Jim  and Mary work in the same department for a company. Mary is a new employee. Jim has worked at the company for 11 years. Both employees have the same job title and do the same job. The nature of their work dictates that they have to work together. Jim believes if something works or if a procedure has been successful then it should not be altered. Jim likes to do things the way they have always been done. His personality is such that he is very outspoken. Because he's been with the company 11 years, he ”free lances” at times when it comes to company policy is comfortable with his performance. Simply put, Jim thinks he knows how to do things better. He will share his opinion on the best way to complete a task, even if his coworkers do not ask for his input. Mary tries hard to follow company rules. Mary is a very quiet person and doesn't say much at work. Mary has conservative and traditional values. So when the policy is that employees must clock in within 5 minutes of the start of their shifts, Mary always adheres to the rule. Employees are supposed to clock in at their own buildings, but there isn't any way to check this as the company has employees working at multiple sites. Jim has developed the habit of clocking in at another building when he is running behind so he won't be docked for being late. Jim has begun getting late to his work station at least 10 minutes on most days. At least a couple of times each week, somebody asks Mary where Jim is because they are supposed to be working together. Mary has been covering for Jim for a long time; however, she now feels that she is being taken advantage of rather than just being a good coworker. She is tired of covering for Jim. Finally, one morning, Jim is 20 minutes late. Mary has to cover for Jim twice that day. When Jim finally arrives at work, Mary tells him she will not make excuses for him anymore. Jim says, "Hey, I clocked in at the other building. I've been doing that for years so what is your problem? As long as you don't say anything, nobody will ever know. Just shut the %&# up and do your job." Mary feels betrayed and she and Jim start shouting at each other. You are the supervisor and you walk in just as it looks like Jim is going to hit Mary. Step 2: Reflection Part Ask yourself: As team supervisor for this company, what would you do? After you have thought through your position on this scenario, apply your thinking to this week’s philosophers and complete Step 3 - the writing part of this assignment. Step 3: Writing Part Explain how Rawls might suggest that you respond to the scenario of Jim and Mary if he was the supervisor and confronted with this situation. How might he apply consensus and public reason to illustrate his philosophy?

Environmental Impacts of DeforestationJennifer CroftYour essay should include five paragraphs, as follows:Paragraph 1 is your lead paragraph. It will contain an overview of what you have to say about these three topics: disruption of the carbon cycle, disruption of the hydrologic (water) cycle, and the reduction of species diversity.Paragraphs 2, 3, and 4, are your body paragraphs.Paragraph 2 should describe how deforestation disrupts the carbon cycle.In paragraph 3, you’ll write about how deforestation disrupts the hydrologic (water) cycle.In paragraph 4, you’ll explain how deforestation is related to declining species diversity.Paragraph 5 is your conclusion paragraph. Here, you can describe how you feel about the three effects of deforestation discussed, and what we might do about it.

Section 3: Quality Measurement and AssessmentThis week you continue working on Section 3 of your Course Project, which was introduced in Week 6. Through your work in previous weeks of this course, you have likely gained critical insights into the organization that serves as the focus for your quality improvement plan. Integrating this knowledge of the organization into your plan for addressing a quality improvement issue is essential for successfully facilitating change.As you deepen your analysis of your selected organization, consider how the information presented in this week’s Learning Resources relates to strategic priorities as well as to the uniquely collaborative and competitive dynamic that binds organizations in health care.To prepare:Think about the quality improvement issue that you are addressing and the associated plan that you are developing. Consider the following: What is the overall purpose, or aim, of doing this work? What would you hope to achieve for the organization by undertaking this project? What are the objectives of this initiative?What value would this work add to the organization?How would this work improve practice and create outcomes with impact? Review Chapter 7 of the Sadeghi, Barzi, Mikhail, and Shabot course text. Consider how addressing this quality improvement issue would align with the organization’s mission, vision, values, and strategic goals and objectives. How does it relate to regulatory issues, and other matters that are significant for the organization? If you notice a misalignment, use this as an opportunity to refine your focus.With this in mind, continue to hone your development of this Assignment, integrating the concepts addressed here into Section 3.To complete:Write a 3- to 5-page paper that includes:An introduction to your quality improvement plan, including the overarching aim of this initiative and an explanation of how it aligns with the mission, vision, values, and strategic goals and objectives of the organization, as well as regulatory issues and other matters that are significant for the organizationAn overview of the current situation with regard to this quality improvement issue in the organizationA description of measures and indicators A presentation on data related to this issue, including: Actual historical and current data and/or a description of the methods that you would use to collect and analyze the dataMethods for collecting and analyzing data in the future, including when you would do this A description of realistic, evidence-based targetsBe sure to cite evidence from the literature to justify your selection of the measures and indicators, as well as the performance targets. This section of the Course Project serves as the Portfolio Assignment for this course.This is the basis of the project...Quality Improvement Issue "Preventable medical errors have been an ongoing issue in the health care delivery system in the US and have recently received more attention, particularly regarding patient safety.A significant area of patient safety is the development of hospital-acquired pressure injuries (Latimer, Chaboyer, & Gillespie, 2016).The report released in November 1991, To Err is Human: Building a Safer Health System has brought increased attention and awareness to patient safety and medical errors (Sadeghi, Barzi, Mikhail, & Shabot, 2013). The purpose of quality improvement efforts in healthcare focus on the care patients receive and the prevention of untoward outcomes. As nurses, we serve as a patient advocate to ensure safe and quality care to all patients. Also, nurses share the responsibility for driving the efforts in improving patient care in all settings. As a member of the Quality Improvement committee, patient safety issues are brought to the forefront and resolution to the problems need to be determined. Current issues have taken focused at my facility with patients, unfortunately, developing hospital and unit acquired pressure ulcers have been a challenge.The prevention of hospital-acquired pressure ulcers is one of the most significant healthcare challenges concerning reducing harm to the patient (Blenman & Marks-Maran, 2017). The development of pressure injuries affects thousands of patients across the country and the “burden placed on those living with them, those engaged in efforts to prevent and treat them, and on health care resources, is immense” (Chapman, 2017). The literature shows that although various reports and policy documents have been published, the prevention of pressure ulcers continues to be an ongoing challenge and can cost healthcare facilities billions of dollars and sometimes extends patient care and stay in the hospitals (Blenman & Marks-Maran, 2017). The purpose of this course project is to bring awareness to this ongoing practice issue and develop a quality improvement plan based on current evidenced-based practice methods to decrease the occurrence of hospital-acquired pressure ulcers, MDR injuries and DTI’s."