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Answer the following question in a past paper in strategic management and technology

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Upenieks, Akhavan and Kotlerman (2008) conducted a pilot study whose purpose firstly entailed highlighting the amount of time registered nurses (RNs) were engaged in value-added activities. Secondly, the researchers aimed at evaluating the effect of the number of RNs and UAPs [unlicensed assistive personnel] on “the amount of time spent in value-added care compared to time spent in necessary tasks and waste” (p. 294).
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Explain the staging of end-stage renal disease (ESRD) and contributing factors to consider.