As pressures and demands for more standardized business structures fluctuate in society, health care administration leaders may experience challenges in developing consistent methods for solving health care administration problems. Though consistency may be necessary for enacting change, within many areas and localities, consistency may not be an option. As a result, a leader must be able to use a systems thinking approach to evaluate the best method for leadership contingent upon the circumstance.

For this Discussion, select a current event related to health care administration and leadership not previously discussed in earlier weeks. With the event you selected, reflect on how you might apply Fiedler’s Contingency Model. Consider the actions and interactions between leaders and subordinates with the application of this model.

Post a brief description of the event you selected. Then, explain whether the leader’s interaction with his or her subordinates was task-motivated or relationship-motivated. Justify your answer based on Fiedler’s Contingency Model.

Discussion 1

TedTalk: Ben Goldacre: Battling Bad Science 

How do you know something?

Babbie (2016) stated, “social theory has to do with what is, not with what should be. For many centuries, however, social theory did not distinguish between these two orientations. Social philosophers liberally mixed their observations of what happened around them, their speculations about why, and their ideas about how things ought to be. Although modern social researchers may do the same from time to time, as scientists they focus on how things actually are and why” (pg. 9).

If social researchers ‘focus on how things actually are and why’, why are we considering the information provided in the TedTalk, Battling Bad Science?

Discussion 2

What is inductive reasoning and why is it associated with qualitative research? 

What is deductive reasoning and why is it associated with quantitative research? 

And to move this discussion even further, what is abductive reasoning?

 It’s important I meet the competencies…!

Overview 

Create a 15-minute oral presentation (3–4 pages) that examines the moral and ethical issues related to triaging patients in an emergency room.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:  

• Competency 1: Explain the effect of health care policies, legislation, and legal issues on health care delivery and patient outcomes.       
  • Explain the health care policies that can affect emergency care.
  • Recommend evidence-based decision-making strategies nurses can use during triage.
• Competency 3: Apply professional nursing ethical standards and principles to the decision-making process.       
  • Describe the moral and ethical challenges nurses can face when following hospital policies and protocols.
  • Explain how health care disparities impact treatment decisions.
• Competency 4: Communicate in a manner that is consistent with expectations of nursing professionals.       
  • Write content clearly and logically, with correct use of grammar, punctuation, and mechanics.
  • Correctly format citations and references using APA style.

Assessment Instructions 

Your supervisor has asked you to do a 15-minute oral presentation at a staff meeting about a recent issue that occurred at another hospital in town. Following an industrial accident, two patients arrived at the emergency room of that hospital at the same time, presenting with very similar inhalation injuries. The hospital received a great deal of negative press due to how the patients were triaged in the ER. Your supervisor would like you to use the specifics of this case to review triage procedures and best practices at your facility. Here are the details:

• One is a 32-year-old firefighter, Frank Jeffers, who is presenting with respiratory difficulties that he obtained while evacuating victims of an industrial accident. He is a married homeowner and father of two young boys. He has lived in the community all his life. He has full and comprehensive health insurance through his employer.
• The other is Brent Damascus, a 58-year-old man. Brent is presenting with respiratory difficulties with the same intensity as Mr. Jeffers above. He is well known at the hospital emergency room, as he is a frequent visitor with various complaints, including asthma, headaches, and tremors. He is homeless, unemployed, and uninsured. He stays many nights at the YMCA and eats lunch at the soup kitchen. He has lived in the community for over 10 years and has been arrested several times for petty theft.

Preparation

Search the Capella library and the Internet for scholarly and professional peer-reviewed articles on best practices in triage nursing. You will need at least three articles to use as support for your work on this assessment.

Directions

Create a 15-minute presentation (3–4 pages) that examines the moral and ethical issues that occurred when triaging these two patients and the best practices for managing this in the future.

Divide your draft into a number of talking points that you can summarize neatly. Keep in mind that an oral presentation requires slightly different language than an essay. The aim is to communicate your message so keep sentences simple and focus on the key points you want to deliver. Address the following in your presentation:

• Explain the health care policies and protocols that are in place that direct triage care in an emergency situation.
• Explain how health care disparities impact treatment decisions.
• Identify the health care policies that are in place that direct care for uninsured individuals. Is there a difference in how these individuals are triaged?
• Describe the moral and ethical challenges nurses can face when following hospital policies and protocols. Is there a conflict when a severely injured person is also uninsured?
• Recommend evidence-based strategies that should be applied for managing the care of uninsured and indigent population.

Additional Requirements

Your presentation should meet the following requirements:

• Written communication: Written communication should be free of errors that detract from the overall message.
• References: Include a reference section with a minimum of three references; a majority of these should be peer-reviewed sources. All resources should have been published within the last 5 years.
• APA format: Resources and citations should be formatted according to current APA style and formatting.
• Length: 3–4 typed, double-spaced pages, excluding title page and reference page. Use Microsoft Word to complete the assessment.
• Font and font size: Times New Roman, 12-point.

Case Studies

Each student will be assigned two of the case studies below. 

Your post should contain: initial page, abstract, introduction, case presentation management, discussions and conclusions, etc.  

You NEDDS TO post graphics from online sources. You are expected to provide 3 references for all the information cited in less than 5 years. All cases in APA style. 

Discussion Questions

1. Relate history to the diagnosis. What risk factors are present, and how does each predispose to disease?

2. Explain the cause of the disease in this patient.

3. How could this disease have been prevented in this patient?

4. Discuss the complications that might develop in this patient.

5. Discuss the treatments available to the patient.

6. What is the probable prognosis for this patient?

Case Study# 1: A 27-year-old male who works on a construction site visits his family physician three days after suffering a puncture wound from a nail gun in his foot.  The site of the injury is painful, red, warm and swollen with evidence of pus. There are reddish streaks extending up his ankle and lower leg. His temperature is 101 °F.

Case Study# 2:  Harold, a 61-year-old male smoker, suffers from chronic bronchitis, which was diagnosed two years ago.   At that time, he was treated with antibiotics, told to stop smoking and given a prescription for albuterol.  He attempted to give up smoking, but he says that, although he has cut back, he still smokes about half a pack a day.  He has been faithful about seeing his doctor for follow-up visits every six months and has occasionally required antibiotic therapy when his bronchitis flairs up. On his most recent visit, he reports that his dyspnea is getting worse, and he experiences wheezing whenever he does anything strenuous.  His doctor notes a slight bluish tint to his lips and mucous membranes, as well as peripheral edema and some enlargement of the liver. He informs Harold that his chronic bronchitis is getting worse and he is beginning to experience symptoms of cor pulmonale.