1- excellent post. I can imagine it is a great challenge to be without a manager, and I am glad to hear you may have a new manager soon. I agree that stress, job dissatisfaction, and a negative work environment can lead to conflicts. Our text book states that conflict is a natural and inevitable outcome in any group or organization. Conflict has the potential to be a positive force in determining group performance. Since conflict is natural and Huber (2014) states it should be accepted, one important part is how we deal with a negative conflict, and how we work as a team work to solve it. I also agree that not everyone can be a manager. It is indeed a challenging job, and it takes a very special person to handle being a manager while being successful and appreciated by his/her employees.

Thank you.

Reference: 

Huber, D. (2014). Leadership and Nursing Management, 5th Ed. [Pageburstls]. 

Retrieved from https://pageburstls.elsevier.com/#/books/9781455740710/

2-The readings this week discuss power and conflict extensively. Our textbook states that common sources of conflicts within organizations include communication, power, personalities, values, roles, and resources. Furthermore, change increases the risk for conflict within a group or an organization. Changes can be both positive and negative; they may lead to either stress and conflict, or something positive that results in an improvement within the workplace (Huber, 2014).

Conflict is a natural and inevitable outcome in any group or organization and should be accepted; the crucial part is how employees deal with conflict and how they try to solve it. Also, according to Huber (2014), there are different types of conflicts. In this particular example, the situation appears to be related to relationship conflict; awareness of interpersonal incompatibilities, which includes feelings of frustration and tension among the nurses and the new director. Also, this director appears to have an autocratic leadership style; she makes all the decisions without inviting feedback from other employees (Sfantou et al., 2017).

As mentioned above, power can be a source of conflict in a group setting. When used incorrectly, power may lead to conflict within a team of individuals. Consequently, this may lead to ineffective teamwork, and a negative work environment. As a nurse leader, it is important to address conflicts as soon as possible, as it may result in dysfunctional and destructive outcomes. In this scenario, I would suggest using the creative problem-solving mode. The goal is to come to a solution that leads to feelings of gain and no feelings of loss for all participants; a win-win solution. According to Huber (2014), creative problem solving is the most effective mode of conflict management. When using this approach, there are a few important steps to include. These steps are:

1)    Initiate discussion

2)    Respect individual differences

3)    Be empathic with everyone involved

4)    Have assertive dialogue; keep feelings and facts separate, clearly state the main issues, be an active listener

5)    Agree on a solution that balances the power and satisfies everyone involved

Though the word power relates to strength, it can also mean the ability to control and dominate. In addition, power can be viewed as something positive. Nurse leaders recognize that understanding and acknowledging power and learning to seek it appropriately, is imperative in nurses’ efforts to help shape their own practice and the broader health care environment. As the largest health care professional, nursing must use power and influence to facilitate change in health care organizations (Huber, 2014).

References:

Huber, D. (2014). Leadership and Nursing Care Management, 5th Edition. Retrieved from http://evolve.elsevier.com

Sfantou, D. F., Laliotis, A., Patelarou, A. E., Sifaki-Pistolla, D., Matalliotakis, M., & Patelarou, E. (2017). Importance of Leadership Style towards Quality of Care Measures in Healthcare Settings: A Systematic Review. Healthcare (Basel, Switzerland), 5(4), 73. doi:10.3390/healthcare5040073

3-I can see why there could be some resentment when input was not requested from the current employees. I am currently going through a reorganization with management at my place of employment. For months, we have been without a nurse manager, but we just received word of a newly hired manager. I feel that this new manager will be faced with conflict from current staff since we have gone without for so long.

There are three different types of conflict, these include intrapersonal, interpersonal, and intergroup (Huber, 2014). Intrapersonal conflict comes from within a person; this could be stress or internal conflict (Huber, 2014). Interpersonal conflict occurs when conflicting roles occur between different responsibilities (Huber, 2014). Leadership and Nursing Care Management gives the example of the working parent deciding if they should go to work or stay home to take care of their sick child (2014). Intergroup conflict when there is conflict between different groups (Huber, 2014).

There are different factors that could lead to conflict. A few examples include job dissatisfaction, stress, and negative work environment (Huber, 2014). In order to resolve conflict, one must first assess the situation; it is helpful to have an open mind to new ideas and be accepting to help that is offered (Huber, 2014). It is also best to address problems soon after they arise, scheduling a staff meeting is one way that the problems are able to be addressed promptly (Huber, 2014). I feel that having open communication with staff members is appreciated. If I was a Nurse Manager, I would be sure to listen to my staff member’s concerns, and address issues early on. I would also be sure to make the staff aware that they are appreciated. A staff member who feels appreciated will likely go the extra mile at work.

I feel that not everyone can be a manager. Managers can have difficult jobs when attempting to restructure or change an organization, and they will likely face pushback from some employees. It is helpful to understand that change is never easy, especially for employees who are used to doing things a certain way. Having an open mind and a little understanding from all involved will go a long way.

Huber, D. (2014). Leadership and Nursing Care Management, 5th Edition. [Pageburstls].

 Retrieved from https://pageburstls.elsevier.com/#/books/9781455740710/

  

Research the range of contemporary issues teenagers face today. In a 500-750-word paper, choose one issue (besides teen pregnancy) and discuss its effect on adolescent behavior and overall well-being. Include the following in your submission:

1. Describe the contemporary issue and explain what external stressors are associated with this issue.

2. Outline assessment strategies to screen for this issue and external stressors during an assessment for an adolescent patient. Describe what additional assessment questions you would need to ask and define the ethical parameters regarding what you can and cannot share with the parent or guardian.

3. Discuss support options for adolescents encountering external stressors. Include specific support options for the contemporary issue you presented.

wk4/Z

  

“Culture has a powerful effect on an organization and is recognized by many as the “glue” that holds an organization together and allows it to adapt to changing environments” (Glickman, Bagget, Krubert, Peterson, & Schulman, 2007). An environment that embraces diversity and equality will help assure the standards of nursing to include cultural competency. It is important for leadership and teams to understand the practices and behaviors of other cultures. Lack of cultural competence can be a barrier to effective communication and this can flow down to patients and the families we take care of. Patients are more diverse with the increase of global travel. All levels of the nursing workforce should reflect the diversity of the population the institution serves (Coe, 2013).  “Effective nurse leaders realize that diverse groups are more likely to consider a variety of different viewpoints; therefore, they are more likely to develop better, more creative solutions to problems”

    My institution is located near one of the largest military installations in the United States. We see many patients of different cultures. I also live in Texas and we see a majority of patients that represent the Mexican culture. I would most definitely incorporate someone from the Mexican culture into my team. As a nurse leader I will need to understand the cultural differences among the staff. Having someone from the Mexican culture will help the team understand the language, health practices, beliefs and customs and this will allow for more effective communication with staff, patients and families. There are many dialects spoken in Mexico. They include Spanish, English and indigenous Indian language. Verbal communication is important and understanding that someone of Mexican cultural may stand close and use a loud voice is also important. Older adults do not maintain eye contact. Knowing that this culture may show up late to appointments, it is important to stress the reasons for being on time for health care appointments. Extended family tend to be a good resource for this population (Purnell, 2014).  This person will be able to help provide insight and education to staff. Having cultural diverse team and members will help the group learn and grow and provide safe, effective, quality care to our patients 

 

Rationing Available Capital 

For this assignment, imagine that you are now the Chief Operating Officer of a large hospital in Riyadh. As part of your duties, you are to approve and allocate the necessary funds for the upcoming year’s major capital expenditures. There are two major requests and unfortunately, the hospital simply cannot afford both. The first request comes from facilities management. They have submitted the proposals and costing information for a major five-story parking structure. Complaints about limited parking arise from staff and patients on a daily basis. You ponder the hospital’s desire to increase services and realize that this is certainly worth considering. However, on an equal level of need, the medical department has submitted a request for an upgraded and expanded operating room including the addition of robotic surgical assisting devices (DaVinci).

In this proposal to the Board of Directors, analyze the steps you would use in determining which one will be funded this year and which one will be funded next year. Will you use surveys, if so will they be available to the public, employees only, or both? Will you favor the parking facility as it will generate income or will you favor the increase of technology as it lends itself well to marketing? Who will you bring into the decision-making process? As you endeavor in this assignment, the thought process is more critical than choice as there is no right or wrong answer.

Your proposal should include the following components:

1. A one-page discussion identifying the process of capital investment decision making, using citation and supporting reference articles.
2. A two-page proposal including steps in determining the funding:

• Assessment (survey, target audience, etc.).
• Compare and contrast both options.
• Final proposed decision with supporting spreadsheet.

Your paper should meet the following structural requirements:

1. Three pages (not including title or reference page)(MS file)
2. Excel spreadsheet which supports your position .(Excel sheet file )
3. Formatted according to APA  writing standards.
4. Provide support for your statements with in-text citations from a minimum of four scholarly articles. Two of these sources may be from the class readings, textbook, or lectures, but two must be external.
5. No plagiarism
6. The references should not be more than 5 years back

For our discussion board this week, we will discuss a neurological condition known as Cluster Headache.

Case Study:

Richard is a 40-year-old man with a history of 4 weeks of cluster headache once each year. These began when he was 35 years old. His cluster periods occur in the fall. The cluster period begins slowly, increasing over 1 week, reaching a peak where Richard has two or three severe cluster attacks each day. They occur from 10 p.m. to 3 a.m. Each cluster headache lasts from 40 to 90 minutes, and the headaches are severe. The pain is always on the right side, with eye tearing and nasal congestion. 

Richard comes into our office 1 week into this fall’s cluster series. The headaches are increasing in intensity, and he is miserable with the pain.

Please complete the following questions: 

• 1. Describe Cluster Headache and its epidemiology.
• 2. What would be your goals for therapy for Richard? Give rationale with evidence from articles. 

Work must be supported by peer-reviewed article published within 5 years.