For the think tank | Business Finance homework help
The assignment is to research key facts about a recent initial public offering either Alibaba or Box using sources available on the internet (Wall Street Journal, New York Times, Yahoo Finance, etc.) This will provide a foundation for our discussion of IPOs in class.
The suggested format is to use the following headings and briefly answer the questions which are listed:
Company description: Briefly (three to four sentences) describe the company and its business.
IPO price range: Before an IPO occurs, the company and its investment bankers estimate the price at which it will be sold. What was the original price range for this IPO? Was the price range updated? If so, what was the final price range?
IPO:
AtwhatpriceweresharessoldtothepublicintheIPO?
How much money was raised by the company in the IPO? (This is equal to the IPO price times the number of shares which were sold in the IPO.)
Did the company indicate what it planned to use the money for? Were there indications of whether insiders/early investors sold stock?
First day stock performance: How did the stock price perform on the first day it traded? How did that compare to the performance of the SP 500 on that day? (You can get SP 500 prices on Yahoo Finance by using the ticker symbol ^gspc.)
Stock performance since first day: How has the stock price performed since the first day of trading? Compare the stocks closing price on the first day to the closing price on May 1. How did the SP 500 perform over that same period?
Value:
What value was implied by the IPO price for the total company? (This is equal to the total
number of shares outstanding times the IPO price.)
Whatvaluewasimpliedbytheclosingpriceonthefirstdayoftrading?
WhatisthevalueimpliedforthetotalcompanybythestockspriceonMay1?
Assessment/Outlook: Assume you were a shareholder in the company before the IPO. Would you consider the IPO a success?
Your submission should be a maximum of two pages typed.
Bshs 382 week 4 correlation discussion
Prepare a 250- to 350-word paper:
·Describe different methods of establishing correlation between variables and provide an example of each (pearsons r spearman rho).
·Discuss the advantages and disadvantages of each method and where each must be applied.
·Consider particular circumstances and examples in which a researcher may want to establish correlation.
·Cite all sources and Follow APA 6th edition guidelines
Prepare to discuss your response and those of your classmates.
Dq 1 in 200 words
DQ 1 200 words due in 15 hours
Corporations often use different costs of capital for different operating divisions. Using an example, calculate the weighted cost of capital (WACC). What are some potential issues in using varying techniques for cost of capital for different divisions? If the overall company weighted average cost of capital (WACC) were used as the hurdle rate for all divisions, would more conservative or riskier divisions get a greater share of capital? Explain your reasoning. What are two techniques that you could use to develop a rough estimate for each divisions cost of capital?
Planning treatment | Psychology homework help
Don had been consuming alcohol for 15 years. He started with one drink after work with his friends. Somehow, what started with one drink, over the years led to hours of drinking with his friends and then to drinking alone after work. He worked as a skilled laborer when he could, however, his income was now so low and sporadic that he could no longer pay his credit card bills and had no money in his checking account. Dons wife had left with the children 10 years agoshe and the children had given up on Don. However, Don had a good friend who had just moved back into town and who wanted to help. His name was Jack and he had known Don since grade school.
Dons father also drank heavily on a daily basis. Don does not view his fathers drinking as problematic because his dad went to work every day.
You have administered the Addiction Severity Index and the results indicate that Don has had significant difficulties in the areas of employment problems (prior to his sporadic skilled laborer work he was fired from two jobs and laid off from one), family relations (in addition to his wife and children leaving he is also estranged from his family of origin) and psychiatric (Don expresses anxiety on more days of the month than not and states that this is particularly true when he is not drinking).
Don has significant work history in the area of construction and enjoys this line of work. At his most recent full time job he was about to be promoted to supervisor, but was denied this promotion due to a failed urine screen (urine analysis). A subsequent failed urine screen resulted in his termination from that position.
Although Don does not have medical insurance, he recently qualified for state medical assistance. This program will pay for an outpatient treatment program (it will not pay for any higher level of care and he does not have funds to cover anything additional).
You administered the SOCRATES which revealed that Don is in the contemplation stage of change and may be close to the preparation stage.
Based on this additional information, design a treatment plan for Don. The facility at which you work uses the form in the template below. Use this form to complete your information.Attached is the form.
Assignment 2: cloud solutions | Human Resource Management homework help
Assignment 2: Cloud Solutions
Cloud-based computing allows businesses to store and access large amounts of data over the Internet rather than on in-house computer hard drives. There are several cloud-based data solutions currently available in the marketplace.
Using the Argosy University online library resources and the Internet, research the latest cloud-based data solutions in the marketplace today. Select at least 2 scholarly sources for use in this assignment.
Assume you are evaluating vendors providing cloud-based solutions for your current organization or a hypothetical organization. Complete the following:
Identify three potential vendors.
Compare and contrast the three different vendors. Be sure to consider the services, data solutions, and security features they provide.
Based on your analysis, provide a recommendation about which provider or solution you think would work best.
Provide a justification explaining why it would be the best product for your selected business to use (using your current organization or a hypothetical organization). Support your recommendation with up-to-date knowledge of business practices and technology use. Be sure to provide a little background about the organization to help justify your recommendation.
Utilize at least 2 scholarly sources in support of your assertions.
Make sure you write in a clear, concise, and organized manner; demonstrate ethical scholarship in appropriate and accurate representation and attribution of sources; display accurate spelling, grammar, and punctuation.
Write a 34-page report in Word format. Apply APA standards to citation of sources. Use the following file naming convention: LastnameFirstInitial_M4_A2.doc.
By Wednesday, June 18, 2014, deliver your assignment to the M4: Assignment 2 Dropbox.
Grading Criteria
Assignment Components
Proficient
Max Points
Compared and contrasted the services, data solutions, and security features provided by the vendors.
An accurate comparative analysis of each vendor is provided including services, data solutions, and security features.
32
Provide a recommendation about which provider or solution you think would work best.
Recommendation is based on accurate vendor information and it explains which provider would work best in the specific situation.
16
Provide justification about why you feel it would be the best product for a business to use.
Justification is supported using up-to-date knowledge of business practices and technology use.
32
Academic Writing
Write in a clear, concise, and organized manner; demonstrate ethical scholarship in appropriate and accurate representation and attribution of sources (i.e., APA); and display accurate spelling, grammar, and punctuation. Use of scholarly sources aligns with specified assignment requirements.
Wrote in a clear, concise, and organized manner; demonstrated ethical scholarship in appropriate and accurate representation and attribution of sources; and displayed accurate spelling, grammar, and punctuation. Use of scholarly sources aligns with specified assignment requirements.
20
Total
100
Explain the role of health education in health promotion. How is the nursing process used in developing health education? Describe a contemporary issue, local or global, that a family may experience today. What steps would the nurse take to address these as part of a health education plan?
Explain the role of health education in health promotion. How is the nursing process used in developing health education? Describe a contemporary issue, local or global, that a family may experience today. What steps would the nurse take to address these as part of a health education plan?
Due Date: august 4
Second Post
What characteristics would lead a provider to suspect domestic violence, child abuse, or elder abuse is taking place within a family? Discuss your facilitys procedure for reporting these types of abuse.
Due Date August 6
HSA 540 Chief Operating Officer Paper
Ambulatory care encompasses a diverse and growing sector of the healthcare delivery system. Physician services are the chief component. Hospital outpatient and emergency departments, community health centers, departments of health, and voluntary agencies also contribute important services, however, particularly for underserved and vulnerable populations.Today, patients have many options for how and where they spend their money. That includes selecting a healthcare provider. Hospitals seek to achieve the Malcom Baldridge National Quality Award to excel in improving quality patient care and to be more competitive in health care. St. Davids Healthcare reviewed their operations and knew it was critical for the organization to continually improve. St. Davids healthcare adopted Baldridge criteria.Assume you are hired as the Chief Operating Officer (COO) and one of your first tasks was to conduct a SWOT Analysis of the HIT system at We Care Hospital. Review your SWOT. You have now been working at the healthcare facility for several months. The Chief Executive Officer (CEO) would like to become more competitive in the healthcare market and to show their patients they are one of the top-rated hospitals. The CEO asks you to review the Malcom Baldrige requirements to help improve Emergency Room waiting times. Your research found a trend analysis at St. Davids Healthcare facility that earned them the Malcolm Baldridge Award. According to ASQ Knowledge Center, in 2008, wait times were over 45 minutes and steadily declined to just over 15 minutes in 2014.Write a three to four (4-5) page paper in which you: Note: Wikipedia and similar websites do not qualify as academic resources.Your assignment must follow these formatting requirements:The specific course learning outcomes associated with this assignment are:
Statistical analysis chapter 4 and 5
I need someone who is good at APA tables and statistical analysis. The information is already in the attachment. The tables and charts must be in APA format
Chapter 4: Data Analysis and Results
This chapter will review the collected data, evaluate methods used to analyze the data, and appraise the findings of the study. The purpose of this quantitative project was to determine the degree of relationship between the independent variale of nurses participation in an evidence-based CLABSI prevention using CHG bathing and the dependent variables of lowering CLABSI rates in patients with CVCs in a healthcare facility in Texas. The quantitative research methodology was selected as a means to review the collected data, evaluate and analyze the data and to appraise the findings of the quality improvement project. The purpose of the project is to explore the problem of CLABSIs and examine available measures to prevent, control, reduce incidences, and to implement a quality improvement project set forth by this investigator to decrease CLABSIs. More importantly, the project seeks to contribute to the field of evidence-based practices in nursing by showing the role of the nurse in helping to reduce HAIs, such as CLABSIs, in the adult critical care setting. In particular, the present project proposes nurse training on the CUSP toolkit and additional CLABSI maintenance, including CHG bathing as an intervention to prevent CLABSI. Central line Venous Catheters (CVCs) are commonly used for inpatients hospitalized in acute care Intensive Care Units (ICU) to administer blood products, intravenous fluids, parenteral nutrition, and other types of medications, such as antibiotics. The use of catheters is, however, linked to the risk of developing a hospital-acquired infection (HAI), known as Central-line Associated Bloodstream Infection (CLABSI) mainly caused by microorganisms found on the external surface of the patients skin, improper hand hygiene, or in the fluid pathway post-catheter insertion. Notably, CVCs have been cited as the most frequent and costliest causes of bloodstream infections (Haddadin Regunath., 2019). CLABSI prevention is one of seven requirements by the Joint Commission for hospitals to accredited nursing care centers and listed as a National Patient Safety Goal (NPSG) NPSG.07.04.01 (Yokoe et al., 2018).
Evidence-based practices, including CHG bathing, adequate hand hygiene, and clear de-escalation protocols for central lines that are no longer medically necessary, were utilized. The Comprehensive Unit-based Safety Program (CUSP) is a program designed to teach and enhance patient safety awareness as well as the quality of nursing care (Basinger, 2015). The project will implement CUSP, which is comprised of five basic steps. The CUSP process starts with providing education on the CUSP Central-line maintenance bundle that includes chlorohexidine gluconate (CHG) bathing, followed by the identification of weaknesses and risks in patient safety, then the partnering of a senior executive of the critical care unit, learning from the flaws, and the execution of communication and teamwork tools (Basinger, 2015). The core CUSP toolkit (appendix B) gives clinical teams the training resources and tools to apply the CUSP CHG bathing intervention for this project to prevent CLABSIs.
The present project will consist of audit tools on awareness and compliance, like the AHRQ CUSP CLABSI Central Line Maintenance Audit Form and CUSP toolkit (appendix B) in which proper maintenance of CLABSI is ensured (Baldassarre, Finkelston, Decker, Lewis, Niesley, 2015). A CUSP CLABSI maintenance audit tool (Appendix B) was used on the nurses providing care on those patients with CVCs were used within the adult ICU at Texas hospital, to help in determining the CLASBI maintenance bundle compliance. The results of the project were analyzed using the necessary statistical methods to help in establishing the conclusion of the results. The Texas hospitals nursing data portal was used to gather statistical data that will determine if CHG use has helped reach the benchmark goal of SIR = 75th percentile and the Goal Process Measures or KPIs = 90% compliance compared to other hospitals in the division. Currently, in the last quarter of 2019, the benchmark of the 75th percentile has been achieving post quality improvements that include the addition of CHG bathing. CUSP CLABSI maintenance audit tool (Appendix B) (Heale Twycross, 2015). Statistical significance was calculated at a p-value of .05 and a 95% confidence interval. The Centers for Disease Control and Preventions (CDCs) National Healthcare Safety Network (NHSN) developed and used standardized infection ratios (SIRs) to measure healthcare-associated infection (HAI) incidence (Soe, Gould, Pollock, Edwards, 2015).
The Infection rate is calculated using the overall percentage of infection by dividing the number of new cases by the average census and multiplying by 100. For more specific rates, the number will be provided by dividing the number of new cases by the total resident days and multiply by 1000, which gives you the number of infections per 1000 resident days (Liu et al., 2016). Standardized Infection Ratio (SRI) is expressed as a ratio and is the comparison of the actual number of HAIs to the predicted number of HAIs in a healthcare organization. This value is based upon data reported to National Healthcare Safety Network (NHSN) during a specified time period. The Hospital Corporation of Americas (HCA) goal is 75th percentile. A SIR can only be calculated if there is at least one predicted infection
Goal: SIR = 75th percentile
To assist in determining if patient outcomes could be improved using simulation
activities, a rural healthcare facility in Southeast Texas, was chosen to conduct the project. The methodology used for this project was quantitative. A quantitative methodology was chosen to provide absolute value to the rate of incidence or occurrence of adverse events to support measurement of the difference between pre- and post-simulation intervention. A quasi-experimental design was used as participants were not randomly selected. This approach suited the request of the institution to include nurses working in the ED.
Using comparative analysis, the CUSP CLABSI Central Line Maintenance Audit Form (appendix B) shows 90 percent compliance, the data met the key performance indicators (KPIs) for a decrease in CLABSI and its compliance with evidence based standars has brought down CLABSI infection rates. The Goal Process Measures or KPIs (key performance indicators) = 90% compliance. The bullet graph (Table 1) at the top right corner of Nursing Data Portal trending screens, outlines how to read and interpret progress on performance milestones. The purpose of this chapter is to summarize the collected data, how it was analyzed, and then to present the results.
Table 1
Table 1 shows the Hospital KPI performance graph on CHG bathing from the organizations Nursing Data Portal. The table shows the prior month and current month percentage labeled 0% to 100%. Moving from left to right, the graph shows the organizations divisional average at 50% and next the HCA corporate average of 70%. Aspiration goals for CHG bathing are set for the 75th percentile with higher aspirational goals set at 100% or in the 90th percentile.
Table 2[A1]
In the present project, a CVC maintenance bundle checklist (Appendix D) was used to observe nurses in the adult ICUs of an acute Texas hospital. The observation will involve the Central Line Audit Form (Appendix B) comparing nurses compliance regarding CVC maintenance and any significant definite statistical decrease in the reported standardize infection rates and was done for one month (Table 3). In 2019 in the first two quarters, the facility has already reported 20 HAIs, according to the Centers for Disease Control and Preventions (CDCs) National Healthcare Safety Network (NHSN) (Painter, 2018). From May to September (five-month trend) the Texas hospital was at 96% overall performance, and the division in which it belongs, the Gulf Coast Division, was at 97% with the goal of overall performance being 98% of all HCA hospitals (Table 2). [A2] The next five-month trend from August to November, the Texas hospital was at 95% overall performance, and the division in which it belongs, the Gulf Coast Division, was at 89% with the goal of overall performance being 98% of all HCA hospitals (Table 2). CLABSI infection and prevention are a factor in the overall performance both at the local, division and national levels. Other size hospitals in Texas have an average of 15 CLABSI per year (Liu et al., 2016). The present project will apply the quantitative approach, which was used in data collection and analysis. The present project will consist of audit tools on awareness and compliance, like the AHRQ CUSP CLABSI Central Line Maintenance Audit Form and CUSP toolkit (appendix B) in which maintenance of CLABSI is ensured (Baldassarre, Finkelston, Decker, Lewis, Niesley, 2015). A CUSP CLABSI Central Line Maintenance Audit Form (appendix B) on the nurses providing care on those patients with CVCs was used within the adult ICU at Texas hospital, to help in determining CLASBI maintenance CHG bathing compliance. The results of the project were analyzed using the necessary statistical methods to help in establishing the conclusion of the results. CUSP CLABSI maintenance audit tool (Appendix B) (Heale Twycross, 2015). Statistical significance was calculated at a p-value of .05 at 5.59 or 5% and a 95% confidence interval. The Centers for Disease Control and Preventions (CDCs) National Healthcare Safety [A3] Network (NHSN) developed and used standardized infection ratios (SIRs) to measure healthcare-associated infection (HAI) incidence (Soe, Gould, Pollock, Edwards, 2015). The Infection rate calculation calculated using the overall percentage of infection by dividing the number of new cases by the average census and multiplying by 100. For more specific rates, divide the number of new cases by total resident days and multiply by [A4] 1000, which gives you the number of infections per 1000 resident days (Liu et al., 2016). Using comparative analysis, if the CUSP CLABSI Central Line Maintenance Audit Form (appendix B) shows 90 percent compliance, the data met the KPIs for a decrease in CLABSI. In the present project, a CVC maintenance bundle checklist (Appendix E) was used to observe nurses in the adult ICUs of an acute Texas hospital. The observation involved the Central Line Audit Form (Appendix B) comparing nurses compliance regarding [A5] CVC maintenance and any significant definite statistical decrease in the reported standardize infection rates and was done for one month.
The following clinical question will guide this quantitative project:
Q: In adult patients with central line catheters, how does staff training on the CUSP CLABSIs maintenance CHG bathing to reduce the incidence of CLABSIs (Central Line-Associated Blood-stream Infections) compared to standard care over one month?
Standard care here is defined as procedural pause, aseptic techniques, hand hygiene, and optimal site selection, to protect the insertion site and to take maximal sterile precautions (Advani, Lee, Long, Schmitz, Camins, 2018).
Criterion
Learner Score (0, 1, 2, or 3)
Chairperson Score (0, 1, 2, or 3)
Comments or Feedback
INTRODUCTION (TOTHE CHAPTER)
This section of Chapter 4 briefly restates the problem statement, the methodology, the clinical question(s) or phenomena, and offers a statement about what will be covered in this chapter.
1
Re-introduces the purpose of the practice project.
1
Briefly describes the project methodology and/or clinical question(s) tested.
1
Develop project methodology.
Provides an orienting statement about what will be covered in the chapter.
2
Section is written in a way that is well structured, has a logical flow, uses correct paragraph structure, uses correct sentence structure, uses correct punctuation, and uses correct APA format.
2
NOTE: Once the document has been approved by your chairperson and your committee and is ready to submit for review, please remove all of these assessment tables from this document.
Score 0 (not present); 1(unacceptable; needs substantial edits); 2 (present, but needs some editing); 3 (publication ready).
Descriptive Data
A CHG bath/treatment must be given each day (based off midnight census) for a patient in the adult ICU with a central line, hemodialysis catheter, PICC, midline, or accessed port, and the CHG bath must be documented as per the Texas hospitals policy. The Texas hospital utilizes Meditech 5.6.x Source System to documents daily CHG bathing (Appendix F). CHG bathing is tracked through the hospitals Nursing Data Portal, a division-wide analytics program. CHG bathing is tracked through the Texas hospitals Nursing Data Portal, a division-wide analytics program. This portal can track CHG compliance, date and time of bath, CVC placement, type of lumens, date and time of access, and any reason CHG bathing was not performed (Appendix E) on the CVC patient, both intervention and nonintervention groups were determined via the CUSP CLABSI Maintenance Audit form.
The CUSP CLABSI Maintenon Audit form asks the following questions: Was the need for a central line for this patient discussed on patient rounds? Was good hand hygiene used by all personnel involved in line care for this patient (i.e., handwashing with soap and water or with alcohol-based hand sanitizes. If the line was percutaneously placed, was this line placed in a recommended site? Was the dressing changed during this shift? Was Chloraprep or 2% chlorhexidine in 70% Isopropyl alcohol used for skin antisepsis? Were central line tubing and all additions (secondary tubing, etc.) changed during this shift? Was there blood return from each lumen? Was chlorhexidine impregnated BioPatch used? Was a chlorhexidine impregnated occlusive dressing used? Was an antibiotic coated catheter used at insertion? What will you change to improve line maintenance practices? (Appendix B and E).
A CHG bath/treatment must be given each day for a patient in the ICU with a central line, hemodialysis catheter, PICC, midline, or accessed port, and the CHG bath must be documented in Meditech 5.6x. per the Texas hospitals policy. From the nursing data portal, this project the project investigator was able to gather statistical data that determined that CHG use has helped reach the goal of SIR = 75th percentile and the Goal Process Measures or KPIs of 90% compliance. Tallied scores (Table 4) were entered into SPSS Statistics program to give a percentage of CUSP CVC intervention and non-intervention groups with the number of new CLABSI patients in each group. This KPI was determined by a decrease in CLABSI rates. Occurrences of events constitute discrete data and are recorded in whole numbers and into various categories (Ali Bhaskar, 2016). Entered in the SPSS program was the independent variable, which is all the nurses in the present project. This group was further divided into two variables an intervention group and a non-intervention group. The intervention group being nurses implementing CUSP CLABSI maintenance bundle CHG bathing and non-interventional group nurses who are attending patients without CHG bathing. All 60 comprised of 30 nurses in each group were coded in Camel case and number, for example, Nurs1 to maintain confidentiality. Dependent variables or numberof infections entered into the SPPS program the quantitative CUSP CLABSI maintenance CHG bathing intervention performed in the adult ICU at Texas hospital. Data entered will allow the investigator to create statistical graphs such as histogram, bar charts, Tukey box plots, line graphs, and scatterplots to give a visual representation of the collected data. The investigator expects that the CUSP intervention groups will have a level of statistical significance of lower CLABSI. CUSP Central line maintenance bundle compliance was measured with the CUSP CLABSI Central line Maintenance Audit Form (appendix B) with the reported standard infection ratio (SIR). The present project shows that the SIR will decrease with the addition of the CHG bathing, and using inferential statistics.
Calculation of the p-value and paired t-test was completed to compare the means of the sample groups (intervention and nonintervention) (Table 3). Statistical significance was calculated at a p-value of .05 and a 95% confidence interval. Tallied compliance scores from the CUSP CVC audit form were entered SPSS Statistics program to give a percentage of CUSP CVC intervention and non-intervention groups with the number of new CLABSI patients in each group.
The information filled in the audit (Appendix B) were collected and coded to help in carrying out an unbiased de-identified analysis (See Table 4). The coded data were analyzed using the SPSS software to assist in getting the quantitative aspects of the data (Mihas, 2019). Calculation of standard deviation, p-value, and paired t-test was completed to compare the means of the sample groups. Statistical significance was calculated at a p-value of .05 and a 95% confidence interval. Statistical tests are used to see if the difference between the number of actual infections, and the number of predicted infections are due to just chance alone. If it is doubtful that the difference is due to chance, then the difference is called statistically significant. If the SIR is less than 1, and the finding is statistically significant, then the facilitys performance is labeled Better than Expected. If the SIR is greater than 1, and the finding is statistically significant, then the facilitys performance is labeled Worse than Expected. If the SIR is not statistically significant, then the facilitys SIR is “In the expected range” (Saman Kavanagh, 2013). When the predicted number of infections is less than 1, then the numbers are too small to compare. Equally, the investigator used descriptive aspects of the data to assist in making meaning out of any complex scientific elements of the data. The analysis of the data is critical clinically in achieving the objective of the project and answering the clinical questions regarding CLABSI prevention and CHG maintenance (Saman Kavanagh, 2013).
Table 3
CHG Audit Dates
30-days pre- intervention
CHG Intervention
No CHG Intervention
No of Infection
with CHG Intervention
No of Infection
without CHG Intervention
SIR
Standard Infection Ratio
10/15-10/21
0
0
1
1
1
10/22-10/28
0
0
1
0
1
10/29-11/4
0
0
0
1
0
11/5-11/14
0
0
0
1
0
Mean
0
0
0.5
0.75
0.5
Standard Deviation
0
0
0
0.4
0
CHG Audit Dates
30-days poet-intervention
CHG Intervention
No CHG Intervention
No of Infection
with Intervention
No of Infection
without Intervention
SIR
Standard Infection Ratio
11/15 -11/21
42
18
0
1
1
11/22 11/28
47
13
0
1
1
11/29-12/06
51
9
0
0
1
12/07 12/15
58
2
0
0
1
Mean
51.6
10.5
0
0.5
–
Standard Deviation
6.7
5.9
0
0.5
–
CVC/ PICC Line Days – Current Census for Clear Lake (Campus: Clear Lake)
Date_______________
Nurse
De-identified
(Nurs1-Nurs60)
Location
ICU/NTICU/CCU
/CVICU
Patient
De-identified
(P1-P30)
Admit Date
Insertion Site
Location
Right/Left
Type
of Catheter
Start Date
CUSP
Audit
CHG Bath
(Y/N[A6] )
Nurs1
G.ICU
P1
–
ARM
RIGHT
CVC multi lumen double
–
Y
Nurs2
G.ICU
P2
–
ARM
RIGHT
CVC multi lumen triple
–
Y
Nurs3
G.ICU
P3
–
ARM
RIGHT
CVC multi lumen triple
–
Y
Nurs4
G.ICU
P4
–
ARM
RIGHT
Dialysis catheter triple
–
N
Nurs5
G.ICU
P5
–
ARM
LEFT
CVC multi lumen triple
–
N
Nurs6
G.ICU
P6
–
ARM
LEFT
CVC multi lumen triple
–
Y
Nurs7
G.ICU
P7
–
ARM
RIGHT
Dialysis catheter triple
–
Y
Nurs8
G.ICU
P8
–
ARM
LEFT
CVC multi lumen triple
–
N
Nurs9
G.ICU
P9
–
ARM
LEFT
Dialysis catheter triple
–
N
Nurs10
G.ICU
P10
–
ARM
LEFT
Dialysis catheter triple
–
Y
Nurs11
G.ICU
P11
–
ARM
LEFT
Dialysis catheter triple
–
N
Nurs12
G.ICU
P12
–
ARM
RIGHT
CVC multi lumen triple
–
Y
Nurs13
G.ICU
P13
–
ARM
LEFT
Dialysis catheter triple
–
Y
Nurs14
G.ICU
P14
–
ARM
RIGHT
CVC multi lumen double
–
Y
Nurs15
G.ICU
P15
–
ARM
RIGHT
Dialysis catheter triple
–
Y
Nurs16
G.ICU
P16
–
ARM
RIGHT
CVC multi lumen triple
–
Y
Nurs17
G.ICU
P17
–
ARM
RIGHT
Midline
–
Y
Nurs18
G.ICU
P18
–
ARM
RIGHT
CVC multi lumen triple
–
Y
Nurs19
G.ICU
P19
–
ARM
LEFT
Dialysis catheter triple
–
Y
Nurs20
G.ICU
P20
–
ARM
LEFT
Dialysis catheter triple
–
Y
Nurs21
G.ICU
P21
–
ARM
RIGHT
CVC multi lumen triple
–
Y
Nurs22
G.ICU
P22
–
ARM
LEFT
Dialysis catheter triple
–
Y
Nurs23
G.ICU
P23
–
ARM
LEFT
CVC multi lumen double
–
Y
Nurs24
G.ICU
P24
–
ARM
RIGHT
Dialysis catheter triple
–
N
Nurs25
G.ICU
P25
–
ARM
RIGHT
CVC multi lumen triple
–
Y
Nurs26
G.ICU
P26
–
ARM
RIGHT
Midline
–
Y
Nurs27
G.ICU
P27
–
ARM
RIGHT
CVC multi lumen triple
–
N
Nurs28
G.ICU
P28
–
ARM
LEFT
Dialysis catheter triple
–
Y
Nurs29
G.ICU
P29
–
ARM
LEFT
Dialysis catheter triple
–
N
Nurs30
G.ICU
P30
–
ARM
RIGHT
Dialysis catheter triple
–
Y
Nurs31
G.ICU
P31
–
ARM
LEFT
Dialysis catheter triple
–
N
Nurs32
G.ICU
P32
–
ARM
LEFT
CVC multi lumen triple
–
N
Nurs33
G.ICU
P33
–
ARM
LEFT
Dialysis catheter triple
–
Y
Nurs34
G.ICU
P34
–
ARM
LEFT
CVC multi lumen double
–
Y
Nurs35
G.ICU
P35
–
ARM
RIGHT
Dialysis catheter triple
–
Y
Nurs36
G.ICU
P36
–
ARM
LEFT
CVC multi lumen triple
–
Y
Nurs37
G.ICU
P37
–
ARM
RIGHT
Midline
–
N
Nurs38
G.ICU
P38
–
ARM
CVC multi-lumen triple
–
N
Nurs39
G.ICU
P39
–
ARM
RIGHT
Dialysis catheter triple
–
Y
Nurs40
G.ICU
P40
–
ARM
RIGHT
Dialysis catheter triple
–
Y
Nurs41
G.ICU
P41
–
ARM
RIGHT
CVC multi lumen triple
–
N
Nurs42
G.ICU
P42
–
ARM
RIGHT
Dialysis catheter triple
–
N
Nurs43
G.ICU
P42
–
ARM
LEFT
CVC multi lumen double
–
N
Nurs44
G.ICU
P43
–
ARM
LEFT
Dialysis catheter triple
–
Y
Nurs45
G.ICU
P44
–
ARM
RIGHT
CVC multi lumen triple
–
Y
Nurs46
G.ICU
P45
–
ARM
LEFT
Dialysis catheter triple
–
Y
Nurs47
G.ICU
P46
–
ARM
LEFT
Dialysis catheter triple
–
N
Nurs48
G.ICU
P47
–
ARM
LEFT
CVC multi lumen triple
–
N
Nurs49
G.ICU
P48
–
ARM
LEFT
Dialysis catheter triple
–
Y
Nurs50
G.ICU
P50
–
ARM
RIGHT
CVC multi lumen double
–
N
Nurs51
G.ICU
P51
–
ARM
LEFT
Dialysis catheter triple
–
Y
Nurs52
G.ICU
P52
–
ARM
RIGHT
CVC multi lumen triple
–
N
Nurs53
G.ICU
P53
–
ARM
LEFT
Midline
–
Y
Nurs54
G.ICU
P54
–
ARM
RIGHT
CVC multi lumen triple
–
Y
Nurs55
G.ICU
P55
–
ARM
RIGHT
Dialysis catheter triple
–
N
Nurs56
G.ICU
P56
–
ARM
RIGHT
Dialysis catheter triple
–
Y
Nurs57
G.ICU
P57
–
ARM
RIGHT
CVC multi lumen triple
–
Y
Nurs58
G.ICU
P58
–
ARM
RIGHT
Dialysis catheter triple
–
N
Nurs59
G.ICU
P59
–
ARM
RIGHT
CVC multi lumen double
–
Y
Nurs60
G.ICU
P60
–
ARM
LEFT
Dialysis catheter triple
–
N
Table 4
Criterion
Learner Score (0, 1, 2, or 3)
Chairperson Score (0, 1, 2, or 3)
Comments or Feedback
DESCRIPTIVE DATA
This section of Chapter 4 provides a narrative summary of the population or sample characteristics and demographics of the participants in the project. It establishes the number of subjects, gender, age, level (if appropriate), organization, or setting (if appropriate). The use of graphic organizers, such as tables, charts and graphs to provide further clarification and promote readability, is encouraged.
1
Provides a narrative summary of the population or sample characteristics and demographics.
1
Graphic organizers are used as appropriate to organize and present coded data, as well as descriptive data such as tables, histograms, graphs, and/or charts.
1
Section is written in a way that is well structured, has a logical flow, uses correct paragraph structure, uses correct sentence structure, uses correct punctuation, and uses correct APA format.
1
NOTE: Once the document has been approved by your chairperson and your committee and is ready to submit for review, please remove all of these assessment tables from this document.
Score 0 (not present); 1(unacceptable; needs substantial edits); 2 (present, but needs some editing); 3 (publication ready).
Data Analysis Procedures
A quantitative approach has been successfully used by McKim (2016) to identify barriers to compliance with evidence-based guidelines for central line management. The main objective of using this approach is to strengthen and/or expand conclusions, thereby contributing to existing knowledge. The approach helps to heighten knowledge and increase the validity of the results (Guetterman, Fetters Creswell, 2015).
Reliability was addressed by ensuring that the instrument is consistent. The CUSP CLABSI Maintenance Central line audit was collected and coded to help in carrying out an unbiased analysis. The coded data were analyzed using the SPSS software to assist in obtaining the quality improvement aspects of the data (Mihas, 2019). Data were entered into the SPSS program were the independent variable, which is all the nurses in the present project. This group was further divided into two variables an intervention group and a non-intervention group. The intervention group being nurses implementing CUSP CLABSI maintenance bundle CHG bathing and non-interventional group nurses who are attending patients without CHG bathing. All 60 nurses 30 in each group were coded in Camel case and number, for example, Nurs1 to maintain confidentiality. Dependent variables or numberof infections entered into the SPPS program the quantitative CUSP CLABSI maintenance CHG bathing intervention performed in the adult ICU at Texas hospital.
The data entered will allow the investigator to create statistical graphs such as histogram, bar charts, Tukey box plots, line graphs, and scatterplots to give a visual representation of the collected data[A7] . The investigator expects that the CUSP intervention groups will have a level of statistical significance of lower CLABSI. CUSP Central line maintenance bundle compliance was measured with the Central line Maintenance Audit Form (appendix B) with the reported standard infection ratio (SIR). The present project shows that the SIR will decrease with the addition of the CHG bathing using inferential statistics.
A Calculation of P-value and paired t-test was completed to compare the means of the sample groups (intervention and nonintervention). Statistical [A8] significance was calculated at a p-value of .05 at 5.59 or 5% and a 95% confidence interval. Tallied (Table 4) compliance scores from the audit form were entered via SPSS Statistics program to give a percentage of CUSP CVC intervention and non-intervention groups with the number of new CLABSI patients in each group (Heale Twycross, 2015). SPSS has in-depth statistical capabilities, and the investigator can test Reliability Method Alpha using SPSS, meaning that the same data can be entered several times repeated and whatever the outcome will remain the same or consistent (Ozgur, Kleckner, Li, 2015).
The quantitative design will involve CUSP central line audit form (Appendix B) for nurse compliance in the adult ICU hospitals for the application of the CUSP CVC maintenance CHG bathing. The quantitative approach has been successfully used by Ider et al. (2012) to identify compliance with evidence-based guidelines for central line management.
Criterion
Learner Score (0, 1, 2, or 3)
Chairperson Score (0, 1, 2, or 3)
Comments or Feedback
DATA ANALYSIS PROCEDURES
This section presents a description of the process that was used to analyze the data. If clinical question(s) guided the project, data analysis procedures can be framed relative to each clinical question. Data can also be organized by chronology of phenomena, by themes and patterns, or by other approaches as deemed appropriate according for a qualitative project.
1
Describes in detail the data analysis procedures.
1
Explains and justifies any differences in why the data analysis section does not match what was approved in Chapter 3 (if appropriate).
1
Provides validity and reliability of the data in statistical terms for quantitative methodology. Describes approaches used to ensure validity and reliability for qualitative projects.
1
Identifies sources of error and potential impact on the data.
1
For a quantitative project, justifies how the analysis aligns with the clinical question(s) and is appropriate for the DPI project design. For a qualitative project justifies how data and findings were organized by chronology of phenomena, by themes and patterns, or by other approaches as deemed appropriate.
1
Section is written in a way that is well structured, has a logical flow, uses correct paragraph structure, uses correct sentence structure, uses correct punctuation, and uses correct APA format.
2
NOTE: Once the document has been approved by your chairperson and your committee and is ready to submit for review, please remove all of these assessment tables from this document.
Score 0 (not present); 1(unacceptable; needs substantial edits); 2 (present, but needs some editing); 3 (publication ready).
Results
The focus was placed upon the adverse event of CLABSI infections and the CHG intervention. Table 5 demonstrates the frequency of CLABSI infection events for a year pre CHG intervention and was five occurrences up to this CLABSI [A9] prevention improvement project. The standard deviation (SD) of the sample for the occurrence of CLABSI after CHG intervention was calculated as the SD of 21.68, with a sample variance of 470. The SD of the sample of occurrences of CLABSI without the CHG intervention was calculated at 0.49 with a sample variance of 0.24. The frequency of CLABSI for the 12 months before the CHG intervention and the month post-intervention is displayed in Table 5. The most frequently occurring CLABSI events occurred pre CHG intervention in October 2018 with one reported, January 2019 with one reported, May 2019, with one reported, August 2019, with one reported, and October with one reported[A10] . The median frequency of occurrence for total reported adverse events was 1:6 or 0[A11] .16 events per month.
There was no identified trend for identifying a specific month marking an excessive frequency of CLABSI events. There is a higher frequency of CLABSI events noted on months when the CHG bathing intervention was not applied[A12] . This quality improvement project was implemented for one month from November to December 2019 with the CHG intervention and no reported CLABSI events occurred. The median frequency of occurrence was 1:2 or 0.5 per [A13] month.
Frequency of CLABSI Adverse Events [A14]
by Month from December 2018 to December 2019
Table 5
A paired comparison [A15] was performed of the four weeks immediately before intervention and the four weeks post-intervention. Table 3 demonstrates these values. [A16] The mean frequency of occurrence of adverse events pre-intervention was 0.25 with [A17] an SD of 0.5 in errors related to assessment while the mean frequency of events related to intervention was 0.5, and the SD was 0.58 for errors related to intervention. Post-performance of the simulation activity, there were no reported or recorded errors related to assessment or intervention resulting in a mean and SD of zero (o) for both categories[A18] .
The project may come with [A19] several limitations that would see the objectives of the project, not [A20] conclusively met. There is no way in which the project can control the responses from the nurses. T[A21] he analysis of the responses is based on the assumption that the patients are honest and adhere to the highest ethical standard
USIU Stock Valuation and Beta Estimation Questions
Im trying to learn for my Business class and Im stuck. Can you help? 1. Recife Corporation stock has a Beta of 1.39 and it will pay a dividend of $1.50 next year. The following table shows the various possible economic conditions.State of the economy for the next year__________Probability___________Expected return of the marketGood_____________________________________40%_______________________15%Fair______________________________________30%________________________10%Poor_____________________________________30%_________________________0%The current riskless rate is 5%. The expected long-term rate of growth of Recife is 8%. Find the value of its common stock. Hint : assume that the predictions of the economy are short-term, perhaps over the next year. Also, assume that the growth of the dividends are long term (perhaps forever).2. Belem Company stock currently sells at $21 per share. Given the uncertainty in the economy, you have estimated that after one year, the stock price and its dividend will have the following probabilty distribution.Probability_______________Price/Share_______________Dividend/Share10%______________________$26______________________$1.2040%______________________$24______________________$1.1040%______________________$22______________________$1.0010%______________________$15______________________$0.90The expected return of the market is 13% and the risk-free rate is 5%. Estimate the Beta of the stock.3. Goiania Company has the same growth rate as Campinas Corporation. The current stock price of Goiania is $43 per share, and its dividend this year is $3. The riskless rate is 4% and the expected return on the market is 12%. Campinas stock is selling at $75 per share. Its dividend next year will be $4 a share and its Beta is 1.3. Find the Beta of the Goiania stock.
Dq62 response | Nursing homework help
Central line associated blood stream infection (CLABSI) is a major contributor to in-hospital morbidity and mortality and is linked with increased expenditure and length of intensive care unit (ICU) stay. The incidence of CLABSI is more in the ICUs due to emergency catheter placement, longer duration and repeated manipulation for sampling, administration of drugs and fluids, the additional confounding factors being chronic illness, old age, sepsis and immunosuppression (Atilla et al., 2016). My proposed solution of addressing this problem is nursing and patient education. Among the health care workers, nurses have the most direct and continuous role in handling CVCs, being involved with both insertion assistance and maintenance of central lines. Thus, they have a unique opportunity to contribute towards preventing these infections.Bedside nurses have the responsibility to implement the right interventions to prevent them. Appropriate training and education in central line management can go a long way in preventing this problem. Nurses are in a unique position to prevent CLABSIs across the health care spectrum. It would not be an overstretch to say that CLABSI prevention is completely a nursing responsibility. Let us consider the current health care scenario: the nursing scope of practice has increased vastly over the past decade and our profession continues to gain significance (Atilla et al., 2016).Educating the patients and families on the best practices of central line care and infection prevention is the responsibility of nursing staff. Making patients and caregivers partners in therapy by creating educational materials in simple language will help motivate adult learners to assimilate the knowledge (Patel et al., 2019). An interactive nurse-led demonstration accompanied by an illustrated guide to best practices of central line management ensure compliance to strict infection prevention practices. Again, this responsibility of educating patients falls on nurses, and patient education is a powerful tool to prevent CLABSIs (Patel et al., 2019). My current perspective was attributed by the fact that education empowers the patient and gives them ownership of their own care and condition.ReferencesAtilla, A., Do?anay, Z., Çelik, H. K., Tomak, L., Günal, Ö., K?l?ç, S. S. (2016). Central line-associated bloodstream infections in the intensive care unit: importance of the care bundle. Korean journal of anesthesiology, 69(6), 599.Patel, P. K., Olmsted, R. N., Hung, L., Popovich, K. J., Meddings, J., Jones, K., Chopra, V. (2019). A Tiered Approach for Preventing Central LineAssociated Bloodstream Infection. Annals of Internal Medicine, 171(7_Supplement),
