Introduction The article to be reviewed in my paper is ‘Thinking like a Nurse: A Research-Based Model of Clinical Judgment in Nursing.’ The essay aims at reviewing the emergent body of research displaying clinical assessment in a nursing environment. Contextually, the article presents the alternative decision-making method based on nursing...
The most essential for my professional development goal is to develop and implement my clinical nurse informatics knowledge to improve healthcare quality. To gain professional experience and become more qualified in different aspects of my future work, I plan to join American Medical Informatics Association (AMIA) and NMA after graduation....
It is essential for healthcare institutions to keep a sufficient amount of nursing personnel available at all times to avoid any decreases in the quality of care. However, there are obstacles in this process, such as understaffing, high patient numbers, insufficient managerial efficiency, and other issues. They all lead to...
Introduction Pharmaceutical compositions are the cornerstone of scientific medicine, as a wide range of diseases became curable due to the discovery of helpful drugs. However, a certain substance can be a remedy solely on the condition that healthcare professionals abide by the rules of safe admission. Not adhering to the...
A community health nurse is a medical assistant that utilizes nursing abilities to care for people and refer them to an appropriate healthcare center that operates outside of the area of the nurse’s competence. Moreover, the specialist participates in health promotion among the communities. Social resources and nursing simultaneously generate...
Elimination complexities are rather severe and uncomfortable medical conditions that significantly interfere with patients’ and their families lives. These conditions prevent the proper removal of wastes and by-products in a person’s body, which may lead to certain complications and the inability to perform everyday activities (Chai & Birder, 2016). For...
Introduction Nurses are increasingly caring for patients in diverse cultural settings due to global migration. Nurses are required to approach their patients as unique individuals by considering their cultural needs. However, to achieve this, they must develop intercultural communication competency. Intercultural communication refers to “interaction between individuals from different nations,...
Summary Mainly, leaders present employees’ grievances in the nursing sector by participating in collective bargaining and, in extreme cases calling for work boycotts. The advocacy targets policymakers, and most often, leaders employ strategies to achieve the desired outcomes. Nursing unions play an integral role in facilitating change in their profession,...
Spirituality is a vital component of the nursing practice since healthcare professionals and patients have to deal with the psychological burden of illness and death. Spirituality is the intrinsic component of humanity that assists in the search for meaning in life and connects us with others and ourselves (Grand Canyon...
Core measures are evidence-based national standard procedures and best practices that were developed to improve the quality of patient care and health outcomes. The Specifications Manual for National Hospital Inpatient Quality Measures was developed by the Centers for Medicare & Medicaid Services (CMS) and the Joint Commission (TJC) to facilitate...
PICOT question for current research: In hospital patients (P), how effective is continuous bedside pressure mapping (I) compared to repositioning every two hours (C), in reducing the incidence of hospital-acquired pressure injuries (O) within one year of implementation (T)? Background The background on the issue requires summarizing both qualitative and...
Is this an ethical dilemma or a moral dilemma? In this dilemma, ethical and moral principles are closely linked. Nurses have a responsibility to follow a code of ethical conduct, which includes moral principles such as loyalty, beneficence, and respect for patients’ dignity and self-determination (Fowler, 2015, 4.2). Ethics oblige...
The two forms of curriculum structure considered by the Curriculum Committee are relevant since they will each develop creative and rational ideas that would be embraced by the learning institution to accommodate the proposed changes. It is the responsibility of each committee to come up with ideas, and justify why...
Introduction Nurse leaders must select the most effective style of leadership that will allow them to build productive relationships with the team members, as well as communicate with patients. Each leader has his or her personal preferences, but it is also important to be aware of all the existing leadership...
Introduction Nursing is one of the professions that are asymmetrically represented in terms of gender. This may be due to several factors including legal restrictions, exclusionary policies, social stereotypes, and self-induced restrictions. The history of nursing dates back as far as 250 BC when the first nursing school was established...
Introduction This paper aims to describe a clinical evaluation tool for assessing nursing students’ competency with taking blood pressures. The proposed tool uses the method of observation to evaluate students’ performance while measuring blood pressure. According to Oermann and Gaberson (2019), despite its wide use, observation is questionable in terms...
The nursing profession is sensitive, and it requires one to abide by the ethical principles to be successful. Nurses are accountable to society, their profession, employers, healthcare consumers, clients, or patients. Concerning Mr. Cole’s case, the nurse’s role is to help the patient and their families understand the consequences of...
Introduction When people change their places of work or just begin their career paths, they have to be ready to follow special norms and values, which usually requires investigation and analysis. Entering a profession is associated with adaptation, studying the expected roles, and understanding of self in a new environment...
Introduction In the current healthcare systems, the nursing shortage has posed significant challenges. According to Slattery et al. (2016), it is estimated that by the year 2022, an insufficiency of approximately one million nurses would exist. The causes of nursing shortage are currently multifaceted and are not limited to healthcare-associated...
One of the leading causes of accidental injury deaths worldwide are falls. Over 646 000 people die globally as a result of falls and the highest fatality rate is among those of the age of 65 and older (WHO, 2018). Nursing homes and long-term care facilities constantly face this issue....
Introduction Non-interprofessional behaviors, including lack of cooperation, carelessness in acts, colleague inquiries, and disintegrating care, impact the nursing profession’s foundation for ethics of care and justice. The frameworks are used mainly by nurses when faced with an ethical problem. While a few professional nurses favor the ethics of justice and...
Introduction Florence Nightingale became world famous during the Crimean War in the 1850s when she significantly contributed to the development of nursing. In 1859, the author published her famous book Notes on Nursing: What It Is and what it is not, which almost immediately became a classic in the relevant...
Introduction The advanced nursing practice patient safety concern to be addressed in this paper is medication reconciliation issues during face-to-face patient care. In this context, medical reconciliation refers to the procedure carried out when comparing the medications taken by a patient before and after the change in care. It assists...
Introduction Ethics play a vital role in the healthcare industry, especially in nursing, where the care and well-being of patients are at the forefront of every decision made. The principles of autonomy, beneficence, and non-maleficence serve as the foundation for ethical practice in nursing. In this essay, will be discussed...
In modern times, the automation of processes and the translation of paper documentation into electronic is of particular importance. More and more medical institutions are switching to maintaining electronic health records (EHR), which are standard patient records containing the history of the disease, clinical data, laboratory data, and other information,...
It is important to note that there is a wide range of newly emerging or re-emerging diseases that require significant involvement and input from nursing professionals. As of October of the previous year, the Centers for Disease Control and Prevention (CDC) (2022) highlights Pseudomonas aeruginosa as an emerging infectious disease...
Introduction Diabetes is a chronic, complicated illness that can lead to amputation of the lower limbs, and other serious consequences include heart disease, stroke, blindness, kidney failure, neuropathy, and diabetic foot ulcers. Diabetes patients’ quality of life is substantially impacted by diabetic foot. Due to the extreme morbidity and mortality,...
Introduction The nursing profession has experienced a number of significant changes in recent years. Throughout the course of the pandemic, the failings of the US medical system have become more apparent, and the pressure to maintain population health fell on understaffed, overworked, and endangered nurses. In light of this development,...
Introduction Palliative care is a particular branch of medicine that deals with terminally ill patients and their families to ensure that their quality of life is not jeopardized. Terminal illness typically provides patients and their families with traumatic moments that reduce the quality of life and lower life expectancy. Multidisciplinary...
It is important to note that prone positioning refers to a technique that is utilized to improve breathing in patients with acute respiratory distress syndrome (ARDS). It is stated that “in prone positioning, patients lie on their abdomen in a monitored setting. Prone positioning is generally used for patients who...
Spirituality plays an integral role in the well-being of patients. Faith is especially crucial to assess the need of the individual and provide quality treatment. Although offering patients with medications and therapy, medical care must be holistic and rely on supportive measures that can help build trust and confidence in...
Containment can be viewed as a pattern of communicating mental experiences. Individuals undergo difficult and traumatic experiences that result in overwhelming emotions (Gibson, Till, and Adshead, 2019). The inability to contain these feelings can result in challenges in integrating with people. Containment is a concept that arises from early childhood...
Nurses are healthcare providers who are mainly concerned with the well-being of patients in the hospital. In this practice, they are governed by nursing theories, which give them a framework to shape their scope of practice and care. Nursing theories give nurses a foundation for making important decisions in the...
Party A, a Psychiatric/mental health nurse practitioner (PMHNP) and Party B (collaborating physician) collectively presented as “Parties”, want to make a formal collaborative agreement. This collaborative agreement seeks to act as a legally binding document guiding the terms of the collaborative partnership. Party A is a licensed and registered professional...
Healthcare practitioners are mandated reporters under Massachusetts law and must notify the Department of Children and Families (DCF) of any occurrences of abuse or neglect. The issue is whether a medical provider should notify the DCF about a patient who is homeless and a single parent when they obtain treatment...
Significance of the American Association of Nurse Practitioners Professional associations in nursing have a significant impact on the career trajectories and development of nurses in the specialty area. The American Association of Nurse Practitioners (AANP) is a professional nursing organization dedicated to advancing the role of nurse practitioners (NP) in...
Introduction The process of patient education in nursing is a multifactorial process. Many basic objectives of medical ethics, deontology, pedagogy, and bioethics are intertwined in the latter. The nurse is a source of valuable health and self-care information and skills if the process of interacting with the patient during first...
Introduction Embarking from a Registered Nurse to a Bachelor of Science in Nursing (RN-BSN) has proven to be a riveting and metamorphic endeavor for me, profoundly influencing my vocational goals, personal nursing principles, and stance on perpetual learning. Looking back at my odyssey within this program, I can see how...
The discipline of nursing is dynamic and always changing, with several sub-specialties that call for ongoing education and growth. The paper by Heinen and colleagues discusses the significance of nursing administration in bringing clinical nurse specialists (CNS) and nurse practitioners (NP) into systems of healthcare. According to the authors, nursing...
The definition of choice, in my case, is fairly straightforward and does not require undue thought. The primary goal of wanting to help people is at the heart of any conscious decision to become a nurse, in my opinion. That said, in my particular situation, the final factors were a...
The nursing process is essential in providing proper medical care to patients. It is a process of planning and providing the right medical care to patients used by nurses, which is based on principles that include observation, diagnosis, planning, implementation, and evaluation. Thus, the nursing process is an integral part...
Introduction The Gibbs reflective framework provides a structured approach to reflect on an experience and identify areas for improvement. It comprises six stages: description, feelings, evaluation, analysis, conclusion and action plan. I will use the framework to reflect on the feedback I received from my mentor regarding nursing care for...
Introduction The COVID-19 pandemic changed the sphere of education forever as administrators and educators were challenged with the need to balance between limited resources and restricted learning. It was crucial to determine how to continue education for students even though there was a lack of personnel preparation to meet the...
Introduction Nurse practitioners play a vital role in the healthcare system as educators to their patients. They possess a wide range of knowledge and expertise, and they use their skills to teach and empower patients about their health, prevention of diseases, and improvement of their overall well-being. Nurse practitioners work...
Introduction Nursing Theories are the basic standards and norms of nursing care, establishing the content and rationality of nursing processes. Among the most well-known theories for professional nursing practice, Nightingale’s Environmental Theory, Rogers’ Science of Unitary Human Beings, and Orem’s Self-Care Deficit Theory should be singled out (Alligood, 2021). Within...
Introduction Pharmacogenomics is an exciting and rapidly expanding field that emphasizes providing personalized medicine based on an individual’s genetic makeup. To create treatments and dosages that are both effective and safe for a given individual, pharmacogenomics merges pharmacology (the study of pharmaceuticals) with genomics (the study of genes and their...
Introduction Throughout its development, humanity has been confronted with a significant variety of new viruses and infections that must be studied actively. Various tools and techniques are used to minimize the effects of the disease and collect the necessary data to develop the treatment. Such challenges to humanity as the...
Introduction The numbers and capabilities of Advanced Practice Registered Nurses (APRNs) have significantly expanded in the last few decades, with the professionals in this position being crucial parts of the care process and the healthcare system overall. APRN specializations are vast, with each of them having a unique history and...
Introduction The nursing process is universal, applicable in both the medical and mental health fields, and following the same steps regardless of the specialty. Critical reasoning, client-centered treatments, goal-oriented activities, evidence-based (EB) practice recommendations, and nursing instincts are all essential components of the nursing process, as described by Toney-Butler and...
Introduction Health workers are an important part of society as they contribute to the safety and health of the population. Moreover, nurses are one of the key elements of the healthcare system since they directly interact with patients throughout the entire treatment. Their responsibilities primarily include providing qualified medical care...
Introduction Nursing is a demanding job that necessitates ongoing learning and development. Professional nursing organizations give nurses a place to enhance their careers and stay updated on the newest practices in their fields. This paper will examine the importance of the American Nurses Association (ANA), a professional nursing organization, to...
Introduction The so-called “Never Events,” which are defined as instances of critical mistakes being made in a healthcare setting, must be prevented to ensure that patients’ health needs are managed adequately. For this reason, revisiting the roles of a progressive care nurse (PCN) in a healthcare context is needed. By...
Introduction Among the most prestigious and in-demand careers in the world is nursing, and the academic program for nursing school emphasizes developing leadership abilities. Strong leadership is necessary to promote an empowering workplace where nurses can flourish and deliver successful treatment (Potter et al., 2013). Understanding the chain of command...
Each healthcare organization strives to be the best in terms of internal culture and interaction with patients. To reach high professional standards and ensure proper patient care, a healthcare facility should always review and improve its codes of conduct. Given this, civility in the nursing setting is a critical component...
As a nurse, one may use various approaches to educate patients on their rights and assist them in exercising their rights to provide higher-quality care. According to Giancarlo et al. (2014), one technique nurses may take to empower patients and enhance the quality of care they get is to give...
A nursing conceptual model and nursing theory are two essential elements in the field of nursing. However, despite often being used together, they have significant differences. A conceptual model is a broad concept that helps explain how nursing works. It is a framework used to describe the tasks performed by...
The Hispanic community can be significantly impacted by foodborne illness, especially in terms of health inequities. To “promote health equity, reduce inequities, and improve the health of all populations” is one of Healthy People 2030’s significant objectives (U.S. Department of Health and Human Services). In terms of foodborne, this might...
Ambulatory conditions usually include patients staying in medical facilities for a shorter period of time. In their review article published in Nursing Economics, Rachel Start and Rebecca Graystone overview the ANCC Magnet Model and discuss its benefits for nursing staff. The ANCC Magnet Model is a program that enables hospitals...
Introduction A nurse’s ability to care for others is essential to the practice of caregiving. Patients, healthcare agents, and administrators all agree that improving the quality of care quality a top priority. Patients, nurses, and healthcare facilities all benefit from receiving high-quality nursing care. One of the most important aspects...
Introduction Long-term conditions are defined as diseases that have no cure for the time being. Another representation of this type of condition is a chronic disease. Chronic conditions persist for a long time, and their symptoms may intensify or subside with the passage of time. If treatment is effective, symptoms...
To ensure proper quality of care and provide patient-oriented service, a nurse needs to have a sufficient amount of time allotted per patient. The specified parameter is closely interconnected with and largely dependent on the concept of patient-to-nurse ratio (PNR) (Musy et al., 2020). In turn, the latter is defined...
The training of nurses until recently concentrated primarily on the technical side of patient care. Interaction with the patient cannot be limited to medical procedures, even if they are performed with high quality and according to all standards. One of the most important conditions for successful interaction between a nurse...
Introduction Nursing is a profession that has been in existence for centuries, and its definition has evolved. Dorothea Orem and Katharine Kolcaba are two of the most influential nurses in the field, and they offer notable explanations of this activity. By comparing and contrasting these definitions with my own, I...
Asian American and Native American communities have long been affected by health disparities, defined as differences in the incidence, prevalence, mortality, and burden of diseases and other adverse health conditions. In the United States, Asian and Native Americans have much higher rates of certain diseases than other racial groups (Uchima...
Introduction This article by Etherington et al. (2021) examines the enablers and barriers to effective interprofessional collaboration in nursing care. Interprofessional collaboration occurs when multiple healthcare professionals from various backgrounds work together with patients, caregivers, families, and communities to provide quality patient care for various illnesses. Many healthcare organizations today...
Introduction The current paper focuses on analyzing the article discussing self-compassion as a stress-coping technique for nurses. The article written by Duke provides the results of the practical study helping frontline nurses overcome overload-related stress. The analysis of the article is constructive for future practices as a nurse. Psychological risk...
Abstract A budget is an important document in any given organization as it helps in ensuring the organization is running in the right direction. Budget development is a detailed process that goes through a series of procedures such as communicating with senior management, setting goals and objectives, creating a thorough...
In this post, attention will be paid to the article “Evidence-Based Practice Beliefs and Implementation of Doctor of Nursing Practice Students” written by Singleton for Worldviews on Evidence‐Based Nursing. The main idea of this work is to analyze the importance of evidence-based practice (EBP) beliefs and implementations using the Doctor...
The article applies Benner’s Novice to Expert Model to how nurses in the frontline practiced during the COVID-19. The model considers nursing students as novices and advanced beginners after graduation. These levels change with time after exposure and hands-on skill practice from nursing care. A significant fact from the study...
Florence Nightingale, the first researcher and founder of modern nursing, made a revolution in her views on the role and place of a nurse in the protection of public health. In nursing, there are two main areas that include caring for the sick and caring for healthy people. Nightingale believed...
The proposed issue is the patients being referred late to the hospice, while the solution would be to keep screening patients at risk and repeating a conversation about a needed treatment before it is late. The findings and studies show that late referred patients are struggling more, and the facilities...
Introduction The NUR3178 course aims to holistically explore the principles of alternative and complementary nursing practices, focusing on the cross-cultural and generational aspects of the practices as well. The material is acquired from empirical research and must then be applied to real-life scenarios to guide nursing majors in their field...
Midrange nursing theories bear connections to real-life scenarios because they describe abstract situations, verifiable through studies and testing. As a result, they act as the bridge between rand theories and the nursing practice. On that account, the Comfort Theory by Katherine Kolcaba has gained attention over the past years due...
As mentioned above, in the hierarchy of the levels of nursing theory, middle-range theories are between grand and practice-level theories. Wayne (2021) notes that, in comparison to grand ones, middle-ranged theories are more limited in scope and their concepts and proposals are at lower levels of abstraction. Levels of abstraction...
Systems thinking is directly related to the Quality and Safety Education for Nurses (QSEN). QSEN emphasizes six competencies — patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement, safety, and informatics (Stalter & Mota, 2018). The practical mastery of these competencies affects healthcare on multiple levels. For instance, a nurse...
In modern medicine, providing the best and most effective service to the patient is a very important aspect. Evidence-based practice can be the foundation of such service in nursing. It involves integrating the best available evidence with clinical knowledge and experience while taking into account the unique needs of patients....
Community Cultural Need The specific culture or ethnic population selected The specific cultural population selected for this paper is the Afro-American group. This ethnic group is especially prone to developing obesity, diabetes, and high blood pressure due to their environment and certain health practices (Long et al., 2017). This phenomenon...
Nursing has always interested me, ever since I was a child. Many of my relatives and acquaintances have often noticed my aptitude for medicine and advised me to study it. When the time came and I got older, soon it became clear that they were right, and I do feel...
Patient Initials: J. D. Subjective Data: The patient reports having severe wheezing and shortness of breath, combined with at least one instance of coughing on a daily basis. Having taken albuterol once on the day of the visit, the patient experiences trouble speaking without being interrupted by the shortness of...
Introduction Education sessions for nurses who work with patients who have central lines about the necessity to prevent infections can effectively reduce the rate of central line infections in three months. In the current project, the evaluation of learning needs and the existing research gaps is developed. Nurses should have...
As a nursing practitioner, I have had many different patient encounters and experiences. These interactions have differed wildly, from positive to extremely negative. Due to the specificity of my work, I have a professional and moral obligation to be able to control my own emotional response in order to best...
Introduction. Giving reassurance NP provides the client with a fake reassurance that there is no need to worry over an issue. The client’s feelings are undermined as the client becomes reassured there is no need to feel anxious. The client feels more anxious about problems that have seemingly no impact...
Patient Initials: Ivory, L. Subjective Data: a 65 years-old Caucasian woman who suffered a motor vehicle accident and was discharged from the hospital approximately two months ago. She currently complains of severe wheezing, shortened breath and a cough she has on a daily basis at least once time. It is...
Clinics, hospitals, Veterans Affairs and American Medical Centers, emergency departments, urgent maintenance sites, isolated physician, nursing facilities, such as colleges, public health departments and homeless clinics, are just a few of the places where nurse practitioners (NPs) work. Assessments done by NPs include; organizing, performing, monitoring, as well as analyzing...
Introduction The nursing field continues to play an integral part in the treatment and taking care of patients. This has made it one of the most sought-after professions in the wider health fraternity. In this paper, this condition is looked into, suggesting some of the government policy considerations likely to...
Community Cultural Need Detailed Description of the Selected Population African Americans are among the most populous ethnic minority groups in the United States. Although most of them have African ancestry, there are some with non-Black ancestors, too. Some people also identify as black, despite being racially white or Hispanic. Most...
Did you know that the healthcare sector has been developing new professionals who face challenges regularly? While in the middle of these challenges, healthcare professionals always need effective ways to recover from the experienced difficulties. Resilience is a multidimensional construct that explains why people face constraints, yet their consequences can...
Policy development in nursing was triggered by the rapid changes in the health systems. The role of nurses in this process is to ensure that the policies are well formulated. Nursing policies were developed into three categories; micro-macro and meso. In micro, the policies are not made by the government...
As the complexity of studies and the size of the knowledge base for healthcare continues to expand, the need to define the worthiness of evidence became apparent. The consensus among scientists led to the creation of seven levels of evidence that assist with selecting the best possible studies for advancing...
APNs Service Provision Barriers Advanced Practice Nurses (APNs) are essential healthcare professionals who bridge the gap widened by the increasing number of people who need medical attention. However, it experienced a lot of challenges globally, nationally, and in Ohio state in particular. Brassard et al., (2020) provide challenges that include...
Scope of Practice Statement Scope of practice statement is an important component for professional regulations applied by most of the nurse practitioner licensing boards in the United States (Balestra, 2019). It defines nurse practitioners’ procedures, processes, and actions applicable in their professional licensure (Buppert, 2020). By definition, the scope of...
This article focuses on adopting an intervention consisting of independent nurse-driven rounds led by a nursing coordinator who would educate and coach nursing staff as well as regular track and report outcome measures. The intervention focused on driving down HAIs and promoting appropriate antimicrobial use through antimicrobial stewardship (Ha et...
Introduction Patient health outcomes depend not only on the qualifications of medical personnel or the severity of a disease but also on other aspects that are crucial to control. One of the issues in acute care settings is the need to ensure patient safety in medication used. This problem affects...
Laws concerning negligence in education are one of the crucial issues in the learning system. Causing injury to a child due to negligence is a weighty matter as the damage can negatively impact their lives. Failure to protect students can occur during class attendance, in the playground or schoolyard, during...
Nurse practitioners are front-line care providers helping patients cope with their health issues moving through the healthcare system and associated processes. Nurses have start playing a more prominent role globally and in the United States, although not all states have equal policies regarding the empowerment of these professionals. Florida can...
Kolcaba’s comfort theory has gained a high degree of popularity in diverse nursing areas due to its precision and high applicability. The concepts guiding this theoretical framework are properly operationalized, which contributed to its usability in the clinical setting. According to Kolcaba (2003), comfort is “the immediate experience of being...
Project Description Problem When entering the workforce, novice nurses possess great theoretical skills in their profession. However, they do not always have enough practice experience, and many of them feel unsure of how to become valuable team members in a healthcare organization. As a result, new nurses experience a lack...
Background The confidentiality of patient information can only be ensured by the joint work of all related health workers. However, unit supervisors, such as nurse leaders, can significantly contribute to a more effective solution to this problem. These professionals have many opportunities to implement a plan to increase awareness and...
There are generally four types of theories in the nursing sphere, namely descriptive, explanatory, prescriptive, and predictive frameworks. In this regard, the former theories aim at describing practices and phenomena as well as identifying and defining the important factors that can then be further examined separately. As such, descriptive models...
Communication with Stakeholders Communication with stakeholders is an integrated part of the nurse leader’s job, especially in a pandemic. Prestia (2020) notes that nursing leaders are the only ones who can balance the needs of the staff and the needs of the patients. For effective communication, nurses must demonstrate such...
Introduction The idea of evaluating the finance-related transactions in medicine helps in analyzing the profitability highly expected from the monetary investments incurred by the health service organizations. The financial analysis in medicine encourages the well and maximizes full usage of resources in a profitable way that enables the effective running...
The solution to the problem of low nurse-to-patient ratio is an increase in the number of nurses and the addition of bonuses, which will incentivize them to stay longer on the job. However, implementing such a strategy would put additional stress on the healthcare organization’s finances, as well as require...