Environment Essays (Examples)

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Mission Command

Pages: 5 (1619 words) Sources: 4 Document Type:Essay Document #:63809769

...Environment What is the Art of Leadership
Mission command is defined in the Army Doctrine Publication 6-0 as “the exercise of authority and direction by the commander using mission orders to enable disciplined initiative within the commander's intent to empower agile and adaptive leaders in the conduct of unified land operations” (McBride & Snell, 2017). The philosophy and concepts of mission command can be found in the six guiding principles of mission command, which are: 1) using mutual trust to build a cohesive team, 2) creating a sense of shared understanding, 3) being clear about what the commander’s intent is, 4) exercising an initiative that is disciplined, 5) using mission orders, and 6) accepting prudent risk (Hutchings, 2018). Thus, one can see that the most important concepts in the philosophy of mission command are trust, communication, understanding, discipline, guidance and prudence. This paper will show how I plan to apply the philosophy and concepts of mission……

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References

Fredrickson, B. L. (2001). The role of positive emotions in positive psychology: The broaden-and-build theory of positive emotions. American psychologist, 56(3), 218.

House, R. J. (1996). Path-goal theory of leadership: Lessons, legacy, and a reformulated theory. The Leadership Quarterly, 7(3), 323-352.

Hutchings, P. (2018). The Philosophy of Mission Command and the NCO Corps. Retrieved from  https://www.armyupress.army.mil/Journals/NCO-Journal/Archives/2018/February/Philosophy-of-Mission-Command/ 

McBride, D. & Snell, R. (2017). Applying mission command to overcome challenges. Retrieved from  https://www.army.mil/article/179942/applying_mission_command_to_overcome_challenges 

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Staffing For Nurses In Hospitals

Pages: 12 (3617 words) Sources: 5 Document Type:Term Paper Document #:39252116

...Environment 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……

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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.

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Wells Fargo Collateral Protection Insurance Scandal

Pages: 5 (1382 words) Sources: 4 Document Type:Essay Document #:75685970

...Environment Wells Fargo Scandal
The Wells Fargo Collateral Protection Insurance (CPI) Scandal occurred as a result of the banking firm placing CPI on accounts even though the account holders did not ask for it or want it. It resulted in customers paying unnecessary and higher fees over a period of time. Wells Fargo was sued and agreed to settle the case out of court for approximately $400 million without admitting fault (Top Class Actions, 2019). The scandal, however, caused Wells Fargo to lose a great deal of reputation: customers began leaving the bank in droves and the firm suddenly found itself wondering how it had fallen and what it could do to shore up trust among customers once more. For years, the bank seemed happy to dupe customers with excessive fees, believing no customer would be sophisticated enough to realize just how he was being overcharged—but customers did catch on and……

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References

Forsyth, D. R., & O’Boyle Jr, E. H. (2011). Rules, standards, and ethics: Relativism predicts cross-national differences in the codification of moral standards. International Business Review, 20(3), 353-361.

Goodpaster, K. (1983). Ethical frameworks for management. HBS.

Horowitz, D. (2011, May). We need a \\\\\\"moral operating system\\\\\\" Retrieved from  https://www.ted.com/talks/damon_horowitz  (Links to an external site.)

Top Class Actions. (2019). The settlement is closed. Retrieved from  https://topclassactions.com/lawsuit-settlements/closed-settlements/917069-wells-fargo-auto-loan-insurance-class-action-settlement/ 

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Stem Cell Transplants Treat Alzheimers And Parkinsons Disease

Pages: 5 (1386 words) Sources: 7 Document Type:Research Paper Document #:32127824

...Environment Abstract
Alzheimer’s disease is a type of dementia, while Parkinson’s disease is known as a debilitating neurodegenerative disease that affects significantly more men than women. The two disorders have some similar symptoms but are also very different. With regards to treatment, no standard intervention has been developed for the treatment of Alzheimer’s disorder. The only existing drugs are those that address some of the symptoms. Likewise, there is no standard therapy for those with Parkinson’s disease. But lifestyle changes, approved drugs, and surgical operations can be recommended to address symptoms. Nevertheless, stem cell research has shown a lot of promise in helping to restore and regenerate destroyed brain tissues and is, therefore, currently being tested to help treat brain disorders such as Parkinson’s disease, amyotrophic lateral sclerosis, and Alzheimer’s disease. This work looks at what the evidence is saying about the efficacy of stem cell transplants approach in the treatment……

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References

Alzheimer’s Association. (2015). 2015 Alzheimer\\\\'s disease facts and figures. Alzheimer\\\\'s & Dementia, 11(3), 332-384. doi:10.1016/j.jalz.2015.02.003.

Bali, P., Lahiri, D., Banik, A., Nehru, B., & Anand, A. (2017). Potential for Stem Cells Therapy in Alzheimer’s Disease: Do Neurotrophic Factors Play Critical Role? Current Alzheimer Research, 14(2), 208-220. doi:10.2174/1567205013666160314145347

Goodarzi, P., Aghayan, H. R., Larijani, B., Soleimani, M., Dehpour, A. R., Sahebjam, M., … Arjmand, B. (2015). Stem cell-based approach for the treatment of Parkinson\\\\'s disease. Medical journal of the Islamic Republic of Iran, 29, 168.

Herberts, C. A., Kwa, M. S., & Hermsen, H. P. (2011). Risk factors in the development of stem cell therapy. Journal of Translational Medicine, 9(1). doi:10.1186/1479-5876-9-29

Hwang, S., Gill, S., Pathak, S., & Subramanian, S. (2018, March 30). A Comparison of Stem Cell Therapies for Parkinson Disease | Published in Georgetown Medical Review. Retrieved June 11, 2019, from  https://gmr.scholasticahq.com/article/3420-a-comparison-of-stem-cell-therapies-for-parkinson-disease 

Railton, D. (2019, February 18). Stem cells: Therapy, controversy, and research. Retrieved June 11, 2019, from  https://www.medicalnewstoday.com/articles/200904.php 

The Research Journal. (2017, September 20). Alzheimer\\\\'s and Parkinson\\\\'s - the current state of research. Retrieved June 11, 2019, from  https://www.pasteur.fr/en/research-journal/reports/alzheimer-s-and-parkinson-s-current-state-research 

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Hurricane Maria And Puerto Rico S Emergency Management

Pages: 11 (3177 words) Sources: 5 Document Type:Research Paper Document #:67675163

… scarce supply, roads were obstructed by debris, flooding made other areas inaccessible, and hospitals were overwhelmed (de Arzola, 2018). It was in this environment that Puerto Rico’s Emergency Management had to act. This paper will discuss the preparation, planning and execution of Puerto Rico’s response and show ……

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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.

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Project Management Plan To Upgrade Hospital Equipment

Pages: 13 (3960 words) Sources: 5 Document Type:response paper Document #:39596809

… increased downtime, maintenance costs, reduced productivity, etc. (Lee, 2016).

The objective of this project is to identify, systematically, the equipment in the hospital environment that can be changed to have the most impact on patient outcome at the least cost to the hospital. Hence, the goals are ……

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References

Healthcare Business. (2013, May 15). Report: Hospitals waste billions using outdated technology. Retrieved from Health Care Business Tech:  http://www.healthcarebusinesstech.com/outdated-technology-wastes-money/ 

Lee, J. (2016, April 14). Top five risks of using outdated technology. Retrieved from Meridian:  http://www.whymeridian.com/blog/top-5-risks-of-using-outdated-technology 

Moran, W. J. (2019). Hospital Fundraising Best Practices. Retrieved from The Moran Company:  https://morancompany.com/hospital-fundraising-best-practices/ 

Parand, A., Dopson, S., A. R., & Vincent, C. (2014). The role of hospital managers in quality and patient safety: a systematic review. BMJ Open.

Pohjola, T., Suhonen, M., Mattila, K., & Meretoja, R. (2016). The work done in healthcare projects . Journal of Nursing.

Ponemon Institute. (2013). The Economic and Productivity Impact of IT Security on Healthcare. Imprivata.

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Healthcare Provider Shortage

Pages: 9 (2590 words) Sources: 7 Document Type:Research Proposal Document #:93189886

… setting. The partnerships should incorporate identification of necessary financial resources for these healthcare settings to purchase and utilize these technologies in their clinical settings/environment. This activity will be carried out for a period ranging between 6 months to one year. The required resources for the implementation of ……

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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 

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Strategy For National Defense

Pages: 7 (2014 words) Sources: 7 Document Type:Essay Document #:59270793

… the Indo-Asia-Pacific Region
The National Security Strategy (NSS) focuses on promoting the security of the United States on the premise that a safe environment is critical toward enhancing the prosperity of the nation. This strategy goes beyond promoting the interests of America and includes safeguarding the interests ……

References

Bibliography

Davidson, P.S. “Statement of Admiral Philip S. Davidson, U.S. Navy Commander, U.S. Indo-Pacific Command Before the House Armed Services Committee on U.S. Indo-Pacific Command Posture.” United States Senate, March 27, 2019,  https://www.armed-services.senate.gov/imo/media/doc/Davidson_02-12-19.pdf 

Department of Defense. “Summary of the 2018 National Defense Strategy of the United States of America.” National Defense Strategy, 2018,  https://dod.defense.gov/Portals/1/Documents/pubs/2018-National-Defense-Strategy-Summary.pdf 

Muller, K. “The Essence of Coercive Air Power: A Primer for Military Strategies.” Air University,  https://www.airuniversity.af.edu/Portals/10/ASPJ/journals/Chronicles/mueller.pdf 

Pape, R.A. Bombing to Win: Air Power and Coercion in War, 1st ed. Ithaca, NY: Cornell University Press, 1996.

Tammen, R.L., Kugler, J. & Lemke, D. “Power Transition Theory.” International Relations, June 27, 2017, DOI: 10.1093/OBO/9780199743292-0038

The White House. “National Security Strategy of the United States of America.” The White House, December 2017, https://www.whitehouse.gov/wp-content/uploads/2017/12/NSS-Final-12-18-2017-0905.pdf

Withers, P. “Integrating Cyber with Air Power in the Second Century of the Royal Air Force.” Medium, March 4, 2019,  https://medium.com/raf-caps/integrating-cyber-with-air-power-in-the-second-century-of-the-royal-air-force-bca74b8d42ed 

 

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Patient Protection And Affordable Care Act

Pages: 2 (674 words) Sources: 2 Document Type:Essay Document #:44961120

...Environment 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……

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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.

 

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Nursing Informatics In Education

Pages: 8 (2518 words) Sources: 5 Document Type:Essay Document #:17602860

...Environment

Introducing Informatics Early in Nursing Education
Introduction
As Shackelford (2019) notes in “Industry Voices—Healthcare is Changing,” there is a serious need to reach future workforce members at an earlier age, before they enter into college and a nursing program. Students need to start developing real world skills that will translate well to professional development in the healthcare industry—and that means they need to develop communication skills, technological understanding, and have access to intro-level health care courses when they enter high school. Getting students interested in a future healthcare career at the age of 14 or 15 is a great way to prepare the future workforce and provide them with “career-ready” skills, as Shackelford (2019) puts it. The rationale for selecting this topic regarding the need to expose younger students to skills that can be used in healthcare informatics is that in today’s digital age technology is so much a part……

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References

Eardley, D. L., Krumwiede, K. A., Secginli, S., Garner, L., DeBlieck, C., Cosansu, G., & Nahcivan, N. O. (2018). The Omaha System as a Structured Instrument for Bridging Nursing Informatics With Public Health Nursing Education: A Feasibility Study. CIN: Computers, Informatics, Nursing, 36(6), 275-283.

Kinnunen, U. M., Rajalahti, E., Cummings, E., & Borycki, E. M. (2017). Curricula challenges and informatics competencies for nurse educators. Forecasting informatics competencies for nurses in the future of connected health, 232, 41-48.

Piscotty Jr, R. J., Kalisch, B., & Gracey?Thomas, A. (2015). Impact of healthcare information technology on nursing practice. Journal of Nursing Scholarship, 47(4), 287-293.

Risling, T. (2017). Educating the nurses of 2025: Technology trends of the next decade. Nurse education in practice, 22, 89-92.

Shackelford, S. (2019). Industry Voices—Healthcare is changing. We need to reach the future workforce earlier. Retrieved from  https://www.fiercehealthcare.com/hospitals-health-systems/industry-voices-healthcare-changing-and-our-educational-approach-should-be 

Shin, E. H., Cummings, E., & Ford, K. (2018). A qualitative study of new graduates’ readiness to use nursing informatics in acute care settings: clinical nurse educators’ perspectives. Contemporary nurse, 54(1), 64-76.

Tubaishat, A. (2019). The effect of electronic health records on patient safety: A qualitative exploratory study. Informatics for Health and Social Care, 44(1), 79-91.

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