Nurse Staffing: Job Satisfaction and Retention

Nurse Staffing: Job Satisfaction and Retention Elizabeth Campins Overview of Quantitative Article The study conducted by (Hairr, Salisbury, Jonansson, Redfern-Vance, 2014), entitled Nurse Staffing and the Relationship to Job Satisfaction and retention, will be the object of the article analysis for this assignment. We are going to evaluate the research question of the study, the study design, representativeness, and the result of the data analysis including strengths and weakness of the study. Research Question The problem that has been addressed in the study is if the nurse-patient ratios affect job satisfaction and retention. The research questions for this article are the following: Has the number of patients assigned to the nurse resulted in job satisfaction? Has the actual economic situation influenced nurse decision to stay in the current position? (Hairr, Salisbury, Jonansson, Redfern-Vance, 2014) The above research questions contain variables referred as predictors that can be measure. Those predictors are the staffing size of registered nurses, and number of the patients assigned to nurses. For the second research question the predictor is the actual economic situation which includes the numbers of layoffs and/or hiring, and costs-services reduction. The outcome of this study is nurse retention and job satisfaction. One we have the problem clear, the population of interest identifies, the interventions considered feasible, and the standard and future comparison established we are in the path to find the best evidence (Adams, 2012, p. 73). Study Design Nurse Staffing and the Relationship to Job Satisfaction and retention by (Hairr, Salisbury, Jonansson, Redfern-Vance, 2014) is a quantitative design study. It is valuable for explaining relationship, nursing measurement and quantification that conduct to conclusive results (Peters, 2012, p. 161). The specific design of this study is non-experimental. It describes the relationship between nurse staffing, job satisfaction, and nurse retention in an acute care environment. More specifically this article is a correlational design study because establish relationship among variables or better to say among predictors and outcomes (Peters, 2012, p. 176). The type of predictive correlational designs for this study is model-testing. For this model type it is probable that researchers hypothesize which variables can conduct to better outcomes. Sample Size and Representativeness The type of sample for this study is a non-probability sampling method. It is used when the sampling frame cannot be calculated. As a result, the threat of selection bias is increased and is less representative of the selected population (White, 2012, p.257). Among non-probability sampling, this article is a convenience or consecutive type where the participants are recruited as they become available (White, 2012, p.257). There were seventy subjects selected as they become available. The majority were female with ages between thirty three and forty five years old. In addition, data collection last over thirty days. The strategy for choosing the subjects were stablished before the selection. It requires RN licensed, with six months experience at bedside in an acute care institution. The level of education at the time of the collection, age, gender, was also required. In addition was asked if the subjects were employed in a Magnet hospital. Results of data analysis Procedures Quantitative method takes in consideration data analysis after the data collection is finished. The study used statistical analysis. The tool was IBM Statistical Package for Social Science (SPSS), version 20. For demographic and subscale variable was used descriptive statistics to determine if the predictive variable, that we mention at the beginning of the paper were related to the outcome nurse retention and job satisfaction. The following survey tools NWI-R (Nursing Work Index Revision) and COP (control over practice) subscales, which was taken from the NWI-R, were used to measure job satisfaction. A weak positive relationship between control over practice and nursing staff indicates that there is a relationship between workload and job satisfaction. One more retention variable was analyzed with frequency and percentage to get results about the actual economic situation affecting the decision to keep the current position. A moderately strong negative correlation shows that a nurse will consider leaving their actual position if the dissatisfaction increases. It Level (p) means a statistical parameter of the analysis. It was set at alpha equal to 0.05. The theme identified was nurse-patient high ratios work-load. It concluded that incrementing responsibilities during the shift put at risk satisfactory patient care, and raise nursing dissatisfaction and turnover. A common strategy mentioned for the participants to retain them in bedside nursing care was improving nursing-ratios. This strategy will decrease the cost of hiring and training new staff nurses, and it will retain experienced nurses. Improving the nurse to patient ratio is highly valuable to increase job satisfaction and retention. Summary of the Strengths and weakness The study major strengths were in data collection. The method of collection corresponds directly with the research question. It contains a variety of age groups and level of experience of the participants. An additional strength of the study is the use of control over practice subscale (COP) as an important survey mechanism to measure job determine the levels of job satisfaction and its impact on the nurse environment (Hairr, Salisbury, Jonansson, Redfern-Vance, 2014). The main weakness in the study was a sample size with only seventy participants as they become available during a thirty days period. For this reason is complicated to determine the generalizability of this research to the larger population (Hairr, Salisbury, Jonansson, Redfern-Vance, 2014). The study demonstrates that exist relationship between predictors and outcomes. This relationship does not show relevant threats in bias, history, maturation, testing or instrumentation. We are confident that the study has a relevant internal validity. On the other hand, it is not possible to conclude that the study can be generalized to other subjects or settings because of the limitations of the sample size (Hairr, Salisbury, Jonansson, Redfern-Vance, 2014). This study is not generalized to larger population, as a result, has a weak external validity. Summary of the Major Points of the Paper From Nurse Staffing and the Relationship to Job Satisfaction and retention by (Hairr, Salisbury, Jonansson, Redfern-Vance, 2014) we considered two important research questions for a quantitative study. It was reviewed the sample size and its representativeness of the population. After analyzing the data and procedures results we summarize the strengths and weakness of this study supporting our conclusion with (Peters, 2012, p. 150). Overview of a Qualitative Article The study conducted by (Lavoie-Tremblay et al., 2014), entitled Transforming care at the Bedside: Managers’ and Health Care Providers’ Perception of their Change Capabilities will be the focus of the article analysis for this assignment. We are going to evaluate the research question of the study, the study design, representativeness, and the result of the data analysis including strengths and weakness of the study. Research Question The problem that has been addressed in this study is the perceptions of managers and others healthcare providers about their change capabilities. The research questions are the following: Are the new strategies, that nurses are implementing, working to create better results in a way that make communication and teamwork easier and more efficient? Does the new project reduce wasteful work? (Lavoie-Tremblay et al., 2014). In the above research questions the research has interest in specific information from the person point of view and their inside about the subject studied (Mauk, 2012, p. 189). Participants that are knowledgeable on the researching theme are called key informants for the purpose of qualitative research. Study Design Transforming care at the Bedside: Managers’ and Health Care Providers’ Perception of their Change Capabilities by (Lavoie-Tremblay et al., 2014), is a qualitative design study. Among of the four types of qualitative research, our study is categorized as grounded theory where the main review of literature is examined when the research has being completed to compare the theory with other reviews, and create theories for other processes (Mauk, 2012, p. 199). There is not set of sample size at the beginning of the data collection. The researcher gets data until they are saturated with the information needed (Mauk, 2012, p. 200). The strategy used in our study is focus groups. The study involved three focus groups: pediatric medicine unit, an adult acute respiratory care unit, and an adult neurologic unit. Also was considered three individual interviews. The study was conducted for nine months (Lavoie-Tremblay et al., 2014). Sample Size and Representativeness As stated before, sample size in grounded theory is known at the end of the collection data. It relied on focus groups where the key informants where selected from managers and healthcare providers included in the transforming care at the bedside (TCAB) teams. It also includes recruited patient’s representation from the hospital’s committees whose members had been patients or had family members who were patient. The sample included sixteen women and three men for a total of nineteen participants. The demographic information (gender, age, education, job title) was collected to allow for an external assessment of the generalizability of the findings to a different setting (Polit Beck, 2012, p. 518). Results of data analysis Procedures Interviews were audio-recorded and transcribed using NVivo data analysis. This procedure facilitates a rigorous analysis of unstructured data (Miles, Huberman, Saldaà ±a, 2013). Data analysis was examined in three ways: Condensing the data or coding the transcripts, presenting the data for discussion with the research team, and verifying the data with an audit trail to keep a record of the data collection details throughout the study. Two outside researchers coded the transcripts to reduce the chances of biased interpretation. Some of the themes identified were: Learning skills, sharing leadership capabilities with other staff members, impact of the changes for the institution and personally, the perception of the team approach to lead change, among others. Summary of the Strengths and weakness The strengths of the research article were sustained in the fact that the motivation to work as a team develops change capabilities in participants. The study gave the tools and resources necessary to identify, implement and evaluate changes. The study was successful in developing most of the target elements to change. Participants mentioned how their unit’s mode of functioning went from working alone to teamwork style. Also, they mentioned that the TCAB project helped them develop new skills and capacities for change. This study has credibility (Mauk, 2012, p. 200). It has being confirmed through members check after researchers sharing the results with participants to make sure the finding reflected what they say during the interviews. The study limits the generalizability of the results because was only conducted in three units. Summary of the Main Points of the Paper Transforming care at the Bedside: Managers’ and Health Care Providers’ Perception of their Change Capabilities by (Lavoie-Tremblay et al., 2014) we considered two important research questions for a qualitative study. It was reviewed the sample size and its representativeness of the population. After analyzing the data and procedures results we summarize the strengths and weakness of this study supporting our conclusion with (Mauk, 2012, p. 194). References Adams, S. (2012). Identifying research questions. In N. A. Schmidt, J. M. Brown (Eds.), Evidence-based practice for nurses: Appraisal and application of research (2nd ed., pp. 67-87). Sudbury, MA: Jones Bartlett Learning. Hairr, D. C., Salisbury, H., Jonansson, M., Redfern-Vance, N. (2014, May/June). Nurse staffing and the relationship to job satisfaction and retention. Nursing Economic$, 32. Retrieved from http://web.a.ebscohost.com.ezp.waldenulibrary.org/ehost/pdfviewer/pdfviewer?vid=3[emailprotected]hid=4212 Lavoie-Tremblay, M., O’Connor, P., Lavigne, G. L., Biron, A., Ringer, J., Baillageon, S., Briand, A. (2014, Nov). Transforming care at the bedside: Managers’ and health care providers’ perceptions of their change capacities. The Journal of Continuing Education in Nursing, 45(11), 514-520. http://dx.doi.org/10.3928/00220124-20141023-02 Mauk, K. L. (2012). Qualitative design: using words to provide evidence. In N. A. Schmidt, J. M. Brown (Eds.), Evidence-based practice for nurses: Appraisal and application of research (2nd ed., pp. 187-215). Sudbury, MA: Jones Bartlett Learning. Miles, M. B., Huberman, A. M., Saldaà ±a, J. (2013). Qualitative data analysis: A method sourcebook (3rd ed.). Retrieved from https://books.google.com/books?id=3CNrUbTu6CsCprintsec=frontcoverdq=Qualitative+data+analysis:+A+method+sourceboockhl=ensa=Xei=NZzOVMT_L6fPsQStvIDYDAved=0CDQQ6AEwAA#v=onepageq=Qualitative data analysis: A method sourceboockf=false Peters, R. M. (2012). Quantitative design: Using numbers to provide evidence. In N. A. Schmidt, J. M. Brown (Eds.), Evidence-based practice for nurses: Appraisal and application of research (2nd ed., pp. 165-185). Sudbury, MA: Jones Bartlett Learning. Polit, D. F., Beck, C. T. (2012). Nursing research: Generating and assessing evidence for nursing practice (9th ed.). Philadelphia, PA: Lippicott Williams Wilkins. White, A. H. (2012). Using samples to provide evidence. In N. A. Schmidt, J. M. Brown (Eds.), Evidence-based practice for nurses: Appraisal and application of research (2nd ed., pp. 247-271). Sudbury, MA: Jones Bartlett Learning.

Mafia Essay -- essays research papers fc

The Mafia way of life may seem like a romantic updated version of the western movie played out on the streets of the big cities where the good guys and the wise guys who share the same instincts and values do battle before an enthralled public but it is actually very different. The Mafia is really just a group of uneducated thugs making money by victimizing the public. Initially, the Mafia was setup as a prominent supplier of bootlegged liquor, but it has spread into many different areas of crime. During this research paper I will discuss three aspects of the Mafia which are crime, structure and decline in leadership. The Mob siphons off public funds, rigs contracts, corrupts unions which many hard working people with legitimate jobs are a part of, smuggles drugs, and runs illegal gambling rings. These are some of the ways the Mob negatively affects our community and harms innocent citizens. Any illegal activity that brings in big money the Mafia is part of. Union corruption has been the primary focus of many federal investigations and by the end of the 1980’s, four unions, the Teamsters, Longshoremen, Laborers, and Hotel and Restaurant Employees union, had all been identified as mob dominated. Not only does the mob find money makers in the United States, they finds ways to bring money to them from other countries. Alien smuggling generates more than $3 billion a year for the mob. Mobsters will kill without remorse and threaten anyone who won’t go along with what they are doing. To keep free from the arm of the law "corrupters nullify the law-enforcement and political processes primarily by outright bribery and other rationally designed forms of ‘influence’ such as contributions to political campaigns and promises to deliver votes in a particular area." One might think that corruption and bribery is not a problem, but one noted political analyst suggests that "the underworld" contributes 15 percent of the 3 costs of local and state political campaigns which causes one to think that the mob may have a strong hold on many powerful politicians. Mafia involvement with legitimate business’s affects the public in many ways. Respectable bankers have become unwitting allies to the Mafia and most of the securities stolen in the United States during the last two decades are lying safely in the vaults of respectable banks, hypothecated for legi... ...ol. 5. Boca Raton: SIRS, 1997. Art. 29. McGarvey, Robert. "Global Organized Crime." American Legion Feb. 1996: 16. Crime. Ed. Trudy Collins. Vol. 5. Boca Raton: SIRS, 1997. Art. 64. McKillop, Peter. "The Last Godfathers?" Newsweek 6 Feb 1989: 25. Mueller, Tom. "Cosa Nostra." The New Republic 15 Apr. 1996: 17-18. Norland, Rob. "The ‘Velcro Don’: Wiseguys finish last." Newsweek 13 Apr. 1992: 34-35. Pistone, Joseph D., and Richard Woodley. "Undercover with the Mafia: ‘Respect’ Was the Watchword." Palm Beach Post 10 Apr. 1988: 1E. Crime. Ed. Trudy Collins. Vol. 4. Boca Raton: SIRS, 1993. Art. 8. Reid, Ed. The Grim Reapers. Chicago: Henry Regnery Company, 1969. Reuter, Peter. "The decline of the American Mafia." Public Interest Summer 1995: 89-99. Crime. Ed. Trudy Collins. Vol. 5. Boca Raton: SIRS, 1997. Art. 49. Viviano, Frank. "The New Mafia Order." Mother Jones May-June 1995: 45-54. Vulliamy, Ed. "Mafia INC." World Press Review Dec. 1992: 11-16.

Retroactive: a Single Work of Art, with Many Faces

A Single Work of Art, With Many FacesBy: Logan Dodge Few works of art are able to perfectly capture a period of time as thoroughly as Paul Reassurances does with his masterpiece titled, Retroactive. He was one of the first artist who wanted to take mass media into the art studio, and break down the barriers between art and things like advertising, newspapers, and television. Retroactive is a brilliant collage of iconic images from the early ass's and it captured all of its political drama, scientific breakthrough, and the emotions that went along with that time period.It is a masterpiece, but it is a masterpiece that almost did not happen. In 1961, America led a failed invasion of the communist island of Cuba. This led to the Cuban missile crisis the following year and in 1963, a man sits in the back seat of a car with his wife. Both of them waving to the crowd gathered at the sides of the road. A few minutes later that very car would be racing away as the onlookers scattered in terr or. The president had been shot and killed in Dallas, and an artist decides to abandon a painting he had been working on.The death of President Kennedy left people in awe. The great man who had prevented doomsday, and who had stood up to the communist was now dead. And for Reassurances, continuing his work felt wrong. Reassurances thankfully did not completely abandon the work and instead approached it with a new goal and from another angle. He began working on Retroactive again with the goal of memorizing a dead hero. For Reassurances, with his goal of breaking down boundaries between mass media and art, Kennedy would be the perfect subject.Kennedy had become an idol and a martyr for the American people to look up to. So he restarted his work on Retroactive, Throwing out the idea of t being completely a painting he restarted his work. Instead, â€Å"Robert Reassurances reintroduced recognizable imagery into contemporary art, and preferred employing popular mass media, such as news papers, magazines and television, as his sources. Reassurances transferred these â€Å"found† media images to canvas, using commercially prepared bibliographic silk screens† (Headwords Athenian).Reassurance's use of disconnected pop culture images and putting them into the work shows a use of the collage method of art. His use of objects that are historically important also shows the theme of capturing history, and the human experience. Kennedy, the space race, and the use of color all come together to become a work that captures the emotion of an important time in history. The work would be finished in 1964. In his work titled Retroactive, The most prominent and central figure is that of President Kennedy.His image is in large proportion compared to the others that take up the remainder of the work. He is the central image because image from one of Kennedy's televised debates, showing him in a position of strength and confidence that defined his character as a leader. His hand is repeated in the OTTOMH left corner pointing as it is in the larger central picture of Kennedy, to show the authority of Kennedy, further reinforcing the character of the assassinated President.Kennedy is colored the cool color of blue to embody the sadness felt by the country after his assassination. Through the use of color to evoke emotion, and the central figure of Kennedy, Reassurances tries to make Kennedy into a metaphor for America, he tries to turn him into a symbol for what the great American is, and can be. Much of this painting can be interpreted in multiple ways. In Retroactive, There is a black cloud over Kennedy's head. This with the red and enlarged image by Gluon Mil, that was originally published in Time Magazine†(Andrew Graham-Dixon).Represents the black cloud hanging over Kennedy's head during and after his presidency in what is known now as The Cuban Missile Crisis. Red was the color that represented Communism around the world. The warm color of red is also used. It comes in contrast to the cool color of blue used to shade Kennedy's central image. Red is the color of blood, and the memories of when the world came so close to spilling the blood of everyone who inhabits this planet must have surely haunted Kennedy in the mind of Reassurances.As I said with the double meanings of certain aspects of this painting, if one wants to see Kennedy as a representation of the great American citizen, the black cloud would be the sadness of the American people, the black cloud that would hang over this country for many years after the assassination of its beloved President. The imagery that this evokes is astoundingly vivid. Each generation has a great sadness that occurs. One that shocks, surprises, and devastates, the populace. Reassurances knows how much his death meant, and explores the emotions that the assassination led much of America to feel.In the top left hand corner there is an image of an astronaut, angelically hanging in sp ace. His image represents the scientific advancements during the early ass's by the United States. It also represents Kennedy's ambitious goal of special exploration he announced to the American public in 1961. The astronaut could also represent an angel, hanging over the dead presidents head, or possibly the fact that it is above all the other images could possibly represent Reassurance's personal belief that Kennedy's triumph in his goal to explore space alongside the American people, will e what is most highly remembered after Kennedy's death.The oranges might represent the state of Florida. Kennedy's image between the oranges and the red picture in the bottom right corner of the work, further represents Kennedy's invaluable intervention in the Cuban Missile Crisis. The image could also represent the fertility and freshness that President Kennedy brought to the country. For all of Reassurance's use of symbolism through pop culture, and the double meanings he uses, I consider Retr oactive a work of art. It uses themes of collage through the gathering and connecting unrelated images into a cohesive work.His use of pop culture images and icons, familiar with the American public and the rest of the world as well, allows me to say that this is also a form of pop art. The pictures also hold significant importance in a historical sense and he uses these images to show what important events took place around the time that the primary figure of this image, narrative and cultural story telling. Reassurances uses colors both warm and cool to convey emotions and he enables the viewer to draw their own conclusions to the meanings of each image in connection with the other ones in the work.

Adelphia Communications Corporation Financial Statements

Financial Statements The company that I have chosen to portray in my key assignment is the Adelphia Communications Corporation. The Adelphia Communications Corporation was a cable television company headquartered in Coudersport, Pennsylvania. It was owned by John Rigas and was founded in 1952; Adelphia became one of the largest cable companies in the United States. In 2002 Adelphia Corporation filed bankruptcy as a result of internal corruption. Shortly after filing bankruptcy the company headquarters was moved to Greenwood Village, Colorado. Time Warner Cable and Comcast officially acquired the majority of Adelphia’s revenue-generating assets in July, 2006. The remaining assets were in real estate and they†¦show more content†¦Board members began conducting their own investigation to see what the money was used for. By spring, they involved the authorities who took the case to a grand jury. Adelphia Communications Corporation clearly broke all the rules and laws that govern business today. The chief executive should have taken more responsibility for the actions of the people that run the company. Adelphia could have hired outside auditors to keep detailed records of all internal and external activities that involve the finances and resources of the company. By hiring outside companies to handle the books and finances there are unbiased opinions and accountability has to be adhered to. Establishing a rule that company employees or owners cannot purchase their own stock at lower prices or that the purchase be made through reputable companies so that there is an undisputable paper trail to follow. All this goes back to the code of ethics that the company has put into place and that they are expected to follow. It is truly integrity and honesty issue, if you cannot trust the founders of the company then the company is destined for failure. 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