Abstract
This paper presents a project proposal which aims to study racial, ethnic and cultural intolerance in army nursing facilities in Canada. The writer discusses how he would go about conducting his research and discusses the type of questionnaire that he would use. It briefly looks at the reasons why this study is important and describes its budget and time-line. The writer concludes by discussing why he is the appropriate candidate to conduct the research.

From the Paper
"This writer is turning to the Social Sciences and Research Council of Canada because there will undoubtedly be significant travel expenses involved. Most notably, there are no military hospitals in the Greater Toronto Area and several of the nurses to whom I have already spoken indicated that they would be more comfortable with a "face-to-day" interview than with merely answering the queries via questionnaire. Additionally, the expenses incurred from distributing the questionnaire and from computing the results will have to borne by this writer alone. Because of the Council's commitment to academic excellence and to truth-seeking in all areas of Canadian society, I am turning to your organization for support in seeing to it that this important matter is investigated."

Tags:expenses, questionnaire, interview, nursing

Abstract
The following paper is a brief proposal dealing with the matter of racial, cultural and ethnic intolerance among Canadian military nurses. According to the paper, the research project is fairly novel in the sense that very little scholarly work has been done in this field. It further points out that there is no evidence that any research on this issue has been conducted within Canada. The proposal outlines a study geared towards resolving this situation.

From the Paper
"While many people may wish otherwise, racism has not yet left North American society. With this in mind, it is appropriate to pursue research projects which measure the degree to which those working in the Armed forces still harbor resentment and mistrust towards identifiable minorities from different ethnic/cultural backgrounds. However, whereas most of the literature has focused upon the attitudes of officers, this paper believes that the focus should be upon the attitudes of support staff - specifically nurses. Therefore, this writer proposes a..."

Tags:intolerance, nursing, facilities

Abstract
The paper examines the prospective payment system and explains the language, the billing and payment processes and what those mean to skilled nursing facilities. The paper identifies the elements of the prospective payment system and discusses why these are positive changes that will hopefully bring about improved quality of care for the many entering skilled nursing facilities each year.

Outline:
Introduction
Better Reimbursement Rates for Skilled Nursing Facilities
The Per Diem

From the Paper
"Prospective Payment System (PPS) for skilled nursing facilities (SNF) comes under the Medicare recipient provision 4432(a) of the Balanced Budget Act (BBA) of 1997 (HHSgov, 2009, found online). This was a revision to the Medicare plan, where previously there had been no prospective payment system, but a "cost based", or, on the adjustable low volume payment system (HHSgov, online), the government is now utilizing PPS (HHS.gov, online), which has some features that actually mean higher payments to skilled nursing facilities. The new payment system was implemented effective July 1, 1998, and initial rates were based on the fiscal year (FY) 1995 cost reports which were filed by the skilled nursing facilities (HHS.gov, online).
"The PPS ensures that there is an adjustment for those facilities that are located in geographically remote areas (HHS.gov, online), or areas where utilization can be impacted by the geographic location. For many skilled nursing facilities, this is an improved payment system over the prior one, and it gives the skilled nursing facilities an opportunity to receive higher reimbursement rates."

Tags:reimbursement, rates, billing, payment, Medicare, per, diem

Abstract
This paper first discusses occupational justice and defines it as giving equal opportunities and resources to enable people to pursue meaningful occupations. The paper then gives a brief overview of the elderly in nursing homes and gives corresponding statistical data. Next, the paper discusses data conducted on occupational therapy and examines how it benefits and improves the lives of the elderly in nursing homes.

Table of Contents
Introduction
Occupational Justice
Elderly in Nursing Facility
Occupational Therapy
Conclusion

From the Paper
"Statistical reports in 1995 revealed that at least 4% of the population aged 65 years and above stayed in nursing facilities (Meiner & Lueckenotte, 2005). However, the quality of life of the elderly in nursing homes varies widely. While accounts of kind, compassionate care are common, there are also reports of inhumane, insensitive treatment of inmates, as well as incidents of physical and mental abuse. Paradoxically, the kind of environment in nursing homes where everything is taken care of for the elderly inmates can be counterproductive. The elderly inmates tend to lose control of their lives and their activity level and psychological well-being decreases (Hess & Markson, 1990.)"

Tags:aging nursing therapy, american occupational therapy association, health elderly

Abstract
This proposal explores the opportunities for currently raising productivity in three areas of a private nursing home, with the recommendations reached here intended to guide a program for refining nursing care in the extended care facility. The paper provides options intended to assist nursing facilities in finding ways to improve nursing productivity and recommends in closing that the system user, that is, the patient, should always be considered when bringing about changes to the nursing organization.

From the Paper
"The first proposal for the improvement of productivity would be a systems map designed to help streamline and monitor admissions into the home. The process would initially develop to gain insight into the process that supports the patient pathway into the nursing home, from a patient and a healthcare provider's perspective. Many delayed admissions into nursing home care result from poor co-ordination between health and social care agencies. There are complex reasons for this lack of co-ordination, including incompatible administrative systems, a lack of common geographical boundaries and different funding and accountability arrangements. Effective admissions processes are dependent on successful multidisciplinary team-working between health and social care professionals using a systems approach which recognizes the contribution that all partners make to the delivery of high quality care."

Tags:health policy, nursing home, facility

Abstract
This paper explains that a long term care facility, often called a nursing home, can provide both long term care for the elderly or medically fragile and short term rehabilitation care after an illness, injury or surgery. Next, the author relates how the increased support for homecare and assisted living facilities are competing with these long term care facilities. The paper recommends that nursing homes become skilled nursing care facilities, perhaps specializing in such areas as care of Alzheimer's patients and end-of-life hospice care.

Table of Contents:
Abstract
Introduction
Services Provided
How This Fits the Continuum of Care
Contribution to Healthcare Management
The Future for Long Term and Skilled Nursing Facilities
Ways in Which Long Term Care Needs to Adapt
Conclusion

From the Paper
"Home delivered meals are a popular service for those unable to cook nutritious meals. Alert alarms that call directly to the hospital if something happens is now a very helpful resource for the elderly living alone since this provides them a sense of security. Agencies are now available to add special equipment such as adaptive tubs, grab bars and railings in homes of the elderly. Motorized scooters and senior adapted apartments are designed to make them more mobile. There is transportation provided in most communities at low cost for the elderly or handicapped."

Tags:competition, safe environment, community services, hospice alternatives

Abstract
McNamara (2008) states that leadership is at the core of any organization (sec. 1). This is because leaders must serve as the inspiration for all workers within the organization and motivate each individual to achieve their optimal level of effort. Working with both management and lower level workers, leaders create change that is beneficial to the organization and that supports the goals of company as time progresses. Additionally, leaders are trusted by workers because of the knowledge and skills that they possess to make change happen. This requires leaders to consistently acquire new knowledge and skills and be capable of exchanging their knowledge and skills with their subordinates in order for all within the organization to achieve success. This philosophy of leadership relates to every organization, including the United States military and the Army Nurse's Corps.

From the Paper
Army Nurses and Leadership McNamara (2008) states that leadership is at the core of any organization (sec. 1). This is because leaders must serve as the inspiration for all workers within the organization and motivate each individual to achieve their optimal level of effort. Working with both management and lower level workers, leaders create change that is beneficial to the organization and that supports the goals of company as time progresses. Additionally, leaders are trusted by workers because of the knowledge and skills that they possess to make change happen. This requires leaders to consistently acquire new knowledge and skills and be capable of exchanging

Tags:army, leadership, nurses

Abstract
This paper tells why the author believes she would be an excellent candidate for nursing school. The author answers questions about her work experience, community service and any leadership roles she has had and talks about the author's goals as a member of the health care team in the nursing profession.

From the Paper
"I have been a part of nursing care for as long as I can remember, as a member of a family who commits its life to creating and serving people in it business, nursing care facilities. I understand the inner workings of the business, including the importance of documentation and patient care as well as cost benefits issues, sometimes not understood by all staff. With this experience I have developed a clear understanding of the overall needs of both patients and an evolving health care industry, something I hope to continue to be a part of in the long term."

Tags:working, residential, nursing, facility, volunteer, residents, social, needs, helping

Abstract
The following discussion evaluates various issues related to long term care within today's society. It is necessary to consider that there are a number of important indicators of performance and population that must be addressed relative to the offerings provided by long term care facilities. Society must recognize the importance of the aging population in reference to these facilities.

From the Paper
"Long term care facilities often comprise many different conflicts of interest and in the provision of care for patients that is provided by professional nurses. A wide body of research exists regarding these issues, which provides a valuable contribution to this important aspect of the healthcare system in today's society. With the increased life expectancy of the population and the ever-growing baby boomer generation, it is necessary to understand the issues facing the long term care industry due to increased interest in these facilities. An article by Beattle describes the provision of personalized care within long term care facilities, which is compromised by reduced staffing levels and increased population numbers over time."

Tags:nursing, long, term

Abstract
The paper discusses the methods that are being used to attempt to address the issue of the nursing shortage, such as provisions for training incentives, offering nurses greater responsibilities within the health care environment and attempts to address nurse grievances in the workplace. However, the paper explains that many health care facilities see these alternatives as long-range methods of addressing the issue, rather than possible immediate solutions that are vital to facility functioning.

From the Paper
"It is common knowledge that there is a nursing shortage being experienced by health care across the globe. Various methods are being used to attempt to address this issue, such as provisions for training incentives, offering nurses greater responsibilities within the health care environment and attempts to address nurse grievances in the workplace. However, many health care facilities see these alternatives as long-range methods of addressing the issue, rather than possible immediate solutions that are vital to facility functioning. Because nursing shortages exist on all shifts within health care..."

Tags:nursing, shortage, health