100 words reply gwen

no plagiarize, spell check, and check your grammar. Please use the reference below

  • Ask at least one question in response to an original peer post that you would like the author to explore further.

Design

The ‘Lived Experiences of Adolescents with Learning Disabilities’ is a research study that has utilized the phenomenology design of qualitative research. The design is always used to identify a specific phenomenon while focusing on the subjective experiences of the target group under study. The phenomenological design is suitable for this study as the primary focus of the researchers was to understand the various underlying experiences of individuals with Learning Disabilities (LD) and how they deal with social and academic challenges.

Purpose

The purpose of this study is to be able to comprehensively describe the characteristics of the Learning Disorder in Adolescents. This study is aimed at understanding the general life structure of the people living with this condition in their adolescent years and how they deal with academic and social challenges.

Focus

The focus of this study has been on adolescents living with Learning Disabilities (LD). This study focuses on the subjective experiences relating to this condition. These are important factors that will positively contributes to the study outcomes because targeting a small group increases the chances of coming up with more precise results by minimizing the error window.

Method of Data Collection

The method of data collection for this research was conducted through interviews. During the study, four adolescents were selected for the interview and data collected from this process (Rosetti & Henderson, 2013). It is important to note that all of the participating adolescents in the study were living with Learning Disorder.

Method of Data Analysis

Interpretive Phenomenological Analysis was the method applied in the analysis of the data collected through the interviews. This analysis method is helpful in the provision of detailed observations of personal Learning Disorder experiences in adolescents. The significance of this method for this study is to produce personal accounts of LD in adolescents as they make sense of the condition.

References

Ebrahimpour, F., Esmaeili, M., & Varaei, S. (2018). Photovoice: Method of data collection in qualitative research. Nursing Practice Today, 5(1), 216–218. Retrieved from http://search.ebscohost.com.proxy-library.ashford….

Rosetti, C. W. & Henderson, S. J. (2013). Lived Experiences of Adolescents with Learning Disabilities. The Qualitative Report, 18(24), 1-17. Retrieved from https://nsuworks.nova.edu/tqr/vol18/iss24/2

nurs 5052 evidence based practice

Assignment: Evidence-Based Practice and the Quadruple Aim

Healthcare organizations continually seek to optimize healthcare performance. For years, this approach was a three-pronged one known as the Triple Aim, with efforts focused on improved population health, enhanced patient experience, and lower healthcare costs.

More recently, this approach has evolved to a Quadruple Aim by including a focus on improving the work life of healthcare providers. Each of these measures are impacted by decisions made at the organizational level, and organizations have increasingly turned to EBP to inform and justify these decisions.

To Prepare:

  • Read the articles by Sikka, Morath, & Leape (2015); Crabtree, Brennan, Davis, & Coyle (2016); and Kim et al. (2016) provided in the Resources.
  • Reflect on how EBP might impact (or not impact) the Quadruple Aim in healthcare.
  • Consider the impact that EBP may have on factors impacting these quadruple aim elements, such as preventable medical errors or healthcare delivery.

To Complete:

Write a brief analysis (no longer than 2 pages) of the connection between EBP and the Quadruple Aim.

Your analysis should address how EBP might (or might not) help reach the Quadruple Aim, including each of the four measures of:

  • Patient experience
  • Population health
  • Costs
  • Work life of healthcare providers

By Day 7 of Week 1

Submit your anaylsis.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

  • Please save your Assignment using the naming convention “WK1Assgn+last name+first initial.(extension)” as the name.
  • Click the Week 1 Assignment Rubric to review the Grading Criteria for the Assignment.
  • Click the Week 1 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.
  • Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK1Assgn+last name+first initial.(extension)” and click Open.
  • If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
  • Click on the Submit button to complete your submission.
Grading Criteria

To access your rubric:

Week 1 Assignment Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

Submit your Week 1 Assignment draft and review the originality report.

Submit Your Assignment by Day 7 of Week 1

To submit your Assignment:

Week 1 Assignment

Company Structure, Responsibility Centers, and Budgeting

Respond to your Discussion topic after you have completed your Reading and the Learning Activity.

Topic: Company Structure, Responsibility Centers, and Budgeting

Responsibility accounting involves accumulating and reporting costs on the basis of the manager who has the authority to make the day-to-day decisions about the items. In this discussion you will review the importance of responsibility accounting in a centralized or decentralized company.

Centralized or Decentralized? View the resources here before answering the questions below.

    1. Characterize businesses that you have previously worked for or currently work for as centralized or decentralized, more vertical (taller) or flatter. How did you make this determination? What impact would this have on the three types of company responsibility centers?
    1. If you were to structure your own company would it be centralized or decentralized, taller or flatter and why? What are the benefits or drawbacks to the type of business you would own and explain whether you would use flexible or static budgeting and why?

summary thoughts on organizational change

At the point where the plan is implemented, inevitably problems arise. Rarely is a strategy or plan implemented perfectly, mainly because it’s impossible to foresee every problem and accurately assess how employees react in a given situation. Additionally, the business environment and world keeps changing, so change management is an evolving process. So, think about how to develop your skills as an agent of change in the future. What new changes do you think will influence the need for change? Incorporate factors specific to the KSA’s future. What existing tools do you think will still work and why? Will the changes positively or negatively impact the need for change?

Direction:

  • writing standards and APA style guidelines.
  • Be sure to support your statements with logic and argument, citing all sources referenced
  • Write 4 paragraph essays (Introduction, body and conclusion)

Enjoy your search.

responses needed 17

Read through your colleagues’ posts and respond to two or more of your colleagues in the following way:

  • Suggest a resource that you think would help your colleague’s organization adopt a systems solution and explain why the resource is helpful in this particular situation.
  • Compare your organization to your colleague’s and explain why you think there are similarities or differences in how each organization approaches systems thinking or the extent to which each has adopted a systems solution
  • Provide an insight you gained by reviewing your colleague’s example.
  • Offer a contrasting viewpoint of whether Shireman’s argument is relevant and why you hold that perspective.

Shireman, W. K. (1999). Business strategies for sustainable profits: systems thinking in practice. Systems Research and Behavioral Science, 16(5), 453–462. https://doi.org/10.1002/(sici)1099-1743(199909/10)16:5<453::aid-sres336>3.0.co;2-9

nursing leadership and management 34

Discussion Question:

It is critical to synthesize all of the knowledge, skills, and abilities of nursing into an integrated whole that moves nurses from task completers to an overall demonstration of compassion and caring.

Thinking of nursing first as a job of caring and making a difference, as well as the work of giving medications on time, checking an X-ray to see if the doctor needs to be called, or taking an admission at 2:00 a.m. with a smile on our faces, reminds us of the synthesized whole of nursing work.

Write a reflection about this thought. Incorporate elements from this module’s objectives, as well as what you have learned in this course about leadership. You may include personal experiences and professional opinions if you wish.

Your initial posting should be at least 400 words in length and utilize at least one scholarly source other than the textbook.

busn601 discussion response 2

Hello,

I need four responses of at least 200 words each for the below students discussions for this week. Also in the bold below are the questions the students at answering.

Many companies around the world, including those in the US, have outsourced goods and services to India and China. However, some of these businesses have reversed course and are now insourcing these goods and services. Do you agree that this course reversal may be justified?

Position 1: Outsourcing VS
Position 2: Insourcing

Student one:

I understand that we are supposed to be picking sides this week, however I feel like I can justify each side of the argument. I do not think this is detrimental to my stance, and on the contrary I think it is an open-minded approach to the discussion. I believe this because businesses constantly need to be re-evaluating their current business model, and the value of outsourcing vs insourcing, among many other things.

I will say that I am more supportive of insourcing, as it helps to support our own economy. “Insourcing is the logical option if a company has the capacities available because it allows for full control.” (Gold, 2017) This particular article is focusing on a pharmaceutical company, however the same idea can be said for any large company in the United States. Additionally, keeping manufacturing in-house allows companies to remain independent from their suppliers and increases specialization, which in turn helps to decrease manufacturing costs. In supporting my argument of keeping jobs in our economy, “wage inflation in traditional outsourcing markets is putting pressure on outsource providers to find alternative delivery locations and to adjust their staffing mix in order to remain financially competitive.” (Sealock & Stacy, 2013)

Outsourcing, however, has its advantages as well. In the long run, and depending on the size of the company, outsourcing can actually help keep prices lower for the consumer. As noted by Sealock and Stacy, outsourcing can be the right approach for companies that “take the time to properly structure an agreement that drives cost reduction, takes advantage of outsource provider best practices, clearly defines scope and service levels that meet the company’s needs, and allows the company to focus on its core competencies.” (Sealock & Stacy, 2013) Additionally, medium-sized companies do not necessarily have the financial depth to allow them to be successful with insourcing, meaning they must focus their resources on a specific process, and not necessarily be able to do everything in-house. (Gold, 2017)

In the end, I think it is ultimately up to the company to decide what is best for them at any given point. What works today may not necessarily work tomorrow, and they need to be open-minded enough to understand that. “If possible, a combined strategy of both insourcing and outsourcing will most often provide the necessary flexibility and avoid any unsound dependence on third-parties.” (Gold, 2017)

Resource

Gold, O. (2017). Insourcing vs outsourcing: choosing the right strategy. Pharmaceutical Technology Europe, s4 – s5.

Sealock, A. & Stacy, C. (2013). Why some U.S. companies are giving up on outsourcing. Retrieved from www.forbes.com/sites/ciocentral/2013/01/16/why-som…

Student two:

I am a strong supporter of outsourcing. When talking about globalization, we would be advocating against the very term if we were to support insourcing. The goal of globalization is, after all, to spread our company’s reach to the other ends of the world. By choosing insourcing, we stay in our native country. While we may be providing some employment to our own United States citizens, we are missing out on numerous other things; lower wage expenses, an avenue into a foreign market, and providing livable wages to the citizens of that foreign country are just a few.

Nike Inc is a company that was founded in 1964 by Bill Bowerman and Phil Knight. Nike is a retail store that sells clothing, shoes, and many other sports equipment and gear. Nike has had their fair share of the bad spotlight in recent years. They have been accused of using child labor and paying wages that are substandard in the foreign countries where they own factories. “The share of production costs of Nike and Adidas shoes that ends up in a worker’s pocket is now a staggering 30 percent less than in the early 1990s (2.5 percent in 2017). (Guilbert, 2017). Nike has a large manufacturing industry in Indonesia, where they 80% of their employees are females and they pay at least $182 a month. According to a salary survey conducted in Indonesia in 2018, 98% of employees made less than $150 per month. With a 40-hour work week, that calculates to about $0.94 per hour. This seems extremely low for us Americans, but we have to remember that the cost of living in the U.S. is much higher than in Indonesia. By outsourcing, Nike is saving billions of dollars in their employees’ wage expenses and also providing employment to foreign citizens that may not have found work if Nike had not placed their large factories in Indonesia. Outsourcing seems like a win-win for both Nike and Indonesia in this case.

Guilbert, K. (2017). Adidas, Nike urged to ensure fair wages for Asian workers making World Cup kits. Reuters. Retrieved from https://www.reuters.com/article/us-asia-workers-wo…

Student three:

Both insourcing and outsourcing are a viable means of acquiring labor or specialty skills for a company and offer many benefits. Globalization, continuous fluctuation of consumer needs and other market forces often require businesses to re-evaluate their strategies and business models. Even after going the effort to find an outsourcing partner, to prepare complex contracts and agreements, fostering relationships, and overcoming cultural and language barriers, many companies are starting the return to insourcing. With all the issues that are coming from outsourcing, I feel that businesses switching to insourcing is justified.

The biggest difference between the two is the way tasked are performed with insourcing. Tasks are completed within the physical business. Furthermore, the business is able to have a more hands-on approach to managing the company’s processes. In some cases, insourcing can come with a higher cost, but the business still can save on benefits, hiring, and costs associated with permanent employees (Lazzari, 2019). Cost savings is the main reason a company chooses to outsource. If the anticipated cost reductions fall short, or if the expenses of outsourcing grow over time, the company will bring the outsourced activities back in-house. According to Parker and Lynch, insourcing is a great way to improve control, instill confidence in the employees, and generate collaborations across the departments. People generally think about cheaper products when it comes to spending on something. Cheaper may not always be better. Quality above price needs to be valued. Though outsourcing may be cheaper at the time, insourcing can get incredible rewards

To counter against outsourcing, public relations or political pressure issues can persuade a business to bring outsourced goods or services back in-house. “The current trade war between the USA and China, for example, is making life difficult for US companies that brokered deals with Chinese manufacturers to take advantage of low-cost labor” (O’Byrne, 2018). Nowadays, business information systems play a bigger part in the relationships between the company, customers, and suppliers. For example, the result of an outsourced component’s inability to align and integrate IT solutions could very well be the reason a business takes back any outsourced business activities. With outsourcing, response times to technical issues can be slower and the level of knowledge is often not as good as in-house employees.

General Motors (GM) is a great example of a company that changed majority of its outsourcing to insourcing. This company’s interest was to bring jobs back home to the United States. In 2012, GM took the initiative to transfer 90% of its information-technology based job back to in-house. This brought everything from data centers to software development into the fold and took away a lot of work from outsourced companies. The decision to do this is noteworthy since GM contributed to created jobs in America at a time when the nation was in economic recovery and had a high unemployment level (Chudzicka, 2013).

References

Chudzicka, J. (2013). Insourcing as a New Trend in Global Business. Foundations of Management, 5(2), 7–24. doi: 10.2478/fman-2014-0009

Lazzari, Z. (2019, August 8). The Difference Between Outsourcing & Insourcing. Retrieved from https://smallbusiness.chron.com/difference-between-outsourcing-insourcing-32400.html.

O’Byrne, R. (2018, August 15). What Makes Companies Bring Outsourced Operations Back In- House? Retrieved from https://www.logisticsbureau.com/8-reasons-companies-bring-outsourced-processes-back-in-house/.

Parker and Lynch. (n.d.). Outsourcing versus insourcing: Aligning your approach to your business. Retrieved from https://www.parkerlynch.com/clientservices/outsourcing-infographic/.

Student four:

Before I pick a side, I would like to state for the record that I find both outsourcing and insourcing beneficial in their own special ways. With that being said, outsource vs insource has been debated for quite some time. There is no perfect solution here as both methods come with the good and the bad. It’s just a matter of which one is the most convenient which is decided by upper management who base it on their own preferences. However, there are those who are new to this conversation, so it is important for one to understand what these methods mean as well as the ups and downs that come with them

Outsourcing is defined as the process of hiring outside help not associated with the business for the sole purpose of completing specific jobs. Companies use outsourcing in order to help focus on the bigger picture. Saving money is typically the main reason for choosing this method. Typically, travel, transport and media industries rely on outsourcing in order to complete important projects. Outsourcing isn’t all good as a lack of managerial control over the outside employees can result in poor customer service. For example, a company known for their kind and friendly customer service would not be able to enforce those same principles to the outside support center. This problem can be fixed by hiring outside help who speak the language better.

Pros- Cheaper, Higher chance of 24/7 availability in order to increase efficiency.

Cons- Potential for miscommunication due to language barrier, higher management cost, different time zones making it hard to manage the outside group effectively.

Insourcing is simply when a company makes use of their own resources and abilities using employees within their own business to accomplish goals. They keep their business close to the vest so to speak. Law firms are a good example of companies that use insourcing. In 2018, a legal survey showed that law firms conduct 75% of their business within their organizational structure, which is a dramatic increase from last years number. Just like outsourcing, insourcing runs into the problem of money as it is quite expensive creating new places of operations, especially if it involves the inclusion of new processes in order to create a new department.

Pros: Closer relationship with team members, Lower cost, Better communication, Convenient for traveling if you find the need to explain specifics in detail for better understanding.

Cons: More expensive compared to outsourcing, Lower levels of qualification, and difficulty of finding new talent on the fly.

Position

I feel that insourcing is the proper way to do business as it is important to work with a team that know each other better, have a better sense of what the their work culture is and to ensure proper customer service. Besides, you can’t put a price on quality performance.

References

Beers, B. (2019, September 19). Outsourcing vs Insourcing: What”s the Difference? Business Essentials. Retrieved from https://www.investopedia.com/ask/answers/032715/whats-difference-between-outsourcing-and-insourcing.asp

Shrivastava, S. (2019, May 22). Outsourcing vs Incsourcing IT: Pros and Cons Retrieved from https://www.tcognition.com/blog/outsourcing-vs-insourcing-it-pros-cons/

2 forum replies 450 each 3 sources each

General Guidelines for the replies:

Reply to the threads posted by 2 classmates who supported a different balance, or used a different rationale than you did on at least 1 of the issues under discussion. Identify the points of difference in your analysis and explain how your application of the relevant law to the facts of this situation led you to a different conclusion.

Each reply must be supported by 3 scholarly sources other than the textbook/course materials. Each source must be properly cited in current APA format.

Review the Assignment Instructions for Discussion Board Forums, noting especially requirements for word counts, scholarly sources, and biblical worldview integration.

Please let me know who each reply is for so that I don’t mix it up on the post.

I have attached some documents to help including my post and 5 classmates with their names labeled.

complete community health term paper leo

HCA 402: Term Paper Guidelines

Healthcare is a multidisciplinary field, e.g., there are primary care physicians, specialists, nurses, technicians, pharmacists, administrators, and others. They all work together as a single unit for common goals…”safe and quality in patient care.”

Public health is no different. Public health is also a multidisciplinary field composed of epidemiologists, environmentalists, biostatisticians, behavioral scientists, and/or health educators. Public health also includes specialists in clinical research, chronic disease, infectious disease, emergency medical services, food safety, global emergency preparedness, and response professionals. Some public health specialists focus on health disparities, international/global health, laboratory practices, maternal and child health concerns, women’s health, mental health, nutrition/dietetics, occupational health and safety, and toxicology.

Finally, there are public health officials that focus on the economics or finance, of public health and communities, in addition to public health laws and public health policies.

You Decide!

For your class term paper, choose a public health topic or public health profession that most interests you. Research your topic and show how your topic or profession chosen is integrated and/or has a positive effect on populations and community health. Example topics would be,

Environmental: Recycling Waste, or Chronic Disease: Risk Factors and Prevention, or

Biostatisticians’ Effect on Positive Social Change…or any other that relates to this class.

Term Paper Topics

You do not have to use one of these topics. If you choose a topic that is not on this list, email it to the Professor for approval to ensure it is appropriate for the course.

  • AIDS
  • Air quality, indoor
  • Ammonia
  • Anthrax
  • Arboviruses
  • Arsenic
  • Asbestos
  • Asphalt
  • Avian Flu
  • Biological Agents Registry
  • Biological indoor contaminants
  • Bioterrorism
  • Blue-green algae
  • Bovine spongiform
  • encephalopathy

    (BSE)

  • Carbon Monoxide
  • CCA-treated wood
  • Chemical exposure
  • Chlorine
  • Communicable Disease Control
  • Creutzfeldt-Jakob disease (CJD)

    old people disaste

    HEloo , please see the attached files. sdf