You recently accepted the nurse manager position of a busy emergency department (ED) in a new organization that had 100,000 ED visits last year. These visits represent a 10% increase over the previous year. To meet the needs for staffing required for this sudden growth, the prior nurse manager hired 10 new nursing graduates and 10 nurse travelers that arrived on the unit a few weeks before you came. The breakdown in level of tenure and experience in your staff is: 25% highly tenured in this ED and experienced in this specialty; 25% tenured within the organization and proficient in this specialty; and 30% less than 2 years in the ED/organization and competent in this specialty. The remaining 20% of your staff are the experienced ED nurse travelers and inexperienced new nurses, both groups that are new to the organization.

One of your first new responsibilities as the ED nurse manager is to provide unit-based leadership for the implementation of a new patient tracking system that offers more functionality than the previous tracking system used by this ED for the past 7 years. During the hiring process, you learned that the organization was going to implement this new patient tracking system, and you shared that you had experience in implementing the same system in your previous job.

To prepare:

Assignment (5 pages-not including title page and reference page)

Write a paper in which you demonstrate how you, as the leader in the case example provided, would address the following:

• Explain how you would provide leadership for the implementation of the new system. Include a description of the leadership behaviors that would be most effective to position your staff for success based on their experience and needs.
• Explain how this implementation plan relates to your Clifton Strengths Signature Theme Report, including how this leadership situation aligns with or differs from your leadership profile.
• Explain your rationale for your choices and appropriately reference literature that supports your thinking.
• Explain how being able to successfully implement situational leadership better positions you to advocate for social change within your new organization on behalf of the patient population served. 

Assess the culture of the organization for potential challenges in incorporating the nursing practice intervention. Use this assessment when creating the strategic plan. Write a 150-250 word strategic plan defining how the nursing practice intervention will be implemented in the capstone project change proposal. APA style is not required, but solid academic writing is expected. You are not required to submit this assignment to Turnitin.

 

In 1,500 words, describe the teaching experience and discuss your observations. The written portion of this assignment should include:

1. Summary of teaching plan 
2. Epidemiological rationale for topic (Topic focuses on the prevention of Influenza)
3. Evaluation of teaching experience
4. Community response to teaching (Community consists of hispanic parents of children in a day care center)
5. Areas of strengths and areas of improvement

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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. Refer to the LopesWrite Technical Support articles for assistance.

Examine Case Study: An Elderly Hispanic Man With Major Depressive Disorder. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.

• At each decision point stop to complete the following:    
  • Decision #1      
    • Which decision did you select?
    • Why did you select this decision? Support your response with evidence and references to the Learning Resources.
    • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
    • Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different?
  • Decision #2      
    • Why did you select this decision? Support your response with evidence and references to the Learning Resources.
    • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources. 
    • Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different?
  • Decision #3      
    • Why did you select this decision? Support your response with evidence and references to the Learning Resources.
    • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
    • Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?

Rubric:

Assignment exceeds expectations. All topics are addressed with a minimum of 75% containing exceptional breadth and depth about each of the assignment topics.

Quality of Work Submitted:
The extent of which work meets the assigned criteria and work reflects graduate level critical and analytic thinking. 

Quality of Work Submitted:
The purpose of the paper is clear. 

Assimilation and Synthesis of Ideas:
The extent to which the work reflects the student’s ability to:

Understand and interpret the assignment’s key concepts. 

Assimilation and Synthesis of Ideas:
The extent to which the work reflects the student’s ability to:

Apply and integrate material in course resources (i.e. video, required readings, and textbook) and credible outside resources. 

Assimilation and Synthesis of Ideas:
The extent to which the work reflects the student’s ability to:

Synthesize (combines various components or different ideas into a new whole) material in course resources (i.e. video, required readings,  textbook) and outside, credible resources by comparing different points of view and highlighting similarities, differences, and connections. 

Written Expression and Formatting

Paragraph and Sentence Structure: Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are clearly structured and carefully focused–neither long and rambling nor short and lacking substance. 

Written Expression and Formatting

English writing standards: Correct grammar, mechanics, and proper punctuation 

Written Expression and Formatting

The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list.