Annotated bibliography

Complete an ANNOTATED bibliography in APA format (12 pt. Times New Roman, double-spaced, 1-inch margins).

• Address the following assignment requirements as it relates to disaster management – disease outbreak preparedness, response and recovery efforts

o Summarize and evaluate a minimum of 10 (ten) peer-reviewed journal articles published within the past 5 years that address current research topics in public health.

o Each annotation must be a minimum of 250 words and include the following:

▪ Summary of the resource content

▪ Evaluation of resource utility

▪ Assessment of resource credibility and reliability

o Paraphrase information to demonstrate your own understanding of the topic in the context of public health research.

wk7 responses 6053

jennifer hay RE: Discussion – Week 7COLLAPSE

Work Environment Assessment

                Nurses and other healthcare staff may not always communicate respectfully or be able to manage their emotions due to the stressful environment they work in. Cynthia Clark created a healthy workplace inventory that can assess how healthy a workplace is. The score for the work environment in the workplace inventory was 70 (Clark, 2015). This score equals out to a mildly healthy work environment.

Why the Workplace is or is Not Civil

Unsafe working conditions can arise from an uncivil working environment (Clark et al., 2011). Prior to the pandemic, the score would have been higher. With census remaining so high, and there being a higher census of higher acuity and critical patients the workload is not disbursed manageably. The morale of the work environment is also not ideal. We are required to work mandatory overtime and are often short staffed. This is leading to wearing down of the employees and increased nurse burnout.

Incivility in the Workplace

In this week’s media it explains that working in a team each person must hold themselves accountable to show up for the team (Producer, 2009). Incivility has been experienced by the same employees frequently calling in. When people are assigned to be in staffing and then call in for their shift it changes the workflow to have in scramble to find someone to come in and work or shift patients onto a different team. It has been addressed by having call shifts to help ease the staffing if there is a call in. However, the same staff will call in for their call shifts. It can be very frustrating when there is no accountability and people do not feel accountable to their teammates for what kind of situation it may put them in.

References

Clark, C. M., Olender, L., Cardoni, C., & Kenski, D. (2011). Fostering civility in nursing education and practice: Nurse leader perspectives. Journal of Nursing Administration, 41(7/8), 324–330. doi:10.1097/NNA.0b013e31822509c4

Clark, C. M. (2015). Conversations to inspire and promote a more civil workplace. American Nurse Today10(11), 18-23.

Laureate Education (Producer). (2009a). Working with Groups and Teams [Video file]. Baltimore, MD: Author.

Jocelyne Clement RE: Discussion – Week 7COLLAPSE

Examine the Clack Healthy Workplace Inventory 

     Any healthcare organization is considered to be a social unit of people. That is structured and managed to meet the need of people or pursuing collective goals.  The smooth operating or running of any healthcare organization has direct relationship with its organizational structure which in turn, has direct bearing with the company or organization style. The Clark assessment brings awareness to certain unhealthy behaviors which sometimes are not noticed in the aforementioned student workplace. This clear and precise assessment of my workplace scores 67% which is classified as barely healthy. Clark et al. (2015). It is shocking, disbelief and true results. I have always believed my workplace is a fine and friendly place to work. But my eyes are open to some subconscious truth from the Clark inventory assessment.

 How Civil is my Workplace

      The inventory and real truth from the Clack assessment results concluded my workplace is not civil nor a friendly environment. Realizing the damage and the implication of the potential misconduct between nurses against nurses. Embree et al. (2013). it is imperative that leaders and management are made aware of the relationship between the activities of its members in the organization. It is obvious, the upper management are focusing more on better patient outcomes versus nursing staff that are being oppressed by some of their peers who believe to hold the upper hand of power. delivered the care.

Some Examples of Incivility In the workplace

 This event dated more than 15yrs ago, being a new nurse at the well known local hospital in y city. There was a group of nurses who were had refused to give a report to the nurses who communicate with an accent dependent on areas the foreign nurses were from.  This type of behavior was insane and had driven a sadness in my heart. But I was a brand new nurse. i could not understand this situation. I was afraid to speak out although some of them were my former classmate from the same university. Finally, within the years of watching these peers bullying others. On my yearly evaluation, i was able to confide to my nurse manager what was ongoing Clark et al (2014).

Addressing The Issues

The Nurse manager within a week had a meeting with the unit staff addressing the subject of incivility , and quickly involved an implemented a policy within the organization on zero tolerance policy on incivility toward any staff member regarding of their race, age, color, sex and origin. During the meeting, nurses were able to speak out without the fear  retaliation from their oppressers or any other persons who think of having more power. The subject of intimidation, bullying had gone viral throughout the hospital and become the part of employee hand book throughout the hospital. All the disciplines, I have strongly encouraged the student and the new nurses along with the new hires to speak out on the importance of being a whisle blower on negative or unhealthy treatment from peers or any form antagonistic method.

References

Clark, C. M., Olender, L., Cardoni, C., & Kenski, D. (2011). Fostering civility in nursing education and practice: Nurse leader perspectives. Journal of Nursing Administration, 41(7/8), 324–330. https://doi.org/10.1097/NNA.0b013e31822509c4

Clark, C.M.(2015). Conversations to inspire and promote a more civil workplace. American Nurse Today, 10 (11), 18-23. Retrieved on October 14, 2020 from https://www.americannursetoday.com/wp-content/uploads/2015/11/ant11-CE-Civility-1023.pdf.

Embree, J.L.,& Bruner, D. A., & White, A.(2013). Raising the level of awareness of nurses-to-nurse lateral violence in a critical access hospital. Nursing Research and Practice, 2013, 1-7.10.1155/2013/207306

3 SOURCES FOR EACH DISCUSSION

class4wk4d1

Minimum of 350 words with at least 2 peer review reference in 7th edition apa style

 

As a practice scholar, you are searching for evidence to translate into practice. In your review of evidence, you locate a quantitative descriptive research study as possible evidence to support a practice change. You notice the sample of this study includes 200 participants and is not normally distributed. Reflect upon this scenario to address the following.

  • What statistical procedure is needed to determine an effective sample size to make a reasonable conclusion? Explain your rationale.
  • Reading through the study, you observe that the researcher used a chi-square analysis to analyze nominal and ordinal data. Is this the appropriate level of statistical analysis to answer the research question? Explain your rationale.
  • Reading further, the researcher reports that the p-level led her to conclude that the null hypothesis was rejected. In your critique of the study, you determine that the null hypothesis is true. Do these findings impact your decision about whether to use this evidence to inform practice change? Why or why not?

NURS 6003/NURS Transition to Graduate Study for Nursing

 

Discussion: Using the Walden Library

Where can you find evidence to inform your thoughts and scholarly writing? Throughout your degree program, you will use research literature to explore ideas, guide your thinking, and gain new insights. As you search the research literature, it is important to use resources that are peer-reviewed and from scholarly journals. You may already have some favorite online resources and databases that you use or have found useful in the past. For this Discussion, you explore databases available through the Walden Library.

To Prepare:

  • Review the information presented in the Learning Resources for using the Walden Library, searching the databases, and evaluating online resources.
  • Begin searching for a peer-reviewed article that pertains to your practice area and interests you.

By Day 3 of Week 6

WEEK 5 Discussion 2 Assessment

 An 89-year-old female complains of a “stabbing chest pain” and points to the area just below her scapula at the right mid-clavicular line. She states that she had an upper respiratory infection last week that “just seems to hang on.” She has no other complaints. 

 

  • Which lab or imaging tests would you order for this patient? Why?

covid-19

  

this is an individual written assignment , , about the pandemic of this century: the covid-19 its causative agent; as you know is : sars-cov-2, you should review the statistic facts, the clinical presentation of covid-19, and mainly the pharmacological management of this pandemic.

elaborate a 3 pages Assignment, APA, 5 references .

Interpersonal Process Recording

This assignment will help prepare you for conversations with clients with a mental health condition.

Course Competency

Describe the foundations of mental health nursing.

Transferable Skill

Communication: Displaying capability in writing, reading, and oral communication; understanding of non-verbal language.

Instructions

It will be carried out with two students working together. This is a “role play exercise,” in which one student is the student nurse, and the other will role play as a client. In this assignment, the nursing student will be demonstrating the therapeutic nurse-client relationship and analyzing the therapeutic and nontherapeutic techniques used. You will take turns in the roles.

This is not about always having therapeutic responses. It is about learning from practice and review. It is expected that you will think of other ways to respond or interact with the client that may be more therapeutic after the interaction is terminated. After the conversation is over, you will complete in IPR form.

The client roles are:

  1. Mr. Jones is a 69-year-old retired engineer. He was admitted to the in-patient psychiatric unit the previous day. His daughter had called the police when he locked himself in his bathroom and refused to come out. She thought he was suicidal. He was brought to the hospital by the police and was admitted on involuntary status. He has been reticent since admission but told his daughter he had no reason to live since his wife died.
    Diagnosis: MajorDepressive Disorder
    Nursing Diagnosis: Risk for suicide.
  2. Mrs. Alvarez is a 34-year-old female who has lived in this country for the past 10 yrs. She is a stay at home mom with three small children. Her husband works two jobs to support the family. Lately, she has been extremely anxious and fears that her children will become ill or injured. This seems to be an unrealistic concern, but she has been unable to sleep well and has lost 15 lbs. in the past month. She is a voluntary admission and states she knows she needs help.
    Diagnosis: Generalized Anxiety Disorder
    Nursing Diagnosis: Ineffective coping

You will select the role you wish as a client and take turns switching roles. After the conversation, you will document the interactions using the form provided and following the guidelines instructions for each column.

IPR Form Explanation

The IPR is completed with the form to guide you, and the rubric to explain the grading process for content.

The IPR Form is linked here.

  • The first column is for you, the nursing student’s, comments/ questions, and responses. You may want to include the introduction process. It is understandable if the initial conversation is more superficial to establish rapport. You may not want to include all of this but move on to the more focused interaction. Your nonverbal communication is included here.
  • Then, the conversation will move to a focus on the client’s feelings, concerns, issues as he/she has identified them. After the introduction, it may be beneficial to establish with the client a short- term goal for the interaction.
  • The second column is for the client’s comments, questions, responses. Also, the nonverbal reactions of the client are included in this column.
  • The middle column is for you to write what you are thinking or feeling.
  • The last two columns are for you to document the technique that you used in that portion of the conversation. If it is a nontherapeutic response, you are to write the response and think of how you could revise to more therapeutic response. You can change any response if you think of how you could have responded differently but, identify and change all nontherapeutic responses.

Remember, this is an assignment that will assist you in all communication with others.

Explanation of the Rubric Criteria for Interpersonal Process Recording (IPR)

  • Communication (20 verbal entries, ten nonverbal, ten techniques)
  • Criteria 1 Nursing Interaction (verbal and nonverbal)
    Nursing statements and questions demonstrate a positive, caring approach and show insight into the client needs. These interchanges will include the introduction process, but not the more superficial interchanges. Nonverbal communication techniques are also recognized. Thoughts and feelings are identified and documented.
  • Criteria 2
    The client verbal statements and questions are documented. Nonverbal communication is also observed and interpreted. You may also identify defense mechanism(s) used by the client.
  • Criteria 3
    All communication techniques used are identified (using titles previously reviewed).
  • Criteria 4
    All non-therapeutic techniques to be identified and changed to a therapeutic method. If in the review of the interaction, a more appropriate or therapeutic approach (verbal or nonverbal) is identified, document how this response/ statement would be changed