1. Discuss two reasons why health care managers or leaders need to become cultu

1. Discuss two reasons why health care managers or leaders need to become culturally competent and inclusive.
2. Define cultural competence and inclusion in health care. Explain how bias affects both.
3. Explain two ways that a culturally competent and inclusive leader can deepen their self-awareness.
4. Discuss two ways that leaders can help develop an organizational culture that embraces differences and promotes inclusion
6. What is professionalism?
7. How can professionalism improve relationships with physicians, nurses and other medical professionals?
8. Describe an example of good professional behavior that you have encountered in your clinical practice.
9. Describe an example of bad professional behavior that you have encountered in your clinical practice.
10. How can developing your professionalism help develop the professionalism in others?

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   Describe McgGregor’s Theory X and Y.  Differentiate the “soft” side of Theor

  
Describe McgGregor’s Theory X and Y.  Differentiate the “soft” side of Theory X from Theory Y.  What are the risks and potential benefits to each?
Describe Maslow’s hierarchy.  Why is it significant in terms of human motivation theory?  Consider the recent ICMA article on Maslow I sent all of you.  Why does Maslow keep coming up?  Why does it have staying power?  Some theories come and go but this one is constant.  How do you see Maslow playing out in your work today and tomorrow?  A full embrace of Maslow can challenge your leader style approach.  How do you manage the risks?  Letting go or total control or somewhere in between with Maslow as the mediating construct.  Management as science or art?
Groupthink: Describe a situation in which you observed Groupthink.  What did you learn from that experience?  That experience can be your own or something you observed in others.  How do see the relationship between Groupthink and some more recent phenomena like social media and “gaslighting” (Gaslighting or “gaslamping” was coined in 1938, but has recently been receiving media attention)?  How do you see “confirmation bias” as connected to gaslighting?
“Power is the ability to get things done they way one wants them done; it is the latent ability to influence people” (Shafritz, 2016).   Reflecting on your readings on Power, differentiate “power” in the Shafritz sense from statutory authority (e.g. job title), and give an example from your work experience where you could observe both
Looking ahead, Mintzberg has his theory of “5’s”. simple structure, machine structure, professional structure, divisionalized structure and adhocracy.  These are “pure structures” intended to show directions organizations get pulled toward based on horizontal and vertical integration and differentiation.  How do you see these “pure” models play out in the direction(s) your organization is pulled?
The reading assignments are as follows:  The book of Shafritz, Ch.12,13,14,15 Shafritz, Ch.22,24,25, 26 and the book of Schein, Ch.6
Please make sure you answer everything it is asking when writing the paper.
Make sure you use in-text citation from the book and any other material you use. Also use 12 fonts time romans, double space and no justify alignment. I prefer left alignment.

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For this discussion board, you will discuss whether the “Dog Heaven” is politic

For this discussion board, you will discuss whether the “Dog Heaven” is political or not, and why you believe yes or no by pointing to evidence from the story. You need to include quotes from the story to support your claims. You can also paraphrase sections of the story to support your claims. 
To complete this assignment, you might break the story down into main events or themes that relate to the narrator’s life and story. Keep in mind, there is no specific right or wrong to this answer. However, there are certainly moments in the story you can point to in order to back up your claims (events, things people say, motifs, etc). When we analyze literature, we often do not have a concrete answer, so we have to connect the dots to come up with importance, themes, and takeaways in a story. Authors think this way when they write fiction, so even small moments are meant to illustrate something, or provide each reader with a different takeaway, even if they are varied reader by reader.
Don’t forget that you must respond to at least two of your peers (you may respond to more). When responding, list any evidence that you found that your peer(s) may have left out. Be sure you make it clear why you believe what you state.
And make sure you meet the minimum word count.
Initial post 250 words
each reply to a peer post 100 each 

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  Discussion: Doing vs. Saying: Nonverbal Communication What you do speaks so l

 
Discussion: Doing vs. Saying: Nonverbal Communication
What you do speaks so loud that I cannot hear what you say.
– Ralph Waldo Emerson, American essayist, lecturer, poet
Just about everything a person does or wears expresses meaning to others. This nonverbal communication depends on context determined by culture, history, or familial norms and practices. In over 75 studies, researchers have shown that humans have seven universal facial expressions of emotion: joy, surprise, contempt, sadness, fear, anger, and disgust (Matsumoto & Hwang, 2011). Other than these expressions of emotions, human nonverbal behavior varies from culture to culture. Although dictionaries exist to assist with verbal meanings, nonverbal meanings are not easily formalized and can present serious communication quandaries in intercultural situations.
In order to competently communicate in intercultural situations, you need to study and acquire knowledge of the nonverbal codes. In this week, you consider how nonverbal behaviors communicate meaning and how this affects intercultural communication practice.
To prepare for your Discussion:
Review Chapters 7 and 8 in the course text. What verbal and nonverbal behaviors described in these chapters do you recognize in your own communication? How might your verbal and nonverbal behaviors influence your communication with another culture that uses different verbal and nonverbal behaviors?
Think of examples of challenges and benefits that verbal and nonverbal behaviors from different cultures bring to society. How would society change if everyone used the same verbal and nonverbal behaviors? What would be the benefits of a society that used the same verbal and nonverbal behaviors?
Note: One of the goals of this course is to promote a wide variety of views. You are encouraged to present your honest personal viewpoint while at all times reflecting a respectful tone for the views of others.
Do a 2- paragraph explanation of how one major cultural, nonverbal behavior can affect communication with someone outside that culture by doing the following:
Identify a major nonverbal behavior in your culture.
Consider how someone outside of the culture might react to this nonverbal behavior.
Consider how these behaviors can affect communication with people of other cultures.

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Public Administrations vs. Political Science

Public Administrations vs. Political Science

Introduction

Topics to be covered include:

· Public Administration Paradigms

· Public Administration Theories

· Importance of Paradigms and Theories

· Public Administrations vs. Political Science

· Political Science Objectives

As a field, public administration has struggled to find a scientific identity that has relevance and validity, unifying the study and practice of public administration. Over the years, public administration has been defined by various paradigms. In addition, it has been influenced by a variety of theories. This lesson will discuss the paradigms and the more prominent theories. In addition, public administration is closely tied to political science, and this has made it more difficult for the field to establish its identity. This lesson also will discuss public administration’s relationship with political science.

Public Administration Paradigms

Lesson 1 provided an overview of the history of public administration. Although Lesson 1 did not state this, that history covers the paradigms of public administration. A paradigm represents a model or example for how something should be approached and/or accomplished. Briefly, the paradigms pertaining to public administration include the following (Henry, 1975):

Politics-administration dichotomy-As explained in Lesson 1, the politics-administration dichotomy is a theoretical approach to government that argued it has two distinctly separate functions—politics and administration. This was the first paradigm for the field of public administration, covering the period from 1900 to 1926.

Principles of public administration-Between 1927 and 1937, public administration scholars emphasized the field’s administrative aspects and made efforts to find a science of administration that could guide how public administrators completed their work. This included attempts to adopt the principles of Frederick Taylor’s scientific management for use in public administration. These principles, which were originally used to guide management practices in private sector businesses, included the following (Taylor, 1987).

· Managers should standardize work processes.

· Managers should select qualified workers using scientific selection processes.

· Workers should do the work according to the scientific processes identified as the optimal way to complete the tasks.

· Managers and employees should divide the work equally and cooperate to achieve the organization’s objectives.

· Scientific management began as an innovative approach to business and was soon applied to government operations. It helped governments at all levels develop civil service systems for managing employees, including the establishment of position descriptions, the use of civil service exams for hiring staff, and the implementation of formal evaluations to review employees’ work.

Public administration as art- In 1938, scholars began questioning the logic of separating administration from politics. For example, as noted in Lesson 1, Simon (1947), argued that public administration had not achieved its goal of functioning in a scientific manner, and he suggested that given public administration’s relationship to politics, this was not possible. Others, such as Waldo (1948), described the work of public administration as both art and science.

Public administration as political science and management-Beginning in 1950, as advocates for acknowledging the political aspects of public administration gained prominence, one paradigm guiding the work of public administration posited to treat public administration as political science. At the same time, other scholars emphasized the administrative aspects of public administration and promoted another paradigm that recognized public administration as management. Until 1970, these two paradigms competed as the prevailing approach to guide how public administration should be practiced.

Public administration as public administration-In the 1960s, scholars advocated for public administration to stop seeking guidance from the private sector, political science, or any other field for the appropriate approach to study and practice public administration. Instead, scholars argued that public administrators should simply be public administrators. This approach began in 1970 and remains influential in the current study and practice of public administration. This includes the development of the New Public Management and the New Public Service, which will be discussed in Lessons 7 and 8.

Public Administration Theories

In addition to paradigms, the study and practice of public administration also are influenced by a variety of theories. Some of the more prominent public administration theories include the following (Frederickson & Smith, 2003):

Agency theory- Agency theory argues that public administrators have expertise and information, as well as an understanding of government processes, which politicians and other officials in government do not have. This gives public administrators an advantage, and they use this to manipulate politicians and other government officials for political gain. Agency theory also has applicability in the private sector to explain the relationship between the principals and agents in business dealings.

Client responsiveness theory- Client responsiveness theory is a theory of bureaucratic capture that applies primarily to local governments. Lipsky (1980) developed the theory, which includes the following concepts:

· Government resources are unceasingly insufficient. At the same time, the demand by citizens for government services will always be high, meeting the available supply of services, regardless of the supply level.

· Street-level bureaucrats , which refers to public administrators who work directly with citizens and government clients, have at least some degree of discretion in the way they provide government services.

· Under the condition of insufficient resources combined with high demand for limited services, public administrators are likely to ration services.

· As part of the rationing process, public administrators are likely to conserve personal resources that they put into their work, such as time and energy.

· To control clients who demand attention and the use of scarce resources, public administrators use their expertise and government symbols to create distance from their clients and maintain autonomy.

· Generally, street-level bureaucrats are middle class, and they provide government services, which may include rationing, based on middle-class values, such as respect for work and frugality.

· The goals and objectives for government agencies are often ambiguous, vague, or conflicting.

· Since the goals and objectives are not explicit, measurement of performance towards accomplishing them is difficult.

· Generally, government’s clients are non-voluntary. This limits their ability to be a reference group , which refers to a group that can be used as a standard for behavior and characteristics that can be evaluated for scientific purposes. This limits government’s ability to generate data that can be used to determine ways to improve government services.

· Capture theories argue that public administrators are under the control of the key players in the public policymaking process including interest groups, legislative bodies, and government regulators. The Iron Triangle , which was introduced in Lesson 4, is another example of a capture theory.

Postmodern public administration theory- Postmodern public administration theory refers to the postmodernist approach to public administration. The core ideas of postmodern public administration theorists include the following:

· Given the nature of their jobs, public administrators cannot be neutral or objective.

· Technology can dehumanize participants in government transactions.

· Government organizations and agencies tend to focus on goals displacement and survival.

· The best way to achieve effectiveness in government is through cooperation, consensus, and democratic administration.

· In the modern age, approaches to public administration should focus on making public administration more democratic as well as more responsive and adaptable to changes in society, the political environment, and the economy.

Rational choice theory- The rational choice theory applies neoclassical economic theory to government and politics. Argues that the actions of politicians, public administrators, and citizens are analogous to the actions of producers and consumers in the private marketplace. Assumes that each person is self-interested and seeks to maximize his or her benefits while minimizing losses in any situation. This includes considering all options in a situation, rationally calculating the pros and cons of each option, and rationally selecting the option that will yield the most benefit with the least harm.

Representative bureaucracy theory- Representative bureaucracy theory argues that if government organizations and agencies are staffed by a diverse group of public administrators who reflect the public they serve, they are more likely to enact public policies and provide government goods and services that appropriately serve the public interest. To achieve this, the group of public administrators working in a particular government agency should have the same general demographic makeup as the citizens they serve. Supporters of this theory argue that when a government agency is representative of the citizens it serves, this promotes democracy.

Theory X and Theory Y-Theory X and Theory Y is a human relations approach to management offered by Douglas McGregor in the late 1950s and 1960s. This approach was very influential in public sector management.

· According to McGregor, managers who follow Theory X believe the typical person dislikes work and tries to avoid it. As such, to motivate employees to work, a manager must coerce, control, and even threaten them. Under this theory, managers believe the typical employee shuns responsibility and has little ambition. Such people seek security in their jobs and must receive constant direction and motivation to keep them working.

· Theory Y managers have a different approach. According to McGregor, managers who follow Theory Y believe that most employees enjoy work, and they expend the effort needed to work with the same zeal that they expend effort to play and do other activities in their lives. Theory Y managers think that their employees are committed to the organization’s goals and will exercise self-direction and self-control to help achieve those goals. They do not have to be coerced or punished to motivate them to do their jobs. When employees are successful at work, their self-esteem and self-actualization needs are met, which is rewarding to them. Such employees will seek out more responsibility, and may even be creative and innovative in helping the organization solve problems and realize goals.

This information is not intended to be comprehensive. Rather, it serves to introduce you to some of the more prominent theories that have been posited to provide guidance for the study and practice of public administration. This information is also intended to ensure that as students, you understand that the field of public administration has been subjected to a variety of such theories, including some that conflict in their premises.

Importance of Paradigms and Theories

Studying paradigms and theories can help public administrators better understand government and the work they are expected to accomplish to achieve government’s goals and objectives.

Paradigms offer guidance for how to do things, providing a model to follow as government programs establish their goals and objectives and outline the work that should be done to achieve those goals and objectives. Paradigms provide the framework for which government programs and activities are based.

Theories help public administrators accomplish their work by providing understanding about the goals and objectives they seek to achieve. A theory refers to a set of ideas that is posited to bring order to facts, enabling the description and explanation of an event or a set of data. Theories also provide a mechanism for predicting the results or outcomes of certain occurrences.

According to Frederickson and Smith (2003), a useful theory has the following characteristics:

· It correctly describes or portrays an actual event or fact.

· Since descriptions and portrayals can be limited, it explains the event or fact.

· It enables the prediction of the results that will occur in response to an event or fact.

In public administration, the usefulness of a theory is important because public administrators need the ability to understand how government programs and activities will affect the citizens they serve and influence the public interest. When a theory is useful, it enables public administrators to organize facts and events and identify the data that is most important to their work. This helps them ensure that the programs and activities they implement are the most appropriate options to resolve issues and serve the public.

Public Administration vs. Political Science

As this course has noted several times, public administration and political science are closely related. To review, as explained in Lesson 1, public administration is both a profession as well as a field of study (Waldo, 1948). As a profession, public administration refers to the daily business of government, focused on using organization and management to implement and execute the laws, rules, and regulations passed by legislative bodies and other authoritative agents. As a field of study, public administration researches and reviews the processes through which the profession of public administration is involved in the creation and interpretation of laws, rules, and regulations.

Political science can be defined as the study of the theories and practices of government systems at all levels, including the evaluation of activities and behavior in the political arena, which includes activities such as political campaigns and elections. Generally, political science as a discipline has been divided into the following four subfields (Riemer, Simon, & Romance, 2011):

AMERICAN GOVERNMENT AND POLITICS

American government and politics study the United States’ system of governance.

INTERNATIONAL RELATIONS

International relations studies how different countries and key components of the international system interact.

COMPARATIVE POLITICS

Comparative politics studies the political and governance processes in different countries through the world.

POLITICAL THEORY AND POLITICAL PHILOSOPHY

Political theory and political philosophy study fundamental questions and philosophical issues regarding governance.

The discipline of political science has the following three major components (Riemer, Simon, & Romance, 2011):

ETHICAL

The ethical component focuses on political values to determine how government systems and politics should be handled. This component is based on philosophy.

EMPIRICAL

The empirical component focuses on political phenomena to determine what is happening, what has happened in the past, and, based on this information, what is expected to happen in the future. This component is based on science.

PRUDENTIAL

The prudential component focuses on political judgments to determine what is possible and can be in government and politics. This component is based on public policy.

Political Science Objectives

As a discipline, political science has the following four major tasks, or objectives (Riemer, Simon, & Romance, 2011):

ETHICAL RECOMMENDATIONS

Political scientists offer suggestions for how everyone involved in politics, including politicians and citizens, should behave in the political arena.

EMPIRICAL UNDERSTANDING

Political scientists provide information to help explain how those in the political arena accomplish their work. This includes explaining why they take certain actions.

PRUDENTIAL JUDGMENT

Political scientists provide guidance for how activities in the political arena should be carried out.

THEORETICAL INTEGRATION

Political scientists understand and explain how the three components of political science—ethical, empirical, and prudential—interrelate to provide a framework for political science.

COMPONENTS IN THEORETICAL INTEGRATION

With integration, each component answers the following questions (Riemer, Simon, & Romance 2011, p.71):

ETHICAL

· Political values – “Which political values should exist?”

· Political phenomena – “How should political actors behave?”

· Political judgment – “Which public policies should prevail?”

EMPIRICAL

· Political values – “Which values actually exist in the political community?”

· Political phenomena – “How do political actors actually behave?”

· Political judgment – “Which public policies actually exist?”

PRUDENTIAL

· Political values – “Which values can wisely exist in the political community?”

· Political phenomena – “How can political actors wisely behave?”

· Political judgment – “Which public policies can be formulated and sensibly implemented?”

This information is not intended to be a comprehensive discussion of political science. Its purpose is to provide you with an introduction to political science and help you understand how it differs from public administration. The primary difference between the two fields regards their purposes and methodologies. Political science focuses on the development of public policy and strategies in the political arena. Public administration focuses on the implementation of public policy and ensuring that this is accomplished in the most efficient and effective manner that appropriately serves the public interest. Political science and public administration complement each other, but they are two distinct fields of study and practice.

Conclusion

Throughout its history, public administration has been defined by various paradigms, which were discussed in this lesson. This lesson also introduced some of the theories that have influenced public administration. These theories represent only a small portion of the many theories used to help describe, explain, and predict public administration activities.

As stated in the introduction to this lesson, public administration has struggled to find a scientific identity that has relevance and validity, unifying the study and practice of public administration. This is important because such an identity can help public administrators understand how they should accomplish their work and also understand how government programs and activities will affect the citizens they serve and influence the public interest. Lesson 7 will introduce the New Public Management which, in recent years, has helped to address some of these concerns.

Public administration is closely tied to political science, which has made it more difficult for the field to establish its identity. Since the work of public administration complements the work of political science, the two fields will always have a relationship. But students, as well as practitioners, must understand that the two fields are distinct, with unique purposes, goals, and objectives.

References

Frederickson, H. G. (1997). The Spirit of Public Administration. San Francisco: Jossey-Bass Publishers.

Frederickson, H. G., & Smith, K.B. (2003). The Public Administration Theory Primer. Boulder, Colorado: Westview Press.

Lipsky, M. (1980). Street-Level Bureaucracy: Dilemmas of the Individual in Public Services. New York: Russell Sage Foundation.

Riemer, N., Simon, D.W., & Romance, J. (2011). The Challenge of Politics: An Introduction to Political Science, Third Edition. Washington D.C.: CQ Press.

Simon, H.A. (1947). Administrative Behavior: A Study of Decision-making Processes in Administrative Organization, Second Edition. New York: Macmillan.

Taylor, F. W. (1987). “Scientific Management,” in Classics of Public Administration, Second Edition. 29-33. Pacific Grove, California: Brooks/Cole Publishing Company.

Waldo, D. (1948). The Administrative State: A Study of the Political Theory of American Public Administration. New York: Ronald Press.

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  Prior to beginning work on this assignment, read the articles The 5 Biggest C

 
Prior to beginning work on this assignment, read the articles The 5 Biggest Corporate Scandals of 2016 (Links to an external site.)Links to an external site. and The 10 Biggest Business Scandals of 2017 (Links to an external site.)Links to an external site..
You will be writing an eight- to 10-page paper (not including title or reference pages) focused on current events that applies topics covered in this course related to recognized uses and uses you can envision.
The articles this week focus on business or corporate scandals. Choose one business or corporate scandal from either The 10 Biggest Business Scandals of 2017 (Links to an external site.)Links to an external site. or The 5 Biggest Corporate Scandals of 2016 (Links to an external site.)Links to an external site. to research and review.
In your paper,
Explain whether the organization acted socially and ethically responsible regarding the incident.
Describe what the organization should or could have done differently.
Describe who or what was responsible for the incident.
Explain the best way to ensure that such incidents do not recur, if possible.
Recommend the best way for society, and stakeholders, to prevent future incidents of this type.
Must be eight to 10 double-spaced pages in length (not including title and references pages) and formatted according to APA style as outlined in the Ashford Writing Center’s APA Style (Links to an external site.)Links to an external site.
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.)Links to an external site..
Must utilize academic voice. See the Academic Voice (Links to an external site.)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.)Links to an external site. as well as Writing a Thesis Statement (Links to an external site.)Links to an external site., refer to the Ashford Writing Center resources.
Must critically address the paper topic. That is, positively or negatively respond to the content and then defend your position. If multiple positions are present and are being rejected, you must also defend rejecting them.
Must use at least four scholarly sources in addition to the course text.     
The Scholarly, Peer-Reviewed, and Other Credible Sources (Links to an external site.)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.)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.)Links to an external site. resource in the Ashford Writing Center for specifications.
Carefully review the Grading Rubric (Links to an external site.)Links to an external site. for the criteria that will be used to evaluate your assignment.
Edit question’s body
Edit question’s attachments 

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Prior to beginning work on this assignment, read the articles The 5 Biggest C appeared first on graduate paper help.

 

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Harvard format .  need British writing .      950 words Courseware may exceed t

Harvard format .  need British writing .      950 words
Courseware may exceed the written range, strictly in accordance with the requirements
The reference does not need a lot, the following is the article that needs to be read in the last attachment, for reference.
Core reading
Rodrik, Globalization Paradox, chs1, 2, 9-12
Speech by Kofi Annan: http://www.li.suu.edu/library/circulation/Gurung/soc4500sgTheRoleOfStateAgeSp12.pdf
Hirst and Thompson, ‘Globalization and the future of the nation state’ Economy and Society 1995, pp.408-424
M. Wolf, ‘Will the nation state survive globalization?’ Foreign Affairs Jan/Feb 2001 https://www.foreignaffairs.com/articles/2001-01-01/will-nation-state-survive-globalization
Rodrik, The Globalization Paradox, chapter 3
Http://www.newyorker.com/news/john-cassidy/r-i-p-free-trade-treaties
A.Blinder, ‘Offshoring: the next industrial revolution’ Foreign Affairs 85 (March/April 2006), pp.113-128
 D. Acemoglou et al, ‘The rise of China and the future of US manufacturing’ http://www.voxeu.org/article/rise-china-and-future-us-manufacturing
Core reading:
R. Vernon, ‘Economic sovereignty at bay’ Foreign Affairs 47 (1968), pp.110-123
L.Eden, ‘The realist adjusts the sails: Vernon and MNE-state relations over three decades’ Journal of International Management 6 (2000) pp.335-342
Hirst, Thompson and Bromley, Globalization in Question, chapter 3.
Rodrik, Globalization Paradox, chapter 5
D. Rodrik and Subramanian, ‘Why did financial globalization disappoint?’ IMF Staff Papers 56 (2009), pp.112-38
L. Mosley, ‘Globalisation and the state: Still room to move?’ New Political Economy 10 (2005), pp. 355-62.
J. Bhagwati, ‘The capital myth’ Foreign Affairs 77 (1998), pp. 7-12.

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Courseware may exceed t appeared first on graduate paper help.

 

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2. Submit Part One Portfolio due 02/02/193 .Using the American nurses associati

2. Submit Part One Portfolio due 02/02/193 .Using the American nurses association position statement, recommendations for improvement in end of life management focuses on practice, education, research and administration. Listed below are steps that nurses can take to overcome barriers in healthcare practice.Practice 1. Strive to attain a standard of primary palliative care so that all health care providers have basic knowledge of palliative nursing to improve the care of patients and families. 2. All nurses will have basic skills in recognizing and managing symptoms, including pain, dyspnea, nausea, constipation, and others. 3. Nurses will be comfortable having discussions about death, and will collaborate with the care teams to ensure that patients and families have current and accurate information about the possibility or probability of a patient’s impending death. 4. Encourage patient and family participation in health care decision-making, including the use of advance directives in which both patient preferences and surrogates are identified.  Education 1. Those who practice in secondary or tertiary palliative care will have specialist education and certification. 2. Institutions and schools of nursing will integrate precepts of primary palliative care into curricula. 3. Basic and specialist End-of-Life Nursing Education Consortium (ELNEC) resources will be available. 4. Advocate for additional education in academic programs and work settings related to palliative care, including symptom management, supported decision-making, and end-of-life care, focusing on patients and families.  Research 1. Increase the integration of evidence-based care across the dimensions of end-of-life care. 2. Develop best practices for quality care across the dimensions of end-of-life care, including the physical, psychological, spiritual, and interpersonal. 3. Support the use of evidence-based and ethical care, and support decision-making for care at the end of life. 4. Develop best practices to measure the quality and effectiveness of the counseling and interdisciplinary care patients and families receive regarding end-of-life decision-making and treatments. 5. Support research that examines the relationship of patient and family satisfaction and their utilization of health care resources in end-of-life care choices.  Administration 1. Promote work environments in which the standards for excellent care extend through the patient’s death and into post-death care for families. 2. Encourage facilities and institutions to support the clinical competence and professional development that will help nurses provide excellent, dignified, and compassionate end-of-life care. 3. Work toward a standard of palliative care available to patients and families from the time of diagnosis of a serious illness or an injury. 4. Support the development and integration of palliative care services for all in- and outpatients and their families.   Discussion Board Question 2: End of Life Care.Choose 1 focal point from each subcategory of practice, education, research and administration and describe how the APRN can provide effective care in end of life management.

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  Review the Course Project Case Study below. Write a 3-4 page paper  that resp

 
Review the Course Project Case Study below. Write a 3-4 page paper  that responds to the questions on family dynamics, post-partum  depression, and positive parenting. Use TWO recent evidence-based  articles to support your responses and attach the article to your  submission. This assignment must have accurate spelling and grammar and  use APA Editorial Format for in-text citations and sources.
You have been assigned to provide care and education for Mrs. G.
Family Dynamics – Describe the family dynamics and identify  strengths and areas where the dynamics are strained and might impact the  parents themselves and their ability to parent. What informational  resources might you provide these parents?
Post-Partum Depression  – Do you see any signs and symptoms of  post-partum depression? If so, what might be a good course of action?  If not, do you believe Mrs. G. is at risk for post-partum depression?  Why or why not?
Positive Parenting  – What information and resources can you  provide Mr. and Mrs. G. regarding positive parenting? What might you  need to do to assist them in understanding how they can best parent?
This assignment must have accurate spelling and grammar and use APA Editorial Format for in-text citations and sources.
Case Study
Mrs. G., a twenty year old mother of a 2 year old is pregnant.  English is not her primary language. She is recently married (one year)  to a man in his early 40s who is not of her culture (She comes from  Nigeria). The toddler is not this man’s child. She had difficulty with  her first pregnancy; high blood pressure and spotting.
As she goes through her pregnancy she finds that her first trimester  is difficult managing her health and the toddler. She is not used to  having children and finds the toddler challenging. She also finds that  she is having some of the same symptoms as she did during her last  pregnancy. She is not comfortable going to an American doctor and tells  her husband that she can take care of herself as she did during her last  pregnancy. He is not happy about this decision and tells her that she  has to go. He takes her to the doctor several times during her pregnancy  but is not sure his wife is following the medical instructions being  given.
By the end of her pregnancy she has gained more weight than she had  anticipated. She could not understand why as she was eating her native  foods. The doctor told her that she had high blood pressure. She was not  sure what that meant as she felt the same as she did during the first  pregnancy.
Labor was painful, long and difficult and while she had a vaginal  birth the baby was small and experienced some respiratory distress at  birth. She decided to again breastfeed even though she could only do it  for a few weeks the last time. She was told that she had a “small supply  of milk”.
In the first few weeks of taking care of the newborn, her husband  wanted to be a part of the caring process and she was not happy as “men  don’t do that”. She also found that with this baby she felt much more  tired and had a hard time managing both children. In fact, the toddler  became cranky and was aggressive to the newborn, trying to bite and  scratch the new baby.
The husband again took her to the doctor after birth and then again  for several months. He also insisted that she see a pediatrician for  both children. At the doctor’s offices they told her that they had to  “assess” the children to be sure they were “normal”. When she was told  this, she was frightened.
As a few months passed, she became more lethargic and tired. Two  children were more than she could deal with. Sometimes she could barely  get out of bed. Yet, she knew that she was trying to do all of what she  was told by both doctors and her husband. She really loved her children  and respected her husband.
When her newborn was six months old she found out that she was  pregnant again. She knew that it would be a mistake to have another  child because her husband had just informed her that his two children  from another marriage (6 and 12 years old who has asthma) was going to  be living with them now and she would need to be taking care of them as  well.

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Review the Course Project Case Study below. Write a 3-4 page paper  that resp appeared first on graduate paper help.

 

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