Author: akohtum

As a nurse, you are probably very aware of and can speak to the emotional reasons behind the need for certain major expenditures such as a new nurse’s lounge or replacing the current patient information system with a new digital system. You would love to see your nurses have a comfortable area where they can rejuvenate from a stressful day with patients. Alternatively, nurses carrying around PDAs would certainly ease the recording and transmission of vital patient information. However, as a nurse manager you need to be able to support those emotional appeals with reliable financial data. Having a place to refresh will help nurses be more efficient, and could reduce sick days and nurse errors. Being able to quickly access doctor’s orders and previous nurse’s comments allows for a more timely response to patients. As your responsibilities expand, you may find yourself at the table when decisions about capital expenditures are being debated. It is therefore to your advantage to understand the workings of a capital budget.In this Discussion, you consider the impact of both financial and emotional factors in making a capital budget decision,  Review the information on capital budgets in this week’s Learning Resources.Consider why it is important for nurse managers to understand the capital budget of an organization. How are capital budgets used in your own organization (or one with which you are familiar)?Reflect on the importance of thinking strategically when developing this type of budget.Identify a new piece of equipment you would like to see purchased by the organization. Consider how knowledge of capital budgeting could influence your approach to making the request.Develop strategies for demonstrating the need for this capital expenditure that take into account both financial and emotional considerations.  Respond to at least two of your colleagues on two different days. Suggest an additional strategy for demonstrating the need for the equipment they described and why you believe it might be successful Baker, J., & Baker, R. W. (2014). Health care finance: Basic tools for nonfinancial managers(4th ed.). Burlington, MA: Jones and Bartlett Learning.Chapter 16, “Capital Expenditure Budgets” (pp. 187–197) The focus of this chapter is capital expenditure budgets and how they differ from operational budgets. It discusses how to develop and evaluate capital expenditure proposals.Zelman, W., McCue, M., & Glick, N. (2009). Financial management of health care organizations: An introduction to fundamental tools, concepts, and applications (3rd ed.). Hoboken, NJ: Jossey-Bass.Retrieved from the Walden Library databases.Chapter 8, “Capital Financing for Health Care Providers” (pp. 329–373) This chapter explores two types of financing—equity financing and debt financing—as well as the bond issuance process that can be used to finance capital expenditures. Additionally, the authors discuss the option of lease financing, a possible alternative to the two other types of financing. Danna, D. (2014). Essential business skills for nurse managers. Health Leaders Media. Retrieved from This article discusses the need for nurses to understand the business skills necessary in healthcare today. Himmelstein, D. U., Jun, M., Busse, R., Chevreul, K., Geissler, A., Jeurissen, P., & Woolhandler, S. (2014). A comparison of hospital administrative costs in eight nations: US costs exceed all others by far. Health Affairs, 33(9), 1586-1594.Copyright 2014 by Project Hope/Health Affairs Journal. Reprinted by permission of Project Hope/Health Affairs Journal via the Copyright Clearance Center This article compares the hospital administrative costs in several nations. Zismer, D., Sterms, J., & Claus, B. (2011). Capital efficiency and integrated health system designs. Healthcare Financial Management, 65(7), 88–90, 92, 94.Retrieved from the Walden Library databases.  In this article, the author examines how system designs play a crucial role in capital efficiency and return on investment. The author also analyzes how this role may change in the future.

 Due Date  Assess discrepancies between public budgets and public needs. Explain the relationship between the public budget and the demand for public goods.  Markets and government both allocate scarce resources. Please explain how government adjusts market outcomes though subsidies and whether efficiencies are achieved. Discuss the role of subsidies in the Affordable Care Act as explained in the assigned article “How Millionaires Get Obamacare Subsidies Intended to Aid the Poor\” by Managan. APA format, reference, & in-text citation for question #1 and question #3…

Reading Response 5.2 (Anatomy of a Murder, Part 2, chs 8-14) Why does Parnell leave Polly alone at the trial and take a short trip? How does what Parnell accomplishes on this trip help Lt. Manion’s defense? What precisely did Parnell accomplish, and what problem does this solve for Polly’s defense of Lt. Manion—or at least give him the hope of solving?

Now that you have conducted some preliminary research, how might an allegation questioning academic integrity impact your future?

 Big Story:  Narrow down your story idea to one.  Tell me what you think the conflict/problem/tension of the story would be that would keep the reader/viewer/audience interested?    Tell me two scenes that you would try to report to include in the story.  How would you get them?   STRONG SUGGESTION:  Do preliminary reporting on this story idea.  Reach out to talk to somebody who is knowledgable or involved in the story.  (You will need to do this for the next assignment anyhow).  Talk to them about the idea.  You will, I guarantee, learn more about the feasibility of the idea. 

You are an environmental behavioral specialist for criminal justice professionals in the law enforcement field. The chief of police has asked you to review the seven-person undercover narcotics unit because there have been several internal affairs investigations involving excessive use of force, mishandling of evidence, and mishandling of informants. The chief knows the six men and one woman on the team and believes they are all good officers.He uses them outside of narcotics work to make death notifications to families when someone dies in an accident or crime.  He also knows they have been doing a lot of excessive drinking on the job and after work. They are highly productive in terms of quality cases and seizures of controlled substances, and they are working around the clock, on some cases 24 or 36 hours in a row. You must evaluate the situation and provide the chief with suggestions.In a report to the chief of police, you will cite the findings of your research and observations with recommendations to the chief. Statements of fact in your presentation require that you cite the reference from which you obtained the information in the text of the paper and that the reference be included in your reference page. As always, your paper will be submitted in the current edition of APA format. No abstract is required because this is a short position paper, but a title page, reference page, and appropriate running header with page numbers should be included.

Review the film Describe the team building stages depicted in the 12 Angry Men movie. Was there evidence that the group moved fully through the stages of group development? Give examples, if any, of forming, storming, norming, performing, and adjourning.Write one paragraph for each stage of team development, providing examples. 

In this week’s Discussion, you analyzed founding documents of American democracy to determine how democratic concepts and principles are manifested in those early writings, including the Declaration of Independence and The Constitution. For this Assignment, you are asked to shift your thoughts to the Federalist Papers. The Federalist Papers are a series of 85 essays written by Alexander Hamilton, James Madison, and John Jay supporting the ratification of the Constitution. Although often overlooked in mainstream education in favor of The Declaration of Independence and The Constitution, The Federalist papers are the best description of the founders’ intent for governance of their new nation. The proposed Constitution was sent to the states for ratification in September 1787. Articles soon appeared and became known as the “Anti-Federalist Papers” which became critical to the new Constitution. In response, Hamilton decided to defend ratification of the new Constitution and began an extensive explanation.