How was the change communicated? Please answer the three questions presented above one of question should be 825 words and two other question 300 Word count for this discussion.

Case Study: Managing Transformational Change in a Healthcare Organisation Introduction YOU are employed with Team Gold, a management consulting services company specialising in assisting organizations experiencing major change management issues. The physicians and staff at a prominent teaching hospital were coming to terms with major change. Due to external forces created by health-care reform, their world was turning upside down. Where they once broadly encouraged patients to come in for services, they now were supposed to send many of them to less costly community hospitals. The idea was to manage operating costs more efficiently by referring out the more routine cases, while keeping the more complex and challenging ones.This represented a whole new mentality. On top of that, the revenue structure was changing to focus on patient outcomes instead of fee for serviceswhile preserving a focus on innovation, patient outcomes, and quality of care. As a teaching hospital, their fees were higher. Thus, they would need to show that their services merited those feesno easy feat when their operating costs, included the funding of research, educating doctors, and caring for underprivileged communities was on the increase. The Business Problem Team Gold were engaged to work with a medical officer who faced a dual challenge. First, he needed to overcome the natural change resistance of his internal peers and get them to understand the urgency for change in order to operate more efficiently. Simultaneously, he needed to convince the outside world that there was indeed better value in paying more for the services of an academic health-care organization in a time of health-care reform. The medical officer was not sure how best to articulate these messages to non-technical audiences, and he was not comfortable answering the tough questions that inevitably were going to arise. The issues were often complicated, unresolved, emotional, and highly politicized. In other words, he needed to be able to lead the organization through a transformational change. Change Management Approach First, Team Gold helped our client develop the messaging for his internal audiences. He had to get physicians and other staff members on board with what the hospital needed to become in the face of health-care reform. If we could work on the internal challenges first, the company could provide a united front when dealing with outside forces. The physicians and staff needed messages that helped them better understand why all this was happeningall of the external pressures ranging from changing demographics to politically instigated health-care reform that demanded a response. Team Gold crafted messages that walked people through the need to be patient while the change was implemented. Externally, he needed to communicate to the media, the medical staff, administrators, and the general population. Our goal here was to ensure that people understood why the hospital was doing what it was doing. Additionally, he needed to reassure these audiences that the emphases on patient outcomes and quality of care were still in playdespite the fact that the hospitals operating model was changing. With this audience, he also needed to be ready to answer the tough questions that would arise about why the hospitals care deserved the higher fees that were charged. Conclusion Through the process of working together to develop this messaging, our client developed confidence in answering difficult questions in a volatile period for health care. Our messages implicitly addressed the needs and concerns of the audiences he was targeting, pre-empting many tough questions. On top of that, he knew he could effectively answer difficult and sensitive questions in front of a high-profile stakeholders consisting of press, doctors, staff, and the medical community. This was an important step in getting everyone on the same page about how and why the hospital was changing. While the final outcome remains a work in progress, he now has the tools and messages he needs to see both his internal and external stakeholders through a seismic transition. Source: https://www.bates-communications.com/insights/bid/83240/Case-Study-Healthcare-Managing-Transformational-Change-and-Answering-the-Tough-Questions-Head-On accessed on 9.9.2018 (Links to an external site.) Links to an external site. DQ1: Who did the change affect the most? DQ2: How was the change received? DQ3: Use at least 4 references and citation within your every post as per Harvard Referencing style. Respond to minimum 2 maximum 3 students within the discussion thread.

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Describe the role of the nurse in end of life decision making with patients and their families.

Write an article for a community newsletter for a local retirement village that explains the laws, policies and choices surrounding end of life health care decisions. 2. Explain the legislation that generated end of life care policies. Was the legislation an outcome of a specific medical case? 3. Identify the primary policies regarding current health care practices related to end of life care decisions. How do these policies affect treatment decisions? 4. Explain the effect of end of life regulations and controls on patient outcomes. What effect does this have on the nurse-patient relationship? 5. Describe the ethical considerations that have influenced policy decisions in regard to end of life decisions.

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Discuss how an understanding of peoples’ lived experiences of a mental disorder can contribute to the development of person-centred mental health nursing practice.

Task: Referring to evidence-based nursing literature and literature by people who have experiences of living with the effects of a mental disorder, you are required to: (ii) Reflect on your own nursing practice and identify one aspect that requires some development for you to work collaboratively with people who have a lived experience of a mental disorder. With reference to relevant nursing literature, reflect on how you could develop this aspect of your own nursing practice. (In this section of the discussion you can use the first person, ‘I’, when you are discussing your own practice development; however, you must also support this section of the discussion with references to relevant literature.)

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Consider strategies that could be used to strengthen the studys internal validity and how this would impact the three other types of validity.

Discussion: Validity in Quantitative Research Designs Validity in research refers to the extent researchers can be confident that the cause and effect they identify in their research are in fact causal relationships. If there is low validity in a study, it usually means that the research design is flawed and the results will be of little or no value. Four different aspects of validity should be considered when reviewing a research design: statistical conclusion validity, internal validity, construct validity, and external validity. In this Discussion, you consider the importance of each of these aspects in judging the validity of quantitative research. To prepare: Review the information in Chapter 10 of the course text on rigor and validity. Read the method section of one of the following quasi-experimental studies (also located in this weeks Learning Resources). Identify at least one potential concern that could be raised about the studys internal validity. Metheny, N. A., Davis-Jackson, J., & Stewart, B. J. (2010). Effectiveness of an aspiration risk-reduction protocol. Nursing Research, 59(1), 1825. Padula, C. A., Hughes, C., & Baumhover, L. (2009). Impact of a nurse-driven mobility protocol on functional decline in hospitalized older adults. Journal of Nursing Care Quality, 24(4), 325331. Yuan, S., Chou, M., Hwu, L., Chang, Y., Hsu, W., & Kuo, H. (2009). An intervention program to promote health-related physical fitness in nurses. Journal of Clinical Nursing, 18(10), 1,4041,411. Think about the consequences of an advanced practice nurse neglecting to consider the validity of a research study when reviewing the research for potential use in developing an evidence-based practice. By Day 3 Post the title of the study that you selected and your analysis of the potential concerns that could be raised about the studys internal validity. Propose recommendations to strengthen the internal validity and assess the effect your changes could have with regard to the other three types of validity. Discuss the dangers of failing to consider the validity of a research study. RESOURCES: Polit, D. F., & Beck, C. T. (2017). Nursing research: Generating and assessing evidence for nursing practice (10th ed.). Philadelphia, PA: Wolters Kluwer. Chapter 10, Rigor and Validity in Quantitative Research This chapter introduces the concept of validity in research and describes the different types of validity that must be addressed. Key threats to validity are also explored. Chapter 11, Specific Types of Quantitative Research This chapter focuses on the specific types of quantitative research that can be selected. The focus is on the purpose of the research rather than the research design. These include such approaches as clinical trials, evaluation research, health services and outcomes research, needs assessments, or replication studies. Padula, C. A., Hughes, C., & Baumhover, L. (2009). Impact of a nurse-driven mobility protocol on functional decline in hospitalized older adults. Journal of Nursing Care Quality, 24(4), 325331. Retrieved from the Walden Library databases. Schultz, L. E., Rivers, K. O., & Ratusnik, D. L. (2008). The role of external validity in evidence-based practice for rehabilitation. Rehabilitation Psychology, 53(3), 294302. Retrieved from the Walden Library databases.

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List what technical skills will be utilised in the client exchange at reception. Communication is a broad term. Discuss its many applications in the client exchange, from the perspective of meeting operational and compliance requirements.

Length: 500 words +/- 10% The content of this Reflective Journal is confidential and will only be read by your facilitator. Consider your role as a beauty/spa/aesthetics professional and the tasks you will perform on reception or front of house including administration, record keeping, customer service, and the processing of sales. You will largely be the face of the business and your skills need to ensure smooth, seamless operations, including meeting operational and compliance requirements and delivering high levels of customer satisfaction. For this Reflective Journal you will be asked to reflect upon what these tasks are and what skills are needed to perform these tasks to a suitable level. There are three sections to this reflective journal. They are: 1. Expectation 2. Research 3. Analysis Section 1: Expectation Drawing from your own personal experience in previous work roles, industry placement, or as a customer/client yourself, what skills and what attributes do you think you will need, to be successful with the reception/administration tasks of clinic practice? Section 2: Research You are required to research a beauty business and find a treatment on their treatment menu. You are to make an enquiry regarding this treatment in person, over the phone, or digitally. State the type of business you contacted, the treatment you enquired about, and your method of communication. Section 3: Analysis For your analysis of the exchange between yourself and the business, you are to answer and reflect on these two questions: 1. How was the business successful in the exchange? 2. How was the business unsuccessful in the exchange? What would you have done differently, if you were the therapist or business? Your analysis of the client interaction should make up the bulk of your journal entry and gives you an opportunity to demonstrate your understanding of the key elements of the client process. You will draw on the learning resources provided in Module 1 which covers PCP206_Assessment 1 Part A_Reflective Journal Brief Page 3 of 6 business fundamentals, client expectation, professional ethics, and legal considerations, interpersonal skills, policy, and procedure.

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The psychiatric nurse practitioner uses the DSM criteria when assessing a patients presenting symptoms to assist in formulating a treatment plan. Best practice includes incorporating a holistic approach when providing care. What are the ethical considerations of focusing on classification? Do you think classification can affect the patients treatment outcome? 2. The paper should be 1 to 2 pages long.

The psychiatric nurse practitioner uses the DSM criteria when assessing a patients presenting symptoms to assist in formulating a treatment plan. Best practice includes incorporating a holistic approach when providing care. What are the ethical considerations of focusing on classification? Do you think classification can affect the patients treatment outcome? 2. The paper should be 1 to 2 pages long.

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Choose three different settings that have signage within the location. Spend some time observing these settings and taking pictures. Prepare a summary and evaluation of the signage.

Two Different essay (Regarding Interior Design and Environmental Psychology) 1. 2 Page essay about Design Analysis (Exercise 3) Exercise 3: Design Analysis Choose a large public location you have never visited before, such as a shopping mall, hospital, park, or large office building. –> I chose location “savannah mall” I will visit there within few hours and I will upload images and information for you. What different types of signage were used? How easy or difficult was navigation based on signage? What other wayfinding mechanisms were available? Gauge others reactions to signage; did anyone appear to be lost? If people did seem lost, what actions did they take to help them find their way? Were there any visual clues (changes in floor pattern or architectural elements) to draw attention to signage or help in wayfinding? Could you design a signage package that would be more beneficial in this location? How would it differ from the current signage? Write a minimum two-page analysis describing the environment and users, as well as the sign number, content, design, and placement. Include photographs of current signage. Sketch and scan proposed improvements Also I will upload example essay for part 1 please check before start! Part 2 (One page Disscussion paper) – Discussion 3: Internal versus External Locus of Control Take at least one of the locus of control tests linked below to determine your own orientation. “https://www.psych.uncc.edu/pagoolka/LocusofControl-intro.html” “https://web.archive.org/web/20081211114038/https://www.ballarat.edu.au/ard/bssh/psych/rot.htm” “https://discoveryhealth.queendom.com” Do you agree with the results? What qualities of internals or externals (depending on your results) do you possess? Which qualities attributed to the type would you say are not part of your nature? Discuss specific instances in which you have demonstrated both an internal and external locus of control. Where on the continuum between internal and external would you say you fall? What leads you to that opinion? How do you think your orientation affects your experience of various environments? Give specific examples. Discussion postings should always be thoughtful and courteous and include some references or direct evidence from the units content, readings, or assignments to support your statements. In order to ensure that postings are appropriate in length and substance, please limit your initial postings to 50 100 words
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Explain why you did, or did not, choose the same forecasting method for each product. What are the benefits of using a formalized approach to forecasting these products?

M&L Manufacturing CASE M&L Manufacturing makes various components for printers and copiers. In addition to supplying these items to a major manufacturer, the company distributes these and similar items to office supply stores and computer stores as replacement parts for printers and desktop copiers. In all, the company makes about 20 different items. The two markets (the major manufacturer and the replacement market) require somewhat different handling. For example, replacement products must be packaged individually whereas products are shipped in bulk to the major manufacturer. The company does not use forecasts for production planning. Instead, the operations manager decides which items to produce and the batch size, based on orders and the amounts in inventory. The products that have the fewest amounts in inventory get the highest priority. Demand is uneven, and the company has experienced being overstocked on some items and out of others. Being understocked has occasionally created tensions with the managers of retail outlets. Another problem is that prices of raw materials have been creeping up, although the operations manager thinks that this might be a temporary condition. Because of competitive pressures and falling profits, the manager has decided to undertake a number of changes. One change is to introduce more formal forecasting procedures in order to improve production planning and inventory management. With that in mind, the manager wants to begin forecasting for two products. These products are important for several reasons. First, they account for a disproportionately large share of the companys profits. Second, the manager believes that one of these products will become increasingly important to future growth plans; and third, the other product has experienced periodic out-of-stock instances. The manager has compiled data on product demand for the two products from order records for the previous 14 weeks. These are shown in the following table. Week Product 1 Product 2 1 2 3 4 5 6 7 8 9 10 11 12 13 14 50 54 57 60 64 67 90* 76 79 82 85 87 92 96 40 38 41 46 42 41 41 47 42 43 42 49 43 44 *Unusual order due to flooding of customer’s warehouse. Question: Prepare weekly forecasts for the next four weeks for both products, describe the forecasting method you chose and explain why that forecasting method is best suited to the scenario. Your forecasts can be developed within a Word document or Excel spreadsheet. Be sure to use at least two current, scholarly references beyond any required course readings. Current sources are those published within the most recent five-year period, and scholarly sources are those from peer-reviewed journals. Make certain for each listed reference that you have at least one supporting citation in the body of your content. Your reference page is always the last page of the submission where all individual references get listed. Reference for the case study: Stevenson, William J. Operations management / William J. Stevenson.11th ed. p. cm. Includes bibliographical references and index. ISBN-13: 978-0-07-352525-9 (alk. paper) ISBN-10: 0-07-352525-1 (alk. paper)
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Health disparity at the state or national level Instructions: Search of the literature, the media (newspapers, web, TV, radio discussions with stakeholders such as legislators, consumers, and other health care professionals) to identify a current health legislative issue. Answer the following questions: What is the current legislative or regulatory issue, and why is it being debated? Who is most affected by the legislation? What are the current socioeconomic, political, cultural, and ethical issues surrounding this topic? Who are the stakeholders? What are the implications of the policy issue for nursing?

Health disparity at the state or national level Instructions: Search of the literature, the media (newspapers, web, TV, radio discussions with stakeholders such as legislators, consumers, and other health care professionals) to identify a current health legislative issue. Answer the following questions: What is the current legislative or regulatory issue, and why is it being debated? Who is most affected by the legislation? What are the current socioeconomic, political, cultural, and ethical issues surrounding this topic? Who are the stakeholders? What are the implications of the policy issue for nursing?

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