Culture paper

There must be a total of 3 pages. 

1. Introduction

2. Culture or Religions’ health care beliefs, Culture or Religions’ view on elderly and Closing 

3. Reference page

This information can be searched online. 

NEEDED TODAY BY 5PM EASTERN TIME, 10/14/2020!!!!!

Answer to essay-200 words minimum. YRP

Write an answer to this and use at leat one reference but not the same that appear here.

1. Describe the organizational characteristics of the facility in which you currently have a clinical assignment. Include the following:

a. Type of organization: Rehabilitation center

b. Overall climate of the facility: Quality service, organized and friendly staff, optimum medical equipment.

c. How the organization is structured: This center is a structure in a traditional hierarchical structure, the employee is ranked from the top to the bottom. From the nurse manager of the medical director, nurse manager, nurses, and nurse assistant.

d. Formal and informal goals and processes of the organization:

Formal: Every nurse will provide to their patients with excellent health care.

Informal: Their pre-fill some patient records the day of admission with information that never changes diagnostic and procedures.

2. Why is the work climate of an organization important to nursing leaders and managers?

 Healthy work environments have both direct and indirect impacts on patient safety. Healthy work environments have been linked to increased nurse, leader, manager, and health care worker retention, recruitment, job satisfaction and have decreased stress and burnout, which subsequently leads to safer patient practices. A healthy work environment is a productive and collaborative setting in which nurses and other health care workers are free from physical and psychosocial harm while maximizing their ability to provide safe, quality care, along with meeting personal needs and with the empowerment to promote a satisfying work experience. Work environments that are negative, demoralizing, and have unsafe work conditions are deemed “unhealthy” and have been correlated with unsafe patient practice, nursing shortages, nursing job dissatisfaction, and low productivity. The achievement of a healthy work environment is multifactorial and requires the support of the health care workers through an environment of positive communication and co-worker team efforts. Healthy work environments, guided by authentic leaders, produce superior outcomes for both staff nurses and patients.

3. What are the ways in which a nurse can enhance his or her expertise?

Steps that nurse can enhance their own competence:

Participate in interdisciplinary team conferences and patient-centered conferences on your units.

Attend continuing education offering to enhance your expertise.

Attend local regional and national conferences sponsored by relevant nursing and specialty organization.

Read journals and books in your specialty area.

Participate in nursing research projects related to your clinical specialty.

4. Explain “shared governance,” and describe how it can affect the power structure of a health-care organization.

In share governance, staff nurses are included in the highest levels of decision making within the nursing department through representation on various councils that govern practice and management issues. These councils set the standard for staffing, promotion, and so forth. Genuine sharing of decision making is difficult to accomplish, partly because managers are reluctant to relinquish control or to trust their staff members to make wise decisions. Yet genuine empowerment of the nursing staff cannot occur without this sharing. For example, if staff members do not control the budget for their unit, they cannot implement a decision to replace aides with registered nurses without approval from higher-level management. If they want increased autonomy in decision making about the care of the individual patients, they cannot do so if opposition by another group, such as the physician, is given greater credence by the organization’s administration.

5. Why is it important for a staff nurse to understand the culture and real goals of the organization in which he or she works?

Does it matter in what type of organization you work? Empirically, is yes. For example, the extreme value placed on Business in hospitals, being seen doing something at all times, leads to manager actions as floating a staff member to a busier if she or he is found reading new research or looking up information on the web. Even more important, a hospital with a positive work environment is not only a better place for nurses to work but also safer for patients. Once you have grasped the totality of an organization in terms of its overall culture, you are ready to analyze it in a little more detail, particularly its goals, structure, and processes.

1. Describe your ideal organizational. Describe how the various components would interact.

 My ideal organization must be managed by an administrator, a medical director, and a nursing director, physician, nurse’s supervisor, and nurses. The people at the top management have the authority to make a decision, spend the organization’s money, and hire and fire people. Much of these authorities are a delegate to the people below them, but they retain the right to reserve a decision or regain control of these activities whenever they deem necessary. The people at the bottom have little authority but do have other sources of power. They usually play no part in deciding how money is spent or who will be hired or fired but are responsible for carrying out the directions from people above them on the ladder. If there was no one at the bottom then work would not get done.

2. Interview one of the staff nurses on your unit. Find out what practices within the organization help to empower the nurses. Compare this list of practices with those discussed in the textbook.

 The practices that help empower the nurse according to my nursing director in my facility that apply to it are:

Reward and recognition: We have an appreciation for a job well done; we receive a bonus for well-done work and additional pay’s vacation day.

Reasonable work assignment.

We have consistent, the equitable treatment of all staff.

Feeling empowered includes the following: self-determination, meaning, competence, and feeling that people listen to your ideas that you make the difference. The opposite disempowerment makes the inability to control one’s own practice leads to frustration and sometimes failure. Work overload and lack of meaning, recognition, or reward produce emotional exhaustion and burnout. Nurses want to have some power and to feel empowered. They want to be heard, to be recognized, to be valued, and to be respected.

3. Recall the last time you walked into a hospital, clinic, or physician office for the first time. What was your first impression? Did you feel comfortable and welcome? Why or why not? If you could change the first impression this facility makes, what would you

do?

The first time I walked into a medical office, I remember a luxury office with modern furniture an excellent first impression related to the less important thing that we are looking for medical attention. The first question that the reception asks me was what insurance you do have, she doesn’t even know it was there looking for medical attention or applying for a job position. Sometimes in some facilities, we forget that the principal objective that we have is the patient, to treat the human being, not the insurance or luxurious furniture.

4. What changes could be made at a very low cost? What changes would be expensive? Finally, discuss why it is important for a health-care facility to make a good first impression. 

I think that it not too difficult and does not have any cost at all demonstrate that in all health-care facility their priority is the patient’s care, giving to the patient comfortable, transparency, quality, and safety health care service. Making a good first impression often ensures the patient the opportunity to referrer more patients due to the exceptional holistically health services offered.

Reference

Whitehead, D., & Weiss, S. (2010). Chapter 1. In Essentials of nursing leadership and management (5th ed.). Philadelphia: F.A. Davis.

The problem of obesity in Florida

Impact on nurses, nursing care, healthcare organizations, and quality of care.

          The problem of obesity in Florida has a significant impact on nurses and nursing care. The first impact which is there on nursing is that patients who are obese tend to stay in the hospital longer compared to normal weight patients. The patients need more care during this period from the nurses and the majority of them are highly unstable (Osondu et al., 2016). The nurses also face challenges because the patients who are obese are more difficult to transport. Moving them around even on the hospital beds is a significant challenge. For the healthcare organization, there is increased utilization of their medical services. The obese patients attend the healthcare facilities more compared to the normal weight patients. The healthcare organizations also have to be ready to deal with an increase in the risk of injury of the people. The healthcare organizations have to be ready to deal with more problems that can arise even during medical attention such as urinary tract infections. The obese patients also require to visit emergency room services more often and the healthcare organizations need to be ready to handle the increase of patients who regularly visit the emergency services department. When it comes to quality of care, obese patients are a risk to quality because it is associated with infections and other complications which can, for example, lead to poorer surgical outcomes (Aziz et al., 2017). It is difficult to give these patients good care because of the various conditions they face such as high blood pressure and diabetes.

Local Key Stakeholders.

          There are various key stakeholders that are there when it comes to the issue of obesity. The first stakeholder are the government at all levels. It is important to note that the government is in charge of the health system and it is critical to ensure that it is efficiency. The government has worked to provide the best care but obesity is a challenge because of the complications that it brings. The state and local government need to make sure that they have more emergency rooms, for example. The next local stakeholder are healthcare organizations (Osondu et al., 2016). The healthcare organizations today need to have more capacity to handle the increase in citizens of Florida who are obese. The next important stakeholders in this issue are the media. It is important for the media to build on responsible advertising especially when it comes to the products that lead to obesity. There are high fat and high sugar foods and drinks advertised that need to be removed or should come with disclaimers. The media has the ethical duty to communicate messages to encourage people to exercise and observe their diets.

Intervention.

          One local approach that can be used is encouragement of physical exercise. One of the interventions that can deal with the problem of obesity is ensuring that the local citizens are regularly exercising. There should be a culture of going to exercise at thrice a week (Musich et al., 2016). Physical activity can lead to people living healthier lives. The lives of people improve when they engage in physical exercise and they can drive the obesity. In Florida, getting people outside more is an intervention that has worked particular for those who are in their middle ages (Aziz et al., 2017). This intervention works because there are quality and enjoyable physical exercise which are there for younger generations such as parkour.

References

Aziz, M., Osondu, C. U., Younus, A., Malik, R., Rouseff, M., Das, S., & Agatston, A. S. (2017). The association of sleep duration and morbid obesity in a working population: The Baptist Health South Florida employee study. Metabolic syndrome and related disorders, 15(2), 59-62.

Osondu, C. U., Aneni, E. C., Salami, J., Valero-Elizondo, J., Rouseff, M., Das, S., & Agatston, A. S. (2016). Obesity is associated with Significantly Higher Healthcare Expenditures in a Large US Employee Population: The Baptist Health South Florida Employee Study. Circulation, 134(suppl_1), A19792-A19792.

Musich, S., MacLeod, S., Bhattarai, G. R., Wang, S. S., Hawkins, K., Bottone Jr, F. G., & Yeh, C. S. (2016). The impact of obesity on health care utilization and expenditures in a Medicare supplement population. Gerontology and Geriatric Medicine, 2, 2333721415622004.

Community DQ 15.

Read chapters 25 of the class textbook and review the PowerPoint presentations located in the PowerPoint folder. Once done answer the following questions.   

1. Mention and discuss the role of nursing in occupational health

2. Describe and discuss the four types of exposures and hazards in the work place

APA style (intext citations and references)

Plagiarism FREE

 A minimum of 3 evidence-based references no older than 5 years must be used 

800 words

Regulation for Nursing Practice Staff Development Meeting

  

Nursing is a very highly regulated profession. There are over 100 boards of nursing and national nursing associations throughout the United States and its territories. Their existence helps regulate, inform, and promote the nursing profession. With such numbers, it can be difficult to distinguish between BONs and nursing associations, and overwhelming to consider various benefits and options offered by each.

Both boards of nursing and national nursing associations have significant impacts on the nurse practitioner profession and scope of practice. Understanding these differences helps lend credence to your expertise as a professional. In this Assignment, you will practice the application of such expertise by communicating a comparison of boards of nursing and professional nurse associations. You will also share an analysis of your state board of nursing.

To Prepare:

Assume that you are leading a staff development meeting on regulation for nursing practice at your healthcare organization or agency.

Review the NCSBN and ANA websites to prepare for your presentation.

The Assignment: (8- to 9-slide PowerPoint presentation)

Develop a 8- to 9-slide PowerPoint Presentation that addresses the following:

Describe the differences between a board of nursing and a professional nurse association.

Describe the board for your specific region/area.(Atlanta, GA-GA board of Nursing)

Who is on the board?

How does one become a member of the board?

Describe at least one state regulation related to general nurse scope of practice.

How does this regulation influence the nurse’s role?

How does this regulation influence delivery, cost, and access to healthcare?

Describe at least one state regulation related to Advanced Practice Registered Nurses (APRNs).

How does this regulation influence the nurse’s role?

How does this regulation influence delivery, cost, and access to healthcare?

Include Speaker Notes on Each Slide (except on the title page and reference page)

Include references on last slide

References:

https://www.nursingworld.org/

https://www.ncsbn.org/index.htm

6612: Assessment 3

Assessment 3

  • PRINT
  • Patient Discharge Care Planning
    • prepare a written analysis of key issues, 6–7 pages in length, applicable to the development of an effective patient discharge care plan.
      The Institute of Medicine’s 2000 report To Err Is Human:Building a Safer Health Systemidentified health information technology (HIT) as one avenue to explore to reduce avoidable medical errors. As a result of the IOM report and suggestions for patient advocacy groups, health care organizations are encouraged to act by utilizing HIT to improve patient quality and safety.
      SHOW LESSHealth care organizations determine outcomes by how patient information is collected, analyzed, and presented, and nurse leaders are taking the lead in using HIT to bridge the gaps in care coordination. This assessment provides an opportunity for you to analyze the effects of HIT support, data reporting, and EHR data collection on effective care planning.
      By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
    • Competency 1: Apply care coordination models to improve the patient experience, promote population health, and reduce costs. 
      • Explain how HIT can be used to provide a longitudinal, patient-centered care plan across the continuum of care.
    • Competency 2: Explain the relationship between care coordination and evidence-based data. 
      • Describe ways in which data reporting specific to client behaviors can shape care coordination, care management, clinical efficiency, and interprofessional idea development.
    • Competency 3: Use health information technology to guide care coordination and organizational practice. 
      • Explain how information collected from client records can be used to positively influence health outcomes.
    • Competency 4: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with applicable organizational, professional, and scholarly standards. 
      • Write clearly and concisely, using correct grammar and mechanics.
      • Support main points, claims, and conclusions with relevant and credible evidence, correctly formatting citations and references using APA style.
    • Reference
      Institute of Medicine. (2000). To err is human: Building a safer health system. Washington, DC: National Academies Press.
      Competency Map
      CHECK YOUR PROGRESSUse this online tool to track your performance and progress through your course.
  • Toggle DrawerResourcesHealth Informatics
  • Asssessment InstructionsPreparation
    Marta Rodriguez, a student, recently moved from New Mexico to Nevada to live with her aunt and uncle and was enrolled as a freshman in college. While attending her first semester, Marta was involved in a hit-and-run car accident. She was transported to the nearest shock trauma center where she spent the next four weeks undergoing multiple surgeries and antibiotic treatment for a systemic infection. Spanish is Marta’s first language and English is her second. Marta has a student health insurance plan.
    You are the senior care coordinator overseeing Marta’s care. You will be presenting her case to the interdisciplinary team members who are caring for Marta at an upcoming meeting to consider key aspects of a successful and safe discharge care plan for her. You are expected to lead the discussion, focusing on the role of informatics in effective discharge care planning, and have decided to prepare an analysis of key issues for team members to consider, which you will distribute to the attendees for review prior to the meeting.
    Note:Remember that you can submit all or a portion of your draft to Smarthinking for feedback before you submit the final version of this assessment. If you plan on using this free service, be mindful of the turnaround time of 24–48 hours for receiving feedback.
    Requirements
    Analyze key issues for consideration at the discharge planning meeting. Determine the effects of HIT support, data reporting, and EHR data collection on effective care planning.
    Use the following template for your written analysis:

    • APA Style Paper Template [DOCX].
    • Analyzing Key Issues
      The requirements outlined below correspond to the grading criteria in the scoring guide. Be sure that your analysis addresses each point, at a minimum. You may also want to read the Patient Discharge Care Planning Scoring Guide to better understand how each criterion will be assessed.
    • Explain how the interprofessional team will use HIT to provide a longitudinal, patient-centered care plan across the continuum of care that supports Marta in the discharge planning process.
      • What HIT elements will the team members use and why?
      • How can the interprofessional team members utilize the HIT elements to prevent a readmission of this patient 48 hours after being discharged?
      • How will the use of these elements support the coordination of care for this patient?
    • Describe at least three ways in which data reporting specific to client behaviors can shape care coordination, care management, clinical efficiency, and interprofessional innovation in care.
      • How would you evaluate the quality of the data?
    • Explain how information collected from client records can be used to positively influence health outcomes.
      • How will the interprofessional team members coordinate their individual findings in the collaborative use of HIT?
    • Write clearly and concisely, using correct grammar and mechanics.
      • Express your main points and conclusions coherently.
      • Proofread your writing to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your analysis.
    • Support main points, claims, and conclusions with relevant and credible evidence, correctly formatting citations and references using APA style.
      • Is your supporting evidence clear and explicit?
      • How or why does particular evidence support a claim?
      • Will your audience see the connection?
    • Additional Requirements
      Written Analysis Format and Length
      Format your written analysis using APA style:
    • Use theAPA Style Paper Template [DOCX]provided. Be sure to include:
      • A title page and references page. An abstract is not required.
      • A running head on all pages.
      • Appropriate section headings.
    • See also theAPA Style Paper Tutorial [DOCX]to help you in writing and formatting your analysis.
    • Your analysis should be 6–7 pages in length,not includingthe title page and references page.
    • Supporting Evidence
    • Cite at least eight sources of credible scholarly or professional evidence to support your analysis.
    • Apply APA formatting to all in-text citations and references.
    • Portfolio Prompt: You may choose to save your analysis to your ePortfolio.

Organization

Create an 8- to 9-slide PowerPoint presentation in which you do the following:

  • Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.)
  • Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general.
  • Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered.
  • Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.
  • Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change.
  • Be sure to provide APA citations of the supporting evidence-based peer reviewed articles you selected to support your thinking.

Nursing 590

In 1,000-1,500 words, provide a description of the methods to be used to implement the proposed solution. Include the following:

  1. Describe the setting and access to potential subjects. If there is a need for a consent or approval form, then one must be created. Although you will not be submitting the consent or approval forms in Topic 5 with the narrative, you will include the consent or approval forms in the appendices for the final paper.
  2. Describe the amount of time needed to complete this project. Create a timeline. Make sure the timeline is general enough that it can be implemented at any date. Although you will not be submitting the timeline in Topic 5 with the narrative, you will include the timeline in the appendices for the final paper.
  3. Describe the resources (human, fiscal, and other) or changes needed in the implementation of the solution. Consider the clinical tools or process changes that would need to take place. Provide a resource list. Although you will not be submitting the resource list in Topic 5 with the narrative, you will include the resource list in the appendices for the final paper.
  4. Describe the methods and instruments, such as a questionnaire, scale, or test to be used for monitoring the implementation of the proposed solution. Develop the instruments. Although you will not be submitting the individual instruments in Topic 5 with the narrative, you will include the instruments in the appendices for the final paper.
  5. Explain the process for delivering the (intervention) solution and indicate if any training will be needed.
  6. Provide an outline of the data collection plan. Describe how data management will be maintained and by whom. Furthermore, provide an explanation of how the data analysis and interpretation process will be conducted. Develop the data collection tools that will be needed. Although you will not be submitting the data collection tools in Topic 5 with the narrative, you will include the data collection tools in the appendices for the final paper.
  7. Describe the strategies to deal with the management of any barriers, facilitators, and challenges.
  8. Establish the feasibility of the implementation plan. Address the costs for personnel, consumable supplies, equipment (if not provided by the institute), computer-related costs (librarian consultation, database access, etc.), and other costs (travel, presentation development). Make sure to provide a brief rationale for each. Develop a budget plan. Although you will not be submitting the budget plan in Topic 5 with the narrative, you will include the budget plan in the appendices for the final paper.
  9. Describe the plans to maintain, extend, revise, and discontinue a proposed solution after implementation.