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INTERNATION BUSSINES:Cultural assessment of your target country before you engage in product development, sales or negotiations.

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You will need to undertake a cultural assessment of your target country before you engage in product development, sales or negotiations.

Complete the following activities:

1. Research your target country’s history and geography. Indicate how these factors have influenced this country’s culture.

2. Research your target country’s major religion. Indicate how this religion could influence the business practices in this country. Give specific examples.

3. Use the internet to find the major languages spoken in this country. Identify any types of non-verbal communication that should be avoided.

4. Use the internet to research Hofstede’s cultural measures for this country. Specify how these measures will impact your marketing plan.

Identify discrepancies between identified practice standards and current practice that may adversely impact patient outcomes. 

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Root Cause Analysis Scholarly Writing Paper

Purpose: The nurse participates in establishing, maintaining, and improving the healthcare environment, through utilization of a Root Cause Analysis to correct a clinical health problem.

Objectives: 

  1. 1. Utilize the root cause process to identify a health care problem within the organizational structure.
  2. Determine the relationship between different root causes for a problem.
  3. Discuss improvement methods to promote quality, safety and social justice while reviewing a root cause scenario
  4. Identify discrepancies between identified practice standards and current practice that may adversely impact patient outcomes.

Required Reading:  

Optional Resources:

Directions:

  1. From the perspective of the Risk Manager, describe your specific health care event. What happened, who was involved?
  2. Collect Data from your peers in your color group to help determine the root cause of the problem.
    1. What is the sequence of events? Use the RCA Sequence of Events tool. Complete these factual events in order to help make sense of the story leading up to, during and after the event. Include times as much as possible. Do not include opinions or interpretation of the events.
    2. Categorize possible causes and develop a Fish Bone Diagram (Ishikawa) including a minimum of one cause in each of the 6 fish bones on the diagram. Include all probable causes as appropriate.
    3. Individually, categorize possible causes for the problem/event. Fill out three 5 Why’s forms– Start with the problem on each form and then drill down on three separate forms of this tool to obtain three possible causes. (These 5 forms are part of the Appendix and will be turned in at the first due date for faculty feedback. See Step 11 prior to submission.)
  3. In the body of the paper, explain the sequence of events/data collection. Describe your thought process while categorizing all possible causes on the Ishikawa Diagram. Focus on the 3 most probable causes for the problem. Refer to the Ishikawa diagram and your 5-Why’s. Why did they happen? Identify which conditions allowed the problem to occur.
  4. Next, identify one of the three probable causes as the primary root cause and explain why you believe this is the primary root of the problem. Discuss how various roots could interplay to cause the problem.
  5. Identify a national benchmark or standard of care that should be met in this scenario as it relates to the primary root cause.
  6. Identify your expected outcome (SMART) that would help this color group meet the national benchmark or standard of care.
  7. Cite your credible source to support the benchmark or standard of care and the goal/outcome.
  8. Intervention – What should be done to prevent the problem from recurring? Formalize your realistic plans for implementing change that looks directly at the primary root cause you identified. Also discuss barriers to implementation.
    1. How will you implement this change?
    2. Include an expected timeline.
    3. What are the risks and/or barriers of implementing the change?
  9. Evaluation – When would be a good time to evaluate whether or not your changes had the desired effect? Did your interventions achieve the desired outcome?
    1. What criteria will you measure so you know the Outcome was achieved?
    2. Who (title of person) is responsible for the final Outcome?
  10. The conclusion should not have any new data presented.
    1. Summarize the problem, the missed benchmark, and your prevention plan.
    2. How does this incident apply to your probable future nursing practice? In other words, what did you learn?
  11. References – Research a minimum of five sources (within the last 7 years); at least two must be peer reviewed health care journals.
  12. Include the Sequence of Events, three separate 5 Why’s, and the Ishikawa diagram as appendices at the end of your paper. Refer to the data presented in each within your paper. g. See Appendix B which describes the … Also remember to follow APA formatting when deciding on the correct order in which to place the forms of the appendix.
  13. Proof read your scholarly paper and compare to the rubric.

 

Academic Portfolios:Reflect on strategies that you can pursue in developing portfolios or portfolio elements that focus on academic achievements.

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In the realm of marketing, a successful branding strategy is one of the most important contributors to organizational success. A solid branding strategy can help add visibility and credibility to a company’s products.

Similarly, nurse-scholars can build a personal brand to add visibility and credibility to their work. You can begin building your brand by developing and maintaining an academic portfolio. Such an activity can help share the results of your efforts and contribute to your success. This Module’s Discussion asks you to consider and share strategies for building your portfolio.

To Prepare:

Reflect on strategies that you can pursue in developing portfolios or portfolio elements that focus on academic achievements.
Review one or more samples from your own research of resources focused on portfolio development.

Post an explanation of at least two strategies for including academic activities and accomplishments into your professional portfolio.

Explain and contrast the different models/approaches to mental ill health in relation to the individual (Medical and Moral Models).

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You are required to identify a fictional or actual individual with whom you have developed a professional rapport, and review the past, present and future care and treatment in relation to the care environment (Elderly people – care at home or care home settings – Dementia). This case study should be sensitive to confidentiality and written in a way that does not lead directly to any actual persons involved.
Following points should be included in your report and applied to your identified individual (elderly people – dementia): 
Clear definition of mental health and wellbeing and explanation of the illness affecting the individual. 
Describe at least two perceptions of mental health issues and explain how these affect the individual (Labelling, Stigma, Stereotyping etc.)  Identify and discuss at least one theory of mental health that exist and the impact on the individual (Social Learning Theory Bandura, Skinner – Operant Conditioning, Beck – Cognitive theory, Seligman – Learned Helplessness, Rogers – Humanistic Approaches)

Explain and contrast the different models/approaches to mental ill health in relation to the individual (Medical and Moral Models)
Discuss how mental health problems have an effect on the individual’s normal functioning within society
Outline and develop the factors which cause or have the potential to lead to the deterioration of mental health and wellbeing of the individual. This should include at least one example from each group of factors: social, physical, intellectual, emotional and spiritual.
You will compile a report of 1,200 words +/- 10%. Your work should be accurately referenced in Harvard Style throughout and you should include a bibliography, front cover and word count.

Discuss the process through which the EU has changed environmental laws among its member states and the process and timeline equability (or not) of enactment across member states.

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The European Union (EU) has provided a comprehensive range of environmental legislation and regulation since its inception. Discuss the process through which the EU has changed environmental laws among its member states and the process and timeline equability (or not) of enactment across member states. Utilise appropriate and relevant examples of EU legislation spanning the last twenty years.

Who is responsible for determining the allocation of community resources to fighting specific criminal behavior?

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Examination of Resource Allocation as it Relates to Crime Trends.

Individual communities across America are confronted with different crime patterns and trends. In this exercise, you will be asked to discover the relationship between local crime trends and the decision-making process that is followed in order to address that criminal behavior. It is important for all criminal justice students to begin to appreciate the process that local authorities use to assign tax dollars and man-power to different types of criminal behavior based upon current data analysis and resource generation.

Your assignment, then, is to contact someone within your local criminal justice agencies (police department, sheriff’s department, or state or federal agency). Once you have established contact, please interview this individual (or their appropriate referral) by asking these questions:

How are local crime fighting decisions made? What percentage of local tax resources are made available to local agencies to address criminal behavior?
Who is responsible for determining the allocation of community resources to fighting specific criminal behavior?
What data sources are available to assist in making those allocation decisions?
Based upon current data and information, what criminal behavior is on the rise in our community and which criminal behavior is on the decline?
What kind of assessment data is available to determine the effectiveness of local crime fighting measures?

When you have completed the interview, prepare a paper that summarizes your findings and makes recommendations for change to the current process. Include in your paper the contact information, agency, job title and responsibilities of the interviewee.

This written assignment requirement is for a paper submitted in APA format, using 12- point font, double-spaced, and attached to the link as a .doc or .docx file. Your assignment must include an introduction, body, and conclusion and it is anticipated that a thorough examination of this topic will result in approximately 5-7 pages of text. In addition, your paper must include a cover page, abstract, and reference page. A minimum of two (2) scholarly sources must be used.

Have you ever engaged in communication with someone who wanted to be more personal than you wanted to be?

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Explain how you interpret the statement, “Interpersonal communication exists along a continuum.”
Have you ever engaged in communication with someone who wanted to be more personal than you wanted to be? How about less? How did you handle the situation?
What are your own guidelines for interpersonal communication in the workplace?

Nursing:Describe the role of Advance Primary Nurse (Nurse Practitioner) in the changing this trend.

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According to the Center of disease Control and Prevention (CDC), Visits to the Emergency Department are up 23% over the past decade.Describe the role of Advance Primary Nurse (Nurse Practitioner) in the changing this trend. Also how Affordable Care Act has affected the ED increase visits.ONLY USA references allowed.

Need at least 5 pages of paper and title&reference page all to go along with it in APA format. Any question, ask.

How will you utilize reflection of your teaching practice and content knowledge to improve student learning?

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Write a 350- to 700-word reflection on teaching English language learners, using the readings to make connections to your teaching philosophy and your understanding of ELL student needs.
Address the following questions in your reflection:

As an ELL teacher, what would you need to know about ELL terminology and the history of ELL education?
How does the information presented in the readings aid in your teaching philosophy? Which principle of language acquisition theory do you prefer?
What are the specific cultural needs of ELL students in your area? How would you address these needs in your curriculum?
What have you learned about ELL standards, and how will this knowledge impact your teaching?
How will you utilize reflection of your teaching practice and content knowledge to improve student learning?

What specific client advocacy, current public policy discussions, or ethical or legal issues may be related to this case study?

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CASE STUDIES

One of the best ways to learn is by using a dramatic experience, followed by reflective analysis. Case studies are designed to help counselors examine situations carefully, make initial assessments, and formulate hypothetical treatment plans. Case studies provide an appreciation of the complexity of assessment, diagnosis, and treatment. It is a way to determine if the knowledge and skills the students are studying can be applied in a hypothetical case setting.

The cases themselves are composites of actual client cases or events. All the names of the actual cases have been changed, and only first names are used. Any relationship to actual people or events is purely coincidental.

Read the case studies individually and then discuss your reactions and interpretations with your Learning Team members.

Keys to Reading and Analyzing Case Studies

  • Read and interpret only the given information. Do not make up information not found in the case study text. If the case states someone is drinking alcohol, do not imply they are also doing cocaine if it has not been mentioned elsewhere.
  • Use only the given information. If you think a question was not asked, you can say, “I would want to ask him or her,” but do not fill in their answer.
  • Realize there may be no definitive or correct answer, but there may be some responses that are more appropriate than others based on the limited information provided.
  • Think of the person in each case as a real client sitting in front of you asking for help, and approach the case from several levels. View each case from the different course-related etiological perspectives you have been studying and consider the different clinical issues that might be involved.
  • Think about other resources and referrals this person and his or her family members might require.
  • Determine if there are other risk factors or other information that could be dangerous to the client, family members, or others.
  • Remember that an initial diagnosis or assessment and treatment plan can only be based on what is presented and determined at any given time and may likely need to be revised over time.

Case Studies

Case 1: Alan

Alan is a 25-year-old African American Army veteran who is introducing himself to you at the Veterans Hospital. He has been back home for 3 months after returning from his second 1-year tour of duty in Iraq, where he was in an infantry company in charge of maintaining security for local citizens. Alan was wounded in an explosion, and his lower right leg was amputated. He is awaiting final disability designation and benefits, and is getting increasingly frustrated. Alan is proud of his service, but finds it hard to show his feelings to others. He reports pain and PTSD symptoms, including nightmares, flashbacks, irritability, and anger. He is on prescription pain medication and antidepressants. Alan reports he is drinking more “as needed.” He is married and living with his wife of 3 years and their 2-year-old son. He reports his wife “doesn’t understand the pain I am in physically or psychologically.” Alan is not working and is worried about how he will provide for his family.

Questions 

  • What would be your initial diagnostic impression of this case?
  • What risk factors and behaviors are present in this case?
  • What individual and family interventions might need to be considered?
  • What type(s) of treatment settings and strategies may be needed?
  • What cultural, ethnic, or special population factors may play a role in Alan’s treatment planning?
  • Assuming Alan has a diagnosable substance-use disorder, what specific challenges may need to be addressed to maintain recovery and avoid relapse?
  • What specific roles could or should healthcare providers, businesses, schools, and organizations play in Alan’s assessment, intervention, and treatment?
  • What specific client advocacy, current public policy discussions, or ethical or legal issues may be related to this case study?

Case 3: Tommy

Tommy is a 45-year old Caucasian male who ruptured a disc in his back while at work over five years ago. After failing to improve through physical rehabilitation, Tommy received a spinal fusion surgery which joined two of his vertebrae together. After Tommy’s injury he received a prescription for a acetaminophen/hydrocodone at 300 mg/5 mg. However. Tommy indicated that his pain levels continued to escalate. His prescription was increased to 300 mg/7.5 mg after 6 months. Post surgery, Tommy continued to complain of escalating pain and his prescription was increased to 300mg/10mg.

At one year post surgery, Tommy continued to request increases in his prescription and his physician determined that Tommy had developed an opioid dependence. The physician refused to increase the prescription and referred Tommy to a substance abuse provider. Instead of seeking help, Tommy began to look for ways to supplement his prescription. He discovered that he was able to purchase heroin and that the injections provided him with pain relief. Tommy began with 300 mcg dosages of heroin injected into his body but quickly increased the dosages and his dependence upon the drug.

Eventually Tommy became homeless and was arrested for breaking and entering. He has been referred to you for a mandated substance abuse assessment from the courts. Tommy has been living in a shelter. He reported using heroin three times per day and that his last injection was 12 hours ago.

Questions

 

  • What would be your initial diagnostic impression of this case?
  • What risk factors and behaviors are present in this case?
  • What individual and family interventions might need to be considered?
  • What type(s) of treatment settings and strategies may be needed?
  • What cultural, ethnic, or special population factors may play a role in treatment planning?
  • Assuming Tommy has a substance-use disorder, what specific challenges may need to be addressed to maintain her recovery to avoid relapse?
  • What specific roles could or should healthcare providers, businesses, schools, and organizations play in Tommy’s assessment, intervention, and treatment study?
  • What specific client advocacy, current public policy discussions, or ethical or legal issues may be related to this case study?

Case 4: James

James is a 28-year-old Native American who has been referred to you for a mandated substance abuse assessment from the courts. He was arrested for the manufacturing and sale of methamphetamine, and is awaiting sentencing in the county jail. James works as a laborer at the Native American-owned casino, but lives off the reservation. He is very uncooperative and suspicious. James says he drinks, but does not use meth and reports he was “set up by some rednecks who hate Indians.” His court records indicate 2 arrests for drinking and driving and 3 investigations, but no convictions for domestic violence. James lives with a woman and her two young children. He also has three children of his own, ages 5, 8, and 10, from 2 women he rarely sees, although he says he does care about them.

Questions

  • What would be your initial diagnostic impression of this case?
  • What risk factors and behaviors are present in this case?
  • What individual and family interventions might need to be considered?
  • What type(s) of treatment settings and strategies may be needed?
  • What cultural, ethnic, or special population factors may play a role in James’ treatment planning?
  • Assuming James has a substance-use disorder, what specific challenges may need to be addressed to maintain his recovery to avoid relapse?
  • What specific roles could or should healthcare providers, businesses, schools, and organizations play in James’ assessment, intervention, and treatment?
  • What specific client advocacy, current public policy discussions, or ethical or legal issues may be related to this case study?

 

Case 5: Jose

Jose, a 45-year-old Mexican man referred to you by his minister, was recently arrested for possession and distribution of cocaine and marijuana. Jose presents himself as remorseful, embarrassed, and scared. He has no legal immigration status and little money. He was let go by the landscape company he was working for 6 months ago when there was no work. Jose admits he used pot and cocaine when he was working. Jose was later arrested after he agreed to help a friend of a friend set up a deal to make some money. He is married and has 3 children, ages 18 to 25, who are in the area but do not live with him. His wife is very religious and involved with the church, and Jose agreed to talk to the priest and do whatever he recommended. He is fearful of going to prison and being deported.

 

Questions

  • What would be your initial diagnostic impression of this case?
  • What risk factors and behaviors are present in this case?
  • What individual and family interventions might need to be considered?
  • What type(s) of treatment settings and strategies may be needed?
  • What cultural, ethnic, or special population factors may play a role in Jose’s treatment planning?
  • Assuming Jose has a substance-use disorder, what specific challenges may need to be addressed to maintain his recovery to avoid relapse?
  • What specific roles could or should healthcare providers, businesses, schools, and organizations play in Jose’s assessment, intervention, and treatment?