Please discuss your experiences with ethics, including your ethical values, ethical theories, and an ethical decision you have had to make. It is important to remember that as you share your ethical experiences with your faculty that you do not discuss information and details regarding a company or individual by name that are not public information. 

  Required Resources
Read/review the following resources for this activity: 

Introduction: Communication Change Challenge (CCC) Part 4
In Part 4, you are setting a goal for this project based on the outcome that you want to achieve. Knowing what you want the end result of this project to look like will help you to identify and implement the behaviors necessary to achieve that goal. Second, you are identifying a set of communication behaviors (in 4E) that will lead you to your goal. Be specific and very detailed. What will you do or say that is different?

Reminder: It is not time to implement new behaviors yet. This week you are setting a goal and identifying the new communication behaviors that will help you to achieve that goal

Instructions
The interpersonal communication skill you selected earlier in this project is not yet stated in specific behavioral terms. For example, “I want to overcome shyness and meet new people,” gives you little direction. Some questions you might ask yourself for that behavior goal include the following:

• What new people?
• Where will I meet them?
• When will I meet them?
• How many do I want to meet?
• How often?
• What will I say when I meet them?
• What do I typically do in these situations that I want to avoid?

Provide a detailed outline of your movement through these 4 steps: 4A through 4D.

4A. Goal Reflection and Revision
Think about your original goal from CCC Part 1E. Review your Week 1 statements: “I can’t” and “I won’t.” Read over your journal analysis of the CCC Part 2, and the positive models you want to emulate from CCC Part 3. Do you think your goal as written in Part 1E needs to be modified or changed? Address and submit the following:

• Your original goal from CCC Part 1E.
• What do you think your updated goal for this project should be now? It may be the same, slightly modified, or totally different from Part 1E.
• Why is your goal the same as CCC Part 1E, or why did it need to be changed?

Link: Example

4B. Behaviors Brainstorm
Jot down some communication behaviors that you associate with your goal. To arrive at this list, address and submit the following:

• What must a person be saying and/or doing for me to say that he/she has achieved the goal?
• Given a room full of people, what is the basis on which I will separate them into two classes: those who have achieved the goal and those who have not?
• How will I recognize and measure goal achievement when I see it?

4C. Behavior Description
Describe each behavior. Do this in a statement that identifies the manner (or extent) of the behavior that is required to achieve the goal.

Repeat this statement for each behavior on your list. This step helps you to establish the criteria by which you will measure your success in reaching the goal.

State your goal in specific behavioral terms, considering these example questions again.

• What new people?
• Where will I meet them?
• When will I meet them?
• How many do I want to meet?
• How often?
• What will I say when I meet them?
• What do I typically do in these situations that I want to avoid?

Use the following format:

• 4C1. Behavior 1: In order for me to achieve my goal of …, I will . . .
• 4C2. Behavior 1: In order for me to achieve my goal of …, I will . . .
• 4C3. Behavior 1: In order for me to achieve my goal of …, I will . . .

Do this at least 3 times for each behavior.

4D. Description Revision
Now, look at your behaviors again. Consider this: If someone else performed the behaviors you have outlined, would you be willing to say that person has achieved your goal? Can you answer “yes” to this question for each of the behaviors you listed above in Part 4C? If not, modify the descriptions of the behaviors until you can say, “YES.” The answer to Part 4D is YES or NO.

Do this over until you can state YES as the answer for each of the behaviors you have listed in 4C above.

In your description, explain why these behaviors would exemplify the attainment of your goal.

4E. Final Behavior List
Conclude with a clearly identified statement of the communication behaviors you intend to implement to achieve your interpersonal communication goal. Be specific.

Revisit these questions to help finalize the list:

• What new people?
• Where will I meet them?
• When will I meet them?
• How many do I want to meet?
• How often?
• What will I say when I meet them?
• What do I typically do in these situations that I want to avoid?

Copy your goal from 4A and then add all your specific behaviors from 4C. Conclude with a clearly identified statement of the communication behaviors you intend to implement to achieve your interpersonal communication goal. Be specific and detailed.

Writing Requirements (APA format)

• Length: 1.5-2 pages (not including title page or references page)
• 1-inch margins
• Double spaced
• 12-point Times New Roman font
• Title page
• References page

Grading

This activity will be graded based on the W4 CCC Grading Rubric.

Half to one page paper. APA format. One reference is fine (must be within 5 yrs). May use the rarticel  attached to the question. ZERO PLAGIARISM

Rath (2017) explains that people should focus more on strengths than weaknesses: “At its fundamentally flawed core, the aim of almost any learning program is to help us become who we are not. . . From the cradle to the cubicle, we devote more time to our shortcomings than to our strengths” (p. 3). Throughout nurses’ careers, the status quo is to work tirelessly to improve or change characteristics and talents for which the individual is weak. While I agree that in our profession weak areas do need to be addressed, I think we could do more to develop those areas where individuals naturally “shine.”

Reference: Rath, T. (2017). Discover your CliftonStrengths. New York, NY: Gallup Press.

Question: As a leader managing change, how might you leverage the strengths of others to compensate for characteristics you are still developing in your own professional leadership personality?

he following competencies:

3.3 Provide individualized education to diverse patient populations in a variety of health care settings.

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.

Based on the feedback offered by the provider, identify the best approach for teaching. Prepare a presentation based on the Teaching Work Plan and present the information to your community.

Options for Delivery 

Select one of the following options for delivery and prepare the applicable presentation:

1. PowerPoint presentation – no more than 30 minutes

Selection of Community Setting

These are considered appropriate community settings. Choose one of the following:

7. Church community

Community Teaching Experience Approval Form 

Before presenting information to the community, seek approval from an agency administrator or representative using the “Community Teaching Experience Approval Form.” Submit this form as directed in the Community Teaching Experience Approval assignment drop box.

General Requirements

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, which can be 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. 

AttachmentsNRS-428VN-RS5-CommunityTeachingExperienceForm.doc
RUBRIC

Case Study, Learning Unit 4: Quality Improvement

The nursing director has asked you to form a team for quality control that addresses the issue of extended stay of patients who have been noncompliant with their diabetic protocol. These patients are staying an extra 72 hours in the acute care facility and usually have repeated admissions.

Related question #1

Based on what you know about the need for continuous quality control, who would you select to be part of this team?

Related question #2

What data should you ask your team to collect?

Related question #3

What could your team member produce that would assist in assessing the situation? 

Unfolding Case Study, Learning Unit 4: Quality Improvement

(Based on case in Module 4.1)

Part I

Sylvia has recently received complaints from her nursing staff that cancer patients are waiting up to 2 hours to begin their chemotherapy IV regime. Some of the oncologists often leave out important details when ordering the chemotherapy agents, and therefore, the pharmacy must contact the oncologists to get further instructions. If the order is incomplete, oftentimes it is not brought to the nurses’ attention until the patient has been waiting. At times, the oncologist cannot be contacted or located, which is adding to the frustration of the staff and patients.

Related question #1

What can Sylvia do to improve this process?

Part II

Sylvia asks the pharmacy and oncologist to appoint a team member that would serve on the task force to develop a process that would decrease the delay in chemotherapy treatments. The team meets and creates a sample checklist. The checklist is approved by all team members, and Sylvia decides it is time to incorporate the checklist in the process.

Related question #2

What steps should Sylvia take to assess the effectiveness of the new protocol?

Part III

Sylvia writes a report summarizing her findings of the audit she conducted on patient satisfaction, waiting time, and time of filling orders to time of administration of the chemotherapy.

Related question #3

According to quality improvement guidelines, what is the logical next step for Sylvia?

Assignment:

Leininger and Watson

Write a 1500-1750 word APA paper addressing each of the following points. Be sure to completely answer all the questions for each bullet point. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least two (2) sources and the textbook using citations in your essay. Make sure to cite using the APA writing style for the essay. The cover page and reference page in correct APA do not count towards the minimum word amount. Review the rubric criteria for this assignment.

Case study #1 

Mrs. Franklin-Jones was admitted from the Emergency Room to Cardiac Intensive Care one week ago with a diagnosis of acute myocardial infarction. She has recovered as expected and is moving to the cardiac step down unit today. She is talking with Nurse Julie Hernandez, as she gets settled in her new room, “I was really surprised when I got that bad pain in my chest! I knew I had high pressure but I just didn’t think it was that bad. I try to take my medicine like they told me to in the clinic but sometimes I forget. I guess that I need to study those papers they gave me about what foods I should eat and not eat. I better take care of myself! Momma had bad pressure and it killed her! Who knows—I may even have to learn to cook different than I was taught in Jamaica! I may have to let Tomas do the cooking. He’s got more time at home now than I do since he lost his job. There isn’t too much time between my shifts at the school cafeteria and my new housecleaning job. You know my sister is coming up from Jamaica to see me. I think she is bringing me some bush tea. That’ll set me right!”

• Using Leininger’s Culture Care Model, what factors in the story shared by Mrs. Franklin-Jones should be considered by Nurse Hernandez when planning for the patient’s discharge?
• Why is the theory of Culture Care Diversity important in the delivery of nursing care for all patients?
• Using Leininger’s Theory of Culture Care Diversity and Universality, develop a plan of care for Mrs. Franklin-Jones.
• Discuss the strengths and limits to Leininger’s Theory.

Case Study #2

Claude Jean-Baptiste is recovering from post-hip replacement surgery and has been transferred to the Rehabilitation Institute adjacent to the hospital. When he enters the unit, he sees welcoming signs written in several languages including his own, Creole. Since there are no nurses on that shift that speak Creole, they use a language line to ask for translation services. During this initial nursing assessment, the translator informs Mr. Jean-Baptiste that the nurses invite him to have a relative at his side so that they can be sure to understand and meet his needs. He is asked about Haitian customs and beliefs that they might honor. Mr. Jean-Baptiste is encouraged to bring food and spiritual care items, and to share the warmth of his culture with the nursing staff.

• Discuss assumptions of the Transpersonal Caring relationship. What is the nurse’s role?
• How is love, as defined by Watson, evident in this caring moment?
• How can the nurse creatively use self to create a healing environment?
• Discuss the strengths and limits to Watson’s Theory.

This week you will begin working on creating a Business Plan for a new health care organization. The work that you do for your original discussion board post will help you with the framework of your upcoming written assignment.  However, what you post to the discussion board is just a framework.  When you write your written assignment, you will need to expand on these ideas.  To make the upcoming written assignment easier, I strongly suggest that you select a business that is easily explained and small in size. 

For your original post, please provide the following information about your new health care business:

1. Name and location
2. Services offered, including an explanation of what makes your organization special or unique
3. Number and types of key staff members.  Depending on your business, this might include, managers, medical assistants, psychologists, psychiatrists, physical therapists, etc.
4. How many patients you plan to see in the first year — and — your anticipated revenue per patient visit.  This will require researching similar organizations. Be sure to provide your references.
5. A list of annual operating expenses that you anticipate (type and $ amount).  Remember, in an operating budget you do not include the cost of purchasing furniture or major equipment.

Requirement:  One original post (200 word minimum).  Two reply posts that EACH: (1) identifies a strengths of the classmate’s original post and (2) politely suggests an area of improvement or ideas for further consideration. 

What characteristics would lead a provider to suspect domestic violence, child abuse, or elder abuse is taking place within a family? Discuss your facility’s procedure for reporting these types of abuse. Also what do statistic say about providers abuse.

What characteristics would lead a provider to suspect domestic violence, child abuse, or elder abuse is taking place within a family? Discuss your facility’s procedure for reporting these types of abuse.

READ CASE STUDY ANSWER QUESTIONS ATTACHED APA STYLE PAPER

Chevron Medical Center is a 300 bed trauma hospital in La Porte, Indiana. Chevron Medical Center is a Joint Commission approved Medicare, Medicaid facility and houses a separate large outpatient surgery center adjacent to the main hospital. (You) Sandy Marshall is the Director of Health Information Management, and manage all of the records for both the main hospital and the outpatient surgery center.

Ten months ago, Chevron Medical Center moved totally away from paper medical records and implemented an electronic health record (EHR) system. The move was completed in three phases over an eighteen month time span. The majority of your 16 employees were ecstatic about the move to an EHR and were fully onboard with the change. One of your employees, Donna Hartford is frustrated over all of the security features associated with the new EHR. Donna is very vocal about wanting some of the security features disabled so she can get faster access to patient records and not have to sign in multiple times a day due to the systems auto shut down if idle for 10 minutes. The current process in place for all hospital employees is to first log on to Chevron Medical Center’s main system with a user name (assigned by the hospital IT department) and password (selected by the employee); second, then log on to the electronic health record using the main user name but a different password along with an access code (again assigned by the hospital IT department).

Donna wants to sign on one time and access anything she wants within the main system and electronic health record for as long as she wants with no additional logons or lock outs. She has assured you and the hospitals risk management department she will sign off completely when she goes on breaks, lunch, and at the end of her shift.

Donna has been extremely negative in regards to the new EHR sign on process and has made it a daily goal of hers to complain to anyone and everyone she comes in contact with. This includes co-workers, physician’s, department heads, other employees within the facility, and etc. Once a week, you have a brief department meeting with your staff just to touch base on how things are going, new items you need to share with them, productivity levels, concerns, and etc. During these meetings, Donna exhibits severe negative behavior emphasizing the need to eliminate the security features within the EHR. She becomes very verbally aggressive when one or more of her co-workers do not agree with her and say they have no issues with the process currently in place. There have been one or two times she has hit her fist on the table and shook her finger at everyone. Donna’s behavior is very disruptive and has all your other employee’s fearful she may become physically violent at any given moment. You have consulted Donna on her behavior in the past and she manages to tone it down for several weeks. But within two to three weeks she is back to her aggressive behavior again. You have had quite a number of complaints from other employee’s throughout the facility and know you must take action to control this situation.

Due to the State and Federal rules and regulations in regards to confidentiality and security of patient health information, you are at a loss as to how to possibly accommodate Donna’s request. You have reviewed:

1. Chevron Medical Center’s internal policy and procedures on confidentiality, security, and access to patient health records. It clearly states due to HIPAA and Joint Commission regulations, all EHR systems must be equipped with confidentiality, security, and access controls for protecting patient health records.

Only two questions 500 wordsAPA