10 Activity 5 8 10 12 Activity 6 10 14 18 Activity 7 4 6 8 You must also do the following: Determine the expected completion time and the variance for each activity Determine the total project completion time and the critical path for the project Determine Early Start (ES), Early Finish (EF), Late Start (LS), and slack for each activity What is the probability that McGee Carpet and Trim will finish the project in 40 days or less? Define project management and the necessary requirements. Analyze implications of changes in project scheduling. Evaluate application of project management techniques in terms of the firm’s business operational goals and requirements.

Discuss the Puritan view of Native Americans during the King Philip War

References Das, S., & Kataria, V. (2010, July). Retrieved from Henderson, D. (1998). Bioterrorism as a Public Health Threat. Emerging Infectious Diseases, 4(3), 488-492. doi: McDade, J. E., & Franz, D. (1998). Bioterrorism as a public health threat. Emerging Infectious Diseases, 4(3), 493-494. doi: Pappas, G. (2009, May 27). Reclassifying bioterrorism risk: Are we preparing for the proper pathogens?

Create a 15 minute oral presentation (3-4) pages that examines the moral and ethical issues related to triaging patients in the emergency room. The situation is another hospital had an issue with two patients that were in an industrial accident, they arrived at the ER at the same time and presented with the same inhalation injuries. A lot of negative press was received about the hospital about the way the triage was handled. Supervising nurse would like you to do a presentation to avoid this type of situation in your facility. By reviewing practices, etc. at your facility. The specifics are: One is a 32 year old firefighter who is presenting with respiratory difficulties that he obtained while evacuating victim of an industrial accident. He is a married homeowner and father of two young boys. Lived in community all of his life and has full and comprehensive health insurance through his employer. The other patient is a 58 year old man, who is presenting with respiratory difficulties with the same intensity as the firefighter and is well known at the hospital emergency room, as he is a frequent visitor with various complaints, which include asthma, headaches, and tremors. He is homeless, unemployed and uninsured. He resides at the YMCA and eats lunch at the local soup kitchen. He has resided in the community for over 10 years and has been arrested several times for petty theft. Divide your draft into a number of talkin points that you can summarize neatly. Keep in mind that an oral presentation requires slightly different language than an essay. The aim is to communicate your message so keep sentences simple and focus on the key points you want to deliver. The following should be addressed in your presentation: Explain the health care policies and protocols that are in place that direct triage care in an emergency situation. Explain how health care disparities impact treatment decisions. Identify the health care policies that are in place that direct care for uninsured individuals. Is there a difference in how these individual are triaged? Describe the moral and ethical challenges nurses can face when following hospital policies and protocols. Is there a conflict when a severly injured person is also uninsured?

Read William Shakespeares The Merchant of Venice and then choose from one of the following topics to write about: 1. Who’s the Protagonist? Shakespeare’s Merchant of Venice is a difficult play in many ways, and one of those ways is the simple question: who is the protagonist of the play? Make your claim about which figure is this main, focal character, and tell us how you know. Be sure to support your argument with specific, well-analyzed examples from the play. 2. Shylock: Villain or Victim? In terms of the play’s plot, Shylock seems to be set up as a villain; there are, however, certain elements of the play itself that indicate that perhaps Shakespeare does not intend him to be understood only in the role of a villain. What do you think? Does Shakespeare intend us to read Shylock only as a bad guy, or is there more going on here? If you find yourself being sympathetic to Shylock, how much of your sympathy is due, do you think, to our different attitude nowadays toward religious difference? 3. Other Themes in The Merchant of Venice: It can be easy to focus entirely on the Shylock-Antonio conflict in The Merchant of Venice, but there are a number of other themes that come up, such as obedience to one’s parents, love and marriage, and friendship.