Marie

 

What’s your biggest weakness?

The answer provided should not raise doubts about one ability to perform the job while the person should not seem sounding dishonest or arrogant by stating that they do not have weakness.

My answer: Being in the nursing profession, the ability to delegate tasks and promote team work is a necessity. But I find myself lacking the ability to delegate work between the team as better as I should. I am satisfied with the work I do and find it difficult to delegate. However, I am working on this weakness, and, during the last hours of my shift I practice the team work and cooperation.

Describe how will you resolve a conflict between a patient or co-worker?

People do not always get along with each other by fact due to personality differences. The employer asks the interviewee this question to hear how one can respond to cases of conflict diplomatically.

My answer: Conflicts do happen in a workplace and a professional attitude helps avoid the conflicts and minimize the damage they do to productivity. I was encountered with a same situation when in a meeting I proposed a plan and a coworker who was not really a supporter of my idea. I was taken aback by such harsh response, but I stayed calm and handled the situation. After a sober discussion I was able to deliver my point and my idea was accepted. After the meeting, that coworker apologized for misbehavior and admitted his wrong behavior.

Tell me about yourself?

This is one of the often asked first questions. The question is raised for the interviewee to make their first impression

My answer: I am motivated and compassionate person with a desire to contribute my services as a nursing practitioner. I am responsible of my actions and understand the demands of this field. I have around 10 years of experience in the nursing field and aim to promote the livelihood of people and be a nurturer and caregiver of the patients.

                                                                   Reference

Hawkes, B. (2017). How to Land Your First Nursing Job: The ultimate guide to landing your

       first nursing job…and your next!

Karel

 

What is your biggest Weakness?

I think that weakness is something that you need to have in mind all the time if you want to improve yourself as a worker.  Sometimes I have the tendency of loosing the notion of time when I am working, but I am learning how prioritize duties and to delegate when is needed to avoid the delay of tasks. 

Describe how you resolved conflict with a co-worker or patient?

The first thing I do is to really get the details off the problem. Once I know what is the motive of the problem I try to solve it. Getting to know why people react a certain way is sometimes difficult because sometimes people are not open to others especially if they are dealing with strong feelings such as despair or frustration in the case of a co-worker or just simply with a lethal disease in the case of a patient. 

An example of this is a coworker that I noticed was getting late very often. So often that become a problem to give him the reports in time. In our work we have 30 minutes to give report and the time frame that he was giving me for doing so was 5 and sometimes no minutes at all. This situation was even frustrating for me because it was affecting my work and the care we were supposed to be giving to our patients. I realized that this nurse was a PHS and came all the way down to Miami from Nebraska. I realized that he was missing his family when he told me once that he had his family in that city. How he was a military nurse I asked him how military people use to solve their problems when needed. He told me that they were very quick to detect problems, point out he problems and give solutions. I acknowledge that I really liked the style so I explained to him how important of being in time for the night shift was for coworkers, patients and me.  I address the family problem as the motive he was sad and feeling alone in a new town and job and emphasize how important for the whole team was to have him completely on board as far he was working in the institution. He understood what I was saying and corrected it immediately. 

Tell me about yourself?

I have been a nurse for 12 years. I have had my professional career through each nursing step such as: LPN, RN, BSN and now ARNP. I consider myself a proactive person, so I am always trying to improve myself as a nurse in a reasonable period of time. I am a nurse aware of the importance of training and development to advance my career to higher levels and standards. I feel my vocation stronger than ever and I really look to become a Dr. in nursing in a not so far future. Every time that I choose a job I ask myself what I can offer to that particular job. In this case I have to offer you lots of commitment and working professionalism. I have had experience in home health, hospice and penitentiary setting. I am a nurse that likes to work as part of a team, where also leadership and proactivity are allowed. 

APA format 2 pages long 3 references 1 from walden university library

Due 3/20/19 at 7pm

 

 Impact of Internal Factors on Development and Approval of Curriculum

Impact of Internal Factors

     As a bone marrow transplant (BMT) coordinator, education of our patients and their caregivers is our most important role.  When we prepare a patient for their admission for their BMT, we plan a family conference that includes discussing and signing consents as well as going over general restrictions that will be required when the patient is discharged.  As the number of autologous transplants increased for Multiple Myeloma (MM) patients, we found we had less and less time to go over educational materials.  About two years ago, we decided to develop a MM school to help rectify this problem.  This would be a once a month class (in the beginning) and patients and their caregivers would attend.

Internal Factors

     We pitched it to administration as a need justified by the increasing patient population as well as the idea that a better prepared patient and caregiver could equate to a decreased length of stay (LOS) as an inpatient.  As our first internal factor, decreasing inpatient LOS is and had been a goal of the hospital related to initiatives by CMS (CMS.gov, 2017).  We were given the go-ahead by administration.

     The second internal factor that affected if we could start the school was related to resources (Keating & DeBoor, 2018).  Having a conference room with AV equipment available once a month could be a struggle since there was always issues with lack of space.  We were able to find an appropriate room at an odd time that would be big enough for 20 or more patients and caregivers.  Having enough coordinators to teach the class was our third internal factor (Keating & DeBoor, 2018).  There were two coordinators who were willing to teach the class and I was the back-up.

     The actual curriculum was a power point presentation adapted from our BMT patient manual.  Having the visual aid was important to us to encourage interest in the material and retention of the information by the patient and caregiver (Shabiralyani et al., 2015).  We presented it to our MM physicians for input and critique and it was enthusiastically accepted.  Having the class would help the physicians – they would not have to go over basic instructions and could focus on the more complicated information.

Summary

     Internal factors that impact starting a program can be daunting.  But if the need is justified without negative implications, it can be approved quicker than may be expected.  In the case of MM school, it would be good for the patients and caregivers, good for administration and their goal, and good for the providers in giving them more time to discuss other issues with their patients.

Note:  MM school is going strong with good attendance.  It is now twice a month, with the second class being offered on Saturdays.  The curriculum is revised annually with input from patients, caregivers, social workers, and the inpatient staff.  We are now working on a poster presentation of how it was started and how well it has worked for a future nursing conference.

References

CMS.gov (2017).  Outcome Measures.  Retrieved from https://www.cms.gov/medicare/Quality-

     Initiatives-Patient-Assessment-Instruments/HospitalQualityInits/outcomeMeasures.html

Keating, S.B. & DeBoor, S.S. (Ed.). (2018).  Curriculum, Development, and Evaluation in

 Nursing (4th Ed.).  New York, NY:  Springer.

In this discussion we will talk about out expected change outcomes and implantation process outcomes. We will focus on our outcome’s management. “The principles supporting outcomes management (OM) ascribed by Ellwood included emphasizing practice standards that providers can use to select interventions, measuring patient functional status, well-being, and disease-specific clinical outcomes, pooling outcome data on a massive scale, analyzing and disseminating outcomes, in relation to the interventions used, to appropriate decision makers and stakeholders” (LoBiondo-Wood, Haber, 2014, pg. 225)

Expected Change Outcomes

Our expected outcome would be patients with COPD who practice relaxation techniques versus not using relaxation techniques would see an improvement in their dyspnea and anxiety in a years’ time. Our goal would to be better control our patient’s COPD and decrease exacerbations and dyspnea. Also, to decrease the scores on the patients PHQ-9 and GAD-7 questionnaires. In doing so we would have less re-admissions to hospitals and a better quality of life. Our measurable goal would to have a decrease in admission to the hospital for COPD exacerbations. This would be measured by looking at how many times a patient was admitted to the hospital in the previous year and try to decrease this number. Then we would compare it to how many times she was hospitalized after educating them on relaxation techniques to see if the number of admissions decreased

Implementation Process Outcomes

           The implementation process will be that every nurse will be doing both the education and screenings by the first week once we make the change in practice. The nurse manager will ensure that all nurses are educated on the relaxation techniques and screenings, and that they are being done with every COPD admission. By the second appointment for the COPD patients, our patients will be screened on performing the relaxation techniques correctly, PHQ-9, GAD-7 questionnaires, and if the patient has been to the hospital for a COPD exacerbation. We will continue to do these screenings at every appointment. We will see our COPD patients every 3 months to evaluate. We will see them at the end of the year and compare their current numbers to their numbers in the beginning of the year. Our nurses will have quarterly meetings to ensure everyone is teaching their relaxation techniques correctly and are doing their questionnaires. Specific barriers that we could run into is nursing staff rushing through the demonstration of the relaxation techniques and rushing the patients during their PHQ-9 and GAD-7questionsairs. This will be eliminated by giving the nurses more time when checking in COPD patients. 

Reference

LoBiondo-Wood, G., & Haber, J. (2014). Nursing research: Methods and critical appraisal for   evidence-based practice (8th ed.). St. Louis, MO: Mosby Elsevier. ISBN-13: 978-0-323-      10086-1

 

Evolving Practice of Nursing and Patient Care Delivery Models

As the country focuses on the restructuring of the U.S. health care delivery system, nurses will continue to play an important role. It is expected that more and more nursing jobs will become available out in the community, and fewer will be available in acute care hospitals.

1. Write an informal presentation (500‐700 words) to educate nurses about how the practice of nursing is expected to grow and change. Include the concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse‐managed health clinics.
2. Share your presentation with nurse colleagues on your unit or department and ask them to offer their impressions of the anticipated changes to health care delivery and the new role of nurses in hospital settings, communities, clinics, and medical homes.
3. In 800‐1,000 words summarize the feedback shared by three nurse colleagues and discuss whether their impressions are consistent with what you have researched about health reform.
4. A minimum of three scholarly references are required for this assignment.

While APA format is not required for the body of this assignment, solid academic writing is expected and in‐text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.