Nursing Leadership and management
The following post is another student reply to wish I have to react adding some extra information related to what already the student post. please use APA. 3 references and be careful with similarity it should be less than 20 %
COLLAPSE
Leadership and Management in Nursing-Week 4
Martha Gomez
Florida National university
NUR 4827
Professor Angel Cano, DNP, MSN, ARNP-BC, ANP-C, RN
May 25, 2020
1
I work in a community based not-for-profit organisation in my neighbourhood. I think there is a general positive climate in the facility and a culture of communion and communication among members of the nursing staff. It is easy to get help from members of the nursing staff including the nursing managers in the organisation. The organisation is structured is not extremely hierarchical as most members of the organisation can contribute to the development of policies. The main goals of the organisation include to ensure the complete well-being of stakeholders of the healthcare process.
2
An organisational climate affects the ability of managers and leaders in nursing to motivate and empower nurses. The ability of a manager or leader to motivate nurses towards increased productivity and increased commitment towards work is dependent on organisational climate. While a positive organisational climate enhances the leader’s or manager’s influence on nurses, a negative one diminishes their interaction hence leads to decline in productivity.
3.
One way for a nurse to their expertise and skills is through communication and connection. A nurse needs not only to connect with other professionals in the field but also patients in order to hone her interpersonal and professional skills. The second measure for enhancing a nurse’s expertise is by promoting cultural awareness in order to give complete patient centred care. Understanding the cultural believes and values of a variety of patients in promotes nursing expertise. Finally, a nurse should engage in continuous and education and register and take part in professional nursing organisations to improve expertise.
4
In a shared governance model of management, there is an increased nurses’ control of practice environment. Based on the principles of partnership, responsibility, equity and belonging, shared governance promotes collective decision making based on consensus hence reduce the power of nursing manager and leaders (Burns, 2017). Unlike in the traditional model where all power rest in nursing manager, in shared governance, the role of the nurse manager is mainly facilitation of discussions.
5
The culture and values of a healthcare organisation gives it an identity and helps bring employees to a common platform. To effectively deliver, nurses must understand organisation culture in order adjust and fit and deliver. When all nurses understand organisational culture and works towards a common goal, there is congruence in the organisation which increases productivity (Hatcher & Dixon, 2019).
1
An ideal organization for me is one that encourage the participation of nurse staff in making decisions. It should also encourage direct supervision where a nurse manager supervises a clinical service area. I also think that the organisation should ensure the coordination of services by promoting effecting communication in all areas including encouraging feedback.
2
Among some of the factors that empower nurses in my organisation according to the one I interviewed include continuous medical education where nurses are given ideas on how to grow. Also, independence promote creativity and enhance the capacity of nurses to develop and grow. However, she is not comfortable with the poor feedback offered by the nursing management in the organisation.
3
I once went to a hospital when I was at hospital where I felt extremely uncomfortable with the way I was handled. First, there were many people waiting while nurses did not even bother to attend to them hence a lot of confusion at the entrance. Secondly, the ward was disorganised with some patients left unattended for hours. Given the chance to change, I would organise the nursing department so that there are teams for every section with a leader to coordinate activities.
4
Low cost changes include the automation of repetitive tasks such as record keeping and administrative tasks so that nurses spending most of their time caring for patients. Hospitals benefit from electronic record keeping that reduce overhead costs. On the other hand, employing additional nurses to take care of patients at the organisation is an expensive change in the organisation. First impression in a healthcare facility not only influence customer’s decision to revisit but also affect patient outcomes. A facility that is well organised with flow of activities closely monitored to create a good impression on patients lead to increased faith among patients (Braithwaite et al., 2016). As such, a good impression increases the chance of second visits.
References
Braithwaite, J., Herkes, J., Ludlow, K., Testa, L., & Lamprell, G. (2017). Association between organisational and workplace cultures, and patient outcomes: systematic review. BMJ open, 7(11), e017708.
Burns, H. K. (2017). The Nursing Shared Governance Structure as a Vehicle for Advancing EBP: An Evidence-Based Approach.
Hatcher, D., & Dixon, K. (2019). Understanding organisational culture in the community health setting. Transitions in Nursing eBook: Preparing for Professional Practice, 45.
Human Cultural Pluralism
View this TED Talk on what the future looks like and then answer the following questions:
https://www.youtube.com/embed/dSiVW7QUmRc
How did you respond to Gabriella Huggins’s film?
Which, if any, images or narration spoke to you personally?
Discussion
Nurse-managed health centers and clinics are providing care at more convenient locations. Please explain the need for this change, benefits, and possible solutions to any obstacles
Discussion
John, an 82-year-old patient with advanced prostate cancer, requests medical marijuana for his nausea and loss of appetite. There is no law in Idaho that allows the use of medical marijuana.
What transcultural theory component is related to the cultural issues John is facing?
What is the role of the nurse in responding to his request?
What are the possible legal implications for the nurse? For example, can health workers be exempt from prosecution if they are allowing medicinal marijuana but not providing it?
Your initial post must include a minimum of 300 words and include proper grammar, punctuation, and reference(s
Health Promotion and Risk Reduction Cultural Diversity and Community Nursing Environmental Health
Read Chapters 4, 13, and 14 of the class textbooks and review the attached PowerPoint presentations. Once done answer the following questions.
Discuss various theories of health promotion, including Pender’s Health Promotion Model, The Health Belief Model, the Transtheoretical Theory, and the Theory of Reasoned Action.
List and discuss health behaviors for health promotion and disease prevention.
Apply and discuss the principles of transcultural nursing to community health nursing.
Apply and discuss the basic concepts of critical theory to environmental health nursing problems.
As stated in the syllabus present your assignment in an APA format word document, APA required font attached to the forum in the discussion tab of the blackboard titled “Week 4 discussion questions” and the SafeAssign exercise in the assignment tab of the blackboard which is a mandatory requirement. A minimum of 2 evidence-based references (besides the class textbook) no older than 5 years must be used. You must post two replies on different dates to any of your peers sustained with the proper references no older than 5 years as well and make sure the references are properly quoted in your assignment. The replies cannot be posted on the same day, I must see different dates in the replies. A minimum of 800 words is required and not exceeding 1,000 words (excluding the first and reference page). Please make sure to follow the instructions as given and use either spell-check or Grammarly before you post your assignment.
Please check your assignment after the week is due or after it is graded because I either made comments or ask for clarification in some replies or the assignment that required your response.
Due dates: Assignment – Wednesday, May 27, 2020, at 11:59 PM in the discussion tab of the blackboard, and in the SafeAssign exercise in the assignment tab of the blackboard.
Professional Product
Develop a professional product to improve care or the patient experience related to the identified health problem with a 2-4 page summary of intervention findings, evidence, and best-practice basis for the professional product.
Important: You must complete all of the assessments in order for this course.
For this assessment, you will develop and deliver a professional product to address the health problem defined in your first assessment to improve care and the patient experience. This will be delivered remotely rather than face-to-face to the individual or group (who can be friends and family) that you have identified. Appropriate examples include development of a community education program focused on a particular health issue or a handout to help the elderly and their families understand their Medicare and Medicaid options. The product must be useful in a practice setting, relevant to your project, and designed to improve some aspect of care or the patient experience.
A brief summary of the findings of your intervention and evidence-based support for your professional product should accompany your product.
Reminder: For this assessment, you are required to log in CORE ELMS the hours that you spend in remote contact with a patient (who could be a friend or family member). Three hours of remote contact is the minimum total amount of time required in this course. Planning time is not included and need not be logged.
As a baccalaureate nurse, you can enhance the experience, health, and lives of patients, families, and community members through personal interactions as well as by developing products to educate or improve the care experience. The ability to identify an appropriate product for improving the quality, safety, cost, and experience of care is an important skill. It also allows a BSN-prepared nurse to demonstrate mastery of patient-centered care delivery. These skills are critical as medicine becomes more personalized and nurses advance in their career and practice leadership.
Demonstration of Proficiency
By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:
Competency 1: Lead people and processes to improve patient, systems, and population outcomes.
Explain ways in which leadership of people and processes was utilized while designing an intervention and implementation plan.
Competency 2: Make clinical and operational decisions based upon the best available evidence.
Justify decisions related to developing a professional product with relevant research, evidence, and best practices.
Competency 3: Transform processes to improve quality, enhance patient safety, and reduce the cost of care.
Demonstrate process improvements in the quality, safety, or cost of care as a result of a direct clinical intervention and a developed professional product.
Competency 7: Implement patient-centered care to improve quality of care and the patient experience.
Demonstrate patient-experience improvements resulting from a clinical intervention and implementation of a newly developed professional product.
Competency 8: Integrate professional standards and values into practice.
Communicate professionally in writing that is clear and logically organized, with correct grammar, spelling, and use of APA style.
Important: You must complete all of the assessments in order for this course.
Preparation
Before submitting this assessment, you must have logged at least three remote contact hours in CORE ELMS. These hours will include only the time that you spent working remotely with patients, families, and/or community members to implement your intervention, collect and analyze data, and deliver your professional product to your target audience. Please be advised that the Volunteer Experience form requires that you provide the name and contact information for at least one individual with whom you worked as part of your direct clinical activity. Your faculty may reach out to this individual to verify that you have accurately documented and completed your clinical hours.
Instructions
For this assessment, you will develop and deliver a professional product to address the health problem defined in your first assessment to improve care and the patient experience. This will be delivered remotely rather than face-to-face to the individual or group that you have identified. Appropriate examples include development of a community education program focused on a particular health issue or a handout to help the elderly and their families understand their Medicare and Medicaid options. The product must be useful in a practice setting, relevant to your project, and designed to improve some aspect of care or the patient experience that can be used in your own practice, with your family or community.
Relevant products include but are not limited to:
Patient education handout (such as a medication sheet).
Patient safety plan.
Process improvement in-service.
Medicaid/Medicare patient coverage and finance guide.
Teaching plan.
Your submission will consist of two parts: an APA-formatted paper providing your rationale and supporting evidence, and the professional product.
For the brief APA-style paper, one organizational option is:
Summary of intervention and implementation:
What did you do?
How did you lead in terms of the processes used in the project?
With what participants?
Who were your interprofessional collaborators?
How did you lead them in this project?
What were your key findings?
Evidence-based rationale for professional product development:
What professional product did you develop?
Why did you choose this type of product?
How does it align with your intervention?
How will the product help improve outcomes?
How will the product enhance the patient experience?
How does the product improve a process related to quality, safety, and/or cost of care?
How do relevant research, evidence, and best practices support your choice of professional product and approach?
For your professional product, you may choose to develop a deliverable that could be used in your care setting to communicate and sustain relevant improvements related to the intervention you carried out. The key is that the professional product is useful to the target audience (such as a large-print Medicaid/Medicare patient coverage and finance guide that is easy for the elderly and their families to use, or an easily implemented process improvement in-service for home care nurses).
Scoring Guide Criteria
Your brief paper and professional product will be assessed according to the following scoring guide criteria:
Explain ways in which leadership of people and processes was utilized while designing an intervention and implementation plan.
Demonstrate process improvements in the quality, safety, or cost of care as a result of a direct clinical intervention and a developed professional product.
Demonstrate patient-experience improvements resulting from a clinical intervention and implementation of a newly developed professional product.
Justify decisions related to developing a professional product with relevant research, evidence, and best practices.
Communicate professionally in writing that is clear and logically organized, with correct grammar, spelling, and use of APA style.
Additional Requirements
Length of submission: APA-style paper should be 2–4 pages of content plus title and reference pages. There is no length requirement for your professional product. The type of deliverable you choose will determine its length and format.
Number of references: Cite a minimum of 5 sources of scholarly or professional evidence that support your decisions and rationale in your APA-style paper. Resources should be no more than 5 years old.
APA formatting: References and citations are formatted according to current APA style. Use appropriate APA citations (in-text and reference list) in the paper and professional product.
Portfolio Prompt: Remember to save the assessment to your ePortfolio. After you complete your program you may want to consider leveraging your Portfolio as part of a job search or other demonstration of your academic competencies.
Executive Summary
In this assignment, you will propose a quality improvement initiative from your place of employment that could easily be implemented if approved. Assume you are presenting this program to the board for approval of funding. Write an executive summary (750-1,000 words) to present to the board, from which the board will make its decision to fund your program or project. Include the following:
The purpose of the quality improvement initiative.
The target population or audience.
The benefits of the quality improvement initiative.
The interprofessional collaboration that would be required to implement the quality improvement initiative.
The cost or budget justification.
The basis upon which the quality improvement initiative will be evaluated.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.
Dementia, strep throat, glomerulonephritis, urinary incontinence
Create a presentation addressing all of the following topics:
Categorize several (at least three) types of dementia
Analyze the pathophysiologic difference between Alzheimer's disease and other types of dementia
Explain the relationship between strep throat and glomerulonephritis
Describe the pathophysiologic characteristics and management of stress, urge, overflow, and mixed incontinence differ?
This PowerPoint® (Microsoft Office) or Impress® (Open Office) presentation should be a minimum of 20 slides (maximum of 30 slides), including a title, introduction, conclusion and reference slide, with detailed speaker notes and recorded audio comments for all content slides. Use the audio recording feature with the presentation software. Use at least four scholarly sources and make certain to review the module’s rubric before starting your presentation.
Discussion
How does the community health nurse recognize bias, stereotypes, and implicit bias within the community? How should the nurse address these concepts to ensure health promotion activities are culturally competent? Propose strategies that you can employ to reduce cultural dissonance and bias to deliver culturally competent care. Include an evidence-based article that address the cultural issue. Cite and reference the article in APA format.
Environmental Factors and Health Promotion Presentation
The growth, development, and learned behaviors that occur during the first year of infancy have a direct effect on the individual throughout a lifetime. For this assignment, research an environmental factor that poses a threat to the health or safety of infants and develop a health promotion that can be presented to caregivers.
Create a 10-12 slide PowerPoint health promotion, with speaker notes, that outlines a teaching plan.
In developing your PowerPoint, take into consideration the health care literacy level of your target audience, as well as the demographic of the caregiver/patient (socioeconomic level, language, culture, and any other relevant characteristic of the caregiver) for which the presentation is tailored
Include the following in your presentation:
Describe the selected environmental factor. Explain how the environmental factor you selected can potentially affect the health or safety of infants.
Create a health promotion plan that can be presented to caregivers to address the environmental factor and improve the overall health and well-being of infants.
Offer recommendations on accident prevention and safety promotion as they relate to the selected environmental factor and the health or safety of infants.
Offer examples, interventions, and suggestions from evidence-based research. At least three scholarly resources are required. Two of the three resources must be peer-reviewed and no more than 6 years old.
Provide readers with two community resources, a national resource, and a Web-based resource. Include a brief description and contact information for each resource.
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines.
