I am only responsible for the introduction (300 words) of a group assignment. You will find all directions below:

As a team consider the following scenario:

On Dec. 7, 2000, the Cincinnati OSHA office heard through media and police reports that there were two deaths at a nursing home in Ohio. OSHA determined that the FDA should take a lead role in performing an investigation.

Since the nursing home had many residents who had unhealthy respiratory systems, the nursing home routinely ordered and received tanks that contained pure oxygen. During one delivery, the supplier mistakenly delivered one tank of pure nitrogen in addition to the three tanks of pure oxygen that had been ordered. The nitrogen tank had both an oxygen and nitrogen label. An employee at the nursing home connected the nitrogen tank to the nursing home’s oxygen delivery system. This event caused two nursing home residents to die, and three additional nursing home residents were admitted to hospitals in critical condition. Within the following month, two of these three additional residents also died, bringing the total death toll to four.

Note: Based on accident # 837914 www.osha.gov.

Write a 1,050- to 1,400-word paper in which your team compares the Normal Accident Theory to the Culture of Safety model.

Include the following in your paper:

• Explain what factors can play a role in organizational accidents similar to the one highlighted in the scenario:
  • How can organizational processes give rise to potential failures?
  • How can certain conditions influence errors and violations within the workplace? (e.g., operating room, pharmacy, intensive care unit)
  • The errors and violations committed by “sharp end” individuals
  • How the breaching of defenses or safeguards affect these accidents
• Explain why the FDA, not OSHA, was responsible for investigating this case.
• Explain how the Culture of Safety model could have been applied to reduce risk in this scenario.
• Explain the five general principles used in the Culture of Safety model.
• Explain actions that could have been taken to manage risk by applying each of the five general principles used in the Culture of Safety model to this scenario.

Cite at least 3 peer-reviewed, scholarly, or similar references and your textbook to support your information.

Format your paper according to APA guidelines.

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

Access the following information. You may read the PDF online or download it.

American Nurses Association. (2014). Fast facts: The nursing workforce 2014: Growth, salaries, education, demographics & trends. ANA. Retrieved from http://nursingworld.org/MainMenuCategories/ThePracticeofProfessionalNursing/workforce/Fast-Facts-2014-Nursing-Workforce.pdf (Links to an external site.)Links to an external site.

Review these facts, and describe what the results say about this sample of the nursing workforce. What do you believe was the intent of the researcher who designed the survey?

The next process for our study is to collect data. The research design will indicate the best data to be collected. The tools that we use to collect data need to be reliable and valid. Define these terms with respect to research, and explain why they are important.

Consider data collection and measurement methods for your nursing clinical issue. Explain how you would collect data and what measurement methods you would use.

When you read research publications, pay special attention to instruments used for data collection. Were the instruments developed specifically for the study or did another investigator use them previously? Regardless of the instrument being new or previously used, try to identify how did investigators ensure reliability of the instrument. Did the authors mention about conducting special testing of the instrument? Also, if primary investigator wanted to have a study assistant to help with data collection, how would he/she ensure another person is just as reliable in using the same instrument?

Here is something to think about: an investigator identifies an instrument that has a very specific timeline for assessment (in the last 2 weeks). The original instrument was designed to assess patients’ psychological and pain status in the last 2 weeks; however, in the current study the investigator wants to evaluate responses to a therapy within 24 hours. The investigator proposes to use the same instrument, but decides to modify the timeline to read “in the last 24 hours.”

In this particular case, the reliability and validity of the instrument will be significantly compromised, because the instrument was designed to assess patients’ responses looking back in the last 2 weeks. Even the questions were worded specifically to evaluate a significantly longer timeline.

In clinical practice, you might find different instruments and scales available for assessments of pressure ulcers, fall risk, pain, nausea, and sedation. Does every organization use the same scales? Does every nurse use the same scales?

In research, it is very important that study team members are using the same instrument. Furthermore, some training might be necessary to ensure inter-rater reliability (Houser, 2018). Individual nurses might have their own preferences and interpretations of scales; therefore, it is very important for investigators to perform calculations to ensure stability of measurements across study team members (Burns, 2014).

Development of a survey study requires a systematic and step-wise approach to ensure validity and reliability of the instrument that will be used to collect data. The quality of collected data will ultimately determine the quality of the results (Houser, 2018). Many of you may have heard a very familiar phrase, “garbage –in garbage-out,” meaning your outcomes and results depend on the data or information collected (Chamberlain College of Nursing, 2017). As you complete this week’s lesson and reading, you should be able to identify the methodology employed by this researcher. Pay special attention to differentiate between primary and secondary data

Burns, M. (2014). How to establish interrater reliability. Nursing 2016, 44(10), 56-58. doi: 10.1097/01.NURSE.0000453705.41413.c6

Chamberlain College of Nursing. (2017). NR-439 Week 5: Implementing the study, data collection methods [Online Lesson]. Downers Grove, IL: DeVry Education Group.

Houser, J. (2018). Nursing research: Reading, using, and creating evidence (4th ed.) Sudbury, MA: Jones and Bartlett.

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

Transformational Nursing Leaders

No unread replies.No replies.

This week’s graded discussion topic relates to the following Course Outcome (CO).

• CO7 Apply leadership concepts in the development and initiation of effective plans for the microsystems and system-wide practice improvements that will improve the quality of healthcare delivery. (POs 2 and 3)

Review Appendix A, Sections I–V in Finkelman (2016).

1. Select one of the sections and share how your chief nurse executive demonstrates expertise in these competencies. Your comments should be about the “highest nursing leader” in your organization. Typically this is the leader who represents nurses and nursing to the governing board.
2. In your own words, explain the differences between a transactional nursing leader and a transformational nursing leader. What one is more like your Nurse Executive?
3. Describe how the Nurse Executive “leads the charge” for transformational leadership in an organization where you work or have done prelicensure clinical experiences.

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

Select a nurse that historically contributed to the advancement of the profession. Write a 2-3 page paper that responds to the following questions. Identify the nurse and his/her background and complete the following:

1. Provide a brief description of the major social issues occurring at the time this nurse lived
2. Describe two contributions made to nursing
3. Discuss how these two unique contributions influenced nursing as we know it today
4. Minimum length 2-3 pages not including cover or referencing. APA formatting with referencing and in text citation.

You may use your textbook, readings and the following for background information.

ANA Hall of Fame

American Association for the History of Nursing

Museum of Nursing History – Slide Show Gallery

Strout, K. (2012). Wellness promotion and the Institute of Medicine’s future of nursing report: Are nurses ready?Holistic Nursing Practice 26(3), 129-136.

This assignments must have accurate spelling and grammar and use APA Editorial Format for sources and reference.

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"