Instructions

Follow these guidelines when completing this assignment. Contact your course faculty if you have questions.

Write a brief 1-2 paragraph weekly reflection addressing the questions posed in the Reflect section of each weekly module. Edit your Reflection to include each weekly reflection.

Include the following sections in your Reflection:

·  Week 1: Reflect upon your Week 1 learning journey in NR711 and address the following in 1-2 paragraphs:

o  As you assess your learning, provide one specific example of how you achieved one of the weekly objectives.

o  How will you promote collaborative, inter-professional relationships in a rapidly transforming healthcare environment?

o  What do you value the most about your learning this week?

·  Week 2: Reflect upon your Week 2 learning journey in NR711 and address the following in 1-2 paragraphs:

o  As you assess your learning, provide one specific example of how you achieved one of the weekly objectives.

o  How might you use this week’s information to benefit your organization in the future as a DNP-prepared nurse?

o  What do you value most about your learning this week?

·  Week 3: Reflect upon your Week 3 learning journey in NR711 and address the following in 1-2 paragraphs:

o  As you assess your learning, provide one specific example of how you achieved one of the weekly objectives.

o  How might you use the learning this week with your own DNP Project planning?

o  What do you value most about your learning this week?

·  Week 4: As you reflect upon your Week 4 learning journey in NR711 and address the following in 1-2 paragraphs:

o  As you assess your learning, provide one specific example of how you achieved one of the weekly objectives.

o  How might you improve on your communication skills to be more effective as a project manager?

o  What do you value most about your learning this week?

·  Week 5: Reflect upon your Week 5 learning journey in NR711 and address the following in one or two paragraphs:

o  As you assess your learning, provide one specific example of how you achieved one of the weekly objectives.

o  How might the outcomes of your project influence nursing practice and/or patient care, and/or your organization?

o  What do you value most about your learning this week?

·  Week 6: Reflect upon your Week 6 learning journey in NR711 and address the following in one or two paragraphs:

o  As you assess your learning, provide one specific example of how you achieved one of the weekly objectives.

o  How might your knowledge about budgets and financial analysis contribute to providing cost-saving solutions to patient care while improving outcomes?

o  What do you value most about your learning this week?

·  Week 7: Reflect upon your Week7 learning journey in NR711 and address the following in one or two paragraphs:

o  As you assess your learning, provide one specific example of how you achieved one of the weekly objectives.

o  How might your knowledge about current reimbursement trends be useful for you as a DNP-prepared nurse?

o  What do you value most about your learning this week?

I attached all the discussion forums for each week. You can summarize each week in 1-2 paragraphs that will guide you through each week’s attachment.

The Assignment:

Complete the Focused SOAP Note Template provided for the patient in the case study. Be sure to address the following:

• Subjective: What was the patient’s subjective complaint? What details did the patient provide regarding their history of present illness and personal and medical history? Include a list of prescription and over-the-counter drugs the patient is currently taking. Compare this list to the American Geriatrics Society Beers Criteria®, and consider alternative drugs if appropriate. Provide a review of systems.
• Objective: What observations did you note from the physical assessment? What were the lab, imaging, or functional assessments results?
• Assessment: Provide a minimum of three differential diagnoses. List them from top priority to least priority. Compare the diagnostic criteria for each, and explain what rules each differential in or out. Explain you critical thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.
• Plan: Provide a detailed treatment plan for the patient that addresses each diagnosis, as applicable. Include documentation of diagnostic studies that will be obtained, referrals to other health-care providers, therapeutic interventions, education, disposition of the patient, caregiver support, and any planned follow-up visits. Provide a discussion of health promotion and disease prevention for the patient, taking into consideration patient factors, past medical history (PMH), and other risk factors. Finally, include a reflection statement on the case that describes insights or lessons learned.
• Provide at least three evidence-based peer-reviewed journal articles or evidenced-based guidelines, which relate to this case to support your diagnostics and differentials diagnoses. Be sure they are current (no more than 5 years old) and support the treatment plan in following current standards of care. Follow APA 7th edition formatting.

Week 8 Case 2: Acute Lymphoblastic Leukemia (ALL)

CC: Mrs. Derrick is a 78-year-old female who comes to the office with complaints of increasing symptoms of lethargy; fever, night sweats, a 15 lb. weight loss over 6 months; bleeding gums when she brushes her teeth; purplish patches in the skin; and shortness of breath.

HPI:

She states that she has had sensation of deep pain in her bones and joints.

She notes that her employment history includes working at a dry-cleaning shop for 15 years, with an exposure to dry cleaning chemicals (benzenes are known to be a possible cause of leukemias)

PE shows enlarged lymph nodes and swelling or discomfort in the abdomen.

You diagnose this patient with acute lymphoblastic leukemia (ALL).

Address the following in your SOAP note:

What additional history about her past work environment would you explore?

What additional objective data will you be assessing for?

What tests will you order? Describe at least four lab tests.

What are the differential diagnoses that you are considering? Describe two.

List at least two diagnostic tests you will order to confirm the diagnosis of ALL.

Will you be looking for a consultation? Please explain.

As the primary care provider for this patient with ALL:

• Describe the education and follow-up you will provide to this patient during and after treatment by the hematologist-oncologist.
• Describe at least three (3) roles as the PCP for the ongoing care of the ALL patient.

Read the article: “Coker-Bolt, P., Jarrard, C.,Woodard, F., & Merrill, P. (2013). The effects of oral motor stimulation on feeding behaviors of infants born with univentricle anatomy. Journal of Pediatric Nursing, 28(1), 64-71.” After reviewing the article, please answer the following questions (see below).

Coker-Bolt, P., Jarrard, C.,Woodard, F., & Merrill, P. (2013). The effects of oral motor stimulation on feeding behaviors of infants born with univentricle anatomy. Journal of Pediatric Nursing, 28(1), 64-71.

1. The Problem/Question:

• Was there a clear statement of the question, objectives and aims of the research?
• Is the problem practically important?
• What is the hypothesis?

2. Background

• Are the cited sources pertinent to the study?
• Is the review too broad or too narrow?
• Are the references recent?
• Was a theoretical perspective identified?

3. Design and procedures

• What research methodology was used?
• What are the variables? What is the dependent variable and independent variable?
• How was sampling performed?

4. Conclusions and Implications

• Were the implications discussed?
• What recommendations were made at the conclusion?
• Is it possible to implement these recommendations in practice?

CASE STUDY DISCUSSION QUESTIONS

1.       What diversity issues are present in the case?

2.        2. How would you define diversity? What makes an organization diverse?

3.        3. How should Ralph open up the diversity conversation to the Corporate Leadership Team (CLT) as a whole?

4.        4. What conflict management tools should Ralph use to address the perceived cultural bias issues with the Corporate Leadership Team (CLT)?

5.        5. What effect did promoting Roosevelt to Senior Vice President (SVP) have on the organization? Why?

6.        6. Why did Ralph promote Roosevelt to Senior Vice President (SVP)? What did that signal to the organization and CLT?

7.        7. Which team is more important to have as high performers, the Corporate Leadership Team (CLT) or the Corporate Diversity Department (COD)? Why?

8.        8. What impact will increasing diversity have on team performance? Why?

9.        9. What leadership traits will be important for Mikayla to develop for the Chief Diversity Officer (COO) position?

10.   10. Is the current workforce diverse? In all professions?

11.    11. How much does the composition of the Board of Directors contribute to Ralph’s decision-making?

Assignment: Sexual Harassment in the Workplace

Julie has been a nurse at Memorial Hospital for three years. During that time, she has developed productive relationships with her colleagues and has earned a reputation for providing exceptional care to patients. One day she approaches you, her manager, and asks to speak in private. Once you are alone, Julie explains that over the past couple of months she has heard a physician and two nurses repeatedly make disparaging remarks about people who are homosexual. She appears visibly upset as she tells you this. Julie says that the situation has become so uncomfortable that she no longer feels safe in this environment.

Does this scenario reflect a possible case of sexual harassment? How would you respond to Julie, and what steps might you take next?

Sexual harassment is an important topic in today’s organizations–one that is often addressed through HR presentations and trainings. However, even for experienced nurse managers and HR professionals, it can be challenging to recognize some of the behaviors and actions that may indicate sexual harassment. Nurses in leadership and management positions have a critical responsibility to become attuned to the various interactions that can be problematic, including inappropriate remarks and jokes, improper fraternization, quid pro quo situations, and potentially offensive images.

To prepare

·         Review the articles, “Sexual Harassment – A Touchy Subject for Nurses,” “Why Are Nurses Leaving? Findings from an Initial Qualitative Study on Nursing,” and “Bullying, Harassment, and Horizontal Violence in the Nursing Workforce.” Consider sexual harassment situations most commonly experienced by nurses.

·         Think about a work environment with which you are familiar. Have you witnessed or experienced any behaviors that–perhaps with the benefit of hindsight and increasing awareness–may be construed as sexual harassment, even if you did not think of them that way at the time? Do you recall any instances in which you might have intentionally or unintentionally contributed to or participated in an environment that tolerated harassment against one or more individuals? If so, what were your thoughts and feelings at the time? How, perhaps, has your perspective since shifted?

·         Select one of the following options:

1.      Option 1: Conduct research via the Walden Library, or other scholarly sites, to select an article that presents an authentic example of workplace sexual harassment.

2.      Option 2: Identify an authentic example of suspected or proven sexual harassment from your professional experience.

·         Conduct research related to your selected example to assess the ramifications that may result from instances of sexual harassment.

·         Consider how you could partner with HR to mitigate situations of sexual harassment in your workplace. In addition, think about specific steps you could take to diminish inappropriate behaviors in the workplace.

To complete

Submit a 3- to 5-page paper in which you do the following:

Describe an authentic example of suspected or proven sexual harassment.

·         Explain how this specific instance of sexual harassment impacted the workplace.

·         Identify at least two legal ramifications that could have (or did) result from this situation and how they could (or did) negatively impact the workplace.

·         Briefly explain other ramifications (e.g., organizational culture, staff relationships, individual and team performances, patient safety, quality of care) that could have (or did) result because of this specific instance.

·         Describe the actions that were taken to resolve the situation, if applicable.

Formulate an action plan that can be used to mitigate and/or ameliorate behaviors that constitute sexual harassment.

·         Based on your example, explain how you would educate staff on the identification and prevention of inappropriate behaviors. Describe at least two specific steps you would take to diminish similar sexual harassment situations.

·         Describe at least two ways you could partner with HR to effectively accomplish your action plan.

NOTE: For the purposes of this assignment, please do not reveal the name of your workplace or the individuals involved.

Reminder: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at http://writingcenter.waldenu.edu/57.htm). All papers submitted must use this formatting.

Please read the Grading Rubic