Total margin Total asset turnover Equity multiplier Return on equity (ROE) 3.5% 1.5 2.5 13.1% b. Calculate and interpret the following ratios: Return on assets (ROA) Current ratio Days cash on hand Average collection period Debt ratio Debt-to-equity ratio Times interest earned (TIE) ratio Fixed asset turnover ratio Industry Average 5.2% 2.0 22 days 19 days 71 % 2.5 2.6 1.4 c. Assume that there are 10,000 shares of Green Valley’s stock outstanding and that some recently sold for $45 per share. * What is the firm’s price/earnings ratio? * What is its market/book ratio?

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Q: 17.5 Consider the following financial statements for Green Valley Nursing Home. Inc., a for-profit,.

17.5 Consider the following financial statements for Green Valley Nursing Home. Inc., a for-profit, long-term care facility: 17.5 Consider the following financial statements for Green Valley Nursing Home. Inc., a for profit, long-term care facility: Green Valley Nursing Home, Inc. Statement of Income and Retained Earnings Year Ended December 31, 2011 Revenue Net patient service revenue Other revenue Total revenues $3,163,258 $106,146 $3,269,404 Expenses Salaries and benefits Medical supplies and drugs Insurance and other Provision for bad debts Depreciation Interest Total expenses $1,515,438 $966,781 $296,357 $110,000 $85,000 $206,780 $3,180,356 Operating income Provision for income taxes $89,048 $31,167 Net income $57,881 Retained earnings, beginning of year Retained earnings, end of year $199,961 $257,842 Green Valley Nursing Home, Inc. ( Balance Sheet December 31,2011) Assets Current Assets Cash Marketable securities Net patient accounts receivable Supplies Total current assets Property and equipment Less accumulated depreciation Net property and equipment Total assets 105737 200000 215600 87655 608992 2250000 356000 1894000 2502992 Liabilities and Shareholders Equity Current liabilities Accounts payable Accrued expenses Notes payable Current portion of long-term debt Total current liabilities Long-term debt Shareholder’s Equity Common stock, $10 par value Retained earnings Total shareholder’s equity $72,250 $192,900 $100,000 $80,000 $445,150 $1,700,000 $100,000 $257,842 $357,842 Total liabilities & shareholder’s equity $2,502,992 a. Perform a Du Pont analysis on Green Valley. Assume that the industry average ratios are as follows: Total margin Total asset turnover Equity multiplier Return on equity (ROE) 3.5% 1.5 2.5 13.1% b. Calculate and interpret the following ratios: Return on assets (ROA) Current ratio Days cash on hand Average collection period Debt ratio Debt-to-equity ratio Times interest earned (TIE) ratio Fixed asset turnover ratio Industry Average 5.2% 2.0 22 days 19 days 71 % 2.5 2.6 1.4 c. Assume that there are 10,000 shares of Green Valley’s stock outstanding and that some recently sold for $45 per share. * What is the firm’s price/earnings ratio? * What is its market/book ratio?

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Write a 2- to 3-page paper that addresses the following: Contrast the types of information that you gained from examining the two different research approaches in the articles that you selected.

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Application: Critiquing Quantitative, Qualitative, or Mixed Methods Studies

Critiquing the validity and robustness of research featured in journal articles provides a critical foundation for engaging in evidence-based practice. In Weeks 5 and 6, you explored quantitative research designs. In Week 7, you will examine qualitative and mixed methods research designs. For this Assignment, which is due by Day 7 of Week 7, you critique a quantitative and either a qualitative or a mixed methods research study and compare the types of information obtained in each.

To prepare:

  • Select a health topic of interest to you that is relevant to your current area of practice. The topic may be your Course Portfolio Project or a different topic of your choice.
  • Using the Walden Library, locate two articles in scholarly journals that deal with your portfolio topic: 1) Select one article that utilizes a quantitative research design and 2)  select a second article  that utilizes either a qualitative OR  a mixed methods design.  These need to be single studies not systematic or integrative reviews (including meta-analysis and metasynthesis). You may use research articles from your reference list. If you cannot find these two types of research on your portfolio topic, you may choose another topic.
  • Locate the following documents in this week’s Learning Resources to access the appropriate templates, which will guide your critique of each article:
    • Critique Template for a Qualitative Study
    • Critique Template for a Quantitative Study
    • Critique Template for a Mixed-Methods Study
  • Consider the fields in the templates as you review the information in each article.
  • Begin to draft a paper in which you analyze the two research approaches as indicated below.
  • Reflect on the overall value of both quantitative and qualitative research. If someone were to say to you, “Qualitative research is not real science,” how would you respond?

To complete this Assignment:

  • Complete the two critiques using the appropriate templates.
  • Write a 2- to 3-page paper that addresses the following:
    • Contrast the types of information that you gained from examining the two different research approaches in the articles that you selected.
    • Describe the general advantages and disadvantages of the two research approaches featured in the articles. Use examples from the articles for support.
    • Formulate a response to the claim that qualitative research is not real science. Highlight the general insights that both quantitative and qualitative studies can provide to researchers. Support your response with references to the Learning Resources and other credible sources.

As you complete this Assignment, remember to:

  • Submit your paper to Grammarly and Turnitin through the Walden Writing Center. Based on the Grammarly and Turnitin reports, revise your paper as necessary.
  • Reminder: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The School of Nursing Sample Paper provided at the Walden Writing Center provides an example of those required elements (available from the Walden University website found in this week’s Learning Resources). All papers submitted must use this formatting.
  • Combine all three parts of this assignment into one Word document including both critique templates and the narrative with your references.  Submit this combined document.

*** I have already done the paper- I need help with templates and I am at work and need this by tomorrow!  I have attached the templates and my paper to guide you.

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Nursing research projectcritiquing_quantitative_and_qualitative_research_methods.docx
Nursing research projectnurs_6052_week06_critiquetemplatequantitative.doc
Nursing research projectnurs_6052_week06_critiquetemplatemixedmethods_1.doc
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 A Clinical Question that should describe the problem. What is the focus of your group’s work?

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Can you write about Evidence Base Practice situation in nursing ?

  • Can you write about Evidence Base Practice situation in nursing ?

Failure to comply with instructions of this assignment will result in full refund.  An example of how the paper should look is provided below as an attachment.

Thepurposeofthis initial paper is tobrieflydescribeyour search strategieswhenidentifyingtwoarticlesthatpertaintoan evidence–based practicetopic of interest.  Examinethesourcesof knowledgethatcontributetoprofessional nursing practice. Applyresearch principlestotheinterpretation of thecontentof published researchstudies.

 

The topic of this paper is the Prevention of Catheter Acquired Urinary Tract Infection

 

REQUIREMENTS

 

Thepaperwillincludethefollowing.

 

 

A Clinical Question that should describe the problem. What is the focus of your group’s work?

 

 

The Significanceof problemintermsof outcomesorstatistics What health outcomesresultfromyourproblem?Orwhatstatistics documentthisisa problem?  Youmayfind supportonwebsitesfor governmentor professionalorganizations.

 

 

A PICOTquestion?  Your PICOTquestionshouldsupportthegrouptopic

 

A Purpose ofyour paper.Whatwillyour paper doordescribe?

This is similar toaproblemstatement.“Thepurpose of this paper isto . . .”

 

 

 

a.    Levelsof Evidence

a.    Typeof questionasked

b.    Bestevidencefoundtoanswerquestion

b.    Search Strategy

a.    Searchterms

b.    Databasesused(youmayuseGoogleScholarin additiontothe librarydatabases;startwith theLibrary)

c.    Refinementdecisionsmade

d.    Identificationof twomostrelevantarticles

c.     Format

a.    Correctgrammarandspelling

b.    Useof headingsforeachsection

c.     Useof APAformat(sixthedition)

d.    Pagelength:three to fourpages

e.    Should have a reference page included in APA Format

Can you write about Evidence Base Practice situation in nursing ?

 

 

 

 

 

 

 

DIRECTIONSANDASSIGNMENTCRITERIA

 

Assignment

Criteria

 Points

%

Description
ClinicalQuestion

45

30

 1.   Problemisdescribed.  Whatisthefocusof your group’swork?

2.   Significance oftheproblemis described.Whathealth outcomesresultfromyourproblem?Orwhatstatistics documentthisisa problem?  Youmayfind supportonwebsitesfor governmentor professionalorganizations.

3.   WhatisyourPICOTquestion?

4.   Purpose ofyour paper.Whatwillyour paper doordescribe?

This is similar toaproblemstatement.“Thepurposeof this paper isto . . .”
Levels of

Evidence

30

20

 1.   Whattypeof question areyou asking (therapy,prognosis, meaning,etc.)?

2.   Whatisthebesttypeofevidencetobefound toanswerthat question (e.g., RCT,cohortstudy,qualitativestudy)?
Search Strategy

45

30

 1.   Search topic(s)provided.Whatdid you useforsearch terms?

2.   Whatdatabase(s)did you use?Link your search withthe

PICOT question described above.

3.   Asyou did your search,whatdecisionsdidyoumakein refinementtogetyourrequired articlesdown toa reasonable number for review?  Wereanylimitsused?  Ifso,what?

4.   Identifythetwo mostrelevantand helpful articlesthatwill provide guidancefor yournextpaperand thegroup’swork. Whywerethesetwoselected?
Format

30

20

 1.   Correctgrammar andspelling

2.   Useof headings for each section:Clinical Question,Levelof

Evidence,Search Strategy,Conclusion

3.   APA format(sixth ed.)

4.   Paper length:three to fourpages

 

 
Total 150 100  
 

 

 

 

I uploaded a sample paper as a guide on how to write this paper.

 

 

Attachments:
Can you write about Evidence Base Practice situation in nursing ?example.docx
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How much, if any, functional decline has occurred while Red was hospitalized and how will this affect his recovery?

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Nursing questions

1. Casey is a 17-year-old high school student admitted to the ER with a compound fracture of the left leg obtained when falling at the local skateboard park while practicing for a national competition. He has never been hospitalized before. His mother has been notified and is on her way. The EMTs gave him morphine and he reports his pain level as “okay.”

  • What part of the interview and examination can be done prior to his mother’s arrival?
  • As you enter the room for the first time, what should you observe as part of the general survey?
  • As you complete his history, what areas are especially important?
  • What are the important developmental considerations for Casey?

 

 

 

2. As you recall, our older patient, Red Yoder, with whom you met in Week 2, is preparing for discharge from the hospital since his wound required intravenous antibiotics and wound care. Jon (Red’s son) thinks that Red should move in with him for now, but Red is sure he is able to care for himself and insists that his confusion was due to the fact that he did not have his glasses or hearing aids for the last week. You have identified discharge teaching needs for him. This morning, however, in report the night nurse has shared “Patient is alert and oriented; vital signs stable. Fasting blood sugar this morning is 118. Red had his usual night of sleep. He was up several times to go to the bathroom. Since his catheter was removed yesterday, he has urgency incontinence. He is able to ambulate to the bathroom, but he is weak.” You administer his AM medications and note that he has some difficulty grasping the water cup and needs assistance holding it. Mr. Yoder states he needs to go to the bathroom and when you assist him up to his feet, he seems a bit unsteady. He takes several steps and tells you he needs to sit down.

  • How much, if any, functional decline has occurred while Red was hospitalized and how will this affect his recovery?
  • What are the risks and benefits of Red living with Jon and Judy?
  • What are the risks or benefits of Red living at home after discharge? If services are in place, would it be considered a safe discharge?
  • Considering all aspects of aging, what are the best and appropriate options for Red at this time?

 

 

 

3. William Smaile is a 65-year-old man who presents to his general practitioner’s office with complaint of right forearm swelling, redness, and pain. He was recently discharged from the hospital where he had been receiving intravenous antibiotics for a respiratory infection.

Subjective Data

  • Pain level is a 5/10 location = right forearm, aching
  • Retired foreman at a local industrial plant

Objective Data

  • Vital signs: BP 150/68, T 37 degrees Centigrade, P 80, R 16
  • Swelling and reddened right forearm, warm to touch
  • + pulses, brachial and radial (R)
  • +2 capillary refill fingers right hand
  1. What other assessments should be included for this patient?
  2. From your readings, what is the most probable cause of the swelling?
  3. What is your nursing diagnosis?
  4. What would be included in the nursing care plan?
  5. What interventions might be included in the plan of care for this patient?

 

 

 

4. Describe the characteristics of the lymph nodes associated with the disease states listed below: (Choose one.)

 

  • Acute infection
  • Chronic inflammation
  • Cancer
 

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Discuss the work of the Robert Wood Johnson Foundation Committee Initiative on the Future of Nursing and the Institute of Medicine research that led to the IOM report, “Future of Nursing: Leading Change, Advancing Health.”

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Q: Benchmark Assignment: Implementation of the IOM Future of Nursing Report

In a formal paper of 1,000-1,250 words you will discuss the work of the Robert Wood Johnson Foundation Committee Initiative on the Future of Nursing and the Institute of Medicine research that led to the IOM report, “Future of Nursing: Leading Change, Advancing Health.” Identify the importance of the IOM “Future of Nursing” report related to nursing practice, nursing education and nursing workforce development. What is the role of state-based action coalitions and how do they advance goals of the Future of Nursing: Campaign for Action?

Explore the Campaign for Action webpage: http://campaignforaction.org/states

Review yourstate’s progress report by locating your state and clicking on one of the six progress icons for: education, leadership, practice, interpersonal collaboration, diversity, and data. You can also download a full progress report for your state by clicking on the box located at the bottom of the webpage.

In a paper of 1,000-1,250 words:

  1. Discuss the work of the Robert Wood Johnson Foundation Committee Initiative on the Future of Nursing and the Institute of Medicine research that led to the IOM report, “Future of Nursing: Leading Change, Advancing Health.”
  2. Identify the importance of the IOM “Future of Nursing” report related to nursing practice, nursing education and nursing workforce development.
  3. What is the role of state-based action coalitions and how do they advance goals of the Future of Nursing: Campaign for Action?

Summarize two initiatives spearheaded by your state’s Action Coalition. In what ways do these initiatives advance the nursing profession? What barriers to advancement currently exist in your state? How can nursing advocates in your state overcome these barriers?

A minimum of three scholarly references are required for this assignment.

 

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Consider how the resources identified in the scenario above could influence an organization’s practice. Select an issue in your practice that is of concern to you. Using health information technology, locate at least three evidence-based practice resources that address your concern and that could possibly inform further action.

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Using Health Information Technology as a Source of Evidence-Based Practice

Before the digital revolution, health information technology supplied very limited support for evidence-based practice. If nurses wanted to be informed about cutting-edge research, their best bet was to either subscribe to leading journals or make periodic trips to the library. With the establishment of research databases, however, nurses became empowered to learn about and facilitate interdisciplinary and translational research. Databases are just one example of how health information technology supports evidence-based practice.

To prepare:

  • Read the following scenario from the text (McGonigle & Mastrian, 2011, p. 482):
    • Twelve-hour shifts are problematic for patient and nurse safety, and yet hospitals continue to keep the 12-hour shift schedule. In 2004, the Institute of Medicine (Board on Health Care Services & Institute of Medicine, 2004) published a report that referred to studies as early as 1988 that discussed the negative effects of rotating shifts on intervention accuracy. Workers with 12-hour shifts realized more fatigue than workers on 8-hour shifts. In another study done in Turkey by Ilhan, Durukan, Aras, Turkcuoglu, and Aygun (2006), factors relating to increased risk for injury were age of 24 or less, less than 4 years of nursing experience, working in the surgical intensive care units, and working for more than 8 hours.
  • Consider how the resources identified in the scenario above could influence an organization’s practice.
  • Select an issue in your practice that is of concern to you. Using health information technology, locate at least three evidence-based practice resources that address your concern and that could possibly inform further action.

Post on or before Day 3 a description of your practice concern. Outline how you used health information technology to locate evidence-based practices that address this concern. Cite and include insights from the resources. Analyze how health information technology supports evidence-based practice.

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In 300 words or less, using your own words, describe the pathophysiological events that have resulted inMr AA’s presentation; in your answer include which cells were affected, and whether they suffered reversible or irreversible cell injury and the rationale for your decision. Refer to and quote Craft and Gordon’s Chapter 4 “Altered Cellular Function”, orPorther’s Chapter 2 “Cellular Response to Injury”

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Q: nursing

In 300 words or less, using your own words, describe the pathophysiological events that have resulted inMr AA’s presentation; in your answer include which cells were affected, and whether they suffered reversible or irreversible cell injury and the rationale for your decision. Refer to and quote Craft and Gordon’s Chapter 4 “Altered Cellular Function”, orPorther’s Chapter 2 “Cellular Response to Injury”

History

Mr AA is an obese 69-year-old male. He is a semi-retired business manager, running an industrial shed storage facility. He has been married for 43 years, is a non-smoker, and drinks one glass of wine each night. Some years ago Mr AA suffered from mild depression for which he received treatment; however, he no longer requires therapy. Essential hypertension was diagnosed 20 years ago. There is no prior history of diabetes, elevated cholesterol or heart disease. Apart from an occasional stroll with his wife, he leads a relatively sedentary lifestyle. He visits his GP infrequently. Medications include irbesartan 150 mg once-daily. Mr AA’s father died of a stroke, aged 58 and his mother suffered a myocardial infarct at age 64.

Case presentation

Mr AA presents to his GP complaining of left hand weakness with difficulty gripping a cup, left leg weakness and a noticeable limp. He mentions that the symptoms started approximately 48 hours ago. He was initially dismissive; however, his wife insisted that he present to the doctor.

Physical examination

A physical examination reveals the following:

  • Blood pressure: 158/98 mmHg
  • Heart rate: 75 bpm
  • Respiratory rate: 25
  • Temperature: 37°C
  • Left homonymous hemianopia
  • Left facial paresis
  • Left arm and leg hemiplegia grade 4/5
  • Hyper-reflexia on the left with an up going plantar

Immediate interventions and Investigations

Mr AA is transferred to the nearest hospital with a dedicated stroke unit for further investigations. In the ambulance, the paramedics insert a peripheral line and monitor his vital signs. At the hospital, a CT brain scan is performed (Figure 1). A 12-lead ECG reveals normal sinus rhythm and a carotid duplex ultrasound reveals no stenosis of the carotid artery bifurcation on either side ( Figure 2).

Additional Investigations and results

  • Blood glucose: 5.2 mmol/L
  • Random lipids:
    • Total cholesterol: 7.0 mmol/L
    • LDL: 4.5 mmol/L
    • HDL: 1.0 mmol/L
    • Triglycerides: 2.0 mmol/L
  • FBE: Normal
  • U&E: Normal

Progress and follow-up

Mr AA underwent seven days of inpatient rehabilitation prior to discharge. He was ambulant and capable of self-care activities. He returned to his GP for a follow-up review, one week after discharge. At this point his medical therapy involved low dose aspirin (150 mg/day), simvastatin (80 mg/day) and irbesartan (150 mg/day). His blood pressure on follow-up was 150/90 mmHg.

 

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Week 5 Discussions DQ 1 & 2 Topic 5 DQ 1 According to the textbook, nurses in various settings are adopting a research-based (or evidence-based) practice that incorporates research findings into their decisions and interaction with clients. How do you see this being applied in your workplace?

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Characteristics of Nursing Research Utilization and Evidence-Based Practice for freelancerhenry only

Characteristics of Nursing Research Utilization and Evidence-Based Practice for freelancerhenry only

Week 5 Discussions DQ 1 & 2 Topic 5 DQ 1 According to the textbook, nurses in various settings are adopting a research-based (or evidence-based) practice that incorporates research findings into their decisions and interaction with clients. How do you see this being applied in your workplace?

Topic 5 DQ 2 The research problem can be developed from many sources. What is a source of nursing research? Identify a potential research study example from that source.

 

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8-5 How would your answers change for problem 8-1 if nursing and testing time was increased to 0.50 hours for both first and repeat visits, and medical exam and treatment time was reduced to 0.30 hours for a first visit and 0.20 hours for a return visit?

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 Table 8-5 Processing Time and Staff Hours Data for Durham Health Clinic (Exercise 14-1)   Work station Time estimates (hours) —— First Visit Return Visit Reception/discharge 0.25 0.12 Nursing and…

  •  Table 8-5 Processing Time and Staff Hours Data for Durham Health Clinic (Exercise 14-1) Work stationTime estimates (hours)------First VisitReturn VisitReception/discharge0.250.12Nursing and...

 

  • Table 8-5 Processing Time and Staff Hours Data for Durham Health Clinic (Exercise 14-1)

 

Work station Time estimates (hours)
First Visit Return Visit
Reception/discharge 0.25 0.12
Nursing and testing 0.40 0.38
Medical exam and treatment 0.50 0.25

 

155156

 

  • 8-2 Durham Health Clinic has a contribution margin of $35 per visit. Calculate the break-even point in visits with fixed costs at $4000, $6500, and $8500 per week. Given this analysis, as a manager, what would you recommend and why?
  • 8-3 Durham Health Clinic is considering signing a contract to perform 50 pre-employment physicals per week for a specific corporation. In terms of staff time, a pre-employment physical requires 0.20 hours in Reception/Discharge, 0.45 hours in Nursing and Testing, and 0.20 hours in Medical Examination. By work-station, determine how many work hours per week will be needed to perform these physicals.
  • 8-4 Currently the clinic does 250 visits per week, with 50% of all visits as return visits. Each employee (physician, nurse, and receptionist) is scheduled to work 35 hours per week.
    • a. How many employees by type does the clinic currently need?
    • b. How many employees by type will the clinic need if it signs the contract for pre-employment physicals?
    • c. If return visits shift to 10% of all regular visits, how many employees by type will the clinic need with and without the contract for pre-employment physicals?
    • d. How will the answers to “b” and “c” change if the number of physicals is modified to 35 pre-employment physicals per week?

 

Throughout these analyses, specify all assumptions, including assumptions concerning worker productivity.

 

  • 8-5 How would your answers change for problem 8-1 if nursing and testing time was increased to 0.50 hours for both first and repeat visits, and medical exam and treatment time was reduced to 0.30 hours for a first visit and 0.20 hours for a return visit?

 

EXERCISES

 

  • 9-1 Alpha Walk-in Clinic operates as a single channel single server system. On Tuesdays, its average arrival rate (μ) per hour is 7.0. Analysis indicates that its service rate (λ) is 8.5 patients per hour. Using queuing theory, describe this service system. What is:
    • a. The probability that the clinic is idle—no patients waiting or being served? e
    • b. The average number of patients in the system?
    • c. The average time (hours) a patient spends in the system (waiting + service time)?

 

174175

 

    • d. The average number of patients in the queue waiting for service?
    • e. The average time (hours) a patient spends in the queue waiting?
    • f. The probability that the patient, upon arrival, must wait?
  • 9-2 The following data have been collected from a hospital pharmacy. This service system operates as a single server, single channel system.

 

 

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