Discussion-Controlling And Improving Performance

Discussion-Controlling and Improving Performance

Refer back to the case “How can an Accountable Care Organization Improve the Health of Its Population?” found on p.417 in the text.   For this discussion, in two paragraphs answer the following

  • In order to improve the health of its population, what should Vandalia Care’s performance goals (select two) be in this case?
  • Suggest a performance target for each goal.
  • Which performance metrics would be useful for Vandalia to use in order to measure progress towards achieving each performance goal?

For all answers provide a rationale for your selections.

Please post your initial response by Tuesday 11:59 pm. minimum 300 words

Hypothesis And Variables

Hypothesis and Variables


A researcher wonders how well the sense of smell functions during sleep. In general, we know that our sensory systems operate at a higher threshold during sleep. That is, a more intense stimulus is required to elicit a response during sleep than during wakefulness. Furthermore, we are less responsive during some stages of sleep than during others. Experiments using sounds suggest that we are less responsive during stages 3 and 4 sleep (deep sleep) than during stages 1, 2, or REM sleep (lighter sleep). Thus, the 4 – 16 researcher predicts that research participants will be less responsive to odors during stages 3 and 4 sleep than during the other stages of sleep. The researcher devises a system for delivering odors while college students sleep in the laboratory. Peppermint fragrance is delivered at specific times through a modified oxygen mask that the students wear while they sleep. Electrodes are attached to each student’s scalp, face, and chin to determine sleep staging. Electrodes are also attached to each student’s chest to record heart rate. A change in heart rate following presentation of the odor is used to indicate that the participant detected the odor.


  1. Read the scenario above and answer the following questions:
    1. What is the research hypothesis?
    2. What is the independent variable?
    3. Is the independent variable a qualitative variable or a quantitative variable?  Explain.
    4. Why might the researchers want to use multiple dependent variables?
    5. Describe one limitation of this study.

Nursing History

What lesson from history have we learned as a profession that will take us into the next century? What can we do to help this happen? What should we aboid?

Week 9 Discussion

Conducting research with strong ethical principles is a critical component of being an effective nurse researcher. Consider all or some of these questions as you share your reflections on the importance of ethical considerations in nursing research. In the research simulation activity, which character(s) did you play? How did you feel during the simulation experience? What did your character do well? What did your character not do well and what sense can you make of the researcher’s behavior? What else could your character have done? If this situation would occur again how might you handle it? What resources would you use for guidance and support? What did you learn about ethical principles in research?

Palliative Care In Aging

Discussion Topic

Palliative care appears to have many advantages in addressing end-of-life issues. discuss at least three ethical implications for palliative care?

Post must be a minimum of 250 words, (2) professional references, properly cited in the current APA format.

Spirituality Treatment Of Patients In Critical Or End-Of-Life Care

Topic: Spirituality treatment of patients in critical or end-of-life care

Briefly discuss the references you are using using. You must have five scholarly references list all references in APA format

Module 5 Assignment: Case Study Analysis

An understanding of the neurological and musculoskeletal systems is a critically important component of disease and disorder diagnosis and treatment. This importance is magnified by the impact that that these two systems can have on each other. A variety of factors and circumstances affecting the emergence and severity of issues in one system can also have a role in the performance of the other.

Effective analysis often requires an understanding that goes beyond these systems and their mutual impact. For example, patient characteristics such as, racial and ethnic variables can play a role.

An understanding of the symptoms of alterations in neurological and musculoskeletal systems is a critical step in diagnosis and treatment. For APRNs this understanding can also help educate patients and guide them through their treatment plans.

In this Assignment, you examine a case study and analyze the symptoms presented. You identify the elements that may be factors in the diagnosis, and you explain the implications to patient health.

To prepare:

Assignment ( 2-page case study analysis)

In your Case Study Analysis related to the scenario provided, A 58-year-old obese white male presents to ED with chief complaint of fever, chills, pain, and swelling in the right great toe. He states the symptoms came on very suddenly and he cannot put any weight on his foot. Physical exam reveals exquisite pain on any attempt to assess the right first metatarsophalangeal (MTP) joint. Past medical history positive for hypertension and Type II diabetes mellitus. Current medications include hydrochlorothiazide 50 mg po q am, and metformin 500 mg po bid. CBC normal except for elevated sedimentation rate (ESR) of 33 mm/hr and C-reactive protein (CRP) 24 mg/L. Metabolic panel normal. Uric acid level 6.7 mg/dl. explain the following:

Both the neurological and musculoskeletal pathophysiologic processes that would account for the patient presenting these symptoms.

Any racial/ethnic variables that may impact physiological functioning.

How these processes interact to affect the patient.

Essential Of Pathophysiology

 Rasmussen University – NUR2063: Essentials of Pathophysiology


Title of Assignment:

Module 03 Written Assignment – Musculoskeletal Disorders

Purpose of Assignment:

The purpose of this assignment is to identify and analyze a musculoskeletal system disorder to process the possible manifestations of a selected disorder. The concept map will help you identify the pathophysiology of the musculoskeletal system disorder.

Course Competency(s):

· Evaluate pathophysiologic alterations that affect the integumentary and musculoskeletal systems.



Prepare a concept map for a musculoskeletal disorder from your readings. Use the included template to outline the system disorder including the pathophysiology, etiology, clinical manifestations, and treatment.


· Use at least one scholarly source to support your findings. Examples of scholarly sources include academic journals, textbooks, reference texts, and CINAHL nursing guides.

· Be sure to cite your sources in-text and on a references page using APA format.


You can find useful reference materials for this assignment in the School of Nursing guide:


Have questions about APA? Visit the online APA guide: https://guides.rasmussen.edu/apa

Discussion Board

Watch the TED Talk, What Inspires True Behavioral Change?


Then investigate the Behavioral Change Model.  This is a common theoretical model used in health education and has been around since 1950..  https://www.utwente.nl/cw/theorieenoverzicht/Theory%20Clusters/Health%20Communication/Health_Belief_Model/

Then investigate the Theory of Planned Behavior/Reasoned Action. https://www.utwente.nl/cw/theorieenoverzicht/Theory%20Clusters/Health%20Communication/theory_planned_behavior/

Based on what you have heard in the TED talk and the theories on behavior change, discuss what effect you believe health promotion, disease prevention programs have on changing people’s behavior toward wellness. Give explicit examples and cite your sources.

Culture Of EBP

  • Review Resources and reflect on the various strategies that may be helpful in disseminating effective and widely cited EBP.
    • This may include: unit-level or organizational-level presentations, poster presentations, and podium presentations at organizational, local, regional, state, and national levels, as well as publication in peer-reviewed journals.
  • Reflect on which type of dissemination strategy you might use to communicate EBP.

MAIN POST:  Post at least two dissemination strategies you would be most inclined to use and explain why. Explain which dissemination strategies you would be least inclined to use and explain why. Identify at least two barriers you might encounter when using the dissemination strategies you are most inclined to use. Be specific and provide examples. Explain how you might overcome the barriers you identified.

Use resource:

Organizational Change Strategies for Evidence-Based Practice

Newhouse, R. , Dearholt, S. , Poe, S. , Pugh, L. & White, K. (2007). Organizational Change Strategies for Evidence-Based Practice. JONA: The Journal of Nursing Administration, 37 (12), 552-557. doi: 10.1097/01.NNA.0000302384.91366.8f.

Evidence-Based Practice, Step by Step: Implementing an Evidence-Based Practice Change

Gallagher-Ford, L. , Fineout-Overholt, E. , Melnyk, B. & Stillwell, S. (2011). Evidence-Based Practice, Step by Step: Implementing an Evidence-Based Practice Change. AJN, American Journal of Nursing, 111 (3), 54-60. doi: 10.1097/10.1097/01.NAJ.0000395243.14347.7e.

Evidence-Based Practice, Step by Step: Sustaining Evidence-Based Practice Through Organizational Policies and an Innovative Model

Melnyk, B. , Fineout-Overholt, E. , Gallagher-Ford, L. & Stillwell, S. (2011). Evidence-Based Practice, Step by Step: Sustaining Evidence-Based Practice Through Organizational Policies and an Innovative Model. AJN, American Journal of Nursing, 111 (9), 57-60. doi: 10.1097/01.NAJ.0000405063.97774.0e.