WEEK 4 Discussion Prompt #2 Assessment

 

Discussion Prompt #2

A 29-year-old newly immigrated woman complains of weakness, shortness of breath, cough, and night sweats for the past month. She denies other symptoms, significant medical history, or allergies.

  • Which lab or imaging tests would you order for this patient and give a brief explanation of why?
  • From the information provided, list your differential diagnoses in the order of “most likely” to “possible but unlikely.”

(Design and Sampling)

Discuss the nursing implications of the findings of the research.  Consider the following question

What are the risks vs. benefits to practice of the findings

use the article attached please

Homework

 

Choose one health-promoting behavior in which you personally could but don’t engage. Identify factors, as defined in the health promotion model, which contribute to your decision not to participate. Include immediate competing alternatives.

2. Analyze factors that contribute to your participation in a health-promoting activity and place each factor under the appropriate label from the health promotion model.

3. Consider your own philosophy of health and prepare your description of wellness. Is absence of disease more prominent than positive, active statements of health?

4. Anticipate the health-promoting behaviors important at various stages of development across the life span. What health promotion topics do you include in your practice?

Concepts and theories in nursing

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.

Assignment Expectations:

Length: 1500 – 1750 words

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

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

Rubric: This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level.

Format: Save your assignment as a Microsoft Word document (.doc or .docx) or PDF document (.pd

week5 responses 6053

Jonise Flynn 

Strengths Revealed from Gallup Assessment

Leaders are known to possess a variety of characteristics that motivate followers to work towards a common goal. My results from the Gallup test revealed that my leadership strengths are achiever, competition, input, learner, and restorative. It is essential as a leader to recognize your strengths and weaknesses to guide others towards positive outcomes. Gallup (2020) describes an achiever as someone who works beyond the requirements. An achiever spends more time working on a goal than any other task (Gallup, 2020). The strength of competition drives a person to always want to be the best at whatever job (Gallup, 2020). Competitors are always comparing themselves to others to gain insight on how to be ahead of their competitors (Gallup, 2020). The strength of input arouses curiosity and inquisition. A person with the strength of input is always inquisitive about innovative events and seeking new information (Gallup, 2020). The strength of input refers to those persons who are knowledge seekers (Gallup, 2020). Much like input, the learner also has a strong sense of curiosity. The learner wants to be continuously taught and gather new ideas to expand current expertise (Gallup, 2020). Finally, the restorative strength is reserved for persons who seek perfection and are continuously reviewing ideas and avenues to reach a high-level goal (Gallup,2020). Overall, the described strengths each contribute to leadership characteristics.

Strengthening Core Values

The assessment not only reveals strengths but also shows my underlying weaknesses. I need to strengthen a few core values or beliefs after reviewing my assessment results. Oh et al. (2018) informs us that maintaining core values in leadership inspires subordinates to have a more incredible passion for their work, set higher standards, and work towards organizational goals. When core values are aligned to meet the organization’s needs, job satisfaction occurs (Oh et al., 2018). Marshall & Brome (2017) states that having defined beliefs “models the way” for others, articulating the significance of everyone’s participation in organizational goals(p.120). One core value that I need to strengthen based on my results is self-confidence. The strength of competition fuels my efforts to compare to others and want to do better continually. With competition, however, also comes self-doubt. I need to look less at what others are doing and ensure myself that I am making the right decisions for the organization. Strengthening my self-confidence also inspires others to trust me to be a confident, reliable leader.

Another core value that I need to evaluate is communication. An effective leader needs o to be able to commend others on their achievements and offer constructive criticism. There are staff members that have been on the unit longer than I have, and sometimes I find it hard to communicate criticism efficiently due to the feeling of not wanting to offend anyone. As a leader, I need to work on ways to communicate both successes and failures to the staff so that they are cognizant of their need for improvement. Communicating and helping staff understand where they could accelerate contributes to the success of the organization.

Improving my Strengths

My two strengths that need to be improved as a developing leader are learner and restorative. As a learner, I always want to acquire new knowledge. I’m always looking for an opportunity to understand how to run the unit better, care for specific patient populations, and much more successfully. My strength in restorative is what drives my strength in the learner area. My strength of restorative urges me to seek daily improvements, which triggers my learner curiosity. Using my restorative strength, I strive to improve on how we deliver patient care daily and how the team interacts to meet organizational needs. With both my strengths, to improve, I need to look for more learning and restorative opportunities. Instead of being consumed by nursing tasks, I should incorporate periods of learning and evaluation for restoration. These two strengths are sometimes overshadowed by workloads that, as a leader, I forget to use those strengths to better the organization.

Strengthening My Characteristics

One characteristic that I need to strengthen is in agreeableness. States that due to the amount of time nurses spend connecting with interdisciplinary persons, agreeableness is a characteristic that is necessary for quality patient care. With the workloads, all departments can become frustrated, and sometimes we take the discontent out on each other. Working on being more agreeable can significantly improve patient care and influence how followers also interact with other departments. 

Another characteristic that I would like to work on is emotional stability. Results from a study show that emotional instability is high in the nursing profession due to burnout and job dissatisfaction. As a leader, I must work on my emotional stability to model behaviors for others. There are times when the work gets overwhelming, and I find myself complaining out loud. When I feel emotionally overwhelmed, I need to focus on maintaining emotional stability because it influences how others portray the work environment. The only way to keep a positive environment is to set the tone as a great leader.

In conclusion, although the assessment revealed many of my strengths, weaknesses also exist. There are many aspects of becoming a leader that I need to focus on and further develop. Core values, current strengths, and characteristics are all essential areas of self-development that improve patient experience and those of organizational members. 

References

Çakıroğlu, O. Ç., & Harmancı Seren, A. K. (2019). The relationship between attitudes towards change and five factor personality traits in nurses. Journal of Psychiatric Nursing/Psikiyatri Hemsireleri Dernegi, 10(3).https://doi.org/10.14744/phd.2019.34713

Gallup. (2020).Jonise Flynn: Strengths insight guide. Retrieved on September 30, 2020, from https://gx.gallup.com/services/pdf?v=pdfGeneration.prince.7.0.binPath

Marshall, E., & Broome, M. (2017). Transformational leadership in nursing: From expert clinician to influential leader (2nd ed.). New York, NY: Springer.

Oh, J., Cho, D., & Lim, D. H. (2018). Authentic leadership and work engagement: the mediating effect of practicing core values. Leadership & Organization Development Journal.https://doi.org/10.1108/LODJ-02-2016-0030

Anita Herrera 

Description of the Assessment

            This writer has completed the StrengthsFinder assessment which resulted in the following characteristics: Input, Positivity, Responsibility, Futuristic and Learner. The Input attribute is summarized as having the zeal to collect enough insight to thoughtfully examine an abstract concept, theory, or idea. The Positivity attribute is descriptive as generous with praise, quick to smile and always on the lookout for the positive in situations surrounding this writer. Responsibility is characterized by the taking psychological ownership for anything this writer commits to, and whether large or small, feels emotionally bound to follow it through to completion. Being a Futuristic is described as the kind of person who loves to peer over the horizon, fascinated about the future and sees in detail what the future might hold, which helps pulls this writer forward, into tomorrow. The final strength identified was Learner. This described the writer as someone who is very much interested and determined to learn new things and drawn to the process of learning. The process, more than the content or the results is especially exciting to this writer (Gallup, Inc., 2020).

Core Values

            The information the StrengthsFinder Assessment generated is interesting. It helps an individual to keep grounded and provide perspective. It also helps to manage the direction in life and work as a leader. Two core values that were identified were Honesty and Confidence. Honesty should be the bedrock of an individual’s foundation, as it will define who a person is before others can know more. If things are dealt with in truth, it allows individuals to live a life with far less worry. Analytical minds can be used to think of new ideas, rather than lies and excuses. Honest intentions in speech and action gain the attention and respect of others. Honesty promotes openness, empowers us and enables us to develop consistency in how we present the facts. Honesty sharpens our perception and allows us to observe everything around us with clarity. Honesty in the workplace is key to building a strong team that trusts each other. To build integrity and a good reputation among coworkers, it is important to always keep your word when you say you are going to do something. When mistakes are made, take responsibility for them. Be transparent in everything said or done. Also respect confidential information, whether business-related or personal.

            A major component of confidence is the value a person place on him/herself. Confidence is about the faith you have in your abilities, the person you are, and how you view your most important relationship. With confidence, one can rise to the top of their profession. It keeps one balanced and grounded. It is a powerful value that gives so much definition to the core of who we are. Confidence gives us the strength to pursue our dreams. It psyches us up to get the job or opportunity we have prepared and dreamed about (Scully, 2015).

Strengths Identified

            There are two personal strengths this writer identified from the StrengthsFinder assessment. The first strength is the ability to learn new skills. Knowing how to actively grow and develop a skill is a skill itself, and if you understand how the principles of learning work, it will be easier to learn any new skill in the future. It is therefore worth putting some effort into understanding the benefits of not staying away from new skills. This writer has never been afraid to learn new procedures introduced at the place of work. New ideas are greatly appreciated and embraced no matter how big or small. It is important to learn new things especially, new technologies since the world is currently evolving around technology. New software use at work might be challenging, but this writer endeavors to delve into it and make it easier for others to learn, without being intimidated. My willingness to soak up with newness calm others fears and spur them into action (Gallup, Inc., 2020).

            The second strength identified is being positive about everything. People exceptionally talented in the positivity theme have contagious enthusiasm. This writer brings enthusiasm to people, group and place of work. Stimulating my team to be more productive and hopeful at work is what this writer is best known for. When colleagues complain about a task that needs to be finished within a timeframe, this writer tries to make it fun for everyone to feel energized from start to finish. Even if it is not going on well as planned, because they most of the times rely on this writer to help them rise above frustrations, energy will be focused on good things that have been previously achieved to see the need to take it to the next level. This writer can deliberately help others see the things that are going well for them and keep their eyes on the positive.

Areas for Improvement

            Out of the four domains of team strengths from the StrengthsFinder Assessment: Executing, Influencing, Relationship Building and Strategic Thinking, this writer needs to improve on the Influencing aspect. The ability to influence is an essential leadership skill. To influence is to have an impact on the behaviors, attitudes, opinions and choices of others. Influence is not to be confused with power or control. It is not about manipulating others to get your way.

            The first characteristic to improve on is communication. Being able to communicate as a leader is vital. That means it does not matter what the issue is, it must be communicated for everyone to be on the same page. Communication skills are abilities this writer needs to use when giving and receiving different kinds of information. Some examples include communicating ideas, feelings or what is happening. Communication skills involve listening, speaking, observing and empathizing. This writer needs to improve on how information is given across to bring the best out of situations. Communication skills are needed to speak appropriately with a wide variety of people whilst maintaining good eye contact, demonstrate a varied vocabulary and tailor your language to your audience, listen effectively, present ideas appropriately, write clearly and concisely, and work well in a group.

            The second characteristic that needs to be worked on Self Assurance. This is described as the ability to take risks and manage one’s own life. Individuals with this characteristic have an inner compass that gives them certainty in their decisions. People with the strength of Self-Assurance have great faith in their own strengths. They are confident in their abilities and their judgments. They know they are unique, and this gives them confidence to face challenging situations. This writer needs to have this characteristic to believe in the abilities and capacities and know I can deliver exactly what is needed (Khalil, 2016). People who have Self Assurance behave as if they have an inner compass pointing them in the right direction, and they believe this right direction is right. They might act right even when they are not. This confidence impacts people, it increases their belief and confidence in themselves. This writer needs to master self-assurance characters so that confidence in others does not intimidate, but to encourage to be even more confident.

References

Gallup, Inc. (2020). Your Signature Theme Report.

Khalil, R. (2016). Influence of extroversion and introversion on decision making ability. International Journal of Research in Medical Sciences, 4(5), 1534-1538. http://dx.doi.org/10.18203/2320-6012.ijrms20161224

Laureate Education. (Producer). (2018). The leader in you [Video webcast]. Retrieved from https://class.waldenu.edu/bbcwebdav/institution/USW1/202030_27/MS_NURS/NURS6053_module03.html?course_uid

Marshall, E., & Broome, M. (2017). Transformational leadership in nursing: From expert clinician to influential leader (2nd. ed.). New York, NY: Springer

Scully, N. J. (2015). Leadership in nursing: The importance of recognizing inherent values and attributes to secure a positive future for the profession. Collegian, 22(4), 439-444. 

3 sources for each response

Benchmark – Learning Styles

 

As faculty members, you have been asked to design a 4-hour Leadership Strategies course that would accommodate the learning styles for a selected 10 students. The students have all completed a learning style inventory in which three of the students are determined visual learners, four are kinesthetic learners, and the rest are auditory learners. Note: The intended audience for the course can be either newly graduated nurses or experienced staff nurses as you choose.

Compose a 500-750-word paper which describes your plan to accommodate the learning styles of each student. This plan starts with defining course objectives; use the “A-B-C-D Method of Writing Objectives” resource as a guide. The objectives should incorporate Bloom’s taxonomy, be written at the appropriate level for the audience, and include at least two learning domains (cognitive, psychomotor, and affective). Make sure to include the following:

  1. An outline of the course content and agenda that will be covered. 
  2. Descriptions of the learning activities and the rationale for the learning activities selected
  3. Strategies to assess learning, based on the learner objectives
  4. Use at least three scholarly, peer-reviewed resources less than 5 years old in addition to the course materials.

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

Refer to “Learning Styles Rubric,” prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

AttachmentsNUR-647E-RS-A-B-C-DApproachtoObjectiveWriting.docx
NUR-647E-R-T6.docx 

Partnering to heal

 Office of Disease Prevention and Health Promotion. (2018). Partnering to heal: Teaming up against healthcare-associated infections [Video]. Available from http://health.gov/hcq/training-partnering-to-heal.asp  

After you complete the video and assume the identity of each of the characters, you are to answer the six (6) questions below in a 3 to 5-page paper excluding the Title and Reference Pages. Please use the template provided. Paper must be in third-person point of view except for Question #5 

 Please focus on the content and concepts of the questions below. It is not necessary to discuss each of the characters in detail. What is important is to think critically about how their actions overall contributed to the outcome of the patients discussed in the video. Correlate the outcome of their overall actions to the questions below. 

 You may include some basic information regarding HAIs but they are not the focus of this paper so do not spend too much time discussing the different types of infections. 

 1. Discuss how preventing healthcare-associated infections requires both a change in behavior and a change in the organization’s culture.

 2. Discuss for a change to work, healthcare providers must work in teams and hold each other accountable at every level. 

3. Explain if leaders make zero-percent healthcare-associated infections (HAIs) a personal goal, how others will likely follow.

 4. Explain how encouraging others to embrace infection prevention protocols requires effective communication skills, even in the face of confrontation. 

5. Which character was your favorite to play and why? What could they have done differently to change the outcome? 

6. What role does evidence-based practice have in preventing HAIs? 

 Below are the APA format references and citations for the Partnering to Heal video. Please provide correct APA format citations in your paper. Please refer to p. 177 in your APA 6th ed. Manual to learn correct format for citations for an author readily identified through abbreviations. 

 First in-text citation: Office of Disease Prevention and Health Promotion (ODPHP, 2018) 

Subsequent citations: 

ODPHP (2018) First parenthetical citation: (Office of Disease Prevention and Health Promotion [ODPHP], 2018) 

200 work discusión question with three references due tonight at 9pm

Prepare:

  • Review the Resources and examine the Clark Healthy Workplace Inventory, found on page 20 of Clark (2015).
  • Review and complete the Work Environment Assessment Template in the Resources.

By Day 3 of Week 7

Post a brief description of the results of your Work Environment Assessment. Based on the results, how civil is your workplace? Explain why your workplace is or is not civil. Then, describe a situation where you have experienced incivility in the workplace. How was this addressed? Be specific and provide examples.