Write a 700- to 1,050-word paper that evaluates your relationships with connections on the organizational chart. Consider the following:

• Where do you fall on the organizational chart?
• Where are relationships strong?
• Where is there a breakdown?
• What can be done to strengthen these relationships?  

Cite 3 reputable references to support your assignment (e.g., trade or industry publications, government or agency websites, scholarly works, or other sources of similar quality).

Format your assignment according to APA guidelines.

Click the Assignment Files tab to submit your assignment.

Submit a summary of six of your articles on the discussion board. Discuss one strength and one weakness to each of these six articles on why the article may or may not provide sufficient evidence for your practice change.

PLEASE USE REFERENCES FROM THE DOCUMENT THAT SAYS USE REFERENCES FROM HERE.

350 WORDS. NO PLAGIARISM PLEASE. SAMPLE IS ALSO ATTACHED.

wk4/Z

“Culture has a powerful effect on an organization and is recognized by many as the “glue” that holds an organization together and allows it to adapt to changing environments” (Glickman, Bagget, Krubert, Peterson, & Schulman, 2007). An environment that embraces diversity and equality will help assure the standards of nursing to include cultural competency. It is important for leadership and teams to understand the practices and behaviors of other cultures. Lack of cultural competence can be a barrier to effective communication and this can flow down to patients and the families we take care of. Patients are more diverse with the increase of global travel. All levels of the nursing workforce should reflect the diversity of the population the institution serves (Coe, 2013).  “Effective nurse leaders realize that diverse groups are more likely to consider a variety of different viewpoints; therefore, they are more likely to develop better, more creative solutions to problems”

    My institution is located near one of the largest military installations in the United States. We see many patients of different cultures. I also live in Texas and we see a majority of patients that represent the Mexican culture. I would most definitely incorporate someone from the Mexican culture into my team. As a nurse leader I will need to understand the cultural differences among the staff. Having someone from the Mexican culture will help the team understand the language, health practices, beliefs and customs and this will allow for more effective communication with staff, patients and families. There are many dialects spoken in Mexico. They include Spanish, English and indigenous Indian language. Verbal communication is important and understanding that someone of Mexican cultural may stand close and use a loud voice is also important. Older adults do not maintain eye contact. Knowing that this culture may show up late to appointments, it is important to stress the reasons for being on time for health care appointments. Extended family tend to be a good resource for this population (Purnell, 2014).  This person will be able to help provide insight and education to staff. Having cultural diverse team and members will help the group learn and grow and provide safe, effective, quality care to our patients 

WK/ PR

PART 1

The different culture of people leads to a change of team performance as some of the members in most of those teams are composed of different cultural background where each of them has to base his/her work as per the history of culture. Again, some of this participants differ in their traits as they may not share the same language and value difference hence fluctuate in their communication (Earley & Mosakowski, 2010). Another idea on which they differ is on their performance on issues of behavior, values and beliefs as some of the members might take duration before emulating some of the merits which may overwhelm their good performance outcome. Critically, conflicts that may arise based on opinions may diminish this team performance and decrease personal and direct process of interaction as each member has its cohesion which gives some of this indifference.

           There are several ways that a person can choose to focus during incorporation of a person who has a different culture in your team. Some of this ways may base on good capture to the essence of that person which is one of integrity that many communities focus as there is a communication barrier. In the same manner, one may feature on core values of that person which are on its beliefs and baseline of behavior and which explicitly define clear how the person behaves after being incorporated into the team. Also focus on customer interaction feedback and response as this issues might embody some of the decline changes which may undermine the manageability of credibility (Niebuhr, 2016). Ideally, if culture and values may not align then this issue can create business performance decline and suffer. It would be of importance to consider the beliefs that our new member in the team follows to make him/her align with the performance of the team.

PART 2

Your comment on the difficulties of communication among a diverse group is a very real issue. The differences in languages, accents and dialects can cause communication difficulties. Often a person from another culture may have communication apprehension. Communication apprehension, is defined as “an individual’s level of fear or anxiety associated with either real or anticipated communication with another person or persons” (McCroskey, 1977, p. 78). The leader’s responsibility in this situation would be to identify ways to help the person feel more comfortable and assisting assimilation into the group. According to Asherman & Bing (2010) ways to assist is to allow individuals who do not speak English as a first language more time to respond to the discussion. Due to communication apprehension, the leader can take written ideas after the meeting to avoid the need for the individual to talk to a group. Also teaching the team to speak distinctly and avoid the use of jargon is helpful. Paraphrasing and summarizing more in meetings will help to identify and clarify any miscommunications. While working with nurses from so many diverse cultures have you seen evidence of communication apprehension? If so, how did nursing leaders respond to communication apprehension? 

Please respond to the following: “Michael Porter’s Five Forces Model”

• Examine the key reasons why intense competition and rivalry characterize the health care industry. Suggest one (1) example to support your rationale.
• Appraise the value and importance of Michael Porter’s Five Forces Model as a tool for facilitating the understanding and addressing of the competition within the health care industry. Provide at least two (2) specific examples of Michael Porter’s Five Forces Model that apply within a health care organization with which you are familiar.