Nursing leaders need a workforce that can provide culturally competent care

 Nursing leaders need a workforce that can provide culturally competent care

Week two Discussion Assignment

Discussion Topic:    Nursing leaders need a workforce that can provide culturally competent care. Besides, nursing’s goal is to create a workforce that reflects the population it serves. In our country, we have a multicultural population. Discuss ethical issues in transcultural health care with which staff might be confronted in various work settings (inpatient, clinic, hospice). Ethics, whether philosophical, religious, or spiritual, is the study of morality, good and evil, and the rights and wrongs of human behavior and decision-making. One cultural group might find itself in a healthcare system that is based on the values of a different culture.

The Discussion:

  • Must address the topic.
  • Rationale must be provided.
  • May list examples from your own nursing practice.
  • 150-word minimum/250-word maximum without the references.
  • Minimum of two references (the course textbook must be one of the references) in APA format, must have been published within last 3-5 years.
  • Upload by Thursday, week # 2
  • Each student must respond to two student’s original post by day seven. This grade is a compilation of the original post and the response post. Please see the discussion topic rubric with responses in the course documents folder.

Global Health Comparison Matrix

In this Assignment, you will examine a global health issue and consider the approach to this issue by the United States and by one other country.

To Prepare:

  • Review the World Health Organization’s (WHO) global health agenda and select one global health issue to focus on for this Assignment.
  • Select at least one additional country to compare to the U.S. for this Assignment.
  • Reflect on how the global health issue you selected is approached in the U.S. and in the additional country you selected.
  • Review and download the Global Health Comparison Matrix provided in the Resources.

The Assignment: (1- to 2-page Global Health Comparison Matrix; 1-page Plan for Social Change)

Part 1: Global Health Comparison Matrix

Focusing on the country you selected and the U.S., complete the Global Health Comparison Matrix. Be sure to address the following:

  • Consider the U.S. national/federal health policies that have been adapted for the global health issue you selected from the WHO global health agenda. Compare these policies to the additional country you selected for study.
  • Explain the strengths and weaknesses of each policy.
  • Explain how the social determinants of health may impact the global health issue you selected. Be specific and provide examples.
  • Using the WHO’s Organization’s global health agenda as well as the results of your own research, analyze how each country’s government addresses cost, quality, and access to the global health issue selected.
  • Explain how the health policy you selected might impact the health of the global population. Be specific and provide examples.
  • Explain how the health policy you selected might impact the role of the nurse in each country.
  • Explain how global health issues impact local healthcare organizations and policies in both countries. Be specific and provide examples.

Part 2: A Plan for Social Change

Reflect on the global health policy comparison and analysis you conducted in Part 1 of the Assignment and the impact that global health issues may have on the world, the U.S., your community, as well as your practice as a nurse leader.

In a 1-page response, create a plan for social change that incorporates a global perspective or lens into your local practice and role as a nurse leader.

  • Explain how you would advocate for the incorporation of a global perspective or lens into your local practice and role as a nurse leader.
  • Explain how the incorporation of a global perspective or lens might impact your local practice and role as a nurse leader.
  • Explain how the incorporation of a global perspective or lens into your local practice as a nurse leader represents and contributes to social change. Be specific and provide examples

Develop your vision of the ideal health care system.

Develop your vision of the ideal health care system.

Topics- from Learning by Experience and Reflection:

· Develop your vision of the ideal health care system.

·  List some of the characteristics that constitute such a system. What would be the goal or goals of your ideal system?

· Think about how you would go about implementing your ideal system.

· Consider some of the problems you are likely to encounter.

·   Must address all of the topics.

·    150-word minimm/250-word maximum without the references

· Minimum of two references (the course textbook can be one of the references, as well as the organizational website) in APA format. If additional articles chosen, they must have been published within last 3-5 years.

·         Upload by Fridayday at 11:59pm,

structuralist or culturalist,

Instructions: This is a 2 part focused writing assignment. I will provide the context, necessary information, background, as well as links and resources, needed to comply with the minimum requirements necessary to participate and complete this assignment. If you are aiming for an A or B on this assignment, I do expect that you will include additional resources and research links. These do not have to be a laundry list.  More is not better. Direct and to the point is key.  I expect additional resources be properly cited, at the end of your part 1 critical analyses.  

Part 1: Choose a Prompt and Post Reply

Minimum length of analysis is 1 page double spaced, or half page single spaced. Type it first in a word document for reference. Then, copy and paste. Formatting standards: 12 point font, times new roman, double spaced ( if 1 full page in word) otherwise single spaced (equivalent to half page in word). Must include properly formatted citations for any and all resources, links and information publications, used in your research, as well as incorporated as supporting evidence, for your critique and analysis.

I expect you to incorporate information, offering supporting evidence specifically from at least one or more of independently researched resources and links, to be discussed, mentioned and cited within either your part 1 or part 2 post, if not both.  You can just note the source when citing parenthetically, within your analyses, as long as you provide a full title, and link to the information source, listed at the end of your reply. This is what will earn you a A or B grade.

Part 2:  Critique and Rebuttal

You will not be able to review posts submitted by your peers, until you yourself have submitted your critical analysis, for Part 1.

Review your classmates posts. Select one to offer a rebuttal or critique.

Selection Criteria and Post Formatting Requirements–

Cannot choose to reply to post of someone who shares your same prompt or your same position and analyses. You only have to do this once, but I encourage you all to reply and post to as many classmates posts to enhance discussion to make the course more engaging.

Minimum length of analysis is 1 page double spaced, or half page single spaced. Type it first in a word document for reference. Then, copy and paste. Formatting standards: 12 point font, times new roman, double spaced ( if 1 full page in word) otherwise single spaced (equivalent to half page in word).

Introduction and Background on Discussion Topic and Prompts

Modern political scientist debates begin with matters of what research methods are to be accepted as the best approach. Structuralists believe research, methods and analysis should focus on objective factors. Understanding political context of one’s environment can only be objectively achieved, if focus is on factors pertaining to the way in which the world is organized. Structure and organization determine politics. Therefore, the proper objects to study are power, interests, and institutions.

Culturalists prioritize subjectivity. Exploring research of objects relative to perception is the best practices methodological approach to evaluating and understanding politics. Values, opinions and psychology are argued to be more important than objective and tangible reality.

Structuralists and culturalists agree on the issue and topic of debate. For example, both groups would acknowledge and validate there is considerable emerging inertia within the United States political systems, as it pertains specifically to presidential (s)election. The methods required to achieve an explanation is the source of opposing divergence.

Take the presidential selection issue. Structuralists research and methods would rely on explanations of factors, such as electoral laws and processes.  It would be necessary to build a research method that evaluates variation or uniformity, with a state by state comparison of laws, rules, processes, and methods that govern how the state’s electoral college is selected, organized, structured, empowered, and ultimately the rules and processes that govern how presidential votes will be cast, tabulated and awarded.

A culturalist would require a research method that focuses on factors, such as public opinion. They would assume that the recent and increasing inertia behind electoral college concerns in deciding the country’s President, is most accurately and informatively explained as variable(s) dependent of people’s attitude in apathy towards voting system, all together. Or perhaps, evaluating the value in objects, like people’s obedience and acceptance of a 250 plus year old institution, that was created before modern United States’ geography. For culturalists, the root of the problem is not the governing laws and processes that structure the existence and behavior of the institution: electoral college.  The explanation requires evaluation of the governed.  Namely their values in acceptance and tolerance toward the current system. Their research and methods would be driven by a question focused more towards psychology. For example, despite a lack in federal law—outside of the constitutional creation of the electoral college institution—to uniformly mandate each state’s electoral college selection and voting processes be the same, and with the exception of 3-4 of the 50 total states, somehow the states ended up adopting the same selection and procedural system, by which their independent electoral college and its voters operate. Thus, the higher priority being placed on values of acceptance amongst the public, instead of the institutions (lack of uniformly mandated) procedural rules, guidelines and laws.

PROMPT

Decide and discuss whether you consider yourself as one of the following….either

1.) exclusively one or the other: structuralist or culturalist,

2.)  Neither, providing and discussing ideas about what you think a better approach and method to explaining current political system environments, include reasoning, examples and hypotheticals

3.) A combination, provided discussion must include identification of specific aspects from each approach that you would rely on, to achieve a balanced reasoning and rationalization to discuss and explain a more individualized approach, which you would defend as the best approach to finding the most accurate method to understanding political systems. Include any examples, along with hypothetical comparisons, explanations, or scenarios to fully explain your position.

Remember, there is no right or wrong answer. You can base your response on the presidential selection and electoral college example I outlined, while introducing the prompt and topic for this current event discussion.  Your response does not require you to focus your analysis and response on the particular example I illustrated.  You can find your own. Be thorough. Be direct. Be reflective. Be thoughtful. Be a political scientist!!

determine your leadership and management skills.

On page 62 of your textbook are a list of traits that are very respected by millennials.

The traits of leaders are as follows:

  1. Own and live the company values
  2. Communicate openly and early
  3. Inspire people to reach higher
  4. Own their mistakes
  5. Recognize big wins, small wins, and hard work
  6. Trust people
  7. Make the right decision, not the popular decision
  8. Add value to their teams, helping them to succeed
  9. Have the courage to be genuine and visible
  10. Take care of people

Instructions:

  1. Reflect on the traits of leaders listed above and determine your leadership and managerment skills.
  2. Then, answer the following questions:
    1. Do you have a good understanding of your personal strengths and weaknesses?
    2. What are your top three strengths and are you using them on a regular basis?
    3. Do you recognize your weaknesses and have you found a means of compensating for these?
    4. When dealing with colleagues are you honest and genuine and are you visible about your intentions and desires when dealing with these colleagues.
  3. Your paper should be:
    • One (1) page
    • Typed according to APA style for margins, formatting and spacing standards
    • Typed into a Microsoft Word document, include references.

explain the workings of three salient checks of the three governmental branches.

Purpose:  the purpose of this assignment includes the following:

• To research and explain the workings of three salient checks of the three governmental branches.

• To demonstrate critical thinking skills by stating a position and defending it with evidence.

• To develop skills of argumentation that will help you write persuasively in the future.

 

Your Checks & Balances/Critical Thinking Assignment will require you to submit a typed essay evaluating which inter-branch power is the most important to our republic.  Note:  do not make the case for which branch is most powerful; argue on behalf of which check or balance listed below is the most important.

For this exercise, you will be arguing in favor of one of the following checks and balances:

(Tutor, please choose the one you are most comfortable with)

• The presidential veto

• Impeachment and removal from office by the legislature

• Judicial review

 

To construct this essay, you must follow the steps below in order.  Make sure to address each question directly and specifically

Step One:  Explanation of issues:  First, define each of the three checks/balances listed above and describe the specifics of how each one works to be utilized successfully.  Use a compare and contrast format to accomplish this.  Example:  “The Congress has the power of _____, for Congress to use this successfully, the first step is…”

Step Two:  Assert a position/analysis presented (perspective, thesis/hypothesis):  Why is the check/balance you chose the most essential to our republic?  What is it designed to accomplish, and how does it do so?  What are the limits or weaknesses of this power?  What about the power you chose as most important makes it more necessary to a functional republic than the other two?  Example:  “___ is the most important goal of the federal government.  [The check] ___ is the most important check in accomplishing this as it___…”

Step three:  Gather and attribute your evidence:  Although you are expressing your opinion, to be taken seriously you must support your proposal with no fewer than three (3) relevant expert sources that are of the highest quality and credibility.   Use sources with perspectives that are consistent with one another; your points must be clear and without contradiction.  You must cite each source both in the body of the essay and on a Works Cited page.  The table below will help explain evidence quality:

(Strong evidence; Sources that are consistent with your argument and thus support your conclusion)

Step Four:  Conclusion and related outcomes (implications and consequences):  Your conclusion should leave the reader with a feeling of closure, that you accomplished your goal of substantiating your original assertion.  Restate your thesis briefly and summarize the evidence that supports your overall point.  Do not introduce any new information, but you may speculate on the implications of your findings.

Length: 3-4 pages

Format: APA (must use credible sources)

Delegation – The Root of PracticeDelegation – The Root of Practice

Delegation – The Root of Practice

Chapter 1a – Assignment

SCENARIO

Nancy, a registered nurse, has recorded a telephone order from the attending physician to administer one unit of blood to Baby Robby, a pediatric patient. She delegates this order to a licensed professional nurse whose name is Kelly. Kelly has been with the hospital for several years and has just graduated LPN school. Kelly is known among the nurses as an assistant and unit secretary for many years and she is considered a very trustworthy nurse. Kelly also just finished an IV certification class but claims that she will document it on Monday since Human resources is not open, it being a weekend. Nancy sends Kelly to get the unit from the blood bank, hang the blood with saline and then administer it. After one hour it is time for the charge nurse to give report, she sends Kelly in to get the first set of vital signs and check on Robby. Since Nancy is also the charge nurse, she finds herself a little behind, so she has Kelly write a short note in the record and a set of vital signs. When Kelly checks on the patient she finds that Robby is lethargic and she immediately reports this to Nancy who then declares that she needs to write an incident report up and once she is finished giving report she does exactly that and then writes in the chart that an incident report has been filed with all the relevant facts listed. She then clocks out with the knowledge that she finished everything that needed to be done.

Instructions:

  1. Read      through the scenario above carefully and list each mishap and violation of      practice that you can detect. Explain whether it was:

a. possibly something forgotten

b. a violation of standard of practice

c. a legal mishap

d. an ethical violation

e. a delegation problem

f. or some other problem

  1. List      each deviation from safe and legal practice.
  2. Explain what was      done or not done.
  3. Your paper should be:
    • One (1) page
    • Typed according to APA style for margins, formatting,       and spacing standards
    • Typed into a Microsoft Word document, save the file,       and then upload the file
  4. Your paper should be:
    • One (1) page
    • Typed according to APA style for margins, formatting and spacing standards
    • Typed into a Microsoft Word document, save the file, and then upload the file

Document the abnormal physical exam findings

For this assignment, you are to complete a clinical case – narrated PowerPoint report that will follow the SOAP note example provided below. The case report will be based on an assigned clinical case scenario.

You are to approach this clinical scenario as if it is a real patient in the clinical setting.

Instructions:

Step 1 – Read the assigned clinical scenario and using your clinical reasoning skills, decide on the diagnoses. This step informs your next steps.
Step 2 – Document the given information in the case scenario under the appropriate sections, headings, and subheadings of the SOAP note.
Step 3 – Document all the classic symptoms typically associated with the diagnoses in Step 1. This information may NOT be given in the scenario; you are to obtain this information from your textbooks. Include APA citations.

Example of Steps 1 – 3:
You decided on Angina after reading the clinical case scenario (Step 1)
Review of Symptoms (list of classic symptoms):
CV: sweating, squeezing, pressure, heaviness, tightening, burning across the chest starting behind the breastbone
GI: indigestion, heartburn, nausea, cramping
Pain: pain to the neck, jaw, arms, shoulders, throat, back, and teeth
Resp: shortness of breath
Musculo: weakness

Step 4 – Document the abnormal physical exam findings typically associated with the acute and chronic diagnoses decided on in Step 1. Again, this information may NOT be given. Cull this information from the textbooks. Include APA citations.

Example of Step 4:
You determined the patient has Angina in Step 1
Physical Examination (list of classic exam findings):
CV: RRR, murmur grade 1/4
Resp: diminished breath sounds left lower lobe

Step 5 – Document the diagnoses in the appropriate sections, including the ICD-10 codes, from Step 1. Include three differential diagnoses. Define each diagnosis and support each differential diagnosis with pertinent positives and negatives and what makes these choices plausible. This information may come from your textbooks. Remember to cite using APA.

Step 6 – Develop a treatment plan for the diagnoses. Only use National Clinical Guidelines to develop your treatment plans. This information will not come from your textbooks. Use your research skills to locate appropriate guidelines. The treatment plan mustaddress the following:
a) Medications (include the dosage in mg/kg, frequency, route, and the number of days)
b) Laboratory tests ordered (include why ordered and what the results of the test may indicate)
c) Diagnostic tests ordered (include why ordered and what the results of the test may indicate)
d) Vaccines administered this visit & vaccine administration forms given,
e) Non-pharmacological treatments
f) Patient/Family education including preventive care
g) Anticipatory guidance for the visit (be sure to include exactly what you discussed during the visit; review Bright Futures website for this section)
h) Follow-up appointment with a detailed plan of f/u

CLINICAL CASE SCENARIO 

A 5-year-old boy presents to your clinic with a 1-day history of refusing to use his left arm. His father states that his son and his older sister were cared for by a babysitter the previous day. The babysitter said she had been playing with the children in the front yard when the patient ran after a ball that was rolling toward the street. She grabbed the patient’s left forearm and pulled him away from the street. Thereafter, the patient was irritable and holding his left arm close to his body with the elbow in a flexed position. On physical examination, the child has no bony tenderness, erythema, or swelling of the joints, but on passive motion, the child resists and cries in pain. Today, his vitals are as follows: weight 40.5 lbs, height 43.0 inches, BP 110/76, HR 100, RR 26, and Temperature is 98.6 F.

Diagnosis – Subluxation of Radial Head

As you develop your narrated PowerPoint, be sure to address the criteria discussed in the video above and the instructions listed below:

FOLLOW THE TEMPLATE BELOW for the Clinical Case Report – SOAP PowerPoint Assignment:

DO NOT INCLUDE THESE INSTRUCTIONS IN THE POWERPOINT. POINTS WILL BE DEDUCTED. REFER TO THE EXAMPLE CASE REPORT FOR GUIDANCE.

SUBJECTIVE (S): Describes what the patient reports about their condition.
For INITIAL visits gather the info below from the clinical scenario and the textbook. DO NOT COPY AND PASTE THE SCENARIO; EXTRACT THE RELEVANT INFORMATION.

Historian (required; unless the patient is 16 y/o and older): document name and relationship of guardian
Patient’s Initials + CC (Identification and Chief Complaint): E.g. 6-year-old female here for evaluation of a palmar rash
HPI (History of Present Illness): Remember OLD CAARTS (onset, location, duration, character, aggravating/alleviating factors, radiation, temporal association, severity) written in paragraph form
PMH (Past Medical History): List any past or present medical conditions, surgeries, or other medical interventions the patient has had. Specify what year they took place
MEDs: List prescription medications the patient is taking. Include dosage and frequency if known. Inquire and document any over-the-counter, herbal, or traditional remedies.
Allergies: List any allergies the patient has and indicate the reaction. e.g. Medications (tetracycline-> shortness of breath), foods, tape, iodine->rash
FH (Family History): List relevant health history of immediate family: grandparents, parents, siblings, or children. e.g. Inquire about any cardiovascular disease, HTN, DM, cancer, or any lung, liver, renal disease, etc…
SHx (Social history): document parent’s work (current), educational level, living situation (renting, homeless, owner), substance use/abuse (alcohol, tobacco, marijuana, illicit drugs), firearms in-home, relationship status (married, single, divorced, widowed), number of children in the home (in SF or abroad), how recently pt immigrated to the US and from what country of origin (if applicable), the gender of sexual partners, # of partners in last 6 mo, vaginal/anal/oral, protected/unprotected.

Patient Profile: Activities of Daily Living (age-appropriate): (include feeding, sleeping, bathing, dressing, chores, etc.), Changes in daycare/school/after-school care, Sports/physical activity, and Developmental History: (provide a history of development over the child’s lifespan. If a child is 1y/o or younger, provide birth history also)

HRB (Health-related behaviors):
ROS (Review of Systems): Asking about problems by organ system systematically from head-to-toe. Included classic associated symptoms (this includes pertinent negatives and positives).

OBJECTIVE: Physical findings you observe or find on the exam.
1. Age, gender, general appearance
2. Vitals – HR, BP, RR, Temp, BMI, Height & Percentile; Weight & Percentile, Include the Growth Chart
3. Physical Exam: note pertinent positives and negatives (refer to the textbook for classic findings related to present complaint and the diagnosis you believe the patient has)
4. Lab Section – what results do you have?
5. Studies/Radiology/Pap Results Section – what results do you have?

RISK FACTORS: List risk factors for the acute and chronic conditions

ASSESSMENT: What do you think is going on based on the clinical case scenario? This is based on the case. You are to list the acute diagnosis and three differential diagnoses, in order of what is likely, possible, and unlikely (include supporting information that helped you to arrive at these differentials). You must include the ICD-10 codes, the definition for the acute and differential diagnoses, and the pertinent positives and negatives of each diagnosis.

You are to also list any chronic conditions with the ICD-10 codes.

NATIONAL CLINICAL GUIDELINES: List the guidelines you will use to guide your treatment and management plan

TREATMENT & MANAGEMENT PLAN: Number problems (E.g. 1. HTN, 2. DM, 3. Knee sprain), use bullet points, and include A – F below for each diagnosis and G – H after you’ve addressed all conditions.

Example:
1. HTN
a) Vaccines administered this visit & vaccine administration forms given,
b) Medication-include dosage amounts and mg/kg for drug and number of days,
c) Laboratory tests ordered
d) Diagnostic tests ordered
e) Non-pharmaceutical treatments
f) Patient/Family education including preventive care

2. HLD
a) Vaccines administered this visit & vaccine administration forms given,
b) Medication-include dosage amounts and mg/kg for drug and number of days,
c) Laboratory tests ordered
d) Diagnostic tests ordered
e) Non-pharmaceutical treatments
f) Patient/Family education including preventive care
Also discussed:
g) Anticipatory guidance for next well-child visit (be sure to include exactly what you discussed during the visit; review Bright Futures website for this section)
Return to the clinic:
h) Follow-up appointment with a detailed plan for f/u and any referrals

Submission Details:

  • Post the Week 8 Clinical Case Report SOAP Note Assignment to the Discussion Boardbelow by the date assigned.
  • Name your Case Report SOAP note document NSG6435_W8_SOAP_LastName_FirstInitial.ppt.

Communication Factors in Effective Team Performance

Communication Factors in Effective Team Performance

Write an Essay addressing the five Communication Factors in Effective Team Performance. Your essay must cite as per APA 7th Edition rules for references and should address the following subheadings;

  1. Cover page
  2. Abstract
  3. Five communication Factors in effective team performance
    • Factor 1 – Supportive Leadership
    • Factor 2 – Communication Safety
    • Factor 3 -Team Reflexivity
    • Factor 4 – Task Communication
    • Factor 5 – Boundary Spanning
  4. Conclusion
  5. References

MINIMUM 1200 WORDS, 2 APA SCHOLARLY SOURCES. ABSOLUTELY NO PLAGIARISM. DUE FRIDAY

Management Planning and Organizing

Assignment 1: Management Planning and Organizing

As part of management planning, companies starting up need to define their vision (long-term idealized ultimate company goal), their mission (or purpose statement), their values (their corporate beliefs), and their company goals that they will endeavor to meet in both the short and long term. These vision, mission, and values statements are typically found on corporate websites.

Once the company goals are determined, management addresses organizing to delineate the tasks and responsibilities of employees to accomplish the goals. For this assignment, you will be using the “Tim’s Coffee Shoppe” scenario from the final project assignment. This business simulation will be referenced throughout this course as you work on various aspects of your assignments.

Access Tim’s Coffee Shoppe. After viewing the scenario, address the following checklist items concerning planning and organizing in an 8-slide Microsoft® PowerPoint® presentation:

Checklist: In this assignment, you will develop the mission and vision statement for Tim’s Coffee Shoppe.

After looking up vision and mission statements on several of your preferred company websites for examples:

  • Decide on a mission and vision statement for Tim’s Coffee Shoppe.
  • Provide three bulleted short-term goals for the next year.
  • Provide three bulleted goals for the long term (the next 3 years) for Tim’s Coffee Shoppe.
  • Include a short explanation of how Tim’s Coffee Shoppe can reach each of these goals (three (3) short-term and three (3) long-term).

Submit your response in a short Microsoft PowerPoint slide presentation consisting of a minimum of 8 slides, which includes a title slide and reference slide (at the end), using APA citation style (see APA Academic Writer in the Academic Tools area). Submit your presentation to the unit Dropbox.