Could utilising a paediatric early warning score better indicate adverse patient outcomes in the prehospital setting?

Topic:
Could utilising a paediatric early warning score better indicate adverse patient outcomes in the prehospital
setting?

Description
Results -1000words
Discussion – 1800 words
Conclusion – 300 words
This question was considered because the UK uses a standard National Early Warning Score (NEWS2) to
identify deteriorating adults. Using their initial baseline observations and regular reassessment NEWS2 has
become the national standard and an effective numerical indicator for deterioration or improvement from
baseline, which then informs treatment plans and easily communicates urgency to fellow clinicians – There
isn’t a standard Paediatric early warning score (PEWS) – some facilities utilise their own scores – some
ambulance trusts don’t use them at all instead rely on the paediatric assessment triangle and paediatric sepsis
screening tools alone. Children are known to compensate well for so long but then deteriorate rapidly – could
using a standard PEWS better identify these children at risk of rapid deterioration?
3 databases were used – MEDLINE, CINAHL and Embase. 4 articles were identified – 3 have been attached
but the 4th- Association of out of gospital paediatric early warning score with need for hospital admission in
a Scottish emergency ambulance population by Corfield et Al. 2020 won’t upload? Could be emailed?

Explain how you will implement your recommendation(s) in an action plan that states who should do what, when, and how.

Instructions and Submission

  • Worth 10% of final grade

Late Submission Policy

  • This assignment is subject to the Late Submission penalty policy, namely 5% per day for three days.
  • This page will close and will not allow further submissions after this Late Submission period has expired.
  • In the event of an emergency preventing you from submitting within this time frame, special permission must be obtained from your instructor. Documentation substantiating emergency is required. In such a circumstance, if the extension is granted, the professor will reopen the submission function for you on an individual basis.
  • Please do not email your submissions to your professor, either before or after the due date; all coursework should be submitted through the online course (Moodle).

Objectives 

On successful completion of this assignment, students should be able to

  • evaluate business communications situations and
  • practice techniques for delivering bad news in a case study exercise.

Short Description

You will complete a case study using a methodology for planning, analyzing, and writing a case study to prepare a 1,500-word report. This format includes the following six steps: Introductio/Identification of Issues, Provide Background Information, Analyze Issues, Develop and Analyze Alternatives, Recommendations, and Action Plan. See below for further details about each step.

Required Materials

“Make the Best of Bad News”, Chapter 6, in Shwom, Barbara & Gueldenzoph Snyder, Lisa. (2019). Business Communication: Polishing Your Professional Presence, Pearson, New York, NY. Course Packet. The case is on pp. 216-218.

Requirements and Submission Instructions

Having completed the unit readings and made your initial post in the learning activities discussion, analyze the case, Making the Best of Bad News.  Read the entire course packet. You will find the case on pages 216-218. This assignment is not a research paper; it is an exercise in applying what you’ve learned. Apply the following steps, which comprise the Case Study Analysis Methodology that you will use to analyze case studies. You will note that it is similar to the problem solving steps learned in unit 3. Use the provided Case Study Template to prepare your assignment.

Step 1: Introduction / Identify Issues

There may be more than one key issue in the case. Determine the issues or symptoms that need to be most immediately addressed. Consider the causes of these issues.

Clearly state the main problem faced. What specifically is the decision to be made within the context of the case. Be sure to specifically differentiate between the problem and its symptoms.

For example, an immediate problem in another case scenario could be high employee absenteeism, but the more basic issue may be low employee morale or lack of motivation. How you define a problem determines how you will resolve it. For example, a short-term solution for absenteeism would differ from solutions to improve morale or motivation. Identify both the symptom and the underlying cause. Also bear in mind that this course is about communications. Cases analyzed in this course are sure to pertain to business writing and communications.

Step 2: Provide Background Information

Summarize key information from the case scenario that relates to your stated issues in step 1. Describe the background of the company and/or situation to set the context for the analysis. (Ivey Publishing, 9B18M054).

Step 3: Analyze the Issues

Analyze the case based on provided questions. Demonstrate a thorough analysis by applying course concepts to discuss the case questions.

Step 4: Develop and Analyze the Alternatives 

Brainstorm ideas that may solve your stated problem. Develop a list of viable alternatives to be evaluated. Try to be unbiased in your development of the alternatives.

Evaluate each of the alternatives generated. There are a number of ways to evaluate the alternatives. You could describe the advantages and disadvantages of each alternative in terms of solving your stated problem. Or, you could use some other business models, theories, or criteria for evaluating, such as a SWOT analysis. Determine the most appropriate method for evaluating alternatives, given the nature of the case and the stated problem.

Step 5: Make Recommendations

Based on your evaluation in step 4, choose the alternative(s) to recommend and explain why this is the best solution.

Step 6: Create Action Plan 

Explain how you will implement your recommendation(s) in an action plan that states who should do what, when, and how.

Of course, you cannot actually implement your recommendations in this classroom setting and evaluate their impact. But, in this step, explain how you would evaluate the success of your implementation. Include a schedule and methods for evaluating the outcome. Indicate who will be responsible for the evaluation.

Reread your notes and consider your ideas. You may want to set your case aside overnight and “sleep on it.” Come back to it later after you have considered your work.

References:

Myers, T., & Myers, G. (1982). Managing by communication: An organizational approach. New York, NY: McGraw-Hill Book.

Proofread your document and use MS Word to check the spelling and grammar.

Van Weelden, S., and Busuttil, L. (April 5, 2018). Ivey Publishing, Student Guide to the Case Method: Note 2—Performing a Case Analysis, 9B18M054. https://www.iveycases.com/ProductView.aspx?id=92878

Submit your MS Word document to the link below. Make note of the submission requirements below.

Submission Requirements

Your overall submission makes use of the provided template (see link above) and will include:

  1. Title page:(include assignment title, assignment topic (paper title), student name, date, course code/title, instructor name)
  2. Case Analysis Main Body:maximum of 5-7 pages (double spaced, 12-point font, 1500 words)

Follow steps 1 through 6 as described above in the case study analysis methodology. Include a heading for each step so that your instructor knows where one step ends and the next begins.

  1. References Page:(full APA formatted references for all work cited in body)

Submit to the link below. Submit all assignments in this course as MS Word documents.

Helpful Hints

  1. Papers written with double-spacing allow easier review and editing.
  2. Use APA referencing guidelines for citation and references. Click to review “APA Style.”
  3. This assignment should be written in third person.

 

Evaluation

The Case Study Analysis will be marked in its entirety out of 100. The following rubric indicates the criteria to which students are to adhere, and their relative weights to the assignment overall.

Activity/Competencies Demonstrated % of Final Grade
1. Application of Case Analysis Methodology/Content (60%)  
a. Identified and clearly/concisely stated the problem including the decision to be made within the context of the case. /10
b. Summarized the pertinent facts in the case to describe the background. /10
c. Demonstrated a thorough analysis supported by evidence from the case. The analysis should be guided by the case questions and should apply course concepts /10
d. Identified a viable set of alternatives to solve the stated problem and effectively evaluated the identified alternatives. /10
e. Recommended the most viable solution. /10
f. Defined a clear action plan. /10
2. Format and Writing (40%)  
a. Included all components of report (title page, all 6 case study analysis methodology steps with headings, references page) /20
b. Spelling and grammar /10
c.  APA formatting (title, headings, references) /10
Total /100

 

Develop professional development in your chosen area of focus.

Assignment Guide

 

Module Summary – Develop professional development in your chosen area of focus. (Structured Report)

 

Focus of the assignment: 2 Strands.

  • A Pedagogic Focus on the issue or aspect of teaching and learning that is to be addressed through the collaborative activity and on the development of pedagogic practice in the phase specific setting.
  • A focus on the processes involved in professional collaborative development activities and their effectiveness in developing professional practice in your setting.

 

Structure of the essay –

Part 1 and 2 – Pedagogical Approach

Part 3 – Step back and analyses the process you been through

Part 4 – conclusions, implementations further explanations of any emerges

 

Part 1: Pedagogical approach example – I say you say: (Modeling Vocabulary)

 

Part 2 – Effectiveness of the learning behaviors of children.

  • Planning – 2/3 lessons – Overview and aims, Learning objectives
  • Observations
  • Reflect and plan – what does this tell us about how ch learn and develop in this area?

What is good?

What isn’t working?

Additional learning strategies?

 

Part 3 – Collaborative PD

 

Part 4 – Conclusion

 

Introduction:

Brief introduction into the whole essay.

Part 1: Pedagogical Focus

  • Analyse the school/class data and decide on area of focus
  • Doing the reading that underpins the area of focus. Critically analyse
  • Revisiting the focus and deciding on a specific target research question e.g. My turn your turn (enforcing vocabulary)
  • Literature which underpins the focus. What does research tell us?
  • Subject specific to the focus. E.g., Maths, reading, writing.
  • Link literature to School context
  • Come up with a research question?

Part 2: Pedagogical Focus

  • Planning 2/3 lessons – (Delivering the strategy which you have extrapolated from the research)
  • Observing and reflecting on the outcomes.
  • Reworking the lesson – What you did to improve the lesson?
  • Draw out the main conclusion (What does the data tell us about how children develop in this area?)
  • Chose a focus group from the class of children. (3 or 4 children from the class)
  • Structured report – How you conducted the lesson. (Planning – Lesson objectives/outcomes and Observations, why you’re collecting the data and what you looking for?)
  • Rational for lesson observations.

Part 3: Collaborative process

 

  • Step back, how was this as a process?
  • Analyze the area of focus

Part 4: Moving forward

  • Wider implication
  • Any Unsolved question
  • Any further reading to develop the practice in this area
Describe two barriers to using the theory in practice and at least one method for overcoming each barrier

Description
Write a 1350-1700 word APA paper addressing each of the following points. Be sure to completely answer
all the questions for each bullet point. Separate each section in your paper with a clear heading that allows
your professor to know which bullet you are addressing in that section of your paper. Support your ideas with
at least two (2) outside sources and the textbook using citations in your essay. Make sure to cite using the
APA writing style for the essay. The cover page and reference page in correct APA do not count towards the
minimum word amount. Review the rubric criteria for this assignment.
This week, you will review the theories from each module. Please select one theory from each module (1-8)
and answer the following questions. You should have 2-3 pages per theory with a total of 8 theories
discussed.
• Describe the theory
1. Florence Nightingale’s Environmental Theory
2. Dorothea Orem’s Theory of Self-Care Deficit
3. Jean Orlando’s Theory of the Dynamic Nurse-Patient relationship
4. Imogene King’s Conceptual System Theory
5. Callista Roy’s Adaptation Model Theory
6. Betty Neuman System’s Model Theory
7. Madeleine Leininger’s Culture Care Model
8. Rosemarie Rizzo Parse’s Human Becoming Theory
• Provide 3 examples of how the theory applies to current practice
• Provide 3 positive patient outcomes resulting from utilizing the theory
• Explain 3 benefits to nursing satisfaction when utilizing the theory
• Describe two barriers to using the theory in practice and at least one method for overcoming each barrier
(support methods with sources)
• Support from literature clearly noted throughout
• Length: a 1350-1700 word; answers must thoroughly address the questions in a clear, concise manner.
• Structure: Include a title page and reference page in APA style. These do not count towards the minimum
word count for this assignment.
• References: Use the appropriate APA style in-text citations and references for all resources utilized to
answer the questions. Include at least two (2) scholarly sources and the textbook “Smith, M. C., & Parker, M.
E. (2015). Nursing theories and nursing practice (4th ed.). F.A. Davis. ISBN 978-0-8036-33124” to support
your claims.

Describe the difference between ethics and legality. Can something be unethical and still be legal?

Description
Everyone loves Nike however Nike found itself facing much criticism a few years ago. Nike had outsourced
the manufacture of its products to companies in other countries where child labor is common.
Assignment:
Describe the difference between ethics and legality. Can something be unethical and still be legal?
Research the Nike child labor problem and answer the following questions1. Did Nike do anything wrong? Did it violate ethical business practices and/or did it engage in illegal
activity?
2. Do multi-billion dollar companies like Nike have a greater responsibility to ensure they act in an ethical
manner?
3. What is more important – ethics or profit?
Two pages of thoughtful material.

Describe what you understand by the quality management principle of ‘Engagement of People’

Instructions

 

  • This assessment replaces a final exam for this subject
  • The assessment is an individual assessment
  • The assessment is comprised of both short answer and long answer questions
  • All questions must be attempted
  • Read the questions carefully and answer the actual question
  • Marks available – 100
  • Weighting 40% of overall final mark
  • To pass the subject, you must achieve a total mark of 50% or over for the entire subject and obtain a minimum of 50% in the final assessment.
  • Your answer must be submitted through Turnitin at the Assessment 4 portal in Moodle.

 

LONG ANSWER QUESTIONS (60 MARKS)

(700 to 1000 words each question – journal references required)

 

QUESTION 1 – Quality Management Principle (30 marks)

 

  • Describe what you understand by the quality management principle of ‘Engagement of People’ (10 marks)
  • Support your answer with a minimum of two (2) journal articles (2 articles = 3 marks, 4 articles = 5 marks)
  • Also present your thoughts in the form of a mind map (10 marks)
  • Why do you think that engagement of people is an important factor in the implementation of a TQM program? (5 marks)

 

Question 2 – Statistical Process Control (30 marks)

 

The operations team at ABC Motor Company feel that the executive management team ignore the company’s science related to emission technology which has contributed to several of the quality issues experienced.  In your own words, write a section of the business report that provides a concise answer for each of the following questions that both the executive and operations team will read.

 

ABC Motor Company installs approximately 10 engines per hour. The process manager measures the maximum Nitrous Oxide (NOx) emissions of each engine to be installed. As part of the process, a subgroup of n=8 measurements is randomly taken each time the engine is tested. This occurs during a 6-minute test on every engine. There was an issue with testing during sample 5 that is under investigation.

The results of the analyses are given in Table Q1.

 

 

 

 

 

Sample Engine Emissions Output  (g/min)
1 4.93 4.72 5.01 4.82 4.95 4.83 4.88 4.81
2 4.77 4.85 4.67 4.84 4.69 4.92 4.79 4.73
3 4.99 4.66 4.87 4.70 4.98 4.79 4.83 4.81
4 4.67 5.02 4.73 4.90 4.75 5.05 4.85 4.69
5 4.88 6.83 6.98 6.78 6.87 6.82 4.86 6.83
6 4.70 4.97 4.77 4.89 4.74 4.96 4.84 4.83
7 4.97 4.74 5.05 4.67 4.97 4.74 4.86 4.88
8 4.69 5.02 4.75 5.00 4.66 4.88 4.83 4.91
9 4.86 4.82 4.95 4.68 4.90 4.73 4.82 4.79
10 4.66 4.98 4.81 4.86 4.73 5.06 4.85 4.88

 

Table Q1 – Engine emissions of NOx (g/min)

 

 

  1. Calculate the upper and lower control limits of an and R Chart for the data (5 marks). Note: Constants for Upper and Lower Control limits for  and R Charts are given in the Appendix.

 

  1. Plot the and Range charts and hence determine whether the process is in control (10 marks).

 

  1. If the process is not in control, what do you have to do to bring the process under control? Support your answer with a minimum of two journal references (5 marks).

 

  1. How can you show that the process is now under control? Demonstrate this task (10 marks).

 

 

 

SHORT ANSWER QUESTIONS (40 MARKS)

(300 to 500 words each question – references not required)

 

Question 3 (10 Marks)

What are the main differences between carrying out an assessment based on one of the Business Excellence Frameworks and carrying out an audit based on the requirements of the ISO 9001:2015 standard?

 

Question 4 (10 Marks)

 

You are the Quality Manager of an organisation that supplies electric toasters to department stores using your own transport company.  You have been asked to lead an improvement team to find out why deliveries to your major customer are always late.

 

NOTE:  You do not actually have to solve the problem

 

  • Which of the quality management tools would you use to solve the problem? Justify why you would use each tool.
  • Show how you would use your chosen tools in a logical sequence to identify the possible causes of the problem.

 

Question 5 (10 Marks)

 

Do you think that the benefits of implementing a TQM program outweigh the effort required to overcome the blockages?  Justify your opinion.

 

Question 6 (10 Marks)

 

Describe the role that the Purchasing Department plays in forming an effective relationship between its organisation and its suppliers.

 

 

 

 

APPENDIX A

 

n A2 D3 D4
2 1.880 0.000 3.267
3 1.023 0.000 2.574
4 0.729 0.000 2.282
5 0.577 0.000 2.115
6 0.483 0.000 2.004
7 0.419 0.076 1.924
8 0.373 0.136 1.864
9 0.337 0.184 1.816
10 0.308 0.223 1.777

 

n = the number of samples in each group

A2, D3 and D4 are constants used in the following calculations

 

Control Charts

 

 

Range Charts

State how the potential topic aligns with your program of study.

Description
you selected five empirical articles to begin working on your proposed dissertation topic. For this assignment
you will select 10 new empirical articles on your proposed dissertation topic to annotate and then to complete
a reflection section.
Directions:
Use the Dissertation Development Template to annotate 10 new empirical articles for your dissertation topic.
Complete the reflection section that follows the annotated bibliography in the template to do the following:
1. State how the potential topic aligns with your program of study.
2. Justify the feasibility of the intended study.
3. Write a problem statement for your proposed study using the guidelines in the template.
4. Briefly defend the need for the proposed study.
5. Propose a conceptual/theoretical framework for the intended study.
6. Reflect on the significance of the proposed study.
7. Defend your selection of articles and annotations

Explain briefly, the aim of this research article and state the research questions chosen by the authors of this research paper.

Part one    25% of total marks

 

Title:    An examination of users and non-users of self-checkout counters

 

In this part, you are asked to refer to and familiarise yourself with the research article entitled “An examination of users and non-users of self-checkout counters” and respond to the requirements below.

Required:

  1. Aim and Research questions

Explain briefly, the aim of this research article and state the research questions chosen by the authors of this research paper.

 

[Max: 100 words]

 

  1. Survey instrument
    1. Referring to the “Survey instrument” used in this study, explain how this instrument was

organised and name each section.                                                                 [Max: 100 words]

 

  1. Refer to the second section of this instrument, name the concept that is measured and in how many factors it was subdivided. How many items form each factor? [Max: 50 words]

 

  1. The article refers to the Cronbach 𝛼 What do these represent and why it is important to include them in this paper? [Max: 100 words]

 

  1. Data collection

Name and explain the sampling method used for the collection of data. Explain whether the responses were random and independent by giving evidence from the text.

[Max: 100 words]

 

  1. Findings
    1. Referring to the section “Demographic variables in the use of self-checkout counters”, the authors have concluded that there is no difference in the use of self-checkout counters across different demographic segments. What evidence have they given to evidence this conclusion? [Max: 50 words]
    2. In the same section, the report for the chi-squared test against the variable “Age” reads “𝜒2(4) = 4.06, 𝑝 = 0.40, 𝜙 = 0.07”. What is “4” in this report and explain how it was calculated? [Max: 30 words]

 

  1. Referring to the section “Evaluation of self-checkout counters”, an independent t-test was used to compare the average scores for all the measures between users and non-users. Explain what could be the reason that all the test results were found to be statistically significant but with moderate effect [Max: 50 words]

 

  1. Conclusion and further research

The authors referred to a “recent” study. What does this study suggest and what future

research could be conducted to test it?                                                       [Max: 50 words] Note: Any calculations or equations you will use will not be part of the general word count.