Health care paper about my career Registered Nurse 

Begin reviewing and replying to peer postings/responses early in the week to enhance peer discussion. See the rubric for participation points. Participate in the discussion by asking a question, providing a statement of clarification, providing viewpoints with a rationale, challenging aspects of the discussion, or indicating relationships between two or more lines of reasoning in the discussion. Always use constructive language, even in criticism, to work toward the goal of positive progress.

Peer 1

Nursing services play an important role in caring for patients and families in the community and providing them the support they need. For patients with problems ranging from chronic health conditions to need of elder care, nursing has proved itself an important part of the healthcare team. In fact, many people now prefer sending their elderly parents to a daycare for nursing, rather than to a long-term care facility.

For this topic, interview a community-based nurse or nurse practitioner who sees individuals in the home setting. Describe the nurse’s responses to the following questions:

• What are your job responsibilities?
• Does a correlation exist between your job description and your practice?
• Are you involved in policy formulation that affects client services?
• Do you belong to a professional organization related to your current job position?

I was able to interview someone that I know and she works as the RN for a home health agency. She is responsible for taking referrals if they come through to the office while she is there, completing the assessment for services. During the assessments she averages out what the number of hours the person may need and then send that information to the insurance company. She also along with the business owner or program administrator completes the follow up contacts for the patients. They are completed either 30, 60 or 90 days. She also is in charge of any health related trainings that the staff would have to complete. 

She believes that her job description and her actually practice go hand in hand. She feels that she does only what is called of her on most days. There are days she might help around the office just  to lend a helping hand but does not feel pressured to do other people jobs at her agency. 

When I asked about policy formulation she stated that she does help with only the medical policies that pertain to the client’s care. She does not currently belong to any professional organizations but she wants to look into membership in the future.

Peer 2

 Being a home health nurse or nurse practitioner means that the individual that is suffering from an illness receives medical visits in the comfort of their home. “Home care involves a wide range of technical and supportive care for patients after discharge from the hospital, maintaining the health of the disabled people and the elderly at home, preventing unnecessary admission, and meeting the daily needs” (Fatemi, 2019, p. 119). For the purposes of this discussion, I chose to interview DG, a previous coworker that is now a Nurse Practitioner that makes visits to people’s homes. She has been a nurse for 10+ years and has just recently started working in the home health field in the last couple of years. 

            When asking about her job responsibilities, there were many different things she was responsible for when it came to her patients. Some of the main responsibilities that she had was communication between the doctor and any other person that was involved in the patients plan of care. This is the most important aspect of any job but especially caring for a patient int the home setting because of the time that they are not being monitored by medical personnel in person. Another important part of her responsibilities was to carry out standing order for both acute and chronically ill patients. Based off the data that she communicated to the doctor, orders were placed, and it was then her responsibility to carry out the ones within her scope of practice. Also, while visiting with these patients, she was to assess and detect any abnormal issues and once these were determined, begin early interventions to treat the adverse issue. Another major part of her duties was to educate on the disease process and the medications that are prescribed. Knowing what to expect from the disease process will give the family a feeling of comfort and also help them to know when a major change may occurring with the patient and when they should notify the appropriate staff member. Medication education is important because unlike when the patient is in the hospital, the patient may have to self-administer or maybe the family members will be administering them and with the appropriate education, they will know what side effects to look for and when the medication may be contraindicated. While DG is very passionate about her job and the patients she cares for, she is not involved in policy making processes nor does she belong to any professional organizations related to her current position. When she was asked about this, she did not have much to say about it and after further discussion she stated she would rather be at the bedside actively helping the patients rather than in the office making decisions on policies and not knowing how they were effecting the outcomes of patient care. 

            As you can see, being a home health Nurse Practitioner can be rewarding because of the difference you are able to make in the patients life from within the comfort of their home but it can also be a very busy depending on the patient load and the acuity of patients along with any unexpected changes that may occur amongst each individual patient.  

Fatemi, N. L., Moonaghi, H. K., & Heydari, A. (2019). Perceived Challenges Faced by Nurses in Home Health Care Setting: A Qualitative Study. International Journal of Community Based Nursing & Midwifery, 7(2), 118–127.

Write a 1,050- to 1,400-word paper that answers the following questions:

• Why is accountability important in the health care industry?
• How is an employee’s accountability measured in the health care industry?
• How does accountability apply to ethical considerations in leadership and management?
• What does a checks-and-balances process look like in a successful organization?
• How does accountability affect an organization’s working culture?
• How can you maintain a positive working culture and avoid a culture of blame? 

Cite a minimum of 4 peer-reviewed, scholarly, or similar references.

Format your paper and sources according to APA guidelines.

I need this in about 150 words by tomorrow

It is important to become comfortable verbally discussing your DPI project. As you continue in the DPI project process, you will find yourself needing to pitch your idea to a lot of stakeholders. These stakeholders will usually be busy people who do not have the attention span to listen to a prolonged discussion unless the meeting is specifically pre-arranged for that. What will be helpful for you as you move forward is to develop an elevator speech of your project that is engaging but gets the point across quickly but eloquently as well. This elevator speech needs to address the question …What is your DPI project about? Write this elevator speech down and practice in front of the mirror multiple times. Many of you as leaders are used to public speaking within your teams. However, you may not be as comfortable pitching to stake holders that are not part of your team especially since you are used to being experts and now you may be feeling a little shaky navigating the doctoral journey. Be assured that you can do it but practice makes it even more perfect! 

Please share your elevator speech here. Be sure to keep it to less than 3 minutes if you can and maximum should be 5 minutes. 

Topic: Improving Medication Adherence in Diabetic Patients in Home Health Care Settings

REPLY 1( this first is about what I wrote in prompt week 6 nurs435)

Maria,

Nice work sharing how you would apply the collaboration model to this scenario. You incorporated the asking questions aspect well in your response. This week we read about the 3-2-1 approach that could be used in your scenario or even in personal conflicts as well. Share with us your thoughts on this approach and how it could help to resolve conflicts.

REPLY2

For this discussion, I chose to review the conflict scenario from Tina Chavez’s GSE DP. Specifically, I chose to focus on conflict scenario one. In this scenario, a group of four students are assigned a project that has to be completed by everyone. About one week into the project, the group is told that another student has been added to the group. The new student states that he can improve the project, but all original group members believe that their work is already good enough. Since everyone has to participate the new student is given a new task, but the new student does not want to do the task and leaves. 

In this scenario, it would be appropriate to use conflict resolution model. I would use the Triangle of Satisfaction Model. The Triangle of Satisfaction Model is used to examine interests as they fundamental to the field of conflict resolution. When this conflict resolution model is used, it is used to examine the parties’s wants, needs, and concerns, or interests. It would be appropriate for each student’s interests to be examined. In this case, their common interest is to earn a good grade on the project. The new student wants to participate as well. This is one of the interests that he has, so common ground should be found to ensure everyone participates. If I were in the group I would invite the new student to participate and contribute ideas. 

Assignment:

Exercises: 

1. Discuss the resource-based view of competitive advantage. Why is it important to understand organizational differences to use this approach?
2. Briefly define what is meant by competitive advantage. Are competitive advantage and sustained competitive advantage identical concepts? Compare and contrast the two concepts.

Professional Development: 

Case Study #12: AIDSCAP Nepal

• Conduct an internal environmental analysis, identifying the value-creating strengths and weaknesses for each value chain component. Model your response after Exhibit 4-4 (p. 144) “Value Creating Strengths and Value Reducing Weaknesses.”
• For each strength, assess the competitive relevance, using Exhibit 4-6 (p. 149) as an example.

• Grief: define and describe the physical symptoms, psychological and social responses and its spiritual aspects.
• Summarize the types of grief.
• Although death is a universal human experience, please specify culture-specific considerations that exist regarding attitudes toward the loss of a loved one, including age (child or older adult) and cause of death.

Submission Instructions:

• Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.

Supplemental Materials & Resources

Visit the CINAHL Complete under the A-to-Z Databases on the University Library’s website and locate the articles below:

1. Ellington, L., Reblin, M., Clayton, M. F., Berry, P., & Mooney, K. (2012). Hospice Nurse Communication with Patients with Cancer and their Family Caregivers.Journal of Palliative Medicine,15(3), 262–268.
2. Duke, G., Thompson, S. & Hastie, M. (2007). Factors influencing completion of advanced directives in hospitalized patients. Journal of Palliative Nursing, 13(1), 39-43.
3. Bockhold, C., Hughes, R., & Ashley, K. (2016). The ethics of opioids for chronic noncancer pain. Nursing 2016, 46(10), 63-67.

Considering your selected topic, what healthcare teams would be essential to help support your new project implementation? How would each identified team help support the integration and outcomes you plan to achieve? Consider aspects related to communication, collaboration and professional organizations for best practices in healthcare informatics.

For this Discussion, you reflect on a case from your past clinical experiences and consider how a patient’s pharmacokinetic and pharmacodynamic processes may alter his or her response to a drug.

Post a description of the patient case from your experiences, observations, and/or clinical practice from the last 5 years. Then, describe factors that might have influenced pharmacokinetic and pharmacodynamic processes of the patient you identified. Finally, explain details of the personalized plan of care that you would develop based on influencing factors and patient history in your case. Be specific and provide examples.

Must use 3 references with an in-text citation for each.