What are the challenges for management?

Your facilitator assigns each Learning Team a case study scenario from the University of Phoenix Material: Week Five Learning Team Case Studies. You are a new management team appointed to finding a solution to your given scenario.

Case Scenario 1

The Director Team at St. Francis Nursing Home has been asked to create and implement a program to retain nurses. Nursing staff collectively felt that their administration did not fully understand a nurse’s job duties and did not provide a way for the nurses to share their concerns about the work environment. Morale is low, and nurses have been resigning at a rapid pace. They are currently at a turnover rate of 22%. 

Use the steps of the decision-making process regarding your assigned scenario.

Create a 4-slide Microsoft® PowerPoint® presentation that addresses the following:

  • Identify the purpose.
    • What are the challenges for management?
  • Set the criteria.
    • As a management team, what goals do you want to achieve?
  • Weight the criteria.
    • Rank your goals in order of importance to management.
  • Seek alternatives.
    • What alternative tools might management use to motivate staff? How would a leader use these tools to motivate staff? Will the leaders and managers motivate staff differently?
    • What tips do you have for the management team to empower staff?
  • Test alternatives.
    • How can positive modeling be used in this scenario? What alternatives do you have for modeling?
    • How can management incorporate mentorship into daily responsibilities?
  • Troubleshoot.
    • How will you address resistance from staff? What issues might impede the achievement of goals?
  • Evaluate the action.
    • How will you measure your goals to ensure success?
    • What are the ethical considerations in leadership and management?
    • What other management decisions must be considered in your scenario to improve employee morale? How will the success of these be measured?

Cite a minimum of five references.

Format your references consistent with APA guidelines.

 

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If we place $8,592.00 in a savings account paying 7.5 percent interest compounded annually, how much will our account accrue to in 9.5 years?

The purpose of this assignment is to allow the students to understand and practice the measurement of present value, future value, and interest rate using Microsoft® Excel®.

Resources: Microsoft® Office® 2013 Accessibility Tutorials, Microsoft® Excel®, Time Value of Money Calculations Template

Calculate the following time value of money problems using Microsoft® Excel®:

  1. If we place $8,592.00 in a savings account paying 7.5 percent interest compounded annually, how much will our account accrue to in 9.5 years?
  2. What is the present value of $992 to be received in 13.5 years from today if our discount rate is 3.5 percent?
  3. If you bought a stock for $45 dollars and could sell it fifteen years later for three times what you originally paid. What was your return on owning this stock?
  4. Suppose you bought a house for $3,250,000 to make it a nursing home in the future. But you have not committed to the project and will decide in nine years whether to go forward with it or sell off the house. If real estate values increase annually at 1.5%, how much can you expect to sell the house for in nine years if you choose not to proceed with the nursing home project?
  5. If your daughter wants to earn $215,000 within the next twenty-three years and the salaries grow at 4.45% per year. What salary should she start to reach her goal?

Resources

  • Center for Writing Excellence
  • Reference and Citation Generator
  • Grammar and Writing Guides
  • Learning Team Toolkit
 

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What types of words would you use to build a nursing word cloud?

Word cloud generators have become popular tools for meetings and team-building events. Groups or teams are asked to use these applications to input words they feel best describe their team or their role. A “word cloud” is generated by the application that makes prominent the most-used terms, offering an image of the common thinking among participants of that role.

What types of words would you use to build a nursing word cloud? Empathetic, organized, hard-working, or advocatewould all certainly apply. Would you add policy-maker to your list? Do you think it would be a very prominent component of the word cloud?

Nursing has become one of the largest professions in the world, and as such, nurses have the potential to influence policy and politics on a global scale. When nurses influence the politics that improve the delivery of healthcare, they are ultimately advocating for their patients. Hence, policy-making has become an increasingly popular term among nurses as they recognize a moral and professional obligation to be engaged in healthcare legislation.

To Prepare:

  • Revisit the Congress.gov website provided in the Resources and consider the role of RNs and APRNs in policy-making.
  • Reflect on potential opportunities that may exist for RNs and APRNs to participate in the policy-making process.
 

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Management of Rapidly Changing Situations

Select any three of Benner’s Seven Domains of Nursing Practice listed below to describe a recent experience that relates to the domain you selected:
Helping Role
Teaching/Coaching
Diagnostic/Monitoring
Management of Rapidly Changing Situations
Administering and Monitoring Interventions
Monitors and Ensures the Quality of Practice
Organizational and Work Role Competencies
Note: Benner’s Generic Domains of Practice can be adapted for use in all areas of nursing.

Describe an experience for each Domain of Nursing Practice you selected.
Identify your competence level using Benner’s Levels of Proficiency (i.e., novice, advanced beginner, competent, proficient, or expert practitioner);
To help you describe your experiences, review the exemplars for each domain of practice provided in chapters 4 -10 (Benner, 2001);
In describing the three experiences, use the appropriate criteria to outline the description of your experience, and to validate your level of competence. For example, criteria for the level of Expert Practitioner includes extensive experience, instantaneous grasp of most salient features of a situation, and professional instincts that lead to intuitive decision making and judgment. Expert Practitioners anticipate the unexpected, will still use analytical skills to process info in new situations, perform fluidly and effortlessly, and are respected by physicians.
Explain why your behaviors demonstrate the level or stage of competence you defined. If your behaviors are not at the Expert Level, describe what you would need to do to advance to the next level.
Use the Benner Competency Assessment APA template for this paper.

 

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Write an informal presentation (500-700 words) to educate nurses about how the practice of nursing is expected to grow and change.

As the country focuses on the restructuring of the U.S. health care delivery system, nurses will continue to play an important role. It is expected that more and more nursing jobs will become available out in the community, and fewer will be available in acute care hospitals.

  1. Write an informal presentation (500-700 words) to educate nurses about how the practice of nursing is expected to grow and change. Include the concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics.
  2. Share your presentation with nurse colleagues on your unit or department and ask them to offer their impressions of the anticipated changes to health care delivery and the new role of nurses in hospital settings, communities, clinics, and medical homes.
  3. In 800-1,000 words summarize the feedback shared by three nurse colleagues and discuss whether their impressions are consistent with what you have researched about health reform.
  4. A minimum of three scholarly references are required for this assignment.

While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

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

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

 

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What should Charles do when he encounters information in two sources that is directly contradictory?

During rounds Charles encounters a rare condition he has never personally seen, and only vaguely remembers hearing about in nursing school. He takes a few moments to prepare himself by searching the Internet. That evening, he researches even further to treat, administer, and assess the patient safely. He searches clinical databases online and his own school textbooks. Most of the information seems consistent, yet some factors vary. Charles wants to provide the highest quality in patient safety.

  • 1. What should Charles do when he encounters information in two sources that is directly contradictory? Which resources are the most trusted? Which resources are the most accurate? What criteria should Charles use to identify credible resources to enhance his clinical practice?
  • 2. Practice extracting data from a database at the https://statecancerprofiles.cancer.gov/index.htmlwebpage. Compare and contrast data from at least 2 different states based on incidence by gender and race/ethnicity.
  • 3. Visit the https://search.ahrq.gov/search?q=nursing&search_icon.x=0&search_icon.y=0 webpage.
    • Choose one of the guidelines and describe how it was developed and summarize the practice recommendations
    • How are these recommendations similar to or different from those contained in your textbook or those currently practiced in your clinical setting?
    • Choose a clinical topic and design a search strategy for searching an online database such as CINAHL or MEDLINE. Reflect on your search strategy, for example, what search terms did you initially use, what new terms did you discover as you searched, how did you limit/refine your search?
 

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Critically analyze current practice to formulate researchable problems.

I have uploaded the real questin as attachement so you can see how it was originally presented

For this discussion, you are asked to review the student learning outcomes for this course and discuss how you met these outcomes. The intention here is to provide you an opportunity to “reflect” on the learning achieved during this term and how you successfully met these learning outcomes. If you do not feel you successfully met the objective, discuss your plans to successfully complete the objective in the future.

Upon completion of this course, the student should be able to:

  1. Critically analyze current practice to formulate researchable problems.
  2. Evaluate research as the basis for decision-making to improve outcomes through translation into evidence-based practice.
  3. Synthesize an understanding of the research process through development of a proposal to address a nursing problem or focus area identified in nursing practice.
  4. Investigate ethical issues related to the conduct of scientific research, including informed consent, data management, data analysis, and protection of human subjects.
  5. Explore national and international initiatives and research priorities
 

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Discuss the role of the advanced practice nurse as an interdisciplinary research collaborator and member of the interdisciplinary team obligated to co-participate in the implementation and use of evidence-based practice.

Discussion Board:

(Minimum of 200 words, 3 references (2012-2017), times new roman, font, APA Style)

Topic 1: Collaboration for Research and Evidence-based Practice

Consider the role of the nurse as an interdisciplinary team member in completing research and using research findings to inform health care practices.

Review the following.

  • Women’s Health Initiative retrieved from http://www.nhlbi.nih.gov/whi
  • Collaborative strategies to enhance research and evidence-based practice. (see Journal uploaded below)

Answer the following questions.

  1. Discuss the role of the advanced practice nurse as an interdisciplinary research collaborator and member of the interdisciplinary team obligated to co-participate in the implementation and use of evidence-based practice.
  2. End your discussion by providing an example of an evidence-based change that would require the collaborative efforts of nursing and at least two other healthcare disciplines and that would lead to quality improvement in healthcare.

** Reference for the Attachment / Upload below: **

Engelke, M., & Marshburn, D. (2006). Collaborative strategies to enhance research and evidence-based practice. The Journal of Nursing Administration, Mar; 36(3), 131–135.

 

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How might I determine if the overarching organizational structure supports shared governance?

CHAPTER 12 – ASSIGNMENT

You are the supervisor of a surgical services department in a nonunion hospital. The staff on your unit have become increasingly frustrated with hospital policies regarding staffing ratios, on-call pay, and verbal medical orders but feel that they have limited opportunities for providing feedback to change the current system. You would like to explore the possibility of moving toward a shared governance model of decision making to resolve the issue and others like it but are not quite sure where to start.

Instructions:

  1. Review Learning Exercise 12.6 – Problem Solving: Working Toward Shared Governance (located in Chapter 12 of the textbook)
  2. Answer the following questions:
    1. Who do I need to involve in the discussion and at what point?
    2. How might I determine if the overarching organizational structure supports shared governance?
      • How would I determine if external stakeholders would be impacted?
      • How would I determine if organizational culture and subculture would support a shared governance model?
    3. What types of nursing councils might be created to provide a framework for operation?
    4. Who would be the members on these nursing councils?
    5. What support mechanisms would need to be in place to ensure success of this project?
    6. What would be my role as a supervisor in identifying and resolving employee concerns in a shared governance model?
  3. Your paper should be:
    • Typed according to APA style for margins, formatting and spacing standards.
    • Typed into a Microsoft Word document, save the file, and then upload the file
 

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