Healthy People Essay

1. Explain the use of each of the six phases of the nursing process. The nursing process consists of six dynamic and interrelated phases: assessment, diagnosis, outcome identification, planning, implementation and evaluation 2. List the elements of each of the six phases of the nursing process Asses- gather information about the clients condition, Diagnose-identify the client’s problems, plan and identify outcomes- set goals of care and desired outcomes and identify appropriate nursing actions, Implement- perform the nursing actions identified in planning, Evaluate- Determine if goals met and outcomes acheived 3. Describe the establishment of the database When you have obtained the history and completed the physical examination with accuracy, you have the needed information to establish a database ( a large store or bank of information) 4. Discuss the steps used to formulate a nursing diagnosis A nursing diagnosis is a clinical judgement about individual, family, or community responses about actual or potential health problems/life processes. 5. Differentiate between types of health problems It is important to distinguish collaborative problems and medical diagnoses from nursing diagnoses. these two types of problems are defined and discussed separately 6. Describe the development of patient centered outcomes The nurse develops expected outcomes for the established nursing diagnosis. A patient outcome statement provides a description of the specific, measurable behavior that the patient will be able to exhibit in a given time frame following the interventions. 7. Discuss the creation of nursing orders Because nursing interventions offered in textbooks and care planning manuals are often broad, general statements that indicate an activity to be performed it is often necessary to convert these nursing interventions to more specific instructional statements 8. Explain the evaluation of a nursing care plan Evaluation is determination made about the extent to which the established outcomes have been achieved 9. Demonstrate the nursing process by preparing a nursing care plan Completing the initial assessment, analyzing the data, writing the nursing diagnoses, selecting outcomes, and selecting appropriate nursing interventions, it is the nurse’s responsibility to communicate the detailed plan of care for the patient 10. Explain north american nursing diagnosis association international (nanda-i), nursing interventions classification (NIC), and nursing outcomes classification (NOC) NANDA-approved an official definition for nursing diagnoses, This standardized language, developed at the university of iowa encourages enhanced communication between nurses about nursing intervenions. NOC which measures the effects of nursing care, is the effort of a group of researchers working at the university of iowa. 11. Describe the use of clinical pathways in managed care A clinical pathway is a multi disciplinary plan that schedules clinical interventons over an anticipated time fram for high-risk, high volume, high-cost type of cases. 12. Discuss critical thinking in nursing Critical thinking for nursing as a discipline- specific reflective reasoning process that guides a nurse in generating implementing, and evaluating approaches for dealing with client care and professional concerns. 13. Define evidenced-based practice The use of research to determine best practices, or the interventions or approaches to patient care that will have the best impact on patient outcomes. In contrast, professionals in the past used educational knowledge, consultation with peers and specialists, and their own experiences to make decisions about patient care and to select interventions.

New York Times Paywall Strategic Considerations Essay

According to Chairman Sulzberger the goal of the paywall was to â€Å"build the Times’s digital subscription base and develop a new robust consumer revenue stream, while maintaining its significant digital advertising business.† Secondary to the constraint of maintaining the ad business was the requirement to maintain social buzz and branding. To begin, the NYT wanted to increase future revenues for the paper and offset the inevitable decline of its print revenue. This, in the short run, was a success. As described in Question #2; this added over $81 million in previously unexploited revenue in just the first year, indicating significant potential for future growth in digital subscription revenue. To maintain the ad business, the paywall could not significantly decrease the digital advertising revenue. For NYT Media Group, and by extension NYT, digital advertising increased by 5.3% in 2011, suggesting that the implementation of the paywall did not reduce digital adverti sing revenue in the short run. However, the NYT quarterly reports (shown in Appendix C) showed the paper’s digital ad revenue decreasing through much of 2012 and early 2013. Additionally, the paywall should not lead to a loss in readers or impressions. According to Exhibit 13 in the case, (and explained further in Question #2), the page visit drop equates to a 21 page per visitor ratio before the paywall to an 18.5 page per visitor ratio after the paywall, roughly a 11% drop in impressions. If the NYT has a pay-per-impression contract with its advertisers, this can mean up to a 11% drop in ad revenue in the long run, calling into question the overall success of the paywall. Finally, the NYT wanted to maintain the social buzz and branding for the paper. They did this by allowing unlimited access to articles if visitors came to the website via search engines or social media. This allowed people to read and be aware trending articles coming from the paper and keep their brand visible.. Overall, the paywall was working at the time of the case. It successfully registered significant numbers of readers willing to pay for the service. The paywall policy added a consistent revenue stream while maintaining leisure readers and promoting its online social presence. Whether the paywall will work in the long run will be determined by the revenue from subscriptions outpacing the loss of advertising revenue. 2. Is the New York Times paywall well-designed? Is it  priced right? Financially, paywall design is a basic supply vs. demand problem where the NYT optimizes revenues from online subscriptions against the advertising dollars lost. In the months before the paywall was instituted, the NYT site had approximately 715 million page views per month (adjusted to 30 day month). As soon as the paywall took effect, page views dropped to approximately 635 million as readers moved to other sites (Appendix A). This equates to an 11% drop in ad impressions within an industry seeing growing viewership. Therefore, we assume that online ad revenues decreased by approximately 11% after the paywall went into effect (decrease in online ad revenues of $23.68M off a base of $211.68M in 2011). Conversely, the 390,000 online subscriptions brought in $81M (at $4 per subscription), more than enough to make up for the loss in ad revenues. From this perspective, the paywall was a striking success. In addition, our team performed a conjoint analysis to help determine how customers value the various features and workarounds for the subscription paywall, and to evaluate whether the NYT could further optimize its pricing structure (Appendix B). In this analysis, we examined weekly subscription price ($8.75 vs. $3.75), paywall design (initial free article limit of 0 or 20), subscription leakiness (ability to access articles around paywall via social networks, etc.), and platform availability (subscription for all devices at once or tiered fee per device). This analysis confirmed our intuition that consumers are most sensitive to the price of the subscription. We also found that consumers are unlikely to value a subscription if they can get 20 free articles upfront. This is a much bigger determinant of whether and how much a customer will pay for a subscription than the possibility of getting free articles through their soci al network or other referral means. Based on this, the NYT would be able to charge an additional $2.37 if they were to stop offering 20 free articles per month and an additional $1.01 per subscription if they stopped allowing leaks to their paywall. However, making these changes would reduce page views and would have to be balanced against losses in ad revenues. Another way the NYT could raise revenues is to reduce the cost of an all device subscription. Based on the average subscription cost of $4.00, very few customers are opting for the all-platform subscription. However, our  analysis shows that customers are willing to pay $5.46 ($3.75 base subscription plus $1.71 in additional value) for a subscription open to all platforms. Making this change could add $29.6M in revenue if all customers took this deal while increasing subscriber page views due to increased access. 3. What is the long-term goal of the New York Times in creating the paywall? To understand the future of the NYT paywall, we looked at the newspaper’s recent trends in advertising and circulation revenues. In 2011, NYT Media Group derived 45% of its revenues from circulation and 49% from advertising (Exhibit 2). The NYT has seen a steady decline in print and digital advertising and recently reported that the paper â€Å"generated $900 million in ad revenue [in 2012], compared with $2 billion in 2002.† [1] Its print subscriber base is not faring much better. The Sunday Times saw a 10% drop in print subscribers by 0.15M from 2007 to 2011. The weekday NYT print circulation dropped 17.43% and the Saturday Times declined by 10% over the same period. Despite this, print subscribers still account for about 84% of the paper’s circulation revenue. [2] Digital subscriptions have seen strong growth since 2011. According to the Q2 2013 NYT earnings report, â€Å"Paid subscribers to The Times†¦ digital-only subscription packages, e-readers and r eplica editions totaled about 699,000.†[3] This represents a 35% year-over-year increase since 2012 and a 79% increase since Dec 2011. Based on these trends, we can conclude that digital circulation will play an important role in the future of the NYT. The long-term goal of the NYT paywall is to build a permanent digital subscription base. To make digital circulation effective, the NYT needs the paywall. Why would subscribers pay for digital access if they can get it for free? It is interesting to note that in March 2012, the NYT reduced the free access threshold from 20 articles to 10 – and in the following year, it expanded its digital customer base by 35%. Digital circulation cannot single-handedly support The Times going forward. The paper must rely on a mix of revenue streams and the print edition (and the decreased ad revenue it brings in) will continue to be a major source of income. The price of the print edition has skyrocketed in recent years from $0.75 in 2001 to $2.50 in 2013. We wonder if a more secure  paywall might also allow similar future price increases in the digital realm. 4. Will newspapers transition to all digital? How should the New York Times manage a transition to the new world of content provision? Despite the mainstream use of iPads and other electronics for consuming news, the printed newspaper is still in demand. In 2011, NYT newspaper sales made up 45% of the annual revenue. This is attributed to a strong segment of readers who still prefer the hardcopy of the paper. The overall trend still suggests that news is rapidly moving towards the digital form, perhaps eventually transitioning to an all-digital platform. The transition to fully digital will likely not happen within the next five years based on the print subscription trends from 2007 to 2011, but the NYT must be prepared to manage its revenue sources as circulation diminishes. The NYT has three main revenue streams – advertising (both digital and print), subscriptions, and other ventures. Together, advertising and subscriptions made up 94% of the revenue in 2011. In this largely digital age, only 28% of the advertising revenue stems from digital ads. To evaluate the NYT strategy to transition to digital news, we must determine the newspaper’s profitability today and in the future. Our analysis focuses on the NYT Media Group, rather than the whole company which includes other newspapers and ventures. In 2011, the Media Group comprised of 67% of the company’s revenues so we assume the operating costs are proportional. We also assume that operating costs include production costs and SG&A, and ignore depreciation and amortization for this analysis (Appendix F). Based on our scenario planning, which varied the percentage of print and digital subscriptions and ads, we conclude that the NYT is profitable today and will continue to be profitable despite the shift towards the digital platform. While overall revenues from ads and circulation decrease (as the rate of digital subscriptions cannot make up for the loss in print), the operating cost of running production decreases. If the news become completely digital in the future, the NYT must focus on driving online subscriptions and ads. 5. Would a paywall work for all newspapers? For other content providers? If not, what other strategies would work? The paywall may not work for all newspapers. In some cases like the NYT, the paywall model worked, but the same strategies may not apply to other newspapers. The successful was largely due to the NYT strategic positioning and ability to attract a large number of unique visitors (~33 million) and page views ( ~600-700 million) as compared to those of USATODAY.COM, WASHINGTONPOST.COM, WSJ.COM, etc. (~5-15 million, ~80-150 million respectively). Other key reasons for its success included the steady increase in the online newspaper traffic, past experience in digital subscriptions, low marginal cost in adding customers for its digital subscription, and external reasons such as launch of IPad in 2008 which improved the user experience for reading digital content. Other newspaper such as The Washington Post, Scientific American, and the Economist have succeeded with the paywall because of their specialized content. According to US newspaper industry report in 2009, 5000 players in this ind ustry operated for total annual revenues of $35 billion but the top 50 firms accounted for more than 75% of the revenue. For the remaining firms, implementing a paywall could be significantly destructive to their business as customers would go elsewhere. Therefore, a newspaper firm has to be strategic if it wants to introduce paywall in its revenue stream. Not every content provider can have successful paywall. Some strategies that have been defined earlier can work in their favor. Other strategies include the BostonGlobe vs. Boston.com strategy. One has high quality content with great user expereince (paid service of 99 cents for 4 weeks) and the other has free low quality content. Another model is the Metro; free widely distributed newspaper at metro stations. Hulu.com provides free content for a limited time and moves other content to Hulu Plus. Netflix.com allows access to TV shows and movies anytime with flat rate subscription cost. Appendix A – Chart describing data presented in Question 2 Appendix B – Output from Regression Analysis in Excel Appendix C – Selected NYT Financial Information from 2012-2013 The below excerpts came from the NYT Media Group’s investor reports found here: http://investors.nytco.com/investors/financials/quarterly-earnings/default.aspx Q213: Print and digital advertising revenues decreased 6.8 percent and 2.7 percent. Q113: Print and digital advertising revenues decreased 13.3 percent and 4.0 percent. Q412: Print advertising revenues decreased 5.6 percent and digital ad revenues rose 5.1 percent. Q312: Print and digital advertising revenues decreased 10.9 percent and 2.2 percent. Q212: Print and advertising revenues decreased 8.0 percent and by 4.0 percent. Q112: Print and digital advertising revenues decreased 7.2 percent and 10.3 percent. Q411: Print and digital advertising revenues fell by 8 percent and 5 percent. Appendix D – References for Question 3 [1] http://www.nytimes.com/2013/10/14/business/media/a-leaner-times-aims-for-global-growth.html?_r=0 [2] http://www.nytimes.com/2013/10/14/business/media/a-leaner-times-aims-for-global-growth.html?_r=0 [3]http://investors.nytco.com/investors/investor-news/investor-news-details/2013/The-New-York-Times-Company-Reports-2013-Second-Quarter-Results/default.aspx Appendix E – Forecast Figures on NYT Profitability based on % Figure 1: Forecast of the NYT Total Revenue, Total Operating Costs, and Operating Profit as digital circulation and advertising increase while paper circulation and advertising decrease. Assumptions are listed in Appendix F. Figure 2: Detailed breakdown of advertising revenue from digital and print as the NYT transitions towards all digital. The year 2030 was chosen to determine the NYT’s strategy to become an all digital news provider. Appendix F – Assumptions made to evaluate NYT profitability for the future 1. Depreciation and amortization were not included in calculating profitability. 2. Advertising revenues continue to decline at the same rate as 2008 – 2011. 3. Print subscriptions continue to decline at the same rate as 2008 – 2011, calculated by summing the Sunday and weekday subscriptions while subtracting out the Saturday subscriptions to make up the overlap. 4. The average cost of the paper subscriptions is $10.50 (unweighted by popularity of subscription type) and the average cost of the paywall is $5.80 (not discounted by sign up offers and one-time discounts). 5. The percentage of revenue from digital ads grows by 5% from 2012 to 2016 as the NYT shifts toward a digital platform. The assumed 5% growth is conservative based upon online readership and unique visitors on the site. 6. The cost of production is directly related to the number of paper subscriptions. The production can be scaled down when demand is reduced. 7. The revenue from circulation declines at 0.7% from 2012 to 2016 because the loss of print subscribers outweighs the increase of digital subscribers.

Branches of the Criminal Justice

The system of courts, corrections and law enforcement in the criminal justice is directly involved in the supervision, incarceration, sentencing, defense, prosecution, and apprehension of those charged with or suspected of criminal offenses. Law enforcement agencies, in one hand, are governmental agencies or subunits thereof having legal authority to arrest and to carry out crime reduction and control (National Law Enforcement Officers Memorial Fund, 2004). For the majority of the time, however, their work is composed of three principal functions which include law enforcement, service and order maintenance.On the contrary, justice is one of the primary aspects of law enforcement; hence the courts are as well of major significance in criminal justice since it encourages freedom and justice, in addition to law and order. Basically, the courts function as the location where justice is governed and disputes are resolved (Answers. com, 2009). From the court system and following the findin gs of guilt, individuals are then turned over to the correctional authorities.The corrections will then administer the sanctions conferred by the court against convicted criminals (Osceola County Clerk of Circuit Court’s Office, 2000). Taken as a whole, the criminal justice system is a fundamental component in the maintenance of social control and order. Efficiency, Conflict and Abuse of Power The criminal justice in general is used by local and national governments, in order to uphold social authority, control, crime deterrence, and to appropriately penalize those who violated the laws.However, there are large numbers of existing specific agencies that carry out the tasks of the criminal justice; each of which has its own extensive functions to act upon. The courts, for instance, despite of their various levels, divisions and specializations, are still experiencing difficulty from the incessant clogging of their court dockets due to the large number of cases that are brought to them everyday. Clearly, the efficiency of services will not be delivered if the branches of criminal justice system are merged, without suffering fairness, impartiality, and social control and administration.Likewise, criminal justice system has several components, and in their functioning, each of which has several stages of process. As such, performance of functions will likely cause conflict if all the branches are merged into one agency. For instance, due to the law enforcement officers’ field experiences and orientations, their perspective of what is culpable may be different from that of the judges’, which possesses more subtle legal qualities than any other individuals in any of the other two branches.Consequently, divergences of standpoints will then arise resulting to constant conflicts. Lastly, the possibility of abuse of power would be more evident if the three branches of the criminal justice system are merged into one single agency that execute the fun ctions of all three. This is because the respective attributes of each branch are different. The law enforcement officers’ task is to basically bring lawbreakers to the criminal justice system (EduDecisions. com, 2009). As such, their duties and responsibilities primarily involve executive function.For a fair trial, law enforcement officers bring the lawbreakers to the courts, and obviously, judicial functions are then performed. However, there would be no fair trial if one agency performs both executive and judicial functions. All the more if the same agency will hand out and administer the offenders’ rehabilitation. These circumstances are clearly vulnerable to abuse in view of the fact that it concentrates broad and significant powers into one agency. Conclusion A criminal justice system that is independent, fair, honest and effective is one of the most indispensable institutions of America.Accordingly, despite the modernization of times, the continued division betw een the law enforcement, courts and corrections is still very necessary. Although the three branches must still cooperate with each other in order to provide justice for victims, criminals and the society; nevertheless, the system still needs to be structurally based in order to maintain effective social control, efficiency, impartiality, goal organization and accountability. References Answers. com. (2009). Criminal Justice. Retrieved March 9, 2009, from http://www. answers. com/topic/criminal-justice#CourtsEduDecisions. com. (2009, March 2). The United States Criminal Justice System. Retrieved March 9, 2009, from http://www. edudecisions. com/articles/criminal-justice-careers/criminal-justice-system. php National Law Enforcement Officers Memorial Fund. (2004, March 17). Adding a Name to the Memorial. Retrieved March 9, 2009, from http://www. nleomf. com/TheMemorial/addname. htm Osceola County Clerk of Circuit Court’s Office. (2000). A Criminal Justice System Overview. Retri eved March 10, 2009, from http://www. osceolaclerk. com/criminal_justice_system_overview. htm

Financial Upheavals Assignment Example | Topics and Well Written Essays - 250 words

Financial Upheavals - Assignment Example On the other hand, the Great Recession of 2008 is the most recent economic downturn in country, the pangs of which are being felt even today. Both these financial upheavals share similarities in terms of their causes and consequences. They led to extensive loan foreclosures, bank failures, high unemployment rates and a slump in manufacturing sector. The reason for the panic of 1819 can be attributed to the economic system of the United States (Rothbard 2002). It was the panic of 1819 that brought the grand economic expansion following the War of 1812 to an end. Inflation, debtors’ relief which was invariably tied with monetary schemes and a protective tariff played a pivotal role in creating the situation of panic in the country at that time. On the other hand, the onset of the Recession of 2008 can be attributed to complex and interlinked factors. Sub-prime lending, loose monetary policy, global imbalances and lax financial regulation were responsible for the latest financial upheaval that has had the entire world reeling. Proposal is hereby made to write a detailed paper which will compare and contrast these two historic financial upheavals; the earliest and the latest to have rocked the United States of America with special emphasis on the role of the monetary policy in each

Mall of America Case Study Example | Topics and Well Written Essays - 500 words

Mall of America - Case Study Example Some of the criteria that the Mall of America should consider when adding new facilities to its complex include the retail mix offered and family focus (Kotler and Keller, 2008). Previous successes already indicate that the mall is a haven for whole focus, so new facilities must be able to add to the qualities it already has. For example, retail stores should be evaluated depending on the kind of services that it introduces into the complex. For example, if apparel has already been catered for, the complex should focus on bringing in new qualities that ensure that all aspects of the consumer are covered. On entertainment offerings, since the area of children is already covered, the Mall of America should go for gender segmentation. Finally, hotels should be able to offer factors like lodging, which will be a factor for encouraging tourists to visit the location. The Mall of America is already a huge success with the local people, but to increase its presence both for the local metrop olitan visitors and visitors from outside, the mall should utilize the importance of marketing information. With specific information from patrons, the mall will be able to figure out any new needs that the consumers have, which will then be used to increase market share. The mall should also diversify on product coverage in order to cover as many demographics as possible, which will also help in attracting new clients and retaining old ones from the metropolis and outside.