Read Chapter 8

1. Describe a situation in which the nurse manager would use problem resolution in the workplace. Describe a situation in which the nurse manager would use negotiation to resolve a conflict (or potential conflict) in the workplace. 

2. Compare and contrast strategies for resolving a conflict, using first the informal negotiation method and then the formal negotiation method. 

3. Explore the American Nurses Association website for information on collective bargaining for nurses. Which states have nursing unions? Debate the issue of joining a union with another group of students. 

4. PART 1: Log onto the website of your state nurses association and search for information on collective bargaining. Search for news articles, union websites, and other recent information on collective bargaining for nurses in your state. Is there a great deal of collective bargaining activity in your state? If not, why? If yes, what are the primary issues under discussion?

PART 2: Review the pros and cons of becoming part of a collective bargaining unit. If you were a full-time staff nurse, would you want to join a union? Why or why not? 

Use this book as reference: L., & Huston, C. J. (2021). Leadership roles and management functions in nursing (10th ed.). Philadelphia, PA: Wolters Kluwer.

ISBN:978-1-975139-21-6

Week 6 Discussion: Social Institutions and Health

Required Resources
Read/review the following resources for this activity:

• Textbook: Chapters 11, 12, 14
• Lesson
• Minimum of 1 outside scholarly source

Initial Post Instructions
For this discussion, we will consider if the social world can be bad for your health and/or if social institutions can improve your health.

For the initial post, examine ways that some of the social institutions studied this week (the family, the educational system, or religions) might affect the health (physical, mental, spiritual) of the people in the institution. Also, consider behaviors, practices, or experiences of specific demographic groups in the United States related to the social institutions studied this week (the family, the educational system, or religions) and examine ways specific demographic groups’ health could be affected positively or negatively.

For the initial post, respond to one of the following options, and label the beginning of your post indicating either Option 1 or Option 2 or Option 3:

• Option 1:What are some effects of family life on health?
• Option 2:How might the educational system in the United States affect the health of American children?
• Option 3: How might health outcomes be affected by religious practices of members of varying religions in the United States? Are there other behaviors, outside of formal religious practice or formal religious ceremonial observances, such as dietary requirements or other behavioral requirements of members of religious institutions in the United States that might affect their health, either directly or indirectly?

Writing Requirements

• Minimum of 3-4 paragraphs
• APA format for in-text citations and list of references (3-4 included the book)
• Include citations from at least the assigned textbook/lesson reading and one additional outside scholarly source to support your response.

Criteria

Content: Addresses all aspects of the initial discussion question(s), applying experiences, knowledge, and understanding regarding all weekly concepts.

Evidence & Sources: Integrates evidence to support discussion from assigned readings** OR online lessons, AND at least one outside scholarly source.*** Sources are credited.*

Professional Communication: Presents information using clear and concise language in an organized manner (minimal errors in English grammar, spelling, syntax, and punctuation).

Scholarly source – per APA Guidelines, only scholarly sources should be used in assignments. These include peer-reviewed publications, government reports, or sources written by a professional or scholar in the field. 

School book to use also as reference: Kendall, D. E. (2018). Sociology in our times: The essentials. Boston MA:   Learning

It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.

Evaluate the Health History and Medical Information for Mr. M., presented below.

Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.

Health History and Medical Information

Health History

Mr. M., a 70-year-old male, has been living at the assisted living facility where you work. He has no know allergies. He is a nonsmoker and does not use alcohol. Limited physical activity related to difficulty ambulating and unsteady gait. Medical history includes hypertension controlled with ACE inhibitors, hypercholesterolemia, status post appendectomy, and tibial fracture status postsurgical repair with no obvious signs of complications. Current medications include Lisinopril 20mg daily, Lipitor 40mg daily, Ambien 10mg PRN, Xanax 0.5 mg PRN, and ibuprofen 400mg PRN.

Case Scenario

Over the past 2 months, Mr. M. seems to be deteriorating quickly. He is having trouble recalling the names of his family members, remembering his room number, and even repeating what he has just read. He is becoming agitated and aggressive quickly. He appears to be afraid and fearful when he gets aggressive. He has been found wandering at night and will frequently become lost, needing help to get back to his room. Mr. M has become dependent with many ADLs, whereas a few months ago he was fully able to dress, bathe, and feed himself. The assisted living facility is concerned with his rapid decline and has decided to order testing.

Objective Data

1. Temperature: 37.1 degrees C
2. BP 123/78 HR 93 RR 22 Pox 99%
3. Denies pain
4. Height: 69.5 inches; Weight 87 kg

Laboratory Results

1. WBC: 19.2 (1,000/uL)
2. Lymphocytes 6700 (cells/uL)
3. CT Head shows no changes since previous scan
4. Urinalysis positive for moderate amount of leukocytes and cloudy
5. Protein: 7.1 g/dL; AST: 32 U/L; ALT 29 U/L

Critical Thinking Essay

In 750-1,000 words, critically evaluate Mr. M.’s situation. Include the following:

1. Describe the clinical manifestations present in Mr. M.
2. Based on the information presented in the case scenario, discuss what primary and secondary medical diagnoses should be considered for Mr. M. Explain why these should be considered and what data is provided for support.
3. When performing your nursing assessment, discuss what abnormalities would you expect to find and why.
4. Describe the physical, psychological, and emotional effects Mr. M.’s current health status may have on him. Discuss the impact it can have on his family.
5. Discuss what interventions can be put into place to support Mr. M. and his family.
6. Given Mr. M.’s current condition, discuss at least four actual or potential problems he faces. Provide rationale for each.

You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. 

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

 The DNP scholar, who is seeking to learn more about the different types of inquiry, Research, Quality Improvement, and Evidence-based practice, will bridge the gap between knowledge, research, application, and translation of evidence to nursing practice. There will be interrelationships between nursing practice, education, theory, and research. A systematic review is an important tool for the DNP scholar who is seeking evidence (Polit & Beck, 2017). Dang & Dearholt inform us that systematic reviews utilize meta-synthesis and meta-analysis to analyze the results of several studies. Therefore, these two most reliable methods and the highest standards in evidence-based care could lead the DNP scholar; further determine the effects of nursing interventions, prevention, treatment, and rehabilitation. Case-controlled studies, case series, and case reports make the DNP do in depth research of individual units, which gives insight into the specific intervention. Cohort studies considered observational studies where the DNP scholar can be able to answer questions on the disease etiology, diagnosis, and prognosis except interventions. DNP scholar uses random control trials to measure the different interventions therefore make the best clinical decision on the outcome of each intervention. Critically appraised individual articles are less reliable however, it helps to assess the outcomes for evidence doing an individual study. Critically appraised topics help to understand the strength of evidence provided and creates an understanding on how to evaluate and synthesize multiple research studies. The least reliable evidence yet helpful for the DNP scholar is the ideas, opinions anecdotes, and editorials. It is crucial as a DNP scholar to understand the pyramid of evidence (all seven levels) and to identify the levels needed for their study. 

Upon reviewing the multiple facilities offering healthcare administration support and services, discuss the following:

• What are the healthcare administrative/management job opportunities in these organizations?
• How are these organizations interrelated?
• What type of support do these organizations offer direct care facilities?
• Identify one available position in which you are interested and discuss the KSAs needed to secure the position.

1000 words atleast 3 references in APA format not more than 5years.