Big Data Means Big Potential, Challenges for Nurse Execs. Reflect on your own experience with complex health information access and management and consider potential challenges and risks you may have experienced or observed.

Review the Resources and reflect on the web article Big Data Means Big Potential, Challenges for Nurse Execs.
Reflect on your own experience with complex health information access and management and consider potential challenges and risks you may have experienced or observed.
Write  a description of at least one potential benefit of using big data as part of a clinical system and explain why. Then, describe at least one potential challenge or risk of using big data as part of a clinical system and explain why. Propose at least one strategy you have experienced, observed, or researched that may effectively mitigate the challenges or risks of using big data you described. Be specific and provide examples. 3 APA refrences

his week, you will reflect on the feedback you received on your proposal from We

his week, you will reflect on the feedback you received on your proposal from Week One. You will refine your research question from Week One and share how you have narrowed the scope of your research question based on your research so far as well as feedback from your instructor and peers. You will also identify your preliminary thesis statement. Skills:
This discussion board will help you practice the following skills:
Reflect on critical feedback provided by your instructor and peers
Develop an appropriate research question
Develop an answer to the research question, also known as a thesis
Consider how your role will shape your research question
The Bedford Researcher – pp. 49-53.
Answer the following questions.
First, post your original Research Question from your Week One Proposal.
What feedback did you receive on it from your instructor and others? What did you find helpful from this feedback?
Using your reading this week and the feedback you received, post a refined draft of your Research Question.
Why is this a better question? How is it argumentative? What different views are there on this topic? What stance are you likely to take?
What is your answer to your Research Question? Write a single sentence that fully answers it. This will be a revised draft of your thesis statement.
Next, conduct a search using Keiser’s e-Library databases. Post an APA citation to one source you located through Keiser’s e-Library.
Provide a summary of the source. For instance, what does it say? What are its findings? Why is it relevant in the field?
Provide an application of the source. How does this source help you answer your Research Question. Where specifically might you use this source in your actual paper?

Online Article: Japanese Hip-Hop and the Globalization of Popular Culture by Ian

Online Article: Japanese Hip-Hop and the Globalization of Popular Culture by Ian Condry: (Links to an external site.)
Online Article:
Video Viewing: “Faces of Culture” Video Series: Cricket the Trobriand Way:
After reading the two articles and watching the video, think about the issue of cultural appropriation.   
Cultural appropriation occurs when someone obtains an object, belief,  practice or idea from another culture and uses it in such a way that it  is insulting or damaging to the culture of origin.  This encourages  marginalization and disenfranchisement of that culture’s people.   Cultural borrowing, on the other hand, refers to the use of elements of a  culture other than one’s own for purposes that are not derogatory or disrespectful with regard to the culture of origin.
Of importance are the intent and the impact of the acquisition of an  acquired cultural element on members of the culture of origin.  Ask  yourself if the acquisition is harmful, beneficial (or at least  respectful), or neutral in its effect on the original culture.  If it is  intentionally harmful, the cultural interaction is appropriation.  If  it is the second or third outcome, the interaction is usually considered  borrowing. 
Consider these issues after you read the article about Japanese Hip  Hop and how its message can be different from that of the American  creators of this music genre – and as you view the video about the  British sport of Cricket as played by the Trobrianders (residents of the  Trobriand Islands in the South Pacific.)
discuss whether these two examples of cultural interaction are appropriation or borrowing.  Explain your reasoning.
Cite specific examples from the video (reference it by the time mark  in the video) and passages in the article, identified by page number.   This paper should rely on specific evidence from these two sources. 
Consider the article by Ralph Linton, which describes the world’s  cultures as borrowing from one another continuously, from ancient times  to the present.  This begs the question, what is it that a culture  “owns” if almost everything is borrowed? How does this article affect  your view of cultural appropriation and cultural borrowing?  What are  its implications for the validity of the very idea of cultural  appropriation?  
Do not use any sources other than your text and those listed above  unless they are approved by your instructor.  As with all of your graded  discussions, be concise, include a clear expository thesis statement  and introductory paragraph, and avoid digressing as you write.  

Develop an idea for an interactive user interface for an application or website

Develop an idea for an interactive user interface for an application or website of your choice. You will write a 2- to 3-page paper that discusses your approach to creating your interactive user interface design. You will want to discuss the interface design principles that you applied, and you will also want to discuss how you considered consistent, continuous, and complementary approaches as you considered your user interface on multiple devices.
Part A Instructions:
1. Describe the software application or website for which you are designing the user interface.
2. Discuss what input is required from the end-user.
3. Discuss how that input will be processed in the application.
4. Discuss what output needs to be displayed back to the end-user.
5. Discuss how you will apply the core user interface design principles.
6. Discuss how porting this interface to other devices might influence usability.
7. Discuss how you intend to consider and apply the concepts of consistency, continuity, and complementarity about this user interface on multiple devices.
Your sources and content should follow proper APA citation style. For more information on APA style formatting, go to Academic Writer, formerly APA Style Central, under the Academic Tools area of this course.
Plagiarism is an act of academic dishonesty. It violates the University Honor Code, and the offense is subject to disciplinary action. You are expected to be the sole author of your work. The use of another person’s work or ideas must be accompanied by specific citations and references. Whether the action is intentional or not, it still constitutes plagiarism.
For more information on University’s Plagiarism policy, refer to the current University Catalog.
Part B
Create a wireframe for your interactive user interface. You can create this in Microsoft® Visio® or PowerPoint®.
Part B Instructions:
Be sure you provide all the detail necessary to illustrate all elements that will appear on the interactive user interface.
1. Navigation bar/links
2. User input elements
3. Submit buttons
4. Area for display of feedback to end-user

Prompt: Write a response to the following questions (including at least one bibl

Prompt: Write a response to the following questions (including at least one biblical example in the response): Find one or two organizations who have union representation, and discuss their pay policies. Do you believe that those companies’ employees have benefitted or not benefitted from being unionized in regards to pay?
Requirements: 2-pages (minimum 500 words): APA format.

PEER RESPONSES WEEK 2  Georgiann Ostrander  Week 2 Initial Post. Ostrander. COLL

Georgiann Ostrander 
Week 2 Initial Post. Ostrander.
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NRNP 6635 Week 2/ Discussion Forum. Psychopathology and Diagnostic Reasoning
Post a brief explanation of three important components of the psychiatric interview and why you consider these elements important. Explain the psychometric properties of the rating scale you were assigned. Explain when it is appropriate to use this rating scale with clients during the psychiatric interview and how the scale is helpful to a nurse practitioner’s psychiatric assessment. Support your approach with evidence-based literature.
3 Important Components of Psychiatric Interview
The psychiatric interview is an important component of assessing and evaluating the patient’s present and past mental health conditions. The first important component of the psychiatric interview is to use therapeutic communication to establish a trusting rapport with open-ended questions; identity the patient’s chief complaint in their own words. The second component is to assess the patient’s history of present illness; the patient states in their own words symptoms or concerns. Evaluate the patient’s psychiatric history such as diagnosis, current or past treatment plans. The patient should state and include any physical ailments/diseases including treatment therapies. The third is an important component of the interview is completing a mental status examination. According to Sadock, B.J. et al. (2015) the MSE is the psychiatric equivalent of a physical examination. The psychiatric examination is vital for practitioners to assess, evaluate, diagnose and establish a treatment plan. According to Voss and Das (2020) article, the MSE is key for detections of psychiatric signs and symptoms of mental and physical illness that includes categories of the patient appearance, behavior, motor activity, speech, mood, judgment, thought processes, perceptual disturbances, insight, and cognition. The mental status examination is a collection of subjective assessment and data by the practitioner.
Psychometric Properties of Patient Health Questionnaire
The psychometric properties of the patient health questionnaire, PHQ-9 is an assessment tool used to screen patients for mental health with depression. The American Psychological Association (2020) states the PHQ-9 is a patient health questionnaire used to help detect or assess for depression with high reliability and validity psychometric properties with supporting evidence if the patient score is between is greater than or equal to 10 the patient is 7 to 13.6 times likely to diagnose with depression, and scores 4 or less there is a 1 in 25 chance of a patient diagnosed with depression. The Journal of BMC Psychiatry (2020) reports the patient health questionnaire-9 this screening tool was developed for use in a primary care setting to help assess patients with depression due to the prevalence of depression to improve patient outcomes and decrease disability related to depression. The patient health questionnaire-9 form is an appropriate screening tool and scale to use within primary care physician office visits and among mental health providers during the MSE and interview to assess, evaluate and treat depression as applicable.
American Psychological Association (2021). Patient health questionnaire (PHQ-9 & PHQ -2): Construct Depressive Symptoms. Retrieved from
Kroenke, K., Spitzer, R. L., & Williams, J. B. (2001). The PHQ-9: validity of a brief depression severity measure. Journal of General Internal Medicine, 16(9), 606–613., K., Motlhatlhedi, K. & Wambua, G.N. The validity and reliability of the Patient Health Questionnaire-9 for screening depression in primary health care patients in Botswana. BMC Psychiatry 20, 295 (2020).
Molebatsi, K., Motlhatlhedi, K. & Wambua, G.N.(2020, June, 12). The validity and reliability of the Patient Health Questionnaire-9 for screening depression in primary health care patients in Botswana. BMC Psychiatry 20, 295 Retrieved from
Sadock, B. J., Sadock, V. A., & Ruiz, P. (2015). Kaplan & Sadock’s synopsis of psychiatry (11th ed.). Wolters Kluwer.
Voss, R.M. and Das, J.M.  (2020, October 13). Mental status examination. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Available from:
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Kayla Barrett 
Main Discussion Post
Main Discussion Post
Three important components of the psychiatric interview are establishing a solid therapeutic alliance, obtaining a thorough psychiatric history, and involving the client is therapeutic decisions (Carlat, 2017). Establishing a therapeutic alliance develops a sense of trust and rapport between the practitioner and the client. The therapeutic alliance is formed by conveying emotional sensitivity, casting judgment aside, and projecting competence in the statements used and questions asked (DePue et al., 2020). Obtaining a thorough psychiatric history is crucial in establishing a clear overview of the client’s psychiatric history, current psychiatric treatment, and other comorbidities affecting the client or their treatment (Carlat, 2017). Involving the client in their treatment is crucial to optimize treatment adherence. The client is significantly more likely to be receptive to education and adhere to a treatment plan they helped negotiate and create (Etingen et al., 2019).
Psychometric components of the Patient Health Questionnaire (PHQ-9) include sensitivity and specificity to depressive symptoms within the diagnostic criteria (Mehra et al., 2021). The PHQ-9 tool assesses for DSM-5 depressive symptoms over the span of two weeks with the opportunity for the client to specify the frequency of each symptom’s occurrence. These properties aid in making this tool reliable, specific, and valid.
It is appropriate to use the PHQ-9 when initially assessing for symptoms of depression and as a tool to repeatedly measure the progress of depressive symptoms over a time period. The PHQ-9 is helpful to a nurse practitioner’s psychiatric assessment because it can assist in the identification of a client’s baseline of depressive symptoms or trend of depressive symptoms (Harrison et al., 2021). The client can intermittently complete the assessment throughout their treatment to assess whether or not the client’s depression is worsening or improving (Harrison et al., 2021). While the PHQ-9 is an excellent tool, further assessment of the client’s understanding of the questions and the answers they provide are necessary. The second question asks if the client has felt down, depressed, or hopeless over the past two weeks (Harrison et al., 2021). Determining which one the client is feeling is crucial because a hopeless client might be experiencing more abysmal lows.
Carlat, D. J. (2017). The psychiatric interview (4th ed.). Wolters Kluwer.
DePue, M. K., Liu, R., Lambie, G. W., & Gonzalez, J. (2020). Examining the effects of the supervisory relationship and therapeutic alliance on client outcomes in novice therapists. Training and Education in Professional Psychology.
Etingen, B., Hill, J., Miller, L., Schwartz, A., LaVela, S., & Jordan, N. (2019). An exploratory pilot study to describe shared decision-making for PTSD treatment planning: The provider perspective. Military Medicine 184, 467-475.
Harrison, P., Walton, S., Fennema, D., Duan, S., Jaeckle, T., Goldsmith, K., Carr, E., Ashworth, M., Young, A. H., & Zahn, R. (2021). Development and validation of the maudsley modified patient health questionnaire (MM-PHQ-9). BJPsych Open, 7(4) doi:
Mehra, A., Agarwal, A., Bashar, M., & Grover, S. (2021). Evaluation of Psychometric Properties of Hindi Versions of Geriatric Depression Scale and Patient Health Questionnaire in Older Adults. Indian Journal of Psychological Medicine, 43(4), 319–324.
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Prepare using the following guidelines for organization: You were recently hired

Prepare using the following guidelines for organization:
You were recently hired as the new Human Resources manager for a new company that has been in business for two weeks. The CEO is looking to you for your expertise in compensation and benefits to develop a package for all full-time future employees. The CEO is estimating that in the next four months this company will have over 40 full-time employees. The CEO is leaning on you to develop a report for the board meeting in two weeks.
Some things to consider: Though most employers are required to provide mandatory benefits such as Social Security contributions, worker’s compensation insurance, and unemployment insurance, most other benefits are voluntary in nature and determined by the employer. Benefits programs should include medical insurance, life and disability insurance, retirement income plan benefits, paid-time-off benefits, and educational assistance programs. Benefits selection and design are critical components in the total compensation costs. In some cases, benefits account for 40 percent or more of total compensation costs. Due to the employer cost investment and the importance of employee benefits in recruiting and retaining, employers should have a well-thought-out benefits plan design that meets both employee needs and employer objectives.
Develop a compensation and benefits package for your company. You must first address the type of company you were hired for (your choice). Second, you must select the city and state in which the small company is located (your choice). In your HR Compensation and Benefits Report to the board, you must address the following:
Identify the Organization’s Benefits Objectives and Budget: The organization’s business and/or HR strategy will help guide the development of the benefits objectives, as these objectives should help achieve the overall strategic goals. Factors such as employer size, location, industry, and collective bargaining agreements should be considered in the development of the benefits
Conduct a Needs Assessment: This needs assessment will be based on your company’s location and estimated future size. It should be conducted to determine the best benefits selection and design based on the needs and wants of the employees. The needs assessment may include an employer’s perception of employee benefits needs, competitor’s benefits practices, and tax laws and
Formulate a Benefits Plan Program: Using the data collected from all resources in Step 2, the employer can begin to formulate benefits offerings in order of priority. Can changes be made to the current plan design to induce cost savings? Can benefits that are underused or not valued by employees be eliminated? What are the administrative costs for the benefits? What cost-containment features can be put in place? Will employees have to contribute, and how much? These are among the evaluations an employer will make in determining whether to add, change, or eliminate benefits
Communicate the Benefits Plan to Employees: Employee understanding of the benefits is critical to employee buy-in. Without buy-in, the employer’s efforts, no matter how perfectly designed to meet employees’ needs, may be futile. The positive impact on recruiting, retention, and employee morale may be lost without effective communication plans. Good benefits communication objectives should include:
Creating awareness and appreciation of the new or existing benefits and improving employee financial
Providing a high level of understanding of the benefits
Encouraging wise use of
Develop a Periodic Evaluation Process to Determine Effectiveness of Benefits: Periodically reviewing the benefits plan program is another important step in the benefits management process. The benefits program must be assessed on a regular basis to determine if it is meeting the organization’s objectives and employees’ needs. Changes in the business climate, the economy, the regulatory environment, and workforce demographics all create dynamics that affect benefits offerings.
Christian Worldview: What is God’s approach to money, and how we are to care for others? Provide a verse from the Bible, and discuss how this relates to the HR
Requirements: Prepare this HR Compensation and Benefits Board report using the following guidelines:
A minimum of 6 pages not to exceed 10, typed, double-spaced, Times New Roman font, using APA standard
Title page, including the title of paper, your name, course name and course number, date of submission (page 1)
Include a summary of your understanding of the biblical implications for the topic (pages 2-6)
Reference page, including a minimum of 6 references are required, including the text, the Holy Bible, books and articles from academic sources (Net Library), and other

There are three forklift truck operators in the warehouse. Two of them are young

There are three forklift truck operators in the warehouse. Two of them are young employees who have both been warned twice (the second warning in writing) about careless operation of the trucks. Last week one of them (Jack) made a fast turn and spilled a shipment. The dropped cartons had to be opened and inspected and a number of damaged items sent back for repair.
The supervisor said it was inexcusable carelessness and gave him a three-day layoff. She warned all truck operators that any damage with trucks would be punished by layoff from here on.
Today Jill Harrison, the third truck operator, ran into a door frame overhead and spilled the entire load she was carrying. She had simply failed to lower the truck. She is a valued employee and has never had an accident or any disciplinary record in all her years on the job. She is a friend and neighbor of the supervisor, and they ride to work together. Everyone is watching to see what the supervisor is going to do.
1. If a supervisor makes a threat, is it necessary to carry it out?
2. Have you ever been punished for a mistake on the job? Was the action fair? Explain.
3. Discuss the issues and challenges of women leading men, especially in work settings traditionally dominated by men. Select one use case from
Select one use case from the list below to be the topic of your paper.
360° View of the Customer
Fraud Prevention
Security Intelligence
Data Warehouse Offload
Price Optimization
Operational Efficiency
Recommendation Engines
Social Media Analysis and Response
Preventive Maintenance and Support
Internet-of-Things (IoT)
Write a 3-page expository paper, not including title page or references, that addresses the following:
Describe the use case and how it makes use of big data.
Explain the V’s of big data within the context of your chosen use case.

ICD-10 was a major overhaul of the ICD-9 system. The codes were changed dramatic

ICD-10 was a major overhaul of the ICD-9 system. The codes were changed dramatically. For this discussion, go to the following website: Scroll down and click on the code section of V00-Y99 External Causes of Morbidity. After reviewing the various coding possibilities, in your initial post, discuss your reactions to the number of options. Were you surprised by the number of options? Can you think of anything that was not already covered by the codes? Choose one code option and provide a brief description of when it would be appropriate to assign it to a patient encounter. In your follow up posts to peers, do you agree with their assignment of the code to the patient encounter? Support your reasoning.
According to Chapter 20 (External Cause of Morbidity) in ICD-10-CM, there are over 7500 codes. The number of codes is much larger than I imagined and provides many options for coding just about any possible condition. I thought perhaps there would be about 1,000 codes, but every incident/accident appears to be covered by the V00-Y99 code section.
The Centers for Disease Control (CDC) describes these codes as codes that provide additional information such as how the injury occurred, the intent where it took place, and the patient’s status at the time of the injury. It is also reported that there is no national requirement for mandatory reporting of these codes, but this information should be reported.
As I searched the codes, I don’t think I saw injuries related to elder abuse such as willfully withholding medical attention and food resulting in starvation. There is a category for Assault X92-Y09, injuries inflicted by another person with the intent to injure or kill by any means. I know of a case where the family withheld medical attention and food from a family member until the elderly person died. 
ICD-10-CM Diagnosis Code Y74.3, surgical instruments, materials, and general hospital and person-use devices associated with adverse incidents. Other codes that could be applicable include Y81.3 and Y81.8, surgical instruments, materials, and general-and plastic surgery devices associated with adverse incidents, not elsewhere classified.
The code option I reviewed: Misadventures to patients during surgical and medical care Y62-Y69.   Type 1 Excludes surgical and medical procedures as the cause of abnormal reaction of the patient, without mention of misadventure at the time of the procedure, (Y83-Y84). Other codes that may be applicable include:  W45.8XXA for retained sponges during surgery/foreign body or object entering through skin or retainment of foreign body fragments Z18-Z18.0 ICD-10 CM Code.
The above codes represent examples whereby surgeons leave sponges or other foreign objects in patients during surgery.  I recently was speaking to a nurse colleague that introduced me to a surgeon who was said to be notorious for leaving sponges in patients. It was said he is on staff at several hospitals and works a lot. Such complications or injuries result from retained sponges and surgical instruments. Such comprises patient safety and can have catastrophic implications for patients. 
World Journey of Surgery (2011). Retained Surgical Items and Minimally Invasive Surgery.  Retrieved from: 
UHDDS (2015). Uniform Hospital Discharge Data Set: UHDDS. Retrieved from:
Industry News (2016).  Medical Coding Tips. Retrieved from: