...Testing Propositions from Other Disciplines as They Relate to Nursing Studies using the theory’s propositions have focused on a wide variety topics and populations (Coward, 1996). As previously mentioned, mental health issues (Nygren et al., 2005), concerns about the aging (Flood, 2006), palliative care questions (Hunnibell et al., 2010), as well as the terminally ill (Enyert & Burman, 1999) have been studied extensively. Family members and caregivers, in addition to nurses, have been considered in this approach (Kim et al., 2014). Self-transcendence has been enhanced through activities such as journaling, meditation, life review, and creating artwork or literature (Coward, 2013). Completion of a living will (Decker & Reed, 2005), support group...
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...Wolters Kluwer Health | Lippincott Williams & Wilkins Missed Nursing Care, Staffing, and Patient Falls Beatrice J. Kalisch, PhD, RN, FAAN; Dana Tschannen, PhD, RN; Kyung Hee Lee, MPH, RN Patient falls in hospitals continue to be a major and costly problem. This study tested the mediating effect of missed nursing care on the relationship of staffing levels (hours per patient day [HPPD]) and patient falls. The sample was 124 patient units in 11 hospitals. The HPPD was negatively associated with patient falls (r = − 0.36, P < .01), and missed nursing care was found to mediate the relationship between HPPD and patient falls. Key words: falls, missed nursing care, staffing P to 12% of hospitalized patients experience at least 1 fall during their hospital stay.1 A fall is defined as any event in which patients are found on the floor (observed or unobserved) or an unplanned lowering of the patient to the floor by staff or visitors.2 In 2008, and 2010, falls were identified as one of the top 10 sentinel event categories by the Joint Commission.3 Fall rates in hospitals range from 4 to 14 falls per 1000 patient days.4 With the adoption of the Centers of Medicare and Medicaid rule, which no longer reimburses hospitals at the higher diagnosis related group for the care and treatment associated with patient falls that occur during hospitalization, a clearer understanding of what factors U Author Affiliations: School of Nursing, University of Michigan, Ann Arbor, Michigan (Drs Kalisch and...
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...Nursing Research Utilization Project Proposal Sally Martin Torres NUR 598 September 11, 2011 Dr. Veta Massey Nursing Research Utilization Project Proposal Section D: Methods of Implementation Health care throughout the history has shown many changes. Every change brings in challenges in a workplace because change is more often met with resistance. It also brings in innovative ideas that steers the organization’s advancement and performance. The major motivation of change in this organization is to sustain a successful future in its continuum. For change to succeed, brilliant strategy, and clever implementation are necessary (Gandossy and Sonnenfield, 2004). Organizing the Plan The problem that was stated in Part A of this proposal was medication error and the organization is aiming at reducing the incidents of administration errors that involve medications. Although there are three proposed solutions, the one that gained the highest priority is the use red disposable apron during the medication rounds. This type of innovation is cost-effective, requiring short staff in-service by the nurse clinical educator, it is maintenance free, and does not require space for storage. This intervention will also allow a less difficult data collection for measuring outcomes. Every institution requires the approval of the Chief Nurse Officer (CNO) to pilot an intervention. The intervention will be introduced in a small 30-bed medical-surgical unit which will last for four months...
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...private party in 2013. It possesses a huge budget debt reaching into the millions. Regrettably, the nursing home retained its roots of serving low-income residents causing it to lose hundreds of dollars on a daily basis. Currently, 171 out of the 174 at the nursing home are occupied. 74% of the inhabitants are low-income residents utilizing Medicare and welfare payments to “cover” the cost of residing at Pleasant Valley Manor. The Monroe County Government Commissioners no longer want to support the facility, but it will grant it one last chance. The following advertising plan aims to lead Pleasant Valley Manor into a solid financial ground. It takes a look at the current market situation affecting the nursing home. While Pleasant Valley Manor had its own SWOT Analysis, it was better to create a new one from an outsider’s point-of-view, so this plan also examines the manor’s strengths, weaknesses, opportunities, and threats. Additionally, the plan takes into account Pleasant Valley’s Manor competitors. After studying the market and Pleasant Valley Manor’s competitors, this plan proposes a detailed advertising and a media strategy. Targeting the people belonging to the “sandwich generation”, this plan suggests Pleasant Valley Manor advertise on local television, newspaper, and radio. The main message this plan intends to declare is that Pleasant Valley Manor is unlike every other nursing home. Pleasant Valley Manor prides itself in creating a family-like environment. Family is the...
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...Request for Proposal UK‐1357‐14 Proposal Due Date – 04/17/14 Environmental Health & Safety Software‐Based Research Facilities Inspection and Recordkeeping System An Equal Opportunity University REQUEST FOR PROPOSAL (RFP) ATTENTION: This is not an order. Read all instructions, terms and conditions carefully. PROPOSAL NO.: Issue Date: UK-1357-14 RETURN ORIGINAL COPY OF PROPOSAL TO: 3/20/2014 UNIVERSITY OF KENTUCKY Environmental Health & Safety SoftwarePURCHASING DIVISION Based Research Facilities Inspection and 411 S LIMESTONE Title: Recordkeeping System ROOM 322 PETERSON SERVICE BLDG. Purchasing Officer: Joyce Holmberg LEXINGTON, KY 40506-0005 Phone: 859-257-9104 IMPORTANT: PROPOSALS MUST BE RECEIVED BY: April 17, 2014 @ 3 P.M. LEXINGTON, KY TIME. 1. NOTICE OF REQUIREMENTS The University’s General Terms and Conditions and Instructions to Bidders, viewable at www.uky.edu/Purchasing/terms.htm, apply to this RFP. When the RFP includes construction services, the University’s General Conditions for Construction and Instructions to Bidders, viewable at www.uky.edu/Purchasing/ccphome.htm, apply to the RFP. Contracts resulting from this RFP must be governed by and in accordance with the laws of the Commonwealth of Kentucky. Any agreement or collusion among offerors or prospective offerors, which restrains, tends to restrain, or is reasonably calculated to restrain competition by agreement to bid at a fixed price or to refrain from offering, or otherwise, is prohibited...
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...Nursing Research Utilization Project Proposal Abstract The issue of controlling and preventing hospital-acquired infections is a major problem in the Healthcare system. Most patients admitted to hospitals are at some risk of contracting a hospital-acquired infection (Paterson, 2012). Some patients are more vulnerable than others; these include the elderly, patients with defective immune systems, and premature babies. Hospital-acquired infections remain a major concern, and they can occur in any care setting, including acute care within hospitals, outpatient surgery centers, clinics, and long-term care facilities (such as nursing homes or rehab centers). Four categories account for 75% of all acquired infections in the acute care hospital setting. These are surgical site infections, central line-associated bloodstream infections, ventilator-associated pneumonia, and catheter-associated urinary tract infections (Nassof, 2009). Urinary tract infections comprise the highest percentage (Paterson, 2012). These infections usually are spread by the contaminated hands of healthcare providers or the patient’s family members. They are also caused by contaminated surfaces or hospital equipment that has not been properly cleaned (Nassof, 2009). The rate of exposure to infectious materials could be reduced if healthcare providers adhered to certain standard precautions such as hand hygiene. The proposal for this nursing research utilization project is to educate nurses on the importance...
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...Nursing Research Utilization Project Proposal Tamra Sanders Nur/598- Research Utilization Project June 2, 2014 Patricia Dehof Nursing Research Utilization Project Proposal In the United States, 15-25% of patients who are in the hospital have urinary catheters and 75% of urinary tract infections are associated with a urinary catheter. The most vital risk for acquiring a catheter-associated UTI (CAUTI) is the extended use of a urinary catheter. Catheter-associated urinary tract infection (CAUTI) causes an increase in morbidity, mortality, hospital cost, and length of stay. There are approximately 380,000 infections and 9000 deaths related to CAUTI’s per year. CAUTI’s can increase a patient’s hospital stay by 2-4 days. The cost, in United States hospitals, per year, is over 500 million dollars to treat CAUTI’s (Centers for Disease Control and Prevention, 2012). Having a urinary tract infection can lead to unnecessary antimicrobial use, and the urinary drainage system of the urinary catheter can harbor multidrug-resistant bacteria, which can spread to other patients (Centers for Disease Control and Prevention, 2012).This paper, the nursing research utilization proposal, will focus on preventing CAUTI’s. The key resolution to prevent CAUTI’s is to implement a quality improvement (QI) program to improve the appropriate use of indwelling catheters and to reduce the risk of CAUTI’s based on health care organization’s risk assessment. A quality improvement program will make...
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...|PLEASE ATTACH RECENT PHOTO |[pic] | | |Commonwealth Scholarship and Fellowship Plan | |APPLICATION FOR A COMMONWEALTH SCHOLARSHIP IN SOUTH AFRICA | |1.a) TITLE (delete as applicable) |Mr / Mrs / Miss / Ms / Other | |1.b) NAME (underline surname) | | |2.a) PERMANENT ADDRESS | | | |2.b) EMAIL ADDRESS | | |3. ADDRESS FOR CORRESPONDENCE (if different from above) | | | |4...
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...Program Planning and Grant Proposal HSM 270 Program Planning and Grant Proposal Working in human service fields certain individuals within the agency will be investing their time on program planning and grant proposals. Program planning is the first step in planning of a particular program in which needs funds. Program planning is a process with objectives, setting up goals and evaluation of all statistical data is measured. In this process of program planning; the team illustrates where a program or service might be needed in the community or city. It is a plan that someone or a group puts together so that the program function thoroughly. After careful ideas are secure in laid out on paper a grant proposal is the next step. The grant proposal must address the grantor’s goals, objectives and their main priorities. Through specific and clearly defined detailed information within the proposal would it be considered by the funders to be addressed. An application for a grant should include the following detailed information: 1. Table of contents 2. Abstract 3. Specific goals 4. Targeted area 5. Evaluation plan 6. Budget and budget justification 7. Community support Grants use the same basic information as with the planning of a program so that it can be approved. This process is one of the similarities between grant proposals and program planning. One difference is that a grant is a plan for money and a program plan is ideas that someone...
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...find another Harvard MBA that wanted to work in customer service. Donna took advantage of every opportunity with to advance at Apple through her direct and hard-nosed style. Donna’s individual performance was impressive. She was able to deliver results and her groups performed well on key metrics. Apple was the perfect place for Donna since being a young company light on formality that underwent frequent reorganizations. Apple’s fast growth, loose organization, and corporate culture allowed Donna to make decisions “above her pay grade” and thus demonstrate her ability to perform at higher levels of responsibility. Place yourself in Dubinsky’s position. Why did she respond the way she did to the JIT proposal? Donna could never understand why the JIT proposal was even being discussed. She didn’t see any problems in the distribution area, and thought this was a cost cutting measure by Jobs because the Mackintosh division was underperforming. Donna never understood why the reins had been taking from her hands in the first place and given to the taskforce. Donna viewed this as a direct attack on her job and remarked “I didn’t know why there should be a taskforce at all. Distribution’s our job”. In her mind everything was working so well. There was no problem to solve. What do you think she should have done differently and why? Be specific....
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...Grant Proposals It doesn’t matter if the business is just an agency, organization, for profit or non-profit they need money to operate. Profit companies focus on getting their funding through revenues and interest-bearing loans. Non-profit companies depend on grants, loans, and public generosity. It is a must to understand that non-profit agencies are businesses too and they also need a way to pay for their expenses. Writing grants is the way an agency finds funding. Either an employee professional grant writer or having administrative personnel to write the proposals, they then submit them for review to potential donors. Writing grants proposals is far from an easy to deal with. There are deadlines, awareness of what programs a funder is looking to invest their time and money into. Details for the application are an important part to writing a grant. Some are short and don’t require much information, while others require detailed description of the program. This is the grant writer’s priority to make sure that it meets requirement and all the information that is needed is there. The primary point to a proposal is that is to get their program out there and to make it clear and honest picture of the organization project for those funding and in general. The writer must convince the review committee that their program is the best to choose. Grant proposals are the entrance to a organization, and creative writing can either win the committee over or break the deal. The information...
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...THE RESEARCH PROPOSAL TEMPLATE This document has been set up to assist students in preparing the text for their research proposal. It is NOT intended as a document to guide you through your research proposal development, but to assist you in setting out the proposal, in terms of text layout, section headings and sub-sections. The Research Proposal is a complete description of the intended research, developed under the supervision of the assigned supervisor. Through the full proposal, the student needs to demonstrate convincingly that the study will make a contribution to a public health issue or problem. The full research proposal must be between 5 and 10 pages and should present the following: ▪ Title ▪ Brief Introduction ▪ Background and statement of the problem (this in the light of a thorough literature review) ▪ Research question or hypothesis, aim and objectives ▪ Study design (type of study) ▪ Study population and sampling ▪ Data collection methods and instruments ▪ Data analysis methods – if applicable statistical planning must be fully addressed, or the candidate should provide evidence that statistics are not required. ▪ Mechanisms to assure the quality of the study – e.g. control of bias, safe storage of data ▪ Study period - Timetable for completion of the project ▪ Participants in the study – all people involved in the study, and the role they play, should be identified.* ▪ Ethical considerations ▪ Resources required for the study...
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...Pro Staffing Research for Outsourcing Payroll and Tax Services 03/15/2014 Table of Contents Project Scope 4 Requirements 4 Procurement Advantages 5 Savings Analysis 5 Procurement Disadvantages 6 Risks 6 Scoring Matrix for Procurement Proposals 8 Contractual Analysis 12 Considerations 12 Proposal Information 12 Legal Compliance Subjects 12 Proposal Questionnaire 12 Instructions to Proposers 13 Project Scope Pro Staffing research of outsourcing payroll and tax responsibilities versus in-house or new software package to evaluate which process will better meet the needs of corporation in both cost and quality of services. The analysis shows the cost savings for the procurement average 31% less than in-house management either by current processes or new software. Risk/ liability for Federal Tax withholding and reports is moved to the vendor. Requirements The solution needs to provide minimal 1. Direct deposit or mail for employees and contractual workers regular payroll, bonus pay, and expense checks 2. Handle workers compensation payment 3. Payroll withholding 4. Payroll tax management 5. Knowledge of international payments to employees or contractors 6. Online payroll management by Pro Staffing 7. Web access with required registration access for previous W2 and payroll check information for up to five years 8. Documents should be printable or delivery by mail 9. Strict documented protocol...
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...Agency: REPP (Rural Education Program Pakistan) Subject: Request for proposal for Teacher’s Training of English Language in Southern Punjab. Project Name: Improving Quality of education in backward areas. Reference Number: 2083/ FEP/RFP/2013 Submission date The proposal is to be submitted before 30th-May-2013, by 12:00 p.m. Pakistan time, as a hard copy, through TCS or OCS courier services. Proposals received after this time and date will not be entertained. The details for submission are given in the section of submission procedure, of this announcement. Summary REPP Rural Education Program Pakistan, grants funds to the organizations working in specific regions, for the improvement of the educational system all over Pakistan. Availability of funds and quality of proposals serve as the basis of funding. The organization receiving the funds is to choose from the audience and provide the services through REPP funds. Funding Project period cannot exceed 12 months, until and unless there is a valid reason, defined in section V. the funding limit is Pakistan Rupees 40,000,000. Eligibility information All the non-governmental organizations, registered with the government of Pakistan and possess the area NOC, and have had experience of working in southern Punjab are eligible to submit their proposal, short listing however will be done on the specific criteria. Contents: 1.1 Background 1.2 Objectives of the programme 1.3 Financial allocation by contracting authority ...
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...Volume 77, Number 205 (Tuesday, October 23, 2012). International Mailing Services: Proposed Product and Price Changes. My business utilizes The United States Postal Service for small shipments and packages.. The price increase in product and service for international mailing could heavily affect our business. Thirty percent of our products are ordered by foreign customers. For the whole online selling industry, we will lose a large revenue if the new regulation is passed and applied to both individual and business. 2. Describe the proposal/change. (10 points) The proposal will increase the cost of USPS mailing services including First-Class Mail International and extra services. The Postal Service proposes to adjust the price of various sections of Mailing Standards of United Stated Post Service. The proposal is filed in October 2012 and could be affective on January 2013. 3. Write the public comment which you would submit to this proposal. If the proposed regulation deadline has already passed, write the comment you would have submitted. Explain briefly what you wish to accomplish with your comment. (10 points) The current cost for international mail is already expensive. Selling goods online...
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