Study Document
...American Executive Summary
Although the precise causes differ from organization to organization, the high costs that are associated with unplanned turnover are well documented. In fact, in some professions, replacement costs for employees can easily equal their annual salary or even more, so identifying strategies to reduce turnover rates represents a valuable and timely enterprise. To this end, the purpose of this proposal is to provide a description of the problems of interest and what can be done to mitigate these issues. A description of the implications of implementing the career management program is followed by the key recommendation that emerged from the research. These recommendations include providing employees with a career management plan that motivates them to acquire additional education and training as well as instilling an enhanced sense of organizational loyalty to reduce turnover levels. In addition, a secondary recommendation concerns the need to encourage employees to develop their……
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
...American 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
… critical thinking skills required in the 21st century workplace and to help them develop into good citizens that are actively engaged in the American political process. While many people view education as a lifelong enterprise, educational leaders today are confronted with a situation in which the timeframe ……
References
Black’s Law Dictionary. (1990). St. Paul, MN: West Publishing Company.
Blakesley, S. (2011, July). Defining educational leadership in Canada\\'s Yukon Territory: \\"Hmmm, that\\'s a good question ...\\" Canadian Journal of Education, 34(1), 4-7.
Bowser, A. & Hux, A. (2014, September). The roles of site-based mentors in educational leadership programs. College Student Journal, 48(3), 468-471.
Chan, T. C. (2014, March). Educational leadership: The research agenda. New Waves, 17(1), 1-4.
Cushman, K. (2009, December). Subjects, or citizens? High school students talk about investing in their schools: If we want to know what students think, Ms. Cushman suggests that we ask them. Phi Delta Kappan, 87(4), 316.
Demirci, F. & Ozyurek, C. (2017, December). The effects of using concept cartoons in astronomy subjects on critical thinking skills among seventh grade students. International Electronic Journal of Elementary Education, 10(2), 243.
Erstad, W. (2018, January 22). Six critical thinking skills you need to master now. Rasmussen College. Retrieved from https://www.rasmussen.edu/student-experience/college-life/critical-thinking-skills-to-master-now/ .
Litvinov, A. (2017, March 16). Forgotten purpose: Civics education in public schools. NEA Today. Retrieved from http://neatoday.org/2017/03/16/civics-education-public-schools/ .
Study Document
… facts, 2019). Given that Iran recently classified all U.S. military personnel as terrorists and the high-profile nature of the VA in many major American cities, disaster preparedness has assumed new importance and relevance for the disaster preparedness administrators at these medical centers. The purpose of this paper ……
References
Blake, N. & Wilson, E. (2019, September/October). Disaster preparedness: Mitigation, response, and recovery to ensure staffing excellence in Los Angeles County. Nursing Economics, 37(5), 231-233.
Labrague, L. J. & Yboa, B. C. (2016, January). Disaster preparedness in Philippine nurses. Journal of Nursing Scholarship, 48(1), 98-102.
Natural disasters and severe weather. (2020). Centers for Disease Control and Prevention. Retrieved from https://emergency.cdc.gov/planning/index.asp .
VA fast facts. (2019). U.S. Department of Veterans Affairs. Retrieved from https://www.va. gov/health/aboutvha.asp.
Veenema, T. G. & Griffin, A. (2016, March). Nurses as leaders in disaster preparedness and response - A call to action. Journal of Nursing Scholarship, 48(2), 187-192.
Study Document
...American Introduction
Prior to 1982, share buybacks by public companies in the open market in the U.S. were illegal. That year the Securities and Exchange Commission (SEC) passed Rule 10b-18, which created a legal process for executing share repurchases (Reda, 2018). Since that time, many companies have engaged in share repurchasing. As Egan (2018) notes more than $400 billion were allocated by companies to share buybacks in 2018. The reason this is relevant is that it shows a dangerous trend of allowing considerably vast sums of money to be used in share repurchasing programs: conflicts of interest are inevitable and moral hazard can result (Chan & Hoy, 1991; Choi & Maldoom, 1992). Leaders and directors of companies are often incentivized to perform by being given shares and options in the company. When companies use (or borrow) money to repurchase shares they effectively prop up the stock price, which allows directors and……
References
Bendix, R. (1974). Inequality and social structure: a comparison of Marx and Weber. American Sociological Review, 149-161.
Chan, R., & Hoy, M. (1991). East—West joint ventures and buyback contracts. Journal of International Economics, 30(3-4), 331-343.
Choi, C. J., & Maldoom, D. (1992). A simple model of buybacks. Economics Letters, 40(1), 77-82.
Durkheim, E. (1997). The Division of Labor in Society. NY: The Free Press.
Egan, M. (2018). Tax cut triggers $437 billion explosion of stock buybacks. Retrieved from https://money.cnn.com/2018/07/10/investing/stock-buybacks-record-tax-cuts/index.html
Goldsmith, J. M. (1994). The case against GATT. Multinational Monitor, 15(10), 20-24.
Lee, P. (2018). Share Buybacks and Redemptions: Legal Update - Companies Act 2014. Retrieved from https://www.lexology.com/library/detail.aspx?g=30c07ac8-c29c-4f99-b17d-7844d09888ea
Mill, J. S. (1859). On Liberty. London: John W. Parker and Son, West Strand.
Study Document
...American Reflex pathways
Introduction
Reflexes or reflex pathways are always most easily observed as well as analyzed specifically when the spinal cord directly receives a synchronous volley, particularly of afferent input. Due to such an occurrence, the afferent volley often has been provoked specifically by electrical stimulation associated with nerves, rather than particularly by the natural stimulation associated with peripheral receptors (Goldberger, 2019). The result in most cases is always that several reflex stimuli, especially in various animal experiments, become described specifically in terms of the specific intensity of the electrical stimulation associated with the nerve, rather than particularly in terms of which the sensory receptors have majorly been activated.
Fortunately, in the muscle nerves, there always exists a fairly close specific relationship between the particular electrical stimulation threshold associated with fiber together with the sensory receptor that it innervates (Horn, 2019). This paper aims to explore the reflex pathways by……
References
Goldberger, J. J., Arora, R., Buckley, U., & Shivkumar, K. (2019). Autonomic nervous system dysfunction: JACC focus seminar. Journal of the American College of Cardiology, 73(10), 1189-1206.
Horn, C. C., Ardell, J. L., & Fisher, L. E. (2019). Electroceutical targeting of the autonomic nervous system. Physiology, 34(2), 150-162.
Kenneth, S. S. (2017). Anatomy & Physiology: The unity of form and function. McGraw-Hill.
Marieb, E. & Hoehn, K. (2018). Human Anatomy & Physiology (11th ed). Boston, MA: Pearson. ISBN: 9780134756363
Steinman, K. J., Spence, S. J., Ramocki, M. B., Proud, M. B., Kessler, S. K., Marco, E. J., ... & Sherr, E. H. (2016). 16p11. 2 deletions and duplication: Characterizing neurologic phenotypes in a large clinically ascertained cohort. American journal of medical genetics Part A, 170(11), 2943-2955.
Study Document
...American Why Online Learning Works
Introduction
With the arrival of the Digital Age and the advent of distance learning, taking college level courses over the Internet has become a real possibility for today’s students seeking a higher education. But is it worth it? Does it provide the kind of quality education that learners need in order to excel in the real world? Or are their drawbacks to distance learning that outweigh the pros? This speech will go over the benefits and advantages of learning online at the college level while addressing some of the potential disadvantages that might make some hesitant to pursue distance learning as a viable option.
Why Learning Online is Useful for Adults
Adults tend to have busy schedules, which makes it hard for them to find the time to get to a traditional college for classes while making time for everything else that they have going on—whether……
References
Anderson, T. (Ed.). (2008). The theory and practice of online learning. Athabasca University Press.
Concannon, F., Flynn, A., & Campbell, M. (2005). What campus?based students think about the quality and benefits of e?learning. British journal of educational technology, 36(3), 501-512.
?enda?, S., & Odaba??, H. F. (2009). Effects of an online problem based learning course on content knowledge acquisition and critical thinking skills. Computers & Education, 53(1), 132-141.
Yang, Y. T. C., Newby, T. J., & Bill, R. L. (2005). Using Socratic questioning to promote critical thinking skills through asynchronous discussion forums in distance learning environments. The American Journal of Distance Education, 19(3), 163-181.
Study Document
… MedChi, is an organization that could help address the issue of shortage of healthcare providers in rural Maryland. MedChi, an affiliate of the American Medical Association, would help address this issue as part of its commitment to provide resources to the State’s physicians, patients, and public health. ……
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
...American PPACA
Two provisions in the PPACA (Patient Protection and Affordable Care Act) that impact my current nursing practice are 1) the call for increased access to care and 2) the call for more preventive care. The Institute of Medicine (IOM) in its Future of Nursing report stated that nurse practitioners should be allowed to practice to the full scope of their education and training (IOM, 2010), which is something they are not permitted to do in every state. Many states require nurses to practice under the supervision of a physician, but as O’Brien (2003) pointed out, Advanced Practice Nurse Practitioners (APRNs) were trained to take the place of the physicians who were leaving the primary care field for specialized medicine. Nurses were trained and educated to be able to provide primary care—the same kind of care that physicians provide. And yet in many states they are not permitted to practice……
References
IOM. (2010). The future of nursing. Retrieved from http://nacns.org/wp-content/uploads/2016/11/5-IOM-Report.pdf
O’Brien, J. (2003). How nurse practitioners obtained provider status: Lessons for pharmacists. American Journal of Health-System Pharmacy, 60(22), 2301-2307.
Study Document
… done in Syria and other states. Ending all foreign aid to Israel would also be a good first step in cleaning out the American political spectrum; a second step would be to oblige AIPAC to register as a foreign lobby in order to increase transparency for the ……
References
Facione, P. (2006). Critical thinking: what it is and why it counts. Insight Assessments.
Hooks, B. (1999). Black looks: Race and representation. South End Press.
Human Rights Watch. (2018). Israel and Palestine. Retrieved from https://www.hrw.org/world-report/2019/country-chapters/israel/palestine
Johnson, S. A. (2011). Women, Shared Leadership, and Policy: The Mano River Women's Peace Network Case Study. Journal of Pan African Studies, 4(8).
Mearsheimer, J. J., & Walt, S. M. (2007). The Israel lobby and US foreign policy. Macmillan.
Richards, R. (2010). Everyday creativity. The Cambridge handbook of creativity, 189-215.
Sharp, J. (2018). U.S. Foreign Aid to Israel. Retrieved from https://fas.org/sgp/crs/mideast/RL33222.pdf
Verhaeghe, P. (2014). Neoliberalism has brought out the worst in us. The Guardian. Annotated Bibliography
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