leadership principles

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For each of the five questions at the end of the case study: Discuss what leadership principles, theory or another source (s) support your answer. The paper should be a logical coherent integrated discussion which addresses the case questions throughout (without the need to have sub-heading for each question) Be sure to use citations both from the text and other scholarly citations to support your statements. Page length: 6 total pages (title page, 4 pages of text and a reference page). APA format should be used and citations and references are required. There should be no errors in spelling or grammar. Use at least FIVE Scholarly References. NOTE: This paper will automatically be run through SafeAssign, a Blackboard feature that checks for plagiarism. You will be able to see the results of the check

Case Study 1

In the unit’s monthly staff meeting, staff stress from the current pandemic is brought up as a growing problem. The staff complain that they are overworked, exhausted and there is not enough staff. They are also tired of orienting new staff, and temporary staff members are not effective. Two nurses mention that they have personally experienced more near misses when administering medications. The unit seems to also be experiencing a lack of teamwork and increase hostility among the staff. The nurse manger tells the staff that they recognize from the discussion that there is a lot of tension and this is a concern. As the nurse manager you leave the meeting and are in your office to consider how to response to the unit and the problems.

Questions

1. You want to better understand the impact of the stress, workload, staffing, and quality care problems on your unit. How will you accomplish this?

2. You plan to arrange a staff meeting to increase staff knowledge of stress and stress responses. What should the presentation include?

3. How will you engage the staff in the process to improve stress management?

4. What leadership style should you exhibit and why?

5. What strategies might you use to decrease stress and improve patient care? Be specific.

Retrieved & modified from Finkelman, A. (2022) Quality Improvement: A Guide for Integration in Nursing (2nd edition). Jones & Bartlett Learning. ISBN 9781284225051

spiritual considerations surrounding a disaster

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1. What spiritual considerations surrounding a disaster can arise for individuals, communities, and health care providers? Explain your answer in the context of a natural or manmade disaster. How can a community health nurse assist in the spiritual care of the individual, community, self, and colleagues?

2.Watch the “Diary of Medical Mission Trip” videos dealing with the catastrophic earthquake in Haiti in 2010. Reflect on this natural disaster by answering the following questions:

  1. Propose one example of a nursing intervention related to the disaster from each of the following levels: primary prevention, secondary prevention, and tertiary prevention. Provide innovative examples that have not been discussed by previous students.
  2. Under which phase of the disaster do the three proposed interventions fall? Explain why you chose that phase.
  3. With what people or agencies would you work in facilitating the proposed interventions and why?

nursing publication

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nursing publication

Using supporting documentation from at least one nursing publication, describe how evidence-based practice is different from research. How would you identify a research project as being an evidence-based intervention project versus the creation of knowledge in a nursing research project?

  • Length: A minimum of 300 words, not including references
  • Citations: At least one high-level scholarly reference in APA format from within the last 5 years

Madonna’s fourth Franciscan Value

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Madonna’s fourth Franciscan Value is:  Education for Truth and Service. What does being educated for truth and service mean to you?

The course materials provide food for thought about the meaning and importantce of service and about what the call to service, in the context of the Franciscan values, does – and does not – imply. In Module 14, we discussed implications of authentic service and identified possible distortions of service. We do not see such distortions in Jesus’ example: while going to the extent of death in service for the human beings so loved by God, he nevertheless is strong in standing up against those who would exploit and oppress. And note how MLK says that it is not seeking to EXCEL that is problematic: it is what we seek to excel IN.

Identify and discuss a point from the materials in these modules that you found especially significant. Then, reflect upon your own “call to service.” Have you thought of your personal life path as a call to service? How do you envision the connections between your life choices/professional choices and service? Note that you do not have to have a “career” or be in a “service profession” in order to be of service. Sometimes quite ordinary things can make a difference in the lives of others. In light of what you have explored in this course, reflect upon how your convictions about your chosen profession or course in life have changed, deepened, been enlarged, etc. What do you identify as your own distinctive gift to give others? What will you carry with you from this course into your own service of others?

Community Teaching Plan

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The RN to BSN program at Grand Canyon University meets the requirements for clinical competencies as defined by the Commission on Collegiate Nursing Education (CCNE) and the American Association of Colleges of Nursing (AACN), using nontraditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, specific care discipline, and local communities.

Note: This is an individual assignment. In 1,500-2,000 words, describe the teaching experience and discuss your observations. The written portion of this assignment should include:

1. Summary of teaching plan

2. Epidemiological rationale for topic

3. Evaluation of teaching experience

4. Community response to teaching

5. Areas of strengths and areas of improvement

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

 

basis for decision-making to improve outcomes through translation into evidence-based practice.

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Peer 1

 

1. Critically analyze current practice to formulate researchable problems.

I was able to establish a nursing problem in my practice in form of high prevalence of chronic health conditions in elderly patients. By considering statistics about chronic health conditions in older patients,\, I was able to identify a knowledge gap on the effect that a nurse practitioner led multi-factorial intervention would have on chronic health conditions prevention outcomes and health literacy levels. Gray, Grove and Burns (2017) indicated that a research problem can be the one that relates to practice. I was able to identify a nursing problem that could be addressed through practice change, in form of patient focused education. A PICOT question and hypothesis were developed which would be tested in a quantitative design approach.

2. Evaluate research as the basis for decision-making to improve outcomes through translation into evidence-based practice.

Gray et al. (2017) indicated that evidence-based practice is the conscientious integration of best research evidence with clinical expertise and patient values and needs in the delivery of quality, cost-effective healthcare. Through a comprehensive literature review process, I examined findings from studies appropriate to my research topic and used the summary as the basis for my intervention.

3. Synthesize an understanding of the research process through development of a proposal to address a nursing problem or focus area identified in nursing practice.

By identifying a knowledge gap in practice, I was able to formulate a researchable research question which formed the basis of my research proposal. Gray et al. (2017) indicate that the wording of research questions indicates the methodology and design of each specific line of inquiry. Subsequently, other sections of the proposal such as the literature review and methodology were developed from the research question.

4. Investigate ethical issues related to the conduct of scientific research, including informed consent, data management, data analysis and protection of human subjects.

Through course lessons and the Association of Clinical Research Professionals (ACRP) course on Ethics and Human Subject Protection, I was able to understand the background behind rules and regulation on research. Moreover, application of HIPAA in all phases of the research process provided a deep understanding of procedures for conduct of ethical research with respect to subjects’ rights in the context of risks, anonymity, privacy and benefits. Ethical principles that guide clinical practice must also be the standards for the conduct of nursing research (Gray, Grove & Burns, 2017).

5. Explore national and international initiatives and research priorities.

High prevalence of poor health outcomes in the older patient population is a universal health challenge as was evidenced by major themes in reviewed articles. On global scale, researchers agreed that individual income characteristics, pre-existing health conditions, self-care efficacy, and healthcare services accessibility are significant predictors for poor health outcomes in the geriatric population. Priority for research in reducing and preventing chronic health conditions in the geriatric population was to improve the patient’s self-care efficacy through education and improve the population’s contact with healthcare services.

Reference

Gray, J., G., Grove, S., K., & Sutherland, S., (2017) Burns & Grove’s the practice of Nursing Research: Appraisal, Synthesis, and Generation of Evidence (8th ed.) Missouri: Elsevier

Peer 2

 

Upon completing this course, I feel like I am able to formulate researchable problems and possibly make changes that would benefit the provider and/or the patient. Learning how to formulate a PICOT will help guide you in researching different problems and potential solutions. I have learned how to dig deeper into research and evidence-based practice to improve patient outcomes. I was honestly not excited about this course as I felt like it was just going to be lots of busy work. I appreciate having a professor that actually interacts in the discussion board and asks questions that make us use our critical thinking skills. I now understand the research process and how to develop a research proposal along with how to conduct the research. I can create an informed consent and analyze the data in a way that protects the rights of the study participants. I have learned how to competently research and explore initiatives and evaluate different alternatives to problems that are present or may arise in the future. I feel like I am capable of performing research and educating others on that research in order to provide better care for our patients. I learned some options that are available in Excel to assist with creating visual charts and graphs to represent the research data. I feel like this course has laid groundwork for me to be an asset to an organization now and when I have completed my FNP. I have enjoyed the interaction in the discussion boards amongst my peers and professor.

 

Power, politics, and Collective Bargaining on Organizational Climate

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1) Minimum 6 full pages (No word count per page)- Follow the 3 x 3 rule: minimum three paragraphs per part.

            Part 1, 2, 3: Minimum 2 pages

 

 

    Submit 1 document per part

2)¨******APA norms

          All paragraphs must be narrative and cited in the text- each paragraph

          Bulleted responses are not accepted

          Don’t write in the first person 

Don’t copy and paste the questions.

Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

Submit 1 document per part

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks)

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 3 references per part not older than 5 years

All references must be consistent with the topic-purpose-focus of the parts. Different references are not allowed.

5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1, 2.doc 

 

__________________________________________________________________________________

Part 1:  Restructuring in depth

You are the supervisor at a home health agency. There are 22 RNs in your span of control. In a meeting today, John Dao, the CNO, tells you that your span of control needs adjustment to be effective. Therefore, the CNO has decided to flatten the organization an decentralize the department. To accomplish this, he plans to designate three of your staff as shift coordinators. These shift coordinators will schedule patient visits for all the staff on their shift and be accountable for the staff that they supervisor. The CNO believes that this restructuring will give you more time for implementing a continuous quality improvement program and promoting staff development.

Although you are glad to have the opportunity to begin these new projects, you are somewhat unclear about the role expectations of the new shift coordinators and how this will change your job description. In fact,you worry tha this is just a precursor to the elimination of your position. Will these shift coordinators report to you? If so, will you ave direct line authority or staff authority? Who should be responsible for evaluating the performance of he staff nurses now? Who will handle employee disciplinary problems? How involved should the shift coordinators be in strategic planning or determining next year’s budget? What types of management training will be needed by the shift coordinators to prepare for their new role? Are you the most appropriate person to train them?

There is a great potential for conflict here

1. Make a list of 10 questions that you would want to ask the CNO at your next meeting to clarify role expectations.

2. Discuss tools and skills that you have learning that could make this role change less traumatic for all involved.

Part 2: Power, politics, and Collective Bargaining on Organizational Climate

List and support your reasons for or against striking.

You are a staff nurse in the ICU in one of your city’s two hospitals; have worked at this hospital for 5 years and transferred to the ICU 2 years ago. You love nursing but are sometimes frustrated in your job due to a short supply of nurses, excessive overtime demands, and the stress of working with such critically ill patients.

The hospital has a closed shop, so union dues are deducted from your pay even though you are not actively involved in the union. The present union contract is up for renegotiation, and union and management have been unable to agree on many issues. When management made its last offer, the new contract was rejected by the nurses. Now that the old contract has expired, nurses are free to strike if they vote to do so.

accepting the management offer

You had voted for accepting the management offer; you have two children to support, and it would be devastating to be without work for a long time. Last night, the nurses voted on whether to return to the bargaining table and try to renegotiate with management or to go out on strike. Again, you voted for no strike. You have just heard from your friend that the strike vote won.

Now, you must decide if you are going to support your striking colleagues or cross the picket line and return to work tomorrow. Your friends are pressuring you to support their cause. You know that the union will provide some financial compensation during the strike but believe that it will not be adequate for you to support yourself and your children. Yo agree with union assertions that the organization has overworked and underpaid you and that it has been generally unresponsive to nursing needs. On the other hand, you believe that your first obligation is your children.

 

Using a problem-solving and decision making skills model

1. How you would approach solving this difficult decision.

2. Describe how you arrived at your decision.

3. How many alternatives did you generate?

4. If you were financially stable without a family would your decision have been the same?

Part 3: Power, politics, and Collective Bargaining on Organizational Climate

Purpose:

This week’s graded topic relates to the following Course Outcome (CO).

Plan clinical practice activities that integrate professional nursing standards in accordance with the Nursing Code of Ethics and the American Nurses’ Association standards of practice (CO5).

The ethical guidelines provided by the American Nurses Association’s Code of Ethics can help nurses in the face of an ethical dilemma. The Code consists of nine provisions which outline  statements of the obligations of nurses, and the interpretative statements which provide more specific guidance in the application of the provisions to nursing practice.

1. Which of the provision(s) do you believe is (are) more important to your daily practice? Explain your answer.

2. How do you integrate the ANA Code of Ethics in your daily practice?

3. Have you been faced with a situation in which you had to make an ethical decision? How did you resolve the ethical issue?

4. What is the purpose of the Code of Ethics?

5. Which of the provisions you believe is

Complementary And Alternative And Crisis Intervention

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) Minimum 8 full pages (No word count per page)- Follow the 3 x 3 rule: minimum three paragraphs per part.

            Part 1: minimum 4 pages

            Part 2: minimum 4 pages

    Submit 1 document per part

2)¨******APA norms

All paragraphs must be narrative and cited in the text- each paragraph

          Bulleted responses are not accepted

          Don’t write in the first person 

Don’t copy and paste the questions.

Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

Submit 1 document per part

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks)

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 3 references per part not older than 5 years

All references must be consistent with the topic-purpose-focus of the parts. Different references are not allowed.

5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1, 2.doc 

 

__________________________________________________________________________________

 

Part 1:Complementary and Alternative Health Care

 

Purpose

The purpose of this assignment is to provide the student an opportunity to reflect on selected RN-BSN competencies acquired through the course.

1 Define complementary, alternative, and integrative practices as identified by current health paradigms.

2. Summarize history for complementary and alternative medicine.

3. Describe the extent to which complementary and alternative health practices are encouraged and used among multiple cultures.

4 Relate concepts into clinical practice in CAM.

5 According to the research, what is the regarding the efficacy of complementary and alternative practices and products in nursing.

6. Describe integrative medicine which embodies conventional and complementary and alternative medicine, making use of the best available evidence of all three approaches to healing within the patient’s personal plan of care.

7. (Write in the first person) Include a self-assessment regarding learning that you believe represents your skills, knowledge, and integrative abilities to meet the pertinent BSN Essential and sub-competencies (AACN, 2008) as a result of active learning throughout this course. Be sure to use examples from selected readings, threaded discussions, and/or applications to support your assertions to address the following sub-competencies:

a. Provide nursing care based on evidence that contributes to safe and high-quality patient outcomes within healthcare microsystems.

b. Create a safe care environment that results in high quality patient outcomes.

c. Revise the plan of care based on an ongoing evaluation of patient outcomes.

 

Part 2: Crisis intervention

(Write in the first person)

Purpose

The purpose of this assignment is to provide the student an opportunity to reflect on selected RN-BSN competencies acquired through the course.

1. Integrate theories and concepts from liberal education into nursing practice.

2. Synthesize theories and concepts from liberal education to build an understanding of the human experience.

3. Use skills of inquiry, analysis, and information literacy to address practice issues.

4. Use written, verbal, non­verbal, and emerging technology methods to communicate effectively.

5. Apply knowledge of social and cultural factors to the care of diverse populations.

6. Engage in ethical reasoning and actions to provide leadership in promoting advocacy, collaboration, and social justice as a socially responsible citizen.

7. Integrate the knowledge and methods of a variety of disciplines to inform decision making.

8. Demonstrate tolerance for the ambiguity and unpredictability of the world and its effect on the healthcare system.

9. Value the ideal of lifelong learning to support excellence in nursing practice.

10. Conclusion (1/2) page

11.  Introduces the purpose of the reflection and addresses BSN Essentials (AACN, 2008) pertinent to healthcare policy and advocacy (1/2) page

d. Demonstrate clinical judgment and accountability for patient outcomes when delegating to and supervising other members of the healthcare team.

8. Conclusion (1/2) page9.  Introduction. Introduces the purpose of the reflection and addresses BSN Essentials (AACN, 2008) pertinent to healthcare policy and advocacy (1/2) page

female hypoactive sexual desire disorder (HSDD)

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One-third of adult women in the United States may experience female hypoactive sexual desire disorder (HSDD).  HSDD is a deficiency or absence of sexual fantasies and desire for sexual activity that causes marked distress or interpersonal difficulty.

Several female reproductive life experiences may uniquely affect sexual desire. These events include menstrual cycles, hormonal contraceptives, postpartum states and lactation, oophorectomy and hysterectomy, and perimenopausal and postmenopausal states (Warnock, 2002).  Notably, HSDD shares some similarity with depression, as its etiology can be explained using a biopsychosocial model that includes biological, psychological, and sociocultural factors, as well as interpersonal influences (Kingsberg, 2020).  Thus, female HSDD can greatly impact the quality of life.

HSDD is well established as a valid and treatable clinical diagnosis. Even for those inexperienced in treating sexual problems, there are simple and validated screening tools such as the Decreased Sexual Desire Screener that can help identify HSDD and a need for further evaluation and treatment.  Despite the current consensus in the literature that HSDD can manifest at any age in a woman’s life, it is documented that during menopause, up to 40% of women experience reduced sexual libido (AlAwlagi, Amor & Hammadeh, 2017).

DSM 5 Criteria

  1. Lack of, or significantly reduced, sexual interest/arousal, as manifested by at least three of the following:
    1. Absent/reduced;
    2. interest in sexual activity.
    3. sexual/erotic thoughts or fantasies.
    4. No/reduced initiation of sexual activity, and typically unreceptive to a partner’s attempts to initiate.
    5.  sexual excitement/pleasure during sexual activity in almost all or all (approximately 75%–100%) sexual encounters (in identified situational contexts or, if generalized, in all contexts).
    6.  sexual interest/arousal in response to any internal or external sexual/erotic cues (e.g., written, verbal, visual).
    7. genital or nongenital sensations during sexual activity in almost all or all (approximately 75%–100%) sexual encounters (in identified situational contexts or, if generalized, in all contexts).
  2. The symptoms in Criterion A have persisted for a minimum duration of approximately 6 months.
  3. The symptoms in Criterion A cause clinically significant distress in the individual.
  4. The sexual dysfunction is not better explained by a nonsexual mental disorder or as a consequence of severe relationship distress (e.g., partner violence) or other significant stressors and is not attributable to the effects of a substance/medication or another medical condition.

Specify whether:

  • Lifelong: The disturbance has been present since the individual became sexually active.
  • Acquired: The disturbance began after a period of relatively normal sexual function.

Specify whether:

  • Generalized: Not limited to certain types of stimulation, situations, or partners.
  • Situational: Only occurs with certain types of stimulation, situations, or partners.

Specify current severity:

  • Mild: Evidence of mild distress over the symptoms in Criterion A.
  • Moderate: Evidence of moderate distress over the symptoms in Criterion A.
  • Severe: Evidence of severe or extreme distress over the symptoms in Criterion A.

Despite the stigma, this issue has gained attention in the medical field.  In addition, several pharmacologic agents have been designed to target HSDD and are in various stages of clinical trials. However, the field continues to face some hurdles including a lack of information, confusion over medications and management, and the discomfort associated with addressing the subject of sexuality (AlAwlaqi, Amor & Hammadeh, 2017).

References

AlAwlaqi, A., Amor, H., & Hammadeh, M. E. (2017). Role of hormones in hypoactive sexual desire disorder and current treatment. Journal of the Turkish German Gynecological Association, 18(4), 210–218. https://doi.org/10.4274/jtgga.2017.0071

Kingsberg, S. A., & Simon, J. A. (2020). Female Hypoactive Sexual Desire Disorder: A Practical Guide to Causes, Clinical Diagnosis, and Treatment. Journal of women’s health (2002), 29(8), 1101–1112. https://doi.org/10.1089/jwh.2019.7865

Warnock J. J. (2002). Female hypoactive sexual desire disorder: epidemiology, diagnosis and treatment. CNS drugs, 16(11), 745–753. https://doi.org/10.2165/00023210-200216110-00003

Medicare and Medicaid question

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Consider how people qualify to receive Medicare and/or Medicaid. And write a paper that addresses the bullets below. There should be four (4) sections in your paper; one for each bullet below. Separate each section in your paper with a clear brief heading that allows your professor to know. Which bullet you are addressing in that section of your paper. Start your paper with an introduction and include a “Conclusion” section that summarizes all topics. This paper should consist of at least 1750 words and no more than 2000.

This week reflect upon the Medicare and Medicaid programs to address the following:

· Describe the Quality Improvement Organization (QIO) and explain how the QIO improves policies and healthcare for Medicare beneficiaries.

· Briefly define the qualifications for Medicare and Medicaid benefits. How can qualifications be modified to serve more people who are considered a vulnerable population?

· Discuss the impact (including at least two positive and two negative aspects) that the ACA has had on benefits and coverage for Medicare and Medicaid recipients.

· Describe your role(s) as a healthcare leader as it applies to the practice of advocating for cost effective care for vulnerable populations.

 

Assignment Expectations

Length: 1750-2000 words in length

Structure: Include a title page and reference page in APA format. These do not count towards the minimal word amount for this assignment. Your essay must include an introduction and a conclusion.

References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of two (2) scholarly sources are required for this assignment.