Case

Fire the Facilities Manager?

John Faber is the facilities manager employed at a 240-bed nursing home for the past 3 years. Before John, the facility had one supervisor over both housekeeping and laundry and a separate maintenance supervisor. Hiring John to supervise all three departments resulted in an annual savings of $7,000 in labor and materials. Prior to joining this facility, John was the maintenance supervisor at a 120-bed skilled care nursing home. Before that, he was a small business owner of a home cleaning service that employed six people. He sold that business 4 years ago. John’s background also includes ownership of a coin laundromat that he disposed of several years ago.

It is time for the annual performance review for all associates. For department heads, the corporate office has authorized a wage increase of between 0% and 6% based on performance. As the administrator (NHA) mulls over John’s performance during the past year, she is pleased with the ongoing cost savings and on-budget performance in facilities services. However, the NHA thinks that she has to hold John accountable for the citation in housekeeping during the certification survey just 2 months ago (rated as E on the Severity/Scope Grid). Last year also the facility had been cited for housekeeping (rated as H on the Severity/Scope Grid), and a resident who had tripped and fallen over a vacuum cleaner cord had sued the facility. Earlier this year, the corporation had settled the claim for $20,000.

The corporate vice president of operations just called and suggested that John should be fired for his poor performance, but the NHA does not share the same view. Her response to the VP of operations was, “I would like to think it over and get back to you tomorrow.” Now, the day has arrived for the NHA to have a phone conference with the VP of operations and a face-to-face meeting with John.

Questions

1.  How should the NHA resolve the conflict with the VP of operations? Provide adequate details, and incorporate in your response the leadership style you suggest using with John.

2.  The NHA’s decision is to not give John a wage increase, which leads to a disagreement between John and the NHA because he regards it as unfair. How should the NHA handle this conflict in which the objective should be to arrive at a win–win solution? Again, provide adequate details.

Throughout the RN-to-BSN program, students are required to participate in scholarly activities outside of clinical practice or professional practice. Examples of scholarly activities include attending conferences, seminars, journal club, grand rounds, morbidity and mortality meetings, interdisciplinary committees, quality improvement committees, and any other opportunities available at your site, within your community, or nationally.

You are required to post one scholarly activity while you are in the BSN program, which should be documented by the end of this course. In addition to this submission, you are required to be involved and contribute to interdisciplinary initiatives on a regular basis.

In Topic 10, you will submit a summary report of your scholarly activity. You may use the “Scholarly Activity Summary” resource to help guide this assignment.

Respond to your colleagues’ posts by sharing your thoughts on  their specialty, supporting their choice or offering suggestions if  they have yet to choose. 

At least 2 references in each peer responses! 

Nursing today is continually changing and expanding.  Staying current on the latest best practices is essential.  Evidence-based practice is a philosophy of implementing the best practices and procedures that have been proven, through research and studies, to facilitate the most favorable outcomes.  In 2010 under the Obama administration and the Affordable Care Act, evidence-based practice (EBP) shifted health care from being based on a reimbursement system and quantity to a system based on evidence and quality (Laureate Education, 2018).  EBP is a long-term problem-solving approach to clinical practice.  These practices integrate evidence from research, clinical experience, theories, expert panels, patient values, and preferences (Melnyk & Fineout-Overholt, 2018).  

For this discussion assignment, I have chosen the Mayo Clinic website.  The Mayo Clinic is the oldest and largest medical group with several multispecialty facilities, combining medical practice with research and education on both a national and international level.  The Clinic has a united model of care that permits multi-disciplinary practice that fosters the team-orientated patient health care and accountability (Bakri & Mayo Clinic, 2014).  Mayo clinic’s mission statement is “To inspire hope and contribute to health and well-being by providing the best care to every patient through integrated clinical practice, education and research” (Mayo Clinic, n. d.).

I believe that the Mayo Clinic is well-grounded in EBP, through the many research activities in which they are involved.  Through research, the Mayo Clinic has been involved in over a hundred medical breakthroughs.  All of these have contributed to the well-being of the patient population.  Good examples are their development of a rapid way to diagnose surgical specimens allowing their surgeons to explore, diagnose, and repair all in one operation.  Also, the mayo clinic isolated thyroxin, the principal hormone of the thyroid gland; only the second time, a pure hormone had been isolated, and the Mayo Clinic developed a DNA test to diagnose anthrax rapidly (Mayo clinic, n. d 

Approved Research topic:  Is telehealthcare a good option for nursing homes?

THESIS STATEMENT AND SOURCE ANALYSIS

For this assignment, you will write the thesis statement for your research paper and provide a preliminary list of at least six sources for approval by your instructor.

1. Create a single-sentence thesis statement that provides  an overview of your debatable topic as well as the two major arguments  relating to that topic. Keep each of these hints in mind as your craft      your thesis:

• Your thesis statement should match your approved topic.
• A thesis statement is a single declarative sentence (not a question).
• It must be written in the third person only.

1. Create an APA-formatted reference page with at least six      potential sources that you plan to use both for your annotated      bibliography (due next week) and your final research paper. Keep in mind      the following hints:

• The appropriate heading for your reference page is the        single word References, which should be centered in lightface Roman font        (not boldface, italics, or underlined.)
• The reference page should be written using Times New        Roman 12 point font, double-spaced with 1″ margins, and no extra        spaces between citations.
• Entries should be listed in alphabetical order by        author’s last name.
• When you cite an author in the reference page, list        the last name first, then the first initial (Lincoln, A.). Do not write        the full first name when using APA formatting.
• In an APA citation, only the first word and proper        nouns are capitalized in an article or book title. The first word after        a colon is also capitalized (e.g., “The strange quirks of APA:        Understanding capitalization”).
• For each citation, all lines after the first line of        each entry should be indented one half-inch from the left margin.
• Refer to this website for great help on exactly how to        properly cite sources and format your reference page: http://owl.english.purdue.edu/owl/resource/560/05/.
• You will be required to use at least ten scholarly        sources for your final paper, and you may list all ten here for approval        if desired.

1.  Discuss the historical trends and current conceptions of the cause and treatment of substance abuse.

2.  Describe the ethical and legal implications of substance abuse.

3.  Identify factors that influence violence.

4.  Identify at-risk populations for violence and the role of public health in dealing with the epidemic of violence.

As stated in the syllabus present your assignment in an APA format, word document, Arial 12 font attached to the forum in the discussion tab of the blackboard titled “Week 6 discussion questions”.  A minimum of 2 evidence-based references is required. A minimum of 600 words is required.