The American Hospital Association News

A nursing shortage has been shown to decrease patients access to care, decrease job satisfaction, and increase nurse turnover (Huber, 2010).  “The current nursing shortage is anticipated to become twice as large as any nursing shortage experienced since the 1960s” (O’Neil, 2009, p. 180, para 7).  Nurse shortage has been a significant focus of study and debate because of the enormous effect it has on all of us at every possible level of healthcare. Numerous research studies have been conducted to determine the main factors driving the nursing shortage.  “This shortage is not solely nursing’s issue and requires a collaborative effort among nursing leaders in practice and education, health care executives, government, and the media” (Nevidjon & Erickson, 2001).  Factors contributing to the nursing shortage include the following:  Nursing school enrollment is not growing fast enough to meet the projected demand for RN and APRN services, nursing school faculty shortage is restricting nursing program enrollments, a significant percentage of the current nursing workforce is nearing retirement age, there is an increased need for nursing care because of our aging population, and  insufficient staffing is intensifying nurses’ stress level which impacts job satisfaction and drives many nurses to leave the profession.

Although there has been a 3.6% increase in baccalaureate nursing program enrollment in 2016 according to the AACN (2017), this increase is not even close to sufficient enough to meet the projected demand for nursing faculty, researchers and primary care providers.  The AACN also reports that nursing schools in the U.S. turned away 64,067 qualified applicants in 2016 due to an insufficient number of faculty, clinical sites, clinical preceptors and budget limitations. Nevidjon & Erickson discuss multiple collaborative recruitment efforts happening currently:

In San Diego, six hospital systems have committed $1.3 million to support a program called, “Nurses Now”, which will add faculty and additional student slots to San Diego University.  The American Hospital Association News reports that in Laredo, Texas, a hospital CEO worked with Texas A&M University to develop a four-year bachelor’s program and is providing $425,000 in scholarships to local students over the next five years.  In Morris County, New Jersey, the Board of Freeholders offered scholarships to students who agreed to work in a long term care facility.  The Dallas-Fort Worth Hospital Council raised $600,000 to expand student enrollment at local schools.  These are examples of various successful collaborative efforts among healthcare organizations, government, nursing associations and nursing schools. Many more are happening at the local level (2011).

Ineffective leadership and management continue to foster suboptimal work environments minimizing the rate of improvement in the nurse shortage and turnover rates.  According to Kleinman (2004), results from a study conducted by Volk and Lucas in 1991 revealed that “management style was the only predictor of anticipated turnover” (p. 129, para 4). This correlation further substantiates the amount of influence that nurse leaders have on healthcare organizations in a variety of ways including: decreased quality of care, loss of patients, increased nurse turnover, increased turnover of medical support staff, increased staffing costs, and increased accident and absenteeism rates (Hunt, 2009).  Work environment has also been cited as a significant predictor of nurse turnover.  Nurse autonomy, interactions with managers, compensation and workload are all factors that have been reported to facilitate job satisfaction or lack-there-of, ultimately determining staff retention and turnover (Huber, 2010).  Leaders need to be aware of and understand the current healthcare challenges and develop expertise in the skills and approaches requisite for effective leadership (O’Neill, 2013).  “People’s time and effort, as well as organizations’ money, facilities, and supplies, need to be directed in a coordinated effort to achieve best results and meet objectives” (Huber, 2010).

Over time, study results have been consistently indicative of the direct impact managers and leaders have on the quality of healthcare at every level.  The importance of highly qualified and effective nurse leaders is evident now more than ever and by improving the methods used to manage nurses, positive changes will be put into motion (Hunt, 2009). While the direct benefit would be decreasing the nurse shortage, this change would also significantly benefit the availability and quality of healthcare for everyone. Implementing enhanced methods of managing nurses would successfully result in improved staffing.  In fact, effective leadership and management may be the key to overcoming the nurse shortage and finally optimizing the quality of healthcare for all.

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Evaluation of Corporate Performance

Question Details

The Final Paper will involve applying the concepts learned in class to an analysis of a company using data from its annual report. Using the concepts from this course, you will analyze the strengths and weaknesses of the company and write a report either recommending or not recommending purchase of the company stock.

Research Tip: The “Mergent” database in the Ashford University Library contains company profiles and financial information for publicly traded companies and their competitors. To access this database enter the Ashford Library and select “Find Articles and More” in the top menu panel. Next, select “Databases A-Z” and go to section “M” for “Mergent”. For help with using Mergent, use Mergent Online Quick Tips

For help with reading an annual report access this handy guide from Money Chimp.

The completed report should include:

·

· An introduction to the company, including background information.

· A complete and thorough financial statement review.

· Pro Forma financial statements (Balance Sheet and Income Statement) for the next fiscal year, assuming a 10 percent growth rate in sales and Cost of Goods Sold (COGS) for the next year.

· Complete ratio analysis for the last fiscal year using at least two ratios from each of the following categories:

· Liquidity

· Financial leverage

· Asset management

· Profitability

· Market value

· A calculation of Return on Equity (ROE) using the DuPont system.

· Assessment of management performance by calculating Economic Value Added (EVA).

· A synopsis of your findings, including your recommendations and rationale for whether or not to purchase stock from this company.

The paper

· Must be eight to ten double-spaced pages in length (not including title and references pages) and formatted according to APA style as outlined in the Ashford Writing Center.

· Must include a separate title page with the following:

· Title of paper

· Student’s name

· Course name and number

· Instructor’s name

· Date submitted

· Must begin with an introductory paragraph that has a succinct thesis statement.

· Must address the topic of the paper with critical thought.

· Must end with a conclusion that reaffirms your thesis.

· Must use at least five scholarly sources, such as the textbook, industry reports, and articles from the Ashford University library to support your findings and recommendations.

· Must document all sources in APA style as outlined in the Ashford Writing Center.

· Must include a separate references page that is formatted according to APA style as outlined

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Given the concept of comparative advantage, should we even be discussing free versus fair trade?

Question Details

The importance of trade continues to be a debated topic because the gains are not always quantifiable by those involved. Some would argue that due to a significant difference in wages and regulations, free trade is not always fair trade and that free trade agreements are used by companies to simply chase lower wages and fewer regulations. In the United States, this has been an ongoing debate in regard to both the North American Free Trade Agreement (NAFTA) and the normalized trade relationship with China. Take some time to read the following articles before beginning your post:

Based on what you have read, please address the following questions:

Which do you feel is a better approach, free or fair trade, and why?
Given the concept of comparative advantage, should we even be discussing free versus fair trade? 

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A dispute between three of direct reports

Belinda Lee, the CEO, has requested that your team investigate and report back to her about a recent dispute between three of her direct reports: the VP of manufacturing, the VP of marketing and the VP of product design.

Belinda has asked you to write a memo with your findings and recommendations for how Phone and Build should handle this situation. Take notes and create an outline for your memo as you consider each of the following questions:

Was the Chinese supplier ethical in shipping more than 300,000 cases made of real leather instead of the requested faux leather material, even though the supplier was not charging Phone and Build anything extra for the higher cost of real leather? Explain why or why not.
When the manufacturing VP contacted the Chinese supplier to complain, the supplier could not understand why Phone and Build was not pleased about receiving a real leather case, given that Phone and Build was still paying for the less expensive faux leather one. Is there a cultural difference between customer expectations and business transactions in the West and in Asia? Explain.
The decision of the manufacturing VP to accept the shipment containing real leather cases without first consulting the marketing VP is also somewhat problematic. By the time the marketing VP received the memo, it was too late for the cases to be returned. If you were the marketing VP and received the same memo, would you do anything different? Why?
All the senior personnel at Phone and Build should have been well aware that a significant proportion of their African and Asian customers were very sensitive about using phone cases made of pig leather. As an organization, what strategic errors did you observe in the decision making by various individuals in this situation? By the design VP? By the manufacturing VP? By the marketing VP? Could more training in ethical decision making and cultural sensitivity for senior management have helped in this situation? Why or why not?

Gather information about the cultural factors that are in play in this situation, including Managing in a Global Environment and Cross-Cultural Ethical Business Decision Making. You will need to research cross-cultural differences in decision making and recommend a course of action to the CEO. You should start in the UMUC Library.

Back up your responses with information about relevant differences in cultural expectations in China, South Africa, and the United States. In order to support your views, it will be useful to conduct some additional research on cultural differences and their impact on global business transactions.

In the next step, you will write your memo.

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When nurses go to work, their patients should be their priority. The nurse should be focused on patient care, doing no harm to their patient and attempt to use critical thinking and interventions in attempts to spend their 12-hour shift to improve the wellbeing of the patient. We should be asking ourselves, how can I improve the outcome of my patient today?

Unfortunately, nurses today are placed under tremendous pressure to accomplish more in less time, with less staff and less resources. The days of being able to spend quality time with your patient and addressing needs is cut short. Patients and families notice the nursing shortage as well, nurses are often too busy to talk to their patients/families, address psychological and education needs (Poulton, 2013). With staff cuts/shortage the impact of service is effected, the quality of care, and increase in medical errors, etc. This not only affects hospitalized patients, but also care in outpatient clinics and other health care services.

There have been many studies which show when nurse to patient ratios are increased and nurse burn out happens, patients die, increase in injuries, increase infections, and discharged too soon with improper patient education (Truth about nursing, n.d.).

AACN expanded the nation’s centralized application service for RN programs, the primary reasons for launching NursingCAS was to make sure that all empty seats in nursing schools are filled to better meet the demand. In 2016, more than 38,800 vacant seats were identified in baccalaureate and graduate nursing programs. NursingCAS provides a way to fill these seats and maximize the educational capacity of schools of nursing (AACN, 2017).

American Association of Colleges of Nursing. (2017). Nursing Shortage Fact Sheet, Strategies to Address the Nursing Shortage. Retrieved from http://www.aacnnursing.org/News-Information/Fact-Sheets/Nursing-Shortage

Poulton, L. (2013). Falling nursing numbers are impacting patient care. British Journal of Nursing. 22(18) S3. Retrieved from GCU Library http://eds.a.ebscohost.com.lopes.idm.oclc.org/eds/pdfviewer

The Truth about Nursing. (n.d.). What happens to patients when nurses are short-staffed or work with a high nurse-to-patient ratio? Retrieved from http://www.truthaboutnursing.org/faq/short-staffed.html

Shell Gas Company

Question Details

ASSIGNMENT DUE DATE WEDNESDAY 9/6/17 AT 5:00PM EST

Go to the à Shell Scenarios webpage. Once you have navigated to the site, watch the “Shell New Lens Scenarios” video (1:38) found on that page. (If you have trouble locating the video, it can also be found on YouTube.)

After watching the video, read the two scenarios, Mountains and Oceans. (Mountains and Oceans is a PDF file found on the Shell Scenarios webpage.)

Then, in your paper, write about the following:

Which of these scenarios do you think is most likely to occur? Defend your choice by analyzing it in the context of the deep historical forces.
How does Shell utilize business teams in this process?
What advice would you give Shell to prepare for its future to succeed in the face of likely governmental impacts?

Paper Requirement:

1 to 3 pages (not including title or reference page), 12-font, Times New Roman, 1-inch margin, doubled-spaced, APA style format.

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Biggest Challenges Facing Organizations in the Next 20 Years

In this assignment, you will create a PowerPoint presentation that outlines what you believe will be the biggest challenges facing organizations in the next twenty (20) years.

The organization is CARDINAL HEALTH

Provide a title slide (as indicated in the format requirements below) followed by a slide with an introduction to your presentation.
Provide one (1) challenge and your explanation for choosing that challenge per slide for a total of five (5) slides.
Provide one (1) summary slide which addresses key points of your paper.
Narrate each slide indicating what you would say if you were actually presenting in front of an audience.
The student is allowed to use the notes section of PowerPoint to write a narrative of what they would say if actually presenting / narrating.

Your assignment must follow these formatting requirements:

Format the PowerPoint presentation with headings on each slide and three to four (3-4) relevant graphics (photographs, graphs, clip art, etc.).
Include a title slide containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date.

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CURRENT MARKET CONDITIONS COMPETITIVE ANALYSIS

Question Details

Purpose of Assignment

Students will develop cost curves on which firm behavior is based and will utilize these cost curves to determine the behavior of their chosen organization in the market served. Using the concept of comparative advantage, students analyze trade opportunities and use the model of supply and demand to explain factors that could affect demand, supply and prices. Students will determine various factors that could affect their organization’s total revenue and will recommend actions the firm could use to maximize their profit and their presence in the market served.

Assignment Steps

Scenario: You have been given the responsibility of working with your organization’s CEO to do a competitive market analysis of the potential success of one of their existing products.

Research an organization and a product produced by that organization in which an analysis can be conducted.

Write a 1,000-word analysis of the current market conditions facing your product, making sure you address the following topics:

(Focus on Apple and Apple Products)

Examine factors that will affect Total Revenue, including but not limited to:
Price elasticity of demand
Factors that influence productivity
Various measures of costs, including opportunity costs
Externalities and government public policy and their effect on marginal revenue and marginal cost
Recommend how your organization can maximize their profit-making potential and increase their presence within the market served by the product.

Cite a minimum of three peer-reviewed sources from the University Library.

Format your paper consistent with APA guidelines.

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Management report.

Question Details

Develop a 1,000 – 1,200 word report including the following (all objectives emphasized in depth):

Briefly discuss an overview of management to include Mintzberg’s managerial roles they play.
Briefly examine the development of management theories, including how these theories reflected the changing business environment.
Compare (alike) and contrast (different) the three management theories you included in your mangement theory table.
Evaluate which of the three management theories works best for your work environment or an organization with which you are familiar.
Valid research is used to appropriately support the content to include in-text citations. At least one of these in-text citations with the accompanying full reference. Must be from an academic/scholarly article within the UOP Library.

Format your assignment consistent with APA guidelines.

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