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Delegating as a new nurse

Alliyah Stephens-Brodie

Chamberlain University College of Nursing

NR 103: Transition to the Nursing Profession

Dr. Pamela Wright

October 9, 2022

Delegating as a New Nurse

The title of your paper should be identical to what you placed on the title page. Type your introduction here and remove the instructions. Although the first paragraph after the paper title is the introduction, no heading labeled “Introduction” is used. Refer to your assignment instructions for the headings to be used for the body of the paper. There are additional resources located in your courses and the Chamberlain Library.

Summary of Article

As a new nurse knowing how to delegate appropriately is important to the safety of the patient.

Levels of headings will depend on the length and organization of your paper. Your paper for NR 103 should only have level 1 headings. Longer papers may require more organizational detail. See your APA Manual for additional instructions on formatting multiple levels of headings.

Conclusion

Papers should end with a conclusion or summary. The assignment directions will specify which is required. It should be concise and contain no new information. No matter how much space remains on the page, the references always start on a separate page (insert a page break after the conclusion so that the references will start on a new page). Also, the reflection is a continuation of the paper and is not required to be on a separate page. Remember, you can submit your paper to the Essay Review Service for feedback on grammar and/or format. This needs to be done at least by Wednesday of the week it is due for you to receive their feedback and make needed revisions prior to submitting for grading.

Reflection

The reflection should be in a separate paragraph with a heading labeled “Reflection”. This is the ONLY portion of the paper that can be written in first person. It should be a continuation of the paper and not specifically placed on a separate page. The total length of the paper, including the introduction, the summary of the article, the conclusion, and the reflection should be 1-2 pages. If you include the separate title page and reference page, it should not exceed 4 pages.

Reference

American journal of nursing (Online). (1900). J.B. Lippincott Co.

INTRODUCTION

Financial Condition

Financial condition is defined as the ability of a local government to balance recurring expenditures with recurring revenues, allowing cities to provide necessary services on a continuing basis. A city in good financial condition is able to maintain adequate service levels during economic downturns and is able to develop resources to meet future needs. In contrast, a city in fiscal stress struggles to balance the budget, experiences service disruptions and has limited resources to finance future needs. Maintaining a sound financial condition requires governments to adjust to long-term changes in community needs and develop the ability to plan for the future.

There is no single measure that fully captures the financial condition of a governmental entity therefore it is necessary to take a comprehensive approach that focuses on both external and internal fiscal factors.

Financial Indicators for a Fiscal Condition Analysis

There are over 40 standard indicators that can serve as an evaluation basis for the financial condition of a city. The indicators used in this course will be as follows:

Revenues

· Total Revenues

· Total Revenues per Household

· Intergovernmental Revenues as a Percent of Operating Revenue

· Property Tax Revenues

· Sales & Use Tax Revenue per Household

· Restricted Revenues

Expenditures

· Total Operating Expenditures per Household

· Fringe benefits

· Fixed Costs as a Percent of Operating Expenditures

· Debt per Household

This fiscal condition analysis, however, will focus only on the five (5) most important financial indictors:

Revenues

· Total Revenues

· Property Taxes

· Sales Taxes

Expenditures

· Operating Expenditures

· Personnel Costs

Adjusting for Constant Dollars

Adjusting for inflation converts current dollars into constant dollars. The conversion from actual dollars to constant dollars allows for analysts to take into account the appearance of growth that may be due to inflation. When dealing with dollars over time:

Before entering the budgeted amounts in the excel spreadsheets, you need to convert each dollar amount to constant dollars. Due to inflation, the purchasing power of the dollar changes over time, so in order to compare dollar values from one year to another, they need to be converted from nominal (current) dollar values to constant dollar values

The easiest way to do that is to use an inflation calculator, such as the one below.

https://www.usinflationcalculator.com

REVENUE INDICATORS

Revenues determine a city’s capacity to provide services. Important issues to consider relative to revenues are growth, diversity, reliability, flexibility and administration. Under ideal conditions revenues will grow at a rate equal to or greater than the combined effects of inflation and expenditure pressures from new and/or expanded services. They should be sufficiently flexible to allow necessary adjustments in response to changing conditions. They should be diversified in their resources so as not to be overly dependent on residential, commercial or industrial land uses or on external funding sources such as federal grants or discretionary state aid. User fees should be regularly evaluated and revised to cover the true cost of providing services. Analyzing a revenue structure will aid in identifying the following types of problems:

• Deterioration in revenue base

• Internal procedures or priorities that may adversely affect revenue

• Over-dependence on obsolete or external revenue sources

• User fees that are not covering the cost of providing services

• Changes in tax burden

• Inefficiency in collection or administration of revenue

Total Revenues per Household

Description: As a city’s population grows, it is anticipated that the needs for services will increase in a direct relationship. Therefore, the level of revenues per households should at least remain constant and at a minimum, equal to operating expenditures per household. If operating revenues per household decrease or become lower than operating expenditures per household, it may hamper a city’s ability to maintain the existing level of services unless new sources of revenues or ways of trimming expenses can be found. Label as critical or caution,

Warning Trend: Decreasing total revenues per household

TABLE AND CHART HERE

Property Tax Revenue

Description: Local property tax revenues are driven primarily by the value of residential and commercial property, with property tax bills determined by the local government’s assessed mill levy on the value of property. Property tax collections lag the real estate market, because local assessment practices take time to catch up with changes. As a result, current property tax bills and property tax collections typically reflect values of property from twelve to eighteen months prior.

A decline or diminished growth rate in taxable value may result from a number of causes such as an overall decline in property values, the transfer of taxable property to organizations that are exempt, or a decline in new development.

Warning Trend: Declining or negative growth in property tax revenues

TABLE AND CHART HERE

Sales Tax Revenue as Percentage of Total Revenues

Description: Changes in economic conditions are also evident in terms of changes in sales tax collections. When consumer confidence is high, people spend more on goods and services, and city governments benefit through increases in sales tax collections. Prior to the recession, consumer spending was also fueled by a strong real estate market that provided additional wealth to homeowners. The struggling economy and the declining real estate market have reduced consumer confidence, resulting in less consumer spending and declining sales tax revenues.

Warning Trend: Declining or negative growth in sales & use tax revenues

TABLE AND CHART HERE

EXPENDITURE INDICATORS

Expenditures are a rough measure of a city's output effort. Generally, the more a city spends, the more service it is providing or it is providing higher quality service however increased expenditures can also be a sign of problems in ineffective budget control or excessive growth, decline in personnel productivity and growth in services not supported by revenues.

Most cities are required to have balanced budgets; however, there are a number of subtle ways to balance an annual budget yet create long-term imbalances. Some of the more common ways are to use bond proceeds for operations, defer maintenance, or utilize temporary cuts from year-to-year. In each case, the budget remains balanced, but in the long-term significant deficits could be developing.

Ideally, a city will have an expenditure growth rate that does not exceed its revenue growth rate and will have maximum spending flexibility to adjust to changing factors. A review of city expenditures can identify deficiencies should they exist such as:

• Excessive growth of overall expenditures as compared to revenue growth

• An undesired increase in fixed costs

• Ineffective budget controls & models

• Excessive growth in programs that create future expenditure liabilities

Operating Expenditures per Household

Description: Operating expenditures per household reflect changes in expenditures relative to changes in population. Increasing per household expenditures can indicate that the cost of providing services is increasing at a pace beyond the city’s ability to pay. If spending is increasing faster than can be accounted for by inflation or new programs, it may indicate that a city is spending more funds to support the same level of services or the methods of providing the services are inefficient.

Warning Trend: Increasing operating expenditures per household

TABLE AND CHART HERE

Personnel Costs per Household

Description: Employee wages and benefits can represent a significant cost to a city. Some benefits are mandated such as FICA, workers compensation and unemployment. Others, such as health insurance and retirement are discretionary.

Warning Trend: Increasing benefits as a percent of salaries & wages

TABLE AND CHART HERE

Concluding Remarks

Excerpts from: Cody, Wyoming, 5 Year Financial Trend Report, January 2013 Page 7

PADM 702

Assignment Resource: Fiscal Condition Analysis Assignment Guide

1) Open and save the Assignment Resource: Abridged Maumelle Budget

· This contains all the information you will need to enter into your spreadsheets.

· When dealing with dollars over time:

· Before entering the budgeted amounts in the excel spreadsheets, you need to convert each dollar amount to constant dollars. Due to inflation, the purchasing power of the dollar changes over time, so to compare dollar values from one year to another, they need to be converted from nominal (current) dollar values to constant dollar values.

· The easiest way to do that is to use an inflation calculator, such as the U.S. Inflation Calculator found in your assignment resources.

2) The number of Households in Maumelle, Arkansas are as follows:

· 2020 = 4,394

· 2019 = 4,046

· 2018 = 3,782

3) Open and save the following Assignment Resources:

· Revenues

· Assignment Resource: Total Revenues Per Household (2020 Dollars)

· Assignment Resource: Property Tax Revenues

· Assignment Resource: Sales Tax Revenues

· Expenditures

· Assignment Resource: Personnel Costs Per Household

· Assignment Resource: Operating Expenditures Per Household

Use the above spreadsheets (Excel), for revenues and expenditures. They are interactive, so when you place the appropriate figures in the spreadsheet with the data for Maumelle, Arkansas, the data and graphs will automatically be updated to correspond with the data you entered. You must enter both the dollars in the budget and the constant dollar amounts (2020 Dollars)

4) Now, develop a Fiscal Condition Report. Refer to Assignment Resource: Fiscal Condition Analysis Report Template as a guide. You will be conducting a partial fiscal condition analysis, as all the components will not be analysis, just the five (5) above.

5) Analyze what the findings tell you. (In this case, what does the table and its concomitant chart tell you about the trend. A paragraph for each set of tables and charts should suffice. You only need one analysis for each table and its concomitant chart. For analysis, treat each table and its concomitant chart as one since they are measuring identical data)

*Note: These are interactive, so when you replace the appropriate figures in the spreadsheet with the data for Maumelle, Arkansas, the data and graphs will automatically be updated to correspond with the data you entered. You must enter both the dollars in the budget and the constant dollar amounts (2020 Dollars).

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PADM 702

Assignment Resource: Abridged Maumelle Budget

Video Fiscal Conditional Analysis

https://www.bing.com/videos/search?q=Video+Fiscal+Conditional+Analysis&&view=detail&mid=F7EBBD1065AB434442EDF7EBBD1065AB434442ED&&FORM=VRDGAR&ru=%2Fvideos%2Fsearch%3Fq%3DVideo%2BFiscal%2BConditional%2BAnalysis%26FORM%3DHDRSC4

Other ways to measure fiscal condition of governments

https://www.lincolninst.edu/sites/default/files/pubfiles/mcdonald_wp17bm1.pdf

ASSIGNMENT for Week 6:

Fiscal Condition Analysis with Excel Research Paper Instructions

Sound fiscal health is imperative to ensuring the effective operation of governments. Thus, governments should periodically assess their financial condition. Performing a financial condition analysis can provide governments with valuable information on the current and future state of their finances. The analysis can highlight potential fiscal problems and provide information necessary for corrective action. By taking action to address weaknesses and strengthen fiscal health, government can better ensure that resources are available to fund the level and quality of services expected by taxpayers

Financial condition is defined as the ability of a government to balance recurring expenditures with recurring revenues, allowing governments to provide necessary services on a continuing basis. A government in good financial condition is able to maintain adequate service levels during economic downturns and is able to develop resources to meet future needs. In contrast, a government in fiscal stress struggles to balance the budget, experiences service disruptions and has limited resources to finance future needs. Maintaining a sound financial condition requires governments to adjust to long-term changes in community needs and develop the ability to plan.

There is no single measure that fully captures the financial condition of a governmental entity therefore it is necessary to take a comprehensive approach that focuses on both external and internal fiscal factors.

Financial Indicators

There are over 40 standard indicators that can serve as an evaluation basis for the financial condition of a city. Examples of standard indicators for local governments are as follows:

Revenues

· Total Revenues

· Operating Revenues per Household

· Intergovernmental Revenues as a Percent of Operating Revenue

· Property Tax Revenues

· Sales & Use Tax Revenue per Household

· Restricted Revenues

Expenditures

· Operating Expenditures per Household

· Fringe benefits

· Fixed Costs as a Percent of Operating Expenditures

· Debt per Household

For this assignment, you must develop a fiscal condition analysis of Maumelle, Arkansas analyzing the most recent three-year revenue and expenditures data of Maumelle, Arkansas, utilizing Excel Tools and charts (compute and create tables) to create fiscal condition analysis for Maumelle, Arkansas.

This fiscal condition analysis will focus only on the five (5) of the most important financial indicators for local governments: (1) Total Revenues, (2) Property Taxes, (3) Sales Taxes, (4) Operating Expenditures, and (5) Personnel Costs.

To do this:

Open and save the abbreviated Budget for Maumelle, Arkansas below. It contains all the information you will need to enter into the spreadsheets (Excel).