Since P4P ( paid for performance) has been around for a number of years, one would think that its effectiveness should be clearly documented. However, Peter Kongstvedt says that results have been mixed. He concludes that “positive results remain ambiguous, at least on a broad basis.”

Review various P4P program results and effectiveness on the Internet or through your college’s Online Library, which you can access in the Resources tab.

Write a 1-page report of your findings. Specifically, address strengths and weaknesses of this compensation method, both from the point of view of the health plan and the physician. Cite at least two sources. List sources in APA format.

Write a critical appraisal that demonstrates comprehension of two qualitative research studies. Use the “Research Critique Guidelines – Part 1” document to organize your essay. Successful completion of this assignment requires that you provide rationale, include examples, and reference content from the studies in your responses. Use the practice problem and two qualitative, peer-reviewed research article you identified in the Topic 1 assignment :” The prevalence of pressure ulcer and pressure injury  in the Hospital and Skilled nursing Facility” to complete this assignment. In a 1,000–1,250 word essay, summarize two qualitative studies, explain the ways in which the findings might be used in nursing practice, and address ethical considerations associated with the conduct of the study. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance

RUBRIC

Rough Draft Qualitative Research Critique and Ethical Considerations – Rubric         No of Criteria: 10 Achievement Levels: 5          Criteria  Achievement Levels    Description  Percentage      Unsatisfactory             0.00 %                     Less than Satisfactory             75.00 %                     Satisfactory             83.00 %                     Good             94.00 %                     Excellent             100.00 %                                       Content                 75.0                                   Background of Study                15.0         Background of study including problem, significance to nursing, purpose, objective, and research questions is incomplete.         Background of study including problem, significance to nursing, purpose, objective, and research questions is included but lacks relevant details and explanation.         Background of study including problem, significance to nursing, purpose, objective, and research questions is partially complete and includes some relevant details and explanation.         Background of study including problem, significance to nursing, purpose, objective, and research questions is complete and includes relevant details and explanation.         Background of study including problem, significance to nursing, purpose, objective, and research questions is thorough with substantial relevant details and extensive explanation.                      Method of Study               15.0         Discussion of method of study including discussion of conceptual/theoretical framework is incomplete.         Discussion of method of study including discussion of conceptual/theoretical framework is included but lacks relevant details and explanation.         Discussion of method of study including discussion of conceptual/theoretical framework is partially complete and includes some relevant details and explanation.         Discussion of method of study including discussion of conceptual/theoretical framework is complete and includes relevant details and explanation.         Discussion of method of study including discussion of conceptual/theoretical framework is thorough with substantial relevant details and extensive explanation.                      Results of Study               15.0         Discussion of study results including findings and implications for nursing practice is incomplete.         Discussion of study results including findings and implications for nursing practice is included but lacks relevant details and explanation.         Discussion of study results including findings and implications for nursing practice is partially complete and includes some relevant details and explanation.         Discussion of study results including findings and implications for nursing practice is complete and includes relevant details and explanation.         Discussion of study results including findings and implications for nursing practice is thorough with substantial relevant details and extensive explanation.                      Ethical Considerations               15.0         Discussion of ethical considerations associated with the conduct of nursing research is incomplete.         Discussion of ethical considerations associated with the conduct of nursing research is included but lacks relevant details and explanation.         Discussion of ethical considerations associated with the conduct of nursing research is partially complete and includes some relevant details and explanation.         Discussion of ethical considerations associated with the conduct of nursing research is complete and includes relevant details and explanation.         Discussion of ethical considerations associated with the conduct of nursing research is thorough with substantial relevant details and extensive explanation.                      Conclusion               15.0         Conclusion does not summarize a critical appraisal and applicability of findings.         Conclusion is vague and does not discuss importance to nursing.         Conclusion summarizes utility of the research and importance to nursing practice.         Conclusion summarizes utility of the research from the critical appraisal and the findings importance to nursing practice.         Conclusion summarizes utility of the research from the critical appraisal, knowledge learned, and the importance of the findings to nursing practice.                       Organization and Effectiveness                 15.0                                   Thesis Development and Purpose               5.0         Paper lacks any discernible overall purpose or organizing claim.         Thesis is insufficiently developed or vague. Purpose is not clear.         Thesis is apparent and appropriate to purpose.         Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.         Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.                      Argument Logic and Construction               5.0         Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.         Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.         Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.         Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.         Argument is clear and convincing and presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.                      Mechanics of Writing (includes spelling, punctuation, grammar, language use)               5.0         Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.         Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, or word choice are present.         Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used.         Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used.         Writer is clearly in command of standard, written, academic English.                       Format                 10.0                                   Paper Format (use of appropriate style for the major and assignment)               5.0         Template is not used appropriately or documentation format is rarely followed correctly.         Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.         Template is used, and formatting is correct, although some minor errors may be present.         Template is fully used; There are virtually no errors in formatting style.         All format elements are correct.                      Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)               5.0         Sources are not documented.         Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.         Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.         Sources are documented, as appropriate to assignment and style, and format is mostly correct.         Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.       Total Percentage 100

1-which of the following behaviors may be (1) ethical but illegal, (2) legal but unethical, (3) illegal and unethical, and (4) legal and ethical.

A. Working in a clinic that performs abortions

b. Respecting the wishes of a client suffering from ALS that he be permitted to die with dignity and not placed on “breathing machines”

c. Respecting the health surrogate’s wishes regarding termination of life support of her friend

d. Observing a coworker take out two tablets of oxycodone as ordered for pain management for his patient but keeping one for himself, administering only one tablet to the patient.

2-differentiate among the following: deontological theories, utilitarianism, and principlism.

3-what do you think about health-care professionals disclosing information to clients about a poor prognosis, even though the information may cause severe distress.

4-What do they think about health-care professionals disclosing information to clients against family wishes?

5. You see a colleague use another nurse’s password to access the medication administration system and take out a narcotic. What would you do?

6.Your colleague’s child fell and was brought to the emergency department. She comes back up to the unit and tells you that they cleaned and debrided the wound, and she needs to change the dressings twice a day using a wet to dry method. You see her go into the supply system and remove the dressings and saline using a patient’s identification number. What would you do?

7. You are caring for a patient who has a terminal disease. He asks you if he is dying. Would you tell him? If yes, how? If no, what might you say? .

8-You are administering hydromorphone to a patient. The patient asks you what you are administering. Would you tell the patient about the medication?

i need someone to write reflection for me :

“3000 word “

you should write like 4 reflection 

-professtional values 

• communication and interpersonal skils 
• – nursing practice – decision making 
• – leadership 
• for example how to write each one 
• for example “ professional values 
• you should make brief introduction 
• make a story or synario 
• analyzes evaluate +literature review 
• what you learnd
• “ you should make every pointe like this way of writing “

the conclusion :

What the goal of your experience .

1- basic world and easy to read 

2- 25 reference ( mention  the reference that you use in each paragraph) 

3- no plagiarism ( do not check it in any website for plagiarism  )  no more 3% of plagiarism

4-follow  the instructions in the attachment very well 

 PLEASE RESPOND TO THE PEER DISCUSSION BELOW.

By searching the Agency for healthcare Research and Quality grants database. I found one grant titled “Impact of Atypcial Antipsychotic Use on Health Care Utilization in the Elderly”(APARASU, ). This grant aims to describe the use of atypical antipsychotic agents in the elderly, overall number of elderly on this medication, and compare that usage to olanzapine, risperidone, and quetiapine. The age group in 65 years or older and the study hypothesis is that overall use of atypical antipsychotic use is more than typical antipsychotic use (APARASU, ).

            In order to search for a grant like this one using grant databases is key. Grant.gov is one area to look and AHRQ is another. I have noticed that more healthcare grants are on AHRQ than on Grant.gov. Using the key terms used in my research article I was able to narrow it down to a few grants available. In order to apply you would need to complete the SF424 form which is the initial application, PHS 398 if the funding opportunity announcement requires it, RPPR which is the research performance progress report guide, and the noncompeting progress report for muli-year funded award (Grant application forms.2015). While this is specific to this grant it is important to fully understand the grant requirements, demographics, and hypothesis of the grant in order to ensure it aligns with your own.