A company’s culture is often buried so deeply inside rituals, assumptions, attitudes, and values that it becomes transparent to an organization’s members only when, for some reason it changes.
—Rob Goffee

Culture is embedded within every organization. Yet, because culture is woven throughout the everyday interactions and atmosphere of an organization, it can be difficult to assess and explain how the culture influences the inner workings of the organization.

As a nurse leader-manager, developing a sound understanding of an organization’s culture can help you to achieve quality improvement initiatives and identify strategies for enacting sustainable change.

For this Discussion, you analyze the culture of an organization and consider how this relates to achieving goals related to quality improvement. You may wish to focus on the same organization that you have selected for your Course Project.

To prepare:

• Review the information on organizational culture in this week’s Learning Resources.
• Reflect on the culture of an organization with which you are familiar. Consider the following:
  • What elements of the organization’s culture seem most prominent or significant to you?
  • What beliefs, dispositions, and/or actions seem to be most valued? Why do you think so?
  • What do you notice about the expectations, assumptions, and more demonstrated among people within the organization?
  • What artifacts provide clues about the culture?
  • How do these cultural elements contribute to or detract from the organization’s ability to meet prominent goals and objectives?
• Consider how you, as a nurse leader-manager, could apply your knowledge of this culture to facilitate quality improvement initiatives within this organization. How would you leverage the strengths of the culture, and address limitations or obstacles that may arise within it?
•  Post an analysis of the culture of the organization that you selected. Explain how you think this particular culture contributes to or detracts from the organization’s ability to meet goals. Explain how you, as a nurse leader-manager, could utilize your knowledge of this culture to facilitate quality improvement initiatives within this organization. 

 

Groups: Three to four students will be randomly assigned to each group for the Week 5 Assignment 1:

• Group 1 – Survey Research
• Group 2 – Experimental Research
• Group 3 – Correlational Research
• Group 4 – Case Study
• Group 5 – Phenomenology…………………………………………………I am Group 5
• Group 6 – Ethnography
• Group 7 – Grounded Theory
• Group 8 – Focus Groups
• Group 9 – Mixed Methods (exploratory or explanatory)

Please My group Is Group 5 …Phenomenology

 

Work with your group to finalize an eight to ten slide (length does not include the cover or references slides) PowerPoint presentation with references about your group’s assigned research method: Phenomenology

• Description of the research method.
• Describe whether it is qualitative or quantitative, or both, and why.
• What are the steps to using this method? Explain in detail.
• Provide an example of one study where it has been used. Summarize the study and how it used your group’s assigned research method.
• Identification of challenges and limitations of this method.

 

Imagine you are a community health educator and you have been tasked with developing a presentation to be given in a setting to educate an audience on one type of diabetes.

Identify your audience. Examples include the following:

• Senior center
• Middle school
• A workplace

Create a resource (350 to 600 words) as a way to share this information. Examples include the following:

• A social media page
• An information pamphlet
• A presentation

Consider the best method so it is crafted in an appropriate and understandable way for your identified audience.

Choose from the two following options:

Option A: Type 1 Diabetes

• How society views Type 1 diabetes (what society thinks it is versus what it actually is, common beliefs and practices)
• Signs and symptoms
• Compliance with treatment regimens
• Making the right decisions to live a healthy life
• Impact on health care resources

Option B: Type 2 Diabetes

• How society views Type 2 diabetes (what society thinks it is versus what it actually is, common beliefs and practices)
• Preventive measures
• Signs and symptoms
• Making the right decisions to live a healthy life
• Compliance with treatment regimens
  Impact on health care resources

APA Cite sources Minimum 2

Case Study, Chapter 34, Management of Patients With Hematologic Neoplasms

1. John King, 60 years of age, is a male patient who is admitted with the diagnosis of multiple myeloma. He presents with a spinal fracture of the fifth lumbar vertebrae. The patient is scheduled for a vertebroplasty of the spinal fracture. The patient is to remain on bed rest and should be log rolled. Osteolytic lesions are seen in x-rays of the skull, vertebrae, and ribs. The patient has hypercalcemia. The patient’s uric acid level is elevated. The patient has orders for zoledronic acid (Zometa), thalidomide (Thalomid), allopurinol (Zyloprim), calcitonin, ibuprofen, and Vicodin. (Learning Objective 5)

1. What nursing management should the nurse provide the patient?
2. Explain the indication and action of the various medications ordered to treat the patient’s symptoms.

2. Susan Clare, age 38, is admitted to the medical oncology unit with acute myeloid leukemia (AML). She has many areas of ecchymosis and petechiae on her skin, as well as generalized pallor. She states she has lost 15 pounds in the last 2 months, and often has a low-grade fever. On physical assessment, you find her liver and spleen to be enlarged on palpation. (Learning Objective 3)

1. What laboratory results would you anticipate due to her ecchymosis and petechia?
2. Why would it be important to inspect her gums and teeth?
3. Why is her liver enlarged?

Carmen Medina, aged 39, lives with her husband, Raúl, aged 43, who works as a mechanic in a small auto shop. Mr. Medina has worked in the same place since he and his wife came to the United States from Puerto Rico 15 years ago. The Medinas have a 4- year-old son, José; a 16-year-old daughter, Rosa; and an 18-year-old son, Miguel. The Medinas both attended vocational school after completing high school. Mrs. Medina is employed 4 hours a day at a garden shop. She stopped working her full-time job to care for her ill mother and aged father, who do not speak English and depend on government assistance. The family income last year was $28,500. The family has health insurance through Mr. Medina’s job. They live in a threebedroom apartment in a low-income Illinois community. Miguel works in a fast-food store a few hours a week. Because Rosa has responsibilities at home, the Medina’s do not allow her to work outside the home. She is very close to her grandmother but avoids talking with her parents. Both Rosa and Miguel are having difficulties in school. Rosa is pregnant and the family does not know. She is planning to drop out of school, get a job in a beauty shop, and leave home without telling the family. Miguel frequently comes home late and, on occasion, sleeps out of the home. He is beginning college next semester and has plans to move out of the house during the summer. The family is having difficulty dealing with Rosa’s and Miguel’s developmental and behavioral challenges. Although Mrs. Medina is outspoken about these concerns, Mr. Medina is quiet and not actively involved in the discussion. He is more preoccupied with the family’s financial situation. Mrs. Medina’s parents are encouraging them to return to Puerto Rico. Mr. Medina was diagnosed with hypertension 2 months ago, when he went to the emergency room for a respiratory infection. He smokes cigarettes and drinks two to three beers every evening after work. He has not followed up on his blood pressure treatment. Miguel is beginning to smoke, but not at home. José has had frequent colds and sinus allergies. He has been to the emergency room three times during the past year for respiratory infections. Mrs. Medina’s last physical examination was after she had José. She is experiencing insomnia, tiredness, headaches, and gastrointestinal problems. She is very concerned about Rosa and Miguel, her parents, and the family’s finances. Mrs. Medina is Catholic and recently has been visiting her church more often. Study Questions 

1. Explain Mrs. Medina’s attitude in her relationship with her adolescent daughter. 

2. Identify strategies to ensure that Rosa seeks prenatal care. 

3. Identify barriers to accessing health care for the Medina family. 

4. What are the high-risk behaviors exhibited by this family? 

5. What communication barriers exist in this family that affect care delivery? 

6. Discuss gender and family roles in the context of traditional Puerto Rican culture. 

7. Identify sociodemographic factors affecting the physical- and mentalhealth well-being for this family.

8. Identify Puerto Rican folk practices appropriate for this family.

9. If the Medina family chose to visit a folk healer, which one(s) do you think they might visit? Why? 

10. If Mrs. Medina’s parents visit a health-care provider, what might they expect? 

11. Identify culturally congruent interventions to ensure compliance with Western health prescriptions for Mr. Medina.

12. Discuss the importance of respeto and familism in the Medina family. 

13. Identify culturally congruent interventions for Rosa’s pregnancy. 

14. Identify health-promotion and disease-prevention interventions needed for José. 

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