Nurs435replies

REPLY1

(This is the feedback from my professor to my prompt)

Marial, 

Thanks for sharing this situation with us and how you were able to show the integrative negotiation process that ended in a win-win situation and potential salary increase. This week we also learned about distributive negotiation and “fixed-pie.” Share with us in your own words what “fixed-pie” is and why it does/does not apply to your situation that illustrated integrative negotiation.

REPLY2

On this week’s task we have to research about integrative negotiation and bargaining. One of the main important things to do is to define the situation because it is important when helping to determine what you will be negotiating your issues to complete a solution. Interest are also the primary factor of integrative negotiation. Being able to identify your own interest and those of the other party and being able to find a solution for all parties it’s a good thing when it comes to negotiating. 

Food Server: Incorrectly submitted an order for a vegetarian couple, their meals were sent to the table with chicken.

Couple: Demanded to Speak to a manager.

Manager: invites them to have a conversation in a private location to listen to their concerns.

Couple: When they were finished addressing their concerns, they proceeded to add that a Birthday dinner was ruined as they were served chicken when they are vegetarians.

Food Server and Manager: Discussed with the couple different ways to compensate them for the unfortunate experience that took place. 

Couple: Explained they did not want a free or discounted meal, they wanted to ensure situations like that didn’t happen again and that employees have proper training. 

Manager: Proudly informed them of their rigorous training program. He also made sure to inform them that the servers are human, and they do make mistakes. 

Couple: Agreed with the manager but informed him that mistakes very dangerous like this shouldn’t happen.

Manager: Informed the general manager of the situation because they wanted to make things right even though the couple refused to any compensation. General manager sent the couple a $100 gift certificate and a formal letter of apology for failing to meet their expectations. 

Couple: Decided to accept that humans make mistake and took them up on the offer and gave the restaurant a second chance.

Aggressiveness is not inappropriate when negotiating integratively. Digging deeper to find relevant information and standing in what you believe in to be able to negotiate properly can really help. Also, separating the person from the problem and recognizing and understand that emotions are an inevitable part of the bargaining process. “everyone involved in the negotiation process works together to generate as many possible solutions to the problem as possible” (Friedman, 1998).

D8 Reimbursement

Changes to reimbursement and payment structures over the last few years have proven to be challenging to home health agencies. Discuss why home health agencies must examine their practices and payor mix to remain viable in today’s environment.

Your initial posting should be 250 to 350 words in length and utilize at least one scholarly source other than the textbook.

NUR501- REPLY TO JEAN

Nur-501-AP4- Philosophical and Theoretical Evidence-Based research

Watson’s philosophy and science of caring has four major concepts: human being, health, environment/society, and nursing Butts & Rich, 2015). In Watson’s view, the disease might be cured, but illness would remain because, without caring, health is not attained. Caring is the essence of nursing and connotes responsiveness between the nurse and the person; the nurse co-participates with the person. Watson contends that caring can assist the person to gain control, become knowledgeable, and promote health changes.

According to Watson (2009), the core of the Theory of Caring is that “humans cannot be treated as objects and that humans cannot be separated from self, other, nature, and the larger workforce.” Her theory encompasses the whole world of nursing; with the emphasis placed on the interpersonal process between the caregiver and care recipient. The theory is focused on “the centrality of human caring and on the caring-to-caring transpersonal relationship and its healing potential for both the one who is caring and the one who is being cared for” (Watson, 2009). The structure for the science of caring is built upon ten carative factors. Among them are human altruistic values, faith-hope, sensitivity to one’s self or other, trust, human caring relationship, and promotion of self-expression (.

Watson defines Human being as a valued person to be cared for, respected, nurtured, understood, and assisted, in general a philosophical view of a person as a fully functional integrated self. Personhood is viewed as greater than and different from the sum of his or her parts which are mind-body-soul-connection (Butt & Rich 2015)   

The personhood concept in Watson theory of caring implies that patients are not all the same. Each person brings a unique background of experiences, values, and cultural perspective to health care encounter. Caring facilitates a nurse’s ability to know a patient, allowing the nurse to recognize a patient’s problem and find and implement individualized solution on the patient’s unique needs.

Knowing the person allows the nurse to avoid assumptions, to center on the one cared for (Keller, 2013).  It also gives the nurse to opportunity to assess thoroughly by seeking clues to clarify the issue that the individual is going through.

The concept of personhood also integrates the human caring processes with healing environment, incorporating the life-generating and life receiving processes of human caring and healing for nurses and their patient. The concept put emphasis on developing a caring relationship with the person as a nurse and listen to the person’ stories to fully understand the meaning an impact of the individual’s condition. This information and understanding helps in the development and delivery of individualized patient centered care. The transpersonal caring theory rejects disease orientation to health care and places care before cure. When the nurse focuses on the person, she or he looks for deeper sources of inner healing to protect, enhance and preserve a person’s dignity, humanity, wholeness, and inner harmony.

In conclusion, theory of caring provides an excelling beginning to understand the behavior and processes that characterized caring. Patients continue to value nurses, effectiveness in performing tasks, but clearly patient value the affective dimension of nursing care. Nurses must provide presence, touch, attention to their patient. Most importantly they must know the person they are caring for because healthcare is placing emphasis on patient satisfaction.

References

Butts, J. & Rich, K. (2015). Philosophies and Theories for Advanced Nursing Practice (3rd edition) Sudbury, MA: Jones and Bartlett Learning

Watson J. (2009) Caring science and human caring theory: transforming personal and professional practices of nursing and health care, J Health Human Serv Adm3(14): 466

Keller T, et al (2013): Information needed to support knowing the patient, Adv Nurs Sci 36(4): 351

800 words Health informatics due 11/5/2020 Social Media in Education and Healthcare case study

 800 words Health informatics due 11/5/2020 

Social Media in Education and Healthcare case study 

Grace Speak is a fourth-year student at Best University. She and her fellow classmates are

working hard in their final courses and preparing for exams. Inspired by the teamwork that the

healthcare profession espouses, Grace gets an idea for a study group. She thinks it will really help

share case experiences, course notes, and study tips. Unfortunately, several members of her peer

group live out of town, which makes it difficult for them to participate fully. Grace is torn, as she

does not want to exclude them from the study group. When she voices her concerns to a classmate,

her friend suggests using social media tools as the primary medium for sharing information.

Discussion Questions

1. 200 words–What types of social media tools could Grace’s study group use?

2. 200 words–How would those tools facilitate the objectives of the study group?

3. 200 words–What are some of the risks associated with using social media for such purposes?

4. 200 words–What might Grace need to do from the outset when she forms the study group?

Use the attached textbook and 4 other resource to respond to the case study in APA 7th essay format. 

Evidence-Based Project, Part 5: Recommending an Evidence-Based Practice Change

 

The collection of evidence is an activity that occurs with an endgame in mind. For example, law enforcement professionals collect evidence to support a decision to charge those accused of criminal activity. Similarly, evidence-based healthcare practitioners collect evidence to support decisions in pursuit of specific healthcare outcomes.

In this Assignment, you will identify an issue or opportunity for change within your healthcare organization and propose an idea for a change in practice supported by an EBP approach.

To Prepare:

  • Reflect on the four peer-reviewed articles you critically appraised, related to your clinical topic of interest and PICOT.
  • Reflect on your current healthcare organization and think about potential opportunities for evidence-based change, using your topic of interest and PICOT as the basis for your reflection.

The Assignment: (Evidence-Based Project)

Part 5: Recommending an Evidence-Based Practice Change

Create an 8- to 9-slide PowerPoint presentation in which you do the following:

  • Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.)
  • Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general.
  • Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered.
  • Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.
  • Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change.
  • Be sure to provide APA citations of the supporting evidence-based peer reviewed articles you selected to support your thinking.
  • Add a lessons learned section that includes the following:
    • A summary of the critical appraisal of the peer-reviewed articles you previously submitted
    • An explanation about what you learned from completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template (1-3 slides)

week 7

This week you have learned about common Dermatology disorders in the Adult and Geriatric patient. For the purpose of this discussion select one of the following Dermatology and provide the following in your initial post:

  • Common Signs and symptoms seen
  • Screening assessment tools
  • Recommended diagnostic tests (if any)
  • Treatment plans both pharmacologic and non-pharmacologic based on current clinical practice guidelines

Dermatology:

  • Herpes Zoster
  • Melanoma
  • Tinea

DiscussionCN 3

 Once you have selected a PICOT question discuss your strategies for conducting a systematic search/review of the literature in order to answer your question.  Explain how you will critically appraise the literature you have selected to determine the best evidence for this assignment. ExpectationsInitial Post:

  • Length: A minimum of 250 words, not including references
  • Citations: At least one high-level scholarly reference in APA format from within the last 5 years

My PICOT question is on a medical-surgical hospital unit (P), how does implementing hourly nursing rounding (I), compared to no scheduled rounding (C), affect patient safety (O), within 6 months of implementing (T)? 

This a question from my instructor   

If you’re hypothesis is that hourly rounding will improve Pt safety outcome, how will you measure it? What are you improving compliance of rounding ? Or Reduced falls From previous month? What percentage improvement are you using as a bench mark? 100% ?
Please fill in the outcome goal.