Leadership Skills Toolbox
Consider what you might put in a toolbox if you were going to build something in your home. You might want a hammer, some nails, maybe a level, and if they were available power tools could be a big help and perhaps may the project finish more quickly. The most important part of your toolbox is having tools you know how to use properly and keeping them at your fingertips, ready to use when needed.
Now that we have reviewed the benefits of focusing on your strengths, as much if not more than areas with room for growth, consider what you would want to have in your leadership toolbox. What strengths have you identified that are your primary tools as a leader? What strength would be the first tool you might take out of your toolbox if you needed to help organize a skilled team? Would you choose a different tool if you moved into a team that had never worked together before?
For this assignment, imagine you are the leader of a group in one of your courses and the assignment is to do a semester-long service learning project. You will need to identify and discuss specific things you could do to create a positive climate, positive relationships, positive communication, and positive meaning in a group with your peers.
First, consider the strengths you have that would help you lead this semester-long project. In your response of at least 300 words include what you would include in your leadership toolbox to help you create a positive and productive leadership style to support your team.
Create a 250-350 word response that includes the following:
Paragraph 1: Identify at least three of your leadership strengths that are in your leadership toolbox that you can rely on supporting you as a leader in a variety of settings. Include a short description of the strength and why you feel it would be helpful to you as a leader.
Paragraph 2: Describe what you would use from your toolbox if you were the new leader of a team that was highly skilled in their field. Why do you feel this would be the best choice for this team?
Paragraph 3: Discuss which choice you would make if you were asked to be the leader of a team that had never worked together before. Provide an explanation of why you would or would not choose something different from your toolbox for this group.
Please keep in mind, even if you have not had an opportunity to lead a group formally, you can reflect on how you have provided leadership in many different settings to help support your thinking for this reflection
Nursing and the Aging Family
Choose a common diagnosis resulting in neurological deficit in the older adult (i.e. Parkinson’s disease, transient ischemic attacks (TIA), or cerebrovascular accidents (CVA)) and identify the risk factors, symptom presentation, and nursing care for patients with these deficits. Also, search the Internet and locate Web sites that provide information about maintaining independence and limiting further injury in older adults with neurological deficits.
Paper should be in APA format
Length: 2-3 pages in length EXCLUDING the title and reference pages
Public Health Policy Development
Respond to the following scenario using information from this week:
You are a member of the Board of Trustees at your local community hospital The Chief Operating Officer asks you to sit on the new organ transplant committee. The hospital has just invested millions of dollars in the new service. It should be online in three months. Livers will be the first organ transplanted. The committee must at this point write up policies and procedures relevant to the service. The committee assigns you the task of writing a draft of the policy related specifically to the criteria that the hospital would use to determine the ranking of candidates for new livers. That is, in the event that there are, for example, two livers available, but six people on the transplant waiting list, how does the hospital decide who gets the livers?
What criteria will you list in your draft, and why? Justify your choices in ethical terms. Cite what you have learned from the case of Sarah Murnaghan, the Public Health Code of Ethics, and information from your textbook in your response.
Your initial response should be 8 - 10 sentences in length and include an APA-style references list
Discussion
Describe one innovative health care delivery model that incorporates an interdisciplinary care delivery team. Explain how this model is advantageous to patient outcomes.
Comprehensive Integrated Psychiatric Assessment
The comprehensive integrated psychiatric assessment of a child or adolescent consists of gathering information from not only the child but from several sources, most notably the family members, caregivers, and the child’s teacher or school counselor. Because of this, the diagnostic assessment becomes more complicated. Issues of confidentiality, privacy, and consent must be addressed. Also, the PMHNP must take into consideration the impact of culture on the child.
In this Discussion, you review and critique the techniques and methods of a mental health professional as he or she completes a comprehensive integrated psychiatric assessment of an adolescent.
Learning Objectives
Students will:
Evaluate comprehensive integrated psychiatric assessment techniques
Recommend assessment questions
To Prepare for the Discussion:
Review the Learning Resources concerning the comprehensive integrated psychiatric assessment.
Watch the Mental Status Examination video.
Watch the two YMH Bostonvideos.
https://www.youtube.com/watch?v=pQy-jwiu7gM
https://www.youtube.com/watch?v=JCJOXQa9wcE
Based on the YMH Boston Vignette 4 video, post answers to the following questions:
What did the practitioner do well?
In what areas can the practitioner improve?
At this point in the clinical interview, do you have any compelling concerns? If so, what are they?
What would be your next question, and why?
Discussion
Post an explanation of the disease highlighted in the scenario you were provided. Include the following in your explanation:
The role genetics plays in the disease.
Why the patient is presenting with the specific symptoms described.
The physiologic response to the stimulus presented in the scenario and why you think this response occurred.
The cells that are involved in this process.
How another characteristic (e.g., gender, genetics) would change your response.
Scenerio: A 27-year-old patient with a history of substance abuse is found unresponsive by emergency medical services (EMS) after being called by the patient’s roommate. The roommate states that he does not know how long the patient had been lying there. Patient received naloxone in the field and has become responsive. He complains of burning pain over his left hip and forearm. Evaluation in the ED revealed a large amount of necrotic tissue over the greater trochanter as well as the forearm. EKG demonstrated prolonged PR interval and peaked T waves. Serum potassium level 6.9 mEq/L
Lewin’s 3 stage model and Lippits phase theory
The Lewin’s change theory consist of three stages including unfreezing, moving and refreezing stages. Unfreezing stage is when you recognize a change is needed, then you move to the phase when the change occurs and refreezing stage happens after equilibrium is established leading to satisfactory results and the cycles goes on and on. A distinct feature of Lewin theory is that it contains both driving forces and resisting forces and for the theory to be successful then the driving must overcome resistant forces. Lippits, Watson and Westley seven phase theory, first phase entails diagnosing the problem, assessing motivation, and capacity for change, evaluating change agent’s motivation and resource, choosing the appropriate role of the change agent, maintaining difference and last phase is termination of the help relationship (Tappen, 2016).
Lippits theory expands on Lewin’s model of change into the seven steps mentioned above as well it is more comparable to nursing process hence there is no significance difference between the two (Alageel, Gulliford, McDermott & Wright, 2018). However, Lewin’s is built on three fundamental steps thereby facing a lot of criticism since nursing is more complicated than the three levels. Similarly, both theories are widely used in nursing and both requires nurses who are willing and want to make change. The mentor has applied Lewin’s change theory because she has successfully introduced a new paper work despite the hospital having several rounds every hour. In the unfreezing period she has describe to nurses of the importance of the sheet and how to sign, in the moving stage she let the nurses give their opinions on the system and lastly in the refreezing stage she went round and made sure nurses make this a daily habit. In my own opinion, I believe that Lewin’s theory is more appropriate for my project since most nurses’ push for change receiving less resist from people.
Reference
Tappen, R. M. (2016). Advanced nursing research: From theory to practice. Jones & Bartlett
Publishers.
Alageel, S., Gulliford, M. C., McDermott, L., & Wright, A. J. (2018). Implementing multiple health behaviour change interventions for cardiovascular risk reduction in primary care: a qualitative study. BMC family practice, 19(1), 171.
REPLY2
There are several change theories that would be good to use for the implementation of my capstone change project. After discussing these theories with my preceptor and listening to her stories of success as well as failures, we decided Lewin’s change theory will work best in implementing my change project at the acute care hospital, because there will need to be a strong push for this to be accepted into practice. She had successfully used this theory in the hospital when implementing changes in the past, but she supports the idea that depending on the theory or approach, the outcome can be very different. Combining theories can also be very successful for reaching intended outcomes.
Lewin’s change theory involves three steps: freezing, moving and refreezing. Freezing involves using evidence to show why the change is necessary, moving is the active process of the change as it begins to occur in the organization and usually where most friction is met, and refreezing happens after the change is put in place and establishes momentum (Manyibe, et al,.2015). Success is dependent on the driving force dominating the resistant force.
Lippet’s theory builds on Lewin’s theory, but includes seven phases instead of just three. In this theory, leadership or management acts as the agent for change. The phases include identifying the problem, assessing willingness and driving force for change, evaluating management’s motivation and resources to apply changes, maintaining the change, leadership stepping into the change agent role with designated responsibilities and lastly when the change agent is accepted as part of the organizational culture (Udod, & Wagner, n.d.).
Manyibe, E. O., Aref, F., Hunter, T., Moore, C. L., & Washington, A. L. (2015). An emerging conceptual framework for conducting disability, health, independent living, and rehabilitation research mentorship and training at minority serving institutions. The journal of rehabilitation, 4, 25. Retrieved from https://eds-a-ebscohost-com.lopes.idm.oclc.org/eds/pdfviewer/pdfviewer?vid=10&sid=023f49db-8dd6-4cc0-9e7d-ef58670ad40d%40sessionmgr4008
Udod, S., & Wagner, J. (n.d.) Common change theories and application to different nursing situations. Retrieved from https://leadershipandinfluencingchangeinnursing.pressbooks.com/chapter/chapter-9-common-change-theories-and-application-to-different-nursing-situations/
Off-Label Drug Use in Pediatrics
The unapproved use of approved drugs, also called off-label use, with children is quite common. This is because pediatric dosage guidelines are typically unavailable since very few drugs have been specifically researched and tested with children.
When treating children, prescribers often adjust dosages approved for adults to accommodate a child’s weight. However, children are not just “smaller” adults. Adults and children process and respond to drugs differently in their absorption, distribution, metabolism, and excretion.
Children even respond differently during stages from infancy to adolescence. This poses potential safety concerns when prescribing drugs to pediatric patients. As an advanced practice nurse, you have to be aware of the safety implications of the off-label use of drugs with this patient group.
To Prepare
Reflect on the types of drugs used to treat pediatric patients with mood disorders.
Reflect on situations in which children should be prescribed drugs for off-label use.
Think about strategies to make the off-label use and dosage of drugs safer for children from infancy to adolescence. Consider specific off-label drugs that you think require extra care and attention when used in pediatrics.
Write a 1-page narrative in APA format that addresses the following:
Explain the circumstances under which children should be prescribed drugs for off-label use. Be specific and provide examples.
Describe strategies to make the off-label use and dosage of drugs safer for children from infancy to adolescence. Include descriptions and names of off-label drugs that require extra care and attention when used in pediatrics.
Corny, J., Lebel, D., Bailey, B., & Bussieres, J. (2015). Unlicensed and off-label drug use in children before and after pediatric governmental initiatives. The Journal of Pediatric Pharmacology and Therapeutics, 20(4), 316–328. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4557722/
Panther, S. G., Knotts, A. M., Odom-Maryon, T., Daratha, K., Woo, T., & Klein, T. A. (2017). Off-label prescribing trends for ADHD medications in very young children. The Journal of Pediatric Pharmacology and Therapeutics, 22(6), 423–429. doi:10.5863/1551-6776-22.6.423
Comprehensive Integrated Psychiatric Assessment
Please follow the instructions below
Zero plagiarism
4 references
The comprehensive integrated psychiatric assessment of a child or adolescent consists of gathering information from not only the child but from several sources, most notably the family members, caregivers, and the child’s teacher or school counselor. Because of this, the diagnostic assessment becomes more complicated. Issues of confidentiality, privacy, and consent must be addressed. Also, the PMHNP must take into consideration the impact of culture on the child.
In this Discussion, you review and critique the techniques and methods of a mental health professional as he or she completes a comprehensive integrated psychiatric assessment of an adolescent.
Learning Objectives
Students will:
Evaluate comprehensive integrated psychiatric assessment techniques
Recommend assessment questions
To Prepare for the Discussion:
Review the Learning Resources concerning the comprehensive integrated psychiatric assessment.
Watch the Mental Status Examination video.
Watch the two YMH Bostonvideos.
https://www.youtube.com/watch?v=pQy-jwiu7gM
https://www.youtube.com/watch?v=pQy-jwiu7gM
Based on the YMH Boston Vignette 4 video, post answers to the following questions:
What did the practitioner do well?
In what areas can the practitioner improve?
At this point in the clinical interview, do you have any compelling concerns? If so, what are they?
What would be your next question, and why?
Informatics
In this assignment, the student will utilize information from the Electronic health record (EHR) and its workflow design and lay out a comprehensive implementation plan. This plan should include EBP support along with changes of policy, procedure and/or protocol based on the informatics technology project. Laws governing protection, security, and reimbursement such as HIPAA, HITECH and PHI must be addressed. This assignment must be 5-7 pages in current APA format, excluding the title and reference pages and include a minimum of 5 scholarly resources published within the last 5 years
