respond
An organizational structure identifies the roles and responsibilities of those in leadership positions that will impact the goal of the organization and (Renani, Ghaderi & Mahmoudi, 2017). It also indicates how information is shared through the various levels of leadership (Marquis & Huston, 2017). It identifies the hierarchical leadership structure of an organization for accountability ( Renani et al., 2017).
SLMC is a healthcare organization that has cared for a number of its neighboring communities in the Chamberlain County of South Carolina for the last 50 years. The organization consists of 500 physicians and 450 nurses and as such needs an organized way to function where roles are defined so the goals of the organization can be met. The purpose of the organization is to improve quality care and safety and to make improvements in healthcare and to provide care of the surrounding communities.
As the nurse administrator, the organizational structure that would be best for St. Louis Medical Center (SLMC) would be the shared governance. Shared Governance in healthcare is an essential component of providing quality and safe care to patients (Marquis & Huston, 2017). Based on the structure, the decision-making process is in collaboration with board members, physicians, the leadership team, and nurses (Marquis & Huston, 2017). The structure is made of several committees tasked to lead and make decisions which will affect the care of the community. Shared governance also supports empowerment through nurse autonomy and decision making (Marquis & Huston, 2017).
The organizational theory best for this type of structure would be the contingency theory. The contingency theory allows the organization to respond to its priorities based on the needs of the organizations as well as its community (Birken, Bunger, Powell, Turner, Clary, Klaman, Weiner, 2017). The reason this type of theory would be ideal is that the structure would facilitate the development of a committee to respond to its community’s challenges. For example, addressing issues related to the ten percent increase in heart failure admissions noted. This organizational theory will positively impact the institutional goals based on the changes that can be made that will address issues inside and outside the organization and its mission and vision.
Jean Latouche
References
Birken, S. A., Bunger, A. C., Powell, B. J., Turner, K., Clary, A. S., Klaman, S. L., … Weiner, B. J. (2017). Organizational theory for dissemination and implementation research. Implementation science : IS, 12(1), 62. doi:10.1186/s13012-017-0592-x
Marquis, B. L. & Huston, C. J. (2017). Leadership roles and management functions in nursing: Theory and application. (9th ed.). China: Wolters Kluwer Health.
Renani, G. A., Ghaderi, B., & Mahmoudi, O. (2017). The Impact of Organizational Structure on the Effectiveness of Communication from the Perspective of Employees in the Department of Education. International Journal of Management, Accounting & Economics, 4(10), 989–1001.
Health: A Community View
Historical Factors: Community Health Nursing in Context Community Assessment and Population Health Problems
Read chapter 1, 2 & 6 of the class textbook and review the attached PowerPoint presentations once done answer the following questions.
1. Compare and contrast the definitions of health from a public health nursing perspective and list and explain the, three levels of prevention and give an example of each one.
2. Mention and discuss community/public health nursing interventions as explained by the intervention Wheel.
3. Describe and explain the process of conducting a community health assessment and identify and discuss the uses for epidemiological data at each step of
of the nursing process.
4. Compare the application of the public health principles to the nation’s major health problems at the turn of the twentieth century (i.e. acute disease) with the beginning of the twenty-first century (i.e. chronic disease) and mention and discuss the major contemporary issues facing community/public health nursing, and trace the historical roots to the present.
As stated in the syllabus please present your assignment in an APA format word document, Arial 12 font attached to the forum in the discussion board title “Week 1 discussion questions”. A minimum of 2 evidence-based references is required (not counting the class textbook) no older than 5 years.
Please follow the instructions given in the syllabus Discussion Question (DQ) Participation Guidelines” and “Discussion Question (DQ) Submission Guidelines.
prove in turnitin
Respond to at least two of your colleagues who were assigned a different patient than you. Critique your colleague’s targeted questions, and explain how the patient might interpret these questions. Explain whether any of the questions would apply to your patient, and why.
Main Post
CASE STUDY 2
AG is a 54-year-old Caucasian male who was referred to the clinic to establish care after a recent hospitalization after having a seizure related to alcohol withdrawal. He has hypertension and a history of alcohol and cocaine abuse. He is homeless and is currently living at a local homeless shelter. He reports that he is out of his amlodipine 10 mg which he takes for hypertension. He reports he is abstaining from alcohol and cocaine but needs to smoke cigarettes to calm down since he is not drinking anymore.
The Communication Techniques
A nurse practitioner chooses to use the RESPECT Modell to communicate with the patient to stay productive and patient-centered in all her communication with the patient. RESPECTS stand for (Rapport, Empathy, Support, Partnership, Explanation, Cultural Competence, and Trust) (Ball, Dains, Flynn, Solomon, & Stewart, 2019). The nurse practitioner establishes rapport by seeking the patient’s point of view to avoid being judgmental. She asked the question of how the patient wanted to be addressed. The nurse practitioner shows empathy by asking the patient how he becomes homeless to understand how she can help him get his life back in order. The nurse practitioner supports the patient by asking him about his financial situation to direct him to the proper agency. The patient is at risk for cardiac diseases, lung cancer, and stroke, so the nurse practitioner partnered with the patient to help him stop smoking (Ball et al., 2019).The nurse practitioner needs to explain to the patient to know what cigarette smoking does to the body. Nicotine is a sympathomimetic medicine that releases catecholamines, increases heart rate and cardiac contractility, constricts cutaneous, and coronary blood vessels, and rapidly increases blood pressure (Benowitz, 2009). It is crucial to present the patient with evidence-based practice to address health risks across cultures, and it is essential to assure the patient that what he said will be kept confidential to establish trust (Ball et al., 2019).
The Risk Assessment Instrument
The CAGE questionnaire is a precise tool that has been used for many years to screen patients for addictive behaviors. The GAGE questions have been modified to apply to smoke behavior. The CAGE questions are as following: 1) Have you ever felt the necessity to cut down or control your smoking, but had trouble doing so? 2) Do you ever get angry or annoyed with people who criticize your smoking or demanding you quit smoking? 3) Do you feel guilty regarding your smoking or about something you did while smoking? And 4) Do you ever smoke within half an hour of waking up (Eye-opened)? The patient is screen positive to two yes responses. The CAGE instrument is used because it is nonthreatening. A study showed that the CAGE questionnaire was used in a medical outpatient embedded in a self-administered questionnaire regarding health habits. Most of the patients did not know that they were filling out an assessment for addictions. The patient must be willing to stop smoking for treatment to be effective (American Family Physician, 2000).
Targeted Questions
1) How do you want to be addressed?
2) How are you feeling?
3) How may we help you?
4) How do you become homeless and tell us about your financial situation?
5) Do you need help getting your prescription refill?
6) When was the last time you drink alcohol or use cocaine?
7) When was the last time you check your blood pressure and take your amlodipine medication?
8) When was the last time you had a seizure episode?
9) When do you start smoking and how many packs do you smoke a day?
10) How can we help you to stop smoking?
References
Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.Benowitz, N. L. (2009). Pharmacology of nicotine: addiction, smoking-induced disease, and therapeutics. Annual review of pharmacology and toxicology, 49, 57–71. doi:10.1146/annurev.pharmtox.48.113006.094742American Family Physician. (2000). Assessing Nicotine Dependence. Retrieved from https://www.aafp.org/afp/2000/0801/p579.html
pROVE IN TURNISTIN MY ZIP CODE 33015
Community Health Assessment / Windshield Survey
Community Assessment
A community health assessment (sometimes called a CHA), also known as community health needs assessment (sometimes called a CHNA), refers to a state, tribal, local, or territorial health assessment that identifies key health needs and issues through systematic, comprehensive data collection and analysis. Community health assessments use such principles as
(Retrieved from https://www.cdc.gov/publichealthgateway/cha/plan.html)
Windshield Survey:
“A windshield survey is an informal method used by community health nurses to obtain basic knowledge about a given community. It provides a subjective view of the various physical characteristics of a communal area as observed while driving or walking through a neighborhood.
.”(Retrieved from;
mynursingprofessionalportfolio.weebly.com/uploads/8/9/3/3/8933086/windshieldsurvey.docx).”
As stated in the syllabus please present your assignment in an APA format word document, Arial 12 font attached to the forum in the discussion board title “Week 1 discussion questions”. A minimum of 2 evidence-based references is required (not counting the class textbook) no older than 5 years. A minimum of 1000 words are required. Make sure the assessment is based in the community where you live. I don’t want community health assessment from other communities, once again it must be from the community you live. Please mention the zip code of your community in the first page of the assignment.
Please follow the instructions given in the syllabus Discussion Question (DQ) Participation Guidelines” and “Discussion Question (DQ) Submission Guidelines.
All written assignments require:
· a title page
· reference page
· a purpose for writing your paper
· Do not use the word Introduction for your Title of the paper on p. 2
· Use current literature within 5 years for all assignments
· Do not need an abstract
· Follow APA 6th ed. formatting
· Use heading levels
· Have a Conclusion heading with a concluding paragraph under the Conclusion heading
Analysis of a Pertinent Healthcare Issue
Develop a 3- to 4-page paper, written to your organization’s leadership team, addressing your selected national healthcare issue/stressor and how it is impacting your work setting. Be sure to address the following:
· Describe the national healthcare issue/stressor you selected and its impact on your organization. Use organizational data to quantify the impact (if necessary, seek assistance from leadership or appropriate stakeholders in your organization).
· Provide a brief summary of the two articles you reviewed from outside resources on the national healthcare issue/stressor. Explain how the healthcare issue/stressor is being addressed in other organizations.
· Summarize the strategies used to address the organizational impact of national healthcare issues/stressors presented in the scholarly resources you selected. Explain how they may impact your organization both positively and negatively. Be specific and provide examples.
Students are required to maintain weekly reflective narratives throughout the course to combine into one course-long reflective journal that integrates leadership and inquiry into current practice as it applies to the Professional Capstone and Practicum course.
In your journal, you will reflect on the personal knowledge and skills gained throughout this course. The journal should address a variable combination of the following, depending on your specific practice immersion clinical experiences:
Students will outline what they have discovered about their professional practice, personal strengths and weaknesses that surfaced, additional resources and abilities that could be introduced to a given situation to influence optimal outcomes, and finally, how the student met the competencies aligned to this course.
While APA style 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.
You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.
Throughout the RN-to-BSN program, students are required to participate in scholarly activities outside of clinical practice or professional practice. Examples of scholarly activities include attending conferences, seminars, journal club, grand rounds, morbidity and mortality meetings, interdisciplinary committees, quality improvement committees, and any other opportunities available at your site, within your community, or nationally.
You are required to post one scholarly activity while you are in the BSN program, which should be documented by the end of this course. In addition to this submission, you are required to be involved and contribute to interdisciplinary initiatives on a regular basis.
Submit, as the assignment, a summary report of the scholarly activity, including who, what, where, when and any relevant take-home points. Include the appropriate program competencies associated with the scholarly activity as well as future professional goals related to this activity. You may use the “Scholarly Activity Summary” resource to help guide 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.
COMPLETE THE CASE STUDY BELOW!!
1) Greg is a nurse serving a community-based group home for individuals with developmental and mental health disabilities. He is responsible to provide nursing services for 14 residents in three group homes. To best serve his clients, as well as the larger community of disabled residents, he has taken several courses related to the needs of those with disabilities.
1.Greg has learned that the historical view of those with disabilities has evolved. In current frameworks, it is viewed as important to differentiate among the concepts of impairment, disability, and handicap. In this framework, the concept of a person’s limited ability to perform an activity in an expected way is best described as a(n): Give a rationale and a reference (50 words)
2.Most of Greg’s clients require assistance in multiple functional areas. This assistance is necessary, in part, because of environmental and social barriers that affect their quality of life. A common barrier to proper health care is poor access to transportation services. This is an example of what type of barrier? Give a rationale and a reference (50 words)
3.Many of Greg’s clients experience limitations in their ability to function on some level. According to U.S. Census Bureau definitions, the client who requires assistance with money management, paying bills, etc., is said to have a limitation in: Give a rationale and a reference (50 words)
4. Greg has served in his current position since 1990. During this period of time, he has become convinced of the importance of the advocacy role of community health nurses and he has participated in efforts to pass landmark legislation protecting the rights of those with disabilities. This legislation, which resulted in the formalized expectation of “reasonable accommodations,” is referred to as the: Give a rationale and a reference (50 words)
Case study Guidelines
READ THESE WEBSITES
http://www.thaindian.com/newsportal/south-asia/global-climate-change-could-severely-impact-californias-unique-native-plants_10064288.html
https://news.bahai.org/story/530/
AND write a post discussing what you have learned [a very minimum of 250 words]. Cite your sources of facts within your sentences. Explain examples and incorporate evidence.
Independent Learning Tasks
Description: Responses to ILTs (see Study Guide for tasks). To be posted to the Discussion Board on a weekly basis from Week 1-12.
Weighting: 20%
Length: 100-200 words per post (2000 words total)
Due: Monday, Week 13, 10pm AEST.
Assessment Rationale
This assessment is the online equivalent of tutorial participation. This task encourages students to critically engage with the course materials, their peers and their tutor through weekly on-line discussions.
Assignment procedure
1. Each week write a response of 100-200 words to the Independent Learning Task (ILT) provided in your study guide. The response should demonstrate your critical engagement with the unit content, the textbook and readings. Post your response in the COM21 Discussion Board under the thread titled Independent Learning Tasks and under the correct week for each specific task.
2. Each week comment on the ILT responses made by two of your peers. Your response should elaborate some issue with reference to your own experience or academic argument. This is a place for informed comment and not unsubstantiated opinion or chatting. You required to post a minimum of two responses.
3. Each week collect your own original responses to the ILTs and your two best responses to peers in a Word document, that is, one ILT and two posts to peers for each week.
This will be the document you submit to your tutor at the end of the study period.
While we do want you to post across the study period, we understand that sometimes work or family pressures may make this difficult. Please note that students will be marked down if the tasks are all posted in just the final weeks of the Study Period.
IMPORTANT
Your need to nominate your best ILT posts and peer responses for two specific weeks as your strongest posts for marking and feedback. At the top of your document include a statement such as:
MARKERS PLEASE PROVIDE DETAILED FEEDBACK ON THE ILT FOR WEEK X AND Y.
A general mark for your participation will be allocated but specific feedback on these two weeks discussions will be provided.
Checklist
Have you completed the ILT for each week?
Have you responded to at least two posts made by a peer?
Have you collected all posts into Word document including:
· your name and student number
· Assignment Cover Sheet
· each of your ILTs and two responses to your peers for each week?
Have you clearly identified your two best weekly ILT responses?
Have you submitted your assignment through SafeAssign?
If required, have you organised an extension with your tutor?
Have you spent some time doing something fun now this assignment is completed?