Nursing 2023 Need response to discussion post below
APA format for MSN degree 2 references from Walden University Library A heart attack or Myocardial infarction MI is the 2023 Assignment
APA format for MSN degree 2 references from Walden University Library
A heart attack or Myocardial infarction (MI) is the leading factor of death in adults worldwide (Nicolai et al., 2018). MI occur in patients when the blood flow to the heart is blocked due to increased built of plaque within the walls of the blood vessels. Patients can experience sharp, sudden pain or heaviness in their chest as the first sign when experiencing an MI. This pain can be in the chest and move up to the jaw and down the left arm. When blood flow is decreased to the heart, there is an insufficient amount of oxygen supplied to the heart, and the electrolyte become imbalanced specifically potassium, calcium, and magnesium. The heart can only handle the blood, oxygen, and electrolyte imbalances for twenty minutes before tissue begins to die, at this point is the damage is irreversible (Huether & McCance, 2017). As an advanced practice nurse, an Electrocardiogram (ECG) would be first in diagnosing techniques. Depending on the results of the ECG will help determine how to treat the patient. If the ECG showed ST elevation, this means the patient needs to get to a cardiac catheterization lab urgently. If the ECG results within reasonable limits, treating the chest pain would be the next appropriate step. Medication used to treat stable chest pain are called nitrates. The most common name is nitroglycerin. The medication is placed underneath the tongue where it dissolves and should relieve the pain within one to five minutes (Arcangelo, Peterson, Wilbur, & Reinhold, 2017). When the ECG indicates a STEMI, a thrombolytic medication should be initiated to dissolve any blood clots in the arteries (Avoiding, 2005). A standard medication used in my patient care experience is heparin which is first based on weight for the first six hours of treatment. After six hours labs are drawn on the patient to determine whether the rate should be titrated up or down. After patient returns from cardiac catheterization lab, cardiology doctors can provide guidance on how to proceed with the proper medications for the patient.
Genetics and Ethnicity
If your parents have had an MI, does it mean you will have one? Likely the answer is no; research has shown necessarily doesn’t say you will but have found a link among ethnicity in Europeans, South Asians, Southeast Asians, and Arabs (Joseph et al., 2016). Specifically, there’s no genetic link to an MI but rather coronary artery disease (CAD) which can lead to MI. However modifiable risk factors, such as a healthy lifestyle, prove to be the most significant way to decrease the risk of an MI.
Self-Care
After a patient experiences an MI, usually, they are set up to attend a Cardiac rehabilitation program. This program helps the patient get back to a healthy lifestyle while incorporating changes to prevent an MI in the future. Advanced practice providers should closely watch patients with hypertension, diabetes, and hyperlipidemia. Research has shown if a patient has two out three diagnoses they are at higher risk for a heart attack (Avoiding, 2005). Encouraging physical activity, a healthy diet, and smoking cessation are critical factors in patient education. Studies suggest educating patients on doing at least thirty minutes of activity a day such as walking, gardening, or housework also to cut out fast food that is high in fat and sugary drinks (Advance et al., 2005).
Reference
Arcangelo, V. P., Peterson, A. M., Wilbur, V. & Reinhold, J. A. (Eds.). (2017). Pharmacotherapeutics for advanced practice: A practical approach (4th ed.). Ambler, PA: Lippincott Williams & Wilkins.
Avoiding heart attacks and strokes. [electronic resource]: don’t be a victim – protect yourself. (2005). Geneva: World Health Organization, c2005.
Huether, S. E., & McCance, K. L. (2017). Understanding pathophysiology (6th ed.). St. Louis, MO: Mosby.
Joseph, P. G., Pare, G., Asma, S., Engert, J. C., Yusuf, S., & Anand, S. S. (2016). Clinical Research: Impact of a Genetic Risk Score on Myocardial Infarction Risk Across Different Ethnic Populations. Canadian Journal Of Cardiology, 321440-1446. doi:10.1016/j.cjca.2016.05.014
Nicolai, J., Müller, N., Noest, S., Wilke, S., Schultz, J., Gleißner, C. A., & … Bieber, C. (2018). To change or not to change – That is the question: A qualitative study of lifestyle changes following acute myocardial infarction. Chronic Illness, 14(1), 25-41. doi:10.1177/1742395317694700
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1 Focused Reflection 30 points Objective To reflect on the interprofessional roles MD SW OT 2023 Assignment
1.Focused Reflection (30 points)
Objective: To reflect on the interprofessional roles (MD, SW, OT, PT, RT, RD, PharmD) you saw on the unit and describe communication between them and the nurse.
· List all of the different providers that were involved in your patient’s care. What was the focus of each of these providers in the patient’s care? What was your nursing focus in the patient’s care? Be specific and give examples.
· How did you or the nurse communicate with each different provider? How did each provider communicate with the nurse? Be specific and give examples.
· What did you see done well and what would you improve? What would you specifically do to improve it?
The reflection should be 2-3 pages, but not longer than 3 pages. Use Times New Roman 12 point font, 1 inch margins, and double spacing to format your paper. The reflection does not need a title page or references. See syllabus for late assignment point deductions.
Focused Reflection rubric
0
3
Length and Mechanics
Does not meet page requirement.
One formatting error. Multiple spelling/grammar errors. Point is not understandable.
3 pages typed.
Double spaced.
TNR 12 pt font.
1 inch margins.
Minor spelling/ grammar errors, but point is understandable
0
3
5
7
9
Listed providers and their focus vs. nursing focus. Was specific and gave examples.
Does not address.
Needs improvement.
Mostly complete.
Above average.
Completely addresses.
0
3
5
7
9
Described nurse to provider and provider to nurse communication. Was specific and gave examples.
Does not address.
Needs improvement.
Mostly complete.
Above average.
Completely addresses.
Described what was done well and what to improve. Gave specific suggestions on their improvements.
Does not address.
Needs improvement.
Mostly complete.
Above average.
Completely addresses.
Clinical Check-Offs
1.Medication Administration Check-off
STUDENTS CAN ONLY ADMINISTER MEDICATIONS WITH THE CLINICAL INSTRUCTOR. This includes the administration of any kind of medication by any route. Medications cannot be administered with a staff nurse. Failure to follow this rule will result in failure of the check-off, immediate dismissal from the clinical site and inability to pass NM 322.
The clinical instructor will give medications with two students per day. Students must pass the medication check-off by the end of the semester.
2.Clinical Performance Evaluation
The Clinical Performance Evaluation will be reviewed with the student as needed, at mid-semester and at the end of the semester. Failure to satisfactorily meet core competencies on the Clinical Performance Evaluation can result in being sent home from the clinical site, an academic alert, a corrective action plan and/or dismissal from the nursing program.
Please review the Student Laboratory and Clinical Handbook, especially the sections entitled “Standards for Student Behavior in the Laboratory and Clinical Setting” and “Clinical Attendance Policy.”
Other Clinical Expectations
1.Timeliness
Students are expected to be in the assigned room ready to go for pre-clinical at 2:00 pm. Time will be determined via the instructor’s cell phone.
Students arriving after 2:00 pm will be given the opportunity to prepare for patient care. Failure to complete the Pre-Clinical Patient Care Form completely by the end of pre-clinical will result in the student being sent home from the clinical shift and losing all points associated with the clinical day.
Students who are able to complete the Pre-Clinical Patient Care Form will be allowed to stay for clinical, but will lose all points associated with the clinical day. All assignments must still be completed for the clinical day.
Failure to arrive on time will be reflected on your Clinical Performance Evaluation. Failure to meet core competencies on the Clinical Performance Evaluation can result in being sent home from the clinical site, an academic alert, a corrective action plan and/or dismissal from the nursing program.
Any student who is not at pre-clinical at 2:00 pm needs to have notified their clinical instructor. See the first page for how to notify instructor.
2.What You Can Do as a Student Nurse
Provide the best possible care for your patient that day. This includes assessing the patient, documenting your assessment and providing personal cares. Learn as much as you possibly can from this experience. Attend therapy or tests/procedures with your patient. Please notify the patient’s nurse, so they know where you and the patient are at all times.
Students should answer call lights when they are not providing care for their patient. The student should then check with the patient’s nurse regarding the patient’s request before carrying it out. For example, a patient may ask for water and be NPO. The student would not know this without checking with the nurse. A patient may say they can walk to the bathroom, but really need assistance with transferring.
3.What You Can’t Do as a Student Nurse (Per BSN Clinical Instructor handbook)
1. Administer Blood
2. Program a PCA pump
3. Manage Epidural Infusion, Tubing or Pump Settings
4. Do EKG or Fetal Monitoring Interpretation (it is crucial that students not document in a fashion that would suggest they have done any monitoring interpretation)
5. Take Verbal or Telephone Orders
6. Verify Informed Consent
7. Advance the plan of care (must be licensed professional)
8. Blood Glucose Monitoring
9. Blood draws from any line
10. Discontinue a central line
11. Administer IV push medications, including IV flushes
12. Start IVs
13. Administer chemotherapy
14. Insert a urinary catheter (Regions new policy)
4.What You Can Do as a Student Nurse, But Only with the Instructor Present
a. Administer medications by any route
b. Anything IV or tube feeding related (hanging a new bag, programming the pump, etc.)
c. For anything other than a patient assessment or personal cares, the student must connect with the clinical instructor. The clinical instructor will then determine if the student can perform the skill with the patient’s nurse or the instructor. Students can always observe a nurse doing anything for a patient, if it is okay with the patient.
Failure to follow the rules regarding what a student can/can’t do will be reflected on your Clinical Performance Evaluation. Failure to meet core competencies on the Clinical Performance Evaluation can result in being sent home from the clinical site, an academic alert, a corrective action plan and/or dismissal from the nursing program.
Last Day of Clinical
We will show our appreciation for all of the unit staff for their help on every clinical day. All interactions with staff should be respectful and include a thank you for their help. In addition to our daily thanks, we will sign a card and bring treats for the staff on our last v vvvvvv
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Nursing 2023 Health Care Delivery Models And Nursing Practice 1000 Words By 04/2421 At 10 Am
Examine changes introduced to reform or restructure the U S health care delivery system In a 1 000 1 250 word paper discuss action 2023 Assignment
Examine changes introduced to reform or restructure the U.S. health care delivery system. In a 1,000-1,250 word paper, discuss action taken for reform and restructuring and the role of the nurse within this changing environment.
Include the following:
Outline a current or emerging health care law or federal regulation introduced to reform or restructure some aspect of the health care delivery system. Describe the effect of this on nursing practice and the nurse’s role and responsibility.
Discuss how quality measures and pay for performance affect patient outcomes. Explain how these affect nursing practice and describe the expectations and responsibilities of the nursing role in these situations.
Discuss professional nursing leadership and management roles that have arisen and how they are important in responding to emerging trends and in the promotion of patient safety and quality care in diverse health care settings.
Research emerging trends. Predict two ways in which the practice of nursing and nursing roles will grow or transform within the next five years to respond to upcoming trends or predicted issues in health care.
You are required to cite to a minimum of three sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.
Prepare this assignment according to the 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.
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Note This is an individual assignment In 1 500 2 000 words describe the teaching experience 2023 Assignment
Note: This is an individual assignment. In 1,500-2,000 words, describe the teaching experience and discuss your observations. The written portion of this assignment should include:
Summary of teaching plan
Epidemiological rationale for topic
Evaluation of teaching experience
Community response to teaching
Areas of strengths and areas of improvement
Prepare this assignment according to the 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
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Remember to submit your work following the file naming convention FirstInitial LastName M01 docx For example J Smith M01 docx 2023 Assignment
Remember to submit your work following the file naming convention FirstInitial.LastName_M01.docx. For example, J.Smith_M01.docx. Remember that it is not necessary to manually type in the file extension; it will automatically append.
Start by reading and following these instructions:
Quickly skim the questions or assignment below and the assignment rubric to help you focus.
Read the required chapter(s) of the textbook and any additional recommended resources. Some answers may require you to do additional research on the Internet or in other reference sources. Choose your sources carefully.
Consider the course discussions so far and any insights gained from it.
Create your Assignment submission and be sure to cite your sources if needed, use APA style as required, and check your spelling.
Assignment:
Information Security in a World of Technology
Write an essay addressing each of the following points/questions. Be sure to completely answer all the questions for each number item. There should be three sections, one for each item number below, as well the introduction (heading is the title of the essay) and conclusion paragraphs. Separate each section in your paper with a clear heading that allows your professor to know which item you are addressing in that section of your paper. Support your ideas with at least three (3) citations in your essay. Make sure to reference the citations using the APA writing style for the essay. The cover page and reference page do not count towards the minimum word amount. Review the rubric criteria for this assignment.
The textbook discusses several education methods. Discuss each method with an example of how the method could be used in the organization. Then discuss how you will evaluate the method and learning.
Healthcare continues to be a lucrative target for hackers with weaponized ransomware, misconfigured cloud storage buckets, and phishing emails. Discuss how an organization can protect patients’ information through:
Security mechanisms
Administrative and Personnel Issues
Level of access
Handling and Disposal of Confidential Information
You are providing education to staff on phishing and spam emails. Using the different educational methods discussed in Chapter 12:
Provide examples of how each method can be used
How will the method and learning be evaluated?
Assignment Expectations:
Length: 500 words per essay prompt/section (1500 total for this assignment)
Structure: Include a title page and reference page in APA style. These do not count towards the minimal word amount for this assignment. All APA Papers should include an introduction and conclusion.
References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least three (3) scholarly sources to support your claims.
Rubric: This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level.
Format: Save your assignment as a Microsoft Word document (.doc or .docx) or a PDF document (.pdf)
File name: Name your saved file according to your first initial, last name, and the module number (for example, “RHall Module1.docx”)
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Identify a clinical topic and related nursing practice issue you think needs to be changed.
Locate a systematic review on your topic from the CCN Library databases. Be sure this involves nursing actions.
Work through each step of the ACE Star Model as outlined on the assignment form (Star Points 1-5: Discovery, Summary, Translation, Implementation, and Evaluation). Respond to the instructions provided on the form.
Follow the activities and thinking of Nurse Daniel in Weeks 1-6 in the ‘Illustration’ part of each lesson. He will be working through a clinical topic and nursing practice issue to demonstrate a change (ACE Star Model and systematic review).
Work on a portion of the process each week, as the illustration unfolds.
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In the Discussion Forum the student will select and answer ONE of the instructor 2023 Assignment
In the Discussion Forum, the student will select and answer ONE of the instructor questions. The response must be 300 words with two supporting references in APA format. To maximize your grade references should be peer-reviewed journal articles (see Discussion Forum Grading Rubric for more information). Additionally, in this initial response, the student will pose TWO questions related to their question topic. Please include the instructor statement or question in the response.
Question 1: You are the manager of a medical-surgical unit in a not-for-profit, acute care hospital that is part of a nine-hospital healthcare system. During the budget preparation process for the upcoming fiscal year, the healthcare system leadership mandated 5% cost reductions from the previous fiscal year budget. Labor costs must be evaluated thoroughly for potential cost savings. You strongly feel eliminating nursing positions is not appropriate in this budget reduction initiative. Discuss at least 3 factors you can use to justify the current nurse staffing as the most appropriate to ensure cost-effective, high-quality care for patients? List several ways to meet the budget reduction mandate without cutting nursing staff? Discuss at least 3 characteristics an emotionally intelligent leader would use in dealing with this scenario.
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It is necessary for an RN BSN prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease the clinical 2023 Assignment
It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.
Evaluate the Health History and Medical Information for Mr. C., presented below.
Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.
Health History and Medical Information
Health History
Mr. C., a 32-year-old single male, is seeking information at the outpatient center regarding possible bariatric surgery for his obesity. He currently works at a catalog telephone center. He reports that he has always been heavy, even as a small child, gaining approximately 100 pounds in the last 2-3 years. Previous medical evaluations have not indicated any metabolic diseases, but he says he has sleep apnea and high blood pressure, which he tries to control by restricting dietary sodium. Mr. C. reports increasing shortness of breath with activity, swollen ankles, and pruritus over the last 6 months.
Objective Data:
Height: 68 inches; weight 134.5 kg
BP: 172/98, HR 88, RR 26
3+ pitting edema bilateral feet and ankles
Fasting blood glucose: 146 mg/dL
Total cholesterol: 250 mg/dL
Triglycerides: 312 mg/dL
HDL: 30 mg/dL
Serum creatinine 1.8 mg/dL
BUN 32 mg/dl
Critical Thinking Essay
In 750-1,000 words, critically evaluate Mr. C.’s potential diagnosis and intervention(s). Include the following:
Describe the clinical manifestations present in Mr. C.
Describe the potential health risks for obesity that are of concern for Mr. C. Discuss whether bariatric surgery is an appropriate intervention.
Assess each of Mr. C.’s functional health patterns using the information given. Discuss at least five actual or potential problems can you identify from the functional health patterns and provide the rationale for each. (Functional health patterns include health-perception, health-management, nutritional, metabolic, elimination, activity-exercise, sleep-rest, cognitive-perceptual, self-perception/self-concept, role-relationship, sexuality/reproductive, coping-stress tolerance.)
Explain the staging of end-stage renal disease (ESRD) and contributing factors to consider.
Consider ESRD prevention and health promotion opportunities. Describe what type of patient education should be provided to Mr. C. for prevention of future events, health restoration, and avoidance of deterioration of renal status.
Explain the type of resources available for ESRD patients for nonacute care and the type of multidisciplinary approach that would be beneficial for these patients. Consider aspects such as devices, transportation, living conditions, return-to-employment issues.
You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.
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Nursing 2023 (1) I need a comment 150 words no plagio citation and references
There are many professional nursing organizations that support and advocate for nursing practice Being a part of a 2023 Assignment
There are many professional nursing organizations that support and advocate for nursing practice. Being a part of a professional organization allows nurses to have a voice and make an impact in policymaking decisions and legislation that can ultimately affect patient care. Being part of a professional organization also allows nurses to come together and be a powerful voice for the nursing profession. The main goal is to provide evidence-based, safe, quality care and coming together to improve healthcare is a huge way to make an impact.
According to RN.com, “Nursing organizations promote and encourage the use of evidence-based practice to its members. Nurses who are certified in their specialty will find that their nursing professional organization will offer continuing education that is pertinent to their practice. Many nursing organizations hold annual nursing conferences. These conferences bring nurses together from across the country, and oftentimes worldwide, to share education and best practices. They also offer the opportunity to network with nursing colleagues from around the globe” (Schneider, 2015).
One such organization is the ANA. This organization acts as an advocate for the nurse and for patients. The ANA raises awareness to the public, and legislation at the state and federal level when certain problems arise in healthcare or improvements are necessary. Raising awareness contributes to making changes in order to provide patient’s safe quality care. “ANA offers the information, tools, and resources that nurses need to become effective advocates” (ANA, n.d.).
References:
American Nurses Association. (n.d.). Practice and advocacy. Retrieved from https://www.nursingworld.org/practice-policy/advocacy/
Schneider, A (2015). Nursing organizations: The role they play in professional development. Retrieved from https://www.rn.com/nursing-organizations-the-role-they-play-in-professional-development/
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WK2 assignment due 3 13 Assignment Analysis of a Pertinent Healthcare Issue The 2023 Assignment
WK2 assignment due 3/13
Assignment: Analysis of a Pertinent Healthcare Issue
The Quadruple Aim provides broad categories of goals to pursue to maintain and improve healthcare. Within each goal are many issues that, if addressed successfully, may have a positive impact on outcomes. For example, healthcare leaders are being tasked to shift from an emphasis on disease management often provided in an acute care setting to health promotion and disease prevention delivered in primary care settings. Efforts in this area can have significant positive impacts by reducing the need for primary healthcare and by reducing the stress on the healthcare system.
Changes in the industry only serve to stress what has always been true; namely, that the healthcare field has always faced significant challenges, and that goals to improve healthcare will always involve multiple stakeholders. This should not seem surprising given the circumstances. Indeed, when a growing population needs care, there are factors involved such as the demands of providing that care and the rising costs associated with healthcare. Generally, it is not surprising that the field of healthcare is an industry facing multifaceted issues that evolve over time.
In this module’s Discussion, you reviewed some healthcare issues/stressors and selected one for further review. For this Assignment, you will consider in more detail the healthcare issue/stressor you selected. You will also review research that addresses the issue/stressor and write a white paper to your organization’s leadership that addresses the issue/stressor you selected.
To Prepare:
Review the national healthcare issues/stressors presented in the Resources and reflect on the national healthcare issue/stressor you selected for study.
Reflect on the feedback you received from your colleagues on your Discussion post for the national healthcare issue/stressor you selected.
Identify and review two additional scholarly resources (not included in the Resources for this module) that focus on change strategies implemented by healthcare organizations to address your selected national healthcare issue/stressor.
The Assignment (3-4 Pages):
Analysis of a Pertinent Healthcare Issue
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.
Answer Rubric
Develop a 3- to 4-page paper, written to your organization’s leadership team, addressing the 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 and 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 and explain how they may impact your organization both positively and negatively. Be specific and provide examples.
Written Expression and Formatting – Paragraph Development and Organization: Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria.
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, parenthetical/in-text citations, and reference list.
Looking Ahead
The paper you develop in Module 1 will be revisited and revised in Module 2. Review the Assignment instructions for Module 2 to prepare for your revised paper.
Discussion wk3 due 3/17
Quite often, nurse leaders are faced with ethical dilemmas, such as those associated with choices between competing needs and limited resources. Resources are finite, and competition for those resources occurs daily in all organizations.
For example, the use of 12-hour shifts has been a strategy to retain nurses. However, evidence suggests that as nurses work more hours in a shift, they commit more errors. How do effective leaders find a balance between the needs of the organization and the needs of ensuring quality, effective, and safe patient care?
In this Discussion, you will reflect on a national healthcare issue and examine how competing needs may impact the development of polices to address that issue.
To Prepare:
Review the Resources and think about the national healthcare issue/stressor you previously selected for study in Module 1.
Reflect on the competing needs in healthcare delivery as they pertain to the national healthcare issue/stressor you previously examined.
Post an explanation of how competing needs, such as the needs of the workforce, resources, and patients, may impact the development of policy. Then, describe any specific competing needs that may impact the national healthcare issue/stressor you selected. What are the impacts, and how might policy address these competing needs? Be specific and provide examples.
I will post for replies after classmates make their post for this discussion
Student 1
Nursing shortages are at an all-time high, with a 17.1% turnover rate nationally (Vaughn, 2020). Companies are struggling to maintain nursing staff which leads to overworked nurses with high patient ratios. High patient ratios lead to unsafe situations, and nurses working long hours are more likely to make mistakes. Some nurses are leaving the profession altogether due to short staffing, lack of leadership, underpayment, career advancement, and overwhelming tasks per nurse (Suarez, n.d.).
In rural areas like where I live, there is already an inherent issue in recruiting nurses that want to live in this area. Furthermore, the health care agencies are competing to retain the nursing staff that they have. Nursing turnover costs nearly 300,000 annually for the average hospital (Suarez, n.d.). More creative ways other than simply posting a job vacancy needs to be done to recruit new nurses (Suarez, n.d.). Studies have also shown that sign-on bonuses are not effective in retaining nursing staff (Suarez, n.d.). They may initially draw in nurses, but after their contract is up, they most likely will leave the agency (Suarez, n.d.).
There are three nursing leadership models: transformational, transactional, and democratic (Laureate Education [Producer], 2018). Transformation leadership inspires others through effective communication, transactional leadership develops transparent chains of command, and democratic leadership likes to include ideas from staff before making final decisions (Laureate Education [Producer], 2018). Studies have indicated that management that is styled as transformational leadership has a higher staff rendition rate (Halter et al., 2017).
Nursing shortages specific to correctional setting has its inherent issues. Not only does correctional nursing face similar issues as a hospital setting, but it also has the dangers of prison life. Correctional nursing needs to address the growing shortage and make some changes to recruit and retain nursing staff. Studies have shown the preceptorships, internships, and mentorships have significantly increased nurse retention (Halter et al., 2017). Developing an academic-partnership with the local university would allow nursing students to complete a clinical rotation inside the prison to learn about it and have firsthand experience inside the facility. This is an excellent way for new nurses to have an opportunity to learn about correctional nursing.
Developing a mentorship program is an excellent way for new hires to feel comfortable that they will have the support and training they need while starting their new career as a correctional nurse. Another strategy to retain nurses is to have career advancement opportunities such as tuition reimbursements and offer to pay for RN to BSN program (Vaughn, 2020). The prison, at the moment, does not provide tuition reimbursement or tuition payments to further your education. Offering flexible hours is another strategy that has been linked to higher nurse retention (Vaughn, 2020). When nurses are required to work beyond 12-hour shifts and over 40-hour workweeks, they are more likely to leave the agency (Vaughn, 2020).
The prison is competing with the local hospitals to recruit and retain nursing staff. Although the prison has offered signing bonuses, it has not proven to keep nursing staff successful. The prison runs on transactional leadership, and nurses do not feel appreciated or heard. There are no internship or mentorship programs, so it is difficult for nurses to see the environment they will be working in until they are hired. Training only takes six weeks or less, and then you are on your own with little support from other staff leading to many frustrations. The prison is so short-staffed that nurses are working 16-hour shifts almost every day they are scheduled to work. Correctional nursing is a unique entity and requires the recruitment of the right people. An academic-partnership with the university would be an excellent way to recruit new nurses, and developing a mentorship program would be suitable for new employees.
Unfortunately, the health care business is a 24-hour, 7-days a week business. When nurses quit, that only compiles the workload onto the existing nurses creating dangerous situations. The company must continue with the staff that they have, and patients need to be taken care of, but that leaves the nurses overworked. Even when nurses are given an 8-hour shift or 12-hour shift, those often turn into 16-hour shifts. When nurses don’t feel valued or essential, they are also likely to leave an agency. It is imperative to recruit the right nurses for your business and then create a solid culture to support your staff to retain nurses. With the prison being ran strictly on policy and procedures, implementing change can be difficult, but something needs to be done to retain nurses to keep a safe environment for staff and patients.
References
Halter, M., Pelone, F., Boiko, O., Beighton, C., Harris, R., Gale, J., Gourlay, S., & Drennan, V. (2017). Interventions to Reduce Adult Nursing Turnover: A Systematic Review of Systematic Reviews. The Open Nursing Journal, 11, 108–123. https://doi-org.ezp.waldenulibrary.org/10.2174/1874434601711010108
Vaughn, N. (2020). Nurse turnover rates: how to reduce healthcare turnover. Retrieved from https://www.relias.com/blog/how-to-reduce-healthcare-turnover#:~:text=What%20is%20the%20Current%20Nurse,keep%20up%20with%20staffing%20ratios.
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Reply 2
Student 2
Top of Form
To develop any policy to address nursing burnout, there are many factors that need to be considered. When staffing ratios are too high it effects the quality of patient care, and therefor affects patient satisfaction (Ezenwaji, Eseadi, Okide, Nwosu, Ololo, Oforka, & Oboegbulem, 2019). Lack of proper equipment, or even properly working equipment makes a nurse’s job more difficult, affects the quality of patient care, and increases nurses’ stress. After dealing with covid for the last year, a new concern causing nurse burnout is it quantity of acutely ill patients being given to undertrained nurses (Rosa, 2020). Cost is another big consideration because it costs a company tens of thousands of dollars to train new nurses when the old ones leave (Kelly, Gee & Butler, 2021). All these concerns are going to affect the development of any new policies.
When attempting to develop a policy for burnout, all these items need to be addressed, and there are many more that can be added to this. As previously stated, in this last year, things have changed. A survey done recently of nurses that have been dealing with this pandemic, shows that as many as two-thirds of nurses are considering leaving their jobs (Rosa, 2020). Policy, or rather policies, need to address these topics if they are to be successful.
A starting point would be a policy to address staffing and acuity levels. If a nurse has a patient that is critically ill, that nurse should not have six patients because there is no realistic way, they can give safe, appropriate care to all of them. Another policy could address how nurses are floated to other units. No nursing staff should be floated to higher level acuity floors if they do not have some sort of additional training. This is a safety issue for the nurse and the patient, it is also a cause for extra stress. For instance, floating med-surg nurses to covid units to care for patients that are on drips and ventilators is dangerous for both the nurses and the patients. A personal experience where I work is that an entire unit quit, that is more than 30 staff members leaving because their staff kept being sent to units that they were not prepared to work in, at the same time, this was leaving their own unit very understaffed. If at the very least it costs roughly 11,000 dollars to train a new nurse or CNA, then that means the company is now looking at spending around 330,000 dollars to replace that staff (Kelly et al., 2021). No one policy will fix everything, but everything needs to be considered when management is planning a new policy.
References
Ezenwaji, I. O., Eseadi, C., Okide, C. C., Nwosu, N. C., Ugwoke, S. C., Ololo, K. O., Oforka, T. O., & Oboegbulem, A. I. (2019). Work-related stress, burnout, and related sociodemographic factors among nurses: Implications for administrators, research, and policy. Medicine, 98(3), e13889. https://doi-org.ezp.waldenulibrary.org/10.1097/MD.0000000000013889
Rosa, W. E. (2020). A blueprint for leadership during COVID-19: Minimizing burnout and moral distress among the nursing workforce. Nursing Management, 51(8), 28–34. https://doi-org.ezp.waldenulibrary.org/10.1097/01.NUMA.0000688940.29231.6f
Module 2: wk3 assignment due 3/20
Assignment: Developing Organizational Policies and Practices
Competing needs arise within any organization as employees seek to meet their targets and leaders seek to meet company goals. As a leader, successful management of these goals requires establishing priorities and allocating resources accordingly.
Within a healthcare setting, the needs of the workforce, resources, and patients are often in conflict. Mandatory overtime, implementation of staffing ratios, use of unlicensed assisting personnel, and employer reductions of education benefits are examples of practices that might lead to conflicting needs in practice.
Leaders can contribute to both the problem and the solution through policies, action, and inaction. In this Assignment, you will further develop the white paper you began work on in Module 1 by addressing competing needs within your organization.
To Prepare:
Review the national healthcare issue/stressor you examined in your Assignment for Module 1, and review the analysis of the healthcare issue/stressor you selected.
Identify and review two evidence-based scholarly resources that focus on proposed policies/practices to apply to your selected healthcare issue/stressor.
Reflect on the feedback you received from your colleagues on your Discussion post regarding competing needs.
The Assignment (4-5 pages):
Developing Organizational Policies and Practices
Add a section to the paper you submitted in Module 1. The new section should address the following:
Identify and describe at least two competing needs impacting your selected healthcare issue/stressor.
Describe a relevant policy or practice in your organization that may influence your selected healthcare issue/stressor.
Critique the policy for ethical considerations, and explain the policy’s strengths and challenges in promoting ethics.
Recommend one or more policy or practice changes designed to balance the competing needs of resources, workers, and patients, while addressing any ethical shortcomings of the existing policies. Be specific and provide examples.
Cite evidence that informs the healthcare issue/stressor and/or the policies, and provide two scholarly resources in support of your policy or practice recommendations.
Rubric
Add a section to the paper you submitted in Module 1. In 4–5 pages, address the following: Identify and describe at least two competing needs impacting your selected healthcare issue/stressor.
Describe a relevant policy or practice in your organization that may influence your selected healthcare issue/stressor. Critique the policy for ethical considerations and explain the policy’s strengths and challenges in promoting ethics.
Recommend one or more policy or practice changes designed to balance the competing needs of resources, workers, and patients while addressing any ethical shortcomings of the existing policies. Be specific and provide examples. Cite evidence that informs the healthcare issue/stressor and/or the policies and provide two scholarly resources in support of your policy or practice recommendations.
WK4 Discussion due 3/23
Discussion 1: Leadership Theories in Practice
A walk through the Business section of any bookstore or a quick Internet search on the topic will reveal a seemingly endless supply of writings on leadership. Formal research literature is also teeming with volumes on the subject.
However, your own observation and experiences may suggest these theories are not always so easily found in practice. Not that the potential isn’t there; current evidence suggests that leadership factors such as emotional intelligence and transformational leadership behaviors, for example, can be highly effective for leading nurses and organizations.
Yet, how well are these theories put to practice? In this Discussion, you will examine formal leadership theories. You will compare these theories to behaviors you have observed firsthand and discuss their effectiveness in impacting your organization.
To Prepare:
· Review the Resources and examine the leadership theories and behaviors introduced.
· Identify two to three scholarly resources, in addition to this Module’s readings, that evaluate the impact of leadership behaviors in creating healthy work environments.
· Reflect on the leadership behaviors presented in the three resources that you selected for review.
Post two key insights you had from the scholarly resources you selected. Describe a leader whom you have seen use such behaviors and skills, or a situation where you have seen these behaviors and skills used in practice. Be specific and provide examples. Then, explain to what extent these skills were effective and how their practice impacted the workplace.
By Day 6 of Week 4
Respond to at least two of your colleagues on two different days 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.
Note that from the total of 3 or 4 resources that you will provide at least 1 must be from the resources provided to you.
Replies for WK4
Student 1
Main Discussion Post
The Merriam-Webster Dictionary defines leadership as “a position as a leader of a group, the time a person holds in the position of a leader, and the power or ability to lead other people.” Leadership is multifaceted with many different dimensions but what is missing in these definitions are the words action, model, and inspiration, in my opinion. Although there are years and years of leadership research, “it is one of the most observed concepts, no universally accepted definition or theory of leadership actually exists” (Scully, pg. 439).
The two key insights I have learned through my research are that communication is key to a good leader and that leading by example and consistency helps great leaders grow leaders around themselves. The concept of leaders striving to develop solid and influential leaders around themselves is vital to the evolving healthcare system and an idea that makes many leaders very uncomfortable.
Transformational leadership is a style of leadership that is exemplified daily in my place of work. Transformational leadership “inspires supporters to perform at the maximum capacity after some time, by providing adjustment in recognition, and a sense of guidance” (Alloubani et al.). Transformational leadership is supportive, encouraging, engaging, yet upholds accountability and expects the best while promoting learning and growth. Evidence-based practice, just as in medicine, is essential in leadership. According to the article “Implementing administrative evidence-based practice: lessons from the field in six local health departments across the United States,” decision-making needs to be a collaborative effort between all staff, including non-managerial, to gather and distribute ideas. This is achieved by forward-thinking and acting leaders who stay educated, like attending academic classes to ensure staff they lead are being given best practice information.
I have the privilege to work with a fantastic leader. A leader who leads with integrity and compassion. A transformational leader while taking the time to connect and grow leaders through conversations and providing leadership opportunities within the department. Our department’s current leadership team has been outspoken about how they want to develop leaders and give options to employees to grow their careers when possible. They are open to ideas and are collaborative. My manager is insightful and knowledgeable about leadership and how to share leadership theories and styles. I am very fortunate with the current leadership team I work with because not many leadership teams support staff, base decisions, and action off evidence-based practice while being patient-centered as this team.
References
Alloubani, Aladeen, et al. “Leadership Styles’ Influence on the Quality of Nursing Care.” International Journal of Health Care Quality Assurance, vol. 32, no. 6, 2019, pp. 1022–1033., doi:10.1108/ijhcqa-06-2018-0138.
Duggan, Kathleen, et al. “Implementing Administrative Evidence-Based Practices: Lessons from the Field in Six Local Health Departments across the United States.” BMC Health Services Research, vol. 15, no. 1, 2015, doi:10.1186/s12913-015-0891-3.
Scully, Natashia Josephine. “Leadership in Nursing: The Importance of Recognising Inherent Values and Attributes to Secure a Positive Future for the Profession.” Collegian, vol. 22, no. 4, 2015, pp. 439–444., doi:10.1016/j.colegn.2014.09.004.
Student 2
A person with good leadership skills can make the workplace a positive place. I am going to focus on transformational and authentic leadership for the purpose of this discussion. Broome and Marshall describe transformational leadership as “a process through which leaders influence others by changing the understanding of others of what is important” (2021, pg.15). Authentic leadership focuses on the relationships of self and others (Broome & Marshall, 2021, pg. 184). I think it is very important to create healthy work environments by demonstrating good leadership qualities. I have researched two articles that discuss the impact of leadership styles on the workplace.
In the first article, written by Kaiser (2017), the impact of leadership styles on nurse hostility is measured in a quantitative study. A survey was given to 237 staff nurses participants that measured “perceived levels of incivility and the leadership styles experienced” and data was reported numerically (Kaiser, 2017). The study concluded that transformational leadership is the most effective leadership style to reduce nurse hostility and a laissez-faire leadership style leads to bullying. Kaiser (2017) concluded, “Leadership style is not a definitive factor of incivility, but leader behaviours impact the level of incivility between staff nurses.” Broome and Marshall (2021) describe transformational leaders as leaders who focus on “self, others, the situation, and the larger context”.
In the second article written by Shirley (2009), a qualitative study was conducted on 21 nurse managers from three different facilities to determine the effectiveness of authentic leadership and a healthy work environment. Organizational culture was also considered when determining the effect of leadership on the environment of the workplace. It was determined that the organizational culture does affect the environment. Managers reported they felt happy in the workplace when a positive organizational culture was reported with good leadership styles exhibited. Comparatively, nurse managers felt unheard or unhappy within a negative organizational culture with poor leadership styles. The article concluded that leadership does affect the work environment. The more involved a leader is, the better the outcome.
There are many great leadership styles to display with transformational leadership being the most beneficial. Authentic leadership is genuine, but may not be the best leadership style in all situations. Transformational leaders change to better suit the needs of others in order to help them better themselves. In my opinion, a transformational leader is the most adaptable and resourceful.
I have had experience with both types of leadership styles in the workplace. The authentic leader was honest, optimistic, and genuine. He empowered others by talking problems through and giving honest feedback. The transformational leader I encountered pushed me to see things more clearly and made me a better nurse. He always has my back and looks out for my best interest. He encourages me to change so that I can thrive in life. The transformational leader has been the most beneficial to me in the workplace.
References
Broome, M., & Marshall, E. S. (2021). Transformational leadership in nursing: From expert clinician to influential leader (3rd ed.). New York, NY: Springer.
Kaiser, J. A. (2017). The relationship between leadership style and nurse-to-nurse incivility: turning the lens inward. Journal of Nursing Management (John Wiley & Sons, Inc.), 25(2), 110–118.
Shirey, M. R. (2009). Authentic leadership, organizational culture, and healthy work environments. Critical Care Nursing Quarterly, 32(3), 189–198. https://doi-org.ezp.waldenulibrary.org/10.1097/CNQ.0b013e3181ab91db
Reading resources provided after wk6 assignment below & will post for replies after classmates post for each discussion.
WK5 Discussion is due 3/30
Discussion 2: Your Leadership Profile
Do you believe you have the traits to be an effective leader? Perhaps you are already in a supervisory role, but as has been discussed previously, appointment does not guarantee leadership skills.
How can you evaluate your own leadership skills and behaviors? You can start by analyzing your performance in specific areas of leadership. In this Discussion, you will complete Gallup’s StrengthsFinder assessment. This assessment will identify your personal strengths, which have been shown to improve motivation, engagement, and academic self-conference. Through this assessment, you will discover your top five themes—which you can reflect upon and use to leverage your talents for optimal success and examine how the results relate to your leadership traits.
To Prepare:
Complete the StrengthsFinder assessment instrument, per the instructions found in this Module’s Learning Resources.
Please Note: This Assessment will take roughly 30 minutes to complete.
· Once you have completed your assessment, you will receive your “Top 5 Signature Themes of Talent” on your screen.
· Click the Download button below Signature Theme Report, and then print and save the report. We also encourage you to select the Apply tab to review action items.
NOTE: Please keep your report. You will need your results for future courses. Technical Issues with Gallup:
If you have technical issues after registering, please contact the Gallup Education Support group by phone at +1.866-346-4408. Support is available 24 hours/day from 6:00 p.m. Sunday U.S. Central Time through 5:00 p.m. Friday U.S. Central Time.
· Reflect on the results of your Assessment, and consider how the results relate to your leadership traits.
· Download your Signature Theme Report to submit for this Discussion.
Post a brief description of your results from the StrengthsFinder assessment. Then, briefly describe two core values, two strengths, and two characteristics that you would like to strengthen based on the results of your StrengthsFinder assessment. Be specific. Note: Be sure to attach your Signature Theme Report to your Discussion post.
By Day 6 of Week 5
Respond to at least two of your colleagues on two different days by making recommendations for how they might strengthen the leadership behaviors profiled in their StrengthsFinder assessment, or by commenting on lessons to be learned from the results that can be applied to personal leadership philosophies and behaviors.
Replies
student 1
Student 1
Your Leadership Profile
The CliftonStrengths assessment revealed that my 5 highest scoring traits (CliftonStrengths Themes) all existed within only 2 of the 5 CliftonStrength domains. These domains are “executing”, “influencing”,
“relationship building”, and “strategic thinking”. All five of my traits landed in the “executing” and “relationship building” domains. The “executing” domain defines a person as someone who possesses the
strength to build an idea into a reality and the “relationship building” domain stated that they would have the ability to develop a group of people into something greater than each individual participant’s
contribution (Gallup, Inc., 2021). A good leader has the ability to take people to a place which they thought they could never get to alone (Laureate Education, 2014).
Under the “executing” domain I was assigned the “achiever” and the “belief” themes. The achiever theme was defined as a person “exceptionally talented” who possessed “a great deal of stamina”. They
are a person who feels significant satisfaction while being busy and productive (Gallup, Inc., 2021). I do agree that I am performing in the career I was meant to and that working to my potential should be
the prime goal. Also, in the “executing” domain, I was described as a person who has core values that are unwavering, which assists me in defining the purpose of my life. The final three of my highest
scoring themes fell in the” relationship building” domain. These were “harmony”, “realtor”, and “developer”. “Harmony” was described as recognizing the potential in others, while “developer” is described.
as someone who does not enjoy conflict, and seeks agreement. The “realtor” enjoys close working relationships with others and finds satisfaction in working together to achieve a goal.
As I scored a zero in the domain titled “influencing”, I will derive my weaknesses from the attributes in this category. This domain includes traits such as “winning new colleagues over” or “making things
happen” by turning thoughts into action, wanting to do things now rather than simply talking about them. It also mentioned “taking command of a room” by having a presence and taking control of a
situation by making tough decisions. I would agree that I do not put enough time into personal relationships with new employees. I also usually do participate in committee discussions, but rarely feel the
need to command the room. Most employees who feel they have a good working relationship with their boss think it would be better if they were interested in them on a personal level including work-life
balance (Coppel, C., 2017). However, I do not feel I must win new colleagues over. I would also like to improve in my discipline. I do not have the organizational skills that others have mastered. I often
procrastinate, although always seem to get the work accomplished on time.
References
Coppel, C. (2017). Working for Good Relationships. TD: Talent Development, 71(2), 18.
After taking the strengths finder assessment, my five strengths were identified as relator, consistency, harmony, adaptability, and achiever. Being a relator means that I actively pursue close and meaningful friendships. I want to make connections with others and find genuine relationships. I gravitate towards the people that I already know. Consistency is another strength, which means I like to find a balance in a group. I believe rules should be applied to everyone and that they are clear and precise. I want fairness as a leader. I like to find common ground between individuals where problems arise and look for agreement. This leads me to my next strength of harmony. After harmony, my next strength was identified as being an achiever. I like to achieve something each day, no matter how small. I was not surprised by this because usually, at the end of each day, I want to review my “achievements,” and my satisfaction is increased when I get more work done (Gallup Inc, 2021).
Two core values I would like to improve based on my assessment are courage and making a difference. Making a difference is defined as taking steps to impact the individuals you serve positively or around you. Courage is the ability to find strength and act on it to do good (George Mason University, n.d.). It is hard for me to picture myself as a leader, but I also do not fit into just being a follower. I am somewhere in between. Finding courage and pursuing a goal of trying to make a more considerable difference in life is something I would like to improve on. Two strengths I would like to improve on from Clifton strengths are restorative and developer. I want to make improvements to identify the potential I see in other people (Gallup Inc, 2020). Solving problems is also not something I am strong at. I am good at identifying problems that may impact patient care quality and safety, but I could definitely improve my involvement in finding the solutions to these issues. Two characteristics I would also like to improve on are patience and optimism. These two traits are one of my weaker strengths and working on them can help transform me into a successful leader. Being a successful leader requires multiple strengths and qualities in healthcare. A good leader can greatly impact how an organization succeeds (Laureate Education, 2014).
Gallup Inc. (2020, August 21). All 34 CliftonStrengths Themes descriptions. Retrieved March 30, 2021, from https://www.strengthsquest.com/193541/themes-full-description.aspx
Many of us can think of leaders we have come to admire, be they historical figures, pillars of the industry we work in, or leaders we know personally. The leadership of individuals such as Abraham Lincoln and Margaret Thatcher has been studied and discussed repeatedly. However, you may have interacted with leaders you feel demonstrated equally competent leadership without ever having a book written about their approaches.
What makes great leaders great? Every leader is different, of course, but one area of commonality is the leadership philosophy that great leaders develop and practice. A leadership philosophy is basically an attitude held by leaders that acts as a guiding principle for their behavior. While formal theories on leadership continue to evolve over time, great leaders seem to adhere to an overarching philosophy that steers their actions.
What is your leadership philosophy? In this Assignment, you will explore what guides your own leadership.
To Prepare:
· Identify two to three scholarly resources, in addition to this Module’s readings, that evaluate the impact of leadership behaviors in creating healthy work environments.
· Reflect on the leadership behaviors presented in the three resources that you selected for review.
· Reflect on your results of the CliftonStrengths Assessment, and consider how the results relate to your leadership traits.
· Download your Signature Theme Report to submit for this Assignment.
The Assignment (2-3 pages):
Personal Leadership Philosophies
Develop and submit a personal leadership philosophy that reflects what you think are characteristics of a good leader. Use the scholarly resources on leadership you selected to support your philosophy statement. Your personal leadership philosophy should include the following:
· A description of your core values.
· A personal mission/vision statement.
· An analysis of your CliftonStrengths Assessment summarizing the results of your profile
· A description of two key behaviors that you wish to strengthen.
· A development plan that explains how you plan to improve upon the two key behaviors you selected and an explanation of how you plan to achieve your personal vision. Be specific and provide examples.
· Be sure to incorporate your colleagues’ feedback on your CliftonStrengths Assessment from this Module’s Discussion 2.
· Note: Be sure to attach your Signature Theme Report to your Assignment submission.
Reading requirements
Broome, M., & Marshall, E. S. (2021). Transformational leadership in nursing: From expert clinician to influential leader (3rd ed.). New York, NY: Springer.
Chapter 1, “Frameworks for Becoming a Transformational Leader” (pp. 2–19 ONLY)
Chapter 6, “Shaping Your Own Leadership Journey” (pp. 182-211)
Develop and submit a personal leadership philosophy that reflects what you think are characteristics of a good leader. Use the scholarly resources on leadership you selected to support your philosophy statement. Your personal leadership philosophy should include the following:
· A description of your core values.
· A personal mission/vision statement.
· Analysis of your CliftonStrengths Assessment summarizing the results of your profile.
· A description of two key behaviors you wish to strengthen.
A development plan that explains how you plan to improve upon the two key behaviors you selected and an explanation of how you plan to achieve your personal vision. Be specific and provide examples.
Written Expression and Formatting – Paragraph Development and Organization:
Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria.
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, parenthetical/in-text citations, and reference list.
WK7 Due 4/13/2021 remember: all discussions & assignments from wk7-wk9 are interrelated, thank you.
Discussion: Workplace Environment Assessment
How healthy is your workplace?
You may think your current organization operates seamlessly, or you may feel it has many issues. You may experience or even observe things that give you pause. Yet, much as you wouldn’t try to determine the health of a patient through mere observation, you should not attempt to gauge the health of your work environment based on observation and opinion. Often, there are issues you perceive as problems that others do not; similarly, issues may run much deeper than leadership recognizes.
There are many factors and measures that may impact organizational health. Among these is civility. While an organization can institute policies designed to promote such things as civility, how can it be sure these are managed effectively? In this Discussion, you will examine the use of tools in measuring workplace civility.
To Prepare:
Review the Resources and examine the Clark Healthy Workplace Inventory, found on page 20 of Clark (2015).
Review and complete the Work Environment Assessment Template in the Resources.
Post a brief description of the results of your Work Environment Assessment. Based on the results, how civil is your workplace? Explain why your workplace is or is not civil. Then, describe a situation where you have experienced incivility in the workplace. How was this addressed? Be specific and provide examples.
Will post resources at the end of WK9 and I have attached the assessment template with this assignment, thank you.
My workplace scored a 58 on the Clark Healthy Workplace Inventory. A score of 58 places my place of employment at an unhealthy level (Clark, 2015). Honestly, I am not surprised by this at all. We have a huge turnover rate at the facility. In fact, we just had two employees on two different days completely walk out of the job, one nurse and a case manager. This is not a new action seen in the facility, just a couple of months ago four therapists and a nurse practitioner quit within the same month. We do however have a certain group of nursing staff that is absolutely amazing and very dependable.
Incivility is a disrespectful action that results in adverse effects on the victim (Schneider, 2016). Incivility produces a negative work environment and poor morale among staff members. Uncivil actions often create a hostile work environment. Barriers need to be in place to prevent situations like this from occurring within the organization (Broome & Marshall, 2021).
For the past few months I have been dealing with an incivility issue at my workplace. I work four days a week on your most acute inpatient psychiatric unit and there are two other nurses that work when I am not there. They recently began talking to all other staff about me saying horrible things. I was told by multiple staff that this was going on. They began trying to get me in trouble for very small things, like what kind of music I let my patients listen to or that I give out too much coffee to patients. All things that do not go against any of the hospitals’ policies or procedures. The two nurses got to the point of bullying me, even though I have never actually worked with either of them. I got to my breaking point, went to my manager, and told her we had to have a meeting (all of the staff together), or I would be looking for a new job. We had the meeting two days later. In the meeting, the manager and CNO were there. Needless to say, many of their “complaints” about me were stopped by management immediately. This was one of the last few days I was at work before going on vacation, so I will see when I go back if the meeting makes a difference in their actions and words towards me.
References
Broome, M., & Marshall, E. S. (2021). Creating and shaping the organizational environment and
culture to support practice excellence. Transformational leadership in nursing: From expert clinician to influential leader (3rd ed.). pp. 237–272. New York, NY: Springer.
Clark, C. M., Olender, L., Cardoni, C., & Kenski, D. (2011). Fostering civility in nursing education and practice. JONA: The Journal of Nursing Administration, 41(7/8), 324–330. https://doi.org/10.1097/nna.0b013e31822509c4
Based on the results of the Workplace Environment Assessment I work for a modestly healthy workplace. I would describe my workplace civil based on answering 5 for completely true to 17/20 statements. Many of the examples of a healthy civil work environment are evident in my workplace where employees are viewed as assets that offer value to the organization. The organization offers an excellent training and mentoring program , and teamwork and collaborations are rewarded and demonstrated at all levels(Clark,2015). Over the past year the focus of employee development workshops have been on having safe conversations, collaboration, and teamwork . We are evaluated on our efforts to learn and demonstrate behaviors that focus on understanding and embracing diversity and inclusion. All of these attributes have contributed to an excellent retention, fair reward systems, and opportunities for promotion.
What has been missing the past 18 months is trust in leadership, a high level of morale and confidence to disagree or challenge an idea despite being encouraged to speak up. The five pillars of effective teams that represent trust, commitment, safe conflict ,accountability , and being results oriented , have not been consistently role modeled or folllowed(Laureate Education,2009a). As a result, turnover has increased, employees report less morale and employees are less likely to speak up if they don’t agree.
I experienced incivility in the workplace that was subtle during a zoom conference call . Our team of 12 employees participated in a workshop on adaptive behaviors that allowed our team to assess our behavior style in the workplace and how to communicate with behavior styles that differ from our own. According to the DISC assessment people fall into one of four categories described as dominance ,influencer,conscientious or steadiness . Everyone on the team was either dominant or influencer, which are characteristic of strong leaders who are able to influence , and problem solve yet at times are impatient and unapproachable .My results were that of a steadiness behavior style characterized by empathy, appreciation of others , and good listening skills .This style however can be indirect and resistant to change(Center for Internal Change, n.d.).
During our zoom discussion a coworker with a dominant style commented to me directly and shared with the group she didn’t have the patience for those with a steadiness behavioral style because she views them as weak and poor at making decisions .I felt a bit marginalized by her comment but did not say anything during the group discussion.During my 1:1 I shared with my manager how her comment was perceived by me. My manager took the opportunity during a regular scheduled conference call to define acceptable conduct during these types of workshop discussions.This provides a framework for our entire team for future interactions where unconscious bias can be exhibited
The organization I work for had to quickly adapt to a work from home environment and with those changes came a new code of conduct for virtual interactions are evolving and expectations are more clearly defined with practice and continued speaking up among the teams.
Six ways to combat workplace incivility.(n.d.) https://www.onlinediscprofile.com/what-is-disc-/disc history/
References
Clark,C.M. (2015). Conversations to inspire and promote a more civilworkplace.American Nurse Today. 10
(11).18-23. Retrieved from https://www.American nurse today.com/we-content/uploads/2015/11/anti11-
CE-Civility-1023.pdf.
Laureate Education(Producer).(2009a). Working with Groups and Teams[Video file]. Baltimore, MD: Author.
Monych,B. (n.d.).Six way to combat workplace incivility.Insperityonline.Retrieved April 11,2021, from https://www.intersperityonline.com/six-ways-to-combat-workplace-incivility.
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Assignment WK9 due 5/1/ 2021
Assignment: Workplace Environment Assessment
Clearly, diagnosis is a critical aspect of healthcare. However, the ultimate purpose of a diagnosis is the development and application of a series of treatments or protocols. Isolated recognition of a health issue does little to resolve it.
In this module’s Discussion, you applied the Clark Healthy Workplace Inventory to diagnose potential problems with the civility of your organization. In this Portfolio Assignment, you will continue to analyze the results and apply published research to the development of a proposed treatment for any issues uncovered by the assessment.
To Prepare:
Review the Resources and examine the Clark Healthy Workplace Inventory, found on page 20 of Clark (2015).
Review the Work Environment Assessment Template.
Reflect on the output of your Discussion post regarding your evaluation of workplace civility and the feedback received from colleagues.
Select and review one or more of the following articles found in the Resources:
Clark, Olender, Cardoni, and Kenski (2011)
Clark (2018)
Clark (2015)
Griffin and Clark (2014)
The Assignment (3-6 pages total):
Part 1: Work Environment Assessment (1-2 pages)
Review the Work Environment Assessment Template you completed for this Module’s Discussion.
Describe the results of the Work Environment Assessment you completed on your workplace.
Identify two things that surprised you about the results and one idea you believed prior to conducting the Assessment that was confirmed.
Explain what the results of the Assessment suggest about the health and civility of your workplace.
Part 2: Reviewing the Literature (1-2 pages)
Briefly describe the theory or concept presented in the article(s) you selected.
Explain how the theory or concept presented in the article(s) relates to the results of your Work Environment Assessment.
Explain how your organization could apply the theory highlighted in your selected article(s) to improve organizational health and/or create stronger work teams. Be specific and provide examples.
Part 3: Evidence-Based Strategies to Create High-Performance Interprofessional Teams (1–2 pages)
Recommend at least two strategies, supported in the literature, that can be implemented to address any shortcomings revealed in your Work Environment Assessment.
Recommend at least two strategies that can be implemented to bolster successful practices revealed in your Work Environment Assessment.
Rubric
Part 1: Work Environment Assessment
· Complete the Work Environment Assessment Template. · Describe the results of the Work Environment Assessment you completed on your workplace. · Identify two things that surprised you about the results and one idea that you believed prior to conducting the assessment that was confirmed. · Explain what the results of the assessment suggests about the health and civility of your workplace.
Part 2: Reviewing the Literature
· Briefly describe the theory or concept presented in the article you selected. · Explain how the theory or concept presented in the article relates to the results of your Work Environment Assessment. · Explain how your organization could apply the theory highlighted in your selected article to improve organizational health and/or stronger work teams. Be specific and provide examples.
Part 3: Evidence-Based Strategies to Create High-Performance Interprofessional Teams
· Recommend at least two strategies, supported in the literature, that can be implemented to address any shortcomings revealed in your Work Environment Assessment. · Recommend at least two strategies that can be implemented to bolster successful practices revealed in your Work Environment Assessment. Written Expression and Formatting – Paragraph Development and Organization:
Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria.
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, parenthetical/in-text citations, and reference list.
Resources Provided:
Required Readings
Broome, M., & Marshall, E. S. (2021). Transformational leadership in nursing: From expert clinician to influential leader (3rd ed.). New York, NY: Springer.
Chapter 5, “Collaborative Leadership Contexts: It Is All About Working Together (pp. 155–178)
Chapter 8, “Creating and Shaping the Organizational Environment and Culture to Support Practice Excellence” (pp. 237–272)
Chapter 7, “Building Cohesive and Effective Teams” (pp. 212–231)
Laureate Education (Producer). (2009a). Working with Groups and Teams [Video file]. Baltimore, MD: Author.
Assignment WK11 due 5/9
Assignment: Change Implementation and Management Plan
It is one of the most cliché of clichés, but it nevertheless rings true: The only constant is change. As a nursing professional, you are no doubt aware that success in the healthcare field requires the ability to adapt to change, as the pace of change in healthcare may be without rival.
As a professional, you will be called upon to share expertise, inform, educate, and advocate. Your efforts in these areas can help lead others through change. In this Assignment, you will propose a change within your organization and present a comprehensive plan to implement the change you propose.
To Prepare:
· Review the Resources and identify one change that you believe is called for in your organization/workplace.
o This may be a change necessary to effectively address one or more of the issues you addressed in the Workplace Environment Assessment you submitted in Module 4. It may also be a change in response to something not addressed in your previous efforts. It may be beneficial to discuss your ideas with your organizational leadership and/or colleagues to help identify and vet these ideas.
· Reflect on how you might implement this change and how you might communicate this change to organizational leadership.
The Assignment (5-6-minute narrated PowerPoint presentation):
Change Implementation and Management Plan
Create a narrated PowerPoint presentation of 5 or 6 slides with video that presents a comprehensive plan to implement the change you propose.
Your narrated presentation should be 5–6 minutes in length.
Your Change Implementation and Management Plan should include the following:
· An executive summary of the issues that are currently affecting your organization/workplace (This can include the work you completed in your Workplace Environment Assessment previously submitted, if relevant.)
· A description of the change being proposed
· Justifications for the change, including why addressing it will have a positive impact on your organization/workplace
· Details about the type and scope of the proposed change
· Identification of the stakeholders impacted by the change
· Identification of a change management team (by title/role)
· A plan for communicating the change you propose
· A description of risk mitigation plans you would recommend to address the risks anticipated by the change you propose
Submit your narrated Change Implementation and Management Plan.
Rubric
Create a 5- or 6-slide narrated PowerPoint that presents a comprehensive plan to implement changes you propose. Your Change Implementation and Management Plan should include the following:
· An executive summary of the issues that are currently affecting your organization/workplace (this can include the work you completed in your Workplace Environment Assessment).
· A description of the changes being proposed.
· Justifications for the changes, including why addressing them will have a positive impact on your organization/workplace.
· Details about the type and scope of the proposed changes.
· Identification of the stakeholders impacted by the changes.
· Identification of a change management team (by title/role).
· A plan for communicating the changes you propose.
· A description of risk mitigation plans you would recommend to address the risks anticipated by the changes you propose.
Include a narrated presentation that is 5–6 minutes in length.
Written Expression and Formatting – English writing standards:
Correct grammar, mechanics, and proper punctuation
Learning Resources
Required Readings
Broome, M., & Marshall, E. S. (2021). Transformational leadership in nursing: From expert clinician to influential leader (3rd ed.). New York, NY: Springer.
Chapter 4, “Practice Model Design, Implementation, and Evaluation” (pp. 99–154)
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