Respond to your colleagues by explaining how the  leadership skills they described may impact your organization or your  personal leadership, or by identifying challenges you see in applying  the skills described.

At least 2 references in each peer responses!

Incivility and bullying have long been a problem within nursing and the healthcare profession.  Edmonson defines incivility as “the destructive and harming behaviors of disrespect and degradation” (Edmonson, 2017 p. 40).  In nursing it is known as “getting a thick skin” and “eating their young” (Edmonson 2017).  Incivility is harmful to the individual, patients, the organization, and has long-term negative effects.  It not only harms the individual but it can affect patient care and decrease morale in the work place.  Incivility can contribute to medical errors, preventable adverse outcomes, poor patient satisfaction, and increase cost of care.  It can create unhealthy and hostile work environments and can undermine the nurse’s idealism and professionalism.  Yet, disruptive behaviors such as incivility and bullying are tolerated in many settings and can cause clinicians, managers and staff to seek positions elsewhere.   Some key behaviors of incivility include rude comments, offensive or condescending language, public criticism, screaming, and disregard for interdisciplinary input on patient care (Lachman 2017).  Disruptive behaviors can have long lasting negative effects and affect the health and well-being of individuals due to psychological and physical stressors.  They can develop stress related disorders resulting in feelings of failure, tension and depression (Kim 2018). 

Healthful environments are grounded in a culture that values diversity supports communication, trust and collaboration.  To create a culture of civility that promotes a safe environment it is the responsibility of nurse leaders to support staff.  One strategy to creating a culture that does not tolerate incivility would be to socialize new and current employees.  Rather than let the day-to-day interactions of employees establish expectations, the nurse leader should clearly define behaviors that are acceptable and unacceptable to everyone.  Establish expectations of how staff should treat each other and post those guidelines (Smith 2018).  A second strategy to creating a healthful environment is to have a team approach to establishing team norms of civility.  Team members determine how norms are put into use and how to abide by them.  This approach will establish accountability among all team members of the organization (Clark 2016).  Having an honest and open approach to communication where people should not be afraid of telling their stories will help to empower people so speak out.  Creating a culture of structural empowerment allows people to regain their power, speak out against disruptive behaviors, and lower the levels of incivility (Lachman 2015).  An empowered culture will help maintain strategies that are in place, reduce tolerance of incivility and hold people more accountable.

When I was a nursing student I witnessed behaviors where the preceptor was deliberately being hard on the student, fortunately I had a preceptor who was nice and enjoyed teaching me.  As I entered the work force my first job was in the ED.  The manager of the ED was a nurse and she had an open policy where if anybody had issues they can come to her and discuss their grievances.  I noticed that the morale of the department was always good and everyone got along well.  The manager used a communication strategy called CUS (concerned, uncomfortable, safety) where people can come to her to address concern, state uncomfortable situations, and focus on safety.  When people have disagreements, the manger would talk to both of them in the office at the same time and let each person talk about their grievances.  It seemed to work pretty well as issues were promptly resolved and everybody seemed happy with the results.

References:

Clark, C. M. (2016).  Principled leadership and the imperative for workplace civility.  American Nurse Today, 11(11), 32-33.

Edmonson, C., Bolick, B., & Lee, J. (2017).  A moral imperative for nurse leaders: Addressing incivility and bullying in health care.  Nurse Leader, 15(1), 40-44.

Kim, J. (2018).  Relationship between incivility experiences and nursing professional values among nursing students: Moderating effects of coping strategies.  Nurse Education today, 65, 187-191.

Lachman, V. D. (2015).  Ethical issues in the disruptive behaviors of incivility, bullying, and horizontal/lateral violence. Urologic Nursing, 35(1), 39-42

Smith, J. G. (2018).  Establishing norms of respect: Strategies for nurses and managers.  American Nurse Today, 13(6), 44-45.

1. Consider the past achievements in public health as many have implications around the globe.
2. Describe a global health concern that has impacted your community or those you care for.
3. Discuss what surveillance data could be pulled from an electronic health record (EHR) you have used or currently use in your nursing practice.
4. Take a moment to review the Twitter feed for compelling Tweets that are related to informatics, global health, and population health outcomes.
5. Share an overview the Tweet and how it is likely to impact future collaborative trends in community health.
6. Compose a 280-character or fewer Tweet that describes what you would like to see as a Tweet in the next decade related to public health achievements. Please try to be realistic, but also be visionary. Remember Twitter only allows 280 characters (this includes spaces, etc.) so you will need to be concise. It should include a hashtag. Include a reference URL if applicable. Share this Tweet in the discussion. (Note: A Twitter account is not required nor share your Tweet on social media). 

Develop a 3- to 4-page paper, written to your organization’s leadership team, addressing your selected national healthcare issue/stressor and how it is impacting your work setting. Be sure to address the following:

• Describe the national healthcare issue/stressor you selected and its impact on your organization. Use organizational data to quantify the impact (if necessary, seek assistance from leadership or appropriate stakeholders in your organization).
• Provide a brief summary of the two articles you reviewed from outside resources on the national healthcare issue/stressor. Explain how the healthcare issue/stressor is being addressed in other organizations.
• Summarize the strategies used to address the organizational impact of national healthcare issues/stressors presented in the scholarly resources you selected. Explain how they may impact your organization both positively and negatively. Be specific and provide examples.

Child development theories, educational theories, ethical theories all provide information that support communication and patient care. Maslow’s hierarchy of needs and Lewin’s theory of planned change reinforce a relationship between nursing and other disciplines. Non-nursing and nursing theories can work together to inform and guide nursing practice, education, and research.

Choose a theory from one of the following disciplines of behavioral, leadership, business, education, and or technology. Describe the theory and assess its value to professional nursing practice.

   The following post is another student post to wish i have to react adding some extra information related to the student post.  APA STYLE AND LESS THAN 20 % SIMILARITY   

Week Discussion

While you can find many techniques of sample selection, I favor simple random sampling. This’s identified by Beck and Polit (2016) as a kind of sampling where all topics in the target population have identical chances of selection. The best benefit of this particular kind of sampling would be that the researcher locations higher confidence in the representativeness of the samples just for the common public.

The technique is additionally simple to work with. Flat once the target population has to be split into layers (e.g. by age range, type and sex of disease), random sampling could likewise be worn for organizations. Arbitrary sampling additionally offers samples with little sampling errors (Polit, & Beck, 2012). Therefore, the conclusions drawn out of the information analysed are valid and reliable. The technique additionally allows for the group of information which could be examined utilizing inferential statistics.

In order to choose the amount of components of the public, you are able to utilize the lottery technique, several the numbers and random numbers randomly generated by a laptop application, i.e. arbitrarily. The lottery technique just is effective with little sample populations, it’s not sensible to be used with bigger populations. A good example of utilizing the lottery strategy will be selecting a random test from a team of hundred participants. Most names are positioned in a pot and are removed one by one till they’re big enough for the sample of ours.

Reference

Polit, D., & Beck, C. (2012). In Nursing research: Generating and assessing evidence for nursing practice (Ninth Ed.). Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins.

.