Well Said. I like the part about speaking up if you see someone not washing their hands. It happens too often and to be honest the majority of the time its the doctors who are guilty. Just last week I saw a Doc coming out of an isolation room and he did not wash his hand. Even worse he’s an infectious disease MD. not only did I say something to him but I also notified my nurse manager as I felt like that kind of behaviour is unacceptable.

 

NO PLAGIARISM

A PESTLE Analysis identifies political, economic, social, technological, legal, and environmental factors. Review PESTLE Analysis at the following https://www.groupmap.com/map-templates/pestle-analysis

The U.S. health care system costs $3.3 trillion last year and delivered too little value (Blumenthal, 2017). For most Americans, health care is not only expensive but also fragmented, inconvenient, and physically inaccessible.  Aetna, CVS, UnitedHealth Group and DaVita are health care stakeholders who are engaging in mergers and acquisitions to produce a higher quality product.  Review the article “Is M&A the Cure for a Failing Health Care System?” at https://hbr.org/2017/12/is-ma-the-cure-for-a-failing-health-care-system in Harvard Business Review.

Congratulations; you have been selected as the new Chief Executive Officer (CEO) of a local hospital.  Within six months of taking the job, you learn your health care organization is considering a merger.  Your first task is to conduct a PESTLE Analysis.  Use critical thinking skills and metacognition to research current events in the macro environment of the local hospital in your area.  Your hospital selection will be the same hospital used throughout this course. MY HOSPITAL IS ( UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCE ).  Review the website information on your hospital selection and prepare a 10-slide Microsoft PowerPoint narrative using a PESTLE Analysis 

Your 10-slide PESTLE PowerPoint should follow this format:

1. Slide 1: Cover Page a. Include the title of your paper, your name, the course number and course title, your professor’s name, the university’s name, and the date.
2. Slide 2: Background / Executive Summary a. Describe the details of the situation. Use bullets with short sentences. The title of these slides should be Executive Summary.
3. Slide 3: Thesis Statement a. Identify the focus of your research. The title of this slide should be Thesis Statement.
4. Slides 4-9: Supporta. Support your Thesis Statement following the SESC formula: State, Explain, Support, and Conclude.  (Use Sublevel 1 and 2 Headings to provide coherence and organization. An overview of using the Sublevel 1 and Sublevel 2 headings is provided in the following video https://www.youtube.com/watch?v=yr185y-fAks. Provide in-text citations using the format in the American Psychological Association (APA) Manual 2010, 6th Edition.)
5. Slide 10: References 
   1. Locate peer reviewed journal articles to support your responses.  For example, identify clinical quality that does not compare to other hospitals, see https://www.medicare.gov/hospitalcompare/search.html. Use APA format for your references. (To help you with APA in-text citations and your Reference list, some students use Citation Machine at http://www.citationmachine.net.) 

 Reflecting on week 9’s lessons in the syllabus, select a patient population (young adult, adult or geriatric), and briefly analyze a common STDs & urological disorder (ex – UTI, Hematuria, Urolithiasis, Urinary Incontinence, Ac. Pyelonephritis, HIV, Bacterial vaginosis, Chlamydia, Gonorrhea, Trichomoniasis, Syphilis) that may affect this population. Briefly tell how it impacts the patient’s quality of life and analyze the current research evidence on this topic and gold standard of care if any for your chosen population. (You may use an example from your clinical rotation (past or present) that you have encountered). Describe how you, the FNP, can/or have made a difference in the care of patients with this specific condition and tell of one specific patient care teaching the patient can benefit from.Please post your CS directly in the thread so that your colleagues can see it and be sure to read and respond/comment on one of your colleagues  

“Health Economics” Please respond to the following: cite work

1. As a Human Resources manager for a mid-sized company in your area, you have been tasked with purchasing the best group health insurance for your organization. Analyze at least two (2) lifestyle choices relative to the effect(s) that these choices could have on the organization’s premiums. Support your rationale with two (2) health economic examples.
2. Debate It: Take a position that the full implementation of the Affordable Care Act in 2014 will or will not create a market failure for insurance companies. Provide evidence to support your position.

Please, respond to the following discussion by using peer-reviewed Nursing Journal not older than 5 years. APA format required.

 

Nursing Research and Evidence-Based Practice

Evidence based practice (EBP) is related to nursing research in several ways. Evidence based practices use researched knowledge in order to improve a practice. A fundamental part of EBP is using the best presented research evidence and integrating it with other factors in making clinical decisions to improve the outcomes (Polit & Beck, 2018). Nurses need to understand a research in order to use it and to center the evidence of its practice in order to adjust it to possibly perform an EBP.

Nursing research and EBP have their differences as well. There are different requirements for nurses to do either. Any nurse can perform an EBP. They can use a knowledge in nursing and improve the results of a practice by changing a few things. A group of RNs’ on a rehabilitation unit can give group talk sessions about fall prevention measures with patients and family member and record if there are less falls in the unit as a result of this practice. Nurses need a higher education in order to perform researches. Many researches companies require that nurse acquire a master’s in nursing, or even a doctorate, prior to be hire. Both nursing research and EBP has a different set of steps to follow. Nursing research involves concepts, constructs, theories, variable, and research data (Polit & Beck, 2018). Nursing researches can be based on nursing, medical, or any other science that could relate with nursing. EBP, on the contrary, will use of a research knowledge, find a group to test, perform an intervention, compare the results, check for outcomes and make better decisions based on the best evidence. Also, there are four essential EBP skills which are asking a practice question using the PICO method, retrieving evidence from the literature, appraising the evidence, and synthesizing the evidence (Howe & Close, 2016).

In conclusion, a nursing research is a development of a new knowledge based on a study perform by nurses with a higher education while EBP can be performed by a nurse with the knowledge already known and with better evidences will improve its application.