Instructions

For this assignment, please identify an ethnically or culturally diverse restaurant, business (market, shop, or store), or place of worship in their community that serves a group of people different from their own upbringing and heritage.

• Engage respectfully with the organization—for example, you could eat a meal, shop for goods, or attend a worship/religious activity.
• Informally talk to the business owner/religious leader, employees, and/or people at the location to find out more about the group of people the organization typically serves. For example, if you choose a restaurant, ask the server about the food being served, how the food is prepared, how to eat it, to what extent is the real authentic/traditional to the culture, and what mealtime is like for that culture; seek to understand more about this group that is different from you. Consider a visit to a restaurant during non-peak meal times for the least disruption. If you choose a business or place of worship, proceed in a similar, respectful manner. Consider carrying out this activity with classmates or with family/friends.
• After completing this part of the assignment, develop a 2-page reflection paper (approximately 500 words) on your experiences. The paper should include the following:
  • A description of your initial reactions/feelings about the setting
  • A description of what you learned about members of your community who are different from you
  • Then identify 1-2 additional things you would like to know about this community/population
  • A description of what you learned about yourself during the experience
  • A discussion of what you learned and experienced in this activity relates to public health nurses and public health nursing practice
• Submit the completed paper to this assignment dropbox.

Rubric

Discussion – Week 7COLLAPSE

Workplace Environment Assessment

How healthy is your workplace?

You may think your current organization operates seamlessly, or you may feel it has many issues. You may experience or even observe things that give you pause. Yet, much as you wouldn’t try to determine the health of a patient through mere observation, you should not attempt to gauge the health of your work environment based on observation and opinion. Often, there are issues you perceive as problems that others do not; similarly, issues may run much deeper than leadership recognizes.

There are many factors and measures that may impact organizational health. Among these is civility. While an organization can institute policies designed to promote such things as civility, how can it be sure these are managed effectively? In this Discussion, you will examine the use of tools in measuring workplace civility.

To Prepare:

• Review the Resources and examine the Clark Healthy Workplace Inventory, found on page 20 of Clark (2015).
• Review and complete the Work Environment Assessment Template in the Resources.

By Day 3 of Week 7

Post a brief description of the results of your Work Environment Assessment. Based on the results, how civil is your workplace? Explain why your workplace is or is not civil. Then, describe a situation where you have experienced incivility in the workplace. How was this addressed? Be specific and provide examples.

By Day 6 of Week 7

Learning Resources

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings

Marshall, E., & Broome, M. (2017). Transformational leadership in nursing: From expert clinician to influential leader (2nd ed.). New York, NY: Springer.
Chapter 5, “Collaborative Leadership Contexts: Networks, Communication, Decision Making, and Motivation” (pp. 121–144)
Chapter 9, “Creating and Shaping the Organizational Environment and Culture to Support Practice Excellence” (pp. 247–278)
Chapter 10, “Building Cohesive and Effective Teams” (pp. 279–298)

Select at least ONE of the following:

Clark, C. M., Olender, L., Cardoni, C., & Kenski, D. (2011). Fostering civility in nursing education and practice: Nurse leader perspectives. Journal of Nursing Administration, 41(7/8), 324–330. doi:10.1097/NNA.0b013e31822509c4
Note: You will access this article from the Walden Library databases.

Clark, C. M. (2018). Combining cognitive rehearsal, simulation, and evidence-based scripting to address incivility. Nurse Educator. doi:10.1097/NNE.0000000000000563
Note: You will access this article from the Walden Library databases.

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

Griffin, M., & Clark, C. M. (2014). Revisiting cognitive rehearsal as an intervention against incivility and lateral violence in nursing: 10 years later. Journal of Continuing Education in Nursing, 45(12), 535–542. doi:10.3928/00220124-20141122-02
Note: You will access this article from the Walden Library databases.

Document: Work Environment Assessment Template (Word document)

Required Media

TEDx. (2017, April). Jody Hoffer Gittell: The power of a simple idea [Video file]. Retrieved from https://www.youtube.com/watch?v=X7nL5RC5kdE

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

SAMPLE ANSWER

Week 7 Discussion: Initial Post 

Workplace Environment Assessment Results

According to the Clark Healthy Workplace Inventory, my work environment result has a sum total of 62, otherwise known as “barely healthy.” Two things that surprised me about the results were less than adequate communication on all levels and ineffective conflict resolution amongst peers. This barely healthy work environment has led to a very high turnover rate amongst staff, thus dropping retention rates amid the organization. Inevitably, this has offered keen insight into one idea that I noticed prior to conducting the assessment, organizational compensation. In an attempt to retain sufficient staff, the organization offers competitive salaries, benefits, compensations, and other rewards.

Civility or Non-Civility

The results of the assessment show that there is much work to be done regarding the civility of my work environment. Based on the results, the environment is barely healthy and one would argue that there is an aura of incivility. The biggest concern posed towards my work environment is lack of communication and respect. Staff are not having respectful, honest, crucial conversations that need to be had in order to make the work environment thrive. Instead, feelings are harbored, conflicts never get resolved and we have a revolving door of staff leaving the organization as soon as they join. Griffin and Clark (2014), incivility has no place in organizational development for it is harmful to the work environment. Measures must be put in place by organizational leadership to ensure shared responsibility in addressing the problem appropriately.

How I Experienced Incivility and Addressed It

Therefore, Clark (2015) speaks of the adventitious benefits of the DESC model when attempting to structure civil conversation. My organization could benefit from the implementation of the DESC model to address difficult conversation. For example, a bulk of the miscommunication comes from the nursing staff. As a blatant display of incivility, staff often time gossip behind the backs of peers and retain feelings of resentment towards one another. There is no discretion. As a new nurse on the unit, I recall several times where I was often ridiculed with no clear communication to follow. As an organizational standard, you are paired with a preceptor for the entirety of orientation. One of the main roles to learn during this time is the art of triaging and setting an acuity for patients for the department. As the triage nurse, you are the first person to lay eyes on the patient, determining for others in the department how severe patient’s condition is and how many resources they will need. During the triage process, there are several questions and commands that must be completed on every patient. New to the process, I was unfortunately missing some of the questions. In turn, this upset a number of the older, more experienced nurses, causing them to text my preceptor that I was not sufficiently trained. This upset me because I had no idea of my wrongdoing, for no one ever approached me to show me the correct method. Being the type of person that I am, I always look for resolution to problems. I then, sought out the nurse and approached her about the problem. I was sure to let her know that I was aware of the ridicule and I offered for her to show me the appropriate way to ask the triage questions. “For the sake of patient safety, healthcare professionals need to focus on our higher purpose—providing safe, effective patient care—and communicate respectfully with

each other” (Clark, 2015). 

To apply the DESC theory, the experienced nurse would have described to me the problem she had with me not asking all questions to the patient. Next, she would express her concern that the patient would not be adequately triaged. Following, she could then state alternatives as to how I may ask the questions. Lastly, she could have presented the consequences that the patient would eventually suffer, for the medical team might miss an important aspect of care, after not adequately being triaged. All in all, we as nurses have “professional and ethical obligation to foster civility and healthy work environments to protect patient safety” (Clark, 2019, p.64).

References

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

Cynthia M., C. (2019). Combining Cognitive Rehearsal, Simulation, and Evidence-Based Scripting to Address Incivility. Nurse Educator, (2), 64. https://doi-org.ezp.waldenulibrary.org/10.1097/NNE.0000000000000563

Griffin, M., & Clark, C. M. (2014). Revisiting cognitive rehearsal as an intervention against incivility and lateral violence in nursing: 10 years later. The Journal of Continuing Education in Nursing, 45(12), 535-542.  

Architect Daniel Libeskind is credited with saying “To provide meaningful architecture is not to parody history, but to articulate it.” The suggestion is that his work does not copy the efforts of others but relies on it.

Understanding the work of others is critically important to new work. Contributions to the nursing body of knowledge can happen when you are able to analyze and articulate the efforts of previous research. Research analysis skills are therefore critical tools for your toolbox.

In this Assignment, you will locate relevant existing research. You also will analyze this research using a tool helpful for analysis.

To Prepare:

• Reflect on the strategies presented in the Resources this Module’s Learning Resources in support of locating and analyzing research.
• Use the Walden Library to identify and read one peer-reviewed research article focused on a topic in your specialty field that interests you.
• Review the article you selected and reflect on the professional practice use of theories/concepts described by the article.

The Assignment:

Using the “Module 4 | Part 4” section of your Academic Success and Professional Development Plan Template presented in the Resources, conduct an analysis of the elements of the research article you identified. Be sure to include the following:

• Your topic of interest.
• A correctly formatted APA citation of the article you selected, along with link or search details.
• Identify a professional practice use of the theories/concepts presented in the article.
• Analysis of the article using the “Research Analysis Matrix” section of the template
• Write a 1-paragraph justification stating whether you would recommend this article to inform professional practice.
• Write a 2- to 3-paragraph summary that you will add to your Academic Success and Professional Development Plan that includes the following:
  • Describe your approach to identifying and analyzing peer-reviewed research.
  • Identify at least two strategies that you would use that you found to be effective in finding peer-reviewed research.
  • Identify at least one resource you intend to use in the future to find peer-reviewed research.

Note: Add your work for this Assignment to the original document you began in the Module 1 Assignment, which was built from the Academic Success and Professional Development Plan Template.

Assignment 5: Linear Regression

• Review the Statistics and Data Analysis for Nursing Research chapters that you read as a part of the Week 7 Learning Resources. As you do so, pay close attention to the examples presented—they provide information that will be useful for you to recall when completing the software exercises. You may also wish to review the Research Methods for Evidence-Based Practice video resources.
• Refer to the Week 7 Linear Regression Exercises page and follow the directions to calculate linear regression information using the Polit2SetA.sav data set.
• Compare your data output against the tables presented on the Week 7 Linear Regression Exercises SPSS Output document.
• Formulate an initial interpretation of the meaning or implication of your calculations.

To complete:

• Complete the “Simple Regression” and “Multiple Regression” steps and Assignments as outlined in the Week 7 Linear Regression Exercises page.

Family Nurse Practitioner vs Psychiatric Nurse Practitioner

Step 1: Comparison of Nursing Specialties

My selected specialty is psychiatric nurse practitioner

Use the space below to write 2-3 paragraphs comparing the nursing specialty you have selected – or the one you prefer if your choice is still under consideration – to your second preference. Identify each specialty and describe the focus and the role that graduates are prepared for. Identify any other differentiators you feel are significant, especially those that helped or may help you reach a decision.

Step 2: Justification of Nursing Specialty

Use the space below to write a paragraph identifying and justifying your reasons for choosing your MSN specialization. Be sure to incorporate any feedback you received from colleagues in this week’s Discussion Forum.

Step 3: Professional Organizations

Use the space below to identify and examine one professional organization related to your selected or preferred specialty. Explain how you can become a member of this organization.