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Based on the level of evidence used to support the recommendation statements, is the overall quality of that evidence high/low and how does that influence your decision to implement this recommendation or practice guideline into your practice?

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EBP Guideline/Position Statement Paper:

Poor management of clinical depression within the oncologic population negatively impacts patient outcomes and quality of life.

APNs must determine the strength of the recommendations and guidelines to regulate whether policy changes are warranted. Through this process the APN may begin with a clinical question in mind before searching the literature on the proposed changes needed.

Step 1: Introduction
A good introduction grabbing the reader’s attention providing insight to the POI and significance to the APN’s role. Need strong thesis or purpose statement.

Step 2: POI Significance:
Discuss why this POI is significant to your role as an APN. How will it change practice? Why did you select this topic? Next, discuss all 3 measures: structural, process and outcomes by comparing them to one another or identifying how/what is different. What expected structural, process OR outcome measures are you hoping to see with instituting a change in practice? You must clearly identify the measure you are evaluating in this example and it should relate directly to your POI.

Step 3 PICO :
You will include a PICO framework AND the clinical question in this section. Follow these directions as specified.

Outline the PICO framework by listing (do not write in a paragraph format) P-population or patients, I-intervention, C-comparison, and O-outcomes as it relates to your POI. Then develop the clinical question by including all parts of the PICO framework in the question. Be as specific as possible in both the PICO framework development and clinical question and avoid phrases such as: “compared to the standard practice” , or “compared to the current practice” because faculty do not know what the normal practice or standard practice is at your facility..

Step 4 Tool Completion:
To provide an overview of the guideline OR position statement use the tool

Evaluation tool for Guideline OR Position statement PDF

Evaluation Tool for Guideline OR Position Statement Word Document

Step 5 Critique of Guideline/Position Statement:
Critique the guideline or position statement by discussing ALL of the following and including appropriate support from your guideline/statement selection:

(1) purpose/aim of the recommendation/postition statement-are they clear, current and relevant to your population?

(2) Recommendations or objectives of the guideline/statement

(3) Who (authors, groups, organizations) developed the guideline/position statement and what biases or funding did they receive? Did the authors, groups or organization have a valued interest in the guideline, why or why not? Remember to consider the author’s role professionally as part of your answer.

(4) Describe if they information is credible and justify your answer. What makes information credible? Is their truth in the data, interventions recommended, or studies used to support recommendations, how do you know?

(5) What levels of evidence were used to support each recommendation statement-look at the studies and resources used to develop the guideline or position statement. What levels of evidence were these resoruces/studies? Are those individual studies/resources of strong or weak on the evidence hierarchy? How do you know and does it influence the overall recommentation or guideline?

(6) Based on the level of evidence used to support the recommendation statements, is the overall quality of that evidence high/low and how does that influence your decision to implement this recommendation or practice guideline into your practice?

Step 6 Quality Improvement:
Explain how this guideline or position statement would impact quality improvement by addressing 2 of the bioethical principles: justice, autonomy, beneficience, or nonmalficence. Students must demonstrate full understanding of each principle discussed.

Step 7 Conclusion

Step 8 Guideline/Position Statement Link or Attachment:

Include a copy of the full guideline or position statement as an attachment or merged to the paper after the resources.

Determine Oasis’s cost structure. Use the information you learned in item (a) & prepare the income statement for the month of June using the variable cost-contribution margin approach How many units Oasis needs to sell to achieve the target operating income of $90,000 in the following month?

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Short cases

Case #1

Wild Wadi Co. manufactures the boards they use in their water park. Their accountant provided you with the following details showing the cost of making 1,800 units a year:

Direct Materials                                    $17,500

Direct labor                                          $  2,700

Variable overhead                                $  2,100

Fixed manufacturing overhead   $  7,400

Total manufacturing costs                      $29,700

Suppose that China Sports Suppliers Co. offered to sell Wild Wadi similar boards for $14 each delivered. If purchased Wild Wadi would add its own logo at a cost of $0.60 per board. Wild Wadi accountant predicts that purchasing the board will enable the company to avoid $2,600 of fixed costs.

Required:

  1. Assume that the facilities have no other use, prepare an analysis to show whether Wild Wadi should make or buy the boards.
  2. Assume the facilities currently used to manufacture those boards can be rented to another company at a rent of $3,000 a year. Perform the analysis again on whether Wild should make or buy.

Case #2

You are a consultant and a client of yours approached you for advice. The client (Oasis Trading Co.) is a wholesaler that distributes a single product.  Oasis’s revenues and expenses for the last two months are given below:

  May June
Sales in units………………………. 3,000 4,500
     
Sales revenue………………………… $420,000 $630,000
Less Expenses:

Cost of goods sold………………

  

168,000

  

252,000
   Advertising expense…………….. 121,000 121,000
Salaries and commissions……… 151,000 199,000
Net operating income (loss)…… ($ 20,000) $  58,000
     
     

Oasis’s management came to you and they are trying to understand their cost structure. The company is still young and is not using its full capacity yet. Oasis hopes to make an operating income of $90,000 in the coming month of July. To give them the advice, you need to determine the followings:

  1. Determine Oasis’s cost structure.
  2. Use the information you learned in item (a) & prepare the income statement for the month of June using the variable cost-contribution margin approach
  3. How many units Oasis needs to sell to achieve the target operating income of $90,000 in the following month?

Case #3  Three Independent Cases

  1. In discussing the operation of his automobile, a doctor once observed that gasoline is a fixed cost because the cost per gallon is relatively stable. Insurance, on the other hand, is a variable cost because the cost per mile varies inversely with the number of miles driven. Comment on the doctor’s observation.
  2. Define the term “relevant range” and explain its importance in understanding cost behavior.
  3. Dubai Trading Co. (DTC) has a branch in each Emirate. Your fried works as the general manager of Sharjah branch. He just finished a meeting with his superiors in Dubai where he submitted his last year report which shows:

Total Sales                   $1,280,000

Operating Income         $198,000

At the end of the meeting his superiors at Dubai Trading Co. told him that his budgeted operating for the coming year will be $207,900, an increase of 5% over last year. Your friend is wondering about the sales volume he must make to achieve his target profit. Do you think that his next year sales must be around $1,344,000, an increase of 5% over last year? Explain.

Case #4

KC Manufacturing, which began operations on January 1, 2021, produces an industrial scraper that sells for $325 per unit. By the end of 2021 KC Manufacturing provided the following Information.
KC carries its finished-goods inventory at the average unit cost of production. There was no work in process at year-end.

Required:
A. Compute the company’s average unit cost of production.

  1. Determine the cost of the December 31 Finished-Goods Inventory & Cost of Goods Sold.
  2. If next year’s production increases to 23,000 units and general cost behavior patterns do not change, what is the likely effect on:
  3. The direct-labor cost of $35 per unit? Why?
  4. The fixed manufacturing overhead cost of $400,000? Why?

Case #5

The following are relevant account balances from Brown’s comparative balance sheet and 2015 income statement.

 

  Dec. 31, 2014 Dec. 31, 2015
Cash $     9,000 $    6,000
Accounts receivable 12,000 8,000
Merchandise inventory 18,000 29,000
Prepaid rent 4,000 6,000
Equipment 80,000 100,000
Accumulated depreciation    (13,000)    (28,000)
Total assets $110,000 $121,000
     
Accounts payable $   29,000 $    15,000
Dividends Payable 2,000 0
Common stock 30,000 35,000
Additional Paid in Capital, common stock

Retained earnings

 2,000

    49,000

 3,000

68,000
Total liabilities and stockholders’ equity $110,000 $121,000
     

 

Other information:

No equipment was sold or retired during 2015. Brown’s net income for 2015 was $33,000.

Calculate depreciation expense for 2015.

Calculate the amount of dividends declared & paid during 2015.

Determine the cost of the equipment purchased during 2015.

  1. Determine the change in current assets and current liabilities over the 2 years.

Case #6

The following data are available for the month of April for Dubai Company. The physical count at the end of the month showed that 130 units are still available in the store. Assume the company uses LIFO to account for its inventories and cost of goods sold.

 

Date No. of Units / cost per unit
April 1 inventory 120 units at $8.00 each
April 10 purchase 200 units at $8.20 each
April 20 purchase 410 units at $8.50 each
April 28 purchase 110 units at $9.00 each
   

Note: Assume no spoilage of theft.

Required:

  1. Calculate the sales revenues for the month April assuming a selling price of $15 a unit.
  2. Calculate cost of goods sold & cost of ending inventories to be reported at the end of April.
  3. Calculate the gross profit for the month of April.
  4. It is the mid-day of April 30 and in few hours, you will be submitting a report of April Activities. You are concerned that you have not achieved you target gross profit for the month of April. Your accountant wanted to help and suggested that you may do that by returning the last purchase you made yesterday on April 28. Do you agree with her? Explain.

Case # 7

On January 6, 2017, Milner Company purchased a machine for $138,000. The machine cost $1,200 to deliver and $4,800 to install. The costs of operating the machine over 2017 was $4,000. At the end of 10 years estimated useful life, Milner expects to sell the machine for $12,000. Compute depreciation expense & the book value to be reported at the end of 2017 and 2018 using the following methods:

  1. Double declining method
  2. Straight line method

Assume the use of straight-line method. Assume the machine is sold at the end of 2019 for $105,000. Show the impact of sale on the financial statements.

Case #8 Independent Transactions

For each of the following transactions use the accounting equation to show the impact on the date of transaction & on Dec. 31, 2015, fiscal year-end, if any. Indicate what would be reported in each statement on Dec. 31, 2015 & how much. (Assume no adjustments were made during the year)

 Transaction #1: March 1, 2015.  We purchased a 1-year insurance policy for $8,400 cash

 

Date Assets Liabilities Owners’ Equity
Account Amount Account Amount Account Amount
March 1, 2015

 

  

 

 

          
Dec. 31, 2015 (Adjustment)

 

            

 

Indicate what would be reported in each statement on Dec. 31, 2015:

Income Statement Name of account Amount
 

 

  
Balance Sheet Name of account Amount
 

 

  

Transaction #2: We started 2015 with a balance of inventory of office supplies of $650. On Feb. 5, 2015 we bought additional office supplies for $960 on account. On Dec. 31, 2015 only $135 worth of supplies was still on hand.

 

Date Assets Liabilities Owners’ Equity
Account Amount Account Amount Account Amount
Feb. 5,  2015

 

            
Dec. 31, 2015 (Adjustment)

 

            

 

Indicate what would be reported in each statement:

Income Statement Name of account Amount
 

 

  

 

Balance Sheet Name of account Amount
 

 

  

 

From your sources / research, identify 4-5 milestones in the history of your conflict. When was your topic the subject of public debate / discussion, and why? Was it the catalyst for legislation and/or court cases?

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IRE Research Paper Section 1

Research Exercise 1.1: Essay “hook” or opener
Locate a recent example of your conflict surfacing in public discussion and describe what happened / tell the story. If there are any terms / concepts that might be unfamiliar to readers, provide an explanation / definition. Remember to include a citation for where you got the information. Good places to look for information: print or online news reports, TV broadcasts, social media postings or library databases such as US Newsstream.

Research Exercise 1.2: Explain the conflict
Write a paragraph explaining the conflict you are writing about. Consider including statistics to give readers a sense of the scope or seriousness of the topic and/or the number of people it affects. Good places to look for a concise description: Library databases such as Points of View Reference Center, Very Short Introductions, ProCon.org, or Independent Voices.

Research Exercise 1.3: Provide Timeline of major milestones or developments
From your sources / research, identify 4-5 milestones in the history of your conflict. When was your topic the subject of public debate / discussion, and why? Was it the catalyst for legislation and/or court cases? Follow its history.
Write several paragraphs detailing several of the major milestones / historical developments related to your conflict. Each paragraph should have at least 1 in-text (parenthetical) citation to indicate which source provided the information.

Research Exercise 1.4: Name the sides
From your sources / research, identify the two major sides of the conflict and summarize their position. You should also discuss exactly who (people, groups, etc.) is part of each side — does it break down by political party, age, geography, socio-economic group, religious affiliation, etc.?

For example, if you’re exploring the conflict around the Affordable Care Act, it was proposed by a Democratic president and supported by Democratic legislators. Who else supported it? Were there professional groups (e.g. medical providers, American citizens) that also supported it?

Note: you are looking for the most significant people or groups that comprise a side. You don’t need to provide an exhaustive list of everyone on a side, just the major players who are most involved in the debate.

Write a paragraph or two identifying each side and summarizing its major position (just the facts — you’ll look at why in the next section). Each paragraph should have at least 1 in-text (parenthetical) citation to indicate where you got the information.

At the end of your paragraphs, do a Works Cited entry for each source listed in your discussion.

Explore and expand your definitions of technology. Identify key moments, people, and places in your personal relationships with technology. Write an autobiographical essay that explores your relationship to technology.

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Technology Autobiography

For this assignment, you will be writing a Technology Autobiography in which you:
o Explore and expand your definitions of technology.
o Identify key moments, people, and places in your personal relationships with technology.
o Write an autobiographical essay that explores your relationship to technology.
o Apply your knowledge of various sentence structures in your writing.

Review Examples of Technology Autobiographies written by Michigan Tech Publication Management Students during Fall 1999, as well as “A Technology Autobiography” by Krista L. Arola in lesson 5.1.
You can use the Technology Autobiography Heuristic as a way to start brainstorming and outlining your ideas.
Write a 2-3 page autobiographical narrative paper that explores the significant interactions you have had with technology during your life and analyzes what those interactions reveal about you (and, if appropriate, others).

o Your paper will tell readers what kind of technology user you are by sharing details about your key experiences with technology.

o Your paper should be written in chronological order, but you may use other structures (such as flashback or flashforward) if they make sense for your story.

o Organize your experiences into a paper that explains how you became the technology user you are today.

o Autobiographies usually use first-person, so you can use first-person pronouns as you tell your story; you can use “I” in your paper.

o Finally, be sure to use concrete details in your story. Use strong, specific information to make the significance of your interactions with technology clear to your readers.

See how much you can see just by careful observation of the piece (remember the “power of patience.) Could you spend 3 hours just looking at this work?

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Art REfelction on Judith with head of holofernes

Write a reflection paper as outlined below on the painting that is linked below.

Judith with the head of holoernes-

https://www.uffizi.it/en/artworks/judith-with-the-head-of-holofernes

Length: 3 pages, 12 point Times New Roman font, double space with normal (1” margins); do not write more or less than 3 pages. Include a picture of your work on a separate page with identifying information (artist, title, date, medium, size and accession number). This will not count as part of your 3 pages.

Objectives:

Apply the skills and vocabulary of formal analysis to your work.
See how much you can see just by careful observation of the piece (remember the “power of patience.) Could you spend 3 hours just looking at this work?
Doing this will put you in the position of the maker of the piece, considering the decisions that they made and their reasons for doing so.
After your careful looking, you should come up with an interpretation of what the artist was trying to communicate based on your observations. Do not ignore your experience of the piece; but try to analyze your experience in light of the artistic choices made. For example, in writing about the Parthenon metope you might say that the sculptor was using a variety of techniques to convey the energy and the tension of the battle between the Lapiths and the Centaurs. You would then say what those techniques are.
Your interpretation should be stated as a thesis, but remember, your evidence is what you can see in the work. There is a tendency to want to make broad claims about symbolism or philosophy, or political intent, but that would require research, which I’m not asking you to do at this point. This is the step that would help you to formulate questions for further research.

The steps to doing a formal analysis can be found here:

Analyse a range of financial strategies including budgets, financial management and accounting. Evaluate approaches to procurement and contracting within an organisation.

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Business Report

LO1 Analyse a range of financial strategies including budgets, financial management and accounting.

LO2 Evaluate approaches to procurement and contracting within an organisation.

LO3 Assess the commercial context that an organisation operates within.

What type of a study was conducted by the authors of this report? What was the source of their data? What was the key dependent variable or the survey questions that were central to this study?

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NU 590 Midterm Exam Total Points: 100 Points

Part A [20 points]
Choose any 10 of the following terms. Describe each term that you selected in your own words and provide a real-life healthcare application of this concept.

1. Probability:
2. Variable:
3. Sample:
4. Mean:
5. Discrete variable:
6. Continuous variable:
7. Incidence Rate
8. Control and treatment groups
9. Clinical Trial
10. External validity
11. Dichotomous variable
12. Survey research
13. Prospective study

Part B [20 points]
For this section, you will need to use the BMI Data Excel file and the CDC BMI Group Calculator Excel file.

• Read the Instructions located in the first tab of the CDC BMI Group Calculator Excel file. Then input the raw data from the BMI Data Excel file into the Measurements tab.
• Review the results that are generated by the template in the Group Summary tab. Prepare a short memo of the key findings (in less than 10 sentences) to the County Health Board stating the extent of the obesity problem. How severe would you describe the obesity problem in the county to be? What recommendations would you make to the County to address their problem?

Part C [10 points]
Copy and paste the following table into Excel. Use Excel in order to compute the relative frequency or the probabilities associated with each class interval and fill in the rest of the table. Then answer the questions that follow.
Class Interval Frequency Relative Frequency or Probability Relative Frequency or Probability Expressed as a Percentage
0-4.99 10
5-9.99 15
10-14.99 5
15-19.99 10
20-24.99 10
25-29.99 10

1. What percentage of the measurements are in the range of 10 and 14.99?
2. What percentage of the measurements are more than 15?
3. How many of these measurements are between 10 and 19.99?
4. What is the probability that a randomly selected number will be in the range of 5 and 15?

Part D [10 points]
The following table shows 1,000 nursing school applicants, classified according to scores made on a college entrance exam and the quality of the high school from which they graduated. Use the data in the table to answer the questions that follow.
Score Poor (P) Average (A) Superior (S) Total
Low (L) 105 60 55 220
Medium (M) 70 175 145 390
High (H) 25 65 300 390
Total 200 300 500 1000

• Calculate the probability that an applicant picked at random…
o …made a high or low score on the exam
o …made a low score on the exam and graduated from a superior high school
o …made a medium score or graduated from an average high school
o …graduated from an average high school
• Compare and comment on the probability that an applicant picked at random…
o …made a high score on the exam given that they graduated from a poor high school
o …made a high score on the exam given that they graduated from a superior high school
• Calculate the following probabilities:
o P (AP)
o P (L)
oP(AM)

Part E [20 points]
Literature Review
With the help of Google Scholar, select 5 articles on the topic of childhood obesity in the United States published in the last 5 years and provide the findings in the form of a matrix. After you’ve completed the literature review matrix, provide three separate summary sentences about the key findings of these articles.

Name of the Article Methods used Participants Outcome or dependent variable Independent variables Results
APA Citation
Contact details of lead author Study Design, Qualitative or quantitative
Cross-section or longitudinal
International Review Board (IRB) Number of participants
Key characteristics of the sample (age, sex, etc.)
Country
Method of sampling Outcome definition
Time points for outcome data collection Key Independent variable of interest
Treatment or control group used
Specific intervention Summary of the major themes, summary of findings
1:
2:
3:
4:
5:

Key Findings of the Literature Review Articles:
1) [Add your summary statement here]
2) [Add your summary statement here]
3) [Add your summary statement here]

Part F [20 Points]
Article Review
Read the article from the CDC, Falls and Fall Injuries Among Adults Aged ≥65 Years — United States, 2014. Then, answer the following questions:

1. What type of a study was conducted by the authors of this report? What was the source of their data?

2. Provide two key findings of this report.
• [Add your key finding here]
• [Add your key finding here]

3. What was the key dependent variable or the survey questions that were central to this study?

4. In one sentence each, describe how falls varied based on the following patient categories:
• Gender:
• Age-groups:
5. How are these findings relevant to nurses or other clinicians? What role can nurses’ or clinicians play after reading this article?

What caused the bishop of Rome, as opposed to the ones in Constantinople, Antioch, Alexandria, or other key cities, to gain such influence? What events might have ended differently if the seat of ecclesiastical power had been in the East?

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Critical response 5

What caused the bishop of Rome, as opposed to the ones in Constantinople, Antioch, Alexandria, or other key cities, to gain such influence? What events might have ended differently if the seat of ecclesiastical power had been in the East?

Provide the frequency distribution of the following age categories. Calculate the percentage and cumulative percentages associated with each of the categories.

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 DESCRIPTIVE STATISTICS (100 Points)

Part 1. [50 Points]
On a separate sheet in your Excel file, complete questions 1-6.

1) Classify each variable into the following types of variables: Categorical, Discrete and Continuous variables.

2) Classify each variable into the following levels of measurement: Nominal, Ordinal, Ratio, and Interval.

3) Sort the Data by Reason for Visit [RFV1]

4) Use the Filter and COUNTIF function in EXCEL and report the number of ED visits due to the following reasons:
a. Abdominal Pain, cramps, spasms, NOS
b. Accident
c. Back pain, ache, soreness, discomfort
d. Chest pain
e. Headache, pain in head
f. Fever

5) Create a frequency distribution table using the COUNTIF function in excel:
-Number of visits
-Abdominal Pain, cramps, spasms,
-NOS
-Accident
-Back pain, ache, soreness,
-discomfort
-Chest pain
-Headache, pain in head
-Fever

6) Using the IMMEDIACY OR TRIAGE LEVEL variable, report how many of the abdominal pain and chest pain cases were “Emergent”, “Urgent”, “Semi-urgent”.

–Abdominal Pain Chest pain
-Emergent
-Urgent
-Semi-urgent

Part 2. [50 Points]
On a separate sheet in your Excel file, complete questions 1 and 2.

You should have already downloaded the Excel Analysis ToolPak. If you haven’t, follow these steps: go to File, Options, Add-ins, Analysis ToolPak. Under Manage, select Go. Select Analysis ToolPak and click Ok. In your Excel file, when you select the Data tab, on the far right, you will see “Data Analysis” appear.

1. Using this, provide the mean age of those patients visiting the ED in the United States in 2016.
a. Using the Data Analysis ToolPak, provide the descriptive summary of the “Age Variable” including mean, median, minimum and maximum. Describe your results in 3-4 sentences.

2. Provide the frequency distribution of the following age categories. Calculate the percentage and cumulative percentages associated with each of the categories.
Age group Frequency Percentage Cumulative
percentage
Under 15 years
15-24 years
25-44 years
45-64 years
65-74 years
75 years and over

• Complete the assignment in Excel and submit the Excel file

What funds do you have available to invest? Are you willing to borrow in order to increase the size of your investment? How much time do you have to manage your investment? What is your level of expertise? Will you be working with partners that have similar objectives and constraints?

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Identifying and analyzing a real estate investment opportunity

1.Determine your objectives and constraints

1a.It is important to know your investment goals:

  • Are your willing to risk losing your investment for the possibility of a high return?
  • Do you prefer more modest returns but a safer investment?
  • Are you willing to put in “sweat equity” or do you want a turn-key investment?
  • What is the duration of your investment? (Long-term vs short-term)
  • Are you looking for a steady cash flow or is the growth of the value of your investment more important?

1b.It is equally important to know your constraints:

  • What funds do you have available to invest?
  • Are you willing to borrow in order to increase the size of your investment?
  • How much time do you have to manage your investment?
  • What is your level of expertise?
  • Will you be working with partners that have similar objectives and constraints?

2.Analyze the Investment and Market Environment

  • A thorough analysis of the investment environment is required for any investment decisions, including real estate. This would include an analysis of:
  • The market environment
  • The legal environment
  • The financing environment
  • The tax environment

3.Develop a Financial Analysis

  • The financial analysis deals with determining the expected cash flows of your real estate investment. At the end of the analysis you will be able to answer questions such as:
  • How much will I invest?
  • Determining a fair price
  • How much cash will be generated annually?
  • Rents
  • Expenses
  • How much are the mortgage payments?
  • How much is the profit when I sell?
  • Anticipated value
  • Selling expenses

4.Apply Decision-Making Criteria

  • Determine the required rate of return given the risks and rewards as analyzed in the previous steps.
  • Calculate the Net Present Value (NPV) and Internal Rate of Return (IRR) of the real estate investment and compare them to these hurdle rates.

5.Investment Decision

  • The previous steps give you the necessary information to make your investment decision
  • The analysis process is repeated for various REIs in order to find one that meets the investors’ goals and constraints