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Click on Courses on the top, and then click on Introduction to Human Resource Management, click on Module 3, then assignments. Scroll down to Module 03 Quiz. Complete the quiz.

Reply 1 

Courseillant 4 postsRe: Topic 4 DQ 2

Organizational culture is viewed as a collective structure which is controlled by universal ideas, traditions, values and theories. Notably, these ideals and beliefs are generally shared by the individuals in the organization; it is important to note that, sharing of the values and beliefs in an organization such as healthcare organizations impact the conducts of the nurses based on their jobs, actions and dressing codes. I believe that, organizational culture for example teamwork, constancy, hostility, emphasis on workers, results and innovation can create affirmative effect over the company, however, it can as well create more burden to the nurses who work in the healthcare sector. For example, I believe that, barriers like conflicts between the nurses, dejected workers, lack of communication as well as lack of trust among nurses can make nursing leaders become helpless and ineffective. This indeed becomes daunting for the nursing leaders and it can eventually promote a negative effect on the healthcare setting including patients.
Reply 2

An organizational culture, as defined by Nightingale in her article, are “ideas, customs, behaviors, mission, beliefs, etc. that define the environment of an organization.” (Nightingale, 2018). We like to believe that these concepts are all positive but there are things within an organization’s culture that do make nurses and other staff powerless. Some barriers that would have a negative effect would be shortages of resources and supplies, not enough staff to support the patient census, bullying in the work place, and lack of available time to meet with administration to propose new ideas. Unfortunately, barriers can cause struggles between nurses and nursing leaders. A good nurse leader will rise above the barriers and continue with a good attitude while promoting the employer to the rest of the nurses and staff to ensure a calm throughout the nursing departments.

Reference

Nightingale, A., (2018). Nursing Standard. Developing the Organisational culture in a healthcare setting. Retrieved from: https://search-proquest-com.lopes.idm.oclc.org/docview/1992715222?accountid=7374

Women’s Health Case Study

General Guidelines for Comprehensive Case Study

You will complete the Aquifer case, Internal Medicine 14: 18-year-old female for pre-college physical, focusing on the “Revisit three months later” for this assignment.

After completing the Aquifer case, you will present the case and supporting evidence in a PowerPoint presentation with the following components:

• Slide 1: Title, Student Name, Course, Date
• Slide 2: Summary or synopsis of Judy Pham’s case
• Slide 3: HPI
• Slide 4: Medical History
• Slide 5: Family History
• Slide 6: Social History
• Slide 7: ROS
• Slide 8: Examination
• Slide 9: Labs (In-house)
• Slide 10: Primary Diagnosis and 3 Differential Diagnoses – ranked in priority

Primary Diagnosis should be supported by data in the patient’s history, exam, and lab results.

• Slide 11: Management Plan: medication (dose, route, frequency), non-medication treatment, tests ordered, education, follow-up/referral.
• Slide 12-16: An evaluation of 5 evidence-based articles applicable to Ms. Pham’s case: evaluate 1 article per slide.

1. Include title, author, and year of article
2. Brief summary/purpose of the study
3. How did the study support Ms. Pham’s case?

Course texts will not count as a scholarly source. If using data from websites you must go back to the literature source for the information; no secondary sources are allowed, e.g. Medscape, UptoDate, etc. 

• Slide 17: Reference List                                                                                                                                        

• Ask Questions for your peer regarding their post.
• Insight on a solution to an identified peer challenge.
• Resources that may be helpful related to your peers’ post.

Work 1

Cardiovascular exams can be very involved, as there are many parts to the exam. Being knowledgeable and proficient in assessing the cardiovascular system is imperative to providing quality care for your patient. As a bedside nurse, basic cardiovascular and peripheral vascular assessments have become a routine part of my shift. However, I did not realize how much more in depth these assessments could become. For instance, murmurs can be indicative of many pathologies that can be concerning for your patient. It is important to be able to differentiate between different murmurs, which is not something that I have done in the past. I can indicate if a patient has a murmur but not the type or what specific significance it has. This type of assessment will be challenging to me. Getting a good understanding of the anatomy and physiology of the heart as well as practice will help to assist in being proficient in assessing murmurs (Bickley, 2016).
       There are many age related changes related to the cardiovascular system. Over time, the structure and function of the heart changes. Typical changes in the heart include a loss of muscle cells, decreased the strength of contractions (Hubert, 2016). There is also a decline in the function of the heart valves due to thickening of the valve, which can cause them to be less effective. It is important to understand different age-related changes, as these can impact the function of the heart and the overall health of the patient. With an aging population, it is very important to be able to perform assessments on people across the lifespan, including older adults. Thankfully, there are plenty of resources available, including the Cleveland Clinic (2021) and information provided on how to identify heart murmurs and different treatment options. With more knowledge and practice, I hope to have the ability identify heart murmurs more efficiently. 

Work 2

 This week one of the assessment focus areas is the cardiovascular system. The majority of patients I have encountered had unremarkable history in this area systems, so coming across abnormalities was not common. Because of this I anticipate difficulties in recognizing heart murmurs. In addition to my inexperience, some suspicious sounds come with their barriers to being recognized correctly. Some murmurs may be difficult to identify because their pitch is on the lower end of threshold of human hearing, they can only be heard only in a small area, or they may be obscured extra, irrelevant sounds such as abdominal noise (Silverman, 1990).

In order to help me perform and interpret a correct cardiovascular assessment, I will also need to know what is normal for each age group. For example, S3, or a gallop, can be benign in children and may be found in pregnant women without cause for alarm, but the same is not always true for older adults (Bickley et al., 2017; Strait & Lakatta, 2012). A resource I found to help me with this assessment is a library of heart sounds. The Department of Medicine at the University of Washington has published a site that contains example of heart sounds and murmurs. Users are able to click on the description of the sound and hear a sample of it. This resource can be found here:  

  Reflect on your practice or clinical experience.

Write one well-developed paragraph addressing each of the following questions:

Using research, consider the IOM competency of informatics and how informatics has been used to improve patient quality of care & safety. Give an example of how informatics can be used in each of these aspects of nursing care:

• Interdisciplinary communication
• Reducing errors & promoting safety
• Patient education and decision-making
• Managing knowledge and information
• According to the IOM competency, how might informatics be used to further improve these areas of nursing care?
• For this post, you must show research in your writing using in-text citations and show your reference in 7th. ed. APA.