Why should nurses incorporate research? What trends have created a push for nursing practice based on evidence?

NR 439 EVIDENCE-BASED PRACTICE (Chamberlain) NR 439 Week 1 Discussion 1 – Searchable Clinical QuestionsRead the assigned case study and formulate one searchable, clinical question in the PICO(T) format. There are several potential questions that could be asked. Identify if the focus of your question is assessment, etiology, treatment, or prognosis. Remember to integrate references. NR 439 Week 1 Discussion 2 – Role of ResearchWhy should nurses incorporate research? What trends have created a push for nursing practice based on evidence? Remember to use references.

Why do you believe that Alan is having a difficult time recognizing the change proposed by Reham?

Change is never an easy process. For years, researchers and theorists have attempted to develop frameworks for change to help individuals accept the need for change. Consider the scenario below about change in a large organization. Then, answer the associated questions related to organizational change.Due to the impact of COVID-19, a large manufacturing company recognizes that organizational culture changes are necessary. Furthermore, process related changes must occur. The organization has experienced a decline in sales from early 2020 to present and recognizes that if changes are not made, many issues may arise. Reham, the CEO of the company, recognizes that organizational changes are needed.Reham has proposed that the company reduce the size of the workforce by 20% until sales increase. The organization currently employs many full-time manufacturing employees, but only employs a handful of office workers. To further market the products provided by the company, many office workers are working 10-20 hours of overtime, per week, to assist with marketing efforts. Needless to say, office personnel are very overwhelmed with tasks and responsibilities.At a three-hour meeting, Reham noted that a 20% reduction among manufacturing employees would be made within the next month. She then went on to state that three new positions would be added to the home office to ensure that the workload was not as intense for office personnel.During the meeting, many individuals recognized Reham’s point and said that they would support her decision to make these workforce changes. Unfortunately, Reham’s colleague, Alan (the Director of Manufacturing), became furious about this change and mentioned that he did not understand why Reham was trying to ruin the company’s culture.Based on the scenario above, answer the following questions:Why do you believe that Alan is having a difficult time recognizing the change proposed by Reham?What are the implications associated with Alan, the Director of Manufacturing, not supporting this change initiative?Although Reham is the CEO, and has ultimate authority, how might obtaining additional feedback from other organizational leaders assist Alan in further understanding the rationale for this change?Before Reham pushes this change forward, what short-term and long-term impacts should she consider?Your well-written paper should meet the following requirements:Be 5 pages in length, which does not include the title and reference pages, which are never a part of the content minimum requirements.Use APA style guidelines.you should met all the requirement in the question plus the guide that attachment

Describe two theory-based interventions you would use and justify your selection.

The theories you studied last week target patterns of behaviors, but they also incorporate thoughts and feelings in the moment and over time. You continue your application of theories to couple and family counseling by examining the systemic-emotional aspects of relationships, the patterns of interaction between couples and families, and the meaning associated with those interactions.For this Assignment, you again watch media of counselors demonstrating counseling, this time using humanistic/experiential and emotionally-focused theories. As you develop treatment plans based on this week’s theories, ask yourself how you recognize emotion in the relational dynamics of the couple or family. Also, consider how you might know emotional changes have occurred and how you would measure progress.The Assignment (3–4 pages)Based on the theory demonstrated in one of the humanistic/experiential media resources:Define the problem.Formulate a theory-based treatment plan including short-term and long- term goals for the couple or family.Describe two theory-based interventions you would use and justify your selection.Explain one anticipated outcome of each.Based on the theory demonstrated in the emotionally-focused media:Define the problem.Design a theory-based treatment plan including short- and long-term goals for the couple or family.Describe two theory-based interventions you would use and justify your selection.Explain one anticipated outcome of each.last week Assignment: Applying Bowenian and Structural TheoriesTheory-based treatment planning, the type you will use throughout this course, is informed and guided by your theoretical orientation. Incorporating your theoretical orientation into treatment planning will help you set goals and choose treatment techniques and interventions appropriate for the client(s) you serve (Gehart & Tuttle, 2003). This week, you apply two counseling theories, Bowenian and structural, to formulate your treatment planning and apply appropriate interventions.In this Assignment, you watch videos of counselors demonstrating the use of Bowenian and structural theories in family counseling. You then formulate treatment plans for the couples and/or families in the videos, applying the theories in question and justifying the use of appropriate interventions.The Assignment (2–3 pages)Based on the theory demonstrated in both videos:Define the problem in each video.Create a theory-based treatment plan, including short- and long-term goals for the couples and/or families.Explain two theory-based interventions you would use and justify your selection.Explain one anticipated outcome of each theory-based intervention.Required ReadingsGurman, A. S., Lebow, J. L., Snyder, D. K. (2015). Clinical handbook of couple therapy. New York, NY: The Guilford Press.Chapter 4, “Emotionally Focused Couple Therapy”Allan, R., & Johnson, S. M. (2017). Conceptual and application issues: Emotionally Focused Therapy with gay male couples. Journal of Couple & Relationship Therapy, 16(4), 286-305Bell, C. A., Denton, W. H., Martin, G., Coffey, A. D., Hanks, C.O., Cornwell, C. S., & Priest, J. B. (2018). Learning emotionally focused couple therapy: Four clinicians’ perspectives. Journal of Couple & Relationship Therapy, 17(1), 61-78.Carlson, M. W., Oed, M. M., & Bermudez, J. M. (2017). Satir’s Communication Stances and Pursue–Withdraw Cycles: An Enhanced Emotionally Focused Therapy Framework of Couple Interaction. Journal of Couple & Relationship Therapy, 16(3), 253-270.Schmidt, C. D., & Gelhert, N. C. (2017). Couples therapy and empathy: An evaluation of the impact of imago relationship therapy on partner empathy levels. The Family Journal, 25(1), 23-30.Williams, M. (2012). Couples counseling: A step by step guide for therapists. Boston, MA: Viale Publishing.Chapter 4, “Communication Skills”Document: Treatment Plan Template (Word document)Required MediaHumanistic/Experiential Therapy:Psychotherapy.net. (Producer). (n.d.). Experiential therapy [Video file].Psychotherapy.net. (Publisher). (n.d.). Satir family therapy [Video file]. [With Jean McLendon]. United States: Psychotherapy.net.Emotionally Focused Therapy:Governors State University (Producer). (2009). Emotionally focused couples therapy [Video file]. Chicago, IL: Author.Assignment: Apply

The type of decision making a consumer uses for a product does not necessarily remain constant. Why?

1. The type of decision making a consumer uses for a product does not necessarily remain constant. Why? Support your answer with an example from your own experience.2. Describe the three categories of consumer decision-making behavior. Name typical products for which each type of consumer behavior is used.3. Describe the level of involvement and the involvement factors likely to be associated with buying a new computer. Do you think Apple’s Web site at http://www.apple.com simplifies or complicates the process for the average consumer? Explain.4. How do beliefs and attitudes influence consumer behavior? How can negative attitudes toward a product be changed? How can marketers alter beliefs about a product? Give some examples of how marketers have changed negative attitudes about a product or added or altered beliefs about a product.

Financial statement analysis is the primary method used to assess a business’s financial condition. Explain and provide some examples using real healthcare companies to illustrate your points.

Innovation in Healthcare and Financial Statements Address the following requirements:Financial statement analysis is the primary method used to assess a business’s financial condition. Explain and provide some examples using real healthcare companies to illustrate your points. Financial statements can be useful, but they also have limitations. Explain and provide examples to illustrate your points. Be sure to support your statements with logic and argument, citing all sources that you used. Post your initial response early and check back often to continue the discussion.

Write a description of at least one topic from the Learning Resources on child and adolescent psychopharmacology that you found challenging, and explain why.

As you continue to prepare for the in-residence component of this course, be aware of how this week’s Learning Resources address psychopharmacology issues of specific age groups. How might you adapt your patient interactions and treatment strategies with children and adolescents when you address topics from earlier weeks in the course, such as depression, anxiety, or chronic pain?For this Discussion, review this week’s Learning Resources. Select at least one topic from the course readings on child and adolescent psychopharmacology that you found challenging, and reflect on why you found this to be so. Also consider any other topics that have been challenging this term. Finally, think about what topics you hope to cover in more depth during the in-residence component.Write a description of at least one topic from the Learning Resources on child and adolescent psychopharmacology that you found challenging, and explain why. Then, explain any other areas or topics in this course that have been challenging. Finally, explain what topics you hope to cover in more depth in-residence.READINGSBrown, R. T., & Sammons, M. T. (2002). Pediatric psychopharmacology: A review of new developments and recent research.Professional Psychology: Research and Practice, 33(2), 135–147.Retrieved from the Walden Library databases.Dean, A. J., Wragg, J., Draper, J., & McDermott, B. M. (2011). Predictors of medication adherence in children receiving psychotropic medication. Chronic migraine, classification, differential diagnosis, and epidemiology. Journal of Paediatrics and Child Health, 47(6), 350–355.dosReis, S., & Myers, M. A. (2008). Parental attitudes and involvement in psychopharmacological treatment for ADHD: A conceptual model. International Review of Psychiatry, 20(2), 135–141.Retrieved from the Walden Library databases.Advokat, C. D., & Comaty, J. E., & Julien, R. M. (2019). Julien’s primer of drug action: A comprehensive guide to the actions, uses, and side effects of psychoactive drugs (14th ed.). New York, NY: Worth Publishers/Macmillan.Chapter 15, “Child and Adolescent Psychopharmacology” (pp. 573-609)Chapter 17, “Challenging Times in Mental Health” (pp. 668-679)Preston, J. D., O’Neal, J. H., & Talaga, M. C. (2017). Handbook of clinical psychopharmacology for therapists (8th ed.). Oakland, CA: New Harbinger.Chapter 23, “Child and Adolescent Psychopharmacology” (pp. 255-276)Wall, C. A., Oldenkamp, C., & Swintak, C. (2010). Safety and efficacy pharmacogenomics in pediatric psychopharmacology. Primary Psychiatry, 17(5), 53–58.Retrieved from the Walden Library databases.

Calculate the firm’s weighted average cost of capital (WACC) using book value weights.

QUESTIONS : 7. Brite Lighting Corporation wants to investigate the effect on its cost of capital based on the rate at which the company is taxed. The firm wishes to maintain a capital structure of 30% debt, 10% preferred stock, and 60% common stock. The cost of financing with retained earnings is 14% (i.e., rs = 14%), the cost of preferred stock financing is 9% (rps = 9%), and the before-tax cost of debt is 11% (rd = 11%). Calculate the weighted average cost of capital (WACC) given the tax rate assumptions in parts (a) to (c) below.(a) Tax rate = 40%.(b) Tax rate = 35%.(c) Tax rate = 25%. 8. Westerly Manufacturing has compiled the information shown in the following table: Source of CapitalBook ValueMarket ValueAfter-tax CostLong-Term Debt$4,000,000$3,840,0006.0%Preferred Stock$40,000$60,00013.0%Common Stock Equity$1,060,000$3,000,00017.0%Totals$5,100,000$6,900,000 (a) Calculate the firm’s weighted average cost of capital (WACC) using book value weights.(b) Calculate the firm’s weighted average cost of capital (WACC) using market value weights.(c) Compare your answers found in parts (a) and (b) and briefly explain the differences. Other things equal, would you recommend that Westerly Manufacturing rely on its book value weights or market value weights in determining its WACC? 9. To help finance a major expansion, Delano Development Company sold a noncallable bond several years ago that now has 15 years to maturity. This bond has a 10.25% annual coupon, paid semiannually, it sells at a price of $1,025, and it has a par value of $1,000. If Delano’s tax rate is 40%, what component cost of debt should be used in the WACC calculation? 10. Roxie Epoxy’s balance sheet shows a total of $50 million long-term debt with a coupon rate of 8.00% and a yield to maturity of 7.00%. This debt currently has a market value of $55 million. The balance sheet also shows that that the company has 20 million shares of common stock, and the book value of the common equity (common stock plus retained earnings) is $65 million. The current stock price is $8.25 per share; stockholders’ required return, rs, is 10.00%; and the firm’s tax rate is 40%. Based on market value weights, and assuming the firm is currently at its target capital structure, what WACC should Roxie use to evaluate capital budgeting projects? 11. Bruner Breakfast Foods’ (BBF) balance sheet shows a total of $20 million long-term debt with a coupon rate of 8.00% (assume each bond to have a maturity value, M, of $1,000). The yield to maturity on this debt is 10.00%, and the debt has a total current market value of $18 million. The balance sheet also shows that that the company has 10 million shares of stock, and total of common equity (common stock plus retained earnings) is $30 million. The current stock price is $4.50 per share, and stockholders’ required rate of return, rs, is 12.25%. The company recently decided that its target capital structure should have 50% debt, with the balance being common equity. The tax rate is 40%. Calculate WACCs based on target, book, and market value capital structures (Note: I am asking for three (3) separate WACC values here).

Define the terms “motivating operation”, “establishing operation”, and “abolishing operation”.

Part 1 discussion 350 word minimumDefine the terms “motivating operation”, “establishing operation”, and “abolishing operation”. Identify one challenging behavior that could be decreased with the use of antecedent control. Specifically discuss the role of the motivating operations and specific strategies to create an abative effect on the challenging behavior. Then, discuss specific strategies that can have an evocative effect for a replacement behavior. How would you apply these into an intervention? Which consequence interventions would you use following the occurrence of the desired behavior?Part 2 journalto develop an understanding of stimulus equivalence, stimulus control, and conditioned/unconditioned motivating operations. For this journal topic you will write a paragraph summarizing the concepts of stimulus equivalence, stimulus control, and how motivating operations can be manipulated to affect behavior change.

Evaluate and assess the implications of your action/strategy. Explain your analysis/answer in seven (7) or more sentences.

Instructions:1) Select one problem from the list provided below that you would like to research and investigate.2) You are required to use no less than seven (7) sources. The sources/references used must come from scholarly articles, newspapers, periodicals, etc. No internet websites can be used as sources for your research paper. However, you can use the internet for researching articles in databases, govt. resources, journals, newspapers, etc.3) You are required to answer all of the questions found in the template below using APA format. Citing sources/references throughout the literature is required as well.4) You must type the questions and answers using a word document, single space, 12 as your font size, and times new roman as your font face.5) Submit your analysis through the link found at the bottom of this page.6) Failure to follow these instructions will result in an assessed penalty to your grade. List of Problems to Solve1) Political Corruption in Texas (be specific)2) Electing Judges in Texas3) Redistricting in Texas4) Governor of Texas – No term limits5) Council-Manager Government6) Robin Hood Plan for Financing Schools in Texas7) Felony Conviction and Voting8) Strong-Mayor Government9) Single-Member Districts Election System10) At-Large Election System Template for Problem Solving1) State your problem as clearly and precisely as you can. Explain your analysis/answer in seven (7) or more sentences.2) What is your purpose, goal, and need for solving this problem? (Recognize problems as obstacles to reaching your goals, achieving your purpose, or satisfying your need.) Explain your analysis/answer in seven (7) or more sentences.3) Study the problem to determine the “kind” of problem you are dealing with. What kind of problem are you trying to solve? What do you have to do to solve it? Explain your analysis/answer in seven (7) or more sentences.4) What from your problem do you have control over and what do you have no control over? Explain your analysis/answer in seven (7) or more sentences.5) What information do you need to solve the problem? Explain. How can you actively seek the information you need to solve the problem? Explain your analysis/answer in seven (7) or more sentences.6) What theory or theories can you formulate concerning this problem? Carefully analyze and interpret your theories and draw reasonable inferences. Explain your analysis/answer in seven (7) or more sentences.7) Determine your options for action. What can you do in the short term? In the long term? Recognize your limitations in terms of money, time, and power. Explain your analysis/answer in seven (7) or more sentences.8) Evaluate your options, determining their advantages and disadvantages. Explain your analysis/answer in seven (7) or more sentences.9) Adopt a strategy. Follow through on it. This may involve direct action or a carefully thought-through wait-and-see approach. Explain your analysis/answer in seven (7) or more sentences.10) Evaluate and assess the implications of your action/strategy. Explain your analysis/answer in seven (7) or more sentences.

What does this mean in the sense of how much the federal government (i.e., tax payers) is financing care for the Medicare beneficiaries?

1. Medicaid Questions a. The article titled “Understanding the Intersection of Medicaid and Work” states that 51% of non-elderly (i.e., 19-64) able-bodied adults in Medicaid (most of them eligible given the ACA Medicaid expansion option) are working full-time for the entire year. The article also states that 40% of the Medicaid individuals that are working, are employed by small firms and are involved in agriculture and service industries. The income eligibility threshold to qualify for Medicaid is very low (approximately $16,000 per year), do you think these individuals could purchase insurance in the private market? Why? c. Yes/No question: Does Medicaid provide assistance to beneficiaries?2. Medicare Questions a. According to the article titled “Budget Explainer: Medicare”, in 2017, 42% of Medicare costs will covered by general federal revenue (i.e., general federal taxes) as opposed to payroll taxes, premiums, and other receipts in 2017. What does this mean in the sense of how much the federal government (i.e., tax payers) is financing care for the Medicare beneficiaries? b. Given your response in 2.a., do you consider Medicare to be a socialist-like program? Independent of your response, do you support continuation of the Medicare program? (for purposes of this question, assume the program will be solvent). b. Yes/No question: are the majority of individuals who are 65 or older covered by Medicare?1. a. Are you in favor of the federal government subsidizing private insurance for low-income individuals in the health insurance exchange? Why? If you support the Medicare program but do not support the health insurance exchange subsidies, please explain your rationale. b. What two population groups within Medicaid are responsible for the largest program expenditures? Is there a realistic way to reduce the expenditures for these two groups? (hint: check Exhibit 9.1. in p. 120 of book)2. Some people argue that free market competition would resolve all the problems of our health care system. This theory assumes that the healthcare approximate a “perfect market.” After reading Chapter 20 and the article titled The Imperfect Health-Care Market: a. Do you think our health care system is a “perfect” or an “imperfect” system? (the question calls for your response in regard to the economic term (i.e., perfect market); we already know the system isn’t perfect). b. Independent of your response in 2.a., do you think that the traditional market forces without any government regulation can resolve the problems with our healthcare system? Why?

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