Attached find Article, answer the questions provide during the analysis, no citations, no fancy words.

1. Describe and discuss the purpose, method, results,and conclusions of the article.
2. What type of feedback and frequency was used in the  research article?
3. How is this important to motor control and motor learning in physical therapy?

  Cover page including the Course name & number, title of Paper, and your names and date.

1. Reference assigned article in first page, before  content of paper.
2. Must use Times New Roman 12 point font; Double  spaced; Indent as necessary
3. Written in 2-3 pages (not including the cover and references page)

  Number pages on the top right hand corner

Respond

EXPERIENCE

I had been a bedside nurse for 24 years before I transitioned into my current position as an Accreditation Specialist. I have been in my position a little over two years and due to being a bedside nurse I never had to deal with any budgeting issues. My husband tends to all our personally finances. I honestly have to admit, I am not good with money. My husband is so much better in planning and saving for the future, I have more of a spontaneous personality. I paying more attention and asking more questions to my department manager and director in regards to our budget. They have quarterly leadership meeting where our organizations financial information is discussed. After these meetings, my leaders share the information and are willing to answer any of our questions. They want to be transparent to allow us to be educated and knowledgeable in regards to our organization.

REFLECTION

The pre-conceived notion I had of healthcare financial and budgeting principle is of staffing. I did not realize developing a staffing budget consisted of a certain formula. I was unaware of the number of factors related to identifying the full-time equivalents (FTEs) needed to staff a hospital floor. I now understand that an FTE consisted of 2,080 hours/year for a full-time employee. And patient hours are a major factor, the percentage of direct admits from the emergency room (ER). The budget also has to take into consideration the skill mix needed for your organization.

Two concepts that were very interesting to me were the nonprofit and for-profit concepts. They only difference is that non-profit organizations do not pay taxes. For profit hospitals are owned and operated by financial cooperation’s and have access to larger sums of money when needed. Nonprofit organizations are more community oriented and focuses on what the community needs. They are typically in area that are financially well off but that is not the case for the organization I am affiliated with. My community is poor and Medicaid and Medicare are a high percentage of our reimbursement. Quality verses quantity is always a main focus for us. We do not provide a lot of specialty services but what we offer is quality care with the capability to stabilize and transfer to affiliated hospitals. We like to ensure our patients are receiving quality care not matter where they are sent.

IMPLICATIONS FOR THE FUTURE

My proposed project is implementing a sepsis bundle checklist to improve sepsis bundle compliance in the Emergency Department (ED) to improve patient outcomes. This project is not a high cost to the organization. The sepsis bundle checklist can be created by our quality department and once passed through the form committee for approval it can be rolled out for use. The education department will be involved to develop the education for the staff and providers to ensure the checklist is getting implemented correctly. The checklist will be printed in our print shop so each department, mainly ED, will order and charged to their cost center. There are no areas of additional financial or budgeting data that I feel will be affected by this proposal. 

 Describe the effect of extremely low birth weight babies on the family and community. Consider short-term and long-term impacts, socioeconomic implications, the need for ongoing care, and comorbidities associated with prematurity. Explain how disparities relative to ethnic and cultural groups may contribute to low birth weight babies. Identify one support service within your community to assist with preterm infants and their families and explain how the service adequately addresses the needs of the community, or a population in your community. Provide the link to the resource in your post. 

Research is a systemic investigation used to answer questions. For nursing, research uses the scientific process to study nursing questions for nursing practice. “Research promotes accountability, which is one of the hallmarks of the nursing profession and a fundamental concept of the American Nurses Association Code of Nurses,” (Haber, 2018, p.7). An example of this would be exploring how patients rate their pain on a numeric scale. This type of research helps with evaluating the experience patients feel post-operative.   Evidence-based practice (EBP) is the collection and evaluation of valid research, clinical expertise, and patient values to make a clinical decision. “The IOM has issued a challenge to change the way nursing is practiced by bridging the chasm between research knowledge and practice.” (Brower, 2017, p.18). EBP can ensure the best practice of care for patients, along with decreasing mortality rates. An example of EBP would be a nurse gathering research based on how health care clinics bring about lowering hospital-acquired infections, and using that evidence from the research to provide the best possible outcome. Quality improvement (QI) is using data from different outcomes of care and improvement processes to improve the quality of health care. Current nursing knowledge and methods are researched, alongside with outcomes of certain care processes to answer a question in order to make improvements in nursing care for patients. An example of QI would be a nurse conducting research for an outcome of care involving patient injuries. The nurse would use already existing studies on how health care facilities prevent patient injuries, compare this knowledge to the methods the health care facility they work at use with the outcomes presented, and then create a possible new method of care that can be an improvement. 

Brower, J., E., & Nemec, R. (2017). Origins of evidence-based practice and what it means for nurses. International Journal of Childbirth Education, 32(2), 14-18. 

Haber, J., & Lobiondo-Wood, G. (2018). Nursing research: Methods and critical appraisal for evidence-based practice (9th ed.). St. Louis: Elsevier.