Study Document
...Administration The History of US Marshals in Civil Rights Era
The American society was polarized with the African Americans having a lower edge of protection as opposed to the white majority. The state vowed to protect them against harm but in doing so, formulated a federal agency to carry it out swiftly. U.S. marshals are held in high regard in society since they serve the American people. During slavery, a federal agency was formed through a Judiciary act in the constitution to help handle fugitives. Policing America was necessary post-segregation era since the African Americans needed protection against harm, discrimination, and criminalization. The U.S. marshals provided security for them, fulfilling their duty of call to the American people.
The first Congress created the U.S. Marshals under President George Washington. The president signed into law the Judiciary act on September 24, 1789, which charged the marshals with the enforcement of laws and……
References
Larry K. Gaines, V. E. (2014). Policing in America. New York: Routledge.
Skocpol, T. (1999). Advocates without Members: the recent transformation of American civic life. In T. Skocpol, Civic Engagement in American Democracy (pp. 461-480). Washington, DC: Brookings Institution Press.
Study Document
...Administration Quality and Sustainability Paper
Introduction
Quality and safety are paramount for patients experiencing illness and seeking treatment. The role of the nurse is complex, requiring effectiveness, efficiency, compassion, and understanding. Some aspects of nursing science involve research and use of evidence-based practice to provide the high quality and safety standards patients deserve. How are quality and safety measures adopted and implemented? This essays aims to look at the role quality and safety play in nursing science using a contemporary example, and seeing how real world strategies aim to test and assess standards of care to deliver the positive health outcomes patients need. By delving into real-world application of quality and safety measures, one can determine the process from cultivation of concepts, implementation, and assessment.
Quality measures in nursing science
Often a good way to understand if a patient is experiencing a high quality of care is through patient outcomes and……
References
Brasait?, I., Kaunonen, M., Martink?nas, A., Mockien?, V., & Suominen, T. (2016). Health care professionals’ skills regarding patient safety. Medicina, 52(4), 250-256. doi:10.1016/j.medici.2016.05.004
Jones, T. L., Hamilton, P., & Murry, N. (2015). Unfinished nursing care, missed care, and implicitly rationed care: State of the science review. International Journal of Nursing Studies, 52(6), 1121-1137. doi:10.1016/j.ijnurstu.2015.02.012
Lood, Q., Kirkevold, M., Sjögren, K., Bergland, Å., Sandman, P., & Edvardsson, D. (2019). Associations between person?centred climate and perceived quality of care in nursing homes: A cross?sectional study of relatives’ experiences. Journal of Advanced Nursing. doi:10.1111/jan.14011
Murray, M., Sundin, D., & Cope, V. (2017). New graduate registered nurses’ knowledge of patient safety and practice: A literature review. Journal of Clinical Nursing, 27(1-2), 31-47. doi:10.1111/jocn.13785
Sahlström, M., Partanen, P., Rathert, C., & Turunen, H. (2016). Patient participation in patient safety still missing: Patient safety experts\\' views. International Journal of Nursing Practice, 22(5), 461-469. doi:10.1111/ijn.12476
Smeds-Alenius, L., Tishelman, C., Lindqvist, R., Runesdotter, S., & McHugh, M. D. (2016). RN assessments of excellent quality of care and patient safety are associated with significantly lower odds of 30-day inpatient mortality: A national cross-sectional study of acute-care hospitals. International Journal of Nursing Studies, 61, 117-124. doi:10.1016/j.ijnurstu.2016.06.005
Tobiano, G., Marshall, A., Bucknall, T., & Chaboyer, W. (2015). Patient participation in nursing care on medical wards: An integrative review. International Journal of Nursing Studies, 52(6), 1107-1120. doi:10.1016/j.ijnurstu.2015.02.010
Twigg, D. E., Pugh, J. D., Gelder, L., & Myers, H. (2016). Foundations of a nursing-sensitive outcome indicator suite for monitoring public patient safety in Western Australia. Collegian, 23(2), 167-181. doi:10.1016/j.colegn.2015.03.007
Study Document
...Administration Introduction
An electronic health record (EHR) is a person's authentic health record that is shared among various agencies and offices (Hasanain, 2014). The role of EHRs is getting to be expanding persuasive as progressively tolerant data winds up computerized and bigger quantities of customers express a need to have portable access to their health records. It is an electronic form of a patient's paper record. EHRs offer the upside of making data about patient consideration accessible, in a protected way, to numerous approved clients (Kierkegaard, 2019). In spite of the fact that EHRs change in content and usefulness, they are regularly intended to incorporate the therapeutic and treatment accounts of the patient, just as the patient's findings, meds, vaccination dates, radiology pictures, and lab and test results, among other data. EHRs can possibly coordinate data from various sources and give a progressively thorough perspective on patient consideration despite the fact……
References
Gagnon, D., Simonyan, E.K., Ghandour, G., Godin, M., Labrecque, M., Ouimet, M.R. (2016). Factors influencing electronic health record adoption by physicians: A multilevel analysis, Int J Inform Manage, 36, pp. 258-270.
Hasanain, H. (2014). Cooper Solutions to overcome technical and social barriers to electronic health records implementation in Saudi public and private hospitals, J Health Inform Dev Ctries, pp. 46-63.
Kierkegaard, P. (2019). Electronic health record: Wiring Europe\\\\'s healthcare: Computer Law & Security Review. 27 (5): 503–515.
Murphys, E.V., & Yale, J. (2014). Clinical decision support: effectiveness in improving quality processes and clinical outcomes and factors that may influence success. Biol Med; 87, pp. 187–97.
Study Document
… navigate the company’s career ladder will begin one month following acceptance of the recommendations set forth herein.
A specific timeline for implementation and administration of the three above-listed recommendations using the existing 32.5% turnover rate as a benchmark is provided in Table 2 below.
Other companies’ practices:
……
References
Christie, J. (2014, September). Cochrane review brief: Exit interviews to reduce turnover amongst healthcare professionals. Online Journal of Issues in Nursing. 19(3), 7-11.
Dobbs, K. (2009, April). Knowing how to keep your best and brightest. Workforce, 80(4), 56-60.
Hansen, F. (2009, March 27). Refining signing bonuses. Workforce Management, 85(6), 1-3.
Johns, R. & Gorrick, J. (2016, April). Exploring the behavioral options of exit and voice in the exit interview process. International Journal of Employment Studies, 24(1), 25-29.
Ohunakin, F. & Adeniji, A. (2018, March). Perception of frontline employees towards career growth opportunities: Implications on turnover untention. Business: Theory and Practice, 19(1), 278-283.
Tatham, P. (2008, Spring). At my desk. Australian Journal of Career Development, 17(3), 6-9.
Turnover rates by industry. (2019). Compensation Force. Retrieved from https://www.compensationforce.com/2017/04/2016-turnover-rates-by-industry.html .
Study Document
...Administration Proposal for mandatory staffing ratios
Introduction: Reflection
Public Policy Issue
This policy will mandate that mandatory staffing ratios be met by hospitals throughout the nation. This is an important public policy issue because it would oblige hospitals that are part of the Medicare program to create a committee that is partly made of nurses who can discuss the issue of staffing. As Fowler and Comeaux (2017) point out, staffing is still a major challenge for nurses. If there are too few nurses on staff it can lead to nurse burnout. The right ratio of nurses to patients is required to prevent nurses from being overburdened (Martin, 2015). The reason I selected this policy is because it is clearly important to nurses’ own health and ability to do their jobs. It can also play a part in preventing turnover rates from going too high (Laschinger & Fida, 2015). Therefore, this is……
References
ANA. (2019). Nurse staffing. Retrieved from https://www.nursingworld.org/practice-policy/advocacy/state/nurse-staffing/
Dousay, T., Childers, B., Cole, M., Hill, T., & Rogers, C. (2016). Lower Nurse-to-Patient Ratio: Higher Patient Satisfaction. Retrieved from https://scholarworks.moreheadstate.edu/cgi/viewcontent.cgi?article=1105&context=student_scholarship_posters
Fowler, D., & Comeaux, Y. (2017). The legislative role in nurse staffing ratios. MedSurg Nursing, 26(2), 12-14.
Laschinger, H. K. S., & Fida, R. (2015). Linking nurses’ perceptions of patient care quality to job satisfaction: the role of authentic leadership and empowering professional practice environments. Journal of Nursing Administration, 45(5), 276-283.
Martin, C. J. (2015). The effects of nurse staffing on quality of care. MedSurg Nursing, 24(2), S4-S4.
Reiter, K. L., Harless, D. W., Pink, G. H., & Mark, B. A. (2012). Minimum Nurse Staffing Legislation and the Financial Performance of C alifornia Hospitals. Health Services Research, 47(3pt1), 1030-1050.
Rondeau, K. V., & Wagar, T. H. (2016). Human resource management practices and nursing turnover. Journal of Nursing Education and Practice, 6(10), 101.
Twigg, D. E., Myers, H., Duffield, C., Giles, M., & Evans, G. (2015). Is there an economic case for investing in nursing care–what does the literature tell us?. Journal of advanced nursing, 71(5), 975-990.
Study Document
… of corruption is difficult because state legislators are often at odds with federal legislators who are even at odds with themselves. The Trump Administration, for example, has been fighting to get the U.S.-Mexico border the kind of defense needed to reduce illegal penetration, but lawmakers on both ……
Bibliography
Counter intelligence for National Security, CIA, 1993. https://www.cia.gov/library/center-for-the-study-of-intelligence/kent-csi/vol2no4/html/v02i4a10p_0001.htm
Johnston, David and James Risen, “U.S.had evidence of espionage,” New York Times, 2001. https://www.nytimes.com/2001/02/23/us/us-had-evidence-of-espionage-but-fbi-failed-to-inspect-itself.html
National Counterintelligence Strategy of the United States of America 2016 (Strategy). https://www.dni.gov/files/NCSC/documents/Regulations/National_CI_Strategy_2016.pdf
Prunckun, Hank. 2012. Counterintelligence Theory and Practice, Lanham: Rowman&Littlefield Publishers Inc. Read the following: Chapters 8 to 14, pages 131 to 217. Appendices A to D, pages 219 to 231.
Richelson, Jeffrey. 2007. “The Pentagon’s Counterspies: The Counterintelligence Field Activity (CIFA).” (September 17). National Security Archive. Accessed January 19, 2017. http://nsarchive.gwu.edu/NSAEBB/NSAEBB230/ .
Van Cleave, Michelle. “Strategic Counterintelligence: What Is It and What Should We Do About It ?” 2007. CIA Center for the Study of Intelligence. https://www.cia.gov/library/center-for-the-study-of-intelligence/csi-publications/csi-studies/studies/vol51no2/strategic-counterintelligence.html
Study Document
...Administration Introduction
Hurricane Maria was the strongest hurricane to strike Puerto Rico in nearly a hundred years when it made landfall on the tiny island state in September of 2017 (Amnesty International, 2018). Maria followed upon the heels of Hurricane Irma, which had struck the island only a mere matter of weeks before. Nearly 3000 died as a result, according to Puerto Rico’s Governor and tens of thousands of people were displaced and forced to take up temporary shelter that gradually took on a character of permanence as the island struggled to cope with the devastation of the Category 4 hurricane (Amnesty International, 2018). Losses were estimated at some $90 billion. The fact that Puerto Rico was still reeling from the damages caused by Irma, which hit on September 6th, meant that local organizations were ill-prepared to cope with a second larger hurricane on September 20th. Irma had already “caused the……
References
Acevedo, N. (2018). Puerto Rico lacked disaster planning, communications strategy, hurricane study found. Retrieved from https://www.nbcnews.com/storyline/puerto-rico-crisis/puerto-rico-lacked-disaster-planning-communications-strategy-hurricane-study-found-n904866
Achenbach, J. & Hernandez, A. (2017). FEMA administrator: Puerto Rico’s politics, lack of unity, hindering hurricane response. Retrieved from https://www.washingtonpost.com/national/fema-administrator-puerto-ricos-politics-lack-of-unity-hindering-hurricane-response/2017/10/09/f1711996-ad10-11e7-9e58-e6288544af98_story.html?noredirect=on&utm_term=.eef2e6bc0e3e
Amnesty International. (2018). Puerto Rico a year after Hurricane Maria. Retrieved from https://www.amnesty.org/en/latest/research/2018/09/puerto-rico-a-year-after-hurricane-maria/
Bomey, N. (2017). Hurricane Maria halts crucial drug manufacturing in Puerto Rico, may spur shortages. Retrieved from https://www.usatoday.com/story/money/2017/09/22/hurricane-maria-pharmaceutical-industry-puerto-rico/692752001/
CDC. (2019). PHEP. Retrieved from https://www.cdc.gov/cpr/epf/docs/PuertoRico.pdf de Arzola, O. R. (2018). Emergency Preparedness and Hurricane Maria: The Experience of a Regional Academic Medical Center in Southwest Puerto Rico. Journal of Graduate Medical Education,10(4), 477-480. Florido, A. (2018). Government Lawyer Says Puerto Rico's Hurricane Response Plan 'Does Not Exist'. Retrieved from https://www.npr.org/2018/10/30/662345336/government-lawyer-says-puerto-ricos-hurricane-response-plan-does-not-exist
McMahon, C. (2018). Double down on the Jones Act? Journal of Maritime Law & Commerce, 49(2), 153-195.
Samaan, J. L., & Verneuil, L. (2009). Civil–Military Relations in Hurricane Katrina: a case study on crisis management in natural disaster response. Humanitarian Assistance: Improving US-European Cooperation, Center for Transatlantic Relations/Johns Hopkins University, Baltimore, MD/Global Public Policy Institute, Berlin, 413-432.
Study Document
...Administration Abstract
This paper looks at the concepts of the labor market, wage growth and income inequality in the U.S. and discusses them in terms of inflation (caused by the injection of $4 trillion worth of liquidity into the financial markets by the Federal Reserve after the global economic crisis threatened to derail capitalism). It describes what has been written in three news articles in recent years and months, and discusses them with a view to showing that the “best economy ever”—as it is described by President Trump—should not be dependent upon a rate-cutting Fed. A good look at the labor market, wage growth and income inequality may help to explain why the president is so worried about the central bank maintaining loose monetary policy.
Introduction
While President Trump has often insisted that this is the best economy ever (BBC, 2019), there are signs that this might not be true—and those……
References
BBC. (2019). US economy under Trump: Is it the greatest in history? Retrieved from https://www.bbc.com/news/world-45827430
Bernstein, J. (2019). A tight job market is a potent force against inequality and wage stagnation. Retrieved from https://www.washingtonpost.com/outlook/2019/02/01/tight-job-market-is-potent-force-against-inequality-wage-stagnation/?utm_term=.0a531cf24efb
Cox, J. (2019). Private payroll growth tops estimates as job market shows signs of tightening. Retrieved from https://www.cnbc.com/2019/07/31/private-payrolls-up-156k-in-july-vs-150k-est-adpmoodys.html
Harwood, J. (2019). 5 reasons why income inequality has become a major political issue. Retrieved from https://www.cnbc.com/2019/06/05/5-reasons-income-inequality-has-become-a-major-political-issue.html
Study Document
...Administration Executive Summary
The healthcare sector in the United States is facing shortage of healthcare providers, particularly in rural settings. One of the most affected areas in the country is rural Maryland, especially Allegany County, which has been selected as the location for this project. The proposed plan seeks to help lessen the shortage of healthcare providers in the county using MedChi, an organization that provides public health resources in Maryland. MedChi could help address the problem through promoting adoption of technologies like telemedicine and expansion of the scope of practice of non-physician providers. To realize this objective, the organization needs to establish partnerships with relevant stakeholders within and outside the county’s health sector including policymakers. These partnerships should focus on identifying necessary resources for implementation of the proposed solution.
Provider Shortage Proposal
Shortage of providers in healthcare is a major issue facing this industry at a time when patient populations……
References
Antonelli, A.F. (2019, May 14). Does America Have a Physician Shortage – or Are Our Doctors ‘Just Bad at Managing Time’? Retrieved August 5, 2019, https://www.advisory.com/daily-briefing/2019/05/14/physician-shortage
Daly, R. (2018, May 22). Healthcare Workforce Shortage Worsening: Senators. Retrieved August 5, 2019, from https://www.hfma.org/topics/news/2018/05/60811.html
Desmon, S. (2019, March 1). Doctors in Short Supply in Rural Maryland. Baltimore Sun. Retrieved August 5, 2019, from https://www.baltimoresun.com/bal-id.rural01mar01-story.html
Heath, S. (2019, July 11). What Clinician Recruitment Tactics Say About the Physician Shortage. Retrieved August 5, 2019, from https://patientengagementhit.com/news/what-clinician-recruitment-tactics-say-about-the-physician-shortage
Merritt Hawkins. (2019). 2019 Review of Physician and Advanced Practitioner Recruiting Incentives. Retrieved August 5, 2019, from https://www.merritthawkins.com/uploadedFiles/merritthawkins_2019_incentivereview.pdf
Western Maryland Health System and Allegany County Health Department. (2011, November). Allegany County Community Health Needs Assessment. Retrieved August 5, 2019, from http://www.alleganyhealthplanningcoalition.com/pdf/ACHD%20Community%20Health%20Needs%20Assessment.pdf
Wolford, H.B. (2018, May 28). Allegany County Sees Shortage of Health Care Workers. Time News. Retrieved August 5, 2019, from https://www.times-news.com/news/local_news/allegany-county-sees-shortage-of-health-care-workers/article_28b1030d-4403-5d84-aa26-fe17d61b8561.html
Study Document
...Administration Miami is the de facto gateway to Latin America, and Calle Ocho has for decades served as the hub of the city’s Cuban culture and community. When it first began more than forty years ago, the Calle Ocho street festival was almost exclusively Cuban in character. Now the Calle Ocho festival reflects shifting demographics and the greater diversity of Latin American people in South Florida. I selected the Calle Ocho street festival as an example of what the overall area has to offer. The festival typically takes place in March. Even during the rest of the year, though, Calle Ocho retains a unique culture, identity, and aesthetic. Landmark establishments like Ball and Chain have recently experienced a revival as younger generations recognize the historical value and worth inherent in preserving such iconic places. The Calle Ocho area has become world renowned, and one of the top tourist destinations in the……
Works Cited
“8 Reasons to Fall In Love With Little Havana and Calle Ocho.” The Miami Herald. Retrieved from: https://www.miamiherald.com/miami-com/things-to-do/article225811520.html
Benowitz, Shane. “Calle Ocho Music Festival.” Miami and Beaches. Retrieved from: https://www.miamiandbeaches.com/events/detail/calle-ocho-music-festival/f8f6984e-103a-4784-beff-f6a05c61e9d3
Calle Ocho.com. The MSC 2019 kick-off party. Retrieved from: https://www.calleocho.com/
“Little Havana, Miami, neighborhood guide.” Time Out. Retrieved from: https://www.timeout.com/miami/little-havana
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