NURS 4020: Leadership Competencies in Nursing and Healthcare Practicum
Practicum Change Project
The practicum is designed to help you develop as a scholar practitioner and health leader to promote positive social change in your community. The practicum is an active learning experience that provides you with the opportunity to apply nursing knowledge and skills that you are acquiring in NURS 4020 to current or past experiences in a healthcare setting. The practicum is comprised of selected onsite experiences and weekly practicum discussions. Throughout your practicum experience you will collaborate with leaders and other colleagues, with fellow students in practicum discussion groups, and with your faculty. Each week of the course outlines specific activities or reflections you will engage in during your practicum as you complete your proposed Practicum Change Project. A complete description is presented on the Practicum discussion page of each week and a brief outline of the activities is presented below. The practicum for NURS 4020 is a minimum of 45 hours.
Practicum Change Project Overview
Practicum Change Project Overview
Each week, your instructor will assign a discussion to the class. Within an instructor-assigned discussion team, you will participate in a total of six discussions for this project. Satisfactory completion of these six discussions and a PowerPoint Presentation of your Practicum Change Project will satisfy the requirement for the practicum.
The purpose of the Practicum Change Project is for you to design and offer a change project specific to your work setting to be implemented once the course is over and once approved by management at your setting. The team discussion provides an avenue for you to share ideas, to critique each other’s work, and to offer support to each other. Your instructor will visit your team site to offer guidance as needed. The team discussion is meant to be relaxed and enjoyable. Have fun!
The following is a list of the weekly, project-related discussions and activities.
Week 1
· Discussion: Identify a Change Project
Week 2
· Discussion: Apply Change Theory to the Proposed Change
Week 3
· Attend a multidisciplinary team meeting
· Interview a leader from another clinical discipline
· Discussion: Best ways to communicate change
Week 4:
· Discussion: Manage resources for the Practicum Change Project
Week 5:
· Discussion: Address Quality and Safety Issues
Week 6:
· Discussion: Present Practicum Change Project
Access the following useful information in Course Info:
Practicum Discussion Grading Rubric
PowerPoint Presentation Grading Rubric
Question 1
As discussed earlier, it is common for businesses to change their structure or decide to start a new business. As you begin to research different business formations for this week's written assignment, where are you going to go for assistance? What are some good resources? Once you decide on the business form, how do you go about making the .
Comments by the professorWeek 1 Weekly Summary You have done aLynellBull52
Comments by the professor
Week 1 Weekly Summary
You have done a great job in meeting these outcomes, especially in your discussion of past organizational change projects as connected to your leadership self-awareness. You also opened up a new avenue of self-awareness by complete the Zinger-Folkman Extraordinary Leader Assessment and constructing your strengths-to-strategy plan in the interactive exercise. I encourage you to continue collecting new tools for your leadership toolbox and building leadership capacity throughout this course and afterward. You will find that you will test some of the skills you are discovering (or rediscovering) through this class in your practicum project. Let's keep the dialogue going to foster an understanding of leadership from the evidence that supports guiding change for a compelling practice problem. I enjoyed reading your examples and seeing the insight you were able to have with regard to leading a change in your organization and doing some self-reflection on what you could have done differently. Understanding and explaining the change process as a self-aware leader helps you internalize these ideas for future projects, especially the impending DNP projects. Remember that you can leverage others’ skills and attributes, which also facilitates the team process.
As a reminder, the following Course Outcomes (COs) guided your learning this week
· CO3. Differentiate attributes of effective leaders and followers in influencing healthcare. (PO 6)
· CO5. Formulate selected strategies for leadership and influence across healthcare systems. (PO 8
This week, we discovered that each practice scholar plays a role in transforming healthcare through self-assessment to identify individual leadership gaps. Evaluating leadership gaps builds tacit knowledge to move us toward professional maturity. You now know that insight into improved systems begins with insight into one's self. Improved systems evolve through the collaboration of individuals who are first committed to improving their own practice. Practice scholars are called to transform the health of our nation. I have no doubt that you'll answer the call by reflecting on your individual and professional commitment to gain insight on needed change within yourself, and your organization. Next week, you'll reflect on emotional intelligence and mindfulness in the workplace. So, let's keep going! Your work is needed to improve patient outcomes!
Week 2
Hello! Last week, we explored how the self-aware practice scholar is influencing the practice of nursing and the health of our nation. The call for transformation to improve patient care delivery requires nurse leaders to reach beyond their intellect to their emotional intelligence. By increasing emotional competence, nurse leaders are raising their awareness to make better choices. Establishing and maintaining relationships are essential to leadership, and all relationships have an emotional component. Emotional ...
Week 6 - Discussion 1 Your initial discussion thread is .docxco4spmeley
Week 6 - Discussion 1
Your initial discussion thread is due on Day 3 (Thursday) and you have until Day 7 (Monday) to respond to your classmates. Your grade will reflect both the quality of your initial post and the depth of your responses. Reference the
Discussion Forum Grading Rubric
for guidance on how your discussion will be evaluated.
Action Planning for Education Change
In Chapter 7, Mills (2014) discusses a variety of challenges action researchers face with implementing positive change.
What potential challenges or obstacles do you predict facing in your current or future role as an educator when implementing positive change (lack of resources, resistance to change, reluctance to interfere with others’ professional practices, reluctance to admit difficult truths, difficulty finding a forum to share what you have learned, lack of time for action research endeavors, unsupportive administration, other)?
Describe how you would apply what you have learned regarding the challenges of implementing educational change to overcome potential obstacles that you may encounter in taking action.
Guided Response:
Respond to a minimum of two classmates. Provide suggestions for overcoming their potential obstacles. What is something they shared that you hadn’t considered in your own future endeavors? *It is expected you follow-up by the last day of the week to provide a secondary response to any comments or questions your instructor may have provided. This is part of the grading criteria as a demonstration of critical thinking.
-
Week 6 - Discussion 2
Your initial discussion thread is due on Day 3 (Thursday) and you have until Day 7 (Monday) to respond to your classmates. Your grade will reflect both the quality of your initial post and the depth of your responses. Reference the
Discussion Forum Grading Rubric
for guidance on how your discussion will be evaluated.
Final Self-Reflection
Describe some of your take-aways from this course. Consider all of the topics including use of digital tools when responding. Do not respond in list form. These are merely prompts to get you thinking:
What concepts or principles have you learned from this course that you might use in your work setting?
How do you feel about conducting action research now, compared to before you started this course?
Describe how you perceive the value of qualitative and quantitative data when considering improvements.
How do you plan to use the knowledge you gained in this course to be a positive change agent in your own work setting? In other words, what are your next steps?
Include a new, different quote than you did in you r week one introduction. Why does this quote inspire you?
Guided Response:
Respond to a minimum of two classmates. *It is expected you follow-up by the last day of the week to provide a secondary response to any comments or questions your instructor may have provided. This is part of the grading criteria as a demonstrati.
School for Change Agents 2017 Module 4NHS Horizons
This module will help us create and sustain the energy we need to make change happen. We will look at a number of practical ideas, tools and resources to help us change the way we do change. We’ll look at why change fails and how you can minimise the risk of it failing by creating a shared purpose and understanding the different energies needed to bring teams with you.
Comments by the professorWeek 1 Weekly Summary You have done aLynellBull52
Comments by the professor
Week 1 Weekly Summary
You have done a great job in meeting these outcomes, especially in your discussion of past organizational change projects as connected to your leadership self-awareness. You also opened up a new avenue of self-awareness by complete the Zinger-Folkman Extraordinary Leader Assessment and constructing your strengths-to-strategy plan in the interactive exercise. I encourage you to continue collecting new tools for your leadership toolbox and building leadership capacity throughout this course and afterward. You will find that you will test some of the skills you are discovering (or rediscovering) through this class in your practicum project. Let's keep the dialogue going to foster an understanding of leadership from the evidence that supports guiding change for a compelling practice problem. I enjoyed reading your examples and seeing the insight you were able to have with regard to leading a change in your organization and doing some self-reflection on what you could have done differently. Understanding and explaining the change process as a self-aware leader helps you internalize these ideas for future projects, especially the impending DNP projects. Remember that you can leverage others’ skills and attributes, which also facilitates the team process.
As a reminder, the following Course Outcomes (COs) guided your learning this week
· CO3. Differentiate attributes of effective leaders and followers in influencing healthcare. (PO 6)
· CO5. Formulate selected strategies for leadership and influence across healthcare systems. (PO 8
This week, we discovered that each practice scholar plays a role in transforming healthcare through self-assessment to identify individual leadership gaps. Evaluating leadership gaps builds tacit knowledge to move us toward professional maturity. You now know that insight into improved systems begins with insight into one's self. Improved systems evolve through the collaboration of individuals who are first committed to improving their own practice. Practice scholars are called to transform the health of our nation. I have no doubt that you'll answer the call by reflecting on your individual and professional commitment to gain insight on needed change within yourself, and your organization. Next week, you'll reflect on emotional intelligence and mindfulness in the workplace. So, let's keep going! Your work is needed to improve patient outcomes!
Week 2
Hello! Last week, we explored how the self-aware practice scholar is influencing the practice of nursing and the health of our nation. The call for transformation to improve patient care delivery requires nurse leaders to reach beyond their intellect to their emotional intelligence. By increasing emotional competence, nurse leaders are raising their awareness to make better choices. Establishing and maintaining relationships are essential to leadership, and all relationships have an emotional component. Emotional ...
Week 6 - Discussion 1 Your initial discussion thread is .docxco4spmeley
Week 6 - Discussion 1
Your initial discussion thread is due on Day 3 (Thursday) and you have until Day 7 (Monday) to respond to your classmates. Your grade will reflect both the quality of your initial post and the depth of your responses. Reference the
Discussion Forum Grading Rubric
for guidance on how your discussion will be evaluated.
Action Planning for Education Change
In Chapter 7, Mills (2014) discusses a variety of challenges action researchers face with implementing positive change.
What potential challenges or obstacles do you predict facing in your current or future role as an educator when implementing positive change (lack of resources, resistance to change, reluctance to interfere with others’ professional practices, reluctance to admit difficult truths, difficulty finding a forum to share what you have learned, lack of time for action research endeavors, unsupportive administration, other)?
Describe how you would apply what you have learned regarding the challenges of implementing educational change to overcome potential obstacles that you may encounter in taking action.
Guided Response:
Respond to a minimum of two classmates. Provide suggestions for overcoming their potential obstacles. What is something they shared that you hadn’t considered in your own future endeavors? *It is expected you follow-up by the last day of the week to provide a secondary response to any comments or questions your instructor may have provided. This is part of the grading criteria as a demonstration of critical thinking.
-
Week 6 - Discussion 2
Your initial discussion thread is due on Day 3 (Thursday) and you have until Day 7 (Monday) to respond to your classmates. Your grade will reflect both the quality of your initial post and the depth of your responses. Reference the
Discussion Forum Grading Rubric
for guidance on how your discussion will be evaluated.
Final Self-Reflection
Describe some of your take-aways from this course. Consider all of the topics including use of digital tools when responding. Do not respond in list form. These are merely prompts to get you thinking:
What concepts or principles have you learned from this course that you might use in your work setting?
How do you feel about conducting action research now, compared to before you started this course?
Describe how you perceive the value of qualitative and quantitative data when considering improvements.
How do you plan to use the knowledge you gained in this course to be a positive change agent in your own work setting? In other words, what are your next steps?
Include a new, different quote than you did in you r week one introduction. Why does this quote inspire you?
Guided Response:
Respond to a minimum of two classmates. *It is expected you follow-up by the last day of the week to provide a secondary response to any comments or questions your instructor may have provided. This is part of the grading criteria as a demonstrati.
School for Change Agents 2017 Module 4NHS Horizons
This module will help us create and sustain the energy we need to make change happen. We will look at a number of practical ideas, tools and resources to help us change the way we do change. We’ll look at why change fails and how you can minimise the risk of it failing by creating a shared purpose and understanding the different energies needed to bring teams with you.
My Ten Years” ExerciseProject yourself into the future .docxroushhsiu
“My Ten Years”
Exercise
Project yourself into the future ten years from today. When answering, develop the image of what you most hope and dream your life and work will be ten years from today.
In ten years, I am __32__ years old.
If/when I am working, my work is best described as- My work will be described as a leader who will empower other people to succeed in life for their dreams and ambitions while keeping the best interests of the company. I also see myself as a venture capitalist in the future.
In that context, my major work responsibilities are – My main work responsibilities will be business and people development. I want to take care of the people who work in my company and give them independence to show results.
The people I will see or talk to today include – My family, girlfriend and friends from babson college
.
The people whom I live and socialize with are – My family and friends
.
My most important possessions are – My positive attitude towards life
If someone were describing me to a friend today, they would say that - I am very outgoing and friendly.
.
When I have some free time, I spend it – learning a new skill
My leisure or fun activities in a typical week include - Driving and catching up with friends
As I think about my leadership, I take most pride in – I feel I understand people really well and can feel their emotions.
Research Critique Guidelines – Part I
Use this document to organize your essay. Successful completion of this assignment requires that you provide a rationale, include examples, and reference content from the studies in your responses.
Qualitative Studies
Background of Study
1. Summary of studies. Include problem, significance to nursing, purpose, objective, and research question.
How do these two articles support the nurse practice issue you chose?
1. Discuss how these two articles will be used to answer your PICOT question.
2. Describe how the interventions and comparison groups in the articles compare to those identified in your PICOT question.
Method of Study:
1. State the methods of the two articles you are comparing and describe how they are different.
2. Consider the methods you identified in your chosen articles and state one benefit and one limitation of each method.
Results of Study
1. Summarize the key findings of each study in one or two comprehensive paragraphs.
2. What are the implications of the two studies in nursing practice?
Ethical Considerations
1. Discuss two ethical consideration in conducting research.
Describe how the researchers in the two articles you choose took these ethical considerations into account while performing their researc
Write a critical appraisal that demonstrates comprehension of two qualitative research studies. Use the "Research Critique Guidelines – Part 1" document to organize your essay. Successful completion of this assignment requires that you provide rationale, include examples, and reference content from the studies in ...
Mentoring Up_Choosing a Research Mentor_ChemE & MatSci_2015Steve Lee
This presentation was on "Mentoring Up: Choosing a Research Mentor and Lab" for first-year grad students in the Chemical Engineering and Materials Science program at UC Davis in fall 2015.
Module 5 Moving beyond the edge
This is the study guide for Module 5 of The School for Health and Care Radicals, a five week virtual programme, designed to equip people across the health and care system with the core skills to improve their skills as change agents.
Change always starts at the edge and always starts with the activists. This module looks at ways we can move towards the edge and towards sustainable change.
Agenda:
• Review of what we have learnt so far; characteristics of a transformational change agent
– Peter Fuda’s Transformation Change Agent framework
– ‘Being’ a health and care radical – going back to ‘change starts with me’
– ‘Seeing’ as a health and care radical
– ‘Doing’ as a health and care radical
– Quick review of some models and theories
• 'From’ the edge – views about emerging directions for change and change agents
– What do we mean when we say 'from the edge?'
– What is happening with change?
– What is the difference between tacit and explicit knowledge?
– Opportunities for health and care radicals – being bridge-builders and curators
• Reflections and key messages about The School
– Some things we have learned from delivering The School
• What next for The School?
– Gaining a certificate as a health and care change agent and claiming continuing professional development (CPD) points
• Questions and call to action
Questions for reflection:
• How can I move in the direction of change in ways that will help me bring about the changes I want to see?
• How will I build on my experiences of the School for Health and Care Radicals?
• How will I build networks and communities in support of the changes I want to see?
Call to action:
• Consider why it would be beneficial for you to be a certified change agent.
• Identify people who might help you with this process.
• Take action and, if your change action is something that could be shared for Change Day, please add it on www.changeday.nhs.uk
• Complete the follow-up work for certification.
As change agents we are aware that most effective change starts at ‘the edge’. This module will help us equip ourselves for our journey to the edge and beyond. We’ll explore what we mean by ‘the edge’, and what opportunities there are for health and care change activists to be bridge builders and curators.
I created this presentation for a class on leadership skills. I have a workbook to go along with this class. Contact me if you are interested. This is part 1 of 2 day class.
Looking for a great presentation and workshop on strategic thinking and leadership and their role in creating an inspiring and awesome strategic vision and plan? Look no further. Please feel free to call me if you would like me to put on a 2 hour overview of this workshop for your organization or you would like to discuss any points further. My number is 612-310-3803.
This modules animation What Is Communication provides background .docxhopeaustin33688
This module's animation What Is Communication? provides background for this assignment.
The six characteristics from which you should choose are:
Involves interdependent individuals
Is inherently rational
Exists on a continuum
Features verbal and nonverbal messages
Exists in varied forms
Varies in effectiveness
Write a 1-page essay that explains 2 of the 6 characteristics of interpersonal communication and illustrate how each one is demonstrated in your communication style. Include at least one quotation from your research. Cite your source in APA format.
.
▪Nursing Theory PowerPoint Presentation.This is a group project .docxhopeaustin33688
▪
Nursing Theory PowerPoint Presentation.
This is a group project this is my part…
Lydia Hall The 3 Cs Nursing Theory. (im doing the CORE, and the strengths and weakness of the whole theory)
WIKI Project Guideline:
1
4 to 6 slides plus a reference slide on the nursing theory
(THE CORE & the strengths and the weakness)
2 responsible to
create 2-3 voice-over PPT (FEMALE VOICE)
slides on their designated topic area.
3Please note that
APA
format is required within the PowerPoint presentation. Reference slides are required at the end of the presentation.
This assignment will be graded according to the following rubric:
Criteria
Points
WIKI content 8
APA in-text citation and reference page 4
Multimedia Inclusion 3
Total
15
.
••You are required to write a story; explaining and analyzing .docxhopeaustin33688
•
•
You are required to write a story;
explaining and analyzing
how a certain independent variable ( at the individual, group or organization levels) affects a
dependent
variable (
behaviour
or attitude),
•
You will freely select your story from “ life” : from college, home, neighborhood, a book , a video/ movie, TV…etc. as long as the
story has two clear dependent and independent variables.
•
You will finish with
a conclusion
that lists
both variables
and their
relationship (cause and effect).
.
•Required to read American Mashup A Popular Culture Reader. Ed. A.docxhopeaustin33688
•Required to read American Mashup: A Popular Culture Reader. Ed. Aaron Michael Morales. Boston: Pearson, 2012.
After reading Richard Willig’s “ ‘CSI Effect’ Has Juries Wanting More Evidence” in
American Mashup
on pages 204-210. Consider the types of sources Willig uses to support his main claims. please present at least four (4) specific examples of Willig’s sources. For each source, please identify what that person’s professional ability is and explain how that person’s position of authority helps Willig build his own credibility with readers.
.
• ntercultural Activity Presentation Final SubmissionResourc.docxhopeaustin33688
•
ntercultural
Activity Presentation Final Submission
Resources
•
Intercultural Activity Presentation Final Submission Scoring Guide
.
•
Writing Feedback Tool
.
•
APA Style and Format
.
•
Using Adobe Connect
.
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
•
Competency 3:
Demonstrate knowledge, skills, and attitudes to increase intercultural competence.
•
Compare differing cultures.
•
Discuss the potential impact cultural differences have on communication efforts.
•
Competency 4:
Analyze how nonverbal communication (body language) influences intercultural communication.
•
Analyze how nonverbal communication affects intercultural communication.
•
Competency 5:
Communicate effectively in a variety of formats and contexts.
•
Integrate cross-cultural experiences with course material.
•
Write coherently to support a central idea in appropriate format with correct grammar, usage, and mechanics.
Instructions
This is the second part of your course project. For this assignment, create a 5–7 minute Adobe Connect video presentation with a visual component (PowerPoint) in which you narrate and describe an intercultural activity and experience. Complete the following for your presentation:
•
Engage in an intercultural activity or activities with a culture other than your own. You may focus on the same culture you investigated for your Unit 9 paper or choose one that is new to you; however, you must choose a different culture than the one from whom you interviewed someone in Unit 5. Some suggestions for activities to engage in include:
•
Eating at an ethnic restaurant.
•
Visiting a courthouse, jail, military installation, school, retirement home, and other ethnically-diverse institution.
•
Visiting a part of town that is culturally different.
•
Visiting or attending a service of another world religion.
•
Attending a celebration or an ethnically diverse craft fair.
•
Going to a shop that is associated with a particular ethnic group.
•
Visiting a school that teaches ESL (English as a Second Language) or ELL (English Language Learners).
•
Visiting an international student organization at a college or university.
•
Visiting or socializing with people from other cultures.
•
To add perspective and context to your presentation, gather resources such as informal interviews with people from the respective culture, corresponding text readings and articles, Web sites, and media presentations.
•
In your presentation, specifically address the following, using examples and illustrations from your intercultural experience(s) and the resources you collected:
•
Compare the culture you engaged in with your own.
•
Discuss the potential impact cultural differences have on communication.
•
Analyze how nonverbal communication affects intercultural communication.
•
Summarize your thoughts, questions, and viewpoints regarding your experience.
•
.
•Read Chapter 15 from your textbookEthical Controversy Ident.docxhopeaustin33688
•Read Chapter 15 from your textbook
Ethical Controversy
Identify a current ethical controversy that you want to learn more about in business, media, technology, medicine, or bioethics. Write a
three-page analysis
on the major sides in the controversy. In your analysis paper, you need to:
Define the issue and include the following details:
People involved
Field (business, media, technology, medicine, or bioethics)
Purpose
Time period
Discuss the major positions being taken in the debate.
Conclude with your own reflections and opinions on the subject.
Submission Requirements:
Write the paper in APA format including introduction, body, and conclusion.
Add the following sections in APA format:
Cover Page
Header
Page Numbers
References Page
Use 12-point Arial font and double space.
.
· ResearchWorks Cited Page (minimum of 5 reputable resources.docxhopeaustin33688
·
Research/Works Cited Page (minimum of 5 reputable resources And 5 Pages or 1400 words )
:
I need someone to write my research paper with minimum of 5 reputable reseources and 5 pages or 1400 words . And the the research topic is
Gay Issues.
Research
Clearly defined academic research
:
Did your display/project provide Theory, Data, Studies, Organizations,
Solution
s, Forms of Activism and/or Awareness?
Organization
is your information presented in a way that is well organized and coherent? When you verbally share what you know do you demonstrate an educated knowledge of the topic?
Time
did you put in time for planning, developing your project and to educate the class?
On the attachment I have attached my Presentation about
Gay Issues and My old work of writing so that you can write with same level of writing.
Gay Issues
.
‘The Other Side of Immigration’ Questions1. What does one spea.docxhopeaustin33688
‘
The Other Side of Immigration’ Questions
1. What does one speaker in the film mean by migration is not the problem? Do most Mexican immigrants want to stay in the US?
2. Describe how undocumented immigrants create a fantasy for those Mexicans planning to immigrate.
3. How does NAFTA (North American Free Trade Agreement) play a part in the rural Mexicans’ inability to make a living? Be specific.
4. What is the significance of government not providing subsidies or revealing funding opportunities to the agricultural/pastoral communities?
5. Name two solutions to reducing undocumented immigration that were mentioned in the film. How would they work?
From the movie '
The Other Side of Immigration'
.
•Topic What is an ethical leader and how do ethical leaders differ .docxhopeaustin33688
•Topic: What is an ethical leader and how do ethical leaders differ from other leaders? What are the factors that promote or hinder the development of ethical leadership in organisations (e.g., personal characteristics of leaders and what characteristics of a leader‘s environment)?
• 2500 words (+/- 10%) in essay format
•Requirements: MINIMUM of 8 peer reviewed academic journal articles
–Text book or reference books are additional references
–General websites/blogs , newpapers, magazines are not acceptable references
•Submission method: Upload a soft copy of a Microsoft Word Document ( .doc or .docx format) to Turnitin on Moodle
•Correct Harvard Anglia referencing is important
.
·Term Paper International TerrorismDue Week 10 and worth .docxhopeaustin33688
·
Term Paper: International Terrorism
Due Week 10 and worth 200 points
Choose an international terrorist group from the following list, and use the Internet or Strayer databases to research the origin, purpose, and effects on the U.S. or targeted countries.
·
Hezbollah
·
HAMAS
·
Al Qaeda (AQ)
·
Al-Shabaab
·
Haqqani Network (HQN)
Write a ten to fifteen (10-15) page paper in which you:
6.
Provide a brief description of the group, and summarize its origins.
7.
Explain the group’s major motivation(s) (beliefs or causes), and / or its justification for engaging in terrorism.
8.
Describe the group’s major sources of both financial and non-financial support.
9.
Evaluate the importance of the group’s use of media to aid in its terrorist activities. Indicate, at a minimum, the group’s purpose for using the media, the image being portrayed, and the preferred methods of communication.
10.
Determine whether or not the group has a legitimate complaint or demand. Defend your response.
11.
Determine whether or not the group and its activities are of importance to the U.S., and explain the key reasons that they are or are not significant.
12.
Analyze the response of the U.S. to the group or its activities, regardless of whether or not either the group or its activities directly threaten or target the U.S. Determine whether or not that response has been effective. Support your answer with examples of such effectiveness—or the lack thereof.
13.
Suggest the major changes you would make geared toward increasing the efficiency of the U.S.’s response to the group. Justify your response.
14.
Use at least five (5) quality resources in this assignment
And
·
Assignment 5: Senior Seminar Project
Due Week 10 and worth 200 points
In Week 1, you chose a topic area and problem or challenge within that area. Throughout this course, you have researched the dynamics of the problem. The final piece of your project is to develop a viable solution that considers resources, policy, stakeholders, organizational readiness, administrative structures and other internal and external factors, as applicable. Using the papers you have written throughout this course, consolidate your findings into a succinct project.
Write a ten (10) page paper that as a minimum, your project should include:
1.
Identify the topical area (e.g., local police department, community jail, border patrol)
2.
Define a problem or challenge within your topical area that you understand in some depth or have an interest in (examples include high crime rate, poor morale, high levels of violence or recidivism, high number of civilian complaints of harassment, inadequate equipment). Outline the context of the problem or challenge, including the history and any policy decisions that have contributed to the situation.
3.
Describe how internal or external stakeholders have influenced the situation in a positive or negative way. How will you consider stakeholders in your so.
More Related Content
Similar to NURS 4020 Leadership Competencies in Nursing and Healthcare Pract.docx
My Ten Years” ExerciseProject yourself into the future .docxroushhsiu
“My Ten Years”
Exercise
Project yourself into the future ten years from today. When answering, develop the image of what you most hope and dream your life and work will be ten years from today.
In ten years, I am __32__ years old.
If/when I am working, my work is best described as- My work will be described as a leader who will empower other people to succeed in life for their dreams and ambitions while keeping the best interests of the company. I also see myself as a venture capitalist in the future.
In that context, my major work responsibilities are – My main work responsibilities will be business and people development. I want to take care of the people who work in my company and give them independence to show results.
The people I will see or talk to today include – My family, girlfriend and friends from babson college
.
The people whom I live and socialize with are – My family and friends
.
My most important possessions are – My positive attitude towards life
If someone were describing me to a friend today, they would say that - I am very outgoing and friendly.
.
When I have some free time, I spend it – learning a new skill
My leisure or fun activities in a typical week include - Driving and catching up with friends
As I think about my leadership, I take most pride in – I feel I understand people really well and can feel their emotions.
Research Critique Guidelines – Part I
Use this document to organize your essay. Successful completion of this assignment requires that you provide a rationale, include examples, and reference content from the studies in your responses.
Qualitative Studies
Background of Study
1. Summary of studies. Include problem, significance to nursing, purpose, objective, and research question.
How do these two articles support the nurse practice issue you chose?
1. Discuss how these two articles will be used to answer your PICOT question.
2. Describe how the interventions and comparison groups in the articles compare to those identified in your PICOT question.
Method of Study:
1. State the methods of the two articles you are comparing and describe how they are different.
2. Consider the methods you identified in your chosen articles and state one benefit and one limitation of each method.
Results of Study
1. Summarize the key findings of each study in one or two comprehensive paragraphs.
2. What are the implications of the two studies in nursing practice?
Ethical Considerations
1. Discuss two ethical consideration in conducting research.
Describe how the researchers in the two articles you choose took these ethical considerations into account while performing their researc
Write a critical appraisal that demonstrates comprehension of two qualitative research studies. Use the "Research Critique Guidelines – Part 1" document to organize your essay. Successful completion of this assignment requires that you provide rationale, include examples, and reference content from the studies in ...
Mentoring Up_Choosing a Research Mentor_ChemE & MatSci_2015Steve Lee
This presentation was on "Mentoring Up: Choosing a Research Mentor and Lab" for first-year grad students in the Chemical Engineering and Materials Science program at UC Davis in fall 2015.
Module 5 Moving beyond the edge
This is the study guide for Module 5 of The School for Health and Care Radicals, a five week virtual programme, designed to equip people across the health and care system with the core skills to improve their skills as change agents.
Change always starts at the edge and always starts with the activists. This module looks at ways we can move towards the edge and towards sustainable change.
Agenda:
• Review of what we have learnt so far; characteristics of a transformational change agent
– Peter Fuda’s Transformation Change Agent framework
– ‘Being’ a health and care radical – going back to ‘change starts with me’
– ‘Seeing’ as a health and care radical
– ‘Doing’ as a health and care radical
– Quick review of some models and theories
• 'From’ the edge – views about emerging directions for change and change agents
– What do we mean when we say 'from the edge?'
– What is happening with change?
– What is the difference between tacit and explicit knowledge?
– Opportunities for health and care radicals – being bridge-builders and curators
• Reflections and key messages about The School
– Some things we have learned from delivering The School
• What next for The School?
– Gaining a certificate as a health and care change agent and claiming continuing professional development (CPD) points
• Questions and call to action
Questions for reflection:
• How can I move in the direction of change in ways that will help me bring about the changes I want to see?
• How will I build on my experiences of the School for Health and Care Radicals?
• How will I build networks and communities in support of the changes I want to see?
Call to action:
• Consider why it would be beneficial for you to be a certified change agent.
• Identify people who might help you with this process.
• Take action and, if your change action is something that could be shared for Change Day, please add it on www.changeday.nhs.uk
• Complete the follow-up work for certification.
As change agents we are aware that most effective change starts at ‘the edge’. This module will help us equip ourselves for our journey to the edge and beyond. We’ll explore what we mean by ‘the edge’, and what opportunities there are for health and care change activists to be bridge builders and curators.
I created this presentation for a class on leadership skills. I have a workbook to go along with this class. Contact me if you are interested. This is part 1 of 2 day class.
Looking for a great presentation and workshop on strategic thinking and leadership and their role in creating an inspiring and awesome strategic vision and plan? Look no further. Please feel free to call me if you would like me to put on a 2 hour overview of this workshop for your organization or you would like to discuss any points further. My number is 612-310-3803.
This modules animation What Is Communication provides background .docxhopeaustin33688
This module's animation What Is Communication? provides background for this assignment.
The six characteristics from which you should choose are:
Involves interdependent individuals
Is inherently rational
Exists on a continuum
Features verbal and nonverbal messages
Exists in varied forms
Varies in effectiveness
Write a 1-page essay that explains 2 of the 6 characteristics of interpersonal communication and illustrate how each one is demonstrated in your communication style. Include at least one quotation from your research. Cite your source in APA format.
.
▪Nursing Theory PowerPoint Presentation.This is a group project .docxhopeaustin33688
▪
Nursing Theory PowerPoint Presentation.
This is a group project this is my part…
Lydia Hall The 3 Cs Nursing Theory. (im doing the CORE, and the strengths and weakness of the whole theory)
WIKI Project Guideline:
1
4 to 6 slides plus a reference slide on the nursing theory
(THE CORE & the strengths and the weakness)
2 responsible to
create 2-3 voice-over PPT (FEMALE VOICE)
slides on their designated topic area.
3Please note that
APA
format is required within the PowerPoint presentation. Reference slides are required at the end of the presentation.
This assignment will be graded according to the following rubric:
Criteria
Points
WIKI content 8
APA in-text citation and reference page 4
Multimedia Inclusion 3
Total
15
.
••You are required to write a story; explaining and analyzing .docxhopeaustin33688
•
•
You are required to write a story;
explaining and analyzing
how a certain independent variable ( at the individual, group or organization levels) affects a
dependent
variable (
behaviour
or attitude),
•
You will freely select your story from “ life” : from college, home, neighborhood, a book , a video/ movie, TV…etc. as long as the
story has two clear dependent and independent variables.
•
You will finish with
a conclusion
that lists
both variables
and their
relationship (cause and effect).
.
•Required to read American Mashup A Popular Culture Reader. Ed. A.docxhopeaustin33688
•Required to read American Mashup: A Popular Culture Reader. Ed. Aaron Michael Morales. Boston: Pearson, 2012.
After reading Richard Willig’s “ ‘CSI Effect’ Has Juries Wanting More Evidence” in
American Mashup
on pages 204-210. Consider the types of sources Willig uses to support his main claims. please present at least four (4) specific examples of Willig’s sources. For each source, please identify what that person’s professional ability is and explain how that person’s position of authority helps Willig build his own credibility with readers.
.
• ntercultural Activity Presentation Final SubmissionResourc.docxhopeaustin33688
•
ntercultural
Activity Presentation Final Submission
Resources
•
Intercultural Activity Presentation Final Submission Scoring Guide
.
•
Writing Feedback Tool
.
•
APA Style and Format
.
•
Using Adobe Connect
.
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
•
Competency 3:
Demonstrate knowledge, skills, and attitudes to increase intercultural competence.
•
Compare differing cultures.
•
Discuss the potential impact cultural differences have on communication efforts.
•
Competency 4:
Analyze how nonverbal communication (body language) influences intercultural communication.
•
Analyze how nonverbal communication affects intercultural communication.
•
Competency 5:
Communicate effectively in a variety of formats and contexts.
•
Integrate cross-cultural experiences with course material.
•
Write coherently to support a central idea in appropriate format with correct grammar, usage, and mechanics.
Instructions
This is the second part of your course project. For this assignment, create a 5–7 minute Adobe Connect video presentation with a visual component (PowerPoint) in which you narrate and describe an intercultural activity and experience. Complete the following for your presentation:
•
Engage in an intercultural activity or activities with a culture other than your own. You may focus on the same culture you investigated for your Unit 9 paper or choose one that is new to you; however, you must choose a different culture than the one from whom you interviewed someone in Unit 5. Some suggestions for activities to engage in include:
•
Eating at an ethnic restaurant.
•
Visiting a courthouse, jail, military installation, school, retirement home, and other ethnically-diverse institution.
•
Visiting a part of town that is culturally different.
•
Visiting or attending a service of another world religion.
•
Attending a celebration or an ethnically diverse craft fair.
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Going to a shop that is associated with a particular ethnic group.
•
Visiting a school that teaches ESL (English as a Second Language) or ELL (English Language Learners).
•
Visiting an international student organization at a college or university.
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Visiting or socializing with people from other cultures.
•
To add perspective and context to your presentation, gather resources such as informal interviews with people from the respective culture, corresponding text readings and articles, Web sites, and media presentations.
•
In your presentation, specifically address the following, using examples and illustrations from your intercultural experience(s) and the resources you collected:
•
Compare the culture you engaged in with your own.
•
Discuss the potential impact cultural differences have on communication.
•
Analyze how nonverbal communication affects intercultural communication.
•
Summarize your thoughts, questions, and viewpoints regarding your experience.
•
.
•Read Chapter 15 from your textbookEthical Controversy Ident.docxhopeaustin33688
•Read Chapter 15 from your textbook
Ethical Controversy
Identify a current ethical controversy that you want to learn more about in business, media, technology, medicine, or bioethics. Write a
three-page analysis
on the major sides in the controversy. In your analysis paper, you need to:
Define the issue and include the following details:
People involved
Field (business, media, technology, medicine, or bioethics)
Purpose
Time period
Discuss the major positions being taken in the debate.
Conclude with your own reflections and opinions on the subject.
Submission Requirements:
Write the paper in APA format including introduction, body, and conclusion.
Add the following sections in APA format:
Cover Page
Header
Page Numbers
References Page
Use 12-point Arial font and double space.
.
· ResearchWorks Cited Page (minimum of 5 reputable resources.docxhopeaustin33688
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Research/Works Cited Page (minimum of 5 reputable resources And 5 Pages or 1400 words )
:
I need someone to write my research paper with minimum of 5 reputable reseources and 5 pages or 1400 words . And the the research topic is
Gay Issues.
Research
Clearly defined academic research
:
Did your display/project provide Theory, Data, Studies, Organizations,
Solution
s, Forms of Activism and/or Awareness?
Organization
is your information presented in a way that is well organized and coherent? When you verbally share what you know do you demonstrate an educated knowledge of the topic?
Time
did you put in time for planning, developing your project and to educate the class?
On the attachment I have attached my Presentation about
Gay Issues and My old work of writing so that you can write with same level of writing.
Gay Issues
.
‘The Other Side of Immigration’ Questions1. What does one spea.docxhopeaustin33688
‘
The Other Side of Immigration’ Questions
1. What does one speaker in the film mean by migration is not the problem? Do most Mexican immigrants want to stay in the US?
2. Describe how undocumented immigrants create a fantasy for those Mexicans planning to immigrate.
3. How does NAFTA (North American Free Trade Agreement) play a part in the rural Mexicans’ inability to make a living? Be specific.
4. What is the significance of government not providing subsidies or revealing funding opportunities to the agricultural/pastoral communities?
5. Name two solutions to reducing undocumented immigration that were mentioned in the film. How would they work?
From the movie '
The Other Side of Immigration'
.
•Topic What is an ethical leader and how do ethical leaders differ .docxhopeaustin33688
•Topic: What is an ethical leader and how do ethical leaders differ from other leaders? What are the factors that promote or hinder the development of ethical leadership in organisations (e.g., personal characteristics of leaders and what characteristics of a leader‘s environment)?
• 2500 words (+/- 10%) in essay format
•Requirements: MINIMUM of 8 peer reviewed academic journal articles
–Text book or reference books are additional references
–General websites/blogs , newpapers, magazines are not acceptable references
•Submission method: Upload a soft copy of a Microsoft Word Document ( .doc or .docx format) to Turnitin on Moodle
•Correct Harvard Anglia referencing is important
.
·Term Paper International TerrorismDue Week 10 and worth .docxhopeaustin33688
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Term Paper: International Terrorism
Due Week 10 and worth 200 points
Choose an international terrorist group from the following list, and use the Internet or Strayer databases to research the origin, purpose, and effects on the U.S. or targeted countries.
·
Hezbollah
·
HAMAS
·
Al Qaeda (AQ)
·
Al-Shabaab
·
Haqqani Network (HQN)
Write a ten to fifteen (10-15) page paper in which you:
6.
Provide a brief description of the group, and summarize its origins.
7.
Explain the group’s major motivation(s) (beliefs or causes), and / or its justification for engaging in terrorism.
8.
Describe the group’s major sources of both financial and non-financial support.
9.
Evaluate the importance of the group’s use of media to aid in its terrorist activities. Indicate, at a minimum, the group’s purpose for using the media, the image being portrayed, and the preferred methods of communication.
10.
Determine whether or not the group has a legitimate complaint or demand. Defend your response.
11.
Determine whether or not the group and its activities are of importance to the U.S., and explain the key reasons that they are or are not significant.
12.
Analyze the response of the U.S. to the group or its activities, regardless of whether or not either the group or its activities directly threaten or target the U.S. Determine whether or not that response has been effective. Support your answer with examples of such effectiveness—or the lack thereof.
13.
Suggest the major changes you would make geared toward increasing the efficiency of the U.S.’s response to the group. Justify your response.
14.
Use at least five (5) quality resources in this assignment
And
·
Assignment 5: Senior Seminar Project
Due Week 10 and worth 200 points
In Week 1, you chose a topic area and problem or challenge within that area. Throughout this course, you have researched the dynamics of the problem. The final piece of your project is to develop a viable solution that considers resources, policy, stakeholders, organizational readiness, administrative structures and other internal and external factors, as applicable. Using the papers you have written throughout this course, consolidate your findings into a succinct project.
Write a ten (10) page paper that as a minimum, your project should include:
1.
Identify the topical area (e.g., local police department, community jail, border patrol)
2.
Define a problem or challenge within your topical area that you understand in some depth or have an interest in (examples include high crime rate, poor morale, high levels of violence or recidivism, high number of civilian complaints of harassment, inadequate equipment). Outline the context of the problem or challenge, including the history and any policy decisions that have contributed to the situation.
3.
Describe how internal or external stakeholders have influenced the situation in a positive or negative way. How will you consider stakeholders in your so.
•Prepare a 4-5 page draft Code of Ethics paper sharing the following.docxhopeaustin33688
•Prepare a 4-5 page draft Code of Ethics paper sharing the following:
1) your world view; how you see good and bad, right and wrong, and how you respond to issues. Examine human resources management and
2) share your organization’s core values or principles.
Comment
3) on the validity of those values (are they consistent?).
4) How does everything you shared (#1, 2, 3) impact HR decisions in the workplace? Comment on how you see truth?
Is there such a thing as absolute truth? If so, what is it?
I want her on Wednesday morning at 10
.
·Sketch the context for, define, and tell the significanceafter.docxhopeaustin33688
·
Sketch the context for, define, and tell the significance/after-effect of each, in terms of late-19th & early-20th-century American history & culture: from Sinclair book (The Jungle)
200 word:
1-
1-
National Labor Relations Act (1935) & Fair Labor Standards Act (1938)
·
give the context for, define, and tell the significance/after-effect of each of the following, in terms of 20th-century US culture/history: from Englehardt book (The End of Victory Culture)
200 word:
1-1-
anti-war protests (1967-71) and the "counter-culture"
2-
2-
Vietnam Veterans Memorial (dedicated 1982) [not covered in book; see
http://virtualwall.org/
]
3-
3-
"Authorization of Use of Military Force against Terrorists" Resolution (Sept. 14, 2001)
·
Essays : 250 to 300 word please
choose one of these as you like:
1.
Why was Socialism considered a "radical" ideology and why didn't it flourish in early 20th century America?
2.
In what ways was the Progressive Era (1906-20) truly "progressive" or not; and the "New Deal" (1933-38) really "new" or not, especially in regards to the health, safety and daily lives of U.S. workers and consumers?
.
• Each thread is 650 words• Each thread and reply references at le.docxhopeaustin33688
• Each thread is 650 words
• Each thread and reply references at least 3 peer-reviewed sources and 1 biblical integration.
• All sources are cited in current APA format.
• Proper spelling and grammar are used.
• Sentences are complete, clear, and concise.
***Pepsi Launched a new global Branding campaign based on the cocept of live in the moment called "Live For Now." It did extensive research prior to the campaign's lauch. What research should be done to determine if the campaign is resonating with worldwide audiences?***
.
ØFind a Food borne epidemicIllness that occurred in the U.S. in.docxhopeaustin33688
Ø
Find a Food borne epidemic/Illness that occurred in the U.S. in the last 5 years
Ø
Describe what caused it, how it happened, and how it could have been prevented
Ø
What steps were taken to rectify the situation, both short term and long term
1-2 pages
.
Organizational BehaviorDisney Animation - John LasseterThe case focu.docxhopeaustin33688
Organizational BehaviorDisney Animation - John LasseterThe case focuses on John Lasseter, who currently is the creative head of Disney Animation Studios and Pixar Animation Studios, both of which are owned by The Walt Disney Company. The case chronicles Lasseter’s interests in animation from a young age, the relationship he developed with the Disney organization, his developing interest in computer-animation and consequent demise at Disney Studios, his subsequent award-winning success with computer animation at Pixar Studios, and his recent ascension to creative head of Disney’s Animation Studio as part of the Pixar-Disney merger.The case provides a marvelous illustration of the many types of interpersonal power ¾ reward, coercive, legitimate, referent, and expert that exist within an organization. The case also shows how power can be used to promote the well-being of the organization and its members or to benefit specific people’s interests at the expense of others’ interests. Herein, the two faces of power positive and negative come into play. Another linkage between the chapter material and the case occurs in the form of concerns about the ethical versus unethical use of power. Finally, the case can be used to explore the concepts of organizational politics and political behavior in organizations. Organizational politics often has a negative connotation, and some of the case facts lend themselves to reinforcing this negative connotation.Power and Politics in the Fall and Rise of John LasseterJohn Lasseter grew up in a family heavily involved in artistic expression. Lasseter was drawn to cartoons as a youngster. As a freshman in high school he read a book entitled The Art of Animation. The book, about the making of the Disney animated film Sleeping Beauty, proved to be a revelation for Lasseter. He discovered that people could earn a living by developing cartoons. He started writing letters to The Walt Disney Company Studios regarding his interest in creating cartoons. Studio representatives, who corresponded with Lasseter many times, told him to get a great art education, after which they would teach him animation.When Disney started a Character Animation Program at the California Institute of Arts film school, Lasseter enrolled in the program after encouragement from the studio. Classes were taught by extremely talented Disney animators who also shared stories about working with Walt Disney himself. During summer breaks, jobs at Disneyland further fueled Lasseter’s passion for working as an animator for Disney Studios. Full of excitement, Lasseter joined the Disney animation staff in 1979 after graduation. However, he soon met with disappointment.According to Lasseter, “[t]he animation studio wasn’t being run by these great Disney artists like our teachers at Cal Arts, but by lesser artists and businesspeople who rose through attrition as the grand old men retired.” Lasseter was told, “[y]ou put in your time for 20 years and do what you’r.
Organizational Behavior Case Study on LeadershipName Tan Yee .docxhopeaustin33688
Organizational Behavior Case Study on Leadership
Name: Tan Yee Li Fiona
Student ID: S3447594
Course: RMIT Business (Management)
Leadership, ethics and organizational failure in a post-colonial context: a case study of genocide in Rwanda.
Introduction
Groups, teams and states are major characteristics of organizational life. It is believed that majority of the organization’s practices need a lot of coordination through working as a team and a group.The leadership of an organization is important in terms of the development of the goals and objectives. Leaders within an organization are responsible for developing the goals and objectives of the organization. In most cases, the success of an organization is usually attributed to the leaders of the organization. The genocide in Rwanda was instigated by the hostility between the Hutu and Tutsi as a result of polarization of the two ethnic groups by the colonial era. The colonization process favored one group over the other. It is believed that the leadership of Rwanda at the time played a major role. Leadership in every country plays a major role in the unity of the nation and in fostering peace and co-existence between different ethnic groups. Therefore the leadership of Rwanda at the time failed to quell the existence of animosity between the Hutu and the Tutsi leading to the experience of genocide that led to mass killings. The paper aims at discussing leadership, ethics and organizational failure in a post-colonial context with a case study of genocide in Rwanda. Main emphasis is laid on organizational failure that instigated the genocide and in particular the correlation between the key leaders and geo-political relations (Scott, 1998).
Leadership traits and concepts
Leadership is considered as the ability to influence the followers towards the achievement of set goals and objectives. Leadership is closely related to management which is aimed at ensuring compliance from the organizational members. The trait theory of leadership is important in terms of defining leadership. The characteristics of the leader can be used for the determination of their leadership styles. According to the behavioral theories of leadership, the specific behaviors of the leaders differentiate the leaders from the non leaders. According to the traits theory of leadership, social, physical, personality or intellectual traits can be used for the purpose of differentiating the leaders from the non leaders. According to the theory, the leader is also supposed to be qualified and open. The contingency theory on the other hand analyzes the environment in which the leader operates. Situational leadership theory examines the ability of the followers to readily accept the instructions of the leaders. There are also various styles of leadership and it plays an important role in determining the potential of the leaders. The charismatic leaders usually portray unconventional behaviors and usually understand. On the other.
ORGANIZATIONAL ASSESSMENT WORKSHEET
Organizational Profile
This category is a snapshot of the organization, the key influences that affect how it operates, and the key challenges that it faces.
- Briefly describe the organization, including its services; its size; its geographic community; its key patient or customer groups; the number of patients it services; and its current facilities, equipment, and technology.
- Briefly describe the organization’s key challenges
Leadership
This category examines how the organizational leaders address values, directions, and performance expectations as well as how focused they are on customers, stakeholders, empowerment, innovation, and learning. This category also examines how the organization addresses its responsibilities to the public and how it supports the community.
- Based on the above indicators, describe one to three key strengths of the organization’s leadership.
- Based on the above indicators, describe one to three areas in which the organization’s leadership can improve.
Strategic Planning
This category examines how the organization develops strategic objectives and action plans and how progress toward the chosen strategic objectives is measured.
- Based on the above indicators, describe one to three key strengths of the organization’s strategic planning.
- Based on the above indicators, describe one to three areas of the organization’s strategic planning that can be improved.
Focus on Patients, Other customers, and Markets
This category examines how the organization determines requirements, expectations, and preferences of patients, other customers, and markets. It also examines how the organization builds relationships with patients and other customers and determines the key factors that lead to their acquisition, satisfaction, loyalty, and retention and to healthcare service expansion.
- Based on the above indicators, describe one to three key strengths in how the organization focuses on patients, other customers, and markets.
- Based on the above indicators, describe one to three opportunities that the organization can take to improve how it focuses on patients, customers, and markets.
Measurement, analysis, and Knowledge Management
This category examines how the organization selects, gathers, analyzes, manages, and improves its data, information, and knowledge assets.
- Based on the above indicators, describe one to three key strengths of the organization’s measurement, analysis, and knowledge management approaches.
- Based on the above indicators, describe one to three opportunities that the organization can take to improve its measurement, analysis, and knowledge management approaches.
Staff Focus
This category examines how the organization’s work systems and staff learning and motivation enable all staff to develop and utilize their full potential in alignment with the organization’s ove.
The French Revolution, which began in 1789, was a period of radical social and political upheaval in France. It marked the decline of absolute monarchies, the rise of secular and democratic republics, and the eventual rise of Napoleon Bonaparte. This revolutionary period is crucial in understanding the transition from feudalism to modernity in Europe.
For more information, visit-www.vavaclasses.com
Biological screening of herbal drugs: Introduction and Need for
Phyto-Pharmacological Screening, New Strategies for evaluating
Natural Products, In vitro evaluation techniques for Antioxidants, Antimicrobial and Anticancer drugs. In vivo evaluation techniques
for Anti-inflammatory, Antiulcer, Anticancer, Wound healing, Antidiabetic, Hepatoprotective, Cardio protective, Diuretics and
Antifertility, Toxicity studies as per OECD guidelines
Introduction to AI for Nonprofits with Tapp NetworkTechSoup
Dive into the world of AI! Experts Jon Hill and Tareq Monaur will guide you through AI's role in enhancing nonprofit websites and basic marketing strategies, making it easy to understand and apply.
Synthetic Fiber Construction in lab .pptxPavel ( NSTU)
Synthetic fiber production is a fascinating and complex field that blends chemistry, engineering, and environmental science. By understanding these aspects, students can gain a comprehensive view of synthetic fiber production, its impact on society and the environment, and the potential for future innovations. Synthetic fibers play a crucial role in modern society, impacting various aspects of daily life, industry, and the environment. ynthetic fibers are integral to modern life, offering a range of benefits from cost-effectiveness and versatility to innovative applications and performance characteristics. While they pose environmental challenges, ongoing research and development aim to create more sustainable and eco-friendly alternatives. Understanding the importance of synthetic fibers helps in appreciating their role in the economy, industry, and daily life, while also emphasizing the need for sustainable practices and innovation.
Acetabularia Information For Class 9 .docxvaibhavrinwa19
Acetabularia acetabulum is a single-celled green alga that in its vegetative state is morphologically differentiated into a basal rhizoid and an axially elongated stalk, which bears whorls of branching hairs. The single diploid nucleus resides in the rhizoid.
Macroeconomics- Movie Location
This will be used as part of your Personal Professional Portfolio once graded.
Objective:
Prepare a presentation or a paper using research, basic comparative analysis, data organization and application of economic information. You will make an informed assessment of an economic climate outside of the United States to accomplish an entertainment industry objective.
Embracing GenAI - A Strategic ImperativePeter Windle
Artificial Intelligence (AI) technologies such as Generative AI, Image Generators and Large Language Models have had a dramatic impact on teaching, learning and assessment over the past 18 months. The most immediate threat AI posed was to Academic Integrity with Higher Education Institutes (HEIs) focusing their efforts on combating the use of GenAI in assessment. Guidelines were developed for staff and students, policies put in place too. Innovative educators have forged paths in the use of Generative AI for teaching, learning and assessments leading to pockets of transformation springing up across HEIs, often with little or no top-down guidance, support or direction.
This Gasta posits a strategic approach to integrating AI into HEIs to prepare staff, students and the curriculum for an evolving world and workplace. We will highlight the advantages of working with these technologies beyond the realm of teaching, learning and assessment by considering prompt engineering skills, industry impact, curriculum changes, and the need for staff upskilling. In contrast, not engaging strategically with Generative AI poses risks, including falling behind peers, missed opportunities and failing to ensure our graduates remain employable. The rapid evolution of AI technologies necessitates a proactive and strategic approach if we are to remain relevant.
Instructions for Submissions thorugh G- Classroom.pptxJheel Barad
This presentation provides a briefing on how to upload submissions and documents in Google Classroom. It was prepared as part of an orientation for new Sainik School in-service teacher trainees. As a training officer, my goal is to ensure that you are comfortable and proficient with this essential tool for managing assignments and fostering student engagement.
Model Attribute Check Company Auto PropertyCeline George
In Odoo, the multi-company feature allows you to manage multiple companies within a single Odoo database instance. Each company can have its own configurations while still sharing common resources such as products, customers, and suppliers.
The Roman Empire A Historical Colossus.pdfkaushalkr1407
The Roman Empire, a vast and enduring power, stands as one of history's most remarkable civilizations, leaving an indelible imprint on the world. It emerged from the Roman Republic, transitioning into an imperial powerhouse under the leadership of Augustus Caesar in 27 BCE. This transformation marked the beginning of an era defined by unprecedented territorial expansion, architectural marvels, and profound cultural influence.
The empire's roots lie in the city of Rome, founded, according to legend, by Romulus in 753 BCE. Over centuries, Rome evolved from a small settlement to a formidable republic, characterized by a complex political system with elected officials and checks on power. However, internal strife, class conflicts, and military ambitions paved the way for the end of the Republic. Julius Caesar’s dictatorship and subsequent assassination in 44 BCE created a power vacuum, leading to a civil war. Octavian, later Augustus, emerged victorious, heralding the Roman Empire’s birth.
Under Augustus, the empire experienced the Pax Romana, a 200-year period of relative peace and stability. Augustus reformed the military, established efficient administrative systems, and initiated grand construction projects. The empire's borders expanded, encompassing territories from Britain to Egypt and from Spain to the Euphrates. Roman legions, renowned for their discipline and engineering prowess, secured and maintained these vast territories, building roads, fortifications, and cities that facilitated control and integration.
The Roman Empire’s society was hierarchical, with a rigid class system. At the top were the patricians, wealthy elites who held significant political power. Below them were the plebeians, free citizens with limited political influence, and the vast numbers of slaves who formed the backbone of the economy. The family unit was central, governed by the paterfamilias, the male head who held absolute authority.
Culturally, the Romans were eclectic, absorbing and adapting elements from the civilizations they encountered, particularly the Greeks. Roman art, literature, and philosophy reflected this synthesis, creating a rich cultural tapestry. Latin, the Roman language, became the lingua franca of the Western world, influencing numerous modern languages.
Roman architecture and engineering achievements were monumental. They perfected the arch, vault, and dome, constructing enduring structures like the Colosseum, Pantheon, and aqueducts. These engineering marvels not only showcased Roman ingenuity but also served practical purposes, from public entertainment to water supply.
NURS 4020 Leadership Competencies in Nursing and Healthcare Pract.docx
1. NURS 4020: Leadership Competencies in Nursing and
Healthcare Practicum
Practicum Change Project
The practicum is designed to help you develop as a scholar
practitioner and health leader to promote positive social change
in your community. The practicum is an active learning
experience that provides you with the opportunity to apply
nursing knowledge and skills that you are acquiring in NURS
4020 to current or past experiences in a healthcare setting. The
practicum is comprised of selected onsite experiences and
weekly practicum discussions. Throughout your practicum
experience you will collaborate with leaders and other
colleagues, with fellow students in practicum discussion groups,
and with your faculty. Each week of the course outlines specific
activities or reflections you will engage in during your
practicum as you complete your proposed Practicum Change
Project. A complete description is presented on the Practicum
discussion page of each week and a brief outline of the
activities is presented below. The practicum for NURS 4020 is a
minimum of 45 hours.
Practicum Change Project Overview
Practicum Change Project Overview
Each week, your instructor will assign a discussion to the class.
Within an instructor-assigned discussion team, you will
participate in a total of six discussions for this project.
Satisfactory completion of these six discussions and a
PowerPoint Presentation of your Practicum Change Project will
satisfy the requirement for the practicum.
The purpose of the Practicum Change Project is for you to
design and offer a change project specific to your work setting
to be implemented once the course is over and once approved by
2. management at your setting. The team discussion provides an
avenue for you to share ideas, to critique each other’s work, and
to offer support to each other. Your instructor will visit your
team site to offer guidance as needed. The team discussion is
meant to be relaxed and enjoyable. Have fun!
The following is a list of the weekly, project-related discussions
and activities.
Week 1
· Discussion: Identify a Change Project
Week 2
· Discussion: Apply Change Theory to the Proposed Change
Week 3
· Attend a multidisciplinary team meeting
· Interview a leader from another clinical discipline
· Discussion: Best ways to communicate change
Week 4:
· Discussion: Manage resources for the Practicum Change
Project
Week 5:
· Discussion: Address Quality and Safety Issues
Week 6:
· Discussion: Present Practicum Change Project
Access the following useful information in Course Info:
Practicum Discussion Grading Rubric
PowerPoint Presentation Grading Rubric
3. Question 1
As discussed earlier, it is common for businesses to change
their structure or decide to start a new business. As you begin to
research different business formations for this week's written
assignment, where are you going to go for assistance? What are
some good resources? Once you decide on the business form,
how do you go about making the change? What is the process?
Question 2
The United States is a nation of many races, ethnicities, and
nationalities. Many groups in this country have experienced
discrimination. Think about discrimination you have
experienced or witnessed and answer the following questions:
· What's the difference between individual and institutional
discrimination? Be sure to give a specific example of each type
of discrimination in your response.
· You are asked to come up with a plan to improve racial and
ethnic relations in your community. What would your plan
include? How would you address both individual and
institutional discrimination in your plan? Explain.
Question 3
Rock-paper-scissors-lizard-Spock is an expansion of the classic
game rock-paper-scissors. It operates on the same basic
principle, but includes two additional weapons: "the lizard" and
"Spock." See the graph below. Find a partner and play the game
a few times. Please answer all of the questions below:
Is it difficult to keep track of all the rules?
Does the graph below do a good job of summarizing all the
different relationships? Is there a better way of explaining all
the different relationships?
How does this game compare to the usual rock-paper-scissors?
In what ways are the dynamics of the games similar? In what
ways are they different?
4. 1
5
NURS 4020: Leadership Competencies in Nursing and
Healthcare Practicum
Practicum Change Project
Practicum Objectives
· Differentiate between leadership and management
· Analyze the impact of leadership and management on
implementing change in the health care environment
· Identify a practicum change project that focuses on a quality
and safety issue
· Evaluate a change theory to use as a framework for your
practicum change project
· Describe your setting's mission, vision, and values in relation
to its strategic plan
· Analyze collaborative and communication strategies used by
multidisciplinary teams.
· Select an effective communication strategy for implementing
the practicum change project
· Evaluate the impact of the practicum change project on
available organizational resources
· Examine the quality and safety issues associated with the
practicum change project
· Justify evaluation strategies for the practicum change project
· Critique practicum change projects
5. Discussion Requirements
Post your responses to the Discussion based on the course
requirements. Your initial postings must be 250–350 words (not
including the full references). Keep your responses succinct.
Your written assignments must follow APA guidelines. Be sure
to support your work with specific citations from this week's
Learning Resources. Other scholarly sources may also be
used to support your work. Refer to the APA Publication
Manual to ensure that your in-text citations and reference list
are correct.
Post your response by Day 4 of this week. Respond by Day 7 to
at least two of your colleagues' postings in one or more of the
following ways:
· Ask a probing question.
· Expand on the colleague's posting.
· Offer polite disagreement or critique, supported with
evidence.
In addition to, but not in place of, the above you may:
· Offer and support an opinion.
· Validate an idea with your own experience.
· Make a suggestion or comment which guides or facilitates the
Discussion.
Support your response with references from the professional
nursing literature.
Week 1: Practicum Change Project
Team Discussion
Identify a Change Project
6. This week introduced the concepts of leadership and leadership
theories. In addition, the media presentation and textbook
readings discussed the difference between leadership and
management. As you begin your practicum this week discuss
with your manager possible change projects that focus on a
quality and safety issue that are needed in the agency. Observe
your manager and other leaders at your location. Identify how
management and leadership activities contribute to successful
change initiatives. Informally discuss options with your
manager.
Please address the following:
· What did you see as the difference between leadership
activities and management activities?
· How do management and leadership activities contribute to the
success of change initiatives?
· What change projects are needed in your agency at this time?
· Which of these projects will you select for your practicum
change project?
Week 2: Practicum Change Project
Team Discussion
Apply Change Theory to the Proposed Change
In week one, you formulated some initial ideas about a
Practicum Change Project. You discussed possible change
projects with your manager and identified a project for your
practicum.
This week has presented information on change, change
management, and how an organization's mission, vision, and
values are reflected in its strategic plan. Using the information
presented in the resources, complete the following two activities
with the guidance of your instructor.
Your instructor has assigned you to apply change theory to the
proposed change. Check for consistency between the proposed
change and the mission/vision/values/strategic plan for the
agency. Read more about change theory in your textbook.
7. Please address the following:
· Which change theory will you use as a framework for your
change project and why?
· Is there consistency between the proposed change and the
mission, vision, and values of the agency?
· If so, describe.
· If not, how will you address the inconsistencies?
Week 3: Practicum Change Project
Team Discussion
Collaborative and Communication Strategies
You are now in the third week of working on the Practicum
Change Project. So far, you have refined your change project
and chosen a change theory to organize your approach to the
project.
Now, let's begin work on week 3 of the Practicum Change
Project!
This week your instructor has assigned you to seek input on the
possible change from stakeholders, attend a multidisciplinary
team meeting, and interview a leader from another clinical
discipline.
Part I: Observation
Attend a multidisciplinary team meeting. Observe the
communication skills used by the team leader and the group
process. Consider the following questions as you observe the
meeting:
· Who served as the team leader? What leadership style did you
observe?
· How well did the team work together?
· Was there group conflict? If so, how was it resolved?
· Were there any outcomes from the group meeting?
· Did you see evidence-based care or decisions during your
observation?
· How was nursing involved in the multidisciplinary group?
8. Part II: Interview
Interview a leader at least one level above your current or
immediate past position from another clinical discipline
(pharmacy, respiratory, case management, social work,
medicine—not nursing). Ask the following questions:
· How would you describe your leadership style?
· What communication skills do you use?
· What conflicts have you had to manage in the last 3 months?
· What techniques and strategies do you use to work together to
promote multidisciplinary teamwork?
Part III: Discussion
Identify ways in which you collaborated with other
professionals regarding your activities.
· Think about the stakeholders impacted by the change. How
can the change theory you have chosen influence the success of
a change project?
· How can the multidisciplinary team of leaders impact the
change project?
· What is the best way to communicate the change within the
agency?
Week 4: Practicum Change ProjectTeam Discussion
Manage Resourcesfor Practicum Change Project
You are now half-way through the course. Thanks for all of
your hard work on your project thus far!
Now, let's begin work on week 4 of the Practicum Change
Project!
This week your instructor has assigned you to evaluate
resources and develop a budget to fund the Practicum Change
Project. Determine if the resources are available for the project
(i.e., salaries, supplies, equipment, technology, and
education)and develop and present the budget in the practicum
discussion area.
9. Week 5: Practicum Change Project
Team Discussion
Post your responses to the Discussion based on the course
requirements. Your initial postings must be 250–350 words (not
including the full references). Keep your responses succinct.
Your written assignments must follow APA guidelines. Be sure
to support your work with specific citations from this week's
Learning Resources. Other scholarly sources may also be
used to support your work. Refer to the APA Publication
Manual to ensure that your in-text citations and reference list
are correct.
Address Quality and Safety Issues
You have accomplished a lot in the past four weeks. Just two
weeks to go.
Now, let's begin week 5 of the Practicum Change Project!
This week your instructor wants you to identify one quality or
safety issue in your setting that will be addressed by the
Practicum Change Project.
Please address the following:
· What data did you use to identify the quality or safety issue?
· How will the Practicum Change Project address the quality
and safety issue?
Week 6: Practicum Change Project
Team Discussion
PowerPoint Presentation
Please submit your PracticumPopulation Project PowerPoint to
the Week 6 Assignment submission link below as well as to
your Group Week 6 Discussion 2 area.
Present Practicum Change Project
10. Congratulations! You are now in week 6. This is our last week
of the team discussion board.
This week your instructor has assigned you to create and post a
PowerPoint presentation that summarizes your Practicum
Change Project. Post your PowerPoint presentation by Day 3of
this week. (See Rubric in Course Info).
In this Discussion, post the Practicum Change Project you
developed.
In addition and based on your experiences, observations, and
readings, compose a Discussion post that responds to the
following:
· Review all of your team members' presentations in your group
and provide feedback on the proposed change project including
feedback on the proposed evaluation strategies.
RE: Group D Discussion 2 - Week 1
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Total views: 23 (Your views: 7)
Leadership VS. Management
Leadership and management terms have been viewed
synonymously by various people across the world. An
individual can possess good leadership qualities, but he/she may
not be a good manager. It implies that nurses can hold
managerial positions, but they may not have many leadership
skills in the nursing profession (Louis, 2010).
According to Suvillan (2013), leadership activities and
management activities in nursing differ. Occasionally, nurse
leaders don’t usually have authority that has been delegated to
them. They acquire their power from other individuals in the
organization. They participate in different activities that are
aimed at achieving the following output. Motivating nurses to
administer quality care, as well as inspiring nurses during
occurrence of conflict to boost their morale. Also, the activities
11. help in influencing nurses to take appropriate courses of actions
with regards to the health status of a patient. Finally, they
empower nurses to provide quality health care. According to
Louis (2010), a good nurse leader should posses excellent
interpersonal and communication skills as they will help
him/her to empower and influence other nurses. On the other
hand, management activities in nursing profession entail making
decisions concerning certain nursing practices and having
control of people and all processes that arise on a daily basis.
Apart from this, management activities about nursing practice
also include coordination of resources such as personnel and
finance. Also, management activities help in coordinating the
rewarding and punishing nurses, adherence to rules, as well as
ensuring that the goals of the organization have been met
(American Nurses Association, 2010).
Contribution to Change Initiatives
Management and leadership contribute to the success of change
initiatives in different ways. For instance, the practice of
rewarding hard working nurses motivates them to participate in
activities that are aimed at bringing change. Moreover,
empowerment of nurses enables them to dedicate their time and
efforts to initiatives that are aimed at bringing change.
Therefore, empowering of nurses plays a significant role in the
success of change initiatives as they are committed to
participate in change initiatives (Suvillan, 2013).
Change Projects in My Facility
I work in a cardiac surgical intensive care unit. We have shared
governance in place to help with the usual ICU related
problems such as falls, pressure ulcers, catheters acquired
urinary tract infections, hospital acquired pnumonia, surgical
sites and central line infections amongst other. Several changes
projects are required by my agency at the moment. The most
urgent ones include the adaptation of evidence-based cultural
interventions, increase in the number of nurses and equipment
to be able to meet the ever increasing number of patients, and
transformation of patient's care.
12. My Project Choice
Because the patient satisfactory rate is low on my unit, I choose
to work on the transformation of patient's care as my practicum
change project. The hospital sends out surveys to patients upon
discharge, but the unit I work on usually receives poor ratings.
During my practicum, I will go over the reasons why and what
changes can be implemented to such as offering quality services
to patients so as to ensure that they are satisfied.
References
American Nurses Association. (2010). Nursing: Scope &
standards of practice. Silver Spring,
MD: American Nurses Association.
Louis, R. (2010). Management and Leadership. Journal of
Public Health Management and
Practice. Vol 2, 174-176
Sullivan, E. J. (2013). Effective leadership and management in
nursing. (8th ed.). Upper Saddle
River: Pearson Prentice Hall.
Bottom of Form
RE: Group D Discussion 2 - Week 2
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Total views: 37 (Your views: 5)
What is change? It is primarily adjusting from one type of
13. behavior or environment to another. In Management, change is
welcomed to increase production and facilitate effectiveness
(Sullivan, 2013). In health care, change is a must given the
dynamic nature of technology, social, political and economic
domains.
Researchers have spent sleepless days and nights trying to come
up the best and most delivering change theory. After my
consideration and comparison, I found Roger’s theory, advanced
in 2003 more useful in my field of specialization. Rogers came
up with a groundbreaking change theory, composing of five
stages. These stages are awareness stage, interest creation stage,
evaluation of effectiveness, implementation stage and finally
the adoption stage (Sullivan, 2013). In my project, it is my duty
to post-discharge calls to monitor the patients and assist in
preventing hospital readmissions.
In implementing change to this project, Rogers theory is the
most useful as it provides step by step analysis of how to go
about the project. It helps the change process to be adjusted as
required during the process of implementation.
The facility I work for is part of the Medstar Group. The
mission of Medstar Group is to provide healthier lives to people
and ensure the cost of the healthcare system is convenient to all.
It is the goal of the group to uplift integrity, compassion,
performance and innovation as its key values. The group
envisions providing a high value of service to its clients
together with becoming an outstanding medical center. The
envisaged change is instrumental in improving the health of
patients while reducing incidences of hospitalization. It is the
mission of the group. The main vision of Medstar Group is to
escalate the quality of life of all people. The planned changes
will energize this vision (Diers, Hendrickson, Rimar, &
Donovan, 2013).
In summary, the proposed change in my project can best be
executed using the Rogers theory due to its organization and
flexibility. The change is in line with the Medstar Group’s
mission and vision where I work. The change will lead to
14. improvement or the companie's goals, mission and vision.
References
Diers, D., Hendrickson, K., Rimar, J., & Donovan, D. (2013).
Understanding NursingUnits With Data and Theory. Nursing
Economic$, 31(3), 110-117.
Sullivan, E. J. (2013). Effective leadership and management in
nursing. (8th ed.). Upper Saddle
River: Pearson Prentice Hall.
RE: Group D Discussion 2 - Week 3
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Change is an important process for any organization aiming to
continue delivering quality services to its clients. This
assignment presents how effective communication and
collaboration with other stakeholders are critical to the
implementation of change at the Medstar Group, which entails
the introduction of post-discharge calls aimed at preventing
further patient readmissions.
At the multidisciplinary meeting to evaluate the hospital on how
it could improve the inpatients' experience in the hospital
environment. The institution's medical director acted as the
meeting coordinator, who employed a democratic leadership
style. The leader allowed the contribution of every participant
in the discussion. Conflicts in the form of disagreements were
solved through compromise (Losa Iglesias & Becerro De
Bengoa Vallejo, 2012). The decision and counterarguments were
based on the principles of nursing. In the end, the group
proposed a plan to improve the patient experience at the
15. institution.
The interview I indulged in with the director of the pharmacy
division of the organization proved much insightful. The
director described himself as a servant leader, who was focused
on the achievement of the hospital goals and upholding of its
values (Sullivan, 2013). The leader argued that communication
is critical to influencing the workforce; this is the reason he
endeavoured to pass important messages through face-to-face
communication. The leader claimed to believe in the uniqueness
of every member of his department and thus worked towards
harnessing their different strengths.
The proposed change at the institution called for the
involvement of every stakeholder; from the top-level
management down to the patients. The Rogers Theory proved to
help in implementing the change in phases, which was expected
to enable its evaluation and modification. The theory appeared
to facilitate change and support its benefits. As a result, I was
compelled to adopt it (Institute of Medicine Shaping the Future
for Health, 2000). The multidisciplinary team was to help refine
the change to make it compatible with every department, which
was expected to help in its swift adoption (Stringfellow, 2012).
The best way to communicate the project proved to be through
the multidisciplinary team meetings (Laureate Education, Inc.,
2010). The leaders were then supposed to relay the change to
their staff after the discussion, which was aimed at facilitating
its support by the staff.
References
Institute of Medicine Shaping the Future for Health (2000).
Crossing the quality chasm: A new health system for the 21st
century. Retrieved from
http://www.iom.edu/~/media/Files/Report%20Files/2001/Crossi
ng-the-Quality-
Chasm/Quality%20Chasm%202001%20%20report%20brief.ashx
Laureate Education, Inc. (Executive Producer). (2010).
Leadership competencies in nursing and healthcare:
Communication, teamwork, and managing conflict. Baltimore:
16. Author.
Losa Iglesias, M., & Becerro De Bengoa Vallejo, R. (2012).
Conflict resolution styles in the nursing
profession. Contemporary Nurse: A Journal For The Australian
Nursing Profession, 43 (1), 73-80
Stringfellow, A. (2012). 5 strategies for managing workplace
conflicts. OPEN forum. Retrieved from
https://www.americanexpress.com/us/small-
business/openforum/articles/5-strategies-for-managing-
workplace-conflicts/
Stuart, F. (2014). Most Effective Communication Skills in
Workplace. The ACPE Blog. Retrieved from
http://blog.acpe.edu.au/index.php/careers/effective-
communication-skills-workplace/
Sullivan, E. J. (2013). Effective Leadership and Management in
Nursing (8th ed.). Upper Saddle River: Pearson Prentice Hall
AnneMarie Wouapet
RE: Group D Discussion 2 - Week 4
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My change project implemented in the hospital critical unit I
work on must be well budgeted just like any other high
magnitude project (Schmidt & Brown, 2012). With the
17. government becoming strict on hospital reimbursement, quality
patient care has become the constant initiative towards meeting
goals. Signed in 2010 by the president, the Affordable Care Act
went into effect on June of 2012. Section 3014 of the
Affordable Care Act focuses on quality measures for patient
improvement while in the hospital. Aligned with the Centers for
Medicare and Medicaid Services, this ensures that hospitals will
meet the goals with establishing their core measures. Under
HCAPS scores, departments are graded on the work given and
the patients that were discharged provide feedback on their
hospital stay. The categories graded are hospital cleanliness,
staff responsiveness, environmental noise, physician
communication, nurse communication, medication/discharge
information, pain control, and willingness to recommend.
This year's budget for our hospital is relatively stretched. Most
of the expenses may remain constant, but two big issues have to
be considered. The hospital is eager to move with technology
while at the same time improving the quality of services offered
to the patients by making sure the nurses elevate their
knowledge through training. At least all nurses will be attending
two hours of training per day in shifts. Those scores in each
category are graded from a zero to one hundred percent and are
calculated monthly on a year round basis to see which areas
need improvement. The overall goal is maintain a ninety and
above in all categories . Our system has become a pay for
performance system. The work the nurses do in regards to
patient care reflect back on the facility and its budget if
satisfaction is not met.
A structure that should be implemented as a tool to improve
consumer satisfaction around the unit is hourly rounding on
patients. This initiative tool was designed to meet the needs of
patients on a constant basis with around the clock attention. The
goal is for nurses involved in hourly rounding protocol to find
their shifts less stressful, their time more productive, and their
patient safety and satisfaction scores hitting all-time highs
(Leighty, 2006). This would not only fall on the nurses to fulfill
18. but also on the unit manager, charge nurses, therapists, case
managers, and even the doctors to perform. The phrase, “Is
there anything else I can do for you before I go?” should
become a common phrase within the floor itself. Another tool
that can be implemented on the floor would be daily care plans.
These care plans can have a list of a patient’s up to date
hospital status such as medication list, doctors on their case,
therapy, and procedures. These can be distributed by the nurses
with a brief explanation of their care and answer any questions
the patient or family may have including education. If a patient
is going to get discharged within the next few days, a quick
survey to the patient or family can be passed out. The goal is to
answer any issues or concerns while the patient is still the
hospital. By meeting these goals before discharge, it hopefully
will reflect upon patient surveys scores that are sent out after
they are home.
By assessing the needs on the floor based on priority, the
budget requests will be met in all areas. Personnel and overtime
accounted for areas of the budget that were inaccurate.
Accountability for why these areas were inaccurate was
partially due to workload and patient acuity leading to nurse
turnover and a decrease in patient care. This cycle then puts
remaining floor nurses to work overtime causing the overtime
budget to decrease. Patient acuity can be distributed using a
point system assigned to each patient. By assessing each patient
and assigning the proper points to each nurse, it will hopefully
distribute the workload to the staff as a whole. Having a
transactional leader who is open and receptive to the staff will
open a forum of communication on the floor. Answering
questions and taking feedback will hopefully create an
environment that empower each employee to take initiative and
create ideas that will help the floor and improve patient care
delivery. Getting staff involved to help improve patient
satisfaction will reflect on survey scores that ultimately will
dictate hospital reimbursement. Promoting hourly rounding and
distributing care plans on the unit should become a structure
19. used on a daily basis as quality measures of improving hospital
stay. By fulfilling all these tasks, the unit manager should have
a strong cohesive unit aimed at retaining staff and achieving the
overall goal of promoting quality patient care.
The Nurse Manager has a lot of challenges ahead of her of
ensuring nurses get trained as well as they work well. The
following tables detail how the budget will look like for the unit
(McConnell, 2004).
Surgical Intensive Care Unit
Surgical Intensive Care Unit
Bed Capacity
24
Pt Days
11,790
ADC
% Occupancy
32.3
89.7
11,790 pt/days/ 365 days
32.3 ADC/24beds x 100
Nursing
Hours/Pt Day
8.14
Standard
Nsg Hours
Required/Yr
FTES
95,971
46.1
11,790 pt days x 8.14
95.971 hrs/ 2080
Nsg Hours
Required/Day
#Staff
20. 262.93
32.9
32.3 ADC x 8.14 262.93/8 hr shifts
Budget for Payment of Care Unit Personnel
Officers
Salary budgeted
Nurse Manager
$ 80,700
Clinical Coordinators
$115,556
Care Manager
$40,400
Clinical Mentor
$56,456
Nurses
$278,432
Other hospital assistants
$80,345
TOTAL
$651,889
For years, the hospital has been faced with dire shortage of
equipments and supplies. However, of recent, we have been able
to purchase substantial amounts of equipments under
government sponsorship. The following table outlines what to
be purchased this year (Sullivan, 2013).
Equipments and Supplies
Item
Amount each
Total cost
Laptops
12
$200
Beds
21. 14
$560
Surgical equipments
14
$120,654
ward construction
1
$50,023,400
Patient care supplies
-
$480,890
Ophthalmoscope
20
$140,456
Committee meeting expense
-
$ 1,200
TOTAL
$50766160
I am convinced beyond doubt that with such kind of a budget,
the institution will have a good opportunity to find sources of
funds or be able to convince the sponsors to surrender money
for its expenditure. If the budget is implemented to the letter,
the institution will have something good to show come next year
(Grundgeiger, Sanderson, MacDougall, & Venkatesh, 2010).
References
Grundgeiger, T., Sanderson, P., MacDougall, H. G., &
Venkatesh, B. (2010). Interruption Management in the Intensive
Care Unit: Predicting Resumption Times and Assessing
Distributed Support. Journal of Experimental Psychology-
applied. doi:10.1037/a0021912
Leighty J. (2006). Studer Group You Called? Hourly Rounding
22. Cuts Call Lights Retrieved from:
https://www.studergroup.com/dotCMS/knowledgeAssetDetail?in
ode=323256
McConnell, C. R. (2004). Managing employee performance. The
Health Care Manager, 23(3), 273-283. Retrieved from
www.aspenpublishers.com
Schmidt, N. A., & Brown, J. M. (Eds.). (2012). Evidence-based
practice for nurses: Appraisal and application of research (2nd
ed.). Sudbury, MA: Jones & Bartlett Learning.
Sullivan, E. J. (2013). Effective leadership and management in
nursing (8th ed.). Upper Saddle River: Pearson
RE: Group D Discussion 2 - Week 5
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The nursing shortage is a safety issue that I will be addressing
in my Practicum Change Project. Nursing shortages are a
predictable occurrence in healthcare. In the United States alone,
five significant shortages have happened in the last 50 years
23. (Censullo, 2008).The lack of nurses lasts 1 to 2 years. It is
predicted the by the year 2016 nearly 587,000new jobs will be
on available for new nurses (Aiken, Cheung, & Olds, 2009); the
United States Bureau of Labor and Statistics have determined
there will be a shortage of 581,520 nurses by the year 2018
(Conley, 2012). According to the Joint Commission on
Accreditation of Healthcare Organizations (JCAHO), the
growing shortage of nurses in America's hospitals is putting
patient lives in danger and requires immediate attention. "The
current nursing shortage threatens to heavily impact our
citizens' health and our nations' security preparedness" (Person,
2003). The nursing shortage that is sweeping across the United
States has been upgraded from a health crisis to a national
security concern. A recent study in Pennsylvania found that
surgical patients in hospitals with high patient-to-nurse ratios
experience higher rates of mortality and deaths following
complications. Nurses working in these establishments tend to
experience greater burnouts, job dissatisfaction, which in turn
leads to poor patient care. "A recent national survey found that
an astounding 75 percent of RNs feel that the quality of nursing
care at their facility has declined during the past two years, with
68 percent of RNs citing staffing levels as a major contributing
factor to this problem." (AFSCME, 2003). Accountability is
required in the work arena as the acuity of the patients is high.
Patient satisfaction, complying with the National Patient Safety
Goals, and never events as well as extensive documentation can
be difficult for the nurse transitioning into a new role.
National Patient Safety Goals, and never events as well as
extensive documentation can be difficult for the nurse
transitioning into a new role. The holidays, weekends and
various shifts to meet the demand of the already short nursing
workforce cause some graduate nurses to leave the profession
thus decreasing the nursing supply. Universities and colleges
are not able to meet the growing demands of providing nursing
education and clinical rotations in the associate or baccalaureate
programs (Erlen, 2004). In 2008 more than 40,000 potential
24. nurses were turned away from universities or colleges for
registered nurses (Aiken, et al., 2009). The inability to access
these programs were due to the lack of nursing instructors for
the classroom and for the practical instruction in the clinical
areas. Individuals feel the shortage is related to decreased job
satisfaction and wages. What this establishes is the lack of
supply or qualified instructors available for meeting the
growing demands for nurses. The lack of educational instructors
causes a decrease in the number of nursing students accepted.
The decrease in the students in the qualified programs causes a
drop in the number of nurses in the market for the vacant or new
jobs. The decline in nursing instructors is due to the educational
requirements of the instructor such as the baccalaureate (BSN)
and masters (MSN) in nursing. The low wages and the
educational requirements to teach nurses keeps many from
becoming instructors (Yucha, Carolyn; Smyer, Tish; Strano-
Perry, Sybil, 2014). According to research and statistics the
demand for registered nurses will continue to grow. The supply
of nurses will increase when the universities and colleges
provide the nursing instructors to meet the demands of the
students. Nursing schools need to find a means to provide
competitive salaries in order to reduce the nursing shortage.
Marginal Analysis
As stated, the second economic tool to discuss is marginal
analysis as it relates to the nursing shortage and health care
facilities. When using cost or revenue as a measure of supply
and demand, the difference between the cost/revenue and supply
and demand is the marginal analysis (Getzen,2007). In the
healthcare field, the marginal analysis can be the cost of the
nursing staff as compared to the revenue generated from the
inpatient admission. When a nursing shortage occurs and there
are not enough nurses to
staff the department, patients may have to be transferred to
another facility. When the transfer occurs, the hospital loses
revenue. To understand the concept better let’s imagine a
25. patient has come to the emergency department and the
emergency department doctor determines the patient requires an
admission. Before the admission can occur, a decision has to be
made to determine the availability of necessary equipment,
appropriateness of the admission as well as the adequacy and
skills of nursing staff. If the critical decision is made the
resources are available the patient will be admitted. If the
determination reflects the lack of appropriate supplies, nurses or
skills then the decision to transfer the patient will be declared.
Once the patient is transferred to another facility, revenue is
lost. When a trend or increased in the volume of transfers is
higher than a determined rate for the facility measures need to
be put into place to be able to accept the admissions. With the
nursing shortage, the hospitals senior management team must
determine ways to restructure staffing within the hospital to
meet the demands of the admissions. The team may also choose
to hire RN’s on an as needed basis. The marginal analysis will
assist in determining the cost of staff and revenue, it will show
when it is cost effective to hire more nurses or to implement the
restructuring of staff or the hiring of nursing staff. Conclusion
With the projection of nearly 587,000 new jobs by 2016, there
will continue to be a demand for nurses (Aiken, et al, 2009).
The affordable care act may elicit an increase in patients
entering the healthcare arena for the first time in years. The
supply for nurses or nursing instructors is not an overnight fix
to the issue. Increasing the wages for the instructors at the
universities and colleges may retain professors however the
requirements to teach are bachelors and masters prepared
nurses. With the increase in the instructors to teach nursing
more nurses can return to obtain a higher level of education and
an increase in graduate nurses may emerge helping decrease the
nursing shortage? Short staffed health care facilities may not
have to transfer patients to other facilities increasing revenue
and making it cost effective to hire more nursing staff.
References
26. Censullo, J. (2008). The nursing shortage: Breach of ideology
as an unexplored cause. Advances in Nursing Science, 31(4),
E11-E18. Retrieved from http://search.proquest.com. Conley, B.
(2012). What Does "Shortage" Really Mean? Tennessee Nurse,
75(1), 5. Retrieved
from
http://content.ebscohost.com.ezproxy.apollolibrary.com/pdf29_
30/pdf.
Erlen, J. A. (2004). Wanted-nurses: Ethical issues and the
nursing shortage. Orthopedic Nursing, 23(4), 289-92. Retrieved
from http://search.proquest.com/docview/195969568. Getzen, T.
E. (2007). Health economics and financing. (3rd ed.). John
Wiley and Sons, Inc.: Hoboken, NJ. Yucha, Carolyn; Smyer,
Tish; Strano-Perry, Sybil (2014). Sustaining nursing programs
in the
face of budget cuts and faculty shortages. Journal of
Professional Nursing, 30 (1) 5–9.
http://dx.doi.org/10.1016/j.profnurs.2013.07.002.
27. Nurses are often pressured into taking short cuts to save
hospitals money. Most of the time, this results in inadequate
care provided to patients. Hospitals have found that with lower
nurse to patient ratios will enhance the ability to recruit new
nurses at lower costs. "Research shows there are concrete costs
of inadequate RN staffing. Nurses report that they are assigned
too many patients to be able to deliver optimal nursing care and
adequately supervise support staff. With too many patients to
care for, a hospital RN might not have time to clean a urinary
catheter frequently enough to prevent a urinary tract infection.
The nurse may not have enough time to ensure that a bedridden
patient is turned, allowing secretions to build up in the patient's
lungs resulting in pneumonia. These are among the hospital
incurred infections that are preventable with appropriate RN
staffing" (Myers, 2003). All these issues therefore lead to poor
patient satisfaction rates in the unit and throughout the facility I
work for.
My Practicum Change Project will address the nursing shortage
safety issue by achieving staffing levels that will provide
optimal patient outcomes, staff satisfaction and organizational
objectives through the development of appropriate “models of
care”. The models should define the roles of technical and
support staff and their responsibilities and delineate scopes of
nursing practice with corresponding competencies. In the
profession of nursing, nurses can be leaders and managers. In
this role, nurses are responsible for the quality of client care
through a process, which is known as quality assurance.
"Quality assurance consists of the quality control activities that
evaluate, monitor, or regulate the standard of services provided
to the consumer" (Lemone & Burke,199 7).
My hospital also need to find ways to retain their nursing staff
by:
1. Respect: recognizing and treating nurses as professionals and
developing collaborative practice initiatives among nurses,
physicians and other disciplines to develop mutual respect and
28. insisting on work environments free of fear and intimidation.
2. Leadership: Management of health care provider
organizations should support the role of nursing leadership. The
nurse manager’s position description should emphasize
retention of staff at the front line of care delivery. Concurrent
with providing nurse managers the tools to retain
staff, nurse managers must also clearly understand their
responsibility and accountability for nurse retention.
3. Mentoring: Establish effective mentoring programs for new
nursing graduates. Establish mentoring programs for aspiring
nurse leaders; offer mentors to new nurse managers.
4.Continuing Education: Enhance continuing education
opportunities for currently employed nurses through tuition
reimbursement, flexible scheduling, and career ladders.
Continuing education opportunities keep nurses current on
clinical issues and demonstrate organizational
commitment to nurses.
References
American Federation of State, County, and Municipal
Employees (AFSCME). (2003) Is There Really a Nursing
Shortage? The Critical Need to Bring Nurses Back to the
Hospital Industry Retrieved: November 12, 2015 From:
http://www.afscme.org/una/sns02.htm
ASCP Board of Directors (1996, March) ASCP Principles for
Achieving Quality Care in Nursing Facilities. ASCP Online.
Retrieved November 12, 2015 from:
http://www.ascp.com/public/pr/other/principles.shtml
Lamone, P. & Burke, K. (2000) 2nd ed. Clinical Handbook for
Medical Surgical Nursing. Upper Saddle, NJ: Prentice Hall.
Myers, G. (2003, February) Executive Budget Relating to
Health Issues. Retrieved: November 12, 2015 from:
http://www.nysna.org/programs/NPS/testimonies/budgetII.htm
Censullo, J. (2008). The nursing shortage: Breach of ideology
as an unexplored cause. Advances in Nursing Science, 31(4),
E11-E18. Retrieved from http://search.proquest.com.
Conley, B. (2012). What Does "Shortage" Really Mean?
29. Tennessee Nurse, 75(1), 5. Retrieved
from
http://content.ebscohost.com.ezproxy.apollolibrary.com/pdf29_
30/pdf.
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NURS 4020 Leadership Competencies in Nursing and
Healthcare
30. Practicum Change Project PowerPoint
Grading Criteria
Create a PowerPoint presentation that summarizes your
Practicum Change Project. Include a minimum of 8 slides (15
maximum) and the following information provided below. The
PowerPoint Presentation is worth a maximum of 200 points and
is posted in Week 6 Practicum Discussion. Points will be
awarded as follows.
Requirement
Criteria
Points
Title Page
Follows APA requirements for the title page
10 points
Describe the proposed change including evidence to support the
project. Identify the quality and safety issue addressed by the
project.
Collaborates with professionals in the facility to discuss the
need for the proposed change.
Identifies the quality and safety issue addressed by the project.
20 points
Describe the change theory and model used as framework for
the project. Apply the steps of the change theory to the project
development process.
Selects one of the major change theories and applies the project
development process to each step of the theory.
Discusses how the project aligns with the facility mission,
vision and values.
30 points
Describe your collaborattion with multidisciplinary team
members.
Describes the members of the multidisciplinary team and their
role in the proposed project.
30 points
Present the proposed budget for the project.
31. Develops a realistic budget for the project including salaries,
equipment, supplies, education, travel and so forth. Justifies
the need for the budget items.
30 points
Discuss the quality and safety issue addressed by the project.
Discusses the quality and safety issue and how the project will
help decrease the incidence of the issue in the facility.
30 points
Describe dissemination strategies and justify the selection of
the strategies
Describes the most effective way to disseminate the final
project if the opportunity were available to do so.
30 points
A minimum of 5 scholarly references are used in the project
including peer-reviewed research articles and textbooks.
References are current and are peer-reviewed research articles
and/or current textbooks.
20 points
Total
200 Points
Deductions - 25 Points may be deducted for:
Late posting of PowerPoint (Post by Day 4)
Inadequate number of references to support your project.
Errors such as: typos, grammar, spelling, punctuation, syntax,
or lack of APA style or incorrect APA formatted references.