Describe the science behind the use of selected EBP tools in the care of older adults.

Purpose: To describe the science behind the use of selected EBP tools in the care of older adults. This paper must be your own original work.  Do not collaborate with another student on this assignment. Please address all areas listed in each section below.  Please organize your paper with subheadings as noted below.   Select one of the following “Try This” tools from the www.ConsultGeriRN.org or https://hign.org/ web site: Modified Caregiver Strain Index (MCSI) Preparedness for Caregiving Scale Elder abuse assessment instrument (EAI) Alcohol abuse assessment and screening for older adults (SMAST-G) Mini-nutritional assessment (MNA) ·         Assessing and Managing Delirium in Persons with Dementia ·         Assessment of Fear of Falling in Older Adults: The Falls Efficacy Scale-International (FES-I) THESE ARE THE ONLY CHOICES FOR THIS ASSIGNMENT Introduction (10 points)   Identify the tool that you have selected to write about. Describe the tool’s length and purpose (i.e., ABC is a 20-item instrument that measures XYZ), how it is administered (self-administered, administered by RN, etc.), and how it is scored (i.e., the score is determined by summing the responses for each subscale). What setting is this tool designed for? (i.e. hospital, nursing home, home, or all settings). If there is a cut-point for “normal” versus “abnormal,” include this information.   Clinical Problem (30 points)   Discuss the clinical problem for which this tool was developed. You basically want to answer the question: “Why do we care about this issue?” Example: Suppose you have selected the Braden Scale. You will discuss the problem of pressure ulcers. What is the prevalence of pressure ulcers, how do pressure ulcers develop, what are the risk factors, how are they staged, why is it important to decrease the risk of developing pressure ulcers, why is it important to identify them at an early stage? Conclude this section with a brief discussion of how the Braden Scale addresses the problem. Answer the “so what?” question. Why is this tool important to people who might be at risk for or already have this problem?   The Science (40 points)   What is the evidence that supports the use of this tool? Search the literature for primary research studies, systematic reviews, and meta-analyses. Part I: Describe applicable studies published since 2012.  If there are many studies, select those which you believe are most important to this course. For example, if there were 3 studies conducted in the USA that were applicable and two studies in Peru, you should select the US studies as they are more applicable to what you are studying in this course. The page limit is 2000 words, so select studies judiciously. You must have at least THREE studies. Summarize each of the studies. Please be sure to read more than just the abstract.  Please make sure that your summary covers the pertinent points of the study. Please make sure that your summary is accurate. When you summarize make sure that you address the purpose of the study, the methodology of the study, the population used and the results. Part II: Are there any clinical guidelines that address the clinical problem and/or incorporate the use of this tool? Who wrote the guidelines and when? Summarize the guideline recommendations. Please be sure to read the entire guideline.  Please make sure that your summary includes all parts of the guideline. Does the guideline recommend the use of a standardized assessment tool? If so, which one? (note-it is OK if the guideline does not address the assessment tool that you chose, however, you do need to address this in your paper).

Describe an existing organization with which you have had personal experience and where you have either had direct access to a leader or have been able to observe a leader.

A. Organization Description  Describe an existing organization with which you have had personal experience and where you have either had direct access to a leader or have been able to observe a leader.  Describe the organization’s objectives. The organization can be a for-profit or a nonprofit business, and you may represent any level of the organization (e.g., the team, department, division, or whole) in your analysis. You must change the name of the organization and employee names. Provide a detailed discussion of the organization.  Discuss the history and background of the organization.  Discuss the vision and mission of the organization.  Discuss the purpose and objectives of the organization. Think of the goals, financial objectives, and strategic objectives of the organization. Provide citations where needed. A1.Leadership Practices In this section, you will provide specific descriptions of three leadership practices of the current leader. The current leader must be someone other than yourself. Provide specific examples that illustrate the practice. Clearly state the leader’s title and (fictitious) name. The leader analyzed in A1 will be the same leader analyzed in C1, C2, and C3. Write a separate paragraph on each of the three practices. Note: A leadership practice (or function) is different from a leadership theory. This section, A1, only discusses practice, not theory.   Example: One leadership practice of the CEO is to provide strategic leadership to the organization. In the performance of this responsibility, the CEO forms the organization’s vision and mission, while forming and implementing strategy. The value of strategic leadership is determining the organization’s direction by effectively managing the organization’s resources in pursuit of the organization’s vision. (This is a small draft of the leadership practice narrative. You are required to illustrate further how the individual performs the leadership responsibility and what value the responsibility provides to the organization).      A2. Effects of Current Leader on Culture In this section, discuss how the current leader of the organization has affected the culture based on his or her underlying beliefs, assumptions, and values. A leader’s values and beliefs shape the culture of an organization. Organizational culture is defined as the underlying beliefs, assumptions, values, and ways of interacting that contribute to the unique social and psychological environment of an organization. Describe how the leader has affected the organization’s culture in a positive or negative manner. Provide examples to support your analysis. B.SWOT Analysis In this section, conduct a SWOT analysis of the chosen organization. In this analysis please address the strengths, weaknesses, opportunities, and threats to the organization. Remember, strengths are positive, weaknesses are negative, opportunities are unmet, and threats are unresolved.   The SWOT Analysis should be at the same level of the organization used in the organization description from Section A (e.g., the team, department, division, or whole). B1. Current Strengths In this section, discuss two of the organization’s current strengths including specific details. Address how the strengths you identify have a positive impact on the organization. When assessing the strengths, think about the various functions such as finance, marketing, research and development, etc.  Write a separate paragraph for each of the two strengths.  B2.Current Weaknesses In this section, discuss two of the organization’s current weaknesses including specific details. Address how the weaknesses you identify have a negative impact on the organization. When assessing the weaknesses, think about the various functions such as finance, marketing, research and development, and so forth.   Write a separate paragraph for each of the two weaknesses.   B3.Current Opportunities In this section, discuss two of the organization’s current unmet opportunities, include specific details on how the opportunities have the potential to benefit or improve the organization.   When assessing the opportunities, think about the various areas of potential benefit or improvement for the organization such as technology, human resources, finance, marketing, and so forth.  Write a separate paragraph for each of the two opportunities. B4. Current Threats In this section, discuss two of the organization’s current unresolved threats. Include specific details on how the threats identified have the potential to threaten or harm the organization.   When assessing the threats, think about the various areas of potential threat or harm such as technology, competitors, finance, government, and so forth.   Write a separate paragraph for each of the two threats. C1. Leadership Evaluation In this section, perform a leadership analysis of your current leader’s top three strengths and weaknesses, and make three recommendations to improve his or her leadership effectiveness. Apply one theory to all three sections: C1, C2, and C3. The theory you choose should be different from the theory you chose in task one. Transformational leadership Note: It is highly recommended that you use at least three distinct and unique scholarly sources to support the scholarly Transformational leadership theory. C1. Strengths of the Current Leader In this section, discuss three strengths of your chosen leader, describing in detail how the three strengths you identified align with the chosen scholarly leadership theory. This section of the task requires scholarly research.   Provide specific examples to support each strength, and include at least one in-text citation using a scholarly source. Write a separate paragraph for each of the three strengths.   Note: A scholarly source could be a reputable journal, a published book, any source from a business leader or university faculty member. Scholarly sources also include any article or book in the WGU library. C2. Weaknesses of the Current Leader In this section, discuss three weaknesses of your chosen leader, describing in detail how the three weaknesses that you identified align with the chosen scholarly leadership theory.   This section of the task requires scholarly research. Use the same scholarly leadership theory you used in C1.  Provide specific examples to support each weaknesses, and include at least one in-text citation using a scholarly source. Write a separate paragraph for each of the three weaknesses.   C3. Recommendations for the Current Leader Now that you have evaluated the current leaders’ strengths and weaknesses, recommend three specific actions, behaviors, or practices that would improve the current leader’s effectiveness in leading people and organizations. The recommendations address the current leaders identified leadership weaknesses and align with the chosen scholarly leadership theory. This section of the task requires scholarly research. Use the same scholarly leadership theory you used in C1.   Provide specific examples to support each actionable item, and include at least one in-text citation using scholarly source. Write a separate paragraph for each of the three recommendations.  D. Sources (Reference Page) Your paper is required to include in-text citations that correlate to your reference page. All sources require a corresponding in-text citation and all in-text citations require a corresponding source on the reference page.

How might George better express his purpose (for example, is he missing information that should be included or did he include information that is unnecessary)?

I need to response to her and ask these questions George’s audience would be his teacher named Mr. Smith, because  that is the person whom he is writing the message to. The purpose of his message to his teacher, is to reach out to him for help with a certain assignment.  The first thing that George could have done was,  be more specific on which assignment he was referring to when asking for help.  Another thing George could try changing would be the use of bold letters and all capital letters because this could make the teacher feel as if he is being demanding and yelling at him to get his point across.  He also  stated that no one could keep him from being successful in life, which is great, but that had nothing to do with the teacher personally.  The teacher is there to help so Georges approach seemed as if he were taking his frustrations out on Mr. Smith.  This would  definitely be a case of  including unnecessary information.  He could improve his tone by not using bold or all capital letters, for this may come off as being aggressive. .  If George makes these few adjustments that i stated , this will help the teacher understand his question better and help him with a more  precise resolution.  How might George better express his purpose (for example, is he missing information that should be included or did he include information that is unnecessary)? How might George better connect with his audience? How might George improve his tone? Are there grammar or spelling errors that George could fix?

Discuss some of the advantages and disadvantages of this.

Regulatory Environment Explain how healthcare exchanges change the concept of outpatient treatment. Many clinical information systems now embed practice guidelines and clinical pathways into their electronic medical record systems. Discuss some of the advantages and disadvantages of this. Describe demand management and how it can increase consumer involvement in care. Compare and contrast disease management and case management. Reading and Resources -Search the site for US Department of Health and Human Services Hospital Compare and use the interactive database to compare and contrast health plans, hospitals, etc. How might you use this site with patients as a case manager? -Promoting health, wellness, and quality of life at the end of life: Hospice interdisciplinary perspectives on creating a good death. Journal of Allied Health, 43(4), 212-20. Annicka G M van der,Plas, Vissers, K. C., Francke, A. L., Donker, G. A., Jansen, W. J. J., Deliens, L., & Onwuteaka-Philipsen, B. (2015). Involvement of a case manager in palliative care reduces hospitalisations at the end of life in cancer patients; A mortality follow-back study in primary care.

Assess that same manager’s planning weaknesses using the assigned reading concepts/theory.

In this first week, we learned about how management theory has changed over time. We also briefly examined the four functions of management in preparation for more in-depth study in the weeks to come. Finally, we began an in-depth look at the function of planning including the different types of plans, the planning process, and the importance of planning to effective management. For this assignment: Compare the application of each of the four functions of management in terms of how it might be different 25 years ago, based on the evolution of management theory. Select a manager and assess his or her planning strengths based on assigned reading concepts/theory. Research can also be supplemented from (but not solely based on) other information from academically credible resources. Assess that same manager’s planning weaknesses using the assigned reading concepts/theory. Research can also be supplemented from (but not solely based on) other information from academically credible resources. Defend two or three recommendations for improving the manager’s performance in the functional area of planning based on the assessment of both strengths and weaknesses and the use of academically credible sources.    Submission Details: Based on your research, write succinct discussions of each of these items. Present your work as a 2–3-page report in a Microsoft Word document formatted in APA style. Support your responses with examples and research.  Cite any sources in APA format.

GRAPHS: Research Statistics and Graphs.

Need Rate Findings and Statics in Graph form of the Following from reliable source to establish the following (please cite source of statistics): 1. CRIMINAL JUSTICE:  a. arrest: graph showing that African Americans are much more likely to be arrested by police than White Americans (include hispanic and asian) b.  pleas: graph showing that African Americans are much more likely to take a plea bargain than White Americans (include hispanic and asian) c.  convictions: graph showing that African Americans are much more likely to be convicted of a criminal offense than White Americans (include hispanic and asian) d.  sentencing: graph showing that African Americans are much more likely receive a much longer and harsher sentence for the same crime than White Americans (include hispanic and asian) f.  race of jury: graph showing that African Americans are much more likely to be found guilty by a white jury than a black jury.   g.  police abuse: graph showing that African Americans are much more likely to be subjected to use of force by police during an arrest than White Americans (include hispanic and asian) 2.  ECONOMICS: a.  convictions: graph showing that African Americans unemployment rate is much higher than White Americans (include hispanic and asian) b.  income: graph showing that African Americans average income is much lower than White Americans (include hispanic and asian) c.  business ownership: graph showing that African American business ownership rate is much lower than White Americans (include hispanic and asian) d.  loans: graph showing that African Americans are less likely than White Americans to be approved for a loan (include hispanic and asian) e.  home ownership: graph showing that African Americans are less likely than White Americans to own a home (include hispanic and asian) f.  circulation of money in the community: graph showing that money is less likely to circulate within the African Americans community than the White Americans community (include hispanic and asian) 3.  REPARATIONS: a.  graph showing how much slavery contributed to the United States wealth, based on uncompensated slave labor during the time of slavery (based on todays value) 4.  VOTING: a.  graph showing the number of registered African American voters compared to white American voters (include hispanic and asian) b.  graph showing the number of African American voters who voted in presidential elections since Pres. Kennedy compared to white American voters 5.  FAMILY (fatherless means growing up in a one parent household): a.  graph showing the number of fatherless African American households during Jim Crow era  b.  graph showing the number of fatherless African American households during the 1980s c.  graph showing the number of fatherless African American households during the 1990s d.  graph showing the number of fatherless inmates

Evolution of Health Care Informatics and the Nurse’s Role.

Role & Strategies What role do nurses have in selecting and evaluating information systems within your work environment? What strategies facilitated implementation of the information system and/or what were the barriers to implementation? Read and watch the lecture resources & materials below early in the week to help you respond to the discussion questions and to complete your assignment(s). Read Nelson, R., & Staggers, N. (2014). Health informatics: An interprofessional approach. St. Louis, MO: Mosby. ISBN: 9780323402316 Chapter 1 Chapter 1 PPT.pptx Chapter 3 Chapter 3 PPT.pptx Chapter 6 Chapter_006.pptx Chapter 7 Chapter_007.pptx Online Materials & Resources Visit the CINAHL Complete under the A-to-Z Databases on the University Library’s website and locate the articles below: Parker, C. D. (2014). Nursing informatics leadership: Helping craft the profession’s future. Nursing 2014, 44(12), 23–24. Doran, D., Haynes, B. R., Estabrooks, C., Kushniruk, A., Dubrowski, A., Bajnok, I., et al. (2012). The role of organizational context and individual nurse characteristics in explaining variation in use of information technologies in evidence-based practice. Implementation Science, 7, 122. DOI: 10.1186/1748-5908-7-122 Explore/View the website(s) below: HRSA PRESS OFFICE. (2012, December). Affordable Care Act helps expand the use of health information technology | Official web site of the U.S. Health Resources & Services Administration. Retrieved from https://www.hrsa.gov/about/news/press-releases/2012-12-20-health-center-networks.html  (Links to an external site.) Informationweek. (2014, February 10). 3 Ways Affordable Care Act Can Empower Health IT – InformationWeek. Retrieved from https://www.informationweek.com/healthcare/leadership/3-ways-affordable-care-act—can-empower-health-it/d/d-id/1113758  (Links to an external site.) QSEN. (2019). Learning Module 4. Retrieved from http://qsen.org/faculty-resources/courses/learning-modules/module-four/  (Links to an external site.) Master Recerca Salut.