Use APA 6 or 7th Edition Format and support your work with at least 3 peer-reviewed references within 5 years of publication. Remember that you need a cover page and a reference page. All paragraphs need to be cited properly. Please use headers. All responses must be in a narrative format and each paragraph must have at least 4 sentences. Lastly, you must have at least 2 pages of content, no greater than 4 pages, excluding cover page and reference page.
Week 12 Case Study: Osteoporosis
J.S., a 72-year-old woman of Asian descent, has just transferred to your practice. She had a hysterectomy 8 years ago and has not been on hormone replacement therapy. She is 5 ft 2 inches tall and weighs 102 lb. She has had a sedentary lifestyle (she was a secretary and retired 2 years ago). She drinks four glasses of wine a day. Her mother died at age 62 from complications of a hip fracture. J.S.’s sister was just diagnosed with metastatic breast cancer. You prescribe a DEXA scan, and the T-score is −2.6 SD.
Diagnosis: Osteoporosis
1. List specific goals of therapy for J.S. 2. What drug therapy would you prescribe? Why? 3. What are the parameters for monitoring the success of the therapy? 4. Discuss specific patient education based on the prescribed therapy. 5. List one or two adverse reactions for the selected agent that would cause you to change therapy. 6. What OTC or alternative medicines might be appropriate for this patient? 7. What dietary and lifestyle changes might you recommend? 8. Describe one or two drug–drug or drug–food interactions for the selected agent.
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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.
Bottom of Form
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)
Evidence Based Patient Centered Concept Map – 2025
Create an evidence-based, patient-centered concept map that illustrates an individualized approach to patient care, based on a patient case file of your choice.
Evidence-based practice is a key skill in the toolkit of the master’s-prepared nurse. Its goal is to ensure that health care practitioners are using the best available evidence to ensure that patients are receiving the best care possible (Godshall, M., 2015.). In essence, evidence-based practice is all about ensuring quality care.
In this assessment, you have an opportunity to apply evidence-based practice and personalized care concepts to ensure quality care and improve the health of a single patient.
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
Competency 1: Apply evidence-based practice to plan patient-centered care.
Analyze the needs of a patient, and those of their family, with regard to how they will influence a patient-centered concept map.
Design an individualized, patient-centered concept map, based upon the best available evidence for treating a patient’s specific health, economic, and cultural needs.
Competency 3: Evaluate outcomes of evidence-based interventions.
Propose relevant and measurable criteria for evaluating the outcomes of a patient-centered concept map.
Competency 4: Evaluate the value and relative weight of available evidence upon which to make a clinical decision.
Justify the value and relevance of evidence used as the basis of a patient-centered concept map.
Competency 5: Synthesize evidence-based practice and academic research to communicate effective solutions.
Develop a strategy for communicating with patients and their families in an ethical, culturally sensitive, and inclusive way.
Integrate relevant and credible sources of evidence to support assertions, correctly formatting citations and references using APA style.
As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.
Recall an experience you have had—or one that you might have observed in your care setting—in which you individualized care for a patient.
In your approach to individualized care, did you:
Address any health concerns other than those for which the patient was seeking care?
Consider the patient’s economic and daily environmental circumstances?
Consider any ethical issues inherent in working with the patient?
What might you have done differently, if you could revisit that patient’s case?
What evidence supported your original course of action?
What evidence would you present to support an alternative course of action, if you could revisit that patient’s case?
Preparation
You have been presented with a number of patient case files in the Evidence-Based Patient-Centered Care media piece. You reviewed each case, selected one case for further research, and created draft evidence-based concept map to illustrate an approach to individualized care for the patient. In this assessment, you will build upon and refine your draft concept map and develop a supporting narrative.
Create your concept map and narrative as separate documents. Be sure to note the areas where you need to include your evidence-based support and where you need to make clear your strategies for communicating information to the patient and the patient’s family.
Note: Many organizations use the spider style of concept maps (see the Taylor & Littleton-Kearney article for an example). Also, if a specific style of concept map is used in your current care setting, you may use it in this assessment.
Create your concept map and narrative as separate documents. Be sure to note the areas where you need to include your evidence-based support and where you need to make clear your strategies for communicating information to the patient and the patient’s family.
Requirements
Note: The requirements outlined below correspond to the grading criteria in the scoring guide, so be sure to address each point. In addition, you may want to review the performance level descriptions for each criterion to see how your work will be assessed.
Supporting Evidence and APA Style
Integrate relevant evidence from 3–5 current scholarly or professional sources to support your assertions.
Apply correct APA formatting to all in-text citations and references.
Attach a reference list to your narrative.
Concept Map
Develop a concept map for the individual patient, based upon the best available evidence for treating your patient’s health, economic, and cultural needs.
Narrative
Develop a narrative (2–4 pages) for your concept map.
Analyze the needs of your patient and their family, and determine how those needs will influence a patient-centered concept map.
Consider how your patient’s economic situation and relevant environmental factors may have contributed to your patient’s current condition or affect their future health.
Consider how your patient’s culture or family should influence your concept map.
Justify the value and relevance of the evidence you used as the basis of your concept map.
Explain why your evidence is valuable and relevant to your patient’s case.
Explain why each piece of evidence is appropriate for both the health issue you are trying to correct and for the unique situation of your patient and their family.
Propose relevant and measurable criteria for evaluating the degree to which the desired outcomes of your concept map were achieved.
Explain why your proposed criteria are appropriate and useful measures of success.
Explain how you will communicate specific aspects of the concept map to your patient and their family in an ethical, culturally sensitive, and inclusive way. Ensure that your strategies:
Promote honest communications.
Facilitate sharing only the information you are required and permitted to share.
Are mindful of your patient’s culture.
Enable you to make complex medical terms and concepts understandable to your patient and their family, regardless of language, disabilities, or level of education.
Additional Requirements
Be sure to include both documents when you submit your assessment.
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Nurses are often portrayed in films and television. From Nurse Ratched in One Flew over the Cuckoo’s Nest, to Julia Baker in Julia, and Gaylord “Greg” Focker in Meet the Parents, nurses have been portrayed showing various traits. Some are positive, while others are less than caring. For each, the five elements of emotional intelligence, 1) self-awareness, 2) self-regulation, 3) motivation, 4) empathy, and 5) social skills, are expressed at different levels. Select a nurse archetype portrayed in films or on television and consider the following.
What features of emotional intelligence does your selected nurse portray? What features are they lacking? Provide an example to support your rationale.
If you were the nurse’s leader, how would use your change agent characteristics to support that individual’s growth? Provide specific examples using scenarios from the setting from which the nurse is portrayed.
How does complexity theory or chaos theory influence the organization in which the nurse is portrayed? Provide specific examples to support your rationale.
Instructions:
Use an APA 7 style and a minimum of 250 words. Provide support from a minimum of at least three (3) scholarly sources. The scholarly source needs to be: 1) evidence-based, 2) scholarly in nature, 3) Sources should be no more than five years old (published within the last 5 years), and 4) an in-text citation. citations and references are included when information is summarized/synthesized and/or direct quotes are used, in which APA style standards apply.
• Textbooks are not considered scholarly sources.
• Wikipedia, Wikis, .com website or blogs should not be used.
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Despite increased abilities across developmental realms, including the maturation of pain systems involving self-regulation and the coordination of affect and cognition, the transition to young adulthood is accompanied by higher rates of mortality, greater engagement in health-damaging behaviors, and an increase in chronic conditions. Rates of motor vehicle fatality and homicide peak during young adulthood, as do mental health problems, substance abuse, unintentional pregnancies, and sexually transmitted infections.
Describe how the advanced practice nurse can play a role in improving the health of young adults through preventive screening and intervention.
Instructions:
Post your discussion to the Moodle Discussion Forum. Word limit 500 words. Support your answers with the literature and provide citations and references in APA format. Reply to at least two other student posts with a reflection of their response.
Despite increased abilities across developmental realms, including the maturation of pain systems involving self-regulation and the coordination of affect and cognition, the transition to young adulthood is accompanied by higher rates of mortality, greater engagement in health-damaging behaviors, and an increase in chronic conditions. Rates of motor vehicle fatality and homicide peak during young adulthood, as do mental health problems, substance abuse, unintentional pregnancies, and sexually transmitted infections.
Describe how the advanced practice nurse can play a role in improving the health of young adults through preventive screening and intervention.
Instructions:
Post your discussion to the Moodle Discussion Forum. Word limit 500 words. Support your answers with the literature and provide citations and references in APA format. Reply to at least two other student posts with a reflection of their response.
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Write a short (50-100-word) paragraph response for each question posed below. Submit this assignment as a Microsoft Word document.
Define CAM.
Describe the patient who uses CAM the most.
List some common misconceptions about CAM.
Identify methods of including the use of CAM in patient education.
Discuss the safe use of CAM.
List ways in which conventional medicine and CAM can be integrated.
Define ethical theories, ethical principles, and values.
Provide examples of ethical issues in patient education and compliance, and describe ways in which an effective professional/patient relationship and a poor health professional/patient relationship can impact these issues.
Explain what is meant by “ethical patient education practices”.
Explain the purpose of informed consent.
Discuss what factors determine the patient’s ability to give informed consent.
Compose a sample informed consent form. .
Discuss the process of communication to use with the patient and the family when obtaining informed consent.
· Created short paragraph (50-100 word minimum) response for each question and addressed each part of the question. (the question does not count toward the word count) –/ 10 points
· Research section: Demonstrated accuracy, thoughtful detail and intelligence with each answer and was written in own words and had original thought. -10 pts
· Critical thinking Section: Original Examples are provided to explain answer. (Example:) Student has original and critical thinking:-10 pts
· Created APA formatted document.
i.Included APA title page.1/
ii.Included APA in-text citations – 5/
iii.APA reference page at the end. –3 pts/ 9 points total
· Homework has questions written out, numbered and are in order. ( See student Success center for details on APA formatting) – 1 point
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identify cultural influences on health dicision-makin – 2025
Identify cultural influences on health and decision-making. Create a PowerPoint presentation that addresses the following items:
Sub-group (Ex: Muslims, Native Americans, African Americans, Latinos, Transgender, Hindu, Military Children, Teenagers, Millenials, etc.) name and image with rationale
Purnell’s Model constructs and sub-group information (n = 12)
Sub-group presence and issues 15 related to local and global community
Summary of recommendations for providing culturally competent nursing care to this sub-group
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Assignment: The Nurse Leader as Knowledge Worker – 2025
The term “knowledge worker” was first coined by management consultant and author Peter Drucker in his book, The Landmarks of Tomorrow (1959). Drucker defined knowledge workers as high-level workers who apply theoretical and analytical knowledge, acquired through formal training, to develop products and services. Does this sound familiar?
Nurses are very much knowledge workers. What has changed since Drucker’s time are the ways that knowledge can be acquired. The volume of data that can now be generated and the tools used to access this data have evolved significantly in recent years and helped healthcare professionals (among many others) to assume the role of knowledge worker in new and powerful ways.
In this Assignment, you will consider the evolving role of the nurse leader and how this evolution has led nurse leaders to assume the role of knowledge worker. You will prepare a PowerPoint presentation with an infographic (graphic that visually represents information, data, or knowledge. Infographics are intended to present information quickly and clearly.) to educate others on the role of nurse as knowledge worker.
Reference: Drucker, P. (1959). The landmarks of tomorrow. New York, NY: HarperCollins Publishers.
To Prepare:
Review the concepts of informatics as presented in the Resources.
Reflect on the role of a nurse leader as a knowledge worker.
Consider how knowledge may be informed by data that is collected/accessed.
The Assignment:
Explain the concept of a knowledge worker.
Define and explain nursing informatics and highlight the role of a nurse leader as a knowledge worker.
Include one slide that visually represents the role of a nurse leader as knowledge worker.
Your PowerPoint should Include the hypothetical scenario you originally shared in the Discussion Forum. Include your examination of the data that you could use, how the data might be accessed/collected, and what knowledge might be derived from that data. Be sure to incorporate feedback received from your colleagues’ responses.
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Assessing, Diagnosing, and Treating Adults with Mood Disorders – 2025
Review the Case Study: Petunia Park. You will use this case as the basis of this Assignment.
Consider what history would be necessary to collect from this patient. Develop a Focused SOAP Note, including your differential diagnosis and critical-thinking process to formulate a primary diagnosis. Incorporate the following into your responses in the template:
Subjective: What details did the patient provide regarding their chief complaint and symptomatology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life?
Objective: What observations did you make during the psychiatric assessment?
Assessment: Discuss the patient’s mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with supporting evidence, listed in order from highest to lowest priority. Compare the DSM-5 diagnostic criteria for each differential diagnosis and explain what DSM-5 criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.
Plan: What is your plan for psychotherapy? What is your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters as well as a rationale for this treatment and management plan. Also incorporate one health promotion activity and one patient education strategy.
Reflection notes: What would you do differently with this client if you could conduct the session again? Discuss what your next intervention would be if you were able to follow up with this patient. Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion, and disease prevention that takes into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).
https://timelynursingwriters.com/wp-content/uploads/2023/03/timely_nursing-writers-300x46.png00adminhttps://timelynursingwriters.com/wp-content/uploads/2023/03/timely_nursing-writers-300x46.pngadmin2025-04-04 15:38:382025-04-04 15:38:38Assessing, Diagnosing, and Treating Adults with Mood Disorders – 2025 Review the Case Study Petunia Park You will use this case as the basis of this Assignment
Discuss what it takes to be an effective leader. Incorporate the questions below in your answer.
Reflecting on Newtonian vs. Quantum characteristics described in Porter-O’Grady and Malloch’s quantum Leadership, and the crucial accountability methods that lead to getting the desired results, what leadership style most closely reflects you? Do you think this is the most effective for your work setting? Why?
What communication devices do you use to maximize team involvement in the execution of organizational objectives?
Your initial posting should be a minimum of 250 words in length and utilize at least one scholarly source other than the textbook; it should include citations and references.
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