Discussion Board Chapter 11

1. Why is the subject of workplace health and safety of concern to nurses? 

How are these concepts related to patient safety and patient outcomes? 

2. What action is suggested when you are faced with an angry or hostile coworker?

3. Why is substance misuse among nurses a serious concern? What is the most appropriate way to handle a suspicion that a coworker may be involved in serious substance misuse?

4. What is the most common physical injury experienced by LPNs and nursing assistants? How can a nurse manager help staff avoid physical injury at work? 

5. Describe several examples of sexual harassment in the workplace. Discuss methods of dealing with these instances.

6. Review the policies and procedures on the following safety issues in your current clinical rotation. Compare with other students in the class. What are the similarities and differences? What might this mean in terms of workplace safety? 

• Latex allergies

• Needlestick injuries

• Violence 

3. Go to the ANA website and explore the sections on workplace and patient safety under the heading “Professional Nursing Practice.” 

Which concepts discussed in these sections are particularly important to the beginning RN? Why? 

4. Interview one of the staff nurses on your unit. Explore his or her feelings and concerns related to the following topics. Based on the comments, develop strategies to address the concerns.

• Substance abuse among nurses

• Emergency preparation 

• Quality of work life within the organization

250 words or more

3 references 

APA citation

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Discussion Board Chapter 11

1. Why is the subject of workplace health and safety of concern to nurses? 

How are these concepts related to patient safety and patient outcomes? 

2. What action is suggested when you are faced with an angry or hostile coworker?

3. Why is substance misuse among nurses a serious concern? What is the most appropriate way to handle a suspicion that a coworker may be involved in serious substance misuse?

4. What is the most common physical injury experienced by LPNs and nursing assistants? How can a nurse manager help staff avoid physical injury at work? 

5. Describe several examples of sexual harassment in the workplace. Discuss methods of dealing with these instances.

6. Review the policies and procedures on the following safety issues in your current clinical rotation. Compare with other students in the class. What are the similarities and differences? What might this mean in terms of workplace safety? 

• Latex allergies

• Needlestick injuries

• Violence 

3. Go to the ANA website and explore the sections on workplace and patient safety under the heading “Professional Nursing Practice.” 

Which concepts discussed in these sections are particularly important to the beginning RN? Why? 

4. Interview one of the staff nurses on your unit. Explore his or her feelings and concerns related to the following topics. Based on the comments, develop strategies to address the concerns.

• Substance abuse among nurses

• Emergency preparation 

• Quality of work life within the organization

250 words or more

3 references 

APA citation

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Children’s Health Fund and National Breast Cancer Coalition (Due 48 hours)

1) Minimum 30 slides with spaker notes and 6 full pages (Follow the 3 x 3 rule: minimum three paragraphs per part)

              Part 1: Minimum 15 slides with speaker notes (all slides) and 3 full pages

              Part 2: Minimum 15 slides with speaker notes (all slides) and 3 full pages

             

Submit 1 document per part

2)¨******APA norms

          All paragraphs must be narrative and cited in the text- each paragraphs

          Bulleted responses are not accepted

          Dont write in the first person 

          Dont copy and pase the questions.

          Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

         Submit 1 document per part

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 7 references per part not older than 5 years

5) Identify your answer with the numbers, according to the question.

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.doc 

__________________________________________________________________________________

Part 1: 

Children’s Health Fund

1. Investigate the group’s key  issues

2. What is their mission

3. What is their legislative agenda

4. How is the agenda developed

5. How is it communicated to members

6. How is their agenda pushed and promoted (i.e., mechanisms used to engage/attract and influence policy makers)

7. What are the group’s current lobbying efforts; 

8. Key partner coalitions

9. Do their partnerships influence policies at the local, state or national level; 

10. key obstacles

11. Spending allocations (consult the Center for Responsible Politics, www.opensecrets.org).

In addition to investigating the interest group’s website and reviewing position statements and testimony, should consult media reports to obtain more information on the group’s current lobbying efforts. 

Should summarize their findings in a 3 pages.

Part 2: 

National Breast Cancer Coalition

1. Investigate the group’s key  issues

2. What is their mission

3. What is their legislative agenda

4. How is the agenda developed

5. How is it communicated to members

6. How is their agenda pushed and promoted (i.e., mechanisms used to engage/attract and influence policy makers)

7. What are the group’s current lobbying efforts

8. Key partner coalitions

9. Do their partnerships influence policies at the local, state or national level; 

10. key obstacles

11. Spending allocations (consult the Center for Responsible Politics, www.opensecrets.org).

In addition to investigating the interest group’s website and reviewing position statements and testimony, should consult media reports to obtain more information on the group’s current lobbying efforts. 

Should summarize their findings in a 3 pages.

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Dorothy Orem theory

 According to Dorothy Orem Theory  explain the role the selected nursing theory has/had in the evolution of healthcare 

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Applying Performance Improvement Tools

 

Imagine that, for about a year, your nursing unit has been involved in an intensive campaign to improve patient satisfaction scores with pain management. You are getting good data from your patients, as the length of stay on this inpatient geriatric medical nursing unit is only about 6 days. Your hospital does 100% survey to inpatients, and the response rate is about 25%, which is higher than it has been. This notwithstanding, the percent of “patient very satisfied” (top box), with a score of 5, has been in the low 70s. The national benchmark for medical surgical units like yours is about 85% very satisfied. Of all the units in your hospital, your unit is the lowest scoring on this HCAPHS survey. But as your unit is the only geriatric medical nursing unit in the hospital, you’d always thought it was the nature of the patient population.
You have been the day shift representative to the QI team, and the scores on your unit are posted monthly. Here are the numerous strategies that have been tried on your unit and the timeframes.

Document: Strategies and Interventions (PDF)–attached below

For this Discussion, examine the strategies and interventions tried in your unit and consider the following questions: a) Were the strategies effective in creating a sustainable change on your nursing unit, and b) To what extent can your nurse manager and CNO count on your unit exceeding the national benchmark in the next quarter, the next year? That is, does this run chart have some predictive ability? Does the run chart support the nursing unit’s decision to celebrate? To what extent can the leadership be confident that the trend will continue?

By Day 3

Based on the scenario, explain what was done successfully and where improvement was needed in the quality improvement process. Identify the performance improvement tools, and explain how they contributed to the outcome.

Support your response with references from the Resources and professional nursing literature. Your posts need to be written at the capstone level (see checklist).

This wks resources attached and follow:

https://support.microsoft.com/en-gb/office/use-charts-and-graphs-in-your-presentation-c74616f1-a5b2-4a37-8695-fbcc043bf526?ui=en-us&rs=en-gb&ad=gb

Notes Initial Post: This should be a 3-paragraph (at least 350 words) response. Be sure to use evidence from the readings and include in-text citations. Utilize essay-level writing practice and skills, including the use of transitional material and organizational frames. Avoid quotes; paraphrase to incorporate evidence into your own writing. A reference list is required. Use the most current evidence (usually ≤ 5 years old). (Refer to AWE Checklist, Capstone)

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Applying Performance Improvement Tools

 

Imagine that, for about a year, your nursing unit has been involved in an intensive campaign to improve patient satisfaction scores with pain management. You are getting good data from your patients, as the length of stay on this inpatient geriatric medical nursing unit is only about 6 days. Your hospital does 100% survey to inpatients, and the response rate is about 25%, which is higher than it has been. This notwithstanding, the percent of “patient very satisfied” (top box), with a score of 5, has been in the low 70s. The national benchmark for medical surgical units like yours is about 85% very satisfied. Of all the units in your hospital, your unit is the lowest scoring on this HCAPHS survey. But as your unit is the only geriatric medical nursing unit in the hospital, you’d always thought it was the nature of the patient population.
You have been the day shift representative to the QI team, and the scores on your unit are posted monthly. Here are the numerous strategies that have been tried on your unit and the timeframes.

Document: Strategies and Interventions (PDF)–attached below

For this Discussion, examine the strategies and interventions tried in your unit and consider the following questions: a) Were the strategies effective in creating a sustainable change on your nursing unit, and b) To what extent can your nurse manager and CNO count on your unit exceeding the national benchmark in the next quarter, the next year? That is, does this run chart have some predictive ability? Does the run chart support the nursing unit’s decision to celebrate? To what extent can the leadership be confident that the trend will continue?

By Day 3

Based on the scenario, explain what was done successfully and where improvement was needed in the quality improvement process. Identify the performance improvement tools, and explain how they contributed to the outcome.

Support your response with references from the Resources and professional nursing literature. Your posts need to be written at the capstone level (see checklist).

This wks resources attached and follow:

https://support.microsoft.com/en-gb/office/use-charts-and-graphs-in-your-presentation-c74616f1-a5b2-4a37-8695-fbcc043bf526?ui=en-us&rs=en-gb&ad=gb

Notes Initial Post: This should be a 3-paragraph (at least 350 words) response. Be sure to use evidence from the readings and include in-text citations. Utilize essay-level writing practice and skills, including the use of transitional material and organizational frames. Avoid quotes; paraphrase to incorporate evidence into your own writing. A reference list is required. Use the most current evidence (usually ≤ 5 years old). (Refer to AWE Checklist, Capstone)

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A Lyrical Expression Of Women’s Work Experience

A Lyrical Expression of Women’s Work Experience
Women’s work experience has been a defining discourse in society,  embedded with personal, social, political, and cultural values. Song  lyrics often embody these values and provide a perspective on the topic  of women’s work experience.
In the Week 1 Discussion, you selected song lyrics that reflected a  general social change theme related to women. In this week’s  Discussion, you also choose song lyrics. This time, though, you will  choose song lyrics that represent social change as it relates to women’s  work experience. In addition, you again explore the use of literary  techniques used in song lyrics. Remember to focus on the written words in the song and not the sound of the music that accompanies it.

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A survey of teenagers 12–17 indicated three circumstances in which they were more likely to use drugs:

the degree of stress they are under

       –  the frequency with which they were bored

       –  the amount of money they have to spend in a week

       Teens with $25 or more a week were more likely to smoke, drink, or use drugs than those with less money. Develop a teen drug prevention program and provide steps on how you would implement the program and what the important components of the program would be? 

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Nursing Leadership in a diverse society

This assignment will help you to understand emotional intelligence (EI) 

Using the South University Online Library or the Internet, research about EI theories, communication styles, team building, and decision making. Go to the website berkeley.edu and take the quiz.

Based on your research and understanding, create a 3- to 4-page Microsoft Word document that:

Describe how your EI level can either enhance or hinder effective leadership in the health care environment.

Discuss the results of the EI Quiz (see attachment).

On a separate references page, cite all sources using APA 7 format. Use current references 

Please note that the title and reference pages should not be included in the total page count of your paper.

Submission Details

  • Support your responses with examples and a conclusion.
  • On a separate references page, cite all sources using APA 7 format.

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Nursing Leadership #3

  

Gina is the charge nurse of the 3:00 PM to 11:00 PM shift on the acute care unit where you have worked for 18 months since your graduation. Your supervisor has asked you if you would like to learn the duties of the relief charge nurse. You were thrilled that she approached you for this position. Because it was a relief position, it was permissible for your supervisor to appoint you and not necessary for you to formally apply for the position. One day each week, for the last 2 weeks, you have been working with Gina about the responsibilities of the position. There are several things Gina does that bother you, and you are not sure what you should do. For example, if used supplies were inadvertently not charged to patients at the time of service, Gina admitted she would just charge them to whoever patients she thought were likely to have used them. When you questioned Gina about this, she said, “Well, at the end of the day, the unit needs to make sure that all supplies have been charged for, or the CFO will be after all of us. It is one of the charge nurses’ responsibilities, and I don’t have time to chase everyone down to find the correct patient to charge and besides everyone has insurance and so it does not come out of the patient’s pocket. Most importantly, we must make sure the hospital gets reimbursed or we won’t have our jobs.” In addition, when Gina does the staffing correlation for the upcoming shift, you notice that she fudges a bit and makes sure the night shift is given credit for needing more staff than they need. When questioned, she said, “Oh, we have to take care of each other, better too much staff than not enough.” You think Gina’s actions are unethical, but you do not know what to do about it. It does not directly harm a patient, but you feel uncomfortable about what she is doing and feel it is not the ethical thing to do. 

ASSIGNMENT:   You have many options here including doing nothing. Using the MORAL ethical problem-solving model, solve this case and compare your solution with others in your class.

Making Sound Staffing Decisions 

You are the staffing coordinator for a small community hospital. It is now 12:30 PM, and your staffing plan for the 3:00 PM to 11:00 PM shift must be completed no later than 1:00 PM. (The union contract stipulates that any “call offs” that must be done for low census must be done at least 2 hours before the shift begins; otherwise, employees will receive a minimum of 4 hours of pay.) You do, however, have the prerogative to call off staff for only half a shift (4 hours). If they are needed for the last half of the shift (7:00 PM to 11:00 PM), you must notify them by 5:00 PM tonight. A local outside registry is available for supplemental staff; however, their cost is two and a half times that of your regular staff, so you must use this resource sparingly. Mandatory overtime is also used but only as a last resort. The current hospital census is 52 patients, although the emergency department (ED) is very busy and has four possible patient admissions. There are also two patients with confirmed discharge orders and three additional potential discharges on the 3:00 PM to 11:00 PM shift. All units have just submitted their patient classification system (PCS) calculations for that shift. You have five units to staff: the intensive care unit (ICU), pediatrics, obstetrics (includes labor, delivery, and postpartum), medical, and surgical departments. The ICU must be staffed with a minimum of a 1:2 nurse–patient ratio. The pediatric unit is generally staffed at a 1:4 nurse–patient ratio and the medical and surgical departments at a 1:6 ratio. In obstetrics, a 1:2 ratio is used for labor and delivery, and a 1:6 ratio is used in postpartum. On reviewing the staffing, you note the following: 

Intensive Care Unit Census = 6. Unit capacity = 8. The PCS shows a current patient acuity level requiring 3.2 staff. One of the potential admissions in the ED is a patient who will need cardiac monitoring. One patient, however, will likely be transferred to the medical unit on 3:00 PM to 11:00 PM shift. Four registered nurses (RNs) are assigned for that shift. 

Pediatrics Census = 8. Unit capacity = 10. The PCS shows a current acuity level requiring 2.4 staff. There are two RNs and one certified nursing assistant assigned for the 3:00 PM to 11:00 PM shift. There are no anticipated discharges or transfers. 

Obstetrics Census = 6. Unit capacity = 8. Three women are in active labor, and three women are in the postpartum unit with their babies. Two RNs are assigned to the obstetrics department for the 3:00 PM to 11:00 PM shift. There are no in-house staff on that shift who have been cross trained for this unit. 

Medical Floor Census = 19. Unit capacity = 24. The PCS shows a current acuity level requiring 4.4 staff. There are two RNs, one licensed vocational nurse, and two certified nursing assistants assigned for the 3:00 PM to 11:00 PM shift. Three of the potential ED admissions will come to this floor. Two of the potential patient discharges are on this unit. 

Surgical Floor Census = 13. Unit capacity = 18. The PCS shows a current acuity level requiring 3.6 staff. Because of sick calls, you have only one RN and two certified nursing assistants assigned for the 3:00 PM to 11:00 PM shift. Both confirmed patient discharges as well as one of the potential discharges are from this unit. 

ASSIGNMENT:   Answer the following questions: 

1.  Which units are overstaffed, and which are understaffed? 

2.  Of those units that are overstaffed, what will you do with the unneeded staff?

3.  How will you staff units that are understaffed? Will outside registry or mandatory overtime methods be used?

4.  How did staffing mix and PCS acuity levels factor into your decisions, if at all?

5.  What safeguards can you build into the staffing plan for unanticipated admissions or changes in patient acuity during the shift?

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