Mrs. Smith was a 73-year-old widow who lived alone with no significant social support. She had been suffering from emphysema for several years and had had frequent hospitalizations for respiratory problems. On the last hospital admission, her pneumonia quickly progressed to organ failure. Death appeared to be imminent, and she went in and out of consciousness, alone in her hospital room. The medical-surgical nursing staff and the nurse manager focused on making Mrs. Smith’s end-of-life period as comfortable as possible. Upon consultation with the vice president for nursing, the nurse manager and the unit staff nurses decided against moving Mrs. Smith to the palliative care unit, although considered more economical, because of the need to protect and nurture her because she was already experiencing signs and symptoms of the dying process. Nurses were prompted by an article they read on human caring as the “language of nursing practice” (Turkel, Ray, & Kornblatt, 2012) in their weekly caring practice meetings.

The nurse manager reorganized patient assignments. She felt that the newly assigned clinical nurse leader who was working between both the medical and surgical units could provide direct nurse caring and coordination at the point of care (Sherman, 2012). Over the next few hours, the clinical nurse leader and a staff member who had volunteered her assistance provided personal care for Mrs. Smith. The clinical nurse leader asked the nurse manager whether there was a possibility that Mrs. Smith had any close friends who could “be there” for her in her final moments. One friend was discovered and came to say goodbye to Mrs. Smith. With help from her team, the clinical nurse leader turned, bathed, and suctioned Mrs. Smith. She spoke quietly, prayed, and sang hymns softly in Mrs. Smith’s room, creating a peaceful environment that expressed compassion and a deep sense of caring for her. The nurse manager and nursing unit staff were calmed and their “hearts awakened” by the personal caring that the clinical nurse leader and the volunteer nurse provided. Mrs. Smith died with caring persons at her bedside, and all members of the unit staff felt comforted that she had not died alone.

Davidson, Ray, and Turkel (2011) note that caring is complex, and caring science includes the art of practice, “an aesthetic which illuminates the beauty of the dynamic nurse-patient relationship, that makes possible authentic spiritual-ethical choices for transformation—healing, health, well-being, and a peaceful death” (p. xxiv). As the clinical nurse leader and the nursing staff in this situation engaged in caring practice that focused on the well-being of the patient, they simultaneously created a caring-healing environment that contributed to the well-being of the whole—the emotional atmosphere of the unit, the ability of the clinical nurse leader and staff nurses to practice caringly and competently, and the quality of care the staff were able to provide to other patients. The bureaucratic nature of the hospital included leadership and management systems that conferred power, authority, and control to the nurse manager, the clinical nurse leader, and the nursing staff in partnership with the vice president for nursing. The actions of the nursing administration, clinical nurse leader, and staff reflected values and beliefs, attitudes, and behaviors about the nursing care they would provide, how they would use technology, and how they would deal with human relationships. The ethical and spiritual choice making of the whole staff and the way they communicated their values both reflected and created a caring community in the workplace culture of the hospital unit.

Critical thinking activities

Based on this case study, consider the following questions.

1. What caring behaviors prompted the nurse manager to assign the clinical nurse leader to engage in direct caring for Mrs. Smith? Describe the clinical nurse leader role established by the American Association of Colleges of Nursing in 2004.
2. What issues (ethical, spiritual, legal, social-cultural, economic, and physical) from the structure of the theory of bureaucratic caring influenced this situation? Discuss end-of-life issues in relation to the theory.
3. How did the nurse manager balance these issues? What considerations went into her decision making? Discuss the role and the value of the clinical nurse leader on nursing units. What is the difference between the nurse manager and the clinical nurse leader in terms of caring practice in complex hospital care settings? How does a clinical nurse leader fit into the theory of bureaucratic caring for implementation of a caring practice?
4. What interrelationships are evident between persons in this environment—that is, how were the vice president for nursing, nurse manager, clinical nurse leader, staff, and patient connected in this situation? Compare and contrast the traditional nursing process with Turkel, Ray, and Kornblatt’s (2012) language of caring practice within the theory of bureaucratic caring 

Prepare a 10-15 slide PowerPoint presentation, with speaker notes, that examines the significance of an organization’s culture and values. For the presentation of your PowerPoint, use Loom to create a voice-over or a video. Refer to the Topic Materials for additional guidance on recording your presentation with Loom. Include an additional slide for the Loom link at the beginning, and an additional slide for References at the end.

1. Outline the purpose of an organization’s mission, vision, and values.
2. Explain why an organization’s mission, vision, and values are significant to nurse engagement and patient outcomes.
3. Explain what factors lead to conflict in a professional practice. Describe how organizational values and culture can influence the way conflict is addressed.
4. Discuss effective strategies for resolving workplace conflict and encouraging interprofessional collaboration.
5. Discuss how organizational needs and the culture of health care influence organizational outcomes. Describe how these relate to health promotion and disease prevention from a community health perspective.

While APA style format is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

Write a 650-1300 word response to the following questions: 

1. Explain multicultural communication and its origins.
2. Compare and contrast culture, ethnicity, and acculturation.
3. Explain how cultural and religious differences affect the health care professional and the issues that can arise in cross-cultural communications.
4. Discuss family culture and its effect on patient education.
5. List some approaches the health care professional can use to address religious and cultural diversity.
6. List the types of illiteracy.
7. Discuss illiteracy as a disability.
8. Give examples of some myths about illiteracy.
9. Explain how to assess literacy skills and evaluate written material for readability.
10. Identify ways a health care professional may establish effective communication.
11. Suggest ways the health care professional can help a patient remember instructions.

Attention Wizard Kim. 

Week 6 Discussion: Practicum professional Development Objectives/ Progress Appraisal  3 pages. 

Rubrics 

This week’s second discussion forum focuses on the populations of the chronically ill and the disabled.

You may be familiar with the common quote “An ounce of prevention is worth a pound of cure.” In reality, however, you may know of a person, family, or group who is not receiving adequate preventive or medical care due to a lack of resources and funds.

• Choose one specific chronic illness or disability of your choice.
• Select two resources in your community that address issues related to the chronic illness/disability and describe the services offered. (I live in Groves, TX for the resources)
• Select two national resources that address issues related to the chronic illness/disability and describe the services offered.
• Analyze whether or not the continuum of care services are adequate for the population with the chosen chronic illness/disability.  Explain why or why not.

Your initial contribution should be 250 to 300 words in length. Your research and claims must be supported by your course text and at least one other scholarly source.  Use proper APA formatting for in-text citations and references as outlined in the Ashford Writing Center.

For this assignment in at least 200 words explain at least 3 things the US constitution identified and at least 3 things the Articles of Confederation identified.  

Include the title page and reference page (failure to do so will result in a zero for assignment) 

Assignment must be submitted in APA format. 

Total – 100 poits

Professional Leadership Communication and the Practice Scholar Guidelines

Instructions: Doctorate level paper. 5-7 pages. Double spacing, APA format. At least 6 references (must be within 5 years so between 2015/2020) 

Purpose

The purpose of this paper is to provide the student with the opportunity to explore and explain verbal, non-verbal, and written communication at the highest professional level. This assignment allows for the assimilation of professional leadership competencies as a doctorally prepared practice scholar. Assignment content supports professional formation, communication, and dissemination of skills relevant to the DNP practice scholar.

Course Outcomes

This assignment enables the student to meet the following course outcomes:

-Differentiate attributes of effective leaders and followers in influencing healthcare. 

-Assimilate attributes for intra-/inter-professional collaboration across healthcare settings (

-Formulate selected strategies for leadership and influence across healthcare systems. 

Preparing the Assignment

Follow these guidelines when completing each component of this assignment. The assignment will include the following components within 5-7 pages (not including title page or reference page):

a. Title Page (Title matches the first-page title)

b. Use the following required Level 1 headings:

i. Verbal Communication Competencies and the Practice Scholar

ii. Non-verbal Communication Competencies and the Practice Scholar

iii. Written Communication Competencies and the Practice Scholar

iv. Conclusion

c. Introduction (Note: Do not use “Introduction” as a heading). Place the paper’s title on the first line.

i. In a brief paragraph, introduce your paper’s topic and establish its importance.

ii. Present a clear purpose statement and a mini-outline, in sentence format, of the paper. The best introductions outline the paper according to the major sections in the assignment guidelines (which are the required level 1 headings for the body of the paper).

d. Verbal Communication Competencies and the Practice Scholar

i. This section describes the leadership competency of verbal communication for the Doctor of Nursing Practice (DNP) practice scholar.

ii. Present your understanding of the components, comportment, and collaborative nature of effective and ineffective verbal communication as a leader.

e. Non-Verbal Communication Competencies and the Practice Scholar

i. This section describes the leadership competency of non-verbal communication for the DNP practice scholar.

ii. Present your understanding of the positive and negative behaviors of non-verbal communication as a leader and examples of each.

f. Written Communication Competencies and the Practice Scholar

i. This section describes the leadership competency of written communication for the DNP practice scholar.

ii. Include your understanding of (a) professional tone & style, (b) use of standard English, and (c) strategies for effective writing as a DNP leader in documents such as emails, memos, curricula vitarum, grant proposals, white papers, poster presentations, project dissemination manuscripts, and other formal written forms of professional leadership communication.

g. Conclusion

i. Recap the paper’s purpose statement and mini-outline criteria.

ii. Draw major conclusions from the body of your paper.

iii. Summarize the importance of effective communication competencies for the DNP leader.

h. Clarity of writing

ix. Use consistent standard English grammar and sentence structure is evident throughout the paper. The sentences and wording should be clear and concise, without slang, colloquialisms, street language, or conversational style.

x. Paper should be generally free of grammar, punctuation, spelling, and typographical errors.

xi. The paper should be organized and use the required Level I Headings headers and others as needed to organize the content.

a. APA Style and Organization

. Format as required in APA o (e.g., font, margins, title page, matching title on the 1st page, running head, level headings, reference pages, etc.).

i. Citations in the text must match the APA format 

ii. (Minimum 6 scholarly sources that match the reference)

iii. References must match APA examples Professional Papers.” (Minimum 6 scholarly sources, must be within 5 years)

  History of incompetent nurses – has it gotten better in the last  50 years? Nurses are getting more education now then they used to – is  this making them more competent. Do nurses rely too much on technology  now to catch their mistakes? What impact has technology had on competent care? What areas has nursing competence  gone up in the last 50 years and what areas has it gone down? Do  hospitals have measurement tools for competence training/testing? 
 

 6) How is medical incompetence measured – medication errors, medical chart mix up ext?  

1)  minimum 6 slides  slides with speaker notes Avoid using large and unnecessary images. Use the slides to provide substantial and objective information

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

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 6 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

Topic:  The promise of guaranteed health care coverage for all. 

position:  CON/AGAINST

1. Make an introduction to the issue

2. Reflect your stance and explain it

3. Explain the rationale for your stance

4. Describe the ethical principals involved

5. Resalt theories and evidence supporting your position, 

6. Explain your proposed resolution.