describe the fiscal impact of the growth and aging of the population on long-term care services, and take a position as to whether or not the federal government should continue to provide subsidies to offset the cost to families utilizing long-term care services.

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Do No Harm and Financing for an Aging Population
“Do No Harm and Financing for an Aging Population” Please respond to the following:
Take a position as to whether or not nursing homes should have the authority to restrain a resident. Next, determine who should be held liable if the resident sustains injuries while being restrained. Provide a rationale for your response.
Next, describe the fiscal impact of the growth and aging of the population on long-term care services, and take a position as to whether or not the federal government should continue to provide subsidies to offset the cost to families utilizing long-term care services. Provide support for your response.

What does Autonomy mean to you?

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1. Read the Case Presentation on page 63 (in 4th Edition) of Burkhardt & Nathaniel. This is in Chapter 3 Part 1, the section titled Noncompliance vs Autonomy
a.What does Autonomy mean to you?
b. Comment on the statement: It is easy to honor a patient’s autonomy when they agree with us.
c. Was Cora’s autonomy being infringed?
d. What provisions of the ANA Code of Ethics and Interpretative Statements offers the nurse guidance in this case?
2 .Read the Case Presentation on page 72 (in 4th Edition) of Burkhardt & Nathaniel. This is in Chapter 3, Part 1, the case presentation entitled “Beneficence and Nonmaleficence”.
a. Describe in your own words, Beneficence and Nonmaleficence.
b. Answer all the questions presented in the Think About It section following the case presentation.
3. Read the Case Presentation of Burkhardt & Nathaniel on page 179 in (4th Edition) on moral distress, moral outrage and moral reckoning. Read the case study of Joanna which is the last case study in Chapter 7 entitled “Trying to be Heard”.
a. Does the ANA Code of Ethics, Provision Three offer any guidance for the nurse? Why or why not?
b. Were the nurse’s actions sufficient in this situation?
c. Read the article titled, “Pathways to Moral Courage” and apply the “CODE” analysis to this case to determine if a different outcome was possible.
Article link:
Pathways to Moral Courage, found at:
Pathways_to_Moral_Courage.pdf
4. After reading the article links relating to Placebos that follow, please address:
a. Compare the two articles and argue for or against the use of placebos, including discussion of applicable ethical principles, e.g. autonomy,
beneficence, etc.
b. Specify what provisions of the ANA Code of Ethics offer guidance on the use of placebos in health care

If someone were to say to you, “Qualitative research is not real science,” how would you respond?

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Assignment: Critiquing Quantitative, Qualitative, or Mixed Methods Studies
Critiquing the validity and robustness of research featured in journal articles provides a critical foundation for engaging in evidence-based practice. In Weeks 5 and 6, you explored quantitative research designs. In Week 7, you will examine qualitative and mixed methods research designs. For this Assignment, which is due by Day 7 of Week 7, you critique a quantitative and either a qualitative or a mixed methods research study and compare the types of information obtained in each.
To prepare:
Select a health topic of interest to you that is relevant to your current area of practice. The topic may be your Course Portfolio Project or a different topic of your choice.
Using the Walden Library, locate two articles in scholarly journals that deal with your portfolio topic: 1) Select one article that utilizes a quantitative research design and 2) select a second article that utilizes either a qualitative OR a mixed methods design. These need to be single studies not systematic or integrative reviews (including meta-analysis and metasynthesis). You may use research articles from your reference list. If you cannot find these two types of research on your portfolio topic, you may choose another topic.
Locate the following documents in this week’s Learning Resources to access the appropriate templates, which will guide your critique of each article:
Critique Template for a Qualitative Study
Critique Template for a Quantitative Study
Critique Template for a Mixed-Methods Study
Consider the fields in the templates as you review the information in each article. Begin to draft a paper in which you analyze the two research approaches as indicated below. Reflect on the overall value of both quantitative and qualitative research. If someone were to say to you, “Qualitative research is not real science,” how would you respond?
To complete this Assignment:
Complete the two critiques using the appropriate templates.
Write a 2- to 3-page paper that addresses the following:
Contrast the types of information that you gained from examining the two different research approaches in the articles that you selected.
Describe the general advantages and disadvantages of the two research approaches featured in the articles. Use examples from the articles for support.
Formulate a response to the claim that qualitative research is not real science. Highlight the general insights that both quantitative and qualitative studies can provide to researchers. Support your response with references to the Learning Resources and other credible sources.
As you complete this Assignment, remember to:
Submit your paper to Grammarly and SafeAssign through the Walden Writing Center. Based on the Grammarly and SafeAssign reports, revise your paper as necessary.
Reminder: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The School of Nursing Sample Paper provided at the Walden Writing Center provides an example of those required elements (available from the Walden University website found in this week’s Learning Resources). All papers submitted must use this formatting.
Combine all three parts of this assignment into one Word document including both critique templates and the narrative with your references. Submit this combined document.
Required Readings
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.
Cantrell, M. A. (2011). Demystifying the research process: Understanding a descriptive comparative research design. Pediatric Nursing, 37(4), 188–189.
Retrieved from the Walden Library databases.
The author of this article discusses the primary aspects of a prominent quantitative research design. The article examines the advantages and disadvantages of the design.
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), 294–302.
Retrieved from the Walden Library databases.
This article details the results of a study that sought to balance concern for rigor with concern for relevance. The authors of the article derive and determine a rating format for relevance and apply it to cognitive rehabilitation.
Note: For the Discussion this week, you will need to read the method section of one of the following quasi-experimental studies. Refer to the details provided in the Week 6 Discussion area.
Metheny, N. A., Davis-Jackson, J., & Stewart, B. J. (2010). Effectiveness of an aspiration risk-reduction protocol. Nursing Research, 59(1), 18–25.
Retrieved from the Walden Library databases.
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), 325–331.
Retrieved from the Walden Library databases.
Yuan, S.-C., Chou, M.-C., Hwu, L.-J., Chang, Y.-O., Hsu, W.-H., & Kuo, H.-W. (2009). An intervention program to promote health-related physical fitness in nurses. Journal of Clinical Nursing, 18(10), 1,404–1,411.
Retrieved from the Walden Library databases.
Walden University. (n.d.a.). Paper templates. Retrieved July 23, 2012, from http://writingcenter.waldenu.edu/57.htm
This resource provides you access to the School of Nursing Sample Paper, which will serve as a template for formatting your papers.
Document: Critique Template for a Qualitative Study (Word document)
Note: You will use this document to complete this week’s Assignment.
Document: Critique Template for a Quantitative Study (Word document)
Note: You will use this document to complete this week’s Assignment.
Document: Critique Template for a Mixed-Methods Study (Word document)

Differentiate between strategic management, strategic thinking, strategic planning, and managing strategic momentum.

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Assignment 1: Conducting an Environmental Analysis
Due Week 4 and worth 300 points
For all assignments assume that you are the administrator of a fictitious organization of your choice. The organization can be any type of health care organization such as a hospital, nursing home, rehabilitation center, clinic, etc. As the administrator, you are faced with the challenges of declining reimbursements from insurance providers and increasing demands for patient services due to dramatic changes in the external environment. Such changes include those imposed by the Patient Protection and Affordable Care Act.
Your first step in evaluating the position of your organization will be conducting an environmental analysis. The purpose of this is to determine your organization’s ability to continue to provide quality care and remain financially solvent in the face of these challenges.
Write a six to eight (6-8) page paper in which you:
Determine two (2) specific forces in the external environment that will have the most impact on your organization. Provide a rationale for your decision. Determine two (2) specific internal factors that the organization’s leaders need to consider in preparing for the future of health care and the future of the organization. Provide a rationale for your decision. Discuss the impact of both the identified internal and external forces on the organization’s ability to develop a competitive strategy. Recommend one (1) strategy that involves the organization’s managers in implementing and maintaining the momentum of the strategic plan. Use at least three (3) quality academic resources in this assignment. Note: Wikipedia and other Websites to not qualify as academic resources.
Your assignment must follow these formatting requirements:
Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions. Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.
The specific course learning outcomes associated with this assignment are:
Differentiate between strategic management, strategic thinking, strategic planning, and managing strategic momentum. Analyze the significance of the external environment’s impact on health care organizations. Examine the purpose and importance of service area competitor analysis. Examine the role of internal environmental analysis in identifying the basis for sustained competitive advantage. Use technology and information resources to research issues in the strategic management of health care organizations. Write clearly and concisely about strategic management of health care organizations using proper writing mechanics.