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May 15th, 2020

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Any topic (writer’s choice)

Discussion: Using the Walden Library
Where can you find evidence to inform your thoughts and scholarly writing? Throughout your degree program, you will use research literature to explore ideas, guide your thinking, and gain new insights. As you search the research literature, it is important to use resources that are peer-reviewed and from scholarly journals. You may already have some favorite online resources and databases that you use or have found useful in the past. For this Discussion, you explore databases available through the Walden Library.
To Prepare:
Review the information presented in the Learning Resources for using the Walden Library, searching the databases, and evaluating online resources.
Begin searching for a peer-reviewed article that pertains to your practice area and interests you.
Post the following:
Using proper APA formatting, cite the peer-reviewed article you selected that pertains to your practice area and is of particular interest to you and identify the database that you used to search for the article. Explain any difficulties you experienced while searching for this article. Would this database be useful to your colleagues? Explain why or why not. Would you recommend this database? Explain why or why not.

NB: link to school library data base

May 15th, 2020

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Enhancing quality and safety

For this assessment, you will develop a 3-5 page paper that examines a safety quality issue in a health care setting. You will analyze the issue and examine potential evidence-based and best-practice solutions from the literature as well as the role of nurses and other stakeholders in addressing the issue.

Health care organizations and professionals strive to create safe environments for patients; however, due to the complexity of the health care system, maintaining safety can be a challenge. Since nurses comprise the largest group of health care professionals, a great deal of responsibility falls in the hands of practicing nurses. Quality improvement (QI) measures and safety improvement plans are effective interventions to reduce medical errors and sentinel events such as medication errors, falls, infections, and deaths. A 2000 Institute of Medicine (IOM) report indicated that almost one million people are harmed annually in the United States, (Kohn et al., 2000) and 210,000440,000 die as a result of medical errors (Allen, 2013).

The role of the baccalaureate nurse includes identifying and explaining specific patient risk factors, incorporating evidence-based solutions to improving patient safety and coordinating care. A solid foundation of knowledge and understanding of safety organizations such as Quality and Safety Education for Nurses (QSEN), the Institute of Medicine (IOM), and The Joint Commission and its National Patient Safety Goals (NPSGs) program is vital to practicing nurses with regard to providing and promoting safe and effective patient care.

You are encouraged to complete the Identifying Safety Risks and Solutions activity. This activity offers an opportunity to review a case study and practice identifying safety risks and possible solutions. We have found that learners who complete course activities and review resources are more successful with first submissions. Completing course activities is also a way to demonstrate course engagement. You may also choose to use the scenario in the activity as the basis for your assessment.

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

Competency 1: Analyze the elements of a successful quality improvement initiative.
Explain evidence-based and best-practice solutions to improve patient safety related to a specific patient safety risk and reduce costs.
Competency 2: Analyze factors that lead to patient safety risks.
Explain factors leading to a specific patient safety risk.
Competency 4: Explain the nurses role in coordinating care to enhance quality and reduce costs.
Explain how nurses can help coordinate care to increase patient safety and reduce costs.
Identify stakeholders with whom nurses would need to coordinate to drive quality and safety enhancements.
Competency 5: Apply professional, scholarly, evidence-based strategies to communicate in a manner that supports safe and effective patient care.
Communicate using writing that is clear, logical, and professional with correct grammar and spelling using current APA style.
References
Allen, M. (2013). How many die from medical mistakes in U.S. hospitals? Retrieved from https://www.npr.org/sections/health-shots/2013/09/20/224507654/how-many-die-from-medical-mistakes-in-u-s-hospitals.

Kohn, L. T., Corrigan, J., & Donaldson, M. S. (Eds.). (2000). To err is human: Building a safer health system. Washington, DC: National Academy Press.

Professional Context
As a baccalaureate-prepared nurse, you will be responsible for implementing quality improvement (QI) and patient safety measures in health care settings. Effective quality improvement measures result in systemic and organizational changes, ultimately leading to the development of a patient safety culture.

Scenario
Consider the hospital-acquired conditions that are not reimbursed under Medicare/Medicaid, some of which are specific safety issues such as infections, falls, medication errors, and other concerns that could have been prevented or alleviated with the use of evidence-based guidelines.

Choose a specific condition of interest and incorporate evidence-based strategies to support communication and ensure safe and effective care.

For this assessment, consider using one of the following approaches:

Expand on the scenario presented in Vila Health: Identifying Patient Safety Concerns and analyze a quality improvement (QI) initiative.
Analyze a current issue in clinical practice and identify a quality improvement (QI) initiative in the health care setting.
Instructions
The purpose of this assessment is to better understand the role of the baccalaureate-prepared nurse in enhancing quality improvement (QI) measures that address safety risk. This will be within the specific context of patient safety risks at a health care setting of your choice. You will do this by exploring the professional guidelines and best practices for improving and maintaining patient safety in health care settings from organizations such as QSEN and the IOM. Looking through the lens of these professional best practices to examine the current policies and procedures currently in place at your chosen organization and the impact on safety measures for patients, you will consider the role of the nurse in driving quality and safety improvements. You will identify stakeholders in QI improvement and safety measures as well as consider evidence-based strategies to enhance quality of care and promote safety in the context of your chosen health care setting.

Be sure that your plan addresses the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so that you know what is needed for a distinguished score.

Explain factors leading to a specific patient-safety risk.
Explain evidence-based and best-practice solutions to improve patient safety related to a specific patient-safety risk and reduce costs.
Explain how nurses can help coordinate care to increase patient safety and reduce costs.
Identify stakeholders with whom nurses would coordinate to drive safety enhancements.
Communicate using writing that is clear, logical, and professional, with correct grammar and spelling, using current APA style.
Additional Requirements
Length of submission: 35 pages, plus title and reference pages.
Number of references: Cite a minimum of 4 sources of scholarly or professional evidence that support your findings and considerations. Resources should be no more than 5 years old.
APA formatting: References and citations are formatted according to current APA style.
Note: Your instructor may also use the Writing Feedback Tool to provide feedback on your writing. In the tool, click the linked resources for helpful writing information.

Portfolio Prompt: Remember to save the final assessment to your ePortfolio so that you may refer to it as you complete the final Capstone course.

Can use these for refrences :

Masters, K. (2016). Integrating quality and safety education into clinical nursing education through a dedicated education unit. Nurse Education in Practice, 17, 153160. doi:10.1016/j.nepr.2015.12.002
Masters discusses how nursing students’ participation in a dedicated safety and quality educational unit resulted in higher project evaluations than those of students who participated in traditional clinical rotations.

Allison, J. (2016). Ideas and approaches for quality-assessment and performance-improvement projects in ambulatory surgery centers. AORN Journal, 103(5), 483488.
This article focuses on approaches and indicators customary to the services and operations of an ambulatory surgery center, going beyond reviewing data from routine outcome measures and explaining the effect these ideas can have on improving quality of care.
Coles, E., Wells, M., Maxwell, M., Harris, F. M., Anderson, J., Gray, N. M., . . . MacGillivray, S. (2017). The influence of contextual factors on healthcare quality improvement initiatives: What works, for whom and in what setting? Protocol for a realist review. Systematic Reviews, 6, 168178. Retrieved from https://systematicreviewsjournal.biomedcentral.com/articles/10.1186/s13643-017-0566-8
This article examines ways in which the context of a quality improvement initiative plays a role in its success or failure and should help you consider the context of your proposed quality improvement initiative.
Lyle-Edrosolo, G., & Waxman, K. (2016). Aligning healthcare safety and quality competencies: Quality and safety education for nurses (QSEN), the Joint Commission, and American Nurses Credentialing Center (ANCC) Magnet standards crosswalk. Nurse Leader, 14(1), 7075.
This article attempts to align the language used in three quality and safety standards and reduce confusion for health care professionals.

May 15th, 2020

APA, Health Care and Life Sciences

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thinking group assignment

Within your assigned group: Consider a problem that could exist within a healthcare organization. Using your readings from your textbook, apply the tools of strategic thinking to develop a potential solution to the problem. Include how you would work within a “systems perspective” considering multiple internal and external parts or personnel or customers of the organization, opportunities that you could use, what negotiation might need to occur with other personnel or departments, what is your competition for the resources you will need to solve the problem, what cultural aspects may need to be considered, and how to evaluate the outcome after the solution is implemented.

Your group will be created by your instructor and will be located on the side tab titled :”People”

Create a powerpoint presentation with voice discussing each aspect above. Each student should post a copy of the group presentation here as well as ONE copy for the group on Week FIVE discussion board for your peers to read.

Textbook help:
https://smallbusiness.chron.com/examples-successful-strategic-thinking-15924.html

May 15th, 2020

Computer science and IT assignments, Graduate

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Handheld Solitaire

Handheld Solitaire
Handheld Solitaire requires no table, has simple rules, and is easily learned and played. It is played with a traditional 52 card deck of 4 suits (hearts, clubs, diamonds, and spades) and 13 ranks from ace (1) to king (13). Jokers are not included. The deck (face down) is held in one hand, while the actual hand of cards to be played is placed face up on top of the deck. This leaves the other hand free for dealing and discarding. The rules of play are as follows:
    Shuffle the deck, then hold it face-down in one hand.
    While the deck is not empty:
    Deal a single card from the top of the deck into the top of the playing hand
    While a match occurs in the playing hand between the top card and the card 3 back from it, either in rank or suit, collapse the hand using the following rules:
    If the ranks match, all 4 top cards of the hand are discarded. For example, if the cards are: 2S 6S 9C 2H , we would be comparing the last card dealt, 2S, to the card which is three back from it, 2H. Because the values match, we would discard all four cards.
    If the suits match, only the middle 2 (of the top 4) cards of the hand are discarded. For example, if the cards are: JH 3S 5C 7H , we would be comparing the last card dealt, JH, to the card which is three back from it, 7H. Because the suits match, we would discard the middle to cared (3S and 3C) and be left with JH 7H .
    The final score is the number of cards left in the hand at the end of the game.
There are several requirements in designing this project.
    A single card should be represented by a Card class. A card should be represented by a value (int) and a suit (char), and must include a pointer to a Card named nextCard as one of the private data members. Implement appropriate getter and setter functions and two constructors (one for default values and one with explicit parameters). It should also have a print() function described by the following bullet. Use Card.h and Card.cpp files to develop the class.
o    The print function should print the value and suit of the card in two characters. Thus, print the numerical value. However, if the value is 1, print A (for [A]ce); if it is 10, print T (for [T]en); if it is 11, print J (for [J]ack); if it is 12, print Q (for [Q]ueen); if it is 13, print K (for [K]ing). Follow this by the character representing the suit ([S]pades, [C]lubs, [H]earts, [D]iamonds), The following give some examples of a card, followed by how it should be printed:
    Ace of Hearts would be printed as: AH
    10 of Diamonds would be printed as: TD
    5 of Clubs would be printed as: 5C
    A deck and a playing hand of cards should each be represented by a CardLL class containing two private data members: a length variable to store the number of items in the CardLL object and a Card pointer named top. This will be a pointer to a linked list of Card objects (Cards will be the nodes of the linked list). Implement the class using CardLL.h and CardLL.cpp files. The functions to implement for this class are as follows.
o    CardLL (default constructor). The function sets the list pointer to be NULL and the length to be zero.
o    ~CardLL (destructor). Deletes each item from the list, one by one.
o    insertAtTop(suit, value). The function inserts a given card at the top of the list.
o    getCardAt(pos). This function will return a Card pointer which points to the card at the given position. If the position doesnt exist in the list, just return NULL.
o    removeCardAt(pos). This function will remove the card at the given position, returning true if successful. If the position outside the bounds of the list, return false.
o    getLength(). Returns the length of the list.
o    isEmpty(). Returns true if the list is empty; false otherwise.
o    print(). Prints the word top: followed by each card in the linked list, all on one line. (Utilize the Card print() function to aid with printing each individual card.
o    shuffle(). This will randomly shuffle a list of cards using the Fisher-Yates shuffle algorithm as follows (implement this function last):
    Use a while loop to walk through each Card in the list. Also within the loop:
    Get a random number between 0 and length 1
    Use getCardAt to get the card at that position
    Swap the card at the walk position with the card at the position random position. Just swap the suit and the value, not the nextCard pointer!
    Notes about random numbers:
    include the cstdlib and ctime files.
    place the following line as the first line of main():
    srand(time(NULL));
    In your CardLL classs shuffle() function, use rand() (with the modulus operator) to generate a random number in the appropriate range. Click here for an example of using rand()or consult page 274-275 of your textbook.
If there are additional class member functions that you would like to implement to ease the programming, you are allowed to do so. However, they should be clearly documented where necessary and should follow a structured object-oriented design approach.
Game play should be simulated in a client file called HHSolitaire.cpp. Follow the directions on the first page for the way the game is played. Represent the Deck and the Hand (playing hand) using a CardLL object for each. Use comments and functions to aid in the readability of your code. One function in particular to implement is populateDeck, which handles creating a new complete deck of 52 playing cards as follows (wrapped onto two lines below):
AD 2D 3D 4D 5D 6D 7D 8D 9D TD JD QD KD AC 2C 3C 4C 5C 6C 7C 8C 9C TC JC QC KC AH 2H 3H 4H 5H 6H 7H 8H 9H TH JH QH KH AS 2S 3S 4S 5S 6S 7S 8S 9S TS JS QS KS
Hint: To create the deck, use a nested for loop (one for the values [1-13] and one for the suits [D, C, H, S]) to generate the suits and values for the cards as you insert them into the deck.
    *Game play in this game, by its very nature, is deterministic. Thus, the entire game play can be printed to the output all at once. To give the program more of a game feel, though, you can use getchar() before each call to Hand.print() in main() to force the user to press the Enter key between each new card being played. Include stdio.h library in order to use this. This part should be saved until the very end of all testing!
Start early. I cannot emphasize this enough. This project will once again challenge your logical and critical thinking skills. Think of the design (structure, flow, logic sequence) of the program before implementing it. Learn from the previous projects. I will briefly reiterate the approach you should take below:
    Write down/draw out, on paper, how the overall design of the program should look. Getting your thoughts down on paper will help you organize/refine your approach and get a better grasp of how the individual components should fit together.
    Implement your program as empty function stubs at first and develop incrementally, testing one piece at a time before moving on. Building your program slowly from the ground up will allow you to foresee and prevent potential problems later on in development.
    Test many different input cases as you are developing your program and even once you feel that the program is complete. A good strategy is to try to break your program with a variety of different test casesit is much better for you to find a software mistake and fix it early than to have the final product fail the end user(s) because you didnt test adequately.
Testing: Test the program in steps. Build the Card and CardLL classes and verify that adding and deleting cards from the list works as you expect. Then start adding in individual elements of game play, incrementally. You will likely get segmentation faults as you develop this program. These are frustrating. However, these are a lot easier to debug if you test your program little by little.
Submission: This project is worth 110 points and is due on Friday, March 27th before noon. Submission must include:
    An electronic turn-in through Canvas. The entire Visual Studio solution folder must be zipped in order to do this. To create a zipped folder, right-click the folder and select Send to -> Compressed (zipped) folder. Rename this folder Project3_firstname_lastname where firstname and lastname are replaced with your first and last name, respectively. Upload this zipped folder to the Project 2 assignment page. Make sure that the following files are included in your project:
    HHSolitaire.cpp
    CardLL.cpp
    CardLL.h
    Card.cpp
    Card.h
    A paper printout of your code, along with console outputs from at least 3 separate program runs.
Grading: The program will be graded along the following dimensions. Note that the values in brackets are percentages of the project grade. Point distributions will be weighted accordingly.
    [20] Card implementation
    [35] CardLL implementation
    [35] HHSolitaire implementation
    [20] Overall quality of program design, code structure/readability, and user interaction
For the final bullet, ensure that the program files contain header comments, formatted as required by the CSCI documentation guidelines. Documentation (commenting) is used to illustrate major sections or unclear sections of code as well. Program design should clearly convey intent, especially focusing on proper use of variable names, whitespace, alignment and indentation

Make sure that the file names are correct, that your program contains no syntax errors, and that all of the code compiles. Programs that do not compile will receive an automatic 20 point deduction (20% of the project grade). This will be in addition to any deductions on the items listed above.

If you are unable to decipher a compiler error in your program, its better to comment out that section of code so that the program compiles without error. This way I can see that it was at least attempted and you may receive partial points for that section of code. In addition to the commented out section, write a detailed explanation of what you think the error may be, and the steps you tried in order to fix the error.

Academic Honesty: I expect you to maintain a high ethical standard when developing your programs. Students are bound by the academic honesty policies of the department, college, and university. Direct collaboration with others on this project is not permitted, and helping generate specific lines or chunks of code is strictly prohibited. General design strategies of the software program may be discussed at a high level.

Output: You may use the following as a guide to what your output should look like.

Top: 8C
Top: 9C 8C
Top: 4H 9C 8C
Top: 2S 4H 9C 8C
Top: TS 2S 4H 9C 8C
Top: 7H TS 2S 4H 9C 8C
Suit Match! Removing: TS 2S

Top: 7H 4H 9C 8C
Top: 7S 7H 4H 9C 8C
Top: KH 7S 7H 4H 9C 8C
Suit Match! Removing: 7S 7H

Top: KH 4H 9C 8C
Top: 9H KH 4H 9C 8C
Number Match! Removing: 9H KH 4H 9C

Top: 8C
Top: 8D 8C
Top: 3C 8D 8C
Top: QD 3C 8D 8C
Top: 4D QD 3C 8D 8C
Suit Match! Removing: QD 3C

Top: 4D 8D 8C
Top: 6C 4D 8D 8C
Suit Match! Removing: 4D 8D

Top: 6C 8C
Top: 2D 6C 8C
Top: AS 2D 6C 8C
Top: 9D AS 2D 6C 8C
Top: JS 9D AS 2D 6C 8C
Top: AD JS 9D AS 2D 6C 8C
Number Match! Removing: AD JS 9D AS

Top: 2D 6C 8C
Top: JC 2D 6C 8C
Suit Match! Removing: 2D 6C
Top: JC 8C
Top: AC JC 8C
Top: 4C AC JC 8C
Suit Match! Removing: AC JC

Top: 4C 8C
Top: TH 4C 8C
Top: 6H TH 4C 8C
Top: 5D 6H TH 4C 8C
Top: JH 5D 6H TH 4C 8C
Suit Match! Removing: 5D 6H

Top: JH TH 4C 8C
Top: 7C JH TH 4C 8C
Suit Match! Removing: JH TH

Top: 7C 4C 8C
Top: 4S 7C 4C 8C
Top: AH 4S 7C 4C 8C
Top: KC AH 4S 7C 4C 8C
Suit Match! Removing: AH 4S

Top: KC 7C 4C 8C
Suit Match! Removing: 7C 4C

Top: KC 8C
Top: 5H KC 8C
Top: 2H 5H KC 8C
Top: QC 2H 5H KC 8C
Suit Match! Removing: 2H 5H

Top: QC KC 8C
Top: TD QC KC 8C
Top: 3S TD QC KC 8C
Top: 5C 3S TD QC KC 8C
Suit Match! Removing: 3S TD

Top: 5C QC KC 8C
Suit Match! Removing: QC KC

Top: 5C 8C
Top: 8H 5C 8C
Top: KS 8H 5C 8C
Top: 2C KS 8H 5C 8C
Suit Match! Removing: KS 8H

Top: 2C 5C 8C
Top: 6D 2C 5C 8C
Top: 3H 6D 2C 5C 8C
Top: KD 3H 6D 2C 5C 8C
Top: 3D KD 3H 6D 2C 5C 8C
Suit Match! Removing: KD 3H

Top: 3D 6D 2C 5C 8C
Top: 7D 3D 6D 2C 5C 8C
Top: JD 7D 3D 6D 2C 5C 8C
Suit Match! Removing: 7D 3D

Top: JD 6D 2C 5C 8C
Top: TC JD 6D 2C 5C 8C
Suit Match! Removing: JD 6D

Top: TC 2C 5C 8C
Suit Match! Removing: 2C 5C

Top: TC 8C
Top: 5S TC 8C
Top: QH 5S TC 8C
Top: 8S QH 5S TC 8C
Top: 9S 8S QH 5S TC 8C
Suit Match! Removing: 8S QH

Top: 9S 5S TC 8C
Top: QS 9S 5S TC 8C
Top: 6S QS 9S 5S TC 8C
Suit Match! Removing: QS 9S

Top: 6S 5S TC 8C

Deck Empty! Printing leftover hand:

Top: 6S 5S TC 8C

May 15th, 2020

History, MLA

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African diaspora.

What is Rastafarianism? Describe its emergence including the major characters, when and where was it was created and examine the larger local, regional, and global ideological contexts in which it emerged including the influence of Christianity on its belief systems.

Instructions

Please read the questions carefully and respond comprehensively using our textbook and class discussions.

Your essay should be:

a minimum of 2 full pages
Font of twelve (12)
And double spaced
Maximum of 3 and a half page

May 15th, 2020

APA, Health Care and Life Sciences

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Molecular structure of Nucleic Acid

Hi Linrio
you write an essay for me that summarize watson and crick paper
Now , my doctor ask us to prove watson and crick paper ( because they didn’t do any experiment ) by other scientists that do experiments .
I will give you three scientists and I want to write about them and find one extra

1- Rosalind Franklin ( photo 51 for DNA improve the structure of watson and crick )
2-Chargaff’s rules ( he do an experiment that improve the number of A = T and G =C which watson and crick didn’t improve it )
3- konberg (improve the double helix run in opposite direction )

these reference helpful :

https://www.khanacademy.org/science/high-school-biology/hs-molecular-genetics/hs-discovery-and-structure-of-dna/a/discovery-of-the-structure-of-dna

https://profiles.nlm.nih.gov/spotlight/wh/feature/synthesis

it,s okey to use other references but I put them to help you little pit

May 15th, 2020

Business and Management, Not applicable

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Personal Statement for Gradschool

Im looking for about 750 words. I will be applying to grad school for a MS in real estate development. The instructions are to explain your academic and career goals and how the school would be the right fit and what you would bring to the program.

I want to start the paper with anecdote of my real estate career. I then want to discuss my background. And then finish up with my academic goals, why the school is the right fit, what I would bring to the program.

Im going to attach my resume and some drafts of this personal statement for you to reference. I am looking for you to make improvements specifically on the anecdote- make it a better hook- more interesting. Also to set the theme for the paper. Then I need to backtrack and talk about my experience and a cohesive manner that transitions well and then tie it all together on my goals, why I would be a good fit and what I would bring to the table and why the school is the best option for me.

May 15th, 2020

APA, History

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Political History

How can Francois Furet be analyzed through the historiography of the French Revolution? I am struggling to pin point him to a certain distinction of historiography because it seems like he combines approaches from differing meta-narratives. Is he more of a Marxist or a Social historian?

May 15th, 2020

APA, Public Administration

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Public Administration

Examine the information about the merit system at the office of Personnel Management at the following OPM sites:

U.S. Merit Systems Principles

https://www.mspb.gov/msp/meritsystemsprinciples.htm

U.S. Merit systems Prohibited Personnel Practices

https://www.mspb.gov/ppp/ppp.htm
Keys to Managing the Federal Workforce

https://www.mspb.gov/mspbsearch/viewdocs.aspx?docnumber=1371890&version=1377261&application=ACROBAT

Discuss how one can recognize the merit system principles and prohibited personnel practices.

Focus on the various mandates for personnel within the public sector and how those practices may need to be re-examined.

May 15th, 2020

APA, Art

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Art History

Pablo Picasso is considered one of the most important artists of the 20th century, for his long art career would influence a multitude of artists and a variety of artistic movements. Take a look at this website and browse the many different styles Picasso’s career encompassed:

http://www.picasso.com/picasso-prints.aspx

As was for Van Gogh, there are so many different ways to think about Picasso’s work. Some suggestive questions could be: How does his work change (or not change) over time (say from “Les Demoiselles D’Avignon” to “Guernica,” a 30-year expanse of time)? How could Picasso’s work be seen as the precursor to total abstraction? (Unbelievably, cubism is not “completely” abstract; something is still “represented,” though abstractly.) What does Picasso do with formal elements that are so radically different from what we have seen? Picasso gives us collage for the first time. How does his incorporation of found, everyday objects pasted on a canvas come to influence say a Warhol painting of soup cans? What do you see in the artwork, how does it make you feel, and do you like Picasso’s style? (You will need to think about which style in particular.)

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Archive for May 15th, 2020

Any topic (writer’s choice)

Enhancing quality and safety

thinking group assignment

Handheld Solitaire

African diaspora.

Molecular structure of Nucleic Acid

Personal Statement for Gradschool

Political History

Public Administration

Art History

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