Examine the influence of diversity on human services delivery issues, such as problem identification, symptom expression, and help-seeking behavior.

Examine the influence of diversity on human services delivery issues, such as problem identification, symptom expression, and help-seeking behavior..

human services

Develop a Community Agency Observation project that would be of approximately ten hours duration in total at a community organization in your town or city. The community agency observation projects can be individualized and must be approved by the instructor. For example, you could observe international agencies or churches in your community that have English as a Second Language (ESL) programs.

Make sure that you choose an organization where you will be able to:

Assess the multicultural organizational development of the institution.

Summarize a few critical incidents during which multicultural aspects were addressed (directly and indirectly).

Examine the influence of diversity on human services delivery issues, such as problem identification, symptom expression, and help-seeking behavior.

Analyze how those critical incidents affected your cultural self-awareness and professional relationship, specific to the provision of culturally competent services.

Apply a multicultural and interdisciplinary approach to generate a proposal on what the organization can do to improve its service delivery in a population from diverse cultural or ethnic backgrounds.

For each observation visit in Modules 3, 4, and 5, you must complete a copy of the weekly self-reflection and process worksheet. Remember to write clearly and check spelling and grammar because these sheets will be included in your final product. Click here to access the template.

Tasks:

Develop a 3- to 4-page Community Agency Observation proposal that includes the following:

The type of agency you would be observing.

The reason this type of agency is important to your field.

An explanation of 2–3 professional goals that you hope to reach through this observation. Make sure that your goals are SMART—specific, measurable, attainable, realistic, and timely.

Template:

Directions:

 

For each week of service, you must complete a copy of this worksheet. Remember to write clearly, and check spelling and grammar, as these sheets will be included in your final product.

Examine the influence of diversity on human services delivery issues, such as problem identification, symptom expression, and help-seeking behavior.

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The changing demographics impact patients and providers in delivery of health care in US in many ways

 

The changing demographics impact patients and providers in delivery of health care in US in many ways. Demographic changes are characterized by three factors namely; age, gender and race/ethnicity .In the past ten years the US population has rapidly changed regarding the three main factors. The American population comprised of old, young, female and male, non-Hispanics, Hispanics and other minorities which affect the health care systems in various ways.

Young population has declined over the years compared to the old. This pose challenge to healthcare centers, which need a team of young, energetic and passionate personnel for efficient and effective services. When manpower is made up of a large number of older persons, the services tend to ne inefficient. As a result healthcare services are affected negatively. With a good number of young staff, the experience of the older employs can boost the young enthusiasm to improve services (Daly, 2005).

Second, the elderly have a deteriorating heath and need expensive medication, whereas their income is minimal. In most cases they affect the healthcare system by using money that could have been use to improve healthcare through social welfare reimbursements. Since the old outnumbers the young their healthcare, which is characterized by special needs, exhorts extreme pressure on the countries healthcare services (Daly, 2005). 

Diversity also presents a great challenge to the health care system in the country.  Different population with America experience different challenge and growth rate than others. For instance the Hispanics who are considered a minority group are increasing in number at a rate higher than that of non Hispanics (James & O’Donohue, 2009).  In this regard, there will be an increase in the demand for healthcare services unique to the Hispanics and other increasing populations. The US original occupants who are much lesser than the Hispanics have cultural practices which affect healthcare services and centers. Diversity also further present unique conflicts in the healthcare arena. For example when the Asians come up with a healthcare practice unique to the Asian community it may neglect the non Asians resulting in disagreements or conflicts.

Gender also wields strong influence over healthcare. There are numerous gender specific healthcare challenges. These range from genders specific diseases to services preference. For instance, among the Samoa communities the women prefer being treated by their fellow women and same goes for male. Ironically, women are outpacing the men in most of the things today, including healthcare (Saau, 1995). This may present a situation where men may not access health care due to limited male care providers. 

There are also situations in which the men are given priority over women. However, the increase in opportunities for both male and females is likely to change this. In fact, the increase in the number of women in the healthcare profession will reduce gender disparities in the healthcare arena. The age issue is also influential, as mentioned above the old don’t have the energy and passion required to take care of patients. As a result patients suffer due to insufficient services. 

Last, diversity is also characterized by racism which is perhaps the greatest diversity challenge. Although the world is trying to shun racism, it is still vibrant in many places including American and it affects delivery of healthcare services, especially to minority communities (James & O’Donohue, 2009). 

General demography and diversity greatly affect provision of healthcare services.  Age specific needs and abilities, gender specific needs and abilities, race and economic status all work together to influence health care service through finances, labor, quality, provisions, reception, sustainability and accessibility. 

References 

Daly, J. (2005). Professional Nursing: Concepts, Issues, and Challenges. New York, N.Y.: Springer Publishing Company

James, L. C.  & O’Donohue, W. T. (2009). The primary care toolkit: practical resources for the integrated behavioral care provider. New York: Springer, cop. 2009

Saau, L. (1995). Voices of the Samoan Community. Seattle: The Cross Cultural Health Care Program, Pacific Medical Center

 

 

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Health care delivery and clinical systems

Students are required to maintain weekly reflective narratives throughout the course to combine into one course-long reflective journal that integrates leadership and inquiry into current practice as it applies to the Professional Capstone and Practicum course.

In your journal, you will reflect on the personal knowledge and skills gained throughout this course. The journal should address a variable combination of the following, depending on your specific practice immersion clinical experiences:

You must place them in one document, but you can break it up in weeks.

  1. New practice approaches
  2. Intraprofessional collaboration
  3. Health care delivery and clinical systems
  4. Ethical considerations in health care
  5. Population health concerns
  6. The role of technology in improving health care outcomes
  7. Health policy
  8. Leadership and economic models
  9. Health disparities

Students will outline what they have discovered about their professional practice, personal strengths and weaknesses that surfaced, additional resources and abilities that could be introduced to a given situation to influence optimal outcomes, and finally, how the student met the competencies aligned to this course.

While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric.

You are required to submit this assignment to LopesWrite.

Rubric

  • New practice approaches are present, complete, and incorporates additional relevant details and critical thinking to engage the reader. 10%
  • Intraprofessional collaboration information is present, complete, and incorporates additional relevant details and critical thinking to engage the reader. 10%
  • Health care delivery and clinical systems information is present, complete, and incorporates additional relevant details and critical thinking to engage the reader. 10%
  • Ethical considerations in health care information is present, complete, and incorporates additional relevant details and critical thinking to engage the reader. 10%
  • Population health concerns information is present, complete, and incorporates additional relevant details and critical thinking to engage the reader. 10%
  • Information on the role of technology in improving health care outcomes is present, complete, and incorporates additional relevant details and critical thinking to engage the reader. 10%
  • Health policy information content is present, complete, and incorporates additional relevant details and critical thinking to engage the reader. 10%
  • Information on leadership and economic models is present, complete, and incorporates additional relevant details and critical thinking to engage the reader. 10%
  • Information on health disparities is present, complete, and incorporates additional relevant details and critical thinking to engage the reader 10%
  • The work is well presented and includes all required elements. The overall appearance is neat and professional. 5%
  • Writer is clearly in command of standard, written, academic English. 5%

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Nursing Services Delivery Theory: An Open System Approach Paper

Nursing Services Delivery Theory: An Open System Approach Paper

  • Reflect on your organization or one with which you are familiar. Within a particular department or unit in this organization, identify a problem the staff is encountering.
  • Using Table 1 in the Meyer article as a guide, analyze the department or unit, identifying inputs, throughput, output, cycles of events, and negative feedback. Consider whether the problem you have selected relates to input, throughput, output, cycles of events, and/or negative feedback.
  • Think about how you could address the problem: Consider what a desired outcome would be, then formulate related goals and objectives, and translate those goals into policies and procedures.
  • Research professional standards that are pertinent to your identified problem.
  • Reflect on the organization’s mission statement and values. In addition, consider how addressing this problem would uphold the mission and values, while improving the organizational culture and climate.

Write a 3- to 5-page Nursing Services Delivery Theory: An Open System Approach Paper that addresses the following:

  • Describe a department or unit within a health care organization using systems theory terminology. Include a description of inputs, throughput, output, cycles of events, and negative feedback.
  • Describe the problem you identified within the department or unit using an open- systems approach, and state where the problem exists using the systems theory model (input, throughput, output, cycles of events, or negative feedback).
  • Based on this information, explain how you would address the problem as follows:
    • Formulate a desired outcome.
    • Identify goals and objectives that would facilitate that outcome.
    • Translate those goals and objectives into policies and procedures for the department or unit.
    • Describe relevant professional standards.
  • Explain in your Nursing Services Delivery Theory: An Open System Approach Paper how your proposed resolution to the problem would uphold the organization’s mission and values and improve the culture and climate.

 

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Finance And Economics In Health Care Delivery – Discussion 9 (Grading Rubic Attached)

The Process of Benchmarking

In order to be competitive in health care markets, organizations must ensure that the services they provide are consistent in pricing and quality with other comparable organizations. In this Discussion, you will examine how the process of benchmarking, or comparing organizations, is important in financial decision making.

To prepare:

Review the information on benchmarking found in this week’s Learning Resources.

Search the Walden Library or other reliable resources on the Internet and locate a journal article discussing how a health care organization has used the principle of benchmarking.

How could the concept of benchmarking be used in your own organization (or one with which you are familiar), regardless of size?

Consider how benchmarking could be useful to you in decision making.

Analyze the potential risks of making a faulty comparison.

Post a summary of the article you found (including the APA reference) and explain how it informed your understanding of benchmarking. Discuss how benchmarking could be used for financial decision making in your own organization (or one with which you are familiar). Also analyze the potential risks of making comparisons with an organization that is not a credible match with your own.

And

Respond to at least two of your colleagues on two different days. Comment on a colleague with different options than your own. Describe what you like about their options and if you agree with their rankings. Justify your answers.

(I will send the responses soon)

Required Readings

Baker, J., & Baker, R. W. (2014). Health care finance: Basic tools for nonfinancial managers (4th ed.). Burlington, MA: Jones and Bartlett Learning.

Chapter 13, “Trend Analysis, Common Sizing, and Forecasted Data” (pp. 143–155)

The focus of this chapter is the use of trend analysis and forecasting to develop future budgets and make financial decisions about capital purchases, programs, and personnel.

Chapter 14, “Using Comparative Data” (pp. 157–169)

In this chapter, you are introduced to the criteria for identifying other health care organizations that are comparable to your own. Data from these organizations can then be used to evaluate your own organizational performance.

Chapter 18, “Estimates, Benchmarking, and Other Measurement Tools” (pp. 215–224)

In this chapter, you continue exploring the concept of financial benchmarking. The chapter focuses on the importance of benchmarking for identifying performance gaps.

Zelman, W., McCue, M., & Glick, N. (2009). Financial management of health care organizations: An introduction to fundamental tools, concepts, and applications (3rd ed.). Hoboken, NJ: Jossey-Bass. 

Retrieved from the Walden Library databases.

Chapter 5, “Working Capital Management” (pp. 187–231)

This chapter examines the concept of working capital. The authors explore the specifics of current assets and the management of the working capital cycle.

Chapter 11, “Responsibility Accounting” (pp. 468–497)

Review: This chapter explores the trend toward the decentralization of health care organizations and the challenges this presents. This chapter also describes responsibility centers, or organizational units intended to achieve specific tasks.

 Mulva, S., & Dai, J. (2009) Health care facility benchmarking. HERD, 3(1), 28–37.

Reprinted by permission of Sage Publications via the Copyright Clearance Center.

This article describes a national health care facility’s benchmarking program. It is designed to compare measures of capital project performance.

 Agency for Healthcare Research and Quality. (2013). Measuring and benchmarking clinical performance. Retrieved from www.ahrq.gov

 Ettorchi-Tardy, A., Levif, M., & Michel, P. (2012). Benchmarking: A Method for Continuous Quality Improvement in Health. Healthcare Policy, e101-e119. Retrieved fromhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC3359088/

 Document: Week 10 Application Assignment Template (Excell Spreadsheet)

Required Media

Laureate Education (Producer). (2012). Expense forecasting. Baltimore, MD: Author. 

Note:  The approximate length of this media piece is 5 minutes.

In this video, Dr. William Ward discusses expense forecasting and demonstrates how to perform trend analysis, staff forecasting, comparative data analysis, and capacity forecasting.

Accessible player  

 Laureate Education (Producer). (2015). Week 10 Application Assignment Tutorial: Benefit Cost Ratio. Baltimore, MD: Author.

 Laureate Education (Producer). (2015). Week 10 Application Assignment Tutorial: Breakeven Analysis. Baltimore, MD: Author. 

 Laureate Education (Producer). (2015). Week 10 Application Assignment Tutorial: Expense Forecasting. Baltimore, MD: Author. 

 Laureate Education (Producer). (2015). Week 10 Application Assignment Tutorial: Profit and Loss Scenario. Baltimore, MD: Author. 

Optional Resources

 Hurlock J. (2012). Get to know Excel 2010: Create your first spreadsheet. Retrieved from http://office.microsoft.com/en-us/excel-help/get-to-know-excel-2010-create-your-first-spreadsheet-RZ101773335.aspx

 Goodwill Community Foundation, Inc. (n.d.). Excel 2010. Retrieved from http://www.gcflearnfree.org/excel2010

 

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Discuss any similarities in the beliefs of the Appalachian and Arab heritages regarding the delivery of healthcare.

 

Your job is to delegate job tasks to each healthcare practitioner (Use the Staffing Table).

Instructions:

1. Fill in the Staffing Table or describe what tasks each person will perform during the day shift.

o Use a Staffing Model (primary, team, or modular nursing) to help make your decision.

2. Your paper should be:

o Typed according to APA style for margins, formatting and spacing standards

o Typed into a Microsoft Word document or complete the Staffing Table, save the file, and then upload the file

Give an overview of the Inhabited localities and topography of the Appalachian and Arab heritage.

2. Discuss any similarities in the beliefs of the Appalachian and Arab heritages regarding the delivery of healthcare.

3. How the religion or folks beliefs influence the delivery of healthcare in these two heritages.

APA format, word document, an Arial 12, cite or quote at least two evidence-based references no older than 5 years old.

A minimum of 600 words excluding the first and references page is required.Prepare a nursing research proposal that is at least five (5) pages in length. It must include a title page, an abstract, and a reference list also (Body of the paper should be at least 5 pages). Use American Psychological Association (APA) 6th edition guidelines in the preparation of the proposal. Include at least 5 references that are no more than 10 years old. Your proposal must include: an abstract, an introduction, then 1) Problem statement 2) Review of Relevant Literature 3) Methods Section, 4) Data Analysis and 5) Discussion and Findings Section. Conclude the paper with a conclusion.

 

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What are the major challenges you see confronting a nurse leader in the 21st Century with respect to creating a culture of quality in healthcare delivery organizations?

 

This unit’s Discussion will help you start thinking about your Unit 6 project.

  1. What are the major challenges you see confronting a nurse leader in the 21st Century with respect to creating a culture of quality in healthcare delivery organizations? Provide support based on your review of the current literature.
  2. Based your review of the current literature, how will you as a nurse leader use your skills and competencies to promote and foster a healthy workplace?

    Many people, most of them in tropical countries of the Third World, die of preventable, curable diseases. . . . Malaria, tuberculosis, acute lower-respiratory infections—in 1998, these claimed 6.1 million lives. People died because the drugs to treat those illnesses are nonexistent or are no longer effective. They died because it doesn’t pay to keep them alive.
    –Ken Silverstein, Millions for Viagra. Pennies for Diseases of the Poor, The Nation, July 19, 1999

    Unfortunately, since 1998, little has changed. For many individuals living in impoverished underdeveloped countries, even basic medical care is difficult to obtain. Although international agencies sponsor outreach programs and corporations, and although nonprofit organizations donate goods and services, the level of health care remains far below what is necessary to meet the needs of struggling populations. Polluted water supplies, unsanitary conditions, and poor nutrition only exacerbate the poor health prevalent in these environments. Nurses working in developed nations have many opportunities/advantages that typically are not available to those in underdeveloped countries. What can nurses do to support their international colleagues and advocate for the poor and underserved of the world?

    In this Discussion, you will consider the challenges of providing health care for the world’s neediest citizens, as well as how nurses can advocate for these citizens.

    To prepare:

    • Consider the challenges of providing health care in underdeveloped countries.
    • Conduct research in the Walden Library and other reliable resources to determine strategies being used to address these challenges.
    • Using this week’s Learning Resources, note the factors that impact the ability of individuals in underdeveloped nations to obtain adequate health care.
    • Consider strategies nurses can use to advocate for health care at the global level. What can one nurse do to make a difference?

 

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Case study, Chapter 1.Health care Delivery and Evidence-Base Nursing Practice Suzanne Jones, 76- years -old patient with COPD is admitted to the icu….

Case study, Chapter 1.Health care Delivery and Evidence-Base Nursing Practice
Suzanne Jones, 76- years -old patient with COPD is admitted to the icu. Mrs. Jones is placed on a mechanical ventilation to assist with her breathing. After 2 days on the ventilator, Mrs. Jones is extenuated and then transferred to a medical-surgical unit.. The medication regime is adjusted during the hospitalization.Mrs. Jones is discharged home after 6 days. She and her family are pleased with the care she receive in the hospital. (Learning objective 3 and 6).
a. Describe the quality performance tools that may be used to demonstrate that care and treatment render are both cost-efficient and of high quality.
b.Describe the quality performance tools that may be used to demonstrate that nursing care utilized is evidence -base care and high quality, resulting in patent satisfaction and good patient outcomes. Subject is medical surgical textbook Brunner and suddarth
 
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What is the process by which IT system design, development, delivery, and maintenance costs are recovered?

What is the process by which IT system design, development, delivery, and maintenance costs are recovered?

DQ1 100-150 WORDS

Under what conditions would you recommend using each of these funding methods to pay for information systems expenses: allocation, chargeback, and corporate budget?

What is the process by which IT system design, development, delivery, and maintenance costs are recovered? Among the three major funding methods, chargeback, allocation, and corporate budget are the most popular. In the first two cases, management is responsible for recovering costs, while in the fourth, costs are recovered through corporate coffers.

What is the process by which IT system design, development, delivery, and maintenance costs are recovered?

Chargebacks requires a regular billing policy is in place to invoice users on a regular basis based on the actual cost of running the system for the IT group. By doing so, business units, departments, and individuals are charged for IT costs to be recovered through these methods because they are considered more equitable. Implementing and applying an allocation is simple, which is one of its primary advantages. It’s a method of recovering costs other than based on usage, like revenues or employee numbers. Keep in mind that, in order to perform a true-up, IT expenses need to be compared with IT funds recovered from the business units. Corporate budge is a case does not require the calculation of IT prices and, therefore, the business managers do not raise financial concerns monthly. Rather than charging specific users or business units for these costs, these costs are borne by the corporate P&L.

For chargebacks, one would want them if it is make up for a credit card provider’s loss from fraudulent purchases but the important thing to note is that they can actually “create a relationship between IT and the business that is confrontational, not collaborative” (Chargebacks vs. Allocations – Defining IT’s Relationship with the Business, n.d.). Allocations would be preferred in the event that agility must be increased because projects as the budget required changes, one can simply begin or stop projects without needing to reconsider costs and negotiate all over again, not to mention that the conversation switches to that of benefits rather than purely costs. Corporate budget is useful for when more complete control over the IT department’s budget is needed by the higher ups.

I would recommend using chargeback for information system expenses. “IT chargeback is an accounting strategy that applies the costs of IT, whether services, hardware, or software, to the unit of business which is responsible for its use. This is different from the traditional model which counted the centralized IT department as simple corporate overhead and as essentially a sunk cost” (Eidson, 2019). This seems like a better option than cost allocation and corporate budget for information system expenses. Chargeback will allow the IT department to have better efficiency and responsibilities for the IT department.  

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Systems Theory: Nursing Services Delivery Theory

Systems Theory: Nursing Services Delivery Theory

Application: Systems Theory

As noted systems theory provides a meaningful and beneficial means of examining challenges in health care organizations. To do this effectively, however, it is essential to assess all system components, as some may be relatively healthy while others are problematic.

For this Systems Theory: Nursing Services Delivery Theory Assignment, you apply systems theory to the examination of a problem in a department or a unit within a health care organization. (Note: You may use the same problem you identified for the Discussion as long as it meets the criteria for this assignment.)

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To prepare:

  • Review the Meyer article, “Nursing Services Delivery Theory: An Open System Approach,”(Google This article).
  • Reflect on your organization or one with which you are familiar. Within a particular department or unit in this organization, identify a problem the staff is encountering.
  • Analyze the department or unit, identifying inputs, throughput, output, cycles of events, and negative feedback. Consider whether the problem you have selected relates to input, throughput, output, cycles of events, and/or negative feedback.
  • Think about how you could address the problem: Consider what a desired outcome would be, then formulate related goals and objectives, and translate those goals into policies and procedures.
  • Research professional standards that are pertinent to your identified problem.
  • Reflect on the organization’s mission statement and values. In addition, consider how addressing this problem would uphold the mission and values, while improving the organizational culture and climate. (Depending on the organization you have selected, you may have explored these in the Week 1 Discussion.)

To complete:

Write a 4 page Systems Theory: Nursing Services Delivery Theory paper (page count does not include title and reference page) that addresses the following:

  • Describe a department or unit within a health care organization using systems theory terminology. Include a description of inputs, throughput, output, cycles of events, and negative feedback.
  • Describe the problem you identified within the department or unit using an open- systems approach, and state where the problem exists using the systems theory model (input, throughput, output, cycles of events, or negative feedback).
  • Based on this information, explain how you would address the problem as follows:
    • Formulate a desired outcome.
    • Identify goals and objectives that would facilitate that outcome.
    • Translate those goals and objectives into policies and procedures for the department or unit.
    • Describe relevant professional standards.
  • Explain how your proposed resolution to the problem would uphold the organization’s mission and values and improve the culture and climate.

Reminder: The paper submitted should include a title page, introduction, summary, and references.

This Systems Theory: Nursing Services Delivery Theory Assignment is due by Friday  at 1400Hrs

 

 

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