February 15, 2020

As a community health nurse, what elements do you think are important to stress to the community?

You will continue in your role as a nurse with your local health department. Examine your online lesson, assigned readings, and visit The Community Guide website: .thecommunityguide.org/”>http://www.thecommunityguide.org/ to explore interventions related to violence. Choose one evidence-based intervention, and present this intervention to the task force. Summarize this intervention and why it might work in your area. Describe whether it is considered a primary, secondary, or tertiary prevention strategy and include your rationale (see Nies & McEwen, 2015, Chapter 1, p. 7 for a review of levels of prevention). Community Preventive Services Task Force. (2014). The Community Guide. Retrieved from.thecommunityguide.org/”>http://www.thecommunityguide.org/ Nies, M. A., & McEwen, M. (2015). Community/Public health nursing: Promoting the health of populations (6th ed.). St. Louis, MO: Saunders/Elsevier. Disaster and Communicable Disease Preparedness (graded) Preparing for disasters or communicable disease outbreaks is an important part of public health nursing. Visit the website .ready.gov/”>http://www.ready.gov. Review the steps for being prepared for a disaster. As a community health nurse, what elements do you think are important to stress to the community? How well is your community prepared for a potential outbreak or disaster? Federal Emergency Management Agency. (2014). Ready: Prepare. Plan. Stay Informed.Retrieved from.ready.gov/”>http://www.ready.gov/
February 15, 2020

Prepare a list of measures that could be bench marked for this organization. Comment on why these items are important for benchmarking purposes.

Assignment Exercise 17-1: Variance Analysis Greenview Hospital operated at 120% of normal capacity in two of its departments during the year. It operated 120% times 20,000 normal capacity direct labor nursing hours in routine services and it operated 120% times 20,000 normal capacity equipment hours in the laboratory. The lab allocates overhead by measuring minutes and hours the equipment is used; thus equipment hours. Assumptions: For Routine Services Nursing: • 20,000 hours X 120% = 24,000 direct labor nursing hours. • Budgeted Overhead at 24,000 hours = $42,000 fixed plus $6,000 variable = $48,000 total. • Actual Overhead at 24,000hours = $42,000fixed plus $7,000variable = $49,000 total. • Applied Overhead for 24,000 hours at $2.35 = $56,400. For Laboratory: • 20,000 hours X 120% = 24,000 equipment hours. • Budgeted Overhead at 24,000 hours = $59,600 fixed plus $11,400variable = $71,000 total. • Actual Overhead at 24,000 hours = $59,600 fixed plus $11,600 variable = $71,200 total. • Applied Overhead for 24,000 hours at $3.455 = $82,920. Required 1. Set up a worksheet for applied overhead costs and volume variance with a column for Routine Services Nursing and a second column for Laboratory. 2. Set up a worksheet for actual overhead costs and budget variance with a column for Routine Services Nursing and a second column for Laboratory. 3. Set up a worksheet for volume variance and budget variance totaling net variance with a column for Routine Services Nursing and a second column for Laboratory. 4. Insert input data from Assumptions. 5. Complete computations for all three worksheets. Assignment Exercise 17-2: Three-Level Revenue Forecast Three eye-ear-nose-and-throat physicians decide to hire an experienced audiologist in order to add a new service line to their practice. *They ask the practice manager to prepare a three-level volume forecast as a first step in their decision-making. Assumptions: for the base level (most likely) revenue forecast, assume $200 per procedure times four procedures per day times five days equals 20 procedures per week times 50 weeks per year equals 1,000 potential procedures per year. For the best case revenue forecast, assume an increase in volume of one procedure per day average, for an annual increase of 250 procedures (5 days per week times 50 weeks equals 250). (The best case is if the practice gains a particular managed care contract.) For the worst case revenue forecast, assume a decrease in volume of two procedures per day average, for an annual decrease of 500 procedures. (The worst case is if the practice loses a major payer.) · Audiologists were designated as “eligible for physician and other prescriber incentives” as discussed in Chapter 20. Thus the new service line was a logical move. Required Using the above assumptions, prepare a three-level forecast similar to the example in Fig- ure 17-5 and document your calculations. Assignment Exercise 17-3: Target Operating Income Acme Medical Supply Company desires a target operating income amount of $100,000, with assumption inputs as follows: • Desired (target) operating income amount = $100,000 • Unit price for sales = $80 • Variable cost per unit = $60 • Total fixed cost = $60,000 Compute the required revenue to achieve the target operating income and compute a contribution income statement to prove the totals. Assignment Exercise 18-1: Estimate of Loss You are the practice manager for a four-physician office. You arrive on Monday morning to find the entire office suite flooded from overhead sprinklers that malfunctioned over the weekend. Water stands ankle-deep everywhere. The computers are fried and the contents of all the filing cabinets are soaked. Your own office, where most of the records were stored, has the worst damage. The practice carries valuable papers insurance coverage for an amount up to $250,000. It is your responsibility to prepare an estimate of the financial loss so that a claim can be filed with the insurance company. How would you go about it? What would your summary of the losses look like? Exercise 18-2: Estimate of Replacement Cost The landlord carries contents insurance that should cover the damage to the furnishings, equipment, and to the computers, and the insurance company adjuster will come tomorrow to assess the furnishings and equipment damage. However, your boss is sure that the insurance settlement will not cover replacement costs. Consequently, you have been instructed to prepare an estimate of what has been lost and/ or damaged plus an estimate of what the replacement cost might be. How would you go about it? What would your summary of these losses look like? Exercise 18-3: Benchmarking Review the chapter text about benchmarking. Required 1. Select either the MHS case study in Chapter 25 or one of the organizations represented by a mini-case study in Chapters 27, 28, or 29. 2. Prepare a list of measures that could be bench marked for this organization. Comment on why these items are important for benchmarking purposes. 3. Find another example of benchmarking for a healthcare organization. The example can be an organization report or it can be taken from a published source such as a journal article.
February 15, 2020

explain how to effectively carry out performance appraisals, the methods of assessment one can use, and who should be responsible for assessing employees.

Post a description of the performance appraisal system used in your workplace, including how performance standards are created and communicated to employees. Describe the effectiveness of the performance appraisal system by sharing at least two strengths and two areas for improvement. Conclude your posting by explaining how you might incorporate positive discipline into your performance management approach and what impact you think it will have. Discussion: Performance Standards and Appraisals Performance appraisals should be timely, thoughtful, consistent, thorough, and free from bias. How can performance appraisal systems be structured to facilitate this type of environment? Effective performance standards and appraisals can promote an open and continuous relationship among the nurse manager, HR professionals, and employees. How might you, as a nurse manager, use performance appraisals and other performance management strategies, such as positive discipline, in your leadership approach? In this Discussion, you reflect on questions that commonly arise when assessing performance appraisal processes. · Performance Standards: · Who creates performance standards, and how are they communicated to employees? · Are performance standards consistent with quality standards commonly used in the nursing profession? · Do performance standards align with legal and ethical nursing practice? · Performance Appraisals: · How is employee performance (i.e., behaviors, attitudes, abilities, and skills) documented? · What measures, if any, protect employees from subjectivity? · Are employees asked to engage in any form of self-evaluation? · Do colleagues participate in peer evaluations such as 360-degree appraisals? · Does the performance appraisal process encourage employee development? · Aside from the written performance measures, what aspects contribute to success or failure in achieving performance improvement? To prepare · Review this week’s media, “Performance Management,” and consider the best practices highlighted by this week’s presenters. · Reflect on the performance standards and appraisal systems used in your current organization or one with which you are familiar. With the above questions in mind, identify this organization’s strengths and areas for improvement. · Drawing from ideas presented in this week’s Learning Resources, think of specific ways you might improve your organization’s use of performance standards and/or the performance appraisal process. · Review the article, “Positive Discipline Reaps Retention.” As a nurse manager, how might you incorporate positive discipline into your performance management approach? What effect–good, bad, or indifferent–do you think it would have on your nursing staff? Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus. Required Readings Lussier, R. N., & Hendon, J. R. (2016). Human resource management: Functions, applications, & skill development (2nd ed.). Thousand Oaks, CA: Sage Publications. · Chapter 8, “Performance Management and Appraisal” (pp. 274–314) This chapter introduces the performance appraisal process. The authors explain how to effectively carry out performance appraisals, the methods of assessment one can use, and who should be responsible for assessing employees. · Chapter 9, “Rights and Employee Development&rdquo (pp. 316–355) Chapter 9 provides an overview of employee rights and privileges. It also explains the processes of developing or terminating an employee, providing counseling for problem employees, and effectively using discipline and termination. Dupee, J. M., Ernst, N. P., & Caslin, K. E. (2011). Does multisource feedback influence performance appraisal satisfaction? Nursing Management, 42(3), 12–16. Retrieved from the Walden Library databases. The article focuses on the effects of multisource feedback (MSF) in a nursing environment. Murray, B. (2003). Positive discipline reaps retention. Nursing Management, 34(6), 19–22. Retrieved from the Walden Library databases. Positive discipline can transform communication and relationships between nurse managers and nursing staff. This article examines how nurse managers at a medical center in Boise, Idaho shifted their feedback process to an Alternative Correction Action model based on positive discipline philosophies. Required Media Laureate Education, Inc. (Executive Producer). (2012). Performance management. Baltimore, MD: Author.
February 15, 2020

Discuss the nursing care of the person; link it to assessment data and history.

Assessment Task 2: Case Study Students will complete a case study which discusses the provision and coordination of person-centred care linked to a real person they […]
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