Introduction To Leadership (Concepts And Practice)

For this assignment, use a minimum of three scholarly references and it should be approximately three to four pages long, not counting the cover page or references list. APA style. Free of plagiarism.

Include the following:

Application: Of the six dimensions in the questionnaire (trait, ability, skill, behavior, relationship, and process).

Which one is the most similar to your own perspective? Which one is least like your own perspective? develop about this topic.

Note: The six dimensions in the questionary are already explained, please only refer and develop to the one that is most similar to mine perspective (skill), and my least likely perspective (process).

Evaluation: What do your scores imply about your view of nurses as leaders versus managers? How are the results of this questionnaire beneficial to you as a leader?

Attached, you will find a pic of the “1.2 Conceptualizing Leadership Questionnaire”.

1.3 Observational Exercise.

Attached, you will find the pics with the instructions and questions that need to be answered.

Assignment is half way done, also attached you will find the pictures needed to complete this assignment. 

 

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Develop a one-page diagram of theoretical foundation for your project/program

A logic model or program theory is a description or model frequently pictorial of how a program is supposed to achieve its expected outcomes and solve the identified problem for which it was created. It creates a logical links between expected outcomes and the activities designed to achieve them and incorporates the evidence-based theoretical assumptions that explain how the activities will lead to outcomes. A program theory or logic model is NOT the theoretical framework on which your project is based although it may be related to a theoretical framework. A theoretical or conceptual framework is a general theory that explains why some things happen. A program theory or logic model is unique to your project and explains how it is supposed to work.

Assignment Prompt

  1. Develop a one-page diagram of theoretical foundation for your project/program, describing how and why your project should achieve the desired outcome. Add references on the second page. You may arrange items in the diagram in any way you choose, but the diagrams should include each of the following components and show the logical connections between them:
    1. The need or problem to be addressed by the project/program with supporting data
    2. The context for the project/program (attach a reference list with your diagram)
    3. The strategy (ies) proposed to address the need/problem
    4. The evidence base for the proposed strategies (attached a reference list with your diagram)
    5. Factors that will influence the use of strategy
    6. The expected outcomes of the project/program
    7. The resulting impact of the project/program if the outcomes are achieved
 

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Report Of Project: Audio-Visual Presentation

In this forum, your initial post will be made as a group (using the same group you self-selected and self-enrolled to earlier in the course). This means there should be one initial post/group. This discussion is an opportunity to share your final QI Report project as a whole and receive peer feedback.

Instructions:

This is a group assignment. You will develop a professional audio-visual presentation approximately 10-12 slides in length. The presentation should have bullets summarizing the sections of your QI Report of Project. Prepare the presentation as if you were presenting it at your agency and/or a professional conference. 

You should include the following:

  • Submit audio-visual presentation, including the following slides:
    • Title (1 slide)
    • Background of Problem (2 slides)
    • Analysis of Problem (3-4 slides)
    • Action Plan (3-4 slides)
    • List of References (1)

The presentation should be professional in nature; minimize or eliminate “filler” words (e.g., “uh,” “like,” “you know”), slang, and disorganized thoughts. Be sure you speak clearly and at an appropriate pace. Slide should contain plenty of white space and be readable to the audience. 

Please clearly indicate using printed text (i.e., not audio) all group members’ names involved in this assignment.

title:  Hospital Acquired Pressure Ulcers (HAPU)

background of the problem(2 slides):  Over the years, hospital acquired pressure ulcers (HAPU) have been a major concern in hospitalized patients.“More than 2.5 million patients in the United States suffer from pressure ulcers in acute care facilities annually; sixty thousand of those patients die related to the complications of pressure ulcers” (Paul, Hanson, Hasenau & Dunn, 2013, p. 32).HAPU’s are more prevalent amongst patients with restricted/impaired mobility.Because patients are often very ill once admitted to an acute care setting, skin assessments and prevention measures are often delayed after admission.It is stated that “pressure ulcers contribute to extended length of hospital stay, infections, amputations, increased need for specialty consults, increased nursing time, and to the potential for hospital readmission”

Analysis of Problem (3-4 slides):  According to the case study, HAPU rates on Unit B have risen significantly over the past 6 months.There is one Wound and Skin Care Nurse (WSCN), servicing the entire facility Monday-Friday from 8a-5p.The WSCN visits patients based on a computer generated list of patients at risk for skin breakdown.A problem arises when patients that need to be seen do not populate onto the daily list.The WSCN provides all the treatments due to the fact that direct care nurses state that they are not familiar with how to care for the patient with skin breakdown unless the WSCN provides specific directions.Missed OpportunitiesFloor nurses don’t know the best available evidence for prevention of skin breakdown.Patients are only assessed once during the midnight shift.In order for patients to be seen by the WSCN they must appear on a computer-generated list.

Action Plan (3-4 slides):  Frequent position changes (at least every two hours)Avoid friction and shear when repositioning.

When repositioning, use proper technique.

Implement pressure relieving mattresses or surfaces.

Avoid turning patient on an area that is already reddened related to pressure.

For pressure ulcer prevention, do not rub or massage area.

Emollients can be used to hydrate the skin.

Barrier creams to protect skin from increased moisture.

Frequent skin assessments per protocol.

Nutritional risk assessments with interventions.

Additional protein supplements in additional to their regular diet 

 

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Reflect on the role of a nurse leader as a knowledge worker.

To Prepare:

  • Review the concepts of informatics as presented in the Resources.
  • Reflect on the role of a nurse leader as a knowledge worker.
  • Consider how knowledge may be informed by data that is collected/accessed.

The Assignment:

  • Explain the concept of a knowledge worker.
  • Define and explain nursing informatics and highlight the role of a nurse leader as a knowledge worker.
  • Develop a simple infographic to help explain these concepts.

    NOTE: For guidance on infographics, including how to create one in PowerPoint, see “How to Make an Infographic in PowerPoint” presented in the Resources.

  • Your PowerPoint should Include the hypothetical scenario you originally shared in the Discussion Forum. Include your examination of the data that you could use, how the data might be accessed/collected, and what knowledge might be derived from that data. Be sure to incorporate feedback received from your colleagues’ responses.

This is the discussion

Nursing informatics is defined as the combination of nursing science, information science, and computer science (McGonigle, D., & Mastrian, K. G.,2 018). “Nursing informatics roles have taken many forms in focus and function over the last decades. Whereby the role of nursing informatics specialists will continue to evolve at an increasingly rapid rate in the and unfolding of new health care paradigms and connectivity between care providers and patients” (Nagle, L. M., Sermeus, W. & Junger, A. (2017). My focus is on how my current and previous experiences in different organizations collect blood samples/specimens from patients. Organizations should utilize existing data such as the patient’s hand band and employee identification card or numbers more efficiently. When drawing a patient’s blood sample, it should require a scan by the staff drawing the blood specimen. All employee already has an identification number, and patients have a medical identification number that is already in use for other purposes, such as when administering medications.

After the employees scan their badge or input, their identification first, then they will proceed to scanning the patient identification band before collecting the blood sample/ specimens.  scanning patient’s wrist band and employee badge will assist in determining the accurate time the blood sample was collected, the time it was received in the lab, and when the results are recorded into patients records or nurses is informed of the outcome. In some cases, I personally place multiple calls to the laboratory to get lab results for my patient. The laboratory stating the specimen is processing. When the specimen results are finally ready, the time that the sample was received initially is the time the laboratory documents the specimen results. Furthermore, a nurse leader should collect data from patients scheduled lab orders from the time the order is placed, specimen collections time, time received in laboratory and the time the results is available to other clinicians. By doing this, it will eliminate the delay, discrepancies of specimens among nurses, laboratory staffs, and provide timely efficient treatments from physicians.

 

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Achieving the BSN as the entry degree for professional nursing practice

Please answer the following Discussion Question.  Please be certain to answer the three questions on this week DQ and to provide a well-developed and complete answer to receive credit.  Also, please ensure to have read the assigned chapters for the current week. 

Q 1: Case Study, Chapter 1, Entry Into Practice: The DThe entry-into-practice debate in the United States continues to be one of the oldest and hottest professional issues nurses face as we enter the second decade of the 21st century. It appears that little progress has been made since 1965 in creating a consensus to raise the entry level into professional nursing practice, although experts do not agree even on that issue. Your neighbors ask you for information about considerations for selection of an appropriate nursing eduhild.

1. Your neighbor is confused because both ADN and BSN schools preparing graduates for RN licensure meet similar criteria for state board approval and have roughly the same number of nursing coursework units. How would you summarize the arguments for changing or not changing the nursing entry level?

2. There is current evidence-based research that explores the impact of registered nurse educational level on patient outcomes. What does the current evidence-based research conclude about the impact of RN educational level on patient outcomes?

3. Achieving the BSN as the entry degree for professional nursing practice will take the best thinking of our nursing leaders. What will it require in order to successfully achieve the BSN as the entry degree for professional nursing practice?

 

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Review the Application Assignment Rubric found under Course Information

Jennifer is a 2-year-old female who presents with her mother. Mom is concerned because Jennifer has been “running a temperature” for the last 3 days. Mom says that Jennifer is usually healthy and has no significant medical history. She was in her usual state of good health until 3 days ago when she started to get fussy, would not eat her breakfast, and would not sit still for her favorite television cartoon. Since then she has had a fever off and on, anywhere between 101oF and today’s high of 103.2oF. Mom has been giving her ibuprofen, but when the fever went up to 103.2oF today, she felt that she should come in for evaluation. A physical examination reveals a height and weight appropriate 2-year-old female who appears acutely unwell.  Her skin is hot and dry. The tympanic membranes are slightly reddened on the periphery, but otherwise normal in appearance. The throat is erythematous with 4+ tonsils and diffuse exudates. Anterior cervical nodes are readily palpable and clearly tender to touch on the left side. The child indicates that her throat hurts “a lot” and it is painful to swallow. Vital signs reveal a temperature of 102.8oF, a pulse of 128 beats per minute, and a respiratory rate of 24 beats per minute.

Scenario 2:

Jack is a 27-year-old male who presents with redness and irritation of his hands. He reports that he has never had a problem like this before, but about 2 weeks ago he noticed that both his hands seemed to be really red and flaky. He denies any discomfort, stating that sometimes they feel “a little bit hot,” but otherwise they feel fine. He does not understand why they are so red. His wife told him that he might have an allergy and he should get some steroid cream. Jack has no known allergies and no significant medical history except for recurrent ear infections as a child. He denies any traumatic injury or known exposure to irritants. He is a maintenance engineer in a newspaper building and admits that he often works with abrasive solvents and chemicals. Normally he wears protective gloves, but lately they seem to be in short supply so sometimes he does not use them. He has exposed his hands to some of these cleaning fluids, but says that it never hurt and he always washed his hands when he was finished.

Scenario 3:

Martha is a 65-year-old woman who recently retired from her job as an administrative assistant at a local hospital. Her medical history is significant for hypertension, which has been controlled for years with hydrochlorothiazide. She reports that lately she is having a lot of trouble sleeping, she occasionally feels like she has a “racing heartbeat,” and she is losing her appetite. She emphasizes that she is not hungry like she used to be. The only significant change that has occurred lately in her life is that her 87-year-old mother moved into her home a few years ago. Mom had always been healthy, but she fell down a flight of stairs and broke her hip. Her recovery was a difficult one, as she has lost a lot of mobility and independence and needs to rely on her daughter for assistance with activities of daily living. Martha says it is not the retirement she dreamed about, but she is an only child and is happy to care for her mother. Mom wakes up early in the morning, likes to bathe every day, and has always eaten 5 small meals daily. Martha has to put a lot of time into caring for her mother, so it is almost a “blessing” that Martha is sleeping and eating less. She is worried about her own health though and wants to know why, at her age, she suddenly needs less sleep.

To Prepare

Review the three scenarios, as well as Chapter 6 in the Huether and McCance text.

Identify the pathophysiology of the disorders presented in each of the three scenarios, including their associated alterations. Consider the adaptive responses to the alterations.

Review the examples of “Mind Maps—Dementia, Endocarditis, and Gastro-oesophageal Reflux Disease (GERD)” media in this week’s Learning Resources. Then select one of the disorders you identified from the scenarios. Use the examples in the media as a guide to construct a mind map for the disorder you selected. Consider the epidemiology, pathophysiology, risk factors, clinical presentation, and diagnosis of the disorder, as well as any adaptive responses to alterations.

  • Review the Application Assignment Rubric found under Course Information

To Complete

Write a 2- to 3-page paper excluding the title page, reference page and Mind Map that addresses the following:

  • For each of the three scenarios explain the pathophysiology, associated alterations and the patients’ adaptive responses to the alterations caused by the disease processes.  You are required to discuss all three scenarios within the paper component of this assignment.
  • Construct one mind map on a selected disorder presented in one of the scenarios. Your Mind Map must include the epidemiology, pathophysiology, risk factors, clinical presentation, and diagnosis of the disorder, as well as any adaptive responses to alterations.
 

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Explain how the factor you selected might influence the pharmacokinetic and pharmacodynamic

APA 3-page paper with at least 4 references that addresses the following:

  • 1. Select one the following factors: genetics, gender, ethnicity, age, or behavior factors.
  • 2. Explain how the factor you selected might influence the pharmacokinetic and pharmacodynamic processes in the patient from the case study above.
  • 3. Describe how changes in the processes might impact the patient’s recommended drug therapy. Be specific and provide examples.
  • 4. Explain how you might improve the patient’s drug therapy plan and explain why you would make these recommended improvements.
  • CASE STUDY: Patient CB has a history of strokes. The patient has been diagnosed with type 2 diabetes, hypertension, and hyperlipidemia. Drugs currently prescribed include the following: 
  • Glipizide 10 mg po daily
  • HCTZ 25 mg daily
  • Atenolol 25 mg po daily
  • Hydralazine 25 mg qid
  • Simvastatin 80 mg daily
  • Verapamil 180 mg CD daily
 

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Identify the teaching strategies that can be used in Coaching and Teaching

Module 10: Clinical case: Coaching and Teaching

Mrs. E. is 69 years old and was admitted for extremely high blood pressure which caused her to be dizzy and fall at home. She sprained her wrist and had multiple bruises and complained of some chest pain. She is a widow and lives with her two dogs. Her children live in the next state and try to visit her often. She does have one sister and brother-in-law who live in the same city. Mrs. E. has been relatively healthy during her life but since her husband passed away from a massive heart attack last year she has not been as active as she had been. She also has found it difficult to make meals only for herself. As a result, she has lost 15 pounds in the last year, she was already quite thin. Mrs. E. is a devout Christian and was born in India and emigrated to the United States when she was married due to her husband’s profession. She misses her husband and her children and does not like to visit her doctor hence the untreated hypertension. During her hospital stay amlodipine 2.5 mg/day was prescribed.

Submit an individual assignment. You may use any books or other resources or references to complete this assignment. Use APA Editorial Format for all citations and references.

  1. List the goal for this teaching/coaching plan
  2. Describe three teaching resources
  3. Identify the teaching strategies that can be used
  4. List the specific instructions that may be needed      regarding her medication and what adverse reactions to be aware of/and      what to do
  5. Identify two factors that may negatively influence      adherence to the medication and how they can be overcome
  6. Describe how to include the family
  7. Provide information on how and when she should seek      support and help
 

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Reflect on the competing needs in healthcare delivery as they pertain to the national healthcare

Quite often, nurse leaders are faced with ethical dilemmas, such as those associated with choices between competing needs and limited resources. Resources are finite, and competition for those resources occurs daily in all organizations.

For example, the use of 12-hour shifts has been a strategy to retain nurses. However, evidence suggests that as nurses work more hours in a shift, they commit more errors. How do effective leaders find a balance between the needs of the organization and the needs of ensuring quality, effective, and safe patient care?

In this Discussion, you will reflect on a national healthcare issue and examine how competing needs may impact the development of polices to address that issue. 

To Prepare:

  • Review the Resources and think about the national healthcare issue/stressor you previously selected for study in Module 1.
  • Reflect on the competing needs in healthcare delivery as they pertain to the national healthcare issue/stressor you previously examined.

Post an explanation of how competing needs, such as the needs of the workforce, resources, and patients, may impact the development of policy. Then, describe any specific competing needs that may impact the national healthcare issue/stressor you selected. What are the impacts, and how might policy address these competing needs? Be specific and provide examples.

 

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