Write a page covering the questions below:

The company culture can have a positive or negative impact on project cost estimates. This can impact how the company evaluates project risk.

1. Provide an example of how company culture can impact the project cost estimate and how cost estimation is impacted by project risk.

When developing cost estimates generally project managers have prior projects that they have valued for development estimates.

2. Research 3 companies and determine how the business could develop cost estimates for a specific product or service that they offer and discuss whether this would impact their project outcomes.

Please be sure to validate your opinions and ideas with citations and references in APA format.

Discussion Question Week #1

·         Discover which agencies, in your state, are responsible for public health of citizens.

·         Research if there are centralized or decentralized management of state responsibilities?

·         Determine minimum 3 key indicators of health.

( my state is Florida )

” CAPELLA UNIVERSITY NHS-FP5004 – Collaboration, Communication, and Case Analysisfor Master’sLearners Assessment 1 Scenario Use the following scenario as a basis to complete Assessment 1. Imagine that you work in a health care facility and your boss has just stopped by your office and says the following: Hi, I just have a couple of minutes – please forgive me for stopping in without advanced notice. One of the results of a recent employee survey at Lakeland Clinic indicates we have some issues to address. The data show 75% of the employees have concerns about at least one of the following: diversity issues, workplace incivility, and poor work-life balance. Senior leadership has asked me how I plan to respond, and my first inclination is to put you in charge of assembling a team to address one of the issues. You have demonstrated effective organizational and communication on other projects and I think you will be a great asset as we move forward. I have to run right now, but I’ll send you an email with more information before I leave today. See you later! Subsequent Email: Thanks for talking with me this morning. I just want you to know that this is really a great opportunity for you. I know you have been interested in taking steps to becoming a leader in this organization and now it’s time to realize your potential. As you know we opened the Lakeland Medical Clinic to serve area residents who were unable or unwilling to use the services offered at the main hospital. The first two months of operation saw strong patient volume. Since then, the numbers have dropped off dramatically. This prompted leadership to start asking some questions, which lead to the internal survey that I mentioned yesterday. I just met with leadership and they determined that the priority right now is the diversity issue because we have the opportunity to improve outcomes for both employees and the community. This is part of an e-mail I got from the clinic director last week: “…after careful examination of all aspects of the organization and talking with some neighborhood leaders we have concluded that residents in the community do not feel comfortable coming to the clinic. It seems the staff are lacking the ability to develop a trusting relationship with the residents primarily because they do not understand the cultural values and norms. The neighborhood residents, which you know are predominantly Haitian, often feel their beliefs, values, and health practices are notunderstood. 1             ” CAPELLA UNIVERSITY When staff members were hired, we only considered their past work experiences, education and potential. We may have failed to fully consider their ability to work with diverse populations.“ Hopefully the information gives you a better understanding of the issues to be addressed. Time to get started as things need to move quickly. I want you to assemble a committee to clearly define the problem and ultimately provide guidance on solutions. Before introducing you to the clinic director and executive team, I want to review your approach specific to leadership style and collaboration. I want two things from you in a written document. The first part is just for me, but the second part I intend to share with the clinic director. First, identify and describe a leader you would choose to lead a project like this and explain why. It can be anyone that is qualified, even someone famous. Your choice will tell me a lot about your leadership approach and priorities. Next, select one of the characteristics that make them successful and compare it against your leadership skills. The second item is related to leading and fostering teamwork and collaboration among a group of interdisciplinary professionals. We are looking for 4–6 members to serve on a committee who will be considering the diversity issue and ultimately making a recommendation on how to address it. I want you to: • Describe your role and approach to leading the group. How will you lead and communicate? Will you be an authoritative, collaborative, democratic, servant, or transformational type of leader? Analyze the strengths and weaknesses of your approach in the context of this project. • Describe how you would facilitate collaboration to maximize team effectiveness. You might consider: o Communication technologies. o Practices (accountability, decision making, delegating). o Techniques for sharing information and ideas. o Any others ideas you might have. Remember this information will be shared with the clinic director so keep it clear, focused, and professional. Creativity is important; however, we want to be sure that your ideas and approaches align with current health care organization trends and practices, so include references from current academic or professional resources to support your points. I have confidence in you! Lynnette

Assessment 1 Write a 3–4 page letter in which you analyze your leadership skills and how you would use them to lead a project requiring group collaboration. Assessments 1 and 2 are scenario-based, so you must complete them in the order in which they are presented. Leadership is an integral element in any job, regardless of the work title. However, it is important to recognize that leadership is not just one single skill; instead, success in leadership depends on a broad range of skills, among them decision making, collaboration, and communication. By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria: Competency 1: Apply qualities, skills and practices used by effective healthcare leaders.  Describe the leadership qualities desirable for the proposed project.   Compare one’s own leadership skills against those of a chosen health care leader. Explain one’s role as project leader, using approaches from a selected leadership model. Competency 2: Apply practices that facilitate effective interprofessional collaboration.  Describe an approach to effectively facilitate collaboration among a professional team. Competency 4: Produce clear, coherent, and professional written work, in accordance with Capella’s writing standards.  Address assignment purpose in a well-organized text, incorporating appropriate evidence and tone in grammatically sound sentences.

Required Resources The following resources are required to complete the assessment. Assessment 1 Scenario [PDF]. Letter Template [DOCX].  Required Resources The following resources are required to complete the assessment. Assessment 1 Scenario [PDF]. Letter Template [DOCX].  SHOW LESS Suggested Resources The resources provided here are optional. You may use other resources of your choice to prepare for this assessment; however, you will need to ensure that they are appropriate, credible, and valid. The NHS-FP5004 – Collaboration, Communication, and Case Analysis for Health Care Master’s Learners Library Guide can help direct your research, and the Supplemental Resources and Research Resources, both linked from the left navigation menu in your courseroom, provide additional resources to help support you. Assessment Example Assessment 1 Example [PDF].  Leadership Read the following resources on leadership characteristics and styles: Cote, R. (2017). Vision of effective leadership. Journal of Leadership, Accountability and Ethics, 14(4), 52–63.  Delmatoff, J., & Lazarus, I. R. (2014). The most effective leadership style for the new landscape of healthcare. Journal of Healthcare Management, 59(4), 245?249.  Eriksen, M., & Cooper, K. (2018). On developing responsible leaders. The Journal of Management Development, 37(6), 470–479. Hewes, R. (2017). Top ten traits of effective leaders. Retrieved from http://www.amanet.org/training/articles/top-ten-traits-of-great-leaders.aspx Reed, S. (2017). Five key attributes of leadership. Health Care Registration, 26(12), 4–7.  The textbook references below provide additional background. Rubino, L. G., Esparza, S. J., & Reid Chassiakos, Y. S. (2020). New leadership for today’s health care professionals: Concepts and cases (2nd ed.). Burlington, MA: Jones & Bartlett Learning. Available in the courseroom via the VitalSource Bookshelf link.  Chapter 1, “A Call for New Leadership in Health Care.” View Leadership Self-Assessment.  This self-assessment instrument will help you better understand your own leadership style, which is your perception of how leadership should be. Awareness of your style and recognition of the styles of others can help you more effectively strategize how you perform your leadership duties and how you manage situations from a leadership position.  Collaboration Working together is essential to meet the demands of health care.  Professionals must collaborate, share ideas, and look for ways to continually improve quality and safety.   Embree, J. L., Wagnes, L., Hendricks, S., LaMothe, J., Halstead, J., & Wright, L. (2018). Empowering nurses to lead interprofessional collaborative practice environments through a nurse leadership institute. The Journal of Continuing Education in Nursing, 49(2), 61–71.  Okpala, P. (2018). Balancing quality healthcare services and costs through collaborative leadership. Journal of Healthcare Management63(6), E148–E157.   NHS Learner Success Lab The NHS Learner Success Lab is a Capella resource specifically created for learners in NHS programs. It allows you to access degree-specific content and use the academic resources that are tied to learner success. It is also the place where you are encouraged to: Discover the key learner success resources offered by the Capella Writing Center and Career Center. Take time to view Videos for Success, such as Time Management, and Commencement. View the Learner Success Blogs written by learners, faculty, and staff for helpful tips. Participate in Capella community building and collaboration with peers.  All learners in your program have direct access to the NHS Learner Success Lab through links in first course courseroom. While these resources have been developed specifically to support and engage first course learners, this resource will be accessible and beneficial throughout your academic journey.

Preparation Read the Assessment 1 Scenario found in the Resources. Information in your assessment should be based on information from the scenario.   Instructions Develop a professional response to the supervisor using the template provided. The letter will have two main components: Identify the qualities of a successful leader and compare them to your own leadership characteristics. Make recommendations on how to lead and foster teamwork.  Please refer to the scoring guide for details on how you your assessment will be evaluated. Submission Requirements Your letter should be 3–4 double-spaced pages in length. Apply correct APA formatting to all in-text citations and references. Use Times New Roman, 12-point font. Express your main points, arguments, and conclusions coherently. Use correct grammar and mechanics. Support your claims, arguments, and conclusions with credible evidence from 2–3 current, scholarly or professional sources. Proofread your writing.  Please refer to the scoring guide for details on how you your assessment will be evaluated. Notes: You are encouraged to review the performance level descriptions for each criterion to see how your work will be assessed.  Your instructor may use the Writing Feedback Tool when grading this assignment. The Writing Feedback Tool is designed to provide you with guidance and resources to develop your writing based on five core skills. You will find writing feedback in the Scoring Guide for the assessment, once your work has been evaluated.

Discussion: Discussion: Patient Preferences and Decision Making

Changes in culture and technology have resulted in patient populations that are often well informed and educated, even before consulting or considering a healthcare need delivered by a health professional. Fueled by this, health professionals are increasingly involving patients in treatment decisions. However, this often comes with challenges, as illnesses and treatments can become complex.

What has your experience been with patient involvement in treatment or healthcare decisions?

In this Discussion, you will share your experiences and consider the impact of patient involvement (or lack of involvement). You will also consider the use of a patient decision aid to inform best practices for patient care and healthcare decision making.

To Prepare:

Review the Resources and reflect on a time when you experienced a patient being brought into (or not being brought into) a decision regarding their treatment plan.

Review the Ottawa Hospital Research Institute’s Decision Aids Inventory at https://decisionaid.ohri.ca/.

Choose “For Specific Conditions,” then Browse an alphabetical listing of decision aids by health topic.

NOTE: To ensure compliance with HIPAA rules, please DO NOT use the patient’s real name or any information that might identify the patient or organization/practice.

By Day 3 of Week 11

Post a brief description of the situation you experienced and explain how incorporating or not incorporating patient preferences and values impacted the outcome of their treatment plan. Be specific and provide examples. Then, explain how including patient preferences and values might impact the trajectory of the situation and how these were reflected in the treatment plan. Finally, explain the value of the patient decision aid you selected and how it might contribute to effective decision making, both in general and in the experience you described. Describe how you might use this decision aid inventory in your professional practice or personal life.

By Day 6 of Week 11

Rubric Detail

Select Grid View or List View to change the rubric’s layout.

Name: NURS_6052_Module06_Week11_Discussion_Rubric

Grid View

List View

ExcellentGoodFairPoorMain Posting45 (45%) – 50 (50%)Answers all parts of the discussion question(s) expectations with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources.

Supported by at least three current, credible sources.

Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.40 (40%) – 44 (44%)Responds to the discussion question(s) and is reflective with critical analysis and synthesis of knowledge gained from the course readings for the module.

At least 75% of post has exceptional depth and breadth.

Supported by at least three credible sources.

Written clearly and concisely with one or no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.35 (35%) – 39 (39%)Responds to some of the discussion question(s).

One or two criteria are not addressed or are superficially addressed.

Is somewhat lacking reflection and critical analysis and synthesis.

Somewhat represents knowledge gained from the course readings for the module.

Post is cited with two credible sources.

Written somewhat concisely; may contain more than two spelling or grammatical errors.

Contains some APA formatting errors.0 (0%) – 34 (34%)Does not respond to the discussion question(s) adequately.

Lacks depth or superficially addresses criteria.

Lacks reflection and critical analysis and synthesis.

Does not represent knowledge gained from the course readings for the module.

Contains only one or no credible sources.

Not written clearly or concisely.

Contains more than two spelling or grammatical errors.

Does not adhere to current APA manual writing rules and style.Main Post: Timeliness10 (10%) – 10 (10%)Posts main post by day 3.0 (0%) – 0 (0%)0 (0%) – 0 (0%)0 (0%) – 0 (0%)Does not post by day 3.First Response17 (17%) – 18 (18%)Response exhibits synthesis, critical thinking, and application to practice settings.

Responds fully to questions posed by faculty.

Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.

Demonstrates synthesis and understanding of learning objectives.

Communication is professional and respectful to colleagues.

Responses to faculty questions are fully answered, if posed.

Response is effectively written in standard, edited English.15 (15%) – 16 (16%)Response exhibits critical thinking and application to practice settings.

Communication is professional and respectful to colleagues.

Responses to faculty questions are answered, if posed.

Provides clear, concise opinions and ideas that are supported by two or more credible sources.

Response is effectively written in standard, edited English.13 (13%) – 14 (14%)Response is on topic and may have some depth.

Responses posted in the discussion may lack effective professional communication.

Responses to faculty questions are somewhat answered, if posed.

Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.0 (0%) – 12 (12%)Response may not be on topic and lacks depth.

Responses posted in the discussion lack effective professional communication.

Responses to faculty questions are missing.

No credible sources are cited.Second Response16 (16%) – 17 (17%)Response exhibits synthesis, critical thinking, and application to practice settings.

Responds fully to questions posed by faculty.

Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.

Demonstrates synthesis and understanding of learning objectives.

Communication is professional and respectful to colleagues.

Responses to faculty questions are fully answered, if posed.

Response is effectively written in standard, edited English.14 (14%) – 15 (15%)Response exhibits critical thinking and application to practice settings.

Communication is professional and respectful to colleagues.

Responses to faculty questions are answered, if posed.

Provides clear, concise opinions and ideas that are supported by two or more credible sources.

Response is effectively written in standard, edited English.12 (12%) – 13 (13%)Response is on topic and may have some depth.

Responses posted in the discussion may lack effective professional communication.

Responses to faculty questions are somewhat answered, if posed.

Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.0 (0%) – 11 (11%)Response may not be on topic and lacks depth.

Responses posted in the discussion lack effective professional communication.

Responses to faculty questions are missing.

No credible sources are cited.Participation5 (5%) – 5 (5%)Meets requirements for participation by posting on three different days.0 (0%) – 0 (0%)0 (0%) – 0 (0%)0 (0%) – 0 (0%)Does not meet requirements for participation by posting on 3 different days.Total Points: 100

Select four (4) of the following questions and answer each in an essay format. Please be sure to include an introduction and a conclusion for the assignment.

What is the difference between a muscle’s origin and its insertion? How are the muscles of facial expression different from most other muscles?

How do respiratory muscles function to produce breathing?

What are the rotator cuff muscles? What are the functions of the rotator cuff?

Describe the structural and functional relationship between neurons and skeletal muscle fibers. What is an action potential and which ions are involved?

How does a muscle fiber generate tension through crossbridge cycling and why does an increase in calcium ions cause muscle contraction?

Compare and contrast three types of muscle contraction. How does a muscle fiber change with endurance training, resistance training, and disuse?

Assignment Expectations

Length: 750 – 1250 words

Structure: Include a title page and reference page in APA style. These do not count towards the minimal word amount for this assignment.

References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least two (2) scholarly sources to support your claims.

 

Objective

The purpose of this discussion is to review assessment techniques, identify subjective and objective information related to a focused system, and introduce clinical reasoning. Please read through the entire discussion instructions and example posts prior to your initial post as you will be building on the responses of your peers.

Report to the virtual clinic and select ONE of the occupied exam rooms. Note that each exam room has its own thread for discussion. Read the chief complaint and review any information already shared by your peers to build on the identified patient case. Identify one additional unique health history or subjective symptom as well as one objective exam finding. Provide scholarly support to discuss the physical assessment technique used to identify the objective finding and compare and contrast characteristics of normal and abnormal findings. Each student will copy and paste the most recent developing case to build upon their initial post. Please do not copy the scholarly support. See Example.

Your initial post should include evidence of review of the course material, websites, and literature through proper citations using APA format.

Virtual Clinic Exam Rooms

Room 1: 16yo Raena Regis reports history of headache

Room 2: 35yo Rhoda Regis reports right wrist pain

Room 3: 73yo Renata Regis reports general achiness

(See Response Post Instructions and Example before beginning the Discussion.)

Response Posts

Return to the virtual clinic and select TWO of the occupied exam rooms. Review the documented subjective and objective history. Provide scholarly support to identify a differential diagnosis based on the reported findings. Include additional subjective or objective data that would support this diagnosis.

Example – Shows a developing case and does not include required scholarly support

Initial Post:

Room 1: 72yo Ralph Regis reports intermittent abdominal pain

Student 1:

HPI: 72yo Ralph Regis reports intermittent abdominal pain localized to the LLQ

PE: T-99.8; BP 148/86, P-84, R-16

Student 2:

HPI: 72yo Ralph Regis reports intermittent aching abdominal pain rated 5/10 localized to the LLQ

PE: T-99.8; BP 148/86, P-84, R-16

ABD: Bowel sounds active

Student 3:

HPI: 72yo Ralph Regis reports aching intermittent abdominal pain rated 5/10 localized to the LLQ. Pain started three days ago after eating popcorn.

PE: T-99.8; BP 148/86, P-84, R-16

ABD: Bowel sounds active; abdomen soft with tenderness to palpation in LLQ

Student 4:

HPI: 72yo Ralph Regis reports aching intermittent abdominal pain rated 5/10 localized to the LLQ. . Pain started three days ago after eating popcorn. Last BM two days ago.

PE: T-99.8; BP 148/86, P-84, R-16

ABD: Bowel sounds active; abdomen soft with tenderness to palpation in LLQ; LLQ dull to percussion

CASE STUDY: An Older Immigrant Couple: Mr. and Mrs. Arahan Mr. and Mrs. Arahan, an older couple in their seventies, have been living with their oldest daughter, her husband of 15 years, and their two children, ages 12 and 14. They all live in a middle-income neighborhood in a suburb of a metropolitan city. Mr. and Mrs. Arahan are both college educated and worked full-time while they were in their native country. In addition, Mr. Arahan, the only offspring of wealthy parents, inherited a substantial amount of money and real estate. Their daughter came to the United States as a registered nurse and met her husband, a drug company representative. The older couple moved to the United States when their daughter became a U.S. citizen and petitioned them as immigrants. Since the couple was facing retirement, they welcomed the opportunity to come to the United States. The Arahans found life in the United States different from that in their home country, but their adjustment was not as difficult because both were healthy and spoke English fluently. Most of their time was spent taking care of their two grandchildren and the house. As the grandchildren grew older, the older couple found that they had more spare time. The daughter and her husband advanced in their careers and spent a great deal more time at their jobs. There were few family dinners during the week. On weekends, the daughter, her husband, and their children socialized with their own friends. The couple began to feel isolated and longed for a more active life. Mr. and Mrs. Arahan began to think that perhaps they should return to the home country, where they still had relatives and friends. However, political and economic issues would have made it difficult for them to live there. Besides, they had become accustomed to the way of life in the United States with all the modern conveniences and abundance of goods that were difficult to obtain in their country. However, they also became concerned that they might not be able to tolerate the winter months and that minor health problems might worsen as they aged. They wondered who would take care of them if they became very frail and where they would live, knowing that their daughter had only saved money for their grandchildren’s college education. They expressed their sentiments to their daughter, who became very concerned about how her parents were feeling. This older couple had been attending church on a regular basis, but had never been active in other church-related activities. The church bulletin announced the establishment of parish nursing with two retired registered nurses as volunteers. The couple attended the first opening of the parish clinic. Here, they met one of the registered nurses, who had a short discussion with them about the services offered. The registered nurse had spent a great deal of her working years as a community health nurse. She informed Mr. and Mrs. Arahan of her availability to help them resolve any health-related issues. Reflective Questions 1. What strategies could be suggested for this older adult couple to enhance their quality of life? 2. What community resources can they utilize? 3. What can the daughter and her family do to address the feelings of isolation of the older couple? 4. What health promotion activities can ensure a healthy lifestyle for them?

 

Imagine you are a senator preparing for this year’s policy agenda. You must rank, from the highest priority to the lowest priority, the following social aging concerns to determine which issue should be your major focus. Include an explanation for your ranking choices that can be understood by ordinary constituents as well as make sense to professionals in the field.

  • Fall prevention program
  • HIV/AIDS interventions
  • Social isolation
  • Mental health services gap

Your initial post should be 300 to 500 words, with one to two supporting references included.

Is Quarantine Consistent with Ethical Principles?

Your readings cover ethical principles. After reading the Week 2 Content section-Ethics of Quarantine, analyze the ethics of public health issues by discussing whether the use of quarantine in a given situation is consistent with ethical principles.

Your response must include the following:

1) What are some ethical principles that should be considered?

2) Of the ones that you have researched, select one and explain why that principle is important to medical and public health officials.

3) What are some issues that may arise if these principles are not applied when implementing quarantine?

Most be at least 250 words  and supported by at least two references

After reading chapters 2,3 and 4, please answer the following question.

Name five continuous, five discrete, and five categorical variables. Which ones are you going to use in your practicum?

Answer to another student. The answer should be also three paragraphs with three sentences.

Authors Denise F. POLIT

CHERYL