The purpose of this assignment is to examine the concept of governance within a health care organization.

Write a 1,250 word paper addressing the following:

1. Discuss corporate structure and how it affects the effectiveness of governance.
2. Determine various roles of governance within organizations and how they should interact within a team setting (e.g., board meetings, committee meetings, oversight, compliance meetings).
3. Describe concerns to consider when developing and strengthening a team culture. For example: Team members working independently or at cross-purposes, also known as “turf battles,” that can slow or impede the accomplishment of project purposes. The tone of meetings and interactions that can be seen as negative, manipulative, directive, or secretive.
4. Research a current federal or state compliance topic, such as the Center for Medicaid Services (CMS). You are required to select a topic other than the Affordable Care Act. Provide an example of an organization’s failure to properly apply governance concepts.
5. Describe how you would apply principles of servant and values-based leadership skills to integrate governance concepts and strategies to improve health care operations.

Use 4 to 5 peer-reviewed resources to support your response.

Prepare this assignment according to the guidelines found in the 7th Edition APA Style Guide

1) Minimum Minimum 10  slides with speaker notes 

              Part 1: Minimum 10  slides with speaker notes – Avoid using large and unnecessary images. Use the slides to provide substantial and objective information

              Part 2: minimum 2 pages

             Part 3: minimum 1 page

Submit 1 document per part

2)¨******APA norms

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

          Bulleted responses are not accepted

          Dont write in the first person 

          Dont copy and pase 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

Part 1: Minimum 5 references per part not older than 5 years

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.doc 

Part 2.doc 

__________________________________________________________________________________

Part 1: Physilogy and Patho

Topic:  pernicious anemia

1. Identify three major components

1. Clinical definition of the disease

2. Physiology and pathophysiology

3. Symptoms and sings

4. Test or clinical exams

5. Clinical expected outcome

6. Diagnostic criteria

7. Pharmacological and non-pharmacological treatment

8. Patient education

9. Risk factors (genetic, environmental…)

Part 2: Pharmacology

Topic:   Ubrelvy  

Purpose:   to draft and submit a complete, organized, detailed outline of your medication paper in APA format with sources cited and referenced accurately.

Adhere to the following guidelines for drafting and submitting your outline:

Use standard alphanumeric outline format ( See template attached- Outline).

Include a rough draft of your abstract.

Include APA in-text citations.

Include an APA formatted reference page.

Include a title page. 

Part 3:Advanced Primary Care of Family

Topic: Hispanics-Diabetes

1. Identify a population to assess 

2. Develop an evidence-based, primary care health promotion recommendations to deliver in this community.

Go over for me.

Reflect on the need to improve outcomes in healthcare and consider the following.

• How might a large cadre of nursing practice and research scholars’ impact change?
• How might the work of this cadre translate evidence to change practice?
• How might this cadre lead clinical innovation?
• In influencing improvement outcomes at your workplace, what strategies can you implement to inspire others to embrace change? 

write an answer based on this assignment. use at least 2 references. do not use the same that appears here. 

People and the Process of Change

Changing from a route I am used to would imply leaving earlier for class. This is one of the changes I would make. Leaving early would assist in dealing with any unexpected distance of the new route. I believe changing the route I am used to would bring about resistance to stick to the route, especially if it is a longer route. Personal needs would arise when sticking to the new route. Personal needs would relate to gaining trust based on safety and security (Weiss & Tappen, 2015). I would resist following the new route, where I do not believe in assured safety and security. Unlike the normal route used I was used to; the new route would take time as I adapt. The process follows freezing, changing, and unfreezing. The freezing would happen when I decide to change to a new route. The change would happen during the use of the route as I familiarize myself with the path. Gaining familiarity assists in building trust in using the route. One of the large changes would involve adjusting the time I leave for the class to ensure I am not late. The second large change is trusting in the route. The change aligns with the personal need that humans look for during stability. I would seek to adapt to having faith in the route I would be comfortable taking.

Stability would also imply emotional stability. Emotional stability means having the full trust of security and safety (Weiss & Tappen, 2015). Small changes include seeing different environments and different people using the route. I would meet different people using the new route. Other people would be using the route, which would imply meeting different people. Hence, continuous use of the route would prompt meeting failure faces. Meeting familiar faces becomes the unfreezing part as the route becomes my norm. The more familiar the route becomes, the more I will use the path. Also, the more different people become familiar to me, the more I will trust the route. This falls under attaining stability and having the assurance that the route will not have me lost. Unless I am familiar with the route to get to my destination fast, I may not change during the final exam day. During exams, individuals are required to arrive early. Hence, not being familiar with the route would mean I may get late.

The only way to avoid lateness is by using a route that gets me to the exam room on time. Therefore, trusting the route and attaining emotional stability is vital on the final exam day. This will only happen if I am assured that I will not get lost as I use the route. The change to another route during the final day of the exam is a micro or small change. Using the new route is a small change because the effect of the change is on me. No one else is affected by the change. One of the positive impacts of changes is learning (Otken & Beser, 2017). I would learn about a new environment. My mind would become familiar with solving the way I will get to class on time. Hence, the small change would allow me to change from my comfort zone to attain new ideas regarding a different environment. Concerning nursing staff adhering to an administrator making a minor change, learning is the linking factor and an advantage. Change of route and adapting to minor change for nursing promotes learning to come in terms with new ideas.

One negative effect of the change is restructuring from the norm. The restructuring would require leaving earlier to get to the exam room on time. For the nursing staff, losing power and experiencing a downgrade in a position are negative impacts. Weiss & Tappen (2015) implies that restructuring causes altering certain norms for employees such as salary cuts, downgrade in a position, loss of benefits, job loss, or relocation to another department. Having a negative impact of change creates resistance to change (Imran et al., 2016). The resistance makes nurses seek a way of protecting interests as a team. Resisting to using the path and resistance by nurses to adherence to the change creates a negative impact because one must unlearn the old methods and adopt new methods. The new methods create a delay in how one will do what is expected. Arriving in class on time is resisted when I am forced to leave early than usual. Altering my time of going to class implies I change or drop a certain activity I am used to doing before going to class. For instance, instead of waking early to read, circumstances may force me to wake up early to prepare and leave early. For nurses, a minor change may cause a slower rate in meeting the patients’ needs. Slowness comes about during the learning process from freezing, change, and unfreezing.

A change that has occurred in my life is losing my grandmother. My grandmother died due to cancer. The loss took place when I was a child. My initial reaction to the loss was anger since I did not understand that my grandmother would leave without saying goodbye. The explanation I received is my grandmother had traveled to the sky to become a star that shines over us. Coming into terms with the betrayal of being left by my traveling grandmother was not easy. I would miss her, and I did not know how to tell her. If I knew that my grandmother died because of a brain tumor, I would have reacted differently. I would have forgiven my grandmother for leaving without any goodbyes. Knowing what death is as a child meant understanding that not everyone would be in my life for long. Having more information about death would empower me to understand that death happens in uncertain and unexpected ways. Applying Lewin’s change model means using basic elements of freeze, change, and unfreeze (Weiss & Tappen, 2015). Freezing is when I became aware of what happened to my grandmother. Learning about death made me realize that people leave and go to be with God. The change was when I learned that death is a process of life and must occur. Lastly, I went through the unfreezing process of becoming aware death is a common occurrence. The next time I lost a relative, I did not feel betrayed by the relative going without saying goodbye. I learned that a person might die when I am not close to them. Hence, no goodbyes will occur.

References

Imran, M. K., Rehman, C. A., Aslam, U., & Bilal, A. R. (2016). What’s organization knowledge management strategy for successful change implementation?. Journal of Organizational Change Management.

Otken, A. B., & Beser, H. S. G. (2017). The effect of authentic leadership on organizational learning providing organization the ability to adapt quickly and conveniently to changing circumstances. PressAcademia Procedia, 3(1), 457-471.

Weiss, S. A., & Tappen, R. M.(2015).Essentials of Nursing Leadership and Management (6th Ed.). F. A. Davis Company

write an essay the history of nursing.

Assignment: Practicum Journal: Voluntary and Involuntary Commitment

PMHNPs may find themselves working in a wide variety of settings—each having their own unique challenges and inherent legal issues. For instance, what do you do in your state of practice when you are providing a therapy/treatment session and a client reports active suicidal ideation? What do you do if you are covering inpatient psychiatric consults and are called to see a patient in the ICU who overdosed on prescription medication requiring intubation? What do you do if you are a PMHNP on an inpatient unit and a client who admitted themselves on a voluntary basis suddenly states that they have decided to sign themselves out of the hospital so that they can go home to kill themselves? These are just some of the legal questions that PMHNPs must know the answers to specific to their state of licensure/practice.

In this Assignment, you investigate your state’s laws concerning voluntary and involuntary commitment. You also analyze a case to determine if the client is eligible for involuntary commitment.

Scenario for Week 7 Case:

You are a PMHNP working in a large intercity hospital. You receive a call from the answering service informing you that a “stat” consult has been ordered by one of the hospitalists in the ICU. Upon arriving in the ICU, you learn that your consult is a 14 year old male who overdosed on approximately 50 Benadryl (diphenhydramine hydrochloride) tablets in an apparent suicide attempt. At the scene, a suicide note was found indicating that he wanted to die because his girlfriend’s parents felt that their daughter was too young to be “dating.” The client stated in the suicide note that he could not “live without her” and decided to take his own life. Although he has been medically stabilized and admitted to the ICU, he has been refusing to talk with the doctors or nurses. The hospital staff was finally able to get in touch with the clients parents (using contact information retrieved from the 14 year old’s cell phone). Unbeknown to the hospital staff, the parents are divorced, and both showed up at the hospital at approximately the same time, each offering their own perspectives on what ought to be done. The client’s father is demanding that the client be hospitalized because of the suicide, but his mother points out that he does not have “physical custody” of the child. The client’s mother demands that the client be discharged to home with her stating that her son’s actions were nothing more than a “stunt” and “an attempt at manipulating the situation that he didn’t like.” The client’s mother then becomes “nasty” and informs you that she works as a member of the clerical staff for the state board of nursing, and if you fail to discharge her child “right now” she will make you “sorry.” How would you proceed?

Learning Objectives

Students will:

• Evaluate clients      for voluntary commitment
• Evaluate clients      for involuntary commitment based on state laws
• Recommend      actions for supporting parents of clients not eligible for involuntary      commitment
• Recommend      actions for treating clients not eligible for involuntary commitment

To Prepare for this Practicum:

• Review the      Learning Resources concerning voluntary and involuntary commitment.
• Read the Week 7      Scenario in your Learning Resources.
• Research your      state’s laws concerning voluntary and involuntary commitment.

The Assignment (2–3 pages):

• Based on the      scenario, would you recommend that the client be voluntarily committed?      Why or why not?
• Based on the      laws in your state, would the client be eligible for involuntary      commitment? Explain why or why not.
• Did      understanding the state laws confirm or challenge your initial      recommendation regarding involuntarily committing the client? Explain.
• If the client      were not eligible for involuntary commitment, explain what actions you may      be able to take to support the parents for or against voluntary      commitment.
• If the client      were not eligible for involuntary commitment, explain what initial actions      you may be able to take to begin treating the client.

 Required Readings ( need 3 references).

Kaltiala-Heino, R. (2010). Involuntary commitment and detainment in adolescent psychiatric inpatient care. Social Psychiatry Epidemiology, 45(8), 785-793. doi: 10.1007/s00127-009-0116-3.

Lindsey, M. A., Joe, S., Muroff, J., & Ford, B. E. (2010). Social and clinical factors associated with psychiatric emergency service use and civil commitment among African-American youth. General Hospital Psychiatry, 32(3), 300-309. doi:10.1016/j.genhosppsych.2010.01.007

McGavey, E. L., Leon-Verdin, M., Wancheck, T. N., & Bonnie, R. J. (2013). Decisions to initiate involuntary commitment: The role of intensive community services and other factors. Psychiatric Services, 64(2), 120-126.

Read chapters 22 and 23 of the class textbook and review the PowerPoint presentations located in the PowerPoint folder. Once done answer the following questions.
 

1. Trace the history school health practice.
2. Mention and explain school health scope of services
3. Explain and differentiate faith community nursing from community health nursing.
4. Mention and discuss various models of faith in the community

APA style (in text citations and references)

Plagiarism FREE

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

Discussion 1: Leadership Theories in Practice

A walk through the Business section of any bookstore or a quick Internet search on the topic will reveal a seemingly endless supply of writings on leadership. Formal research literature is also teeming with volumes on the subject.

However, your own observation and experiences may suggest these theories are not always so easily found in practice. Not that the potential isn’t there; current evidence suggests that leadership factors such as emotional intelligence and transformational leadership behaviors, for example, can be highly effective for leading nurses and organizations.

Yet, how well are these theories put to practice? In this Discussion, you will examine formal leadership theories. You will compare these theories to behaviors you have observed firsthand and discuss their effectiveness in impacting your organization.

To Prepare:

• Review the Resources and examine the leadership theories and behaviors introduced.
• Identify two to three scholarly resources, in addition to this Module’s readings, that evaluate the impact of leadership behaviors in creating healthy work environments.
• Reflect on the leadership behaviors presented in the three resources that you selected for review.

By Day 3 of Week 4

Post two key insights you had from the scholarly resources you selected. Describe a leader whom you have seen use such behaviors and skills, or a situation where you have seen these behaviors and skills used in practice. Be specific and provide examples. Then, explain to what extent these skills were effective and how their practice impacted the workplace.

Learning Resources

Required Readings

Marshall, E., & Broome, M. (2017). Transformational leadership in nursing: From expert clinician to influential leader (2nd ed.). New York, NY: Springer.
Chapter 1, “Expert Clinician to Transformational Leader in a Complex Health Care Organization: Foundations” (pp. 7–20 ONLY)
Chapter 6, “Frameworks for Becoming a Transformational Leader” (pp. 145–170)
Chapter 7, “Becoming a Leader: It’s All About You” (pp. 171–194)

Duggan, K., Aisaka, K., Tabak, R. G., Smith, C., Erwin, P., & Brownson, R. C. (2015). Implementing administrative evidence-based practices: Lessons from the field in six local health departments across the United States. BMC Health Services Research, 15(1). doi:10.1186/s12913-015-0891-3. Retrieved from https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-015-0891-3

4 discussion 

1 Analysis paper