Nursing theory and leadership

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PLEASE POST A RESPONSE TO THIS DISCUSSION BELOW 

I believe Jean Watson’s Theory of Caringhas the greatest impact in my area of pediatrics. Nursing and caring have become synonymous in our culture and I believe caring is the essence of nursing. Professional nurses have an obligation to provide the best environment for healing to take place. The theory’s carative factors outlines principles and ideas that should be used by the professional nurse to create the best environment for healing of the patient and of the nurse.

            Watson’s Caring Theory and the Care of a Pediatric Cancer Patient by Rachel M. Parker and Crystal Lane-Tillerson was a great article to read and internalize.  The article presents an overview of Watson’s Caring Theory and applies it to the care of a pediatric cancer patient. A specific emphasis is placed on describing the nurse’s role in caring and presenting the expected outcomes of caring. Caring is essential to nursing practice and it can improve patient outcomes and experiences.  Not only does Watson argue that the theory describes caring within nursing practice, she maintains that her theory is unique in that it also captures the spiritual essence of nursing (Watson, 2012). I believe this to be true in my practice as a pediatric nurse. Caring creates valuable physical, mental, and spiritual connections between the nurse and the patient. This in turn can create meaningful relationships and positive patient outcomes. Watson’s theory is very applicable to present day nursing whether caring for a pediatric cancer patient or any other patient. All patients are in need of caring and Watson’s framework instructs the nurse on how to care (Parker & Lane-Tillerson, 2014).

Nursing theory and leadership was a challenging unit discussion. Several attempts have been made over the years to explain the characteristics of an effective leader. Leaders can be managers but not all managers can be effective leaders, making leadership an important aspect of effective management. In my personal experience, great management was something I did not experience until recently, thus finding it difficult to write about. By discussing nursing theory, leadership, and management in week 4, I was able to learn what qualities great leaders/managers have and what ways management incorporates theory into the nursing profession.  I also learned that by incorporating nursing theory into leadership, I will have a stronger knowledge base and develop a firm discipline whereby to provide quality of care through skills learned, and knowledge gained.

            The discussion that I found most useful to understand nursing theory and its application to my area of practice in pediatrics was the discussion on nursing theory and practice in unit 1. I was able to research multiple theories and discuss the value of theory to the profession of nursing. I was also able to identify ways in which I could use theory to improve my practice in my present role and future role as a pediatric nurse.

References

Parker, R. M., & Lane-Tillerson, C. (2014). Watson’s Caring Theory and the Care of a Pediatric

Cancer Patient. JOCEPS: The Journal of Chi Eta Phi Sorority, 58(1), 16-19. Retrieved

from https://web-b-ebscohost-com.prx-

herzing.lirn.net/ehost/pdfviewer/pdfviewer?vid=14&sid=2d144039-b277-4271-b829-

b192a21bfcdd@sessionmgr104.

Watson, J. (2012). Human caring science: A theory of nursing (2nd ed.). Sudbury, MA: Jones &

Bartlett Learning.

 
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Case 3: Drooping of Face

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APA format SOAP note format 3 peer refences. 

 In this Discussion, you will consider case studies that describe abnormal findings in patients seen in a clinical setting. 

 By Day 1 of this week, your Instructor will have assigned you to one of the following specific case studies for this Discussion. Also, your Discussion post should be in the Episodic/Focused SOAP Note format, rather than the traditional narrative style Discussion posting format. Refer to Chapter 2 of the Sullivan text and the Episodic/Focused SOAP Template in the Week 5 Learning Resources for guidance. Remember that all Episodic/Focused SOAP notes have specific data included in every patient case. 

Case 3: Drooping of Face

A 33-year-old female comes to your clinic alarmed about sudden “drooping” on the right side of the face that began this morning. She complains of excessive tearing and drooling on her right side as well.

To prepare:

With regard to the case study you were assigned:

  • Review this week’s Learning Resources, and consider the insights they provide about the case study.
  • Consider what history would be necessary to collect from the patient in the case study you were assigned.
  • Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis?
  • Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.

Case 3: Drooping of Face

A 33-year-old female comes to your clinic alarmed about sudden “drooping” on the right side of the face that began this morning. She complains of excessive tearing and drooling on her right side as well.

To prepare:

With regard to the case study you were assigned:

  • Review this week’s Learning Resources, and consider the insights they provide about the case study.
  • Consider what history would be necessary to collect from the patient in the case study you were assigned.
  • Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis?
  • Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.
 
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Nursing Research Poster Presentation

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Nursing Research Poster Presentation 
Using a nursing research study assigned by the course instructor, create a poster presentation reflecting a synopsis of the study.  Presentation should summarize the introduction, background or literature review, methods, results, & conclusion of the assigned journal article.  Please note this is not an exercise in cutting & pasting.  Paraphrase content to reflect individual understanding of research study content.  Refer to the poster presentation tutorial provided in the Blackboard Course Content section for guidance. All posters shall be uploaded to the discussion board.   
How to Create a Research Poster: Poster Basics 
Posters are widely used in the academic community, and most conferences include poster presentations in their program.  Research posters summarize information or research concisely and attractively to help publicize it and generate discussion.  The poster is usually a mixture of a brief text mixed with tables, graphs, pictures, and other presentation formats.  PowerPoint is a popular and easy-to-use software platform to make a poster.  It is part Microsoft Office. 
What makes a good poster? • Important information should be readable from about 10 feet away • Title is short and draws interest • Word count of 800 words or less • Text is clear and to the point • Use of bullets, numbering, and headlines make it easy to read • Effective use of graphics, color and fonts • Consistent and clean layout • Includes acknowledgments, your name and institutional affiliation 
Poster Design Tips 
• Use large text (your text should be at least 18-24 pt; headings 30-60 pt; title >72pt.) • Do not use more than 2-3 font styles total • Use fonts that are easy to read (such as Times New Roman, and Arial) • Avoid jagged edges: left-justify text within text boxes or fully justify blocks of text • Avoid too much text (no more than 800 words max) and undefined technical jargon • Choose colors carefully and pay attention to contrast.  If in doubt, dark print on light background is best. Remember – some colorblind people cannot distinguish between red and green. • Organize and align your content with columns, sections, headings, and blocks of text • White space is important to increase visual appeal and readability (this is the “empty” space between sections, columns, headings, blocks of text, and graphics). • Selectively incorporate charts, graphs, photographs, and key quotations from primary sources, maps, and other graphics that support the theme of your poster.  It is best to avoid using tables of data. • Avoid fuzzy images; make sure all graphics are high-resolution (at least 300ppi) and easily visible • Edit your poster carefully for typographic or grammatical mistakes and image quality before the final print-out (use the print-preview function) 
Poster Review Checklist 
• Does poster have enough white space? • Are the text and graphics legible? • Are the text and graphics consistent? • Is the flow of information logical? • Are the following identified: research question, methods, take-home message or conclusion? • Are the proper acknowledgments provided? 
Discussion: July 5, 2016

  • adherence_to_leg_ulcer_lifestyle_advice.pdf
  • la_2_due_7_1.pdf
 
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I chose the population of children under the age of 6 and I chose the Safety by Room checklist

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hi dear,

I just need to 2 responses to the Discussions, and about 100 words for each responses.

1. I chose the population of children under the age of 6 and I chose the Safety by Room checklist. I reviewed my family room, kitchen, and bedrooms; I was able to cross off each area on the check list. The modifications I would need to make would be in my bathrooms, backyard, and in my garage. In my bathrooms I don’ t have any anti-scalding devices on the faucets, locks on the toilet or cabinets, or non-skid rugs. In my garage I would need to install a carbon monoxide detector and in my backyard I would need to install a lock on my hot tub. Currently I do not have any children of my own so this isn’t a large concern of mine as there aren’t young children that live with me. I do have younger brothers that are under 10 years old so there are a few changes I would want to modify as they do come visit occasionally.

2. What is the role of Cal-Osha?  The role of Cal-OSHA is to set health and safety standards, enforce those standards, and provide education and outreach, certifications and licensing for all workers in the state of California.   As part of enforcing the standards, they are responsible to respond to complaints of unsafe practices and they cite and fine organizations based on the set standards.  They maintain and provide some general safety guidelines that apply to all places of employment in California along with some guidelines for specific types of industry such as the the agriculture or film industries.  Additionally, they also regulate the safety of those riding in public conveyances; such as elevators, trams, or amusement park rides.

    I selected a citation issued to Butler Amusements Inc. that operated rides for the Big Fresno Fair in Fresno, California in OCT 2013.  They were cited on 3 violations relating to the same thing, which was basically unsafe operation of 2 rids and “failure to maintain equipment according to manufacturers” guidelines.  These violations were considered”Serious Willful” violations because the owners knowingly removed or left off some parts that maintained stability of the rides. Their overall fine was $101,250.00 and it seems they fixed the issues. I am uncertain if that was a significant fine because the citation did not mention if there were any injuries or fatalities as a result of the violation. 

Throughout the year, and with California weather being so nice, one can encounter a number of these fairs popping up in most cities in California and all having some form of ride or another.  Many people flock to these fairs, which seem to be reminiscent of decades-past travelling circus, and reviewing this citation brings to mind something that I previously did not truly consider.  Although most people are aware that these events/fairs need to register and have permits for for holding their events, I for one don’t think that one would readily consider if the rides are being inspected or held to any major safety standard.  We all know that we want them to be fun and safe, and if something does go wrong with a ride, we would likely sue or complain to management. But to think that it would be a requirement to answer to the State’s Occupational Safety and Health Administration would not be something I would consider, until now.   Considering how many people these fairs attract, the money that is spent there (especially if you have children), and the potential for injury or harm, perhaps it would be good to ensure the public is aware and able to confirm/verify that at least the minimum safety standards are being followed and met, before we place our lives, or lives of our family members/friends in the hands of the fair operators.

thanks,

 
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Inflammatory Bowel Disease

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Inflammatory Bowel Disease 

Case Study 

The patient is an 11-year-old girl who has been complaining of intermittent right lower quadrant pain and diarrhea for the past year. She is small for her age. Her physical examination indicates some mild right lower quadrant tenderness and fullness. 

Studies Results 

Hemoglobin (Hgb), 8.6 g/dL (normal: >12 g/dL) Hematocrit (Hct), 28% (normal: 31%-43%) Vitamin B12 level, 68 pg/mL (normal: 100-700 pg/mL) Meckel scan, No evidence of Meckel diverticulum D-Xylose absorption, 60 min: 8 mg/dL (normal: >15-20 mg/dL) 120 min: 6 mg/dL (normal: >20 mg/dL) Lactose tolerance, No change in glucose level (normal: >20 mg/dL rise in glucose)

 Small bowel series, Constriction of multiple segments of the small intestine Diagnostic Analysis The child’s small bowel series is compatible with Crohn disease of the small intestine. Intestinal absorption is diminished, as indicated by the abnormal D-xylose and lactose tolerance tests. Absorption is so bad that she cannot absorb vitamin B12. As a result, she has vitamin B12 deficiency anemia. She was placed on an aggressive immunosuppressive regimen, and her condition improved significantly. Unfortunately, 2 years later she experienced unremitting obstructive symptoms and required surgery. One year after surgery, her gastrointestinal function was normal, and her anemia had resolved. Her growth status matched her age group. Her absorption tests were normal, as were her B12 levels. Her immunosuppressive drugs were discontinued, and she is doing well. 

Critical Thinking Questions 

1. Why was this patient placed on immunosuppressive therapy?

 2. Why was the Meckel scan ordered for this patient? 

3. What are the clinical differences and treatment options for Ulcerative Colitis and Crohn’s Disease? (always on boards) 

4. What is prognosis for patients with IBD and what are the follow up recommendations for managing disease?

Urinary Obstruction 

Case Studies 

The 57-year-old patient noted urinary hesitancy and a decrease in the force of his urinary stream for several months. Both had progressively become worse. His physical examination was essentially negative except for an enlarged prostate, which was bulky and soft. 

Studies Results Routine laboratory studies Within normal limits (WNL) Intravenous pyelogram (IVP) Mild indentation of the interior aspect of the bladder, indicating an enlarged prostate Uroflowmetry with total voided flow of 225 mL 8 mL/sec (normal: >12 mL/sec) Cystometry Resting bladder pressure: 35 cm H2O (normal: <40 cm H2O) Peak bladder pressure: 50 cm H2O (normal: 40-90 cm H2O) Electromyography of the pelvic sphincter muscle Normal resting bladder with a positive tonus limb Cystoscopy Benign prostatic hypertrophy (BPH) Prostatic acid phosphatase (PAP) 0.5 units/L (normal: 0.11-0.60 units/L) Prostate specific antigen (PSA) 1.0 ng/mL (normal: <4 ng/mL) 

Prostate ultrasound Diffusely enlarged prostate; no localized tumor Diagnostic Analysis Because of the patient’s symptoms, bladder outlet obstruction was highly suspected. Physical examination indicated an enlarged prostate. IVP studies corroborated that finding. The reduced urine flow rate indicated an obstruction distal to the urinary bladder. Because the patient was found to have a normal total voided volume, one could not say that the reduced flow rate was the result of an inadequately distended bladder. Rather, the bladder was appropriately distended, yet the flow rate was decreased. This indicated outlet obstruction. The cystogram indicated that the bladder was capable of mounting an effective pressure and was not an atonic bladder compatible with neurologic disease. The tonus limb again indicated the bladder was able to contract. The peak bladder pressure of 50 cm H2O was normal, again indicating appropriate muscular function of the bladder. Based on these studies, the patient was diagnosed with a urinary outlet obstruction. The PAP and PSA indicated benign prostatic hypertrophy (BPH). The ultrasound supported that diagnosis. Cystoscopy documented that finding, and the patient was appropriately treated by transurethral resection of the prostate (TURP). This patient did well postoperatively and had no major problems.

 Critical Thinking Questions

 1. Does BPH predispose this patient to cancer? 

2. Why are patients with BPH at increased risk for urinary tract infections? 

3. What would you expect the patient’s PSA level to be after surgery? 

4. What is the recommended screening guidelines and treatment for BPH? 

5. What are some alternative treatments / natural homeopathic options for treatment?

 
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Health As A Right A Priviliege

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Using the guidelines presented on pages 194-205 of your text go to the website Procon.org and using the guidelines below discuss the topic of Health Care as a right or a privilege.  This should be a 3-4 page paper and I will be looking for primary source citations.

Please use standard margins and set line spacing at 1.5.

Suggested Subheadings:

Background: Express your opinion/position about the issues addressed by this topic. (1-2 paragraphs)

Disclosure: Describe your knowledge about the topic and identify your attitudes, beliefs, values and any bias you may have about the issues associated with the topic (1-2 paragraphs)

My Knowledge: Is your understanding of the issues balanced; can you articulate both sides of the issues? (1-2 paragraphs)

Factual Findings:  What are the facts for and against the issues related to the topic? What factual information did you find to support your position?  Describe at least 2 pieces of factual information that refutes your position or bias. (2-3 paragraphs)

Pro-Con Summary: What were two arguments presented for and against that are new, or added to your list of things to consider? If after reading the Pro-Con arguments you have discovered new information express what you’ve learned and describe how that has influenced your position (1-2 paragraphs)

Facts vs. Opinion:  If there is factual evidence to your position state it here.  If not, are there strong opinions that work in your favor?  If no factual information was presented, identify at least 2 opinions that are used to state a position. (1-2 paragraphs)

Support for My Position:  Identify the two arguments that best support your position. (1-2 paragraphs)

Opposition to My Position Identify the two strongest arguments that oppose your view about the topic. (1-2 paragraphs)

Summary: Summarize whether your position has been enhanced or weakened by the arguments presented in favor or against your original position. (2-3 paragraphs)

Use the

Click for more options

Assignment 7 template as a guide for formatting your paper.

 
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Respond on two different days by explaining how the leadership skills they described may impact your organization or your personal leadership, or by identifying challenges you see in applying the skills described.

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Respond  on two different days by explaining how the leadership skills they described may impact your organization or your personal leadership, or by identifying challenges you see in applying the skills described.

                                                                     Main Post

The leadership of any given workplace sets the tone for the entire operation. One key factor of this was presented by Anyati, Sudiro, Hadiwidjaja and Noermijati in their article addressing ethical leadership and its effect on the workplace. Their study found that an ethical leaderships system results in an ethical climate and prevents what they describe as “deviant behavior’ in the workplace” (2018). Leaders that use unethical means to enforce their policies will likely be met with undesirable actions from their employees. Leaders that create an ethical work environment and preform under their own ethical scrutiny are, likewise, met with ethical and pleasing behavoir in the workplace.  

     An example of this in my workplace from our Chief Operations Officer at Grand Peaks Medical. She conducts herself in an ethical way in all instances. When she has a child that needs to be seen for an illness, she calls and makes an appointment, sits in the waiting room and insists that regular operations and flow continue despite the fact that she is our boss, she could easily have her child seen first. This in turn has created an atmosphere of ethics in our office. We all have followed suit with scheduling ourselves and our family members. It has also deterred staff and doctors from giving important members of the community preferential treatment over another patient because of their social status. Our patients are all treated ethically regardless of financial, insurance or social status. We also all feel that we can go to her with concerns, because we know that she will handle them ethically, maintaining confidentiality, and will get back to us will answers in a timely manner.  

     A type of Transformational Leadership, known as inspirational, has been shown to be the one of the most effective in producing outcomes and a happy and healthy work environment. The Inspirational leader sets organizational goals and although he or she has high expectations of his or her employees, the leader is supportive and positive (Zindeldin, 2017). I found this type of leadership a key factor in good leadership because I feel it makes the organization feel like they are working as a team to achieve the same goal.  

     An example of this was my manager when I worked on Labor and Delivery. Our Nurse Manager was this type of manager and ran a very effective team. Each nurse meeting was organized to develop a team goal to improve patient safety. Sometimes this meant improving medication error rates or decreasing the call to cut time for a cesarean section. Not only did she give us helpful ideas on how to improve, she would spend time on the floor, working with us, taking care of patients. This gave her to opportunity to see what was hindering the goal, and to see what could be improved in way of policy that would help us meet that goal. We felt supported and felt that our manager truly cared for each of us.  

     Both of these leaders made a decision, as descried in chapter 7 of the course text, to be influential leaders. They both genuinely care about the staff and maintain a level of credibility among staff that provides them with a high level of respect from their employees. Being a leader is a selfless endeavor, and the best leaders aim to improve the lives of others not to improve their own status (Mashall & Broome, 2017).  

 References

Aryati, A. S., Sudiro, A., Hadiwidjaja, D., & Noermijati, N. (2018). The influence of ethical leadership to deviant workplace behavior mediated by ethical climate and organizational commitment. International Journal of Law & Management, 60(2), 233–249. https://doi-org.ezp.waldenulibrary.org/10.1108/IJLMA-03-2017-0053 

Marshall, E., & Broome, M. (2017). Transformational leadership in nursing: From expert clinician to influential leader (2nd ed.). New York, NY: Springer. 

Zineldin, M. (2017). Transformational leadership behavior, emotions, and outcomes: Health psychology perspective in the workplace. Journal of Workplace Behavioral Health, 32(1), 14–25. https://doi-org.ezp.waldenulibrary.org/10.1080/15555240.2016.1273782 

 
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Discussion: Big Data Risks and Rewards

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Discussion: Big Data Risks and Rewards

When you wake in the morning, you may reach for your cell phone to reply to a few text or email messages that you missed overnight. On your drive to work, you may stop to refuel your car. Upon your arrival, you might swipe a key card at the door to gain entrance to the facility. And before finally reaching your workstation, you may stop by the cafeteria to purchase a coffee.

From the moment you wake, you are in fact a data-generation machine. Each use of your phone, every transaction you make using a debit or credit card, even your entrance to your place of work, creates data. It begs the question: How much data do you generate each day? Many studies have been conducted on this, and the numbers are staggering: Estimates suggest that nearly 1 million bytes of data are generated every second for every person on earth.

As the volume of data increases, information professionals have looked for ways to use big data—large, complex sets of data that require specialized approaches to use effectively. Big data has the potential for significant rewards—and significant risks—to healthcare. In this Discussion, you will consider these risks and rewards.

To Prepare:

· Review the Resources and reflect on the web article Big Data Means Big Potential, Challenges for Nurse Execs.

· Reflect on your own experience with complex health information access and management and consider potential challenges and risks you may have experienced or observed.

Post a description of at least one potential benefit of using big data as part of a clinical system and explain why. Then, describe at least one potential challenge or risk of using big data as part of a clinical system and explain why. Propose at least one strategy you have experienced, observed, or researched that may effectively mitigate the challenges or risks of using big data you described. Be specific and provide examples.

Assignment: The Impact of Standardized Nursing Terminology

Among the Resources in this module is the Rutherford (2008) article Standardized Nursing Language: What Does It Mean for Nursing Practice? In this article, the author recounts a visit to a local hospital to view the recent implementation of a new coding system.

During the visit, one of the nurses commented to her, “We document our care using standardized nursing languages but we don’t fully understand why we do” (Rutherford, 2008, para. 1).

How would you respond to a comment such as this one?

To Prepare:

· Review the concepts of informatics as presented in the Resources, particularly Rutherford, M. (2008) Standardized Nursing Language: What Does It Mean for Nursing Practice?

· 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:

In a 2- to 3-page paper, address the following:

· Explain how you would inform this nurse (and others) of the importance of standardized nursing terminologies.

· Describe the benefits and challenges of implementing standardized nursing terminologies in nursing practice. Be specific and provide examples.

· Be sure to support your paper with peer-reviewed research on standardized nursing terminologies that you consulted from the Walden Library.

 
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Financial Analysis report

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In today’s world of healthcare, capital expenses are a common element to the financial management process. In fact, all healthcare organizations, at some point, must convert to an Electronic Health Record (EHR) system to be compatible with the rest of the world. However, this is a major capital expense that will cost many healthcare organizations millions of dollars. Purchasing an EHR system will undoubtedly require the acquisition and use of long-term assets under a capital budget.

The final assignment of your project will require you to make a recommendation to finance an EHR system, based on information from previous assignments. You will compile all the information in a proposal format, which will be addressed to the organization’s executive managers. You will create a separate presentation as an overview of your proposal.

Your organization is considering financing a 1.5 million dollar EHR system (if an EHR system not a good fit for your case, you can choose any major health information system/technology but the 1.5 million dollar reference should remain the same). Based on the financial outlook of your case/organization, make a recommendation to purchase or not purchase the system. You will need to draw on the material you have learned in throughout the class and assignments; as well as background information from your case description. Collectively, that information will serve as the foundation to support your recommendation.

Your final Financial Analysis report should be a minimum of eight (8) pages in length, excluding title and reference pages.

· Introduction of case and financial challenges and issues; perspective of financial challenge (Introduction)

· Report on assets and liabilities, cash flows and financial position, etc (Financial Statements).

· Examination of financial analysis methods (Financial Analysis Methods).

· Interpretation of financial management and capital management; influences for capital investments and decision-making (Capital Management).

· Assessment of EHR implementation (or relevant information system) and recommendation; using supportive information from financial management assignments (Proposal)

o Summarizes and presents a collection of financial management concepts, strategies and methods; applicable to case financial position, needs and challenges.

· Make sure to use block letter formatting and proposal formatting guidelines. You will need to include a title page. Remember, your audience is the organization’s executive managers. Make sure to use proper audience tone.

· Include an APA formatted reference page to include at least five (5) academic sources, such as a book or an academic scholarly journal, to support your topic. You should reference your academic sources by including at least five (5) in-text citations. Academic scholarly journals can be access through the Rasmussen Online Library.

Your Presentation should be created in MS PowerPoint to include a minimum of seven (7) slides. You will also add a narration to your presentation that should be 15-20 minutes in length. Be sure to discuss your project components in a concise, yet effective manner. You should highlight key points of each component of the Financial Analysis Report, leading up to your EHR recommendation outcome. Include graphical displays (such as graphs or other pictorials) to add visual interest and support of your information. Use a professional tone and keep in mind that you are presenting to the executive management team; consider their interests as stakeholders.

Presentation Outline

· Introduction

· Summary of financial statements

· Summary of financial analysis methods

· Findings of capital management influences

· EHR recommendation outcome

· Summary/Conclusion

· APA formatted reference slide

 
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