Who determines ethical standards for advertising?

This course concludes with a look at advertising and the culture of consumerism. You will have the opportunity to choose a product or service and highlight how you have seen it being advertising. Remember that the assignment is about advertising (the practice or business) not advertisement (a single ad).

Prepare one 15- to 20-slide Microsoft® PowerPoint® presentation including both Parts 1 and 2 of this assignment in which you investigate the role of advertising in a culture of consumerism.

Each slide should have 3 to 4 bullets of text which are a high-level overview of what’s included in your speaker notes. Please explain the bullet points in the speaker’s notes section of your PowerPoint.

I strongly recommend using the assignment below as the outline of your presentation. 

Part 1: Be sure to discuss the following questions (These are general answers not related to or to be applied to Part 2):

· Who determines ethical standards for advertising? Name three general, national organizations with regulatory power or professional influence.

· Name several ways advertising has broadly affected the whole of American culture and mass behavior for both for good and bad.

· What are at least three key persuasive techniques used in consumer advertising as found in our curriculum (do not consult the internet). Many are the same as propaganda techniques. Illustrate with specific examples, explaining how each technique works.

· Discuss at least three critical issues that may arise in each of the following areas (consider pro’s and con’s):

· Children and advertising

· Advertising in schools

· Health and advertising

· Political advertising

For this assignment, research an airline’s most-current financial data, analyze the data, and report your findings.

Critical analysis of basic economic markers can be very revealing of an airline’s financial health. For this assignment, research an airline’s most-current financial data, analyze the data, and report your findings.

Most airlines are public companies (as compared to private companies) and, usually, public companies are required by securities regulators to make financial information available to the public. This gives students and other researchers open access to audited information via annual and other reports. This information is generally available from the airline’s website; look for “About Us” or “Investor Relations” links in your research. For U.S. companies, look for the most recent SEC Reports. An annual SEC report (called a 10K report) is an audited report containing all of the company’s financial data.

For this discussion, select a public airline, find its most current annual financial information, and look for some of the key terms discussed in Activity 5.1. Then, in an essay of 200–300 words, analyze the figures you found, noting trends and relationships. For example, you might find a company with high costs (CASM) and low fares (yield), resulting in a very high BLF (near 1.0). A high BLF will put pressure on marketing to keep seats filled. Another company might have PRASM less than CASM; meaning ancillary revenue (like baggage fees) will be very important to maintaining a profit.

Aviation Economic Terms

Available Seat-Mile

One seat flown one mile (also called capacity available).
A 100-seat aircraft that flies a 100-mile flight produces 10,000 ASMs.

Total annual ASMs represent the airline’s total production or capacity. ASMs are what the airline produces; as an analogy, if shoe factories produce shoes, airlines produce ASMs.

Total annual ASMs are expressed in very large numbers, usually billions for a large airline or cargo carriers.

Cargo carriers use a similar term: Available ton-miles. An available ton-mile (ATM) equates to a ton of carrying capacity multiplied by miles traveled.

RPM

Revenue Passenger-Mile

One paying passenger flown one mile (also called capacity used or traffic)
A 100-seat aircraft that flies a 100-mile flight with 90 people onboard produces 9,000 RPMs.

RPMs represent the amount of production the airline sells. RPMs are the airline’s “demand.”

Total annual RPMs are expressed in very large numbers, usually billions for a large airline or cargo carriers.

The cargo carriers’ term is RTM, or revenue ton-mile. The RTM equates to a ton of actual cargo multiplied by miles traveled.

LF

Load Factor

RPM divided by ASM (also called capacity utilization).
It’s simply the percent of the carrier’s seats that are filled.

Load factor can be thought of as capacity used (RPM) divided by capacity produced (ASM).

Another associated term is “Breakeven” Load Factor (BLF). Breakeven Load Factor is the percentage of seats the airline has to fill to break even. It’s calculated by dividing CASM by Yield. (An airline that has a breakeven load factor above 1.0 will lose money even if they sell every seat on every flight unless they have ancillary sources of revenue other than passenger fares.)

Cutting capacity by halting some unpopular (low load factor) flights will usually result in an overall load factor increase. (Taking low-load factors out of the total will increase the average.)

Load Factor is expressed as a percentage.

RASM

Revenue per Available Seat-Mile

Operating (total) revenue divided by ASM (also called unit revenue)
It’s the amount of revenue the airline earns for each seat they produce.

Sometimes airlines report Passenger RASM (called PRASM), which is passenger revenue divided by ASM. This accounting term helps the company distinguish between passenger and cargo/ancillary economic trends. (PRASM can also be calculated as yield x load factor.)

RASM is expressed in cents.

CASM

Cost per Available Seat-Mile

Cost divided by ASM (considered the unit cost of production)
It’s the cost incurred to produce one unit of production and indicative of the production efficiency.

A sub-unit of CASM sometimes reported is “CASM Ex-Fuel.” Airlines often consider fuel expenses beyond their control, so they report CASM Ex-Fuel to identify trends in “controllable” expenses.

Consider the CASM – ASM relationship. If an airline increases capacity (ASM), total costs will also go up, so you would think CASM would stay about the same. However, fixed costs will be spread out among more ASMs and the result might be a slight reduction in CASM.

CASM is expressed in cents.

Yield

Yield

Passenger revenue divided by RPM

Yield equates to the average revenue per unit of demand (in other words, the average amount a passenger pays per mile flown). Yield and Load Factor usually vary inversely – if yield goes up, load factor usually goes down. (A better indication of an airline’s true revenue situation is PRASM which is the product of yield and load factor.)

High yield means the airline is getting the most for their sold seats. However, yield says nothing about how many seats the airline sells, so yield, alone, tells nothing about the company’s profitability.

Yield is expressed in cents

For this assignment, research an airline’s most-current financial data, analyze the data, and report your findings.

Critical analysis of basic economic markers can be very revealing of an airline’s financial health. For this assignment, research an airline’s most-current financial data, analyze the data, and report your findings.

Most airlines are public companies (as compared to private companies) and, usually, public companies are required by securities regulators to make financial information available to the public. This gives students and other researchers open access to audited information via annual and other reports. This information is generally available from the airline’s website; look for “About Us” or “Investor Relations” links in your research. For U.S. companies, look for the most recent SEC Reports. An annual SEC report (called a 10K report) is an audited report containing all of the company’s financial data.

For this discussion, select a public airline, find its most current annual financial information, and look for some of the key terms discussed in Activity 5.1. Then, in an essay of 200–300 words, analyze the figures you found, noting trends and relationships. For example, you might find a company with high costs (CASM) and low fares (yield), resulting in a very high BLF (near 1.0). A high BLF will put pressure on marketing to keep seats filled. Another company might have PRASM less than CASM; meaning ancillary revenue (like baggage fees) will be very important to maintaining a profit.

Aviation Economic Terms

Available Seat-Mile

One seat flown one mile (also called capacity available).
A 100-seat aircraft that flies a 100-mile flight produces 10,000 ASMs.

Total annual ASMs represent the airline’s total production or capacity. ASMs are what the airline produces; as an analogy, if shoe factories produce shoes, airlines produce ASMs.

Total annual ASMs are expressed in very large numbers, usually billions for a large airline or cargo carriers.

Cargo carriers use a similar term: Available ton-miles. An available ton-mile (ATM) equates to a ton of carrying capacity multiplied by miles traveled.

RPM

Revenue Passenger-Mile

One paying passenger flown one mile (also called capacity used or traffic)
A 100-seat aircraft that flies a 100-mile flight with 90 people onboard produces 9,000 RPMs.

RPMs represent the amount of production the airline sells. RPMs are the airline’s “demand.”

Total annual RPMs are expressed in very large numbers, usually billions for a large airline or cargo carriers.

The cargo carriers’ term is RTM, or revenue ton-mile. The RTM equates to a ton of actual cargo multiplied by miles traveled.

LF

Load Factor

RPM divided by ASM (also called capacity utilization).
It’s simply the percent of the carrier’s seats that are filled.

Load factor can be thought of as capacity used (RPM) divided by capacity produced (ASM).

Another associated term is “Breakeven” Load Factor (BLF). Breakeven Load Factor is the percentage of seats the airline has to fill to break even. It’s calculated by dividing CASM by Yield. (An airline that has a breakeven load factor above 1.0 will lose money even if they sell every seat on every flight unless they have ancillary sources of revenue other than passenger fares.)

Cutting capacity by halting some unpopular (low load factor) flights will usually result in an overall load factor increase. (Taking low-load factors out of the total will increase the average.)

Load Factor is expressed as a percentage.

RASM

Revenue per Available Seat-Mile

Operating (total) revenue divided by ASM (also called unit revenue)
It’s the amount of revenue the airline earns for each seat they produce.

Sometimes airlines report Passenger RASM (called PRASM), which is passenger revenue divided by ASM. This accounting term helps the company distinguish between passenger and cargo/ancillary economic trends. (PRASM can also be calculated as yield x load factor.)

RASM is expressed in cents.

CASM

Cost per Available Seat-Mile

Cost divided by ASM (considered the unit cost of production)
It’s the cost incurred to produce one unit of production and indicative of the production efficiency.

A sub-unit of CASM sometimes reported is “CASM Ex-Fuel.” Airlines often consider fuel expenses beyond their control, so they report CASM Ex-Fuel to identify trends in “controllable” expenses.

Consider the CASM – ASM relationship. If an airline increases capacity (ASM), total costs will also go up, so you would think CASM would stay about the same. However, fixed costs will be spread out among more ASMs and the result might be a slight reduction in CASM.

CASM is expressed in cents.

Yield

Yield

Passenger revenue divided by RPM

Yield equates to the average revenue per unit of demand (in other words, the average amount a passenger pays per mile flown). Yield and Load Factor usually vary inversely – if yield goes up, load factor usually goes down. (A better indication of an airline’s true revenue situation is PRASM which is the product of yield and load factor.)

High yield means the airline is getting the most for their sold seats. However, yield says nothing about how many seats the airline sells, so yield, alone, tells nothing about the company’s profitability.

Yield is expressed in cents

develop a research problem statement and guiding research question(s) that could be used to guide a study in your field.

Incorporating the feedback you received in the discussion forum for this module and your annotated bibliography in Module 3, develop a research problem statement and guiding research question(s) that could be used to guide a study in your field. Follow all guidelines using current APA format.

Specifically, present a one paragraph background of the topic area. Then, write one paragraph that contains your problem statement (start this paragraph with, “The problem to be addressed in this study is”).

Then, provide one to three overarching research question(s) that, if answered, would accomplish the goals of your research and resolve all/part of the research problem. Finally, write one quantitative hypothesis to test in this proposed study. Remember, a hypothesis is a supposition about a relationship between variables, so focus on one variable having an effect on another.

Describe the industry that you currently work in or plan to work in along with a discussion of your vision of what collaboration will be like for your industry in the year 2027.

Refer back to the “2027?” section on page 69 (Q1-Q7) of the textbook in uCertify, which provides an interesting discussion about the future of collaboration. After reading about the future of collaboration systems, how do you envision collaboration in your industry in the year 2027?

Describe the industry that you currently work in or plan to work in along with a discussion of your vision of what collaboration will be like for your industry in the year 2027.

Please include the name of the person or question to which you are replying in the subject line. For example, “Tom’s response to Susan’s comment.”

ALSO PLEASE REPLY TO ANOTHER STUDENTS COMMENT BELOW

Joseph:

currently my organization collaborates using most technological means available.  We are a global airline, and being able to talk to station worldwide is a must.   We use teleconferencing tools, LMS courses for training via the LMS course portal for real time tracking of updated materials and courses taken by the employee.  Also we make site visit to demonstrate a one on one approach to tasks completion.  That of all the collaborative tools is my favorite.  I travel with my job to various location domestically to bring information relevant to the group I visit.

Going forward perhaps they will hologram me to the locations that need instruction.  Artificial intelligence will have increased its effectiveness by the tenths of hundreds, and it will be amazing to see how these things progress.  One thing is clear is the importance of collaboration.  No well meaning organization who intends to succeed can do without it.

write a three-page essay detailing how healthcare providers and/or members of a healthcare ethics committee can impact change in these areas for a more equitable healthcare system.

Identify three specific impacts of social factors on the healthcare system, and write a three-page essay detailing how healthcare providers and/or members of a healthcare ethics committee can impact change in these areas for a more equitable healthcare system.

Your essay should be a minimum of three pages in length. Use a minimum of three sources, including your textbook. All sources used must be referenced; paraphrased and quoted material must have accompanying citations. The essay and all references and citations used must be formatted using APA style.

BHA 3801, Critical Issues in Health Care 1

Course Learning Outcomes for Unit II Upon completion of this unit, students should be able to:

1. Critique arguments related to the impact of social factors that influence the U.S. healthcare system.

3. Analyze the factors necessary to create a more equitable healthcare system.

Reading Assignment Chapter 13: Healthcare Institutional Ethics: Broader Than Clinical Ethics, pp. 211-223 Chapter 14: Hospital Ethics Committees: Roles, Memberships, Structure, and Difficulties, pp. 227-240

Unit Lesson Healthcare ethical issues occur at all levels of healthcare organizations. Healthcare administrators have a responsibility to always conduct business with ethical integrity (Morrison & Furlong, 2014). A vast majority of ethical issues within the healthcare delivery system occur at the clinical level. The clinical level is where healthcare products and services are provided to individuals who are in need. Areas of ethical concern that result at the clinical level include treatment termination, patient autonomy, informed consent, confidentiality, and advance consent (Morrison & Furlong, 2014). There are guidelines for treatment termination that exist and are based on case law. Such guidelines are derived from clinical and legal practices and other ethical decision-making principles. Patient autonomy is the rejection of recommended medical treatment. Patients have the right to choose other alternatives that are medically appropriate but may be against medical advice. However, issues arise when inappropriate treatment is demanded by patients and/or their representatives. Healthcare providers are responsible for obtaining informed consent prior to providing patients with healthcare services. In essence, informed consent is the treatment permission that providers must obtain from their patients before they can treat them. There have been several cases where providers have neglected to obtain the necessary treatment consent, which raises ethical concerns. Adherence to patient confidentially is a major ethical concern in clinical practice. Although patient health information should remain private at all times, inappropriate disclosure of private health information has been released without patients’ consent. As a result, in 1996, the federal government implemented the Health Insurance Portability and Accountability Act (HIPPA), a law designed to restrict access to patients’ health records. Advance directives, also known as living wills, can create ethical concerns when they are not adhered to by providers or patient representatives. They are considered legal documents that contain information regarding patients’ medical treatment when they are unable to communicate their desires due to a medical condition. The rapid changes in the U.S. healthcare delivery system between the late 1980s through the 1990s broaden the bioethics scope (Morrison & Furlong, 2014). Bioethics inquiries were raised to address concerns related to the instructional structure of healthcare organizations. Bioethics inquiry is also known as organizational ethics, an approach designed to enhance ethics within a given organization (Morrison & Furlong, 2014). An example of such an enhancement is when organizations attempt to change their climate and culture in an effort to

UNIT II STUDY GUIDE

The Impact of Ethical Constructs and Healthcare Systems

BHA 3801, Critical Issues in Health Care 2

UNIT x STUDY GUIDE

Title

minimize negative ethical issues. Although organizational ethics exist, there will continue to be a need to address current and future ethical issues. Hospitals provide a number of healthcare products and services and are one of the largest segments of our healthcare delivery system. Hospital administrators and clinicians are challenged with making difficult healthcare decisions daily, which increases the demand for ethical oversight. Considering the role that they play in healthcare, hospitals must hire and maintain staff who are well-versed in ethical practices and principles. Hospitals respond to changes in patient care guidelines and healthcare policies through their ethics committees (Morrison & Furlong, 2014). Ethics committees for patient care came into play around the 1970s. However, it was not until 1992 that the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) was established out of a need for hospitals to have a standard means of addressing ethical conflict (Morrison & Furlong, 2014). The three main functions of hospital ethics committees (HECs) are listed below:

1. developing policies and procedures; 2. training and educating staff; and 3. conducting clinical consultations.

Ethics committees are comprised of individuals with a broad range of backgrounds and expertise. Ethics committee members typically include clinicians, administrators, social workers, bioethicists, and hospital board members. Some ethics committees may include patient representatives as well. Also, in order to address patient-centered ethical issues, it is important for the ethics committee to be diverse, especially in cases of cultural or religious issues (Morrison & Furlong, 2014). Diversity is known to be an extremely effective component of decision-making. The continued growth of the U.S. population and advances in technology perpetuates the need for a standard approach to addressing complex healthcare matters beyond hospital settings. In addition, as individuals from an array of ethnic backgrounds continue to migrate to the United States, the need for more diverse ethics committees will increase. Members of such committees must also be well-versed in ethical principles and complex decision-making (Morrison & Furlong, 2014). Patients and their families play a vital role in addressing healthcare matters and should have ethics committee representation.

Reference Morrison, E. E., & Furlong, B. (Eds.). (2014). Health care ethics: Critical issues for the 21st century (3rd ed.).

Burlington, MA: Jones & Bartlett Learning.

Learning Activities (Nongraded) Nongraded Learning Activities are provided to aid students in their course of study. You do not have to submit them. If you have questions, contact your instructor for further guidance and information. Research and review an article on a hospital’s patient care policies and their staffing model. If you need help locating an article to review, click the following link to access a video that is available in the CSU Online Library: http://libguides.columbiasouthern.edu/findjournalarticlesvideo Feel free to discuss your findings with your classmates in the Student Breakroom forum.

This defense in depth discussion scenario is an intentional cybersecurity attack on the water utility’s SCADA system.

This defense in depth discussion scenario is an intentional cybersecurity attack on the water utility’s SCADA system. It occurs during the fall after a dry summer in Fringe City. The water utility’s Information Technology (IT) person did not receive an expected pay raise and decides to reprogram the SCADA system to shut off the high-lift pumps. The operator’s familiarity with the SCADA system allows him to reprogram the alarms that typically notify operators of a high-lift pump failure. In addition, he prevents access to the SCADA system by others. A wildfire breaks out on the outskirts of the city. Please identify what type(s) of new countermeasures should have been implemented to prevent this cyber attack from occurring.

Start a discussion thread and discuss what type(s) of new countermeasures should have been implemented to prevent the cyber attack described above from occurring. Be specific in recommending countermeasures for this scenario.

You must do this following:

1) Create a new thread. As indicated above,  discuss what type(s) of new countermeasures should have been implemented to prevent the cyber attack described above from occurring. Be specific in recommending countermeasures for this scenario.

2) Select AT LEAST 3 other students’ threads and post substantive comments on those threads. Your comments should extend the conversation started with the thread.

ALL original posts and comments must be substantive. (I’m looking for about a paragraph – not just “I agree.”)

Your course objective states: consideration is given to helping the student organize curriculum materials and gain proficiency in presenting science to students.

Submit Final Project.

Your course objective states: consideration is given to helping the student organize curriculum materials and gain proficiency in presenting science to students. Your final project will be a hands-on project that must include all steps of the scientific inquiry process.

All projects will be due by October 11, 2019, with no exceptions.  Remember to include a header at the top of your assignment. I have uploaded sample project choices, or you may use your own.  They are as follows:

Coco-Nutty Music

Your projects will be submitted as a word document instead of a video project.  The word document should be double-spaced and should include a header, ie, your name, class, and assignment and should be at least 2 pages or more.  Your project report will include:

Introduction – Purpose of the project

Background – Should include scientific terms, definitions, and other pertinent scientific information as it relates to your project

Procedures and Data

Results and Conclusions and include your project predictions

Reference(s)

Include pictures of you completing your project and/ or diagrams for creativity in your reports.  The project rubric is attached.

Project Source: NyeLabs.com

What you need:

Coco-nutty Music

1. A coconut

What’s happening? The hollow shape of the coconut halves lets air bounce around inside them. The stiffness of the coconut fibers makes the force of the tapping or rubbing get into the air inside. The energy goes from you into the coconut and then into the air. How many different types of sounds can you make with your coconuts? Experimenting turns the making of music into a science.

HOME DEMO NO. 14

Many animals make music: grasshoppers, birds, whales, and gibbons all sing or at least seem to be singing. They sing to communicate with each other. Their songs have different meanings, depending on the order of the notes or tones. Some sing to stake a claim to their territory, while others sing to attract a mate.

You can make music too. Only instead of animal music, you can use a plant to make some cool sounds. Try this.

What you do: 1. Cut a coconut in half. Drain the milk and clean out the inside. 2. Tapping the halves against the floor sounds like a horse galloping. 3. If you place a sheet of paper between the halves and rub the halves together,

it sounds like someone is walking through snow.

Copyright 2001, Bill Nye and Nye Labs, LLC. All rights reserved.

Explain the importance of these factors to your specific biome/ecosystem.

According to our textbook, a biotic factor is a living element found within an ecosystem, while an abiotic factor is a nonliving element found within an ecosystem.  Choose a biome and ecosystem and provide an example of a biotic and abiotic factor found within your biome/ecosystem.  Explain the importance of these factors to your specific biome/ecosystem.

gather appropriate information from at least three (3) reputable sources and write a cohesive short report on your choice of a living, non-human primate species.

Assignment Overview

This Second Assignment asks you to gather appropriate information from at least three (3) reputable sources and write a cohesive short report on your choice of a living, non-human primate species. Your detailed and original report will demonstrate your understanding of the physical and social adaptations of your chosen species.

  1. Your first paragraph must identify your chosen      non-human primate by its scientific name (genus and species), its common      name and the location of primary wild population(s) in the world. Explain briefly why you chose this      particular species. Your first paragraph      must end with a thesis statement that encapsulates your plan to provide      information about this species.
  2. IMPORTANT: This      assignment is about a specific species of living, non-human primate.
    1. DO NOT write about a       general group term like lemur, monkey or ape.
    2. Make sure that the species you chose to write about       is a non-human PRIMATE.
  3. Present and analyze the current scientific      research regarding this topic.
  4. Your paper must end with a clear and concise      conclusion that recaps your presentation and restates your thesis.

So … how do I do this?

1. Identify your chosen non-human primate species by its scientific name (genus and species) and its common name in English. Where (in the world) do they live? What do they look like? Is there sexual dimorphism in this species? What is the size of the average group? Are they diurnal or are they nocturnal?

2. Discuss the ecology of your chosen non-human primate. This section should be the largest section in your report.

a. What is the environment in which these creatures live in the wild? What do they eat? How do they get their food? How active are these primates in relation to the types of food that they eat? What is the average size of the group? What dangers do they face (predators, for example, each other, maybe?).

b. What are the behavioral relationships between each other in this particular species (social strategies)? What is their primary social group structure?  Who “leads” the group? Are their dominance hierarchies in this primate species? How many offspring do the females generally have at one time? How long to offspring stay with their birth group? Is the group female philopatric or is it male philopatric, or do all offspring leave their birth group at or around sexual maturity?

3. Finish your report with a brief discussion about the current prospects for continuity of this species in its natural habitat (endangered status).

4. Submit your completed assignment by clicking on the Turn-It-In link at the bottom of the Assignment page on the course website.

IMPORTANT: Canvas does not accept work submitted in .pages or as Google Docs, Google Drive shared documents or as ZIP files. Submit your paper as a Word doc or .docx or as .rtf or .pdf file. I cannot grade your paper if I cannot open it!

REQUIREMENTS for this assignment:

  1. Type your name, the topic (Second Assignment) and      the due date in the top left corner of your paper. DO NOT put anything else at the top of      the page. DO NOT use a cover page,      DO NOT include an abstract for this paper.
  2. Minimum at least two full pages of text. 2 to 3 pages is an appropriate length      for this assignment. Double-spaced,      one-inch margins (check your left and right margins), typed in English,      12-point font.
  3. Include a full source page at the end of your      report (three sources minimum, more is better). List complete source citations in APA      format. Include as much of the      following information as possible: author(s) family name followed by first initial, year of      publication, title of article or book, name of journal, magazine or book      including volume/issue and page numbers of publication, website where the      article was published, date of website information retrieval.

Website APA citation format examples:

The Writing Center. (2019). Plagiarism. University of North Carolina at Chapel Hill. Retrieved January 4, 2019, from https://writingcenter.unc.edu/tips-and-tools/plagiarism/

  1. Use in-text citations to identify the source(s)      of quoted and/or technical and/or highly specialized information included      in your paper. In-text citations      look like this: (family name of      author, first initials of author, year of publication). For example: (Smithson, J. 2019). DO NOT use footnotes. DO NOT include the entire source      citation as an in-text citation.

IMPORTANT: Do not plagiarize information presented in your paper. Do not copy from any source, including the article(s) you use as references. Do not copy and paste or change a few words in someone else’s sentence structure and call if your own.

Discuss why international accounting is important in today’s global economy.  

Discuss why international accounting is important in today’s global economy.  

Describe the difference between the current-rate method and the temporal method in regard to international accounting.  In what condition would a company use the current-rate method?  In what condition would a company use the temporal method?

75-125 words

Evaluate educational session outcomes in terms of progress made toward Healthy People 2020 goals and leading health indicators.

Build a slide presentation (PowerPoint preferred) of the health promotion plan you developed in the first assessment. Then, implement your health promotion plan by conducting a face-to-face educational session addressing the health concern and health goals of your selected community member or group. In addition, collaborate with any participants in setting goals for the session, evaluating session outcomes, and suggesting possible revisions to improve future sessions.

As you begin to prepare this assessment, you are encouraged to complete the Vila Health: Conducting an Effective Educational Session activity. The information gained from completing this activity will help you succeed with the assessment as you consider key issues in conducting an effective educational session for a selected audience. Completing activities is also a way to demonstrate engagement.

Professional Context

Health education is any combination of learning experiences designed to help community individuals, families, and aggregates improve their health by increasing knowledge or influencing attitudes (WHO, 2018). Education is key to health promotion, disease prevention, and disaster preparedness. The health indicator framework identified in Healthy People 2020 helps motivate action in such areas as health service access, clinical preventive services, environmental quality, injury or violence, maternal, infant and child health, mental health, nutrition, substance abuse, and tobacco use.

Nurses provide accurate evidence-based information and education in various formal and informal settings. They draw upon evidence-based practice to provide health promotion and disease prevention activities to create social and physical environments conducive to improving and maintaining community health. When provided with the tools to be successful, people demonstrate lifestyle changes (self-care) that promote health and help reduce readmissions. They are better able to tolerate stressors, including environmental changes, and enjoy a better quality of life. In times of crisis, a resilient community is a safer community (ODPHP, n.d.; Flanders, 2018).

This assessment provides an opportunity for you to apply teaching and learning concepts to the presentation of a health promotion plan.

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

  • Competency 3: Evaluate health policies, based on their ability to achieve desired outcomes.
    • Evaluate educational session outcomes in terms of progress made toward Healthy People 2020 goals and leading health indicators.
  • Competency 4: Integrate principles of social justice in community health interventions.
    • Evaluate educational session outcomes and the attainment of agreed-upon health goals in collaboration with participants.
  • Competency 5: Apply professional, scholarly communication strategies to lead health promotion and improve population health.
    • Present a health promotion plan to an individual or group within a community.
References

U.S. Department of Health and Human Services, Office of Disease Prevention and Health Promotion (ODPHP). (n.d.). Healthy People 2020. Retrieved from https://www.healthypeople.gov/

Flanders, S. A. (2018). Effective patient education: Evidence and common sense. Medsurg Nursing, 27(1), 55–58.

Note: Complete the assessments in this course in the order in which they are presented. This is the second part of a two-part assessment. You must complete Assessment 1 before completing this assessment.

Preparation

Resume the role of a nurse tasked with addressing the specific community health concern identified in the first assessment. This time, you will present, via educational outreach, the health promotion plan you developed in the first assessment to your chosen community individual or group. You know that you must determine an effective teaching strategy, communicate the plan with professionalism and cultural sensitivity, solicit input on the value of the plan to its audience, and revise the plan as applicable to improve future educational sessions. To engage your audience, you decide to develop a slide presentation to communicate your plan. A copy of the slide presentation could also be given to audience members for future reference.

To prepare for the assessment, you are encouraged to complete the Vila Health: Conducting an Effective Educational Session simulation. You may also wish to review the health promotion plan presentation assessment and scoring guide to ensure that you understand all requirements.

Note: Remember that you can submit all, or a portion of, your draft plan to Smarthinking Tutoring for feedback before you submit the final version for this assessment. If you plan on using this free service, be mindful of the turnaround time of 24–48 hours for receiving feedback.

Instructions

Complete the following:

  1. Prepare a PowerPoint presentation of the health promotion plan you developed in Assessment 1, with detailed speaker’s notes that include your evaluation of session outcomes. Speaker notes should reflect what you will actually say when you conduct the face-to-face session.
  2. Implement your health promotion plan by conducting a face-to-face educational session addressing the health concern and health goals of your chosen participants. Collaborate with the participants in setting session goals, evaluating outcomes, and suggesting possible revisions to improve future sessions.

As you begin to prepare this assessment, you are encouraged to complete the Vila Health: Conducting an Effective Educational Session activity. The information gained from completing this activity will help you succeed with the assessment as you consider key issues in conducting an effective educational session for a selected audience. Completing activities is also a way to demonstrate engagement.

Completion of this assessment, and the course, requires that you spend a minimum of three hours face-to-face working with your identified patient who may be a community member or group. Remember that it is a requirement to log your direct clinical hours in the CORE ELMS system.

Please be advised that the Volunteer Experience form requires that you provide the name and contact information for at least one individual with whom you worked as part of your direct clinical activity. Your faculty may reach out to this individual to verify that you have accurately documented and completed your clinical hours.

PRESENTATION FORMAT AND LENGTH

You may use Microsoft PowerPoint (preferred) or other suitable presentation software to create your slides. If you elect to use an application other than PowerPoint, check with your faculty to avoid potential file compatibility issues.

The number of content slides in your presentation is dictated by nature and scope of your health promotion plan. Be sure to include title and references slides per the following:

  • Title slide:
    • Health promotion plan title.
    • Your name.
    • Date.
    • Course number and title.
  • References (at the end of your presentation).
    • Be sure to apply correct APA formatting to your references.

The following resources will help you create and deliver an effective presentation:

SUPPORTING EVIDENCE

Support your plan with at least three professional or scholarly references, which may include peer-reviewed articles, course study resources, and Healthy People 2020 resources.

GRADED REQUIREMENTS

The requirements outlined below correspond to the grading criteria in the assessment scoring guide, so be sure to address each point. Read the performance-level descriptions for each criterion to see how your work will be assessed.

  • Present your health promotion plan to your chosen audience.
    • Tailor the presentation to the needs of your audience.
    • Adhere to scholarly and disciplinary writing standards and APA formatting requirements.
  • Evaluate educational session outcomes and the attainment of agreed-upon health goals in collaboration with participants.
    • Which aspects of the session would you change?
    • How might those changes improve future outcomes?
  • Evaluate educational session outcomes in terms of progress made toward Healthy People 2020 goals and leading health indicators.
    • What changes would you recommend to better align the session with Healthy People 2020 goals and leading health indicators?

Describe the theories or conceptual framework used in the literature related to the issue your group selected

DUE 10/12  6 P.M EST

1 PAGE NOT INCLUDING TITLE & REF APA

FOLLOW DIRECTIONS

USE THE MATRIX ATTACHED AND IDENTIFY EACH ARTICLE

3 IS INCLUDED (DON’T USE 1ST ARTICLE ON ATTACHED, IT WAS JUST AN EXAMPLE

FOLLOW TOPIC

 

key topics of minorities compliance with medications for Type II Diabetes. All papers and literature should focus on Type II Diabetes, medication compliance, and racial distribution.

key literature that explain if there is a relationship between minority populations, poor medication compliance and type II diabetes, we have to stay focused on those topics and the relationship.

This week you expand on the Literature Review Matrix. To begin, you review and explain the prevailing theories or conceptual framework used in the literature to explain the epidemiology of the issue. Then, you complete a detailed evaluation of the different methods that have been used during the past 5 years to research the epidemiological issue your group selected.

· Describe the theories or conceptual framework used in the literature related to the issue your group selected

· Describe the methods used to study the issue your group selected

· Explain the strengths and limitations of each of the methods you identified

Literature Review Matrix Template

Reference

Author/ Date – (APA Style)

Theoretical/ Conceptual Framework Study Objectives, Research Question(s)/ Hypotheses Study Population Methodology (Type of Study)/ Intervention Design (if applicable) Analysis, Results & Major Findings Strengths/ Limitations Conclusions Recommendations Implications for Future Research Implications for Practice
Example:

Kelley, C. F., Mannino, D. M., Homa, D. M., Savage-Brown, A., & Holguin, F. (2005). Asthma phenotypes, risk factors, and measures of severity in a national sample of US children. Pediatrics, 115(3), 726-731.

Example:

Variation of risk factors and measures of asthma severity by asthma phenotypes.

Example:

Are there differences in demographic or potential risk factors between children with different asthma phenotypes? Are there differences in measures of severity between children with different asthma phenotypes?

Example:

National sample of children 6-16 years of age.

Example:

Cross-sectional study using data from the NHANES III.

Example:

Used questionnaire & skin-prick testing data to classify children into 5 asthma phenotypes; Multivariable regression used to determine if demographic and risk factors varied between phenotypes & if measures of severity varied between phenotypes. Risk factors and measures of severity varied by asthma phenotype.

Example:

Strengths: Additional skin-prick testing data available for classification of phenotypes; Large sample size;

Limitations:

Cross-sectional nature of data; Much of the data were self-reported by an adult proxy; Phenotypic definitions may not represent true differences in asthma presentation;

Example:

A better sub classification of both children and adults with asthma could lead to better treatment and intervention for asthma.

Example:

True nature of relationship between body mass index (BMI) and asthma needs to be studied longitudinally; Further examination of whether children with frequent respiratory symptoms are “undiagnosed asthma”.

Example:

Children with “resolved asthma” phenotype should be clinically monitored to avoid development of (chronic obstructive pulmonary disease) COPD in adulthood.

Hu, R., Shi, L., Liang, H., Haile, G. P., & Lee, D. C. (2016). Racial/Ethnic Disparities in Primary Care Quality Among Type 2 Diabetes Patients, Medical Expenditure Panel Survey, 2012. Preventing chronic disease13, E100-E100. Prevalence of diabetes, diabetic medical -care accessibility, diabetic-associated impediment and mortality rates The research examined race/ethnicity differences in relation to primary Medicare equality for people with type II diabetes. 2617 patients of type II diabetes. Survey was used in collecting data. Multiple regression in addition to multivariate logistic regression investigated the relationship between racial/ethnic groups and primary care. Stata/SE 14 was used in analyzing the data. Results showed equality in access to medical-care for ethic/racial minorities in USA. Limitations

MEPS data is often individually and privately reported thus face biasness. Secondary data used in the research did not include the causal inferences during the research. another limitation was primary data used was collected from patients rather and were not based on the patient’s medical outcome. Also, the longitudinal measures applied denied the inclusion of primary-care indicators.

There is equal care between the minorities and non-minorities in terms of medical access for type II diabetic patients in USA. Research in the same area is necessary to support the findings of this research. The next research should focus on smaller ethnic/racial groups and find out the results on diabetes. Policy-makers need to expand primary medical-care for diabetic patients with emphasis to those with lower SES to ensure service delivery equality.
American Diabetes Association. (2016). Standards of medical care in diabetes—2016 abridged for primary care providers. Clinical diabetes: a publication of the American Diabetes Association34(1), 3. Racial/ethnic groups, family, social factors and perception in reference to insulin were used as variables The study examined Cultural-based obstacles faced by healthcare givers in the use of insulin for minority groups in USA. The second objective is to offer recommendations for the barriers. Hispanics and Latino Quantitative research, surveys Provision of insulin in diabetic patients is affected by cultural factors in minority groups. Limitations

The research did not consider the cost and accessibility of insulin for minority groups.

Mayberry, L. S., Bergner, E. M., Chakkalakal, R. J., Elasy, T. A., & Osborn, C. Y. (2016). Self-care disparities among adults with type 2 diabetes in the USA. Current diabetes reports16(11), 113. Disparities in self-care for type II diabetes patients, self-care behavior, self-foot examination and smoking.

The hypothesis: non-Hispanic blacks contain more suboptimal glycemic than Hispanics in addition to non-Hispanic whites. The sample size was 25 articles. Descriptive research design was used in the research. Questionnaires and probability sampling were used to form a hypothesis and collect data on Hispanics and non-Hispanics in the USA with and without Diabetes. results indicated non-white Hispanics together with Hispanics had proper medical observance. Limitations

The research did not consider diet differences during the research.

There is a correlation between the existing disparities for minority and non-minorities with type II diabetes.

Recommendations

Use of reliable measures can provide more data on variations in diets and exercises for diabetes people.

There is need for research in self-foot examination, ways of solving it besides living with diabetes. Education on importance of medical adherence and observation of diet for people with type II diabetes.
Further research in the field of cultural factors effect on insulin use in diabetic patients should be done to support the findings of the current study. in addition, the research should take into consideration the cost of insulin and its accessibility to the minority diabetic patients. Insulin therapy should be given an upper hand to all diabetic patients and commenced from the point of patient diagnosis.

links for the articles:

American Diabetes Association. (2016). Standards of medical care in diabetes—2016 abridged for primary care providers. Clinical diabetes: a publication of the American Diabetes Association34(1), 3.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5001223/

Hu, R., Shi, L., Liang, H., Haile, G. P., & Lee, D. C. (2016). Racial/Ethnic Disparities in Primary Care Quality Among Type 2 Diabetes Patients, Medical Expenditure Panel Survey, 2012. Preventing chronic disease13, E100-E100. https://www.cdc.gov/pcd/issues/2016/16_0113.htm

Mayberry, L. S., Bergner, E. M., Chakkalakal, R. J., Elasy, T. A., & Osborn, C. Y. (2016). Self-care disparities among adults with type 2 diabetes in the USA. Current diabetes reports16(11), 113. https://link.springer.com/article/10.1007/s11892-016-0796-5

©2010 Walden University Writing Center

Briefly describe the company and its product and the ethical dilemma associated with the production and distribution of its products.

J2

In the case of the Coyote and Road Runner, one might question the ethics of the two characters’ behaviors on many fronts. Think of a company that you have worked for or that you know about that has not successfully implemented a culture of ethical business behavior. What would you suggest to that company in order for the leaders to improve their culture?

journal entry must be at least 200 words.

Essay 2

 

Establishing a culture of sound business ethics within an organization is challenging, to say the least. Companies that market products that are not considered to be “healthy” for consumers have additional challenges. Using the CSU online library, research a company that markets “unhealthy” products. Examples might include tobacco or alcohol companies but these examples are not all-inclusive. Respond to the following questions.

  1. Briefly describe the company and its product and the ethical dilemma associated with the production and distribution of its products.
  2. Describe how the perception of the product differs within cultures both within the United States and globally.
  3. How has this company handled the ethical implications of its product with a focus on social responsibility, integrity and business ethics?
  4. Explain how leadership within the organization can instill a culture of ethics within the marketing department as they strive to advertise a product that is not healthy for the customer.

Your response should be a minimum of two double-spaced pages not including the title and reference pages. You are required to use at least one peer-reviewed source. Referenced sources must have accompanying citations complying with A&P guidelines.

Describe the problem she has with words built from some of the reproductive medical word elements in your text.

Your first patient this week has a problem of the genitourinary tract that has plagued him since birth. He has had many hospitalizations due to this problem and suffers repeatedly with difficulties of the genitourinary tract. Describe the problem using terms built from the genitourinary medical word elements in your text. Mention 3 tests or procedures that would help you understand or treat your patient.

 The second patient for you this week is a woman with a problem involving the reproductive area. Describe the problem she has with words built from some of the reproductive medical word elements in your text. You need to include at least 3 tests or procedures needed to address her issue as well

write a three-page essay detailing how healthcare providers and/or members of a healthcare ethics committee can impact change in these areas for a more equitable healthcare system.

Identify three specific impacts of social factors on the healthcare system, and write a three-page essay detailing how healthcare providers and/or members of a healthcare ethics committee can impact change in these areas for a more equitable healthcare system.

Your essay should be a minimum of three pages in length. Use a minimum of three sources, including your textbook. All sources used must be referenced; paraphrased and quoted material must have accompanying citations. The essay and all references and citations used must be formatted using APA style.

BHA 3801, Critical Issues in Health Care 1

Course Learning Outcomes for Unit II Upon completion of this unit, students should be able to:

1. Critique arguments related to the impact of social factors that influence the U.S. healthcare system.

3. Analyze the factors necessary to create a more equitable healthcare system.

Reading Assignment Chapter 13: Healthcare Institutional Ethics: Broader Than Clinical Ethics, pp. 211-223 Chapter 14: Hospital Ethics Committees: Roles, Memberships, Structure, and Difficulties, pp. 227-240

Unit Lesson Healthcare ethical issues occur at all levels of healthcare organizations. Healthcare administrators have a responsibility to always conduct business with ethical integrity (Morrison & Furlong, 2014). A vast majority of ethical issues within the healthcare delivery system occur at the clinical level. The clinical level is where healthcare products and services are provided to individuals who are in need. Areas of ethical concern that result at the clinical level include treatment termination, patient autonomy, informed consent, confidentiality, and advance consent (Morrison & Furlong, 2014). There are guidelines for treatment termination that exist and are based on case law. Such guidelines are derived from clinical and legal practices and other ethical decision-making principles. Patient autonomy is the rejection of recommended medical treatment. Patients have the right to choose other alternatives that are medically appropriate but may be against medical advice. However, issues arise when inappropriate treatment is demanded by patients and/or their representatives. Healthcare providers are responsible for obtaining informed consent prior to providing patients with healthcare services. In essence, informed consent is the treatment permission that providers must obtain from their patients before they can treat them. There have been several cases where providers have neglected to obtain the necessary treatment consent, which raises ethical concerns. Adherence to patient confidentially is a major ethical concern in clinical practice. Although patient health information should remain private at all times, inappropriate disclosure of private health information has been released without patients’ consent. As a result, in 1996, the federal government implemented the Health Insurance Portability and Accountability Act (HIPPA), a law designed to restrict access to patients’ health records. Advance directives, also known as living wills, can create ethical concerns when they are not adhered to by providers or patient representatives. They are considered legal documents that contain information regarding patients’ medical treatment when they are unable to communicate their desires due to a medical condition. The rapid changes in the U.S. healthcare delivery system between the late 1980s through the 1990s broaden the bioethics scope (Morrison & Furlong, 2014). Bioethics inquiries were raised to address concerns related to the instructional structure of healthcare organizations. Bioethics inquiry is also known as organizational ethics, an approach designed to enhance ethics within a given organization (Morrison & Furlong, 2014). An example of such an enhancement is when organizations attempt to change their climate and culture in an effort to

UNIT II STUDY GUIDE

The Impact of Ethical Constructs and Healthcare Systems

BHA 3801, Critical Issues in Health Care 2

UNIT x STUDY GUIDE

Title

minimize negative ethical issues. Although organizational ethics exist, there will continue to be a need to address current and future ethical issues. Hospitals provide a number of healthcare products and services and are one of the largest segments of our healthcare delivery system. Hospital administrators and clinicians are challenged with making difficult healthcare decisions daily, which increases the demand for ethical oversight. Considering the role that they play in healthcare, hospitals must hire and maintain staff who are well-versed in ethical practices and principles. Hospitals respond to changes in patient care guidelines and healthcare policies through their ethics committees (Morrison & Furlong, 2014). Ethics committees for patient care came into play around the 1970s. However, it was not until 1992 that the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) was established out of a need for hospitals to have a standard means of addressing ethical conflict (Morrison & Furlong, 2014). The three main functions of hospital ethics committees (HECs) are listed below:

1. developing policies and procedures; 2. training and educating staff; and 3. conducting clinical consultations.

Ethics committees are comprised of individuals with a broad range of backgrounds and expertise. Ethics committee members typically include clinicians, administrators, social workers, bioethicists, and hospital board members. Some ethics committees may include patient representatives as well. Also, in order to address patient-centered ethical issues, it is important for the ethics committee to be diverse, especially in cases of cultural or religious issues (Morrison & Furlong, 2014). Diversity is known to be an extremely effective component of decision-making. The continued growth of the U.S. population and advances in technology perpetuates the need for a standard approach to addressing complex healthcare matters beyond hospital settings. In addition, as individuals from an array of ethnic backgrounds continue to migrate to the United States, the need for more diverse ethics committees will increase. Members of such committees must also be well-versed in ethical principles and complex decision-making (Morrison & Furlong, 2014). Patients and their families play a vital role in addressing healthcare matters and should have ethics committee representation.

Reference Morrison, E. E., & Furlong, B. (Eds.). (2014). Health care ethics: Critical issues for the 21st century (3rd ed.).

Burlington, MA: Jones & Bartlett Learning.

Learning Activities (Nongraded) Nongraded Learning Activities are provided to aid students in their course of study. You do not have to submit them. If you have questions, contact your instructor for further guidance and information. Research and review an article on a hospital’s patient care policies and their staffing model. If you need help locating an article to review, click the following link to access a video that is available in the CSU Online Library: http://libguides.columbiasouthern.edu/findjournalarticlesvideo Feel free to discuss your findings with your classmates in the Student Breakroom forum.

create a presentation for your organization to explain how successful collaboration can improve success and provide competitive advantages.

PowerPoint Presentation

In this assignment, you will create a presentation for your organization to explain how successful collaboration can improve success and provide competitive advantages.

Scenario: Your organization has used a variety of collaboration systems developed by some project managers. Some of these systems were successful while others were not. Your organization has one unique challenge—many of your employees are staffed at other locations or work from home (telework). You would like to standardize the collaboration process to improve team communication for all company projects. In your presentation, you should include the elements listed below.

  • Explain why collaboration information systems (IS) are important from the organization’s perspective.
  • Discuss how collaboration tools can improve team communication.
  • Identify three tools that will be used for synchronous communications and three tools that will be used for asynchronous communications. Be sure to explain why you made these choices.
  • Describe how project files, such as Microsoft (MS) Word, MS Excel, MS Project, and MS Visio, will be shared with team members. Be sure to explain the rationale behind your choice.
  • Explain how the task list for managing tasks will be shared with team members. Be sure to explain the rationale behind your choice.
  • Discuss how this new collaboration IS could provide competitive advantages for your organization.

Your presentation should be a minimum of six slides in length (not counting the title and reference slides). Use of images, graphics, and diagrams is encouraged.

You can use an industry of your choosing or examples from your personal or professional experiences in developing this assignment. You can also use the resources in the Unit II Suggested Reading section to assist you with this assignment.

Be sure to follow the 7×7 rule (i.e., there should be no more than 7 words per line and no more than 7 lines per slide). You are required to use speaker notes to discuss the bullet points on your slides.

You must use at least two academic resources to support your presentation, and you must cite (in APA format) any information on your slides or in your speaker notes that came from these sources.

Write a 750–1,000-word report that provides an evaluation of the liquidity, solvency and profitability for each company, relative to each other and to industry averages.

Complete the following steps:

1.Choose a pair of two competing companies from the list below:

  • Coca-Cola and PepsiCo
  • Home Depot and Lowes
  • Walmart and Target
  • Nike and Adidas

2. Go to the address below:

3. Type in the first company’s stock symbol or name. (Use “symbol lookup”.)

4. Under the “Fundamentals” heading, use the Growth, Profitability, Financial health, Price ratios, and Management effectiveness tabs to respond to the requirements below.

5. Enter the second company’s stock symbol or name, and repeat the process.

6. Write a 750–1,000-word report that provides an evaluation of the liquidity, solvency and profitability for each company, relative to each other and to industry averages.

Be sure to cite three-five relevant sources in support of your content. Utilize the GCU Library and external sources for your research.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

Using the Internet to obtain current exchange rate information complete the attached Internet Assignment worksheet and submit using this assignment link

The foreign currency or foreign exchange market is a decentralized worldwide market in which currencies are traded.  It was created in order to facilitate the flow of money derived from international trade.  The foreign currency market functions 24 hours a day for 5.5 days a week, opening on Sunday afternoon and closing on Friday, along with the New York market.  The foreign exchange market is the backbone of international trade and global investing. It is critical to support imports and exports, which are necessary to gain access to resources and to create additional demand for goods and services.

The Assignment

Using the Internet to obtain current exchange rate information complete the attached Internet Assignment worksheet and submit using this assignment link.  Complete all 5 questions.  Show your calculations when  required.  The maximum points available for this assignment is 50 points.   Internet Assignment -1 Foreign Exchange Worksheet.docx Internet Assignment -1 Foreign Exchange Worksheet.docx – Alternative Formats

(opens in a new window)

Grading Criteria

  • Name and Date
  • Complete the 5 questions – following the directions on the worksheet
  • Show your work (calculations ) when required

Resources  Currency Exchange Converter websites on the Internet

Examples:  https://www1.oanda.com/currency/converter/ (opens in a new window)

https://www.msn.com/en-us/money/tools/currencyconverter (opens in a new window)

Research one of the tools that is also a threat, provide background information, how it is used, how you can defend against it and conclusion

Task:

Research one of the tools that is also a threat, provide background information, how it is used, how you can defend against it and conclusion (your opinions).

Tools List

– Must be in APA format

  • (1 pg) Title Page
  • (1 pg) Abstract (individual page)
  • (1 pg) Body – The body 2-page minimum provide images if available.
  • Conclusion – Share your thoughts.
  • Explain how is it a threat, provide background information, how it is used, how you can defend against it (your opinions).
  • (1 pg) References – 2 minimum

developing two compliance plans in a way that all employees will understand at a large medical facility where you are the Compliance Officer.

Now that you’ve chosen two compliance plans, you can better understand the role of Compliance Officer and similar positions. You are developing two compliance plans in a way that all employees will understand at a large medical facility where you are the Compliance Officer.

To help you understand the concept of compliance, use the Internet to locate 2-3 positions for Compliance Officer, Quality Improvement Manager, or related positions. Use this information to create a consolidated job description. Be sure to include requirements such as Education, Professional Experience, and Responsibilities of the position.

Then, write 2-3 summary of an Overview of Compliance Plans. In your overview, state the purpose of your two compliance plans for your company and how they relate to the proposed job description. In terms that every employee will grasp, explain how all employees would benefit by supporting the key elements in every compliance plan – compliance standards, high-level responsibility (for each employee), education (about compliance), communication, monitoring/auditing, enforcement/discipline, and response/prevention.

Support your job description and overview with at least three research sources outside of your required reading. You should have a total of at least five sources, including the two from Module 01. Citations in APA format should be listed in a References Page at the end.

Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.

Save your assignment as a Microsoft Word document. (Mac users, please remember to append the “.docx” extension to the filename.) The name of the file should be your first initial and last name, followed by an underscore and the name of the assignment, and an underscore and the date. An example is shown below:

Explain what connections you have been able to make between the concepts studied in this week’s assigned readings and the content presented in this blog

This week’s discussion topic is Lars Tornstam’s theory of gerotranscendence (1995, 2005). For your post, you are asked to use the information presented in the PPT titled “Social and Developmental Theories of Aging”, as well as Ruth Tamari’s 2-part blog post (links posted below).

  • Ruth Tamari – gerotransendence – part 1 – click here to access
  • Ruth Tamari – gerotransendence – part 2 – click here to access

Think of an older adult you know either from your personal life or a character from a favorite movie or book. With this person in mind, answer the questions posted below:

  1. What behavior has this person displayed that may be explained by the theory of gerotranscendence?  (Be specific in your answer and provide examples).
  2. What behavior have you observed that may be viewed as an impediment to developing gerotranscendent traits?
  3. In your opinion, do gerotranscendent traits have an effect on life satisfaction? Why or why not?
  4. What differences and similarities do you see between this theory and some of the earlier aging theories discussed in your textbook? (Explain your position and provide rationale).
  5. If you had to be the caregiver for a gerotrascendent person, what unique approaches would you use to create an environment of acceptance and promote further fostering of these traits?
  6. Explain what connections you have been able to make between the concepts studied in this week’s assigned readings and the content presented in this blog

Read and follow the Discussion Board Post Grading Rubric to ensure your post and follow up comments meet all of the requirements noted there.

Explain whether you agree with the statement “Leaders are not born, they are made” and why.

To prepare for this Assignment:

  • Review the Learning Resources, including “‘Good to Great’ in Healthcare: How Some Organizations Are Elevating Their Performance” and the two leadership skills assessments.
  • Select and complete one of the leadership assessments in your resources to determine your strengths and weaknesses related to your future career in healthcare management.
  • Complete the Leadership Skills Assessment Template in your Learning Resources. (Note: Print and keep this completed template handy; you will revisit your results in Week 6.)
  • Review the insights provided on your results.

complete this Assignment, write a 1- to 2-page paper that identifies the following:

  • Explain whether you agree with the statement “Leaders are not born, they are made” and why.
  • What are the key differences between a manager and a leader?
  • Based on the results of your completed leadership skills assessment, what are your current strengths and weaknesses as a healthcare manager and/or leader? Do you agree?
  • What areas do you feel you need to work on to go from “good” to “great” as a healthcare manager and/or leader in the setting you described in the Discussion?

To write effective and uniform procedures that will support the objectives of the services provided by the HIM Services Department.

Delta Policy and Procedure

TITLE: HIPAA Access Control

POLICY AND PROCEDURE WRITING

Ensuring that access to EPHI is only available to those persons or programs that have been

appropriately granted such access.

DEPT: HIM SERVICES
SUBMITTED BY: Odese Sossous

DATE: 9/30/19

APPROVED BY: LaTarsha Turner

DATE: 10/6/19

Effective Date: 10/15/19

 Purpose

This Policy covers the unique user identification and password, emergency access, automatic logoff, encryption and decryption, firewall, and remote and wireless access procedures that will apply to electronic information systems that maintain Electronic Personal Health Information.

Policy

To write effective and uniform procedures that will support the objectives of the services provided by the HIM Services Department.

Procedure

The following are specific tips for writing and maintaining effective procedures:

1. Manage Access to PHI

Will Monitor access activity, Monitor and review inappropriate access activity.

2. Identification and password

Each user must ensure that their assigned User Identification is appropriately protected and only used for legitimate access to networks, systems, or applications.

If a user believes their user identification has been comprised, they must report that security incident to their manager, who will contact the appropriate HIPAA Officer

3. Emergency access

a. To ensure that access to critical EPHI is maintained during an emergency situation, each Department must establish and implement procedures to ensure that access to a system that contains EPHI and is used to provide treatment to an individual is made available to any Policy: HIPAA Access Control 3 caregiver in the case of an emergency, if the denial or strict access to that EPHI could inhibit or negatively affect an individual’s care.

b. EPHI repositories that do not affect an individual’s care are not subject to the foregoing emergency access requirement.

4. Automatic logoff

When leaving a server, workstation, or other computer system unattended, Users must lock or activate the systems automatic logoff mechanism (e.g. CNTL, ALT, DELETE and Lock Computer) or logout of all applications and database systems containing EPHI.

5. Encryption and decryption

Encryption of EPHI as an access control mechanism is not required unless the custodian of said EPHI deems the data to be highly critical or sensitive. Encryption of EPHI is required in some instances as a transmission control and integrity mechanism.

6. Firewall, and remote

Firewalls must be configured to support the following minimum requirements:

• Limit network access to only authorized TennDent users and entities.

• Limit network access to only legitimate or established connections. An established

connection is return traffic in response to an application request submitted from within

the secure network.

• Console and other management ports must be appropriately secured or disabled.

• Implement mechanism to log failed access attempts.

• Must be in a physically secure environment.

Users of remote workstations must comply with HIPAA Security Policy – Workstation Acceptable Use Policy.

Benchmark Policy TennDent policy
Policies and procedures govern the operations of health information expectations for the workforce, delineate staff training and accountability, and must be part of an ongoing education and compliance program.

1. Review Existing Policies and Procedures

2. Revise Participation Agreements to reflect AHIMA’s Information Governance Principles for Healthcare

3. Establish HIPAA Structure for Provider Relations

4. Review Compliance Processes

5. Manage Access to PHI

6. Provide a standardized consent form to all data sharing partners for consistency.

TennDent is committed to conducting business in compliance with all applicable laws, regulations and TennDent policies.

1) Unique User Identification and Password

2) Emergency Access

3) Automatic Logoff

4) Encryption and Decryption

5) Firewall Use

6) Remote Access

7) Wireless Access

I think TennDent policy guideline is specifically they provide more detail in the policy.

References

Policy and Procedure Considerations for Health Information Exchange Organizations. (n.d.). Retrieved from http://bok.ahima.org/doc?oid=107715

https://content.learntoday.info/Learn/HI435_Summer_12/site/Media/TennDent%20Policy%20HIPAA-Access-Control.pdf

Topic : Global Warming

Topic : Global Warming

Formulate a thesis which will need to be 4-5 pages long.

Search sources for research paper.

Write a preliminary research paper outline along with potential sources.

APA

Cover page

Introduction

Abstract

main body 4 pages

page margins header footer , running head

page title in APA meeting all APA requirements

conclusion

references

No plagiarism

CONSOLIDATE DATA AND USE FINANCIAL FUNCTIONS, TABLES, AND CHARTS

Shelly Cashman Excel 2019 | Modules 4-7: SAM Capstone Project 1a

Victoria Streaming Service

Shelly Cashman Excel 2019 | Modules 4-7: SAM Capstone Project 1a

CONSOLIDATE DATA AND USE FINANCIAL FUNCTIONS, TABLES, AND CHARTS

GETTING STARTED

Open the file SC_EX19_CS4-7a_FirstLastName_1.xlsx, available for download from the SAM website.

Save the file as SC_EX19_CS4-7a_FirstLastName_2.xlsx by changing the “1” to a “2”.

If you do not see the .xlsx file extension in the Save As dialog box, do not type it. The program will add the file extension for you automatically.

To complete this SAM Project, you will also need to download and save the following data files from the SAM website onto your computer:

Support_EX19_CS4-7a_Media.txt

Support_EX19_CS4-7a_Properties.html

Support_EX19_CS4-7a_Revenue.xlsx

With the file SC_EX19_CS4-7a_FirstLastName_2.xlsx still open, ensure that your first and last name is displayed in cell B6 of the Documentation sheet.

If cell B6 does not display your name, delete the file and download a new copy from the SAM website.

PROJECT STEPS

Bao Phan is a financial analyst for Victoria Streaming Service (VSS), a website that streams movies and TV shows to subscribers in the United States, Canada, and the United Kingdom. He is tracking sales for the year and asks for your help in projecting future sales and visualizing the sales data. The U.S., Canada, and U.K. worksheets have the same structure and contain similar data. Group the U.S.Canada, and U.K. worksheets to make changes to the three worksheets at the same time. The first change is to display today’s date. In cell H1 of the U.S. worksheet, enter a formula using the TODAY function to display today’s date.

Use the text in cell H5 to fill the range I5:K5 with the names of the remaining quarters in the year.

VSS has applied a goal of increasing revenue to $90,000 in the fourth quarter of next year. For Quarter 1, Bao estimates $84,307 in revenue, which is the average revenue per quarter from the current year. Project the revenue in Quarters 2 and 3 by filling the series for the first projection (range H7:K7) with a linear trend.

Bao is confident that revenue will increase by at least 2 percent per quarter next year. He wants to calculate these revenue goals in a second projection. Project next year’s revenue in the second projection (range H9:K9) based on a growth series using 1.02 as the step value.

Bao wants to consolidate the sales data in the U.S., Canada, and U.K. worksheets on the All Locations worksheet. Ungroup the worksheets, go to the All Locations worksheet, and then consolidate the data as follows:

In cell B6, enter a formula using the SUM function and a 3D reference to total the revenue from Action movies in Quarter 1 (cell B6) in the U.S., Canada, and U.K.

Copy the formula in cell B6 to calculate the revenue from the other types of movies for all four quarters (range B7:B11 and C6:E11), pasting the formula only.

Bao wants to round the total sales values so that they are easier to remember.

In cell B12, add the ROUNDUP function to display the total sales for Quarter 1 rounded up to 0 decimal places.

Fill the range C12:F12 with the formula in cell B12.

In cell F14, Bao wants to display the total revenue from the previous year. This data is stored in another workbook. Insert the total as follows:

Open the file Support_EX19_CS4-7a_Revenue.xlsx.

In cell F14 of Bao’s workbook, insert a formula using an external reference to the total revenue (cell F12) in the All Locations worksheet in the Support_EX19_CS4-7a_Revenue.xlsx workbook.

Bao wants to visualize how the revenue for each type of media contributed to the total revenue for the four quarters. Create a chart as follows to illustrate this information:

Create a 3-D Pie chart that shows how the revenue from each type of media (range A6:A11) contributed to the total revenue (range F6:F11).

Move and resize the chart so that the upper-left corner is in cell A15 and the lower-right corner is in cell E30.

Format the 3-D Pie chart as follows to make it easier to interpret:

Add data labels to the chart on the Outside End of each slice.

Display only the Category Name and Percentage amounts in the data labels.

Change the number format of the data labels to Percentage with 1 decimal place.

Explode the largest slice (Comedy) by 10 percent.

Change the chart colors to Monochromatic Palette 1 to coordinate with the data source range.

Apply Style 8 to the chart to simplify the chart design.

If present, remove the chart title which is not necessary for this chart.

Bao also wants to visualize the revenue for each type of media per quarter. Create a chart as follows to illustrate this information:

Use the Quick Analysis tool to create a Stacked Column chart that compares the revenue from each type of media for Quarters 1–4 (range A5:E11). [MAC HINT: Select Stacked Column chart from Recommended Charts under the Insert tab.]

Switch the rows and columns to compare the four quarters of data rather than the six types of media.

Move and resize the chart so that the upper-left corner is in cell F15 and the lower-right corner is in cell K37.

Bao decides he wants the chart to compare revenue from movies only. Modify the Stacked Column chart as follows to meet his request and make the chart more meaningful:

Remove the TV Shows data series from the chart.

Add a Data Table with legend keys to the chart.

Use Movie Revenue as the chart title.

Remove the legend, which repeats information in the data table.

Bao has a text file that describes the types of media the company provides. Import the text file as follows:

Get data from the Text/CSV file Support_EX19_CS4-7a_Media.txt.

Edit the text file before loading it to use the first row as headers.

In the Power Query Editor window, choose to close and load to a location in the worksheet. [MAC Hint: Use Text Import Wizard to import data as tab delimited text.]

View the imported data as a table and insert the data in cell H5 of the existing worksheet. [MAC Hint: Import data as text and update the table name from “Table_2” to “Support_EX19_CS4_7a_Media”.]

Apply Blue, Table Style Medium 2 to the imported table to coordinate with the rest of the worksheet contents. [MAC Hint: Format as Table using Blue, Table Style Medium 2.]

Bao decides that he might want to sort and filter the revenue data. Format the range A5:F12 as a table with headers.

Go to the Original Content worksheet, which lists movies and TV shows that VSS is developing itself and indicates whether each project is approved for production. Bao wants to list the approved projects in a separate part of the worksheet. Use an advanced filter as follows to list these projects in a new range:

In cell F26, type Yes as the value to filter on in the criteria range.

Create an advanced filter using the Projects table (range A1:F23) as the List range.

Use the range A25:F26 as the Criteria range.

Copy the results to another location, starting in the range A28:F28.

Insert a table using the range A28:F36 as the data and specifying that the table has a header row.

Filter the new table to display only data for TV shows.

VSS wants to delay the development of dramas that have not been approved because dramas have not been selling well. Bao asks you to identify these projects on the Original Content worksheet. Add a column to the Projects table and determine which projects meet the criteria as follows:

Add a column to the right of the Approved? column.

Type Delay? as the column heading.

In cell G2, enter a formula using the AND function that includes structured references to display TRUE if a project has a [Project Type] of “Drama” and an [Approved?] value of “No”. Fill the range G3:G23 with the formula in cell G2 if Excel does not do so automatically.

Bao asks you to identify the projects with budgets of $25,000 or more, those with budgets of $15,000 or more, and those with budgets less than $15,000.

In the Budget column (range E2:E23), create a new Icon Set Conditional Formatting rule using the 3 Symbols (Circled) indicators.

Display the green circled symbol in cells with a Number type value greater than or equal to 25000.

Display the yellow circled symbol in cells with a Number type value greater than or equal to 15000.

Display the red circled symbol in cells with a Number type value less than 15000.

The range I1:J13 lists project details, including the ID code that VSS producers use to refer to the projects. Bao wants to find a simple way to look up a project name based on its ID. Create a formula that provides this information as follows:

In cell J3, begin to enter a formula using the VLOOKUP function.

Use the Project ID (cell J2) as the lookup value.

Use the Projects table (range A2:G23) as the table_array.

Use the Project Name column (column 2) as the col_index_num.

Specify an exact match (FALSE) for the range_lookup.

Bao also wants to list the start date of the project identified in cell J2. In cell J4, enter a formula using the VLOOKUP function that looks up the value in cell J2 in the Projects table, and then returns the corresponding start date as an exact match.

Bao also wants to calculate the number of projects that have a budget of more than $15,000 and determine the average budget amount for comedy projects. Create formulas that provide this information as follows:

In cell J8, create a formula using the DCOUNT function to count the number of projects with budget amounts more than $15,000, using the Projects table (Projects[#All]) as the database, “Budget” as the field, and the range I6:I7 as the criteria.

In cell J13, create a formula using the DAVERAGE function to average the budget amounts for Comedy projects in the Projects table, using the range I11:I12 as the criteria.

Finally, Bao wants to summarize the number of projects proposed by the project type and calculate their total and average budget amounts. Calculate this information for Bao as follows:

In cell J16, enter a formula using the COUNTIF function that counts the number of Action movie projects, using Projects[Project Type] as the range and cell I16 as the criteria.

Fill the range J17:J19 with the formula in cell J16.

In cell K16, enter a formula using the SUMIF function that totals the budget for Action movie projects, using Projects[Project Type] as the range, cell I16 as the criteria, and Projects[Budget] as the sum_range.

Fill the range K17:K19 with the formula in cell K16.

In cell L16, enter a formula using the AVERAGEIF function that averages the budget amounts for Action movie projects.

Fill the range L17:L19 with the formula in cell L16.

Bao wants to compare the projects by project type, start date, and budget. Insert a chart as follows to provide this comparison:

Insert a Treemap chart based on the range C1:E23.

Use Projects by Date and Budget as the chart title.

Change the font size of the chart title to 12 point.

Move the chart so that its upper-left corner is in cell I21 and its lower-right corner is in cell O37.

Go to the Subtotals worksheet, which lists the same projects as on the Original Content worksheet. Bao wants to display the data by project type, and then list the projects by start date. (Hint: You must complete all actions in this step and the following step correctly to receive full credit.) Sort the data in the table in ascending order first by project type and then by start date, both in ascending order.

Bao also wants to calculate subtotals for each funding type.

Convert the table to a range.

Insert a subtotal at each change in the Project Type value.

Use the Sum function to calculate the subtotals.

Add subtotals to the Budget values only.

Include a summary below the data.

Collapse the outline to display only the subtotals for each project type and the grand total.

Go to the Expansion Funding worksheet. VSS is considering whether to expand into selling portable media devices for viewing their streaming content. The company would buy the devices from a manufacturer and then ship them from a distribution center. Bao is seeking funding for the expansion and wants to create a loan analysis to cover the cost of the distribution center. First, Bao wants to update and define names in the worksheet as follows:

Delete the Loan_Calculator defined name.

For cell B8, edit the defined name to use Loan_Amount as the name.

In the range D4:D8, create defined names based on the values in the range C4:C8.

Bao needs to calculate the monthly payment for a loan to purchase the distribution center. Calculate the payment as follows:

In cell D6, start to enter a formula using the PMT function.

Divide the Rate (cell D4) by 12 to use the monthly interest rate.

Use the Term_in_Months (cell D5) to specify the number of periods.

Use the Loan_Amount (cell B8) to include the present value.

Display the result as a positive amount.

Calculate the total interest and cost as follows:

In cell D7, enter a formula without using a function that multiples the Monthly_Payment (cell D6) by the Term_in_Months (cell D5), and then subtracts the Loan_Amount (cell B8) from the result to determine the total interest.

In cell D8, enter a formula without using a function that adds the Price (cell B6) to the Total_Interest (cell D7) to determine the total cost.

Bao wants to compare monthly payments for interest rates that vary from 3.85 to 5.05 percent and for terms of 120, 180, and 240 months. He has already set up the structure for a data table in the range A12:D25. Create a two-variable data table as follows to provide the comparison that Bao requests:

In cell A12, enter a formula without using a function that references the Monthly_Payment amount (cell D6) because Bao wants to compare the monthly payments.

Based on the range A12:D25, create a two-variable data table that uses the term in months (cell D5) as the row input cell and the rate (cell D4) as the column input cell.

Bao has three other options for purchasing the distribution center. In the first scenario, he would pay off the loan in 10 years at an interest rate of 4.45 percent. He wants to determine the monthly payment for the first scenario. In cell G10, insert a formula using the PMT function using the monthly interest rate (cell G6), the loan period in months (cell G8), and the loan amount (cell G4) to calculate the monthly payment for the 10 Years scenario.

In the second scenario, Bao could pay back the loan in 15 years and make a monthly payment of $16,000 at an annual interest rate of 4.4 percent. He wants to know the loan amount he should request with those conditions. In cell H4, insert a formula using the PV function and the monthly interest rate (cell H6), the loan period in months (cell H8), and the monthly payment (cell H10) to calculate the loan amount for the 15 Years scenario.

In the third scenario, Bao could pay back the loan for 5 years with a monthly payment of $20,000 at an annual interest rate of 4.55 percent and then renegotiate better terms. He wants to know the amount remaining on the loan after 5 years, or the future value of the loan. In cell I11, insert a formula using the FV function and the rate (cell I6), the number of periods (cell I8), and the monthly payment (cell I10) to calculate the future value of the loan for the 5 Years scenario.

Bao is also considering other properties to purchase. The worksheet should list information about these properties, which is contained in a webpage. Import data from the webpage as follows:

In the Expansion Funding worksheet, get data from the webpage Support_EX19_CS4-7a_Properties.html. (Hint: Use Windows Explorer to copy the path to the webpage, and then type \Support_EX19_CS4-7a_Properties.html at the end of the path.) [MAC Hint: Open the Support_EX19_CS4-7a_Properties.html file in Excel.]

Import only the Candidate Properties data. [MAC Hint: Copy the range A1:E7 from the Support_EX19_CS4-7a_Properties.html file.]

Load the webpage data as a table to cell F26 in the existing worksheet. [MAC Hint: Paste the range copied above into cell F26 of the Expansion Funding worksheet.]

Format the imported data in the range F26 using Blue, Table Style Medium 2. [MAC Hint: Format as Table using Blue, Table Style Medium 2.]

Bao wants to list the property information in the range F15:I19 using his preferred format. Incorporate the imported data in the range F15:I19 as follows:

In cell F15, enter a formula using the PROPER function to capitalize the first letter in each word in the Type text in cell F27.

Fill the range F16:F19 with the formula in cell F15 to list the remaining property types.

In cell G15, enter a formula using the CONCAT function that displays the first name shown in cell H27 followed by a space (” “), and then the last name shown in cell I27.

Fill the range G16:G19 with the formula in cell G15 to list the full names of the remaining contacts.

In cell H15, enter a formula using the RIGHT function to insert the last 2 characters on the right of cell G27. Copy the formula in cell H15 to the range H16:H19.

In cell I15, enter a formula using the LEFT function to insert the first 2 characters on the left of cell J27. Copy the formula in cell I15 to the range I16:I19.

Hide rows 26 to 32 so the worksheet does not display duplicated data.

Your workbook should look like the Final Figures on the following pages. Save your changes, close the workbook, and then exit Excel. Follow the directions on the SAM website to submit your completed project.

Final Figure 1: U.S. Worksheet

Final Figure 2: Canada Worksheet

Final Figure 3: U.K. Worksheet

Final Figure 4: All Locations Worksheet

Final Figure 5: Original Content Worksheet

Final Figure 6: Subtotals Worksheet

Final Figure 7: Expansion Funding Worksheet

2

This assignment examines the importance of the cost of quality to an organization.

Objective

This assignment examines the importance of the cost of quality to an organization. Through this, we will gain a better understanding of how we can measure the cost of quality in an organization and what benefits can be gained from the cost of quality.

Scenario

This is a true story that dominated the media in Canada in the summer of 2008 and shook an established and trusted company to its core. Once the crisis was over, 22 people had died as a result of tainted meat. More details are easily available online but the following is from an April 2013 Financial Times article.

The Story

Maple Leaf Foods is one of the leading food processing companies in Canada, where many of its processed meat brands are household names. The company also supplies restaurants and hotels.

The Challenge

On August 12 2008 management became aware of a possible case of listeriosis contamination at one of its meat processing plants near Toronto. By August 23 the contamination had been confirmed and by the end of September more than 20 people’s deaths had been linked to the listeriosis outbreak associated with Maple Leaf Foods. Many more fell ill. The Canadian press attacked the company and a number of class-action lawsuits were launched on behalf of victims and their relatives. Consumers started to avoid Maple Leaf brands, and trade customers began switching to other suppliers.

The Response

Maple Leaf Foods responded swiftly. All products from the affected plant were recalled as soon as the presence of listeriosis was confirmed. Michael McCain, chief executive, took personal charge. He later told the Toronto Globe & Mail that in his handling of the crisis, “there are two advisers I’ve paid no attention to. The first are the lawyers, and the second are the accountants.” His public offer of a full apology and acceptance that Maple Leaf Foods was solely responsible was considered a brave decision because it left the company open to legal action. Mr. McCain accepted this risk: the point was to act first in the interest of public health and then to be open and transparent. The management dealt with the crisis on a number of fronts, including PR, strategy and restructuring.

Deliverables

Analyze the above scenario using the 4 Costs of Quality given below:

· Appraisal cost

· Prevention cost

· Internal failure cost

· External failure cost

Your detailed analysis and report should reflect:

· Root cause(s) of the issue

· What should have been done to prevent the current situation?

· What was done to turn the situation around?

· How did Mr. McCain manage this crisis?

Constraints

Follow all reporting and assignment guidelines. Do not produce a Q & A format report. Instead embed the answers in a logical manner.

· Length – 5 -7 pages excluding cover page, double spaced MS Word file.

· Submit using the assignment tool.

Upload and submit as a .pdf file

Submit using the assignment tool.

Evaluation

Please note that professionalism of presentation, while not a specific evaluation criterion, may influence your overall grade for this deliverable if the work produced is significantly lower, or higher, than what would be expected from a professional submission. Items that will be taken into consideration as part of professionalism would include:

· Sentence structure and grammar

· Spelling

· Clear formatting

· Choice of language and terminology

· Clarity of structure (readability)

Student Name: Deliverable: Maple Leaf Foods, Exercise # 2 Course Name: Date Assigned: Date Due: Rules: This assignment will be completed individually You will use the Word, PowerPoint and other tools you feel appropriate for this exercise Your work must be your own Copying/plagiarism/cheating is not allowed Each deliverable should be clear and simple to read

Objective

This assignment examines the importance of the cost of quality to an organization. Through this, we will gain a better understanding of how we can measure the cost of quality in an organization and what benefits can be gained from the cost of quality.

Scenario

This is a true story that dominated the media in Canada in the summer of 2008 and shook an established and trusted company to its core. Once the crisis was over, 22 people had died as a result of tainted meat. More details are easily available online but the following is from an April 2013 Financial Times article.

The Story

Maple Leaf Foods is one of the leading food processing companies in Canada, where many of its processed meat brands are household names. The company also supplies restaurants and hotels.

The Challenge

On August 12 2008 management became aware of a possible case of listeriosis contamination at one of its meat processing plants near Toronto. By August 23 the contamination had been confirmed and by the end of September more than 20 people’s deaths had been linked to the listeriosis outbreak associated with Maple Leaf Foods. Many more fell ill. The Canadian press attacked the company and a number of class-action lawsuits were launched on behalf of victims and their relatives. Consumers started to avoid Maple Leaf brands, and trade customers began switching to other suppliers.

The Response

Maple Leaf Foods responded swiftly. All products from the affected plant were recalled as soon as the presence of listeriosis was confirmed. Michael McCain, chief executive, took personal charge. He later told the Toronto Globe & Mail that in his handling of the crisis, “there are two advisers I’ve paid no attention to. The first are the lawyers, and the second are the accountants.” His public offer of a full apology and acceptance that Maple Leaf Foods was solely responsible was considered a brave decision because it left the company open to legal action. Mr. McCain accepted this risk: the point was to act first in the interest of public health and then to be open and transparent. The management dealt with the crisis on a number of fronts, including PR, strategy and restructuring.

Deliverables

Analyze the above scenario using the 4 Costs of Quality given below:

· Appraisal cost

· Prevention cost

· Internal failure cost

· External failure cost

Your detailed analysis and report should reflect:

· Root cause(s) of the issue

· What should have been done to prevent the current situation?

· What was done to turn the situation around?

· How did Mr. McCain manage this crisis?

Constraints

Follow all reporting and assignment guidelines. Do not produce a Q & A format report. Instead embed the answers in a logical manner.

· Length – 5 -7 pages excluding cover page, double spaced MS Word file.

· Submit using the assignment tool.

· Upload and submit as a .pdf file

· Submit using the assignment tool.

Evaluation

Please note that professionalism of presentation, while not a specific evaluation criterion, may influence your overall grade for this deliverable if the work produced is significantly lower, or higher, than what would be expected from a professional submission. Items that will be taken into consideration as part of professionalism would include:

· Sentence structure and grammar

· Spelling

· Clear formatting

· Choice of language and terminology

· Clarity of structure (readability)

Week 7 Assignment: Differential Case Presentations

Week 7 Assignment: Differential Case Presentations

Value: Complete/Incomplete

Due:Day 7

Grading Category: Complete/Incomplete

Overview

Without looking back at your text, readings etc., read the patient case studies below. List 3 differential diagnosis for each and why you believe these to be solid options that should be considered by the provider. Copy and paste the patient scenarios into a word document and use bullet points below each patient for your differential diagnosis and then upload to the assignment section. Below is an example

Patient X: 7-year-old Hispanic male with a cough and temperature of 99.9F

· Differential Dx:

· Allergic rhinitis

· URI

· Pneumonia

Patients

Patient 1: 28-year-old woman with opioid use disorder; uses IV heroin; has PTSD; no other medical problems or medications. She currently is single, lives with several roommates, and has a history of legal problems (with some jail time). Sexually active with men and women; inconsistent use of protection.

Patient 2: 70-year-old man with history of CHF, COPD, and HTN; currently smokes one pack of cigarettes daily; takes Lisinopril, Digoxin, and Symbicort daily. Married to wife of 30 years and is retired (previously an accountant), is supported by adult children, and lives with wife in home.

Patient 3: 40-year-old woman with a history of breast cancer that was successfully treated with Tamoxifen for several months. Otherwise healthy, with no other issues at this time. She is a successful businesswoman in a high-profile career with much stress. Married to wife of four years; relationship is rocky at times. Denies any substance use; travels frequently.

Symptoms are the same for all 3 patients:

· Shortness of breath

· Chest pain

· Flank pain

· Fever

Note: In Part 2, due Week 10, you will revisit these same three patient scenarios. Using your knowledge of pathophysiology, the course learning materials, and research, you will compare and contrast your original 3 differential diagnosis submitted during Week 7 to your final 3 differential diagnosis. Are they the same? Do you have a different perspective or ideas about what should be your primary differential for these scenarios? See Week 10 for further instructions.

To Submit Your Assignment:

1. Select the Add Submissions button.

2. Drag or upload your file to the File Picker.

3. Select Save Changes .

Write an executive report on the need for a diverse, culturally competent staff, including your plans to address that need.

Preparation

Use the following case study as the basis of this assessment.

Imagine you are the manager of a new health care facility satellite office or community outreach center located in a diverse neighborhood. The parent organization opened the facility to address the underserved health care needs of the culturally diverse residents who were not using the services offered at the main facility. The first month of operation saw a very high volume of patients, but since then, the numbers have dropped off drastically. Executive leadership wants to understand why this has happened and what you plan to do about it.

After careful examination of all aspects of the facility, and talking with some of the neighborhood residents, you have determined that the residents do not feel comfortable coming to the facility because the staff does not represent the diversity of the neighborhood. Staff members were hired for their skill, but their diversity was not considered. Now, you must report to executive leadership what you have learned and how you intend to manage diversity.

Note: Remember, you can submit all or a portion of your draft to Smarthinking for feedback before you submit the final version of your proposal for this assessment. However, be mindful of the turnaround time for receiving feedback if you plan on using this free service.

Report Requirements

Write an executive report on the need for a diverse, culturally competent staff, including your plans to address that need.

Note: The requirements outlined below correspond to the grading criteria in the Managing Diversity scoring guide. At a minimum, be sure to address each point. In addition, you are encouraged to review the performance level descriptions for each criterion to see how your work will be assessed. You are provided an example report, to illustrate what proficient-level work for this assessment looks like.

Report Format and APA Style
  • Use the Executive Report Template, linked in the Resources, to draft your report. You may also organize the content of your report in a format used in your organization. An abstract is not required.
  • Your report should be 4–5 double-spaced pages in length, not including the title page and reference page.
  • Apply correct APA formatting to all in-text citations and references.
  • Use Times New Roman, 12-point font.
Writing

As you begin composing your report, consider the purpose of the report, the appropriate tone and style, and the expectations of the executive leaders who will be reading it.

  • Be clear and concise in your reporting.
  • Express your main points, arguments, and conclusions coherently.
  • Use correct grammar and mechanics.
  • Be sure to support your claims and arguments with credible evidence from 3–5 current, scholarly or professional sources.
  • Proofread your writing.
Report Content
  • Outline a plan to recruit, hire, and retain a more diverse workforce. Note: Your outline should be a high-level overview of a plan, not a detailed plan. Other courses in your program will go into human resource practices and diversity in depth. In drafting your plan, consider the following questions:
    • How does a leader develop a diverse workforce?
    • Where will you look for more diverse employees? Will you post job ads?
    • What will the interviewing and hiring process look like? Who will do the interviewing? Who will make the final decisions?
    • What kind of incentives will you offer diverse employees to retain them? What do you need to know about the culture and values of diverse employees before developing a retention plan?
    • How will you address issues related to diversity that result in conflict?
  • Outline a plan for the ongoing training and professional development of existing staff in cultural awareness and sensitivity. Consider how your plan can:
    • Improve communications and interpersonal skills.
    • Help overcome bias and resistance to change.
  • Explain the benefits, to both the organization and the community it serves, of having a diverse and culturally competent workforce.
    • Explain the relationship between health care organizations and communities.
    • Explain the role that diversity plays in providing culturally competent care and access for the under-served in a community.
  • Determine the influence of effective leadership on the development of a diverse and culturally competent workforce.
    • Explain the importance of cultural competence for leaders in an organization.
  • Explain how the academic and research skills you develop as a practitioner-scholar can serve you in your role as an effective health care leader.
    • Explain how those skills might contribute to your credibility and effectiveness as a leader.
    • Explain how those skills might prepare you to lead a diverse workforce.

Start a discussion thread and discuss what type(s) of countermeasures need to be implemented to prevent the cyber attack described above from occurring in the future.

In this scenario, hackers launch cyber attacks that affect several parts of the nation’s financial infrastructure over the course of several weeks. Specifically, sensitive credit card processing facilities are hacked and numbers are released to the Internet, causing 120 million cards to be cancelled; automated teller machines (ATMs) fail nearly simultaneously across the nation; major companies report payroll checks are not being received by workers; and several large pension and mutual fund companies have computer malfunctions so severe that they are unable to operate for more than a week. Identify the countermeasures that need to be implemented to prevent these cyber attacks from occurring in the future.

Start a discussion thread and discuss what type(s) of countermeasures need to be implemented to prevent the cyber attack described above from occurring in the future. Be specific in recommending countermeasures for this scenario.

You must do this following:

1) Create a new thread. As indicated above,  discuss what type(s) of countermeasures need to be implemented to prevent the cyber attack described above from occurring in the future. Be specific in recommending countermeasures for this scenario.

2) Select AT LEAST 3 other students’ threads and post substantive comments on those threads. Your comments should extend the conversation started with the thread.

Create a new thread. State (honestly) that you read chapter 35 and summarize what you learned from the chapter one or two sentences.

Chapter 35 presented a case study on ERM at Malaysia’s Media company Astro. The focus of this case study is to convey how ERM can be used to assess portfolio performance.

Since this is the last discussion and this is a short week, this discussion will be pretty simple. You only have to do TWO things.

A) Create a new thread. State (honestly) that you read chapter 35 and summarize what you learned from the chapter one or two sentences.

B) Give me your honest assessment of how effective the discussions were this semester. (I will add 2 free bonus points for giving me your assessment of the discussions. That means this discussion is actually worth 6 points.)

In this forum, develop a slideshow presentation that presents a research proposal for the quantitative scenario.

In this forum, develop a slideshow presentation that presents a research proposal for the quantitative scenario.

Your presentation should include:

  • Title slide with your name
  • Problem Statement
  • Hypothesis (research hypothesis and null)
  • Quantitative Design (Strategy of Inquiry)
  • Data Collection Plan
  • References

Scenario
StuAvCorp is a general aviation parts manufacturer with 521 employees. Leaders of StuAvCorp have heard grumblings from company middle managers that employee production is low and that employee morale also “seems to be” low. Although no mishaps or safety incidents have occurred, there is a “feeling in the air” that something bad could happen at any time due to this perceived negative cloud over the company. For the past 9 months, labor union leadership and company management have become embittered by disagreements in negotiating fair wages for tenured employees and vacation time. The union claims that employees are not satisfied and will not settle for less than their demands. The management feels like the employees likely would be fine with their proposed compensation package, and that the union is causing the strife between the two groups.
You have been asked as a consultant to
Define the problem.
Develop a quantitative research design that includes a hypothesis, strategy of inquiry, and data collection plan.

Develop a disaster recovery plan to lessen health disparities and improve access to community services after a disaster.

Develop a disaster recovery plan to lessen health disparities and improve access to community services after a disaster. Then, develop and record an 8-10 slide presentation (PowerPoint preferred) of the plan with audio for the Vila Health system, city officials, and the disaster relief team.

As you begin to prepare this assessment, you are encouraged to complete the Disaster Preparedness and Management activity. The information gained from completing this activity will help you succeed with the assessment as you think through key issues in disaster preparedness and management in the community or workplace. Completing activities is also a way to demonstrate engagement.

Professional Context

Nurses fulfill a variety of roles, and their diverse responsibilities as health care providers extend to the community. The decisions we make daily and in times of crisis often involve the balancing of human rights with medical necessities, equitable access to services, legal and ethical mandates, and financial constraints. When an unanticipated event occurs, such as an accident or natural disaster, issues can arise that complicate decisions about meeting the needs of an individual or group, including understanding and upholding their rights and desires, mediating conflict, and applying established ethical and legal standards of nursing care. As a nurse, you must be knowledgeable about disaster preparedness to safeguard those in your care. You are also accountable for promoting equitable quality of care for community residents.

This assessment provides an opportunity for you to apply the concepts of emergency preparedness, public health assessment, triage, management, and surveillance after a disaster. You will also focus on hospital evacuation and extended displacement periods.

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

  • Competency 1: Analyze health risks and health care needs among distinct populations.
    • Describe the determinants of health and the cultural, social, and economic barriers that impact safety, health, and disaster recovery efforts in a community.
  • Competency 2: Propose health promotion strategies to improve the health of populations.
    • Present specific, evidence-based strategies to overcome communication barriers and enhance interprofessional collaboration to improve disaster recovery efforts.
  • Competency 3: Evaluate health policies, based on their ability to achieve desired outcomes.
    • Explain how health and governmental policy affect disaster recovery efforts.
  • Competency 4: Integrate principles of social justice in community health interventions.
    • Explain how a proposed disaster recovery plan will lessen health disparities and improve access to community services.
  • Competency 5: Apply professional, scholarly communication strategies to lead health promotion and improve population health.
    • Present a compelling case to community stakeholders to obtain their approval and support for a proposed disaster recovery plan.

Note: Complete the assessments in this course in the order in which they are presented.

Preparation

When disaster strikes, community members must be protected. A comprehensive recovery plan, guided by the MAP-IT (Mobilize, Assess, Plan, Implement, Track) framework, is essential to help ensure everyone’s safety. The unique needs of residents must be assessed to lessen health disparities and improve access to equitable services after a disaster. Recovery efforts depend on the appropriateness of the plan, the extent to which key stakeholders have been prepared, and the allocation of available resources. In a time of cost containment, when personnel and resources may be limited, the needs of residents must be weighed carefully against available resources.

In this assessment, you are a member of a community task force responsible for developing a disaster recovery plan for the Vila Health community using MAP-IT, which you will present to city officials and the disaster relief team.

To prepare for the assessment, complete the Vila Health: Disaster Recovery Scenario simulation.

In addition, you are encouraged to complete the Disaster Preparedness and Management activity. The information gained from completing this activity will help you succeed with the assessment as you think through key issues in disaster preparedness and management in the community or workplace. Completing activities is also a way to demonstrate engagement.

Begin thinking about:

  • Community needs.
  • Resources, personnel, budget, and community makeup.
  • People accountable for implementation of the disaster recovery plan.
  • Healthy People 2020 goals.
  • A timeline for the recovery effort.

You may also wish to:

  • Review the MAP-IT (Mobilize, Assess, Plan, Implement, Track) framework, which you will use to guide the development of your plan:
    • Mobilize collaborative partners.
    • Assess community needs.
    • Plan to lessen health disparities and improve access to services.
    • Implement a plan to reach Healthy People 2020 objectives.
    • Track community progress.
  • Review the assessment instructions and scoring guide to ensure that you understand the work you will be asked to complete.

Note: Remember that you can submit all, or a portion of, your draft recovery plan to Smarthinking Tutoring for feedback, before you submit the final version for this assessment. If you plan on using this free service, be mindful of the turnaround time of 24–48 hours for receiving feedback.

Note: If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact DisabilityServices@capella.edu to request accommodations.

Instructions

Complete the following:

  1. Develop a disaster recovery plan for the Vila Health community that will lessen health disparities and improve access to services after a disaster. Refer back to the Vila Health: Disaster Recovery Scenario to understand the Vila Health community.
    • Assess community needs.
    • Consider resources, personnel, budget, and community makeup.
    • Identify the people accountable for implementation of the plan and describe their roles.
    • Focus on specific Healthy People 2020 goals.
    • Include a timeline for the recovery effort.
  2. Use the MAP-IT (Mobilize, Assess, Plan, Implement, Track) framework to guide the development of your plan:
    • Mobilize collaborative partners.
    • Assess community needs.
    • Plan to lessen health disparities and improve access to services.
    • Implement a plan to reach Healthy People 2020 objectives.
    • Track community progress.
  3. Develop a slide presentation of your disaster recovery plan with an audio recording of you presenting your assessment of the Vila Health: Disaster Recovery Scenario for city officials and the disaster relief team.
Presentation Format and Length

You may use Microsoft PowerPoint (preferred) or other suitable presentation software to create your slides and add your voice-over. If you elect to use an application other than PowerPoint, check with your instructor to avoid potential file compatibility issues.

Be sure that your slide deck includes the following slides:

  • Title slide.
    • Recovery plan title.
    • Your name.
    • Date.
    • Course number and title.
  • References (at the end of your presentation).

Your slide deck should consist of 8–10 content slides plus title and references slides. Use the speaker’s notes section of each slide to develop your talking points and cite your sources as appropriate.

The following resources will help you create and deliver an effective presentation:

Supporting Evidence

Cite at least three credible sources from peer-reviewed journals or professional industry publications to support your plan.

Graded Requirements

The requirements outlined below correspond to the grading criteria in the scoring guide, so be sure to address each point:

  • Describe the determinants of health and the cultural, social, and economic barriers that impact safety, health, and recovery efforts in the community.
    • Consider the interrelationships among these factors.
  • Explain how your proposed disaster recovery plan will lessen health disparities and improve access to community services.
    • Consider principles of social justice and cultural sensitivity with respect to ensuring health equity for individuals, families, and aggregates within the community.
  • Explain how health and governmental policy impact disaster recovery efforts.
    • Consider the implications for individuals, families, and aggregates within the community of legislation that includes, but is not limited to, the Americans with Disabilities Act (ADA), the Robert T. Stafford Disaster Relief and Emergency Assistance Act, and the Disaster Recovery Reform Act (DRRA).
  • Present specific, evidence-based strategies to overcome communication barriers and enhance interprofessional collaboration to improve the disaster recovery effort.
    • Consider how your proposed strategies will affect members of the disaster relief team, individuals, families, and aggregates within the community.
    • Include evidence to support your strategies.
  • Present a compelling case to community stakeholders to obtain their approval and support for the proposed disaster recovery plan.
    • Develop your presentation with a specific purpose and audience in mind.
    • Adhere to scholarly and disciplinary writing standards and APA formatting requirements.

Summarize the research question, hypothesis, methods, and results of the assigned quantitative study.

After reading the posted study, use the Quantitative Research Critique Template to compose and organize your assignment.

In your paper,

  • Summarize the research question, hypothesis, methods, and results of the assigned quantitative study.
  • Determine whether the study used an experimental or non-experimental approach.
  • Evaluate the appropriateness of the research methods and analytical approaches used in the study. Support the position with evidence cited from the textbook and at least one other scholarly/peer-reviewed source about the research design or method.
  • Analyze ethical issues pertaining to how the study was carried out.
  • Critique the strengths, weaknesses, and limitations of the study.
  • Recommend a research question and methods for a follow-up study on the topic.
  • Utilize the provided template with section headings.

The Quantitative Research Critique paper

  • Must be four to five double-spaced pages in length (not including title and references pages) using the template provided and formatted according to APA style as outlined in the Ashford Writing Center (Links to an external site.)’s APA Style (Links to an external site.) The template is a Word document that is pre-formatted in APA style. If unable to use the pre-formatted template, see the following instructions for formatting.
  • Must include a separate title page with the following:
    • Title of paper
    • Student’s name
    • Course name and number
    • Instructor’s name
    • Date submitted

For further assistance with the formatting and the title page, refer to APA Formatting for Word 2013 (Links to an external site.).

  • Must utilize academic voice. See the Academic Voice (Links to an external site.) resource for additional guidance.
  • Must include an introduction and conclusion paragraph. Your introduction paragraph needs to end with a clear thesis statement that indicates the purpose of your paper.
    • For assistance on writing Introductions & Conclusions (Links to an external site.) as well as Writing a Thesis Statement (Links to an external site.), refer to the Ashford Writing Center resources.
  • Must use at least one scholarly/peer-reviewed source in addition to the study being critiqued and the course text, for a total of at least three references.
    • The Scholarly, Peer Reviewed, and Other Credible Sources (Links to an external site.) table offers additional guidance on appropriate source types. If you have questions about whether a specific source is appropriate for this assignment, please contact your instructor. Your instructor has the final say about the appropriateness of a specific source for a particular assignment.
  • Must document any information used from sources in APA style as outlined in the Ashford Writing Center’s Citing Within Your Paper (Links to an external site.)
  • Must include a separate references page that is formatted according to APA style as outlined in the Ashford Writing Center. See the Formatting Your References List (Links to an external site.) resource in the Ashford Writing Center for specifications.

For the Week Four Assignment, you will create another article critique. As with last week, please ensure that the critique is in your own words. Refrain from copying information verbatim from the article. While quoting is not prohibited, it should be minimal and all quoted material must be enclosed in quotation marks and cited according to APA guidelines. Again, please use your own words as much as possible.

You will need to access the University library and locate the following article to critique:

Calder Calisi, C. (2017). The effects of the relaxation response on nurses’ level of anxiety, depression, well-being, work-related stress, and confidence to teach patients. Journal of Holistic Nursing, 35(4), 318-327. doi: 10.1177/0898010117719207

Appraise the differences between experimental and non-experimental research.

In contrast to qualitative designs, which are all basically non-experimental and descriptive, quantitative research designs may be either experimental or non-experimental. Within the non-experimental category, descriptive and correlational research are sub-categories.

Using the Ashford University Library databases, look for a scholarly/peer-reviewed quantitative research study on the topic you selected in Week 1. In your initial post,

  • 1. Appraise the differences between experimental and non-experimental research.
  • 2. Differentiate between a correlational study and an experimental study.
  • 3. State the hypothesis being tested in the selected quantitative research study.
  • 4. Identify the major variables and categorize them as independent or dependent.
  • 5. Describe the methods and results of the study.
  • 6. Determine whether the study is descriptive, correlational, or experimental, and explain why it fits this classification.

Document your sources in APA style (Links to an external site.), with in-text citations and references listed at the end of the post. For additional guidance see the Citing Within Your Paper (Links to an external site.) and Formatting Your References List (Links to an external site.) resources from the Ashford Writing Center.

Reference:

Denke, L. (2019). Family-Focused Treatments for Veterans with Post-Traumatic Stress Disorder. MEDSURG Nursing, 28(4), 235–242. Retrieved from http://search.ebscohost.com.proxy-library.ashford.edu/login.aspx?direct=true&db=ccm&AN=138187886&site=eds-live&scope=site

July-August 2019 • Vol. 28/No. 4 235

Linda Denke, PhD, RN, CCRC, is Director of Nursing Research, UT Southwestern Medical Center, Dallas, TX.

Sharon A. Denham, PhD, RN, CNE, is Professor, Houston J. & Florence A. Doswell Endowed Chair in Nursing for Teaching Excellence, Texas Woman’s University, Dallas, TX.

Family-Focused Treatments for Veterans with Post-Traumatic

Stress Disorder

Linda Denke Sharon A. Denham

A systematic review of the lit-erature was conducted to examine empirical evidence about family-focused treatments (FFT) in the management of Veterans with post-traumatic stress disorder (PTSD).

The primary question guiding this systematic literature review was as follows: Are FFTs effective in managing symptoms of PTSD in Veterans? As the investigators initi- ated this review, the following aims also were considered: • How do Veterans’ family mem-

bers access services needed to manage PTSD?

• Are Veterans’ family members prepared to assist with the daily management of PTSD?

• What needs do family caregivers express when their Veteran member has PTSD?

Problem Mental illness of any form can

be challenging for any family. When a Veteran develops a mental health condition, family members

need to be involved because they know the best ways to provide sup- portive care (National Alliance on Mental Illness [NAMI], 2013). Current care delivery models for PTSD often fail to incorporate fami- ly-focused care despite the availabil- ity of evidence-based family- focused programs for families of Veterans with any mental illnesses within the community at large.

When a previously well-func- tioning member returns after mili- tary deployment with avoidance behaviors, mood swings, and arous- al symptoms, the family is unlikely to be equipped to manage these changes. Logistics and costs associ- ated with the provision of needed forms of family-focused care must be weighed against long-term costs (e.g., substance abuse, homeless- ness, domestic violence, unemploy- ment, suicide) and the long-term implications for a multi-person

household over time need to be evaluated (Ohye et al., 2015). Addressing these concerns may require the commitment of a few researchers who complete longitu- dinal studies involving multiple family members and persons with PTSD to evaluate intervention effec- tiveness.

Significance About 7%-8% of persons in the

United States have PTSD at some point in their lives, or about 8 mil- lion adults in any given year (U.S. Department of Veterans Affairs [VA], 2018a). During the Vietnam War, about 15 of every 100 Veterans were diagnosed with PTSD. Rates have increased to 11-20 of every 100 Veterans serving in Operation Iraqi Freedom (OIF) or Operation Enduring Freedom [OEF] (VA, 2018b).

Instructions for CNE Contact Hours

MSN J1911 Continuing nursing education (CNE)

contact hours can be earned for completing the learning activity

associated with this article. Instructions are available at amsn.org/journalCNE

Deadline for submission: August 31, 2021 1.3 contact hours

Nurses must be more aware of the links between physical and men- tal health. Nurses can play important roles in encouraging and supporting family-focused treatments when Veterans present with symptoms of post-traumatic stress disorder (PTSD). Including fam- ilies in treatments can influence PTSD symptoms and family rela- tionship functioning positively.

July-August 2019 • Vol. 28/No. 4236

Background to the Problem

Research about caregiver roles and family relationships on Veter – ans with PTSD has been limited. Most studies that consider family relationships have focused largely on the challenges associated with multiple deployments and the effects of war on families (Creech, Hadley, & Borsari, 2014). Little is known about how families assist Veteran members with PTSD as they navigate care systems and follow treatment plans (American Public Health Association, 2014; Michigan Government Report, n.d.; Reisman, 2016; Tanielian & Jaycox, 2008). Clear understanding about the ways caregivers are prepared to assist or manage PTSD in daily life is lacking.

Much of the care focus has shifted to the surge of psychological health problems, specifically PTSD, identified in Veterans. At the height of OIF, OEF, and Operation New Dawn, a major question was, What is the impact of deployment on service members and families? The question later shifted to, What is the impact of treatments and pro- grams on service members and fam- ilies? (Flynn, 2014). These Veteran groups have faced the hazards of combat zones with increased sur- vival rates and fewer casualties than in previous U.S. battles. De – ployment lasts a particular amount of time that begins when a service member departs for a combat mis- sion and ends when a stateside return occurs. However, the effects of multiple deployments and rein- tegration into the family have potential implications that can last years (Creech et al., 2014).

Veterans have endured multi- ple, longer deployments with short- er times at home with their family members. Over 2.2 million service members have deployed, leaving behind 1.1 million spouses and 2 million children under age 18 (Creech et al., 2014). By 2015, about 405,915 OEF/OIF Veterans were evaluated at Veteran healthcare facilities for PTSD following their deployment (VA, 2015). According to the American Psychiatric Assoc –

iation (APA, 2017), PTSD symptoms usually occur as intrusive memo- ries, avoidance, negative changes in thinking and mood, and changes in physical and emotional reactions. These symptoms have been found to last longer than a few months and can disrupt multiple aspects of daily life.

Literature describes the scope of PTSD in Veterans linked with barri- ers, such as stigma to seeking care and gaps or challenges tied to care delivery (Institute of Medicine [IOM], 2014). Substance or alcohol use often are tied to PTSD concerns (Smith, Goldstein, & Grant, 2016). Varied treatments have been identi- fied to manage PTSD, including cog- nitive behavioral therapy, eye move- ment desensitization and reprocess- ing, pharmacological treat ments (e.g., antidepressants), and some trauma-focused forms of psycho – therapy (VA, 2017a). It would be beneficial to know more about fam- ilies and their caregiving roles, the effects of caregiving stress across the lifespan when a family member has PTSD, and which treatments best support family outcomes when a Veteran has PTSD. According to Bernardy (as cited in Reisman, 2016),

Shared decision-making has not been used widely, so we are trying to create a culture where providers meet with patients and discuss PTSD treatment options – the pros and cons of each – and then let patients and family mem- bers make the best decisions for their care. (p. 626)

This supports the claim that current care delivery models too often ignore family-focused care needs and the types of support members require. The paucity of family-focused research means little is known about the effectiveness of treatment interventions for military and Veteran families when PTSD is a concern. This lack of evidence sug- gests healthcare providers working with Veterans offer variable types or combinations of PTSD treatments that could result in military families receiving poor-quality psychological health care (IOM, 2014).

Definitions The following definitions were

used in this review: Post-traumatic stress disorder (PTSD)

is defined as a psychiatric disorder that can occur in persons who have experienced or witnessed traumatic events, such as natural disasters, serious accidents, terrorist acts, war/combat, rape, or other violent personal assaults (APA, 2017).

Methods of trauma-focused psychotherapy include the follow- ing: • Cognitive processing therapy. Re –

frames thoughts about the trau- ma.

• Prolonged exposure. Faces negative thoughts and feelings to regain control.

• Psychotherapy, medication thera- pies, and cognitive behavioral ther- apies known to be effective, indi- vidualized, recommended treat- ments for Veterans with PTSD.

• Cognitive behavior conjoint therapy (CBCT). Identifies thoughts, feel- ings, and behaviors with the focus on targeting current symptoms and changing the thoughts, feel- ings, and behaviors.

• Family-Focused Treatments (FFT). Treatments for Veterans with PTSD that not only address Veterans’ needs but also include needs of family members.

Search Methods The PRISMA-IPD (Preferred Re –

porting Items for Systematic Reviews and Meta-Analyses-Indi – vidual Participant Data) guidelines facilitate integrity, reporting of emerging issues, and exploration of variations of individual participant data for systematic reviews (Stewart et al., 2015). These guidelines pro- vided a checklist for critical apprais- al of published systematic reviews and the steps for this activity (Gray, Grove, & Sutherland, 2017). A search was conducted for peer- reviewed articles for 2000-2016 using Scopus, CINAHL, Medline, and PubMed. Search terms included caregivers, family, spouse, Veterans, technology, post-traumatic stress disor- der, and PTSD.

July-August 2019 • Vol. 28/No. 4 237

The search included random- ized controlled studies and quasi- experimental studies only. Descript – ive studies, case studies, PTSD clini- cal guidelines, and any study test- ing individualized treatments for Veterans with PTSD were excluded. No authors or co-authors were con- tacted in search of pending studies and grey literature was not searched. Authors independently screened research and excluded any studies in which participants were non-American Veterans and any family-related rather than family- focused therapies were used. Also excluded were randomized con- trolled trials (RCTs) without FFT for Veterans and PTSD, studies on structural equation modeling, descriptive or correlational studies on active duty military personnel, and articles written in any language other than English. Six articles were retained. All articles selected by one author were reviewed by the second author, a consensus formed, and articles scrutinized for final results.

Results In the last 16 years, only six of

the 215 articles screened met the threshold for inclusion criteria and research questions. Five studies met the search criteria and one addition- al article from the reference section of one of the five articles provided the total of six articles for the review. None of the studies tested the feasi- bility or effectiveness of technology in delivery of any treatment or iden- tified a framework for use of tech- nology in treatment for PTSD. All six studies found FFT resulted in PTSD symptom im provements, but researchers did not measure PTSD symptoms the same way.

Three studies measured PTSD symptoms using both the Clinician- Administered PTSD (CAPS) and the PTSD Checklist (PCL) (Monson et al., 2012; Monson, Schnurr, Stevens, & Guthrie, 2004; Sautter, Glynn, Cretu, Senturk, & Vaught, 2015). Church and Brooks (2014) measured improvements in PTSD symptoms with the PCL. All four studies found improvement in PTSD symptoms.

Because Fischer, Sherman, Han, and Owen (2013) used a 29-item self-report instrument for PTSD- related knowledge and behaviors developed exclusively for that study, no comparisons to changes in PTSD symptoms can be made to the other five studies. Participants’ knowledge about PTSD in the study by Fischer and co-authors did improve; researchers also measured empowerment, family problem solving, communication, relation- ship satisfaction, social support, coping self-efficacy, and quality of life. However, none of these out- comes were measured in the other five studies so no comparisons can be made. Monson and colleagues (2012) measured intimate relation- ship satisfaction with the Dyadic Adjustment Scale and also meas- ured partner-rated PTSD symptoms and comorbid symptoms and adjustment. However, no other findings from the other articles in this review measured partner-rated PTSD symptoms or co-morbid symptoms so comparisons could not made and conclusions could not be drawn from these findings alone.

Only one study used the Per – sonal Beliefs and Reaction Scale- Modified and Trauma-Related Guilt Inventory as an outcome measure (MacDonald, Pukay-Martin, Wagner, Fredman, & Monson, 2016). Findings supported the value of couple-based intervention treat- ment for PTSD, not only for improved PTSD symptoms but also for improvement in trauma-related cognitions. Results also supported improvements in Veteran adjust- ment, attachment avoidance, and state anxiety. This was the only study in which Veterans’ partners showed significant reductions in attachment anxiety.

Fischer and co-authors (2013) found statistical significance in all measures; in particular, family members’ results for the Brief Symptom Inventory neared signifi- cance (p=0.054). Monson and col- leagues (2004) exclusively used the Beck Depression Inventory and State Anxiety and Trait Anxiety. They found statistically significant

improvements in results of both tools, as well as improvements in CAPS and partner PCL ratings of Veterans’ PTSD symptoms.

These findings provided addi- tional evidence FFT improves not only PTSD symptoms, but also sug- gested cognitive behavior conjoint therapy improves symptoms of anxiety in partners and in trauma- related conditions.

Synthesis and Strength of the Findings

Six articles (see Table 1) were appraised for the level of research using the Johns Hopkins Nursing Evidence Based Practice Evidence Level and Quality Guide (Dearholt & Dang, 2012). Three of the six stud- ies were appraised as Level I, with evidence based on experimental studies, RCTs, and systematic reviews of RCTs with or without meta-analysis (MacDonald et al., 2016; Monson et al., 2012; Sautter et al., 2015). The remaining three studies had Level II evidence (quasi- experimental studies, systematic reviews of a combination of RCTs and quasi-experimental studies, or quasi-experimental studies only with or without meta-analysis) (Church & Brooks, 2014; Fischer et al., 2013; Monson et al., 2004).

Discussion Findings of the systematic liter-

ature review suggest families play key roles in treatment for Veterans with PTSD (Church & Brooks, 2014). Findings from use of CBCT with Veterans with PTSD indicated this treatment not only reduces Veterans’ PTSD symptoms, but also appears to reduce PTSD symptoms in partners. If PTSD symptoms are present in Veterans and their spous- es who meet clinical criteria for PTSD, then FFT of Emotional Freedom Techniques (EFT), energy psychology, and energy modalities reduce stress and build resources. EFT appears not only to reduce PTSD symptoms, but also to improve family functioning as a result of improved symptoms and coping.

Family-Focused Treatments for Veterans with Post-Traumatic Stress Disorder

July-August 2019 • Vol. 28/No. 4238

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( n=

63 )

fo un

d de

cr ea

se d

P T

S D

s ym

pt om

le ve

ls

fo r

sp ou

se s

(p <0

.0 03

), w

ith s

ym pt

om

re du

ct io

n m

ai nt

ai ne

d fo

r V

et er

an s.

F is

ch er

e t

al .,

20 13

V et

er an

s (n

=1 00

): 10

0% W

hi te

m al

es ,

av er

ag e

ag e

55 .8

F

em al

e sp

ou se

s (n

=9 6)

, a ve

ra ge

a ge

52

.7

O kl

ah om

a C

ity , O

K ,

VA M

C Le

ve l I

I q ua

si –

ex pe

rim en

ta l

B S

I; D

A S

-7 ;

R og

er s

E m

po w

er m

en t

S ca

le fo

r V

et er

an s;

K or

en

em po

w er

m en

t sc

al e

fo r

fa m

ily ;

M S

P S

S ; F

P S

C

R E

A C

H (

ad ap

ta tio

n of

m

ul tif

am ily

g ro

up

ps yc

ho -e

du ca

tio n

pr og

ra m

ta ilo

re d

fo r

V et

er an

s w

ith P

T S

D ,

th ei

r fa

m ily

m em

be rs

) R

E A

C H

is a

9 -m

on th

, th

re e-

ph as

e pr

og ra

m

(fo ur

w ee

kl y

50 -m

in ut

e se

ss io

ns in

vo lv

in g

V et

er an

, f am

ily

m em

be r,

R E

A C

H

ps yc

ho lo

gi st

).

R es

ul ts

o f e

ac h

w er

e st

at is

tic al

ly

si gn

ifi ca

nt : P

T S

D s

el f-r

ep or

t, R

og er

s em

po w

er m

en t s

ca le

, K or

en e

m po

w er

m en

t sc

al e

fo r

fa m

ily , F

P S

. F

P S

C d

is ap

pe ar

ed in

P ha

se II

I a nd

re

la tio

ns hi

p sa

tis fa

ct io

n di

d no

t i m

pr ov

e fo

r dy

ad s

no t d

is tre

ss ed

a t b

as el

in e.

F

am ily

m em

be rs

s ho

w ed

s ta

tis tic

al ly

si

gn ifi

ca nt

im pr

ov em

en ts

in M

S P

S S

, G S

I, an

xi et

y sc

or es

a s

on r

el at

io ns

hi p

sc or

es ;

ne ar

ed s

ig ni

fic an

ce o

n B

S I s

co re

s.

co nt

in ue

d on

n ex

t p ag

e

July-August 2019 • Vol. 28/No. 4 239

Family-Focused Treatments for Veterans with Post-Traumatic Stress Disorder TA

B LE

1 . (

C on

ti n

ue d

) Ev

id en

ce T

ab le

A ut

ho rs

S am

pl e

S et

tin g

R es

ea rc

h

D es

ig n

M ea

su re

s In

te rv

en tio

n Fi

nd in

gs

M ac

D on

al d

et a

l., 2

01 6

V et

er an

s (n

=4 0)

P

ar tn

er s

(n =4

0)

M ea

n ag

e 37

75

% fe

m al

e; 2

8%

no n-

W hi

te ; 6

8%

co up

le s

co ha

bi ta

tin g

40 c

ou pl

es (

C B

C T

) 40

c ou

pl es

( W

L)

Tw o

si te

s: V

A M

C

B os

to n,

M A

: ps

yc ho

lo gy

de

pa rtm

en t-b

as ed

cl

in ic

al r

es ea

rc h

ce nt

er in

T or

on to

, O

nt ar

io , C

an ad

a

Le ve

l I R

C T

P B

R S

-M u

se d

to

as se

ss

di sr

up tio

ns in

be

lie fs

c on

ce rn

in g

se lf-

bl am

e, s

af et

y,

tru st

, c on

tro l,

es te

em , i

nt im

ac y.

T

R G

I c om

pa re

d w

ith w

ai tli

st ;

pa tie

nt s

w ho

re

ce iv

ed C

B C

T fo

r P

T S

D

im m

ed ia

te ly

de

m on

st ra

te d

gr ea

te r

im pr

ov em

en ts

in

al l P

T S

D

sy m

pt om

c lu

st er

s,

tra um

a- re

la te

d be

lie fs

, g ui

lt co

gn iti

on s.

C B

C T

or to

a 3

-m on

th

w ai

tli st

c on

di tio

n (W

L) .

P re

-m id

tr ea

tm en

t ( 7

se ss

io ns

C B

C T,

4

w ee

ks fo

r W

L) –

p os

t tre

at m

en t

C B

C T

fo r

P T

S D

im pr

ov es

a ll

P T

S D

sy

m pt

om c

lu st

er s,

tr au

m a-

re la

te d

co gn

iti on

s am

on g

in di

vi du

al s

w ith

P T

S D

; fu

rth er

s up

po rts

v al

ue o

f u si

ng c

ou pl

e- ba

se d

ap pr

oa ch

to tr

ea t P

T S

D .

B et

w ee

n- gr

ou p

ef fe

ct s

iz es

s ug

ge st

ed

m od

er at

e- to

-la rg

e ef

fe ct

s fo

r C

B C

T fo

r P

T S

D o

ve r

W L

fo r

m aj

or ity

o f o

ut co

m es

. F

in di

ng s

de m

on st

ra te

d im

po rta

nc e

of

pa rtn

er s’

tr au

m a-

re la

te d

be lie

fs .

M on

so n

et

al .,

20 04

V ie

tn am

c om

ba t-e

ra

V et

er an

s (n

=7 )

P ar

tn er

s (n

=7 )

N o

de m

og ra

ph ic

s

W hi

te R

iv er

Ju

nc tio

n, V

T, V

A M

C Le

ve l I

I q ua

si –

ex pe

rim en

ta l

C A

P S

, a s

em i-

st ru

ct ur

ed

cl in

ic ia

n in

te rv

ie w

, tm

ea su

re s

P T

S D

di

ag no

st ic

s ta

tu s,

sy

m pt

om s

ev er

ity

co ns

is te

nt w

ith

th e

D S

M . P

T S

D

C he

ck lis

t P C

L is

a

17 -it

em s

el f-r

ep or

t m

ea su

re o

f P T

S D

sy

m pt

om s

fo un

d in

D S

M -IV

. A ls

o us

ed B

D I a

nd

S TA

I.

C B

C T

fo r

P T

S D

co

ns is

ts o

f 1 5

se ss

io ns

in

th re

e tre

at m

en t

ph as

es : p

sy ch

o- ed

uc at

io n

in P

T S

D a

nd

its r

el at

ed in

tim at

e re

la tio

ns hi

p pr

ob le

m s;

co

m m

un ic

at io

n sk

ill s

tra in

in g;

c og

ni tiv

e in

te rv

en tio

ns .

S ta

tis tic

al ly

s ig

ni fic

an t i

m pr

ov em

en ts

in

C A

P S

, P C

L- P

r at

in gs

o f V

et er

an s’

P T

S D

sy

m pt

om s.

V et

er an

s’ s

el f-r

ep or

te d

im pr

ov em

en ts

in P

T S

D s

ym pt

om s

on

P C

L- S

n ot

s ta

tis tic

al ly

s ig

ni fic

an t.

U si

ng r

el ia

bl e

ch an

ge c

rit er

ia fo

r P

T S

D

sy m

pt om

s, a

ll se

ve n

V et

er an

s w

er e

im pr

ov ed

a cc

or di

ng to

C A

P S

, fi ve

w er

e im

pr ov

ed a

cc or

di ng

to P

C L-

P, fo

ur w

er e

im pr

ov ed

a cc

or di

ng to

P C

L- S

. O

ne V

et er

an r

ep or

te d

de te

rio ra

tio n

in h

is

sy m

pt om

s. T

hr ee

V et

er an

s no

lo ng

er m

et

cr ite

ria fo

r P

T S

D d

ia gn

os is

a t t

he e

nd o

f tre

at m

en t.

T he

V et

er an

s se

lf- re

po rte

d st

at is

tic al

ly s

ig ni

fic an

t i m

pr ov

em en

ts in

B

D I,

S TA

I.

co nt

in ue

d on

n ex

t p ag

e

July-August 2019 • Vol. 28/No. 4240

TA B

LE 1

. ( C

on ti

n ue

d )

Ev id

en ce

T ab

le

A ut

ho rs

S am

pl e

S et

tin g

R es

ea rc

h

D es

ig n

M ea

su re

s In

te rv

en tio

n Fi

nd in

gs

M on

so n

et

al .,

20 12

N =8

0 V

et er

an s

(C B

C T

) (n

=2 0)

V

et er

an s

(W L)

(n

=2 0)

A

ge s

33 -4

0 N

on -W

hi te

-2 5%

-3 0%

35

% m

oo d

di so

rd er

; 25

% a

nx ie

ty ; 0

su

bs ta

nc e

ab us

e P

ar tn

er s

(C B

C T

) (n

=2 0)

P

ar tn

er s

(W L)

( n=

20 )

A

ge s

34 -4

0 N

on -W

hi te

2 0%

VA o

ut pa

tie nt

ho

sp ita

l, B

os to

n,

M A

; u ni

ve rs

ity -b

as ed

re

se ar

ch c

en te

r, To

ro nt

o, O

nt ar

io ,

C an

ad a

Le ve

l I R

C T,

co

nd uc

te d

20 08

-2 01

2

C A

P S

fo r

sy m

pt om

s ev

er ity

. In

tim at

e re

la tio

ns hi

p sa

tis fa

ct io

n as

se ss

ed w

ith

D A

S . P

C L

pr ov

id ed

ad

di tio

na l

m ea

su re

o f

pa rtn

er r

at in

gs o

f V

et er

an s’

P T

S D

sy

m pt

om s.

S C

ID –

P, B

D I,

S TA

I

O ne

p ar

tn er

m et

c rit

er ia

fo

r P

T S

D a

cc or

di ng

to

C A

P S

. C ou

pl es

re

ce iv

ed 1

5- se

ss io

n C

B C

T fo

r P

T S

D

pr ot

oc ol

im m

ed ia

te ly

(n

=2 0)

o r

w er

e pl

ac ed

on

W L

fo r

th er

ap y

(n =2

0) .

A m

on g

co up

le s

in w

hi ch

o ne

p ar

tn er

w as

di

ag no

se d

w ith

P T

S D

, d is

or de

r- sp

ec ifi

c co

up le

th er

ap y

co m

pa re

d w

ith W

L fo

r th

er ap

y re

su lte

d in

d ec

re as

ed P

T S

D

sy m

pt om

s ev

er ity

a nd

p at

ie nt

c om

or bi

d sy

m pt

om s

ev er

ity , i

nc re

as ed

p at

ie nt

re

la tio

ns hi

p sa

tis fa

ct io

n.

P T

S D

s ym

pt om

s ev

er ity

( sc

or e

ra ng

e 0-

13 6)

( m

ea n

ch an

ge d

iff er

en ce

– 23

.2 1;

95

% C

I, -3

7. 87

to –

8. 55

). Tr

ea tm

en t e

ffe ct

s m

ai nt

ai ne

d at

3 -m

on th

fo llo

w u

p.

S au

tte r

et

al .,

20 15

V et

er an

s (n

=5 7)

P

ar tn

er s

(n =5

7)

51 %

V et

er an

s W

hi te

; 33

.3 3%

A fri

ca n

A m

er ic

an ; 7

.4 1%

A

si an

A m

er ic

an ;

7. 41

% N

at iv

e A

m er

ic an

G

re at

er n

um be

r of

W

hi te

s in

S AT

g ro

up

G re

at er

N ew

O

rle an

s ar

ea Le

ve l I

R C

T C

A P

S -r

at ed

P

T S

D ;

D R

R I,

C E

S -D

, S TA

I, D

A S

, E C

R -R

S AT

m an

ua l-b

as ed

tre

at m

en t c

on si

st in

g of

12

6 0-

m in

ut e

se ss

io ns

co

nd uc

te d

by in

di vi

du al

th

er ap

is t w

ith V

et er

an

an d

V et

er an

’s p

ar tn

er

an d

th e

fa m

ily e

du ca

tio n

se ct

io ns

o f b

eh av

io ra

l fa

m ily

th er

ap y.

C

om pa

ra tiv

e st

ud y

be tw

ee n

m an

ua liz

ed

12 -s

es si

on n

ov el

co

up le

s- ba

se d

P T

S D

tre

at m

en ts

, t o

m an

ua liz

ed 1

2- se

ss io

n co

up le

s- ba

se d

ed uc

at io

na l i

nt er

ve nt

io n.

C A

P S

-r at

ed P

T S

D (

p< 0.

00 01

) th

ro ug

h 3-

m on

th fo

llo w

u p

co m

pa re

d w

ith V

et er

an s

re ce

iv in

g P

F E

: 1 5

of 2

9 (5

2% )

V et

er an

s re

ce iv

in g

S AT

, 2 o

f 2 8

(7 %

) re

ce iv

in g

P F

E

no lo

ng er

m et

D S

M -IV

-T R

c rit

er ia

fo r

P T

S D

. S

AT in

tr ea

tin g

O E

F /O

IF V

et er

an s’

p os

t- tra

um at

ic s

tre ss

, c om

or bi

d an

xi et

y w

hi le

pa

rtn er

s in

S AT

d id

n ot

r ep

or t c

om pa

ra bl

e im

pr ov

em en

ts in

s ta

te a

nx ie

ty o

r re

la tio

ns hi

p sa

tis fa

ct io

n as

d id

th e

V et

er an

s si

m ul

ta ne

ou sl

y im

pr ov

in g

th ei

r re

la tio

ns hi

p ad

ju st

m en

t. B

en ef

its fo

un d

at

po st

-tr ea

tm en

t, m

ai nt

ai ne

d at

fo llo

w u

p.

B D

I = B

ec k

D ep

re ss

io n

In ve

nt or

y; B

S I =

B rie

f S ym

pt om

In ve

nt or

y; C

E S

-D =

C en

te r

fo r

E pi

de m

io lo

gi c

S ca

le fo

r D

ep re

ss io

n; C

A P

S =

C lin

ic ia

n- A

dm in

is te

re d

P T

S D

S ca

le ;

C B

C T

= C

og ni

tiv e

B eh

av io

ra l

C on

jo in

t T

he ra

py ;

D R

R I

= C

om ba

t E

xp er

ie nc

es S

ca le

o f

th e

D ep

lo ym

en t

R is

k an

d R

es ili

en ce

I nv

en to

ry ;

C A

M =

C om

pl em

en ta

ry a

nd

A lte

rn at

iv e

M ed

ic in

e; D

S M

-I V

= D

ia gn

os tic

a nd

S ta

tis tic

al M

an ua

l; D

A S

-7 =

D ya

di c

A dj

us tm

en t

S ca

le -7

; E

C R

-R =

E xp

er ie

nc es

i n

C lo

se R

el at

io ns

hi p-

R ev

is ed

; E

F T

=

E m

ot io

na l

F re

ed om

T ec

hn iq

ue s;

E P

= E

ne rg

y P

sy ch

ol og

y; F

P S

C =

F am

ily P

ro bl

em S

ol vi

ng a

nd C

om m

un ic

at io

n S

ca le

; G

S I

= G

en er

al S

ev er

ity I

nd ex

; M

S P

S S

=

M ul

tid im

en si

on al

S ca

le o

f P

er ce

iv ed

S oc

ia l S

up po

rt ;

O E

F =

O pe

ra tio

n E

nd ur

in g

F re

ed om

; O

IF =

O pe

ra tio

n Ir

aq i F

re ed

om ;

P B

R S

-M =

P er

so na

l B el

ie fs

a nd

R ea

ct io

ns

S ca

le -M

od ifi

ed ; P

F E

= P

T S

D F

am ily

E du

ca tio

n; P

C L

= P

os t-

tr au

m at

ic S

tr es

s D

is or

de r

C he

ck lis

t; P

T S

D =

P os

t- tr

au m

at ic

S tr

es s

D is

or de

r; R

C T

= R

an do

m iz

ed C

on tr

ol le

d Tr

ia l;

R E

A C

H =

R ea

ch in

g O

ut to

E du

ca te

a nd

A ss

is t C

ar in

g, H

ea lth

y F

am ili

es ; S

TA I =

S ta

te -T

ra it

A nx

ie ty

In ve

nt or

y; S

A T

= S

tr at

eg ic

A pp

ro ac

h T

he ra

py ; S

C ID

-P =

S tr

uc tu

re d

C lin

ic al

In te

rv ie

w fo

r D

S M

-I V

– P

at ie

nt V

er si

on ; T

R G

I = T

ra um

a- R

el at

ed G

ui lt

In ve

nt or

y; V

A M

C =

V et

er an

s A

dm in

is tr

at io

n M

ed ic

al C

en te

r; W

L =

W ai

t L is

t

July-August 2019 • Vol. 28/No. 4 241

The REACH multifamily group study also showed improvements in relationship satisfaction, depres- sion, anxiety, and social function- ing in Veterans and their partners (Monson et al., 2004). However, partners of Veterans with PTSD self- reported improvement in relation- ship satisfaction while Veterans’ self-report of relationship satisfac- tion remained the same over time. Future studies about the effective- ness of FFT when the Veteran has PTSD need to assess relationship satisfaction improvements.

In three of the six studies, PTSD symptoms and family function not only appeared to improve consis- tently with FFT, but also were sus- tained over time (MacDonald et al., 2016; Monson et al., 2012; Sautter et al., 2015). As partners’ knowl- edge, skills, and understanding of PTSD improve, along with partner engagement in treatment, a shift appears to occur in relationship quality and family functioning. Findings from this review indicate Veterans who access services that include FFT report the greatest reduction of PTSD symptoms (Toscano & Roberts, 2014).

However, limited research in FFT may be one reason only indi- vidual forms of therapy have been verified as evidence-based treat- ments (eye-movement desensitiza- tion and reprocessing, exposure therapy, trauma-focused cognitive behavioral therapy) and are current- ly available for treatment of PTSD in Veterans (VA, 2017b). While psy- chosocial disturbances are experi- enced personally by Veterans, the impact of these disturbances perme- ates the entire family system. When both the Veteran and partner receive PTSD treatment, greater reduction in PTSD symptoms is experienced (Monson et al., 2012).

Implications for Practice, Education, and Research

Congress passed the Veterans Access, Choice, and Accountability Act of 2014 (H.R. 3230-113) in 2014, allowing eligible Veterans to seek care outside Veteran healthcare facilities. This means nurses who

care for Veterans in non-VA hospital settings need to understand more about Veteran family care needs. Nurses in all healthcare settings may be asked to provide coordinat- ed efforts for Veterans’ physical and psychological needs, and engage families in the treatment plans. Nurses caring for Veterans should be knowledgeable about PTSD symptoms and be prepared to assess need for FFT treatments in inpatient and community settings. More research is needed to test the effec- tiveness of FFT interventions for PTSD using consistent outcome measures that fully identify the benefits of FFT for Veteran families.

NAMI provides support to fam- ilies of persons with mental illness- es. As the largest grassroots mental health organization, NAMI grew out of the needs of family members who live with and are affected by members with mental illness. Programs include Family to Family and Homefront, a free, educational program for families, caregivers, and loved ones of Veterans (NAMI, 2013). This program is based on NAMI Family to Family, a national- ly recognized family education pro- gram for families affected by mental illnesses. In 2017, NAMI Family to Family education was included in the U.S. Substance Abuse and Mental Health Services Admini – stration Registry as an evidence- based program and practice.

Joining forces with the VA, the American Association of Colleges of Nursing developed the Enhancing Veteran Care Toolkit which provides multiple resources such as Veteran care competencies (McMillan et al., 2017). Nursing faculty are preparing nursing students to care for Veteran family care needs, with the under- standing the Veterans’ physical injuries often are accompanied by mental healthcare needs.

Limitations of the Review Limitations of this review

include the small sample of identi- fied studies, the inconsistent meas- ures used for PTSD, and variations in the ways FFT was interpreted. Although the findings failed to pro-

vide strong evidence for the value of FFT in PTSD treatment, they sug- gested more inclusion of family in care delivery is needed. The small number of studies suggests more consideration be given to Veteran families and their lived experience of PTSD. Further, the findings raise questions about the need to involve families and nontraditional part- ners in PTSD treatment.

Conclusion Nurses must be more aware of

the links between physical and mental health. For example, Veterans diagnosed with cardiovas- cular disease may have co-occurring depression and anxiety (Jankowski, 2016). As nurses recognize PTSD symptoms, they also must be aware PTSD can affect physical health adversely (Schnurr, 2016). Nurses can play important roles in encour- aging and supporting FFT when Veterans have PTSD symptoms. Finally, including families in treat- ments is shown to influence PTSD symptoms and family relationship functioning positively (Batten et al., 2009).

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American Public Health Association. (2014). Removing barriers to mental health serv- ices for veterans. Retrieved from www.apha.org/policies-and-advocacy /public-health-policy-statements/policy- database/2015/01/28/14/51/removing- barriers-to-mental-health-services-for- veterans

Batten, S.V., Drapalski, A.L., Decekr, M.L., Devira, J.D., Morris, L.J., Mann, M.A, & Dixon, L. (2009). Veteran interest in fam- ily involvement, in PTSD treatment. Psychological Services, 6(3), 184-189.

Church, D., & Brooks, A.J. (2014). Comple – mentary and alternative medicine and energy psychology therapy remediate PTS symptoms of veterans and spous- es. The Journal of Science and Healing, 10(1), 24-33. doi:10.1016/j.explore.2013. 10.006

Creech, S.K., Hadley, W., & Borsari, B. (2014). The impact of military deployment and reintegration on children and parenting: A systematic review. Professional Psychology, Research and Practice, 45(6), 452-464.

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Dearholt, S.L., & Dang, D. (2012). Johns Hopkins nursing evidence-based prac- tice: Models and guidelines (2nd ed.). Re trieved from https://www.hopkinsmedi cine.org/evidence-based-practice/_docs/ appendix_c_evidence_level_quality_ guide.pdf

Fischer, E.P., Sherman, M.D., Han, X., & Owen, R.R. (2013). Outcomes of partici- pation in the REACH Multifamily Group Program for veterans with PTSD and their families. Professional Psychology: Research and Practice, 44(3), 127-134.

Flynn, C.A. (2014). Evolution of a research agenda for military families. In S. MacDermid Wadsworth & D.S. Riggs (Eds.), Military deployment and its con- sequences for families (pp. 79-84). New York, NY: Springer Science + Business Media.

Gray, J.R., Grove, S.K., & Sutherland, S. (2017). The practice of nursing research: Appraisal, synthesis, and generation of evidence (8th ed.). St. Louis, MO: Elsevier.

H.R. 3230-113, 113th Cong. (2014). Institute of Medicine (IOM). (2014). Treatment

for posttraumatic stress disorder in mili- tary and veteran populations: Final assessment. Washington, DC: The National Academies Press.

Jankowski, K. (2016). PTSD and physical health. Retrieved from https://www.ptsd. va.gov/professional/treat/cooccurring/pts d_physical_health.asp

MacDonald, A., Pukay-Martin, N.D., Wagner, A.C., Fredman, S.J., & Monson, C.M. (2016). Cognitive behavioral conjoint therapy for PTSD improves various PTSD symptoms and trauma-related cognitions: Results from a randomized controlled trial. Journal of Family Psychology, 30(1), 157-162.

McMillan, L.R., Crumbley, D., Freeman, J., Rhodes, M., Kane, M., & Napper, J. (2017). Caring for the veteran, military and family member nursing competen- cies: Strategies for integrating content into nursing school curricula. Journal of Professional Nursing, 33(5), 378-386.

Michigan Government Report (n.d.). Care – givers of veterans: Serving on the home- front: Key findings. Retrieved from https://www.michigan.gov/documents/mi seniors/Caregiver_KeyFindings2_35533 0_7.pdf

Monson, C.M., Fredman, S.J., Macdonald, A., Pukay-Martin, N.D., Resick, P.A., & Schnurr, P.P. (2012). Effect of cognitive- behavioral couple therapy for PTSD: A randomized controlled trial. JAMA, 308(7), 700-709. doi:10.1001/jama. 2012.9307

Monson, C.M., Schnurr, P.P., Stevens, S.P., & Guthrie, K.A. (2004). Cognitive behavior couples treatment for post-traumatic stress disorder. Initial findings. Journal of Traumatic Stress, 17(4), 341-344.

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Ohye, B.Y., Brendel, R.W., Fredman, S.J., Bui, E., Rauch, P.K., Allard, M.D., … Simon, N.M. (2015). Three-generation model: A family systems framework for the assessment and treatment of veterans with posttraumatic stress disorder and related conditions. Professional Psycho – logy: Research and Practice, 46(2), 97- 106.

Reisman M. (2016). PTSD treatment for veter- ans: What’s working, what’s new, and what’s next. P & T, 41(10), 623-634.

Sautter, F.J., Glynn, S.M., Cretu, J.B., Senturk, D., & Vaught, A.S. (2015). Efficacy of structured approach therapy in reducing PTSD in returning veterans: A random- ized clinical trial. Psychological Services, 12(3), 199-212.

Schnurr, P. (2016). Understanding pathways from traumatic exposure to physical health. Retrieved from https://www.train. org/vha/course/1063813/

Smith, S.M., Goldstein, R.B., & Grant, B.F. (2016). The association between post- traumatic stress disorder and lifetime DSM-5 psychiatric disorders among vet- erans: Data from the National Epidem – iologic Survey on Alcohol and Related Conditions-III (NESARC-III). Journal of Psychiatric Research, 82, 16-22. doi:10.1016/j.jpsychires2016.06.022

Stewart, L.A., Clarke, M., Rovers, M., Riley, R.D., Simmonds, M., Stewart, G. & Tierney, J.F. (2015). Preferred reporting systematic review and meta-analysis of individual participant data: The PRISMA- IPD statement. Journal of American Medical Association, 313(6), 1657-1665.

Tanielian, T.L., & Jaycox, L. (2008). Invisible wounds of war: Psychological and cogni- tive injuries, their consequences, and services to assist recovery. Santa Monica, CA: RAND Corporation.

Toscano, C., & Roberts, K. (2014). Mental health services for veterans with post- traumatic stress disorder (master’s the- sis). Retrieved from http://scholarworks. lib.csusb.edu/cgi/viewcontent.cgi? article=1046&context=etd

U.S. Department of Veterans Affairs (VA). (2015). Epidemiology. Retrieved from http://www.publichealth.va.gov/epidemi ology

U.S. Department of Veterans Affairs (VA). (2017a). VA/DOD clinical practice guide- lines for the management of posttrau- matic stress disorder and acute stress disorder: Pocket card. Retrieved from https://www.healthquality.va.gov/guide lines/MH/ptsd/VADoDPTSDCPGPocket CardFinal.pdf

U.S. Department of Veterans Affairs (VA). (2017b). VA/DOD clinical practice guide- line for the management of posttraumatic stress disorder: Clinician summary. Retrieved from https://www.healthquality. va.gov/guidelines/MH/ptsd/VADoDPTS DCPGClinicianSummaryFinal.pdf

U.S. Department of Veterans Affairs (VA). (2018a). How common is PTSD in adults? Retrieved from https://www.ptsd. va.gov/understand/common/common_ adults.asp

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Which office contains the health-related data identified above?

 Complete this discussion in a 150 – 300 response.

Healthcare data at a community, county, or region level and state level determine healthcare spending and services allocated for individuals. Using the South University Online Library or the Internet, research about these data as it will help you build a reality of costs of care for the healthcare system and beyond.

Research your own geographic region (town, city, county, or state) for data that is commonly used in health services systems. This includes census data, vital statistics data (birth, deaths, marriages, and divorces), surveillance data, administrative data, and survey research data. Keep in mind that most of this data will come from federal, state, or local offices that are federally mandated, but don’t stop there. You may find data in other surprising places.

Based on your readings and research, answer the following:

  1. Which office contains the health-related data identified above?
  2. How do people go about enrolling for Medicare and Medicaid in your community? Describe the eligibility requirements and costs, if any, for each of these types of subsidized care.
    • Coverage for acute care, including hospitalization
    • Coverage for preventive care
    • Outpatient services
    • Specialty services, such as mental health, rehabilitation, etc.

To support your work, use your course and textbook readings and also use the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.

Your initial posting should be addressed at 150-300 words. Submit your document to this Discussion Area by the due date assigned. Be sure to cite your sources using APA format.

Describe a situation in which members of a religion experience privilege.

For citizens in some countries, religious oppression is common and long standing. While freedom of religion is guaranteed in the U.S., religious intolerance still exists. According to the Equal Opportunity Employment commission, the number of lawsuits filed for religious discrimination doubled between 2000–2010 (Pledger, 2011). Social workers must be alert for the complex ways that religious privilege functions. By creating an awareness of the privilege given to some while marginalizing others, social workers can understand how this bias impacts their clients.

Post an explanation of the connections between privilege and religion. Describe a situation in which members of a religion experience privilege. Describe a situation in which members of a religion experience religious oppression. Using Reference in APA from:

https://www.ted.com/talks/megan_phelps_roper_i_grew_up_in_the_westboro_baptist_church_here_s_why_i_lef

t

Adams, M., Blumenfeld, W. J., Castaneda, C., Catalano, D. C. J., DeJong, K., Hackman, H. W,… Zuniga, X. (Eds.). (2018). Readings for diversity and social justice (4th ed.). New York, NY: Routledge Press.  Chapter 46, Examples of Christian privilege (pp. 264-265)

Explain how you might apply knowledge of human behavior and the social environment when engaging with the identified client in the case.

Social workers are expected to apply knowledge of human behavior and the social environment, person‐in environment, and other multi-disciplinary theoretical frameworks during stages of engagement, assessment, intervention, and evaluation when practicing in the field. This discussion is intended to help you demonstrate and develop your critical thought related to these practice b

  1. Explain how you might apply knowledge of human behavior and the social environment when engaging with the identified client in the case.

ehaviors. If you have not already done so, begin working on your final project. The final project asks you to choose a case study on an adolescent from this course (e.g., Dalia, Eboni Logan, or Diane). Decide which case study you plan to use and begin working on Part A of the final project.

  1. Explain how you might apply knowledge of human behavior and the social environment when assessing the identified client in the case.
  2. Explain how you might apply knowledge of human behavior and the social environment when intervening with the identified client in the case.
  3. Discuss any areas where you feel challenged or need additional support for your final project.

APA Format using references:

Zastrow, C. H., Kirst-Ashman, K. K., & Hessenauer, S. L.  (2019). Understanding human behavior and the social environment (11th ed.). Boston, MA: Cengage Learning.

  • Chapter 5, “Ethnocentrism and Racism” (pp. 233-281)

Melchert, T. P. (2015). Treatment planning. In Biopsychosocial practice: A science-based framework for behavioral health. Washington, District of Columbia: American Psychological Association.

Abraham Lincoln has the reputation of being the key person in ending slavery in our country. Yet it appears that Lincoln held racist beliefs, as indicated in the following ex-cerpt from a speech he delivered in 1858:I will say, then, that I am not, nor ever have been in favor of bringing about in any way the social and political equality of the white and black races; that I am not, nor ever have been, in favor of making voters or jurorsde of Negroes, nor of qualifying them to hold office, nor to inter-marry with white people . . . and in as much as they cannot so live, while they do remain together there must be the position of superior and inferior, and I as much as any other man am in favor of having the superior position assigned to the white race.

234Understanding Human Behavior and the Social EnvironmentSuch a statement needs to be viewed in its historical context. Our country was more racist years ago than it is today. Lincoln, who was in the vanguard of moving for greater equality for African Americans, was also socialized by his culture to have racist attitudes. (The impact of culture on individuals was discussed in Chapter 1.)A PerspectiveNearly every time we turn on the evening news, we see ethnic and racial conflict—riots, beatings, murders, and civil wars. In recent years we have seen clashes resulting in bloody shed in areas ranging from Afghanistan to Iraq, from Syria to Israel, and from the United States to South America. Practically every nation with more than one ethnic group has had to deal with ethnic conflict. The oppression and exploitation of one ethnic group by another is particularly ironic in democratic nations, considering these societies claim to cherish freedom, equality, and justice. In reality, the dominant group in all societ-ies that controls the political and economic institutions rarely agrees to share equally its power and wealth with other ethnic groups. Ethnocentrism and racism are factors that can adversely affect the growth and development of minority group members.Learning ObjectivesThis chapter will help prepare students toLO 1Define and describe ethnic groups, ethnocentrism, race, racism, prejudice, discrimination, oppression, and institutional discriminationLO 2Outline the sources of prejudice and discriminationLO 3Summarize the effects and costs of discrimination and oppres-sion and describe effects of discrimination on human growth and developmentLO 4Suggest strategies for advancing social and economic justiceLO 5Outline some guidelines for social work practice with racial and ethnic groupsLO 6Forecast the pattern of race and ethnic relations in the United States in the futureEP 2aEP 2bEP 2cEP 3aEP 3bLO 1 Define and Describe Ethnic Groups, Ethnocentrism, Race, Racism, Prejudice, Discrimination, Oppression, and Institutional DiscriminationEthnic Groups and EthnocentrismAn ethnic group has a sense of togetherness, a con-viction that its members form a special group, and a sense of common identity or “peoplehood.” An ethnic groupis a distinct group of people who share cultural characteristics, such as religion, language, dietary practices, national origin, and a common history, and who regard themselves as a distinct group.Practically every ethnic group has a strong feel-ing of ethnocentrism,which is characterized or based on the belief that one’s own group is superior. Ethnocentrism leads members of ethnic groups to view their culture as the best, as superior, as the one that other cultures should adopt. Ethnocen-trism also leads to prejudice against foreigners, who Ethnocentrism and Racism235may be viewed as barbarians, uncultured people, or savages.Feelings of ethnic superiority within a nation are usually accompanied by the belief that political and economic domination by one’s own group is natural, is morally right, is in the best interest of the nation, and perhaps also is God’s will. Ethnocentrism has been a factor leading to some of the worst atroci-ties in history, such as the American colonists’ nearly successful attempt to exterminate Native Americans and Adolf Hitler’s mass executions of more than 6 million European Jews, and millions more gypsies, people with disabilities, and other minority group members.In interactions between nations, ethnocentric be-liefs sometimes lead to wars and serve as justifica-tions for foreign conquests. At practically any point in the last several centuries, at least a few wars have occurred between nations in which one society has been seeking to force its culture on another or to eradicate another culture (including genocide). For example, Israel has been involved in bitter struggles with Arab countries in the Middle East for more than four decades over territory ownership. Shiites, Sunnis, and Kurds are fighting for domination in Iraq and Syria.Spotlight 5.1 details some of the violence against minorities that has taken place in U.S. history.Race and RacismAlthough a racial group is often also an ethnic group, the two groups are not necessarily the same. A raceis believed to have a common set of physi-cal characteristics. But the members of a racial group may or may not share the sense of together-ness or identity that holds an ethnic group together. A group that is both a racial group and an ethnic group is Japanese Americans, who have some com-mon physical characteristics and also have a sense of peoplehood (Coleman & Cressey, 1984). On the other hand, white Americans and white Russians are of the same race, but they hardly have a sense of to-getherness. In addition, some ethnic groups are com-posed of a variety of races. For example, a religious group (such as Roman Catholic) is sometimes con-sidered an ethnic group and is composed of mem-bers from diverse racial groups.In contrast to ethnocentrism, racism is more likely to be based on physical differences than on cultural differences. Racismis the belief that race is the primary determinant of human capacities and traits and that racial differences produce an inherent superiority of a particular race. Racism is frequently a basis of discrimination against members of other “racial” groups.Similar to ethnocentric ideologies, most racist ide-ologists assert that members of other racial groups are inferior. Some white Americans in this country have gone to extreme and morally reprehensible lim-its in search of greater control236Understanding Human Behavior and the Social EnvironmentViolence against minorities in the United statesMinorities have been subjected to extensive violence by whites in our society. Although a number of whites have been subjected to violence by nonwhites, statistics show disproportionate attacks against minorities. The 2015 FBI Hate Crime Statistics showed that of the reported 5,850 hate crime (although many are unreported), more than half targeted African Americans. In addition, hate crimes based on religion, specifically Jewish and Muslim-Americans, increased significantly.During the second half of the nineteenth century, frequent massacres of Chinese mining and railroad workers occurred in the West. During one railroad strike in 1885, white workers stormed a Chinese community in Rock Springs, Wyoming, murdered 16 persons, and burned all the homes to the ground. No one was arrested. In 1871, a white mob raided the Chinese community in Los Angeles, killing 19 persons and hanging 15 to serve as a warning to survivors (Pinkney, 1972).Pinkney (1972) comments on the treatment of African American slaves by their white owners:Few adult slaves escaped some form of sadism at the hands of slaveholders. A female slaveholder was widely known to punish her slaves by beating them on the face. Another burned her slave girl on the neck with hot tongs. A drunken slaveholder dismembered his slave, and threw him piece by piece into a fire. Another planter dragged his slave from bed and inflicted a thousand lashes on him. (p. 73)Slaveowners often used a whip made of cow skin or rawhide to control their slaves. An elaborate punishment system was developed, linking the number of lashes to the seriousness of the offenses with which slaves were charged.Shortly before the Civil War, roving bands of whites commonly descended on African American communities and terrorized and beat the inhabitants. Slaves sometimes struck back and killed their slaveowners or other whites. It has been estimated that during Reconstruction, more than 5,000 African Americans were killed in the South by white vigilante groups (Pinkney, 1972).Following the Civil War, lynching of African Americans increased and continued into the 1950s. African Americans were lynched for such minor offenses as peeping into a window, attempting to vote, making offensive remarks, seeking employment in a restaurant, getting into a dispute with a white person, and expressing sympathy for another African American who had already been lynched. Arrests for lynching African Americans were rare. Lynch mobs included not only men but sometimes also women and children. Some lynchings were publicly announced, and the public was invited to participate. The public often appeared to enjoy the activities and urged the active lynchers on to greater brutality.Race riots between whites and African Americans have also been common since the Civil War. During the summer of 1919, for example, 26 major race riots occurred, the most serious of which was in Chicago. In this riot, which lasted from July 27 to August 2, a total of 38 persons were killed, 537 were injured, and more than 1,000 were left homeless (Waskow, 1967).Native Americans have been subjected to kidnapping, massacre, conquest, forced assimilation, and murder. Some tribes were completely exterminated. The treatment of Native Americans by whites in North America stands as one of the most revolting series of acts of violence in history.The extermination of Native Americans began with the early Pilgrims. They were the first to establish a policy to massacre and exterminate Native Americans in this country. In 1636, the Massachusetts Bay Puritans sent a force to massacre the Pequot, a division of the Mohegau tribe. The dwellings were burned, and 600 inhabitants were slaughtered (Pinkney, 1972).In 1642, the governor of New Netherlands began offering bounties for Native American scalps. A year later, this same governor ordered the massacre of the Wappinger tribe. Pinkney (1972) describes the massacre:During the massacre infants were taken from their mother’s breast, cut in pieces and thrown into a fire or into the river. Some children who were still alive were also thrown into the river, and when their parents attempted to save them they drowned along with their children. When the massacre was over, the members of the murder party were congratulated by the grateful governor. (p. 96)A major motive for this violence was that the European settlers were land-hungry. The deliberate massacre and extermination of Native Americans continued from the 1660s throughout most of the 1800s. The whites frequently made and broke treaties with Native Americans during these years—and ended up taking most of their land and sharply reducing their population. For example, in a forced march on foot covering several states, an estimated 4,000 Cherokees died from cold and exhaustion in 1838 (Pinkney, 1972). During these years, Native Americans were considered savage beasts. Many whites felt, “The only good Indian is a dead one,” and they exterminated Native Americans because it was felt they impeded economic progress.Today, racial clashes between minority group members still occur, but on a smaller scale on the street and in some of our schools. In recent years, organizations that advocate white supremacy (such as the Ku Klux Klan, neo-Nazis, and Skinheads) have continued to attract new members. Demonstrations by these organizations have led to several bloody clashes between supporters and those opposed to these racist groups.SPOTLIGHT ON DIVERSITY 5.1(continued and power over other racial groups

Ethnocentrism and Racism237SPOTLIGHT ON DIVERSITY 5.1(continued)Throughout U.S. history, there have also been incidents of police brutality by white officers against members of minority groups. For example, police brutality received national attention in 1991 when an African American motorist, Rodney King, was stopped after a lengthy car chase and beaten by four club-wielding white police officers in Los Angeles. The beatings were videotaped by a bystander. Mr. King received more than 50 blows from clubs and sustained 11 fractures in his skull, a broken ankle, and a number of other injuries. In April 1992, a jury (with no African American members) found the police officers not guilty on charges of using excessive force. The reaction of African Americans and others in Los Angeles has been described as the worst civil unrest in more than a century—nearly 60 people were killed and more than $800 million in damage resulted from rioting, looting, and destruction over a period of three days.On August 9, 2014, Michael Brown, an unarmed black 18-year-old, was shot and killed by Darren Wilson, a white police officer in Ferguson, MO, a suburb of St. Louis. The shooting prompted protests that lasted for weeks. On Nov. 24, the St. Louis county prosecutor announced that a grand jury had decided not to indict Officer Wilson. The announcement set off another wave of protests. In March 2015, the U.S. Justice Department ordered that the city of Ferguson overhaul its criminal justice system, declaring that the city had engaged in constitutional violations. Unfortunately, this has not stopped unarmed black men from being shot by police officers. Unarmed black men continue to be shot at disproportionate rates.In 2015, the United States also saw an increase in crimes against Muslims, including burning of mosques and harassment (see Discrimination Against Arab Americans and American Muslims, later in this chapter). There was a 67 percent increase in anti-Muslim hate crimes from 2014 to 2015, the highest since the terrorist attacks in 2001. With fears of more terrorist attacks in the United States and increasing Islamophobia, fueled in some political environments, these numbers are not expected to decrease.Aspects of Social and Economic Forces: Prejudice, Discrimination, and OppressionPrejudiceis a preconceived adverse opinion or judg-ment formed without just grounds or before suf-ficient knowledge. Prejudice, in regard to race and ethnic relations, is making negative prejudgments. Prejudiced people apply racial stereotypes to all or nearly all members of a group according to precon-ceived notions of what they believe the group to be like and how they think the group will behave. Racial prejudice results from the belief that people who have different skin color and other physical char-acteristics also have innate differences in behaviors, values, intellectual functioning, and attitudes.The word discriminationhas two very different meanings. It may have the positive meaning of the power of making fine distinctions between two or more ideas, objects, situations, or stimuli. However, in minority-group relations it is the unfair treatment of a person, racial group, or minority; it is an action based on prejudice.Racial or ethnic discrimination involves denying to members of minority groups equal access to op-portunities, residential housing areas, membership in religious and social organizations, involvement in political activities, access to community services, and so on.Prejudice is a combination of stereotyped beliefs and negative attitudes, so that prejudiced individu-als think about people in a predetermined, usually negative, categorical way. Discrimination involves physical actions—unequal treatment of people be-cause they belong to a category. Discriminatory behavior often derives from prejudiced attitudes. Robert Merton, however, notes that prejudice and discrimination can occur independently. In discuss-ing discrimination in the United States, he describes four different “types” of people:1.The unprejudiced nondiscriminator,in both belief and practice, upholds American ideals of free-dom and equality. This person is not prejudiced against other groups and, on principle, will not discriminate against them.2.The unprejudiced discriminator is not personally prejudiced but may sometimes, reluctantly, dis-criminate against other groups because it seems socially or financially convenient to do so.3.The prejudiced nondiscriminator feels hostile to other groups but recognizes that law and social pressures are opposed to overt discrimination.

238Understanding Human Behavior and the Social EnvironmentReluctantly, this person does not translate preju-dice into action.4.The prejudiced discriminator does not believe in the values of freedom and equality and consis-tently discriminates against other groups in both word and deed.An example of an unprejudiced discriminator is the unprejudiced owner of a condominium complex in an all-white middle-class suburb who refuses to sell a condominium to an African American family because of fear (founded or unfounded) that the sale would reduce the sale value of the remaining units. An example of a prejudiced nondiscriminator is a personnel director of a fire department who believes Mexican Americans are unreliable and poor fire-fighters yet complies with affirmative action efforts to hire and train Mexican American firefighters.It is very difficult to keep personal prejudices from eventually leading to some form of discrimina-tion. Strong laws and firm informal social norms are necessary to break the relationships between preju-dice and discrimination.Discrimination is of two types. De jure discrimina-tionis legal discrimination. The so-called Jim Crow laws in the South (enacted shortly after the Civil War ended) gave force of law to many discrimina-tory practices against African Americans, including denial of the right to trial, prohibition against vot-ing, and prohibition against interracial marriage. To-day, in the United States, there is no de jure racial discrimination because such laws have been declared unconstitutional.De facto discriminationrefers to discrimination that actually exists, whether legal or not. Most acts of de facto discrimination abide by powerful in-formal norms that are discriminatory. Cummings (1977) gives an example of this type of discrimina-tion and urges victims to confront it assertively:Scene: department store. Incident: several people are waiting their turn at a counter. The person next to be served is a black woman; however, the clerk waits on several white customers who arrived later. The black woman finally demands service, after several polite gestures to call the clerk’s attention to her. The clerk proceeds to wait on her after stating, “I did not see you.” The clerk is very discourteous to the black customer, and the lack of courtesy is apparent, because the black customer had the opportunity to observe treatment of the other customers. De facto discrimination is most frustrating . . .; [after all, say some] the customer was served. Most people would rather just forget the whole incident, but it is important to challenge the practice even though it will possibly put you through more agony. One of the best ways to deal with this type of discrimination is to report it to the manager of the business. If it is at all possible, it is important to involve the clerk in the discussion. (p. 200)Oppression is the unjust or cruel exercise of au-thority or power. Members of minority groups in our society are frequently victimized by oppression from segments of the white power structure. Op-pression and discrimination are closely related, as all acts of oppression are also acts of discrimination. Oppression is the social act of placing severe restric-tions on a group or institution.Racial and Ethnic StereotypesStereotypesare generalizations, or assumptions, that people make about the characteristics of all mem-bers of a group, based on an image (often wrong) about what people in a group are like.Racial and ethnic stereotypes involve attribut-ing a fixed and usually inaccurate or unfavorable conception to a racial or ethnic group. Stereotypes are closely related to the way we think, as we seek to perceive and understand things in categories. We need categories to group things that are similar in order to study them and to communicate about them. We have stereotypes about many categories, including mothers, fathers, teenagers, communists, Republicans, schoolteachers, farmers, construction workers, miners, politicians, Mormons, and Italians. These stereotypes may contain some useful and ac-curate information about a member in any category. Yet each member of any category will have many characteristics that are not suggested by the stereo-types and is apt to have some characteristics that run counter to some of the stereotypes.Racial stereotypes involve differentiating people in terms of color or other physical characteristics. For example, historically there was the erroneous ste-reotype that Native Americans become easily intoxi-cated and irrational when using alcohol. This belief was then translated into laws that prohibited Native Americans from buying and consuming alcohol. A more recent stereotype is that African Americans Copyright 2019 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or eChapter(s).Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if su

have a natural ability to play basketball and certain other sports. Although at first glance, such a stereo-type appears complimentary to African Americans, it has broader, negative implications. The danger is that if people believe the stereotype, they may also feel that other abilities and capacities (such as intelli-gence, morals, and work productivity) are also deter-mined by race. In other words, believing this positive stereotype increases the probability that people will also believe negative stereotypes.Racial and Ethnic Discrimination Is the Problem of WhitesMyrdal (1944) pointed out that minority problems are actually majority problems. The white majority determines the place of nonwhites and other ethnic groups in our society. The status of different mi-nority groups varies in our society because whites apply different stereotypes to various groups. For example, African Americans are viewed and treated differently from Japanese Americans. E. H. Johnson (1973) noted, “Minority relationships become recog-nized by the majority as a social problem when the members of the majority disagree as to whether the subjugation of the minority is socially desirable or in the ultimate interest of the majority” (p. 344). Con-cern about discrimination and segregation has also received increasing national attention because of a rising level of aspiration among minority groups who demand (sometimes militantly) equal opportu-nities and equal rights.Our country was founded on the principle of hu-man equality. The Declaration of Independence and the Constitution assert equality, justice, and liberty for all. Yet in practice, our society has always dis-criminated against minorities.The groups of people who have been singled out for unequal treatment in our society have changed somewhat over the years. In the late 1800s and early 1900s, people of Irish, Italian, and Polish descent were discriminated against, but that discrimination has been substantially reduced. In the nineteenth century, Americans of Chinese descent were severely discriminated against. However, such bias also has been declining for many decades. Because of 9/11, and terrorist activities by ISIS and Al Qaeda, some Arab Americans are now being victimized by dis-crimination in the United States (see Spotlight 5.2).White PrivilegeAn underexposed part of racism in the United States is that white people (and white men in particular) have privileges that other Americans do not have. Peggy McIntosh attempted to bring awareness to the unspo-ken privileges provided to white people by society. In her work, “White Privilege: Unpacking the Invisible Knapsack,” she identified unearned privileges granted to whites that are often “invisible” to whites them-selves, and which whites take for granted. Following is a list of some of these privileges (McIntosh, 1988):●White people can go shopping alone and be pretty well assured that they will not be followed or harassed.●White people have no problem finding housing to rent or purchase in an area they can afford and want to live in.●White people can feel assured that their children will be given curricular materials in school that testify to the existence of their race.●White people can go into any supermarket and find the staple foods that fit with their cultural traditions.●When white people use checks, credit cards, or cash, they can be sure that their skin color is not being taken into account when their financial reli-ability is questioned.●White people are never asked to speak for all white people.●White people can go into a hairdresser’s shop and find someone who can cut their hair.●White people in affluent neighborhoods are gen-erally confident that their neighbors will be neu-tral or pleasant to them.●White people can assume that police officers will provide protection and assistance.●White people can be sure that their race will not count against them if they need legal or medical help.This work was shared in workshops, conferences, and classrooms; however, some individuals are now questioning the benefits for whites in acknowledging their white privilege. It is believed that to truly address white privilege, whites should go beyond recognition of white privilege, instead becoming more active in addressing social inequality (Margolin, 2015).Hate CrimesHate crimes have been added to the penal codes in nearly every state in the United States. Hate crimes

240Understanding Human Behavior and the Social Environmentdiscrimination against arab americans and american muslimsFollowing the September 11, 2001, attacks on the World Trade Center and the Pentagon, there have been a number of crimes against Arab Americans and American Muslims. These hate crimes have intensified in recent years in response to the terrorist activities of Al Qaeda and ISIS. Emert (2007) gives some examples:In Texas, a Pakistani Muslim storeowner was murdered. In California, an Egyptian Christian was killed. In a Chicago suburb, hundreds of men and women chanting, “USA, USA” marched on a local mosque and were stopped by police. In Brooklyn, an Islamic school was pelted with rocks and bloody pork chops (Muslims are forbidden to eat pork). Fire-bombings of mosques and Islamic centers occurred in Chicago, Seattle, Texas and New York. Mosques, Arab community centers, and Arab-owned businesses have been vandalized. Women and girls wearing the traditional Muslim head covering, the hijab, have been harassed and assaulted. As an example of this discrimination, Rev. Terry Jones, a Florida minister, announced in August 2010 that he was going to publicly burn a number of Qurans on the ninth anniversary of the attacks on the World Trade Center and the Pentagon. Rev. Jones said that he believes the Quran is evil because it espouses something other than biblical truth and because he (erroneously) believes it incites radical, violent behavior among Muslims. (After intense international opposition, Rev. Jones announced he was canceling the burning of Qurans.)Stereotypes abound of Arab Americans, and they are mostly negative. The Western images of Arabs are of Ali Baba, Sinbad, the thief of Baghdad, white slaveowners, harem dwellers, and sheiks. The facts are that harems and polygamy have been abolished, for the most part, in the Arab world, and only a small number of Arab nations have “sheiks.” Arabs are almost always portrayed on TV or in movies as evil or foolish. One Sesame Street character, always dressed like an Arab, is always the one that teaches negative words like “danger.” In movies, they’re often portrayed as villains or financial backers of espionage plots.It is important for all of us to remember what happened to Japanese Americans after Pearl Harbor was attacked in 1941. Emert (2007) notes,After the unexpected attack on Pearl Harbor on December 7, 1941, distrust, fear and anger against the 130,000 Japanese-Americans living in the United States at that time intensified, especially in California where an enemy invasion was anticipated. About 115,000 Japanese lived on the West Coast, and their presence was considered a security threat. Americans questioned the loyalty of these Japanese people even though 80,000 of them were second-generation, natural-born U.S. citizens. There was fear that these Japanese-Americans would resort to sabotage or treason to aid America’s enemies.Public leaders like the California Governor, Attorney General, and U.S. military commanders supported the idea of a mass evacuation of all Japanese from the West Coast. Beginning on March 22, 1942, approximately 110,000 Japanese were transported to 15 temporary assembly centers in California, Oregon, Washington and Arizona. Several months later, they were moved to 10 permanent relocation centres scattered throughout the country. These Japanese-Americans lost nearly everything they owned. They were forced to sell their homes and businesses at rock bottom prices. In September 2001, after 9/11, the U.S. Senate passed a resolution calling for the protection of the “civil rights and civil liberties of all Americans, including Arab Americans and American Muslims” (Emert, 2007). Virtually all major Arab American organizations and American Muslim organizations have condemned the actions of Osama bin Laden’s militant fringe.Some factual information about Arab Americans and American Muslims may be useful. There are about 3 million Arab Americans in the United States, which is about 1 percent of the American population. There are 22 separate Arab nations (Schaefer, 2015).There’s no simple definition of who an “Arab” is. The word refers to those who speak the Arabic language, but almost every country’s version of Arabic is different from another’s (e.g., Jordanian Arabic is quite different from Algerian Arabic), and to make matters more complicated, several Arab countries have internal ethnic groups who speak a totally different form of Arabic or some non-Arabic language.American Muslims and Arab Americans are different groups in the United States. There is some overlap between, these two groups, with some American Muslims being of Arab ancestry. Most Arab Americans are not Muslim, however, and most Muslim Americans are not of Arab background. Many Arab Americans are Christians, some are Hindu, and a few are agnostics or atheists. Arab Americans are an ethnic group, and Muslims are a religious group.Islam, with approximately 1.6 million followers worldwide, is second to Christianity among the world’s religions (Schaefer, 2015). Schaefer notes that Christianity and Islam are faiths that are very similar:Both are monotheistic (i.e., based on a single deity) and indeed worship the same God. Allah is the Arabic word for God and refers to the God of Moses, Jesus, and Muhammad. Both Christianity and Islam include a belief in prophets, an afterlife, and a judgment day. In fact, Islam recognizes Jesus as a prophet, though not the son of God. Islam reveres both the Old and New SPOTLIGHT ON DIVERSITY 5.2(continued

Ethnocentrism and Racism2 41Testaments as integral parts of its tradition. Both faiths impose a moral code on believers, which varies from fairly rigid proscriptions for fundamentalists to relatively relaxed guidelines for liberals. (p. 246)(Christianity and Islam are described more fully in Chapter 15.)As to the ethnic background of American Muslims in the United States, Schaefer (2015, p. 249) gives the following estimates:Based on the most recent studies, there are at least 2.6 million and perhaps as many as 3 million Muslims in the United States. About two-thirds are U.S.-born citizens. In terms of ethnic and racial background, the more acceptable estimates still vary widely. Estimates range as follows:●20–42 percent African American,●24–33 percent South Asian (Afghan, Bangladeshi, Indian, and Pakistani),●12–32 percent Arab, and●15–22 percent “other” (Bosnian, Iranian, Turk, and White and Hispanic converts). (p. 249)SPOTLIGHT ON DIVERSITY 5.2(continued)are violent acts aimed at individuals or groups of a particular race, ethnicity, religion, sexual orien-tation, or gender. The laws also make it a crime to vandalize religious buildings and cemeteries or to in-timidate another person out of bias.Examples of hate crimes include setting African American churches on fire, defacing a Jewish fam-ily’s home with swastikas and anti-Semitic graffiti, assaulting a gay college student, burning a cross on the lawn of an African American family, and van-dalism against Arab Americans. With hate crimes, judges can impose a higher sentence when they find that a crime was committed with a biased motive.Race Is a Social ConceptAshley Montague (1964) considered the concept of race to be one of the most dangerous and tragic myths in our society. Race is erroneously believed by many to be a biological classification of people. Yet, surprisingly to some, there are no clearly delineating characteristics of any race. Throughout history, the genes of different societies and racial groups have occasionally been intermingled. No racial group has any unique or distinctive genes. In addition, biologi-cal differentiations of racial groups have gradually been diluted through various sociocultural factors. These factors include changes in preferences of de-sirable characteristics in mates, effects of different diets on those who reproduce, and such variables as wars and diseases in selecting those who will live to reproduce (Johnson, 1973).Despite definitional problems, it is necessary to use racial categories in the social sciences. Race has important (though not necessarily consistent) social meanings for people. In order to have a basis for racial classifications, social scientists have used a social, rather than a biological, definition. A social definition is based on the way in which members of a society clas-sify each other by physical characteristics. For exam-ple, a frequently used social definition of an African American is anyone who either displays overt African American physical characteristics or is known to have an African American ancestor (Schaefer, 2015).A social definitional approach to classifying races sometimes results in different societies’ use of differ-ent definitions of race.For example, in the United States anyone who is known to have an African American ancestor is considered to be African American; in Brazil, anyone known to have a white ancestor is considered to be white (Schaefer, 2015).Ethical Question 5.1EP 1Do you believe that some ethnic groups are more intelligent than other ethnic groups?Race, according to Montague (1964), becomes a dangerous myth when people assume that physi-cal traits are linked with mental traits and cultural achievements. Every few years, it seems, some noted scientist stirs the country by making this erroneous as-sumption. For example, Herrnstein and Murray (1994)

242Understanding Human Behavior and the Social Environmentassert that whites, on the average, are more intelli-gent, because IQ tests show that whites average scores of 10 to 15 points higher than African Americans. Herrnstein and Murray’s findings have been sharply criticized by other authorities as falsely assuming that IQ is largely genetically determined (Lefrancois, 1996). These authorities contend that IQ is substantially influenced by environmental factors, and it is likely that the average achievement of African Americans, if given similar opportunities to realize their potenti-alities, would be the same as whites. Also, it has been charged that IQ tests are racially slanted. The tests ask the kinds of questions that whites are more familiar with and thereby more apt to answer correctly.Johnson (1973) summarizes the need for an im-partial, objective view of the capacity of different racial groups to achieve:Race bigots contend that, the cultural achievements of different races being so obviously unlike, it follows that their genetic capacities for achievements must be just as different. Nobody can discover the cultural capacities of any population or race . . . until there is equality of opportunities to demonstrate the capacities. (p. 50)Most scientists, both physical and social, now be-lieve that in biological inheritance all races are alike in everything that really makes any difference (such as problem-solving capacities, altruistic tendencies, and communication capacities). With the exception of several very small, inbred, isolated, primitive tribes, all racial groups appear to show a wide distribution of every kind of ability. Any important race differ-ences that have been noted in personality, behavior, and achievement (e.g., high school graduation rates) appear to be due primarily to environmental factors.Many Americans classify themselves as “mixed-race” or “multiracial,” as they have parents of different races. Tiger Woods (a noted golfer), for example, has a multiracial background, with a Caucasian, African American, Native American, and Asian heritage.Institutional Values and Racism: Discrimination in SystemsIn the last four decades, institutional racism has be-come recognized as a major problem. Institutional racismrefers to discriminatory acts and policies against a racial group that pervade the major macro systems of society, including the legal, political, economic, and educational systems. Some of these discriminatory acts and policies are illegal, whereas others are not.Institutional racism can best be understood through a systems perspective on discrimination. Institutional values form the foundation for macro-system poli-cies. These policies are enacted in organizations and communities. Here, we refer to institutional racism as a prevailing orientation demonstrated in policies and procedures throughout our entire culture. It is an all-encompassing term that envelopes institutional values, communities, and organizational macro systems.In contrast to institutional racism is individual racism,which Barker (2003) defines as “the nega-tive attitudes one person has about all members of a racial or ethnic group, often resulting in overt acts such as name-calling, social exclusion, or violence” (p. 215). Carmichael and Hamilton (1967) make the following distinction between individual racism and institutional racism:When white terrorists bomb a black church and kill five black children, that is an act of individual racism, widely deplored by most segments of society. But when in the same city . . . five hundred black babies die each year because of the lack of proper food, shelter, and medical facilities, and thousands more are destroyed and maimed physically, emotionally, and intellectually because of conditions of poverty and discrimination in the black community, that is a function of institutional racism. (p. 4)Discrimination and Oppression in Organizational Macro SystemsInstitutional discriminationis the unfair treatment of an individual that is due to the established operat-ing procedures, policies, laws, or objectives of large organizations (such as governments, corporations, schools, police departments, and banks).Discrimination is built, often unwittingly, into the very structure and form of our society. It is demon-strated by how organizational macro systems treat clients. The following examples reflect how agencies can engage in institutional discrimination:●A family counseling agency with branch offices assigns its less skilled counselors and thereby pro-vides lower-quality services to an office located in a minority neighborhood

A human services agency encourages white ap-plicants to request funds for special needs (e.g., clothing) or to use certain services (e.g., day care and homemaker services), whereas nonwhite cli-ents are not informed (or are less enthusiastically informed) of such services.●A human services agency takes longer to process the requests of nonwhite for funds and services.●A police department discriminates against non-white staff in terms of work assignments, hiring practices, promotion practices, and pay increases.●A real estate agency has a pattern of showing white homebuyers houses in white neighbor-hoods and African American homebuyers houses in mixed or predominantly African American areas.●A bank and an insurance company engage in so-called red-lining, which involves refusing to make loans or issue insurance in areas with large minor-ity populations.●A probation and parole agency tends to ignore minor rule violations by white clients but seeks to return nonwhite parolees to prison for similar infractions.●A mental health agency tends to label nonwhite clients “psychotic” while ascribing a less serious disorder to white clients.●White staff at a family counseling center are encouraged by the executive board to provide intensive services to clients with whom they have a good relationship and are told to give less attention to clients “they aren’t hitting it off well with,” resulting in fewer services provided to nonwhite clients.Whether these differences in treatment are under-taken consciously or not, they nevertheless represent institutional discrimination.Discrimination and Oppression in Community Macro SystemsInstitutional racism also pervades community life. It is a contributing factor to the following: The unem-ployment rate for nonwhites has consistently been more than twice that for whites. The infant mortal-ity rate for nonwhites is nearly twice as high as for whites. The life expectancy for nonwhites is several years less than for whites. The average number of years of educational achievement for nonwhites is considerably less than for whites (Schaefer, 2015).Many examples of institutional racism are found in the educational macro system. Schools in white neighborhoods generally have better facilities and more highly trained teachers than do those in mi-nority neighborhoods. Minority families are, on the average, less able to provide the hidden costs of free education (higher property taxes, transportation, class trips, clothing, and supplies); as a result, their children become less involved in the educational process. History texts in the past concentrated on achievements of white people and gave scant atten-tion to minorities. J. Henry (1967) wrote in the 1960s about the effects of such history on Native American children:What is the effect upon the student, when he learns that one race, and one alone, is the most, the best, the greatest; when he learns that Indians were mere parts of the landscape and wilderness which had to be cleared out, to make way for the great “movement” of white population across the land; and when he learns that Indians were killed and forcibly removed from their ancient homelands to make way for adventurers (usually called “pioneering gold miners”), for land grabbers (usually called “settlers”), and for illegal squatters on Indian-owned land (usually called “frontiersmen”)? What is the effect upon the young Indian child himself, who is also a student in the school system, when he is told that Columbus discovered America, that Coronado “brought civilization” to the Indian people, and that the Spanish missionaries provided havens of refuge for the Indians? Is it reasonable to assume that the student, of whatever race, will not discover at some time in his life that Indians discovered America thousands of years before Columbus set out upon his voyage; that Coronado brought death and destruction to the native peoples; and that the Spanish missionaries, in all too many cases, forcibly dragged Indians to the missions? (p. 22)Since the 1960s and the civil rights movement, the true story of minorities and their experiences are be-ing better told.Our criminal justice macro system also has ele-ments of institutional racism. Our justice system is supposed to be fair and nondiscriminatory. The very name of the system, justice,implies fairness and quality. Yet, in practice, racism is evident. Although African Americans compose only about 13 percent

244Understanding Human Behavior and the Social Environmentof the population, they make up about 50 percent of the prison population (Schaefer, 2015). (There is considerable debate as to what extent this is due to racism as opposed to differential crime rates by race.) The average prison sentence for murder and kidnap-ping is longer for African Americans than for whites. Nearly half of those sentenced to death are African American (Schaefer, 2015). Police departments and district attorneys’ offices are more likely to enforce vigorously the kinds of laws broken by lower-income groups and minority groups than by middle- and up-per-class white groups. Poor people are substantially less likely to be able to post bail. As a result, they are forced to remain in jail until their trial, which often takes months or sometimes more than a year. Un-able to afford a well-financed defense (including the fees charged by the most successful criminal defense teams), they are more likely to be found guilty.LO 2 Outline the Sources of Prejudice and DiscriminationSources of Prejudice and DiscriminationNo single theory provides a complete picture of why racial and ethnic discrimination occur. By being ex-posed to a variety of theories, social workers should at least be better sensitized to the nature and sources of discrimination. The sources of discrimination come from inside and outside a person.ProjectionProjectionis a psychological defense mechanism in which one attributes to others characteristics that one is unwilling to recognize in oneself. Many people have personal traits they dislike in themselves. They desire to get rid of such traits, but this is not always possible. Such people may project some of these traits onto others (often to some other group in soci-ety), thus displacing the negative feelings they would otherwise direct at themselves. In the process, they then condemn those onto whom they have projected the traits.For example, a minority group may serve as a projection of a prejudiced person’s fears and lusts. People who view African Americans as lazy or preoccupied with sex may be projecting onto African Americans their own internal concerns about their industriousness or their sexual fantasies. While some whites view African Americans as promiscuous, his-torically it has generally been white men who forced African American women (particularly slaves) into sexual encounters. It appears many white males felt guilty about these sexual desires and adventures and dealt with their guilt by projecting their own lusts and sexual conduct onto African Americans.Frustration-AggressionAnother psychological need satisfied by discrimina-tion is the release of tension and frustration. All of us at times become frustrated when we are unable to achieve or obtain something we desire. Sometimes we strike back at the source of frustration, but many times direct retaliation is not possible. For example, we are reluctant to tell our employers what we think of them when we feel we are being treated unfairly because we fear repercussions.Some frustrated people displace their anger and aggression onto a scapegoat.The scapegoat may be a particular person or it may be a group of people. Similar to people who take out their job frustra-tions at home on their spouses or family pets, some prejudiced people vent their frustrations on minor-ity groups. (The term scapegoat derives from an ancient Hebrew ritual in which the goat was sym-bolically laden with the sins of the entire community and then chased into the wilderness. It “escaped,” hence the term scapegoat.The term was gradually broadened to apply to anyone who bears the blame for others.)Countering Insecurity and InferiorityStill another psychological need that may be satis-fied through discrimination is the desire to counter feelings of insecurity or inferiority. Some insecure people seek to feel better about themselves by put-ting down another group. They then can tell them-selves that they are better than these people.AuthoritarianismA classic work on the causes of prejudice is The Authoritarian Personality by Adorno, Frenkel-Brunswick, Levinson, and Sanford (1950). Shortly

Ethnocentrism and Racism245after World War II, these researchers studied the psychological causes of the development of Euro-pean fascism and concluded that a distinct type of personality was associated with prejudice and intol-erance. The authoritarian personalityis inflexible and rigid and has a low tolerance for uncertainty. This type of personality has a great respect for author-ity figures and quickly submits to their will. Such a person highly values conventional behavior and feels threatened by unconventional behavior of oth-ers. In order to reduce this threat, such a personality labels unconventional people as being immature, in-ferior, or degenerate and thereby avoids any need to question his or her own beliefs and values. The au-thoritarian personality views members of minority groups as being unconventional, degrades them, and tends to express authoritarianism through prejudice and discrimination.HistoryHistorical explanations can also be given for prejudice. Kornblum and Julian (2012) note that the groups now viewed by white prejudiced persons as being second class are groups that have been either conquered, enslaved, or admitted into our soci-ety on a subordinate basis. For example, African Americans were imported as slaves during our co-lonial period and stripped of human dignity. Native Americans were conquered, and their culture was viewed as inferior. Mexican Americans were allowed to enter this country primarily to do seasonal, low-paid farm work.Competition and ExploitationOur society is highly competitive and materialistic. Individuals and groups compete daily with one an-other to acquire more of the available goods. These attempts to secure economic goods usually result in a struggle for resources and power. In our soci-ety, once whites achieved dominance, they then used (and still are using) their power to exploit nonwhites through cheap labor—for example, as sweatshop fac-tory laborers, migrant farmhands, maids, janitors, and bellhops.Members of the dominant group know they are treating the subordinate group as inferior and unequal. To justify such discrimination, they de-velop an ideology (set of beliefs) that their group is superior, and therefore that it is right and proper that they have more rights, goods, and so on. Some-times they assert that God selected their group to be dominant. At the same time, they assign inferior traits to the subordinate group and conclude that the minority needs and deserves less because it is bio-logically inferior. Throughout history in most soci-eties, the dominant group (which has greater power and wealth) has sought to maintain the status quo by keeping those who have the least in an inferior position.Socialization PatternsPrejudice is also a learned phenomenon and is trans-mitted from generation to generation through so-cialization processes. Our culture has stereotypes of what different minority group members “ought to be” and the ways they “ought to behave” in relation-ships with members of the majority group. These stereotypes provide norms against which a child learns to judge persons, things, and ideas. Prejudice, to some extent, is developed through the same pro-cesses by which we learn to be religious or patriotic, to appreciate and enjoy art, or to develop our value system. Prejudice, at least in certain segments in our society, is thus a facet of the normative system of our culture.Belief in the One True ReligionSome people are raised to believe that their religion is the one true religion—that they will go to heaven, while everyone who believes in a different religion is a heathen who will be eternally damned. A person with such a belief system comes to the conclusion that he or she is one of “God’s chosen few.” Feeling superior to others often leads a person to devalue them as “heathens” and then to treat them in an in-ferior way. Belief in the “one true religion” has led to numerous wars between societies, each of which thought its religion was superior. Such societies thought they were justified in spreading their chosen religion by any possible means, including by physi-cal force. This belief may be one of the most crucial determinants in developing an attitudinal system of racial prejudice. (It should be noted, as elaborated on later in this chapter and in Chapter 15, that re-ligion has a number of beneficial components for many people.)Copyright 2019 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content m

246Understanding Human Behavior and the Social EnvironmentEthical Questions 5.2EP 1If a social worker believes his or her religion is the one true religion, can that social worker fully accept clients who are members of some other religious faith? If your answer is no, do you believe that person should seek a different career?White SupremacyWhite supremacy is the belief, and promotion of the belief, that white people are superior to people of other racial backgrounds. The term is sometimes used to describe a political ideology that advocates the so-cial and political dominance of whites. The belief in white supremacy has frequently been a factor that has led whites to discriminate against people of color.White supremacy was a dominant belief in the United States before the American Civil War and for decades after Reconstruction. In some parts of the United States, many people who were considered non-white were disenfranchised, and barred from holding most government jobs well into the second half of the twentieth century. Many U.S. states banned in-terracial marriage through anti-miscegenation laws until 1967, when these laws were declared unconstitu-tional. White lenders often viewed Native Americans, Chinese Americans, and other people of color as in-ferior. Bradley (2009) notes that most U.S. presidents who were in office prior to the twentieth century (and in the early twentieth century) believed in white supremacy—one of those presidents was Abraham Lincoln. Lincoln believed that whites and blacks could not coexist in the same nation. He promoted his idea of colonization—that is, resettling blacks in foreign countries. He urged blacks be resettled in Central America, because of the similarity of climate conditions to Africa (Magness & Page, 2011).White supremacy was also a dominant belief in many other countries, as in South Africa under apartheid. The Ku Klux Klan still advocates and as-serts white supremacy.Evaluation of Discrimination TheoriesNo single theory explains all causes of prejudices be-cause prejudices have many origins. Taken together, however, they identify a number of causative fac-tors. All theories assert that the causative factors of prejudice are in the personality and experiences of the person holding the prejudice, and not in the character of the group against whom the prejudice is directed.A novel experiment documenting that prejudice does not stem from contact with the people to-ward whom prejudice is directed was conducted by Eugene Hartley (1946). Hartley gave his subjects a list of prejudiced responses to Jews and African Americans and to three groups that did not even exist: Wallonians, Pireneans, and Danireans. Preju-diced responses included such statements as, “All Wallonians living here should be expelled.” The re-spondents were asked to state their agreement or disagreement with these prejudiced statements. The experiment showed that most of those who were prejudiced against Jews and African Americans were also prejudiced against people whom they had never met or heard about.Closely related to the theories about the sources of racial and ethnic prejudice and discrimination is the conceptualization that compares racist think-ing to criminal thinking. Spotlight 5.3 explores the question “Is racial discrimination based on criminal thinking?”LO 3 Summarize the Effects and Costs of Discrimination and Oppression and Describe the Effects of Discrimination on Human Growth and DevelopmentImpacts of Social and Economic Forces: The Effects and Costs of Discrimination and OppressionRacial discrimination is a barrier in our competitive society to obtaining the necessary resources to lead a contented and comfortable life. Being discriminated against due to race makes it more difficult to obtain adequate housing, financial resources, a quality edu-cation, employment, adequate health care and other services, equal justice in civil and criminal cases, and so on

Discuss the idea of “being called to a purpose” and its relevance to the transformation of healthcare.

Discuss the idea of “being called to a purpose” and its relevance to the transformation of healthcare.

250 words minimum initial post, 100 words minimum reply

Work Citied, APA Style

Can we repair what is wrong with America’s Health Care System through understanding of Christian principles?

After completing the lecture and reading assignments, compose a well-written response paper to the following question: Can we repair what is wrong with America’s Health Care System through understanding of Christian principles?

Do not use the question in the response. Papers must include a substantive elaboration on the topic as well as support from scripture. 500-750 words, APA format

Were there avoidable operational breakdowns at the OCC or the local station – or was this an unavoidable situation?

A few isolated incidents involving air carrier irregular operations have necessitated governmental intervention into the area of passengers’ rights. Occasionally, situations can arise where ground (tarmac) delays occur either before takeoff or after landing. Takeoff delays could be caused by severe weather in the departure area or air traffic congestion, while delays after landing are usually a result of ramp congestion and/or poor gate utilization. Because of a few extreme cases where passengers have been “trapped” on an aircraft for hours on the ground, the FAA developed rules that airlines must follow in the event that an extended tarmac delay occurs. Airlines guilty of violating those rules face very stiff penalties in the form of fines.

Read Tarmac Delays/FAA, (Links to an external site.) and then review the associated 14 CFR rules at Electronic Code of Federal Regulations/Government Publishing Office.  (Links to an external site.)

Search online, and choose one of many examples where an airline was fined for violating the FAA’s Tarmac Delay rules. In a short paper, critically analyze the situation, and make recommendations that might have mitigated the predicament. Your paper should start with a recap of the circumstances that caused the delay.

Be sure to address these questions in your analysis:

  • Were there avoidable operational breakdowns at the OCC or the local station – or was this an unavoidable situation?
  • Once involved in the delay, did the airline do anything to mitigate the impact on the passengers?
  • Would greater use of NextGen technologies (as described in the FAA video included in the module resources) have improved the situation?

Your paper should conclude with your recommendations on how the situation could have been better managed.

Your paper will include a title page, 2–3 pages of text, and a reference page – all APA formatted. An abstract and table of contents are not needed for a paper this short.

Your paper will automatically be evaluated through Turnitin when you submit your assignment in this activity. Turnitin is a service that checks your work for improper citation or potential plagiarism by comparing it against a database of web pages, student papers, and articles from academic books and publications. Ensure that your work is entirely your own and that you have not plagiarized any material!

look critically at the FAR and then add a 200-300 word discussion post describing whether or not you think it’s a reasonable regulation.

As we have seen in this module, there are numerous problems that can pop up and put an airline into an “irregular operation.”  Most are not controllable by the airline, but the airline still has to responsibly react to the issue and try its best to resume normal operations.  One fairly recent issue that has been a source of problems for airlines and their passengers was the addition of 14 CFR Part 117 back in 2012.  Look up the history and implications of this FAR.

To complete this activity, look critically at the FAR and then add a 200-300 word discussion post describing whether or not you think it’s a reasonable regulation.

you are expected to demonstrate critical thinking and a solid analytical and theoretical knowledge of all previous courses in the program.

Golden Age Hospital (GAH)

Assignment Expectations

As stated in the course and modular outcomes, you are expected to demonstrate critical thinking and a solid analytical and theoretical knowledge of all previous courses in the program.

Furthermore, emphasis should be inputted on applying what you already know to the task of developing an individual project that reflects synthesis, integration, and real-life application (action plans).

As the environment is of a real-life project team, you will be assessed as to how well you present your work to your company and peers (writing and presentations).

Feedback and comments from your instructor and peers should be implemented and early recommendations adjusted accordingly.

General Background

  1. The Mission Viejo Medical Center (in the city of Mission Viejo, California) comprises two geographically adjacent institutions:
    1. Mission Hospital Regional Medical Center: Mission Hospital Regional Medical Center, and
    2. Children’s Hospital at Mission (CHM): Children’s Hospital at Mission (CHM)https://www.choc.org/choc-childrens-mission-hospital/
  2. The two hospitals serve — within less than a 10-mile radius — the populations of the following nine municipalities: Aliso Viejo, Ladera Ranch, Laguna Hills, Laguna Niguel, Laguna Woods, Lake Forest, Mission Viejo, Rancho Santa Margarita, and San Juan Capistrano.
  3. Retirement Communities:
    1. The city of Laguna Woods (https://www.cityoflagunawoods.org/), is home to “Leisure World” (http://www.lagunawoodsvillage.com/), a retirement community of over 23,000 senior (55 years and above) residents.
    2. The city of Mission Viejo is home to “Casta Del Sol,” a retirement community of more than 3,000 senior (55 years and above) residents.
  4. Following the example and success of integrating a special CHOC – children’s hospital within the Mission Viejo Hospital, it is suggested for the purpose of MHA599 only, that an additional newhospital wing be built, catering to the special needs of the senior population, to be named: “Golden Age Hospital (GAH)”.
  5. The “MHA599 Consulting Team (MHA599CT)” has been tasked to research and develop a project feasibility plan for the future GAH.

The Project

  1. Note: You do not need to be a physician or health care provider to complete this assignment. Address it through management lenses.
  2. As independent members of MHA599CT, you will each undertake this task and prepare said plan, following the modular guidelines and assignments.
  3. Each module will focus on different topics, building on your previous studies and based on the background materials of the courses taken in both the MBA and MSHA disciplines.
  4. The assignments for each module will be prepared and presented to the MHA599CT management (your course instructor) as follows:
    1. Case – developing and writing a segment of the plan.
    2. SLP – preparing a boardroom PowerPoint Presentation (PPT) based on the case paper.
    3. Discussion – preparing an executive summary based on the case paper, to be posted on the TD platform. Members of the Team (all students) will comment on their peers’ postings and be able to share information and data for their own plan (see guidelines in the TD platform).
  5. The Case Assignments are the crux of the coursework, whereas the SLP and TD are its derivatives. Case papers should be at least 4-5 content pages long.
  6. You will prepare and submit the sectional/modular case papers for each module, adding the preceding ones as you go (like chapters in a book); that is, in Module 2 you will combine and submit Case 1 and Case 2, and so on.
  7. You will make amends to each case paper per the feedback you will get from your instructor.
  8. Finally, at the end of the course, you will need to aggregate all chapters into one comprehensive paper, as follows:
    1. Title page – to be submitted in Module 1.
    2. Background – to be submitted in Module 1.
    3. Market Research and Segmentation – to be submitted in Module 1.
    4. Organizational Structures and Functions – to be submitted in Module 2.
    5. Finance and Budgeting – to be submitted in Module 3.
    6. Quality, Ethical, and IT Controls – to be submitted in Module 4.
    7. Conclusions and Recommendations – to be submitted in and for all modules.

Module 1 – Assignment – Market Research and Segmentation

  1. The External Environment – Data Gathering
    1. Search the Web and gather relevant general information regarding hospitals for seniors and direct data pertaining to the external environment of the proposed GAH
    2. The proposed points below are just “starter points” for you to expound upon and add to as you see fit.
    3. Common medical conditions of seniors:
      1. Overall health status
      2. Unique illnesses
      3. Other
    4. Medical institutions for seniors:
      1. Types of institutions and clinics serving seniors (their size per population served)
      2. Types of special services provided for seniors and catering to their needs.
      3. Length-of-stay of seniors at various hospitals.
      4. Other
    5. Local (Mission Viejo area) City demographics:
      1. Can be obtained from but not limited to: http://www.city-data.com/
      2. Input the nine municipalities (one by one) in the search box.
      3. Scroll through the various data sets, and glean the relevant information: Population, Gender, Age, Household income, Race, Other.
      4. Consolidate all nine city data sets into one table, total where appropriate
  2. Based on the data gathered and the general picture you have obtained, we will now focus on direct market research and segmentation of the senior community in the Mission Viejo area.
  3. In order to do so, you will need to define/address the following points:
    1. Who are your target market subjects?
    2. Where are they located?
    3. What special needs do they require?
    4. What special medical/health services do they wish to get?
    5. What type of physician specialization would they like to have?
    6. Locations: Do they prefer a single medical center (MC) hospital location, or do they prefer a medical center (MC) hospital and a community clinic (CC)?
    7. Other.
  4. Survey Questionnaire:
    1. Complete the following proposed survey table – column A, that you plan to use in order to obtain the preferences and perceptions of the seniors of your target segment, assume n=500. (Click the link to access the GAH Project tables.)
    2. Your instructor will comment on your table and fill out column B (the average response score of the 500 subjects) in his feedback to you, on the basis of which you will be able to further develop your project plan.

Module 2 – Assignment – Organizational Structures and Functions

  1. Based on the data gathered, the general picture you have obtained, and the results of the survey (as returned to you by your instructor), you will now focus on the organizational structure and functions for the proposed GAH and Community Clinic.
  2. In order to do so, you will need to define/address the following points:
    1. Define the mission statement for the GAH and Community Clinic.
    2. Prepare a simple organizational diagram, depicting the organizational structure (blocks) of the existing Mission Hospital (MVH), Children’s Hospital (CHOC), and the proposed Golden Age Hospital (GAH), and the community clinic (CC)
      1. Note what common services or functions they can share (e.g., blood bank and laboratory services, shared operating rooms, pharmacy, etc.)
      2. Explain the organizational relationships between the structure blocks.
    3. What is the recommended hospital size (number of beds)?
    4. What major services/treatments will be offered based on your survey results at the GAH and the CC? At least six detailed services/treatments are required.
    5. Physician–Hospital integration:
      1. How (if appropriate) will you integrate the services of physicians whose specialty is in geriatric treatment within the GAH /CC?
      2. Address the management aspects, not the clinical ones.
      3. You can choose and explain one of the organizational forms detailed in the following article: Cuellara, A. E. & Gertlerb, P.J. (2006). Strategic integration of hospitals and physicians. Journal of Health Economics. Volume 25, Issue 1, January 2006, Pages 1-28. http://faculty.haas.berkeley.edu/gertler/working_papers/hospital_vi_5_10_02.pdf
  3. Conclusions and Recommendations.

Module 3 – Assignment – Finance and Budgeting

  1. Based on your proposed organization and structure for the GAH and the Community Clinic, we will now focus on financing and budgeting issues.
  2. In order to do so, we will need to define the following requirements and assumptions:
    1. Cost of facility construction, initial medical equipment, and instrumentation, will not be calculated – as they will be fully paid by the state as a grant.
    2. All senior patients will be above the age of 65, and will have only the Federal Medicare health insurance. Research the major constructs of Medicare health coverage as defined by the “Medicare Prospective Payment System.”
    3. The hospital and clinic will be financially balanced, that is, income from Medicare payments will cover in full all operating costs.
  3. “Medicare Prospective Payment System”
    1. The hospital is reimbursed by the government per procedure and/or treatment by a predefined sum and not by the actual expenses performed for and on a particular patient.
    2. For example – a patient requiring open heart surgery will utilize the services of physicians, nurses, OR, laboratory, pharmacy, and occupies a hospital bed on average for six days. If a certain patient is discharged after four days, the hospital will still be paid the six-day amount. Hence, the incentive to operate efficiently and effectively, enabling the hospital to “save money.”
  4. Based on the services you have decided to provide – at least six, complete the table (GAH Project):
    1. Input services/treatments in column A.
    2. Input estimated and rounded Medicare reimbursement to GAH (in thousands of dollars) for each treatment in column B (assign for each a figure between $10,000 to $60,000).
    3. Your instructor has inputted the projected number of procedures/treatments performed annually at GAH in column C.
    4. Calculate the total income for GAH by multiplying columns B*C in column D.
    5. Your instructor has inputted the GAH Projected Performance percentage, relative to the Federal standard (100%) in column E.
    6. Calculate the total GAH gain or loss by D-(D*E) in column F.
  5. Assume a $250,000 annual miscellaneous expense.
  6. Prepare (based on the table), a forecast of profit or loss for GAH for the first year of operation.
  7. Conclusions and Recommendations.
  8. Your instructor will comment on your table in his feedback to you, on the basis of which you will be able to further develop your project plan.

Module 4 – Assignment – Quality, Ethical, and IT Controls

  1. Based on your proposed organization and structure for the GAH and the Community Clinic, we will now focus on additional aspects pertaining to:
  2. Quality control and Accreditation:
    1. Define at least five core organizational competencies and functions for the new organization, and define a goal/objective for them.
    2. Propose a control method/score board to be implemented in the new organization to ensure that said core competencies and functions are meeting their goals and objectives.
    3. Assume that the new Hospital will seek JCAHO accreditation. What major competencies will this require from management and staff?
  3. Ethical Issues – HIPAA
    1. The Health Insurance Portability and Accountability Act of 1996 (HIPAA, Title II) required the Department of Health and Human Services (HHS) to establish national standards for electronic health care transactions and national identifiers for providers, health plans, and employers. It also addressed the security and privacy of health data. As the industry adopts these standards for the efficiency and effectiveness of the nation’s healthcare system, the use of electronic data interchange will improve.
    2. Review CMS (2016). HIPAA basics for providers: Security, and breach notification rules. Retrieved from: https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/HIPAAPrivacyandSecurity.pdf
  4. IT Systems
    1. Based on your proposed project’s organizational structure and the geographical locations of Mission Hospital, Golden Age Hospital and the Community Clinic, recommend the major components of an IT system that can best provide for the communication needs within and between the organization units.
    2. Identify and define your requirements from the system subject to the ethical requirements of HIPAA (see above).
  5. Conclusions and Recommendations – Final for complete project.
  6. Final paper
    1. Combine all chapters of the project paper as you have developed them over the past modules into one comprehensive paper.
    2. Note: If you need any clarification on the assignment, communicate with your instructor at any time throughout the modules.

Good Luck!

Based on your modular Case paper, please post an Executive Summary (see guidelines), in NOT more than 200 words.

Based on your modular Case paper, please post an Executive Summary (see guidelines), in NOT more than 200 words.

Please review your peers’ postings, and comment on at least one of them.

All information in the postings can be shared by all for the betterment of your project.

Segmentation and research

Katina Elliott posted

EXECUTIVE SUMMARY

RESEARCH and SEGMENTATION

Orange County is listed in the top 50 safest counties within the United States. Mission Viejo, located within Orange County, reached number 10 out of the 482 municipalities within California (Ludwig, 2018).   Mission Viejo has approximately 17, 260 adults over the age of 65 (Senior Living Mission Viejo, n.d.). The population of senior citizens is projected to steadily increase, and reach 151% by the year 2060 (Senior Living in Mission Viejo, n.d.).

Approximately 95% of the population has health care coverage with less than 8% on Medicaid, 15% with Medicare, and less than 1% with Veteran Affairs health care plans (Mission Viejo, n.d.). The vast majority of Senior’s annual income ranges from $75,000 to $127,000 each year (Mission Viejo, n.d.).

The best form of segmentation for The Golden Age hospital will be require a combine approach, utilizing both description and beneficial segmentation toward the target audience of retirees. While the selection of individual appears narrowed, the potential for longevity is evident in the project growth. The hospital must ensure that they secure customers through effective marketing, as this area has a vast number of competitors.

References

Ludwig, A. (2018, October 5). Mission Viejo Makes ‘Top 10 Safest CA Cities’ List: Report. Retrieved October 17, 2019, from https://patch.com/california/missionviejo/mission-viejo-makes-top-10-safest-ca-cities-list-report.

 

Mission Viejo, CA. (n.d.). Retrieved October 17, 2019, from https://datausa.io/profile/geo/mission-viejo-ca/#health.

 

Senior Living in Mission Viejo. (n.d.). Retrieved October 17, 2019, from https://www.caring.com/senior-living/california/mission-viejo.

 

Mod 1 – TD

Dawn Traurig

Executive Summary

As the population ages, the delivery and availability of medical care for that population will change as well.  Mission Viejo, California has a median age of approximately 40 years among a population of about 95,000 and, according to the 2010 Census, 15% of their population are seniors (Facts by City, 2018 & SeniorCare.com, 2019).  Almost 17,000 people are between the ages of 45 and 54; which means in the next 10-20 years this group will be over 65 and almost a quarter of their population will be elderly (SeniorCare.com, 2019).  Given this information, now is the time to develop a plan to provide medical care and services to a population that will outgrow current facilities.

The Golden Age Hospital (GAH) wing is the most sensible option to keep costs down and to ensure services are available when that time comes. The new wing will have a variety of specialties, equipment, and services tailored to the wants and needs of a rising senior population.  Adding to the existing Mission Viejo Medical Center will provide a convenient location for a variety of inpatient, outpatient, and ancillary services without having to travel to various locations around town.  The GAH wing will also prove to be key in providing continuity of care; where the same provider, or care team, can follow and assist a patient through life stages or disease processes and make referrals within the same facility.

 

Facts by City (2018).  Population Data in Mission Viejo, CA.  Retrieved from https://www.factsbycity.com/population-data/Mission-Viejo-CA/statistics.html

SeniorCare.com (2019).  Mission Viejo, CA Senior Guide.  Retrieved from https://www.seniorcare.com/directory/ca/mission-viejo/

 

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Describe how your name is shaped by the social world around you.

Introduction

Sociology is interested in better understanding the social contexts of our social lives. Much of what we experience in life is impacted by the culture in which we live. The ways of life found around the world differ, not only in forms of dress, preferred foods, and musical tastes, but also in family patterns and beliefs about right and wrong. These differences can be attributed to culture—our collective beliefs, values, and objects. While we oftentimes see names as a reflection of who we are as individuals, they are the product of larger social forces. Using your sociological imagination, you can reflect on your name and how it is impacted by culture.

Note: Many resources will be coming from The Society Pages blog. While it is good to question the validity of most blogs, The Society Pages contains blog posts from experts in the field of sociology and thus have higher validity.

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

  • Competency 4: Analyze the influence of culture on both the individual and s
  • Describe how your name is shaped by the social world around you.
  • ociety.
    • Examine the role of culture in naming.
  • Competency 5: Analyze the impact of social change on society and social institutions.
    • Discuss the influence of social change regarding how we understand names.
  • Competency 6: Compose text that articulates meaning relevant to its purpose and audience.
    • Develop text using organization, structure, and transitions that demonstrate understanding of cohesion between main and subtopics.

This assessment requires you to do some research on your name. How popular was your name when you were born? What does your name mean? Based on what you learned from your research, discuss your own name. How is something as simple as a name shaped by the social world around us? How has your name been impacted by time period, culture, your gender, et cetera? How might your name be different if you had been born one hundred years earlier? Why?

Deliverable

Write an essay in which you complete all of the following:

Part 1 – Discuss your name.

  • What is your name?
  • Describe where your name comes from.
    • Discuss the origins of your name (if it is known).
  • Research the popularity of your name. Discuss other information you find regarding your name.

Part 2 – Examine your name from a sociological perspective.

  • Describe how your name has been impacted by time period, culture, gender, et cetera.
  • Identify other aspects of the social world that may be related to naming.

Part 3 – Reflect on your name.

  • Based on your research and sociological analysis of you name, share your thoughts or perspective on your name or names in general.

Additional Requirements

  • Written communication: Develop text using organization, structure, and transitions that demonstrate understanding of cohesion between main and subtopics. Written communication needs to be free of errors that detract from the overall message.
  • Sources: Cite at least two scholarly sources.
  • Length: 2–3 pages, not including title and reference pages.
  • Format: Include a title page and reference page. Use in-text citations to cite your sources. [Example: Writing becomes better as the child matures (Britton, Thomas, & Miller, 1996).]
  • Font and size: Times New Roman, 12-point.

“How the effects of an underlying (and often untreated), mental illness contribute to a Human Being’s demise”. 

Rubric for  Clinical Presentation on Infamous Criminal: Richard Kuklinski

Be sure each section is clearly delineated and covered in a 3-5 page paper, double spaced, References and citations in APA format. 

“How the effects of an underlying (and often untreated), mental illness contribute to a Human Being’s demise”.

 

Infamous Criminal Person: Richard Kuklinski

 

1. Identify and present significance of:

A. childhood

B. Late-adolescence

C. Early 20’s

D. Family Influence

 

2. Diagnosis/treatment (Meds if prescribed)

 

3. Substance Abuse/alcohol involved?

 

4. The Infamous Act/ Traumatic event/ Crime

 

5. Incarceration

 

6. Death or current   circumstances

 

7. How are all the above events tied together?

 

8. Finally, how do the effects of an underlying (often untreated)   Mental Illness contribute to a Human Being’s demise?

 

9. References and citations in APA format

 

11. What characteristics of a serial Killer do you see in your criminal? Where could health care personnel/teachers have intervened in this child’s life to prevent this tragedy?

“How the effects of an underlying (and often untreated), mental illness contribute to a Human Being’s demise”. 

Rubric for  Clinical Presentation on Infamous Criminal: Richard Kuklinski

Be sure each section is clearly delineated and covered in a 3-5 page paper, double spaced, References and citations in APA format. 

“How the effects of an underlying (and often untreated), mental illness contribute to a Human Being’s demise”.

 

Infamous Criminal Person: Richard Kuklinski

 

1. Identify and present significance of:

A. childhood

B. Late-adolescence

C. Early 20’s

D. Family Influence

 

2. Diagnosis/treatment (Meds if prescribed)

 

3. Substance Abuse/alcohol involved?

 

4. The Infamous Act/ Traumatic event/ Crime

 

5. Incarceration

 

6. Death or current   circumstances

 

7. How are all the above events tied together?

 

8. Finally, how do the effects of an underlying (often untreated)   Mental Illness contribute to a Human Being’s demise?

 

9. References and citations in APA format

 

11. What characteristics of a serial Killer do you see in your criminal? Where could health care personnel/teachers have intervened in this child’s life to prevent this tragedy?

Describe how your name is shaped by the social world around you.

ntroduction

Sociology is interested in better understanding the social contexts of our social lives. Much of what we experience in life is impacted by the culture in which we live. The ways of life found around the world differ, not only in forms of dress, preferred foods, and musical tastes, but also in family patterns and beliefs about right and wrong. These differences can be attributed to culture—our collective beliefs, values, and objects. While we oftentimes see names as a reflection of who we are as individuals, they are the product of larger social forces. Using your sociological imagination, you can reflect on your name and how it is impacted by culture.

Note: Many resources will be coming from The Society Pages blog. While it is good to question the validity of most blogs, The Society Pages contains blog posts from experts in the field of sociology and thus have higher validity.

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

  • Competency 4: Analyze the influence of culture on both the individual and society.
    • Describe how your name is shaped by the social world around you.
    • Examine the role of culture in naming.
  • Competency 5: Analyze the impact of social change on society and social institutions.
    • Discuss the influence of social change regarding how we understand names.
  • Competency 6: Compose text that articulates meaning relevant to its purpose and audience.
    • Develop text using organization, structure, and transitions that demonstrate understanding of cohesion between main and subtopics.

This assessment requires you to do some research on your name. How popular was your name when you were born? What does your name mean? Based on what you learned from your research, discuss your own name. How is something as simple as a name shaped by the social world around us? How has your name been impacted by time period, culture, your gender, et cetera? How might your name be different if you had been born one hundred years earlier? Why?

Deliverable

Write an essay in which you complete all of the following:

Part 1 – Discuss your name.

  • What is your name?
  • Describe where your name comes from.
    • Discuss the origins of your name (if it is known).
  • Research the popularity of your name. Discuss other information you find regarding your name.

Part 2 – Examine your name from a sociological perspective.

  • Describe how your name has been impacted by time period, culture, gender, et cetera.
  • Identify other aspects of the social world that may be related to naming.

Part 3 – Reflect on your name.

  • Based on your research and sociological analysis of you name, share your thoughts or perspective on your name or names in general.

Additional Requirements

  • Written communication: Develop text using organization, structure, and transitions that demonstrate understanding of cohesion between main and subtopics. Written communication needs to be free of errors that detract from the overall message.
  • Sources: Cite at least two scholarly sources.
  • Length: 2–3 pages, not including title and reference pages.
  • Format: Include a title page and reference page. Use in-text citations to cite your sources. [Example: Writing becomes better as the child matures (Britton, Thomas, & Miller, 1996).]
  • Font and size: Times New Roman, 12-point.

Explain workforce organizational behavior theories and strategies other than EI that you might you use to improve workforce motivation.

  • Review this week’s Learning Resources related to leadership and emotional intelligence.
  • Select and take one of the emotional intelligence (EI) assessments in your resources to determine your emotional intelligence quotient (EQ) related to your future career in healthcare management.
  • Complete the Emotional Intelligence Assessment Template in your Learning Resources. (Note: Print and keep this completed template handy; you will revisit your results in Week 6.)

Post a comprehensive response to the following:

  • Based on the results of your completed EI Assessment Template, what are your current strengths and weaknesses as a healthcare manager and/or leader in terms of motivating employees through EI? Do you agree?
  • Based on your Learning Resources or personal experience, describe a situation in which emotional intelligence (EI) might have been a factor in improving workforce motivation.
  • Explain workforce organizational behavior theories and strategies other than EI that you might you use to improve workforce motivation.

How Christian health administrators can apply the mandate from Romans 12:2 to impact the future of healthcare?

ust be APA format, plagiarism-free, avoid using contractions, and incorporate the Christian view. 600 words minimum. Please check the grammatical errors.

Develop a 600-800 word written response paper to the following question. The paper must include a substantive elaboration on the topic as well as support from Scripture. Do not use the question in your response.

How Christian health administrators can apply the mandate from Romans 12:2 to impact the future of healthcare?

What are some ethical concerns with deeming a patient as incompetent?

What are some ethical concerns with deeming a patient as incompetent? Have you ever been in a situation at work or at home where you or someone you know had to determine a person’s competence? Do you think the same ethical concerns apply when making a decision at work as they do when making a decision for a family member? Why, or why not?

Please include the name of the person or question to which you are replying in the subject line. For example, “Tom’s response to Susan’s comment.”

ALSO PLEASE REPLY TO ANOTHER STUDENTS COMMENT BELOW

Jarrod:

When it comes to the concern of deeming a patient incompetent, I feel that autonomy and beneficence/nonmaleficence come in to play. These 3 ethics of medicine often cause distress among the patients family members and their health care providers. Providers have to determine if what the patient or family wants will produce the best medical outcome for the patient. Then this can cause the family to put the patient under more scrutinizing tests an evaluations to check their psychiatric capability. I have been involved with these decisions both at work and in my personal life. My grandmother got to the point where should could no longer make decisions for herself and my grandfather was quite perplexed at times with some of the decisions my grandfather included myself in the decision making for my grandmother. I do feel that the same ethical concerns come into play when making a decision at work and for a family member. My grandmother, before she passed, told me that I was always the most tinder hearted, kindhearted and loving person she knew but when difficult decisions had to be made I was called cold hearted and numb by my aunts, uncle and even my mother if the suggestion I gave wasn’t what they liked. I gave the best medical decision there was even if it wasn’t to keep my grandmother here anymore. I am the only one with a medical background in my family and they never saw the bad side of bad decision making. Even though I am not a doctor, I myself have made the promise in my heart to do no harm and always do what is best for my patients or my family, even if the decision I make may make people hate me for a while. You never want to prolong someones life just to benefit yours. You have to see yourself in heir shoes and ask yourself, would i want to be going through all of this? It is a difficult decision but sometimes it is needed.

Determine the positive and negative impact of peers and changes in peer relations from middle childhood to adolescence.

1,150-word paper in which you describe changes that occur during middle childhood and adolescence concerning family and peer relationships, and how they might influence future development. Be sure to include the following items in your description:

  1. Evaluate the effect of functional and dysfunctional family dynamics on development (e.g., family structure, function, and shared and non-shared environments).
  2. Determine the positive and negative impact of peers and changes in peer relations from middle childhood to adolescence.
  3. Examine additional pressures faced in adolescence compared to middle childhood.
  4. Discuss the development of moral values from middle childhood into adolescence.
  5. Discuss the developing adolescent brain and how this influences changes and decision making in adolescence.

Use a minimum of two peer-reviewed sources.

Format your paper consistent with APA guidelines.

Using the Internet select an article or case less than 5 years old to review and complete attached worksheet.

The Assignment select and review an current article or case addressing railroad management in the 21st century.

Resources:

Using the Internet select an article or case less than 5 years old to review and complete attached worksheet.

Suggested websites for your article review-

  • https://www.insidesources.com/trains-moving-american-goods-more-efficiently-and-more-safely-than-ever-before/ (opens in a new window)
  • https://www.citylab.com/life/2014/10/a-complete-guide-to-the-future-of-us-freight-movement/381012/  (opens in a new window)
  • https://www.aar.org/article/the-future-of-rail/  (opens in a new window)
  • https://www.oliverwyman.com/our-expertise/insights/2017/sep/oliver-wyman-transport-and-logistics-2017/operations/disruption-the-future-of-rail-freight.html  (opens in a new window)
  • https://www.smartrailworld.com/9-major-factors-shaping-the-future-of-the-rail-industry  (opens in a new window)

    LOG 125 Article Summary Worksheet

    Name: Enter Name (5 points)

    Date: Select Date (use arrow to select current date)

    Directions: Complete below Article Summary Worksheet

    Select Module Assignment # Module 4
    Author(s) of article: Click or tap here to enter text.
    Title of article: Click or tap here to enter text.
    Name of website containing the article: Click or tap here to enter text.
    Date of article: Click or tap here to enter text.

    1. Briefly state the main idea presented in the article: (Max 10 points)

    Click or tap here to enter text.

    2. Identify and summarize the most important information (i.e., ideas, facts, etc.) presented in the article (at least 50 words). (Max 10 points)

    Click or tap here to enter text.

    3. What were the most surprising/interesting things you found by reading the article (provide at least 3): (Max 30 points)

    1. Click or tap here to enter text.
    2. Click or tap here to enter text.
    3. Click or tap here to enter text.
    4. Click or tap here to enter text.
    5. Click or tap here to enter text.

    4. Provide at least two (2) questions; you have after reading the article? (Max 30 points)

    1. Click or tap here to enter text.
    2. Click or tap here to enter text.
    3Click or tap here to enter text.

    5. What logistics/transportation management key words did you find reading the article? Identify at least three key words and provide the definition. (Max 15 points)

    1. Click or tap here to enter text.
    2. Click or tap here to enter text.
    3. Click or tap here to enter text.

Explain the true value of leadership in decision-making.

  • Consider the characteristics of leaders described in your Learning Resources.
  • Select two individuals from the Good Samaritan Hospital with different leadership styles.
  • Consider how the leadership styles of these individuals might have influenced their decision-making.

Write a 1- to 2-page paper that identifies the following:

  1. Explain the true value of leadership in decision-making.
  2. Describe one decision your selected leaders from Good Samaritan Hospital made or might have made. Then, describe their leadership styles and how these leadership styles might influence their decision-making.
  3. Using examples from your own personal work experience, how do employees perceive decision-making based on a healthcare manager’s leadership style?
  4. What leadership decision-making style do you believe is most effective in a healthcare setting of your choice?

Be sure to support your work with specific citations from this week’s Learning Resources and additional scholarly sources as appropriate. Refer to the Essential Guide to APA Style for Walden Students to ensure that your in-text citations and reference list are correct.

Submission and Grading Information

American jazz served as the foundation for rock and roll music.  American jazz is explored in the discussion this week. 

American jazz served as the foundation for rock and roll music.  American jazz is explored in the discussion this week.

Select one jazz composer that is not covered in the course text. (These are some in the text:  Scott Joplin, Sippie Wallace, Original Dixieland Jazz Band, Louis Armstrong, and Jelly Roll Morton.) Write the post from the perspective of the chosen composer. Discuss the style of his or her music. Explain how this composer influenced the development of jazz.  Also show how his or her contributions have impacted popular American music.

Write from the composer’s perspective–using first person voice. Do not just include a biography of the composer. The focus is to be on the style of music, contributions to the evolution of jazz music, and the impact this composer’s music has had on popular American music.Include a YouTube link featuring a performance of the composer’s music. Write in your own words.  Cite all sources/provide links to your source. Initial posts are to be a minimum of 250 words.

Goal: The goal of this forum is to explore the life and music of a specific Jazz composer.

This forum addresses course objective #1, #2 and #3.

Instructions

Initial posts must be 250+ words, using correct grammar and spellcheck, posted by Thursday 11:55 p.m. ET each week. Part of the requirement for a substantive post is to bring something new to the conversation. Read the forum prompt and fully answer it, demonstrate understanding of the lesson/content, include evidence from firsthand experience, reference to the course materials, and apply what you’re discussing to work, life, and reality.

This assignment will be one of several throughout the Ph.D. program that we use to help you prepare for the dissertation process. 

This assignment will be one of several throughout the Ph.D. program that we use to help you prepare for the dissertation process. One of the core competencies necessary to succeed in a doctoral program is the ability to identify other research that pertains to your own. This means you’ll have to identify related research, read the papers, and assimilate prior work into your research. An annotated bibliography helps you develop and hone these research skills.

Your paper must be in a correct APA format, use correct grammar, and will need to include at least five (5) resources, ALL of which must:

1) Be current. Published within the last few years.

2) Be peer-reviewed.

3) Relate directly to defense in depth in the context of protecting National Infrastructure.

Remember that an annotation is not the same as an abstract. Abstracts are descriptive. Your annotations are to be evaluative and critical. Give me enough information for me to decide if I’m interested enough to read the paper, and also how you perceive the paper. Do not go skimpy on these annotations, but DO NOT write too much here. Quality is far more critical than quantity. This exercise is for each of you to demonstrate that you can identify, categorize, and digest multiple research papers.

Every resource you choose must be peer-reviewed. That means the paper must have undergone a formal peer review before being published in a journal or presented at a conference. You must ensure that your resources have undergone rigorous reviews. In most cases, you can find out the review process for a conference or journal by visiting the appropriate web site. Do not merely assume that a resource is peer-reviewed – check it out.

Here are a few URLs with additional information: (I strongly suggest that you look at these. Really.)https://sites.umuc.edu/library/libhow/bibliography_apa.cfmhttps://www.bethel.edu/library/research/apa-annobib-sixth.pdf\http://libguides.enc.edu/writing_basics/annotatedbib/apa    <<<< Check out the “Rules! Rules! rules!” sectionhttp://guides.library.cornell.edu/annotatedbibliographyhttps://owl.english.purdue.edu/owl/resource/614/03/

Summarize the effect of health literacy on the healthcare system and why it is necessary to have a general understanding of the term competency.

Assessment

1. Summarize the effect of health literacy on the healthcare system and why it is necessary to have a general understanding of the term competency.

Your response should be at least 200 words in length.

2. Describe what capacity evaluations are, what purpose they serve, who is responsible for performing them, and what role they play in the healthcare system.

Your response should be at least 200 words in length.

3. Define competency in your own words, and summarize the impact of patient competency on the healthcare system.

Your response should be at least 200 words in length.

4. Describe the legal system’s involvement regarding competency decisions and the impact on the healthcare system.

Your response should be at least 200 words in length.

 Describe one of the studies you find.  Briefly describe study design, methodology, and number of participants.

Perform a scholarly search (using PubMed, Medline, Embase, Web of Science, Scopus, etc.) and determine which populations have been found to have a high incidence of voice disorders.  Describe one of the studies you find.  Briefly describe study design, methodology, and number of participants. Include a statement on the quality of the research.  Reference your sources in APA format.

***** I NEED THIS PAPER BY TONIGHT 11 pm PLEASE ONLY BID ON ASSIGNMENT IF YOU CAN COMPLETE BY THIS TIME.

*** 200 words

*** Ensure article is scholarly

Ethically speaking, the women were confronted with a moral dilemma and based upon a woman’s situation; the choice could be morally justified as the lesser of two evils.  Would you agree or disagree?

https://www.verywellhealth.com/reasons-for-abortion-906589

Studies have shown women who seek to terminate a pregnancy do so for a myriad of reasons related to their circumstances including their socioeconomic status; age, health, parity, and marital status.  Ethically speaking, the women were confronted with a moral dilemma and based upon a woman’s situation; the choice could be morally justified as the lesser of two evils.  Would you agree or disagree?  Please explain.

250 word count