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Write an analysis, 4-5 pages in length, of the gap between current and desired performance, with respect to the provision of safe, high-quality patient care.
Introduction
As a nurse leader, you must be able to assess your organization’s ability to deliver safe, high-quality patient care. In so doing, you may be required to perform a gap analysis of a quality or safety issue as the first step in improving outcomes. Failure to meet benchmarks for safe and effective patient care can have reimbursement, regulatory, and legal consequences.
This assessment provides an opportunity to develop the knowledge, skills, and attitudes required to successfully implement changes that improve patient outcomes by:

Write an analysis, 4-5 pages in length, of the gap between current and desired performance, with respect to the provision of safe, high-quality patient care.
Introduction
As a nurse leader, you must be able to assess your organization’s ability to deliver safe, high-quality patient care. In so doing, you may be required to perform a gap analysis of a quality or safety issue as the first step in improving outcomes. Failure to meet benchmarks for safe and effective patient care can have reimbursement, regulatory, and legal consequences.
This assessment provides an opportunity to develop the knowledge, skills, and attitudes required to successfully implement changes that improve patient outcomes by:

Write an analysis, 4-5 pages in length, of the gap between current and desired performance, with respect to the provision of safe, high-quality patient care.
Introduction
As a nurse leader, you must be able to assess your organization’s ability to deliver safe, high-quality patient care. In so doing, you may be required to perform a gap analysis of a quality or safety issue as the first step in improving outcomes. Failure to meet benchmarks for safe and effective patient care can have reimbursement, regulatory, and legal consequences.
This assessment provides an opportunity to develop the knowledge, skills, and attitudes required to successfully implement changes that improve patient outcomes by:

• Evaluating the current culture of an organization.
• Performing an outcomes gap analysis.
• Determining what changes are needed to bridge the gap.
• Examining current thinking on this topic contained in the literature.
• Quality and safety are everyone’s responsibility as a team of interprofessional care delivery partners. Together we develop policies that support quality and safe care delivery. As part of the interprofessional team, nurses are leaders in care and thus are responsible and accountable for leading and providing safe quality care.
  Health care delivery is structured around evidenced-based information. Quality is defined by exploring proven, evidenced-based information. After reviewing and defining evidenced-based information, the interprofessional team applies this knowledge to assess the organization’s or the practice setting’s ability to provide evidenced-based care delivery. When a gap in care is identified, it is important to propose an evidenced-based change and to execute a plan for improved care.
  
  Preparation
  As a nurse leader, you are fully aware of the hazardous nature of health care and that organizations must continually seek to improve the quality and safety of the care they provide to patients. For this assessment, you will identify a systemic problem in your organization, practice setting, or area of interest associated with adverse quality and safety outcomes (for example, an increase in the incidence of falls or medical errors) and analyze the gap between current and desired performance.
  As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.
  Culture and process contribute to our ability to develop and sustain quality and safety in a health care organization. By exploring these topics, you can analyze where you may have gaps in practice that affect outcomes. In addition, organizations must create benchmarks for outcomes to determine whether they are meeting quality and safety goals.
• What does your organization measure, related to quality and safety, and why?
• Are there certain aspects of your organization’s culture and processes that support or hinder quality and safety?
• Is the organization meeting outcome measurement benchmarks?
• If not, how might you address those gaps in performance? What system could be developed to support a change to close a particular gap?
• The following resources are required to complete the assessment.
•  a systemic problem in your organization, practice setting, or area of interest that contributes to adverse quality and safety outcomes.
• Propose specific practice changes that will improve quality and safety outcomes and bridge the gap between current and desired performance.
• Prioritize proposed practice changes.
• Determine how proposed practice changes will foster a culture of quality and safety.
• Determine how a particular organizational culture or hierarchy might affect quality and safety outcomes.
• Justify necessary changes with respect to functions, processes, or behaviors, specific to your organization.
• Supporting Evidence
• Communicate analysis data and information clearly and accurately, using correct grammar and mechanics.
• Integrate relevant and credible sources of evidence to support assertions, correctly formatting citations and references using APA style.
• Additional Requirements
  Format your document using APA style.

In 150-250 words, give a synopsis of the current level of practice and practice climate for APRNs in California. 

Incorporate what you have learned from the Buppert readings, and from investigating your state BRN website. 

If yours is a full practice state, discuss how your state adopted full practice authority (FPA). If your state is restricted, describe the restrictions to practice and the current political climate surrounding FPA (for example, is there any pending legislation to move to FPA? 

Are there any eased regulations or expedited licensure due to Covid-19?). 

Discuss major barriers to FPA in CA.  

Finally, discuss how you plan to be involved in your state’s governance and/or advocacy for APRNs. Include at least two references from an official state or government website or from the BRN for your state.

Expectations

• Length: A minimum of 250 words, not including references
• Citations: At least two high-level scholarly references in APA from within the last 5 years

• Summarize your interpretation of the ANOVA statistics provided in the Week 5 ANOVA Exercises SPSS Output document.
  • Note: Interpretation of the ANOVA output should include identification of the -value to determine whether the differences between the group means are statistically significant.
  • Be sure to accurately evaluate each of the results presented (descriptives, ANOVA results, and multiple comparisons using post-hoc analysis)

SC_AC16_CS1-3a_FirstLastName_2 

Carpenter Family Camp

· Open the file SC_AC16_CS1-3a_FirstLastName_1.accdb, available for download from the SAM website.

· Save the file as SC_AC16_CS1-3a_FirstLastName_2.accdb by changing the “1” to a “2”.

o If you do not see the .accdb file extension in the Save As dialog box, do not type it. The program will add the file extension for you automatically.

· To complete this Project, you will also need to download and save the following support file from the SAM website:

o Support_SC_AC16_CS1-3a_Activity.xlsx

PROJECT STEPS

1. Carpenter Family Camp operates summer camps for youth as well as families on a lake in Maine situated near the coast. The camp includes activities for families as well as separate activities for adults and children. Optional adventures to nearby attractions are also available.
 

Create a new table in Datasheet View with the following options:

a. Rename the default primary key ID field to AdventureID, and then change its data type to Short Text. (Hint: The AdventureID field should remain the primary key.)

b. Change the field size of the AdventureID field to 4.

c. Add a new field with the name AdventureName and the Short Text data type.

d. Add another field to the table with the name AdultPrice and the Currency data type.

e. Add a fourth field to the table with the name ChildPrice and the Currency data type.

f. Save the table using Adventure as the name.

2. With the Adventure table still open in Datasheet View, change the font in the table to Arial Narrow and the font size to 12 pt.

3. With the Adventure table still open in Datasheet View, add the records shown in Table 1 below. If necessary, resize the AdventureName field so that all field values are completely visible. Save and close the Adventure table.

Table 1: Adventure Table Records

AdventureID

AdventureName

AdultPrice

ChildPrice

BB01

Bike   & Beach

$28.00

$20.00

HR01

Horseback   Ride

$30.00

$25.00

WJ01

Windjammer   Cruise

$45.00

$35.00

WW01

Whale   Watching

$32.00

$26.00

4. Open the Reservation table in Design View and make the following changes:

a. Change the data type for the LodgingFee field to Currency.

b. Specify that the SessionID field is a Required field.

c. Save the changes to the Reservation table, and then close it. (Hint: Because you made changes to data types and field sizes, the “Some data may be lost” warning message appears. The data fits within the valid ranges, so ignore this message and continue saving the table.)

5. Open the Relationships window, and then add the Camper table to it. Create a one-to-many relationship between the ParentID field in the Parent table and the ParentID field in the Camper table. Make the relationship enforce referential integrity and cascade update related fields. Do not make the relationship cascade delete related records. Save the relationships, and then close the window.

6. Open the Counselor table in Design View and make the following changes:

a. Add a new field following the Specialty field. Assign the name CPR Certification to the field. 

b. Set the data type for the field to Yes/No.

c. Set the Caption property, using CPR as the value.

d. Enter CPR certification current? as the description for the field.

e. Save the changes to the Counselor table, and then close it.

7. Open the Reservation table in Datasheet View, and then find or navigate to the record with the ReservationID field value 1700012. Change the LodgingFee field value to $140.00.

8. With the Reservation table still open in Datasheet View, apply a filter by selection to locate all records where the SessionID field value equals 1. Change the AdultPrice field value for ParentID 101 to $245.00. Change the ChildPrice field value for the same record to $215.00. Clear all filters. Save and close the Reservation table.

9. Open the Counselor table in Design View. Use the Lookup Wizard to change the Specialty field to a Lookup field. Type in the following four values (in the order shown) as the list of possible values for the field: Arts & Crafts, Land Sports, Nature Studies, and Water Sports. Limit the field values to only the items in the list, and do not allow multiple values for the field.

10. With the Counselor table still open in Design View, delete the HomePhone field. (Hint: If a message appears concerning deleting an index, continue with the deletion.) Save the Counselor table.

11. Switch to viewing the Counselor table in Datasheet View, and then change the SpecialCertification field value for Susan Kiley (who has a CounselorID field value of KS01) to Wilderness First Aid. Close the table.

12. Import the data from the file Support_SC_AC16_CS1-3a_Activity.xlsx, available for download from the SAM website. Append the records to the Activity table. Do not create a new table, and do not save the import steps.

13. Carpenter Family Camp requires all campers to submit a signed liability waiver from their parents. Create an update query to change the Waiver field value to No for all records currently in the Parent table. Run the query, and then save it using Waiver Update Query as the name. (Hint: 21 records will be updated by this query.) Close the query.

14. Use the Simple Query Wizard to create a query based on the Counselor table with the following options:

a. Include the CounselorID, FirstName, LastName, and CellPhone fields (in that order).

b. Save the query with the name Counselor Contact Query, and then close the query.

15. Create a new query in Design View based on the Counselor and Counselor_Session tables with the following options:

a. Include the SessionID field from the Counselor_Session table.

b. Include the LastName, FirstName, and CellPhone fields (in that order) from the Counselor table.

c. Sort the records in ascending order based on the SessionID field and then by the LastName field.

d. Save the query using Session Contact Query as the name.

e. Run the query, and then close it.

16. Use the Crosstab Query Wizard to create a crosstab based on the Reservation table with the following options:

a. Use only data from the Reservation table in the query.

b. Use SessionID as the row heading.

c. Use Children as the column heading.

d. Use a sum of the ChildPrice field as the calculated value for each row and column intersection in the crosstab query.

e. Save the crosstab query using Session-Child Crosstab as the name.

f. View the query, and then close it.

17. Create a new query in Design View based on the Reservation table and the Session 1 Payments table with the following options:

a. Select the ParentID field from the Reservation table.

b. Select the ReservationID, SessionID, AdultTotal, ChildTotal, and Lodging fields (in that order) from the Session 1 Payments table.

c. Move the ParentID field to the right of the SessionID field.

d. Add a calculated field after the Lodging field with the alias TotalFees that calculates the sum of the AdultTotal, ChildTotal, and Lodging fields.

e. Save the query using Session 1 TotalFees Query as the name.

f. View the query, confirm that it matches Figure 1 below, and then close it.

Figure 1: Session 1 TotalFees Query

18. Open the States Query in Design View, and then add the criteria to select only those records with a State field value of NY or NJ. Save and run the query, and then close it. (Hint: This query should return records that meet one or more of the query conditions.)

19. Open the Younger Males Query in Design View, and then add the criteria to select only those records with a Gender field value of M and an Age field value of less than 10. Hide the Gender field. Save and run the query, and then close it. (Hint: This query should only return records that meet both of the query conditions.)

20. Open the Sessions Total Query in Design View, and then modify it by adding Totals to the query. For the SessionID field, set the Total row to Group By. For the ReservationID field, set the Total row to Count. Save and run the query, and then close it.

21. Create a Split Form based on the Parent table. Save the form as Parent Update Form, and then close the form.

22. Open the Parent Update Form, and then add a new record to the Parent table, using the values shown in Figure 2 below. Close the form.

Figure 2: New Record for the Parent Update Form

23. Create the simple report shown in Figure 3 below for the Adventure table. Save the report with the name Adventure Report, and then close the report.

Figure 3: Adventure Report

24. Use the Report Wizard to create a new report based on the Parent table with the following options:

a. Include the ParentID, FirstName, LastName, HomePhone, and CellPhone fields (in that order) from the Parent table.

b. Use no additional grouping in the report.

c. Sort the report in ascending order by the ParentID field.

d. Use the Tabular layout and Portrait orientation for the report.

e. Assign the name Parent Contact Report to the report.

f. Preview the report to ensure that it matches Figure 4 below, and then save and close the report.

Figure 4: Parent Contact Report

25. Open the Session 1 Report in Layout View, and then make the following changes to the report:

a. Remove the City and State columns from the report.

b. Add a Totals row that calculates the sum of the values in the Adults column and the sum of the values in the Children column. If necessary, expand the size of the total control so that it appears completely.

c. Change the title of the report using Session 1 Camper Report as the name.

d. View the Session 1 Report in Report View, confirm that it matches Figure 5 below, and then save and close the report.

Figure 5: Session 1 Report

Save and close any open objects in your database. Compact and repair your database, close it, and then exit Access. Follow the directions on the SAM website to submit your completed project.

Continue to normalize the design and create a logical model using the conceptual data model created in the last unit and leveraging the same  Movies Dataset .

In a Word document, write the following:

1. For each of the entities, define all of the attributes. Define the data type and nullability of each attribute. Explain your choices.

2. For each of the entities, define the primary key. Define the data type and nullability. Explain your choices.

3. For each of the entities, define any foreign keys. Define the data type and nullability of each key. Explain your choices.

4. Create a logical model diagram using Microsoft Visio. Refer to the learning activity for an example. Please embed the Visio diagram in your Word document so that you are only submitting a single document for this Assignment.

What did you refer to while working on this Assignment? Annotate those as your references at the end of the paper.

Be sure your work demonstrates the ability to apply critical thinking skills to illustrate sound reasoning. This includes the ability to identify entities, formulate inferences and identify relationships between entities, identify faulty reasoning, assess assumptions, formulate conclusions, and assess what you referred to while you worked on this Assignment.

Assignment Requirements

Generate the logical design diagram using Microsoft Visio.

Compose your Assignment in a Word document and be sure to identify yourself, your class, and unit Assignment at the top of your paper. Copy the design diagram(s) into your Word document. Be sure to use appropriate APA format and cite your textbook or other sources that you used in the assignment.

1. I need a research paper on how to download the Metadata repository from Github.

2. Create API using python to capture Metadata repository from GitHub.

3. Must include a flowchart to explain the way of capturing the Metadata Repository from Git.

4. Provide 1-2 pages of research paper including reference python code(if possible). 

Review Comments-1:

1. Detection of covid-19 using an infrared fever screening system (IFSS) based on deep learning

technology is the proposed title of this paper.

2. Keyword should be start with capital letter.

3. How to detect the visual images?

4. Selection of ML should be justified by the author.

5. How to provide screening data for each individual as output?

6. Explain the role of pooling layers?

7. Literary style of the paper should be improved.

8. Paper should be prepared as per template prescribed.

9. Figures are of poor resolution and clarity.

10. Minimum of 15 reference papers should be used in the reference section.

11. Dataset details are inadequate.

Review Comments-2:

There are adjustments for the authors have to be considered:

1. Detection of Covid-19 using an Infrared Fever Screening System (IFSS) based on Deep

Learning Technology is the proposed title of the paper.

Proceedings by Previous Publications

2022, 2021, 2020, 2019, 2018, 2017

2. There is evidence of research, but you need to relate it to your own study and more literature-

based evaluation in the discussion

3. The strengths and weaknesses of the method described in the paper can be clearly defined.

4. Comparative analysis with existing models related to efficiency computation may be provided

in a tabular format

5. The figures are of poor clarity and resolution. Figures taken from the literature should be cited

for their source.

6. Try to cite all the references used in the work and some of the references are not cited in the

work

7. Conclusion and Future Scope should be improved related to the proposed work.

	Points	Comments
1. Research solutions and detail the appropriate Microsoft Windows access controls including policies, standards and procedures that define who users are, what they can do, which resources they can access, and what operations they can perform on a system.10	10
2. Research and detail the cryptography methods to protect organizational information using techniques that ensure its integrity, confidentiality, authenticity and non-repudiation, and the recovery of encrypted information in its original form.10	10
3. Research and devise a plan to thwart malicious code and activity by implementing countermeasures and prevention techniques for dealing with viruses, worms, logic bombs, Trojan horses and other related forms of intentionally created deviant code.10	10
4. Research and formulate a plan to implement monitoring and analysis by determining system implementation and access as well as an incident response plan for security breaches or events.10	10
5. Research and detail security guidelines for contains the two proxy servers and Internet access control for the organization10	10
6. Research and define best practices for the security of NextGard’s organization.

Critical Thinking

There are numerous tools/techniques that allow hackers to gather a considerable amount of information about a target.

Write a short paper on footprinting by answering all the following:

· What is the objective of footprinting?

· What are some various footprinting tools/techniques?

· What type of information can these footprinting tools/techniques provide?

· How can organizations defend against footprinting and reconnaissance activities?

Your paper is required to be 3-4 pages in length, Not including the title and reference pages. It should follow 7th APA style guidelines, as appropriate.

It is strongly encouraged that you submit all assignments to the Turnitin Originality Check prior to submitting it to your instructor for grading. If you are unsure how to submit an assignment to the Originality Check tool, please review the Turnitin Originality Check Student Guide in your Student User Manual for step-by-step instructions.

PART 1

Assignment Instructions

You will need to install and use Microsoft SQL Server Express and Microsoft SQL Server Management Studio (SSMS) for this course. You can download the latest versions of these free software products here:

Microsoft SQL Server Express

Microsoft SSMS

· Identify the elements to be included in the physical data model.

· Using SQL Server Management Studio Designer tools, create the database.

· Using SQL Server Management Studio Designer tools, create the tables (convert entity names to table names).

· Using SQL Server Management Studio Designer tools, associate column names (convert attribute names to column or field names), datatype, and number of characters for each attribute (field).

· Using SQL Server Management Studio Designer tools, establish the primary keys for each of the tables.

· Using SQL Server Management Studio Designer tools, establish any foreign keys for each of the tables (here you are converting your relationships to foreign keys).

· Create a screenshot of your SQL Management Studio showing the database and tables you have created; embed this screenshot into your Word document.

Please use the following guidance document to help you complete this assignment:  Instructions for Using the Microsoft SSMS Designer Tools to Generate the Movies Database

You will need to use the established  database design diagram  and  Movies Dataset  for this assignment. Download and use the diagram and data for your analysis.

Assignment Requirements

Microsoft SQL Server Express and SQL Server Management Studio (SSMS) MUST be installed to complete this Assignment.

Compose your Assignment in a Word document and be sure to identify yourself, your class, and unit Assignment at the top of your paper. Embed the screenshots from SQL Server Management Studio showing the work performed for the creation of the database and tables.

PART 2

In Assignment part 1, you created a physical model for a database using SQL Server Management Studio Designer tools. You can also create a database using SQL Data Definition Language (DDL) statements. In this unit, you will create the same database using the SQL CREATE statement to create the database and the tables. In business, you will have choices of different methods for creating a database, so you want to be familiar with the various options.

Assignment Instructions

You will need to install and use Microsoft SQL Server Express and Microsoft SQL Server Management Studio (SSMS) for this course. You can download the latest versions of these free software products here:

Microsoft SQL Server Express

Microsoft SSMS

Use the SQL Management Studio Query Window to implement a new version of the Movies database. You will name this database  Movies_2.

· Create the database using the SQL CREATE statement.

· Create the tables using the SQL CREATE statement.

· Associate column names and datatype using the SQL create statement.

· Establish the primary and foreign keys for each table.

· Create a screenshot of your SQL Queries that you used to create the database and tables.

You will need to use the established database design diagram and Movies Dataset you used in Assignment 1 of this unit for the Movies 2 implementation. Download and use the diagram and data for your analysis.

Assignment Requirements

Microsoft SQL Server Express and SQL Server Management Studio (SSMS) MUST be installed to complete this Assignment.

Compose your Assignment in a Word document and be sure to identify yourself, your class, and unit Assignment at the top of your paper. Embed the screenshots of your SQL statements and confirmatory output (e.g., table structure definitions) into the Word document.